HomeMy WebLinkAboutPermit EL17-0062 - CASCADE BEHAVIORAL HEALTH - LOAD BANK CONNECTIONCASCADE BEHAVIORL
HEALTH
12844 MILITARY RD S
EL1 7-0062
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
1623049001
12844 MILITARY RD S
ELECTRICAL OTC PERMIT
Project Name: CASCADE BEHAVIORAL HEALTH
Permit Number: EL17-0062
Issue Date: 1/26/2017
Permit Expires On: 7/25/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
CASCADE BEHAVIORAL HOSPITAL
830 CRESENT CENTRE DR ATTN: BRIAN
MCCULLOUGH, FRANKLIN, WA, 37067
ROLANDO MARTIN
15135 NE 92 ST, REDMOND, WA,
98052
SEQUOYAH ELECTRIC LLC
15135 NE 92ND ST, REDMOND, WA,
98052-3519
SEQUOEL977S9
Phone: (425) 814-5874
Phone: (425) 814-6000
Expiration Date: 1/30/2017
DESCRIPTION OF WORK:
CONNECT LOAD BANK
Valuation of single family: $0.00
Valuation of mf/comm: $1,000.00
Type of Work: TENANT IMP
Fees Collected: $106.49
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 20
Sewer District: VALLEY VIEW
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Date: k)_tr-" 1%
I hearby certify that I have read and examined this permit and know the same to be true and correct. All
provisions of law and ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other
state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature:
Print Name:
6144w1c, '4/,q, r -%,t/
Date:
/7
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts
of the building, such equipment shall not be concealed until it has been inspected and approved by the
Electrical Inspector.
6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any
violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related
documentation that presumes to grant this authority are therefore not valid.
7: Any change in the scope of work described by the electrical work permit shall require additional work
permits. Where approved plans have been issued, revisions to the plans and additional review may be
required.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. C Li 000,
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
SITE LOCATION
rr,' King Co Assessor's Tax No.:
Site Address: ' - v\ikx\*wry Kd. S, ✓tk-ui:tCA c"I1(?Z Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
Tenant Name: CSASCACte _ U?. `Q.s t. OQAL. ("teat 4 -
PROPERTY OWNER
Name:
Address:
Name:
Phone: (7 ) g. y _ 1D3 Fax:
Emai l:b M, K , 1CJx,A%/.}rl" �....i J- av o v41/ ca zi'7
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:
Address:
City: State: Zip:
Phone: (7 ) g. y _ 1D3 Fax:
Emai l:b M, K , 1CJx,A%/.}rl" �....i J- av o v41/ ca zi'7
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
vaph OCc:.t z LLC,
Address: 15135 wi "(d> i( 31.
City: wftnot,,,G) State: tAkt, Zip: g
Phone: giti_6600 Fax: gas..vii_ 6 r
Contr Reg No.: Sfame 751Exp Date: l7'3t r/j/1-7Tukwila
Business License No.; 61) 6 „ o i. tl 3L C
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): eta 1O (114
CO b j, /c —,rta0 /4 ° .8
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change , 0 Remodel ❑ Tenant Improvement
0 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
W:\Permit Center\Applications-Handouts \Permit Applications \PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
❑ Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
❑ Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
❑ Circuits added/altered without service change $55.69
(up to 5 circuits)
❑ Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
❑ Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: Gf-'
Print Name:
Date: //26'.
/7
Day Telephone: Pj .6) / f " 5'11'i
Mailing Address:
City
W:\Permit Centerklpplications-Handouts\Permit Applications\PDFs'Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
R10606
DESCRIPTIONS
PermitTRAK
1 ACCOUNT
QUANTITY I
PAID
$106.49
EL17-0062 Address: 12844 MILITARY RD S
Apn: 1623049001
$106.49
ELECTRICAL
$101.42
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$101.42
TECHNOLOGY FEE
$5.07
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R10606
R000.322.900.04.00
0.00
$5.07
5106.49
Date Paid: Thursday, January 26, 2017
Paid By: SEQUOYAH ELECTRIC LLC
Pay Method: CHECK 552183
Printed: Thursday, January 26, 2017 1:06 PM 1 of 1
C.. SYSTEMS
INSPECTION NO.
INSPECTION .RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350 \�t
Project: E11 „_ 36./.°
/�,1,�' owet
of Inspection:gjAddress:
ZZq�. r fl.l
Date Called:
Special Instructions:
k7WIG
1-10
Date Wanted:
t a r
p.m.
Requester:
Phone No:
£c J/ (5 -Di
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
•
Inspector:
del\
Date:
30/17
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
SEQUOYAH ELECTRIC LLC
Horne Espanol Contact
Safety & Health Claims & Insurance
Washington State Department of
kAP Labor & Industries
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Workplace Rights Trades & Licensing
SEQUOYAH ELECTRIC LLC
Owner or tradesperson
Principals
Nichols, David E, PARTNER/MEMBER
GHASSEMI,
MAHMOOD, PARTNER/MEMBER
Angeline, Scott R, PARTNER/MEMBER
Jeffrey, Peter Casino, PARTNER/MEMBER
Trocano, Rick, PARTNER/MEMBER
Nagel, Cheryl L, PARTNER/MEMBER
Nichols, Christopher R, PARTNER/MEMBER
Doing business as
SEQUOYAH ELECTRIC LLC
WA UBI No.
602 252 591
15135 NE 92ND ST
REDMOND, WA 98052
425-814-6000
KING County
Business type
Limited Liability Company
Governing persons
DAVID
E
NICHOLS
MAHMOOD GHASSEMI;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
SEQUOEL977S9
Effective — expiration
01/29/2003— 01/30/2019
Designated administrator
NICHOLS, DAVID E
Active.
Meets current requirements.
License type License no.
Master Electrician NICHODE97406
Bond
.................
HARTFORD CAS INS CO
Bond account no.
52BSBAB5541
$4,000.00
Received by L&I Effective date
01/29/2003 01/29/2003
Expiration date
Until Canceled
Help us improve
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SEQUOYAH ELECTRIC LLC
Savings
No savings accounts during the previous 6 y__r period.
License Violations
No license violations during the previous 6 year period.
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
This company has multiple workers' comp accounts.
Active accounts
L&I Account ID
061,981.00
.................................
Doing business as
SEQUOYAH ELECTRIC LLC
Estimated workers reported
Quarter 3 of Year 2016 "Greater than 100 Workers"
L&I account representative
T4 / MELVINA RAMSDELL (360)902-4814 - Email: RAMM235@Ini.wa.gov
Track this contractor ii
Account is current.
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Inspection results date
01/13/2016
Inspection no.
317937437
Location
501 North Newport Ave
Newport, WA 99156
Inspection results date
03/14/2012
Inspection no.
315581264
Location
3003 W Casino Rd
Everett, WA 98203
Violations
Violations
Page 2 of 2
*Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
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