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HomeMy WebLinkAboutPermit EL18-0562 - SOUND MENTAL HEALTH - INSTALL 20 AMP CIRCUIT FOR NEW HVAC CONDENSING UNIT ON ROOFThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. EL18-0562 SOUND MENTAL HEALTH 6100 SOUTHCENTER BLVD THE ABOVE MENTIONED Page # DIGITAL Code RECORDS PERMIT FILE INCLUDES Exemptio (DR) EXEMPTION LOG THE FOLLOWING REDACTED INFORMATION defExplanatory Description S a u el ule DR1 Personal Information — Social Security Numbers Generally — 5 U.S.C. sec. 552(a); RCW 42.56.070(1) The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security numbers are redacted to protect those individuals' privacy pursuant to 5 U.S.C. sec. 552(a), and are also exempt from disclosure under section 42.56.070(1) of the Washington State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. 5 U.S.C. sec. 552(a); RCW 42.56.070(1) 11 DR2 Personal Information — Financial Information — RCW 42.56.230(4 5) Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit expiration dates, or bank or other financial account numbers, which are exempt from disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. RCW 42.56.230(5) DR3 Personal Information — Driver's License. — RCW 42.56.230 (7a & c) Redactions contain information used to prove identity, age, residential address, social security number or other personal information required to apply for a driver's license or identicard. RCW 42.56.230 (7a & c) DR4 Attorney -Client Privilege — RCW 5.60.060(2)(a); RCW 42.56.070(1) Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from disclosure pursuant to RCW 5.60.060(2)(a), which protects attorney-client privileged communications, and RCW 42.56.070(1), which protects, under the PRA, information exempt or prohibited from disclosure under another statute. RCW 5.60.060(2)(a); RCW 42.56.070(1) SOUND MENTAL HEALTH 6100 SOUTHCENTER BLVD ELI 8-0562 Parcel No: Address: e 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: htto://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 3597000222 6100 SOUTHCENTER BLVD Project Name: SOUND MENTAL HEALTH Permit Number: EL18-0562 Issue Date: 6/19/2018 Permit Expires On: 12/16/2018 Owner: Name: Address: Contact Person: Name: SEATTLE MENTAL HEALTH INSTI 1600 E OLIVE ST , SEATTLE, WA, 98122 ANDREW HENTLEY Address: PO BOX 7205 , TACOMA, WA, 98417 Contractor: Name: D F ELECTRIC INC Address: PO BOX 7205 , TACOMA, WA, 98417 License No: DFELEI*010D9 Lender: Name: Address: Phone: (253) 572-3704 Phone: (253) 572-3704 Expiration Date: 3/31/2019 DESCRIPTION OF WORK: INSTALL NEW 20 AMP CIRCUIT FOR NEW HVAC CONDENSING UNIT ON ROOF Valuation of single family: $0.00 Valuation of mf/comm: $1,400.00 Type of Work: TENANT IMP Fees Collected: $127.02 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA 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: Da 2017 2017 2017 2015 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 developmentermit and agree to the conditions attached to this permit. c.", Signature: 6-k' Date: N 1 Print Name: �.. Yi A dV>e)4 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 and the Washington Cities Electrical Code. 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 TUKW Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.1 ukwilaWA.gov Electrical Permit No. -.1 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 6100 Southcenter Blvd. Site Address: Tenant Name: Sound Mental Health PROPERTY OWNER Name: Andrew Bentley Address: PO Box 7205 Name: Phone: 253-572-3704 Fax: City: Tacoma State: WA Address: Phone: 253-572-3704 Fax: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Andrew Bentley Address: PO Box 7205 Address: PO Box 7205 Phone: 253-572-3704 Fax: City: Tacoma State: WA Zip: 98417 Phone: 253-572-3704 Fax: Email: andy@dfelectric.net King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: D.F. Electric, Inc. Address: PO Box 7205 city: Tacoma State: WA Zip: 98417 Phone: 253-572-3704 Fax: Contr Reg No.: DFELEI*010D9 Exp Date: 3-31-19 Tukwila Business License No.; BUS -0994173 Valuation of Project (contractor's bid price): $ 1,400 Install new 20A circuit for new HVAC condensing unit on roof. Scope of Work (please provide detailed information): Will service be altered? D Yes m No Adding more than 50 amps? ❑ Yes m No Mental hearth. Type of Use: Type of work: ❑ New 0 Addition ❑ Service Change 0 Remodel V Tenant Improvement 0 Low Voltage 0 Generator ❑ Fire Alarm ❑ Telecommunication 0 Temporary Service Property Served by: Ei Puget Sound Energy ❑ Seattle City Light W \Permit Center\Applications-Handouts \Permit Applications \PDFs\Electrical Permit Application Revised 1-1-17 docx Revised. January 2017 bh 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: Andrew Bentley Date: 6- - Ev / y Print Name: Day Telephone: 253-572-3704 PO Box 7205 Tacoma WA 98417 Mailing Address: W:\Permit Center \Applications-Handouts\Permit Applications\PDFslElectrical Permit Revised: January 2017 bh l' on Revised 1-1-17.docx City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I ACCOUNT QUANTITY I PAID PermitTRAK $127.02 EL18-0562 Address: 6100 SOUTHCENTER BLVD Apn: 3597000222 $127.02 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE R000.322.900.04.00 0.00 $6.05 TOTAL FEES PAID BY RECEIPT: R14747 $127.02 Date Paid: Tuesday, June 19, 2018 Paid By: D F ELECTRIC INC Pay Method: CHECK 2728 Printed: Tuesday, June 19, 2018 12:15 PM 1 of 1 SYSTEMS (a-oc61, INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - Permit Inspection Request Line (206) 438-9350 Project:, ,t,-- Type of Inspection: e---- ilAtAl t4frikl Address: 6100 i, - • 8 Date Called: Special Instructions: Date Wanted: p.m. Requester: Phone No: Approved per applicable codes. in 0 Corrections required prior to approval. COMMENTS: fro/i5 rfri-oe Date: 8 LIREINSPECT! N FEE REQUIRED. Prior to next inspection, fee must be --1 paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit NSPE TION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southc:enter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: -vutv Type of Inspection: h f NAL_ Address: o i qu,5-c--- S - Date Called: Special Instructions: ikki PC(/ g ooic 4, Date Wanted: a. .m. Requester: Phone No: 7/S3 60G P1(13 ElApproved per applicable codes. Corrections required prior to approval. ,-- COMMENTS: — oor Mier k6c3Jii--(-3 editeAkfe-p 1,1-640“ &4Atet_ . ff.k.(,AA 4Dort 4, P (Aiboo(k(h.lir 1.0c-,,A-n0A) Pez-564- ott) 2k1P Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. D F ELECTRIC INC Ilinne Espanol Contact Safety & Health Claims & Insurance CWashington State Department of li) Labor & Industries ISearch L&I Page 1 of 3 A -Z Index Help My IX( Workplace Rights Trades & Licensing D F ELECTRIC INC Owner or tradesperson Principals BENTLEY, ANDREW, PRESIDENT BENTLEY, LYNNETTE M, VICE PRESIDENT BENTLEY, LYNETTE M, SECRETARY BENTLEY, ANDREW, AGENT FOSTER, DONALD J, PRESIDENT (End: 09/16/2003) BENTLEY, ANDREW T, VICE PRESIDENT (End: 09/16/2003) BENTLEY, ANDREW, SECRETARY (End: 09/16/2003) FISTERM DONALD J, AGENT (End: 09/16/2003) Doing business as D F ELECTRIC INC WA UBI No. 601 940 601 PO BOX 7205 TACOMA, WA 98417 253-572-3704 PIERCE County Business type Corporation Governing persons DONALD J FOSTER ANDREW T BENTLEY; LYNNETTE BENTLEY; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. DFELEI*010D9 Effective — expiration 03/29/1999— 03/31/2019 Designated administrator BENTLEY, ANDREW Active. Meets current requirements. Active. Meets current requirements. License type License no. Master Electrician BENTLA*972QG Bond CBIC Bond account no $4,000.00 Help us improve https://secure.lni.wa.goviverify/Detail.aspx?UBI=601940601&LIC=DFELEI*010D9&SAW= 6/19/2018 D F ELECTRIC :NC SF0837 "Pk "wow Received by L&I Effective date 09/16/2003 08/22/2003 Expiration date Until Canceled Savings (in lieu of bond) $4,000.00 Received by L&I Effective date 12/19/2000 03/29/1999 Release date Impaired date NiA N/A Savings account ID License Violations Infraction no. EMURD00480 Issue date 06/27/2012 Violation city TACOMA Type of violation ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-900 (3)(6), effective a:ter 12/30/2008 see WAC 296- 46B-901. Satisfied RCVVNVAC 19.28.101 RCW Violation amount $250.00 Infraction no. EMURD00481 Satisfied RCW/WAC Issue date 06/27/2012 19.28.101 RCW Violation amount $250.00 Violation city TACOMA Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 :;usiness day after energizing, whichever occuis first as referenced in WAC 296 -46B -900(10)a), effective after 12/30/2008 see WAC 296 -46B -901(10)(a), Workers' comp Do you know if the 'ousiness 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 371,840-02 Doing business as D F ELECTRIC INC Estimated workers reported Quarter 1 of Year :_018 "4 to 6 Workers" L&I account contact Ti / NICHOLE CAROW (360)902-5634 - Email: CANI235@lni.wa.gov Track this contractor Account is current. Page 2 of 3 Help us improve https://seeureini.wa.gov/verify/Detail.aspx?UBI=601940601&LIC=DFELEI*010D9&SAW= 6/19/2018 D F ELECTRIC INC Public Works Strikes and Deb= ments Verify the contractor is eligible to perform work on public works projects, Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 0510212017 Inspection no. 317944416 Location 718 North 1 St Tacoma, WA 98403 Violations Page 3 of 3 Washington State Dept of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601940601&LIC=DFELEI*010D9&SAW= 6/19/2018