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
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(DR) EXEMPTION LOG
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42.56.070(1)
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individuals' privacy pursuant to 5 U.S.C. sec.
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under section 42.56.070(1) of the Washington
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5 U.S.C. sec.
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42.56.070(1)
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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
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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:
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:
—
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4,
P (Aiboo(k(h.lir 1.0c-,,A-n0A)
Pez-564- ott)
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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
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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
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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
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