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Home My WebLink AboutPermit EL19-0014 - CASCADE BEHAVIORAL HEALTH - 4 HR LOAD BANK TESTS OF EMERGENCY STANDBY GENERATORCASCADE BEHAVIORAL HEALTH 12844 MILITARY RD S ELI 9-0014 C Parcel No: Address: �~^�x« �� Tukwila ~~U~� uvo n K�o��mUna Deportmentof Community Development 630VSouthcenuerBoulevard, Suite #1VO Tukwila, Washington 901B8 Phnne:ZO6'431'3670 Inspection Request Line: 206'438'9350 VVebdte:hop://vwvm/.Tuhw/i|aVVA.gov ELECTRICAL OTC PERMIT 1623049001 Permit Number: EL19-0014 Project Name: CASCADE BEHAVIORAL HEALTH Issue Date: 1/3/2019 Permit Expires On: 7/2/2019 Owner: Name: Address: Contact Person: Name: Contractor: License No: Lender: Name: Address: PROPERTY VALUATION SERVICES 144OOMETCALF AVE, OVERLAND PARK, WA, 66IZ] AMAND4NOKES PACIFIC POWER GROUP LL[ 8058ROADVVAY5T STE70O, VAN[DUV[R'WA, 98G60 PAC|FPG867D7 Phone; (253)395-9077 Phone (360)887-7400 Expiration Date: 3/28/2020 DESCRIPTION OFWORK: 4 HOUR LOAD BANK TESTS OF EMERGENCY STANDBY GENERATOR Valuation of single family: $lVO Valuation ofmVcomnn: $500.00 TypemfVVo'k: TEN4NT|K4P Fees Collected: $85.94 Electrical Service Provided by: SEATTLECITY LIGHT Water District: ZO Sewer District: VALLEY VIEW Current Codes adopted bythe 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: VVACities Electrical Code: VVAC296~46B: WA State Energy Code: Date: 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 ofthis permit does not presume to give authority to violate or cancel the provisions of any other gate or local laws regulating construction or the performance of work. | am authorized to sign and obtain this development permit and agree tothe conditions attached tothis permit. Signature: Print N, �// Date: /^// :r/ / ? This permit shall beco^e^° and void ifthe work isnot commenced within l80days for the date nfissuance, orif the work is suspende* or abandoned for period of18Odays from the last inspection. PERMIT CONDITIONS: 1: 'ELECTRICAL PERMIT CONDITIONS' Z: Acopy ofthe electrical work permit shall heposted orotherwise made readily accessible mthe Electrical Inspector oteach 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 beinaccordance with mFPA70 NEC, and requirements for electrical installations, Chapter 29646BVVA[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 o/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 tngrant this authority are therefore not valid. 7: Any change |nthe scope u/work described bythe 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: (2V6)4]8'93SV ZlOU ELECTRICAL FINAL 7003 ROUGH'|NELECTR|[AL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.2ov 0 Electrical Permit No. 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 Address: 12844 MILITARY ROAD SOUTH Tenant Name: Cascade Behavioral Health 1902254 PROPERTY OWNER Name: Cascade Behavioral Health 1902254 Address: 12844 MILITARY ROAD SOUTH City: Tukwila State: WA Zip: 98169 CONTACT PERSON — person receiving all project communication Name: Amanda Nokes Address: 1221 29TH ST NW City: Auburn State: WA Zip: 98001 Phone: (253) 395-9077 Fax: (253) 395-2408 Email: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: Yes ]..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Pacific Power Group Address: 805 Broadway St City: Vancouver State: WA Zip: 98660 Phone: (253) 395-9077 Fax: Contr Reg No.: PACIFPG867D7 Exp Date: 03/27/2020 Tukwila Business License No.; BUS-0995185 Valuation of Project (contractor's bid price): $ 500 Scope of Work (please provide detailed information): 4 hour load bank tests of emergency standby generator Will service be altered? LJ Yes [Z] No Adding more than 50 amps? ED Yes [ZI No Type of Use: Type of work: New [1:1 Addition El Service Change EI Remodel Tenant Improvement E] Low Voltage 2:1 Generator 0 Fire Alarm Ej Telecommunication El Temporary Service Property Served by: 2 Puget Sound Energy Seattle City Light it ApplicationsWorms-Applications On Linel.20 I 4 AppEcationsElectrical Permit Application Revised I -I- 4.docx Revised: January 2014 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) LI Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm. furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $65.00 ❑ Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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 CONTRACTQR c Signature: Date: 01 /03 /2019 Print Name: Kacy Trajcak/ Day Telephone: (253) 395-9077 Mailing Address: 805 Broadway st Vancouver WA 98660 City State Zip H:\Applications\Forms-Applications On Line12014 Applications\Electr Revised: January 2014 bh Permit Application Revised 1-1-14.docx Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK 1 I ACCOUNT QUANTITY PAID $85.94 EL19-0014 Address: 12844 MILITARY RD S Apn: 1623049001 $85.94 Credit Card Fee $2.50 Credit Card Fee R000.369.908.00.00 0.00 $2.50 ELECTRICAL $79.47 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $79.47 TECHNOLOGY FEE $3.97 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R16345 R000.322.900.04.00 0.00 $3.97 $85.94 Date Paid: Thursday, January 03, 2019 Paid By: KACY TROJCAK Pay Method: CREDIT CARD 008682 Printed: Thursday, January 03, 2019 1:08 PM 1 of 1 Page 1 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 01/03/2019 01:08:15 PM CREDIT CARD SALE VISA CARD NUMBER: **********8389 K TRAN AMOUNT: $85.94 APPROVAL CD: 008682 RECORD #: 000 CLERK ID: Bill X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy R • 1 lk , 1 ( 1• lAX 1 1• ..a_T 1 / /,1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila. WA 98188 (206) 431 6 Permit Inspection Request Line (206) 438-9350 Project: 6 pe of nspec n: Addre : Date Called: Special Instruction : 'Date Wanted: . . Requester: Phone No: Approved per applicable codes. /COMMENTS: Corrections required prior to approval. ns pector Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. PACIFIC POWER GROUP LLC Page 1 of 3 i tome Contact: Safety & Health Claims & Insurance Washington State Department of I Labor & Industries AZ Index Help My 1.,&.1 Workplace Rights Trades & Licensing PACIFIC POWER GROUP LLC Owner or tradesperson Principals Piccini, Dante Silvio, PARTNER/MEMBER Doll, Michael Ray, PARTNER/MEMBER Walker, Bart Ty, PARTNER/MEMBER Mossey, Elmer William, MANAGER Nordstrom, William (Bit) Elme, DIRECTOR Price, Timothy R, DIRECTOR SW&W Legal Services, AGENT Dawkins, Mark, PARTNER/MEMBER (End: 03/28/2018) Bunday, Dennis, PARTNER/MEMBER (End: 03/28/2018) Doing business as PACIFIC POWER GROUP LLC WA UBI No. 602 886 195 805 Broadway St Ste 700 VANCOUVER, WA 98660 360-887-7400 CLARK County Business type Limited Liability Company Governing persons JAMES F NORDSTROM TRUST CHARLES J NORDSTROM; JAMES F NORDSTROM; JOHN D NORDSTROM; WILLIAM E NORDSTROM; 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. PACIFPG86707 Effective — expiration 03/27/2014— 03/28/2020 Designated administrator Adsero, Jody R License type Electrical Administrator Active. Meets current requirements. License no. ADSERJR871J2 Bond Travelers Cas and Surety Co of America $4,000.00 Help us improve ror T 0 T T A e, T TIP, 0 TN.? 0_ 0 A 'UT_ 1 11 1'1111 CI PACIFIC POWER GROUP LLC Bond account no. 104893446 Page 2 of 3 Received by L&I Effective date 03/27/2014 04/10/2009 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations Infraction no. ETUCP00482 Issue date 11/02/2017 Violation city VANCOUVER Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-901. Satisfied .................. RCWNVAC 19.28.101 RCW Violation amount $500.00 Infraction no. ETUCP00485 Satisfied Issue date RCWNVAC 11/02/2017 19.28.101 RCW Violation city Violation amount VANCOUVER $500.00 Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-901. Infraction no. ECLET00565 Issue date 08/07/2017 Violation city VANCOUVER • Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-901. Satisfied ................ .... RCW/WAC 19.28.101 RCW Violation amount $250.00 [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 658,563-01 Account is current. Help us improve httns.//secure.lni _wa _ any/verify/Detail .asnx?T JR1=602RR6195&T,TC=PACIFPGR67D7&SAW= 1/3/2019