HomeMy WebLinkAboutPermit EL19-0761 - CASCADE BEHAVIORAL HEALTH - ALTERED CIRCUITCASCADE BEHAVIORAL
HEALTH
12844 MILITARY RD S
ELI 9-0761
City of Tukwila
Department of Community Development
�r 20 6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
290a
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
Parcel No:
Address:
0
ELECTRICAL OTC PERMIT
1623049001 Permit Number: EL19-0761
12844 MILITARY RD S
Project Name: CASCADE BEHAVIORAL HEALTH
Issue Date: 9/18/2019
Permit Expires On: 3/16/2020
Owner:
Name: PROPERTY VALUATION SERVICES
Address: 14400 METCALF AVE , OVERLAND
PARK, WA, 66223
Contact Person:
Name: AMANDA JOHNSON
Address: 5606 SEVENTH AVE S , SEATTLE, WA,
98108
Contractor:
Name: VECA ELECTRIC & TECH LLC
Address: PO BOX 80467 , SEATTLE, WA, 98108
License No: VECAEET8210Q
Lender:
Name:
Address:
I11
Phone: (206) 436-5284
Phone: (206) 436-5200
Expiration Date: 2/21/2021
DESCRIPTION OF WORK:
(1) ALTERED CIRCUIT.
Valuation of single family: $0.00
Valuation of mf/comm: $3,162.06
Type of Work: ADDITION
Fees Collected: $173.28
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:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Permit Center Authorized Signa' ur:. /..[ / GL S Date: 9-/g--/9
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.
Signatur
Print Name:
014
h VLSdV)
Date: `"l 1 l e11-7
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 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 TUKWIq
Community Development epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical P rmit No. Li9 - lit /
Project No.
Date Application Accepted: ci- (
Date Application Expires:
(For office use onlv)
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
Site Address: I2.4 (24 S
King Co Assessor's Tax No.: 11,0230 4900 1
Suite Number:
Floor:
Tenant Name: CaSceajt E>elnotv Wired 1-1vc New Tenant: ljj __Yes ..No
PROPERTY OWNER
Naine:CC(SCcO tb6tICIMOvet i irk-cakit.
Address:1713L IA i " izot S
State: V\JA- Zip:€9 0 Roe
City:i0 le...wi \a
CONTACT PERSON - person receiving all project
communication
Company Name:Xi('
CCA E
Name:Aysn anata
o
s in
Contr Reg No.: %CAE tiezi octExp Date:232.1 (2..1
Address: 5(00 6
City:
State: \NA_ Zip:
0
Phone:
Fax:
Emai :
0
CA . co yr
ELECTRICAL CONTRACTOR INFORMATION
Company Name:Xi('
CCA E
Address: V) 0 ri5 ox fa 0 9 kol.
City:s.ectifi_e State: Wpr Zip:019 19)
Phone:200_4 sto _. if* Fax:
Contr Reg No.: %CAE tiezi octExp Date:232.1 (2..1
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 1 (o2..0(.0
Scope of Work (please provide detailed information): 'Bv-i 5 01- - (i) AH--erzexi civ"
Will service be altered? D Yes U3 No
Type of Use: COM VsnerC i a,
Adding more than 50 amps? 0 Yes Eg No
Type of work:
LI Ncw [2;1 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
0 Low Voltage 0 Generator El Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light
WAPermit CentelnApplications-Handouts\ Permit Applications \ PDF's \ Electrical Permit Application Revised 1 - 17- 19.docx
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
0 Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
0 Service change or alteration $120.00
(no added/altered circuits)
O Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
O Circuits added/altered without service change $60.00
(up to 5 circuits)
O Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
O Meter/mast repair $80.00
LI Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
0 Temporary service (residential) $60.00
Temporary service (generator) $90.00
0 Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
El Carnivals $100.00
Number of concessions $11.00 ea
Each ride and generator truck $11.00 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 )241.014/1d4
Print Name:
t, Y1661 30 ti1 May)
Mailing Address: 5 (D Co 1-V1n Ave S
Day Telephone:
Date: (11 1116 0-4 t°1
2,0(0 - 43G9 - 5 213L-4
tivr 161.9.?
City
WAPermit Center\ Applications-HandoutsWerrnit Applications \ PDF's\Electrical Permit Application Revised I -17-19.docx
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY I PAID
$173.28
EL19-0761 Address: 12844 MILITARY RD S
Apn: 1623049001
$173.28
ELECTRICAL
$165.03
PERMIT FEE MULTI-FAM/COMM
R000 322 101.00.00
0,00
5165.03
TECHNOLOGY FEE
$8.25
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18600
R000.322.900.04.00
0.00
1111111111111
$173.28
Date Paid: Wednesday, September 18, 2019
Paid By: VECA ELECTRIC & TECH LLC
Pay Method: CHECK 2394
Printed: Wednesday, September 18, 2019 9:09 1 of 1
AM
CANIWYSTEM.5
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P T NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project:
'Type
Mkb
of Inspection:
Address. 1
122 l't
t
-
Date Called:
Special Instruction :
f
Date Wanted:
/ 0
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
Inspector:
Date:
REINSPE
paid at 63
1 u N FEE REQUIRED. Prior to next inspection, fee must be
outhcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P ftNIIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
kJ{ a
Type of Inspection_
Al 1�
Address:J
r ,?! LO
Date Called:
W
Special Instructions-
c1--
Date Wanted:
a.m.
p.m.
Requester:
k/
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
- i
efriketli) kiVrt 6
iL
A.4 ttf-i 01, ni-D
r ,?! LO
W
'rte PRJJlcA-cc-655
REINSPECTI'. FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
k Washington State Department of
/Labor & Industries
Hui ne jiil 0)ntact.
Safety & Health Claims & Insurance
0
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Workplace Rights Trades & Licensing
Veca Electric & Tech LLC
Owner or tradesperson
Principals
Fairbanks, Thomas M, PARTNER/MEMBER
Conti, Keith, PARTNER/MEMBER
Rannow, Laura S, PARTNER/MEMBER
Doing business as
Veca Electric & Tech LLC
WA UE31 No.
601 190 731
PO BOX 80467
SEATTLE, WA 98108
206-436-5200
KING County
Business type
Limited Liability Company
Governing persons
THOMAS
M
FAIRBANKS
THOMAS M MARVIN FAIRBANKS;
KEITH CONTI;
HERB MEAD;
LAURA RANNOW;
Certifications & Endorsements
OMWBE Certifications
No active certifications exist for this business.
Apprentice Training Agent
Registered training agent. Check their eligible programs and occupations.
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.
VECAEET821OQ
Effeclive — expiration
02/21/2019— 02121/2021
Designated administrator
CONTI, KEITH
License type
Master Electrician
Bond
Great American Ins Co
Bond account no.
CA1827907
Active.
Meets current requirements.
License no.
CONTIK*965D6
$4,000,00
Received by L&I Effective date
Help us improve
09118/2018
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
01/06/2018
Expiration date
Until Canceled
Workers' comp
Public Works Requirements
Workplace safety and health
Wastongton State Dept. tta Labor & Industries. Use of this site es subtent th the Onset of alp state of Washington,
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