HomeMy WebLinkAboutPermit EL19-0842 - CASCADE BEHAVIORAL HEALTH - REPLACE ELEVATOR DISCONNECTS, MACHINE ROOM LIGHTING WITH LED, PIT LIGHTS ETCCASCADE BEHAVIORAL
HEALTH
12844 MILITARY RD S
Apn: 1623049001
FINALED
06/23/2021
ELI 9-0842
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
ELECTRICAL OTC PERMIT
1623049001 Permit Number: EL19-0842
12844 MILITARY RD S
Project Name: CASCADE BEHAVIORAL HEALTH
Issue Date: 10/15/2019
Permit Expires On: 4/12/2020
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
PROPERTY VALUATION SERVICES
14400 METCALF AVE , OVERLAND
PARK, WA, 66223
DANIEL GARDNER Phone: (206) 354-0876
PO BOX 804, VASHON, WA, 98070
16D LLC
PO BOX 804 , VASHON, WA, 98070
16DLLL*882JT
Phone: (206) 354-0876
Expiration Date: 5/15/2020
DESCRIPTION OF WORK:
REPLACE ELEVATOR DISCONNECTS. REPLACE MACHINE ROOM LIGHTING W/LED. REPLACE PIT LIGHTS W/LED. ADD
OVERCURRENT PROTECTION FOR ALL ELEVATOR CIRCUITS. (110V)
Valuation of single family: $0.00
Valuation of mf/comm: $37,000.00
Type of Work: REMODEL
Fees Collected: $826.88
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 Signature:
(,(Y
Date: (47(5-1/7.
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: Da ' e I (-7 a,r ck.-a-e,-
Date: /•-) /1 )'.-./f 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 am 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 TUKWItt
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:f/www.TukwilaWA.gov
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**
King Co Assessor's Tax No.: / (ra) s.3(.D4-1
Site Address: 1 2841'1 Mi1; Re! 5 Suite Number:
Tenant Name: C ca.SC.o,A4s. gr-kow co.% 14.. 4k New Tenant:
PROPERTY OWNER
Name: --N
If a irt, % e- -7 ee
Address: p . GOX 80 '.1
Name:
Phone: - Fax:
359 -0117‘
City: i p State:
V AS 1%-o r..
Address:
Phone:to6-35g1 Fax:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: --N
If a irt, % e- -7 ee
Address: p . GOX 80 '.1
Address: e --
V. 0 - goX 1304
Phone: - Fax:
359 -0117‘
City: i p State:
V AS 1%-o r..
Zip:
9800
Phone:to6-35g1 Fax:
Email:
-I) winteA 0 00 41.11C.
Floor:
0 .....Yes
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 110 d LLe.
Address: p . GOX 80 '.1
City: 1 / State: Zip: figoid
vek Sho".
Phone: - Fax:
359 -0117‘
Contr Reg No.: 1 /0 DLLL 88 z3i.xp Date;
05-20/4,
Tukwila Business License No.; 603oqz. 6 23
Valuation of Project (contractor's bid price): $ .11gaurawber 3 7, vo 0
Scope of Work (please provide detailed information): '1/449) lace_ e_.1 &vet +0 r (Ls co r‘ ote .9 let cc.
r o la 51.-0. L &?tAc4a_ 4- ,54.,+-J LD.A. Over c4.44 co.+
pi e 4 441p 4.4.4 s (1 0, v)
Will service be altered? EJ Yes firRo
Type of Use: El-cAesi+-.r oovuta....tote.-
irwar IN%
Adding more than 50 amps? [:3 Yes
Type of work:
0 New 0 Addition 0 Service Change Itetemodel 0 Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
garPuget Sound Energy 0 Seattle City Light
WAPermit Center App tics tions-HandoutskPermil Applications \ PDFAElectricalPennit Application Reviscd I -17-19.docx
RESIDENTIAL
NEW RESIDENTIAL SERVI E
❑ New single family dwellings $1.80.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $120.00 ea
❑ Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $120.00
(no added/altered circuits)
❑ Service change with added/altered circuits $100.00
number of added circuits 510.00 ea
❑ Circuits added/altered without service change $60.00
(up to 5 circuits)
❑ Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
❑ Meter/mast repair $80.00
❑ Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $90.00
❑ Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
❑ Carnivals 5100,00
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:
Date: i a kS1/
Print Name: JA,1 i 44C<Se Day Telephone: t - 351 - 08',-V
Mailing Address: P. 0 . Q os 6014
Pcrmil CmtenApplications-HandouIsWennit Applications1PDFs\ElcdricalPermit Applicatido Revised I-17-I9.docx
I%4S'k "
City
WA- 9504-0
State Zip
DESCRIPTIONS
PermitTRAK
Cash Register Receipt
City of Tukwila
ACCOUNT 1 QUANTITY I PAID
64ftwNMY1M,%,F5T
'444'•;.•$826.88
EL19-0842'. Address: 12844 MILITARY RD SApn: 1623040001
826.88
Credit Card Fee
$24.08
Credit Card Fee
R000.369.908.00.00
0.00
$24.08
ELECTRICAL
$764.57
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$764.57
TECHNOLOGY FEE
$38.23
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18822
R000.322.900.04.00
0.00 $38.23
$826.88
Date Paid: Tuesday, October 15, 2019
Paid By: DANIEL GARDNER
Pay Method: CREDIT CARD 027245
Printed: Tuesday, October 15, 2019 1:05 PM 1 of 1
Y TEM5
CO TUKWILA ETRAKIT
6300 SOUTHCENTER BLVD
TUKWILA' WA 98188
206'433-1870
CITY OF TUKWILA
Date: 10/15/2819 01:84:23 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********3060 K
TRAN AMOUNT: $826.88
APPROVAL CD: 027245
RECORD #: 000
CLERK ID: Laurie
Thank you!
Customer Copy
Permit Number: EL19-0842
Description: CASCADE BEHAVIORAL HEALTH
Applied: 10/15/2019 Approved: 10/15/2019 Site Address: 12844 MILITARY RD 5
Issued: 10/15/2019 Finaled: 6/23/2021 City, State Zip Code:TUKWILA, WA 98168
Status: FINALED
Parent Permit:
Parent Project:
Details:
Applicant: CASCADE BEHAVIORAL HEALTH
Owner: PROPERTY VALUATION SERVICES
Contractor: 16D LLC
REPLACE ELEVATOR DISCONNECTS. REPLACE MACHINE ROOM LIGHTING W/LED. REPLACE PIT LIGHTS W/LED. ADD OVERCURRENT
PROTECTION FOR ALL ELEVATOR CIRCUITS. (110V)
SPE TIO 5
SCHEDULED DATE
COMPLETED DATE
TYPE
INSPECTOR
RESULT
REMARKS
UNDERGROUND
SLAB
Jim Benner
Notes:
SERVICE
Jim Benner
Notes:
ROUGH -IN
ELECTRICAL
Jim Benner
253-219-6825 Daniel / 206-396-2822
Perri
Notes:
12/17/2019 AM
12/17/2019
SERVICE
Jim Benner
NOT APPROVED
112989
Notes:
CORRECTIONS/ #1
-EGC TO BE RUN IN CONDUIT W/ FEEDER CONDUCTORS
-EGC TO LAND IN SPLICE BOX
-MISSING K.O. SEAL
-COMPLETE LABELING FOR SHUNT TRIP POWER AND ENERGIZE
-CHECK TORQUE ON DISCO LOAD SIDE
3/9/2020 AM
3/9/2020
ROUGH -IN
ELECTRICAL
Jim Benner
CANCELLED
524990
Notes:
CANCELLED
-SERVICE WANTED
CANCELLED
-SERVICE WANTED
Printed: Thursday, 14 October, 2021
1 of 3
SUPERION
Permit Inspections
City of Tukwila
3/9/2020
3/9/2020
SERVICE
Jim Benner
PARTIAL
APPROVAL
Notes:
PARTIAL APPROVAL/#2
CORRECTIONS MADE
O.K. -ELEVATOR#3 DISCO
PARTIAL APPROVAL/#2
CORRECTIONS MADE
O.K. -ELEVATOR#3 DISCO
8/19/2020 AM
8/19/2020
ROUGH -IN
ELECTRICAL
Jim Benner
NOT APPROVED
192141
Notes:
ONSITE CONTACT GARY 360-809-4876
CHECK IN AT MAIN ENTRANCE TO GET SCREENED IN.
LET THEM KNOW YOU ARE THERE TO SEE ELEVATOR ELECTRICIAN.
ADDITIONAL CONTACT DANIEL253-219-6825.
CORRECTIONS/ #3
-MISSING K.O. SEAL IN DISCO
-LABEL DISCO WITH ELEVATOR DEIGNATION AND SOURCE
-RUN SHUNT TRIP POWER
-SOURCE BREAKER TO BE 100 AMP?
8/25/2020 AM
8/25/2020
IN
ELECTRICAL
Jim Benner
PARTIAL
APPROVAL
72349
Notes:
PARTIAL APPROVAL/#4
CORRECTIONS MADE
O.K.-ELEVATOR4 DISCO
PARTIAL APPROVAL/#4
CORRECTIONS MADE
O.K.-ELEVATOR4 DISCO
12/1/2020 AM
12/1/2020
ROUGH -IN
ELECTRICAL
Jim Benner
PARTIAL
APPROVAL
253-219-6825 Daniel / 206-396-2822
Perri
Notes:
PARTIAL APPROVAL/#5
O.K. -ELEVATOR#5 DISCO
5/21/2021
5/21/2021
ELECTRICAL FINAL
Harry Hinton
NOT APPROVED
360-809-4876
Notes:
i called and no one was available.
5/21/2021 PM
5/20/2021
ELECTRICAL FINAL
Jim Benner
CANCELLED
360-809-4876
Notes:
5/24/2021
5/24/2021
ELECTRICAL FINAL
Jim Benner
NOT APPROVED
360-809-4876
Notes:
Could not speak with contractor and no one could direct me to area of work.
Could not speak with contractor and no one could direct me to area of work.
Printed: Thursday, 14 October, 2021
2 of 3
i1
SUPERION
Permit Inspections
City of Tukwila
6/22/2021 AM
6/22/2021
ELECTRICAL FINAL
Jim Benner
PARTIAL
APPROVAL
808-353-1300 Maximo 253-267-4240
LaFonz
Notes:
PARTIAL APPROVAL/#7
O.K. -ELEV.#2 DISCO
6/23/2021
6/23/2021
ELECTRICAL FINAL
Jim Benner
APPROVED
1 808-353-1300 Maximo 253-267-4240
LaFonz
Notes:
APPROVED/ #7
O.K. -FINAL
Printed: Thursday, 14 October, 2021 3 of 3
SUPERION
16D LLC
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160 LLC
Owner or tradesperson
Principals
DAVIS, DUKE, PARTNER/MEMBER
DAVIS, JANELLE, PARTNER/MEMBER
Doing business as
16D LLC
WA UBI No.
603 092 523
PO BOX 804
VASHON, WA 98070
206-354-0876
KING County
Business type
Limited Liability Company
Governing persons
JANELLE
M
DAVIS
DUKE DAVIS;
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.
16DLLL'882JT
Effective — expiration
04/30/2012— 05/15/2020
Designated administrator
Robbins, Evan F
License type
Electrical Administrator
Bond
ATLANTIC SPECIALTY INSURANCE
COMPANY
Bond account no
810001045
Active
Meets current requirements.
License no.
ROBBIEFB24KZ
$4,000.00
Received by L&I Effective date
04/03/2019 03/21/2019
Expiration date
Until Canceled
Bond history
.Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
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