HomeMy WebLinkAboutPermit EL16-0927 - CANYOM - RECEPTACLE, DATA AND FIXTURESCANYOM
16000 CHRISTENSEN RD 308
EL16-0927
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.Tukwi[aWA.gov
ELECTRICAL OTC PERMIT
Parcel No: 2523049077 Permit Number: EL16-0927
Address: 16000 CHRISTENSEN RD 308 Issue Date: 10/10/2016
Permit Expires On: 4/8/2017
Project Name: CANYOM
Owner:
Name: BRCP RIVERVIEW PLAZA LLC
Address: 248 HOMER AVE, PALO ALTO, WA,
94301
Contact Person:
2015
Name:
RON SHACKELFORD
Address:
PO BOX 11262, TACOMA, WA, 98411
Contractor:
2014
Name:
MATRIX ELECTRIC LLC
Address:
15419 24TH AVE E, TACOMA, WA,
Uniform Plumbing Code Edition:
98445-4711
License No:
MATIEL901NR
Lender:
2015
Name:
Address:
DESCRIPTION OF WORK:
Phone: (253) 797-9797
Phone:
Expiration Date:
1 RECEPTACLE, 1 DATA, DEMO 18 2X4 FIXTURES REPLACE, 18 2X4 DIRECT/INDIRECT FIXTURES
Valuation of single family: $0.00 Fees Collected: $211.05
Valuation of mf/comm: $5,150.00
Type of Work: TENANT IMP Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2015
National Electrical Code:
2014
International Residential Code Edition:
2015
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2015
WAC 296-466:
2014
Uniform Plumbing Code Edition:
2015
WA State Energy Code:
2015
International Fuel Gas Code:
2015
Permit Center Authorized Signature:
11Z
NJ
1
Date: loll
. 1
.
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 t onditions attached to this permit.
Signature: Date:Ocr /,6
Print Name:
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.
S: 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 TUK97LA
Community Development Department
• Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httn://www.TukxvilaWA.gov
Electrical Permit No. !/ I
Project No.
Date Application Accepted:
Date Application Expires:
use
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 I
King Co Assessor's Tax No.:
Site Address: 16000 Christensen Rd Suite Number: 308 Floor: 3
Tenant Name: Canyom New Tenant:
®.....Yes ❑..No
PROPERTY OWNER
Nance: Unico Properties
Address: 16040 Christensen Road Suite 1.00
City: Tukwila State: WA Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Ron Shackelford
Address: PO Box 11262
City: Tacoma State: WA Zip: 98411
Phone: (253) 797-9797 Fax:
Email: ron@matrixelectricwa.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Matrix Electric LLC
Address: PO Box 11262
City: Tacoma State: WA Zip: 98411
Phone: (253) 797-9797 Fax:
Contr Reg No.: MATIEL901NR Exp Date: 08/19/2018
Tukwila Business License No.; BUS -0995782
Valuation of Project (contractor's bid price): $ 5,150
Scope of Work (please provide detailed information):_1 receptacle, 1 data, demo 18 2x4 fixtures replace,
18 2x4 direct / indirect fixtures
Will service be altered? ❑ Yes m No
Type of Use:
Tvoe of work:
❑
New ❑
Addition
❑ Service Change
❑
Low Voltage ❑
Generator
❑ Fire Alarm
Property
Served by:
m
Puget Sound Energy
❑
Seattle City Light
H:iApplications\For Applications On Line\2014
ApplicationsTlectrical Pemtit .Application Revisal 1-1-14.dom
Revised: January 2014
bh
Adding more than 50 amps? ❑ Yes m No
❑ Remodel m Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page I of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings ................................... $152.85
(including an attached garage)
❑ 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
$65.00
❑
(no added/altered circuits)
$80.90
❑
Service change with added/altered circuits.................$81.90
$86.25
number of added circuits .......................
$11.55 ea
❑
Circuits added/altered without service change
........... $54.60
(up to 5 circuits)
$10.80 ea
❑
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)
PERMIT APPLICATION NOTES -
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***
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.
Mailing Address: PO Box 11262 Tacoma
city
HAApplicationstForms-Applications On Linc\2014 ApplicationstElectrical Permit Application Revised 1-1-14.do"
Revised. January 2014
hh
Date: 10/03/2016
1e: (253) 797-9797
WA 98411
State Zip
Page 2 of 2
DESCRIPTIONS • QUANTITY
PermitTRAK
PAID
$211.05
EL16-0927 Address: 16000 CHRISTENSEN RD 308 Apn: 2523049077
$211.05
ELECTRICAL
$201.00
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00
$201.00
TECHNOLOGY FEE
$10.05
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTAL+ID BY RECEIPT: R9605
$10.05
$211.1
Date Paid: Monday, October 10, 2016
Paid By: RON SHACKELFORD
Pay Method: CREDIT CARD H94316
Printed: Monday, October 10, 2016 3:31 PM 1 of 1
CorwSY57EM5
INSPECTION RECORD ,p
Retain a copy with permit`�
INSPECTION N0. P RMIT N-
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: �ll �!i (Type
'�4/
of Inspection:
I �iV
Address:
�®� L
D to Called:
Special Instructions:
Date Wanted: a.m.
m.
Requester:
Phone No:
Approved per applicable codes. 11Corrections required prior to approval.
Ilnspector: V //4 N454— luate: /,0
REINSPECTION FEE REQUIRED. Prior to next inspection, feelmust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
2— INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMITN0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
(�
o I ection: e'_
,)Vh,T
Address: 6cyo s i �v
Date Cal d:
Special Instructions:
Date Wanted: d / p.m. P•
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval.
pector:
E'
REINSPECTI01 FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 4
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
N 1, 0
Type of Inspection: ,
f1
Address: 7y.y
ate Called:
Special Instructions: _
Date Wanted: ra.ir
rf m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
I
�'�L ,� iA� r 5
'" ; y (O -W {'k,
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Matrix Electric LLC
}-Tome Lspmfiol Contact
Safety & Health
Ch
Washington State Department of
Caber & Industries
Matrix Electric LLC
Page 1 of 2
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Owner or tradesperson
15419 24th ave e
603 032 786
TACOMA, WA 98445
Principals
p
253-797.9797
Shackelford, Ronald P Jr, PARTNER/MEMBER
PIERCE County
SHACKELFORD, DORTHY
R
E, PARTNER/MEMBER
JONES
SHACKELFORD, RONALD JR. P, AGENT
DOROTHY SMITH;
Jones, Anthony, PARTNER/MEMBER
RONALD P JR SHACKELFORD;
(End: 03/05/2012)
Doing business as
Matrix Electric LLC
WA UBI No.
Business type
603 032 786
Limited Liability Company
Governing persons
ANTHONY
R
JONES
DOROTHY SMITH;
RONALD P JR SHACKELFORD;
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.
MATRIEL901 NR
Effective — expiration
08/19/2010— 08/19/2018
Designated administrator
Shackelford, Ronald P'Jr
License type
Electrical Administrator
Bond
...............
TRAVELERS CAS & SURETY CO
Bond account no.
105465064
Received by L&I
08/19/2010
Savings
Active.
Meets current requirements.
License no.
SHACKRP883JW
$4,000.00
Effective date
07/29/2010
Expiration date
Until Canceled
https://secure.Ini.wa.gov/verify/Detail. aspx?UBI=603 032786&LIC=MATRIEL901NR&SAW=
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10/10/2016