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Home My WebLink AboutPermit EL13-1123 - FAIRWAY CENTER - SUITE 190 - TENANT IMPROVEMENTFAIRWAY CENTER SUITE 190 14240 INTERURBAN AV S SUITE 100 EL13-1 123 • • 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.eov Parcel No: 3365901881 Address: ELECTRICAL OTC PERMIT Permit Number: EL13-1123 Permit Expires On: 5/7/2014 14240 INTERURBAN AVE S 190 Issue Date: Project Name: FAIRWAY CENTER, SUITE 190 Owner: Name: BELLTOWN INVESTMENT.PARTNER Address: 2505 2ND AVE #520 , SEATTLE, WA, 98121 Contact Person: Name: RON SHACKELFORD Phone: Address: PO BOX 11262 , TACOMA, WA, 98411 Contractor: Name: MATRIX ELECTRIC LLC Address: 3834 EAST I ST, TACOMA, WA, 98404 License No: MATRIEL901NR Lender: Name: Address: 1// Phone: (253) 797-9797 Expiration Date: 9/19/2014 DESCRIPTION OF WORK: NEW TENANT BUILD OUT, LIGHTS AND RECEPTACLES Valuation of single family: $0.00 Fees Collected: $378.00 Valuation of mf/comm: $15,236.00 Type of Work: Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer Distric: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2012 2012 Permit Center Authorized Signature: Date: lL jJ1 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 d agree to the conditions attached to this permit. Signature: Print Name: <)+rvr,►-\ 4P-er Date: II -0--)3 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: <NONE> PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 ht-tn://www.TukwilaWA.gov Electrical Permit No. C L 3_ i, 123 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 Site Address: 14240 Interurban Ave. S Tenant Name: Fairway Center Suite 190 PROPERTY OWNER Name: Ron Shackelford Name: The Schuster Group Address: PO Box 11262 Address: 2505 2nd Ave Suite 500 City: Tacoma State: WA Cin': Seattle State: WA Zip: CONTACT PERSON — person receiving all project communication Name: Ron Shackelford Address: PO Box 11262 Address: PO Box 11262 Phone: (253) 797-9797 Fax: (425) 609-2483 City: Tacoma State: WA Zip: 98411 Phone: (253) 797-9797 Fax: (425) 609-2483 Email: goIJ e llA-' k.i X LLE—c74 CI.JA , ail King Co Assessor's Tax No.: Suite Number: 190 Floor: 1 New Tenant: ® Yes ❑ .. No ELECTRICAL CONTRACTOR INFORMATION Company Name: Matrix Electric LLC Address: PO Box 11262 City: Tacoma State: WA Zip: 98411 Phone: (253) 797-9797 Fax: (425) 609-2483 Contr Reg No.: MATIEL901NR Exp Date: 08/19/2014 Tukwila Business License No.; BUS -0994279 Valuation of Project (contractor's bid price): $ 15,236, 61) Scope of Work (please provide detailed information): New tenant TI build out. Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change m Remodel 0 Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Lme,2013 Apphcatrons,Electrwal Permit Application Revised 7.1-13.docx Revised: July 2013 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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 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: Signatur Date: 11/08/2013 Print Name: Ron Shackelford Day Telephone: (253) 797-9797 Mailing Address: PO Box 11262 Tacoma WA 98411 City State Zip H:\Applicatiom\Forms-Applications On Lme12013 Appbcations\Electncal Permit Application Revised 7-1-13.docx Revised: July 2013 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $378.00 EL13-1123 Address: 14240 INTERURBAN AVE S 190 Apn: 3365901881 $378.00 ELECTRICAL $378.00 PERMIT FEE MULTI-FAM/COMM TOTAL FEES PAID BY RECEIPT: R57 000.322.101.00.00 $378.00 $378.00 Date Paid: Friday, November 08, 2013 Paid By: MATRIX ELECTRIC LLC Pay Method: CHECK 2981 Printed: Friday, November 08, 2013 10:51 AM 1 of 1 CAWSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: %/ eitz Type of Inspection: Mf Address:Date / Lill 0 /Jft'A Called: Special Instructions: Date Wanted: 12 w a.m. p.m. Requester: Phone No: • Approved per applicable codes. Corrections required prior to approval. OMMENTS: ( At\ x, )3 Ate' zob,3 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Date: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: kt n _ r7� (vt�,\•N- Type of Inspection: / Address: x`{21 0 %tag6 Date Called: Special Instructions: Date Wanted: 1-2- a . . Requester: titic, Phone No:l�3 43z. 7557 Approved per applicable codes. Corrections required prior to approval. COMMENTS: '~ ( o 'fly .114-6 lac ..0n6 W — L I(& 3 KoTSl , .50t1G clQcA r't-j . SE 4 T-6. C1 t1dt ii c4 (E ti -rAti-A r (4 PA-Af V\/ 0 4_ — 10 oct,07 Inspector: Date: (3 n REINSPECTION FEE REQUIRED. Prior to next inspection. feemust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTIOWRECORD Retain a copy with permit INSPECTION NO. 6f3-1123 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project:tP tJAI Type of Inspection: Address: ( 11,740 Date Called: Special Instructions: Date Wanted: '� f Cm Requester: Phone No: • . Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: ri REINSPECTION FEE REQUIRED. Prior to nextinspection, 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 (206) 431-3670 az- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 Project: (me\to rwc Type of Inspection: �,J . a Address: /WA /Ar15 Date Called:. � Special Instructions: Date Wanted: /ad 4.Fri. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. tibp COMMENTS: 6Accf/D45 ns�E (6(uAcad, v v � kow eolterc Inspector: 6A, Date: i 3 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copywith permit INSPECTION NO. PERMIT NO. L CITY OF TUKWILA. BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspectign Request Line (206) 431-2451 Project n /�� L 10 7 Type of Inspection: a O (Al. Address: 4744z,Date 'Called: Instructions: Date Wanted: IL/00Special a .m Requester: Phone No: - ElApproved per applicable codes. COMMENTS: Corrections required prior to approval. riJOKDJA- Cc AINtr s)PP ky Sf/ti ' Ld "1 O Air Inspector fri _ I /( . Date: 1210 /i3 REINSPECTION FEE REQUIRED. Prior to next inspection.fee must be paid at 6300 Southcenter Blvd.. Suite 100. tall to "schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION Np. • PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431=2451 613- ( Project: 16,,AIiCr- .rho Type of Inspection: ¢" ka AA IA/ � Date Called:Address:��0 Special Instructions: ua� l Date Wanted: Ili 2 a.m.-- p.m. Requester: Phone No: Approved per applicable codes. • Corrections required prior to approval. COMMENTS: IAA -14/ C.046) Date:. (` I REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prer Friendly Page Electrical Contractor A business licensed by L&I to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time supervisory employee. Business and Licensing Information Name Phone Address Suite/Apt. City State Zip County Business Type Parent Company MATRIX ELECTRIC LLC 2537979797 3834 East I Street Tacoma WA 98404 Pierce Limited Liability Company UBI No. • Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 603032786 Active MATRIEL901NR Electrical Contractor 8/19/2010 8/19/2014 General Unused Electrical Administrator INFORMATION License SHACKRP883JW Name SHACKELFORD, RONALD P JR Status Active Business Owner Information Name Role Effective Date Expiration Date SHACKELFORD, RONALD JR. P Agent 09/20/2012 SHACKELFORD, DORTHY E Partner/Member 09/20/2012 SHACKELFORD, RONALD P JR Partner/Member 08/19/2010 JONES, ANTHONY Partner/Member 08/19/2010 03/05/2012 Bond Information Page 1 of 1 Bond 1 Bond Company Name TRAVELERS CAS a SURETY CO Bond Account Number Effective Date 105465064 07/29/2010 Expiration Date Until Cancelled Cancel Date Impaired Date Bond Amount Received Date $4,000.00 08/19/2010 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons/Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 11/08/2013