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Home My WebLink AboutPermit EL14-0895 - WILBUR ELLIS - LIGHTING AND RECEPTACLESWILBUR ELLIS 16300 CHRISTENSEN RD EL1 4-0895 { CITY OF TUKWILA Community Development Department 6300 Southcenter Boulevard, Suite 100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT Parcel No.: 2523049078 Permit Number: EL14-0895 Address: 16300 CHRISTENSEN RD, STE 207 Issue Date: 09/15/14 Project Name: WILBUR ELLIS Permit Expires On: 03/16/15 Owner: Name: UNICO PROPERTIES Address: 16040 CHRISTENSN RD, STE 100 TUKWILA WA 98188 Contact Person: Name: RONALD SHACKLEFORD Address: PO BOX 11262 TACOMA WA 98411 Phone: (253) 797-9797 Contractor: Name: MATRIX ELECTRIC LLC Address: PO BOX 11262 TACOMA WA 98411 Phone: (253) 797-9797 License No.: MATRIEL901 NR Expiration Date: 08/19/16 Lender: Name: N/A Address: Phone: Description of Work: RELOCATE (2) LIGHTS, DEMO, AND ADD (2) RECEPTACLES Valuation of single family: $ 0.00 Valuation mf/comm: $ 1,513.00 Type of Work: TI Fees Collected: $ 118.60 Electrical Service Provided by: PUGET SOUND ENERGY Water District: Sewer District: Current Codes adopted by the City of Tukwila International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: Date: hereby certify that I have read and examined this permit and know the same to be true and correct. All provision 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 t ormance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to.thrs permit. Signature:, Print Name: _ c� Date: l —is--o2c3c l This permit shall become null and void if the work is not commenced within 180 days from 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. A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2. Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3. All electrical work shall be in accordance with NFPA 70 — NEC, and requirements for electrical installations, Chapter 296-46B WAC. 4. 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. 5. 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. 6. 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 7001 UNDERGROUND/SLAB 7002 SERVICE 7003 ROUGH -IN ELECTRICAL 2100 ELECTRICAL FINAL CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA. gov Electrical Permit No. UVA iy1AC 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 King Co Assessor's Tax No.:?)-3 O' 1 4107 Site Address: 16300 Christensen Road Tenant Name: Wilbur Ellis Suite Number: 207 Floor: 2nd PROPERTY OWNER Name: Unico Properties Address: 16040 Christensen Road Suite 100 City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Ronald Shackelford Address: PO Box 11262 City: Tacoma State: WA Zip: 98411 Phone: (253) 797-9797 Fax: (425) 609-2483 Email: 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.: ECMATRIEL901 Exp Date: 08/19/2016 Tukwila Business License No.; BUS-0994279 Valuation of Project (contractor's bid price): $ 1,513 Scope of Work (please provide detailed information): relocate 2 lights, demo, add 2 receptacles Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes m No Type of Use: office Type of work., ❑ New ❑ Addition ❑ Service Change ❑ Remodel ca Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: CZ Puget Sound Energy ❑ Seattle City Light Ha4pplications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised 1-1.14.docx Revised: January 2014 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 ***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 O. RICAL CQNTRACFOR: Signatur Print Name: Ronald Shackelford Mailing Address: PO Box 11262 Tacoma WA 98411 Date: 09/11/2014 Day Telephone: (253) 797-9797 City State Zip H:\4Pplications\Forms-Applications On Line \2014 Applications\Elect ical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 Cash Register Receipt City of Tukwila Receipt Number R3087 DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK EL14-0895 Address: 16300 CHRISTENSEN RD 207 On: 2523049078 TECHNOLOGY FEE $5.93 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3087 R000.322.900.04.00 0.00 $5.93 $5.93 Date Paid: Thursday, September 18, 2014 Paid By: MATRIX ELECTRIC, LLC Pay Method: CHECK 3283 Printed: Thursday, September 18, 2014 4:00 AM 1 of 1 CRW YSTEMS F DESCRIPTIONS ACCOUNT QUANTITY I PAID $118.60 EL14-0895 Address: 16300 CHRISTENSEN RD 207 Apn: 2523049078 $118.60 ELECTRICAL $118.60 PERMIT FEE MULTI-FAM/COMM TOTAL FEES PAID BY RECEIPT: R3047 R000.322.101.00.00 0.00 $118.60 $118.60 Date Paid: Monday, September 15, 2014 Paid By: MATRIX ELECTRIC LLC Pay Method: CHECK ???? Printed: Tuesday, September 16, 2014 6:23 AM 1 of 1 CITY FORM NO 1 1912 ADOPTED BY DIVISION OF MUNICIPA ��wILA ° 4, t CITY OF TUKWILA TREASURER'S RECEIPT _ Date �.��' C (` r 47871 • /908 . 20 , Received of rcl �` SUri-A,6, LL - F()R - A �1 — D V �1' t li iJ 1 -Li, ,U ,C�Y-tCA-G 000, 2)22. 10 oo - 00 U q ieo TOTAL Ut i BY AA\1LtL! DEPT: j OLYMPIC PRINTERS, INC. WHITE - Finance Dept. CANARY - Customer PINK - File k,,,,,voIa 4-e wv4 ae-c-0 IJ INSPECTION RECORD '! Retain a copy with permit yr 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: , } f Q �/ 11rt-1�Jk [.J 1) Type of Inspection: it ��d'%._ Address: �f /63ov G�csr �SF� Date Called: Special Instructions: Date Wanted: (/3_l "P V Requester: ' srzs Phone No: 2 5 453 / Z%7.-- ® Approved per applicable codes. Corrections required prior to approval. COMMENTS: _— Inspector: /I 1.,41,/2 Date: 0 7 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit 641?- &IP< PERMIT NO. CITY OF TUKWILA BUILDING DIVISION z( 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: Type of Inspection � Address: &A`! CAI ` , Date Called: ^ Special Instructions: Date Wanted: a rr p.m. /Zj Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ( /0 kc;i- 104.5 1-107,- (: ei-Au`JL C_DJ& -- (Ni V U 4 (id i.a) 18 tit fJ Inspector: Date: 0 23 fill • 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 copy with permit INSPECTION NO. PERMIT NO. 611f-of?c CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: Type of Inspectfi h: Address: t 1 Soo l jt7 2 oJse 7 Date Called: Special Instructions: .tt7..<qRequester: Date Wanted: 7it 7 Ci...m,„ t Phone No: ❑ Approved per applicable codes. EnCorrections required prior to approval. COMMENTS: — tlf%tdc) J— galc CAJ (Krrcc Erre) — htcS trJ' \O ePJtg 6> P0564> u Jc f - Ile k i> Ei-i 5-/ P(J4,i R0~Qut2- 1.4.J- Sp%.- L t . goa! - N1 t (S tniti s e-I S rii a...- 0.1 t ,512- C--I 144t-31 _3 L-ocm--1OA/5 Inspector: 2. j N Date: a t /Nig n 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 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: \ ;_ ` Type of Inspection: . Address: - Date Called: �. Special Instructions: re,l\ J S{\`DU"1 5U, DG� Date Wanted: , 1.A , la.m. !‘p.m. Requester: — �i PD.1,-_ 19';-- 9)-\)_ DApproved per applicable codes. El Corrections required prior to approval. COMMENTS: — % '1 i c ka-oC/1-'1�L") L_I (-1 - 64 AL &2tD 6/-4ict ¢ - ?fief %T 4OLoc, Y Ct‘-'6 I sq t s Inspector: Date: ugh " REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Matrix Electric LLC Page 1 of 2 0 Washington State Department of Labor & Industries Matrix Electric LLC Owner or tradesperson Shackelford, Ronald P Jr Principals Shackelford, Ronald P Jr, PARTNER/MEMBER SHACKELFORD, DORTHY E, PARTNER/MEMBER SHACKELFORD, RONALD JR. P, AGENT Jones, Anthony, PARTNER/MEMBER (End: 03/05/2012) Doing business as Matrix Electric LLC WA UBI No. 603 032 786 15419 24th ave e TACOMA, WA98445 253-797-9797 PIERCE County Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. MATRIEL901 NR Effective — expiration 08/19/2010— 08/19/2016 Designated administrator Shackelford, Ronald P Jr License type Electrical Administrator Bond Active. Meets current requirements. Active. Meets current requirements. License no. SHACKRP883JW TRAVELERS CAS & SURETY CO $4,000.00 Bond account no. 105465064 Received by L&1 Effective date 08/19/2010 07/29/2010 Expiration date Until Canceled https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603032786&LIC=MATRIEL901NR&SAW= 09/15/2014