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HomeMy WebLinkAboutPermit EL14-1081 - MTI - DATA, RECEPTACLES, LIGHTS RELOCATION AND SWITCHESMTI 16040 CHRISTENSEN RD STE 320 EL14-1081 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 Parcel No: 2523049039 Permit Number: EL14-1081 Address: 16040 CHRISTENSEN RD 320 Issue Date: 11/5/2014 Permit Expires On: 5/4/2015 Project Name: MTI Owner: Name: BRCP RIVERVIEW PLAZA LLC Address: 248 HOMER AVE , PALO ALTO, WA, 94301 Contact Person: Name: RONALD SHACKELFORD Phone: (253) 797-9797 Address: PO BOX 11262 , TACOMA, WA, 98411 Contractor: Name: MATRIX ELECTRIC LLC Phone: (253) 797-9797 Address: 15419 24 AVE E , TACOMA, WA, 98404 License No: MATRIEL901NR Expiration Date: Lender: Name: Address: DESCRIPTION OF WORK: INSTALL (2) DATA, (2) RECEPTACLES, RELOCATE LIGHTS, (3) SWITCHES AND DEMO Valuation of single family: $0.00 Valuation of mf/comm: $1,070.00 Type of Work: TENANT IMP Fees Collected: $124.53 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE 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 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2014 2012 Permit Center Authorized Signature: f Y �t Date: 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 theconditions attached to this permit. Signature: Print Name: /D i1 akc( 5 e-L,- Date: //(41/y 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. 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 'E L\, L \ O 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: ((oo4 (7 C r t s-'LI(� Sty\ R.A. Tenant Name: M.T. PROPERTY OWNER Name: l/t(\► C 0 l (.wervI E.,J V`0.-LA I Address:I6(AG art en Yitl l}{ lee S�-t n S City: TO (r-"at lA State:w (>~- Z4p�1 e y CONTACT PERSON — person receiving all project communication Name: Rona lei slelet (.)rel Address: P. o . 6DX 11 Z. 2- I' t� City: State: Zip: TA-t-oM A W k ?dry I Phone: 2f 3 -19 7- 4 79 Yax. "2 (r o f- 2V 3 Email: ►rOvl0. w1A4fCYeiftt f rt e.w0.. C.7h King Co Assessor's Tax No.: Suite Number: 3 Zb Floor: 3 RA New Tenant: ❑ Yes K.No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: Q. t. Bo )( 1124.2 City: t"C.o 6-t A State:wA.- Zipet Phone: 2, 3 -747- et79 7 Fax: fa-1- 4 09,244-s Contr Reg No.: . golH R Exp Date:g 1 kot1 `t Tukwila Business License No.; -6 (+S 0Of 9 57 Ri. 0 Valuation of Project (contractor's bid price): $ 1 I 070 0 , 2-&al-c` Scope of Work (please provide detailed information): '�- sw04A.-. eil ce"-0 2 -re c of 1-...c,L t i re Lo Will service be altered? ❑ Yes Type of Use: 0-PaC �No Adding more than 50 amps? ❑ Yes ....21"...No Type of work: ❑ New Addition ❑ Service Change 0 Remodel Tenant Improvement 0 Low Voltage ❑ Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy 0 Seattle City Light 11 \.Applications\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 $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 (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 EACL 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: Print Name: Mailing Address: korl S4 cke —C(4 r26 gay I(Zcz Date: //312-e(jf' Day Telephone: Z63 - 7 / 7 7q7 City State Zip H \Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14docx Revised January 2014 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ( � � �.. a. k�iN ���� 4 PermitTRAK. to„nN - __ o.> ACCOUNT I QUANTITY "��Y�«y °'1 4 �� a yl�{� !PsAh:4, c'.'Eti3� �iu10�� 6_`' PAID $124.53 �Hb N'4*.AT, ,-', 'a IRA.-:r,z, — ' �.F ,', k' Es ' `P""b W �ry �Y� a��� a E114=1081j Ad„dress 16040 CHRISTENSEN RD 320 Apnn: 22523049039 � i �P l .. gy. q � UGC � � °6p�171� f��.. 124:53 ELECTRICAL 118.60 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $118.60 TECHNOLOGY FEE . $5.93, TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3478 R000.322.900.04.00 0.00 $5.93 $124.53 Date Paid: Wednesday, November 05, 2014 Paid By: RONALD SHACKELFORD Pay Method: CREDIT CARD H34337 Printed: Wednesday, November 05, 2014 10:18 1 of 1 AM CRWYSTEMS Z INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Culi-togt Project: Type of Inspection: h /lito, Address: it, 01 /7 g _ _ `$ J Date Called: Special Instructions: Date Wanted:m. t p.m. Requester: Phone No: Approved per applicable codes. yCorrections required prior to approval. Cl... J OMMENTS: Inspector: KOWAION Date: \7,-)(11 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 6z-r(-,cgi Project: t , � r Type of Inspection:€: 0Jtt._, id Address: ` /6'00 (4441STN561 Date Called: ._ a Special Instructions: Date Wanted: % t1f©c am p.m. Requester: Phone No: ElApproved per applicable codes. ICJ Corrections required prior to approval. COMMENTS: 4( l —4 Inspector:dre jjek Date: f I /OG t 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 Active. Meets current requirements. Active. Meets current requirements. License type License no. Electrical Administrator SHACKRP883JW Bond TRAVELERS CAS & SURETY CO $4,000.00 Bond account no. 105465064 Received by L&I 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= 11/05/2014