HomeMy WebLinkAboutPermit EL14-1171 - SUITE 215 - RECEPTACLES, SWITCH AND LIGHTINGSUITE 215
16040 CHRISTENSEN RD
SUITE 215
EL14-1 171
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: EL14-1171
Address: 16040 CHRISTENSEN RD 215 Issue Date: 12/3/2014
Permit Expires On: 6/1/2015
Project Name: SUITE 215
Owner:
Name: BRCP RIVERVIEW PLAZA LLC
Address: 248 HOMER AVE , PALO ALTO, WA,
94301
Contact Person:
Name: RON SHACKELFORD Phone: (253) 797-9797
Address: PO BOX 11262 , TACOMA, WA, 98411
Contractor:
Name: MATRIX ELECTRIC LLC Phone:
Address: 15419 24TH AVE E , TACOMA, WA,
98445-4711
License No: MATIEL901NR Expiration Date:
Lender:
Name:
Address:
I11
DESCRIPTION OF WORK:
(2) RECEPTACLES, (1) SWITCH, AND RELOCATION OF LIGHTING
Valuation of single family: $0.00
Valuation of mf/comm: $2,100.00
Type of Work: TENANT IMP
Fees Collected: $147.21
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:
Date: 12-I Il
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:
Date: f 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:
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: 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
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 LI - I
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.: 26°I 0 311
Site Address: 16040 Christensen Road - Riverview Plaza 1 Suite Number: 215 Floor:
Tenant Name:
PROPERTY OWNER
Name: Unico Properties
Address: 16040 Christensen Road Suit 100
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: (425)
609-2483
Email:
New Tenant: ❑ Yes ❑ .. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Matrix Electric LLC
Address: Pp Box 11262
City: Tacoma State: WA Zip: 98411
Phone: (253) 797-9797 Fax: (425) 609-2483
Contr Reg No.: matrie1190nr Exp Date: 08/19/2016
Tukwila Business License No.; BUS-0995782
Valuation of Project (contractor's bid price): $ 2,100
2 receptacles, 1 switch, relocate lighting
Scope of Work (please provide detailed information): P b g
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use: office
Tvve of work:
El New ❑ Addition ❑ Service Change ❑ Remodel m Tenant Improvement
❑ Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication ❑ Temporary Service
Property Served by:
FI Puget Sound Energy ❑ Seattle City Light
H:\ApplicationsWorms-Applications On Line\2014 Application 1eetrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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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 OR ELE V ' CAL CO TRACTOR:
Signature:
Print Name:
Mailing Address:
Date:
l-2/3/2-0r5i
Day Telephone: Z.s 3 797 7? 7
Q'4 �i
City State Zip
Ha4pplications\Fon-Applicatio On Line \2014 Application\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT QUANTITY PAID
PermitTRAK
147.21
EL14-1171
Address: 16040 CHRISTENSEN RD 215
Apn: 2523049039
$147.21
ELECTRICAL
$140.20
PERMIT FEE MULTI-FAM/COMM
TECHNOLOGY FEE
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3690
R000.322.101.00.00
R000.322.900.04.00
0.00
0.00
$140.20
$7.01
$7.01
$147.21
Date Paid: Wednesday, December 03, 2014
Paid By: MATRIX ELECTRIC LLC
Pay Method: CHECK 3339
Printed: Wednesday, December 03, 2014 12:57 1 of 1
PM
SYSTEMS
1NSPECTION-RECORD
Retain a copy with permit
IN PECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
Afff bc
Type of Inspection:
Address:
/47CW 644.9-6VIStCrj
Date Called:
Special Instructions:
Date Wanted:
7,41
(Ix.
Requester:
Phone No:
t
Approved per applicable codes. /1 0 Corrections required prior to approval.
COMMENTS:
(1.401(4 tiql" '°A15 11411)
Inspector:
4;--rf6\de
Date: 124,illy
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, P RMIT NO.
CITY OF TUKVVILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Project: at j , i r"--
Type of Inspection:
Al •
ddress: a
*HO 41-12(5ri- 564
Date Cali d:
,
Special Instructions;
Date Wanted:
Requester:
Phone No:
LJApproved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
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— 515761 AAA TU(2,( 1Z) Be LJ in
hioxi) 'LAE of 60-Thist 0..1 cokb5 ics
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Inspector:
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Date:
7,4tifri
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
tat
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project;
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Type of Inspection:
-544.0414-
Date Called:
Address:
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Special Instructions:
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Date Wanted:
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Requester:
Phone No:
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applicable
codes. 0 Corrections required prior to approval.
COMMENTS:
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Inspector: jt.
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REINSPECTION FEE REQUIRED. Prior to next inspection. tee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Date: /112'di
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) 438-9350
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Project;
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Type of Inspection:
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'Address: i
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Date Called:
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Special Instructions:
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Date Wanted:
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Requester:
Phone No: 2,c 3
717 I 777
LJApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
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Inspector: C
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7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
-D te:
Matrix Electric LLC
Page 1 of 2
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= 12/03/2014