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Home My WebLink AboutPermit EL15-0296 - AGCI - SWITCH AND LIGHTINGAGCI 16300 CHRISTENSEN RD 213 EL15-0296 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: 2523049078 Permit Number: EL15-0296 Address: 16300 CHRISTENSEN RD 213 Issue Date: 4/3/2015 Permit Expires On: 9/30/2015 Project Name: AGCI Owner: Name: BRCP RIVERVIEW PLAZA LLC Address: 248 HOMER AVE, PALO ALTO, WA, 94301 Contact Person: Name: RONALD SHACKELFORD Phone: Address: PO BOX 11262, TACOMA, WA, Contractor: Name: MATRIX ELECTRIC LLC Phone: Address: 15419 24TH AVE E , TACOMA, WA, 98445-4711 License No: MATIEL901NR Expiration Date: Lender: Name: Address: DESCRIPTION OF WORK: ADD (1) SWITCH AND RELOCATE (2) LIGHTS Valuation of single family: $0.00 Fees Collected: $104.37 Valuation of mf/comm: $989.00 Type of Work: TENANT IMP 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: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-468: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: J&zu'A (Oy� Date: 0y �� S 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 per an gLe_exo•the conditions attached to this permit. Signature Print Nam Date: L' - 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: 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 TUKW.. _ Community Development Department • }� Permit Center • 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwHaWA.gov Electrical Permit No. 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 King Co Assessor's Tax No.: 252304-9039 Site Address: 16300 Christensen Rd Suite Number: 213 Floor: 2 Tenant Name: AGCI New Tenant: ® .....Yes ❑ ..No PROPERTY OWNER Name: Address: City: State: Zip: 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: 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.: MATRIEL941 te: 08/19/2015 Tukwila Business INcense No.; BUS-0995752 Valuation of Project (contractor's bid price): $ 989 Scope of Work (please provide detailed information): add 1 switch, relocate 2 lights, Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: office Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel m Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: m Puget Sound Energy ❑ Seattle City Light H."pplicationsTomt�Applications On Linc\2014 ApplicationsUcctrical Perntit Application Revised 1-1-14.doox Reviscd: 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) 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. Print Name: Ronald Shackelford Mailing Address: PO Box 11262 Date: 04/02/2015 Day Telephone: (253) 797-9797 Tacoma WA 98411 City State Zip H:\ 4Wlications\Fomu-Applications On Line\2014 AppheationsUmtrical Permit Application Revised 1-1-14.docc Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $315.42 EL15-0296 Address: 16300 CHRISTENSEN RD 213 Apn: 2523049078 $104.37 ELECTRICAL $99.40 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $99.40 TECHNOLOGY FEE $4.97 TECHNOLOGY FEE R000.322.900.04.00 0.00 $4.97 EL15-0297 Address: 16040 CHRISTENSEN RD 305 Apn: 2523049039 $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 TOTAL1 R000.322.900.04.00 0.00 $10.05 Date Paid: Friday, April 03, 2015 Paid By: DORTHY E SHACKELFORD Pay Method: CREDIT CARD 00011E Printed: Friday, April 03, 2015 1:53 PM 1 of 1 RWSYS7EM5 INSPECTION RECORD �3 Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: Type o p Xd-dress-. _� & 5t, Special Instructions: # ZI Date Called: Date Wanted. Ca.m, Requester: Phone No: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD 2- I i: I Retain a copy with permit INSPECTION NO. PERMIT NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 1 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: -Called. Address: 'Fate ib-J5(-d- Special instructions: 42-t3 Date Wanted: (am, L-1 41�y Requester: PRone No: 1:1 Approved per applicable codes. Q Corrections required prior to approval. COMMENTS. Z N- 6 amk, u4fU-s ii,Sm '21) ep wf�kA< C"46 lv� ZI(llf+T-.( 5A � troT- vjo I 0 J efb.k� IVI U4M Inspector: , o Y1211, o- I <�f 1H Al;�e:tex I I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100, Catt to schedule reinspection. INSPECTION RECORD Retain a copy with permit IMP16TION 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, Type of Inspection: k-l� Address. Hate Called: ------------ Special Instructions - Date Wanted: 0 P.m Requester: Pgone No: G4)rloved per applicable codes. 1:1 Corrections required prior to approval. 29, REINS P FEE REQUIRED. Prior to next inspeEtion. fee must be paid at 6300 outhcenter Blvd.. Suite 100. CatIto schedule reinspection. Matrix Electric LLC Page 1 of 2 Home Inicio en Fspanol Contact Safety Washington State Department of "Labor & industries Matrix Electric LLC !Search L&I A-"Z.Index Help My Secure L&I Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson 15419 24th ave e Shackelford, Ronald P Jr TACOMA, WA98445 253-797-9797 Principals PIERCE County 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. Business type 603 032 786 Limited Liability Company 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— 08/19/2016 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 ................ No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Workers' comp Active. Meets current requirements. License no. SHACKRP883JW $4,000.00 Effective date 07/29/2010 Expiration date Until Canceled Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603032786&LIC=MATRIEL901NR&SAW= 04/03/2015