HomeMy WebLinkAboutPermit EL15-0297 - 4 ELEMENTS/TRAFFIC TECH - LIGHTING4 ELEMENTS/TRAFFIC TECH
16040 CHRISTENSEN RD 305
EL15-0297
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: EL15-0297
Address: 16040 CHRISTENSEN RD 305 Issue Date: 4/3/2015
Permit Expires On: 9/30/2015
Project Name: 4 ELEMENTS/TRAFFIC TECH
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: ,
DESCRIPTION OF WORK:
TENANT IMPROVEMENT OF EXISTING SPACE, RELOCATE EXISTING LIGHTING, ADD 2 NEW OFFICES.
Valuation of single family: $0.00 Fees Collected: $211.05
Valuation of mf/comm: $5,976.00
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 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature:��Date: d,3 /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 perm' nd gree to the conditions attached to this permit.
Signature: Date:
Print Name:
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 TUKWI.,
Community Development Department
' Permit Center
• 6300 Southeenter Blvd, Suite 100
Tukwila, WA 98188
htti)://www.TukwilaWA.jzov
Electrical Permit No. Z�),) !�— 6A
Proj ect No.
Date Application Accepted: 0 Y/03' 15
Date Application Expires: / U / 03 11S
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 I
King Co Assessor's Tax No.: 2S Z 30+ 1039
Site Address: 16040 Christensen Rd Suite Number: 305 Floor: 3
Tenant Name: 4 Elements/Traffic Tech 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.: ECMATRIEL901 Exp Date: 08/19/2016
Tukwila Business License No.; BUS 0995752
Valuation of Project (contractor's bid price): $ p . 7 &o o'er 0
Scope of Work (please provide detailed information): Tenant improvement of existing space, relocate existing lightin€
add 2 new offices
Will service be altered? ❑ Yes m No
Type of Use: office
T-me of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Pronertv Served by:
m Puget Sound Energy ❑ Seattle City Light
H:lApplications\Fomt4Appliatioas On Linc\2014 ApplicationsOuctrical Pcmtit Application Rcvised 1-1-14.docx
Reviscd: January 2014
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Adding more than 50 amps?
❑ Remodel
❑ Telecommunication
❑ Yes m No
0 Tenant Improvement
❑ Temporary Service
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) ......................
I............ $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.
Mailing Address: PO Box 11262
Tacoma
City
Date: 04/03/2015
(253) 797-9797
WA 98411
State Zip
HA ApplicationsTorms-Applications On Line\2014 ApplicationsTicctrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Page 2 of 2
DESCRIPTIONS ACCOUNT QUANTITY
PermitTRAK
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 R000.322.900.04.00
• 1
0.00
$10.05
Date Paid: Friday, April 03, 2015
Paid By: DORTHY E SHACKELFORD
Pay Method: CREDIT CARD 00011B
Printed: Friday, April 03, 2015 1:53 PM 1 of 1
(SYSTEMS
INSPECTION RECORD ,
Retain a copy with permit 5
INSPE TION 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: V am&/T-S
Type of Inspection:
Address: / 0�,o %1 5r , j
(/
Date Called:
Special Instructions:
�5�
Date Wanted:'7/a.
Q P.M.
Requester:
Phone No:
linspector: %n 61WWC (Date: 07/01 /15
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 I &S' o� Y
1
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
Project: H t `v
Type of Inspection:
Address: I
d D 5��
Date Called:
Special Instructions:
p�JC
Date Wanted: a.m.
p.m.
Requester:
Phone No: � (5-
jW Approved per applicable codes. P Corrections required prior to approval.
OMMENTS:
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pector:
REINSPECTIOIV FEE REQUIkED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
rA
INSPECTION RECORD
2—Retain a copy with permit �u
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
Project:
Type of Inspection:
Address: 6vio &-04
Date Called:
Special Instructions:
Date Wanted: t I a.m.
Requester:
Phone No:
Approved per applicable codes. EJ Corrections required prior to approval.
COMMENTS:
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Inspector: ! Date: ®/ C
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
JINSPECTION RECORD
Retain a copy with perm k LIS, - 0 2-
INSPIKTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line �6) 438-9350
Projgl
L6rA—Z,.4"U
Type --ofinspection:
P Ad ss^
, �/o CM410?sj
laaLe Called:
V
pedali-strucclons:
ecialIr
Date Wanted--
Requester'.
Phone l No:
L—i paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Matrix Electric LLC
Home Inicri.o en ,Espanol Contact
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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.
MATRIEL90I N R
Effective — expiration
08/19/2010— 08/19/2016
Designated administrator
Active.
Shackelford, Ronald P Jr
Meets current requirements.
License type
License no.
Electrical Administrator
SHACKRP883JW
Bond
TRAVELERS CAS & SURETY CO
$4,000.00
Bond account no.
106465064
Received by L&I
Effective date
08/19/2010
07/29/2010
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603032786&LIC=MATRIEL90INR&SAW= 04/03/2015