HomeMy WebLinkAboutPermit EL16-0052 - DEAN DOERING - DEMOLITION, RECEPTACLE AND FIXTURESDEAN DOEING
16040 CHRISTENSEN RD 210
EL16-0052
City of Tukwila
• Department of Community Development
t • 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: EL16-0052
Address:
16040 CHRISTENSEN RD 210
Issue Date: 1/19/2016
WA Cities Electrical Code:
2014
Permit Expires On: 7/17/2016
Project Name:
DEAN DOEING
2014
Owner:
2012
WA State Energy Code:
Name:
BRCP RIVERVIEW PLAZA LLC
2012
Address:
248 HOMER AVE, PALO ALTO, WA,
94301
Contact Person:
Name:
RONALD SHACKLEFORD
Phone: (253) 797-9797
Address:
PO BOX 11262, TACOMA, WA, 98411
Contractor:
Name:
MATRIX ELECTRIC LLC
Phone: (253) 797-9797
Address:
15419 24TH AVE E, TACOMA, WA,
98445
License No:
MATRIEL901NR
Expiration Date: 8/19/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
DEMO - 4 RECEPTACLE, 1 DATA MUD RING, CHANGE 2 SWITCHES, REPLACE EXIT/EMERGENCY FIXTURES
Valuation of single family: $0.00
Fees Collected: $147.21
Valuation of mf/comm: $2,700.00
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: �d Jt /�` "�" \ Date: lU
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 c nstruction or the performance of work. I am authorized to sign and obtain this
development permit an greo-the con.d.itions attached to this permit.
Signature• C 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 TUKWILA
Community Development Department
Permit Center
• 6300 SouthcenterBlvd., Suite 100
Tukwila, WA 98188
�" htti)://www.Tuk-,WaWA.aov
Electrical Permit No. E -LI V 00.5- Z
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.:
Site Address: 16040 Christensen RD Suite Number: 210 Floor: 2
Tenant Name: Dean Doering New Tenant: ® .....Yes [:].. No
PROPERTY OWNER
Nannie: Unico Proerties
Address: 16040 Christensen RD Suite 100
City: Tukwila State: WA Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Ronald Shackelford
Address: PO Box 11262
C'ty: Tacoma State: wa Zip: 98411
Phone: (253) 797-9797 Fax: (425) 609-2483
Email: 60lCW
Valuation of Project (contractor's bid price): $ 2,700
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.: MATRIEL9011,F Exp Date: 08/09/2016
Tukwila Business License No.; BUS -0995782
Scope of Work (please provide detailed information): demo, 4- receptacle, 1- data mud ring, change 2 switches,
replace exit/emergency fixtures,
Will service be altered? ❑ Yes
Type of Use:
Tyne of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served bv:
Puget Sound Energy ❑
❑ Service Change
❑ Fire Alarm
Seattle City Light
HA.4pp1icatiomTon Applicatio= On Linc\2014 ApplicationaMcoUical Pemtil Application Revised 1-1-14.do"
Revised: January 2014
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Adding more than 50 amps?
❑ Remodel
❑ Telecommunication
❑ Yes m No
JZ 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)
$80.90
❑
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)
$10.80 ea
❑
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)
PERMrr 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, 201.4 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
H:\4pplicatiom\Forms-Applicatiotu on Linc\2014 Applicatious\Flcctrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
Date: 01/16/2016
Day Telephone: (253) 797-9797
Tacoma WA 98411
city state Zip
Page 2 of 2
DESCRIPTIONS ACCOUNT QUANTITY
PAID
PermitTRAK
$147.21
EL16-0052 Address: 16040 CHRISTENSEN RD 210 Apn: 2523049039
$147.21
ELECTRICAL
$140.20
PERMIT FEE MULTI-FAM/COMM 13000.322.101.00.00 0.00
$140.20
TECHNOLOGY FEE
$7.01
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTAL FEES PAID R7390
$7.01
Date Paid: Tuesday, January 19, 2016
Paid By: RONALD SHACKLEFORD
Pay Method: CREDIT CARD 09570B
Printed: Tuesday, January 19, 2016 8:23 AM 1 of 1 ` M"I
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INS C1'IGN N0. PERMIT N0.
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:
Date Called:
Special Instructions:
Date Wanted:
a.m
Requester:
Phone No:
MApproved per applicable codes. El Corrections required prior to approval..
I v Irl. F //V At, I
nspector:
REINSPECTIdN FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain
INSPECTION N0.
a copy with permit
16,16- ®05�-
P RMIT N0. IL
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit inspection Request Line (206) 438-9350
Project: jr�� _
Type of Inspection: 6AIAL--
Address:
4 a T
Date Called:
�(
Speciai Instructions:Date
�1C2
Wanted: a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
N
REINSPECTION FEE REQUIRED. Prior to next inspection, fee nNust be
paid at 6300 ScdJuthcenter Blvd., Suite 100. Call to schedule reinspection,.
INSPECTION RECORD
L 2, Retain a copy p with ermit
PE:(✓lam 1� "��
iNSTION NO. PERIvl3' No.
CITY OF 1'UKWILA BUILDING DIVISION 4
6300 Southcenter Blvd.., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request line (206) 438-9350
Project:
T)'
Type of Inspection:
Address: ,f
(} �
Da Called:
Special Instruction.:
!tet CT
Date Wanted: ` a.m
.rr�.
Requester:
Phone No:
Approved per applicable codes. EI Corrections required prior to approval.
I -- r1e, %A c- N 4b,rif'c I
nspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fe6 must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD 1
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
Project: '"�
/
Type of Inspection:
Address:
/
lL
Date Called:
Special Instructions:
�l d
Date Wanted: a.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
1 L/rrI- GJ�UJVK
REINSPECTION IEEE REQUIRED. Prior to next inspection, fed must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Matrix Electric LLC
Washington State Department of
Labor & Industries
Matrix Electric LLC
Owner or tradesperson
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
License
Home Inicio en Espafiol Contact.
Safety Claims & Insurance
15419 24th ave e
TACOMA, WA98445
253-797-9797
PIERCE County
Business type
Limited Liability Company
Governing persons
ANTHONY
R
JONES
DOROTHY SMITH;
RONALD P JR SHACKELFORD;
Page 1 of 2
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Workplace Rights
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
ju&—oq?S?E-2,
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603032786&LIC=MATRIEL90INR&SAW= 1/19/2016