HomeMy WebLinkAboutPermit EL16-0367 - CONAM - ENERGY EFFICIENT LIGHTING AND RECEPTACLES FOR NEW OFFICECONAM
16000 CHRISTENSEN RD
SUITE 250
EL16-0367
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.Rov
ELECTRICAL OTC PERMIT
Parcel No: 2523049077 Permit Number: EL16-0367
Address: 16000 CHRISTENSEN RD 250 Issue Date: 4/22/2016
Permit Expires On: 10/19/2016
Project Name: CONAM
Owner:
Name: BRCP RIVERVIEW PLAZA LLC
Address: 248 HOMER AVE, PALO ALTO, WA,
94301
Contact Person:
2012
Name: RONALD SHACKLEFORD
Phone: (253) 797-9797
Address: PO BOX 11262, TACOMA, WA, 98411
2012
Contractor:
2014
Name: MATRIX ELECTRIC LLC
Phone: (253) 797-9797
Address: 15419 24TH AVE E, TACOMA, WA,
2014
98445
2012
License No: MATRIEL901NR
Expiration Date: 8/19/2016
Lender:
2012
Name:
Address:
DESCRIPTION OF WORK:
REPLACE EXISTING LIGHTING WITH NEW ENERGY EFFICIENT LIGHTING, ADD RECEPTACLERS FOR NEW OFFICE
FUTNITURE AND EQUIPMENT, REWORK SWITCHING AS NEEDED
Valuation of single family: $0.00
Fees Collected: $396.90
Valuation of mf/comm: $15,563.00
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 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: Date: Date: 4-1
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 a o the on
attached to this permit.
Signature: L�j� Date: y a—
Print Name: �Jl�")e,n PCS[ -11.__-_-----
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 TUKIWILA
Community Development Department
• Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
" http://www.TukvilaWA.gov
Electrical Permit No. LLI
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: 16000 Christensen Road Suite Number: 250 Floor: 2
Tenant Name: Cori Am New Tenant: ® .....Yes ❑ .. No
PROPERTY OWNER
Name: Unico Properties
Address: 16040 Christensen Road Suite 100
City: Tukwila State: WA Zip: 98188
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: ron@matrixelectricwa.com
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.: Matriel9011qR Exp Date: 08/19/2016
Tukwila Business License No.; BUS -0995782
Valuation of Project (contractor's bid price): $ 15,563
Scope of work (please provide detailed information): replace exisitng lighting with new energy effeciate lighting, add
receptacles for new office furniture and equipment, re -work switching as needed,
Will service be altered? ❑ Yes [Z] No Adding more than 50 amps? ❑ Yes m No
Type of Use: office
Tvve of work:
❑
New ❑
Addition
❑ Service Change
❑
Low Voltage ❑
Generator
❑ Fire Alarm
Property
Served by
Puget Sound Energy
❑
Seattle City Light
H:A4pplicationsTorrr -Applications On Line@014
ApplicatiousUcutrical Pennit Application Revised 1-1-14.dom
Revised: January 2014
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m Remodel 0 Tenant Improvement
❑ Telecommunication ❑ Temporary Senice
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, 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.
04/19/2016
Print Name: Ronald Shackelford Day Telephone: (253) 797-9797
Mailing Address: PO Box 11262 Tacoma WA 98411
city state zip
H:1.4pplicati.=\Fo,m Applicatioiu On Line12014 Applicatiom\Electrical Pemut Application Revisal 1-1-14.docx
Revised: )aimary 2014
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Page 2 of 2
DESCRIPTIONS ACCOUNTQUANTITY
PermitTRAK
PAID
$396.90
EL16-0367 Address: 16000 CHRISTENSEN RD 250 Apn: 2523049077
$396.90
ELECTRICAL
$378.00
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00
$378.00
TECHNOLOGY FEE
$18.90
TECHNOLOGY FEE R000.322.900.04.00 0.00
• :.
$18.90
$396.90
Date Paid: Friday, April 22, 2016
Paid By: RONALD SHACKLEFORD
Pay Method: CREDIT CARD 01602B
Printed: Friday, April 22, 2016 2:30 PM 1 of 1 e7pFf
SYSTEMS
INSPECTION RECORD1-3 2�
Retain a copy with permit (• J
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: CQAJA-1
Type of Inspection:
9Approved per applicable codes. 1_1 Corrections required prior to approval.
I 1\ /'..f'\ TIM / "- I
IInspector: `"/1nAJ ke / IDate: 0(01a /)
❑ REINSPECTION IEEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
Address: b cow -16456
ate Called:
Special Instructions: �Sv
0 w r
Date Wanted: B a
6 .m.
Requester: / f�
Phone No: �� f
9Approved per applicable codes. 1_1 Corrections required prior to approval.
I 1\ /'..f'\ TIM / "- I
IInspector: `"/1nAJ ke / IDate: 0(01a /)
❑ REINSPECTION IEEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
INSPECTION RECORD 0
Retain a copy with permit ( -03
INSPECTION NO. 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:
10
Type of Inspection:
Address:
p
1600d.
alled:/
Date —Called-
Special Instructions:
Date Wanted: f
a. .
P.M.
Requester:
Phone No:
Approved per applicable codes. E Corrections required prior to approval.
1-1
I ,1 —
Inspector: ` / I�9'q('J \ (Date• 0 011k
REINS PECTIONIFEE 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 —�O
INSPECTION 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:
t/
Address:
Date Called:
Special Instructions:
Date Wanted: a.
p.m.
Requester:
Phone No:
❑ Approved per applicable codes. LJ Corrections required prior to approval
U paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Matrix Electric LLC
Home I spahol Contact
Safety & Health Claims & Insurance
45 Washington State Department of
Labor & Industries
Matrix Electric LLC
Owner or tradesperson 15419 24th ave e
TACOMA, WA 98445
Principals 253-797-9797
Shackelford, Ronald P Jr, PARTNER/MEMBER PIERCE County
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
Governing persons
ANTHONY
R
JONES
DOROTHY SMITH;
RONALD P JR SHACKELFORD;
License
Page 1 of 2
77
A -Z Index Help My L,&I
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.
MATRIEL901NR
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.
105465064
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.
Trades & Licensing
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603032786&LIC=MATRIEL90INR&SAW= 4/22/2016