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HomeMy WebLinkAboutPermit EL17-0417 - EMERALD CITY - LIGHTING AND SWITCHEMERALD CITY 18161 SEGALE PARK B DR ELI 7-0417 Parcel No: Address: 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 3523049119 18325 SEGALE PARK B DR Project Name: EMERALD CITY Permit Number: Issue Date: Permit Expires On: EL17-0417 6/2/2017 12/2/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: LIT INDUSTRIAL LTD PTNSHP 1717 MCKINNEY AVE #1900 , DALLAS, WA, 75202 RONALD SHACKELFORD Phone: (253) 797-9797 PO BOX 11262 , TACOMA, WA, 98411 MATRIX ELECTRIC LLC Phone: 15419 24TH AVE E, TACOMA, WA, 98445-4711 MATIEL901NR Expiration Date: DESCRIPTION OF WORK: HANG 6 LIGHTS ADD 1 SWITCH Valuation of single family: $0.00 Valuation of mf/comm: $2,300.00 Type of Work: TENANT IMP Fees Collected: $154.65 Electrical Service Provided by: PUGEST SOUND ENERGY Water District: HIGHLINE Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: la(!tb P49 Date: (e1(p o 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 permjt-arfd- ee to the conditions attached to this permit. Signat Print Name: Sk..ve— P «_ Date: (v-Gi-1-1 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 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB Parcel No: Address: 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 3523049119 Permit Number: EL17-0417 18161 SEGALE PARK B DR Project Name: EMERALD CITY Issue Date: 6/2/2017 Permit Expires On: 11/29/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: LIT INDUSTRIAL LTD PTNSHP 1717 MCKINNEY AVE #1900 , DALLAS, WA, 75202 RONALD SHACKELFORD PO BOX 11262 , TACOMA, WA, 98411 MATRIX ELECTRIC LLC 15419 24TH AVE E , TACOMA, WA, 98445-4711 MATIEL901NR //1 Phone: (253) 797-9797 Phone: Expiration Date: DESCRIPTION OF WORK: HANG 6 LIGHTS ADD 1 SWITCH Valuation of single family: $0.00 Valuation of mf/comm: $2,300.00 Type of Work: TENANT IMP Fees Collected: $154.65 Electrical Service Provided by: PUGEST SOUND ENERGY Water District: HIGHLINE Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 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 c•v tions attached to this permit. Signature: Print Name: Date:/ Zit 7 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 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Elecfrca Project Nt Date Appl -Date Ap3 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** SI"t1 OCATIO Site Address: 18161 Segale Park Dr King Co Assessor's Tax No.: Suite Number: Tenant Name: Emerald City PROPERTY OW°NE' Name: Address: City: State: WA Zip: CONTACT PERSON communication Name: Ronald Shackelford Address: PO Box 11262 City: Tacoma State: WA Zip: 98411 Phone: (253) 797-9797 Fax: Email: ron@matrixelectricwa.com Floor: 1st New Tenant: ❑ Yes ® ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Matrix Electric LLC Address: PO Box 11262 City: Tacoma State: WA Zip: 98411 Phone: (253) 797-9797 Fax: Contr Reg No.: MATRIEL901NB Exp Date: 08/09/2018 Tukwila Business License No.; BUS -0995782 Valuation of Project (contractor's bid price): $ 2,300 Scope of Work (please provide detailed information): hang 6 lights and add 1 switch Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: warehouse commercial Type of work: ❑ New ❑ Addition ❑ Service Change 0 Remodel ® Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm ❑ Telecommunication 0 Temporary Service Property Served by: 2 Puget Sound Energy ❑ Seattle City Light W:\Permit Center Applications -Handouts \Permit Applications'PDF's\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) O Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 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. BUILDING OWNER OR ELECTRICAL f NTRACTOR: Signature: Date: 06/02/2017 Print Name: Ronald S • ckelford Day Telephone: (253) 797-9797 Mailing Address: PO Box 11262 Tacoma WA 98411 W'Perrnit Center\Applications-Handouts\Permit Applications\PDF's\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $154.65. EL17-0417 Address: 18161 SEGALE PARK B DR Apn: 3523049119 $154.65 Credit Card Fee $4.50 Credit Card Fee R000.369.908.00.00 0.00 $4.50 ELECTRICAL $143.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $143.00 TECHNOLOGY FEE $7.15 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11620 R000.322.900.04.00 0.00 $7.15 $154.65 Date Paid: Friday, June 02, 2017 Paid By: MATRIX ELECTRIC LLC Pay Method: CREDIT CARD H77457 Printed: Friday, June 02, 2017 2:19 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: pic cm ��jeQrtit..6Date Type of Inspection: g- j 1 N Address: Called: Special Instructions: 1-1(l,J J) �j J Date Wanted: a°7 Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Inspector: Date: 06/0 REINSPECTION PEE REQUIRED. Prior to next inspection, fee ust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. I INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE MIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: MiKAO / r/ Type of Inspection: r k Address:/81I n 361A-1-6�;J Date Called: Special Instructions: Date Wanted: Orp.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: rmoJti Ap5 Inspector: Date: 96/12,51/7 / of I-7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Matrix Electric LLC kil)Washington State Department of Labor & Industries Home Espanol Contnet Safety & Health Claims & Insurance Search L&I A -L Index Help Page 1 of 2 My L&I A Workplace Rights Trades & Licensing 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 15419 24th ave e TACOMA, WA 98445 253-797-9797 PIERCE County Business type Limited Liability Company Governing persons ANTHONY R JONES DOROTHY SMITH; RONALD P JR SHACKELFORD; 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— 08/19/2018 Designated administrator Shackelford, Ronald P Jr License type Electrical Administrator Bond ........_....... TRAVELERS CAS & SURETY CO Bond account no. 105465064 Active. Meets current requirements. License no. SHACKRP883JW $4,000.00 Received by L&I Effective date 08/19/2010 07/29/2010 Expiration date Until Canceled Savings ...................... Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603032786&LIC=MATRIEL901NR&SAW= 6/2/2017 Matrix Electric LLC No savings accounts during the previous 6 y eriod. 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. This company has multiple workers' comp accounts. Active accounts L&I Account ID 254,110-00 ................................ Doing business as MATRIX ELECTRIC LLC Estimated workers reported Quarter 1 of Year 2017 "4 to 6 Workers" L&I account representative T2 / CHRISTOPHER WASSON (360)902-6331 - Email: WASQ235@Ini.wa.gov Track this contractor t� Account Is current. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Page 2 of 2 © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603032786&LIC=MATRIEL901NR&SAW= 6/2/2017