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Permit EL17-0428 - MOTION INDUSTRIES - BATHROOM REMODEL AND ADDITION
MOTION INDUSTRIES 18436 CASCADE AVE S SUITE 100 ELI 7-0428 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.Rov ELECTRICAL OTC PERMIT 7888900030 18436 CASCADE AVE S 100 Project Name: MOTION INDUSTRIES Permit Number: EL17-0428 Issue Date: 6/6/2017 Permit Expires On: 12/3/2017 Owner: Name: Address: CPF KENT VALLEY LLC 100 WILSHIRE BLVD #700, SANTA MONICA, WA, 90401 Contact Person: Name: RON SHACKELFORD Address: Contractor: Name: Address: License No: Lender: Name: Address: PO BOX 11262 , TACOMA, WA, 98411 MATRIX ELECTRIC LLC 15419 24TH AVE E , TACOMA, WA, 98445 MATRIEL901NR Phone: (253) 797-9797 Phone: (253) 797-9797 Expiration Date: 8/19/2018 DESCRIPTION OF WORK: BATHROOM REMODEL & ADDITION Valuation of single family: $0.00 Valuation of mf/comm: $1,694.00 Type of Work: TENANT IMP Fees Collected: $130.83 Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA 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: Date: 2014 2014 2014 2015 fi 0 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 agr to the conditions attached to this permit. Signature: — Date: _ 17 Print Name:'e. c.e_ 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 TUKWC Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. / 0 9� e Project No. Date Application Accepted: Date Application Expires: (For office use only) 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 t 3Lt 2 King Co Assessor's Tax No.: Site Address: Ir./7T eC��CC� GL G PcVG S • Suite Number: 1©d Floor: Tenant Name: t" °4 U✓\ -T.,x tx.1,, e4 PROPERTY OWNER Name: Fkar S t<GQ()c., Address: P U i t � (1 02C;7 l. Name: Phone: J6-3 _7 9 7.179 (ax: City/ State: iGc6m� uuA Address: Phone:25-3 797-9 N7 Fax: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Fkar S t<GQ()c., Address: P U i t � (1 02C;7 l. Address: Po ), lac j, Phone: J6-3 _7 9 7.179 (ax: City/ State: iGc6m� uuA Zip: girl -11l Phone:25-3 797-9 N7 Fax: Email: ,,, ` New Tenant: ❑ Yes ❑.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: Mftx E leer, _ Address: P U i t � (1 02C;7 l. City: Gv-Ukh�. State: WA- Zip: q $zi.1 r Phone: J6-3 _7 9 7.179 (ax: Contr Reg No.: Exp Date: e6 /El* RLELg0i kik - r 9 -0201 Tukwila Business License No.; R u5 _c Gi± 752 Valuation of Project (contractor's bid price): $ � CO 911 Scope of Work (please provide detailed information):tt 1 r� �� r 0 am\ (1-e- re C/ CtVo Will service be altered? ❑ Yes I No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: 0 New 0 Addition 0 Service Change ❑ Remodel 0, Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: c-- Puget Sound Energy 0 Seattle City Light W:\Petrnit Center\Applications-Handouts\Permit Applications\ Word\Electrical Permit Application Revised 1-1-2017.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 O 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 o 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 PERMIT APPLICATION NOTES - 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 OREZCA-ONTRACTOR: Signat Print Name:' )4 - PCt_C-C_ Mailing Address: P. V x f ) 2 G� Date: ( — c-' l Day Telephone: 25-3 66 3 - (4).1"g. W:\Permit Center\Applications-HandoutsTermit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh City cum G/ I State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT 1 QUANTITY PAID $130.83. EL17-0428 Address:18436 CASCADE AVE S 100 Apn: 7888900030 $130.83. Credit Card Fee $3.81 Credit Card Fee R000.369.908.00.00 0.00 $3.81 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE R000.322.900.04.00 0.00 $6.05 TOTAL FEES PAID BY RECEIPT: R11641 $130.83 Date Paid: Tuesday, June 06, 2017 Paid By: STEVEN PACE Pay Method: CREDIT CARD 05248Z Printed: Tuesday, June 06, 2017 11:38 AM 1 of 1 SYSTEMS INSPECTION RECORD �./ Retain a copy with permit 67OI22S 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: pi bib Type of inspection: Address:ortoiJ li` Date Called: �- tPo3(eit-SCA Special Instrucns. *100 Date Wanted: 6/211 a.m. n Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Inspector: in heiti-64,kDate: 0cob 7 REINSPECTION WEE 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 tL�1 'O'i2 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: 0,,1 /J J tin Type of Inspection: ©a,/a _ r t4 14 Address: l pq 36, al`�� (:: Date Called: Special Instructions: /oQ Date Wanted:[ .fTl� 6/07 p.m. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: - (‘J414 edit-6TE Inspector: Date: o /alb 7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6t712-- PEIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: 40nO J / Type of Inspection: : f i4 Address: 8 36 DateCalled: Special Instructions: �A&t1 030 Date Wanted: / Requesier: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 74 - Inspector: Date: 007/17 REINSPECTION PEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Matrix Electric LLC 4Washington State Department of 11) Labor & Industries Home Espaiiol Contact Safety & Health Claims & Insurance Search L&I A -Z Inclexx Help Page 1 of 2 b1yLe:1 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. MATRIEL901NR Effective — expiration 08/19/2010— 08/19/2018 Designated administrator Shackelford, Ronald P Jr Active. Meets current requirements. License type License no. Electrical Administrator SHACKRP883JW Bond ..._............ TRAVELERS CAS & SURETY CO Bond account no. 105465064 $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= 6/6/2017 Matrix Electric LLC No savings accounts during the previous 6 yeriod. 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 9 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 CJ 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= 6/6/2017