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HomeMy WebLinkAboutPermit EL17-0592 - LABOR & INDUSTRIES - SIGN CONTROL AND POWERLABOR & INDUSTRIES 12806 GATEWAY DR ELI 7-0592 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 2716000050 Permit Number: 12806 GATEWAY DR Issue Date: Permit Expires On: Project Name: LABOR & INDUSTRIES EL17-0592 8/4/2017 1/31/2018 Owner: Name: Address: Contact Person: Name: EPROPERTY TAX INC DEPT #207 PO BOX 4900 , SCOTTSDALE, WA, 85261 STEVE PACE Address: 4587 SE BASSWOOD LK, PORT ORCHARD, WA, 98366 Contractor: Name: MATRIX ELECTRIC LLC Address: 15419 24TH AVE E , TACOMA, WA, 98445 License No: MATRIEL901NR Lender: Name: Address: Phone: (253) 653-9212 Phone: (253) 797-9797 Expiration Date: 8/19/2018 DESCRIPTION OF WORK: INSTALL NEW SERVING SIGN (LOW VOLT CONTROL AND POWER) Valuation of single family: $0.00 Valuation of mf/comm: $1,000.00 Type of Work: LOW VOLTAGE Fees Collected: $109.68 Electrical Service Provided by: SEATTLE CITY LIGHT 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: 2014 2014 2014 2015 Date: 6-14-A f1 s.J 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 permi a:ree to the -• ' itions attached to this permit. Signature:( Print Name: Dater 7( -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 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TU ILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. C L Q 5-5, Project No. Date Application Accepted: Date Application Expires: (For once 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 Site Address: 0, 806 6c -s+ Tenant Name: 1-evbm- G,yr,Z 4 - PROPERTY OWNER Company Name: Name: ..160(Pttc_e_ Name: Address:/fi c.) � Contr Reg No.: Exp Date: Address: Cf6_34 Phone(X3)63zg.Fax: City: State: Zip: CONTACT PERSON — person receiving all project communication Company Name: Name: ..160(Pttc_e_ City: Gcs�►N. State: 'U-, ik Zip:ci ,?•rLilJ Address:/fi c.) � Contr Reg No.: Exp Date: City: ..sr. a vState: wkotZip: 1QbZ Cf6_34 Phone(X3)63zg.Fax: Email: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: 6 L 'I, 16 City: Gcs�►N. State: 'U-, ik Zip:ci ,?•rLilJ Phone:53 797 et 75, 7 Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; B(,s _ oq gg?62 Valuation of Project (contractor's bid price): $ I boo Scope of Work (please provide detailed information): /'r,f:_:,1-b,11 (1'..Yo :S,irLL y►.q ' T - (Zona- ton6,1 +uJ'rG PO 6.) 4r.0 © (/ Will service be altered? ❑ Yes a No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Adding more than 50 amps? ❑ Yes No Property Served by: 4 Puget Sound Energy ❑ Seattle City Light W:\Permit 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 ❑ 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) ❑ 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 OR ELECTRICAL CONTRALTO • Signature: Print Name: /.+-e(h'i Mailing Address: q‘5"--67 % SC. s sv - W:\Permit Center \Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh Date: 1-17 Day Telephone:., 66-3 9,21 L- P+4'Gr+c,ncfC (x-— 0415-36C City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $109.68 EL17-0592 Address: 12806 GATEWAY DR Apn: 2716000050 $109.68 Credit Card Fee $3.19 Credit Card Fee R000.369.908.00.00 0.00 $3.19 ELECTRICAL $101.42 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $101.42 TECHNOLOGY FEE $5.07 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12061 R000.322.900.04.00 0.00 ': $5.07 $109.68 Date Paid: Friday, August 04, 2017 Paid By: STEVEN PACE Pay Method: CREDIT CARD 06594C Printed: Friday, August 04, 2017 1:13 PM 1 of 1 CR WSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit 64 -pm- PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: Address:A 2 (1r(iJ Date Called: Special Instructions: Sn —i1NL-� * t(. Date Wanted: (7 -P.m. Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. OMMENTS: �. ' 0/\18-1-7.- 1 1 It7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. inspector: NIV\ Date: Matrix Electric LLC Washington State Department of `% Labor & Industries Home Espanol Contact Safety & Health Claims & Insurance Page 1 of 2 Search L&I A -Z Index I-Ielp My L&I ARCH 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 RONALD P JR SHACKELFORD ANTHONY R JONES; DOROTHY SMITH; 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= 8/1/2017 Matrix Electric LLC - No savings accounts during the previous 6 yea( ,od. 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&l Account ID 254,110-00 ................................. Doing business as MATRIX ELECTRIC LLC Estimated workers reported Pending current quarter filing L&I account contact T2 / CHRISTOPHER WASSON (360)902-6331 - Email: WASQ235@lni.wa.gov Track this contractor 9 Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. 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= 8/1/2017