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Home My WebLink AboutPermit EL18-0962 - SAPHIRE - ADD 4 RECEPTACLES, DEMO, REWORK LIGHTING. SWITCHINGSAPHIRE 14220 INTERURBAN AVE S 150 ELI 8-0962 Parcel No: Address: City of Tukwila a of ----'---_ Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206'431-3670 Inspection Request Line: 206'43@-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 3365901881 Permit Number: EL18-0963 14220 INTERURBAN AVE S 150 Project Name: SAPHIRE Issue Date: Permit Expires On: 11/7/2018 5/6/2019 Owner: Name: Address: Contact Person: Name: Address: SHELBY COMPANY LLC-FWC 1015 3RD AVE #900 INTEGRATED REAL ESTATE SVCS, SEATTLE, WA, 98104 RONALD SHACKELFORD POBOX 226'SPANAVVAY WA, 98387 Contractor: Name: MATRIX ELECTRIC LLC Address: P.O.BOX 215'5PANAVVAY WA, 98387 License No: Lender: Name: Address: ''' Phone: (253) 797!9797 Phone: (253) 797-9797 Expiration Date: DESCRIPTION OF WORK: ADD 4 RECEPTACLES, DEMO, REWORK LTG. SWITCHING Valuation of single family: $0.00 Valuation of mf/comm: $3'767.00 Type of Work: REMODEL Fees Collected: $178.48 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Buliding 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: 2017WA State Energy Code: 2017 2017 2015 naDate:/ — / (1 | / —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 construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the c nditions attached to this permit. Signature: // Print Name:7-0/`( S` ° EL PO Date: I 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 and the Washington Cities Electrical Code. 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 TUh Community Developme t Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. C 0 1 (0 2 Project No. Date Application Accepted: 11 - 18 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 , / /2 Z 0 --n ht,.ri f I„ owl A-Ve S /y King Co Assessor's Tax No.: Site Address: 122.0 /2/�7�er g rbei h H✓P s Tenant Name: 5Gh / rC Suite Number: /5'0 Floor: / Str New Tenant: ❑ Yes Ej No PROPERTY OWNER Name: 0 j COM t I LLC —1_ WC Address: /Or 5... 3 gp a ✓Lr 0 foo City: / O/C State: wA Zip:9r/W CONTACT PERSON - person receiving all project communication Name: 41 ADA, %c� �jl?RG CI Jt Address: d&'i 2 tS City: State: 44 crof State: WA Ztpgr3,rr ;// Phone: -3 -797- 5-M7 Fax: Email: f00(P,Ma41%iYP.Itt- rtCWAMGOP.1 ELECTRICAL CONTRACTOR INFORMATION Company Name: A Aa 1 .. ‘)( gLEGT /Li c L LC Address: e 0 41 0( Z\S City: r-,ACILV3 State: w A Zip 0-34 7 Phone:2 -2 " 91 on q 1 Fax: l_,e Ilo Exp Date: / J Q Contr Reg No.: it 4411.e l Tukwila Business License No.; 0 Valuation of Project (contractor's bid price): $ 317 �of ..--- Scope % i-1 I `` Scope of Work (please provide detailed information): ei L1 CC c, P.'&. U e s / d Gwv o 1 rP — W o r^ k. 14 (+'sWtin� Will service be altered? ❑ Yes kNo Adding more than 50 amps? 0 Yes Er -No Type of Use: Type of work: CINew 0 Addition ❑ Service Change 'emodel CI Tenant Improvement ❑ Low Voltage 0 Generator❑ Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: Puget Sound Energy 0 Seattle City Light W:Wermit Center Applications-Handouts\Permit Applications\Wor1 Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh Page 1 of 2 0 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings 0 Low voltage systems (alarm, furnace thermostat) $155.91 $83.54 ea $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, fumace 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 1 AM AUTHORi7.FD TO APPLY FOR THIS PERMIT. BUILDIN / WNER OR E ECTRI : L CONTRACTOR: Signature: Print Name: Mailing Address: Date: I� 20 18 Day Telephone: Spann k-.3 0-A-1 City W:Wermit CenteMpplications-Handouts\Permit Applications\Word\Electtical Permit Application Revised 1-t-2017.docx Revised: January 2017 bh WA- State 9ef3Zg7 Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I ACCOUNT I QUANTITY PermitTRAK PAID $178.48 EL18-0962 Address: 14220 INTERURBAN AVE 5 150 Apn: 3365901881 $178.48 Credit Card Fee $5.20 Credit Card Fee I R000.369.908.00.00 I 0.00 I $5.20 ELECTRICAL $165.03 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 I $165.03 TECHNOLOGY FEE $8.25 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT: R15788 0.00 $8.25 $178.48 Date Paid: Wednesday, November 07, 2018 Paid By: RONALD SHACKELFORD Pay Method: CREDIT CARD H78040 Printed: Wednesday, November 07, 2018 2:02 PM 1 of 1 SYSTEMS e CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 11/07/2018 02:01:27 PM CREDIT CARD SALE MASTERCARD CARD NUMBER: **********5792 K TRAN AMOUNT: $178.48 APPROVAL CD: H78040 RECORD #: 000 CLERK ID: jazzel X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy Page 1 of 2 https://classic.convergepay.com/V irtualMerchant/transaction.do?dispatchMethod=printTra... 11/7/2018 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 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:A './14)f4- 1 iL6 Type of Inspection: /**" VI nAJA1/ Address: - 'Date /11 21'0 lAirVi Called: _. Special Instructions: Date Wanted: a.m p.m. 71 Requester: Phone No: 75. 7417 1,717 Approved per applicable codes. Corrections required prior to approval. OMMENTS: /11 REINSPECTION EE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: Date: 2 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431 - Project: Type of Inspec OL)C'(If ff./ Address: 002'4? /AliNfe-/—) Special Instructions: Date Called: Date Wanted: Requester: Kpv Phone No:243 7.77 qi 77 Approved per applicable codes. LJ Corrections required prior to approval. tOMMENTS: GA661 vidtil coipi,6 iAoc&I - A-bArr\IN34* L W eir43,t,ft, -Tb p (4 /11. Inspector: 46\ Date: 0 5.--/oco it REINSPECTION EE 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 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: 'IirPtt ILC Type of Inspection: I 0,14(AJ Address: 41 2-0 /dr IC.4 Date Called: Special Instructions: 1t(O 2_ 4C-sik..5 C--1. k__ Date Wanted: P. • Requester: Phone No: Z-3 777 ?7l 7 LIApproved per applicable codes. Corrections required prior to approval. COMMENTS: LANA/ evvre Inspector: Date: REINSPECTION FtE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Matrix Electric LLC Horne Pspahof Contact Safety & Health Claims & Insurance CalWashington State Department of Labor & industries (Search L&I Page 1 of 2 A -Z Index Help My I &I 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— 08/19/2020 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= 11/7/2018