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HomeMy WebLinkAboutPermit EL19-0422 - A-AMERICA - RETROFIT OFFICE LIGHTS, CHANGE OUT WAREHOUSE LIGHTS, RECEPTACLES FOR KITCHEN AREAA -AM ERICA 18255 SEGALE PARK B DR ELI 9-0422 Parcel No: Address: ��^�xx °~� Tukwila ~~K~� x�o v U�nxw��oa Department of Community Development 630OSouthcenterBoulevard, Suite #10V Tukwila, Washington 9818O Phone:3O6'431'367V Inspection Request Une:JU6-438-9B5O Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 3523049119 Permit Number: EL19-0422, I8Z55SEG4LEPARK 8D8 Project Name: A-AMERICA Issue Date: 5/17/2019 Permit Expires On: 11/13/2019 Owner: Address; Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: CBRE|N[ 204157lNDAVE S#2lOC/O STOCKBRIDGE CAPITAL GP, KENT, WA, 98032 MATRIX ELECTRIC LLC K3AT0EL901NK ''' Phone: (253)797'9797 Phone: (25])797' 797 Expiration Date: 8/19/2020 DESCRIPTION OF WORK: RETROFIT OFFICE LIGHTS, CHANGE OUT WAREHOUSE LIGHTS, DEMO, 8 RECEPTACLES FOR KITCHEN AREA (2). Valuation ofsingle family: $0.00 Valuation ofmf/connm: $97,868.00 Type ofWork: REMODEL Fees Collected: $1,763,29 Electrical Service Provided by: Water District: Sewer District: Current Codes adopted hythe City ofTukwila: international Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signatu 2015 2015 2015 2015 2015 National Electrical Code: VvACities Electrical Code: VVA[Z9046B: Code: �/cb } Date: l � 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 cond 'ans attached to this permit. r-> Signature: Print Name: Date: — / 9 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: 15- - 19 Date Application Expires: 1 I - -7 1‘1. (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 King Co Assessor's Tax No.: Site Address: isr25S S 6G-A p e.• Suite Number: Sz-b Floor: Tenant Name: A - Avyktri PROPERTY OWNER Name: ceke Address: zo'11 y 1 City: I / 14%..E1•1 r State: wA Zipev032_ CONTACT PERSON - person receiving all project communication Name: -:\ lor‘ Sklacdir-eiCocd Address: p City: r State: kit, zipq fa" earictv,101 2.5 Phone: 3 -1q 7-‘1 19 iax: Email: rock ( W10. E CAVI C-I4 a • CDM New Tenant: J Yes ELECTRICAL CONTRACTOR INFORMATION Company Name: . i m Writ! X. &LEcre_ic u-c_ Address: 9. /0. sox zi s- Zipw,.317 G, A103 VV . City: State: Phone: is-3...c17 ii : Contr Reg No. Exp Date: t - I i - 2-4.) j114.4-11 el CIOI OIL Tukwila Business License No.; Ociclkel 3k cO Valuation of Project (contractor's bid price): $ 1 F *•-• Scope of Work (please provide detailed information): / re.A-co 4+ of -A ce it lit-1-s e wat tiv.) vse It 4 , twt,0 ru.r. Aye, k () Will service be Altered? ID Yes 171 No Adding more than 50 amps? LJ Yes Type of Use: bJUOLJ OSi1Asvii-t -rip( +vi 4-tvo.A, Type of work: 0 New 1:1 Addition 0 Service Change _,'Remodel la Tenant Improvement El Low Voltage 12 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: eg Puget Sound Energy 0 Seattle City Light W:\Penmt CenterkAppl ications-HendoutsWermit ApplicationsWDFAElectrical Permit Application Revised I -1 7-19.docx Page 1 of 2 Print Name: RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $180.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $120.00 ea ❑ Low voltage systems (alarm) $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $120.00 (no added/altered circuits) ❑ Service change with added/altered circuits $100.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $60.00 (up to 5 circuits) ❑ Circuits added/altered without service change$60.00 (6 or more circuits) $10.00 ea ❑ Meter/mast repair $80.00 ❑ Low voltage systems $60.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $90.00 ❑ Manufactured/mobile home service $100.00 (excluding garage or outbuilding) ❑ Carnivals $100.00 Number of concessions $11.00 ea Each ride and generator truck $11.00 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% 1ECHN©LOGY FEE*** 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 (JONTRACTOR: Signature: e- Date: It 7// Cf 41a.,1 Shavice (74fcL Day Telephone: On 791 7 "97 Mailing Address: e. J 6 o x 2 k s S eat" GmMr wp- 9 3 /7 ty state Zip W:tPennit CenterUpplications•HandoutsWennit ApplicationslPDFs\EIastricnl Permit Appli n ed I-17-I9.docx Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $1,763,29 EL19-0422 Address: 18255 SEGALE PARK B DR Apn: 3523049119 $1,763.29 Credit Card Fee $51.36 Credit Card Fee R000.369.908.00.00 0.00 $51.36 ELECTRICAL $1,630.41 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $1,630.41 TECHNOLOGY FEE $81.52 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R17681 R000,322,900.04.00 0.00 $81.52 $1,763.29 Date Paid: Friday, May 17, 2019 Paid By: RON SHACKELFORD Pay Method: CREDIT CARD H99817 Printed: Friday, May 17, 2019 10:35 AM 1 of 1 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 05/17/2019 10:34:23 AM CREDIT CARD SALE MASTERCARD CARD NUMBER: **********5792 K TRAN AMOUNT: $1,763.29 APPROVAL CD: H99817 RECORD #: 000 CLERK ID: kandace 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 N PE TION NO. INSPECTION RECORD Retain a copy with permit PE'MIT O. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 670 Permit Inspection Request Line (206) 438-9350 Project: it A-feef u\-- Type -of Inspection: Address: g , Date Called: Special Instructions: eAliC,' Pa-t° k- Date Wanted: a. . Requester: gOd 'Phone No:2"4-3777 17 7 Approved per applicable codes. COMMENTS: orrections required prior to approval. Inspector: Date: REINSPECTI s N 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 PE' ltT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project:A, A-eJ`4 p Type of Inspection: Address: 4?-c.- I�(1A1 Date Called: 'SA ecial Instructions: Date Wanted: ,Requester: Phone No: i , proved per applicable codes. Corrections required prior to approval. CO Ii ENTS: rib 6- Inspector: Date: 0 REINSPECTIOFEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectian. INSPECTION RECORD Retain a copy with permit 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: Type of Inspection: 41q I Ni Address:' Date Called: Special Instructions: m-PGO. t �' t t i Date Wanted: 0 � cam Requester: Phone No: l,7S---5`1 ---t--q--7-9---7---- VLApproved per applicable codes. COMMENTS: Corrections required prior to approval. `Inspec REINSPEt"TN FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectic n. INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISIONI 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 'Project: Type of inspection: Address: ii-t-c- Date Called: -...,‘ Special Instructions: 'Date Wanted: , .. =Requester: Phone No: a2,5_, 7 7 7 7 EjApproved per applicable codes. 1 1 Corrections required prior to approval. COMMENTS: . . . . , _ P • tJorT+. _ , Inspector: e: ac REINSPECTION FEE 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. PRMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) - 6 0 Project: 'Type ofns Address: Date Ca led: Special tnstru: , Date Wanted: A 4 Requester: - Phone N : . 7 Fj Approved per applicable codes. Corrections required prior to approval. 'COMMENTS: V . . Ai (44 . . _- • 'Inspector: Date: REINSPECTJON FEE REQUIRED. Prior to next inspection. fee thust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO, INSPECTION RECORD Retain a copy with permit ER IT O. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: - A Art 6-4..‘ c."-0 Type of Inspection: CV414 Address: 7 c5Date Called: .Special Instructions: Date Wanted: a.m.. p.m.. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. 0VIIIENTS: nspect ate: REINSPECTION FEE 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. PLRMIT 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 Insp+ coon: Address: ,,... ©ate Called: Speciat instructions: Date 'panted: a.�,,, �p.rn. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: 'Inspector: Date: REINSPECTI#N FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. I 'owe Evunol Contrio [Search I. &I 111 Search Safety & Health Washington State Department of Labor & industries Claims & Insurance A-Z Index Help Workplace Rights 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 DOROTHY E SHACKELFORD 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— 08/19/2020 Desiviated administrator Shackelford, Ronald P Jr License type Electrical Administrator Bond TRAVELERS CAS & SURETY CO Bond account no. 105465064 Received by L&I 08/19/2010 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Active. Meets current requirements. License no. SHACKRP883JW $4,000.00 Effective date 07/29/2010 Expiration date Until Canceled My 1.10 Trades & Licensing Help us improve