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HomeMy WebLinkAboutPermit EL19-0533 - SAPPHIRE - CUT IN RECEPTACLES THROUGHOUT IN LIEU OF EXTENSION CORDS PER FIRE MARSHAL INSTRUCTIONSSAPPHIRE 14220 INTERURBAN AVE S 110 FINALED 10/21/2020 ELI 9-0533 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 3365901881 Permit Number: EL19-0533 14220 INTERURBAN AVE S 110 Issue Date: 6/24/2019 Permit Expires On: 12/21/2019 Project Name: SAPPHIRE Owner: Name: Address: SHELBY COMPANY LLC-FWC 1015 3RD AVE #900 INTEGRATED REAL ESTATE SVCS, SEATTLE, WA, 98104 Contact Person: Name: RONALD SHACKELFORD Phone: (253) 797-9797 Contractor: Name: Phone: (253) 797-9797 Address: PO BOX 215 , SPANAWAY, WA, 98387 Address: License No: Lender: Name: Address: MATRIX ELECTRIC LLC 15419 24TH AVE E , TACOMA, WA, 98445 MATRIEL901NR Expiration Date: 8/19/2020 DESCRIPTION OF WORK: PROVIDE CUT IN RECEPTACLES THROUGHOUT TENANT SPACE IN LIEU OF EXTENSION CORDS PER FIRE MARSHALL INSTRUCTIONS. Valuation of single family: $0.00 Valuation of mf/comm: $2,477.00 Type of Work: TENANT IMP Fees Collected: $1.54,65 Electrical Service Provided by: PUGET 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 Signatur 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Date: LQ`9 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 cod • itions attached to this permit. Signature: Print Name: r-4 Date: 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 TUK Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. -53 Project No. Date Application Accepted: ti2 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 King Co Assessor's Tax No.: Site Address: t 22.0 T414-ey-Ti 00,A.,/p1v6 c Suite Number: I 0 Floor: Tenant Name: 5C\109111-Ct New Tenant: 0 .....Yes PROPERTY OWNER Company Name: mitol .1...r ix g. Gecrgr c 0.4_, Name:Rt Name: Phone: 2-S3 -7q '7 ci1ctliax: Contr Reg No.: mkt r i e. 1 Lid 0 exp Date: 12.0 Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Company Name: mitol .1...r ix g. Gecrgr c 0.4_, Name:Rt a Phone: 2-S3 -7q '7 ci1ctliax: Contr Reg No.: mkt r i e. 1 Lid 0 exp Date: 12.0 Address: 0 Ci : v1/41 State: Zip: 1 Phone: 7 F • Email: ci X Pil ELECTRICAL CONTRACTOR INFORMATION Company Name: mitol .1...r ix g. Gecrgr c 0.4_, Z I 5— City: State: Ziple38,1 Phone: 2-S3 -7q '7 ci1ctliax: Contr Reg No.: mkt r i e. 1 Lid 0 exp Date: 12.0 Tukwila Business License No4 z 3 ka 1 0 Valuation of Project (contractor's bid price): $ Z.,Li 7 7. 0 Scope of Work (please provide detailed information): (0 vt e t.ek re ce. ekce_ CA 'i') G‘‘ke A.Sto ci.S rice /4.4•Lts I nsiyJc.,41,ms Gies_ 4-4routtri- Will service be altered? D Yes Type of Use: 0 c.,(A)10 Type ofwork: O New 0 . Addition o Lo w Voltage 0 Generator 0 Property Served by: ,"Puget Sound Energy 0 Seattle City Light No kft4.-1-C Adding more than 50 amps? 0 Yes 0 Service Change Fire Atarm W:Werrnit Center‘Appl ications-HandoutsTerrnit Applications \ PDFsElecrrical Permit Application Revised 1-17-19.docx o Remodel • Tenant Improvement O Telecommunication 0 Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $180.00 (including an attached garage) O Garages, pools, spas and outbuildings $120.00 ea ❑ Low voltage systems (alarm) $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O 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 ❑ Meier/mast repair $80.00 O 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% 1'ECHNOLOGY 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 jtistifiable 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 ELECT Py' CONTRACTOR: Signature: Print Name: /lon/ .SgQdo, t%nrd Q , �imK Zai Mailing Address: Date: /1/19 Day Telephone: 243^77 7 9 761 7 $p'..I ar*1 City WAPermit Canter \Applications-Handouts\Pemtit Apptications\PDFslElectrical Permit ApplicationRevised 1.17-19.docx Statc Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY r PAID PermitTRAK $154.65 E119-0533 Address: 14220 INTERURBAN AVE S 110 Apn: 3365901881 $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 R000.322.10 .00.00 0.00 $143.00 TECHNOLOGY FEE $7.15 TECHNOLOGY FEE R000.322.900.04.00 0.00 $7.15 TOTAL FEES PAID BY RECEIPT: R17977 • $154.65 Date Paid: Monday, June 24, 2019 Paid By: RONALD SHACKELFORD Pay Method: CREDIT CARD 08433D Printed: Monday, June 24, 2019 11:01 AM 1 of 1 (IdlfYSTM5 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA' WA 98188 286'433'1870 CITY OF TUKWILA Date: 06/24/2819 11:00:56 AM CREDIT CARD SALE VISA CARD NUMBER: **********6280 K TRAN AMOUNT: $154.66 APPROVAL CD: 08433D RECORD #: 000 CLERK ID: kandace Thank you! Customer Copy 11/1/2019 0 City of Tukwila Department of Community Development RONALD SHACKELFORD PO 130X 215 SPANAWAY, WA 98387 RE: Permit No. EL19-0533 SAPPHIRE 14220 INTERURBAN AVE S Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/21/2019. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 12/21/2019, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, cltht Bill Rambo Permit Technician File No: ELI9-0533 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Espanol Contaei Safety & Health Claims & Insurance Washington State Department of LJ Labor & Industries rSearch L8.1 -71 Search A Z [ud(.x My 1,&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 UB I No 603 032 786 15419 24th ave e TACOMA, WA 98445 253-7979797 PIERCE County Business type Limited Liability Company Governing persons DOROTHY E SHACKELFORD RONALD P JR SHACKELFORD; Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Not allowed to have apprentices. 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 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. $4,000.00 Help us improve 105465064 Received by L&I 08/19/2010 Savings No savings accowits during the previous 6 year period. License Violations No license violatic ns during the previous 6 year period. Effective date 07/29/2010 Expiration date Until Canceled Workers' comp Public Works Requirements Workplace safety and health , , viinshinnmii State Dept ttit Labor & Industries. Use of this site is subject to the iaws rg the state of Washington. Help us improve