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HomeMy WebLinkAboutPermit EL11-0504 - SAHALE SNACKSThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. EL11 -0504 Sahale Snacks 3411 South 120th Place RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 20 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. SAHALE SNACKS 3411 S 120 PL EL1 1 -0504 City (*Tukwila 11/ Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 1023049069 Address: 3411 S 120 PL TUKW Project Name: SAIIALE SNACKS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0504 06/06/2011 12/26/2011 Owner: Name: SABEY CORPORATION Address: 12201 TUKWILA INTL BLVD 4THFL , SEATTLE WA Contact Person: Name: PAT BOYD Address: 19754 SE 128 WY , ISSAQUAH WA Contractor: Name: LAKES ELECTRIC INC Address: 19754 SE 128 WY , ISSAQUAH WA Contractor License No: LAKESEI101MC Phone: 206 - 423 -9239 Phone: 206 235 -9786 Expiration Date: 07/03/2012 DESCRIPTION OF WORK: CONDUIT AND HARD WIRE 100 AMP ROASTER REVISION #1: FINISH REMOVAL OF TEMP CORDS AND INSTALLATION OF CONDUIT AND WIRE. Value of Electrical: NRES: $20,000.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: UNA(' 44 9- Date: $436.50 2008 I hereby certify that I have read and ex ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complies wit , whether specified herein or not. The granting of this permit does not p - e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performancepf work. I am aut ed to sign and obtain this electrical permit. Signature: Print Name: Date: This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/10 EL11 -0504 Printed: 07 -13 -2011 PERMIT CONDITIONS • Permit No. EL11 -0504 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -4/10 E L 11 -0504 Printed: 07 -13 -2011 Parcel No.: Address: Tenant Name: City* Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite # 100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /wwwci.tukwila.wa.us 1023049069 3411 S 120 PL TUKW SAHALE SNACKS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0504 06/06/2011 12/03/2011 Owner: Name: SABEY CORPORATION Address: 12201 TUKVVILA INTL BLVD 4THFL , SEATTLE WA 98168 Contact Person: Name: PAT BOYD Address: 19754 SE 128 WY , ISSAQUAH WA 98027 Contractor: Name: LAKES ELECTRIC INC Address: 19754 SE 128 WY , ISSAQUAH WA 98027 Contractor License No: LAKESEI101MC Phone: 206 - 423 -9239 Phone: 206 235 -9786 Expiration Date: 07/03/2012 DESCRIPTION OF WORK: CONDUIT AND HARD WIRE 100 AMP ROASTER Value of Electrical Work: NRES: $15,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $350.50 National Electrical Code Edition: 2008 Date: C9-19- (f I hereby 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 autho construction or the performance of work. I am authorize of this permit. Signature: Print Name: o violate or cancel the provisions of any other state or local laws regulating gn and obtain this electrical permit and agree to the conditions on the back Date: .5---e5<:: // This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -9/09 EL11 -0504 Printed: 06 -06 -2011 • • PERMIT CONDITIONS Permit No. EL 11 -0504 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -9/09 EL11 -0504 Printed: 06 -06 -2011 CITY OF TUKWill Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical Permit No. ti--t 1'- oSOV-1 Project No. (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.: 1O)-3 3 - (" l tP I Site Address: .7r// 5 O. /2 0 7",,4%'114""e Suite Number: / t7 0 Floor: J✓, /G(° f- l/s Tenant Name: New Tenant: ❑ Yes ®.. No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: /°74%17-- g 0 U� Day Telephone: 2'6— d OZJJ Mailing Address: / 92fy /Z f?/7/,7/� 7 0 E -Mail Address: G q,��S�°G`�y,� /1��',�> a 1/f) City State r Zip Fax Number: y2S 7,2/ ELECTRICAL CONTRACTOR INFORMATION Company Name: t� Mailing Address: /9) ' f -4:- f cP / /e /7/y /(x, //), ',b7 01) Zip Contact Person: / f 7 eft 0 J>d Day Telephone: o2 67o / -r 9 2Y- /,..7f, E -Mail Address: L 11,G/Z7S �G/°� 1 K 5 G6 %' // -G vi/ y Fax Number: r,,..2-r- d?,/ - ,.�5% Contractor Registration Number: G ,,:e_71.- ,t 7 / ,///477-. Expiration Date: P- .0/e, e 'f c°/' T� / /— City State o Valuation of Project (contractor's bid price): $ V J C Scope of Work (please provide detailed information): G' )' J // z- /dee / D O _/7re. v7/0 , D.-, Will service be altered? ❑ Yes ,gJ No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 bh Page 1 of 2 1 Date Application Accepted: RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added /altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added /altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured /mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 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 CONTRACTOR: Signature: /10L7- Print Name: n�'� l� 0 ! %, / Mailing Address: /9 —Cy 5 /2 ij City Date: o —CC �7 2 o_ y.,7,f- ea.�9 ate' Day Telephone: 9 State Zip Date Application Expires: Staff Initials: H:1Applications\Forms- Applications On Line\2010 Applications17 -2010 - Electrical Permit Application.doc Revised: May 2011 hh Page 2 of 2 1 Parcel No.: Address: Suite No: Applicant: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov 1023049069 3411 S 120 PL TUKW SAHALE SNACKS RECEIPT Permit Number: Status: Applied Date: Issue Date: EL11 -0504 ISSUED 06/06/2011 06/06/2011 Receipt No.: R11 -01443 Initials: JEM User ID: 1165 Payment Amount: $86.00 Payment Date: 07/13/2011 09:09 AM Balance: $0.00 Payee: LAKES ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. ACCOUNT ITEM LIST: Description 10908 86.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 Total: $86.00 86.00 doc: Receiot -06 Printed: 07 -13 -2011 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 1023049069 Address: 3411 S 120 PL TUKW Suite No: Applicant: SAHALE SNACKS RECEIPT Permit Number: EL11 -0504 Status: PENDING Applied Date: 06/06/2011 Issue Date: Receipt No.: R11 -01128 Initials: WER User ID: 1655 Payment Amount: $350.50 Payment Date: 06/06/2011 08:15 AM Balance: $0.00 Payee: LAKES ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 10904 350.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 350.50 Total: $350.50 doc: Receiot -06 Printed: 06 -06 -2011 3 INSPECTION RECORD �� Retain a copy with permit 6)14S01- INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 , . (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 6544.tit SJokr.45 Type of Inspection: Addres,j -', j•'u gL . Date Called: Special Instructions: Date Wanted:. ,1/ a:m V�j II. Requester: r�'r 4117 Phone No: a j 117 ift/43 gApproved per applicable codes. LlCorrections required prior to approval. COMMENTS: V CoktiA-161J5 nkix .! I • Inspector: Date: -041 © /2.„ ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be, paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule rein'spection. ftd- 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) 431 -2451 (t4.osiy Project: C %o Type of Inspection: to0 Address: .3y l 1 t - /20 P1- • Date Called: Special Instructions: � 11 f .L j.JL 4 24 CH1 11163 Date Wanted :. 9 nc 7 pm• Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: &&e'ik Voc Q./,, C Fok '1 •�t Date: ilk i J ✓ r 014e1 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee :must.be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: 2 INSPECTION RECORD Retain a copy with permit ali-osoy INSPECTION NO. NO . PERMIT E CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 lw (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: 4 s 540 Type of Inspection: C. PS It SPA 40 tia a. INorkiNI iA Vii~ 61 .a- 11 Address: iI5,t oPi-. Date Called: t3,(4oJE /4I Dwf 1 5o Cs? 5 Special Instructions: ��`J/ ` 141 ?nor 10:3° Date Wanted:. %/ / a.m: Requester: - fokft 1 ,30 70 Rt afttodtP Phone No: Approved per applicable codes. VCorrections required prior to approval. ul COMMENTS: NIA 94661.1C, nI 12/51> C. PS It SPA 40 tia a. INorkiNI iA Vii~ 61 .a- 11 - bIStor1Tt ,I,le JSt d CTtrtisfe J CD'‘ 45 t3,(4oJE /4I Dwf 1 5o Cs? 5 goc4 k ?4lAtsitt,t bitcifii' 619..+$c -- kc( %& tl. 6+J C'‘f6c - ePtlfgE6Sag 4 2. V fit seaet►,r q4/A6-4-f/4 Ir a Ddt - fokft 1 ,30 70 Rt afttodtP Inspector: " / <6,„(1 Date: tx) n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION,.RECORD INSPEIION NO. Retain a copy with permit 611 - 09)1( PERMIT NO. CITY OF TUKWILA BUILDING DIVISION iz 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 431-2451 Project: 54,04 oka- 5AI kcie-s Type of Inspection: ZOO Address: .5 ri n 31, 1 - f 2-6 ... Date Called: ........ Special Instructions: CAtt,/ flitied Date Wanted: 412-7 Ut Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: i - 6keer D4 ret-i) i...6. eban , Livesti.- To ev( 64(4040 P 04.4c...., ticuAks4tcA-t41 fr-rio,coir> 4- Inspector: Date: 44/2_61 I if REINSPECTION FEE REQUIRED. Prior to next inspectio fee must be . paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection: •. • - • 1 City of Tukwila • Jim Haggerton, Mayor Department of Community Development Jack Pace, Director December 20, 2011 Pat Boyd Lakes Electric Inc. 19754 SE 128 Wy Issaquah, WA 98027 RE: Request for Extension Electrical Permit Number EL11 -0504 Sahale Snacks — 3411 S 120 PI Dear Mr. Boyd, This letter is in response to your written request for an extension to Permit Number EL11 -0504. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. The City of Tukwila Building Division will be extending your permit an additional 180 days from the date of expiration, June 22, 2012. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, File: Permit No. EL 11 -0504 W:\Permit Center\Extension Letters \Permits\201I\EL11 -0504 Permit Extension.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665 • e, yam' a /' z'm ,� ��°Gr�� /C , o 9r` /6,/e/7-- fy--2a//f/o f-/ z/ f /z°,Ql/1 /l e>cp-'0-es J01.60( )(1) 11 p11-22-I� RECEIVED TUKVAIA IDEC162011 PERMIT CENTER 05 -01 -2012 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director PAT BOYD 19754 SE 128 WY ISSAQUAH WA 98027 RE: Permit No. EL11 -0504 SAHALE SNACKS 3411 S 120 PL TUKW Dear Permit Holder: 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 06/22/2012. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 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 06/22/2012, 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, l›A5t4) Bill Rambo Permit Technician File: Permit File No. ELI 1 -0504 6300 Southcenter Boulevard, Suite # 100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206 - 431 -3665 • City of Tukwila o Jim Haggerton, Mayor Department of Community Development Jack Pace, Director PAT BOYD 19754 SE 128 WY ISSAQUAH WA 98027 RE: Permit No. EL11 -0504 SAHALE SNACKS 3411 S 120 PL TUKW Dear Permit Holder: 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 12/26/2011. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 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 12/26/2011, 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, c V__ Bill Rambo Permit Technician File: Permit File No. EL1 1-0504 . 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Web site: http: / /www.ci.tukwila.wa.us REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 0/11i) t( Plan ChecWPermit Number: ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # ISr Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: _.,r`N,�v L° , f /e )1 - . ( Project Address: fy�/ X1,- /2- o "tiL r-/,e / Contact Person: /;.'77- 6 a PO' Phone Number: '91 ,C5 / - �/o7J D O2 J Summary of Revision: , //' /f 4/ /eal'pif 17 //%//4 y---e ./-7,,=:.! % D , 29 f /e 57-.,GG G P /, Z/ /7 z e °, i 0 d O° o U1 -OcbL �R't�rEjC� Jut 131" PERMirCER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center, by: J Entered in Permits Plus on C) 1,1 V � [ 1 H:\Applicatiom\Fomts- Applications On Line\2010 Applications \7 -2010 - Revision Submittal.doc Created: 8 -13 -2004 Revised: 7 -2010 cdw- Contractors or Tradespeople Pr, Friendly Page • Electrical Contractor A business licensed by Lai to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company LAKES ELECTRIC INC 2064236239 19754 Se 128Th Way Issaquah WA 98027 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601249946 Active LAKESEI101 MC Electrical Contractor 7/3/1990 7/3/2012 General Unused Electrical Administrator INFORMATION License BOYD`P`101CC Name BOYD, PAT Status Active Business Owner Information Name Role Effective Date Expiration Date BOYD, PAT M Violation Amount 01/01/1980 6/8/2010 BOYD, KATHY A ELECTRICAL CITATION 01/01/1980 $250.00 WICHMAN, BRIAN Agent 01/01/1980 ELECTRICAL CITATION Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 5/24/1990 Until Released Bond $4,000.00 Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EJORP03856 6/8/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP03858 6/8/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 06/06/2011