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Permit EL12-0110 - DOAK HOMES
DOAK HOMES 5026 122 LN EL12-01 10 City oikukwila • 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.: 0179001855 Address: 5026 S 122 LN TIIKW Project Name: DOAK HOMES ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -0110 02/08/2012 08/12/2013 Owner: Name: DOAK HOMES INC Address: 11812 26TH AVE SW , BURIEN WA 98146 Contact Person: Name: JAY ROSANDER Address: 16806 113 LN SE , RENTON WA, 98055 Contractor: Name: CUSTOM ELECTRICAL SERVICES LLC Address: 16806 113 LN SE , RENTON WA 98055 Contractor License No: CUSTOES893J2 Phone: 425 - 780 -1537 Phone: 425 - 780 -1537 Expiration Date: 04/22/2013 DESCRIPTION OF WORK: 200 AMP SERVICE PANEL AND WIRING FOR A NEW SINGLE FAMILY RESIDENCE. TEMPORARY POWER POLE ALSO. REVISION #1: ADD SOLAR PRODUCTION METER. Value of Electrical: NRES: $0.00 RES: $4,000.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied The granting of this permit construction Signature: Print Name: ev\L ot.Q1 Date: $215.85 2008 ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or riot. esuifie to give authority to violate or cancel the provisions of any other state or local laws regulating rk. I am authorized to sign and obtain this electrical permit. Date: 4/1 4 (3 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 EL12 -0110 Printed: 04 -18 -2013 • • PERMIT CONDITIONS Permit No. EL 12 -0110 * *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 TO - 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 EL12 -0110 Printed: 04 -18 -2013 City ATukwila • 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.: 0179001855 Address: 5026 S 122 LN TIIKW Project Name: DOAK HOMES ELECTRICAL PERMIT Permit Number: EL12 -0110 Issue Date: 02/08/2012 Permit Expires On: 05/01/2013 Owner: Name: DOAK HOMES INC Address: 11812 26TH AVE SW , BURIEN WA 98146 Contact Person: Name: JAY ROSANDER Phone: 425 - 780 -1537 Address: 16806 113 LN SE , RENTON WA, 98055 Contractor: Name: CUSTOM ELECTRICAL SERVICES LLC Address: 16806 113 LN SE , RENTON WA 98055 Contractor License No: CUSTOES893J2 Phone: 425 - 780 -1537 Expiration Date: 04/22/2013 DESCRIPTION OF WORK: 200 AMP SERVICE PANEL .AND WIRING FOR A NEW SINGLE FAMILY RESIDENCE. TEMPORARY POWER POLE ALSO. REVISION #1: ADD SOLAR PRODUCTION METER. Value of Electrical: NRES: $0.00 RES: $4,000.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied The granting of this pe constructio Signature: oes c Print Name: Date: $215.85 2008 d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. not presume to give authority to violate or cancel the provisions of any other state or local laws regulating of work. I am authorized to sign and obtain this electrical permit. VosMoE12--- 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 EL12 -0110 Printed: 01 -29 -2013 • i PERMIT CONDITIONS Permit No. EL 12 -0110 * *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 EL12 -0110 Printed: 01 -29 -2013 City orf ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 -431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 0179001855 Address: 5026 S 122 LN TUKW Project Name: DOAK HOMES ELECTRICAL PERMIT Permit Number: EL12 -0110 Issue Date: 02/08/2012 Permit Expires On: 08/06/2012 Owner: Name: DOAK HOMES INC Address: 11812 26TH AVE SW , BURIEN WA Contact Person: Name: JAY ROSANDER Phone: 425- 780 -1537 Address: 16806 113 LN SE , RENTON WA Contractor: Name: CUSTOM ELECTRICAL SERVICESLLC Address: 16806 113 LN SE , RENTON WA Contractor License No: CUSTOES893J2 Phone: 425- 780 -1537 Expiration Date: 04/22/2013 DESCRIPTION OF WORK: 200 AMP SERVICE PANEL AND WIRING FOR A NEW SINGLE FAMILY RESIDENCE. TEMPORARY POWER POLE ALSO. Value of Electrical: NRES: $0.00 Fees Collected: $215.85 RES: $4,000.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: National Electrical Code Edition: 2008 Date: e-ia- 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 • . - n• . sume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the • e i o • k. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Date: a g 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 EL12 -0110 Printed: 02 -08 -2012 • PERMIT CONDITIONS 1 Permit No. EL12-01 10 * *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 arty 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 EL12 -0110 Printed: 02 -08 -2012 CITY OF TUKWII-A Community Developmeepartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov 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 Address: $02-(0 S, j 22J L-IJ 1 Name: j o f & r-k T PROPER WP MR Name: Duo Atz Address: City: State: Zip: C9,.,,,, Ci ce con uCato ©,le, o Name: 3f4y -OM .iOt/"'_ City: pN,..t.,4 State: vJ A Zip: 9 gpz Address: (b1'o(e.,, \)44 Lo sr Contr Reg No.: �ur -.oes VI 532..Exp Date: q (Z Zl k City: 0..`.O4 State: of R Zip: cl go S+ Phoney as) _ ,p o tr Fa te14 25 116 '-s'i Li Email: 3-A„,,(J Cu King Co Assessor's Tax No.: Suite Number: LO Floor: New Tenant: g Yes ❑.. No EE(]tIC GOI' 1IAC�"I'QL'OR>vi'ATIC(N.`...... .... Company Name: cu cT ti.,‘ C LE Ca-(_i C/t'( J cfz.vi c Address: (( oL (( LN SE City: pN,..t.,4 State: vJ A Zip: 9 gpz Phone0tc)24'2_ 4`17 I Fax: Qt. as) Z.--t. — S- Contr Reg No.: �ur -.oes VI 532..Exp Date: q (Z Zl k Tukwila Business License No.; caM Valuation of Project (contractor's bid price): $ L Cj oo 100 /� Scope of Work (please provide detailed information): (JJ E co,14sr(c/�Ti O4 � 0 kt- , M P• f t.. Will service be altered? ❑ Yes Type of Use: Type of work: . New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication I. Temporary Service Property Served by: Adding more than 50 amps? ❑ Yes No Puget Sound Energy ❑ Seattle City Light H:Wpplications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 5 RESIDENTIAL NEW RESIDENTIAL SERVICE New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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 V__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 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 EL Signature: RICAL CONTRACTOR: Print Name: Rsp Mailing Address: t V 0 O L (( 3-14-• L-1J S E Date: Z' g/ 12-- Day Telephone( 2S) 1 go f S 3-7 H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh City State Zip Page 2 of 2 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.: 0179001855 Address: 5026 S 122 LN TUKW Suite No: Applicant: DOAK HOMES RECEIPT Permit Number: EL12 -0110 Status: PENDING Applied Date: 02/08/2012 Issue Date: Receipt No.: R12 -00559 Initials: WER User ID: 1655 Payment Amount: $215.85 Payment Date: 02/08/2012 02:36 PM Balance: $0.00 Payee: CUSTOM ELECTRIC SERVICES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1275 215.85 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 215.85 Total: $215.85 doc: Receiot -06 Printed: 02 -08 -2012 b 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 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: Address: co.y 9 Date Called: Special Instructions: Date Wanted:. ryr Requester: Phone No: Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: ityx )4 k)t Inspector: <.4 113 Date: n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection: INSPECTION NO. INSPECTION RECORD of 10 Retain a copy with permit 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: 14 I Type of Inspection: 4(®0 Address: 5-024, S. [r ��p L A `.-+v Date Called: .r 640,1 f V I g6ad i ees 4 ?QTcfluIJ Special Instructions: Date Wanted:. j �, i X �J p.m. Requester: f Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: .r 640,1 f V I g6ad i ees 4 ?QTcfluIJ 144* a-Mir t ,5, ?J&- sapout,E Aka- tict f Date: ,/ f3 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: ryjA)09\ INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OFTUKWILA BUILDING DIVISION'.` 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: 1.),Alie, 4det-,-.5 Type of Inspection:, - � Address: ` 5.121L4 2,10 Date Called: Special Instructions: Date Wanted:.rm. Pm )/ Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: okikca")64.3 7(,) - .5r°,-Q1l ed/162 Date: � r ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 V. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 64'oO Project: 'Do C� Type of Inspection: 76°Z.— Address: lL Date Called: Special Instructions: Date Wanted:. . - a.m. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: AY) &)41) 70 m Aca550sa elyiPxf Lops) ,fr)C ticti\ 7 ,WeCi b twc t�� �11 ' 3p' s !Tt i iet) r of frirdoxisrel a lai r , Inspector: d 6C-Ilifjel. n 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. 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: x3 46 TYPe of Inspection: .. Address: Date Called: Special Instructions: Date Wanted:. Requester: Phone No: • KiApproved per applicable codes. El Corrections required prior to approval. COMMENTS: 1J Inspector: Date: iiNfeR ri 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. PERMIT NO. 6)2,--Dtio CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 12, (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: DO AliN, OP II e5 Type of Inspection: , 72_. Address: 5-02_ & 3. /2114 + Date Called: Special Instructions: Date Wanted:. 2/0 Caai p.m. Requester: Phone No: DApproved per applicable codes. [- Corrections required prior to approval. COMMENTS: s?1/4 Inspe ctor: Date: ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • City of Tukwila • Jim Haggerton, Mayor Department of Community Development Jack Pace, Director August 6, 2012 Jay Rosander Custom Electrical Services, LLC 16806 113 Lane SE Renton, WA 98055 RE: Request for Extension Electrical Permit Number EL12 -0110 Doak Homes — 5026 S 122 Ln Dear Mr. Rosander, This letter is in response to your written request for an extension to Permit Number and EL12- 0110. 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, February 3, 2013. If you should have any questions, please contact our office at (206) 431 -3670. io File: Permit No. EL12 -0110 W:\Permit Center\Extension Letters \Pennits\2012\EL12 -0110 Permit Extension.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 • IN 'tom ■t/ M 1 ( D-1 Ay CO i∎I € T1-14 S ( 12-. 6 QS er (LNt ,T E L (20( jo VT t S To Ekf (1 oN Aro G 7 20 t2 o C4 Z$) 7 To (C37 a M. 40 141r/Aud daty Wig g /iplw /Z RECEIVED CITY OF TUKWLA !JUL 2 0 20121 PERMIT CENTER lZ fE- gvte.�Ct o�lo�li2 (gyp) (t)(-0 07 -02 -2012 JAY ROSANDER 16806 113 LN SE RENTON WA 98055 • City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. EL12 -0110 DOAK HOMES 5026 S 122 LN TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a fmal 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 08/07/2012. 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 08/07/2012, 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, '‘tiQ Bill Rambo Permit Technician File: Permit File No. EL12 -0110 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206- 431 -3665 City 41kf Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Web site: http: / /www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: ( Z( ( 3 Plan Check/Permit Number: ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # NrRevision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: /114-- 1c_43 Project Address: � O Zit S • 22 rt . uJ , L) i LA Ct 8) (7 8 Contact Person: J /4' y ?OS & N OC--2 -- Phone Number Q- 2-S) 7 6)© S3 7 Summary of Revision: t2 o O 90 so L441/4-4-- Fo2opu c 1� M TE 1)0 \I1Pci A JAN 292013 ''ER tg -g j Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: o<<7,4 tgt I� Entered in Permits Plus on H:\ Applications \Forms- Applications On Line\2010 Applications \7 -2010 - Revision Suhmittal.doc Revised: May 2011 Contractors or Tradespeople Peter Friendly Page • Electrical Contractor A business licensed by L &I 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 CUSTOM ELECTRICAL SERVICES LLC 4257801537 16806 113Th Ln Se Renton WA 98055 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602924637 Active CUSTOES893J2 Electrical Contractor 4/22/2011 4/22/2013 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status RICCOE5916L6 RICCON ELECTRICAL SERVICES LLC Electrical Contractor General Unused 6/2/2009 6/2/2011 Out Of Business Business Owner Information Name Role Effective Date Expiration Date ROSANDER, JAY Partner /Member 04 /22/2011 RICHTER, JEFF Partner /Member 04/22/2011 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 Travelers Cas & Surety Co 105274344 04/06/2011 Until Cancelled $4,000.00 04/22/2011 Assignment of Savings Information No records found for the previous 6 year period 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 https: // fortress .wa.gov /lni/bbip/Print.aspx 02/08/2012