HomeMy WebLinkAboutPermit EL13-0145 - NORDSTROM - LOW VOLTAGENORDSTROM
100 SOUTHCENTER MALL
EL13-0145
City off ukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206-431-3665
Web site: htto://www.TukwilaWA.gov
Parcel No.: 9202470010
Address: 100 SOUTHCENTER MALL TUKW
Project Name: NORDSTROM
ELECTRICAL PERMIT
Permit Number: EL13-0145
Issue Date: 02/12/2013
Permit Expires On: 08/11/2013
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: ERICK LASSITER
Address: 1448 ELLIOTT AV W , SEATTLE WA, 98119
Contractor:
Name: LEIBOLD COMMUNICATIONS INC
Address: 1448 ELLIOT AV W , SEATTLE WA 98119
Contractor License No: LEIBOCI115B0
Phone: 206 255-0373
Phone: 206 286-8981
Expiration Date: 01/20/2015
DESCRIPTION OF WORK:
REVISIONS TO LOW VOLTAGE MUSIC, PAGING, AND VIDEO SYSTEMS.
Value of Electrical: NRES: $54,700.00
RES: $0.00
Fees Collected:
Type of Fire Protection: SPRINKLERS/AFA National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature: /
I hereby certify that I have read and eican
governing this work will be compliedt+vit
Date:
$1,016.40
2008
ped this permit and know the same to be true and correct. All provisions of law and ordinances
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 t - p = . ormance of work. I am authorized to sign and obtain this electrical permit.
Signatur
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
EL13-0145 Printed: 02-12-2013
PERMIT CONDITIONS
Permit No. EL13-0145
**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
EL13-0145 Printed: 02-12-2013
CITY OF TUKWILA
Community Development Department
Permit Center 43 1 - 3 67 0
6300 Southcenter Blvd.. Suite 100
Tukwila, WA 98188
http:f/www.TukwilaWA.gov
Electrical Permit No. tLi��v���
Project No.
Date Application Accepted: 1 Zt
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.: o 6�'-41 -W k)
Site Address: 100 Southcenter Mall Suite Number: Floor: all
Tenant Name:
Nordstrom
PROPERTY OWNER
Name: Erick Lassiter
Address: 1448 Elliott Ave. West
Name: Westfield
Phone: (206) 255-0373 Fax: (206) 286-9031
Email: elassiter@leiboldinc.com
Address:
19)0al l,�
1C'/
\_
City: l 1/1 ALI
State:
Zip: Oipiii
CONTACT PERSON — person receiving all project
communication
Name: Erick Lassiter
Address: 1448 Elliott Ave. West
City: Seattle State: WA Zip: 98119
Phone: (206) 255-0373 Fax: (206) 286-9031
Email: elassiter@leiboldinc.com
New Tenant: 0 Yes 21..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Leibold Communications Inc.
Address: 1448 Elliott Ave. West
City: Seattle State: WA Zip: 98119
Phone: (206) 286-8981 Fax: (206) 286-9031
Contr Reg No.: LEIBOCI115B0 Exp Date: 12/20/2015
Tukwila Business License No.: BUS -0101657 v"
Valuation of Project (contractor's bid price): $ 54,700
Scope of Work (please provide detailed information):
Revisions to low voltage music, paging, and video systems.
Will service be altered? 0 Yes IZI No Adding more than 50 amps? 0 Yes 0 No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change m Remodel ❑ Tenant Improvement
VI Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
kPuget Sound Energy Se ttle'i°iEyL'Iglir—
H:Wpplications\Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-I I.docx
Revised: August 2011
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Page 1 of 2
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
O Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
O 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:
Print Name: ,,/�
Mailing Address: ( -! 4 1 1 1 0 Y' ►rt V lA) e. s 4-
or,
-
or,
IViS,Se.h
H:\Applications\Forms-Applications On Line \2011 Applications\Electncal Permit Application Revised 8-9-11.docx
Revised: August 2011
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Date: D (7 t 3
Day Telephone: 'a0 Co - 2 8 (p - ' 9 ft
airy�.0e f , (4)sl 9c la
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
RECEIPT
Parcel No.: 9202470010 Permit Number: EL13-0145
Address: 100 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 02/12/2013
Applicant: NORDSTROM Issue Date:
Receipt No.: R13-00784
Initials: JEM
User ID: 1165
Payment Amount: $1,016.40
Payment Date: 02/12/2013 08:24 AM
Balance: $0.00
Payee: LEIBOLD COMMUNICATIONS, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 36103 1,016.40
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 1,016.40
Total: $1,016.40
Printed• n2-12-2013
6/5 -0151
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
PERMIT NO.
Permit Inspection Request Line (206) 431-2451
Project: ! V.T
Type of Inspection:.
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Address:
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Date Called:
Special Instructions:
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Date Wanted:
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Requester:
Phone No:
Approved per applicable codes. L Corrections required prior to approval.,cia
COMMENTS:
Inspector:
Date: a t li /
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd...Suite 100. Call to schedule reinspection.:
l2
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 431-2451
Project: /.� f
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Special Instructions:
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COMMENTS:
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Date: f
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
61/13-oN1
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: ! jType
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COMMENTS:
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REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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INSPECT! . NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
PERMIT N0.
Project:
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Type of Inspection:
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Date Called:
Special Instructions:
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COMMENTS:
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Date: 97
n REINSP CT'ION FEE REQUIRED. Prior to nex inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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INSPECTION NO.
INSPECTION RECORD ?
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 T2_, (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: VORDSTRa
Type of Inspection:
Address:
100
Date Called:
Special Instructions:
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Date Wanted:
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Requester:
Phone No:
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COMMENTS:
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Date:
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n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPI=CTION NO.
II1SPECTION .RECQR°D:
Reran a copy wttri`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:
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Type of Ins ction:
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Address:
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Date Called:
Special Instructions:
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Phone No:
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COMMENTS:
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nspector.
Date: 5,
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n REINSP,E'CTION 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:kii051--K01
Type of Inspection:
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Address:
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Date Called:
Special Instructions:
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Date Wanted:
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Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval. /
COMMENTS:
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Inspector: , 0 Date:
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REINSPECTION FEE REQUIRE . 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 v-. (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: , J0 6
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Type of Inspection:
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Address:
Date Called:
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Requester:
Phone No:
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Corrections required prior to approval.
COMMENTS:
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Inspector:
Date: a /II 3
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
Retain a. copy with permit
ERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 .per (206) 431-3670
Permit Inspection Request Line (206) 431-2451 v"
Project: xi
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Type of Inspection:
7003
Address:
Date Called:
Special Instructions: ,-
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Date Wanted:
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Requester:
Phone No:
LIApproved per applicable codes. 1J Corrections required prior to approval.
COMMENTS:
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Inspector:
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Date: 4/13 13 3
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I REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
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Retain a copy with permit 013 `
INSPE ION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 R (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: Al
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Type of Inspection:
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Address:
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Date Called:
Special Instructions: 1
Date Wanted:.
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Phone No:
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COMMENTS:
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Inspector:
Date: DS.LQ /3
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'1
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
6,6-01'1(
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 E (206) 431-3
Permit Inspection Request Line (206) 431-2451
Project: d
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Type of Inspection:
700
Address: 00
Date Called:
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Special Instructions:
Date Wanted:.
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COMMENTS:
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n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Date: D
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 R • (206) 431-3670
Permit Inspection Request Line (206) 431-2451
643-oPi51
Project: j
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Type of Inspection:
7003
Address:
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Date Called:
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Special Instructions:
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Date Wanted:.
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Requester:
Phone No:
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COMMENTS:
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Date: 05-0/137(3 s fr g,
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 R (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: , (� �„������
Type of Inspection:
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Address: j
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Date Called:
Special Instructions:
Date Wanted:.
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Requester:
Phone No:
ElApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
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Inspector:
Date:
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pri er 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
LEIBOLD COMMUNICATIONS INC
2062868981
1448 Elliott Ave W
Seattle
WA
98119
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601156413
Active
LEIBOCI115B0
Electrical Contractor
1/20/1989
1/20/2015
General
Unused
Electrical Administrator INFORMATION
License LEIBOJN25ONG
Name LEIBOLD, JAMES N
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
LEIBOLD, JAMES N
01/01/1980
LEIBOLD, VIRGINIAS
01/01/1980
SC&B SERVICES INC
Agent
01/09/1989
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
CBIC
623242
01/18/1989
Until Cancelled
$4,000.00
01/18/1989
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
Infractions/Citations Information No records found for the previous 6 year period
httns://fortress.wa. t?ov/lni/bbin/Print. aspx 02/12/2013