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HomeMy WebLinkAboutPermit EL13-0212 - CITY OF TUKWILA / MAYOR'S OFFICE - REMODELCITY OF TUKWILA MAYORS OJi1FICE 6200 SOUTHCENTER BL EL13-0212 City orrukwila -� Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206-431-3665 Web site: http://www.Tukwila WA .gov ELECTRICAL PERMIT Parcel No.: 3597000282 Address: 6200 SOUTHCENTER BL TUKW Project Name: CITY OF TUICWILA - MAYOR'S OFFICE Permit Number: EL13-0212 Issue Date: 04/19/2013 Permit Expires On: 10/16/2013 Owner: Name: TUKWILA CITY OF Address: 6200 SOUTHCENTER BLVD , TUKWILA WA 98188 Contact Person: Name: BOB GIBERSON Address: 6300 SOUTHCENTER BL, SUITE 100 , TURWILA WA, 98188 Contractor: Name: QUALITY ELECTRICAL CONT LLC Address: 2018 BLAINE AV NE , RENTON WA 98056 Contractor License No: QUALIEC915JN Phone: 206-431-2457 Phone: 425 207-8866 Expiration Date: 04/15/2015 DESCRIPTION OF WORK: MOVE (2) OUTLETS OUT OF WAY FOR NEW DOOR IN MAYOR'S OFFICE LUNCH ROOM Value of Electrical: NRES: $2,500.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY n Permit Center Authorized Signature: Fees Collected: $136.50 National Electrical Code Edition: 2008 Date: 1-4"•-(— ( -5 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, does not presume to • ' , - authority to violate or cancel the provisions of any other state or local laws regulating construction or the perform a of work. I am . ' thorized to sign and obtain this electrical permit. Signature: Print Name: 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. Date: /Fi//1 doc: EL -4/10 EL13-0212 Printed: 04-19-2013 • • PERMIT CONDITIONS Permit No. EL13-0212 **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 EL13-0212 Printed: 04-19-2013 1 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. El" \ 3` Od-1 (4, Project No. Date Application Accepted: Date Application Expires: 9 (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.: 3 5 L1 ®D Z Site Address: 6Z- O 15.Ll/D Suite Number: Floor: (/PPC - Tenant Name: -1-UK--(All CA- New Tenant: ❑ Yes Er..No PROPERTY OWNER Name: C: (TTf, Address: 03ab 5arGK0fit2nr-- (i F Tu /1 L4 Address: . 7 0 $w"7 C.F.,7 ,G�-z_4, City: --LV City: State: State: wyk_Zip:1%-/0 CONTACT PERSON — person receiving all project communication Name: Bog G i 3 ., -sv 6‘,/ Address: 03ab 5arGK0fit2nr-- City:_.�U rut/1w Stat Zip: Tog Phone:43 i _IAT Fax: Email: 5 ‘ 6 G�e' chip:v(/( mA /4 ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: ;fie✓ Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): /V i ✓t- 2— 0 viL01f ®ci 7 0E- WAY Pon- .1)00f- on-.Dvv- / A M. A- tee 1— VA/CAI ROOM .. Will service be altered? Yes ❑ No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: O New 0 Addition 0 Service Change Remodel O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication Property S rved by: • Puget Sound Energy 0 Seattle City Light H:Upplicattons\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-I I.docx Revised. August 2011 bh Tenant Improvement ❑ Temporary Service 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 ❑ 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: - ZS 4 Print Name: 30B G (3e)52--.5orA) Date: 3 Day Telephone: Mailing Address: (n3 OD 5-AaD -71441401- (4/m- 8 c tiw City State Zip H:\Applications\Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh 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.: 3597000282 Permit Number: EL13-0212 Address: 6200 SOUTHCENTER BL TUKW Status: PENDING Suite No: Applied Date: 03/05/2013 Applicant: CITY OF TUKWILA - MAYOR'S OFFICE Issue Date: Receipt No.: R13-00958 Payment Amount: $136.50 Initials: WER Payment Date: 03/05/2013 10:57 AM User ID: 1655 Balance: $0.00 Payee: 303.98.594.190.41.00-91330304.1000.107 TRANSACTION LIST: Type Method Descriptio Amount Payment Other Authorization No. ACCOUNT ITEM LIST: Description 136.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 Printari• rn_n5_9ni INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. �{ CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 hr, (206) 431-3670 Permit Inspection Request Line (206) 431-2451 6p3- 02r 7s _ Project: el tt./t(.- iltiaif..\ Type of Inspection: 2,pv Address:2 1�.r 5� ' (��Date j w Called: Special Instructions: Date Wanted:CVLO mp.f: Requester: Phone No: nApproved per applicable codes. Corrections required prior to approval. COMMENTS: on - Inspector: Date: v f REINSPECTION FEE REQUIRE'. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD 60'Z t2, Retain a copy with permit l INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project:. 7r� _ K EtYAddress: Type of Inspection: 2100 Date Called: Special Instructions: Date Wanted: r/� 7 a.m: P Requester: Phone No: Approved per applicable codes. • LJ Corrections required prior to approval. COMMENTS: -s Dvt. ot `f/17 Inspector: 11\ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: of/12,715 INSPECTION RECORD Retain a copy with permit .INSPECTION NO. 6,(3-02t 2_ PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ra., (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: till 7-14(.. '( J( ` g Type of Inspection: Z r0 0 Address: ,_) 4..- . 4.. Date Called: ..... Special Instructions: Date Wanted: ' r dal Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: �i`.seu4-8>JL€ cNR In i/rtInspector: G Date: O� ' 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: 6/ Aloct Type of Inspection: ZNO Address:/' C 00 ft Pe• Date Called: Special Instructions: Date Wanted: `!7 f 0 m. p.m Requester: Phone No: 0 Approved per applicable codes. t� Corrections required prior to approval. COMMENTS: roA, fl Inspector: Date: ogitoit3 REINSPECTION FEE REQUIRE . 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 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: jJ A ,Type 4if7o< of Inspection:We Address: Date Called: Special Instructions: Date Wanted: OCT p.m Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: 61/(° Inspector: Date: Dq Uq r 3 I I 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 iL (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: �lJ�r�/C.�F , /1 � „�• (� `f Type of Inspection: ��O �. Address: G 2-00 5-d-- 81-. Date Called: t. ' - Special Instructions: Date Wanted:if . i ea) j.,ri Requester: , J Phone No: Approved per applicable codes. Corrections required prior to approval COMMENTS: n Inspector:jfriiSE4/467\\ Date: ©A 11113 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.. TOP AT 84• BOT AT 42• • PROVIDE TOP STFFE ER F REQUIRED FOR LATERAL SUPPORT (CONTRACTOR DEFERRED DESIGNED/ NEW STOREFRONT HALF WALL 1101NTED 04 TOP OF EX CABINET. .CONTRACTOR TO PROVIDE DEFERRED DESIGN FOR LATERAL STABILITY POR NEW STOREFRONT PROVIDE i• CLEAR IenrtNw GLAZRG 4 KAISNEER 1811 -FAB 450, DARK BRONZE ANODIZED OR APPROVED EQUAL. NWT FROM EDGE OF COtMERTOP r EX CABINET TO REHAPI SECTION AT. CABINET STOREFRONT HALF UJALL �2ww,I.-mw GENERAL SCOPE OF•WORK DESCRIPTION SCOPE O WORK 614ALL 4CLUOE ALL WORK INDICATED 04 THESE DRAUANC,B 4 665081CATION0 AS PROVIDED BY OWER .AND AS RE0111RED FOR A COMPLETE 4 8540710IPG PRO.ECT, INCLUDING BUT NOT LIMITED TO. L RELOCATION OF KITCHEN DOOR FROM 11E8T WALL TO NORTH WALL 4 INFILL OF EXISTING WALLS; MA7CN0G PAINT. AND TRIM OF PATCH. PROVIDE CRANISH AND INSTALL) NEW STOREFRONT GLAZING FOR NEW HALF WALL OVER EXISTING CABINET AS 6440I1N PROVIDE DEFERRED .DS6154.6*444 R, BTABILITT OF NEW STOREFRONT PER CODE. S 1 BINDER DESIGN ELECTRICAL WORK AS SHOW AND AL REQUIRED TO MAINTAIN EXISTING CJD ITRY,MINIM 1. CONDUIT CINL'r FOR TE TO EMS PROVIDING BOXES AND MINIMAL COPIDUIT ONLT.FOR DATA RECONFGURATI- OF EXIB '. 5. 071ER WORK AS INDICATED. WORK NOT INCLUDED PAYING FOR BUILDING OR ELECTRICAL PERMIT. CONTRACTOR 8144LL PIO( 11P 4 SIGN FOR PERMITS. 0474 0ABL8G (BT CITY) NOTES CONTRACTOR SHALL TAKE APPROPRIATE STEPS TO ELIMINATE DWT FROM REACHING OCQIPED 114RK AREAS AS THE BUILDING WILL BE OCCUPIED DURING CONSTRUCTION. CONSTRUCT DWT AND SAFETY BARRIERS. ALL EXIST PATrLLATB 61441.1. BE LEFT UNOBSTRUCTED AND AVAILABLE FCR SAFE P456466 4 AN EMERGENCY. 3. CONTRACTOR SHALL VEREY ALL CONDITIONS AND DIMENSIONS N810NS 4 71E HELD AND NOTFT ARCHITECT OF ANY DISCREPANCES PRIOR TO CONSTRUCTION.. BEGINNING ANY PORTION O THE CONSTRUCTION WORK 4DICATE8 ACCEPTANCE OF THE EXISTING CONDITIONS. 4. ALL WORK 5NALL C0FOR1 TO TIE 2008 IBC AS MIODF® BY TIE STATE 5. CONTRACTOR SHALL CLEAN TIE SITE AND SHALL REMOVE DEBRIS 04 A CONTINUAL BASIS. 6. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING FOR 4SPECTIO48 ASSOCIATED WITH THE PERMIT. _ SAFETY: TIE CONTRACTOR IS SOLELY RESPONSIBLE FOR ALL REQUIRED AND PRUDENT SAFETY PRECAUTIONS AND TIE ME114003, TEC4NIQES AND PROCEDIES REQUIRED TO PERFORM THE sow. LEGEND NEW 3411• INTERIOR Iu41-1. CONSTRUCTION; MATCH EXISTING WIDTH 4 TYPE. EX CONSTRUCTION IS 2x4 WOOD STUDS WITH ti• TYPE )4 6118 04 EA SIDE NEW 6. INTERIOR WALL_C04.414rTION. MATCH EXISTING WDTN 4 TYPE. ASSWED CONSTRUCTION IS 246 WOOD STUDS • I6•o . W 4 q• TYPE X 6116 04 EA ` SHOE. PROVIDE R-11 INSULATION FOR 50140. O R$ EX -DOOR TO BE RELOCATED EXISTING ELECTRICAL/DATA TO REMAIN EXISTING ELECTRICAL/DATA TO BE REMOVED. PROVIDE /+Y BLANC FLOOR PLATE TO COVER OLD OPENING SIMILAR 10 EX •KILN NEW DATA 4/OR POSER WALL OUTLETS TO 1147C14 EXISTING. PROVIDE DOUBLE DEEP BOX FOR DATA WITH 3/4• CONDUIT THROUGH FLOOR BELOW FOR DATA CONNECTIONS BT OTHERS. P455414LOT • SW3E-CT TO FIELD INSPECTION . NORTHEAST BUI-DING CORNER PANT EMIRS WALL LENGTH FROM PONT ATO POINT B 4 VERTICALLY FROM BASE TO TRIM AT APPRDX 6' HIGH NIGH 24• PA/EL TO PROVIDE PRIV U10RC6T NEW 4Y NIGH GLASS ST HALF WALL MOWED CN TOP OF EX 4Y 44165 RELOCATE DOOR FRAME (50+510) 4 HARDWARE TO THIS LOCATION CONTRACTOR TO LOCATE TE T50 DOOR OPENING. PROVIDE NEW PEMIC0 THRESHOLD 70 COVER FLOORING GAP. PROVIDE NEW 2x3 4498 AT CABINET END F TELL STABILITY. CONTRACT FOR DEFERRED ENGINES LATERAL STABILITY. BOLT CABINET END AS REQUIRED. STOREFRONT. CONTRACTOR MAY ALTERNATE MEANS OF LATERAL BOLTING TO 71E FLOOR AL TRANSITION STRIP AND ALTER FLOORPG REQUIRED. ALL BOLTS 11187 BE COVERED STOREFRONT AND MAT NOT IMPEDE 36. ODE ADA CLEARANCE TO ADJACENT CANTER PROVIDE FILLER AT TOE KICK F BOLTING TO THE FLOOR 1114 OR TIFFF-NER �DD FOR L TERAL RN�.IESP- --ISLE EXISTING 0.0I24TER DEMO FOR NEW POSSIBLE. F AC IS REQUIRED, • ENTIRE, WALL MATCH EXISTING AS 171044L DEMO PAINT 55, TO NEW POIIER 4 DATA CUTLET 4 EXISTING TOE KICK TCR DATA, PROVIDE- DOUBLE DEEP WALL BOX AND 1• CONDUIT t2• D05N TO CEILING -SPACE BELOW 117TH RLL STRING FOR ' DATA CABLES BY OTNE REMOVE EXISTING DATA4 ELECTRICAL M10N1'ENT 4 PROVIDE BLANC FLOOR PLATE TO COVER 3 PLACES 7418 LORGBTATION5. WORKSTATION EXISTDATA T REMA / OFFICE AREA B . \\ \\\ WORKSTATION PANELS: LAYOUT ICATES NET CONFIGURATION OF EXISTING F COVETED FREESTANDING PANELS FROM EXISTING ITCNS (NOT SHOINI. CONTRACTOR SHALL REVIEW EXISTING CONDITIONS AND CONFIRM PANEL COM 41 5'7TFc POR PROPOSED LAYOUT. =see HAS ADD4T10 4AL PANELS 4 STORAGE F REQUIRED 4 WILL PROVIDE . TECHNICAL ASSISTANCE 4 PANEL INSTALLATION, \. INFILL WALL T EXISTING. P44 PROVIDE ENL' EXISTING, 801 MATCH AND TO MAT SIDES. LS REI'1055 EXISTING ELECTRICAL MCARIIENT 4 PROVIDE BLANC FLOOR PLATE TO COVER TWO EXISTING D 4 PROVIDE Bl- CASE L CASE OLD OPENING ' WON 1x6 4 W EACH BIDE, STAN 4 FINISH TO MATCH EX15TNG SECTION AT .OLD DOOR OPENING 1r,"• 1•-0w RECEIVED CITY OF_TUKWIL� MAR 18 2013 PERMIT CENTER PARTIAL FLOOR PLAN ly ,.• DAVID A. CLARK ARCHITECTS, I'LI.0 City of Tukwila • 6200 Southcenter Blvd. Tukwila, WA 98188 " Mayor's Office TI Tukwila City Hall 6200 Southcenter Blvd Tukwila, WA 98188 1612 SB • DAC • October 2, 2012 February 27, 2013 1937 •1 DATID&CCIARK ' p Partial Floor Plan . 1 /4"=1'-0" A-101 Permit -- Z 09-03-2013 City of Tukwila Jim Ilaggerton, Mayor Department of Community Development Jack Pace, Director BOB GIBERSON 6300 SOUTHCENTER BL, SUITE 100 TUKWILA WA 98188 RE: Permit No. EL13-0212 CITY OF TUKWILA - MAYOR'S OFFICE 6200 SOUTHCENTER BL 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 10/16/2013. 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 10/16/2013, 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, Bill Rambo Permit Technician File: Permit File No. EL13-0212 6300 Southcenter Boulevard, Saute #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Contractors or Tradespeople ler Friendly Page Electrical Contractor A business licensed by LftI 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 QUALITY ELECTRICAL CONT LLC 4252078866 2018 Blaine Ave Ne Renton WA 98056 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602906582 Active QUALIEC915JN Electrical Contractor 4/15/2009 4/15/2015 General Unused Electrical Administrator INFORMATION License HUMPHDM918BR Name HUMPHRIES, DEAN M Status Active Business Owner Information Name Role Effective Date Expiration Date HUMPHRIES, DEAN M Partner/Member 04/15/2009 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 2 American Contractors Indem CO 100117956 04/02/2010 Until Cancelled $4,000.00 03/22/2010 1 WESTERN SURETY CO 70702057 04/14/2009 Until Cancelled 04/02/2010 $4,000.0004/15/2009 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 httnc•//fnrtrecs wa_anv/lni/hhin/Print.asnx 04/19/2013