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HomeMy WebLinkAboutPermit EL18-0351 - STERLING SOUTHCENTER - TEMPORARY POWER FOR BUILDING CONSTRUCTIONSTERLING SOUTHCENTER 415 BAKER BLVD BLDG ELI 8-0351 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 0223100080 Permit Number: 415 BAKER BLVD BLDG Project Name: STERLING SOUTHCENTER Issue Date: Permit Expires On: EL18-0351 4/12/2018 10/9/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: BAKER BOULEVARD ASSOCIATES 2100 MAIN ST#150, HUNTINGTON BEACH, WA, 92048 PATRICK WILKIE 10636 123RD ST NE , KIRKLAND, WA, 98034 STATESIDE POWER INC 10636 NE 123RD ST, KIRKLAND, WA, 98034 STATEPI026PW !/1 Phone: (425) 466-4162 Phone: Expiration Date: 10/22/2018 DESCRIPTION OF WORK: TEMP POWER FOR CONSTRUCTION OF NEW BUILDING Valuation of single family: $0.00 Valuation of mf/comm: $6,200.00 Type of Work: TEMP SERVICE Fees Collected: $241.25 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 Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: Date 2017 2017 2017 2015 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 developmmit and agree to the conditions attached to this permit. Signature: 1 + , J f Date: Print Name: 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 -1N ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department , Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: (For office ue 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 Site Address: Tenant Name: 3//6 A (1,1A/ite King Co Assessor's Tax No.: Suite Number: New Tenant: PROPERTY OWNER Name: rt.& Name: A /1-( L ;A -A/c( .-, ; ad ybr Ae‘5 Address: Tukwila Business License No.; o 47 ?E; 5 36 City: .,,-- ._,„„ State:(A44 Zip: CONTACT PERSON — person receiving all project communication Name: rt.& (//.44e - City: t-igpft.bvt,/ State:6(7/1 Zip: Phone: if .4,64-. frozFax: Address: /C4 -Ake-; Tukwila Business License No.; o 47 ?E; 5 36 City: State: Zip: Phone: Fax: Email: ' ---/-7. ' . • fr\ Floor: 0 Yes 0.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: 4---4,etes , tA(C. Address: City: t-igpft.bvt,/ State:6(7/1 Zip: Phone: if .4,64-. frozFax: Contr Reg No.: 4„istyk,tvo,2‘ ilofexp Date: Tukwila Business License No.; o 47 ?E; 5 36 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): C vtc frc-te,_ er if /W/ ae/61/7. "'f / Will service be altered? 0 Yes 0 No Adding more than 50 amps? 0 Yes No Type of Use: Typg of 1,xork: New toiv Voltage Property Served by: )31 Puget Sound Energy 0 Seattle City Light 'd • Addition 0 Generator o Service Change 0 Remodel 0 Fire Alarm 0" Telecommunication WAPermit ConteMpplications-HaradoutsTenuit ApplicationetWordElectrical Permit Application Revised 1- 1-2017.docx Revised: January 2017 bh • 0 Tenant Improvement Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) O Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $155.91 $83.54 ea $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea 0 •Meter/mast repai?' $69.62 $61.05 0 Low voltapesystems' (alarm, furnace thermostat) At MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES igt Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 o Manufactured/mobile home service $87.98 (excluding garage or outbuilding) ❑ Carnivals - t a $82.21 Number of concessions " $11.02 ea Each clap yid generator truck $11.02 ea w , 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 day's 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. ' ., t , • 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL(CAfION AND KNOW THE SAME TO BE'TR11g UNbER 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: V z'-+'' -- Print Name: Ikrie Mailing Address: :'O6 N6 (-3 K sr W:IPermit CenterMApplications-Handouts\Pennit Applications1Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh Date: 7 -if f 8 Day Telephone: l N ''2. k7i2e1%4/ n WA- 98c15P City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID 118-03 KERBLVD BLI rt: 231 Credit Card Fee $7.03 Credit Card Fee R000.369.908.00.00 ELECTRICAL PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 0.00 $7.03 $223.07 $223.07 TECHNOLOGY FEE $11.15 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R14236 R000.322.900.04.00 0.00 $11.15 $241.25 Date Paid: Thursday, April 12, 2018 Paid By: PATRICK WILKIE Pay Method: CREDIT CARD 05214C Printed: Thursday, April 12, 2018 3:11 PM 1 of 1 CAWSYSTEMS 11/1/2018 City of Tukwila Department of Community Development PATRICK WILKIE 10636 123RD ST NE KIRKLAND, WA 98034 RE: Permit No. EL18-0351 STERLING SOUTHCENTER 407 BAKER BLVD BLDG Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director 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 12/16/2018. 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 fmal 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 12/16/2018, 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, q,_,,ft) Bill Rambo Permit Technician File No: EIA 8-0351 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 INSPECTION RECORD Retain a copy with permit 648-05c( PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: ..,5" � (lel Type of Inspection: rtNl+ Address: 6A-aik Date Called: Special Instruction : Date Wanted: i Q a.m. p.m. Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. OMMENTS: Inspector: g6`)/si 64\ REINSPECTIONEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: v< ��1,/ Type of Inspection:_ f `G �'� Address: : Date Called: Special Instructions: Date Wanted: / (G4 (m. p.m. Requester: Phone No: zo6 ?m 9(// ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: Fir e( e 1.,,p Inspector: Date: / t D rg 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 (206) 431-36T0 64E-6357 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 Project:Type of Inspection: Address: iliC '11-2L6 Date Called: Special Instructions: Cs- Date Wanted: .m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 144[6. Srbe CAA -Ne Inspector: Date: I EII REINSPECTION FEE REQUIRED. Prior to next inspection, fee mut be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit fiiy ci INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 Project: ee°, Dre14...L..iih\ 5 .. C.-- Type of Inspection: (I Address:. Lit 6A-t<efs Date Called: _ Special Instructions: / 1f. r0 v•-) 't Date Wanted: 4, a. . . . Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: is2AIDJ'r5 I ckit`i 4/1A5 Inspector: Date: REINSPECTIONFEE REQUIRED. Prior to next inspection, fee tthst be paid at 6300 Southcenter Blvd., Suite 100. Call, to schedule reinspection. STATESIDE POWER INC I Ionic Espanol. Contact. Safety & Health Claims & Insurance 411) Washington State Department of Labor & Industries 0 Search L&I Page 1 of 14 SEARCH A-% iji&x [Hp 1y L&1 Workplace Rights Trades & Licensing STATESIDE POWER INC Owner or tradesperson Principals CHAMBERS, RONALD H White, William, PRESIDENT Wilkie, Patrick, VICE PRESIDENT VVhite, Bill, AGENT MARKS HOLMES FOLEY ETAL, AGENT (End: 06/12/2013) Doing business as STATESIDE POWER INC WA UBI No. 601 897 327 10636 NE 123RD ST KIRKLAND, WA 98034 425-820-6516 KING County Business type Corporation Governing persons RONALD H CHAMBERS BILL WHITE; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no STATEPI026PW Effective — expiration 10/16/1998— 10/22/2018 Designated administrator WHITE, WILLIAM E Active. Meets current requirements. Active. Meets current requirements. License type License no. Master Electrician WHITEWE968KE Bond Hartford Fire Ins Co Bond account no 52BSBGQ4543 Received by L&I 02/18/2014 Bond history $4,000.00 Effective date 02/20/2014 Expiration date Until Canceled Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 4/12/2018 STATESIDE POWER INC Savings (116N No savings accounts during the previous 6 ye -period. License Violations Infraction no. EDORN00584 Issue date 12/05/2017 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Christopher Foederer, Certification lapse 8/22/2014 - 4/23/2015. Pay Period Used: 12/5/2014, Tanner Vinson -trainee. Infraction no. EDORN00585 Issue date 12/05/2017 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Christopher Foederer Certification lapse 8/22/2014 - 4/23/2015. Pay Period Used: Pay Period Used: 12/19/2014, Austin Carr -trainee Infraction no. EDORN00587 Issue date 12/05/2017 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Christopher Foederer certification lapse 8/22/2017 - 10/18/2017. Pay Period(s) Used: 8/25/2017 for 24 hours, 9/08/2017 for 79 hours, 9/22/2017 for 80 hours, 10/6/2017 for 80 hours, Vandy Kha- trainee Infraction no. EDORN00583 Issue date 12/05/2017 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training Satisfied RCW/WAC 19.28.271 RCW Violation amount S500.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount $500.00 Satisfied R CVVNVAC 19.28.271 RCW Violation amount $500.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount $500.00 Page 2 of 14 Help us improve https://securedni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 4/12/2018 STATESIDE POWER INC certificate to do electrical work, Trainee certification lapse for 17 days included on Affidavit 5/5/2016 -1/13/2017. Craig Jordan - trainee Infraction no. EDORN00581 Issue date 12/05/2017 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Trainee certification lapse for 17 days included on Affidavit 5/5/2016 - 1/13/2017. Craig Jordan - trainee Infraction no. EDORN00582 Issue date 12/05/2017 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Trainee lapse from 9/14/2014 — 4/26/2015, for a total of 184 days included on Affidavit 10/25/2014 — 10/7/2016. Jacob Smith -trainee Infraction no. EDORN00586 Issue date 12/05/2017 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Christopher Foederer certification lapse 8/22/2014 - 4/23/2015. Pay Period(s) Used: 1/2/2015 for 33 hours, 1/16/2015 for 57.5 hours for a total of 91 hours. Samuel Herman -trainee. Infraction no. EDORN00580 Issue date 12/05/2017 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on Satisfied .............. . RCW/WAC 19.28.161(6) RCW Violation amount $500.00 Satisfied ................ ..... RCW/WAC 19.28.271 RCW Violation amount $500.00 Satisfied ................... RCW/WAC 19.28.271 RCW Violation amount $500.00 Satisfied .................. RCW/WAC 19.28.161(6) RCW Violation amount $500.00 Page 3 of 14 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UB1=601897327&LIC=STATEPI026PW&SAW= 4/12/2018 STATESIDE POWER INC �+., an Affidavit of Experience. Trainee lapse fro 9/14/2014 — 4/26/2015, for a total of 184 days.•+ included on Affidavit 10/25/2014 —10/7/2016. Jacob Smith -trainee Infraction no. ELYOD01059 Issue date 06/23/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an Individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. (CHRISTOPHER ALLEN) THIS CITATION IS ISSUED IN A MATRIX AND IS INTENDED TO COVER MULTIPLE VIOLATIONS. Infraction no. ELYOD01058 Issue date 06/23/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. THIS CITATION IS ISSUED IN A MATRIX AND IS INTENDED TO COVER MULTIPLE VIOLATIONS. Infraction no. EDORN00514 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Bradley Stipp - Trainee. Infraction no. EDORN00496 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Stuart Donoghue - Trainee. Affidavit: 3/18/2013-11/18/2014. Satisfied ................. RCW/WAC 19.28.271 RCW Violation amount $1,750.00 Satisfied ........................ RCW/WAC 19.28.161 RCW Violation amount $6,750.00 Satisfied . ._............ RCW/WAC 19.28.271 RCW Violation amount $250.00 Satisfied .................. RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Page 4 of 14 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 4/12/2018 STATESIDE POWER INC Infraction no. EDORN00484 Satisfied RCVV/VVAC Issue date 03/24/2016 19.28.161 RCW Violation city Violation amount KIRKLAND $250.00 Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. James McCollum - Trainee. Infraction no EDORN00502 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Sith Phothisat - Trainee. Infraction no. EDORN00500 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Kristopher Mazanti • Trainee. Infraction no EDORN00519 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Patrick Wilkie • Electrician. First quarter 2015. LAPSE 3/3/2008 - Infraction no. EDORN00493 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Satisfied RCW/WAC 19,28.161(6) RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Satisfied. RCVV/VVAC 19.28.271 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Page 5 of 14 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC—STATEPI026PW&SAW= 4/12/2018 STATESIDE POWER INC Description Failure of the electrical contractor to M' accurately verify electrical training hours on an Affidavit of Experience. Fidel Castillo - Trainee. Infraction no. EDORN00499 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Adriene Fernandez - Trainee. Infraction no. EDORN00504 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Loren Thomas • Trainee. Infraction no. EDORN00508 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Fidel Castillo - Trainee. LAPSE: 3/16/2015-3/22/2015 Infraction no. EDORN00505 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description • Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. R David Tousley - Trainee. Infraction no. Satisfied ............. RCWIWAC 19.28.161(6) RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Satisfied Page 6 of 14 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601$97327&LIC=STATEPI026PW&SAW= 4/12/2018 STATESIDE POWER INC EDORN00510 RCW/VVAC Issue date 19.28.271 RCW 03/24/2016 Violation amount Violation city $250.00 KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Chris Foederer - Electrician. Third quarter 2014. LAPSE: 8/22/2014-4/23/2015 Infraction no EDORN00501 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. James McCollum - Trainee. Infraction no EDORN00495 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Stuart Donoghue - Trainee. Affidavit: 7/30/2008-6/12/2009. Infraction no. EDORN00511 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Chris Foederer - Electrician. Fourth quarter 2014. LAPSE: 8/22/2014-4/23/2015. Infraction no. EDORN00498 Issue date 03/24/2016 Violation city KIRKLAND Type of violation Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Satisfied RCVV/VVAC 19.28.161(6) RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00 Satisfied RCVVNVAC 19.28.161(6) RCW Violation amount $250.00 Page 7 of 14 Help us improve https://secureini.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 4/12/2018 STATESIDE POWER INC ELECTRICAL CITATION h Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Kyle Dorhofer - Trainee. Infraction no. EDORN00486 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Bradley Stipp - Trainee. Infraction no. EDORN00480 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Stuart Donoghue - Trainee. Infraction no. EDORN00477 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Tim Aldrich - Trainee. Infraction no. EDORN00478 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Rodney Andrews - Trainee. Infraction no. EDORN00488 Issue date 03/24/2016 Satisfied R C WlWAC 19.28.161 RCW Violation amount $250.00 Satisfied RCWIWAC 19.28.161 RCW Violation amount $250.00 Satisfied ......_.._..._ RC VV/WAC 19.28.161 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161 RCW Violation amount Page 8 of 14 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 4/12/2018 STATESIDE POWER INC Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. R David Tousley - Trainee. Infraction no EDORN00518 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Patrick Wilkie - Electrician. Fourth quarter 2014. LAPSE: 3/3/2008 - Infraction no EDORN00490 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Daniel Tuttle - Trainee. Infraction no EDORN00479 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Fidel Castillo - Trainee. Infraction no EDORN00509 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Stuart Donoghue - Trainee. LAPSE: 11/8/2014- 11/16/2014 $250.00 (113 Satisfied R CVVNVAC 19.28.271 RCW Violation amount $250.00 Satisfied RCW/AC 19.28.161 RCW Violation amount $250.00 Satisfied RCVVNVAC 19.28.161 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00 Page 9 of 14 Help us improve https://securelni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 4/12/2018 STATESIDE POWER INC Page 10 of 14 Infraction no. EDORN00483 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Kristopher Mazanti - Trainee. Infraction no. EDORN00513 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Chris Foederer - Electrician. Second quarter 2015. LAPSE 8/22/2014-4/23/2015 Infraction no. EDORN00517 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Patrick Wilkie - Electrician. First quarter 2014. LAPSE: 3/3/2008 - Infraction no. EDORN00516 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Caleb Tuohimaa - Trainee. LAPSE: 10/24/2014-1/31/2015 Infraction no EDORN00494 Satisfied RCW/WAC 19.28.161 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00 Satisfied RCW/VVAC Yaw, Help us improve https://secureini.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 4/12/2018 STATESIDE POWER INC Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Stuart Donoghue - Trainee. Affidavits: 6/1/2005-9/30/2005; 3/1/2008-6/1/2009; 6/20/2005-9/30/2005; 3/18/2013-11/8/2014. Infraction no EDORN00507 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Daniel Tuttle - Trainee. Infraction no EDORN00487 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Loren Thomas - Trainee. Infraction no. EDORN00489 Issue date 03/24/2016 Violation city KIRKLAND Type of violaticn ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Caleb Tuohimaa - Trainee. Infraction no. EDORN00491 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on 19.28.161(6) RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Satisfied RCWIWAC 19.28.161 RCW Violation amount $250.00 Satisfied ..........._.......... RCW/WAC 19.28.161 RCW Violation amount $250.00 Satisfied ................... RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Page 11 of 14 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 4/12/2018 STATESIDE POWER INC .•. an Affidavit of Experience. Tim Aldrich Trainee. Infraction no. EDORN00515 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Loren Thomas • Trainee. LAPSE: 5/20/2015-6/19/2015 Infraction no. EDORN00506 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Caleb Tuohimaa - Trainee. Infraction no. EDORN00492 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Rodney Andrews - Trainee. Infraction no. EDORN00481 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Kyle Dorhofer - Trainee. • Infraction no. EDORN00497 Issue date 03/24/2016 Violation city Satisfied RC VV/WAC 19.28.271 RCW Violation amount $250.00 Satisfied ._...._............ RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161 RCW Violation amount $250.00 Satisfied ................. ..... R C W/WAC 19.28.161(6) RCW Violation amount Page 12 of 14 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 4/12/2018 STATESIDE POWER INC KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Stuart Donoghue - Trainee. Affidavit: 4/1/2013-3/31/2015 Infraction no. EDORN00512 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Chris Foederer • Electrician. First quarter 2015. LAPSE: 8/22/2014-4/23/2015 Infraction no ED0RN00485 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Sith Phothisat - Trainee. Infraction no. EDORN00482 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Adriene Fernandez - Trainee. Infraction no. EDORN00503 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Bradley Stipp - Trainee. $250.00 Satisfied ....__............ RCW/WAC 19.28.271 RCW Violation amount $250.00 Satisfied RCW/VVAC 19.28.161 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Page 13 of 14 Help us improve httos://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 4/12/2018 STATESIDE POWER INC Workers' comp Oft mine' Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 963,027-00 Doing business as STATESIDE POWER INC Estimated workers reported Quarter 4 of Year 2017 "51 to 75 Workers" L&I account contact T4 / TERRI MADISON (360)902-4654 • Email: KIRT235@lnl.wa.gov Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for, Inspection results date 02/18/2016 Inspection no. 317939090 Location 88 102 ave. NE Bellevue, WA 98007 Inspection results date 11/10/2015 Inspection no. 317938041 Location 301 E Pine Seattle, WA 98117 Inspection results date 08/16/2013 Inspection no 316856178 Location 10636 NE 123rd Street Kirkland, WA 98034 Inspection results date 06/11/2012 Inspection no. 316066133 Location 1510 NW Market St Seattle, WA 98101 No violations No violations No violations Violations Page 14 of 14 fgi Washington Stale Dept of Labor & Industries. Use of this site is subject to the laws of the slate of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 4/12/2018