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HomeMy WebLinkAboutPermit EL18-0437 - FLOOR & DECOR - INSTALLATION OF LV CONDUIT (WITH REVISIONS)FLOOR & DECOR 17651 SOUTHCENTER PKWY ELI 8-0437 Parcel No: Address: 0 City of Tukwila t 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 3523049088 17651 SOUTHCENTER PKWY Project Name: FLOOR & DECOR Permit Number: EL10-0437 Issue Date: 5/9/2018 Permit Expires On: 12/16/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: LEVITZ TUKWILA LLC 1DONSTETSON AVE #324D' CHICAGO, WA, 80601 TOM MARSHALL 1Z6SSPOKANE ST'SEATTLE, WA, 98134 Phone: (206) 650-684 ECO ELECTRIC Phone: (206) 232-0038 P0 BOX 468'MERCER ISLAND, WA, 98040 ECOELE*842DN Expiration Date: 3/15/2020 ''' DESCRIPTION OF WORK: INSTALLATION OF LV CONDUIT *REVISED PERMIT TO INCLUDE ADDING EXIT AND EMERGENCY LIGHTS PER BUILDING DEPT. FEES ADJUSTED ACCORDINGLY 06/18/18* REVISION #2 ADD THE FOLLOWING TO THE SCOPE OF WORK: LOADING DOCK LIGHTS, LOW VOLTAGE CONDUITS, FRONT AND BACK DOOR BUZZERS, FIX 2X LIGHTS NOT WORKING, REPLACE SWITCH OFFICES, INSTALL NEW EX|TL|GHTI. ' POWER TO EXTERIOR SIGNS, REPAIR DAMAGED TRACK LIGHTS, INSTALL 4 EXTERIOR WALL PACKS, 3 ROOF TOP UNITS, TRASH COMPACTOR DISCONNECT, INSTALL CONTACTORS FOR A/C SHUT DOWN, SEWER GRINDER PUMPS, OUTLET AT FRONT ENTRY, ADD EMERGENCY LIGHTS. Valuation of single family: $0.00 Valuation of mf/comm: $15,000.00 Type of Work: TENANT IMP Fees Collected: $391.52 Electrical Service Provided by: PUGET SOUND ENERGY Water District: HIGHLINE 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Permit Center Authorized Signature: LAXIL Date: 11I '?"0-0 v I hearby certify that I have read and examined this permit and know the same to be true and correct. All provisians 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 cr local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature'` Date: !s/-- / Y Print Nam "1,7.--c/4; /� 1 dr -4 - 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: ,,11 electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Thapter 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 if the building, such equipment shall not be concealed until it has been inspected and approved by the 2Iectrical 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 2100 2100 7003 7002 7001 ELECTRICAL FINAL ELECTRICAL FINAL ELECTRICAL FINAL ROUGH -IN ELECTRICAL SERVICE UNDERGROUND/SLAB 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.Rov ELECTRICAL OTC PERMIT 3523049088 17651 SOUTHCENTER PKWY Project Name: FLOOR & DECOR Permit Number: EL18-0437 Issue Date: 5/9/2018 Permit Expires On: 12/15/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: LEVITZ TUKWILA LLC 180 N STETSON AVE #324-D, CHICAGO, WA, 80601 TOM MARSHALL 126 S SPOKANE ST, SEATTLE, WA, 98134 ECO ELECTRIC PO BOX 468 , MERCER ISLAND, WA, 98040 ECOELE*842DN ,,, Phone: (206) 650-6845 Phone: (206) 232-0838 Expiration Date: 3/15/2020 DESCRIPTION OF WORK: INSTALLATION OF LV CONDUIT `REVISED PERMIT TO INCLUDE ADDING EXIT AND EMERGENCY LIGHTS PER BUILDING DEPT. FEES ADJUSTED ACCORDINGLY 06/18/18* Valuation of single family: $0.00 Valuation of mf/comm: $15,000.00 Type of Work: TENANT IMP Fees Collected: $391.52 Electrical Service Provided by: PUGET SOUND ENERGY Water District: HIGHLINE 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Permit Center Authorized Signature: Date: 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 development permit and agree to the conditions attached to this permit. Signatur Date: Print Name: < < K.4.c7, _COurc- 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 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB 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: htto://www.TukwilaWA.Rov ELECTRICAL OTC PERMIT 3523049088 17651 SOUTHCENTER PKWY Project Name: FLOOR & DECOR Permit Number: EL18-0437 Issue Date: 5/9/2018 Permit Expires On: 11/5/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: LEVITZ TUKWILA LLC 180 N STETSON AVE #324-D, CHICAGO, WA, 80601 TOM MARSHALL 126 5 SPOKANE ST, SEATTLE, WA, 98134 ECO ELECTRIC PO BOX 468 , MERCER ISLAND, WA, 98040 ECOELE*842DN ID, Phone: (206) 650-6845 Phone: (206) 232-0838 Expiration Date: 3/15/2020 DESCRIPTION OF WORK: INSTALLATION OF LV CONDUIT Valuation of single family: $0.00 Valuation of mf/comm: $5,000.00 Type of Work: TENANT IMP Fees Collected: $196.41 Electrical Service Provided by: PUGET SOUND ENERGY Water District: HIGHLINE 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 1 hearby certify that 1 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 development permit and agree to the conditions attached to this permit. Signature: Print Name: Edw."✓ dt-- Date: 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 296-466 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 -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB 1' ti CITY OF TUKWILA Community Development Department Perini/ Ccnter 6300 Southcenter Blvd., Suite 100 111,l111a. WA 98188 Tukwi la W A. Llov Electrical Permit No. 'ELI S 014171 Project No. Date Application Accepted: 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 1.00 ATR)\ Sitc A�i;ires : _7-6-0fi South Center Prkwy Suite Number: Floor: intg 1 King Co Assessor's Tax No.: Teoaltt 'v 1n^ Hoer and Decor PROPERTY OWNER Nano: Addr (I1y: State: Zip: CONT ACT PERSON — person receiving all project C 011111R,:;iCd t;, ,. Name . Tom Ni irsha11 Atki re, ('it;: State: Zip: Phone 206i (5(1-6845 Fax: hnrlil. L:orvr/ ccocicctricwa.com New Tenant: ❑ Yes ❑..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Eco Electric Address: 126 S Spokane St City: Seattle State: WA Zip: 98134 Phone: (206) 232-0838 Fax: Contr Reg No.: ECOELE842DN Exp Date: 03/18/2021 Tukwila Business License No.; BUS - 0997137 valuation •ontractor's bid price): s 5,000 StcoOc , ' '\ oil; ,l, asc provide detailed information): Installation of LV conduit \I'll: Yes ® No Type of l`pcyi I'n,1),•, Adding more than 50 amps? ❑ Yes m No ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement ❑ iie icruor ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service ❑ Seattle City Light to, PEP.'s Penni: Application Revised I-1-17.docx Page 1 of 2 RESIDENTIAL -_• SIDI:ST.1AL ,SERVICE ❑ \. .in_,! fanny ,!»cllin«s 5155.91 ❑ i t: ;�a pis_ spas and outbuildings $83.54 ea n,r�c tl;cnnostat) 561.05 ea RI ! \I1Al. RI:'IOI)EL AND SERVICE CHANGES ,:,._ a'.x,n _._. $83.54 .r:lct! :1i�rcd circuits} ',,ltercd circuits 583.54 nun;i,rr f :added circuits $12.00 ea �tl 1.1out che SSS (i9 Ilcutt.>) seixice change 555.69 •i„ c $7.65 ea 569.62 $61.05 licrntt75tat MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** PERM! .`:I' PLICATION NOTES - Value al i oiraru tion Ir, alI cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject er to comply with current fee schedules. Lxpirarl"n Thein . and !u_a,.l.. t Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. ai.,ru one extension of time for an additional period not to exceed 90 days. The extension shall be requested in 'writing :,1U�J �:_P:,uOSI lteO. l: Il l 1"HAI I HAVE READ ANI) EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PIA ",H 1 t ii l'i Ell P l' H TI IF LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. St<21 I Pnni A.1.1.,. Ma hie_ VII tibia— Ilt OR ) j,F.CTRICAL CONTRACTOR: LS FO r kA S ti'I2nG ung Pine') PDP: H:<tticil Pcrmff \pplk:n ion Revised 1-1-17.docx Day Telephone: Date: 911 `i g 2o(0 2 2i9 ' 8 Yknot WA -9 M Cry State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I ACCOUNT I QUANTITY I PermitTRAK PAID $195.11 EL18-0437 Address: 17651 SOUTHCENTER PKWY Apn: 3523049088 $195.11 Credit Card Fee $5.68 Credit Card Fee R000.369.908.00.00 I 0.00 I $5.68 ELECTRICAL $180.41 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 I $180.41 TECHNOLOGY FEE $9.02 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT: R14742 0.00 $9.02 $195.11 Date Paid: Tuesday, June 19, 2018 Paid By: DAN PRINCE Pay Method: CREDIT CARD 007919 Printed: Monday, June 18, 2018 4:44 PM 1 of 1 SYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 06/18/2018 04:44:13 PM CREDIT CARD SALE VISA CARD NUMBER: **********0514 K TRAN AMOUNT: $195.11 APPROVAL CD: 007919 RECORD #: 000 CLERK ID: Rachelle X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy Page 1 01'2 https://classic.convergepay.comNirtualMerehant/transaction.do?dispatchMethod=printTra... 6/18/2018 Page 2 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 06/18/2018 04:44:13 PM CREDIT CARD SALE VISA CARD NUMBER: **********0514 K TRAN AMOUNT: $195.11 APPROVAL CD: 007919 RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy https://classic.convergepay.comNirtualMerchant/transaction.do?dispatehMethod=printTra... 6/18/2018 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK .41 EL18-0437 Address: 17651 SOUTHCENTER PK pn: 352304908 196.41 ELECTRICAL $187.06 PERMIT FEE MULTI-FAM/COMM TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R14454 R000.322.101.00.00 R000.322.900.04.00 0.00 0.00 $187.06 $9.35 $9.35 $196.41 Date Paid: Wednesday, May 09, 2018 Paid By: ECO ELECTRIC Pay Method: CHECK 1043 Printed: Wednesday, May 09, 2018 12:24 PM 1 of 1 CRVVSYSTEMS iJ INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMiT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - Permit Inspection Request Line (206) 438-9350 Project: D6, 0 js ..4,_ Type of Inspection: Ail Address: si ...s. 6 Date Called: Special Instructions: Date Wanted: .m. Requester: Phone No: VIApproved per applicable codes. ElCorrections required prior to approval. COMMENTS: 14„ Date: 66/z41 REINSPECT! N FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3 Permit Inspection Request Line (206) 438-9350 Project:Type /' '' -AP S '( Tiol- Vircif of Inspection: N �/ Address:Date !7S] $ -c_, Called: ._ dpbkr' . Ritireet, sc u i -c -i (PSS) Special Instructions: Date Wanted: a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: /' '' -AP S '( Tiol- Vircif .5414 & PA-Clz - 6F. I &A14 - v 4- Adero tiorr-it$)<x pikr4t-- fit-rJb C T. Plea) Jtb 6P-k_ct-v.-a c4,44-1P(s) ._ dpbkr' . Ritireet, sc u i -c -i (PSS) •- iJthi rl3i gW s�� Inspector: Date: 66(2,4i tc 2 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 2_ INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMtT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-367 Project: ts Type of Inspection: 6-- Nr41 Address:i A 5.-11\ c_ 0 I ed: Date Called: Special Instructions: Date Wanted: a.m. Requester: Phone No: EjApproved per applicable codes. Corrections required prior to approval. COMMENTS: irsr1uaotc ,uor f?-fucf or tikhk-K_ FoRtio. Mst JPii 1 r Inspector: Date: cg 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 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 0 Permit Inspection Request Line (206) 438-9350 PERMIT NO. Project: Type of Inspection: F,141,---- Address: / 7K -I 5 -(-- ' Pt Date Called: Special Instructions: COAk 6u) Date Wanted: ‘ tY ITI. Requester: Phone No: LJApproved per applicable codes. Corrections required prior to approval. COMMENTS: Ai49-r4-7 A-M(TID/JA-L. g6/15104 inspector: Date: REINSPECTION IEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. PROJECT NAME: floor i- e-- SITE ADDRESS: E 7(p5 I SooilvtmA4k,g1vo( PERMIT NO: C I -1 g - ©113 ORIGINAL ISSUE DATE: 5--9--f —f REVISION LOG REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS STAFF INITI LS 10-.)-01P Summary of Revision: 10-,0-fe Received by: REVISION NO. DATE RECEIVED STAFF INITIALS STAFF INITIALS ISSUED DATE STAFF INITI LS 10-.)-01P t/f.. 10-,0-fe Received by: Summary of Revision: cia.c 40 scck d4- Ubric. Received by: /lj'- Al,, .,,,-- (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) City of Tukwila REVISION SUBNIITTAL Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: % 'i Plan Check/Permit Number: C[ 1 • G.-iS 7 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner ❑ Deferred Submittal # Project Name: 1 c Project Address: Contact Person: t c r 1 ) (.7 , 1 S .-.w II'C 1 -cc- /6 Phone Number —�Y� Summary of Revision: L-, a 1 ., b e—1c t G r 4 1,i 9 � , t /` X .,2 tC i� z &'-'; t:- p �k j / fav, '.42 cotit'rGz., f/r ,0 �✓� v G'sr.� •/ .l �J / i / of •r���, �( to 4 -/v --Ayr( /1 � 3 1i r� C' �� v,, �ii+ rl .--077,e-#4,-- AA ✓ -:.� ,,f /11. e v i Xe A;;--• + 44.,/ dour., 4.1 ci rrk /./ RECEIVFD CITY OF TUKWILA JUN 2 0 2018 Sheet Number(s): "Cloud" or highlight all areas of revision includin date of revision PERMIT CENTER Received at the City of Tukwila Permit Center by: Isr Entered in TRAKiT on (P-010 '( W:'Pernut Center\Templat s\Forms\Revision Submittal Formdoc Revised. August 2015 Eco Electric I 1111k Washington State Department of kl Labor & Industries 11, tin c Es pa ol Cont aCt Safety & Health Claims & Insurance earch L&I Page 1 of 2 AZ I t alex I I elp My L&l Workplace Rights Trades & Licensing Eco Electric Owner or tradesperson Principals Hesseltine, Cory J, PARTNER/MEMBER Hesseltine, Cory J, AGENT Doing business as Eco Electric WA UBI No, 603 569 740 Parent company NRG Services LLC PO Box 468 MERCER ISLAND, WA 98040 206-232-0838 KING County Business type Limited Liability Company License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. ECOELE*842DN Effective — expiration 03/15/2016— 03/15/2020 Designated administrator Hesseltine, Cory License type Electrical Administrator Bond American Contractors Indem CO Bond account no. 100303354 Received by L&I 03/15/2016 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Active. Meets current requirements. License no HESSEC*917Q4 $4,000.00 Effective date 03/14/2016 Expiration date Until Canceled Workers' comp 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 Account is current. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603569740&LIC=ECOELE*842DN&SAW= 5/9/2018 Eco Electric 234,001-02 ........................... Doing business as ECO ELECTRIC Estimated workers reported Quarter 1 of Year 2018 "21 to 30 Workers" L&I account contact T5 / BETTY WHALIN (360)902-5137 - Email: VABE235@lni.wa.gov 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 No inspections during the previous 6 year period. Page 2 of 2 ©Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603569740&LIC=ECOELE* 842DN&SAW= 5/9/2018