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HomeMy WebLinkAboutPermit EL18-0806 - TUKWILA COMMERCE CENTER - REPLACE LIGHTS AND RELOCATE SMOKE DETECTORTUKWILA COMMERCE CENTER 825 INDUSTRY DR BLDG 27 ELI 8-0806 Parcel No: Address: Project Name: City of Tukwila a Department of Community Development 6300 Southcenter BoulevardSuite #100 Tukwlla, Washington 98188 Phone: 206'431-3670 Inspection Request Line: 206'438'9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 2523049034 825 INDUSTRY DR BLD TUKWILA COMMERCE CENTER Permit Number: EL18-0806 Issue Date: 9/20/2018 Permit Expires On: 3/19/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: BKM TUKWILA 17OIQUAIL 5TSTE1OO,NEWPORT BEACH, WA, 92660 JOE GISEBURT 1900VVN|[K[RSON5TSTE116-9' SEATTLE, WA, 98119 EVERGREEN ELECTRICAL SYSTEMS LLC 1900 W NICKERSON ST #116-9, SEATTLE, WA, 98119 EVE RG ES904CH ''' Phone: (425) 773-0148 Phone: (206) 922-5591 Expiration Date: 2/13/2020 DESCRIPTION OF WORK: REPLACE (4) LIGHTS AND RELOCATE (1) SMOKE DETECTOR Valuation of single family: $0.00 Valuation of mf/comm: $2'275I0 Type of Work: FIRE ALARM Fees Collected: $154.65 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: nternationaI Residential Code Edition: Iriternational Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: 2015 20152015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: 2017WA State Energy Code: Date: 20172017 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 development permit and agree to the conditions attached to this permit. Signature: /). Print Name: eee 6-77,46w Date: 7 i -,- Date: ('7`~ ' a 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 -IN 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. V J V /OCZO'ca 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** King Co Assessor's Tax No.: Site Address: a r/S f r''r «( >� 60-?? Suite Number. Tenant Name: 7uk.(vIIG( (ov!1/YIe✓ce Ce✓i7er New Tenant: PROPERTY OWNER' Name: ."t- _ f oe_ Name: 51 f ,/ Phone: Fax: Address: ©f $triz j -e v 611.,/ vJ City: bt l`State: , _ ei_ � � �T Zip: cr C.lh O CONTACT PERSON,, ;person receiving•aB project :' :; communication Name: ."t- _ f oe_ Address:: SO. Pte. la E r s City: State: Zip: Phone: Fax: t Email: 16t�tti etiertirte el ec iW ca L s v, 'r &is . cow Floor ❑ Yes 0:No ELECTRICAL CONTRACTOR TION Company Name: rpt, h Flee' e i' r, &a J G y Address: gt1 w �.,� s City: sea77 State: fro4 Zip: / Dp.,/ter Phone: Las__ 773 eFax: Contr Reg No. FV tS cm Pk Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): S 7S j_ % Scope of Work (please provide detailed information): Q p/a -e (i) /l Ji i 4- tis.- lOC4 °. 1 smoke dereete Will service be altered? ElYes Type of Use: Co, rn m erc l/cC/ Adding more than 50 amps? ❑ Yes Tvpe of work: ❑ New 71 Addition 0 Service Change ❑ Low Voltage 0 Generator 0. Fire Alarm Pro erved Puget Sound Energy 0 Seattle City Light W:1Permit CmIRUppliatiam-Handa,ro\Prmit Apollonian\PDFs\Ekrtrial Permit Application Revised 1-I-L7.cleat Revised: January 2017 bh ❑ Remodel 0 Tenant Improvement O Telecommunication 0 Temporary Service Page 1 of 2 D. CONDITIONAL PAYMENTS & RETAINAGE Subcontractor's right to any and all payments for performance under this Subcontract is subject to the following: Payment Contingent on Owner Payment. It is agreed that as a condition precedent to any payment by Contractor to Subcontractor hereunder the Contractor must first receive payment from the Owner for the Work of Subcontractor for which payment is sought. Subcontractor specifically agrees that it is relying upon the Owner's credit (not the Contractor's) for payment, and Subcontractor specifically accepts the risk of nonpayment by the Owner. At the reasonable request of Subcontractor, Contractor agrees to furnish such information as is reasonably available to Contractor from Owner regarding Owner's financial ability to pay for performance under the Main Contract. The parties agree Contractor does not warrant the accuracy or completeness of information provided by Owner. Subcontractor shall submit progress billings before the 25th of each month so that each billing may be included in Contractor's billing to the Owner and shall include a lien release, which is available from Contractor, with each progress billing. The failure of Subcontractor to submit its billing timely and with a lien release shall result in Contractor submitting Subcontractor's billing to the Owner for the next month. Unless otherwise mutually agreed, Contractor shall withhold Njoeirsie from Subcontractor in the same percentage (S%) as the Owner withholds from the Contractor. Contractor's obligation to release retainage to Subcontractor shall be subject to proof that there are no unpaid claims which would provide the basis of a lien against the premises, retainage or payment bond, or subject to (1) withholding of sufficient funds or (2) furnishing an adequate and sufficient payment and performance bond. Subcontractor shall be paid for Work to date of Contractor's last progress billing date, as approved by Owner or its representative, within fifteen days after Contractor has received payment for such progress billing. Final payment for Work under this Subcontract shall be made within fifteen days after Contractor has received final or complete payment provided Subcontractor has completed its Work and fulfilled each of its obligations under this Subcontract. When required by Contractor, and as a condition precedent to any payment, Subcontractor shall provide in a form satisfactory to Contractor partial lien releases, claim waivers and affidavits of payment from Subcontractor, and its lower -tier subcontractors and suppliers of any tier, for the completed portion of Subcontractor's Work. If the Main Contract permits payment for materials delivered to the jobsite or to satisfactory storage facilities, Subcontractor may invoice for materials so delivered and receive payment as outlined above; provided, however, that such stored materials shall be at the risk of Subcontractor until acceptance of the Subcontract Work. Subcontractor acknowledges that all payments accepted by it or which are otherwise due under this Subcontract shall constitute a trust fund in favor of laborers, materialmen, governmental authorities, and all others who are legally entitled to claim a lien on the premises covered by this Subcontract or otherwise file a claim against any retainage or payment bond. Subcontractor shall pay its own subcontractors and suppliers all sums owed them within fifteen days of receipt of payment from or on behalf of Contractor. RMI Subcontract Agreement - 5 - Revised 01.05.17 RESIDENTIAL NEW RESIDENTIAL SERVICE 0 New single family dwellings (including an attached garage) 0 Garages, pools, spas and outbuildings o Low voltage systems (alarm, furnace thermostat) $155.91 $83.54 ea $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES 0 Service change or alteration $83.54 (no added/altered circuits) 0 Service change with added/altered circuits S83.54 number of added circuits $12.00 ea O Circuits added/altered without service change $55.69 (up to 5 circuits) O Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea O Meter/mast repair $69.62 0 Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract MISCELLANEOUS FEES 0 Temporary service (residential) $66.30 0 Temporary service (generator) $82.52 0 Manufactured/mobile home service $87.98 (excluding garage or outbuilding) 0 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*** 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 1 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: Date: ?"-- /9— 4r Print Name: T Gf'stivr Mailing Address: oge 4/44.,,,keron cr S Day Telephone: VC- 773--©/ ve WAPermit Candukpplications-limalcueSPermit Appliarioni\PDFAEleenical Permit Apulian -ice' Revised 1-1-17.doist Revised: January 2017 be -can rie vIZ 9 q City Page 2 of 2 Subcontract General Conditions A. OBLIGATIONS AND RESPONSIBILITIES It is agreed that Subcontractor will assume toward Contractor all obligations and responsibilities which Contractor has assumed under the Main Contract to the extent of the Work herein subcontracted, and Subcontractor shall be entitled to all privileges and protections granted Contractor under the Main Contract. In case of conflict between the terms of this Subcontract and the Main Contract, this Subcontract shall control. Subcontractor shall designate in writing all lower -tier subcontractors to Contractor and shall not subsequently change lower -tier subcontractors without Contractor's approval. Contractor shall furnish to Subcontractor, upon Subcontractor's request, the legal description of the premises covered by the Main Contract. A copy of the Main Contract can be made available upon request. B. DRAWINGS/SUBMITTALS Subcontractor agrees to furnish drawings, specifications, final selections of materials and other specified items in the quantity required by the Main Contract for approval by Owner or Owner's agent so as not to delay progress of the Work. Subcontractor shall submit all necessary submittals and shop drawings to the Contractor within two weeks of receiving notification to proceed. Any delays caused by Subcontractor's late submittals will be treated as set forth in Article C. As -built drawings are to be maintained by Subcontractor on the job site and are to be updated weekly; timely updates are a condition for prompt payment. Subcontractor shall submit project closeout documentation to Contractor within three weeks of completing work. C. SCHEDULING Contractor shall give Subcontractor advance notice of anticipated starting date for Subcontract Work. Contractor shall consult with Subcontractor on development and update of a construction schedule ("Project Schedule") at Subcontractor's request and shall make the Project Schedule available to Subcontractor at Subcontractor's request. Subcontractor shall start work on the date named by Contractor and shall complete the several portions and the whole of the work herein described at such times as will enable Contractor to timely comply with the Main Contract. Subcontractor shall cooperate with Contractor and other subcontractors. Subcontractor will be bound by any provisions in the Main Contract for liquidated damages and, if liquidated damages are assessed against Contractor by Owner, shall pay such damages for any delay to the extent caused by Subcontractor. Subcontractor shall provide sufficient manpower to complete the project as designed and scheduled. A delay by Subcontractor that results in added cost to subsequent subcontractors or to the Contractor will be the responsibility of the Subcontractor causing the delay. The preceding language shall not be construed to deprive Contractor of any right to recover separate or additional damages for delay to the extent caused by Subcontractor. RMI Subcontract Agreement - 4 - Revised 01.05.17 Page 1 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 09/20/2018 02:05:36 PM CREDIT CARD SALE VISA CARD NUMBER: **********1483 K TRAN AMOUNT: $309.30 APPROVAL CD: 060925 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 haps://classic.convergepay.comNirtualMerehant/transaction,do?dispatchMethod=printTra... 9/20/2018 (ow CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 09/20/2018 02:05:36 PM CREDIT CARD SALE VISA CARD NUMBER: **********1483 K TRAN AMOUNT: $309.30 APPROVAL CD: 060925 RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy Page 2 of 2 https://classic.convergepay.com/VirtualMerchant/transaction.do?dispatchMethod=printTra... 9/20/2018 Cash Register Receipt City of Tukwila DESCRIPTIONS I PermitTRAK ACCOUNT QUANTITY PAID $309.30 EL18-0806 Address: 825 INDUSTRY DR BLDG 21 Apn: 2523049034 $154.65 Credit Card Fee $4.50 Credit Card Fee R000.369.908.00.00 I 0.00 $4.50 ELECTRICAL $143.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 $143.00 TECHNOLOGY FEE $7.15 TECHNOLOGY FEE R000.322.900.04.00 0.00 $7.15 EL18-0807 Address: 825 INDUSTRY DR BLDG 21 Apn: 2523049034 $154.65 Credit Card Fee $4.50 Credit Card Fee 1 R000.369.908.00.00 0.00 I $4.50 ELECTRICAL $143.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 I $143.00 TECHNOLOGY FEE $7.15 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15438 R000.322.900.04.00 0.00 $7.15 $309.30 Date Paid: Thursday, September 20, 2018 Paid By: JOE GISEBURT Pay Method: CREDIT CARD 060925 Printed: Thursday, September 20, 2018 2:06 PM 1 of 1 SYSTEMS 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) 431-36 jI A Proect: / t " COtirr- 6"sik Type of inspection: AI/ Address: 22/6.—bj b virkii Date Called: Special Instructions; tit - 7-1 ZeC7 73J 0511 Date Wanted: a. .m. Requester: Phone NoSIO ificx.0 YU Approved per applicable codes. OCorrections required prior to approval. OMMENTS: L Inspector: Date: REINSPECTIONFEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. 1•-, 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) 438-9350 Project: Type of I coon: Address: q -S I frteto srr y Pr Date Called: Special Instructions: ! LA 24 isNU rte,,. J: ( Date Wanted: a.m. p.m. Requester: Phone No: proved per applicable codes. Corrections required prior to approval. COMMENTS: Dater'/29 J/C REINECTION 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 Permit Inspection Request Line (206) 438-9350 (206) 431-367 proJectuyiw cin menti Type of Inspection: Addresre24 in.4“ Dir Date Called: IC ) r Special Instructi ns: f6 Date Wanted: a.s,A PAL Requesterao ..e., Phone No: (4,20 .e./1. 0 ( Lti. EjApproved per applicable codes. Corrections required prior to approval. COMMENTS: Rs. Inspector: Date:91.24 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be I paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. EVERGREEN ELECTRICAL SYS CF 41111) Washington State Department of Labor & Industries I lonte Espanol Contact [Search L&I Safety & Health Claims & Insurance Page 1 of4 A -Z Index Help My I .,.Xz I Workplace Rights Trades & Licensing EVERGREEN ELECTRICAL SYS LLC Owner or tradesperson Principals GISEBURT, JOE R, PARTNER/MEMBER Giseburt, Joe, AGENT Doing business as EVERGREEN ELECTRICAL SYS LLC WA UBI No, 602 863 827 1900 W NICKERSON ST STE 116-9 SEATTLE, WA 98119 425-773-0148 KING County Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. EVERGES904CH Effective — expiration 02/08/2010— 02/13/2020 Designated administrator GISEBURT, JOE R License type Master Electrician Bond TRAVELERS CAS & SURETY CO Bond account no. 105543287 Received by L&I 01/21/2011 Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EZINS00566 Issue date 07/18/2018 Violation city SEATTLE Type of violation Active. Meets current requirements. License no. GISEBJR975RJ $4,000.00 Effective date 01/22/2011 Expiration date Until Canceled Satisfied RCVV/VVAC 19.28.161 RCW Violation amount $8,750.00 Help us improve haps://secureini.wa.gov/verify/Detail.aspx?UBI=602863827&LIC=EVERGES904CH&SAW= 9/20/2018 EVERGREEN ELECTRICAL SYS LLC ELECTRICAL CITATION Description Falling to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. This citation is issued in a matrix and intended to cover multiple violations. Infraction no. EZINS00568 Issue date 07/18/2018 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to ensure installation, maintenance, or repair of wires and equipment that convey electrical current are In strict conformity with the statute, rules, and approved methods of construction for safety to life and property.(Non-conforming installation - Serious Violation.) Infraction no. EZINS00565 Issue date 07/18/2018 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Class B eligible work - Failing to obtain an electrical/telecommunications work permit, or post a provisional electrical work permit, or valid Class B label prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. This citation is issued in a matrix and intended to cover multiple violations. Infraction no. EZINS00567 Issue date 07/18/2018 Violation city SEATTLE 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. This citation is issued in a matrix and intended to cover multiple violations. Infraction no. EZINS00564 Issue date 07/18/2018 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Satisfied RCW/WAC 19.28.010 RCW Violation amount $500.00 Satisfied RCWAAIAC 19.28.101 RCW Violation amount $1,100.00 Satisfied RCWANAC 19.28.271 RCW Violation amount $2,500.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $14,000.00 Page 2 of 4 Help us improve https://secureini.wa.gov/verify/Detail.aspx?UBI=602863827&LIC=EVERGES904CH&SAW= 9/20/2018 EVERGREEN ELECTRICAL SYS Failing to get an inspection or obtain a vali electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. This citation is issued in a matrix and intended to cover multiple violations. Infraction no, EROJE01059 Issue date 05/05/2017 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain a valid electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Infraction no. EHIC000246 Issue date 07/16/2015 Violation city Seattle Type of violation ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296.46B-900 (3)(6), effective after 12/30/2008 see WAC 296- 46B•901. Infraction no. EJOCJ00255 Issue date 12/04/2014 Violation city Seattle 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. Infraction no. EMABQ04130 Issue date 06/11/2013 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a Satisfied ................... RC VV/WAC 19.28.101 RCW Violation amount $1,000.00 Satisfied ................. RCW)WAC 19.28.101 RCW Violation amount $1,000.00 Satisfied ........................... RCW/WAC 19.28.271 RCW Violation amount $500.00 Satisfied ............... _........ RCW/WAC 19.28.271 RCW Violation amount $250.00 Page 3 of 4 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602863827&LIC-EVERGES904CH&SAW= 9/20/2018 EVERGREEN ELECTRICAL SYS 11,C valid certificate of competency or training (` certificate to do electrical work, ti•► Infraction no. EMABQ04129 Issue date 06/11/2013 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Satisfied RCW/WAC 19.28.101 RCW Violation amount $250.00 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 818,095-02 Doing business as EVERGREEN ELECTRICAL SYSTEMS Estimated workers reported Quarter 2 of Year 2018 "11 to 20 Workers" L&I account contact T1 / LINDSEY BOOTH (360)902-5596 • Email: B000235@Ini.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 No inspections during the previous 6 year period. Page 4 of 4 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=602863827&LIC=EVERGES904CH&SAW= 9/20/2018