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HomeMy WebLinkAboutPermit EL18-1065 - ALLIANCE - MOCK UNIT WITHIN SPACEALLIANCE 406 BAKER BLVD 140 ELI 8-1065 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.eov ELECTRICAL OTC PERMIT 0223100037 Permit Number: EL18-1065 406 BAKER BLVD 140 Project Name: ALLIANCE Issue Date: 12/11/2018 Permit Expires On: 6/9/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: EILAT MANAGEMENT 650 S ORCAS ST #210 ICG REALTY LLC, SEATTLE, WA, 98104 PAT WILKIE 106363 NE 123RD ST, KIRKLAND, WA, 98034 STATESIDE POWER INC 10636 NE 123RD ST, KIRKLAND, WA, 98034 STATEPIO26PW Phone: (425) 466-4162 Phone: Expiration Date: 12/31/2018 DESCRIPTION OF WORK: MOCK UNIT WITHIN SPACE Valuation of single family: $0.00 Valuation of mf/comm: $2,500.00 Type of Work: REMODEL 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: 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: 2017 2017 2017 2015 Date: JZ. i;-1 1 1 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: 44./ Date: /1-7" Print Name: /7/2- k'2 /im 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 TU ILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical er it No. (i1 10 (0 Project No. Date Application Accepted: 1 1 8 Date Application Expires: (For office use only) ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION King Co Assessor's Tax No.: Site Address: I/ og /9- r 15-g D Suite Number: New Tenant: Tenant Name: fk..L12..CA/a5 PROPERTY OWNER Name: ,947 - Address: Name: filc iltti /lila Phone: Fax: Email: Address: / 3 z 5 1/ e -A- 4.14 © 3- c State: city: stypru- Zip: ?gip) CONTACT PERSON — person receiving all project communication Name: ,947 - Address: City: State: Zip: Phone: Fax: Email: Floor: 0 Yes f7o ELECTRICAL CONTRACTOR INFORMATION Company Name: $) Tiv-1.5 czDE . pa totk Address: / 3 3/Z3i:jsr City:/L,,) State: u jig: Zip: ryga3 Phone:925 _ 520,06—ibFax: Contr Reg No.: sw-fp/02.6pu)Exp E.'ate: 20zi Tukwila Business License No.; Bac 0 q 9 , 8,s3,ep Valuation of Project (contractor's bid price): $ 215-e'0 Scope of Work (please provide detailed information): /1 oak vti-Ariu S Pi9a Will service be altered? LJ Yes Type of Use: Type of work: 0 New 0 Addition 0 Service Change jRemodel 0 Tenant Improvement Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Adding more than 50 amps? 1:=1 Yes No Propertv Served by: (14.Fuget Sound Energy 0 Seattle City Light WAPermit Center1Applications-Handouts \Permit ApplicationstPOrslElectrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm) $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 ❑ Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) 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 .r $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 cxpire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: �/52+/ 14 L,c Mailing Address: /063 hL )2"d57" Date: 12-11-70/9 Day Telephone: 1/15— VW -9/2 1-1/fr14,vD City W:\Permil Center Applications -Handouts \Permit Apptications\PDF's\Electrical Permit Application Revised I-1-17.docx Revised: January 2017 bh Qgo3y State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK 1 ACCOUNT 1 QUANTITY I PAID $154.65 EL18-1065 Address: 406 BAKER BLVD 140 Apn: 0223100037 $154.65 Credit Card Fee $4.50 Credit Card Fee R000.369.908.00.00 0.00 $4.50 ELECTRICAL $143.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 I $143.00 TECHNOLOGY FEE $7.15 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R16027 R000.322.900.04.00 0.00 $7.15 $154.65 Date Paid: Tuesday, December 11, 2018 Paid By: CLAUDE HERMAN Pay Method: CREDIT CARD 160181 Printed: Tuesday, December 11, 2018 3:09 PM 1 of 1 SYSTEMS Page 1 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 12/11/2018 03:08:59 PM CREDIT CARD SALE VISA CARD NUMBER: **********3205 K TRAN AMOUNT: $154.65 APPROVAL CD: 160181 RECORD #: 000 CLERK ID: jazzel 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 ://c lassie. convergepay. comNirtualMerchant/transaction. do?dispatchMethod=printTr... 12/1 1 /20 1 8 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 12/11/2018 03:08:59 PM CREDIT CARD SALE VISA CARD NUMBER: TRAN AMOUNT: APPROVAL CD: RECORD #: CLERK ID: **********3205 $154.65 160181 000 jazzel Thank you! Customer Copy K Page 2 of 2 https://classic.convergepay.com/VirtualMerchant/transaction.do?di spatchMethod=printTr... 12/1 1 /20 1 8 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 - Permit Inspection Request Line (206) 438-9350 0406 Project: I I ATIAIAtiNa Type of Inspection: tittifkl--- Address: ICA; &V°49‘ eito Date Called: Special Instructions: Date Wanted: a. .m. Requester: Phone No: 206 72_0 m i Approved per applicable codes. D Corrections required prior to approval. COMMENTS: 41_ e Inspectorf: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Calt 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 Permit Inspection Request Line (206) 438-9350 (206) 431-367 Project: 1 mq cot Type of Inspection: OU(44- pi Address: YD4 Date Called: Special Ins ructions: Date Wanted: a. . . Requester: Phone No: LIApproved per applicable codes. Corrections required prior to approval. COMMENTS: FA or" IA,a Inspector: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. STATESIDE POWER INC I I.:spa1101 ContAct Safety & Health Claims & Insurance Aft kWashington State Department of /Labor & Industries Page 1 of 14 'Search L& A -Z nd Help My L&I Workplace Rights Trades & Licensing STATESIDE POWER INC Owner or tradesperson Principals CHAMBERS, RONALD H White, William, PRESIDENT Wilkie, Patrick, VICE PRESIDENT White, 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 contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no, STATEPI026PW Effective — expiration 10/18/1998— 10/22/2020 Designated administrator WHITE, WILLIAM E License type Master Electrician Bond Hartford Fire Ins Co Bond account no. 52BSBGQ4543 Active. Meets current requirements. License no WHITEWE968KE $4,000.00 Received by L&I Effective date 02/18/2014 02/20/2014 Expiration date Until Canceled Bond history Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 12/11/2018 STATESIDE POWER INC Savings No savings accounts during the previous 6 yea.reriod. License Violations 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. 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. 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. 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 - 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 Satisfied RCW/WAC 19.28.271 RCW Violation amount $500.00 Page 2 of 14 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 12/11/2018 STATESIDE POWER INC 4/23/2015. Pay Period Used: Pay Period Used: 12/19/2014, Austin Carr -trainee 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. 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 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. 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 19.28.271 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?UBI=601897327&LIC=STATEPI026PW&SAW= 12/11/2018 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. 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. 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. 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. Satisfied RCW/WAC 19.28.161 RCW Violation amount $6,750.00 Satisfied R C WIWAC 19.28.271 RCW Violation amount $1,750.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161 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= 12/11/2018 STATESIDE POWER INC C Page 5 of 14 Infraction no. EDORN00479 Satisfied Issue date RCW/WAC 03/24/2016 19.28.161 RCW Violation city Violation amount KIRKLAND 5250.00 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 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 Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161 RCW Violation amount $250.00 Satisfied RC VV/VVAC 19.28.271 RCW Violation amount 5250.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00 Help us improve httos://seeure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 12/11/2018 STATESIDE POWER INC ,•■■\ 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 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. EDORN00489 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. Caleb Tuohimaa - Trainee. Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount 5250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161 RCW Violation amount 5250.00 Page 6 of 14 Help us improve https://secureini.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 12/11/2018 STATESIDE POWER INC 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. 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. 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 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. EDORN00492 Issue date 03/24/2016 Violation city KIRKLAND Type of violation Satisfied RCW/WAC 19.28.161 RCW Violation amount 5250.00 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 19.28.271 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Page 7 of 14 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 12/11/2018 STATESIDE POWER INC 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. 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. 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, 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 - Satisfied RCM/VAC 19.28.161 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Satisfied ...................... RCM/AC 19.28.161(6) RCW Violation amount $250.00 Satisfied ............. RCW/WAC 19.28.271 RCW Violation amount $250.00 Page 8 of 14 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 12/11/2018 STATESIDE POWER INC 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. 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. EDORN00484 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. James McCollum - Trainee. 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. EDORN00508 Issue date 03/24/2016 Violation city KIRKLAND Type of violation ELECTRICAL CITATION Description 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 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 Page 9 of 14 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 12/11/2018 STATESIDE POWER INC 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. 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. 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. EDORN00493 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. Fidel Castillo - Trainee. Infraction no. EDORN00488 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. R David Tousley - Trainee. Infraction no. EDORN00480 Issue date Satisfied RCWNVAC 19.28.161(6) RCW Violation amount $250.00 Satisfied RCWNVAC 19.28.161(6) RCW Violation amount $250.00 Satisfied RCWNVAC 19.28.161(6) RCW Violation amount $250.00 Satisfied ..................... RCWNVAC 19.28.161 RCW Violation amount $250.00 Satisfied RCW/WAC Page 10 of 14 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 12/11/2018 STATESIDE POWER INC 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. 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. 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. EDORN00510 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. Third quarter 2014. LAPSE: 8/22/2014-4/23/2015 Satisfied RCW/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(6) RCW Violation amount $250.00 Satisfied ..... ..........._... RCW/WAC 19.28.271 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= 12/11/2018 STATESIDE POWER INC 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. 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. EDORN00498 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. Kyle Dorhofer - Trainee. 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. EDORN00485 Issue date 03/24/2016 Violation city KIRKLAND Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Satisfied RCWWAC 19.28.161 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Satisfied RC WNVAC 19.28.271 RCW Violation amount $250.00 Satisfied ..................... RCW/WAC 19.28.161 RCW Violation amount $250.00 Page 12 of 14 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601897327&LIC=STATEPI026PW&SAW= 12/11/2018 STATESIDE POWER INC 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. 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. EDORN00497 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: 4/1/2013-3/31/2015 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. Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount 5250.00 Satisfied RCW/WAC 19.28.161 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 o Page 13 of 14 1 1 httos://secure.lni.wa.aov/verifv/Detail.asox?UBI=601897327&LIC=STATEPI026PW&SAW= 12/11/2018 Help us improve STATESIDE POWER INC IWorkers' 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. 963,027-00 ..................... Doing business as STATESIDE POWER INC Estimated workers reported Quarter 3 of Year 2018 "51 to 75 Workers" L&I account contact T4 / TERRI MADISON (360)902-4654 - Email: KIRT235@Ini.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 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 No violations No violations No violations Page 14 of 14 iD 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=601897327&LIC=STATEPI026PW&SAW= 12/11/2018