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HomeMy WebLinkAboutPermit EL19-0043 - WHITMORE LAW - TIE ELECTROFIED DOOR STRIKES INTO FIRE ALARM SYSTEM.WHITMORE LAW 6840 FORT DENT WAY 210 ELI 9-0043 Parcel No: Address: 0 City of Tukwila Department of Community Development �/�/20 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 2954900425 Permit Number: 6840 FORT DENT WAY Unit210 Project Name: WHITMORE LAW Issue Date: Permit Expires On: EL19-0043 1/11/2019 8/21/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: JOHN C RADOVICH DEV CO 2835 82ND AV SE #S-1, MERCER ISLAND, WA, 98040 MATT CARLMAN 206 FRONTAGE RD N, STE C, PACIFIC, WA, 98047 FIRE SYSTEMS WEST INC (ELECTRICAL) 206 FRONTAGE RD N - SUITE C, PACIFIC, WA, 98047 FIRESWI055LW „ 1 Phone: (253) 833-1248 Phone: (253) 833-1248 Expiration Date: 6/16/2019 DESCRIPTION OF WORK: TIE ELECTROFIED DOOR STRIKES INTO FIRE ALARM SYSTEM. REVISION #1: INSTALL NEW FIRE ALARM NOTIFICATION DEV ICES FOR TENANT IMPROVEMENT Valuation of single family: $0.00 Valuation of mf/comm: $1,500.00 Type of Work: FIRE ALARM Fees Collected: $130.83 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: 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 5ignatur Date: � ��''! I hearby certify that I have read and examined this permit and know the same to be true and correct. All provisions oflaw and ordinances governing this work will becomplied with, whether specified herein ornot. The granting of this permit does no4resume to give authority to violate orcancel the provisions ofany other state or local laws regulating or the performance of work. | am authorized to sign and obtain this development permit anX�reX,�6the conditions attached to this permit Signature: 1/Date: Print Name: / m 4-77— C ^ �^�' �� *,. 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: Acopy nfthe electrical work permit shall beposted orotherwise made readily accessible tothe Electrical Inspector ateach work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. /k All electrical work shall beinaccordance with NFPA7O NEC, and requirements for electrical installations, Chapter Z9G4G8VVA[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. G: The issuance ofanelectrical work permit shall not beconstrued tnbeapermit for, nranapproval of, any violation ufthe provisions nfthe electrical code nrother ordinances ofthe jurisdiction. Permits orrelated documentation that presumes togrant this authority are therefore not valid, 7: Any change inthe scope ofwork described bythe 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: (2V6)438-B5n ZlOO ELECTRICAL FINAL 7003 8OUGH'|NELECTR|CAL 7003 ROUGH'|NELE[TR|[AL 7002 SERVICE 7001 UNDERGROUND/SLAB 0 City txx fTukwila Department of Community Development v3vuSvum:cnrc,Bov/cvwnd,»vitce1vu Tukwila, Washington 9Q1Qg �^ � n�o"~.��na'u���'��nro �'����� Inspection Request Line: 206-438-B5O Web site: http://www.TukwilaWA.gov Parcel No: Address: ELECTRICAL OTC PERMIT 2954900425 Permit Number: EL19-0043 684OFORT DENT WAY Unit2lO Issue Date: 1/11/2019 Permit Expires On: 8/21/2019 Project Name: WHITMORE LAW Owner: Address Contact Person; Name: Z8358ZNDAVSE#S-1,MERCER ISLAND, WA, 98040 MATT CARLMAN Address: JO6FRONTAGE KDN,STE['PACIFIC, WA, 98047 Contractor: Address: Zn6FRONTAGE RDN PACIFIC, WA, 98047 License No: F|RESVV|055&m Lender: Name: ''' FIRE SYSTEMS WEST INC (ELE[TR|CAU SUITE[' Phone: (253)833-I248 Expiration Date: 6/16/2019 DESCRIPTION OFWORK: TIE ELECTROFIED DOOR STRIKES INTO FIRE ALARM SYSTEM. Valuation ofsingle family: $0.00 Valuation ofmf/connm: $1,500.00 Type ofWork: FIRE ALARM Fees Collected: $130.83 Electrical Service Provided by: PUGETSOUND ENERGY Water District: TVKVV|LA Sewer District: TUKVV|Lx Current Codes adopted bythe City ofTukwila: 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 20152015 2015 2015 National Electrical Code: WA Cities Electrical Code: VVAC296'46B: WA State Energy Code: Da 2017 20172017 2015 Aciak 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 riot prisume to give authority to violate or cancel the provisions of any other state or local laws regula'ng cons t the performance of work. I am authorized to sign and obtain this development permi and to the onditions attached to this permit. Signature: ee� Print Name: `— (ar,Att\j! 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 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB Parcel No: Address: K�^�xx °�� Tukwila ~~U~� «�n o U�nxw�Uoa Department of Community Development 6300SouthoenterBoulevard, Suite #1UU Tukwila, Washington 98188 Phone;3o6'43l'367V Inspection Request Line: 206'438'9360 Web site: httv;//ww.m.Tuhwi|oVVA.gov ELECTRICAL OTC PERMIT 2954900425 6840 FORT DENT WAY 200 Project Name: WHITMORE LAW Permit Number: ELI9-0043 Issue Date: 1/11/2019 Permit Expires On: 7/10/2019 Address: Contact Person: Name: Contractor: Name: Address: License No: ]OHNCRADOV[HDEVCO 28358INDAVSE#S-1,MERCER ISLAND, WA, 98040 MATT CARLMAN 2O6FRONTAGE RDN'5TE['PACIFIC, WA, 98047 FIRE SYSTEMS WEST INC (ELE[TR|[AU 2U6FRONTAGE RDN SUITE [' PACIFIC, WA, 98O47 F|RBVY|0550V ''' Phone: (253)833-1248 Expiration Date: 6/16/2019 DESCRIPTION OF WORK: TIE 5LE{3ROREUDOOR STRIKES INTO FIRE ALARM SYSTEM, Valuation ofsingle family: $0.00 Valuation ofnnf/connm: $1.500.00 Type ofWork: FIRE ALARM Fees Collected: $I3I83 Electrical Service Provided by: PUGETSOUND ENERGY Water District: TUKVV|L4 Sewer District: TUKWILA Current Codes adopted hythe City pfTukwila; international Building Code Edition: international Residential Code Edition: international Mechanical Code Edition: Uniform Plumbing Code Edition: international Fuel Gas Code: Permit Center Authorized Signature: 015 2015 2015 2015 2015 National Electrical Code: VVACities Electrical Code: VVAC296~46B: 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 development permit and,eeIthe conditions attached to this permit. Signature: Date: Print Name: %''417 f 44,4(. j 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 htto://www.TukwilaWA.gov Electrical Permit No, Project No. Date Application Accepted: 1— 11-- Date Application Expire . (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 Address: 6840 Fort Dent Way Tenant Name: Whitmore Law PROPERTY OWNER Name: JCR Address: 2835 82nd Ave SE, S-1 City: Mercer Island State: WA Zip: 98040 CONTACT PERSON — person receiving all project communication Name: Matt Carlman Address: 206 Frontage Rd N, Suite-C City: Pacific State: WA Zip: 98047 Phone: (253) 833-1248 Fax: Email: mattc@firesystemswest.com King Co Assessor's Tax No.: 295490-0425 Suite Number: 210 Floor: 2nd New Tenant: 0 Yes El ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Fire Systems West, Inc. Address: 206 Frontage Rd N, Suite-C City: Pacific State: WA Zip: 98047 Phone: (253) 833-1248 Fax: Contr Reg No.: FIRESWI055LW Exp Date: 06/30/2019 Tukwila Business License No.; BUS-0994434 Valuation of Project (contractor's bid price): $ 1,500 Scope of Work (please provide detailed information): Tie electrofied door strikes into Fire Alarm System. Will service be altered? ED Yes 0 No Adding more than 50 amps? Yes No Type of Use: Type of work: Ell New 0 Addition El Service Change El Remodel 0 Tenant Improvement VI Low Voltage El Generator j Fire Alarm El Telecommunication 0 Temporary Service Property Served by: 21 Puget Sound Energy El Seattle City Light WAPermil CenterNApplicalions-HandoutsWermii ApplicationsIPDF's Electrical Petrie( Appliealion 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, furnace thermostat) $61,05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES E 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 $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 pennit is issued within 180 days following the date of application shall expire by limitation, The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: attlCarlman 206 Frontage Rd N, Suite-C, Pacific, WA 98047 Date: 01 / 10/2019 Day Telephone: (253) 951-6005 City State Zip W:\Pennit CenterlApptications-Handouts\Permit AppticationslPDF's\Electrical Permit Application Revised 1-t-17.docx Revised: January 2017 bh Page 2 of 2 Cash Register Receipt City of Tukwila Receipt Number DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $130.83 EL19-0043 Address: 6840 FORT DENT WAY 200 Apn: 2954900425 $130.83 Credit Card Fee $3.81 Credit Card Fee R000.369,908.00.00 0,00 $3.81 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R16457 R000.322.900.04.00 0.00 $6,05 $130.83 Date Paid: Friday, January 11, 2019 Paid By: MATTHEW CARLMAN Pay Method: CREDIT CARD 09075D Printed: Friday, January 11, 2019 12:06 PM 1 of 1 SYSTEMS 0 Page 1 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 01/11/2019 12:06:35 PM CREDIT CARD SALE VISA CARD NUMBER: **********4256 K TRAN AMOUNT: $130.83 APPROVAL CD: 09075D 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 1 cl . At • .2-1-• n n Page 2 of 2 . CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 Date: CITY OF TUKWILA 01/11/2019 12:06:35 PM CREDIT CARD SALE VISA CARD NUMBER: TRAN AMOUNT: APPROVAL CD: RECORD #: CLERK ID: **********4256 $130.83 09075D 000 jazzel Thank you! Customer Copy https://classic.convergepay.comNirtualMerchant/transaction.clo?dispatchMethod=printTr... 0 1 /1 1 /20 1 9 INSPECTION NO. INSPECTION RECORD Retain a copy with permit T NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: , -T o nspect n: Address:it 0 r- r-- Date Called: Special Instructions: r1111( 'Date Wanted: Requester: .. Phone No: , 7 Approved per applicable codes. Corrections required prior to approval. COMMENTS: nspecto • Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee mu t be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit P RMFT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: Type a nspe n: Address:6 0 Date Called: Special Instructions: Date Wanted: . Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: ns pe or: Date: REINSPECT1Ot FEE REQUIRED. Prior to next inspection, fee m s paid at 6300 Southcenter Blvd., Suite 100. Call. to schedute reinspection. City of Tukwila REVISION SUBMITTAL Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http ://www .Tuk wi I a WA .go Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: Plan ChecklPermit Number: 64--L - chc4-1 0 Response to Incomplete Letter # 0 Response to Correction Letter # Revision # after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner 0 Deferred Submittal # Project Name: UJR CT Ll- Project Address: CP V( 96. c: 44-7-r &—Arr tycr- 16 Contact Person: Macri- Phone Number: -S-Z -`1 SI- 4. Summary of Revision: (''‘ Lk 1‘4.7-"J ("20- k (di( -rz—/A iPtfiZeCi VC-7'1e:VT RECEIVED CITY OF TU-KlikftLft EB 2 7 1019 PERMIT -CENTER Sheet Number(s): "Cloud" or highlight all areas of revision includingdate Received at the City of Tukwila Permit Center by: rim Entered in TRAKiT on W:Terfnit Cemer5Templates Forms1Revision Submittal Formdoc Revised: August 20 I 5 FIRE SYSTEMS WEST INC 1.11) e Espanol Contct Page 1 of 4 Search L&I Safety & Health Claims & Insurance k Washington State Department of I Labor & Industries A-Z Index Help MyLtd Workplace Rights Trades & Licensing FIRE SYSTEMS WEST INC Owner or tradesperson Principals BLACKBURN, JAY, PRESIDENT BLACKBURN, JAMES, SECRETARY RADLOFF, DAN, TREASURER BLACKBURN, JAY A, AGENT LONG, KEVIN, SECRETARY (End: 04/13/2006) WINMILL, TONY, SECRETARY (End: 05/22/2003) WALKER, G PERRIN, AGENT (End: 06/04/2001) LOBDELL, JAMES, VICE PRESIDENT (End: 06/23/1999) Doing business as FIRE SYSTEMS WEST INC 206 FRONTAGE RD N Suite C PACIFIC, WA 98047 253-833-1248 KING County WA UBI No. Business type 600 602 737 Corporation Governing persons JAY A BLACKBURN KEVIN LONG; DAN RADLOFF; License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties LIMITED ENERGY License no. FIRESWI055LW Effective — expiration 06/16/1995— 06/16/2019 Designated administrator HILFIKER, BRYAN License type Electrical Administrator Bond CONTINENTAL CASUALTY INS CO Bond account no. Active. Meets current requirements. Active. Meets current requirements. License no. HILFIB*972P8 $4,000.00 Help us improve • r , • or TT T,7'1,7 O_T To",_T7TTI 7TAC CT I17 0-0 A AI 7— Al /11 P11-110 FIRE SYSTEMS WEST INC 137864642 Page 2 of 4 Savings No savings accounts during the previous 6 year period. License Violations Infraction no. ECLET00514 Issue date 01/25/2017 Violation city PACIFIC 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. EBRRQ00778 Issue date 02/02/2016 Violation city PACIFIC 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. ELE0000201 Issue date 01/29/2016 Violation city PACIFIC 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. EJOJP00326 Issue date 01/02/2015 Violation city PACIFIC Type of violation ELECTRICAL CITATION Effective date 05/24/1995 Expiration date Until Canceled Satisfied ..................... RCW/WAC 19.28.101 RCW Violation amount $2,000.00 Satisfied ................. RCW/WAC 19.28.101 RCW Violation amount $2,000.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $2,000.00 Satisfied .......... RCWNVAC 19.28.101 RCW Violation amount $2,000.00 Description Help us improve httns://secure.lni_wa.gov/verifv/Detail.asnx?UBI=600602737&LIC=FIRESWI055LW&SAW= 01/11/2019 Violation city PACIFIC 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. FIRE SYSTEMS WEST INC 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. ERIR000586 Issue date 10/28/2013 Violation city PACIFIC Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-901. Satisfied RC VV/VVAC 19.28.101 RCW Violation amount $250.00 Infraction no. Satisfied ERIR000584 ,.„..,...,_......... Issue date RCVV/WAC 10/28/2013 19.28.101 RCW Violation amount $2,000.00 0 Workerscomp 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. 592„338.00 Doing business as FIRE SYSTEMS WEST Estimated workers reported Quarter 3 of Year 2018 76 to 100 Workers" L&I account contact T3 / NATHAN KOZAK (360)902-6243 - Email: KOZN235@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 3 of 4 J !.1 TrIcr_cnncn^)^7^)^7 O-T Tr,--CTDUCII/TIIG CT 1179,C A UT — Help u' irnpri,ua (-'i r)ni FIRE SYSTEMS WEST INC 0 Washington State Dept. of Labor & ndustries. Use of this sitri144, Heil to the laws of the stale of Washington Page 4 of 4 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI-600602737&LIC=FIRESWI055LW&SAW= 01/11/2019