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HomeMy WebLinkAboutPermit D10-141 - LANG RESIDENCE - WATER DAMAGE REPAIRLANG RESIDENCE 6241 S 151 ST D1O-141 City ofkukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 5122100060 Address: 6241 S 151 PL TUKW Suite No: DEVELOPMENT PERMIT Permit Number: D10 -141 Issue Date: 05/20/2010 Permit Expires On: 11/16/2010 Tenant: Name: LANG RESIDENCE Address: 6241 S 151 ST , TUKWILA WA Owner: Name: GHORLEY KARENA Address: 6241 S 151ST PL , TUKWILA WA 98188 Phone: Contact Person: Name: CARY LANG Address: 29815 24 AV SW , FEDERAL WAY WA 98023 Phone: 206 - 423 -5055 Contractor: Name: CARY LANG CONSTRUCTION INC Address: 29815 24 AV SW , FEDERAL WAY WA 98023 Phone: 253 - 661 -6880 Contractor License No: CARYLCI101OF Expiration Date: 09/10/2010 DESCRIPTION OF WORK: REPAIR WATER DAMAGE TO EXTERIOR WALL IN KITCHEN AND DEN. NO PLANS, SUBJECT TO FIELD INSPECTION. Value of Construction: $500.00 Fees Collected: $108.45 Type of Fire Protection: UNKNOWN International Building Code Edition: 2006 Type of Construction: V -B Occupancy per IBC: 0022 * *continued on next page ** doc: IBC -7/07 D10 -141 Printed: 05 -20 -2010 City ofTukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206- 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Permit Number: D10 -141 Issue Date: 05/20/2010 Permit Expires On: 11/16/2010 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: N N Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. Start Time: End Time: Fill 0 c.y. End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: Water Meter: N Permit Center Authorized Signature: „Da Date: I hereby 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. Signature: C /2"-- Date: 5(( 1%0 Print Name: e &k y (4 v 7 C- � This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: IBC -7/07 D10 -141 Printed: 05 -20 -2010 • C �J�.� wq� City of Tukwila 190a �� Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http://www.ci.tukwila.wa.us Parcel No.: 5122100060 Address: 6241 S 151 PL TUKW Suite No: Tenant: LANG RESIDENCE PERMIT CONDITIONS Permit Number: D10 -141 Status: ISSUED Applied Date: 05/20/2010 Issue Date: 05/20/2010 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 4: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 5: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of.errors in the construction documents and other data. * *continued on next page ** doc: Cond -10/06 D10 -141 Printed: 05 -20 -2010 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http. //www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and 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 provision of any other work construction or the performance of work. Signature: Print Name: Date: ordinances governing or local laws regulating doc: Cond -10/06 D10 -141 Printed: 05 -20 -2010 CITY OF TUKWIL -. Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hitp://www.ci.tukwila.wo.us SITE LOCATION Building Permit No. Mechanical Permit No. Plumbing /Gas'Permit No. Public Works Permit No. Project No. (For office use only) 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.: 5.12-v1-16 — 00100 6 TvXa.17 Site Address: 2 / / 5 / CI i / ', /4 Suite Number: Floor: Tenant Name: //�� New Tenant: ❑ Yes ❑..No Property Owners Name: C 4i. ✓ y L- ert4 6- Mailing Address: 2 9 61 S '/' ,,,,e Sc,., Fed,ecot( City l~,Ak L 4- 9962 3 State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name: ) Mailing Address: 2- 4 e(S' - A - v e , / c c 4 , , PGtercc( W4- ge023 State Zip C/ -707h C Ki-(1- ✓ L--4-r10- Day Telephone: 2-0-C 412 3 E -Mail Address: C a r-1 Iahq ) h o r f A.#i' . • G01^^ GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) City Fax Number: Company Name: C-0", Six-uc I bw f Mailing Address: Zip Contact Person: E -Mail Address: Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: State ARCHITECT OF RECORD - All plans must be wet stamped by Archl of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD - All plants must be wet stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: H.\Applications\Forms- Applications On Line\2009 Applications11-2009 - Permit Application. doc Revised, 1 -2009 bh City Day Telephone: Fax Number: Page 1 of 6 State Zip BUILDING PERMIT INFO R.'ION - 206 - 431 -3670 Valuation of Project (contractor's bid price): $ QO " r _ Existin Building Valuation: $ Scope of Work (please provide detailed information): / l.Adct t �" ce v.-, e et' r t�STf'2rv� (-4>q (( 1 r) 14' "e N q tar) De& Will there be new rack storage? ❑ Yes 0.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): / 4 06;0 0 Floor area of principal dwelling: rO Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System - For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms- Applications On Line \2009 Applications\I -2009 - Permit Application.doc Revised: 1 -2009 bh Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1St Floor 2- $'D© 2nd Floor 3rd Floor Floors thru Basement Accessory Structure* Attached Garage 6 D Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): / 4 06;0 0 Floor area of principal dwelling: rO Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System - For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms- Applications On Line \2009 Applications\I -2009 - Permit Application.doc Revised: 1 -2009 bh Page 2 of 6 PUBLIC WORKS PERMIT IN TION — 206 - 433 -0179 Scope of Work (please provide detailed information): Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila ❑... Water District #125 ❑...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate ❑ .. Highline ❑...Valley View ❑ .. Renton ❑...Sewer Availability Provided ❑ .. Renton ❑ .. Seattle Septic System: ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) Proposed Activities (mark boxes that applv): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way ❑ Non Right -of -way ❑ ❑ ...Total Cut ❑ ...Total Fill ❑...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Back flow Prevention cubic yards cubic yards Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension ❑ ...Water Main Extension ❑...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line If Public ❑ Public ❑ WO# WO# WO# Private ❑ Private ❑ ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line ❑...Water ❑...Sewer Monthly Service Billing to: Name: Mailing Address: Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment Day Telephone: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:\Applications \Forms - Applications On Line \2009 Applications \1 -2009 - Permit Applicaeon.doc Revised: 1 -2009 bh Page 3 of 6 TION - 206 - 431 -3670 . • MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Mechanical work (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New .... ❑ Replacement .... ❑ Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas....❑ Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace<100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace >100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP/1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm/Ind H:1Applications\Forms- Applications On Line \2009 Applicationsl1-2009 - Permit Application.doc Revised: 1.2009 bh Page 4 of 6 PLUMBING AND GAS PIPIN RMIT INFORMATION: - :06=431 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Int'I Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor Drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and /or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets H:\Applications\Forms- Applications On- Line\2009 Applications \1 -2009 Permit Applieation.doc Revised: 1 -2009 bh Page 5 of 6 PERMIT APPLICATION.:NOTES Apphcalile to ".all perm;<ts in ;this�appl><cafiiorn 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. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER AUTHORED AGJNT: Signature: Date: Print Name: C 4 r t( Mailing Address: 9,10(5- % crit. Ak-11 fr,/ 5 c-ti S /ad/ 2,0 /0 Day Telephone: 2 D 6 fZ 3 --$053---- Feole,- ( �- -� w � t '990 3 City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Fonns•Applicat ons On line\2009 Applications \I.2009. Permit Application. doc Revised' 12009 bh Page 6 of 6 • • City of Tukwila Department of Community Development L ' ' 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: htqx//www.ci.tukwila.wa.us RECEIPT Parcel No.: 5122100060 Permit Number: D10 -141 Address: 6241 S 151 PL TUKW Status: PENDING Suite No: Applied Date: 05/20/2010 Applicant: LANG RESIDENCE Issue Date: Receipt No.: R10 -00894 Initials: User ID: Payee: WER 1655 Payment Amount: $108.45 Payment Date: 05/20/2010 03:05 PM Balance: $0.00 CARY LANG TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 032212 ACCOUNT ITEM LIST: Description 108.45 Account Code Current Pmts BUILDING - RES PLAN CHECK - RES STATE BUILDING SURCHARGE 000.322.100 000.345.830 640.237.114 Total: $108.45 63.00 40.95 4.50 PAY E T RECEIV;E:,D doc: Receipt -06 Printed: 05 -20 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PET NO. CITY OF TUKWILA BUILDING DIVISION �-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: Type o nspectio Address: � 1 : + � � IT A, OL . I1' Date Called: Special Instruction : -- �o/Q'fi �,Per n��`' ),,, gate Wanted: a m� '" �'23 �%� p.m. Requester: Phone 6 Coy — k/ 2 3 _ 50 S5 A Approved per applicable codes. El Corrections required prior to approval. , COMMENTS: z-o P l eat Insp ctor: 0,/„)4\„) Date: t J El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Ai 7-- INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION ►'L- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Protctl:AA S , (fie A Type of Insp cctio ,^ Ad s 4 s. s1 Tr j ► Date Called: Special Instructions: / 1 Re pA Ir- ��-r U' �4aajP ,V µ 4 g..-f--, g , �' Date Wanted: 5- Z-S'� a.m. Requester: ,T Phone No: - ` 9,,,,,,_ ,7 7 J 3� Approved per applicable codes. El Corrections required prior to approval. COMMENTS: ,T CA1. l--- ∎ .\ Ak A( P c). r (}V---- --C-- 6 ( ... )..J 4' r- A--t ( 1 n Inspector. 1) ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: -� J ?S- Receipt No.: Date: INSPECTION O. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit d -14 1 PERMIT NO. I�- (206)431 -3670 lamProject: l� " /jes;f C. A ci_- Type of Ins ect'on: tk) S ear ` Address: ` to ?s`el 1 51 i C Date Called: Special Instructions: Date Wanted: a.m. 5-25- 0 Requester: Phone No 20%- 4'L3 -SoSS Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date:... 0 5 25 1 ❑ $60.00 REINSPECTION FEE REOU1RED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Contractors or Tradespeople P ter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L &I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name Cary Lang Construction Inc UBI No. 601231391 Phone 2536616880 Status Active Address 29815 24Th Ave Sw License No. CARYLC11010F Suite /Apt. License Type Construction Contractor City Federal Way Effective Date 9/6/1990 State Wa Expiration Date 9/10/2010 Zip 98023 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status SAILECC097DQ Sailer Custom Construction Construction Contractor General Unused 3/18/1991 3/8/1992 Archived CARYLC`110QF Cary Lang Construction Construction Contractor General Unused 11/6/1989 9/26/1990 Archived Business Owner Information Name Role Effective Date Expiration Date Lang, Cary M President 09/06/1990 Bond Amount Lang, Jennifer A Secretary 09/06/1990 796451C Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 DEVELOPERS SURETY & INDEM CO 796451C 08/09/2008 Until Cancelled $12,000.0009/10 /2008 3 STATE FARM FIRE & CAS CO 980557506 08/09/2001 Until Cancelled 10/21/2008 $12,000.0009/10 /2001 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 17 DEVELOPERS SURETY & INDEM CO BIS0000040602 09/10/2008 09/10/2010 $1,000,000.0009 /09/2009 16 NORTH AMERICAN CAPACITY INS CO 88G000092602 09/10/2006 09/10/2008 $1,000,000.0009 /11/2007 15 NORTH AMERICAN CAPACITY INS CO 88G00009262 09/10/2004 09/10/2007 $1,000,000.00 08/28/2006 14 SCOTTSDALE INS CO CLS08032145 08/28/2004 08/28/2005 $1,000,000.00 08/27/2004 13 NORTH AMERICAN SPEC INS CO BXC000297700 08/28/2003 08/28/2004 $1,000,000.0008 /19/2003 https://fortress.wa.gov/lni/bbip/Print.aspx 05/20/2010