HomeMy WebLinkAboutPermit D11-184 - NORTH HILL APARTMENTS - BUILDING D- DECKSNORTH HILL APARTMENTS
UNITS D103, D203, D303
5860 SOUTHCENTER BL
D11 -184
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.TukwilaWA.gov
DEVELOPMENT PERMIT
Parcel No.: 1157200351
Address: 5860 SOUTHCENTER BL TUKW
Suite No:
Project Name: NORTH HILL APARTMENTS - UNITS D103, D203, D303
Permit Number: D11 -184
Issue Date: 07/06/2011
Permit Expires On: 01/02/2012
Owner:
Name: NORTH HILL APTS INC
Address: 85 S WASHINGTON #308 , SEATTLE WA 98104
Contact Person:
Name: LEE ANDERSON
Address: 5010 S TACOMA WY , TACOMA WA 98409
Contractor:
Name: G P ANDERSON CONSTRUCTION INC
Address: 121 BELLA BELLA DR , FOX ISLAND WA 98333
Contractor License No: GPANDCI033RP
Phone: 253- 377 -4486
Phone:
Expiration Date: 12/16/2011
DESCRIPTION OF WORK:
DECK REPLACEMENT
Value of Construction: $9,000.00 Fees Collected: $433.01
Type of Fire Protection: International Building Code Edition: 2009
Type of Construction: V -B Occupancy per IBC: 0021
Electrical Service Provided by: PUGET SOUND ENERGY
* *continued on next page **
doc: IBC -7/10
D11-184 Printed: 07 -06 -2011
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone:
Hauling: N Start Time: End Time:
Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load: Start Time: 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:
Permit Center Authorized Signature:
N
Date:
It-
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.
constructio
The granting of this p� not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
t or th rf•e of work. I am authorized to sign and obtain this development permit and agree to the conditions attached
to this it. ��
Signature:
Print Name:
Date:
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.
PERMIT CONDITIONS:
1: ** *BUILDING DEPARTMENT CONDMONS * **
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 permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: 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.
5: All wood to remain in placed concrete shall be treated wood.
6: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
doc: IBC -7/10
D11 -184 Printed: 07 -06 -2011
7: All construction noise to be in complian th Chapter 8.22 of the City of Tukwila Muni Code. A copy can be
obtained at City Hall in the office of the City erk.
8: 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.
doc: IBC -7/10
D11 -184 Printed: 07 -06 -2011
sr
CITY OF TUk;II�A
Community Develo ent Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Building Pet No. bit- t e m
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 **
SITE LOCATION
Site Address:
Tenant Name: 4 /� J
" 0 14,11 .4ph D /63, a03 303 New Tenant: ❑ Yes .. No
01T N(d A .,mss
5 yco Sejtiee,Ir glt) d
King Co Assessor's Tax No.:
Suite Number: Floor:
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON — who do we contact when your permit is ready to be issued
Name: J.-P.-C.
Mailing Address:
E -Mail Address:
5-010 LUIA,1
L tc- a c1 r Qn JA t co rtGet. 5/41'? : 4 C
Day Telephone: 353 3 3 77 `Y%
1 a C.4►ios-^-■
City
Fax Number: 015 3 301 OAS-(
? o9
State Zip
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
Contact Person: L
E -Mail Address: �{ c- � �/qn ran . Com C4 Si lit. rl C1
Contractor Registration Number: G P AN DC 1 033 JZP
GP 4dz.rs- 00451-
5 /o 50 t,i[1 j 4c 11 k)c
1 e t a.n
City
State Zip
Day Telephone: a 53 377 Licit ,
Fax Number: c 3 331 0 21- /
Expiration Date: /2 / r 20//
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD — All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
H:Wpplications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
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City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 6
l BUILDING PERMIT INFORMATION — 206 - 431 -3670
�►
Valuation of Project (contractor's bid price): $ • 900u L' Ling uilding Valuation: $
Ttn�^�ctwlt•�
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑ ....Yes
❑ ..No If yes, a separate permit and plan submittal will be required.
Provide AU 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): Floor area of principal dwelling: 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.
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Page 2 of 6
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1' Floor
rd Floor
3rd Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
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): Floor area of principal dwelling: 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.
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Page 2 of 6
PLUMBING AND GAS PIPING PERT' INFORMATION — 206 - 431 -3670
•
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 Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information):
Building Use (per Int'l 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
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Page 5 of 6
PERMIT APPLICATION NOTES — A cable to all permits in this application
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNE OR UTHORIZED AGENT:
Signature: G-.-z--/t
Date:
Print Name: L Day Telephone: ut C3 3 7 7 /i L( (o
Mailing Address: 5010 al.)Ji 14) LJ 7 &Yo cl�
IDate Application Accepted:
City State
Zip
J
Date Application Expires: 1 1 / t /
H:Wpplications\Forms- Applications On Line \2010 Applicationsl7 -2010 - Permit Application. doc
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Staff Initials:
Page 6 of 6
SET RECEIPT
RECEIPT NO: R11 -01275
Initials: Payment Date: 06/22/2011
User ID: 1655 Total Payment: 2,598.06
Payee: LEE ANDERSON
SET ID: 062211 SET NAME: NORTH HILL APTS
SET TRANSACTIONS:
Set Member
D11 -180
D11 -181
D11 -182
D11 -183
D1'1 -184
D11 -185
TOTAL:
Amount
433.01
433.01
433.01
433.01
433.01
433.01
433.01
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA 2,598.06
TOTAL: 2,598.06
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
000.322.100 1,558.20
000.345.830 1,012.86
640.237.114 27.00
TOTAL: 2,598.06
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT N0.
CITY OF- TUKWILA BUILDING DIVISION C
6300 Southcenter
Permit Inspection Request #100, Tukwila. Line WA 188 (206) 431 -3670
e (206) 43-2458
Projec •
AhrTti H.:( ( l\- w,I-f/
Type o spection:
, AJ A4- L C .
(02A
3' a S 8 ikiCt
Date Calk): Ff d +I
Special Instructions:
' -0)
. Aisr S 1 (3 3 1
lJ
7513 --Z/ �.„6„psi
/
Date Wanted:..
"7 c-'r(
t
P.m.
Requester:
Phone -3'77 4
4
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
(c.
rifkt:T 6-t) Ltap(e-V
Inspector:
Date:
E J 2-i f
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
t4wIh ���ts uudw
P1ip
REVIEWED FOR
CODE COMPLIANCE
APPROVED
JUL 01 2011
T kwila
c
r n
SEPARATE PE
REQUIRED FO
Mechanical
Electrical
Plumbing
111 Gas Piping
City of Tukwila
BUILDING DIVISION
FILE COP
Perin No
a
Plan review approval is subject to errors and omissions.
Approval of constructi • n documents does not authorize
acknowledgGd.
No changes shall bo made to the scope
of work without prior approve, of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
City Of Tukwila
BUILDING DMSION
-dfi gray Abet company
' A Century of Performance ¢ Integrity
253.752.7000 fax 2533593550
graylumber.com
To Nr't hill Apf•S
160 Sov7'' Ceeikte, E-i d
SOLIDSTART®
1 0 13
From v FAu ./50n (0,45i Date
•53 3'77 yli qt
Oe.di;lcA9. 10`w50
41? f4c: J C- Q
-eta' ( o r
1-0 ha ? Qr ar z /rlaA_
5 -2-d 10
90,4 tiloSt
Fro.■ 3b 112" 2.X3 Ce4ar-
5o/ cI I,d,e..t/ +3i" liwcific. V cle
octO tea-,
ti4 east-
(0410 5 ,,
1�6 rosy-
kqe SLdiA5
(0,A 10 13ek
(9.2(1o, east
ENGINEERED WOOD PRODUCTS
US e- f 3u 1 y a ili
CA (-co 'mid-0'1:3
Use_ gG41 /Z/ j2 -ss
I/4 COhnGU- r,c.'tS
Use- LUSaY2Dra,/
Jor si- it' of„.
(%Se- Row / rcc...
leg c ) %lam el- /oc
Lc s qff /7r /` o 12 If e
Walt 4-0 G[ ec, FiiS4 (4'9
cs ). 3 &4 /v
Ft 14 radrvs c fc
decicaxr Pico
,41/ im «/ 5/ t_c-s
4/Z- 6c Alt 45
ECEIVIErhi541; l no c .
JUN 2 2 2011
PERMIT F,
yya7. 1
'Mike Harwick
Sales Representative
Office: 253.752.7000
mobile: 253.973.4419
harwick@a graylumber.com
r 1
REVIE
CODE COMPLIANCE
AP
JUL 01 2011
City of Tukwila
BUILDING DIVISION
1 1 1 1 1 1 I 1 T
1 L
To Nr't hill Apf•S
160 Sov7'' Ceeikte, E-i d
SOLIDSTART®
1 0 13
From v FAu ./50n (0,45i Date
•53 3'77 yli qt
Oe.di;lcA9. 10`w50
41? f4c: J C- Q
-eta' ( o r
1-0 ha ? Qr ar z /rlaA_
5 -2-d 10
90,4 tiloSt
Fro.■ 3b 112" 2.X3 Ce4ar-
5o/ cI I,d,e..t/ +3i" liwcific. V cle
octO tea-,
ti4 east-
(0410 5 ,,
1�6 rosy-
kqe SLdiA5
(0,A 10 13ek
(9.2(1o, east
ENGINEERED WOOD PRODUCTS
US e- f 3u 1 y a ili
CA (-co 'mid-0'1:3
Use_ gG41 /Z/ j2 -ss
I/4 COhnGU- r,c.'tS
Use- LUSaY2Dra,/
Jor si- it' of„.
(%Se- Row / rcc...
leg c ) %lam el- /oc
Lc s qff /7r /` o 12 If e
Walt 4-0 G[ ec, FiiS4 (4'9
cs ). 3 &4 /v
Ft 14 radrvs c fc
decicaxr Pico
,41/ im «/ 5/ t_c-s
4/Z- 6c Alt 45
ECEIVIErhi541; l no c .
JUN 2 2 2011
PERMIT F,
yya7. 1
'Mike Harwick
Sales Representative
Office: 253.752.7000
mobile: 253.973.4419
harwick@a graylumber.com
.74b cry
A Century of Performance i Integrity
253.752.7000 fax 253.759.7560
graylurnb r.con
Nco OW', 1 EAL541vi5 bid/
To /V rfik I4I! /1/5
(00 5a:) tti Lei 1u Elul
From 6 P4 `�l ' (.0 11./
)53 377 yH?/
Lc 5 (d1.4 0n ��1�5 lbloJo
TOW1 01 ).4A dam's I
Hard: L ., 5: c1 ;5 hid 4f
'i c.i- t ?a10 Il4 '4s
off-» — itdss,- .
1 F / Lo
Date 5 ?Q`I1)
H &^4ra1 41 -kc1,- wr�ti
51( f*
REVIEWED FOR
CODE COMPLIANCE
APPROVED
JUL 012011
BUILDING Tukwila
9,4 k,k v /Low2. VISION
1cc1yc,r btSr -.
ECEIVE
JUN 22 2011
PERMIT CENTEF
SOLIDSTART®
ENGINEERED WOOD PRODUCTS
Mike Harwick
Sales Representative
Office: 253.752.7000
mobile: 253.973.4419
harwick @graylumber.com
Ilk
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D11 -184 DATE: 06 -22 -11
PROJECT NAME: NORTH HILL APTS - UNITS D103, D203, D303
SITE ADDRESS: 5860 SOUTHCENTER BL
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
Building T7ivis on
ass
Public Works
OPr (C1P2-iik
ire Prevention
Structural
air))Dati
1-larhining Division
n Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
DUE DATE: 06-23-11
Not Applicable n
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route Structural Review Required n No further Review Required n
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 07-21-11
Approved ❑ Approved with Conditions Not Approved (attach comments) n
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing stip.doc
2 -28 -02
Contractors or Tradespeople Pr 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 G P ANDERSON CONSTRUCTION INC UBI No. 601838669
Phone 2535497450 Status Active
Address 121 Bella Bella Dr License No. GPANDCI033RP
Suite /Apt. License Type Construction Contractor
City Fox Island Effective Date 12/17/1997
State WA Expiration Date 12/16/2011
Zip 98333 Suspend Date
County Pierce Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
ther Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
APEXCL *024B0
APEX CONSTRUCTION
LLC
Construction
Contractor
General
Unused
1/20/1998
1/4/2003
Archived
OLYMPVC055MPCONST
CONSTRUCTION INC
CONSTRUCTION
Construction
Contractor
General
Unused
7/17/1995
9/30/1998
Archived
OLYMPVC054R9
OLYMPIC VIEW
CONSTRUCTION
Construction
Contractor
General
Unused
12/29/1994
9/30/1995
Archived
ANDERC'086B2
ANDERSON
CONSTRUCTION
Construction
Contractor
General
Unused
1/22/1992
1/22/1995
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
ANDERSON, GARY
Cancel Date
01/01/1980
Bond Amount
ANDERSON, PEGEEN
3
01/01/1980
6382694
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
3
AM STATES INS
6382694
12/16/2005
Until Cancelled
$12,000.0011/01
/2005
2
DEVELOPERS SURETY
& INDEM CO
445696C
12/16/2001
Until Cancelled
02/06/2006
$12,000.0012/22
/2005
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
12
LIBERTY
NORTHWEST
INS CORP
BH053575320
12/16/2010
12/16/2011
$1,000,000.00
10/08/2010
11
0010 CABINS
BH053575320
12/16/2008
12/16/2010
$1,000,000.0011
/06/2009
10
0010 CABINS
BH053575320
12/16/2007
12/16/2008
$1,000,000.0012
/12/2007
9
FIRST
SPECIALTY INS
CORP
FGL22900572600
12/16/2005
12/16/2007
$1,000,000.00
12/15/2006
8
FIRST MERCURY
INS CO
FMIL000270
12/16/2004
12/16/2005
$1,000,000.0012
/23/2004
https://fortress.wa.gov/lni/bbip/Print.aspx
07/05/2011