HomeMy WebLinkAboutPermit D11-397 - DEVLIN RESIDENCE - DEMOLITIONDEVUN DEMOLITION
16044 51 AV S
Dl 1 -397
City oliTukwila
•
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
Parcel No.: 5379200072
Address: 16044 51 AV S TUKW
Suite No:
Project Name: DEVLIN DEMOLITION
DEVELOPMENT PERMIT
Permit Number: D11 -397
Issue Date: 12/29/2011
Permit Expires On: 06/26/2012
Owner:
Name: DEVLIN WILLIAM
Address: PO BOX 68148 , SEATTLE WA 98168
Contact Person:
Name: JUSTIN FEESER
Address: 13618 SE 92 ST , RENTON WA 98058
Contractor:
Name: ASSURED QUALITY ENVRNMNTL INC
Address: 2702 S A ST , TACOMA WA 98402
Contractor License No: ASSURQE982N11
Phone: 253 377 -0334
Phone: 253 - 572 -7175
Expiration Date: 08/11/2012
DESCRIPTION OF WORK:
DEMOLITION OF 1490 SF SFR WITH 460 SF CARPORT AND 240 SF UNCOVERED DECK.
EROSION CONTROL.
PROJECT ON VALLEY VIEW SEWER AND HIGHLINE WATER.
Value of Construction: $8,350.00 Fees Collected: $433.01
Type of Fire Protection: NONE International Building Code Edition: 2009
Type of Construction: VB Occupancy per IBC: 0022
Electrical Service Provided by: PUGET SOUND ENERGY
* *continued on next page **
doc: IBC -7/10
D11-397 Printed: 12 -29 -2011
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:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
N
N
N
N
N
N
N
N
N
N
N
N
Number: 0 Size (Inches): 0
Start Time:
Volumes: Cut 0 c.y.
End Time:
Fill 0 c.y.
Start Time: End Time:
Private:
Profit: N
Private:
Public:
Non - Profit: N
Public:
Date: 12-101k
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pr
construction or the performapce of work.
to this permit.
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this development permit and agree to the conditions attached
/5 TP-( rv
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 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 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: 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.
5: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila
Building Department (206- 431 - 3670).
6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
doc: IBC -7/10
D11 -397 Printed: 12 -29 -2011
Department (206- 431 - 3670).
• •
7: 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.
8: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * **
9: Contractor shall notify Public Works Project Inspector at (206)433 -0179 of commencement and completion of work at least
24 hours in advance.
10: Any material spilled onto any street shall be cleaned up immediately.
11: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation
off-site or into existing drainage facilities.
12: The site shall have permanent erosion control measures in place as soon as possible after final grading has been
completed and prior to the Final Inspection.
doc: IBC -7/10
D11 -397 Printed: 12 -29 -2011
CITY OF TUKT A
Community Develop,. st Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
CONSTRUCTION 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: lD O 'St 5
Tenant Name: 7).e.:1
King Co Assessor's Tax No.: 5
Suite Number: Floor:
Name:
Address: j l _0 Lit,/ 5157- e-. S
City: State:
Zip:
State: tis.4 Zip:7k2s -<
Phone:2 ?7 j 7y Fax: A1e
Email:
Company Name: A 5,,
2.7 c 1
Address: � L 5 n `
State:
Zip: cg(ol
Phone: z s 5 5- 7roc-Fax:
Contr Reg No.: xp Date:
A SS�yt� t,QE` .s2 1,, , VIII 26,/2_ ff ee
Tukwila Business License No.:
H: \Appl ications\Forms-
Revised: August 201
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11 Applications\Permit Application Revised - 8-9-11 docx
New Tenant: ❑ Yes pk: No
Name:
Address:
City:
State:
Zip:
Page 1 of 4
Company Name:
Company Name:
Engineer Name:
Architect Name:
(((
Address:
State:
Zip:
Phone:
City:
State:
Zip:
Phone:
Fax:
Email:
Name:
Address:
City:
State:
Zip:
Page 1 of 4
Company Name:
Engineer Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Name:
Address:
City:
State:
Zip:
Page 1 of 4
I$UILUINli YL1#t
I'l;' INV FORMATION - 206 -431 -3670
Valuation of Project (contractor's bid prig $ �j
Describe the scope of work (please provide detailed information):
Existing L _-ding Valuation: $
Will there be new rack storage? ❑ .... Yes
❑ ..No If yes, a separate permit and plan submittal will be required.
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.
H:\Applications\Forms- Applications On Line\2011 Applications'Permit Application Revised - 8-9-11 docx
Revised: August 2011
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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.
H:\Applications\Forms- Applications On Line\2011 Applications'Permit Application Revised - 8-9-11 docx
Revised: August 2011
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Page 2 of 4
Value of Construction — In all cases, a value ufconstruction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one 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).
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 OW E 1OR AUTHORIZED AGENT:
Signature: < < �� /ft
Print Name:
Mailing Address: l -5(2(
H; Applications\Forms- Applications On Line\2011 Applications\Permit Application Revised - 8- 9- 11.docx
Revised: August 2011
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Date: 1 Z•ll'1 i 2_,E) ('(
Day Telephoners) 377-033C(
(16/1)-) City State Zip
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Page 4 of 4
•
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.TukwilaWA.gov
Parcel No.: 5379200072
Address: 16044 51 AV S TUKW
Suite No:
Applicant: DEVLIN DEMOLITION
RECEIPT
Permit Number: D11 -397
Status: APPROVED
Applied Date: 12/14/2011
Issue Date:
Receipt No.: R11 -02805
Initials: JEM
User ID: 1165
Payment Amount: $264.20
Payment Date: 12/29/2011 09:38 AM
Balance: $0.00
Payee: JUSTIN K FEESER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 733559
ACCOUNT ITEM LIST:
Description
264.20
Account Code Current Pmts
BUILDING - NONRES
STATE BUILDING SURCHARGE
000.322.100 259.70
640.237.114 4.50
Total: $264.20
doc: Receiot -06 Printed: 12 -29 -2011
CITY F ORM NO 1 1912 ADOPTED RV DIVISION OF MUNICIPAL CORPORATIONS
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Received o/' I v 1
Date
CITY
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OF TUKWILA
RECEIPT
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CANARY • Customer
PINK - File
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO::,,_ : ;?
biI -3c -71
PERMIT NO.;
• • CITY. .OF':- TUKWILA BUILDING DIVISION
6300 Southcenter 'B1Vd:, #100, Tukwila. WA 98188 11,2__ (206) 431 -367
• permit Inspection :Reiuest Line (206) 431 -2451
Project: • • •: •
be V a .N. :. '- F WIC'
Type of Inspection:
rIi J el L
Address:
,..(o -4.q '
1 ili vS
Date Called:
Special Instructions:
•
-
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__
Date Wanted- . % (a.m.
i / t z. p'
Requester:
Phone No:
cs 3- 3 77 - 0 3 3 `/
f.
•
Approved per applicable codes. Corrections required prior to approval. S
COMMENTS:-
Date:
' " G
ECTION FEE RE UIRED. Priorko next inspection. fee must be
300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
(206) 431 -3670
Project:
Uf •n -lPmo
Type of Ins ection
Fw fr. i J
Ad ress:
/ .oyy Si lellU s
Date Called:
a, /o3 /,2
Special Instructions:
•
.
Date Wanted:. (a
,.),/n‹,/,2 gyp-.
Request
Phone No:
_ e 53 Z77-03-3Y .
DApproved per applicable codes.
COMMENTS:
aCorrections required prior to approval.
*t:4a(c4@
-
Date: I f q/ 1 Z
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 rZ (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
Type pf Inspection'
Address:
s/ A�5
6
Date Called:
.044
Special Instructions:
Date Wanted: .
(P-
Requester:
.-UP•)0 l ay..../
Phone No:
(-2.3- 377
-03.5
(1
El-Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
- SA45 b �e.,- .,, Q9, '/ k
Er
I ipectbr•
1DatetZ2�
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SPECTION FEE REQU'RED. Prior to next inspection, fee must be
id at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
REVISIONS
No changes shall be made to the scope
of work without prior approval of
ukwila Building Division.
NOTE: Ftevision:, will require a new plan submittal
and may include additio
SEPARATE PERMIT
REQUIRED •
Cry ical
8ectrIc ai
C�i Qas sing
Piping
City of Tukwila
DIVISION
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2702 s A 5-7.
3) 3 77-05E3—
PRIOR TO COMMENCING WITH
DEMOLITION
A "pre -demo inspection" is required.
Contractors shall provide documentation that
an "asbestos survey" has been completed. If
needed, abatement procedures per "Puget
Sound Clean Air Agency" shall be completed
and documentation of compliance shall be
provided at time of final inspection.
PLANNING A PROVED •
No changes can be made to these
plans without approval from the
Planning Division of DCD
Approved By: --\
Date: , \.� --�— \
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REVIEWED FOR
CODE COMPLIANCE
APPROVED
DEC 2 3 2011
City of Tukwila
BUILDING DIVISION
5cA tc /� zo
FELE COPY
PennOt No., 1 7)9 7
mview approval IS subject to errors and omission
',:,,(741 of cones documents does not authctiae
ti►: 1 on at any adopted code or ordinance. Receipt
o1 li 3provad Fief 'py and conditions k;acknowledgbd:
By
Data:
City Of Ttikwila
BUILDING DIVISION
Au/6Y
Approved I railsaction
FILE COPY
Page 1 of.)
pscieanair.org PrIg� ®.�
Notification Case #: 201103332
- ;,s page rn si bc pined. A r;rt ut r - fi -
p - `t"e n�tJ`.a[iv at: o')C'. ..:_ .�, CO :. :�_ :w....Catii•,y and the aSt7Cst ^_ sltr: Ey i`;ai , ? e:'ade`)l: for
.nspecnon at al! ,_s at the asbestos p•oject or demolition site ,.eg ::'S. - ;.03te' °:6', ?. ..
:r:. ilmo.int Fa,,
edit Card Transaction
Transaction Date
Owner's flame
Project Street Address
City
Co -tact Person
f•tailine Address
S315.00
VWVF3BF1C6F1
12/12/11
Devlin Williams Phor,e (206) 283 -7121
16044 51ST AVE S
Tukwila L,c 98188
Monty Mantonya Phone (253) 572 -7175
IThis project includes asbestos removal.
`Protect Size linear feet / 1425 square feet
Protect Start Date 12/13/11 Completion Date 12/14/11
"asbestos '.fill be removed by a licensed asbestos abatement contractor
:untractor Assured Quality Environmental Inc. ! ontractoc Job
JlContact Anthony Fawcett or Liz Wyatt Phone (253) 572 -7175
1 r.- ;oiler•:• „caress 2702 A St.
Tacoma, WA 98402
'This project includes a demolition.
IDerno teen Start Dare 12/13/11 Completion Date 01/30/12
1 Dera=iibo:: rail be completed by a demolition contractor
Demo Contractor To Be Determined Contractor Job
IContact
Phone
i; ailing Address
I -
'This is an emergency project. The emergency reason:
There was a sudden, unexpected event that resulted in a public health or safety hazard.
1 certify that the information I have provided ,s to the best of rn knowledge true and accurate.
I understand that I must file an Amendment to this 11otii?'ation
• The Wort of project has changed. The project types are asbestos and demolition.
• The quantity of friable asbestos to be removed meets a Larger Orosect category.
• The project's start or compfer on date has charged.
;;; : understand one Nntificat!on must he filed for each structure. The tmiy exception is for a single- family residence that includes
multiple ancillary structu -es, such as a detached garage or ctner nu :oui'd nos hav■ng the same street address. If there •s no street
address.: have used a building number.
14, 1 1,-derstand the fees `or this tit ification arc nonrefunda! ie.
Create Another Notification
View History Loa Out
you i-a•.e c:)esnons, contact us at asbestos pscicanair.:-y or 206. 6S9..1055
REVIEWED FOR
CODE COMPLIANCE
APPROVED
DEC 2 3 2011
City of Tukwila
BUILDING DIVISION
ltti?s: ` sictlre .pscl2tlflair.or`.'.\sl,esto. Approleti.a <px
1 of 1
RECEIVED
CITY OF TI IKIMLA
DEC 1 5 2011
PERMIT CENTER
1_21221)11
Plk-S11
12/15/2011 9:59 AA
1 of 1
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On June 23r12011 Assured Quality personnel conducted a "Good Faith" asbestos survey
(per U.S.E.P.A: / A.H.E.R.A. guidelines as designated and specified by Puget Sound
CIean Air Agency and Washington State) At 16044 51g Ave South Tukwila WA 98188.
This survey purpose is to identify any Asbestos Containing Materials that may be present
and require professional removal prior toemolition and or commencing any major
renovations of a structure. •
Narrative Of Findings
Basic Construction: (including siding and roofing types) the structure is a single story
wooden structure with a concrete foundation. The exterior siding is vinyl with Cement
Asbestos Board behind it. The roofing was a three -tab roof.
Attic and Wall insulation: No related suspect of ACM in walls or Attic
Plumbing System: No related suspect ACM located.
Heating system: No related suspect ACM located.
Interior Construction Finishes, and miscellaneous: Inside construction is wood. The dn- wall
and taping materials were sampled as per AHFIRA protocol. Vinyl flooring materials with
relating backing and mastics were also sampled one in each location per homogenous area.
Asbestos Summary
Six samples were collected at this residence. Of the six samples one tested positive. A
Positive Sample Means it Contains Asbestos. Positive Samples are as follows.
Sample # 1 Non Friable CAB Siding Chrysotile 10% 1425sq. ft.
12/15/2011 10:05 AM
1110ERMIT COORD COP
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D11 -397 DATE: 12/15/11
tev I1�
PROJECT NAME: WillohisaMPDEMOUTION
SITE ADDRESS: 16044 51 AV S
X Original Plan Submittal
Response to Incomplete Letter #
Response to Correction Letter # Revision # after Permit Issued
DEPARTMENTS:
Bui ing sioh�'
r
P—;
public
fmt\ N\.- 12. 111
Structural
Fire Prevention 1 ®1
Structural
t 1ti.V4L
Planning Division MI
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
DUE DATE: 12/20/11
Not Applicable
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
REVIEWER'S INITIALS:
No further Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved
Notation:
REVIEWER'S INITIALS:
Approved with Conditions
DUE DATE: 01/17/12
Not Approved (attach comments)
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slip.doc
2 -28 -02
Contractors or Tradespeople .ter Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LEI 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 ASSURED QUALITY ENVRNMNTL INC UBI No. 602215666
Phone 2535727175 Status Active
Address 2702 South A Street License No. ASSURQE982NH
Suite /Apt. License Type Construction Contractor
City Tacoma Effective Date 8/8/2002
State WA Expiration Date 8/11/2012
Zip 98402 Suspend Date
County Pierce 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
ASSURQS993RC
ASSURED QUALITY
SERVICES INC
Construction
Contractor
General
Unused
12/3/2001
12/3/2003
Archived
ASSURQA991D1
ASSURED QUALITY
ABATEMENT LLC
Construction
Contractor
General
Unused
3/21/2001
3/19/2004
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
FAWCETT, ANTHONY
President
08/08/2002
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
American Contractors
Indem CO
100092622
07/31/2009
Until Cancelled
09/15/2011
$12,000.0007/30
/2009
3
PLATE RIVER
41078805
07/31/2006
Until Cancelled
$12,000.0008/03
/2006
2
ACCREDITED SURETY
Et CAS CO
10019648
07/31/2004
Until Cancelled
07/31/2006
$12,000.00
07/27 /2004
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
10
Westchester
Surp Lines Ins
Co
G24119841001
03/15/2010
03/15/2012
$2,000,000.0003
/15/2011
9
ENDURANCE
SPECIALTY
INSURANCE,
FEC7002279
03/15/2009
03/15/2010
$2,000,000.00
03/13/2009
8
SPEC
NS
FEC6111554
FEC6111554
03/15/2008
03/15/2009
$2,000,000.00
03/17/2008
7
HUDSON
SPECIALTY INS
REC6106162
03/15/2007
03/15/2008
$2,000,000.00
03/07/2007
6
HUDSON
SPECIALTY INS
CO
05ELF00095
03/15/2006
03/15/2007
$2,000,000.00
03/14/2006
5
CVOANSTON INS
O4ELF00095
03/15/2005
03/15/2006
$2,000,000.0003
/11/2005
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
12/29/2011