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HomeMy WebLinkAboutPermit PG10-133 - WOLDESELASSIE RESIDENCEThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PG 10 -133 Woldeselassie Residence 14434 Avenue South RECORDS DIGITAL D- ) EXEMPTIO THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 18 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. WOLDESELASSIE RESIDENCE 14434 AV S PG1O-133 City oftukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspectio n Request Line: 206 - 431 -2451 Web site: http: //www.ci.tukwila.wa.us PLUMBING /GAS PIPING PERMIT Parcel No.: 0040000080 Address: 14434 34 AV S TUKW Project Name: WOLDESELASSIE RESIDENCE Permit Number: Issue Date: Permit Expires On: PG10 -133 09/22/2010 03/23/2011 Owner: Name: Address: Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor LEIVA LILIANA +JUAN CARLOS PO BOX 893 , RENTON WA 98057 TYLER BLANCHARD Phone: 206 300 -7692 PO BOX 47013 , SEATTLE WA 98146 B & J PLUMBING INC PO BOX 47013 , SEATTLE WA 98146 License No: BJPLU * *234B6 Phone: 206 658 -1031 Expiration Date: 07/22/2011 DESCRIPTION OF WORK: ROUGH IN PLUMBING FOR (1) LAUNDRY WASHER BOX, (1) HOT WATER TANK, (1) HAND SINK, AND (2) SHAMPOO CHAIR SINKS. 09 -24 -10 REVISION #1: REMOVE (2) SHAMPOO CHAIR SINKS FROM SCOPE OF WORK. WER Value of Plumbing /Gas Piping: $2,000.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $151.20 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: „01 Date: l ".)- —1 V 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 plumbing /gas piping permit. Signature: Print Name: A-Ak.c_-4A Jr, t.oi 0 \ lase.\ 0.s s Date: ciIzylr� 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: UPC -4/10 PG10 -133 Printed: 09 -24 -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 PLUMBING /GAS PIPING PERMIT Parcel No.: 0040000080 Address: 14434 34 AV S TUKW Project Name: WOLDESELASSIE RESIDENCE Permit Number: Issue Date: Permit Expires On: PG10 -133 09/22/2010 03/21/2011 Owner: Name: LEIVA LILIANA +JUAN CARLOS Address: PO BOX 893 , RENTON WA 98057 Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor TYLER BLANCHARD PO BOX 47013 , SEATTLE WA 98146 B & J PLUMBING INC PO BOX 47013 , SEATTLE WA 98146 License No: BJPLU * *234B6 Phone: 206 300 -7692 Phone: 206 658 -1031 Expiration Date: 07/22/2011 DESCRIPTION OF WORK: ROUGH IN PLUMBING FOR (1) LAUNDRY WASHER BOX, (1) HOT WATER TANK, (1) HAND SINK, AND (2) SHAMPOO CHAIR SINKS. Value of Plumbing /Gas Piping: Fees Collected: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie $2,000.00 $151.20 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: MI 11 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 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 plumbing /gas piping permit. Signature: °•1:7 Print Name: cu_5 i— lS 5 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. doc: UPC -4/10 PG10 -133 Printed: 09 -22 -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 Parcel No.: 0040000080 Address: Suite No: Tenant: 14434 34 AV S TUKW WOLDESELASSIE RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG10 -133 ISSUED 09/22/2010 09/22/2010 1: ** *PLUMBING AND GAS PIPING * ** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. * *continued on next page ** doc: Cond -10/06 PG10 -133 Printed: 09 -22 -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 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 provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: p` i ( ( 5 l dc `r r ` Date: doc: Cond -10/06 PG10 -133 Printed: 09 -22 -2010 CITY OF TUKWIL4 Community Developmenpartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 - htto://www.ci.tukWila.wa.us PLUMBING / GAS PIPING 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 ** K; ^^ r'n Assessor's Tax No.: OO© CO 0 g Z CP Site Address: \ .VI(‘ )\ J € S Tenant Name: Arar e - WD\a e Property Owners Name: Astn\€200-, Wo \ e_' Gam+ Mailing Address: \ NU ! 4 '3H r' A Suite Number:____ New Tenant: Floor: 0..±'es ..No \\c ■ City State 98\ Zip °'CONTACT:PERSON -Who do we contact when your permit is ready to be issued.: me: ..1 -k.A ailing Addre E -Mail Address: cc) P o 6oX L-(1 o C3 Day Telephone; (. z O to> 3 O&— 7 (D q 2 eat- \e Loft- g8(c1(0 City State Zip Fax Numbe( -2 O(: 7 (0 O 8 9 (D PLUMBING/ GAS PIPING CONTRACTOR INFORMATION" Company Name: P\ 1/4) mb� e o Mailing Address: cop 60 )( L-1'-1 O 13 5eo,NA -V2 L.1 A City Contact Person: 7pJc-i E -Mail Address:— D c' 6c).Ct a P\cal') • (1) e'i Contractor Registry na Number: i5 ,j P�v — -R s (o State Zip Day Telephone: c_704.0 9\ 0 Fax Number: CZ 0 7 (o7 Ocg°( Expiration Date: t z 131 / 1 o ARCHITECT OF RECORD All plans niust'be wet 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 must be. wet stamped by Engineer of Record • • Company Name: Mailing Address: Contact Person: E -Mail Address: Q:Wpplications\Forms- Applications On LineU -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh City Day Telephone: Fax Number: State Zip Page 1 of 2 Valuation of Project (contractor's bid price): $ Z. 00 0 Scope of Work (please provide detailed information): P-.■ QLJ nr1t e‘c) . - Or L c%) t1 rut Wikc ter oX k 1 o - W o.1\-,Rc VoN4Y016S, r \04:( . 4" o.r 2. Svtavripoo cka;• )r Building Use (per Intl Building Code): Occupancy (per Int'l 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 Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic 1 Floor drain Sinks 3 Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system - per drain (inside building) Water heater and /or vent 1 Additional medical gas inlets /outlets - six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas 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 expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International 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 OWNER OR AUT RIZED AGENT: Signature: �_� Via AN 01k4ArCJ Print Name: Mailing Address: PC g cry. 14-To 1 -s Date: 9 I Z, ( If 0 Day Telephone: ( ?,E1(,) 3 CO -1 (9S IV I Lite City t'Q State Zip Date Application Accepted: 01 I Ti��� Date Application Expires: �I �A1 i Staff Initials: J�✓ " - Q:\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permi Application.doc Revised: 4 -2006 bh Page 2 of 2 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.tulcwila.wa.us Parcel No.: 0040000080 Address: 14434 34 AV S TUKW Suite No: Applicant: WOLDESELASSIE RESIDENCE RECEIPT Permit Number: PG10 -133 Status: PENDING Applied Date: 09/22/2010 Issue Date: Receipt No.: Initials: User ID: R10 -01885 JEM 1165 Payment Amount: $151.20 Payment Date: 09/22/2010 02:55 PM Balance: $0.00 Payee: B & J PLUMBING, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 28190 151.20 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 151.20 Total: $151.20 doc: Receiot -06 Printed: 09 -22 -2010 INSPECTION RECORD Retain a copy with permit INSPECTION N0. PERMIT NO. /J CITY OF TUKWILA BUILDING DIVISION ' \, �� 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 PG (O -( Project: %O �� S� S` Typ ,of Inspecti n: tG ill t c.._ L • Address:+ -- ,44 ?4 31 - -s Date Called: Specia .Instruct ons: ' Date Wanted: ( ° -- �- ''a�.�m -6- c.—___60----C..-1.---0-.1.1;1- �J p.m. Requester: Phone N9: ..- .. 5.-3 � 3 7 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 1 A Inspect Date 0 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 72-. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 PG'o -133 Project: 1/U o V) E5 e_l -A-cc C'_- Typ of Inspection: Ko u G f b Address: / 44 3 i'L. 3 , Date Called: Special Instru ions: Date Wanted: a.m. 0 —S —H • • Requester: Ph7 0(.0,--3-S-3 - s 7g Approved per applicable codes. Corrections required prior to approval. COMMENTS: Insl$ector: Date: 3 - ■ 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. f),o -/33 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: In 6e5el 1 s-�,e_ Type of Inspection: Roa4li pru ,'-if. Address: (4431i . ° --, Ai /� Date Called: K) (-)r--- Special Instructions: 1 6.438%4? `' f Date Wanted: / 0 a.m. ^ r /-9 R- Requester: Phone No: `7,/),C0 — 53 —S 3'7S Approved per applicable codes. orrections required prior to approval. ;S COMMENTS: /Di K) (-)r--- 6, -2� /V p/71-7Th J`_S /v6 T D OW JJ ((r e "— A A ai Inspec tor: % Date: n REINSPECTION FEE REQ !RED Prior to next inspection. fee must be paid at 6300 Southcenterj lvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 4. PG(o 433 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Project: WO f 5 L A: c e R.es . Type of Inspection: PL) Li <, -rte P(LA g.,. Address: `rl 14431 4 S Date Called: Special Instructions: X SS ..o 5 S:‘/L- iol S77- Date Wanted: a.m. Requester: 1 Phone No: '7.4,--3S3 -5;7S) ElApproved per applicable codes.- Corrections required prior to approval. COMMENTS: 3:A5-rot-if :c[Sofl SkIeS S cJ )S (A1 (A (( vW Abf - , 17 es i e SU6 sbk 6 e S0 X SS ..o 5 S:‘/L- iol S77- dr A.01/4 r r peg t 4 AS .P 7 —, ; D �re sci- of v Are 4._ !'n.0 ! u,-P ./IT,It4 ; G AJ'd fU, -, 1 A.gt a 6 /\ A e1 , iSp r : ') ' n Irpector: Date: e3 b.- - ( n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. P610 --13 3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 14. GPI 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Project: WO LCF. S si_,es f - Type of Inspection: R<n«rk -4. J Address: (1-1L13(4 3'4 A v 5 Date Called: Special Instructions: R. d -21r2-3 14 Date Wanted: 9 - �l - ) v (a-.67 `I Requester: t" nerAA I i Phone No: Approved per applicable codes: Corrections required prior to approval. /c COMMENTS: S -,e, e...i ;04 /0.a 4 —uf (s 4r OF perk7 ,2-e -- LiaC am' , .3 t" nerAA I i I 4 1f ® KJ`,\ /\-te, p P- ;' - sri) r) ,,,i,f,Y-K._ i--s■ tl I n Insp(ctor: % Date 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 INSPECTIO NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Nio —c33 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: I' 1Po LOSS e 1 e e JP�,:S Type of Inspection: R.� J c �- Pt A^J3 Address: _ 7� i 4 3 3 S Date Called: ,--, Special Ins ions: ' t- dl _ t W4 u P-I0 5- -N-tc 2 5CA A-/-?° a G Out J s phone r te Wante, _7.3, ____,0 Requester: No:,.- 7, 97C, -3 ° a ----7(0q2._ 0 Approved per applicable-codes. Corrections required prior to approval. COMMENTS: A t � \ Dr; u� i 0 %- \ -- 4 C f ;' ()LA` (L tfIt 6 cNtc,p AwL .--?'e ') r- - r A i., ( -. n -r 13 J (Al. A M Pmt .A-n , r k PP ,It 4' `r" II ) r f r ``� k /A t/N S ( ! _: 1 (2- c) O 1 P- ,<1 A te( a, 6 r-TC A -P-(-1-r: 0 e / AA ( r yr p . e A 4-J 4 Sv O LA.Jlt A,t cO /�S rr (fir �n o _ /bc�A <�(k .l f A In(¢ector i Date - :3 -( v ri REINSPECTION FEE REQUIRE 'b Prior to next inspection. fee:must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • 14431 3`}-%(n AVE S 4016fe55 Z., e(t4A owl- 44_4 46,_s-i City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Web site: http: / /www.ci.tukwila.wa.us REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: -9 1e24-- I 0 Plan Check/Permit Number: FG-to—f..a ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # ( after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Project Address: Contact Person: 01 sS ; e {' ?, `-j- ' s 1G4,4 LA (,j /4— % 31 C 2 Phone Number: g . . O C - 3 3 —S 3 ,'-71' Summary of Revision: L.._.. SEP. 2.4.2010 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all-areas-of revision including date-of revision' Received at the City of Tukwila Permit Center by: la' Entered in Permits Plus on 9-0)-1A-1, 0 H:\Applications\Fortns- Applications On Line\2010 Applications \7 -2010 - Revision Submitlal.doc Created: 8 -13 -2004 Revised: 7 -2010 Contractors or Tradespeople Pter 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 B Et J PLUMBING INC UBI No. 600060826 Phone 2066581031 Status Active Address Po Box 47013 License No. BJPLU**234B6 Suite /Apt. License Type Construction Contractor City Seattle Effective Date 1/26/1977 State WA Expiration Date 7/22/2011 Zip 98146 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date HARRIS, BUCKLEY D Cancel Date 01/01/1980 Bond Amount HARRIS, JANET S 9 01/01/1980 6416602 HARRIS, DOUGLAS President 06/12/2000 2/8/1979 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 9 AM STATES INS 6416602 05/26/2006 Until Cancelled $4,000.00 2/8/1979 $12,000.0005/09 /2006 8 ACCREDITED SURETY Et CAS CO 10034304 05/26/2005 Until Cancelled 05/26/2006 2 $12,000.0005/25 /2005 7 CUMBERLAND CASUALTY & SUR CO MB009001434 07/01/2002 Until Cancelled 05/26/2005 1/24/1977 2/8/1979 Bond 22 OOHIO CAS INS BH0055312740608/19/2004 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 26 NATIONWIDE MUTUAL INS CO ACP7541687621 10/25/2008 10/25/2010 $1,000,000.00 09/22/2009 25 NATIONWIDE MUTUAL INS CO ACP7521687621 10/25/2006 10/25/2008 $1,000,000.00 10/01/2007 24 NATIONWIDE MUTUAL INS CO ACP7511687621 10/25/2005 10/25/2006 $1,000,000.0010 /12/2005 23 NATIONWIDE MUTUAL INS CO ACP7501687621 10/25/2004 10/25/2005 $1,000,000.0003 /01/2005 22 OOHIO CAS INS BH0055312740608/19/2004 08/19/2005 $1,000,000.00 09/30/2004 Summons /Complaint Information Cause County 1 Complaint Judgment 1 Status 1 Payment 1 Paid By https://fortress.wa.gov/lni/bbip/Print.aspx 09/22/2010