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Home My WebLink AboutPermit PG11-046 - MSIMSI 14220 INTERURBAN AV S PG1 1 -046 City ottI'ukwila 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.: 3365901881 Address: 14220 INTERURBAN AV S TUKW Project Name: MSI Permit Number: Issue Date: Permit Expires On: PG11-046 04/01/2011 09/28/2011 Owner: Name: Address: Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor TIC FAIRWAU CENTER 20415 72ND AVE S #210 , KENT WA 98058 JEFF ESTEP 309 49 ST NE, STE A , AUBURN WA 98002 N/A TRANSIT PLUMBING INC 309 49 ST NE, SUITE A , AUBURN WA 98002 License No: TRANSPI101KK Phone: 253 854 -4443 Phone: 253 - 854 -4443 Expiration Date: 08/09/2011 DESCRIPTION OF WORK: ADD (1) KITCHEN SINK AND FAUCET AT NEW BREAKROOM LOCATION. SUPPLY AND WASTE TO TIE INTO EXISTING. Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: $2,500.00 $120.75 PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be compli ex• •wit Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: ned 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 e 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 and agree to the conditions on the back of this permit. Signature: Date: "I 1 ^ Z-vk Print Name: I FIT lam' F—PS L� 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 PG11-046 Printed: 04 -01 -2011 PERMIT CONDITIONS Permit No. PG 11 -046 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. doc: UPC -4/10 PG 11 -046 Printed: 04 -01 -2011 CITY OF TUKW Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gas re rmit No. F(71(---v11,4 Project No. (For office use only) 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 ** SITE LOCATION . King Co Assessor's Tax No.: YS ,O Site Address: ('f Z ZQ (IJ T v2-C 12& i / A_ CD Suite Number: g -10o Floor: Z Tenant Name: M 5 I New Tenant: ❑ Yes J.. No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: OFF 'srEp Mailing Address: Day Telephone: (1-53 - $ 5`i ' & u y 3 E -Mail Address: City Fax Number: State Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: %a.�s► r 19 r FG� E -Mail Address: Contractor Registration Number: 1-A a—D� AvtiWitt. WA- 1 City State Zip Day Telephone: ?-5 3 - 85-4 • 3 Fax Number: Expiration Date: ostoetio ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: E -Mail Address: Fax Number: Contact Person: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:\Application\Porms- Application On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 1of2 Valuation of Project (contractor's bid pi $ a 5 0 0 , O o Scope of Work (please provide detailed information): A-1J I (1) !L t rc. H' 3 � N I L �aluca� -i p_ ( greet -K t2.c.o✓h L,vc,A,ri 6 u P Pc- t wA-53 7t Tr lz (0-11-0 )4 1 s Ti ( • khO 11170 U4Nc t 014t4k-6(1- WPr f 'C Building Use (per Intl Building Code): Occupancy (per Int'1 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 Dram 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 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 AUTHORIZED AGENT: 1L _.5(. Signature: `C1 - Print Name: 2. ,DiifLi/l -T Mailing Address: , 70 S btike -} 4.8 5T. (oq Date: 3 (1 1( Day Telephone: Zo (o 2.10 '1 9086-- S t &LA- (34 City State Zip IDate Application Accepted: Date Application Expires: Staff Initials: 1 H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 2 of 2 SET RECEIPT RECEIPT NO: R11 -00520 Initials: JEM Payment Date: 03/17/2011 User ID: 1165 Total Payment: 690.55 Payee: BOYCE CONSTRUCTION INC. SET ID: 0317 SET NAME: MSI SET TRANSACTIONS: Set Member Amount D11 -019 PG11 -046 TOTAL: 569.80 120.75 569.80 TRANSACTION LIST: Type Method Description Amount Payment Check 21536 690.55 TOTAL: 690.55 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES PLAN CHECK - NONRES PLUMBING - NONRES STATE BUILDING SURCHARGE 000.322.100 000.345.830 000.322.103.00.0 640.237.114 565.30 24.15 96.60 4.50 TOTAL: 690.55 • INSPECTION RECORD dk3 INSPECTION NO. Retain a copy with permit PERMIT NO. G / A CITY OF TUKWILA BUILDING DIVISION t�V� o. . 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 7125:1— Type of Inspection: r--://t/41 -- P121018/ 4f Address: 12/220 rNfrs'2/76An1/ Date Called: Special Instructions: 7- Date Wanted: -V- 8 - // a r p.m. Requester: Phone No: a'53 -2-6 —656 z.. Approved per applicable codes. a Corrections required prior to approval. COMMENTS: �}Pl•Lti�Go ,l- �,p�C�e 1J I � 1 REINSPECTION FEE REQUIRED. Pr or to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Insp e or: Date (F. -:11 Ci'ry:tr. "7-11:0•L. ;.,yr- .s,•? c .7.. .. .: 741'7" `„' r.TV.. �-�"cr o :e • A .-•tc }' •�6't�_ INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: AS -r- Type 9f-Ins tioq: p 6 Addfes3 a .i.../0 �Ji ate Called: - Special Instructions: Date Wanted// ` / ^/ a.m. �. Requester: fie,- 5 dke -1- .Je vA^eA feLAI Phone No: f JApproved per applicable codes. Corrections required prior to approval. COMMENTS: t NJ EQ 'C_Ak I( veik - a W , fie,- 5 dke -1- .Je vA^eA feLAI I, I 1 !! Insp ctor: Date: ❑ REI PTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. s• Y '.i • •• a . r, :x`y i = • 3. •: n,,• - 4:k4 INSPECTION RECORD. • Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 . Project: ./j'lS-1--- Type of Inspection: kt> /4,€),- _Za i'•J /?r• id Address: / 4/2 2/j .- .Zit/T>r e2/4 64-k) Date Called: Special Instructions: / - / Date Wanted: V- 4/ - / 1 d; Requester: Phone No: •.?46 - 7g-5.-_517/8� Approved per applicable codes. a Corrections required prior to approval. COMMENTS: T Si7A,r Inspector: Date: -4- k1 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be . paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. a •1 REVISIONS No changes shall be made to ih of work without prior approva o Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review fees. 3#/el/id P1 e) ty it R Agid let I' 4-a 60' s Pei .`ef seke -; b- ex 1541 as K 1ib1(,; 0,6:0 0 o e ate i- f 1 PDeo Porotft No. P! em r view approval is t.:- • 7.7 ,11 1 of construction 1:: .:liorn ai any a1 • o t: proved Fier Copy ;Set" By eceipt ed: SEPARAT REQUIR FOT R BUILDING D City of BUILDING la VISION av`S l�' PhI446/'P'j jvG, '2 3°- g5'/ -4/'93 z Om -r,te 5-1470 Flo�� O�v� tom: &r 6.11_, 04(4 1.9 tecere 13,9 ko foi AVe S 71.) REVIEWED FOR CODE COMPLIANCE APPROVED MAR 3 1 2011 City of Tukwila BUILDING DIVISION crrvRgiraitA MAR 112011 PERMIT MOM March 23, 2011 r city of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director Jeff Estep Transit Plumbing 309 49 St NE, Suite A Auburn, WA 98002 RE: Letter of Incomplete Application # 1 Plumbing /Gas Piping Permit Application PG11 -046 MSI —14220 Interurban Av S Dear Mr. Estep, This letter is to inform you that your permit application received at the City of Tukwila Permit Center on March 17, 2011 is determined to be incomplete. Before your application can continue the plan review process the attached/following items from the following department(s) need(s) to be addressed: Public Works Department: Dave McPherson at 206 431 -2448 if you have any questions concerning the following comment. 1) Due to the addition of plumbing fixtures, a King County Non - Residential Sewer Use form is required to be completed. List only the new fixtures not any replaced in kind. Please address the comment above in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that two (2) sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a Revision Submittal Sheet must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at the Permit Center at (206) 431 -3670. Sincerely, Bill Rambo Permit Technician Enclosures File: PG11 -046 W:\Permit Center \Incomplete Letters\2011\PG11 -046 Incomplete Ltr #1.DOC 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 iD PERMBTCOORDCOP14 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -046 DATE: 03/25/11 PROJECT NAME: MSI SITE ADDRESS: 14220 INTERURBAN AV S Original Plan Submittal X Response to Incomplete Letter # 1 Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: Building Division uic Works ' 093' Fire Prevention Structural Planning Division n nPermit Coordinator ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete DUE DATE: 03/29/11 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Please Route ❑ Structural Review Required REVIEWER'S INITIALS: No further Review Required ❑ DATE: APPROVALS OR CORRECTIONS: DUE DATE: 04/26/11 Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 •PERMT COORD COPY 10 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -046 DATE: 03/17/11 PROJECT NAME: MSI SITE ADDRESS: 14420 INTERURBAN AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTETS:.��I Vu71 di ng Division 11 Public Works Fire Prevention Structural Planning Division ❑ Permit Coordinator ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete n Comments: Incomplete DUE DATE: 03/22/11 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: ■)-3/l ` I LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW' Staff Initials:_ TUES /THURS ROUTING: Please Route ❑ Structural Review Required n REVIEWER'S INITIALS: No further Review Required ❑ DATE: APPROVALS OR CORRECTIONS: DUE DATE: 04/19/11 Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) u Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 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 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: /5/2,t,�� Plan Check/Permit Number: PG 11 -046 • Response to Incomplete Letter # 1 ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued El Revision 2"441144 Revision requested by a City Building Inspector or Plans Examiner MA ?011 Project Name: MST cc, v re: Project Address: 14220 Interurban Av S Contact Person: Summary of Revision: Phone Number: C25 3 g5-9 / y y3 N,�hln vovk Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: t4Entered in Permits Plus on 0 71 \applications \forms - applications on line\revision submittal Created: 8 -13 -2004 Revised: Lsi King County Department of Natural Resources and Parks Wastewater Treatment Division Non - Residential Sewer Use Certification • To be completed for all new sewer connections, reconnections or change of use of existing connections. • This form does not apply to repairs or replacements of existing sewer connections within five years of disconnect. �] Please Print or Type •a / QC7 Iy2i0 441.6^ i)VLet in Aki e, 5o Property Street Address T,) (,t/f � wtr, City State ZIP Owner's Name Subdivision Name Lot # For King County Use Only Account # No. of RCEs Monthly Rate Property Tax ID # Party to be Billed (if different from owner) City or Sewer District Subdiv. # Block # Date of Connection Building Name wad( G 1, t' 414-le Side Sewer Permit # (if applicable) / Please report any demolitions of pre - existing building on this property. ( ) Credit for a demolition may be given under some circumstances. Owner's Phone Number (with Area Code) Demolition of pre- existing building? ❑ Yes allo ( ) Was building on Sanitary Sewer? VI-Yes ❑ No Property Contact Phone Number (with Area Code) Owner's Mailing Address Was Sewer connected before 2/1/90? [7J'Yes ❑ No Sewer disconnect date: Type of building demolished? Request to apply demolition credit to multiple buildings? ❑ Yes ❑ No A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units Kind of Fixture Fixture Units No. of Fixtures Total Fixture Units Public Private Public Private Bathtub and Shower 4 4 Shower, per head 2 2 Dishwasher 2 2 Drinking fountain (each head) 1 .5 Hose bibb (interior) 2.5 2.5 Clotheswasher or laundry tub 4 2 Sink, bar or lavatory 2 1 Sink, Clinic flushing 8 8 Sink, kitchen 3 2 j Sink, other (service) 3 1.5 Sink, wash fountain, circle spray 4 3 Urinal, flush valve, 1 GPF 5 2 Urinal, flush valve, >1 GPF 6 2 Urinal, waterless 0 0 Water closet, tank or valve, 1.6 GPF 6 3 Water closet, tank or valve, >1.6 GPF 8 4 Total Fixture Units Residential Customer Equivalent (RCE) 20 fixture units equal 1.0 RCE Total No. of Fixture Units _ 20 ,1 RCE B. Other Wastewater Flow (in addition to Fixture Units identified in Section A) Type of Facility /Process: REcavEq CflYOFTOMLA Estimated Wastewater Discharge: ', 7 Gallons /daystIAR 2 3 2011 Residential Customer Equivalent? 187 gallons per day equals 1.0 RCE Total Discharge (gal /day) _ 187 C. Total Residential Customer Equivalents: (add A & B) 7C6t .c A B e. RCE INCOMPLETE LTR #�_ R E Pursuant to King County Code 28.84, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge. The amount of the charge is established annually by the King County Council at a rate per month per residential customer or residential customer equivalent for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. All future billings can be prepaid at a discounted amount. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge or this form should be referred to King County's Wastewater Treatment Division at 206 - 684 -1740. I certify that the information given is correct. I understand that the capacity charge levied will be based on this information and any deviation will require resubmission of corrected data for determination o -ised capacity charge. Signature of Owner /Representative Print Name of Owner /Representative 1058 (Rev. 9/07) Date 3" 5 '1/ White - Kina County Yellow - Local Sewer Aaencv Pink - Sewer Customer • ®A�. Contractors or Tradespeople Printer Friendly Page Page 1 of 1 0 • 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 TRANSIT PLUMBING INC UBI No. 601216965 Phone 2538544443 Status Active Address 309 49Th St Ne Ste A License No. TRANSPI101 KK Suite /Apt. License Type Construction Contractor City Auburn Effective Date 5/12/1990 State WA Expiration Date 8/9/2011 Zip 980021414 Suspend Date County King Specialty 1 Plumbing Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status TRANSP'147KMTRANSIT PLUMBING Construction Contractor General Unused 5/14/1986 5/12/1990 Archived Business Owner Information Name Role Effective Date Expiration Date ESTEP, JEFF D 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 6 CBIC 512884 05/05/2009 Until Cancelled $12,000.00 05/11/2009 5 DEVELOPERS SURETY ft INDEM CO 135851C 08/11/2001 Until Cancelled 06/13/2009 $12,000.0008/09 /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 18 MID CENTURY INS CO 03529497 08/25/2008 08/25/2011 $2,000,000.00 07/08/2010 17 TRUCK INS EXCHANGE 035029497 08/25/2003 08/25/2008 $2,000,000.00 07/16/2007 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount PBAT100332 5/9/2007 18.106.020(5)(b) RCW PLUMBER INFRACTION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 04/01/2011