HomeMy WebLinkAboutPermit PG11-157 - BELFORBELFOR
4320 S 131 PL
PG1 1 -157
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
Parcel No.: 7349200095
Address: 4320 S 131 PL TUKW
Project Name: BELFOR
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG11 -157
11/14/2011
05/12/2012
Owner:
Name: NORMED SHAW PTN
Address: PO BOX 3644 , SEATTLE WA 98124
Contact Person:
Name:
Address:
Email:
MATT FARRELL
31622 130 AV SE , AUBURN WA 98092
SOUNDMECHANICAL@COMAST.NET
Contractor:
Name: SOUND MECHANICAL & IND INC
Address: 31622 130 AV SE , AUBURN WA 98092
Contractor License No: SOUNDMI044BE
Phone: 206 915 -6410
Phone: 253 - 735 -1857
Expiration Date: 11/12/2013
DESCRIPTION OF WORK:
PROVIDE ROUGH -IN PLUMBING DRAIN AS WELL AS HOT AND COLD WATER SUPPLY FOR (2)
2- COMPARTMENT SINKS.
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
$3,000.00 Uniform Plumbing Code Edition: 2009
$137.81 International Fuel Gas Code Edition: 2009
A�
Date: 1' (114 I
x. ed this permit and know the same to be true and correct. All provisions of law and ordinances
with, whether specified herein or not.
The granting of this permit does not pre
construction or the performance of work. am authorized t • sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of this permit.
to give authority to violate or cancel the provisions of any other state or local laws regulating
Signature:
Print Name:
ffi,tr(O /
Date://-fr' /
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
PG 11 -157 Printed: 11 -14 -2011
• O►
PERMIT CONDITIONS
Permit No. PG 11 -157
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
PG11 -157 Printed: 11 -14 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.dov
Plumbing /Gas Permit No.
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
Site Address= 4320 South 131st Place
Belfor
Tenant Name:
Property Owners Name: NORMED SHAW PTN
King Co Assessor's Tax No.: 73492000095
Suite Number: 100 Floor: 1
New Tenant: ❑ Yes I ..No
Mailing Address: Belfor 4320 South 131st Place, Suite 100 Tukwila, b9
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Matt Farrell
Mailing Address: 31622 130th Ave SE
E -Mail Address: soundmechainical @ comcast.net
Day Telephone: (206) 915 -6410
Auburn
City
Fax Number:
wa
State
98092
Zip
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Gt114' :000 c1 h3
Company Name: Sound Mechanical & Industrial, Inc.
Mailing Address: 31622 130th Ave SE
Auburn WA
City State
Contact Person: Matt FArrell Day Telephone: (206) 915 -6410
E -Mail Address: soundmechainical @comcast.net Fax Number:
Contractor Registration Number: SOUNDM1044BE
98092
Zip
Expiration Date:
+7-,27 likt
ARCHITECT OF RECORD — Ml plans must be stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
Fax Number:
E -Mail Address:
State
Zip
ENGINEER OF RECORD — All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address: Fax Number:
City
State
Zip
Day Telephone:
FI \ Applications \Forms-Applications On Line \2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application. doc
Revised: 7 -2010
bh
Page 1 of 2
Valuation of Project (contractor's bid price): $ 3,000.00
Scope of Work (please provide detailed information): Provide rough plumbing drain, hot and cold water
supply for (2)- 2 compartment sinks
Building Use (per Int'1 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
2
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 WA NGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUT . O D AGE►
Signature>�-
Print Name:
Mailing Address:
Matthew
rell
31622 130th Ave SE
Date: 10/17/2011
Day Telephone: 206-915-6410
Auburn WA 98092
City
State Zip
IDate Application Accepted:
oI�'�111
Date Application Expires:
H: \Applications \Forms- Applications On Line \2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised. 7 -2010
bh
DLA l ft I(1-
Staff Initials:
Page 2 of2
• 0
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
RECEIPT
ParcelNo.: 7349200095 Permit Number: PG11 -157
Address: 4320 S 131 PL TURIN Status: PENDING
Suite No: Applied Date: 10/17 /2011
Applicant: BELFOR Issue Date:
Receipt No.: R11 -02272
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $137.81
Payment Date: 10/17 /2011 03:07 PM
Balance: $0.00
MATTHEW W FARRELL, SOUND MECHANICAL & INDUST
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 000718
ACCOUNT ITEM LIST:
Description
137.81
Account Code Current Pmts
PLAN CHECK - NONRES
PLUMBING - NONRES
000.345.830 27.56
000.322.103.00.00 110.25
Total: $137.81
doc: Receiot -06 Printed: 10 -17 -2011
NSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. 4
CITY OF TUKWILA BUILDING DIVISION C
6300 Southcenter Blvd., #100, Tukwila. WA 98188. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
I
Pc4\--is-7
Project: c ror
Type of spe tior 11 M C • \
Address:
L
Date Called:
-.6
Special Instructions:
a
Date Wanted:.
7 -L-
�a m
/
1 ?�.-' P.m.
Requester:
Phone No:
y
Approved per applicable codes. D Corrections required prior to approval. !
COMMENTS:
.
()PI ll, ( L
C
-.6
a
s
i
y
II
Inspecto
Date: t l-
r7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid'. t 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 't _�, (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Ict -i5r1
Proj t: /�
Type f Insppefct'ion: ,Y--4J Pb
Ad ss: 111 g
4326 3 f - PL
Date Called:
Special Instructions:
Date Wanted - Z / �7
— ( ,
P.m.
jU f�
Requester:
Phone No:
IIApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
tfd - CI
P pj -- .., o� T J�tk
Inspe tor: i Date:
ri REINSPECTION FEE REQUIRED Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., ' uite 100. Call to schedule reinspectioh.
•
•
INSPECTION RECORD
Retain a copy with permit
INSPECTION N0. ' : • PERMIT NO. e
• CITY OF TUKWILA BUILDING DIVISION
6300. Southcenter Blvd., #100, Tukwila. WA 98188 K, (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
p ;(( -1 S7
Project:
Type of Inspectiop: .71.4.--1 P p f.
Addr t: ' - •
Date Called:
5000 Instructions: - •
A
•-
Date Wante4:._ /
(( t
,,� 1 �-� �a.m:,
p.m.
Requester:
Phone `No- is- (pmt (
Approved per applicable codes.
Corrections required prior to approval.
'cOMMENTS
(J ,.e.e_ Cooka-S ppef.
fS .e 'V ( Q
Insptstor:
Date: 1 r7 r
REINSPECTION.FEE REQUIRED. Prior to next inspection. fee must list
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspects n.
INSPECTION RECORD
' Retain a copy with permit
INSPECTION NO.
)1)6/1-- /5-7
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 le (206) 431 -3670
Permit Inspection Request Line (206) 431 =2451
Project:
4s -1.1----0 '2
Type of Inspection:
6 On/,vo Who e
Add ess:
T320 .5
/3' /
7'21.-
Date Called:
Special Instructions:
w
Date Wante /.ii
///2/ `/1
�.
p.m.
Requester:
41,9---/-7-
Phone No:
(716 6 - S /SG%' /f)
Approved per applicable codes.
ElCorrections required prior to,approval.
COMM€NTS:
-73;1-;- (
..1
SPECTION FEE REQUI D. Prior to n xt inspection, fee must be
aid at 6300 Southcenter Blvo., Suite 100. Call to schedule reinspection.
'V.
•
•
•
•
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.lnspection Request Line 006) 431 -2451
P61(-157
fk
Project: •
-
Type of Inspection:
4,1,v0nbw0l6C
Date Called:
Add esi s t''
. -132,a !31- PL
Special Instructions: •
•
•
•
Date Wanted:.
1 (�
17_1(
a
p.m.
Requester:
Phone No:
(All (/�f
Approved per applicable codes. ELGorrections required prior to approval.
COMMENTS:
Insect
Da / e:
I —,7-- e/
ri EIN SPECTION FEE REQUIRED. Prior o next inspection. fee must be
a`tdat 6300 Southcenter Blvd.. Suite 1 0. Call to schedule reinspection.
n Department of Community Development Jack Pace, Director
• City of Tukwila
Jim Haggerton, Mayor
October 18, 2011
Matt Farrell
Sound Mechanical & Industrial
31622 130th Av SE
Auburn, WA 98092
RE: Letter of Incomplete Application # 1
Plumbing /Gas Piping Permit Application PG11 -157
Belfor — 4320 S 131 PI
Dear Mr. Farrell,
This letter is to inform you that your permit application received at the City of Tukwila Permit Center on
October 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:
Building Department: Allen Johannessen at 206 433 -7163 if you have any questions
concerning the attached comments.
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 -157
W:\Permit Center \Incomplete Letters\2011\PG11 -157 Incomplete Ltr # 1.doc
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
1
Tukwila Building Division
Allen Johannessen, Plan Examiner
Determination of Completeness Memo
Date: October 18, 2011
Project Name: Belfor
Permit #: PG11 -157
Plan Review: Allen Johannessen, Plans Examiner
The Building Division has deemed the subject permit application incomplete. To assist the applicant in
expediting the Department plan review process, please forward the following comments.
(GENERAL NOTE)
PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size).
(If applicable) Structural Drawings and structural calculations sheets shall be original signed wet
stamped, not copied.)
1. Floor plan provided is reduced and difficult to read. Provide a plan to scale to show location of all
fixtures existing and new that is part of the same plumbing system being tied into. Do not provide
reduced size drawings. Drawings shall be on minimum size 11 x 17 inch sheets.
2. Plumbing diagram is proposing AAV (studor vents). These are not allowed in Tukwila. Revise
drawings to show plumbing vents vented to the outside above the roof.
Should there be questions concerning the above requirements, contact the Building Division at 206 -431-
3670. No further comments at this time.
OPERINIT COORS COP,
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG11 -157
PROJECT NAME: BELFOR
DATE: 10/27/11
SITE ADDRESS: 4320 S 131 PL
Original Plan Submittal X Response to Incomplete Letter # 1
Response to Correction Letter # Revision # after Permit Issued
DEPPARTME :
4ition A in 6 1,1iIk 4,1'11
Public Works 11.1
Fire Prevention
Structural
Planning Division
n
❑ Permit Coordinator n
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
DUE DATE: 11 /01 /11
Not Applicable
n
Comments:
Permit Center.Use Only r. • . ' ```'' •E�rr : ; •.'
• INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route Ntl Structural Review Required
No further Review Required n
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 11/29/11
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:
•'4 . ' �T'�••«
Documents /routing slip.doc
2 -28 -02
OPERMIT COORD COPIA
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG11 -157 DATE: 10/14/11
PROJECT NAME: BELFOR
SITE ADDRESS: 4320 5 131 PL
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # after Permit Issued
Public Works
Fire Prevention
❑ Structural
Planning Division
❑ Permit Coordinator ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete ri
Incomplete k/
DUE DATE: 10 /18 /11
Not Applicable
Comments:
Permit Center Use Only .. •-;, • .
( • r 1t ...:1 µ�.. I� I • y
INCOMPLETE LETTER MAILED: 11/ l LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route n Structural Review Required
No further Review Required ri
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 11/15/11
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 slip.doc
2 -28 -02
•
• fir
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.
Plan Check/Permit Number: PG 11 -15 7
• Response to Incomplete Letter # 1
Date: /V---Z6-//
❑ Response to Correction Letter #
❑ Revision # after Permit is Issued CITyR
�Cr
❑ Revision requested by a City Building Inspector or Plans Examiner OCT 2
7 ?011
NEgMIcEivrEA
Project Name: Belfor
Project Address: 4320 S 131 P1
Contact Person: /The F rrP//
Phone Number: 2 0 6 -9/5- 61/0
Summary of Revision:
COryielie ne by Seri o/' Pkels /oroviW,oq"
Sheet Number(s): e2/ on, ,p-7._
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by: ,✓
I)( 2-Entered in Permits Plus on V
\applications \forms- applications on Tine \revision submittal
Created: 8 -13 -2004
Revised:
Contractors or Tradespeople Peter 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
SOUND MECHANICAL & IND INC
2537351857
31622 130Th Ave Se
Auburn
WA
98092
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601605822
Active
SOUNDMI044BE
Construction Contractor
1/5/1996
11/12/2013
Plumbing
Unused
d Licenses
License
Name
Type
Specialty alty
Specialty 2
Effective
Expiration on
Status
SOUNDMI0716F
SOUND MECHANICAL
& INDUSTRIAL
Construction
Contractor
Plumbing
Other
(Specify)
1/6/1993
1/5/1996
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
FARRELL, TRACEY
Cancel Date
01/01/1980
Amount
FARRELL, MATTHEW WAYNE
President
01/01/1980
01CG2803669
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
RLI INSURANCE CO
SRS10003483
01/24/2002
Until Cancelled
$6,000.00
01/23/2002
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
AMERICAN
STATES INS CO
01CG2803669
12/18/2010
12/18/2011
$1,000,000.00
12/22/2010
11
AMERICAN
STATES INS CO
01CG2803668
12/18/2009
12/18/2010
$1,000,000.00
12/29/2009
10
AMERICAN
STATES INS CO
01CG2803667
12/18/2008
12/18/2009
$1,000,000.00
12/30/2008
9
AMERICAN
STATES INS CO
01CG280366 -6
12/18/2007
12/18/2008
$1,000,000.00
01/29/2008
8
AMERICAN
STATES INS CO
01CG2803665
12/18/2007
12/18/2008
$1,000,000.00
12/20/2006
7
AMERICAN
STATES INS CO
01CG2803664
12/18/2005
12/18/2006
$1,000,000.00
12/16/2005
6
AMERICAN
STATES INS CO
01-CG-280366-
3
12/18/2004
12/18/2005
$1,000,000.00
12/17/2004
2
MUTUAL OF
ENUMCLAW INS
PK67956
08/16/1997
12/21/2010
$0.00
Summons /Complaint Information
Cause
County
Complaint
Judgment
Status
Payment
Paid By
06 -2- 09661 -4
KING Date: 03/21/2006
https://fortress.wa.gov/lni/bbip/Printaspx
Date:
Dismissed
Date:
11/14/2011