HomeMy WebLinkAboutPermit PG11-079 - WESTFIELD SOUTHCENTER MALL - PAC SUNPAC SUN
650 SOUTHCENTER MALL
PG1 1 -079
City &Tukwila
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
PLUMBING /GAS PIPING PERMIT
Parcel No.: 9202470010
Address: 650 SOUTHCENTER MALL TUKW
Project Name: PAC SUN
Permit Number:
Issue Date:
Permit Expires On:
PG11 -079
08/22/2011
02/18/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name:
Address:
Email:
AMY DIEKEVERS
75 60 ST SW , WYOMING MI 49548
AMYD @PRECISIONPERMITS. C OM
Contractor:
Name: HARDESTY & ASSOCIATES INC
Address: 1991 VILLAGE PARY WAY 180 , ENCINITAS, CA 92024
Contractor License No: HARDEAI066PP Expiration Date: 11/17/2011
Phone: 616 - 493 -9334
Phone: 760- 944 -0499
DESCRIPTION OF WORK:
TENANT IMPROVEMENT TO INCLUDE DEMOLITION OF EXISTING RESTROOMS AND REPLACE WITH
(2) NEW RESTROOMS. RESTROOMS WILL INCLUDE (1) WATER CLOSET, (1) LAVATORY AND
(1) FLOOR DRAIN. A MOP SINK AND DRINKING FOUNTAINS ARE ALSO ADDED.
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
$11,400.00
$326.81
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date: �' 1
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 p
construction or the performance of work.
on the back of this permit.
Signature:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
Date: 8 -22— //
Print Name: J QS(1 67l (fee
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 -079 Printed: 08 -22 -2011
• •
PERMIT CONDITIONS
Permit No. PG 11 -079
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 -079 Printed: 08 -22 -2011
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:; %tivw w.ci.tukivila.wa.us
Building Permit No. itik�,
(
Mechanical Permit No. t (-0
Plumbing /Gas Permit No. 1`-Q7
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:
r �J King Co Assessor's Tax No.: .262z 3 U '-) G v 7
( 90 00 -e k ✓�" t Suite Number: Floor:
New Tenant: .,....Yes ❑..No
Tenant Name: P !•
Property Owners Name: tA) e-, 7 f 1 t'-� C
Mailing Address: ‘,..2‘00 5e04-MIC -ea 'k/2._
vt/LIA) alCI
City
State Zip
CONTACT PERSON -- who do we contact when your permit is ready to be issu
Name: AAA1 1� (e4e t e(
Mailing Address: l7 ' t o11‘ J f-
Day Telephone: 6? / ( `ir q 3 Z f
Lk) IOWA //cIa2
E -Mail Address: Ci F1'1 C e -eC jJ /C? / 7: C Fax Number:
r get s qF3
State Zip
(1(:) L/ C7, 95-5A
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
Contractor Registration Number:
State
Zip
Expiration Date:
ARCHITECT OF RECORD — All plans` must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
gawp GI
City �}
Day Telephone: 4/80 l c - 'IW o
Fax Number:
9&O q' .-
ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address: till
N Z
Contact Person:
' t'1q%/re ea:o9
/511k e
an+c 4jt14j-
Ao -ejj, X z.. 0 4
E -Mail Address:
H:Wpplications \Forms - Applications On Line\2009 Applications \I -2009 - Permit Applicaluon.doc
Revised: 1 -2009
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City State Zip
Day Telephone: f2 0 Z Z U /5 e5 1
Fax Number:
Page 1 of 6
BUILDING PERMIT INFORM,.fION - 206- 431 -3670
Valuation of Project (contractor's bid price): $ /9 6, G7O0 Existing Building Valuation: $
Scope of Work (please provide detailed information): Tenant improvement of entire existing retail space including
storefront, sales area, fitting rooms, stock room, toilet rooms, and hallway.
Will there be new rack storage? lif" Yes 0.. No If yes, a separate permit and plan submittal will be required.
�Ol �ls /l��U�'` -' — ��1�G✓n Oat (lir
Provide All Building Areas in Square Footage
elol
1s` Floor
2 "dl
lour
3rd Floor
Interior Remodel
Addition to
Existing
Structure
3O.S?
C)
d
Type of
ConstructionI
IBC
tii -13
Type of
Occupancy per
IBC
37752'
I Mr—
Floors thru
Basement
Accessory Structure*
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:
Will there be a change in use?
❑ Yes
Compact: Handicap:
No If "yes ", explain:
FIRE PROTECTION /HAZARDOUS MATERIALS:
0 Sprinklers m 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 \2009 Applications \1 -2009 - Permit Application. doc
Revised: 1 -2009
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Page 2 of 6
PUBLIC WORKS PERMIT INFORMATION -- 206- 433 -0179
Scope of Work (please provide detailed information):
Call before you Dig: 1- 800 - 424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila ❑...Water District #125
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila
❑ ...Sewer Use Certificate
❑ .. Highline
❑ ...Valley View ❑ .. Renton
❑...Sewer Availability Provided
❑ .. Renton
❑ .. Seattle
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.
Submitted with Application (mark boxes which apply):
❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ")
❑ ...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation /Fill - Right -of -way ❑
Non Right -of -way ❑
❑ ...Total Cut
❑ ...Total Fill
❑ ...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
cubic yards
cubic yards
❑ .. Geotechnical Report
❑ .. Maintenance Agreement(s)
❑...Traffic Impact Analysis
❑ ...Hold Harmless — (SAO)
❑ ...Hold Harmless — (ROW)
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
❑ ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size ..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public ❑
❑ ... Water Main Extension Public ❑
WO#
WO #
WO#
Private ❑
Private ❑
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Deduct Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State
Zip
Day Telephone:
City
State Zip
H \Applications \Forms•Applications On Line \2009 Applications \1.2009. Permit Application. doc
Revised: 1 -2009
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Page 3 of 6
MECHANICAL PERMIT INFORMATION _ 206 = 431 -3670.
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
Contractor Registration Number:
Valuation of Mechanical work (contractor's bid price): $ 1 5 CO-
Expiration Date:
Scope of Work (please provide detailed information): Tenant improvement to include (1) new nominal 10 -ton split system
heat pump, all new duct distribution, (2) toilet exhaust fans
Use: Residential: New .... ❑
Commercial: New .... ❑
Replacement .... ❑
Replacement ....
Fuel Type: Electric ® Gas ....0 Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
0
Air Handling Unit >10,000
CFM
0
Fire Damper
0
0 -3 HP /100,000 BTU
0
Furnace >100K BTU
0
Evaporator Cooler
0
Diffuser
19 g
3 -15 HP /500,000 BTU
0
Floor Furnace
0
Ventilation Fan Connected
to Single Duct
2
Thermostat
1
15-30 HP /1,000,000 BTU
0
Suspended/Wall /Floor
Mounted Heater
0
Ventilation System
1
Wood/Gas Stove
0
30 -50 HP /1,750,000 BTU
0
Appliance Vent
0
Hood and Duct
0
Emergency
Generator
0
50+ HP/1,750,000 BTU
0
Repair or Addition to
Heat/Refrig/Cooling
System
0
Incinerator - Domestic
0
Other Mechanical
Equipment
0
Air Handling Unit
<10,000 CFM
1
Incinerator — Comm /Ind
0
H:\Apphcations\Fonns- Applications On Line\2009 Applications \I -2009 - Permit Application.doc
Revised: 1 -2009
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Page 4 of 6
•
YLL MBING AND. GAS PIPING PERMIT INFORMATION: -4206-43 V3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
Contractor Registration Number:
Expiration Date:
Valuation of Project (contractor's bid price): $ 1 16:34C:) CC'
Scope of Work (please provide detailed information): Tenant improvement to include demolition if existing restrooms and
replace with (2) new restrooms. Restrooms will include (1) watercloset, (1) lavatory, and (1) floor drain. A mop sink
and drinking fountain are also added.
Building Use (per Int'l Building Code): 7L-73
Occupancy (per Int'l Building Code):
M- mercantile
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 y pe:
Qty
Fixtur Type:
e
Qty,
Bathtub or combination
bath/shower
0
Bidet
0
Clothes washer, domestic
0
Dental unit, cuspidor
0
Dishwasher, domestic,
with independent drain
0
Drinking fountain or
water cooler (per head)
2
Food -waste grinder,
commercial
0
Floor Drain
1
Shower, single head trap
0
Lavatory
2
Wash fountain
0
Receptor, indirect waste
0
Sinks
1
Urinals
0
Water Closet
2
Building sewer and each
trailer park sewer
0
Rain water system — per
drain (inside building)
0
Water heater and/or vent
1
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
0
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
0
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
0
Repair or alteration of
water piping and/or water
treatment equipment
1
Repair or alteration of
drainage or vent piping
1
Medical gas piping
system serving 1-5
inlets/outlets for a
specific gas
0
Each additional medical
gas inlets/outlets greater
than 5
0
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
0
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
0
Each lawn sprinkler
system on any one meter
including backflow
protection devices
0
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
1
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
0
Gas piping outlets
0
H:\ pplicationsWorms- Applications On- Line\2009 Applications \I -2009 Permit Application. doc
Revised: 1 -2009
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Page 5 of 6
PERMIT APPLICATION NOTES — Applicable 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 OWNER"
Signature:
Print Name:
Mailing Address: 7
THORIZEp A ENT
mg j'J'� �t
Day Telephone:
o PU1t " Lives) tO yo r /jig
Date:
L/ 3'35/
AI LJg5y5
State Zip
Date Application Accepted:
Date Application Expires:
`,�
Staff Initials: `
v
1E` 4
(
1� �y
I
H.\Applications \Forms - Applications On Line \2009 Applications \I -2009 - Permit Application. doc
Revised: 1 -2009
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Page 6 of 6
SET RECEIPT
Copy Reprinted on 08 -22 -2011 at 12:56:31 08/22/2011
RECEIPT NO: R11 -01824
Initials: WER Payment Date: 08/22/2011
User ID: 1655 Total Payment: 2,810.80
Payee: HARDESTY & ASSOCIATES
SET ID: 0822 SET NAME: Temporary Set
SET TRANSACTIONS:
Set Member Amount
D11 -161 2,284.90
M11 -075 264.45
PG11 -079 261.45
TOTAL: 261.45
TRANSACTION LIST:
Type Method Description Amount
Payment Check 71908 2,810.80
TOTAL: 2,810.80
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - NONRES
MECHANICAL - NONRES
PLUMBING - NONRES
STATE BUILDING SURCHARGE
000.322.100
000.322.102.00.0
000.322.103.00.0
640.237.114
TOTAL:
2,280.40
264.45
261.45
4.50
2,810.80
Cift of Tukwila. •
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: hits: //vww. ci. tukwila. wa. us
SET RECEIPT
RECEIPT NO: R11 -01163
Initials: WER
Payment Date: 06/08/2011
User ID: 1655 Total Payment: 1,735.76
Payee: PRECISION PERMIT SERVICE
SET ID: 6 -8 -11 SET NAME: PAC SUN
SET TRANSACTIONS:
Set Member Amount
D11 -161
EL11 -0523
M11 -075
PG11 -079
TOTAL:
1,482.26
122.03
66.11
65.36
1,482.26
TRANSACTION LIST:
Type Method Description Amount
Payment Check 8036 1,735.76
TOTAL: 1,735.76
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PLAN - NONRES 000.345.832.00.0
PLAN CHECK - NONRES 000.345.830
TOTAL:
122.03
1,613.73
1,735.76
:
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: .
Type of Inspection:
Address: • .
e)45 0 _SO 6 t.1-1
OA (4- t t
Date Called:
Special Instructions:
.
.
•
Date Wanted:.
( 1 -- 1— 1
1
CE:in-D
p.m.
Requester:
Phone No:
Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
ECTION FEE REQUIRED. ior to next inspection. fee must be
at 6300 Southcenter Blvd.. Su e 100. Call to schedule reinspection.
•
r .
i.•
•
rw
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO PERMIT NO.
• • • CITY OF TUKWILA BUILDING DIVISION
•6300 Southcenter Blvd., #100, Tukwila. WA 98188 R (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Projett
4-in CB -5211
Typ of Inspection:
le v v G
Pl o t
Ad'dr s: �C ok
Date Called:
Special Instructions: •
•
.
/
Date Wanted :. I iv n
4
(� p.m.
Requester:
Pho
406 —e
—D7 73
Approved per applicable codes.
ECorrections required prior to approval.
COMMENTS:
EINSPECTION FEE REQ RED. Prior to ext inspection, fee must be
paid at 6300 Southcenter Bl d.. Suite 100. Call to schedule reinspection.
i-
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 fik (206) 431 -3670
Perrnit Inspection Request Line (206) 431 -2451
PG r/
Projet .` - /
.eect.._ $2LA
Type of Inspection:
£f v 0,49 t,v "IC
Ad ress;.. 5,
gip
/
�`�l
Date Called:
----,,
Special Instructions:
•
.
;- •
Date Wanted:.
(7
��-^
-'"' a m
( .,
p.m.
Requester:
Phone No:
- 760--
1(
-03 '73
giAppr..oved 'per applicable codes. D-Corrections required prior to approval.
COMMENTS:
Date:
R IN PECTION FEE REQU ; ED. Prior to n -xt inspection. fee must be
p- id -t 6300 Southcenter Blv... Suite 100. Call to schedule reinspection.
• P I If •
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG11 -079 DATE: 06-08-11
PROJECT NAME: PAC SUN
SITE ADDRESS: 650 SOUTHCENTER MALL
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
bL t rS
uilding vlsiZ on
Pte(
Fire Prevention
Structural
Planning Division
Permit Coordinator
11
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
n
DUE DATE: 06-14 -11
Not Applicable
Comments:
Permit Centerllse Only ' ' • • •
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route t Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 07 -12 -11
Approved ❑ Approved with Conditions Tyl 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 stip.doc
2 -28 -02
Contractors or Tradespeople Pinter 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 HARDESTY & ASSOCIATES INC UBI No. 601423943
Phone 9497232230 Status Active
Address 500 E Balboa Blvd License No. HARDEA1066PP
Suite /Apt. License Type Construction Contractor
City Newport Beach Effective Date 10/17/1994
State CA Expiration Date 11/17/2011
Zip 92661 Suspend Date
County Out Of State 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
HARDESI099DGHARDESTY&
STONE INC
Construction
Contractor
General
Unused
3/7/1991
7/2/1993
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
HARDESTY, ROBERT D
Cancel Date
01/01/1980
Bond Amount
HARDESTY, ROBERT E
7
01/01/1980
wa13466
HARDESTY, WILLIAM S
Until Cancelled
01/01/1980
HARDESTY, LORI A
/2009
01/01/1980
PLATTE RIVER INS CO
ALLEY, RICHARD
Agent
01/01/1980
09/01/2009
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
7
MERCHANTS BONDING
CO (MUTUAL)
wa13466
09/08/2009
Until Cancelled
$12,000.0009/14
/2009
6
PLATTE RIVER INS CO
40069657
09/01/2003
Until Cancelled
09/01/2009
$12,000.00
09/08 /2003
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
16
SCOTTSDALE
INS CO
BCS0023302
10/25/2010
10/25/2011
$1,000,000.00
10/25/2010
15
SCOTTSDALE
INS CO
BCS0020742
10/25/2009
10/25/2010
$1,000,000.00
10/27/2009
14
FIRST
SPECIALTY INS
CORP
IRG57154
10/25/2008
10/25/2009
$1,000,000.00
10/31/2008
13
STEADFAST INS
SC03557421 08
10/25/2006
10/25/2008
$1,000,000.00
10/25/2007
12
TOEADFAST INS
SC03557421 07
10/25/2006
10/25/2007
$1,000,000.00
10/30/2006
11
CO ADFAST INS
SC03557421 06
10/25/2004
10/25/2006
$1,000,000.00
10/27/2005
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
https: // fortress .wa.gov /lni/bbip/Print.aspx
08/22/2011