HomeMy WebLinkAboutPermit M12-098 - HARDGRAVE RESIDENCEHARD GRAVE RESIDENCE
13757 MACADAM RD S
M12 -098
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
MECHANICAL PERMIT
Parcel No.: 3229200047
Address: 13757 MACADAM RD S TUKW
Project Name: HARDGRAVE RESIDENCE
Permit Number:
Issue Date:
Permit Expires On:
M12 -098
06/18/2012
12/15/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
RICHARDSON STEFANIE A
13757 MACADAM RD S , TUKWILA WA 98168
STEPHANIE HARDGRAVE
13757 MACADAM RD S , TUKWILA WA 98168
NOT PROVIDED
Contractor:
Name: GREENWOOD HEATING & A/C
Address: 2850 YANCY ST PMB 203 , SEATTLE WA 98126
Contractor License No: GREENHA922U7
Phone: 206 - 979 -4762
Phone: 206 - 365 -3313
Expiration Date: 02/03/2013
DESCRIPTION OF WORK:
REPLACE GAS FURNACE, LIKE FOR LIKE. LENNOX ML180UH070E36B, 80 %, 70,000 BTU'S
Value of Mechanical: $1,750.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected:
$167.70
International Mechanical Code Edition: 2009
Date: 1Q.1
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 mechanical permit and agree to the conditions on the
back of this permit.
Signature: %14// V11"' v Date: G
Print Name: Mt
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: IMC -4/10
M12 -098 Printed: 06 -18 -2012
• •
PERMIT CONDITIONS
Permit No. M12-098
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: Manufacturers installation instructions shall be available on the job site at the time of inspection.
5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms,
bathrooms, toilet rooms, storage closets, surgical rooms.
6: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE
GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that
the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests.
7: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall
be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum
distance of 4- inches shall be maintained above the controls with the strapping.
8: 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).
9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
10: 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.
doc: IMC -4/10
M12 -098 Printed: 06 -18 -2012
CITY OF TUKWI
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
MECHANICAL 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:
Tenant Name: to
rY1acAacLrn �RdS
PROPERTY ,OWNER
Name: phG,Y11'e, NA a.rozyrow
Address: 15-4 5.3 Not.Aaamis
City: liA,1C■1a
State: 1,0,p,, Zip:Q % 1 j6
CONTACT PERSON - person r
communication
Name:cJiGPhG1.n % e- NA-Ar-acyro.. C�.
Address:
1-6 - e.} MeAcAtScurYNS
City: TV��C v►71 01
State: w A Zip: t 81 a ,
Phone:lolYq,}ei.. t ax:
Email:
King Co Assessor's Tax No.: 3'2.Zq ? O ('CA -{." -'
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
Company Name: Green‘ocect a.A.%■r,o‘ ift C
Address: gas S. tivju1/4
St te: W Zip: (1%14
City:�CA Q
Phone: p t �1�S Fax: 20'o 14to2. • (.42 tto
Contr Reg No.: Exp Date:
Gag OMHA92.ZVt"'I- 2 f 3 f 13
Tukwila Business License No.:
Valuation of project (contractor's bid price): $ rfSO
Describe the scope of work in detail:
CC C.Q OOOIS AArnacQ , l Oct. 4-O r 1 i ka , L,Q(Anci)C
'60°10 00C> em i1/4
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement
Fuel Type: Electric ❑
Gas
Val L I $ b U, H 01-b63413,
Other:
1-1 \ Applications \Forms - Applications On Line 2011 Applications \Mechanical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
Furnace >100k btu
Floor furnace
Suspended /wall /floor
mounted heater
Appliance vent
Repair or addition to
heat/refrig /cooling
system
Air handling unit
<10,000 cfm
Unit Type
Qty
Air handling unit
>10,000 cfm
Evaporator cooler
Ventilation fan
connected to single duct
Ventilation system
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
Unit Type
Qty
Fire damper
Diffuser
Thermostat
Wood /gas stove
Emergency generator
Other mechanical
equipment
Boiler /Compressor
Qty
0 -3 hp /100,000 btu
3 -15 hp /500,000 btu
15 -30 hp /1,000,000 btu
30 -50 hp /1,750,000 btu
50+ hp/1,750,000 btu
PERMIT APPLIC;4T]
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 additional periods not to exceed 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 ER AUTH ZED AGENT:
Signature:
1
Print Name:
Mailing Address: ta_J S 1 S}
H \Applications \Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8 -9 -11 docx
Revised: August 2011
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Date: Le 13 • (
Day Telephone: 2,0 ( "r-%14 $ I a
9 813
City State Zip
Page 2 of 2
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.00v
Parcel No.: 3229200047
Address: 13757 MACADAM RD S TUKW
Suite No:
Applicant: HARDGRAVE RESIDENCE
RECEIPT
Permit Number: M12 -098
Status: PENDING
Applied Date: 06/18/2012
Issue Date:
Receipt No.: R12 -01895
Initials: WER
User ID: 1655
Payment Amount: $167.70
Payment Date: 06/18/2012 10:58 AM
Balance: $0.00
Payee: GREENWOOD HEATING & AC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 13933 167.70
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 167.70
Total: $167.70
doc: Receipt -06 Printed: 06 -18 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION G
6300 Southcenter Blvd., #100, Tukwila. WA 98188 _ (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: ''
4r4VL.- Kr,�S) AzAC�
Type of Inspection: ' j
--- - ' ad__ M. e cA
A dress:
Date Call d:
Special Instructions:
Date Z Wanted
Z-- " tf
-,:
p.m.
Requester: 6
Phone No:
2,0 67 – `724 -23
(3
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
r). 2 -M.\,-{
d
(
r,
1
Date ,�
L,
n REINSPECTION FEE REQUIRE 1 : rior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
,w- ..,•._ ._,_.�.:......,..u_�v�_, -J,-.. ....,K -n -. _ �: Caw'-- Y"".- `--_Y- .._.. ...— ...... r
Contractors or Tradespeople Primer 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 GREENWOOD HEATING & A/C UBI No. 602259014
Phone 2063653313 Status Active
Address 2850 Sw Yancy St Pmb 203 License No. GREENHA922U7
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 3/27/2008
State WA Expiration Date 2/3/2013
Zip 98126 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
yP
Type
Specialty 1
P y
Specialty 2
P y
Effective
Date
Expiration
Date
Status
SELECAS972BW
SELECT AIR
SERVICES INC
Construction
Contractor
Air
Conditioning
Metal
Fabrication
1/16/2003
1/16/2005
Archived
GREENAS952CC
GREENWOOD
AIRE SERV
Construction
Contractor
Air
Conditioning
Unused
2/3/2005
2/3/2009
Inactive
Business Owner Information
Name
Role
Effective Date
Expiration Date
PORTER, MICHAEL
Owner
03/27/2008
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
CBIC
SI4989
01/14/2010
Until Cancelled
$12,000.0001/13
/2010
3
HARTFORD FIRE INS
45BSBEZ5127
03/21/2008
Until Cancelled
03/21/2010
$12,000.00
03/27 /2008
2
FIRE INS
CO
45BSBEJ2369
45BSBEJ2369
01/14/2007
03/21/2008
$6,000.0005/21/2007
3
1
HARTFORD FIRE INS
45BSBBZ8401
01/14/2003
Until Cancelled
05/03/2007
$1,000,000.0001 /09/2006
$6,000.0001/16/2003
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
6
Mid-Century Ins
604663707
08/01/2008
08/01/2012
$2,000,000.0007
/14/2011
5
NATIONWIDE
MUTUAL INS CO
ACPACT0712203883601/15/2008
01/15/2009
$1,000,000.0001
/07/2008
4
AMCOINSCO
ACT07102038836
01/15/2007
01/15/2008
$1,000,000.0001 /11/2007
3
ALLIED INS
104711
01/15/2005
01/15/2007
$1,000,000.0001 /09/2006
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 1 Date 1 RCW Code I Type i Status I Violation Amount
https: // fortress .wa.gov /lni /bbip /Print.aspx
06/18/2012