HomeMy WebLinkAboutPermit M12-172 - HALFORD RESIDENCEHALFORD RESIDENCE
14450 58 AV S
M12 -172
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.: 3365901191
Address: 14450 58 AV S TUKW
Project Name: HALFORD RESIDENCE
Permit Number: M12 -172
Issue Date: 10/31/2012
Permit Expires On: 04/29/2013
Owner:
Name: HALFORD WAVEL M
Address: 14450 58TH S , TUKWILA WA 98168
Contact Person:
Name: GARY MATH
Address: 18103 NE 68 ST, UNIT C2 , REDMOND WA 98052
Email:
Contractor:
Name: M M COMFORT SYSTEMS
Address: 18103 NE 68 C -200 , REDMOND WA 98052
Contractor License No: MMCOMMC934B4
Phone: 425 - 881 -7920
Phone: 425 881 -7920
Expiration Date: 01/24/2013
DESCRIPTION OF WORK:
REPLACE GAS FURNACE.
LENNOX ML180UH070P36A, 70,000 BTU'S
Value of Mechanical: $2,573.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected: $177.10
International Mechanical Code Edition: 2009
,) AL_
Date: 10 - t-)■
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:
Print Name:
_fife ,D -e(y.e A
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.
Date: / 6-34/2—
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M12 -172
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PERMIT CONDITIONS
Permit No. M12 -172
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.
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M12 -172
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CITY OF TU
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
httn://www.TukwilaWA.gov
MechaweJ Permit No
Project No r ,
Date Application Accepted:
Date Application' Expires
or 01
ce use on
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: l 1-y 0 58 4'1 IL_ "
Tenant Name:
PROPERTYOWNER
' ;;rt Y;:
.
Name: I WSJ 4i
r C e)
Tukwila Business License No.: p 1 _ / , 3 2
Addrre ss: 1 kN g-J
51, +,. iN i, _
7
CityIULU e 11 rr
State:i, J(4-
Zip/,
CONTACT PERSON person receiving all protect
conimtiniCdhoR :::;/,','
-. r,
Name: G t`Y Pie, 4 11 &n-, C .j %- i S k-...
Address: f e/ 0 3 v.) G 24L , T C ZG.,,
City: df . J o« f State: 1..., 4 Zip:q �v5.Z
Phone: 4, L 1,L,,,,t,?1 ^ %o/4,Fax.kZ5._rSrC,07cv.Z
Email:
King Co Assessor's Tax No.: 3 > % SS c7 — tic/
Suite Number. Floor:
New Tenant: ❑ Yes ❑..No
..MECHANICAL,CONTRACTOR INFORMATION
Company Name: rn rl, Co M -F4 -3r
Address: 1 / o ' , NE 69 ST C. 2'
City: e,J✓l.,.On, State: t1 4. Zip: d e c g'L
6c7S
Phone: Li Z S - j � _ Fax: G z4 , cs B ^ 62-
'1Gt Z o
Contr Reg No.%Mwlev. , Exp Date: I -ZY -/3
Tukwila Business License No.: p 1 _ / , 3 2
Valuation of project (contractor's bid price): $
Describe the scope of work in detail:
G-etih o�
MI-gdJo
Use: Residential: New ❑
Commercial: New ❑
Fuel Type: Electric ❑
Gas
Replacement
Replacement
-lot 000
-1;1-k)s
Other:
H:UpplieationsUFoms- Application On Line120 (1 Applcatiom\Medtaltical Permit Application Revised 8.9.1 I.doa •
Revised: August 2011
bh
Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
Fumace >100k btu
Floor fumace
Suspended/wall/floor
mounted heater
Appliance vent
Repair or addition to
heat/refrig/cooling
system
Air handling unit
<10,000 cfin
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
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
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 OR AUTHORIZED AGENT:
Signature: L
Print Name: f i 3 it • re, Day Tel hone: 10-2-4-(
o�
Date:
Mailing Address:
21,) s Pit Cr Cam'
H:1Applicanons\Fortm- Applications On Line12011 Applicatiom\Mechanical Permit Application Revised 8- 9.11.docx
Revised: August 2011
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City State Zip
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.TukwilaWA.gov
Parcel No.: 3365901191
Address: 14450 58 AV S TUKW
Suite No:
Applicant: SALFORD RESIDENCE
RECEIPT
Permit Number: M12 -172
Status: PENDING
Applied Date: 10/31/2012
Issue Date:
Receipt No.: R12 -03016
Initials: WER
User ID: 1655
Payment Amount: $177.10
Payment Date: 10/31/2012 01:59 PM
Balance: $0.00
Payee: MM COMFORT SYSTEMS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 11821 177.10
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 177.10
Total: $177.10
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 v..— (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
1- A 1..1:02 c.:' C".f (
Type of Inspection: -
aOw, - 1 N)
F'T_
Address:
Date Called: .
Special Instructions:
Date Wanted:. )
I 1i 11-z
a.m.
p.m.
Requester:
7
Phone No:
A-
Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
/ e
F'T_
7
A-
lirr-
i
e fi_
i '
A
Inspetior'
n
o&,,A
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd:. Suite 100. Call to schedule reinspection.
;.�, \
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Date:
Contractors or Tradespeople Per 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
M M COMFORT SYSTEMS
4258817920
18103 Ne 68Th C -200
Redmond
WA
98052
King
Corporation
Parent Company WILLIAMSON ACQUISITION CORP
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602682815
Active
MMCOMMC934B4
Construction Contractor
1/24/2007
1/24/2013
General
Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
WILLIAMSON, CRAIG
President
01/24/2007
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
American States
Insurance Co
32s206182
04/20/2012
Until Cancelled
$12,000.0005/11
/2012
1
American States
Insurance Co
6470956
01/24/2007
04/20/2012
$12,000.00
01/24/2007
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
5
Continental
Western Ins Co
CWP2916265
02/01/2011
02/01/2013
$1,000,000.00
01/27/2012
4
FIRST MERCURY
INS CO
FMWA001075
02/01/2010
02/01/2011
$1,000,000.00
01/28/2010
3
CENTURY
SURETY CO
(CENS)
CCP583791
02/01/2009
02/01/2010
$1,000,000.00
02/02/2009
2
FIRST MERCURY
INS CO
FMMA001124
02/01/2007
02/01/2009
$1,000,000.00
01/15/2008
1
FIRST MERCURY
INS CO
FMMA0001302
01/24/2007
01/24/2008
$1,000,000.00
01/24/2007
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 No records found for the previous 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
10/31/2012