HomeMy WebLinkAboutPermit M05-182 - CHEA RESIDENCECHEA RESIDENCE
16445 51 AV S
M05 -182
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Value of Mechanical: $12,938.00
Type of Fire Protection:
doc: IMC- Permit
City 61' Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukivila.wa.us
5379802730
16445 51 AV S TUKW
CHEA RESIDENCE
16445 51 AV S, TUKWILA WA
BOX MICHAEL
16445 51ST AV S, TUKWILA WA 98188
Contact Person:
Name: MICHELE M. FOX
Address: 9367 RAINIER AV S, SEATTLE WA
Contractor:
Name: ROSSOE ENERGY SYSTEMS INC
Address: PO BOX 18259, SEATTLE WA 98118
Contractor License No: ROSSOES101LL
Furnace: <100K BTU 0
>100K BTU 1
Floor Furnace 0
Suspended /Wall /Floor Mounted Heater 0
Appliance Vent 0
Repair or Addition to Heat/Refrig /Cooling System.... 0
Air Handling Unit <10,000 CFM 0
>10,000 CFM 0
Evaporator Cooler 0
Ventilation Fan connected to single duct 0
Ventilation System 0
Hood and Duct 0
Incinerator: Domestic 0
Commercial /Industrial 0
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
DESCRIPTION OF WORK:
OIL TO GAS FURNACE CONVERSION WITH TANKLESS WATER HEATER. AMERICAN STANDARD 90%
GAS FURNACE, 76,000 BTUS.
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M05 -182
Phone:
Phone: 206 725 -7555
Phone: 206- 725 -7555
Expiration Date:05 /14/2006
Steven M. Mullet, Mayor
Steve Lancaster, Director
M05 -182
11/22/2005
05/21/2006
Fees Collected: $249.32
International Mechanical Code Edition: 2003
Boiler Compressor:
0 -3 HP /100,000 BTU 0
3 -15 HP /500,000 BTU 0
15 -30 HP /1,000,000 BTU.. 0
30 -50 HP /1,750,000 BTU.. 0
50+ HP /1,750,000 BTU 0
Fire Damper 0
Diffuser 0
Thermostat 0
Wood /Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment
Printed: 11 -22 -2005
Permit Center Authorized Signature:
doc: IMC- Permit
City t ' Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
I hereby certify that I have read and min 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 constr ction or the pert rmance of work. I am authorized to sign and obtain this mechanical permit.
Signature: ' . _-- Date: /1 ( / 2 2 (G 6
Print Name: /0/C) q!o (4 r-u 4C
A M Date: 1112205"
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.
M05 -182
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M05 -182
Issue Date: 11/22/2005
Permit Expires On: 05/21/2006
Printed: 11 -22 -2005
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 5379802730
Address: 16445 51 AV S TUKW
Suite No:
Tenant: CHEA RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M05-182
Status: ISSUED
Applied Date: 11/22/2005
Issue Date: 11/22/2005
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 Department of
Public Health - Seattle and King County (206/296- 4932).
9: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248- 6630).
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: Conditions
* *continued on next page **
M05 -182
Printed: 11 -22 -2005
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
I hereby certify that I have read these conditions and will comply with them
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
regulating construction or the performance of work.
Print Name: 20 `O -f-G'c 5 -L( 1 E
doc: Conditions M05 -182
as outlined. All provisions
cancel the provision of any
of law and ordinances
other work or local laws
Date: Zl /g...??C
Printed: 11 -22 -2005
CITY OF TUKWILA
Community Development'
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Property Owners Name: y d ra��
Mailing Address: 16144S 5 A` VP �� avC1�
Name:
Company Name:
Mailing Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
MailingcAddress:
\permits pluslicc ehanga\permit application (7.2064)
Page 1
-Biiilding Perm'''To.
Mechanical Permit No. & 1 1" — «2
Public Works Permit No
Project No.
7 UlklAl (\
City
For o/tce.tise onl
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 **
� , King Co Assessor's Tax No.: S 92
Address: �v t4A5 ls 4 Ave c: i U 4liln I) Suite Number: Floor:
Tenant Name: New Tenant: ❑ .... Yes ❑ ..No
A Statc
Day Telephone:
Mailing Address:
Zip
Stale
City
E -Mail Address: Fax Number:
'ENERAL CONTRACTOR INFORMATION'- (Mechanical Contractor information on back page)
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT OF'RECORD All plans must be wet stamped by Architect of Record
Stale
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD- All plans must be wet stamped by. Engineer of Record
State
Zip
Zip
Zip
City
t� intact Person: Day Telephone:
E -Mail Address: Fax Number:
Unit Type:
Qty
Unit Type:.
Air Handling Unit >10,000
CFM
Qty
Unit Type:
Fire Damper
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
.
0 -3 HP /100,000 BTU
— urnace>I00K BTU
1
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Jor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood /Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
MECHANICAL PERMIT INFOP IATION - 206- 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: i =—r, -e . �nP t" A t-..1),
�
'
a iling Address: 9i,.t,'"l avnte S ":'efff \ '. A i4'"9
City State Zip
Day Telephone: 21) Lo -1"7—c-1 . 1'5 SS
Contact Person: N 1. C \'l&.e
E -Mail Address:
Contractor Registration Number: Z`f �Tf3 lot Li.--- Expiration Date: Oe — 14.— 200 b
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
eta
Valuation of Project (contractor's bid price): $ , S 3
Scope of Work (please provide detailed information): OA L ��h � e `� �(tU(Y�� e r l D' .A1V. ttNV V■l 4 0.14C
t.1•)(>``P.t w`Q C. J J //
P r\ r X) '*(3JN\jt.-r<\ C V - ) ° 11) �t) S `L YT\(L(Q — 141,060 u' S
Use: Residential: New ....❑ Replacement El
Commercial: New ....❑ Replacement ❑
Fuel Type: Electric ❑ Gas ....E Other:
Indicate type of mechanical work being installed and the quantity below:
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.
The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TILE 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:
Signature: \C _CU.it.Dw.:
Print Name: M j,hele .
Mailing Address:9? L mete
1
` eec 1-e. WA c9,11$
Fax Number: 'IO(- 0 - 113.339-f°j
Date: 10 •21
Day Telephone: 2.06126 %5
City
State
Zip
Date Application Expires:
0513,7 1019
Date Application Accepted:
\permits plus\icc changes \permit application (7.2004)
1 � Iv-10 s
Page 4
Staff Initials:
i
Payee:
ROSSOE
TRANSACTION LIST:
Payment Check 71229
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
630U Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
MECHANICAL - RES
RECEIPT
cd 111
Parcel No.: 5379802730 Permit Number: M05 -182 D'
Address: 16445 51 AV S TUKW Status: ISSUED N g
Suite No: Applied Date: 11/22/2005 i u) w!
Applicant: CHEA RESIDENCE Issue Date: 11/22/2005 9
co
W O;
f
im
Receipt No.: R06 -00474 Payment Amount: 58.00 u. 4C
co D .
Initials: BLH Payment Date: 04/07/2006 01:58 PM w .
User ID: ADMIN Balance:
$0.00 ' Z
A L P ..
U 0 '
!C 1i
W W:
Type Method Description Amount LL C~
58.00 ijj Z
U N
Z
Account Code Current Pmts
000/322.100 58.00
Total: 58.00
4325 04/07 9710 TOTAL 58.00
Printed: 04 -07 -2006
o: W:
Parcel No.: 5379802730 Permit Number: MO5 -182 o`
Address: 16445 51 AV S TUKW Status: PENDING co Cv
Suite No: Applied Date: 11/22/2005 co w !
Applicant: CHEA RESIDENCE Issue Date: 9
w O.
Receipt No.: R05 -01701 Payment Amount: 249.32 g a 5 '
Initials: 7EM Payment Date: 11/22/2005 03:19 PM w`
User ID: 1165 Balance: $0.00 i z
U O`
0 I- . .
W W
Type Method Description Amount LL re
249.32 111 Z
V N
• z
Payee:
ROSSOE
TRANSACTION LIST:
City of Tukwila
Payment Check 70577
ACCOUNT ITEM . LIST:
Description Account Code Current Pmts
doc: Receipt
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
000/322.100 249.32
Total: 249.32
9609 11/22 9716 TOTAL 249.32
Printed: 11 -22 -2005
Project:
Glut
'Type
of Inspectyi �: 1
701 ACoc 4
._. to.
-.
Addre
//
Date Called:
Special. Instructions:
Date Wanted: G�
/
Requester
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes. 0Corrections required prior to approval.
COMMENTS:
i2 /h/
ri $58. ;' INSPECTION FE - EQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedute reinspection.
'Receipt No.:
Date:
Protect:
Type of In ection: Re
- i ic/
Address:. i /�
/
/�' /
Date Called:
pecial Instructions:
Date W40 d:
eG (.4.41.111:,
Requ ter:
Phone No:
INSPE• ION NO.
CITY OF TUKWILA. BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila :WA 98188
Approved per applicable codes.
COMMENTS:
Inspector:
ti
INSPECTION RECORD
Retain a copy with permit
'Date:
(206)431 -367
) required prior to approval.
,`2. t) " e_, .;e4
-/-444-tyy-e-fre2; fee
$58.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be
aid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
f Receipt No.: _ 00414, b � (Date: 4 , 1
1
Project:
CAC -6( /1 -�,l
e
Type of Inspection
/
?r7/ � -, ?!�
,
Address:
/6 Vvs -s/ 4, s
Date Called: CJ
Special Instructions:
Date Wante
a.m.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
. ;41i 4 C f 1
. , 1 I
1
( -367
PERK O j
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
^..� s/ y .
�
447 *,-/— }?..sow 4 f ) 4P
C/ pZ� /• 2 ��J 5f' x- 7 7.72 1
'Receipt No.:
'Date:
$58.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Project:
. .. / /.1,r/r.A / /
_C
Type of Ins lion:
/, /(
/4-
Address: '
/ti _ ' </
• e
S�
Date Called:
Special Instructions:
/ `� 3
- bate
Wanted:
��7/
a
/
Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILASUILDING DIVISION
6300 Southcenter lvd., #100, Tukwila, WA 98188
El Approved per applicable codes.
COMMENTS:
Inspector:
INSPECTION ‘ RECORD
Retain a °io'y with permit
zeh K ,: // utroi , kz
15-- 11, LJr)!
,�- i/� k. .exl vsf .
5- h
Date: -�
PE NO.
•
(206)431 -367
Corrections required prior to approval.
7%) ... `LJY 1--7e4 c_€ r- • 1.-,af u-,
1. e v SA r ...,� 4. - t44..�L'
t' / A 1� ei /4---4 61 1-7.0
'zL t :elf /-9/0/4 , c ,,-, p i 9 1,
. 9-, S igsf /Iu, ken, yh z..- e., e2
jet)
0 $58.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
'Receipt No.:
Date:
COMMENTS: l
` a I i,-4 / .>--, .
/ /...X5
"4-
Date Call d :
"_ 3 -4
.-K
j Rea /.v/.4 (.1 , b<5 kv z
•
Date Wanted:
/ _
�'
N .,,
Requester:
�✓ � y ,n
) Pi tCt1"" 111
q y^ ct: e,o47 a, r- ,
/ v i! ` " l- � /
Phone No:
C76,
:V" 763
/),, S -1� the - e_ i=
d !" ,S4/7"1-1 !./
/
Project: /�
��E'7 /?1± � —
Type of Inspection:
/� u7/6a// "...L/ J
Address:
/bV 57 /9v S.
Date Call d :
"_ 3 -4
.-K
Special Instructions:
g / V
t
Date Wanted:
/ _
�'
N .,,
Requester:
`
Phone No:
C76,
:V" 763
7
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION NO.
Approved per applicable codes.
nspectorj
INSPECTION RECORD
Retain a copy with permit
1)205-1E12
PERM
206)431 -3670
Corrections required prior to approval.
0 $58.00 REINSPECTION FtE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
`Receipt No.:
'Date:
Project Name:
y � Q.V.. 4:1 :c_, Lc.. I T
Address: J - h
l tp ` I V C 1 A 1 /'-' 2 S 1— vt k l/l , V v et 0 I
Residential Building Permit Number:
1. Prescriptive Option W.S.E.C. Chapter 6, (check building permit option used):
El I. ❑ ii ❑ III. ❑ IV.. ❑ V. ❑ Vi. ❑ VII.
❑ VIII.
2. House Square Footage (HSqFt) •
04 e
3. Heating System installed, (check system type below):
❑ a. Electric Resistance /21 BTU /h per sq. ft.
❑ b. Electric (forced air) /24 BTU /h per sq. ft.
[ZI c. Other Fuel (gala heat pump) /27 BTU /h per sq. ft. 72D o d
4. Equipment: r A
a. Make �iri.zr c- c... vLKc J
b. Model A a ' G ir a)
c. Size in BTU's CO 'D 0
5. Calculation /(HSqFt) 2 4 6 (see line 2 above)
BTU /h X (see line 3 a, b, or c above)
7, u v BTU Equipment Maximum Size
PERMIT APPLICATION #:
Appli r 's SignatuKe:
7/9/96
CITY ('- TUKWILA •
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
Prescriptive Heating System Sizing for
Single Family Homes - New Construction
Washington State Energy Code Chapter 9, Climate Zone 1
° ‘7_4
H -6
License Information
License
ROSSOES 101 LL
Licensee Name
ROSSOE ENERGY SYSTEMS INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
600636219
Ind. Ins. Account Id
#4
Business Type
CORPORATION
Address 1
PO BOX 18259
Address 2
City
SEATTLE •
County
KING
State
WA
Zip
981180259
Phone
2067257555
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
6/13/1990
Expiration Date
5/14/2006
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#4
OHIO CAS
INS CO
3177900
05/09/2002
Until
Cancelled
01/01/1980
$12,000.00
05/14/2002
Business Owner Information
Name
Role
Effective Date
Expiration Date
GLATZ, RONALD N
01/01/1980
WILLIAMS, ROBERT B
01/01/1980
WYMAN, DAVID C
01/01/1980
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
Washington State Department of Labor and Industries
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.
https:// fortress. wa. gov /lni/bbip /printer.aspx ?License= ROSSOES 101 LL
11/23/2005