HomeMy WebLinkAboutPermit M06-035 - RIVERA RESIDENCERIVERA RESIDENCE
4105 S 139 ST
EXPIRED
M06 -035
Parcel No.: 7360600425
Address: 4105 5 139 ST TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
doc: IMC- Permit
City o 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
RIVERA RESIDENCE
4105 S 139 ST, TUKWILA WA
CROWELL EARL 3
4105 139TH ST, TUKWILA WA
DANIEL & SARIKA RIVERA
4105 S 139 ST, TUKWILA WA
Contractor:
Name: ROSSOE ENERGY SYSTEMS INC
Address: PO BOX 18259, SEATTLE WA 98118
Contractor License No. ROSSOES101LL
DESCRIPTION OF WORK:
OIL TO OIL FURNACE CHANGE OUT, 57,000 BTU
Value of Mechanical: $3,491.00
Type of Fire Protection:
Furnace: <100K BTU 1
>100K BTU 0
Floor Furnace 0
Suspended/Wall /Floor Mounted Heater 0
Appliance Vent 0
Repair or Addition to Heat/Refrig /Cooling System
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:
EQUIPMENT TYPE AND QUANTITY
Phone:
Phone:
Phone: 206 - 725 -7555
Expiration Date:05 /14/2006
Steven M. Mullet, Mayor
Steve Lancaster, Director
M06 -035
03/02/2006
08/29/2006
Fees Collected: $167.25
International Mechanical Code Edition: 2003
* *continued on next page **
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
Fire Damper
Diffuser
Thermostat
Wood /Gas Stove
Water Heater
Emergency Generator
Other Mechanical Equipment
M06 -035 Printed: 03 -02 -2006
Permit Center Authorized Signature:
City tne Tukwila
Signature:
Print Name: 4'6 t"�t S
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
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M06 -035
Issue Date: 03/02/2006
Permit Expires On: 08/29/2006
MVIA tAz— 9 Date: 0/D2 //1 f
I hereby certify that I have read and ex minbdJiis 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 constructigR or thcfperformance of work. I am authorized to sign and obtain this mechanical permit.
Date: 3/Z/6 6
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.
doe: IMC- Permit M06 -035 Printed: 03 -02 -2006
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7360600425
Address: 4105 S 139 ST TUKW
Suite No:
Tenant: RIVERA RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
* *continued on next page **
Permit Number: M06 -035
Status: ISSUED
Applied Date: 03/02/2006
Issue Date: 03/02/2006
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 M06 -035 Printed: 03-02-2006
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 as outlined. 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 provision of any other work or local laws
regulating construction or the performance of work.
Signature:
Print Name: 41 o t c S C (.4 !M « C
Date: ?Z. la E,
doc: Conditions M06 -035 Printed: 03 -02 -2006
CITY OF TUKWILA
Community Development artment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Contact Person:
E -Mail Address:
Contact Perso
E -Mail Address:
t ,, ar ,mtact Perso
E -Mail A ress:
‘penes plus ice changes permit application (7 -2001)
Page I
ti
Building Perm! o.
Mechanical •Permit No. G t.P_ -( 2L
•
P -ublic Wotks- Permit No.
Project;No.
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 2 )Lo blo
Site Address:t O ,,, S • t -"J� n St Suite Number: Floor:
Tenant Nam e:e \\ y t nl f1 .S1 r1 � iC 1 v P fl , New Tenant: ❑ .... Yes ❑ ..No
Property Owners Name: 'D0. -v` -----
Mailing Address: di 1 f7c-7 . `?-41 Ii_W kiA Y'V,61
City
State Zip
Name: Day Telephone:
Mailing Address:
City
State
E -Mail Address: Fax Number:
'ENERAL CONTRACTOR INFORMATION'- (Mechanical Contractor information on back page)
Zip
Company Name:
Mailing Address:
City State Zip
Day Telephone:
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 RECO ' h -Ail plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
Unit Type:
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace<100K BTU
•
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
°umace>IOOK BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
w arm 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
s
MECHANICAL PERMIT INFOflATION ,- 206- 431 -3670
MECHANICA
c ompany Name:
w iling Address:
E -Mail Address:
Contact Person: N ( <. h e (-e
NTRACTOR INFORMATION
Contractor Registration Number: <-0-C S I i71 l_ I Expiration Date — 1 14-07 CP
"An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance"
Valuation of Project (contractor's bid price): S TC�
Scope of Work (please provide detailed information):
Use: Residential: New .... Replacement
Commercial: New .... ❑ Replacement
Fuel Type: Electric ❑ Gas —.0 Other: 6\
Indicate type of mechanical work being installed and the quantity below:
City State Zip
Day Telephone:
Fax Number:
PERMIT APPLICATION NOTES -- Applicable to a I 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 THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF_ASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
B ILDING 0
S,r,t -
Print Name:
Mailing Address
1permits plus \iicc dungn\pennit application (7.2004)
R OR AUTHORIZED A r ENT:
L l t t . aQ
r
Date Application Accepted:
c94 Cie
Date: — I D V
Day Telephone:
Date Application Expires: OThr2—/ /fin
Page 4
Stale Zip
Staff Initials:
7
Parcel No.: 7360600425
Address: 4105 5 139 ST TUKW
Suite No:
Applicant: RIVERA RESIDENCE
Payee: ROSSOE
ACCOUNT ITEM LIST:
Description
tukwila
City of
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
MECHANICAL - RES
RECEIPT
Receipt No.: R06 -00285 Payment Amount: 167.25
Initials: 3EM Payment Date: 03/02/2006 02:25 PM
User ID: 1165 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 71046 167.25
Account Code Current Pmts
000/322.100 167.25
Permit Number: M06 -035
Status: APPROVED
Applied Date: 03/02/2006
Issue Date:
Total: 167.25
3058 03/02 9716 TOTAL 167.25
doc: Receipt Printed: 03 -02 -2006
•
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07 -03 -2006
DANIEL & SARIKA RIVERA
4105 S 139 ST
TUKWILA WA 98168
RE: Permit No. M06 -035
4105 S'139 ST TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division.
Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or fmal inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for
additional periods not exceeding 90 days each. Extension requests must be in writing and provide satisfactory reasons why
circumstances beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 08/29/2006, your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
arshall,
Permit 'I echnician
zc:
Permit File No. M06-035
City of Tukwila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 200 - 131 - 3665
License Information
License
ROSSOESIOILL
Licensee Name
ROSSOE ENERGY SYSTEMS INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
600636219
Ind. Ins. Account Id
1
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
1
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, Electric or Plumber License Detail Page 1 of 2
Ntivi
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 /Ini/bbip/ printer .aspx?License= ROSSOES101LL 03/02/2006