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Permit M06-217 - SEMERE RESIDENCE
SEMERE RESIDENCE 4512 S 163 PL M06 -217 CnY r = Ti ^, DEPT. rFCC.:::.:. 1, =NT 6300 S U117 . :JILL: L_v1). TUKWILA, WA 9a188 Parcel No.: 9314900170 Address: 4512 S 163 PL TUKW Suite No: Tenant: Name: SEMERE RESIDENCE Address: 4512 S 163 PL, TUKWILA WA Owner: Name: GARDNER VIRGIL E Address* 4512 S 163RD PL, TUKWILA WA Contact Person: Name: MICHELLE FOX, ROSSOE ENERGY Address: 9367 RAINIER AV S, SEATTLE WA Contractor: Name: ROSSOE ENERGY SYSTEM INC Address: PO BOX 18259, SEATTLE WA Contractor License No: ROSSOES964RS DESCRIPTION OF WORK: OIL TO OIL FURNACE CHANGE OUT IN BASEMENT CLOSET Value of Mechanical: $4,550.00 Type of Fire Protection: Furnace' <100K BTU >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 >10,000 CFM Evaporator Cooler Ventilation Fan connected to single duct Ventilation System Hood and Duct Incinerator: Domestic Commercial/Industrial doc: IMC- Permit MECHANICAL PERMIT EQUIPMENT TYPE AND QUANTITY 1 0 0 0 0 0 0 0 0 0 0 0 0 0 **continued on next page" M06 -217 Permit Number: Issue Date: Permit Expires On: PERMIT CENTER Phone: Phone: 206 725 -7555 Phone: 206 725 -7555 Expiration Date: 12/10/2006 M06 -217 10/03/2006 04/01/2007 Fees Collected: $175.56 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 0 Punted: 10-03 -2006 DEPT r.= C. ' ;.... S =NT 6500 L..UiI, CN A I:LVO. TUKVVIIA, WA 93188 Permit Center Authorized Signature: I hereby certify that I have read and 4x ordinances governing this work will b Print Name: doc: IMC- Permit PERMIT CENTER Permit Number: M06 -217 Issue Date: 10/03/2006 Permit Expires On: 04/01/2007 1 Date: to W i ed his permit and know the same to be true and correct. All provisions of law and om 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 const. n ' r the perfo nce of work. I am authorized to sign and obtain this mechanical permit. i / / . Signature: �i/r _�L` e / Date: U /o 1 t!_/ I`I1/'vrrk /is c tav 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. M06 -217 Printed: 10 -03 -2006 Parcel No.: 9314900170 Address: 4512 S 163 PL TUKW Suite No: Tenant: SEMERE RESIDENCE City Eli Tukwila 1: ***BUILDING DEPARTMENT CONDITIONS*** 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 PERMIT CONDITIONS Permit Number: M06 -217 Status: ISSUED Applied Date: 10/03/2006 Issue Date: 10/03/2006 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. Steven M. Mullet, Mayor Steve Lancaster, Director 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 Cityof Tukwila Permit Center. 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** M06 -217 Printed: 10 -03 -2006 City 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 Steven M. Mullet, Mayor Steve Lancaster, Director 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: doc: Conditions P q ,frfr i tK (4,406 Date: t 0 ( M06 -217 Printed: 10-03 -2006 OP' (f1Y 0! - IUKWILA Community Development oartment Public Works Department' Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 SITE LOCATION Site Address: 12 t J . l l o? �L Tenant Name: Property Owners Name iece5 enaa.L ` e- V YWArt, Mailing Address: 0 • 11o??" PL -- "rt i_vtt. t■l a Name: m ( CA∎SL L- C CrlP .��� Mailing Address: E -Mail Address: Company Name•. K Ir-C'3 ' Eine'(-C�(� SSW N (NS MailingAddress: \e)F' \t-t COd*L Contact Person: M1/4.2 )t-- J Q-- E -Mail Address: Contact erson: E -Mai Address: ,pntact erson: E -Mai Address: 1pukka phn\icc changes \permit application (7 -2004) Building Penr Vo. kir Mechanical Permit Na Public Works Permit N o.' 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 ** Page I King Co Assessor's Tax No.: Q J 4 L C \W\ 700 1 Suite Number: Floor: city City New Tenant: ❑ .... Yes p No b ra or ol.ce -use an Slate Zip Day Telephone: �iOCP X25 - � 7oS Stale 'ENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page) Zip Fax Number: a (-c. Nrc 1-k OVSZ\ 1% City State Zip Day Telephone: 2N 0 tr7 f Q Fax Number: Contractor Registration Number: \enf5c:C:C- 25 Expiration Date: tY i \C **An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance • ARCHITECT OF RECORD All plaas must be wet stamped by Architect of Record Company N e: Mailing Ad ess: State Zip City Day Telephone: Fax Number: ENGINEER OF RECORD - Ali plans Must be wet stamped by Engineer of Record Company Na¢)e: Mailing Ador / ess: Slate City Day Telephone: Fax Number: Zip Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace<100K BTU 1 Air Handling Unit >10,000 CFM Fire Damper 0-3 HP /100,000 BTU Furnacc>100K BTU - Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU ,tor 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/I,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 INFOT 'ATION —206-431-3670 haw MECHANICAL CONTRACTOR INFORMATION rompany Name 1 7 -FQ2i F ne`e railing Address: :m cirm Contact Person: \C I n P_ . E -Mail Address: Contractor Registration Number: Aap - CXSq-PE4 Expiration Date: 10-- e - nicx **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): $ '550 Scope of Work (please provide detailed information) - tt ea.j. Use: Residential: New Replacement 0 Commercial: New .... Replacement —_ ❑ n Fuel Tvpe: Electric ❑ Gas -.0 Other: 19.1 - � L \ O S Indicate type of mechanical work being installed and the quantity below: 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 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. B ILDING a WNER OR UTHORI D AG Si Print Name: (V\ \CAP C-P t'k. Day Telephone:2n( n - 77J) 6666 "Q'LDZ '2 fA t Amsir •-Q- Sov`1- - IAaCL. 4s11c?, City State Zip Mailing Address: 1 Date Application Accepted: Date Application Expires: °t 1penngs phis icc changes \permit application (7 -2004) aa . R g9)11g Page 4 City - n � State Zip Telephone: Qt)( o 2„C") Fax Number: Date: G'21.0(D Staff Initials: City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 9314900170 Address' 4512 S 163 PL TUKW Suite No: Applicant: SEMERE RESIDENCE Receipt No.: R06 -01556 Payment Amount: 175.56 Initials: JEM Payment Date: 10/03/2006 02:21 PM User ID: 1165 Balance: 50.00 Payee: ROSSOE TRANSACTION LIST: Type Method Description Amount doc: Receipt RECEIPT Payment Check 72000 175.56 ACCOUNT ITEM LIST: Description Current Pmts MECHANICAL - RES Account Code 000/322.100 175.56 Permit Number: MO6 -217 Status: APPROVED Applied Date: 10/03/2006 Issue Date: Total: 175.56 0348 10/03 9716 TOTAL 175.56 Printed: 10-03 -2006 Project: S ir{ lies . Type of Inspection: min, q / \ .) Address: `/ 557 7 s i (Y f'L Date Called: Special Instructions: Date Wanted: 4I- Z6. - 7 / �rri. nm. Requester: Phone No: r 56- 2y 3 - 62K? INSPECTION RECORD Retain a copy with permit ✓c10G -2i 7 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., *100, Tukwila, WA 98188 (206)431 -367 PERMIT NO. i0' C • MMENTS: proved per applicable codes. 56.00 REIN CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 0 Corrections required prior to approval. Receipt No.: Date: Project: :410 ../ii'. 0 "-ii. ..:�. ' Type of Inspection: i r i. A[,._�.. Address: 'V ys� 2. 5, /4:3. Date Called: Speciarfnssttructions: / c.G// /" Alleged 7 Date Wanted /7 Tac / Requester: Phone No: INSPECTION NO. Approved per applicable codes. Receipt No.; INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: t ‘6t/ /4- Cr 5 4 (J I ' / ' ,2, ki - -*-0 .nd/1 s /de- 1 44" St J_ ri $58.00 REINSPECTION F:PREQUIRED. Prior to Inspection, fee mus paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 206)431-3 C orrections required prior to approval. Date: a�. _. - n: a,�.: .., .x,tt. "Thermo Pride' —Imer OIL FIRED UPFLOW FURNACE SPECIFICATIONS MODEL NO. PROGRAMMABLE T-STAT HEAT INPUT RATE (BTUH) OUTPUT BTUH' SEASONAL EFFICIENCY' LARGEST REC AIC NOMINAL TEMP RISE HEAT EXCHANGE AREA CASING HEIGHT (IN.): CASING WIDTH (IN.):, CASING DEPTH (IN.): NOMINAL FLUE OUTLET DIA. APPROX SHIPPING WEIGHT 'APPROVAL AGENCY QTY AND SIZE OF PERMANENT FILTERS ELECTRICAL REQUIREMENTS . 'i'- MAX FUSE SIZE PSC /ECM TOTAL CURRENT (AMPS) PSCIECM HEIGHT FROM FLOOR TO CENTER OF FLUE SIDEITOP SUPPLY AIR OUTLET SIZE RETURN AIR DUCTWORK CONNECTION FLANGE SIZE ON FILTER RACK RETURN AIR INLET OPENING SIZE IN SIDE CASING ?(TO BE CUT -OUT BY DEALER) (D-IN. X H -IN.) ;COMBUSTION AIR INTAKE HOOD KIT FIELD VENT TERMINATION KIT • SIDEWALL VENT ACCESSORIES KIT High Fire 106,250 90,000 84.9% 60° OH6FA072D48B Med Fire 85,000 73,000 85.7% 60° Low Fire 70,000 60,000 86.2% 4 Tons 60° 5 " 250 U.L. (1) 24 3/4" X 153/4" 120/60/1 15/15 8.7 / 12.1 N/A 40 3/4" 18" X 19" 24 1/2" X 15" 23" X 14" 350866 AOPS7402 AOPS8393 AOPS8394 High Fire 106,250 91,000 85.9% 4 Tons 60° ACCESSORY ITEMS OH6FA072D48R Med Fire 85,000 74,000 87.2% 60° Low Fire 70,000 61,500 87.9% 60° 45° 20 30" 5 " 250 U.L. (1) 24 3/4" X 153/4" 120/60/1 15/15 8.7 / 12.1 N/A 40 3/4" 18 ° X19° 24 1/2" X 15° 23" X 14" 350866 AOPS7402 AOPS8393 AOPS8395 1 OUTPUT BTUI BASED ON ANNUAL FUEL UllUZAllON EFFICIENCY MTEO 07 owACTURER 2 WASCVML EFRUENCV {ALSO CILLIDKM • ANNUAL FUEL MUTATION EFRDENCVI RATINGS ME RASED ON TESTS FOL OAINGUS. DEPARTMENT OF ENERGY TEST PROCEDURES 3 TO PERM' LAMEST RECOM.ENDEDMR CDQRCNNO (AT 5 STATIC PRESSURE). SELECTION OF The SST ItlTM SPEED IS. REQUIRED. X0H6 ECN 4429 -PI 1 SEE NEXT PAGE FOR MORE DATA - Model Number Di. it Example Model Numbers 0 H.:.:6 Oil Furnace Model Nomenclature 0 = 011 H= HI•hbo 6 = Heat Exchan • er Size Identifier F = Front Desi, n Chan!e Heatin • Ca • aci MBTUH 000's with facto installed nozzle D = Direct Drive CI! . Airflow: Exam • le = 48MBTUH = 4 tons 400cfm /ton Ch. Airflow Variable S • eed ECM V4= 4tons B = Beckett R = Riello 0 m® a . ea , C +• a- e ea a c c a. >. 0 '`' 3 d 0 e 'R R 3 3 ' (.) 0 v ' 15 to a ,a t7) 151 0 0 3 6 rr WEI 9 10 FA °`07 2 =1D 4 ..:.. 8 B F A:O 72 DY4 R •na• n MMENNEN 111131111=111111111M ■■ 0 0©■■MIN ■■■■■ D ■E■ MINMEOEIM •mna •n XOH6 ECN 4429 -PI 2 SEE NEXT PAGE FOR MORE DATA Net 04 -05 -2007 MICHELLE FOX, ROSSOE ENERGY 9367 RAINIER AV S SEATTLE WA 98118 RE: Permit No. M06 -217 4512S163PLTAKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final 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 final 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 satisfaetory 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 05/16/2007 , 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, fer Marshall, Permit Technician xc: Permit File No. M06 -217 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: 206 -431 -3665 License Information License ROSSOES964RS Licensee Name ROSSOE ENERGY SYSTEMS INC Licensee Type ELECTRICAL CONTRACTOR UBI 600636219 Ind. Ins. Account Id 50650900 Business Type CORPORATION Address 1 PO BOX 18259 Address 2 City SEATTLE County KING State WA Zip 98118 Phone 2067257555 Status ACTIVE Specialty 1 HVAC/RFRG LTD ENERGY Specialty 2 UNUSED Effective Date 12/10/2004 Expiration Date 12/10/2006 Suspend Date Separation Date Parent Company Previous License ROSSOES 142QP Next License Associated License ARMSTCW952LG Business Owner Information Name Role Effective Date Expiration Date GLATZ, RON N AGENT 12/10/2004 GLATZ, RON N PRESIDENT 12/10/2004 WYMAN, DAVID C SECRETARY 12/10/2004 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 V Washington State Department of Labor and Industries Electrical Contractor A business licensed by L &I to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Master Electrician Information License Name Status ARMSTCW952LG ARMSTRONG, CLIFFORD W ACTIVE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= ROSSOES964RS 10/03/2006