HomeMy WebLinkAboutPermit M06-277 - TAZELAAR RESIDENCETAZELAAR RESIDENCE
12624 34 AV S
M06 -277
Parcel No.: 7340600621
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
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.ci.tukwila.wa.us
12624 34 AV 5 TUKW
TAZELAAR RESIDENCE
12624 34 AV S , TUKWILA WA
TAZELAAL ANNEMARIELU
PO BOX 68603 , SEATTLE WA
MICHELLE FOX
9367 RAINIER AV S , SEATTLE WA
Contractor:
Name: ROSSOE ENERGY SYSTEMS INC
Address: PO BOX 18259 , SEATTLE WA 98118
Contractor License No: ROSSOES101LL
MECHANICAL PERMIT
DESCRIPTION OF WORK:
INSTALL OIL TO OIL FURNACE CHANGE OUT IN BASEMENT - 105,000 BTU.
Value of Mechanical:
Type of Fire Protection:
$3,154.00
Furnace: <IOOK 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
Conunercial/Industrial
Fees Collected:
$OUIPMENT TYPE AND OUANTITY
0
0
0
0
0
1
0
0
0
0
0
0
0
0
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date: 05/25/2008
Steven M. Mullet, Mayor
Steve Lancaster, Director
Phone:
Phone: 206- 725 -7555
Phone: 206 -725 -7555
MO6 -277
12/01/2006
05/30/2007
NONE 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
00 +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
$167.25
doe: IMC -10/06 M06 -277 Printed: 12 -01 -2006
Permit Center Authorized Signature:
Signature:
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: htto: / /www.ci.tukwila.wa.us
fill '14 , ►II I
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: MO6 -277
Issue Date: 12/01/2006
Permit Expires On: 05/30/2007
Date:' 2 4/ 0
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 1 permit does not pr: 'ume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or performance of w • k. I am authorized to sign and obtain this mechanical permit.
Date: Jz! I /fl
Print Name: <erica ie'4G �C4,t t—tetp
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-10 /06 MO6.277 Printed: 12 -01 -2006
Parcel No.: 7340600621
Address:
Suite No:
Tenant:
12624 34 AV S TUKW
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 -431 -3665
Web site: httn: / /www.ci.tukwila.wa.us
TAZELAAR RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
City of Tukwila
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
M06 -277
ISSUED
12/01/2006
12/01/2006
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.
8: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
6: 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.
7: 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.
8: 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.
9: 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.
10: 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).
11: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
doc: Cond - 10/06
* *continued on next page**
M06-277 Printed: 12 -01 -2006
Signature:
Print Name: /Oka / /4 gGLLt� c4� 2
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206431 -3670
Fax: 206431 -3665
Web site: httn: / /www.ci.tukwila.wa.us
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.
Date: ( 2 4) /O e-,
doc: Cond -10/06 M06 -277 Printed: 12 -01 -2006
*ma 1-111'
..I I r tit I UAWILA
Community Development ?artment
Public Works Department`"
Permit Center RECEIVE
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Vomits phis \icc dungy \perms application (7-2004)
P;97 1 3 211
COMMUNITY
DEVELOPMENT
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 **
I King Co Assessor's Tax No.:7 M (DO 0 (.0 2.1
Site Address: 12- 102 `i 3 "\VZ �� i lA K W I I;l Suite Number: ' — Floor:
New Tenant: ❑ .... Yes
Tenant Name:
Property Owners Name: Ql1n fY I rle.Xe. 'Ta aar
Mailing Address: \2 -LD` ' - -P S TUKWt
Name:
Mailing Address:
State
City
E -Mail Address: Fax Number:
ENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page)
Company Name:
Mailing Address:
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"
ARCHITECy OF RECORD — All plans must be wet stamped by Architect of Record
Companye:
Mailing dress:
Zip
City
Cont 34 Person: Day Telephone:
E- ail Address: Fax Number:
ENGINEEg OF RECORD All plans must be wet stamped by Engineer of Record
J
Company Name:
Mailing Address:
Zip
City
ontacy Person: Day Telephone:
E -M *3l Address: Fax Number:
it
Page I
Building Perm to.
Mechanical Permit No
Public`Wotks Permit No
Project No
City
r ce use an
W tale
Day Telephone:
State
State
�..No
C ialt.0g
Zip
Zip
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Fumace<100K BTU
-
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
°vmacc>10OK BTU
rt �
il)
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
✓ oor 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 INFO]ATION —206431-3670
MECHANICAL CONTRACTOR INFORMATION
company Name: Z t -4 C. EN r 1\ Slyterrs
% ailing Address: p CI 1 0-j 1 . 1\t r11 p
Contact Person: 1 v t ViinQk2
E -Mail Address: Fax Number:
Contractor Registration Number: <C Ue- 9c1.1a' k. ?- Expiration Date: I2- n-ot
**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
Scope of Work (please provide detailed information): f L.L Cam.
Use: Residential: New ....0 Replacement t1.
Commercial: New .... ❑ Replacement ❑
Fuel Type: Electric ❑ Gas ....0 Other: (—
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 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.
Print Name: M \ C V14 \ P . M FAN/
Mailing Address:q ?,U l n %. int QK � S ` -
'K- tt t-e
Date Application Accepted: Date Application Expires:
its piu \icc chanaeatpennh application (7 -2004)
Page 4
City Zip
Day Telephone: 2.0b �7
Date: _N.
Day Telephone:, 17S
Wee S.% U
City State
Zap
Staff Initials:
Parcel No.: 7340600621
Address: 12624 34 AV S TUB:W
Suite No:
Applicant: TAZELAAR RESIDENCE
Receipt No.: R06 -01896
Initials: BUJ
User ID: ADMIN
Payee: ROSSOE
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
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.ci.tukwila.wa.us
RECEIPT
TRANSACTION LIST:
Type Method Description Amount
Payment Check 72208 167.25
Account Code Current Pmts
000/322.100 167.25
Total: $167.25
Permit Number: M06 -277
Status: APPROVED
Applied Date: 12/01/2006
Issue Date:
Payment Amount: $167.25
Payment Date: 12/01/2006 03:20 PM
Balance: $0.00
2331 12/05 9716 TOTAL 167.25
dot: Receiot -06 Printed: 12 -01 -2006
Pr �� L / L.GJfT r
TYPe / - 7,44 1 //
Address:
/z� ga 1 /477/
S
Date Called:
Special Instructions:
�y
( 1 /9 + / / /
Date Wanted:
/0 4 7
Requester
one No:
/: 24. /
P c26 0 7-
5
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
P79ti177
6, c .tc
06)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
9 v/I? tI�rh^r
Inspect° :
Dat
{)0 REINSPECTJON FtE REQUI D. Prior o inspection. fee must be
d at 6300 Southcenter Blvd.. Sui a 100. Call the schedule reinspection.
Receipt No.;
'Date:
04 -05 -2007
MICHELLE FOX
9367 RAINIER AV S
SEATTLE WA 98118
RE: Permit No. M06 -277
12624 34 AV S TUKW
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 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 05/30/2007 , 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,
414-k
Ter Marshall,
Permit Technician
xc: Permit File No. M06 -277
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
ROSSOESIOILL
Licensee Name
ROSSOE ENERGY SYSTEMS INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
600636219
Ind. Ins. Account Id
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
5/25/2008
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
OHIO CAS
INS CO
3177900
05/09/2002
Until
Cancelled
01/01/1980
512,000.00
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 ;nn 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 12/01/2006