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Permit M13-021 - SNIADOSKI RESIDENCE - REPLACE FURNACE
SNIADOSKI RESIDENCE 14106 55 AV S M13-021 City o:Tukwila 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.: 3365900150 Address: 14106 55 AV S TUKW Project Name: SNIADOSKI RESIDENCE Permit Number: M13-021 Issue Date: 01/23/2013 Permit Expires On: 07/22/2013 Owner: Name: SNIADOSKI CHERYL A Address: 14106 55TH AVE S , SEATTLE WA 98168 Contact Person: Name: JAIMIE HOW Phone: 206-248-7900 Address: 4601 S 134 PL , SEATTLE WA 98168 Email: Contractor: Name: BRENNAN HEATING & A/C LLC Address: 2725 152ND AV NE , REDMOND WA 98052 Contractor License No: BRENNHA971R9 Phone: 206 248-7900 Expiration Date: 12/29/2013 DESCRIPTION OF WORK: REPLACE EXISTING GAS FURNACE, LIKE FOR LIKE Value of Mechanical: $1,599.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: Fees Collected: $167.70 International Mechanical Code Edition: 2009 Date/ Z —(3 3 I hereby certify that I have read and examined t hermit 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 OO._ Date: ) / / -� 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. 11•4•1",14 o.:..J...J• /14 O9 .1"4 • • PERMITCONDIITI©NS Permit No. M13-021 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. doc: IMC -4/10 M13-021 Printed: 01-23-2013 Lol CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us 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 Address: I t l Ot. p King Co Assessor's Tax No.: i.2!5 ( cbJ Suite Number: Floor: Tenant Name: New Tenant: ❑ Yes ❑ .. No Property Owners Name:fl 1)A JI r J -o V I 1.) 1 oN�� Mailing Address: CONTACT PEP Name: ' A AL i; A/I City State Zip Mailing Address: E -Mail Address: c_-:.1 C Day Telephone: City State Zip Fax Number: MECHANICAL CONT Company Name: Mailing Address:LA VP Q \ Contact Person: E -Mail Address: Contractor Registration Number: t 1- \ City Day Telephone: m Fax Number: Expiration Date: u3 0-- 6\ SI '-) State tsi_CIYA('D Company Name: Mailing Address: Contact Person: E -Mail Address: city Day Telephone: Fax Number: State Zip Company Name: Mailing Address. n City Day Telephone: Fax Number: Contact Person: E -Mail Address: H:\Applications\Forn s -Applications On Line Applications\1-2009 - Mechanical Permit Application.doc Revised: 1.2009 bh State Zip Page 1 of 2 Valuation of Project (contractor's bid price): $ / t Scope of Work (please provi e etailed information): ccasr (� Use: Residential: New ❑ Replacement Commercial: New ❑ Replacement ❑' Fuel Type: Electric 0 Gas Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: ; Qty ' .Unit Type' `' Qt}`^ S,° r �YPg Qty Boiler/�artipresso"r: 0-3 HP/100,000 BTU Qh!. Furnace <100K BTU I Air Handling Unit >10,000 CFM ,l�nit ,.: . . +;� Fire Damper Furnace >100K BTU Evaporator Cooler Diffuser 3-15 HP/500,000 BTU Floor 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 Emergency Generator 50+ HP/1,750,000 BTU Repair or addition to Heat/Refrig/Cooling System Incinerator — Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Command PERMIT APPLICATI;I 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 O PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDIN 0 NER OR AUTHORI E AGENT: Signatur : _ ,`t/TLAf Mailing Address: �-I �' .\-V Print Na Day Telephone: City Date: r C S State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:UpplicationsWorms-Applications On Line\2009 Applications U-2009- Mechanical Permit Application.doc Revised: 1-2009 bh 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 RECEIPT Parcel No.: 3365900150 Permit Number: M13-021 Address: 14106 55 AV S TUKW Status: PENDING Suite No: Applied Date: 01/23/2013 Applicant: SNIADOSKI RESIDENCE Issue Date: Receipt No.: R13-00537 Initials: User ID: TLS 1670 Payment Amount: $167.70 Payment Date: 01/23/2013 02:17 PM Balance: $0.00 Payee: BRENNAN HEATING & AIR CONDITIONING LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 23514 167.70 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 167.70 Total: $167.70 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 V L Permit Inspection Request Line (206) 431-2451 Project: (; t.. i TA - ZI ` , Type of Inspection: rINAL 0 r cr1 A - !J Address: Date Called: Bs IF Je/, �/4 r Special Instructions: Date Wanted:. I • I lB p.m. Requester: Phone No: Approved per applicable codes. F., Corrections required prior to approval COMMENTS: 0 r cr1 A - !J pp ANA. cie Perrin ' 11/4,........„ Bs IF Je/, �/4 r Date: I— .3 C i ESPECTION FEE REQliJIRED. Prier to next inspection, fee must be �`a I at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection; Contractors or Tradespeople Prier Friendly Page • General/Specialty Contractor A business registered as a construction contractor with LEI 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 Parent Company BRENNAN HEATING e A/C LLC 2062487900 4601 S 134Th Pl Seattle WA 98168 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602346866 Active BRENNHA971R9 Construction Contractor 12/29/2003 12/29/2013 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status MIKESMS922L6 MIKES MECHANICAL SERVICES LLC Construction Contractor General Unused 6/26/2008 6/26/2014 Active FLOORSL012JL FLOORING SOLUTIONS LLC Construction Contractor General Unused 4/13/1999 4/6/2003 Archived GUTTEHW995PH GUTTER HELMET OF WESTERN WA LL Construction Contractor General Unused 10/8/2001 10/8/2007 Out Of Business EMPIRPS891PS EMPIRE PROTECTION a SAFETY Construction Contractor General Unused 10/10/2011 10/10/2013 Suspended Business Owner Information Name Role Effective Date Expiration Date ERDAHL, DARRIN PAUL Partner/Member 12/29/2003 Amount Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 FEDERATED MUTUAL INS CO 9127230 12/22/2004 Until Cancelled $12,000.00 11/04/2004 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 4 Federated Mutual Ins Co 9820726 07/13/2007 07/13/2013 $1,000,000.00 06/12/2012 3 FEDERATED MUTUAL INS CO 9820726 07/13/2005 07/13/2007 $1,000,000.00 06/09/2006 Summons/Complaint Information Cause County Complaint Judgment Status Payment Paid By 07-2-13582-1 GRONVOLD DEVELOPMENT CO LLC InterPlead: No KING Date: 05/09/2007 Amount: $10,000.00 Date: Amount: $0.00 Open Date: Amount: https://fortress.wa.gov/lni/bbip/Print.aspx 01/23/2013