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Permit M08-093 - EGBERT RESIDENCE
EGBERT RESIDENCE 14015 43 AV S EXPIRED 09 -23 -08 M08 -093 Parcel No.: 7348200090 Address: Suite No: Tenant: Name: Address: 14015 43 AV S TUKW EGBERT RESIDENCE 14015 43 AV S , TUKWILA WA Owner: Name: EGBERT ERIK Address: 14015 43RD AVE S , TUKWILA WA Contact Person: Name: ANDREW JONES Address: 4601 S 134 PL , TUKWILA WA Contractor: Name: BRENNAN HEATING & A/C LLC Address: 2725 152ND AV NE , REDMOND WA Contractor License No: BRENNHA971R9 DESCRIPTION OF WORK: FURNACE CHANGE OUT, OIL TO GAS Value of Mechanical: $4,000.34 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 -10/06 Cityikf 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 MECHANICAL PERMIT EQUIPMENT TYPE AND QUANTITY 1 0 0 0 0 0 0 0 0 0 0 0 0 0 * *continued on next page ** M08 -093 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 - 248 -7900 Phone: 206 248 -7900 Expiration Date: 12/29/2009 M08 -093 03/27/2008 09/23/2008 Fees Collected: $180.90 International Mechanical Code Edition: 2006 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 Printed: 03 -27 -2008 • 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 Permit Number: M08 -093 Issue Date: 03/27/2008 Permit Expires On: 09/23/2008 Permit Center Authorized Signature: vvim ./ IZA D ate: gn 3 � 6 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 this permit does not pres give authority to violate or cancel the provisions of any other state or local laws regulating construction o = perf/ rmance of work Signature: A __4.■ Print Name: authorized to sign and obtain this mechanical permit. 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. doc: IMC -10/06 M08 -093 Printed: 03 -27 -2008 Parcel No.: 7348200090 Address: Suite No: Tenant: doc: Cond -10/06 14015 43 AV S TUKW EGBERT RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** • 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 PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: 4: Manufacturers installation instructions shall be available on the job site at the time of inspection. M08 -093 ISSUED 03/27/2008 03/27/2008 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. 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 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. M08 -093 Printed: 03 -27 -2008 Signature: Print Name: doc: Cond -10/06 • • 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 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 presum- - e 've authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work Date 3 M08 -093 Printed: 03 -27 -2008 CITY OF TUKWILA. Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tukwila. wa. us Building Permit No. Mechanical Permit No. N1() /3— O q 3 Plumbing/Gas Permit No. PG 0 r O (p Public Works Permit No. Project No. (For ice use only) 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 LOCATION King Co Assessor's Tax No.: 7 3 LI r2., COO 6 /0 Site Address: r 0' S 4 I z4 r I' n t's S Suite Number: Floor: Tenant Name: E.,-V--:- (- \ .0 fA�o -C 1 Ne ❑ Yes .No Property Owners Name: Al � Mailing Address: 1 L 1 \ 5 0 3,4- r'& 5 Tom. kys, W • r . '( )6e City State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name•' R_Et4M A1, rn ki & ot. A rr_ Mailing Address: '4(,O ( 1, 134TN1 Day Telephone: e2O(o &Lt. - cIDD TO K1/J 1 LA I,JaA e14 I GT City State Zip E -Mail Address: ' A A l to .. b renne tnhtaRro Fax Number: - o49 ..71 C GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: 12EAlklAl\l 14 EAT I LIL k ;kit, Mailing Address: 44)0 ( , 134 -n-CPL. Ti) K l,J I <sA City Contact Person: 4, r4,- gg �!.� _ . E -Mail Address: AV1c t. u.1 abrevtnan hie.ac+1'e 3 • PnW1 Contractor Registration Number ga.! k (14 A l k9 Company Name: Mailing Address: A City Contact Person: A Day Telephone: E -Mail Address: Fax Number: Q:W pplicationsWorms- Applications On line\3 -2006 - Permit Application.doc Revised: 9-2006 bh cJA c h1(pc State Zip Day Telephone: m`.b(e - g • °I DC) Fax Number: oW4v • A.4 • "749 ©�J Expiration Date: I a2 j 0 ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: State State Zip City Contact Person: [ Day Telephone: E -Mail Address: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Zip Pagel of 6 Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Fumace<100K BTU 1 t Air Handling Unit >10,000 CFM Fire Damper 0-3 HP /100,000 BTU 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 — Comm/Ind MECHANICAL PERMIT INF TION — 206 -431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: PU T IQ EkIt1A , EAT! k1 CT X AiCi Mailing Address: 4 o t "3 E N4- r 'Fl . � hkZI I. LA l �.U14 Q� 1pT (� ) City State Zip Contact Person: ` Day Telephone: � (o - 024 8 -'7 9 OO E -Mail Address:_ RY \A ,J e hirem1Q,bi eA► +Iiv .C.0411 Fax Number: e';(�(' r%/ - 7 b5 Contractor Registration Number: R Ek ki k Aal1 t Kat � Expiration Date: l 021 ' 2_9/01 Valuation of Mechanical work (contractor's bid price): $ 4I 3 4.-( 1 Sco Qf Work (please provide detailed information): Q-I(\C.Yvue i �LIJ-� Use: Residential: New .... ❑ Replacement .. Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas.. Other: DA. 05ctCc- Indicate type of mechanical work being installed and the quantity below: Q:\ Applications\Forms- Applications On line3-2006 - Permit Application.doe Revised: 9 -2006 bh Page 4 of 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty 2 3 Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent ‘ Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas PLUMBING AND GAS PIPINIPERMIT INFORMATION — 206-431- 70 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: -. 512ENI ift L( NEAT I k1C�• te• Q 1 C. Mailing Address: z 4.>6 S ' 1� 1 . Tt TK L �t) �� I LA Contact Person: �L `Y/�` 2 . „AC=) E -Mail Address:- y\kQX, tte b rGn n atnheat t n � CAWS Contractor Registration Number: 1 RE 1.1 H A'1 l v2_ Expiration Da of Plumbing work (contractor's bid price): $ - F N Valuation of Gas Piping work (contractor's bid price): $ . D Scope of Work (please provide detailed information): _ __r , r-0AI � (y 5 Q Q -� D � Building Use (per Int'l Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q:\Applicetions\Fwms- Applications On line\3 -2006 - Permit Applieation.doc Revised: 9-2006 bh City Day Telephon Fax Number: State Zip e: (A.000 • �� • `7 °100 A(o- a.�{•$ •'Z a te: i al rag 1 Sewer: Page 5 of 6 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. 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. BUILDING I.LI' OR A i ' D AGENT: Signature: Print Name: 1' cVe O Mailing Address: Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). Date Application Expires: Date Application Accepted: Q:\ ApplicationsWonns- Applications On Line\4 -2006 - Pemut Application.doc Revised: 9-2006 bh 134 T1+'P(J Date: Day Telephone: oZ • o 4% •Z CD TU Kb31 LSA OA 98 1,8 Cit State Zip Staff Initials: Page 6 of 6 Parcel No.: 7348200090 Address: 14015 43 AV S TUKW Suite No: Applicant: EGBERT RESIDENCE Payee: BRENNAN HEATING 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 Payment Check 18805 158.94 TRANSACTION LIST: Type Method Descriptio Amount RECEIPT Receipt No.: R08 - 00945 Payment Amount: $158.94 Initials: WER Payment Date: 03/27/2008 03:26 PM User ID: 1655 Balance: $0.00 Account Code Current Pmts 000.322.102.00.0 158.94 Total: $158.94 Permit Number: M08 - 093 Status: PENDING Applied Date: 03/27/2008 Issue Date: 0524 03/28 1711 TOTAL 158.94 doc: Receiot -06 Printed: 03 -27 -2008 07 -29 -2008 ANDREW JONES 4601 S 134 PL TUKWILA WA 98168 RE: Permit No. M08 -093 14015 43 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 09/23/2008 , 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 m this matter. Sincerely, fer Marshall, Pe t Technician xc: Permit File No. M08 -093 Department of Community Development Jim Haggerton, Mayor Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 License Information License BRENNHA971 R9 Licensee Name BRENNAN HEATING & A/C LLC Licensee Type CONSTRUCTION CONTRACTOR UBI 602346866 Ind. Ins. Account Id Received Date Business Type LIMITED LIABILITY COMPANY Address 1 4601 S 134TH PL Address 2 City SEATTLE County KING State WA Zip 98168 Phone 2062487900 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 12/29/2003 Expiration Date 12/29/2009 Suspend Date Separation Date Parent Company Previous License GUTTEHW995PH Next License Associated License Business Owner Information Name Role Effective Date Expiration Date ERDAHL, DARRIN PARTNER/MEMBER 12/29/2003 Impaired Date Bond Information 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 AMERICAN Look Up a Contractor, Electric n or Plumber License Detail 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. • Page 1 of 2 https: / /fortress.wa.gov /lni/bbip /printer. aspx ?License= BRENNHA971 R9 03/27/2008