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Permit M14-0096 - SAMSON RESIDENCE - GAS FURNACE CHANGEOUT
SAMSON RESIDENCE 13522 MILITARY RD S M14-0096 Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov 7346600022 13522 MILITARY RD S Project Name: SAMSON RESIDENCE MECHANICAL OTC PERMIT Permit Number: M14-0096 Issue Date: 5/2/2014 Permit Expires On: 10/29/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: GARCIA SALVADOR+ALICIA 13522 MILITARY RD S , TUKWILA, WA, 98168 JAMIE HOW 4601 S 134 , SEATTLE, WA, 98168 BRENNAN HEATING & A/C LLC 2725 152ND AV NE , REDMOND, WA, 98052 License No: BRENNHA971R9 Lender: Name: Address: Phone: (206) 248-7900 Phone: (206) 248-7900 Expiration Date: 12/29/2015 DESCRIPTION OF WORK: GAS FURNACE CHANGEOUT Valuation of Work: $1,899.00 Type of Work: REPLACEMENT Fuel type: GAS Fees Collected: $102.38 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer Distric: NONE,VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: 0 VAC Date: QS( o I hearby 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 presume to give authority to violate or cancel the provisions of any other state or loca s regulating construction or the performance of work. I am authorized to sign and obtain this develop -nt permit and agree to the conditions attached to this permit. Signatur Print N Th Date: This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***MECHANICAL PERMIT CONDITIONS*** 2: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). 3: All permits, inspection record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector 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: Type 1 Hoods, the required grease duct leakage test and (light test shall be performed by a special inspection and testing agency in accordance with I.M.C. Chapter 5. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1800 MECHANICAL FINAL 0701 ROUGH -IN MECHANICAL Tenant Name: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWAgov 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** (('�� ing Co Assessor's Tax No.: •-f'`, \ (L OQ4�` Site Address: I ,� g g l i, r' �( Suite Number: Floor: New Tenant: ❑ Yes ❑ .. No , PR2.OPERTYY OWNE Name:` n �i c �.�YV1 SOYI Address:/ 'I / 00 (_, zj , S-- City:GI v %- _ s y• Zipi'g r, • �I tate: CONTACT'PERSON - person receiving all:project communication Name: Jaimie @ Brennan Heating Address: Same as Contractor City: State: Zip: Phone: Fax: Email: b MECHANICAL CONTRAC OR INFORMATION.: Company Name: Brennan Heating Address: 4601 S 134th P1 City: Seattle State: WA Zip: 98168 Phone: (206) 248-7900 Fax: (206) 248-7905 Contr Reg No.: BRENNHA962DU Exp Date: 12/29/204,40 Tukwila Business License No.: BUS-0100281 2 01 Valuation of project (contractor's bid price): $ Describe the scope of work in detail: JetrOk (A/ i0 Use: Residential: New Commercial: New Fuel Type: Electric ❑ El Replacement Replacement Gas ®/� Other: H: Appliatio \Pnrms-Appliatinns On Line t2011 APpticatins\Mechanical Permit Application Re..�ced R-9_1 t.docx Revised: August 2011 bh Page 1 of 2 Indicate type of mechanical work being installed and the quantity below: Unit Type Furnace <100k btu 1 Furnace >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 Air handling unit >10,000 cfm Evaporator cooler Ventilation fan connected to single duct Ventilation system Hood and duct Incinerator — domestic Incinerator — comm/industrial nitType ty Fire damper Diffuser Thermostat Wood/gas stove Emergency generator Other mechanical equipment floiler/Gornpresso', SE! 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 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 Intemational Building Code (current edition). 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 OWNER OR AUTHORIZ _ AGENT: Signature: (� / CLAZYIA.�.0 Print Name: Mailing Address: 0 \ \ \r� JjJ,cJ Day Telephone: UO a q g I iv8 State Zip City Date: H:1Applications\Forms-Applications On Line12011 Applications\ Mechanical Permit Application Revised 11-9-11.doca Revised: August 2011 bh Page 2of2 Receipt Number DESCRIPTIONS I ACCOUNT QUANTITY PermitTRAK I PAID $102.38 M14-0096 Address: 13522 MILITARY RD S Apn: 7346600022 $102.38 MECHANICAL $97.50 PERMIT FEE R000.322.100.00.00 $65.00 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2018 R000.322.900.04.00 $4.88 $102.38 Date Paid: Friday, May 02, 2014 Paid By: BRENNAN HEATING & A/C LLC Pay Method: CREDIT CARD 01720G Printed: Friday, May 02, 2014 2:31 PM 1 of 1 INSPECTION RECORD Retain a copy with permit NO.T PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Proje Ad Special Instructions: A wisp" it vet per applicable codes. Type of inspection - Date Called: Request ?..6472,44 OC OCorrections required prior to approval. aate iPECTION FEE REM ID. Prior to next inspection, fee trust be t 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. BRENNAN HEATING & A/C LLC Page 1 of 2 Washington State Depart ent of Lab©r & Industries BRENNAN HEATING & A/C LLC Owner or tradesperson ERDAHL, DARRIN PAUL Principals ERDAHL, DARRIN PAUL, PARTNER/MEMBER Doing business as BRENNAN HEATING & A/C LLC WA UBI No. 602 346 866 4601 S 134TH PL SEATTLE, WA98168 206-248-7900 KING County Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties GENERAL License no. BRENNHA971 R9 Effective — expiration 12/29/2003-12/29/2015 Bond FEDERATED MUTUAL INS CO Bond account no. 9127230 Active. Meets current requirements. $12,000.00 Received by L&I Effective date 11/04/2004 12/22/2004 Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9820726 Received by L&I Effective date 06/10/2013 07/13/2007 Expiration date 07/13/2014 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. Tax debts https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA971 R9&SAW= 05/02/2014