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Home My WebLink About18406 E Country Club Dr_BLD130040_2025 BUILDING INSPECTION REPORT ..c v � Permit No. /,3— a 4 �60 Address: z F D( (�ucG CLc� ��jrNG''CO Contractor: /3,Qe,Urt/AA) /7E,¢ Owner: GOcD 8e4ee5� Date: APPROVAL ® PARTIAL APPROVAL VIOLATION ® CORRECTION REQUEST Corrections listed below MUST BE MADE before work can be approved Please contact inspector Was not able to perform inspection Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before is'�-T�'C'�i✓ /-mac-� ��E<,S. Inspector: V4 ua Date: YAW/-L ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork Mechanical ® Grid ® Struct. Slab �® Wood Stove ® Rough-in ® Final ® Masonry ® Drainage ® Insulation ® Other: CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON,WA. 98223 PHONE; (360)403-3551 BUILDING PERAtrr r Address:18406 E Country Club Permit#:40 Parcel#;00832900005800 Valuation: OWNER y'i1P, LfCANT' '- CONTRACTOR` Name:GOLD13ERG ALAN D&SHERYL K Name:[Applicant Name] Name:Brennan Heating Address:1301 E BROWARD BLVD UNIT 330 Address:18406 E Country Club Address:4601 S 134th PI City,State Zip:FORT LAUDERDALE,FL 33301 City,State Zip:[City,State,Zip] City,State Zip:Seattle,WA 98168 Phonc: Phone:360.435-2407 Phone:206-248-7900 LIC#: EXP: BRENNHA971R9 PLUMBING CONTRA(XI'04 MECHANICAL CONTRACTOR Name: Name: Address: Address: City,Stale,Zip:. City,Statc,Zip:, Phone: Phone: LTC#: EXP: LIC#: EXP: JOB DESCRIPTTOH PERMIT TYPE: $LD CODE YEAR: STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT'APPROVAL I AGRE1,TO COMPLY WITI I CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTIIORIZL•D TMEREDY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKNIEN'S COMPENSATION INSURANCE AND RCW 18.27 THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCl10/IRCl10. S .Sales tax relating to construction and construction materials in the City o ton m t be reported on your sales tax return Conn an cod,cd City oC}lr'n on#3101. t J Signature Print Name Date Rcicased B Datc CONDO�'I,ONS THIS PERMIT AUTHORIZS UBLIC DOMAIN((Y TITE CURBS,SIDEWALKS, RIVEWA NOTED,THIS PERMIT YS MARQUWORK EES,BE EC.)WILL REQUIRE SNE ON PRIVATE EPARATE PERMISSION.PERTY ONLY. ANY CONSTRUCTION PERMIT FEES Date DescrlpUon Fee Amount 3/22/2013 Furnace $50.00 Total Due: 550.00 Total Payment: $0.00 Balance Due: S50.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an Inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon ,.,. :..� CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:18406 E Country Club Permit#:40 Parcel#:00832900005800 Valuation: OWNER APPLICANT CONTRACTOR x Name:GOLDBERG ALAN D&SHERYL K Name: [Applicant Name] Name:Brennan Heating Address: 1301 E BROWARD BLVD UNIT 330 Address: 18406 E Country Club Address:4601 S 134th PI City,State Zip:FORT LAUDERDALE,FL 33301 City,State Zip:[City,State,Zip] City,State Zip:Seattle,WA 98168 Phone: Phone:360-435-2407 Phone:206-248-7900 LIC#: EXP: BRENNHA971R9 PLUMBING CONTRACTOR - MECHANICAL CONTRACTOR Name: Name: Address: Address: City,State,Zip:, City,State,Zip:, Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: $LIB CODE YEAR: STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City o tZint be reported on your sales tax return form and coded City of Arlington 43101. Signature Print Name Date Released B Date CONDITIONS THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION PERMIT FEES Date Description Fee Amount 3/22/2013 Furnace $50.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: $50.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Payment Date 3/22/2013 Paid By Brennan Heating Description Goldberg Mechanical Permit _ Payment Type Credit Accepted By A Rusko Fees Paid Fee Fee Description Permit# Amount Furnace 322.10.00.00 40 50.00 Total Payment 50.00 AWL RESIDENTIAL MECHANICAL ST PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223• Phone(360)403 3551 •FAX(360)403 3418 THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS, TWO(2)SETS OF SPECIFICATION SHEETS AND TWO(2)SETS OF WASHINGTON STATE ENERGY CODE(if applicable). Project Valuation: Imo_ Project Address: L.CJIJI L-t I V �1 O��arcei 1D#: loM3a_1 =,58w Lot#: Subdivision: I Project Description: ` ,, Cr"'�2 t I Owner: I _Phone Number: s1�� `t J� 1 ► ,.{.I CK Address: L City: —State: Zip`Code: Contact Person:_ 1 mil Q [� P3(-L-ro. _ Phone Number: OQ��G Cell Phone: Fax: E-mail: Address: City: _State: Zip Code: Please List quantity of fixtures below: FURNACE UP TO 100K BTU CLOTHES DRYER GAS OUTLETS FURNACE OVER 100K FLOOR FURNACE SUSPENDED HTR/UNIT HTR BOILER UP TO 3 HP APPLIANCE REPAIR SOLID-FUEL APPLIANCE BOILER UP TO 4-15 HP AIR HANDLING UP TO 10K CFM FIREPLACE INSERT BOILER UP TO 16-30 HP AIR HANDLING OVER 10K CFM VENTILATION SYSTEM HEAT PUMP VENTILATION FANS OTHER VENT HOOD DOMESTIC INCINERATOF ALL OTHER UNITS FREESTANDING STOVE ,, n Contractor: t� —Phone Number: 1�Cko t \ QC Address: l v� ` Cit : cl —State:LEI)(.X— Z. Code: CA 9 j Contractor's License Number:` \ —Expiration: ` I hereby certify that the above information is correct and that the construct.00 on, and the occupancy and the use of the above- b ed property will be in accordance with the laws, rules and regulation of the State of Washington JApplicants ignature Date Print Applicants Name -� -� RECEIVED '058 F,{Iu�S�g`;-ARTMENT AR 1'8 2013 A ° '+ � � (*fft COA PERMIT CENTER Permit# Accepted By Amount Received Receipt# Date Received T DATE Z2! ,y 2010 COY NN6 CHANG S A11 f HOK ZF. JOB COPY UNLESS APPROVED BY T BUILDING INSPECT R r-� 1 SPECIFICATIONS) Gas Model No. EL28ODF07OP36A EL28ODF09OP48B EL28ODF11OP60C Heating — Perfortnance 'AFUE 80. _ 60% 80/o° High Input-Btuh 66,000 88,000 110,000 _ Fire ,._ Output-Btuh 52,000 69,000 87,000 Temperature rise range-°F 30-60 _ 35-65 40-70 Gas Manifold Pressure(in.w.g.) 3.5/10.0 3.5/10.0 3.5/10.0 Nat.Gas/LPG/Propane Low Input-Btuh 43.000 57,000 72,000 Fire Output-Btuh 35,000 46,000 59,000 Temperature rise range-°F 20-50 20-50 25-55 Gas Manifold Pressure(in.w.g.) 1.714.9 1.7/4.9 1.7/4.9 Nat.Gas/LPG/Propane High static-In.w.g. Heating 0.5 0.5 0.5 Cooling 0.5 0.5 0.5 Connections Flue connection-in.round 4 4 4 in. Gas pipe size IPS 1/2 1/2 1/2 Indoor Wheel nominal diameter x width-in. 10 x 8 10 x 10 11-1/2 x 10 Blower Motor output-hp 1/3 1/2 1 Tons of add-on cooling 2-3.5 3-4 4-5 Air Volume Range-cfm 717-1562 917-1929 1517-2760 Electrical Voltage 120 volts-60 hertz-1 phase Data Blower motor full load amps 6.1 8.2 11.6 Maximum overcurrent protection 15 15 15 Shipping Data lbs.-1 package 128 140 160 NOTE-Filters and provisions for mounting are not furnished and mud be field provided. Annual Fuel Utilization Efficiency based on DOE test procedures and according to FTC labeling regulations.Isolated combustion system rating for non•wealherized furnaces. OPTIONAL ACCESSORIES - ORDER SEPARATELY "A"Width ( "El"Width I "C"Width MOdelb Models Models +sah= �� CABIM�TAC EStSOR1ES `yt - .± 'd ° nt.'.�=;. 4 Downflow Combustible Flooring Base 11M69 ( 11M60 11M61 ?' .. ? �4W��,'tr,t �' ,�,at7- IY'�9' ki r ;?i-- .-'l.�t�rb'-.a�'ir.;•y•� c._ DOWNFLOW FIN.TE1;.K '_ �;r Downflow Filter Kit 61W06 61W07 I 61W08 No.and Size of filter-in.l (1)20 x 20 x 1 I (2)16 x 20 x 1 (2)16 x 20 x 1 SERVICE KITS Night Service Kit 84W46 84W46 84W46 Universal Service Kit-Switches B9W19 89W19 89W19 EL28ODF/Page 6 AIL RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223• Phone(360)403 3551 • FAX(360)403 3418 THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS, TWO(2)SETS OF SPECIFICATION SHEETS AND TWO(2)SETS OF WASHINGTON STATE ENERGY CODE(if applicable). Project Valuation: Project AddressJ (; 0,0 e ' P I ID#: %a ='58 Lot#: Subdivision: Project Description: tt-�, t I Owner: ' _Phone Number: 3�l . 1 ► �Uti Address: City: —State: Zip Code: Contact Person:_ ( 1 _Phone Number: O�G �1 Cell Phone: Fax: E-mail: Address: City: _State: Zip Code: Please List quantity of fixtures below: FURNACE UP TO 100K BTU CLOTHES DRYER GAS OUTLETS FURNACE OVER 100K FLOOR FURNACE SUSPENDED HTR/UNIT HTR BOILER UP TO 3 HP APPLIANCE REPAIR SOLID-FUEL APPLIANCE BOILER UP TO 4-15 HP AIR HANDLING UP TO 10K CFM FIREPLACE INSERT BOILER UP TO 16-30 HP AIR HANDLING OVER 10K CFM VENTILATION SYSTEM HEAT PUMP VENTILATION FANS OTHER VENT HOOD DOMESTIC INCINERATOF ALL OTHER UNITS FREESTANDING STOVE Contractor:Qu I _Phoned Number: r)� �� —�\ �O L Address: v I `� —State: `, Z p Code: CA G tA�.� Contractor's License Number: \ —i_xpiration: I hereby certify that the above information is correct and that the constructo,i on, and the o cupancy anA"J4 14!abia.l 1 ne sc bed property will be in accordance with the laws, rules and regulation of the State of Washi gton. 3H1_ ,1I3 03AOUddV SS3-INn 03Z18OH1r1V S.1DNVH0 ON Applicants ignature Date )ou r/ Print Applicants Name p��Mqg �/ MM ^ VED Nia�ine 0 )U-10 FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt ��~Date Received 2010 CJY I SPECI0ICATIONS' � } Gas Model No.Heating EL28ODF07OP36A EL28ODF09OP48B EL28ODF11OP60C — Performance 'AFUE 80% 80% 80% FireHigh Input-Btuh 66,000 _ 88,000 11 D,000 Output-Btuh 52.000 _ 69,000 87,000 Temperature rise range-'F 30-60 _ 35-65 40-70 Gas Manifold Pressure(in,w.g.) 3.5/10.0 3,5/10.0 3.5!10.0 Nat.Gas/LPG/Propane Low Input-Btuh 43.000 57,000 72.000 Fire _ Output-Btuh 35,000 46,000 59,000 Temperature rise range-°F 20-50 20-50 25-55 Gas Manifold Pressure(in.w.g.) 1.7/4.9 1.7/4.9 1.7/4.9 Nat.Gas/LPG/Propane High static-in.w.g. Heating 0.5 0.5 0.5 Cooling 0.5 0.5 0.5 Connections Flue connection-in.round 4 4 4 in. Gas pipe size IPS 1/2 1/2 1/2 Indoor Wheel nominal diameter x width-in. 10 x 8 10 x 10 11-1/2 x 10 Blower Motor output-hp 1/3 1/2 1 Tons of add-on cooling 2-3.5 3-4 4-5 Air Volume Range-cfm 717-1562 917-1929 1517-2760 Electrical Voltage 120 volts-60 hertz-1 phase Data Blower motor full load amps 6.1 8.2 11.5 Maximum overcurrent protection 15 15 15 Shipping Data lbs.-1 package 128 140 160 NOTE-Filters and provisions for mounting are not furnished and must be field provided. _ Annual Fuel Utilization Efficiency based an DOE teal procedures and according to FTC labeling regulations.Isolated combustion system rating for non-weatherized furnaces. OPTIONAL ACCESSORIES- ORDER:SEPARATELY "A"Width I "B"Width I "C"Width Models Models Models CABINET ACCESSORIES ""° ' t,,. Downflow Combustible Flooring Base I 11M59 11M60 11M61 DOWNFLOW FIITER KIT$} Downflow Filter Kit 61W06 61W07 61W08 No.and Size of filter-in. (1)20 x 20 x 1 I (2)16 x 20 x 1 I (2) 16 x 20 x 1 SERVICE KITS' ) '��. r r `r• Night Service Kit 84W46 84W46 84W46 Universal Service Kit-Switches 89W19 89W19 89W19 EL28ODF/Page 6 Permit Information Date 3/18/2013 Permit Number 40 Applicant Name Alan Goldberg _ Permit Type Mechanical Site Address 18406 E Country Club Description Residential Project Cost 1900.00 Square Feet 0 Status Applied Permit Issued Permit Expires Phone 360-435-2407 Occupancy Load Type of Construction Proposed Use Number of Stories 0 Assigned To A Rusko Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Jaimie How Brennan Heating 206-248-7900 jaimie@brennanheating.com IMECHANICAL CONTRACTOR I BRENNHA971 R9 Property Information Owner Information Parcel#:00832900005800 GOLDBERG ALAN D&SHERYL K GOLDBERG ALAN D&SHERYL K 1301 E BROWARD BLVD UNIT 330 L8406 E COUNTRY CLUB DR _ FORT LAUDERDALE, FL 33301 Review Date Type Description Target Date I CornDleted Date {, 13/18/2013 lResidential Mechanical Replace Gas Furnace _3 Email History Date Emailed To 3/18/2013 cyoung@arlingtonwa.gov Uploaded Files Upload He Date File 3/18/2013 1 Country Club A lication. df Delete General/Specialty Contractor A business registered as a construction contractor with LEH 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 BRENNAN HEATING Et A/C LLC UBI No. 602346866 Phone 2062487900 Status Active Address 4601 S 134Th Pl License No. BRENNHA971 R9 Suite/Apt. License Type Construction Contractor City Seattle Effective Date 12/29/2003 State WA Expiration Date 12/29/2013 Zip 98168 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Other Associated_Licenses _ License Name Type Specialty Specialty Effective Expiration Status 1 2 Date Date MIKE'S Construction MIKESMS9221-6 MECHANICAL Contractor General Unused 6/26/2008 6/26/2014 Active SERVICES LLC FLOORSLO12JL FLOORING Construction General Unused 4/13/1999 4/6/2003 Archived SOLUTIONS LLC Contractor GUTTER HELMET Construction Out Of GUTTEHW995PH OF WESTERN WA Contractor General Unused 10/8/2001 10/8/2007 Business LL _ EMPIRE Construction EMPIRPS891PS PROTECTION Et Contractor General Unused 10/10/2011 10/10/2013 Suspended SAFETY Business Owner Information Name Role Effective Date Expiration Date ERDAHL, DARRIN PAUL Partner/Member 12/29/2003 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date(Impaired Date Bond AmountlReceived Date 2 FEDERATED MUTUAL 9127230 12/22/2004 I Until Cancelled $12,000.00 11/04/2004 INS CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Numberl Effective Date Expiration Date Cancel Date Impaired Date Amount !Received Date 4 Federated 9820726 I07/13/2007 I07/13/2013 $1,000,000.00 06/12/2012 Mutual Ins Co 3 FEDERATED 9820726 07/13/2005 07/13/2007 $1,000,000.0006/09/2006 MUTUAL INS CO Summons/Complaint Information Cause County j Complaint Judgment I Status l Payment Paid Bye 07-2-13582-1 Date: 05/09/2007 Date: Date: GRONVOLD DEVELOPMENT CO LLC KING Amount: $10,000.00 Open Amount: $0.00 Amount: InterPlead: No Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information Infraction/Citation Date RCW Code Type Status I Violation Amount PPEJP00330 9/14/2012 18.106.020 PLUMBER INFRACTION Satisfied $250. :0