HomeMy WebLinkAbout18310 Champions Dr_BLD3591_2026 NOTICE
TO PERMITEE AND/OR OWNER
Cl PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED
❑ DO NOT OCCUPY ,APPROVED
PERMIT#: �'"1 [�] AM ❑ PM DATE: I• �! C
JOB ADDRESS: ill ��( �L1t3t!y�`_ LOT#:
PROJECT:
TYPE OF INSPECTION:
OTHER:
❑ NO PERMIT-STOP WORK-OBTAIN PERMIT
Cl CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND
PERMIT -STOP WORK
❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR.
❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE
APPROVED.
❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE (PER IBC)
MUST BE PAID PRIOR TO NEXT INSPECTION.
❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR
PENALTIES IMPOSED BYLAW MAYAPPLY.
FOR INSPECTION CALL: 360-403-3417
r
✓o
INSPECTOR DAT
M PLANNING o CIVIL i 1 BUILDING CITY OF ARLINGTON 4, o-
-- " CITY OF ARLINGTON
18204 591h Avenue NE,Arlington, WA 98223
INSPL'C'I'IUNS: 360-403-3417-Pcnnit('enter_3611-403-3551
BUILDING PERMIT
Permit tf:3591
18311)CIIAM PIONS DR PERLNIIT EXPIRES 180 DAYS AFTER
l)AI'E OF ISSUANCE:.
I'arecl 0: 00874400008800 Valuation: .t10
OWNER APPLICANT CONTRACTOR
DI{ 3I•I1:C'K STANLEY Brennan Beating Brennan Ileating
18310 C'1IAMPIONS DR 4601 S 134th Ill, 4601 S 134th Place
ARLINGTON,WA98223 Seattle, WA 98168 Seattle,WA 98168
206-248-7900 206-248-7900
1.u:n►tF.,v nn�7�ka IAP i.0r�.u�I
MF UTANLCAL CONTRACTOR PLUMBING CONTRACTOR
Brennan Heating
4601 S 134th PL
Seattle, WA 98168
206-248-7900
HC IJ: BRHNNIIA971 R9 I:XI': 12/29/2021 HC'ff: F.XI':
,I013 DESCRIPTION
PE,RMII"TYPE: Residential Mechanical CODE YEAR: 2015
STORIFS: CONSI. 'TYPIi:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL.
'I'lic issuance or granting of this pennit shall not be construed to be a pennil Ror,or approval of,any violation of this Code or any
other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the
Governor of this Stalc.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any
period of time when such construction is prohibited or restricted by any state or Icderal law,or order,proclamation,guidance
advice or decision of the Governor ofthis State,this pernnil shall not authorize such work and shall not be valid.The building
official is authorized to prevent occupancy or use of a slnacture where in violation of this Code,any other City ordinances of this
jurisdiction or any other ordinance or cxccutivc order of the City,or of any state or federal law,or of any order, proclamation.
guidance advice or decision ofthc Governor.The building official is authorized to suspend or revoke this permit if it is
determined to be issued in error or on the basis of incorrect, inaccurate or incomplete information,or in violation of any City
ordinance, regulation or order,slate or federal law,or any order,proclamation,guidance or decision of the Governor.
I AGREE TO COMPLY WITII CITY AND STJYI'E LAWS ItF(WI-AT1NG CONSTRUCTION AND IN DOIN(i'TIIE WORK
AI ITI IORIZED TIIFRF:BY; NO PERSON WILL BE I;MPLOYF;D 1N VIOLATION 01"I'l IF LABOR CODI'OF'I'IIF STATE;
OF WASHINGTON RI I,A•I'ING TO WORKMFN'S COMPI;NSNI'ION INSURANCE. AND RCW 19,27.
'YETIS AI'PLICAI'ION IS NO'T A PERMIT UNTIL.SIGNED BY THE BUILDING OFFICIAL.OR FIISi11ER DEPUTY AND
ALI. FEES ARE PAID.
IT IS 11NLAWI:UL'I'O USE,Olt OCCUPY A BUILDING()It SIRUCTURF UNT11,A FINAL INSPECTION IIAS III.'I;N
MADE.AND APPROVAI,Olt A C FRTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI IIUIRCI 10.
SALES TAX NOTICE;: Sales lux relating to construction and construction materials in the City of Arlington Must be reported on
your sales tax return font and coded City of Arlington,10101.
Ci L . F� 9 O 12/9/2020
G o�,vn
Signature Print Name Date Rele. d By Date
Adhere to approved appliance.Approved permit shall be onsite for inspections.Call for final inspection.
THIS PERMIT AUTHORIZES 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.
PBR11di' FM
Date Description Fee Amount
12109/2020 Inspection Fee $75.00
12/0912020 Forced Air Heat $15.00
12IM020 Mechanical Base $25.00
12/09/2020 Prooessing/Technology Fee $25.00
Total Due: S140.00
Total Payment: S0.00
Balance Due: $140.00
CALL-FOR IN&TECTIONS
Call by 3:30 pm for next day inspection,allow 49 hours for Fire Inspections
When calling for an inspection please leave the following Information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
RESIDENTIAL MECHANICAL
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE• Arlinglan, WA 98223• Phone(360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND
OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION
AND INCLUDE ALL INFORMATION.
Project Address:18310 Champions Dr Arlington 98223
Project Description:Replace gas furnace, like for like change out Y
Owner: Stan Deblieck
Address: 18616 Hawks View Dr City. Arlington StateNb Zip Code: 98223
Phone: 425-501-2146 Email:mjdeblieck@gmail.com
Applicant: Brennan Heating
Address: 4601 S 134th PI City: Seattle State Zip Code: 98168
Phone: 206-248-7900 Email: jaimie@brennanheating.com
CONTRACTOR_INFORMATION
Contractor Name:Brennan Heating
Address: 4601 S 134th PI City: Seattle StateWa Zip Code: 98168
License Number:BRENNHA971119 Expiration: 12/29/21
Phone:206-248-7900 Email:jaimie@brennanheating.com
STAFF USE O -`
Permit #: 1� ��� Accepted by: ` Date: 202(1
6/16LP Page 1 of 2
VV RESIDENTIAL MECHANICAL
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE• Arlinciton.WA 98223• Phone(360) 403-3551
SELECT ALL PROPOSED APPLIANCES
(� Furnace (80+) Model If AFUE
[, Heat Pump Model It AFUE HSPE
AC Unit Model It SEER
f� Freestanding Stove I id Fire Place Insert , Outdoor BBQ
I 1 Gas Piping f_.i Solid-Fuel Appliance Other
Gas Piping Information`
Not Applicable:
Pipe Material:
Pipe Size:
Distance from Meter to Furthest Appliance:
-r1 otal DTI 1's of all Ay-plilan .es:
1 vial o l v a vl an ry.aNnal i�Ca.
• New gas piping requires a pressure test hooking to any appliance
• Sediment traps (drips) are required on all gas lines
• Gas lines are required to be supported/secured every 6 to 8 feet
• Proper Combustion air and venting required for all appliances
• A shut-off valve is equired within 6 feet of all appliances
Applicant Signature:_ a . ! _ Date:__
Applicant Printed Name: ja� m
I hereby certify that the above information is correct and that the construction, installation for the above mentioned
property will be in accordance with the applicable laws of the City of Arlington and the State of Washington.
6/16LP Page 2 of 2
SPECIFICATIONS
Gas Model No. ML180DF045E36A ML18ODF07OE36A ML180DF07OE36B
Heating AFUE 80% 80% 80%
Performance
Input-Btuh 44,000 66,000 66,000
Output-Stuh 36,000 54.000 54.000
Temperature rise range-OF 15-45 30-60 30-60
Gas Manifold Pressure(in.w.g.) 3.5/10.0 3.5/10.0 3.5/10.0
Nat.Gas/LPG/Propane
High Static-In.w.g. 0.50 0.50 0.50
Connections Flue Connection-in.round 4 4 4
In. Gas pipe size IPS 112 112 112
Indoor Wheel nom.dia.x width-in. 10 x 8 10 x 10 10 x 10
Blower Motor Type DC Brushless DC Brushless DC Brushless
Motor output-hp 1/2 1/2 1/2
Tons of add-on cooling 1.5-3 1.5-3 1.5-3
Air Volume Range-cfm 355-1430 675-1460 430-1475
Electrical Data Voltage 120 volts-60 hertz-1 phase
Blower motor full load amps 6.8 6.8 6.8
Maximum overcurrent protection 15 15 15
Shipping Data lbs.-1 package 113 119 128
NOTE-Ftgers and provisions for mounting are not fumislied and must be field provided.
'Annual Fuel UUilza'wn Ellidency basod on DOE test procedures end aocording to FTC labuiircg rugutattono.(Notated combuuion system raft fornon-weatherized rwnaces.
SPECIFICATIONS
Gas Model No. ML180DF090E48B ML180DF110EGOC _
Heating r AFUE 80% 80%
Performance
Input-Btuh 88.000 110,000
Output-Btuh 72,000 90.000
Temperature rise range-OF 30-60 30-60
Gas Manifold Pressure(In.w.g.) 3.5/10.0 3.5/10.0
Nat.Gas/LPGIPropane
High Static-in.w.g. 0.50 0.50
Connections Flue connection-in.round 4 4
In. Gas pipe size IPS 1/2 1/2
Indoor Wheel nom.dia.x width-in. 10 x 10 11-1/2 x 10
Blower Motor Type DC Brushless DC Brushless
Motor output-hp 3/4 1
Tons of add-on cooling 2.5-4 3-5
Alr Volume Range-cfm 680-1750 990-2410
Electrical Data Voltage 120 volts-60 hertz-1 phase
Blower motor full load amps 8.4 10.9
Maximum overcurrent protection 15 15
Shipping Data lbs.-1 package 140 160
NOTE-Fillers end provistons for mamting are not furnished and must be field provided.
'Annual Fuel UbTma on Elliden y basod on DOE East prooedume and according to FTC labeling regulations.Isolated c ornbusUon system raft for non-weaUwrtmd furnace
ML180DFE/Page 6
i
NOTICE
V�
TO PERMITEE AND/OR OWNER
❑ PARTIAL APPROVAL Cl CORRECTIONS REQUIRED
❑ DO NOT OCCUPY XAPPROVED
PERMIT#: ❑ AM ❑ PM DATE:
OB ADDRESS: �I� I G Vln )�;d� LOT#:
PROJECT:
TYPE OF INSPECTION: o(m,
OTHER:
❑ NO PERMIT-STOP WORK-OBTAIN PERMIT
❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND
PERMIT -STOP WORK
❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR.
❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE
APPROVED.
❑ WORK NOT READY FOR INSPECTION: $SO REINSPECTION FEE(PER IBC)
MUST BE PAID PRIOR TO NEXT INSPECTION.
❑ CONTACT INSPECTOR 360-403-3SS1 ❑ CALL FOR REINSPECTION
' !/
1(�J/ 1 y (w I G"V/I via
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR
PENALTIES IMPOSED BY LAW MAYAPPLY.
FOR INSPECTION CALL: 360-403-3417
INSPECTOR DATE /
O PLANNING 0 CIVIL t7 BUILDING CITY OF ARLINGTON (4j
CITY OF ARLINGTON
Dw
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551
—BUILDING PERMIT
Permit#:3591
18310 CHAMPIONS DR PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Parcel#: 00874400008800 Valuation: .00
OWNER APPLICANT CONTRACTOR IL
DEBLIECK STANLEY Brennan Heating Brennan Heating
18310 CHAMPIONS DR 4601 S 134th PL 4601 S 134th Place
ARLINGTON,WA 98223 Seattle,WA 98168 Seattle,WA 98168
206-248-7900 206-248-7900
LIC:BRENNHA971R9 EXP: 12/29/2021
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR .
Brennan Heating
4601 S 134th PL
Seattle,WA 98168
206-248-7900
LIC#:BRENNHA97IR9 EXP: 12/29/2021 LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Mechanical CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
- `PERMIT APPROVAL
The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any
other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the
Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any
period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance
advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building
official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this
jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation,
guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is
determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City
ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor.
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/IRC110.
SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on
your sales tax return form and coded City of Arlington#3101.
12/9/2020
Signature Print Name Date Rcic d By Date
-CONDITION -
Adhere to approved appliance.Approved permit shall be onsite for inspections.Call for final inspection.
THIS PERMIT AUTHORIZES 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
12/09/2020 Inspection Fee $75.00
12/09/2020 Forced Air Heat $15.00
12/09/2020 Mechanical Base $25.00
12/09/2020 Processing/Technology Fee $25.00
Total Due: $140.00
Total Payment: $0.00
Balance Due: $140.00
CALL FOR INSPECTIONS
Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
RESIDENTIAL MECHANICAL
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE• Arlington, WA 98223 • Phone(360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND
OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION
AND INCLUDE ALL INFORMATION.
Project Address:18310 Champions Dr Arlington 98223
Project Description:Replace gas furnace, like for like change out
Owner: Stan Deblieck
Address: 18616 Hawks View Dr City: Arlington State.b Zip Code: 98223
Phone: 425-501-2146 Email:mjdeblieck@gmail.com
Applicant: Brennan Heating
4601 S 134th PI Seattle
Address: City: Stated Zip Code: 98168
Phone: 206-248-7900 Email: jaimie@brennanheating.com
CONTRACTOR INFORMATION
Contractor Name:Brennan Heating
Address: '1601 S 134th PI City: Seattle StateWa Zip Code: 98168
License Number:BRENNHA971R9 Expiration: 12/29/21
Phone:206-248-7900 Emai1:jaimie@brennanheating.com
STAFF USE ONLY
Permit #: Accepted by: Date:
6/16LP Page 1 of 2
RESIDENTIAL MECHANICAL
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE • Arlington. WA 98223 • Phone(360) 403-3551
SELECT ALL PROPOSED APPLIANCES
Q Furnace (80+) Model It AFUE
❑ Heat Pump Model tt AFUE HSPE
❑ AC Unit Model it SEER
❑. Freestanding Stove Q Fire Place Insert ❑ Outdoor BBO
❑, Gas Piping ❑' Solid-Fuel Appliance Q Other
Gas Piping Information 1
Not Applicable: Q
Pipe Material:
Pipe Size:
Distance from Meter to Furthest Appliance:
Total BTU's of all Appliances:
• New gas piping requires a pressure test hooking to any appliance
• Sediment traps (drips) are required on all gas lines
• Gas lines are required to be supported/secured every 6 to 8 feet
• Proper Combustion air and venting required for all appliances
• A shut-off valve is required within 6 feet of all appliances
Applicant Signature: — � � t a o
- � - Date: ��---
c_
Applicant Printed Name: C%t Yy\-L A- J'�o w
I hereby certify that the above information is correct and that the construction, installation for the above mentioned
property will be in accordance with the applicable laws of the City of Arlington and the State of Washington.
6/16LP Page 2 of 2
SPECIFICATIONS
Gas Model No. ML180DF045E36A ML18ODF07OE36A ML18ODF07OE36B
Heating 'AFUE 80% 80% 80%
Performance
Input-Btuh 44,000 66,000 66,000
Output-Btuh 36.000 54,000 54.000
Temperature rise range-OF 15-45 30-60 30-60
Gas Manifold Pressure(in.w.g.) 3.5/10.0 3.5/10.0 3.5/10.0
Nat.Gas/LPG/Propane
High Static-in.w.g. 0.50 0.50 0.50
Connections Flue connection-in.round 4 4 4
In. Gas pipe size IPS 1/2 1/2 1/2
Indoor Wheel nom.dia.x width-in. 10 x 8 10 x 10 10 x 10
Blower Motor Type DC Brushless DC Brushless DC Brushless
Motor output-hp 1/2 1/2 1/2
Tons of add-on cooling 1.5-3 1.5-3 1.5-3
Air Volume Range-cfm 355-1430 675-1460 430-1475
Electrical Data Voltage 120 volts-60 hertz-1 phase
Blower motor full load amps 6.8 6.8 6.8
Maximum overcurrent protection 15 15 15
Shipping Data lbs.-1 package 113 119 128
NOTE-Filters and provisions for mounting are not fumished and must be field provided.
'Annual Fuel Utilization EIRMAncy based on DOE test procedures and according to FTC labeling regulations.Isolated combustion system rating for non-weatherized furnaces.
SPECIFICATIONS
Gas Model No. ML180DF09OE488 ML180DF110E60C
Heating rAFUE 80% 80%
Performance
Input-Btuh 88,000 110,000
Output-Btuh 72,000 90,000
Temperature rise range-OF 30-60 30-60
Gas Manifold Pressure(in.w.g.) 3.5/10.0 3.5/10.0
Nat.Gas 1 LPG/Propane
High Static-in.w.g. 0.50 0.50
Connections Flue connection-in.round 4 4
In. Gas pipe size IPS 1/2 1/2
Indoor Wheel nom.dia.x width-in. 10 x 10 11-1/2 x 10
Blower Motor Type DC Brushless DC Brushless
Motor output-hp 314 1
Tons of add-on cooling 2.5-4 3-5
Air Volume Range-cfm 680-1750 990-2410
Electrical Data Voltage 120 volts-60 hertz-1 phase
Blower motor full load amps 8.4 10.9
Maximum overcurrent protection 15 15
Shipping Data lbs.-1 package 140 160
NOTE-Filters and provisions for mounting are not fumished and must be field provided.
'Annual Fuel Ud7aation Efffaency based on DOE test procedures and according to FTC labeling regulations.Isolated combustion system rating for non weatherized furnaces.
ML780DFE/Page 6
CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
_.� INSPECTIONS:360-403-3417-Permit Center.360403-3551
BUILDING PERMIT
Permit#:3591
18310 CHAMPIONS DR PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Parcel #:00874400008800 Valuation:.00
OWNER APPLICANT CONTRACTOR
DEBLIECK STANLEY Brennan Heating Brennan Heating
18310 CHAMPIONS DR 4601 S 134th I'L 4601 S 134th Place
ARLINGTON,WA 98223 Seattle,WA 98168 Seattle,WA 98168
206-248-7900 206-248-7900
LIC:BRF.NNHAWIR9 "P: 12/292021
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Brennan Heating
4001 S 134th PL
Seattle,WA 98168
206-248-7900
LIC#:BRENNHA971R9 EXP: 12/29/2021 LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Mechanical CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
The issuance or granting of this permit shall not be construed to be a permit dor,or approval of,any violation of this Code or any
other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the
Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any
period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance
advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building
official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this
jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation,
guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is
determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City
ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor.
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 WASIIINGTON RELATING TO WORKMEMS 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/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on
your sales tax return form and coded City of Arlington#3101.
- vnl? / 9 a0 , 1 2/9/2020
Signature Print Name Date Rele. d By Date
Adhere to approved appliance.Approved permit shall be onsite for inspections.Call for final inspection.
THIS PERMIT AUTHORIZES 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.
''PERIVII'�FIIlE3 ,' ��'
Date Description Fee Amount
1 2/09/2020 I ns cdon Fee
ve $75.00
12/09/2020 Forced Air Heat $15.00
12/09/2020 Mechanical Base $25.00
12/0=020 Processing/Technology Fee $25.00
Total Due: $140.00
Total Payment: $0.00
Balance Due: $140.00
CALLFdR IIVSECTIUNS
Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections
When calling for an inspection please leave the following information:
Permit Number,Type of inspection being requested,and whether you prefer morning or afternoon
Permit#: 3591
Permit Date: 12/09/20
Permit Type: RESIDENTIAL MECHANICAL
Project Name: Deblieck
Applicant Name: Brennan Heating
Applicant Address: 4601 S 134th PL
Applicant, City, State, Zip: Seattle,WA 98168
Contact: Jaimie How
Phone: 206-248-7900
Email:jaimie@brennanheating.com
Scope of Work: Replace gas furnace
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 12/09/2020
Permit Expires: 06/07/2021
Form Permit Type:
Status: COMPLETE
Assigned To: Raelynn Jones
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
00874400008800 18310 CHAMPIONS DR DEBLIECK 125 DUPLEX
STANLEY
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
Brennan Heating Jaimie How 206-248-7900 4601 S 134TH PL MECHANICAL COA 602 346 866
CONTRACTOR
Brennan Heating Jaimie How 206-248-7900 4601 S 134TH PL MECHANICAL Labor and BRENNHA971R9
CONTRACTOR Industries
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
12/18/2020 R00.FURNACE Approved 12/18/2020 12/18/2020 BUILDING Completed
FINAL
Fees
Fee Description Notes Amount
Inspection $75.00
Forced Air Heat fee per Btu $15.00
Mechanical Base Permit Fee $25.00
Processing/Technology $25.00
Credit Card Service $4.20
Total $144.20
Attached Letters
Date Letter Description
12/09/2020 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
12/09/2020 Brennan Heating 83840746 $140.00
12/09/2020 83840746 Raelynn Jones $4.20
Outstanding Balance $0.00
Uploaded Files
Date File Name
09/21/2021 9727082-3591 Inspection-Final.pdf
12/09/2020 7815805-DeblieckMechAnp.pdf