HomeMy WebLinkAbout17919 Cambridge Dr_BLD1003_2025 CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON,WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT _
Address:17919 Cambridge Dr Permit#:1003
Parcel#:0086660N01200 Valuation:7127.00
OWNER APPLICANT CONTRACTOR
Name:CRAMER KRISSA&KURTIS Name:Nordstrom Heating&Air Inc. Name:NORDSTROM HEATING&AIR INC
Address:17919 CAMBRIDGE DR Address:4717 87th Ave NE Address:4717 87TH AVE NE
City,State Zip:ARLINGTON,WA 98223-5059 City,State Zip:Marysville,WA 93270 City,State Z_ip:MARYSVILLE,WA 98270
Phone: Phone:425-3354029 Phone:425-3354029
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name:NORDSTROM HEATING&AIR INC Name:
Address:4717 87TH AVE NE Address:
City,State,Zip:MARYSVILLE,WA 98270 City,State,Zip:
Phone:425-335-4029 Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Mechanical CODE YEAR: 2012
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: 1 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. IBC1101IRC1 I0.
SALES Tat NOTICE:Sales tax relating to construction and construction materials in the City of Arlin t pprted on your sales tax return form
ardL*&4 City ofArlinM Ist 1. ' "
16
Signature Print Name Date Rcleascd By wic
CONDITIONS
Adhere to furnace model#M4CXC035BBICAA AFUE 80%and A/C model#M4AC3036B 1000N SEER
13.3"concrete 7Iad with seismic bracing attached to pad. Electrical disconnect required. Lines shall be
insulated and the use of adhesive tape is not permitted.Refer to RI O1.4.3.1 of Washington State Energy
Code.
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
5/5/2016 Mechanical Fee(Enter Fixture Fee) $50.00
5/5/2016 Mechanical Permit Base Fee $25.00
Total Due: S75.00
Total Payment: $0.00
Balance Due: $75.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
CITY OF ARLINGTON
o,
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:17919 Cambridge Dr Permit#:1003
Parcel#:00866600001200 Valuation:7127.00
OWNER APPLICANT CONTRACTOR
Name:CRAMER KRISSA&KURTIS Name:Nordstrom Heating&Air Inc. Name:NORDSTROM HEATING&AIR INC
Address: 17919 CAMBRIDGE DR Address:4717 87th Ave NE Address:4717 87TH AVE NE
City,State Zip:ARLINGTON,WA 98223-5059 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270
Phone: Phone:425-335-4029 Phone:425-3354029
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name:NORDSTROM HEATING&AIR INC Name:
Address:4717 87TH AVE NE Address:
City,State,Zip:MARYSVILLE,WA 98270 City,State,Zip:
Phone:425-335-4029 Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Mechanical CODE YEAR: 2012
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: 1 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. IBCI10/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlltt p ed on your sales tax return form
and coded City of Arlington#3101.
S s ltP
Signature Print Name Date Released By Date
CONDITIONS
Adhere to furnace model#M4CXC035BBICAA AFUE 80%and A/C model #M4AC3036B 1000N SEER
13. 3" concrete pad with seismic bracing attached to pad. Electrical disconnect required. Lines shall be
insulated and the use of adhesive tape is not permitted. Refer to RI O1.4.3.1 of Washington State Energy
Code.
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
5/5/2016 Mechanical Fee(Enter Fixture Fee) $50 00
5/5/2016 Mechanical Permit Base Fee $25.00
Total Due: $75.00
Total Payment: $0.00
Balance Due: $75.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
L MECHANICAL
PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington •18204 59th Ave NE•Arlington, WA 98223 • Phone (360) 403-3551
THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS AND ALL
OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE.
Type of Permit: New Installation ❑ Replacement 0 Alteration
Project Address: 17919 Cambridge Dr Parcel#:
like in kind furnace replacement and AC addition
Project Description: Valuation:7127.00
pwcer_Kurt Cramer Phone#:360-631-1735
Address: 17919 Cambridge Dr City,: Arlington State: wa Zip: 98223
Email Address: kurtc74@gmail.com
Debbie or Jason
Contact Person: Phone#: 425-335-4029
Address:4717 87th Ave NE City:Marysville State: WA Zip: 98270
Email Address:nordstromha@comcast.net
Contractor Name:Nordstrom Heating & Air Inc. Phone#:425-335-4029
Contractor Address.4717 87th Ave NE City:Marysville State:wa Zip:98270
Email:nordstrornha@comcast.net
w
Contractor License Number: nordsha884 1 Expiration: 04-18
Please indicate type of number of appliances: �t, 1( 4a►STm t' MtIkI✓3o31oV5IDOOt.
FURNACE 1 CONDENSING UNIT MLALx�� GAS PIV—*PI G OUTLET
BOILER HEAT PUMP(multi-split) UNIT HEATER
CHILLER HEAT PUMP(mini-split) PAINT BOOTH
COOLER HEAT PUMP(other) TYPE I HOOD
AC(air cooled) 1 GLI& j HEAT REJECTION EQUIP TYPE II HOOD
AC(water cooled) VENTILATION SYSTEM AST
AC(evaporator) PACKAGED UNIT UST
AC(VRF) DRYER OTHER
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in laws.rules and regulation of the State of Washington
Applicants Signature ~�^'° Date 05/04/2016
Applicants Printed Name Debbie Elgin
FOR STAFF USE ONLY Received
Permit# AcWpled By Amount Received Receipt# Datwffoeiika L'J 1
Customer Name
Comfort Advisor
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Received
MAY 0 4 2016