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Home My WebLink About19329 VISTA DR_BLD1206_2026 RESIDENTIAL MECHANICAL PERMIT APPLICATION t�N 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: 19329 Vista Drive, Arlington, WA 98223 Project Description:Like for kind furnace replacement Owner: CRONIN ALOYSIUS & SALLY Address. 19329 Vista Drive City. Arlignton State.WA Zip Code: 98223 Phone. 425.220.8941 Email:marinac@belred.com Applicant: Bel Red Energy Solutions Address: 10733 47th PI W City. Mukilteo State WA Zip Code: 98275 Phone. 425.493.5353 Email. marinac@belred.com CONTRACTOR INFORMATION Contractor Name:Bel Red Energy Solutions Address: 10733 47th PL W City: Mukilteo State WA Zip Code: 98275 License Number.603074001 Expiration: 01/31/2017 Phone: 425.493.5353 Email:marinac@belred.com STAFF USE ONLY Permit #: Accepted by: Date: 6/16LP Page 1 of 2 Y. RESIDENTIAL MECHANICAL PERMIT APPLICATION SING Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES Furnace (80+) Model #TGF TDD2B060A9V3VA AFUE80% ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: [El 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: Date: 11/07/2016 Applicant Printed Name: Marina Cappagli 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 { ti4 , CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:19329 Vista Drive Permit#:1206 Parcel#:00898100003000 Valuation:0.00 OVVNER APPLICANT CONTRACTOR Name:CRONIN ALOYSIUS&SALLY Name:Bel Red Energy Solutions Name:Bel Red Energy Solutions Address: 19329 VISTA DR Address:10733 47th PI W Address:10733 47th PI W City,State Zip:ARLINGTON,WA 98223-4017 City,State Zip:Mukilteo,WA 98275 City,StateZip:Mukiiteo,WA 98275 Phone: Phone:425-493-5353 Phone:425-493-5353 MECHANICAL CONTRACTOR PLUMMING CONTRACTOR Name:Bel Red Energy Solutions Name: Address:10733 47th PI W Address: City,State,Zip:Mukilteo,WA 98275 City,State,Zip: Phone:425-493-5353 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMiTTYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONST,TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED TI IEREBY: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 APPL[CATION 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. IBC1 I0/IRC110. SALES TAX AY NOTICE:Sates tar relating to construction and construction materials in the City of r for tt t htyr pLsrted on your sales tax return forni and coded City of Arlington#310 L Signature Print Name Date I, e e11 By Date CONDITIONS Duct Testing is required per the 2015 Washington State Energy Code R402.4.1.2.Additional requirements: 3" concrete pad with seismic bracing attached to pad,provide electrical disconnect, lines shall be insulated- the use of adhesive tape is not permitted. ]'HIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERNU T 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 11/7/2016 Furnace $25.00 1 1/712 01 6 Mechanical Permit Base Fee $25.00 Total Due: $50.00 Total Payment: $0.00 Balance Due. $50.00 CALL POUT INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspeetion being requested,and whether you prefer morning or afternoon CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 12 PHONE; (360)403-3551 BUILDING PERMIT Address: 19329 Vista Drive Permit#:1206 Parcel#:00898100003000 Valuation:0.00 OVVNER APPLICANT CONTRACTOR Name:CRONIN ALOYSIUS&SALLY Name:Bel Red Energy Solutions Name:Bel Red Energy Solutions Address: 19329 VISTA DR Address:10733 47th PI W Address: 10733 47th PI W City,State Zip:ARLINGTON,WA 98223-4017 City,State Zip:Mukilteo,WA 98275 City,State Zip:Mukilteo,WA 98275 Phone: Phone:425-493-5353 Phone:425-493-5353 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Bel Red Energy Solutions Name: Address: 10733 47th PI W Address: City,State,Zip:Mukilteo,WA 98275 City,State,Zip: Phone:425-493-5353 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONST.TYPE: DWELLING UNITS: 1 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/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Ar to t ported on your sales tax return form and coded City of Arlington#3101. ). 1. ?A iO Signature Print Name Date I cu ed By Date CONDITIONS Duct Testing is required per the 2015 Washington State Energy Code R402.4.1.2. Additional requirements: 3" concrete pad with seismic bracing attached to pad, provide electrical disconnect, lines shall be insulated - the use of adhesive tape is not permitted. 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 11/7/2016 Furnace $25.00 11/7/2016 Mechanical Permit Base Fee $25.00 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 s , • 1 % Gas Furnaces R802V Rheem Prestige Series TM Communicating Two-Stage VS Upflow/Horizontal Gas •. OutputProduct No AFUE Input BTU th Cooling Width Height Leng R802VA050317MSA 80 50 000 41 000 835-890 ECM MOTOR 17-1/2 34 28-3/16 R802VA075317MSA 80 75,000 61,000 1125-1425 ECM 17-1/2 34 28-3/16 R802VA075421MSA 80 75,000 62,000 1125-1425 ECM 21 34 28-5/8 R802VA100521MSA 80 100,000 81,000 1000-1600 ECM 21 34 28-13/16 R802VAl25524MSA 80 125,000 101,000 1200-1400 ECM 24 34 28-13/16 Rheem Prestige Series TM Communicating Two-Stage VS Downflow Gas Product No AFUE Input BTU Output BTU Hr Cooling(CFM) MOTOR Width Height Length R802VA075317ZSB 80 75,000 61,000 600-1200 ECM 17-1/2 34 28-5/8 R802VA075421ZSB 80 75,000 62,000 1000-1600 ECM 21 34 28-5/8 aA 3a R802VA100521ZSB 80 100,000 82,000 1200-2000 ECM 21 34 28-5/8 =" � t�� m�_> R802VA125524ZSB 80 125,000 101,000 1200-2000 ECM 24 34 28-13/16 R802P Rheem Classic® Plus Series Upflow/Horizontal Gas Furnace Product No AFUE Input BTU Output BTU Cooling MOTOR (kg) , R802PA050314MSA 80 50,000 41,000 718-1264 PSC 14 34 28-3/16 110 R802PA075417MSA 80 75,000 61,000 1120-1803 PSC 17-1/2 34 28-13/16 125 [Fv 9 Z R802PA100521MSA 80 100,000 81,000 1051-1905 PSC 17-1/2 34 28-13/16 140 R802PA125524MSA 80 125,000 101,000 1250-1862 PSC 21 34 28-13/16 150 R802PAl50524MSA 80 150,000 121,000 1310-2024 PSC 24-1/2 34 28-13/16 160 Rheem Classic® Plus Series Downflow Gas Furnace a 0 - - 'i CoolingProduct No AFUE Input BTU Output BTU MOTOR Width Height Length Weight lbs f R802PA050314ZSA 80 50,000 41,000 532-1157 PSC 14 34 28-13116 85 R802PA100317ZSA 80 100,000 82,000 798-1286 PSC 17-1/2 34 28-13/16 115 • •� R802PA100521ZSA 80 100,000 82,000 1286-2108 PSC 21 34 28-13/16 120 R802PA125524ZSA 80 125,000 102,000 1231-2042 PSC 24-1/2 34 28-13/16 140 R802PA150524ZSA 80 150,000 122,000 1170-2145 PSC 24-1/2 34 28-13/16 150 A=(Active)Stock at Customer's Branch NB=(Non-Branch)Non-Stock at Customer's Branch Blank=Non-Stock GENSCO Pana A GITY OF ARLINGTON �^ 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING P_ ERM IT Address: 19329 Vista Drive Permit#:1206 J Parcel#:00898100003000 Valuation:0.00 OWNER APPLICANT CONTRACTOR Namc:CRONIN ALOYSIUS 8c SALLY Name:Bel Red Energy Solutions Name:Bel Red Energy Solutions Address: 19329 VISTA DR Address:10733 47th PI W Address: 10733 47th PI W City,State Zip:ARLINGTON,WA 98223-10I7 City,State Zip:Mukilteo,WA 98275 City,StateLip:Mukiltco,WA 98275 Phone: Phone:425-493-5353 Phone:425-493-5353 1vItECSANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Bel Red Energy Solutions Name: Address:10733 47th PI W Address: City,State,Zip:Mukilteo,WA 98275 City,State,Zip: Phone:425-4935353 Phone: LIC 4: IEXP: L1C#: EXP: JOB DESCRIPTION PERMITTYPE: Residential Mechanical CODEYrAR: 2015 STORIES: 2 CONST.TY PE: DWELLING UNITS; 1 OCC GROUP: BUILDINGS: OCC LOAD: PERMT APPROVAL I AGREE TO COMPLY WITH I CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THIS WORK AUTHORIZED TI IEREBY:NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF TILE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSCIRANCH AND RCW 18.27. THIS APPLICATION IS NOT A Pf!RMff UNTIL SIGNED BY THE BUff.DING OFFICIAL OR IIIS/IIER DEPUTY AND ALL FEES Altli PAID. IT IS UNLAWFL L TO USE OR OCCUPY.A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFIC.AT!".OF OCCUPANCY HAS BF.k:N GRANTED, IBC 110/IRCI 10. SAL[.S TAX NOTICE:Sales lax relating to construction and conslruclion materials in the City of I tni n t h ropnrred on your sales tut return romt and coded City of Arlinglon 83101. f Signature Print Name Date CONDITIONS Duct Testing is required per the 2015 Washington State Energy Code R402.4.1.2. Additional requirements: 3" concrete pad with seismic bracing attached to pad,provide electrical disconnect, lines shall be insulated- the use of adhesive tape is not permitted. 'PHIS PEI:NIIT AU•rHORIZS ONLY THE WORK NOTED THIS PERMIT COVERS WORK TO BE DONE..ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON TI•IE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS.MARQUEES,ETC)WILL REQUIRE SEPARATE PERMISSION, PERMIT FEES Date Description Fee Amount 11/7/2016 Furnace $25 00 11/7/2016 Mechanical Permit Base Fee $25.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: $50.00 CALL FOR INSPECTIONS B1I11,I)ING(360)403-3417 When calling for an inspection please leave the rollowing information: Permit Number,Type of Inspection heing 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:19329 Vista Drive Permit#: 1206 Parcel#:00898100003000 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:CRONIN ALOYSIUS&SALLY Name:Bel Red Energy Solutions Name:Bel Red Energy Solutions Address: 19329 VISTA DR Address:10733 47th PI W Address: 10733 47th PI W City,State Zip:ARLINGTON,WA 98223-4017 City,State Zip:Mukilteo,WA 98275 City,State Zip:Mukilteo,WA 98275 Phone: Phone:425-493-5353 Phone:425-493-5353 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Bel Red Energy Solutions Name: Address: 10733 47th PI W Address: City,State,Zip:Mukilteo,WA 98275 City,State,Zip: Phone:425-493-5353 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONST.TYPE: DWELLING UNITS: 1 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. IBC110/1RCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingto st on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Release By Date CONDITIONS Duct Testing is required per the 2015 Washington State Energy Code R402.4.1.2. Adhere to model #R802VA075317MSA AFUE 80%. 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 11/7/2016 Furnace $25.00 11/7/2016 Mechanical Permit Base Fee $25.00 Total Due: $50.00 Total Payment: $50.00 Balance Due: $0.00 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 �: ;. ,, � . � � I AN 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:19329 Vista Drive, Arlington, WA 98223 Project Description:Like for kind furnace replacement Owner: CRONIN ALOYSIUS & SALLY Address: 19329 Vista Drive City:Arlinnton State WA Zip Code: 98223 Phone: 425.220.8941 Email:marinac@belred.com Applicant: Bel Red Energy Solutions Address: 10733 47th PI W City: Mukilteo State WA Zip Code: 98275 Phone: 425.493.5353 Email: marinac@belred.com CONTRACTOR INFORMATION Contractor Name:Bel Red Energy Solutions Address:10733 47th PL W City: Mukilteo State WA Zip Code: 98275 License Number:603074001 Expiration: 01/31/2017 Phone:425.493.5353 Email:marinac@belred.com STAFF USE O v - Received Permit #: �ZV�Q Accepted by. Date: N®� 7 2016 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL PERMIT APPLICATION 1, Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES Furnace (80+) Model #TGFTDD2B060A9V3VA AFUE80% ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER (� Freestanding Stove �i Fire Place Insert Lei Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: (� 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 l��citi..stcZ�apvrt�Jli Applicant Signature: � _ Date: 11/07/2016 Applicant Printed Name: Marina Cappagli 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 i 80% Gas Furnaces R802V Rheem Prestige SeriesTM Communicating Two-Stage VS Upflow/Horizontal Gas CoolingProduct No AFUE Input BTU Output BTU Hr . . Width Height Length - R802VA050317MSA 80 50,000 41,000 835-890 ECM 17-1/2 34 28-3/16 A Bi"la($A 80 7000 61,000. 1,12&1428 ECM 17-1/2 34 28-3M8 PINR802VA075421MSA 80 75,000 62,000 1125-1425 ECM 21 34 28-5/8 R802VA100521MSA 80 100,000 81,000 1000-1600 ECM 21 34 28-13/16 R802VA125524MSA 80 125,000 101,000 1200-1400 ECM 24 34 28-13116 Rheem Prestige SeriesTM Communicating Two-Stage VS Downflow Gas CoolingProduct No AFUE Input BTU Output BTU Hr . . Width Height Length - R802VA075317ZSB 80 75,000 61,000 600-1200 ECM 17-1/2 34 28-5/8 R802VA075421ZSB 80 75,000 62,000 1000-1600 ECM 21 34 28-5/8 R802VA100521ZSB 80 100,000 82,000 1200-2000 ECM 21 34 28.5/8 R802VA125524ZSB 80 125.000 101,000 1200-2000 ECM 24 34 28-13/16 R802P Rheem Classic® Plus Series Upflow/Horizontal Gas Furnace CoolingProduct No AFUE Input BTU Output BTU . . Width Height Length Weight 17, - R802PA050314MSA 80 50,000 41,000 718-1264 PSC 14 34 28-3/16 110 R802PA075417MSA 80 75,000 61,000 1120-1803 PSC 17-1/2 34 28-13/16 125 R802PA100521MSA BO 100,000 81,000 1051-1905 PSC 17-1/2 34 28-13/16 140 R802PA125524MSA 80 125,000 101,000 1250-1862 PSC 21 34 28-13116 150 R802PA150524MSA 80 150,000 121,000 1310-2024 PSC 24-1/2 34 28-13/16 160 Rheem Classic® Plus Series Downflow Gas Furnace CoolingProduct No AFUE Input BTU Output BTU , R802PA050314ZSA 80 50,000 41,000 532-1157 PSC 14 34 28-13116 85 R802PA100317ZSA 80 100,000 82,000 798-1286 PSC 17-1/2 34 28-13116 115 R802PA100521ZSA 80 100,000 82,000 1286-2108 PSC 21 34 28-13/16 120 R802PA125524ZSA 80 125,000 102,000 1231-2042 PSC 24-1/2 34 28-13116 140 R802PA150524ZSA 80 150,000 122,000 1170-2145 PSC 24-1/2 34 28-13116 150 NB=(Non-Branch) Non-Stock zit Custorner's Branch Blank=Non-Stock A=(Active)Stock at Customer's Branch Pane 1 I 11/7/2016 BEL-RED ENERGY SOLUTIONS LLC Hume Lspallol ContaeL Search L&I -%Index Help NIV L&L Safety& Health Claims& Insurance VVorkplace Rights Trades&Licensing 410*4 Washington State Department of " Labor & Industries BEL-RED ENERGY SOLUTIONS LLC Owner or tradesperson 10733 47TH PL W Principals MUKILTEO,WA 98275 425-493-5353 MILLARD, DONALD WESLEY, MANAGER SNOHOMISH County Doing business as BEL-RED ENERGY SOLUTIONS LLC WA UBI No. Business type 603 074 001 Limited Liability Company Governing persons ADAM D GLOSS AIR BEL-RED HEATING&; DON MILLARD; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. BELREES8880E Effective—expiration 09/11/2012—09/11/2018 Bond Ironshore Indemnity Inc $12,000.00 Bond account no. S UR40006036 Received by L&I Effective date 08/2712015 08/06/2015 Expiration date Until Canceled Bond history Insurance Continental Western Ins Co $1,000,000.00 Policy no. CPA6012055 Received by L&I Effective date 01/14/2016 01/2112016 Expiration date 01/21/2017 Insurance history Savings .............. ... No savings accounts during the previous 6 year period. Help us improve https://secure.Ini.wa.govtverify/Detaii.aspx?UBI=603074001&LIC=BELREES88BOE&SAW= 1/2 11/7/2016 BEL-RED ENERGY SOLUTIONS LLC Lawsuits against the bond or savings No lawsuits against the bond or savings acco, during the previous 6 year period. L&1 Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current 517,076-02 Doing business as BEL-RED ENERGY SOLUTIONS LLC Estimated workers reported Quarter 3 of Year 2016"31 to 50 Workers" L&I account representative T1/FEARAED FEROZE(360)9024797-Email:FERH235@lni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington, https://secure.I ni.wa.gov/verify/Detai i.aspx?U BI=603074001&LIC=BELR EES8880E&SAW= M I I Permit#: 1206 Permit Date: 11/07/16 Permit Type: RESIDENTIAL MECHANICAL Project Name: Cronin Applicant Name: Bel Red Energy Solutions Applicant Address: 10733 47th PI W Applicant, City, State, Zip: Mukilteo,WA 98275 Contact: Marina Cappagli Phone: 425-493-5353 Email: marinac@belred.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: 11/07/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning CRONIN 00898100003000 19329 VISTA DR ALOYSIUS& Residence Single Family -Detached SALLY Contractors Contractor Primary Contact Phone Address Contractor Type License License# Bel Red Energy Marina Cappagli 425-493-5353 10733 47th PI W CONSTRUCTION Labor&Industries BELREES8880E Solutions CONTRACTOR Fees Fee Description Notes Amount Forced Air Heat fee per Btu $25.00 Mechanical Base Permit Fee $25.00 Total $50.00 Attached Letters Date Letter Description 11/07/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/07/2016 Brandon Richer 62187253 cc $50.00 Outstanding Balance $0.00 Notes Date Note Created By: 11/07/2016 Rheem Model#R802VA075317MSAAFUE 80% Kristin Foster Uploaded Files Date File Name 11/16/2016 1952501-1206 Issued Permit.pdf 11/07/2016 1934486-1206 Specs.pdf 11/07/2016 1934461-1206 Application.pdf