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HomeMy WebLinkAbout17925 59th Avenue NE_BLD1303_2026 �.�Y o� COMMERCIAL 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: rl�71 New Installation Replacement �arcell Alteration Project Address: 1 -74 .Z5 5eTi- 6-VE N k �U 1 FE #: -� r L' Project Description: ff1L-l�ii< � � }� Pi ti�� Valuation: 1_. - Owner: r0 —0 Phone#: G �IUt 7, L Address: L- -1 �5 L� N Lt City: 1Z.LIAL&T iState: Zip. Email Address: Contact Person: -r o U�Z- Phone 1 - Address: City: State: Zip: Email Address:,A0 U 5C-W1 2-UrAk0 (1681-UN10, Contractor Name: f 4-L-N b M M e'XOL 1� j 1 1 Phone#: Al 25-301 1� fi Contractor Address: A AQ�'3 I Wx�el. P-h —City: M(3 V-1 LITZ) Stater Zip: q&-:25 Email: td�t >l.k. �N T 12 A I 'L=� �' n .. Contact Person: PZ 8 �""mil J )P5L1 'TAT% ITV t-�- Contractor License Number: � � LsQ^ Expiration: Please indicate type of number of appliances: FURNACE CONDENSING UNIT GAS PIPING OUTLET BOILER HEA I PUMP(multi-split) UNIT HEATER CHILLER HEAT PUMP(mini-split) PAINT BOOTH COOLER HEAT PUMP (other) TYPE I HOOD AC (air cooled) 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 i ccorda ce with the aws, rules and regulation of the State of Washington. I Applicants Signature: �--� Date �yl Applicants Printed Name: FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received 6/16LP Page 1 of 1 ' COMMERCIAL MECHANICAL PRESSURE PIPING INFORMATION a. L Department of Community& Economic Development City of Arlington•.18204 59th Ave NE•Arlington,WA 98223• Phone(360)403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: Gn �© Inlet Pressure: Pressure Drop: I(Z 1 NA T N eLC45 `7YO�k A�5 t�U--D) Specific Gravity: Pressure Piping Schematic Show Pipe Size(s)and Length(s)from meter to all appliances. ❑ Scale or V Not to Scale NOTE: any interior pressure regulators must be indicated NOTE: drip legs/sediment traps are required at all appliances unless integrated in the listed appliance hereby rtify that the above information is correct and that the construction on, and the occupancy and the use of the above- describe ope, will m accord nce with the laws, rules and regulation of the State of Washington. Zpplican Signature Date i Q �s Pri t Applicants Name ■w. uc •ar.. v� yCJL- Co I L49 2 por miminvm » li !v. 5 psi ma> rmvm Woo r-FM fnninvm !n I.-)T'u Hovp,1rraJr17vm lnfk)ta !v � psi maximum p��s � rL q.p Pro a� fee 3-O q-a -44 T+a.coopuNaC7YP Q Q a d n M�1"AL. F'tN1sNtNG ANC, ��=�"�'vc�:r' 17R25 nth A%M. NF— (WC16-C) Arl ngfvn, WA , CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA.98223 PHONE;(360)403-3551 BUILDING PERMIT Address:17925 59th Ave NE,Suite C Permit#:1303 Parcel#:31052200403000 Valuation:3500.00 OWNER APPLICANT CONTRACTOR Name:ARLINGTON ADVANCED Name:Henderson Enterprises,Inc Name:H[ENDERSON ENTERPRISES INC. MANUFACTURING PARK Address:3316 FUHRIv1AN AVE E STE 200 Address:4403 Russell Road Address:4403 Russell Road City,State Zip:SEATTLE,WA 98102 City,State Zip:Mukilteo,WA 98275 City,State Zip:Mukilleo,WA 98275 Phone: Phone:425-301-18I1 Phone:425-301-1811 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:IlENDERSON ENTERPRISES INC. Name: Address:4403 Russell Road Address: City,State,Zip:Mukilteo,WA 98275 City,State,Zip: Phone:425-301-1811 Phone: L.IC#:IIENDEE•900LQ EXP: 06/14/2018 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIF,S: 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 1S NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR IIIS/IIER 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 CERT ICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110. SA 'I' ".TICE:Sales tax relatiluz to construction and construction materials in the City of Arlington must be reported on your sales tax retum form an of Arlington#3101. _ ;�,17 Signature Print Name ate Released By Date CONDITIONS Adhere to approved plans. Inspection is required at time of equipment set. THIS PERMIT AUTHORIZE 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 2/6/2017 Gas Outlets Base Fee 1 to 5 $10.00 2/6/2017 Mechanical Permit Base Fee $25.00 2/6/2017 Mechanical Plan Review Fee $200.00 2/6/2017 ProcessinglTechnology Fee $25.00 Total Due: $260.00 Total Psymeot: $0.00 Balance Due: $260.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: �f=UruR V--A UNrr V 4`6 , r • F ? .O U^C CITY qF ARLINGT N :-o w-a BUILDING DEPARTMENIT z A 'PROVED j o 11 DA a1 4� q) NO CNGES H AUTHORIZED 'Q J UNLES APPROVED BY THE BUIL ING INSPECTORp v 1 1 1 j lium I 1 �� l n t PF AK 1 ,� -ice f j � '' - ^• � -� z II 11 i c 4- 20 -- - - CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:17925 59th Ave NE,Suite C Permit#:1303 Parcel#:31052200403000 Valuation:3500.00 OWNER APPLICANT CONTRACTOR Name:ARLINGTON ADVANCED Name:Henderson Enterprises,Inc Name:HENDERSON ENTERPRISES INC. MANUFACTURING PARK Address:3316 FUHRMAN AVE E STE 200 Address:4403 Russell Road Address:4403 Russell Road City,State Zip:SEATTLE,WA 98102 City,State Zip:Mukilteo,WA 98275 City,State Zip:Mukilteo,WA 98275 Phone: Phone:425-301-1811 Phone:425-301-1811 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:HENDERSON ENTERPRISES INC. Name: Address:4403 Russell Road Address: City,State,Zip:Mukilteo,WA 98275 City,State,Zip: Phone:425-301-1811 Phone: LIC#:HENDEE*900LQ EXP: 06/14/2018 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 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. 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. Signature Print Name Date Released By Date z CONDITIONS Adhere to approved plans. Inspection is required at time of equipment set. 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 2/6/2017 Gas Outlets Base Fee 1 to 5 $10.00 2/6/2017 Mechanical Permit Base Fee $25.00 2/6/2017 Mechanical Plan Review Fee $200.00 2/6/2017 Processing/Technology Fee $25.00 Total Due: $260.00 Total Payment: $0.00 Balance Due: $260.00 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 PERNIIT_ .Address:17925 59th Ave NE,Suite C Permit#:1303 Panel#:31052200403000 Valuation:3500.00 OWNER APPLICANT CONTRACTOR Name;ARLINGTON ADVANCED Name:Henderson Enterprises,Inc Name:HENDERSON ENTERPRISES INC, MANUFACTURING PARK Address:3316 FUHRMAN AVE E STE 200 Address:4403 Russell Road Address:4403 Russell Road City,State Zip:SEATTI,E,WA 98102 City,State Zip:Mukilteo,WA 98275 City,State Zip:Mukilteo,WA 98275 Phone: Phone:425-301-1811 Phone:425-301-1811 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:HENDERSON ENTERPRISES INC. Name: Address:4403 Russcll Road Address: City,State,Zip:Mukilteo,WA 98275 City,State,Zip: Phone:425-301-1811 Phone: LIC#:HENDEE*900LQ EXP: 06/14/2018 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 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 OFT HE 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/IIER 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 CIiR•r �ICATE OF OCCUPANCY HAS BEEN GRANTED, IBC1I0/IRCl10. SA 'I' XAOTICL,Sales tax recall to construction and construction matc rials in the City of Arlington must be reported on your sales tax return form un of Arlin ton#3101. Signature f Nit: Released By Date CONDITIONS Adhere to approved plans. Inspection is required at time of equipment set. THIS PERMIT AUTHORIZS ONLY THE.WORK NOTED,THIS PERMIT COVERS WORK TO[it;DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE.PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC)WILL REQUIRE SEPARATE PERMISSION PERMIT FEES Dabs Description Fee Amount 216/2017 Gas Outlets Base Fee 1 to 5 $10.00 2/6/2017 Mechanical Permit Base Fee $25.00 2/6/2017 Mechanical Plan Review Fee $200.00 2/6/2017 Processing/Technology Fee $25,00 Total Due: S260.00 Total Payment: $0.00 Balance Due: $260.110 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following informalloo: CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17925 59th Ave NE,Suite C Permit#:1303 Parcel#:31052200403000 Valuation:3500.00 OWNER APPLICANT CONTRACTOR Name:ARLINGTON ADVANCED Name:Henderson Enterprises,Inc Name:HENDERSON ENTERPRISES INC. MANUFACTURING PARK Address:3316 FUHRMAN AVE E STE 200 Address:4403 Russell Road Address:4403 Russell Road City,State Zip:SEATTLE,WA 98102 City,State Zip:Mukilteo,WA 98275 City,State Zip:Mukilteo,WA 98275 Phone: Phone:425-301-1811 Phone:425-301-1811 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:HENDERSON ENTERPRISES INC. Name: Address:4403 Russell Road Address: City,State,Zip:Mukilteo,WA 98275 City,State,Zip: Phone:425-301-1811 Phone: LIC#:HENDEE*900LQ EXP: 06/14/2018 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 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. IBC 110/IRC 110. 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. Signature Print Name Date Released By Da et CONDITIONS Adhere to approved plans. Inspection is required at time of equipment set. 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 2/6/2017 Gas Outlets Base Fee 1 to 5 $10.00 2/6/2017 Mechanical Permit Base Fee $25.00 2/6/2017 Mechanical Plan Review Fee $200.00 2/6/2017 Processing/Technology Fee $25.00 Total Due: $260.00 Total Payment: $0.00 Balance Due: $260.00 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 !o . '.D ZGo- e:-o Permit Information Date 1/25/2017 Permit Number 1303 Project Name Aero Finishing Applicant Name Henderson Enterprises, Inc Applicant Address 4403 Russell Road City,State,Zip Mukilteo,WA 98275 Contact Bob Henderson Phone 425-301-1811 Email henderson.enterprises@comcast net Permit Type Commercial Mechanical Site Address 17925 59th Ave NE,Suite C Valuation 3500.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Addition of gas piping Assigned To Kristin Foster Property Information Owner Information Parcel#:31052200403000 ARLINGTON ADVANCED MANUFACTURING PARK ARLINGTON ADVANCED MANUFACTURING PARK 3316 FUHRMAN AVE E STE 200 17925 59th Avenue NE SEATTLE,WA 98102 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type HENDERSON 425-301- Henderson.enterprises@comcast.ne CONTRACTOR(Labor and HENDEE"900LQ ENTERPRISES INC. 1811 (Industries Review Date Type Description I Target Date I Completed Date I Assigned To I status 1/25/2017 Commercial Mechanical 2/1/2017 1 lKevin Olander Iln Review Fees Fee Description Notes Amount Processing/Technology eel 341.43.00.02 $25.0 Total $25.0 Notes Date Note 1/25/2017 Emaded out of city application to the contractor 1/25/2017 Contractor needs out of city prior to issuing. Uploaded Files Upload File Date File Uploaded 8 1/25/2017 11:30:46AM IM3 Ap iication. df IFoster, Kristin C' )MMERCIAL MECI ANICAL 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: rr'71 New Installation ❑ ReplacementG,' /�� Alteration Project Address: 7 ,Z `j"L �v!�L karceI#: Project Description: Valuation: Owner:_ �12-0 F� NA k�j o Ll �'�I��l I� S rl , )Phone#: �Ut T�" L Address: S - �/(� �t City: State: Zip: Email Address: Contact Person: o Phone#: '`��J' y54 Address: ` ,., ./ x11_E.��' , ,. �_ City: State: Zip: Email Address:-]0�-f'5C4+ 1 0 U 0 BA6 LAPUI CIM Contractor Name: F-WNI)EA' � 4't4TERA-1[5j, I NJ( Phone* �Z'S-30 L`I� � Contractor Address: At��, a-t e'-z'c1,1 — P-_City: M 0 Vl LTeb Stater Zip: Email:j f tN D���pr N'T 12 p 'L (� Contact Person: PZ)� �fEAJ DVL3W Miff---t- / d Contractor License Number: cE-gym �g_ Expiration. Please indicate type of number of appliances: FURNACE CONDENSING UNIT GAS PIPING 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) 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 i ccorda ce with the laws, rules and regulation of the State of Washington. / Applicants Signature: - �--� Date t —)4— 7 Applicants Printed Name: 'G�c L �l� ;Lf=��✓� 'T,. FOR STAFF USE ONLY 17 Permit# t y Amount Received Receipt# Date Received 6/16LP Page 1 of 1 r . � � COMMERCIAL MECHANICAL PRESSURE PIPING INFORMATION Department of Community& Economic Development City of Arlington•.18204 59th Ave NE•Arlington, WA 98223• Phone(360)403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: Inlet Pressure: Pressure Drop: NAT— FvksL( ; ` )')'x� tY,VD) Specific Gravity: Pressure Piping Schematic Show Pipe Size(s)and Length(s)from meter to all appliances. ❑ Scale or Not to Scale NOTE: any interior ►�'l-{ (�"� ,5�� pressure regulators must be indicated NOTE: drip legs/sediment traps are required at all appliances unless integrated in the listed appliance I hereby rtify that th above information is correct and that the construction on, and the occupancy and the use of the above- describe ope will in accord nce with the laws, rules and regulation of the State of Washington pplicants Signature Date Pri t Applicants Name 1/25/2017 HENDERSON ENTERPRISES }xiiun :uuet . (Search L&I \/irides Help 1v L&I Safety&Health Claims& Insurance Workplace fights Trades & Licensing Washington State Department of " Labor & Industries HENDERSON ENTERPRISES Owner or tradesperson "03 RUSSEL ROAD STE 103 MUKILTEO,WA 98275 Principals 425-349-9528 HANSEN,DAVID LEE, PRESIDENT SNOHOMISH County HANSEN,DAVID LEE,AGENT HANSEN,SHIRLEY ADELA,VICE PRESIDENT (End:06/10/2016) Doing business as HENDERSON ENTERPRISES WA UBI No. Business type 602 957 039 Corporation Parent company Governing persons CARPORT STRUCTURES INC DAVID HANSEN DAVID LEE HANSEN; SHIRLEY ADELA HANSEN; 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. HENDEE*900LQ Effective—expiration 06/04/2010—06/14/2018 Bond CBIC $12,000.00 Bond account no. S16406 Received by L&I Effective date O6/0412010 05/28/2010 Expiration date Until Canceled Insurance American States Insurance Co $1,000,000.00 Policy no. OIC1372272 Received by L&I Effective date 05/24/2016 05/27/2016 Expiration date 05/27/2017 Help us improve https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602957039&LIC=HENDEE*900LQ&SAW= 1/2 1/25/2017 HENDERSON ENTERPRISES Insurance history 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. L&I Tax debts No L&1 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. This company has multiple workers'comp accounts. Active accounts L&I Account ID Account Is current. 186,275-01 Doing business as HENDERSON ENTERPRISES Estimated workers reported Quarter 3 of Year 2016"1 to 3 Workers" L&I account representative T1/FEARAED FEROZE(360)902-4797-Email:FERH235@Oni.wa.gov Track I ntractor 0 Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. U Washington State Dept,of Labor&Industries.Use of this site is subject to the laws of the state of Washington. ' h#ps://secure.ini.wa.gov/verify/Detai i.aspx?U BI=602957039&LIC=H EN D EE*900LQ&SAW= 2/2 �L CDN lNU Q 1, M11.1.IcaN �7'U ffO09 ( s a Psi min own �. 5 psi maximum 3nr oG r—FM minX?Um cnprt- . �I u !37 5pO s37'u Hov/AI mvlrJ �!v 5� 5J maxim vm ��ss f� 1444 9-a ,I -1 POO o7c �l91, � Q p Z � W =o zPw 0 ` a W o o z o �w - d 0 Wad n 0. adz a x J U J m N o Z co �• � U MKTA i. FINISHING rNC, I 25 qth ,%W. NK 7R Arlin ,qfMl WA Q `�40, Ila I ~O + MAR A.%sY. I VN�s2. �s � � I'A � r ro Permit#: 1303 Permit Date: 01/25/17 Permit Type: COMMERCIAL MECHANICAL Project Name: Aero Finishing Applicant Name: Henderson Enterprises, Inc Applicant Address: 4403 Russell Road Applicant, City, State, Zip: Mukilteo,WA 98275 Contact: Bob Henderson Phone: 425-301-1811 Email: henderson.enterprises@comcast.net Scope of Work: Addition of gas piping Valuation: 3500.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 02/08/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning ARLINGTON 31052200403000 17925 59th Avenue NE ADVANCED 637 Warehousing& MANUFACTURING Storage Services PARK Contractors Contractor Primary Contact Phone Address Contractor Type License License# HENDERSON 4403 Russell CONSTRUCTION Labor and ENTERPRISES INC. 425-301-1811 Road CONTRACTOR Industries HENDEE*900LQ Plan Reviews Date Review Type Description Assigned To Review Status 01/25/2017 Gas Piping Will require inspection @ time of equipment set.2/K117 BUILDING O. Fees Fee Description Notes Amount Processing/Technology $25.00 Gas Piping/Units Enter#of units $10.00 Mechanical Base Permit Fee $25.00 Mechanical Commercial Plan Review Table 4-1 $200.00 Total $260.00 Attached Letters Date Letter Description 02/06/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 02/07/2017 Dave Hansen 63415667 cc $260.00 Outstanding Balance $0.00 Notes Date Note Created By: 02/06/2017 Out of city has been issued.KF Kristin Foster 01/25/2017 Emailed out of city application to the contractor. Kristin Foster 01/25/2017 Contractor needs out of city prior to issuing. Kristin Foster Uploaded Files Date File Name 02/08/2017 2091104-1303 Issued Permit.pdf 01/25/2017 2066805-1303 Application.pdf Date: 03/12/2026 Permit#: 1303 Permit Date: 01/25/2017 Review Date: 01/25/2017 Permit Type: COMMERCIAL MECHANICAL Review Type: Gas Piping Target Date: 02/01/2017 Scheduled Time: 00:00 Completed Date: 02/03/2017 Description: Will require inspection @ time of equipment set. 2/3/17 KO. Review Status: Assigned To: BUILDING Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 31052200403000 ARLINGTON ADVANCED MANUFACTURING PARK ARLINGTON ADVANCED MANUFACTURING 3316 FUHRMAN AVE E STE 200 PARK 17925 59th Avenue NE SEATTLE,WA 98102 Zoning: 637 Warehousing & Storage ServicesLot: l Block: