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HomeMy WebLinkAbout438 S OLYMPIC AVE_BLD1783_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:438 S Olympic Ave Project Description:Replacing gas furnace. Owner: Elsa Svensson Address. 438 S Olympic Ave City. Arlington State.WA Zip Code: 98223 Phone: 206-919-3572 Email:vstephenson@washingonenergy.com Applicant: Washington Energy Services Address. 3909 196th St SW City: Lynnwood State.Lynnwood Zip Code: 98036 Phone. 206-378-6648 Email. vstephenson@washingtonenergy.com CONTRACTOR INFORMATION Contractor Name:Washington Energy Services Address: 3909 196th St SW City: Lynnwood State WA Zip Code: 98036 License Number:WASHIES851NS Expiration: 09/07/19 Phone: 206-378-6648 Email:vstephenson@washingtonenergy.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 #915SA3006OS 14 AFUE 95% ❑ 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 Dc��oa� Date: 12/20/2017 ,�=a=,�eea<asz,«ea,,,e,,, Applicant Signature: Applicant Printed Name: Vanessa Stephenson 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:438 S Olympic Ave Permit#:1783 Parcel#:00411701200100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:SVENSSON ELSA Name:Washington Energy Services Name:WASHINGTON ENERGY SERVICES Address:438 S OLYMPIC AVE Address:3909 196th Street SW Address:3909 196th Street SW City,State Zip:ARLINGTON,WA 98223 City,State Zip:Lynnwood,WA 98223 City,State Zip:Lynnwood,WA 98036 Phone: Phone:206-378-6648 Phone:800-398-4663 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:WASHINGTON ENERGY SERVICES Name: Address:3909 196th Street SW Address: City,State,Zip:Lynnwood,WA 98036 City,State,Zip: Phone: 800-398-4663 Phone: LIC#:WASI-BES85INS EXP: 09/07/2019 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: ` -13 DWELLING UNITS: ] OCC GROUP: R-3 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 WASI-IINGTON 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. . L,ES TAX N12IJ CE:Sales tax relating to construction and const ction materials in the City of rli t 1 re ted on your sales tax return form coded ity �f lington#3101. �o?' - 12.ZO.2Ul'1 Sign urc Print Name IDate ccl By Date CONDITIONS Approved as submitted. Adhere to the installation of model#915SA30060S14 AFUE 95%. 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 12/20/2017 Furnace $25.00 12/20/2017 Mechanical Permit Base Fee $25.00 12/20/2017 Processing/Technology 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: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Community and Economic Development Building Division INSPECTION RECORD SHALL REMAIN AT JOB Building construction shall not commence until permit holder or agent has posted this Inspection Record Card in a SITE conspicuous place on the premises. OWNER: Elsa Svensson CONTRACTOR: Washington Energy Services JOB ADDRESS:438 S Olympic Ave OWNER ADDRESS: 438 S Olympic Ave USE of BUILDING: SFR PLAT NAME: VB R3 Description of Work: Replace Gas Furnace LOT# PERMIT NO: 1 783 Sprinklered:NO CONDITIONS: See Permit DATE ISSUED:12/20/2017 TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION INSPECTION LINE UNDERFLOOR (360)403-3417 SHEARWALL PLUMBING(groundwork) GAS PIPING (groundwork) ROUGH PLUMBING ROUGH GAS PIPING RUIIGH HEATING&VENTILATION 1�1Zi\NIING INSULATION WALLBOARD (SHEAR/RATING) ROOF DRAINAGE DEVELOPMENT STORM INFILTRATION SERVICES GRADING INSPECTION LINE CURB GUTTER&SIDEWALK (360)403-3417 LANDSCAPE DRIVEWAY UTILITIES SIDE SEWER INSPECTION LINE SEWER CLEANOUT/FINAL (360)403-3508 \HATER SERVICE INSPECTION WATER SERVICE FINAL CROSS CONNECTION FINAL (360)403-3417 FINAL INSPECTION All sections must be signed off prior to final inspection Electrical must be signed off prior to final inspection COMMENTS: i 9 ' CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:438 S Olympic Ave Permit#:1783 Parcel#:00411701200100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:SVENSSON ELSA Name:Washington Energy Services Name:WASHINGTON ENERGY SERVICES Address:438 S OLYMPIC AVE Address:3909 196th Street SW Address:3909 196th Street SW City,State Zip:ARLINGTON,WA 98223 City,State Zip:Lynnwood,WA 98223 City,State Zip:Lynnwood,WA 98036 Phone: Phone:206-378-6648 Phone:800-398-4663 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:WASHINGTON ENERGY SERVICES Name: Address:3909 196th Street SW Address: City,State,Zip:Lynnwood,WA 98036 City,State,Zip: Phone: 800-398-4663 Phone: LIC#:WASHIES85INS EXP: 09/07/2019 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: `/_B DWELLING UNITS: 1 OCC GROUP: R-3 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 City7AO��iz—. r sales tax return form and coded City of Arlington#3101. z/.Gill, Signature Print Name Date a ed sy 14 Date CONDITIONS Approved as submitted. Adhere to the installation of model#915SA30060S14 AFUE 95%. 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 12/20/2017 Furnace $25.00 12/20/2017 Mechanical Permit Base Fee $25.00 12/20/2017 Processing/Technology 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: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Community and Economic Development , Building Division INSPECTION RECORD SHALL REMAIN AT JOB Building construction shall not commence until permit SITE holder or agent has posted this Inspection Record Card in a conspicuous place on the premises. OWNER: Elsa Svensson CONTRACTOR: Washington Energy Services JOB ADDRESS:438 S Olympic Ave OWNER ADDRESS: 438 S Olympic Ave USE of BUILDING: SFR PLAT NAME: VB R3 Description of work: Replace Gas Furnace LOT# PERMIT NO: 1 783 Sprinklered:NO CONDITIONS: See Permit DATE ISSUED: 12/20/2017 TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION INSPECTION LINE UNDERFLOOR (360)403-3417 SHEARWALL PLUMBING (groundwork) GAS PIPING(groundwork) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD(SHEAR/RATING) ROOF DRAINAGE DEVELOPMENT STORM INFILTRATION SERVICES GRADING INSPECTION LINE CURB GUTTER&SIDEWALK (360)403-3417 LANDSCAPE DRIVEWAY UTILITIES SIDE SEWER INSPECTION LINE SEWER CLEANOUT/FINAL (360)403-3508 WATER SERVICE INSPECTION WATER SERVICE FINAL CROSS CONNECTION FINAL (360)403-3417 FINAL INSPECTION All sections must be signed off prior to final inspection Electrical must be signed off prior to final inspection COMMENTS: r 04MCITY OF ARLINGTON238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:438 S Olympic Ave Permit H.1793 Parcel#:00411701200100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:SVENSSON ELSA Name:Washington Energy Services Name:WASHINGTON ENERGY SERVICES Address:438 S OLYMPIC AVE Address:3909 196th Street SW Address:3909 196th Street SW City,State Zip:ARLINGTON,WA 98223 City,State Zip:Lynnwood,WA 98223 City,State Zip:Lynnwood,WA 98036 Phone: Phone:206-378-6648 Phone:900-398-4663 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:WASHINGTON ENERGY SERVICES Name: Address:3909 196th Street SW Address: City,State,Zip:Lynnwood,WA 98036 City,State,Zip: Phone. 800-398-4663 Phone: LIC#:WASI IIES851NS EXP: 09/07/2019 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: V-13 DWELLING UNITS: ] OCC GROUP: R-3 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. '. LIES T 1X •Salc,tax relating to construction and constr chon materials in the City of Ili 1 .111 rep Ic Ion your sales tax return form codeMA inglon#3101. �o� IZ.ZD.201-1Sign Print Name Dale c txl By Date CONDITIONS Approved as submitted. Adhere to the installation of model#915SA30060S14 AFUE 95%. 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,E-rc.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES_ Date Description Fee Amount 12/20/2017 Furnace $25.00 12/20/2017 Mechanical Permit Base Fee $25.00 1 212 0/2 01 7 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling foram Inspection please leave the following information: Permit Number,Type of Inspection being requested,and whetheryou prefer morning or afternoon Community and Economic Development Building Division INSPECTION RECORD SHALL REMAIN AT JOB Building construction shah not commence until permit holder or-agent has posted this Inspection Record_Card in a SITE conspicuous place on the premises. OWNER: Elsa Svensson CONTRACTOR: Washington Energy Services JOB ADDRESS:438 S Olympic Ave OWNER ADDRESS: 438 S Olympic Ave USE of BUILDING: SFR PLAT NAME: VB R3 Descri ►lion of Work: Replace Gas Furnace LOT# PERMIT NO: 1783 S irinklered:NO CONDITIONS: See Permit DATE ISSUED:12/20/2017 TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION INSPECTION LINE UNDERFLOOR (360)403-3417 SHEARWALL PLUMBING (groundwork) GAS PIPING(groundwork) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD (SHEAR/RATING) ROOF DRAINAGE DEVELOPMENT STORM INFILTRATION SERVICES GRADING INSPECTION LINE CURB GUTTER&SIDEWALK (360)403-3417 LANDSCAPE DRIVEWAY UTILITIES SIDE SEWER INSPECTION LINE SEWER CLEANOUT/FINAL (360)403-3508 WATER SERVICE INSPECTION WATER SERVICE FINAL CROSS CONNECTION FINAL (360)403-3417 FINAL. INSPECTION All sections must be signed off prior to final inspection Electrical must be signed off prior to final inspection COMMENTS: -- CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:438 S Olympic Ave Permit#:1783 Parcel#:00411701200100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:SVENSSON ELSA Name:Washington Energy Services Name:WASHINGTON ENERGY SERVICES Address:438 S OLYMPIC AVE Address:3909 196th Street SW Address:3909 196th Street SW City,State Zip:ARLINGTON,WA 98223 City,State Zip:Lynnwood,WA 98223 City,State Zip:Lynnwood,WA 98036 Phone: Phone:206-378-6648 Phone:800-3984663 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:WASHINGTON ENERGY SERVICES Name: Address:3909 196th Street SW Address: City,State,Zip:Lynnwood,WA 98036 City,State,Zip: Phone: 800-398-4663 Phone: LIC#:WASHIES85INS EXP: 09/07/2019 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: V-$ DWELLING UNITS: 1 OCC GROUP: R-3 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. IBC 110/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of rli t b re �17,- r sales tax return form and coded City of Arlington#3101. Zc2.201^1 Signature Print Name Date a cd By 14 Date CONDITIONS Approved as submitted. Adhere to the installation of model#915SA30060S14 AFUE 95%. 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 12/20/2017 Furnace $25.00 12/20/2017 Mechanical Permit Base Fee $25.00 12/20/2017 Processing/Technology 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: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon lY o RESIDENTIAL MECHANICAL y� o PERMIT APPLICATION c, 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:438 S Olympic Ave Project Description:Replacing gas furnace. Owner: Elsa Svensson Address: 438 S Olympic Ave City: Arlington StateYVA Zip Code: 98223 Phone: 206-919-3572 Email:vstephenson@washingonenergy.com Applicant: Washington Energy Services Address:3909 196th St SW City: Lynnwood State WA Zip Code: 98036 Phone: 206-378-6648 Email: vstephenson@washingtonenergy.com CONTRACTOR INFORMATION Contractor Name:Washington Energy Services Address:3909 196th St SW City: Lynnwood State WA Zip Code: 98036 License Number:WAS Expiration: 09/07/19 Phone:206-378-6648 Email:vstephenson@washingtonenergy.com STAFF USE N Received Permit #: 1-1�7D Accepted by: Date: tiF C, 2 0 2017 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL PERMIT APPLICATION JIN 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 ##915SA3006OS 14 AFUE 95% ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ Ij 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 �•�/i►nrh1J2`rjA faricirJGr ••�•^••-••••••-r-•^•^-Applicant Signature: Date 12/20/2017 Applicant Printed Name: Vanessa Stephenson 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 12/20/2017 WASHINGTON ENERGY SVCS CO LLC (Search L&I 1 Washington State Department of Labor & Industries WASHINGTON ENERGY SVCS CO LLC Owner or tradesperson 3909 196TH STREET SW LYNNWOOD,WA 98036 Principals 206-282-4700 OLSON,CRAIG E,PARTNER/MEMBER SNOHOMISH County OLSON,VERA A,PARTNER/MEMBER NG,YUN-KWAN WINNIE,AGENT Doing business as WASHINGTON ENERGY SVCS CO LLC WA UBI No. Business type 603 522 032 Limited Liability Company Governing persons LLC 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. WASHIES851NS Effective—expiration 09/07/2015—09/07/2019 Bond North American Spec Ins Co $12,000.00 Bond account no. 2198899 Received by L&I Effective date 08/10/2015 09/0712015 Expiration date Until Canceled Insurance Peleus Insurance Company $1,000,000.00 Policy no. 103GL001918400 Received by L&I Effective date 07/31/2017 08/01/2017 Expiration date 08/01/2018 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or 1.savings accounts during the previous 6 year period. https://secure.ini.wa.gov/verify/Detail.aspx?UBI=603522032&LIC=WASH I ES851 NS&SAW= 1/3 12/20/2017 WASHINGTON ENERGY SVCS CO LLC L&I Tax debts No L&I tax debts are recorded for this con, or license during the previous 6 year period,but Sorg ebts may be recorded by other agencies. License Violations Infraction no. PBUJD00665 Satisfied Iceuo doto RCW/WAC 04/12/2017 18.106.020 Violation city Violation amount LYNNWOOD $500.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.Contractor employed Mario Valencia to install a new gas hot water heater. Infraction no. PBUJD00664 Satisfied Issue date RCW/WAC 04/12/2017 18.106.020 Violation city Violation amount LYNNWOOD $500.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.Contractor employed Patrick Michaelson to install a new gas hot water heater. Infraction no. PZETDO0865 Satisfied Issue date RCW/WAC 05/06/2016 18.106.020 Violation city Violation amount LYNNWOOD $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.Danny H Padilla Workers' comp https://secure.ini.wa.gov/verify/Detail.aspx?UBI=603522032&LIC=WASHIES851 NS&SAW= 2/3 12/20/2017 WASHINGTON ENERGY SVCS CO LLC Do you know if the business has employees?If so,'—Iify the business is up-to-date on workers'comp premium^'�, f This company has multiple workers'comp accounts. Active accounts L&I Account ID Account is current. 224,000-17 Doing business as WENERGY LLC Estimated workers reported Quarter 3 of Year 2017"Greater than 100 Workers" L&I account contact T2/SUSAN BETTS(360)902-4828-Email:BETT235@lni.wa.gov Track this contractor e Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603522032&LIC=WASHIES851 NS&SAW= 3/3 �' !' 1 BUILDING INSPECTION REPORT — MECHANICAL (RESIDENTIAL) Permit No. 1783 Address: 438 S Olympic Ave Contractor: Washington Energy Services Owner: SVENSSON ELSA Date: 1/8/2018 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas Furnace CO DETECTOR: © HEAT PUMP/AC UNIT: ❑ GAS PIPING: © DISCONNECT: ❑ DRIP LEG: ® SEISMIC: ❑ VENTING: ® 3" PAD: ❑ ACCESS: ® INSULATION/PROTECTION: ❑ SHUT-OFF VALVE: Fx DUCTS: N/A L&I: Yes Date: 1/8/2018 Inspector: Kevin Olander Permit#: 1783 Permit Date: 12/20/17 Permit Type: RESIDENTIAL MECHANICAL Project Name: Svensson Applicant Name: Washington Energy Services Applicant Address: 3909 196th Street SW Applicant, City, State, Zip: Lynnwood, WA 98223 Contact: Vanessa Stephenson Phone: 206-378-6648 Email: vttephenson@washingtonenergy.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: 12/26/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00411701200100 438 S OLYMPIC AVE SVENSSON ELSA 111 Single Family Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# WASHINGTON Karen Matheney 2063786648 3909 196th Street CONSTRUCTION COA 603 522 032 ENERGY SERVICES SW CONTRACTOR WASHINGTON Karen Matheney 2063786648 3909 196th Street CONSTRUCTION Labor&WASHIES851NS ENERGY SERVICES SW CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status O1/08/2018 R00.FURNACE O1/08/2018 BUILDING Approved FINAL Fees Fee Description Notes Amount Forced Air Heat fee per Btu $25.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Total $75.00 Attached Letters Date Letter Description 12/20/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 12/20/2017 Craig Olson 67759695 cc $75.00 Outstanding Balance $0.00 Notes Date Note Created By: 12/20/2017 Emailed permit for signature.KF Kristin Foster Uploaded Files Date File Name O1/09/2018 2938796-438 S Olympic Ave.docx 12/26/2017 2909114-1783 Issued Permit.pdf 12/20/2017 2868663-1783 Application.pdf