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HomeMy WebLinkAbout18901 45TH DR NE_BLD1813_2026 N I� � • r, Ja , t I 1012400000�00 I--�x no 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. P roject Add ress: 18901 45th Dr N E Project Description:Like in kind furnace replacement and AC addition Owner: Ron Golder Address. 18901 45th Dr NE City. Arlington State:wa Zip Code: 98223 Phone: 425-501-7676 Email:rdgolder@gmail.com Applicant: Nordstrom Heating & Air Address: 4717 87th Ave NE City: Marysville State.WA Zip Code: 98270 Phone. 360-386-9819 Email. nordstromha@comcast.net CONTRACTOR INFORMATION Contractor Name:Nordstrom Heating & Air Address: 4717 87th AVe Ne City: Marysville State WA Zip Code: 98270 License Number: nordsha884jw Expiration: 04-16-18 Phone: 360-386-9819 Email:nordstromha@comcast.net 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 #TDD1B060a9361a AFUE80 ❑ Heat Pump Model # AFUE HSPE AC Unit Model # 4a7a40301_1000 SEER 14 ❑ 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 Liz) � Applicant Signature: d5i513be"a92O e" Date: 01/24/2018 Applicant Printed Name: Debbie Elgin 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-ARUNGTON, WA,99223 PHONE: (360)403-3551 BUILDING PERMIT A¢dr w. ISW lots Drive h•E - -- - Permit M:1313 Parttl a 0l(112d.1NilM)r,1)p valuarinn:0.00 OWNER APPLICANT CONTRACTOR Narnc(;(XDLR RON ALD D A LISA K Name N,irdatrom Kcatrnr R Air.tay. `'-sme:AIDR✓STR(-X\(Ht:A ITN(;A AIR rr lC. Addnoat-i rw.rt AiTH I-JR►+E Addrew.4717 87ts Ave Ni-- ""rm:%9?4 nth Sam NE Cih.State lip:ARI.Iv(TON.WA 9m3-+?44 City.54W Z;p-Maysvdse WA 9A11.11) City,Sane ZipALARYSVILLE.WA 492111) P`cn Ptunac WI-116-10119 Plkine.414-333-4i129 ML ECAANICAL CONTRACTOR PLUMBTNG CONTRACTOR harrw:N0ltryrrRQNI;3CATNC do,*,IR'I•-- Wan Address:3430 Seth%um S;F. Address City,Swc.Zip.26ARYS4TLL1.iVA 99',`0 Cite,surly.Zip. Pharr 425-:41-k-W-19 Phrnc: LICo-xCwLiSItA81ww ItXP- at'1&7tl1x LICY: .TOR DESCRIPTION PE vi*rTYPL; Residential Mechanical (Yll)FY=AR 2015 S ITUMES. 1 CQN-ST.TYPE. %1.13 DATI.I.1%(i UNDS i OCC(il(lllJlt 1 K-_ BULDWA: J OCC LOA-ry P'ERNUT APPROVAL I A6KHt IC1CXurtrl.Y WI-M(=E'rY ANL).TATE LAWS REGULATING Ct)NSTRt.kllCaN AND I\1)0046 THE WORK AUTiK)RIZLD THF.RFAY;Nt)Pt•Ry(-)N WILL BE ENIMOYED IN VIOLATION OF MI.I-,W)k(OIX-OF THr 5 rA11r OF WASHINGPTON RELATING TO WORKNIEW'S WWrENSATION i1 IJRAWCF AND RCW 1112n TI¢S APPLICATION IS NOT A PIRMI r U14I11.SitiNED MY 14F HIALIANG OFF?CtAL (W IEISRI[R DEPVTY.+CIvT)ALL FEl_S A U,PAID IT 04;JNI.AWFtJI.T3) OR CyC:c'UPY A BUILMNI i OR STRUCTURE LNT1L A FlhW:INSPCCTKxN H.1C H.'FN MADIF ANP AFP VAL OR a(•t•_RnFI(:ATF(IFQ(;('C7PANKY1L45BtTNrGRAAITED. lDCttt�lRt I►n_ i SALE T Y NOTICE.:Cade%tax rAltin8 a cAarmlctim and avlstnrc xw tllati.rWb is the City of - _rant saleo IM roars:4rM1 Added 0tV o:Arlingm*3101 -7 110 nituturc Prinl 1S4kw Date Ktleased Hy Dwi,; CONDITIONS .approved as submitted.Adllcn to the installation of PVC. unit model number 4.A7A40301,I WO SEEK 14 and Furnace trodel number TDD l B06OA9361 A AFUF 80%, Additional requircmcnts: 3"concrete pad with seismic bracing attached to pad,provide electrical disconnect, lines shall be.insulated-the use of adhesive tape is not permittcd. 17,115 1'F--;LMTT A:MlW7S ONI V tT 1='WORK NU1U*1 T1 I;S P.,j-wrr:UYPRS arRK TA Nip tx)NF nN PRtvATF.PRt1PEKn ONLY ANY lCH(JTKUL'i!l?N UN TKO P(19I.IC UC)I�/A7N(C:I:RHti,SIDf.JY.A�.K¢.TiRR'Tlb'A1'$.\{Aj`iQ:1ELS,e1C)W1LLlta:x2lJlt(L'S7J'ARATI:PhRMLCSI(3t� PEKNUT FEES 00111111, Deeerip on fee Amount 1125=18 A,L Unt 525-00 1r25.2018 %rna^e $25 00 iasrnia Mechanical Permit Base Ft-- $25 00 '12512018 PracesseVITt chmiogy Fee $25.00 Total Due: S1t10.Y6 Total Pn�warnt•. 90_t10 Ralm%tt but: slum CALL. FOR INSPFCTIONS ' CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:18901 45th Drive NE Permit#:1813 Parcel#:01012400000700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GOLDER RONALD D&LISA K Name:Nordstrom Heating&Air,Inc. Name:NORDSTROM HEATING&AIR INC Address: 18901 45TH DR NE Address:4717 87th Ave NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223-4244 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:360-386-9819 Phone:425-335-4029 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:NORDSTROM HEATING&AIR INC Name: Address:3930 88th Street NE Address: City,State,Zip:MARYSVILLE,WA 98270 City,State,Zip: Phone:425-335-4029 Phone: LIC#:NORDSHA884JW EXP: 04/16/2018 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 1 CONST.TYPE: V-B DWELLING UNITS: 1 OCC GROUP: R-3 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 Ar rnlon t n your sales tax return form and coded City of Arlington#3101. n� 7-1 Signature Print Name Date Released By Date!// CONDITIONS Approved as submitted. Adhere to the installation of A/C unit model number 4A7A4030L 1000 SEER 14 and Furnace model number TDDIB06OA9361A AFUE 80%. 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 1/25/2018 A/C Unit $25.00 1/25/2018 Furnace $25.00 1/2 512 0 1 8 Mechanical Permit Base Fee $25.00 1/25/2018 Processing/Technology Fee $25.00 Total Due: $100.00 Total Payment: $0.00 Balance Due: $100.00 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: RONALD AND LISA GOLDER CONTRACTOR: NORDSTROM HEATING AND AIR JOB ADDRESS:18901 45th Drive NE OWNERADDRESS: 18904 45TH DRIVE NE USE of BUILDING: SFR PLAT NAME: WALNUT RIDGE VB R3 Description of Work: REPLACE FURNACE AND ADD A/C LOT# 7 PERMIT NO: 1813 Sprinklered:NO CONDITIONS. CALL FOR INSPECTIONS-SEE PERMIT DATE ISSUED: 1/25/2018 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 NOT ON, 1 X"A- 9 R_22 31 PHONE: (360)4 03 3-3 5 5'1 BITILDING PEkL41vjjT Wdrcw, 19."1 4515 Driwe YE Permit": 1813 = Vnd.u?wf. i,I�.',1 OWNER APPLICANT CONTRACTOR DLR 7.1 '14nmt Nirc-M1ror5 H":mj,6-Arr.Im; 7-,"Umr:`:�r3.3—'s7k!'.3'.,w %I DF NE 9.,-J ssi h 4-.-eet V'A 02'1: .,W4M 14 MT,CFFANTCAZ. COWRACTOR PLITIVMNG CGNTRACTOR ",MAT N11-& 1:vw AcArt;,,: wA-h Sr.,L�- $L",T C::�.4Iji1.Zip. LIC JOR DIF-SCRPT10h Res5drnl.jal Mechanical .:1)1)F'•-AR 201-5 V-B F- PRRMIT APPROVAL LAs REC',', r I N G C k.NS T k r P.- N Tr.,ir; Fp'), %V V:N'-VIL L BE EMPE OYL- I OLAT 0�4 OF 7,'!1.1 U'kR(,;)I�Ni.(:I --I H I-S I'VI-,fIF L,0 _r-::N, 5A7f,-)N AN7,,Rkw i vL­ 7115 CK IS �"-,T P:F.*,vi: i..-N 1',I,SAWED H) I I-.F ::,q I N\'T 0z DEPU .7-, CM`5 1 RUCI-LIRE _"Is, -I i!; MAI 'kNrj A t".-H 11VICA-1 F I IF JL-%S B&EN 6RANLED. IX>L(W;kk�'I lo 4 and,wo. �Z - -K- _z=�..,h. ",z C! 1 G it 1.4- Sqnvure., "I III!K2 1q,7 Al� CGNDMONS� Apprvvcd a5 ,-w4bMktCd. Adherc to the InstaiiatiOn ot_.VC unit rnodef number I U,11i1 SEER 14 and Furuce jnode'� raimber TDD I DMOA936 I A A F> . Add it:ona I requ, r're. I Imnis: 3",,Ljncre,,.e pad Seismic ITTUC.-mg, anms cd ti)padL prov idcc c-sUtvical discanneet I ines shufl be insulated - &e v5c,?f adho ive tope k not Pk-rMitted, 7,',5 177047 A—TI j_wi!V IT;_wy_IKK wy!Ll) :v-:FRS WnRK-0 R9 rjr.Nr-;'.N 7Fe.I`,'4T7- K UL'7']Uk'ON :-i L VVBL.7L':X)MA'N•'rA.�H",.NMFWA".KS ",1.r-Czx.E I C ).Nl.�L .DILIN,��6 _rli PE&NJiT FEES Fft Amount Vo!OWiLSI Rmfrhil Base FM 25.2V6 PiD0e&!;N7�&d:hMi,2grje Fee 425 W Total No: MULM Tvtnl.N�wemu sn fe Malisobee but! Slot" CALL FOR INSPECTIONS T c. ' CITY OF ARLINGTON r 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 ' PHONE; (360) 403-3551 BUILDING PERMIT Address:18901 45th Drive NE Permit#:1813 Parcel#:01012400000700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GOLDER RONALD D&LISA K Name:Nordstrom Heating&Air,Inc. Name:NORDSTROM HEATING&AIR INC Address: 18901 45TH DR NE Address:4717 87th Ave NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223-4244 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:360-386-9819 Phone:425-335-4029 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:NORDSTROM HEATING&AIR INC Name: Address:3930 88th Street NE Address: City,State,Zip:MARYSVILLE,WA 98270 City,State,Zip: Phone:425-335-4029 Phone: LIC#:NORDSHA884JW EXP: 04/16/2018 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 1 CONST.TYPE: V-B DWELLING UNITS: 1 OCC GROUP: R-3 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 Ar Annj*your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Relw'lsed By Date CONDITIONS Approved as submitted. Adhere to the installation of A/C unit model number 4A7A4030L1000 SEER 14 and Furnace model number TDD 1 B060A93 6 1 A AFUE 80%. 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 1/25/2018 A/C Unit $25.00 1/25/2018 Furnace $25.00 1/25/2018 Mechanical Permit Base Fee $25.00 1/2 512 0 1 8 Processing/Technology Fee $25.00 Total Due: $100.00 Total Payment: $0.00 Balance Due: $100.00 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 Permit Information Date 1/24/2018 Permit Number 1813 Project Name Golder Applicant Name Nordstrom Heating&Air, Inc. Applicant Address 4717 87th Ave NE City,State,Zip Marysville,WA 98270 Contact Debbie Elgin Phone 360-386-9819 Email nordstromha@comcast.net Permit Type Residential Mechanical Site Address 18901 45th Drive NE Valuation 0.00 Status Ready to Issue Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Replace furnace and add A/C Assigned To Kristin Foster Property Owner Parcel Address Legal Owner Phone Zoning 01012400000700 18901 45TH DR GOLDER RONALD D&LISA 111 Single Family Residence- NE K Detached Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type NORDSTROM HEATING& 425-335- Labor& IR INC 4029 nordstromha@comcast netCONTRACTOR Industries IVORDSHA884J Fees Fee Description Notes Amount A/C Unit 322.10.00.00 $25.00 Furnace 322.10.00.00 $25.00 Mechanical Permit Base Fee 322.10.00.00 $25.0 Processing/Technology Fee 341.43.00.02 $25.0 Total $100.0 Payments Date Paid By I—Arnountl Description Payment Type Acce ted B 1/26/2018 JDANIEL NORDSTROM 1 $100.00 8255291 .0 Total $100.001 Amount Outstanding:$0.0 Uploaded Files Upload File Date File Uploaded B 1/25/2018 8:29:21 AM 11813 Application.pdf Foster,Kristin �( i I 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:18901 45th Dr NE Project Description:Like in kind furnace replacement and AC addition Owner: Ron Golder Address: 18901 45th Dr NE City:Arlington StateYVa Zip Code: 98223 Phone: 425-501-7676 Email:rdgolder@gmail.com Applicant: Nordstrom Heating & Air Address:4717 87th Ave NE_ _ City: Marysville State WA Zip Code: 98270 Phone: 360-386-9819 Email: nordstromha@comcast.net CONTRACTOR INFORMATION Contractor Name:Nordstrom Heating & Air Address:4717 87th AVe Ne City: Marysville State WA Zip Code: 98270 License Number:nordsha884jw Expiration: 04-16-18 Phone:360-386-9819 Email:nordstromha@comcast.net STAFF USE O Y Received Permit #: Accepted b 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 Furnace (80+) Model #TDD1B060a9361a AFUE80 ❑ Heat Pump Model # AFUE HSPE AC Unit Model # 4a7a40301_1000 SEER 14 ❑ Freestanding Stove ❑ Fire Place Insert ❑; Outdoor BBQ ❑ Gas Piping Li Solid-Fuel Appliance L11 Other Gas ng Information Not Applicable: 4 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 -c�eWx��'Cgroc Applicant Signature: ".a.,.. - Date 01/24/2018 Applicant Printed Name: Debbie Elgin 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 1/25/2018 NORDSTROM HEATING&AIR INC Search L&I Washington State Department of " Labor & Industries NORDSTROM HEATING &AIR INC Owner or tradesperson 4717 87TH AVE NE MARYSVILLE,WA 98270 Principals 425-335-4029 NORDSTROM,DANIEL JASON,PRESIDENT SNOHOMISH County AHLERS&CRESSMAN PLLC,AGENT Doing business as NORDSTROM HEATING&AIR INC WA UBI No. Business type 602 279145 Corporation 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. NORDSHA884JW Effective—expiration 04/16/2012—04/16/2018 Bond Developers Surety&Indem Co $12,000.00 Bond account no. 256304C Received by L&I Effective date 04/16/2012 04/12/2012 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9869472 Received by L&I Effective date 04/04/2017 05/07/2017 Expiration date 0 510 7/2 01 8 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&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. hftps://secure.Ini.wa.gov/verify/Detaii.aspx?UBI=602279145&LIC=NORDSHA884JW&SAW= 1/2 1/25/2018 NORDSTROM HEATING&AIR INC License Violations No license violations during the previous. mar 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. 099,363-00 Doing business as NORDSTROM HEATING&AIR INC Estimated workers reported Quarter 3 of Year 2017"4 to 6 Workers" L&I account contact T3/NATHAN KOZAK(360)902-6243-Email:KOZN235@lni.wa.gov 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. D 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=602279145&LIC=NORDSHA884JW&SAW= 2/2 .tea a a � - h � • I . � G ea e - 0 e e e i fib• ,. � ++ � y � .f rr. r , • r • v I i M I � y� �. r'�. I BUILDING INSPECTION REPORT — MECHANICAL (RESIDENTIAL) Permit No. 1813 Address: 18901 45th Drive NE Contractor: Nordstrom Heating & Air, Inc. Owner: GOLDER RONALD D & LISA K Date: 2/8/2018 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Furnace &AC. 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: 2/8/2018 Inspector: Kevin Olander Permit#: 1813 Permit Date: 01/24/18 Permit Type: RESIDENTIAL MECHANICAL Project Name: Golder Applicant Name: Nordstrom Heating &Air, Inc. Applicant Address: 4717 87th Ave NE Applicant, City, State, Zip: Marysville,WA 98270 Contact: Debbie Elgin Phone: 360-386-9819 Email: nordstromha@comcast.net Scope of Work: Replace furnace and add A/C Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 01/25/2018 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 01012400000700 18901 45TH DR NE GOLDER RONALD 111 Single Family D&LISA K Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# NORDSTROM 1059 State Ave. CONSTRUCTION HEATING&AIR INC 425-335-4029 Ste.G CONTRACTOR COA 601764617 NORDSTROM 1059 State Ave. CONSTRUCTION Labor&NORDSHA772L2 HEATING&AIR INC 425-335-4029 Ste.G CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status R00.HEAT PUMP/Need insulation protection at 02/12/2018 AC UNIT FINAL ac unit.Completed 2/14/18 02/08/2018 BUILDING Approved KO. 02/12/2018 R00.FURNACE 02/08/2018 BUILDING Approved FINAL Fees Fee Description Notes Amount Air Cond.Unit Btu/h<100>; $25.00 Btu/hp>500 Forced Air Heat fee per Btu $25.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Total $100.00 Attached Letters Date Letter Description O1/25/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount O1/25/2018 DANIEL NORDSTROM 68255291 cc $100.00 Outstanding Balance $0.00 Notes Date Note Created By: O1/25/2018 Emailed permit for signature.KF Kristin Foster Uploaded Files Date File Name 04/30/2018 3423894-18901 45th Drive NE.docx O1/25/2018 2982622-1813 Issued Permit.pdf O1/25/2018 2981117-1813 Application.pdf