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Home My WebLink About6908 WOODLANDS WAY_BLD2201_2026 MECHANICAL CONTRACTOR PLUMBING CO? Name: Evergreen Ductless Solutions, LLC Name: Address: 1676 Douglas Strait Address: City, State, 'lip: Oak Harbor, WA 98277 City, State. Zip: Phone: 425-948-3064 NOW: LIC #: EVERGDS825C3 EXP: 02/23/2020 LIC!I: JOB DESCRIPTION PERMIT TYPE: RCsldentlal Mechanical CODE YEAR: V, STORIES: CONST. TYPE: R; DWELLING UNITS: ] OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN L NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WA COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR IIIS/Iil IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECT A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/IRCI 10. ES TA. : Sales tax relating to construction and construction materials in the City of rh t a I 'Oiled ty of 41ington 43101_ M6 J P -e natull-V Print Name ADate CONDITIONS Approved as submitted. Additional requirements: Provide a 3" concrete I to pad, provide electrical disconnect, lines shall be insulated - the use o I"HIS PERMIT AUT11110R1Z.S ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE:ON PI ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS, MARQUEES.ETC.)WILL F PERMIT FEES Date Description 1 0/5120 1 8 Heat Pump 10/5/2018 Mechanical Permit Base Fee 10/5/2018 Processing/Technology Fee CALL FOR INSPECTIONS BVILDING (360) 403-3417 N hen calling for an inspection please leme the follo%ing infor Permit Number. T,.pe of In%pectinn hcing requested, and whether you prefer XNOTICE YO TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL CORRECTIONS REQUIRED Cl DO NOT OCCUPY APPROVED PERMIT#: t - L T#: DATE: JOB ADDRESS: TYPE OF INSPECTION: I4jJ ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. Cl CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK: MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 Cl CALL FOR REINSPECTION THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE BUILDING DEPT. Cl PLANNING DEPT. CITY OF ARLINGTON r c r fi11 \L. IIVV I VIM 238 N. OLYMPIC AVF. - ARLING`TO'_�A. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:6M Woodlands Wry Permit N:2201 Parcel M:0075951)ntmxwM o Valuation:0.00 OWNER APPLICANT CONTRACTOR Marne BATES LORETTA 1. dame: Evergreen Duclles;t Name Esergrcm Ductless Solutsrsm.LLC Address_Iti IK WOODLANDS WAY Asklress 1b76 Douglas Street Address: 1676 Douglas Street C ity.State Zip:ARLINCi TON.WA 99223 City,State,Zip:Oak Harbor,WA 98277 ('try,State Lip:Oak Hartwr,M'A 98277 Phone Phone:425.94K-3064 Phone 425-949.30(4 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name Evergreen Ducllesa solutions,LLC Nainn Address' Its76 Douglas Strtm Atkkv%x City,State,Zip Oak Harbor.WA 9K277 City.State.Zip Phorw 425.949-3064 Plume LIC O CVERGDSK23C3 EXP 02123,2020 LICa- FXP JOB DESCRIPTION PERMIT F)PF Residential Mechanical CODE YEAR VB STORIES CONS'T TYPE: R3 DWELLING UNITS I OC:C CROUP: HI<ILDINGS O(A'I OAD: PERMIT APPROVAL I;AGREE TO COMPLY WITH CITY AND STATE LAWS RFGULATINC;CONSIRUC-TION AND IN Tx)ING THE:WORK At1THORIZED THEREBY: NO PERSON WILL BF FMPLOYFD IN VIOLATION OF THC LABOR CODE OF I'fI:STATF OF WASHTNGTON RFLATIN6 TO WORKMCN'S COMPCNSAHON INSURANCE:AND RCW IS 27. I HIS APPI ICAHON IS NOT A FERMI I UNTIL SIGNED BY I HE BUILDING OFFICIAL OR HIS HER Dk'Plf I Y AND ALL FEES ARE.PAID FT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE.GN TIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A( RTIFICATEOFC 'C'U N('YtIASFjFEN6RANTED IBCII0elRCll1). Sa t elating to can rnntwn and consituction nwtcnals in the C l`xd I- ob lad car your sales tax return Curet 'it •J Clh.�( li �t or �� iµrwt Print Name Rcicawd By Nate CONDITIONS Approved as submitted. Additional requirements: Provide a 3" concrete pad with seismic bracing attached to pad, provide electrical disconnect, lines shall be insulated - the use of adhesive tape is not permitted. I HIS PERMIT Ali 1 HOKIZS ONLY 171E WORK NO TED THIS PFRMI I COVERS WORK ro BE IX►NF ON PRIVATE I'KnPVWI Y ONLY ANY C ONSTRCCI ION ON THE P(JBLIC•E)OMAIN(CURBS,SIDEWALKS.DRIVEWAYS,MARQUEES.F:TC i WILL kFQUIFW SEPARATE PL'RMISSR►N PERMIT FEES Daft Description Fee Amount 10/512018 Heat Pump $25 00 101512018 Mechanical Permit Base Fee $25 00 1015l2018 Processing/Technology Fee $25 00 Total Due: S75.90 Total Psymewt: 5()li0 Balance Due: S75.06 CALL FOR INSPECTIONS BUILDING(360)403-1417 When calling for an inspection please base Ike following information: Permit Number.Type of Inspection being requested,and whether you prefer morning or aAernrsna • , �J - ITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:6908 Woodlands Way Permit#:2201 Parcel#:00759500000600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BATES LORETTA L Name:Evergreen Ductless Name:Evergreen Ductless Solutions,LLC Address:6908 WOODLANDS WAY Address:1676 Douglas Street Address: 1676 Douglas Street City,State Zip:ARLINGTON,WA 98223 City,State Zip:Oak Harbor,WA 98277 City,State Zip:Oak Harbor,WA 98277 Phone: Phone:425-948-3064 Phone:425-948-3064 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Evergreen Ductless Solutions,LLC Name: Address: 1676 Douglas Street Address: City,State,Zip:Oak Harbor,WA 98277 City,State,Zip: Phone:425-948-3064 Phone: LIC#:EVERGDS825C3 EXP: 02/23/2020 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: ` 13 STORIES: CONST.TYPE: R3 DWELLING UNITS: I 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 1S 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/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City Aipnu b rled on your sales tax return form and coded City of Arlington#3]O1. 0.C-; .Zol Signature Print Name Date (_�pReleased By Date CONDITIONS Approved as submitted. Additional requirements: Provide a 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 10/5/2018 Heat Pump $25.00 10/5/2018 Mechanical Permit Base Fee $25.00 10/5/2018 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 i Permit Information Date 10/5/2018 Permit Number 2201 Project Name Bates Applicant Name Evergreen Ductless Applicant Address 1676 Douglas Street City,State,Zip Oak Harbor,WA 98277 Contact Jesse Hutson Phone 425-948-3064 Email evergreenductless@outlook.com Permit Type Residential Mechanical Site Address 6908 Woodlands Way Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Install Ductless Heat Pump Assigned To Kristin Foster Property Parcel Address Legal Owner Owner Phone Zoning 00759500000600 16908 WOODLANDS WAY BATES LORETTA L 1 1143 Single Family Residence Condominium Multiple Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Evergreen Ductless Solutions,LLC Oesse Hutson 425-948-3064 .-ver reenductless outlook.com ;ONTRACTOR Fees Fee Description Notes Amount Heat Pumpi 322.10.00.00 $25.00 Mechanical Permit Base Feel 322.10.00.00 $25.00 Processing/Technology Feel 341.43.00.02 $25.00 Total $75.00 Uploaded Files Upload File Date File Uploaded By 10/5/2018 3:29:58 PM 2201 Plans_pdf Foster, Kristin 10/5/2018 3:29:58 PM 2201 Appliration.pdf Foster,Kristin Search L&I Labor Home Espafiol Contact Industries Workplace Rights .•- • v Washington State Department of Labor & Industries EVERGREEN DUCTLESS SOL LLC Owner or tradesperson 1676 DOUGLAS ST HUTSON,JESSE JAMES OAK HARBOR,WA 98277 425-948-3064 Principals ISLAND County HUTSON,JESSE JAMES,PARTNER/MEMBER WA UBI No. Business type 604185 784 Limited Liability Company License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties Heating/Vent/Air-Conditioning and Refrig (HVAC/R) License no. EVERGDS825C3 Effective—expiration 02/23/2018—02/23/2020 Bond Lexon Ins Co $6,000.00 Bond account no. 9820398 Received by L&I Effective date 02/23/2018 02/20/2018 Expiration date Until Canceled Insurance Ohio Security Ins Co $1,000,000.00 Policy no. 58586277BKS1 Q1 Received by L&I Effective date 02/23/2018 02/20/2018 Expiration date 02/20/2019 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. License Violations No license violations during the previous 6 year period. Workers' comp No active workers'comp accounts during the previous 6 year period. 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. \tccss Help us improve �11'ashington'" 10'�" ESIDENTIAL MECHANICAL PE MIT 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:6908 Woodlands Way Project Description:Ductless Heating Installation Owner: Loretta Bates Address: 6908 Woodlands Way City:Arlington StateYVA Zip Code: 98223 Phone: 360-435-4231 Email:na Applicant: Loretta Bates 6908 Woodinds Way Arlington WA Zip 98223 Address: City: State: p Code: Phone: 360-435-423 Email: na CONTRACTOR INFORMATION Contractor Name:Jesse Hutson Address: 1676 Douglas St City: Oak Habor State WA Zip Code: 98277 License Number:EVERGDS825C3 Expiration: 02/2022 Phone:425-948-3064 Email:evergreenductless@outlook.com Received STAFF USE ONLY 0(NJ ®57.C118 Permit#: Accepted by: 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 # AFUE Heat Pump Model #AOUI5RLS3 AFUCNA HSPE13.4 ❑ AC Unit Model #- SEER 25.3 ❑ Freestanding Stove U' Fire Place Insert UI Outdoor BBQ ❑ Gas Piping U Solid-Fuel Appliance Ui 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 -__c�eaae�icracosz _ Applicant Signature: Date: 10/04/2018 Applicant Printed Name: Jesse Hutson 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 g C ti0 r- s13 p,3 n F2 � � C v � -t= t. —T1 C 7uCD LA o o LA v C CD T> N w i NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ ORRECTIONS REQUIRED ❑ DO NOT OCCUPY PPROVED PERMIT#: ) _ L T#: DATE: - JOB ADDRESS: TYPE OF INSPECTION: QjJ ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK:MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. Cl CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 / INSPECTOR DAT Y BUILDING DEPT. 71 PLANNING DEPT. CITY OF ARLINGTON ' N • 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:6908 Woodlands Way Project Description:Ductless Heating Installation Owner: Loretta Bates Address. 6908 Woodlands Way City. Arlington State WA Zip Code: 98223 Phone. 360-435-4231 Email:na Applicant: Loretta Bates Address: 6908 Woodlnds Way City. Arlington State:WA Zip Code: 98223 Phone. 360-435-423 Email. na CONTRACTOR INFORMATION Contractor Name:Jesse Hutson Address: 1676 Douglas St City: Oak Habor State WA Zip Code: 98277 License Number: EVERGDS825C3 Expiration: 02/2022 Phone: 425-948-3064 Email:evergreenductless@outlook.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 # AFUE Heat Pump Model #AOU15RL53 AFUENA HSPE13.4 ❑ AC Unit Model # SEER 25.3 ❑ 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 Lc Applicant Signature: 13be"a92O�db81'b61e6' Date: 10/04/2018 Applicant Printed Name: Jesse Hutson 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 VI 1 1 VI /`\1 \LIIVV I VIV 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE,; (360)403-3551 BUILDING PERMIT AArrow Nor W silikok Way reroat N:zial Parcel k;00759500000600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name HATFS LORETTA 1. Name.Evergreen Duclleti+ Name k%erpern Du,.t"N Svlutnvrn,LL!_ Addre%v:6904 WOOD[ANDS WAY Address'Ih76 Duuglar Street Address: 1676 Douglas Street City,Stale Zip.ARLIN(JON,WA 99221 City,Statc Lip:(hae Ilarh ff,WA 98277 City,State Lip:Oak Harbor,WA 911277 Phone Pb,me:425-948-306rt 425-444-41h4 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Ev.rgncn Diode,Soluttuna,I LC Namc: Addrew Ih1h Douglas Shot Addmm% City.State,Zip Oak Iiarbur,WA 98277 City.Stale,Zip Phone-425-94R-N)64 Plume, LIC N:EVFRGDSA25C'3 E)(P QiZY2020 LICE a: FXP JOB DESCRIPTION PERMIT rYPF Residential Mechanical CODE YEAR: VB sroRiFs CONST TYPE: R3 DWF.LLINGLNITS I OC:CGROUP: N( ELDINCiS (X'('LOAD: PERMIT APPROVAL ;AGREE.TO COMPLY WITH CITY AND STATE CAWS RE(iULArIN(i CONSTRUCTION AND IN DOING rHF WORK AUTHORIZFD THEREBY. NO PERSON Wit L BE FMPLOYFD IN VIOLATION OF THE LABOR('ODE OF'I'HE STATF.OF WASHfNCiTON RFLATfN(i TO WORK%4F.N'S COMPENSAr1pN INSURANC'F.AND KUW 18 27 1 HIS APPI ICAI[ON IS NOT A 11ERMI I UN ill SIGNED BY I HE BUILDING OEEICIAL.OR IIIS-HEK DEPUTY AND ALt_FEES.ARE PAID 11 IS UNLAWFUt_ rp(:SE l (K' lUPY A HUILDIN(i OR STRUCTURE UN ILL A FINAL.INSPECT[ON HAS BEEN MADE AND APPROVAL OK j4# NCY NAS BEFN GRANTED IBC110ARCH0. `1 elaunY to wnvtruoton and curt tucuon mawnals m the City of rltf led Lm y(rur vales tax mum lirnt grJesse Print Name I)1" Relcavad By late CONDITIONS pd. Additional requirements: Provide a 3" concrete pad with seismic bracing attached to pad, provide electrical disconnect, lines shall be insulated - the use of adhesive tape is not permitted. I HIS PERMIT AU I HORILS ONLY ME WORK NO ED THIS PFRMI I COVENS WORK To BE DoNF ON PRIVATE 11XOPt.KI Y ONLY ANY CONSTRUCI ION ON THE MJBLIC DOMAIN(CURBS,SIDEWALKS.DRIVEWAYS.MARQUEL•S,LTC 1 WILL It QUIRE SEPARATE PERMISSION PERMIT FEES Oats Description Fla Amount 101512018 Heat Pump $25 00 1 0/5120 1 8 Mechanical Permit Base Fee $25 00 10I5)2018 Process ing/'Technology Fee $25 00 Total Due: $75.00 Total Payment. w to Balance lane: s71.9.e0 CALL FOR LVSPECTIONS BUILDING 136e)403-3417 Wbes calling for an inapecilon please leave the following information: Permit Number.Type of InvpeclUm being 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:6908 Woodlands Way Permit#:2201 Parcel#:00759500000600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BATES LORETTA L Name:Evergreen Ductless Name:Evergreen Ductless Solutions,LLC Address:6908 WOODLANDS WAY Address:1676 Douglas Street Address: 1676 Douglas Street City,State Zip:ARLINGTON,WA 98223 City,State Zip:Oak Harbor,WA 98277 City,State Zip:Oak Harbor,WA 98277 Phone: Phone:425-948-3064 Phone:425-948-3064 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Evergreen Ductless Solutions,LLC Name: Address: 1676 Douglas Street Address: City,State,Zip:Oak Harbor,WA 98277 City,State,Zip: Phone:425-948-3064 Phone: LIC#:EVERGDS825C3 EXP: 02/23/2020 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: ` 13 STORIES: CONST.TYPE: R3 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. IBC 10/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of li t u b• e rted on your sales tax return form and coded City of Arlington 43101. O•� ZDI Signature Print Name Date Released By Date CONDITIONS Approved as submitted. Additional requirements: Provide a 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 10/5/2018 Heat Pump $25.00 10/5/2018 Mechanical Permit Base Fee $25.00 10/5/2018 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 N L4 15. LL J ^� L.� !� S E3 � � J s.� Permit#: 2201 Permit Date: 10/05/18 Permit Type: RESIDENTIAL MECHANICAL Project Name: Bates Applicant Name: Evergreen Ductless Applicant Address: 1676 Douglas Street Applicant, City, State, Zip: Oak Harbor,WA 98277 Contact: Jesse Hutson Phone: 425-948-3064 Email: evergreenductless@outlook.com Scope of Work: Install Ductless Heat Pump Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 10/16/2018 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 143 Single Family 00759500000600 6908 WOODLANDS WAY BATES LORETTA L Residence Condominium Multiple Contractors Contractor Primary Contact Phone Address Contractor Type License License # Evergreen Ductless CONSTRUCTION Solutions,LLC Jesse Hutson 425-948-3064 1676 Douglas Street CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 11/19/2018 R00.HEAT PUMP/ 11/15/2018 11/15/2018 BUILDING Approved AC UNIT FINAL Fees Fee Description Notes Amount Heat Pump/Heat Exchangers $25.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Total $75.00 Attached Letters Date Letter Description 10/05/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/08/2018 Jesse Hutson 72106867 cc $75.00 Outstanding Balance $0.00 Uploaded Files Date File Name 11/19/2018 4206336-2201 11-15-18Inspection Card.pdf 10/09/2018 4025318-2201 Issued Permit.pdf 10/05/2018 4016835-2201 Application.pdf 10/05/2018 4016836-2201 Plans.pdf