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Home My WebLink About20701 Lois Ln_BLD2783_2026 I Q NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY rAPPROVED PERMIT#: I LOT#: DATE: JOB ADDRESS: 2 of c- I ('I`,ADDRESS: `, L\. TYPE OF INSPECTION: �,,, i,i ❑ 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. ❑ CONTACT INSPECTOR 360-403-3551 Cl CALL FOR REINSPECTION I fit-,, ' i `��( - �!✓V� �� THEACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE BUILDING DEPT. M PLANNING DEPT. CITY OF ARLINGTON n- t CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:20701 Lois Lane Permit N.-2783 Parcel tl:00975500002100 Valuation:,00 OWNER APPLICANT CONTRACTOR Nume:MANS W AND JULIA K KAUFMAN Namc:Cozy Heating,Inc Name:COZY HEATING Address;20701 LOIS LN Address:20221 67Ih Avenue NE Address:20221 67th Avenue NE City,State Zip:ARLINGTON,WA 98223-5092 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:360-435.4904 Phow 360-435-4904 LIC:COZYIII"122MM EXP: 1 2/22120 1 9 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:COZY HEATING Name: Address:20221 67th Avenue NE Address: City,State,'Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:360-435-4904 Phone: LIC N:COZYHI"1221AM FXP: 12 222019 LIC 4: EXII: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES_ l CONST.TYPE: VB DWELLING UNITS: 1 OCCGROUP: R3 BUILDINGS: l OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE'WORK AUTIIORIZF.D THEREBY; NO PERSON WILL HE EMPLOYED IN VIOLATION OF 1 HE LABOR CODE,OF THE STATE.OF WASHINGrON RELATING TO WORKMEN'S COMPF,NSATION INSURANCE.AND RCW 18.27. 'THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR Ills/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 CL-'RTIF'ICATF.OF OCCUPANCY HAS BEEN GRANTED. I8C110/IRCI10. SALF;S TAX NO't'LQ Sales tax relating to construction and construction materials in the City of Arlington must I reported Your sales lax return f and coded City of Arlinglon#3101. Signature Print Name Dote Released ny onte CONDITIONS Approved as submitted. Gas piping shall be on test for inspection. Final inspection required. THIS PERMIT AUTIIORIZrS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE,PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEFS,FT(:,)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 09118/2019 Gas Outle(s Base Fee 1 to 5 $10.00 09/18/2019 Mechanical Permit Base Fee $25.00 09/18/2019 Process ing/Technoiogy Fee $25.00 Total Due: $60.00 Total Payment: 50.(R) Balance Due: $60.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection pleaw leave the following Information: Permit Numhcr.Type of Inspection heing reyuesn-d,and%whether you prefer morning or al'Icrnoon i CITY OF ARLINGTON �\ 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20701 Lois Lane Permit#:2783 Parcel#:00875500002100 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:HANS W AND JULIA K KAUFMAN Name:Cozy Heating,Inc Name:COZY HEATING Address:20701 LOIS LN Address:20221 67th Avenue NE Address:20221 67th Avenue NE City,State Zip:ARLINGTON,WA 98223-5092 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:360-435-4904 Phone:360-435-4904 LIC:COZYHI*122MM EXP: 12/22/2019 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:COZY HEATING Name: Address:20221 67th Avenue NE Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:360-435-4904 Phone: LIC#:COZYHI*122MM EXP: 12/22/2019 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES: 1 CONST.TYPE: VB DWELLING UNITS: 1 OCC GROUP: R3 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. IBC1l0/IRC1l0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must a reported your sales tax return f rm and coded City of Arlington#3101. x re r Signature Print Name Date Released By Date CONDITIONS Approved as submitted. Gas piping shall be on test for inspection. Final inspection required. THIS PERMIT AUTHORIZES 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 09/18/2019 Gas Outlets Base Fee 1 to 5 $10.00 09/18/2019 Mechanical Permit Base Fee $25.00 09/18/2019 Processing/Technology Fee $25.00 Total Due: $60.00 Total Payment: $0.00 Balance Due: $60.00 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 �^ rh Permit#: 2783 Permit Date: 09/12/19 Project Name: Kaufman Site Address: 20701 Lois Lane Applicant Name: Cozy Heating, Inc Applicant Address: 20221 67th Avenue NE City, State, Zip: Arlington, WA 98223 Contact: Steven Maisch Phone: 360-435-4904 Email: info@cozyheatinginc.com Permit Type: Commercial Mechanical Valuation: 0.00 Status: Applied Permit Issued: Permit Expires: Square Feet: 0 Type of Construction/Occupancy Type: Number of Stories: 0 Proposed Use: Gas piping for range/stove MIC/Opportunity Zone: Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning HANS W AND l I I Single Family 00875500002100 20701 LOIS LN JULIA K Residence- KAUFMAN Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# COZY HEATING Vince Willett 360-435-4904 20221 67th MECHANICAL Labor&Industries COZYHI*I22MM Avenue NE CONTRACTOR Fees Fee Description Notes Amount Gas Outlets Base Fee I to 5 322.10.00.00 $10.00 Mechanical Permit Base Fee 322.10.00.00 $25.00 Processing/Technology Fee 341.43.00.02 $25.00 x �> I I 1 1 I Total $60.00 Uploaded Files Date File Name 09/18/2019 5622940-2783_Mechanical Application.pdf 09/18/2019 5622939-2783 Gas Piping Aptzlication.pdf 1 RESIDENTIAL MECHANICAL PERMIT APPLICATION 1Y1s 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:20701 Lois Lane Arlington, Wa 98223 Project Description:Adding Gas Piping For Gas Range/Stove Owner: Julia Kaufman Address: 20701 Lois Lane City: Arlington State'.Wa Zip Code: 98223 Phone: 317-517-9240 Email:juliakaykaufman@gmaii.com Applicant: Cozy Heating, Inc. Address: 20221 67th Ave NE City: Arlington StateWa Zip Code: 98223 Phone: 360-435-4904 Email: info@cozyheatinginc.com CONTRACTOR INFORMATION Contractor Name:Cozy Heating, Inc. Address:20221 67th Ave NE City: Arlington StateWa Zip Code: 98223 License Number:COZYHI*122MM Expiration: 6/30/2020 Phone:360-435-4904 Email:info@cozyheatinginc.com STAFF USE ONL Received Permit #: Ivy Accepted by: Date: _SER-1--- :-,20-19 - 6/16LP Page 1 of 2 ��. RESIDENTIAL MECHANICAL PERMIT APPLICATION y�lJ�ty�O 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 # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert Cl! Outdoor BBQ Gas Piping I_lj Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: [ Pipe Material: Black Iron Pipe Pipe Size: 1" Distance from Meter to Furthest Appliance: 50 Ft. Total BTU's of all Appliances.-200,000 • 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: 09I11/2019 Applicant Printed Name: Steven Maisch 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 MECHANICAL • PRESSURE PIPING INFORMATION -IN(;� 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: cx sjzA Pressure Drop: a 11�11 Inlet Pressure: Aa6 z Specific Gravity: Pressure Piping Schematic Show Pipe Size(s)and Length(s)from meter to all appliances. ❑ Scale or 0 Not to Scale G� 1 � NOTE: Any interior pressure regulators must be indicated NOTE: Drip legs/sediment traps are required at al/appliances unless integrated in the listed appliance 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 in accordance with the laws,rules and regulation of the State of Washington. M5 TPAe'apts Signature Date 5jW.& A014YAO Pnnl Applicants Name 6/16LP Page 1 of 1 I qi, Cozy Heating Inc. Homeowner did not provide any documentation regarding the appliance they are installing. Steven Maisch (425)923-4517 Received SEP. t 12019 v� ,oz O N lL rf1 N t N d z N N Y 0 N W Received SEP 17 2019 Y '.5 i� I Home Espafiol ContactSearch L&ISEARCH Index•bo i Safety&Health o Claims&Insurance Workplace • Trades&Licensing Washington State Department of " Labor & Industries COZY HEATING INC Owner or tradesperson 20221 67TH AVE NE Principals ARLINGTON,WA 98223 WILLETT,VINCE LEE,PRESIDENT 360-435-4904 SNOHOMISH County WILLETT,CARINA ANN,VICE PRESIDENT WILLETT,CAROL A,SECRETARY (End: 12/18/2013) DOWREY,ROBIN B,TREASURER (End: 12/18/2013) Doing business as COZY HEATING INC WA UBI No. Business type 601 088 561 Corporation Governing persons VINCENT LEE WILLETT CARINAANN WILLETT, Certifications& Endorsements 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. COZYHI.122MM Effective—expiration 07/14/1988-1212212019 Bond TRAVELERS CAS&SURETY CO $12,000.00 Bond account no. 206085693 Received by L&I Effective date 12/18/2001 12/22/2001 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9290637 Received by L&I Effective date Help us Improve �• � r 1 03/08/2019 04/15/2017 Expiration date 04/15/2020 Insurance history Savin. .gs ............._. .. 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 Public Works Requirements Workplace safety and health a a.. a,�eu ��fI110�j1 Help us Impriave :4 z Ca O c �I 04 z x H o A c� Q U a w a .. F z �: O F Q x ❑ CZ >� � z LM � A ❑ a: a ZZ O E-, zv Z z � AcFnOwG F" Oaw. � mp Q EMOW 1 F � � XoG W E. Z F FO _. Gz cjw � U a Z F a U ` , OFF zaz z .a Qa w z p� U U cn z p p p cn w 0. 0 uj Hw Oa z O w w 0-4aF � p c> > z Zw z Ca Q _ o c� F. A w W0. x E. a Ca z Ow0 O rxa � � Z Q c; Q z a. A owc ca y z � Uo, �., l ¢ 3 � z Y � 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: Pressure Drop: Inlet Pressure: nG[ � )� Specific Gravity: Pressure Piping Schematic Show Pipe Size(s) and Length(s)from meter to all appliances. ❑ Scale or 0 Not to Scale G� I NOTE: Any interior pressure regulators must be indicated NOTE: Drip legs/sediment traps are required at all appliances unless integrated in the listed appliance 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 in accordance with the laws, rules and regulation of the State of Washington. Ap ictpds Signature Date Print Applicants Name 6116LP Page 1 of 1 pp c� w L q N Oi LL i tt 1 N X O LL =' 317L x v ,Ot .LE CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE. (360) 403-3551 BUILDING PERMIT Address:20701 Lois Lane Permit#•2783 Parcel#:00875500002100 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:HANS W AND JULIA K KAUFMAN Name:Cory Heating.Inc Name:COZY HEATING Address:20701 LOIS LN Address:20221 67th Avenue NE Address:20221 67th Avenue NF. City,State Zip:ARLINGTON.WA 98223-5092 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 982r3 Phone: Phone:3604354904 Phone:3604354904 LIC:COZYIII"122MM EXP: 12/22/2019 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:COZY HEATING Name: Address:20221 67th Avenue NE Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:360-435-4904 Phone: LIC#:COZYHI"122MM EXP: 12/22/2019 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES: 1 CONST.TYPE: VB DWELLING UNITS: 1 OCC GROUP: R3 BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTIIORIZED 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. IBCI I0/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must�cr7eported your sales tax return t. nn and ended City of Arlington#3101. 'f.lriV JSr N Q Signature Print Name Date Released By Date CONDITIONS Approved as submitted. Gas piping shall be on test for inspection. Final inspection required. THIS PERMIT AUTHORIZES 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,FTC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 09/18/2019 Gas Outlets Base Fee 1 to 5 $10.00 09/18/2019 Mechanical Permit Base Fee $25.00 09!18/2019 Processing/Technology Fee $25.00 Total Due: $60.00 Total Payment: j11_10 Balance Due: $60.00 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 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:20701 Lois Lane Arlington, Wa 98223 Project Description:Adding Gas Piping For Gas Range/Stove Owner: Julia Kaufman Address. 20701 Lois Lane City. Arlington State.Wa Zip Code: 98223 Phone: 317-517-9240 Email:Juliakaykaufman@gmail.com Applicant: Cozy Heating, Inc. Address: 20221 67th Ave NE City. Arlington State.Wa Zip Code: 98223 Phone. 360-435-4904 Email. info@cozyheatinginc.com CONTRACTOR INFORMATION Contractor Name:Cozy Heating, Inc. Address: 20221 67th Ave NE City: Arlington State.Wa Zip Code: 98223 License Number:COZYHI*122MM Expiration. 6/30/2020 Phone: 360-435-4904 Email:info@cozyheatinginc.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 # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ C� Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: ❑ Pipe Material: Black Iron Pipe Pipe Size: 1,, Distance from Meter to Furthest Appliance: 50 Ft. Total BTU's of all Appliances:200,000 • 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 L155erz �uacli� Applicant Signature: d5a513be"a92O�db81'b61e6' Date: 09/11/2019 Applicant Printed Name: Steven Maisch 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 qP 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20701 Lois Lane Permit#:2783 Parcel#:00875500002100 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:HANS W AND JULIA K KAUFMAN Name:Cozy Heating,Inc Name:COZY HEATING Address:20701 LOIS LN Address:20221 67th Avenue NE Address:20221 67th Avenue NE City,State Zip:ARLINGTON,WA 98223-5092 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:360-435-4904 Phone:360-435-4904 LIC:COZYHI*122MM EXP: 12/22/2019 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:COZY HEATING Name: Address:20221 67th Avenue NE Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:360-435-4904 Phone: LIC#:COZYHI*122MM EXP: 12/22/2019 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES: I CONST.TYPE: VB DWELLING UNITS: 1 OCC GROUP: R3 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. IBCI l0/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must a reported your sales tax return f rm and coded City of Arlington#3101. n tJ Signature Print Name Date Released By Date CONDITIONS Approved as submitted. Gas piping shall be on test for inspection. Final inspection required. THIS PERMIT AUTHORIZES 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 09/18/2019 Gas Outlets Base Fee 1 to 5 $10.00 09/18/2019 Mechanical Permit Base Fee $25.00 09/18/2019 Processing/Technology Fee $25.00 Total Due: $60.00 Total Payment: $0.00 Balance Due: $60.00 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#: 2783 Permit Date: 09/12/19 Permit Type: COMMERCIAL MECHANICAL Project Name: Kaufman Applicant Name: Cozy Heating, Inc Applicant Address: 20221 67th Avenue NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Steven Maisch Phone: 360-435-4904 Email: info@cozyheatinginc.com Scope of Work: Gas piping for range/stove Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 09/19/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning HANS W AND 00875500002100 20701 LOIS LN JULIA K Residence Single Family -Detached KAUFMAN Contractors Contractor Primary Contact Phone Address Contractor Type License License# COZY HEATING Vince Willett 360-435-4904 20221 67TH AVE CONSTRUCTIONNE CONTRACTOR City of Arlington 601 088 561 COZY HEATING Vince Willett 360-435-4904 20221 67TH AVE CONSTRUCTION LABOR&COZYHI*122MM NE CONTRACTOR INDUSTRIES Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 09/23/2019 R09.GAS PIPING 11 AM 09/24/2019 BUILDING Completed ROUGH-IN Fees Fee Description Notes Amount Gas Piping/Units Enter#of units $10.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Credit Card Service $1.80 Total $61.80 Attached Letters Date Letter Description 09/18/2019 Building Permit 09/12/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 09/18/2019 Vince Willett 77102135 $60.00 09/18/2019 77102135 CC Surcharge RaelynnJones $1.80 Outstanding Balance $0.00 Uploaded Files Date File Name 01/06/2020 6056710-2783 9-24-19IC.pdf 09/18/2019 5622939-2783 Gas Piping Apnlication.pdf 09/18/2019 5622940-2783 Mechanical Application.pdf