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Home My WebLink About20622 62nd Ave Ne_BLD2823_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:20622 62nd Ave NE Permit#:2823 Parcel#:00875200008500 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:KITZING JOSH A Name:Nordstrom Heating&Air Name:NORDSTROM HEATING&AIR INC Address:20622 62ND AVE NE Address:4717 87th Ave NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223-5770 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:360-386-9819 Phone:425-335-4029 LIC: EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Nordstrom Heating&Air,Inc Name: Address:3930 88th St NE Address: City,State,Zip:Marysville,WA 98270 City,State,Zip: Phone:425-335-4029 Phone: LIC#:NORDSHA884JW EXP: 04/16/2020 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 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 110/IRC l 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must he reported on your sales tax return form and coded City Arh clan N3101 T� �B�yrLDaniel Nordstrom 10/3/201 ge 10/2/2019 Signature Print Name Date cicascd I Date CONDITIONS Adhere to approved appliance. Call for final inspection. 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 10/02/2019 Furnace $25.00 10/02/2019 Mechanical Permit Base Fee $25.00 10/02/2019 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 } RESIDENTIAL MECHANICAL �> PERMIT APPLICATION C��Gt Department of Community& Economic Development City of Arlington • 1:-1204 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:20622 62nd Ave NE Project Description:like in kind furnace replacement Owner: Joshua Kitzing u Address: 20622 62nd Ave NE City:Arlington State'WA Zip Code: 98223 _ Phone: 425-773-1339 _ Email:xrufiox@gmai.com Applicant: Nordstrom Heating & Air Address:4717 87th Ave NE City: Marysville _ State YVA Zip Code: 98270 Phone: 360-386-9819 Email: office@nordstromheating_com CONTRACTOR INFORMATION Contractor Name:Nordstrom Heating & Air Address:4717 87th Ave NE City: Marysville StateW. A Zip Code: 98270 License Number:nordsha884jw _ Expiration: 04-16-2020 Phone:360-386-9819 Email:office@nordstromheating.com STAFF USE N Y Received Permit#: �'J�� L-b�� Accepted b : Date: OCT 0 2 2019 6/16LP Page 1 of 2 Y ®` RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington,WA 98229• Phone(360)403-3551 SELECT ALL PROPOSED APPLIANCES Furnace (80+) Model#S8x1A040M3PSAA AFUE80%De ❑ 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: ❑ 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 Applicant Signature:_ —.------_-.-- -- .-^- Date: _ -- Applicant Printed Name: I hereby certify that the above information is correct and that the construction, installation for the above mentioned prp p6rty 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 American Standard®S8X1A040M3PSAA-3 Ton,1 Stage,80%,40K BTU Furnace, 14.5 in Wide(Up/Down/Horiz/L or R), ECM Motor Item#:S8X1A040M3PSAA MFR:S8X1A040M3PSAA Available DESCRIPTION Upflow/Downflow/Horizontal Gas Furnace,80%AFUE Rated,Silicon Nitride Hot Surface Igniter,High Efficiency Blower Motor,34 X 14.5 X 28.75 SPECIFICATIONS AFUE Rating 80% Connection Size 1/2 in Dimensions 34 in H x 14.5 in W x 28.75 in D Fuse Size 24 Gas Type Natural Gas;LP Gas Ignition Type Silicon Nitride Hot Surface Igniter Input Capacity 40,000 Btu/hr Material Heavy Steel Motor Rating 1/2 HP Motor Type High Efficiency Blower Motor Output Capacity 32,000 Btu/hr Series 58X1 Type Upflow/Downflow/Horizontal Gas Furnace Voltage Rating 115 VAC Warranty 20 Year(Heat Exchanger);10 Year(Internal Functional Parts) FEATURES Features and Benefits 80%AFUE 34 INCH TALL Lighter,easier to move and fit into tight spaces like tight closets 4-WAY MULTI-POISE Upflow/Downflow/Horizontal Left/Horizontal Right INTEGRATED FURNACE CONTROL Setup/Status/Diagnostics/Digital Display No dip switches Last six errors stored TUBULAR ALUMINIZED STEEL HEAT EXCHANGER III �1 I .� I Home Espafiol ContactSNr+rch L&ISEARCUR a bor i Industries Workplace Rights c Trades&Licensing c Washington State Department of " Labor & Industries NORDSTROM HEATING &AIR INC Owner or tradesperson 4717 87TH AVE NE Principals MARYSVILLE,WA 98270 NORDSTROM,DANIEL JASON,PRESIDENT 425-335-4029 SNOHOMISH County AHLERS&CRESSMAN PLLC,AGENT Doing business as NORDSTROM HEATING&AIR INC WA UBI No. Business type 602 279 145 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—04/16/2020 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 03/29/2019 05/07/2019 Expiration date 05/07/2020 Insurance history Sa.....vin. . ....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. Help us improve �� 1 III License Violations ' No license violations during the previous 6 yk )eriod. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Not allowed to have apprentices. 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 2 of Year 2019"4 to 6 Workers" L&I account contact T3/NATHAN KOZAK(360)026-6243-Email:KOZN235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Needs to complete training. 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 AL11'ashinptonl HGIP US improve L. III •1 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ❑ APPROVED PERMIT#: AM M DATE: 4 Zo JOB ADDRESS: tD�M 2l 2 ti� LOT#: PROJECT: TYPE OF INSPECTION: vw - ma OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ 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 ❑ CALL FOR REINSPECTION No 7f " 7 - 3Vcl THEACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE Cl PLANNING Cl CIVIL 0 BUILDING CITY OF ARLINGTON NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ❑ APPROVED PERMIT#: Z�2� AMk-M_ I DATE: JOB ADDRESS: LC4 ZZ- rJ G w e Ivy LOT#: PROJECT: TYPE OF INSPECTION: r'A ro - v o c� OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ 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 ❑ CALL FOR REINSPECTION THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE tit ti v� .�. Cl PLANNING Cl CIVIL O BUILDING CITY OF ARLINGTON CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20622 62nd Ave NE Permit#:2823 Parcel#:00875200008500 Valuation:.00 OWNERS APPLICANT i CONTRACTOR Name:KITZING JOSH A Name:Nordstrom Heating&Air Name:NORDSTROM HEATING&AIR INC Address:20622 62ND AVE NE Address:4717 87th Ave NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223-5770 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:360-386-9819 Phone:425-335-4029 LIC: EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTOIJ Name:Nordstrom Heating&Air,Inc Name: Address:3930 88th St NE Address: City,State,Zip:Marysville,WA 98270 City,State,Zip: Phone:425-335-4029 Phone: LIC#:NORDSHA884JW EXP: 04/16/2020 LIC#: EXP: JOB DESCRIPTION g PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 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. 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. rLrL ,� 10/2/2019 Signature Print Name Date eleased Date JW CONDITIONS ' — Adhere to approved appliance. Call for final inspection. 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 10/02/2019 Furnace $25.00 10/02/2019 Mechanical Permit Base Fee $25.00 10/02/2019 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20622 62nd Ave NE Permit#:2823 Parcel#:00875200008500 Valuation:.00 OWNED APPLICANT i CONTRACTOR Name:KITZING JOSH A Name:Nordstrom Heating&Air Name:NORDSTROM HEATING&AIR INC Address:20622 62ND AVE NE Address:4717 87th Ave NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223-5770 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:360-386-9819 Phone:425-335-4029 LIC: EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTOIJ Name:Nordstrom Heating&Air,Inc Name: Address:3930 88th St NE Address: City,State,Zip:Marysville,WA 98270 City,State,Zip: Phone:425-335-4029 Phone: LIC#:NORDSHA884JW EXP: 04/16/2020 LIC#: EXP: JOB DESCRIPTION g PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 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. 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 Arli gton#3101. T� A/64� �.et-� 10/3/201 10/2/2019 Signature JL Print Name Date eleased Date - = CONDITIONS — j Adhere to approved appliance. Call for final inspection. 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 10/02/2019 Furnace $25.00 10/02/2019 Mechanical Permit Base Fee $25.00 10/02/2019 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 Permit#: 2823 Permit Date: 10/02/19 Permit Type: RESIDENTIAL MECHANICAL Project Name: Kitzing Applicant Name: Nordstrom Heating &Air Applicant Address: 4717 87th Ave NE Applicant, City, State, Zip: Marysville,WA 98270 Contact: Phone: 360-386-9819 Email: office@nordstromheating.com Scope of Work: Like in kind furnace replacement Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00875200008500 20622 62ND AVE NE KITZING JOSH A 111 Single Family 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 Fees Fee Description Notes Amount Forced Air Heat fee per Btu $25.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Credit Card Service $2.25 Total $77.25 Attached Letters Date Letter Description 10/02/2019 Building Permit 10/02/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/02/2019 Daniel Nordstrom 77337817 $75.00 10/02/2019 77337817 CC Surcharge Raelynn Jones $2.25 Outstanding Balance $0.00 Uploaded Files Date File Name 10/04/2021 9820539-2823 IC 1.24.2020.pdf 10/03/2019 5705345-2823 Permit for signature KITZING FINAL.pdf 10/02/2019 5700319-Kitzin9,pdf RESIDENTIAL MECHANICAL y PERMIT APPLICATION Department of Community&Economic Development City of Arlington ! 18204 59th Ave NE• Arlington,WA 9822 • 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 20622 62nd Ave NE Project Description:like in kind furnace replacement Owner: joshua Kitzing Address: 20622 62nd Ave NE City:Arlington State:WA Zip Code: 98223 Phone: 425-773-1339 Email:xrufiox@gmai.com Applicant Nordstrom Heating & Air Address:4717 87th Ave NE City: Marysville State WA Zip Code: 98270 .Phone: 360-386-9819 „x Email. office@nordstromheating.com CONTRACTOR INFORMATION Contractor Neme:Nordstrom Heating & Air 4717 87th Ave NE Marysville Address: City: StatelNA Zip Code: 98270 License Number:nordsha884jw Expiration: 04-16-2020 Phone:360-386-9819 Email:office@nordstromheating.com STAFF USE ONLY Permit #: Accepted by: _ Date. 6/16LP Page 1 of 2 4 RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE• Arlington,WA 923• Phone(360)403-3551 SELECT ALL PROPOSED APPLIANCES Furnace (80+) Model#S8x1A040M3PSAA AFUE80%De Neat Pump Modal# AFUE HSPE AC unit Model # SEER Freestanding Stave Fire Place insert Outdoor BBQ 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 shutoff valve is required within 6 feet of all appliances Applicant Signature: _-- _ [date:, ` Applicant Printed Name -_ _ yg 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