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Home My WebLink About17719 Hillside t_BLD2879_2026 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ❑ APPROVED PERMIT#: )S-1- 1 AM PM DATE: �2 Z JOB ADDRESS: S)6t, LOT#: PROJECT: 1 TYPE OF INSPEC ON: Yvlkr_e Vlci OTHER. /V ❑ NO PERMIT-STOP WORK-OBTAIN PERMI ❑ CONSTRUCTION IS NOT IN ACCORDANCE WIT i PPROVED PLAN AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. Cl 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 ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. OR INSPECTION CALL: 360-403-3417 INSPECTOR o�ATE Cl PLANNING Cl CIVIL 0 BUILDING CITY OF ARLINGTON _c . i I � �;, i � .1 �' � _ - - CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:17719 Hillside Court Permit#:2879 Parcel#:008 70600003 100 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:ESTRELLA ALAN L Name:[Company Name] Name:NORDSTROM HEATING&AIR INC Address: 17719 HILLSIDE CIR Address:[Company Address] Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 ' Phone: Phone:360-386-9819 Phone:425-335-4029 LIC:NORDSHA884JW EXP:04/16/2020 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: 04/16/2020 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: I CONST.TYPE: VB DWELLING UNITS: I 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 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 INSPECEION 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 o Ar*Intbe •pu on y or sales tax return form an odcd City of Arlington#3101. Cheryl McClellan p. 701,1 Signature Print Name Date Released by Date CONDITIONS ADHERE TO APPROVED APPLIANCE. APPLIANCE MUST MEET 80%AFUE OR HIGHER. 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 10/31/2019 Furnace $25.00 10/31/2019 Mechanical Permit Base Fee $25.00 10/31/2019 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 i 4 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 4D PHONE; (360)403-3551 BUILDING PERMIT Address:17719 Hillside Court Permit#:2879 Parcel#:00870600003100 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:ESTRELLA ALAN L Name:[Company Name] Name:NORDSTROM HEATING&AIR INC Address: 17719 HILLSIDE CIR Address:[Company Address] Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:360-386-9819 Phone:425-335-4029 LIC:NORDSHA884JW EXP:04/16/2020 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: 04/16/2020 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential 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 INSPE 10N HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI10/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City o Attit in t be po on y ur sales tax return form and coded City of Arlington#3101. 10,17 7 0f l Signature Print Name Date Released By Date CONDITIONS ADHERE TO APPROVED APPLIANCE. APPLIANCE MUST MEET 80% AFUE OR HIGHER. 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 10/31/2019 Furnace $25.00 10/31/2019 Mechanical Permit Base Fee $25.00 10/31/2019 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#: 2879 Permit Date: 10/31/19 Project Name: Ross Site Address: 17719 Hillside Court Company/Applicant Name: Nordstrom Heating&Air Company/Applicant Address: 4717 87th Avenue NE City, State,Zip: Marysville, WA 98270 Contact: Debbie Elgin Phone: 360-386-9819 Email: office@nordstromheating.com Permit Type: Residential Mechanical Valuation: 0.00 Square Feet: 1544 Number of Stories: 1 Type of Construction: VB Occupancy Type: R-3 Proposed Use: Replace gas furnace like-for-like MIC/Opportunity Zone: Permit Issued: Permit Expires: DNU: Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning ESTRELLA ALAN 111 Single Family 00870600003100 17719 HILLSIDE CRT L Residence- Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# NORDSTROM 425-335-4029 3930 88th Street CONTRACTOR Labor& NORDSHA884JW HEATING&AIR INC NE Industries Fees Fee Description Notes Amount Furnace 322.10.00.00 $25.00 Mechanical Permit Base Fee 322.10.00.00 $25.00 r, Processing/Technology Fee 341.43.00.02 $25.00 Total $75.00 Payments Date Paid By Description Payment Type Accepted By Amount 10/31/2019 Daniel Nordstrom 77709719 $75.00 Outstanding Balance $0.00 Notes Date Note Created By: 10/31/2019 Model#11801 SA050314MSA AFUE 80%per application. Kristin Foster 10/31/2019 Contractor to pay for City of Arlington business license prior to issuance. Kristin Foster Uploaded Files Date File Name 10/31/2019 5830145-2879 EajLjpment Cut Sheet.pd 10/31/2019 5830144-2879 Application.pddf I I I A. RESIDENTIAL MECHANICAL X PERMIT APPLICATION � o 11N 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:17719 Hillside Ct Project Description:like in kind furnace replacement Owner: Evelyn Ross Address: 17719 Hillside Ct City:Arlington Stated Zip Code: 98223 Phone: 425-334-9817 Email:office@nordstromheating.com Applicant: Nordstrom Heating & Air Address:4717 87th Ave NE City: Marysville State WA Zip Code: 98270 Phone: 360-386-9819 Email: ofFce@nordstromheating.com CONTRACTOR INFORMATION Contractor Name:Nordstrom Heating & Air Address:4717 87th Ave NE City: Marysville State WA Zip Code: 98270 License Number:nordsha884jw Expiration: 04-16-2020 Phone:360-386-9819 Email:office@nordstromheating.com STAFF USE ON Y Received Permit #: 7/ Accepted by: Date: OCT 3 0 2019 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL • , m 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 #R801SA050314MSA AFUE80% O Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBO ❑ Gas Piping ❑ Solid-Fuel Appliance f�l 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 a�E�ie�L,gc� Applicant Signature: .. .... ....... ...� Date: 10/30/2019 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 jiill�_,X NORDSTROM A VEGISTERE,0 4 HEATING Google & AIR INC. NR o* BBB NTRAC� 3930 88th St NE I Marysville 1 WA 198270 Name Proposal# Date Zone Delta Property Management R410302019061123-1 10/30/2019 Zone 1 Site Address System Investment 17719 Hillside Ct Arlington, WA 98223 Term: 180 Rate: 4.25% Est Payment: $20.50 Ph: (360) 659-7032 Investment Type: PSCCU Billing Address Finance 17719 Hillside Ct Arlington, WA 98223 Base System $2495.32 Ph: Optional Items Total $0.00 Consultant Brad Quatsoe Sales Tax 9.2% $229.57 Email System Total $2724.89 brad@nordstromheating.com Initial Investment $0 Cell Phone Balance $2724.89 Ph: (425) 530-7468 Net Investment After Credits & Rebate $2724.89 'J Optional Model No:- SURGE PROTECTOR EMI UNIT SURGE PROTECTOR $1.96 $260.55 RHEEM FURNACE Pro 6000 By signing this agreement I acknowledge that I have read and understand each page, including the terms and conditions. Representative: Date: 425-335-4029 www.nordstromheating.com AIIIIIIIIIIIII NORDSTROM 0.EGISTERpa HEATING ,d Ab- -��'`" & AIR INC. ao MRA00* BBB 3930 88th St NE I Marysville I WA 196270 Name Proposal# Date Zone Delta Property Management R410302019061123-1 10/30/2019 Zone 1 Qty Model Number Description 1 R801SA050314MSA 50000 BTU 80% PSC MOTOR UPFLOW/HORIZONTAL GAS FURNACE 1 TH621OU2001 T6 PRO 2 HEAT/ 1 COOL HEAT PUMP 1 HEAT/ 1 COOL CONVENTIONAL 1 ADD-MAT-200 ADDITIONAL MATERIALS 1 VENTCONN-C VENT CONNECTOR SINGLE WALL TO B-VENT 1 TRANSITION DUCTWORK TRANSITION 1 Low Volt Low Voltage Permit 1 Mech Permit City and-or County Mechanical Permit 1 FURN-1 REMOVE/REPLACE FURNACE LEVEL 1 By signing this agreement I acknowledge that I have read and understand each page, including the terms and conditions. Representative: Date: 425-335-4029 . . NORDSTROM 0.EGISTER Amo HEATING ti '�V & AIR INC. e- `'O c�A0% BBB 3930 88th St NE I Marysville I WA 198270 Name Proposal# Date Zone Delta Property Management R410302019061123-1 10/30/2019 Zone 1 • Remove and dispose used equipment • Complete system start up • Clean up work area before leaving worksite • Next years Tune up on installed equipment-Included • 1 year labor warranty • Anything not specifically listed in proposal • Ductwork upgrades • Asbestos removal not included. • Sheetrock Repair • Carpentry Work • Electrical Upgrades Installation Instructions By signing this agreement I acknowledge that I have read and understand each page, including the terms and conditions. Representative: Date: 425-335-4029 www.nordstromtieating.com 0071-, NORDSTROM 0.EGISTERpQ HEATING & AIR INC. o,AN NTRAG1o* BBB 3930 88th St NE I Marysville I WA 198270 Name Proposal# Date Delta Property Management R410302019061123-1 10/30/2019 Site Address 17719 Hillside MasterCard and Visa gladly accepted for an additional 2 percent of total Ct,Arlington,WA,98223 9 Y p Ph: (360) 659-7032 50 percent upon acceptance and balance due on day of completion Billing Address If not included in proposal WA sales tax to be added 17719 Hillside Ct,Arlington,WA,98223 Ph: Consultant Brad Quatsoe Email brad@nordstromheating.com Cell Phone Ph: (425) 530-7468 �» NORDSTROM N€AT1NG & AIR INC. YOUR HOME YOUR CONSULTANT We hereby propose to furnish material and labor in complete accordance with the above specifications for the sum of Two Thousand Seven Hundred Twenty Four Dollars and Eighty $2,724.89 Nine Cents (Total extended Price with Tax after Discount) By signing this agreement I acknowledge that I have read and understand each page, including the terms and conditions. Representative: Date: 425-335-4029 www.nordstromheating.com Soart:h t_&IIMP A-Z Index Help My L&I • i Industries Safety&Health 2, Claims&Insurance Lt Workplace Rights 3 Trades&Licensing 9 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 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 Help us Improve �_ —� 1, a. I No L&I tax debts are recorded for this contract® license during the previous 6 year period,but some d—1 j may be recorded by other agencies. ) License Violations No license violations during the previous 6 year period. 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)902-6243-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 Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. W ti�:�shinyflon" l 1 r� I 1 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ❑ APPROVED PERMIT#: n-i" l I AMf PM .DATE: �Z Z JOB ADDRESS: 1-1 1 S 11 f— LOT#: PROJECT:_961 TYPE OF INSPEC ON: CIA& Y��cCGe y�G� OTHER: m ❑ NO PERMIT-STOP WORK-OBTAIN PERMlfff/_.lr(_ ❑ CONSTRUCTION IS NOT IN ACCORDANCE WIT P PROVE D PLAN 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 BYLAWMAYAPPLY. OR INSPECTION CALL: 360-403-3417 INSPECTOR DATJ' Cl PLANNING Cl CIVIL Cl BUILDING CITY OF ARLINGTON • 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: 17719 Hillside Ct Project Description-like in kind furnace replacement Owner: Evelyn Ross Address. 17719 Hillside Ct City. Arlington State.Wa Zip Code: 98223 Phone: 425-334-9817 Email:office@nordstromheating.com Applicant: Nordstrom Heating & Air Address: 4717 87th Ave NE City: Marysville State WA 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 State WA 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 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 #R801SA050314MSA AFUE80% ❑ 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: di513be"a92O�db81' ` Date: 10/30/2019 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 4WnPk NORDSTROM �EGlSTE,?f0 y HEATING �,d PrE - • & AIR INC. BBB. ooai oo cGH1RA0G* 3930 88th St NE I Marysville I WA 198270 Name Proposal# Date Zone Delta Property Management R410302019061123-1 10/30/2019 Zone 1 Site Address System Investment 17719 Hillside Ct Arlington, WA 98223 Term: 180 Rate: 4.25% Est Payment: $20.50 Ph: (360) 659-7032 Investment Type: PSCCU Billing Address Finance 17719 Hillside Ct Arlington, WA 98223 Base System $2495.32 Ph: Optional Items Total $0.00 Consultant Brad Quatsoe Sales Tax 9.2% $229.57 Email System Total $2724.89 brad@nordstromheating.com Initial Investment $0 Cell Phone Ph: (425) 530-7468 Balance $2724.89 Net Investment After Credits & Rebate $2724.89 A Optional — Model No:- SURGE PROTECTOR EMI • UNIT SURGE PROTECTOR $1.96 let— _ $260.55 RHEEM FURNACE &M r... 12 12` wi�6 maw Pro 6000 By signing this agreement I acknowledge that I have read and understand each page, including the terms and conditions. Representative: Date: 425-335-4029 . . w♦ NORDSTROM t GISTERpO tiHEATING Smm Preferred••• - 1 & AIR INC. T BBB ooa//Oi oo OONTWI'o 3930 88th St NE I Marysville I WA 198270 Name Proposal# Date Zone Delta Property Management R410302019061123-1 10/30/2019 Zone 1 Components in Base System Investment Qty Model Number Description 1 R801SA050314MSA 50000 BTU 80% PSC MOTOR UPFLOW/HORIZONTAL GAS FURNACE 1 TH621OU2001 T6 PRO 2 HEAT/ 1 COOL HEAT PUMP 1 HEAT/ 1 COOL CONVENTIONAL 1 ADD-MAT-200 ADDITIONAL MATERIALS 1 VENTCONN-C VENT CONNECTOR SINGLE WALL TO B-VENT 1 TRANSITION DUCTWORK TRANSITION 1 Low Volt Low Voltage Permit 1 Mech Permit City and-or County Mechanical Permit 1 FURN-1 REMOVE/REPLACE FURNACE LEVEL 1 By signing this agreement I acknowledge that I have read and understand each page, including the terms and conditions. Representative: Date: 425-335-4029 www.nordstromheating.com w♦ NORDSTROM t GISTERp0 tiHEATING Smm Preferred••• - �r & AIR INC. T BBB ooa//Oi oo OONTWI'o 3930 88th St NE I Marysville I WA 198270 Name Proposal# Date Zone Delta Property Management R410302019061123-1 10/30/2019 Zone 1 ROURN,"I • Remove and dispose used equipment • Complete system start up • Clean up work area before leaving worksite • Next years Tune up on installed equipment -Included • 1 year labor warranty DRUM M, • Anything not specifically listed in proposal • Ductwork upgrades • Asbestos removal not included. • Sheetrock Repair • Carpentry Work • Electrical Upgrades Installation Instructions By signing this agreement I acknowledge that I have read and understand each page, including the terms and conditions. Representative: Date: 425-335-4029 . . 6A NORDSTROM �gGISTE% 11Py HEATING s �' ••• -Preferred04 & AIR INC. T'� BBB ooa i oo- cOH1RA00 3930 88th St NE I Marysville I WA 198270 Name Proposal# Date Delta Property Management R410302019061123-1 10/30/2019 Site Address 17719 Hillside MasterCard and Visa gladly accepted for an additional 2 percent of total Ct,Arlington,WA,98223 g Y p Ph: (360) 659-7032 50 percent upon acceptance and balance due on day of completion Billing Address If not included in proposal WA sales tax to be added 17719 Hillside Ct,Arlington,WA,98223 Ph: Consultant Brad Quatsoe Email brad@nordstromheating.com Cell Phone Ph: (425) 530-7468 �w♦ NORDSTROM PRO& T HEAING & AIR INC. YOUR HOME a 4 YOUR CONSULTANT We hereby propose to furnish material and labor in complete accordance with the above specifications for the sum of Two Thousand Seven Hundred Twenty Four Dollars and Eighty $2,724.89 Nine Cents (Total extended Price with Tax after Discount) By signing this agreement I acknowledge that I have read and understand each page, including the terms and conditions. Representative: Date: 425-335-4029 . . CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 co PHONE; (360)403-3551 BUILDING PERMIT Address:17719 Hillside Court Permit#:2879 Parcel#:00870600003100 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:ESTRELLA ALAN L Name:[Company Name] Name:NORDSTROM HEATING&AIR INC Address: 17719 HILLSIDE CIR Address:[Company Address] Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:360-386-9819 Phone:425-335-4029 LIC:NORDSHA884JW EXP:04/16/2020 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: 04/16/2020 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 1 CONST.TYPE: `/B 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 INSPE ION 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 o Ar' n t be po on y ur sales tax return form and coded City of Arlington#3101. Cheryl McClellan Signature Print Name Date Released By Date CONDITIONS ADHERE TO APPROVED APPLIANCE. APPLIANCE MUST MEET 80%AFUE OR HIGHER. 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 10/31/2019 Furnace $25.00 10/31/2019 Mechanical Permit Base Fee $25.00 10/31/2019 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#: 2879 Permit Date: 10/31/19 Permit Type: RESIDENTIAL MECHANICAL Project Name: Ross Applicant Name: Nordstrom Heating &Air Applicant Address: 4717 87th Avenue NE Applicant, City, State, Zip: Marysville,WA 98270 Contact: Debbie Elgin Phone: 360-386-9819 Email: ofEce@nordstromheating.com Scope of Work: Replace gas furnace like-for-like Valuation: 0.00 Square Feet: 1544 Number of Stories: 1 Construction Type: VB Occupancy Group: R-3; Residential ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00870600003100 17719 HILLSIDE CRT ESTRELLAALAN 111 Single Family L 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 12/16/2019 R04.PLUMBING SafeBuilt Approved GROUNDWORK 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 10/31/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/31/2019 Daniel Nordstrom 77709719 $75.00 10/31/2019 77709719 CC Surcharge Raelynn Jones $2.25 Outstanding Balance $0.00 Notes Date Note Created By: 10/31/2019 Contractor to pay for City of Arlington business license prior to issuance. Kristin Foster 10/31/2019 Model#R801SA050314MSAAFUE 80%per application. Kristin Foster Uploaded Files Date File Name 11/05/2019 5848286-2879 Issued Permit.pdf 10/31/2019 5830144-2879 Apnlication.pdf 10/31/2019 5830145-2879 Equipment Cut Sheet.pdf