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Home My WebLink About517 N Macleod Ave_BLD2949_2026 S NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY APPROVED PERMIT#: fp,+ I(I �AM� PM DATE: OB ADDRESS: ` l i ;.. j LOT#: PROJECT: Ili d 11 r a TYPE OF INSPECTION: f ; 1 /, i L 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 Cl CALL FOR REINSPECTION THEACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTO DATE Cl PLANNING Cl CIVIL BUILDING CITY OF ARLINGTON "k • CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:517 N MacLeod Avenue NE Permit#:2949 Parcel#:00529901101501 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:NELSON ROBERT A&DEBORA K Name:[Company Name] Name:COZY HEATING Address:5112 SCHWARTZMILLER RD Address:[Company Address] Address:20221 67th Avenue NE City,State Zip:LAKE STEVENS,WA 98258 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: 12/22/2021 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: 12/22/2021 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 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 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 CTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC1I0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the Ci o I m St b rted on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date of d By Date CONDITIONS ADHERE TO THE INSTALLATION OF APPROVED APPLIANCE. FINAL INSPECTION REQUIRED. CALL FOR FINAL INSPECTION 360-403-3417. 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 12/24/2019 Furnace $25.00 12/24/2019 Mechanical Permit Base Fee $25.00 12/24/2019 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 , . _ - CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 4P PHONE; (360)403-3551 BUILDING PERMIT Address:517 N MacLeod Avenue NE Permit N.2949 Parcel#!:00529901101501 Valualion:.00 OWNER APPLICANT CONTRACTOR Name:NELSON ROBERT A&DEBORA K Name:[Company Name] Name:COZY HEATING Address:5112 SCHWARTZMILLER RD Address:[Company Address] Address:20221 67th Avenue NE City,State Zip:LAKE STEVENS,WA 98258 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:3604354904 Phone:3604354904 LIC:COZYUIr 122MM EXP: 12/22/2021 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 9:COZYHI'122MM EXP: 12/22/2021 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONST.TYPE: VB DWELLING UNITS: I OCC GROUP: R3 BUILDINGS: I OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AU TIIORIZF.D THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR.CODE OF THE STATE OF WASli1NCiTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION 1S NOT A PERMIT UNTIL SIGNED BY TIIF.BUILDING OFFICIAL OR HIS/]IF.R DEPUTY AND ALL FFES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL.I C`ION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. 1BC110/IRCI l0. \/1 SALES TAX NOTI .R:Sales tax relating to construction and construction materials in the Cif o in orted on your sales tax return Conn and coded City of Arlington 43101. - — 04415CN Signature Print Name Date el sed By Date CONDITIONS ADHERE TO THE INSTALLAI'ION OF APPROVED APPLIANCE. FINAL INSPECTION REQUIRED. CALL FOR FINAL INSPECTION 360-403-3417. THIS PERMIT AUTHORIZES IORIZES 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 12/24/2019 Furnace $25.00 1 2124/201 9 Mechanical Permit Base Fee $25.00 12/24/2019 ProcessingCrechnology Fee $25.00 Total Due: 575.00 Total Payment: $0.00 Balance Due: $75,00 CALL FOR INSPECTIONS BUILDING(360)40.3-3417 When calling for an inspection please leave the following information: Permit Number,Type or Inspection being requested,and whether you prefer morning or afternoon 1 I ., I Permit#: 2949 Permit Date: 12/24/19 Project Name: Nelson Site Address: 517 N MacLeod Avenue NE Company/Applicant Name: Cozy Heating, Inc Company/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: Residential Mechanical Valuation: 0.00 Square Feet: 0 Number of Stories: 2 Type of Construction: VB Occupancy Type: R-3 Proposed Use: Replace gas furnace and remove A/C MIC/Opportunity Zone: Permit Issued: Permit Expires: DNU: Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 517 N MACLEOD NELSON ROBERT 111 Single Family 00529901101501 AVENUE A&DEBORA K Residence- Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# COZY HEATING Vince Willett 360-435-4904 20221 67th MECHANICAL Labor&Industries COZYHI*122MM Avenue NE CONTRACTOR Fees Fee Description Notes Amount Furnace 322.10.00.00 $25.00 Mechanical Permit Base Fee 322.10.00.00 $25.00 i .. Processing/Technology Fee 341.43.00.02 $25.00 Total $75.00 Notes Date Note Created By: 12/24/2019 Furnace model#S9XB080U4PS AFUE 95% Kristin Foster Uploaded Files Date File Name 12/24/2019 0014595-2949 Apl licalion.pdf . � y I '� J r 1 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:517 N. Macleod Ave Arlington, Wa 98223 Project Description:Replace Gas Furnace And Remove Air Conditioner Owner: Debora Nelson Address: 517 N. Macleod Ave City:Arlington State YVa Zip Code: 98223 Phone: 425-870-9677 Email:deborakay@icloud.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 O / Received Permit #: Accepted by: /// Date: OEC 2 3 2019 6/16LP Page 1 of 2 �. RESIDENTIAL MECHANICAL Y� o PERMIT APPLICATION liv Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington,WA 98223 • Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES [j2 Furnace (80+) Model #S9X2B080U4PS AFUE95% ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER C11 Freestanding Stove 0J Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping Solid-Fuel Appliance Other Gas Piping Information Not Applicable: fe; 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 fir;I Applicant Signature: Date: 12/23/2019 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 wnimle DipanmrtM Labor&Industries _(ins://Ini.wa.gov). Contractors 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, License Verify the contractor's active registration I license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. COZYHI`122MM Effective—expiration 07/14/1988-12/22/2021 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 03/08/2019 04/15/2017 Expiration date 04/15/2020 Insurance history Savings ......... ... No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No iswsuiits against the bond or savings accounts during the previous 6 year period. I L&I Tax debts No L&I tax debts are recorded for this contracr cense during the previous 6 year period,but some de. 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. This company has multiple workers'comp accounts. Active accounts L&I Account ID Account is current. 813,971-00 Doing business as COZY HEATING INC Estimated workers reported Quarter 3 of Year 2019"31 to 50 Workers" L&I account contact T5/MELISSA VEST(360)902-5613-Email:VESM235@lni.wa.gov Track this contractor A 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 & 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. r� tij: a I I A ❑ w � z o` � 7 z cz w w M w a WaFW w a 3 z W 0 A Q w ❑ `� °mce om M V3 CY �G F Z ❑ w v o e O oOa w z NO ❑ � gM H Q z w In o m Q ENO0., _ Q a A ° M � ° V w �" OU N O Q Q O O y w ` U O w z z Z Z F o W ? O F :C ❑ p" H M Z e W O � y Z ❑ F _ a" V tP ° In " Ow. 1 o QC Q O w � F z gg Q O �1 F F vv� Cp F■ � z o W ❑ O C z C 9 E-,. O V > z � F Z F ❑ F:: w w F w 0 w Q a z OW CZ I% 0. p z ¢ z 4. A w cG a E--F ❑ ❑ 0. O 0. F O ❑ ❑ ❑ ❑ ❑ ❑ z ❑ 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:517 N. Macleod Ave Arlington, Wa 98223 Project Description:Replace Gas Furnace And Remove Air Conditioner Owner: Debora Nelson Address. 517 N. Macleod Ave City. Arlington State.Wa Zip Code: 98223 Phone. 425-870-9677 Email:deborakay@icloud.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 #S9X2B080U4PS AFUE95% ❑ 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 L155erza�clz� Applicant Signature: tlSe$SC3bba4a9241tltlb8"b41`e6 Date: 12/23/2019 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 NOTICE s TO PERMITEE AND/OR OWNER Cl PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY APPROVED PERMIT#: ),A� �l (A4/PM DATE: JOB ADDRESS: 1 i f �= r_' LOT#: PROJECT: TYPE OF INSPECTION: 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 - Y THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOA DATE 0 PLANNING a CIVIL �IJILDING CITY OF ARLINGTON CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE: (360) 403-3551 BUILDING PERMIT Addreaa:517 N MacLeod Avenue NE Permit>r:2949 Parcel#:00529901101501 ValoaLivn;.ftt7 OWNER APPLICANT CONTRACTOR Name:NELSON ROBERT A&DEBORA K Name:[Company Name] Name:COZY HEATING Address:5112 SCHWARTZMILLF.R RD Address:[Company Address] Address:20221 67th Avenue NE City,State Zip:LAKE STEVENS,WA 98258 City,State Zip:Arlington,W.A 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:3604354904 Phone:360-435-4904 LIC:COZYIII'121Nt f%1 EXP: 12/22/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:COZY HEATING Name. Address:20221 671h Avcnue NE Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:360-435-4904 Phone: LIC#:COZYHI'122MNI EXP: 12/22/2021 LIC#: I gip: JOB DESCRIPTION PERMIT TYPL Residential Mechanical CODE YEAR: 2015 j STORIES: 2 CONST.TYPE: VB DWELLING UNITS: I OCC GROUP: R3 BUILDINGS; I 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/HF,R DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAro/A) TION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCl 10/IRC I IO. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the Ci in/st b rted on your sales tax return form and coded City of Arlington#3101. � AV4%cN /Z Z7 / 2.7 •Zdl'9 Signature Print Name Date cl ascd By )aIe CONDITIONS ADHERE TO THE INSTALLAHON OF APPROVED APPLIANCE. FINAL INSPECTION REQUIRED. CALL FOR FINAL INSPECTION 360-403-3417. THIS PERMIT AUTHORIZFS 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 12/24/2019 Furnace $25.00 1 2124/20 1 9 Mechanical Permit Base Fee $25.00 12/24/2019 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BI;ILDING(360)403-3417 ',hen 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:517 N MacLeod Avenue NE Permit#:2949 Parcel#:00529901101501 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:NELSON ROBERT A&DEBORA K Name:[Company Name] Name:COZY HEATING Address:5112 SCHWARTZMILLER RD Address:[Company Address] Address:20221 67th Avenue NE City,State Zip:LAKE STEVENS,WA 98258 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: 12/22/2021 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: 12/22/2021 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONST.TYPE: VB DWELLING UNITS: I OCC GROUP: R3 BUILDINGS: I 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 I CTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the Ci o t m st b rted on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date el sed By Date CONDITIONS ADHERE TO THE INSTALLATION OF APPROVED APPLIANCE. FINAL INSPECTION REQUIRED. CALL FOR FINAL INSPECTION 360-403-3417. 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 12/24/2019 Furnace $25.00 12/24/2019 Mechanical Permit Base Fee $25.00 12/24/2019 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 .z I I I Permit#: 2949 Permit Date: 12/24/19 Permit Type: RESIDENTIAL MECHANICAL Project Name: Nelson 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: Replace gas furnace and remove A/C Valuation: 0.00 Square Feet: 0 Number of Stories: 2 Construction Type: VB Occupancy Group: R-3; Residential ID Code: Permit Issued: 12/27/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00529901101501 517 N MACLEOD NELSON ROBERT 111 Single Family AVENUE A&DEBORA K Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# COZY HEATING Vince Willett 360-435-4904 20221 67TH AVE CONSTRUCTION City of Arlington 601 088 561 NE CONTRACTOR COZY HEATING Vince Willett 360-435-4904 20221 67TH AVE CONSTRUCTION LABOR&COZYHI*122MM NE 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 12/24/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 12/27/2019 Vince Willett 78383498 $75.00 12/27/2019 78383498 CC Surcharge Raelynn Jones $2.25 Outstanding Balance $0.00 Notes Date Note Created By: 12/24/2019 Furnace model#S9XB080U4PS AFUE 95% Kristin Foster Uploaded Files Date File Name 09/23/2021 9747557-2949 IC 2.14.2020 Final.pdf O1/02/2020 6046974-2949 12-31-19 IC.pdf 12/24/2019 6024595-2949 Application.pdf