Loading...
HomeMy WebLinkAbout8400 176TH ST NE_BLD1066_2026 COMMERCIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington •18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS AND ALL OTHER INFORMATION OUTLINED/N THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE. Type of Permit: 7 New Installation Replacement a Alteration Project Address: 8400 176th ST NE Parcel #: 00958500002600 INSTALL AIR CONDITIONING Project Description: Valuation:3000.00 Owner:DIANA ELBERSON Phone#: 425.330.2647 Address: 8400 176TH ST NE City: ARLINGTON State: WA Zip: 98223 Email Address: SHANNONHEIGHTSHEATING@HOTMAIL.COM GEORGE SCHMAUS Contact Person: Phone#: 360.435.7359 Address: 18933 59TH AVE NE #107 City:ARLINGTON State: WA Zip: 98223 Email Address:SHANNONHEIGHTSHEATING@GMAIL.COM Contractor Name:SHANNON HEIGHTS HEATING, INC Phone#:360.435.7359 Contractor Address:18933 59TH AVE NE #107 City:ARLINGTON State:WA Zip: 98223 Email:SHANNONHE IGHTSHEATI NG@GMAI L.COM Contractor License Number: SHANNHH842DJ Expiration: 03/11/2018 Please indicate type of number of appliances: FURNACE CONDENSING UNIT GAS PIPING OUTLET BOILER HEAT PUMP (multi-split) UNIT HEATER CHILLER HEAT PUMP (mini-split) PAINT BOOTH COOLER HEAT PUMP (other) TYPE I HOOD AC(air cooled) 1 HEAT REJECTION EQUIP TYPE II HOOD AC(water cooled) VENTILATION SYSTEM AST AC (evaporator) PACKAGED UNIT UST AC (VRF) DRYER OTHER 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 ` e laws, rules and regulation of the State of Washington. Applicants Signature ° 61a3d59°'°.......zs°,a Date 06/29/2016 Applicants Printed Name Terra O'Connor FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received ... CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON, WA. 98223 42 PHONE; (360)403-3551 BUILDING PERMIT Address:8400 176th Street NE Permit#:1066 Parcel#:00958500002600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GRAHAM MICHAEL&TRICIA Name:Shannon Heights heating Name:SHANNON HEIGHTS HEATING Address:20202 LAKE RILEY RD Address:18933 59th Ave NE#107 Address:18933 59TH AVE NE#107 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:360-435-7359 Phone:360-435-7359 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 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. IBCI 10/[RCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington rted on your sales tax return form and co d ty of Arlingto?.)"or" _ / ) 7 l(o Signature Print Name Date a eased By Date CONDITIONS Adhere to Kenmore model#INXA630GKA SEER 16. Additional requirement: 3" concrete pad with seismic bracing attached to pad,electrical disconnect is required, lines shall be insulated and 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 7/1/2016 A/C Unit $25.00 7/1/2016 Mechanical Permit Base Fee $25.00 Total Due: $50.00 Total Payment: $50.00 Balance Due: $0.00 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 1LI+ - ° CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:8400 176th Street NE Permit#:1066 Parcel#:00958500002600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GRAHAM MICHAEL&TRICIA Name:Shannon Heights heating Name:SHANNON HEIGHTS HEATING Address:20202 LAKE RILEY RD Address:18933 59th Ave NE#107 Address: 18933 59TH AVE NE#107 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:360-435-7359 Phone:360-435-7359 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 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 pried on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date W8eased By Date CONDITIONS Adhere to Kenmore model#INXA630GKA SEER 16. Additional requirement: 3" concrete pad with seismic bracing attached to pad, electrical disconnect is required, lines shall be insulated and 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 7/1/2016 A/C Unit $25 00 7/1/2016 Mechanical Permit Base Fee $25 00 Total Due: $50.00 Total Payment: $50,00 Balance Due: $0.00 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 BUILDING INSPECTION REPORT — MECHANICAL (RESIDENTIAL) Permit No. 1066 Address: 8400 176th Street NE Contractor: Shannon Heights heating Owner: Diana Elberson Date: 7/7/2016 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: AC Unit CO DETECTOR: ❑ HEAT PUMP/AC UNIT: GAS PIPING: ❑ DISCONNECT: DRIP LEG: ❑ SEISMIC: VENTING: ❑ 3" PAD: ACCESS: ❑ INSULATION/PROTECTION: SHUT-OFF VALVE: ❑ DUCTS: N/A L&I: Yes Date: 7/7/2016 Inspector: Kevin Olander CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON,WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:8400176th Street NE Permit#:1066 Parcel#:00958500002600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GRAHAM MICHAEL&TRICIA Name:Shannon Heights heating Name:SHANNON HEIGHTS HEATING Address:20202 LAKE RILEY RD Address:18933 59th Ave NE#107 Address:18933 59TH AVE NE#107 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:360-435-7359 Phone:360-435-7359 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LiC#: EXP: JOB DESCRIPTION PERMIT TYPE; Residential Mechanical CODE YEAR: 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. IBCI 10/IRC 110. SALES TAX NOTICE.:Sales lax rc ating to construction and construction materials in the City of Arlington ncxl on your sales tax return Form and co d ty of Arlington 101 1 Signature Print Name Date c easel!By Date CONDITIONS Adhere to Kenmore model#1NXA630GKA SEER 16. Additional requirement: 3"concrete pad with seismic bracing attached to pad,electrical disconnect is required, lines shall be insulated and the use of adhesive tape is not permitted. THIS PERMIT AUTHORIZE 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 7/1/2016 A/C Unit $25.00 7/1/2016 Mechanical Permit Base Fee $25.00 Total Due: S50.00 Total Payment: $50.00 Balance Due: $0.00 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:8400 176th Street NE Permit#: 1066 Parcel#:00958500002600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GRAHAM MICHAEL&TRICIA Name:Shannon Heights heating Name:SHANNON HEIGHTS HEATING Address:20202 LAKE RILEY RD Address:1893 3 59th Ave NE#107 Address: 18933 59TH AVE NE#107 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:360-435-7359 Phone:360-435-7359 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 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. IBC1I0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington orted on your sales tax return form and coded City of Arlington#3101. 7 ) 1/(v Signature Print Name Date creased By Date CONDITIONS Adhere to Kenmore model#INXA630GKA SEER 16. Additional requirement: 3" concrete pad with seismic bracing attached to pad, electrical disconnect is required, lines shall be insulated and 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 7/1/2016 A/C Unit $25.00 7/1/2016 Mechanical Permit Base Fee $25 00 Total Due: $50.00 Total Payment: $50.00 Balance Due: $0.00 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 1 I COUM-E-R-CI AL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington •18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS AND ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE. Type of Permit: ❑ New Installation ❑ Replacement Q Alteration Project Address: 8400 176th ST NE Parcel #: 00958500002600 INSTALL AIR CONDITIONING Project Description: Valuation:3000.00 Owner:DIANA ELBERSON Phone#:425.330.2647 Address: 8400 176TH ST NE City: ARLINGTON State: WA Zip: 98223 Email Address: SHANNONHEIGHTSHEATING@HOTMAIL.COM Contact Person:GEORGESCHMAUS Phone#: 360.435.7359 Address: 18933 59TH AVE NE #107 City:ARLINGTON State: WA Zip: 98223 Email Address:SHANNONHEIGHTSHEATING@GMAIL.COM Contractor Name:SHANNON HEIGHTS HEATING, INC Phone#:360.435.7359 Contractor Address:18933 59TH AVE NE #107 City:ARLINGTON State:WA Zip:98223 Email:SHANNONHEIGHTSHEATING@GMAIL.COM SHANNHH842DJ 03/11/2018 Contractor License Number: Expiration: Please indicate type of number of appliances: FURNACE CONDENSING UNIT GAS PIPING OUTLET BOILER HEAT PUMP(multi-split) UNIT HEATER CHILLER HEAT PUMP(mini-split) PAINT BOOTH COOLER HEAT PUMP(other) TYPE I HOOD AC(air cooled) 1 HEAT REJECTION EQUIP TYPE II HOOD AC(water cooled) VENTILATION SYSTEM AST AC(evaporator) PACKAGED UNIT UST AC(VRF) DRYER OTHER 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 acc::.;�::;;;,-•::::6:::ie laws rules and regulation of the State of Washington. r9.�it,�/L C J C,OdCdLOY.. 06/29/2016 Applicants Signature 11 Date Applicants Printed Name Terra O'Connor FOR STAFF USE ONLY Reeeived low w4b�_-- JUN 29 2016 Permit 17 Accepted Amount Received Receipt# Date Received i r c mo c� ,A T«!;(A BDC� ILI+ SLY, c � �� o 5s� 6/30/2016 SHANNON HEIGHTS HEATING INC Search L&I \-i.rrulr: Itelh \h L&I Safety&Health Claims&Insurance Workplace Rights Trades&Licensing Washington State Department of Labor & Industries SHANNON HEIGHTS HEATING INC Owner or tradesperson 18933 59TH AVE NE#107 ARLINGTON,WA 98223 Principals 360-435-7359 O'CONNOR,MICAHEL JOSEPH,VICE SNOHOMISH County PRESIDENT O'CONNOR,TERRA JENNAE, SECRETARY O'CONNOR,TERRA JENNAE,TREASURER SCHMAUS,GEORGE ALBERT,CHIEF EXECUTIVE OFFICER O'CONNOR,TERRA JENNAE,AGENT Doing business as SHANNON HEIGHTS HEATING INC WA UBI No. Business type 603 571 948 Corporation Governing persons GEORGE SCHMAUS MICHAEL OCONNOR; TERRA OCONNOR; 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. SHANNHH842DJ Effective—expiration 03/11/2016—03/11/2018 Bond Federated Mutual Ins Co $12,000.00 Bond account no. 9205833 Received by L&I Effective date 03/11/2016 02/23/2016 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9239140 Received by L&I Effective date 03/11/2016 01/02/2016 hops://secure.Ini.wa.gov/verify/Detaii.aspx?UBI=603571948&LIC=SHANNHH842DJ&SAW= 1/2 6/30/2016 SHANNON HEIGHTS HEATING INC Expiration date 01/02/2017 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 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. 503,985-02 Doing business as SHANNON HEIGHTS HEATING INC Estimated workers reported Quarter 1 of Year 2016"1 to 3 Workers" L&I account representative T2/CHRISTOPHER WASSON(360)902-6331-Email:WAS0235(Jni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. J Washington State Dept,of Labor&Industries Use of this site is subject to the laws of the state or Washington https://secure.I ni.wa.gov/verify/Detail.aspx?U BI=603571948&LIC=SHAN N H H 842DJ&SAW= 212 Permit#: 1066 Permit Date: 06/30/16 Permit Type: RESIDENTIAL MECHANICAL Project Name: Diana Elberson Applicant Name: Shannon Heights heating Applicant Address: 18933 59th Ave NE#107 Applicant, City, State, Zip: Arlington,WA 98223 Contact: Terra O'Conner Phone: 360-435-7359 Email: shannonheightsheating@gmail.com Scope of Work: Install A/C Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 07/01/2016 Permit Expires: 01/01/2017 Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning GRAHAM 00958500002600 8400 176TH ST NE MICHAEL& Residence Single Family -Detached TRICIA Contractors Contractor Primary Contact Phone Address Contractor Type License License# SHANNON HEIGHTS 18933 59th Ave CONSTRUCTION HEATING Terra O'Conner 3604357359 Ne#107 CONTRACTOR UBI 603571948 SHANNON HEIGHTS 18933 59th Ave CONSTRUCTION Construction SHANNHH842DJ HEATING Terra O'Conner 3604357359 Ne#107 CONTRACTOR Contractor Fees Fee Description Notes Amount Air Cond.Unit Btu/h<100>; $25.00 Btu/hp>500 Mechanical Base Permit Fee $25.00 Total $50.00 Attached Letters Date Letter Description 07/01/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 06/30/2016 Terra O'Conner 60261369 Kristin Foster $50.00 Outstanding Balance $0.00 Notes Date Note Created By: 07/01/2016 Had to delete payment to back date.KF Kristin Foster 07/01/2016 Emailed permit for signature.KF Kristin Foster 06/30/2016 Kenmore model number INXA630GKA SEER 16. Kristin Foster Uploaded Files Date File Name 07/18/2016 1735095-8400 176th Street NE.docx 07/01/2016 1708423-1066 Issued Permit.pdf 06/30/2016 1706225-1066 Application.pdf 06/30/2016 1706226-1066 Model Number.pdf