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
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mo c� ,A
T«!;(A BDC� ILI+
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6/30/2016 SHANNON HEIGHTS HEATING INC
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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