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Home My WebLink About8131 179TH PL NE_BLD1077_2026 RESIDENTIAL MECHANICAL • s 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: 213/ f��l/,C� /U�= & 1/1 Project Description: �(Wel, l'(i�f.p�GGe_� �� Runlye,r 7�ak s� 1 Owner: 11ww J it Address: J �—, City: State: Lv4 Zip Code: Phone: L0j. S o - M(® Email: l' 10� T. final-GOhi Applicant: En- 601'► pa/wyth J v Address: r�1 76 �� .J City: EIIP.+� State: �- Zip Code: y&0,3 Phone: 41!)- 9?6- �kl Email: �{10rr�cs e6 lad 60n.1 V1 CONTRACTOR INFORMATION n Contractor Name: r r/v On Address: City: Stater Zip Code: License Number: �1�1��AS�f�9� 7 Expiration-, T_� Phone: `/ZS 9 76 ��f/� Email v-hoee : a1U �i• C STAFF USE O Received Permit#: ( Accepted by: Date: JUL 0 7 2016 6/16LP Page 1 of 2 'LG0 Co ys Y °�' RESIDENTIAL MECHANICAL 6o PERMIT APPLICATION L`NC'` Department of Community&Economic Development City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 SELECT ALL PROPOSED APPLIANCES I NA Furnace (80+) Model# C��'r j.b /G(�(1 G'6 I,> AFUE_ F- Heat Pump Model# AFUE HSPE A AC Unit Model# U S� 13 0301 SEER 13 ❑ Freestanding Stove Fire Place Insert 0! Outdoor BBQ UGas Piping 0 Solid-Fuel Appliance Q Other Gas Piping Information Not Applicable: Qj Pipe Material: SCk �0 NG_ I&V Pipe Size: �� kk Distance from Meter to Furthest Appliance: .J Total BTU's of all Appliances: 36 S 570 • 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 _all-appliances Applicant Signature: Dater 7 Applicant Printed Name: ��Cw! hGllCirCr� 1 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 COMMERCIAL MECHANICAL • PRESSURE PIPING INFORMATION Department of Community&Economic Development City of Arlington•.18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: SGh �6) )` Olt/ Pressure Drop: Inlet Pressure: tic Specific Gravity: Pressure Piping Schematic Show Pipe Size(s)and Length(s)from meter to all appliances. ❑ Scale or [�j Not to Scale i'I tUiV1� � w L ��;Iwu. �•6�� TG4�e>S I �yu Dl�l l�l� r� 1 NOTE: Any interior pressure regulators must be indicated NOTE: Drip legs/sediment traps are required at all appliances unless integrated in the listed appliance 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 i nce with the laws, rules and regulation of the State of Washington. Applicants Signature Date Print Applicants Name 6/16LP Page 1 of 1 a CITY OF ARLINGTON a. 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT _ Address:8131 179th Place NE Permit#:1077 Parcel#:01047900007400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:NGO TUAN V/THUY T Name:Energy Star Construction Name:Energy Star Construction Address:8131 179TH PL NE Address:8 76th Place SW Address:8 76th Place SW City,State Zip:ARLINGTON,WA 98223 City,State Zip:Everett,WA 98203 City,State Zip:Everett,WA 98203 Phone: Phone:425-876-4511 Phone:425-876-4511 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Energy Star Construction Name: Address:8 76th Place SW Address: City,State,Zip:Everett,WA 98203 City,State,Zip: Phone: 425-876-4511 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: 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 INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GR��SI10/IRC110. SALES TAX N TI E:Sa aling t ructiot�sC n and construction materials in the City of Arlington mus/bere rted on your sales tax return form c cd City of on#310� Signature Print Name Date Released By 6atc CONDITIONS Adhere to approved submittal. 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 7/11/2016 Gas Outlets Base Fee 1 to 5 $10.00 7/11/2016 Mechanical Fee(Enter Fixture Fee) $25.00 7/11/2016 Mechanical Permit Base Fee $25 00 7/11/2016 Plumbing Permit Base Fee $25.00 7/11/2016 Water Heater $25.00 Total Due: $110.00 Total Payment: $0.00 Balance Due: $110.00 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:8131 179th Place NE Permit#:1077 Parcel#:01047900007400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:NGO TUAN V/THUY T Name:Energy Star Construction Name:Energy Star Construction Address:8131 179TH PL NE Address:8 76th Place SW Address:8 76th Place SW City,State Zip:ARLINGTON,WA 98223 City,State Zip:Everett,WA 98203 City,State Zip:Everett,WA 98203 Phone: Phone:425-876-4511 Phone:425-876-4511 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Energy Star Construction Name: Address:8 76th Place SW Address: City,State,Zip:Everett,WA 98203 City,State,Zip: Phone: 425-876-4511 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: 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 INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRA D 48-G110/IRC110. SALES TAX NOTICE:Sal re ating t e action and construction materials in the City of Arlington must/rened on your sales tax return form c ed City of on#3101 Signature Print Name Date Released By Aate CONDITIONS Adhere to approved submittal. 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 7/11/2016 Gas Outlets Base Fee 1 to 5 $10.00 7/11/2016 Mechanical Fee(Enter Fixture Fee) $25.00 7/11/2016 Mechanical Permit Base Fee $25.00 7/11/2016 Plumbing Permit Base Fee $25.00 7/11/2016 Water Heater $25.00 Total Due: $110.00 Total Payment: $0.00 Balance Due: $110.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: i . _� l Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon 1 RL04cr P6—F—Klt ' Z S_ 0O Gas P Pc= . C'e) Permit Information Date 7/8/2016 Permit Number 1077 Project Name 8131 179th Place NE Applicant Name Energy Star Construction Applicant Address 8 76th Place SW City,State,Zip Everett,WA 98203 Contact Noah Palmgren Phone 425-876-4511 Email evergystarhomes@hotmail.com Permit Type Residential Mechanical Site Address 8131 179th Place NE Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Replace furnace and install gas piping for fireplace,range and tankless water heater Assigned To Kristin Foster Property Information Owner Information Parcel#:01047900007400 NGO TUAN V/THUY T NGO TUAN V/THUY T 8131 179TH PL NE 8131 179TH PL NE ARLINGTON,WA 98223 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type Energy Star Noah 25-876 Labor and onstruction Palm ren 511 nergystarhomes@hotmaiLcom CONTRACTOR Industries ENERGSC89067 Review Date Type Description I Target Date Completed Date Assigned To Status /8/2016 lResidential Plumbing 7/15/2016 Kevin Olander In Review Uploaded Files Upload File Date File 7/8/2016 3:40:50 PM 11977 AQplication. df • e a � � . .•ti •' � . � � r y RESIDENTIAL MECHANICAL PERMIT APPLICATION lINGt 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: 3 f PI,iGz, /V1= �w� / 9 Z23 Project Description: P)If4af--, 4 17l Owner: I l 1 T Address: U C / - ('L Nrr city: state: �� zip Code: Phone: J60 Email: C/,A � �23L� �.`� U��GOhi Applicant: F_4iern% S or 6o s##14, rh llloe#6 Rzh,&,,,,, Address: ) �6 �L �GJ City: State: Zip Code: Z0� Phone: �2s- 76' ��/ Email: eMOYo h0,1' 60,h CONTRACTOR INFORMATION Contractor Name: I- ' �? 'I Cn Address: 1 6 ��-SW City: Fwl# State: Zip Code: Z0� License Number: FJJel-ascf� 0,6� Expiration: Phone: �� `S/� Email: ,� i al0 Gi• . G STAFF USE O Received Permit#: ( (� Accepted by: Date: JUL 0 7 2016 6/16LP Page 1 of 2 2GU �O ,, ys ` RESIDENTIAL MECHANICAL 60 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#_ 114L�'J606� 6L AFUE 26,� ❑ Heat Pump Model# AFUE HSPE AC Unit Model# U Sk p o U! SEER 13 Di Freestanding Stove Fire Place Insert ❑ Outdoor BBQ Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: ❑ Pipe Material: 5Gjk �0 Pipe Size: IIy� Distance from Meter to Furthest Appliance: 13 Total BTU's of all Appliances: 39S 570 • 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 II appliances Applicant Signature: - Date: T/ Applicant Printed Name:_ .A,),1 1 1?g11VgPen 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 �'j C.. MMERCIAL MECL -ANICAL • PRESSURE PIPING INFORMATION IN��{ Department of Community&Economic Development City of Arlington •.18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: c GI„ C, Iy(�� Pressure Drop: Inlet Pressure: tic Specific Gravity: Pressure Piping Schematic Show Pipe Size(s) and Length(s)from meter to all appliances. ❑ Scale or 51-Not to Scale Oar �31` �L);lkaw 2,611 TN4�t>S ��WA' NOTE: Any interior pressure regulators must be indicated NOTE: Drip legs/sediment traps are required at all appliances unless integrated in the listed appliance 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 willill rdence with the laws, rules and regulation of the State of Washington. Applicants Signature Date /l/r>(zh R)bi16,r,�� Print Applicants Name 6/16LP Page 1 of 1 1 I ti _ . J 7/8/2016 ENERGY STAR CONSTRUCTION INC R.sp.inol Contact Search L&I .A-Z III dex IIclp MN L&I Safety&Health Claims&Insurance Workplace Rights Trades &Licensing Washington State Department of " Labor & Industries ENERGY STAR CONSTRUCTION INC Owner or tradesperson 8 76TH PL SW EVERETT,WA 98203 Principals 425-879-4511 Palmgren, Noah Gregory, PRESIDENT SNOHOMISH County Doing business as ENERGY STAR CONSTRUCTION INC WA UBI No. Business type 603 069 236 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. ENERGSC890137 Effective—expiration 01/27/2011—06/13/2018 Bond Contractors Bonding&Insurance Co $12,000.00 Bond account no. SK1252 Received by L&I Effective date 06/13/2014 06/06/2014 Expiration date Until Canceled CBIC $12,000.00 Bond account no. SK1252 Received by L&I Effective date 06/09/2014 06/06/2014 Expiration date Until Canceled Bond history Insurance Contractors Bonding&Insuranc $1,000,000.00 Policy no. C11SK1252 Received by L&I Effective date 05/18/2016 06/06/2015 Expiration date 06/06/2017 https://secure.ini.wa.gov/verify/Detaii.aspx?UBI=603069236&UC=ENERGSC89OB7&SAW= 1/2 i 7/8/2016 ENERGY STAR CONSTRUCTION INC 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 No L8j 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 closed. 206,065-00 Doing business as ENERGY STAR CONSTRUCTION Estimated workers reported N/A L&I account representative TO I DALE MCMASTER(360)902-5617-Email:MCMS235@ni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. hops://secure.Ini.wa.gov/verify/Detai i.aspx?U BI=603069236&LIC=EN ERGSC89OB7&SAW= M Perm 1#: 1077 Perm I Date: 07/08/16 Permit Type: RESIDENTIAL MECHANICAL Project Nam e Taun Ngo Applicant Nam a Energy Star Construction Applicant Address: 8 76th Place SW Applicant, City, State, Everett,WA98203 Zip: Contact: Noah Palm gen Phone: 425-876-4511 Em Al: evergystarhom cs@hotm al.com Scope of Work: Replace furnace and install gas piping for fireplace, range and tankless water heater Valuation: 0.00 Square Feet: 0 Num ber of Stories: 0 Construction Type: O wupancy G ioup: ID Code: Permit Issued: 07/12/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wner Nam e Omer Phone Zoning Section 23 Township 31 Range 05 Quarter SE Subdivision PLAT OF 01047900007400 8 131 179TH PL NE MAGNOLIA MEADOWS NGO TUAN 111 Single Fam ly DIVISION 1 PHASE 2 BLK V/THUY T Residence-Detached 000 D-00 LOT 74 TGW EQ &UNDIV 1.41%INT IN TRS 995,996&999 Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense L icense# Energy Star CONSTRUCTION Labor and Construction Noah Palm gen 4 25-876-4511 8 76th Place SW CONTRACTOR Industries ENERGSC890B7 Inspections Date Inspection Type D escription S cheduled Date C om lieted Date I nspector Status 10/11/2017 R00.HEAT PUMP/ All issues corrected KO. 1 0/10/2017 B UILDING Com lieted AC UNIT FINAL Heat purr pnot anchored to pad,pad not anchored to 07/12/2017 R00.HEAT PUMP/ground,piping insulation not BUILDING Com lieted AC UNIT FINAL protected,seal all penetrations in garage. 7/11/17 KO. 07/14/2016 R09.GAS PIPING 07/13/2016 B UILDING Approved ROUGH-IN Plan Reviews Date Review Type D escription A ssigned To R eview Status 07/08/2016 RESIDENTIAL BUILDING PLUMBING Fees Fee D escription N otes A m cant Gas Piping/Units E nter#of units $10.00 Mechanical Fee(Enter Fixture Fee) $25.00 Mechanical Base P erm i Fee $25.00 Water Heater(Tank) $25.00 Plum ling Base Perm i Fee $25.00 Total $110.00 Attached Letters Date Letter D escription 07/11/2016 Building Perm i Paym ants Date Paid By D escription P aym art Type A ccepted By A m cant 07/12/2016 Noah Palm gen 6 0411215 c c $110.00 O ttstanding Balance $0.00 Uploaded Files Date File Nam e 07/12/2016 1724365-1077 Issued Perm i.pdf 07/08/2016 1717321-1077 Application.pdf