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Home My WebLink About17417 81ST DR NE_BLD1150_2026 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: 17417 81ST DR NE, ARLINGTON WA 98223 Project Description:INSTALL NEW A/C Owner: GERDY VAN LEEMPUT Address. 17417 81ST DR NE City. ARLINGTON StateyVA Zip Code: 98223 Phone. 425-268-8771 Email:AMYD@BARRONHEATING.COM Applicant: BARRON HEATING & A/C INC Address. 5100 PACIFIC HWY #103 City. FERNDALE State WA Zip Code: 98248 Phone: 360-676-1131 Email. AMYD@BARRONHEATING.COM CONTRACTOR INFORMATION Contractor Name:BARRON HEATING & A/C INC Address. 5100 PACIFIC HWY #103 City: FERNDALE State WA Zip Code: 98248 License Number: BARROHA179D7 Expiration: 10/2016 Phone: 360-676-1131 Email:AMYD@BARRONHEATING.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 # AFUE ❑ Heat Pump Model # AFUE HSPE AC Unit Model # TC4133021 H SEER 14 ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: [El 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 rc-4 k� Applicant Signature: Date: 09/14/2016 Applicant Printed Name: Amy Dewaard 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 r i TY F ARLINGTO 3 I 238 N. OLYMPIC AVE-ARLINGTON,WA.98223 PHONE;(360)403-3551 i ` e r , - '�—�;�=f —rSY:i:•�,�J'Pd: ��sl: ;at�'—"iE�"c Address:174t7 Slat Drive NE Permit#:l l50 Parcel M 01040900002200 Valuation:0.00 �. Name:VAN LREMPUT GERTRUDE Name:Barron Heating Name:BARRON HEATING&A.C. y Address:17417 81ST DR NE Address:5100 Pacific Hwy#103 Address:5100 Pacific Highway#103 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Ferndale,WA 98248 City,State Zip:Ferndale,WA 98248 Phone: Phone:360-676-1131 Phone:360-676-1131 1 _... Name:BARRON IIFATING&A,C. Name: Address:5100 Pacific Highway#103 Address: City,Slate,Zip:Ferndale,WA 98248 City,State,Zip: i Phone:360-676-1131 Phone: LIC#:BARROHA179137 EXP: 10/2312016 LIC#: EXPf PEItMI'f'TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: j CONST.TYPE: } DWELLING UNITS: j OCC GROUP: BUILDINGS: OCCLOAD: � I AGRT;E'1'O COMPLY WITH CITY AND STATE LAWS REGULA'1'INti CONSTRUCTfON AND IN DOING 1'HE 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 €i A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. 113010HRC110. SALFS TAX]NOTICE:Sales tax relating to construction and construction materials in the City of Arliffgton us i po ed on your sales tax return form r 4 and coded Ci f(r Signature Print Name Date 1{c.;ts - 13y: Date 1� 3- • s Adhere to model#TC4133021H. Duct testing is required per the 2015 Washington State Energy code R402.4.1.2. Additional requirements: 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 NUrED.TIIIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY;ANY CONSTRUCTION ON'IHE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION, "Flei / Date Description Fee Amount 9/15/2016 A/C Unit $25,00 9/15/2016 Mechanical Permit Base Fee $25.00 Total Due: S50,00 Total Payment; $0.00 Balance Due: S.50.00 _ 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 PHONE; (360)403-3551 BUILDING PERMIT Address: 17417 81st Drive NE Permit#:1150 Parcel#:01040900002200 Valuation:0 00 OWNER APPLICANT CONTRACTOR Name:VAN LEEMPUT GERTRUDE Name:Barron Heating Name:BARRON HEATING&A.C. Address: 17417 81 ST DR NE Address:5100 Pacific Hwy#103 Address:5100 Pacific Highway#103 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Ferndale,WA 98248 City,State Zip:Ferndale,WA 98248 Phone: Phone:360-676-1131 Phone:360-676-1131 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:BARRON HEATING&A C Name: Address:5100 Pacific Highway#103 Address: City,State,Zip:Ferndale,WA 98248 City,State,Zip: Phone:360-676-1131 Phone: LIC#:BARROHA179D7 EXP: 10/23/2016 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: ] CONST.TYPE: DWELLING UNITS: 1 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. IBC 110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington us •r po ed on your sales tax return form and coded City of Arlington#3101. q. - Signature Print Name Date Re as By Date CONDITIONS Adhere to model #TC413302IH. Duct testing is required per the 2015 Washington State Energy code R402.4.1.2. Additional requirements: 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 9/15/2016 A/C Unit $25.00 9/15/2016 Mechanical Permit Base Fee $25.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: $50.00 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 Q Enlarge Imao= Specifications Compliance& Warranty& Notes Manufacturer Product Specifications Depth 29-1/4" EER 117 Height 30" Liquid Conn. 3/8" Max.Fuse Size 20 Min.Circuit Amps 14.2 Motor Type PSC Nom Tons 2-1/2 Phase Single Refrigerant R410A SEER 14 Suction Fitting 3/4" Volts 208/230 Width 29-1/4" Wt_Lbs. 155 Shipping Weight 155.00 Shipping Width 30.00 Shipping Length 29.25 Shipping Height 29.25 Air Conditioning Condensing Unit LX Series, 14 SEER, Single-Phase, 2-1/2 Ton, R410A, Southeast & Northern Region Only SEER:14:EER:11.7,Nom.Tons:2-1/2;volts:208/230,Phase:Single,Motor Type:PSC;Min.Circuit Amps:14.2;Max.Fuse Size:20;Liquid Conn.:318"; Suction Fitting:314";Refrigerant:R410A;Width:29-1/4";Height:30",Depth: 29-1/4';Wt.Lbs.:155: Order#:B77-427 Catalog Page#:708 Mfg_#:TC463021 H Shipping Weight:155.00 Brand:Coleman Country of Ongin UNITED STATES Customer Part#:Edit BUILDING INSPECTION REPORT— MECHANICAL (RESIDENTIAL) Permit No. 1150 Address: 17417 81 st Drive NE Contractor: Barron Heating Owner: Gerdy Van Leemput Date: 12/28/2016 APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: AC Unit / CO DETECTOR: ❑ HEAT PUMP/AC UNIT: GAS PIPING: EK DISCONNECT: DRIP LEG: SEISMIC: k3 VENTING: (� 3" PAD: Dl--- ACCESS: ® INSULATION/PROTECTION: C� SHUT-OFF VALVE: DUCTS: Choose an item L&I: Yes —Z Date: 12/28/2016 Inspector: Kevin Olander , CITY 0-F ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 _ _ UILDING:PTRh11T __ Address:t74t7 Slat Drive NE Permit 4.1150 _ Parcel#:W040900002200 Valuation:0.00 OWNER APPLICANT COKTRAC'rOk Name:VAN LEFMPUT GERTRUDE Name:Barron Floating Name:BARRON HEATING&AC. Address: 17417 91 ST DR NE Addttss:5100 Pacific Hwy 4103 Address:5100 Pacific Highway 4103 j City,Slate Zip:ARLINGTON,WA 98223 Cily,State Zip:Femdafe,WA 98248 City,State 9.ip:Perndale,WA 98248 Phone: Phmtt:360 676-1131 Phone:360-676 1131 MECHAIVxCACCyNTRACTOR pL I7M$XNO GfONTRAC'TOR �.. I Name.BARRON IMAI'ING&A.C. Name: Address:5100 Pacific Highway#103 Address: City,Slate,Zip:Ferndale,WA 98248 City,State,'Lip: Phone:360-676-1131 Phone: LIC 9:BARROHA179D7 EXP: 1.0123/2016 LIC#: EXP; JOB_DESCkiPTION PERMITTYPE: Residential Mechanical CODE YEAR: 2015 STORIES: j CONST.TYPE: DWELLING UNITS.. [ OCCGROUP: BUILDINGS: OCC LOAD: I AGREE TO COMPLY WI TI I CITY AND STATE LAWS REGULATINO 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 SIGNEDBY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. 1 l 1T IS UNLAWFUL'r0 USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CURT1FICATE OF OCCUPANCY HAS BEEN ORANTFD. 1HC 11011RC110. SALES TAX NOTICK:Sales lux relating to construction and construction materials in the City of Arlington its t Ito r ed on your sules lax return form and coded 0 r nglou.J"I0J,--� fro , ��•�1.0 Signature Print Nmne Date Re ns liy Date CONDITIONS - Adhere to model##TC4B3021H. Duct testing is required per the 2015 Washing(on State Energy code R402.4.1.2. Additional requirements: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.1111S PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON'rHEPUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC)WILL REQUIRESP,PARATE PERMISSION. g.{ �4�.T31�..�-...'-• �'..13� -_ - - L Date Deallrlption Fee Amount 911 512 01 6 A/C Unit $25.00 911 612 01 6 Mechanical Permit Base Fee $25.00 Total Due: S50100 Total Payment: $0.00 Balance Due: 550,00 --: - - CALL FOR INSPECTIONS Bllll.D[NG(360)d03.3417 When calling for an Inspection please leave the roBowing information: 1 Permit Number,Type of Inspection being requested,it ad whether you prefer morning or afternoon I I CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 ` PHONE; (360)403-3551 BUILDING PERMIT Address: 17417 81st Drive NE Permit#:1150 Parcel#:01040900002200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:VAN LEEMPUT GERTRUDE Name:Barron Heating Name:BARRON HEATING&A.C. Address: 17417 81 ST DR NE Address:5100 Pacific Hwy#103 Address:5100 Pacific Highway#103 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Ferndale,WA 98248 City,State Zip:Ferndale,WA 98248 Phone: Phone:360-676-1131 Phone:360-676-1131 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:BARRON HEATING&A.C. Name: Address:5100 Pacific Highway#103 Address: City,State,Zip:Ferndale,WA 98248 City,State,Zip: Phone:360-676-1131 Phone: LIC#:BARROHA179137 EXP: 10/23/2016 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 1 CONST.TYPE: DWELLING UNITS: 1 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 us po ed on your sales tax return form and coded City of Arlington#3101. . 1�•{lf/ Signature Print Name Date Re r as By Date CONDITIONS Adhere to model #TC413302IH. Duct testing is required per the 2015 Washington State Energy code R402.4.1.2. Additional requirements: 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 9/15/2016 A/C Unit $25.00 9/15/2016 Mechanical Permit Base Fee $25.00 Total Due: S50.00 Total Payment: $0 00 Balance Due: $50.00 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 Information Date 9/15/2016 Permit Number 1150 Project Name Gerdy Van Leemput Applicant Name Barron Heating Applicant Address 5100 Pacific Hwy#103 City, State,Zip Ferndale,WA 98248 Contact Amy Dewaard Phone 360-676-1131 Email amyd@barronheating.com Permit Type Residential Mechanical Site Address 17417 81st Drive NE Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 1552 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use Install A/C Assigned To Kristin Foster Property Information Owner Information Parcel#:01040900002200 VAN LEEMPUT GERTRUDE VAN LEEMPUT GERTRUDE 17417 81 ST DR NE 17417 81ST DR NE ARLINGTON,WA 98223 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type BARRON HEATING& 360-676- Labor& A.C. my Dewaard .I131 amyd@barronheating.comCONTRACTOR (Industries BARROHA179D7 Review Date Type Description I Tar et Date Completed Date I Assigned To Status 3/15/2016 Residential Mechanical 9/22/2016 JKevin Olander lin Review Fees Fee Descri tion Notes Amount A/C Unit 322.10.00.00 $25.0 Mechanical Permit Base Feel 322.10.00.01 1 M$25.Tota Uploaded Files Upload Flle Date File Uploaded B 9/15/2016 9:18:45 AM 11150 Sp_qgi.pAf Foster,Kristin 9/15/2016 9:16:09 AM 11150 Application Of IFoster,Kristin V RESIDENTIAL MECH.-%NICAL Y PERMIT APPLICATION t�Nu� 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:17417 81ST DR NE, ARLINGTON WA 98223 Project Description:INSTALL NEW A/C Owner: GERDY VAN LEEMPUT Address: 17417 81ST DR NE City: ARLINGTON State'.WA Zip Code: 98223 Phone: 425-268-8771 Email:AMYD@BARRONHEATING.COM Applicant: BARRON HEATING & A/C INC Address:5100 PACIFIC HWY #103 City. FERNDALE State WA Zip Code: 98248 Phone: 360-676-1131 Email: AMYD@BARRONHEATING.COM CONTRACTOR INFORMATION Contractor Name:BARRON HEATING & A/C INC Address:5100 PACIFIC HWY #103 City: FERNDALE State-WA Zip Code: 98248 License Number:BARROHA179D7 _ Expiration: 10/2016 Phone:360-676-1131 Email:AMYD@BARRONHEATING.COM STAFF USE ONL Received Permit #: I J� Accepted by: Date: SEP 14 2016 6/16LP Page 1 of 2 �`N�. °` KESIDENTIAL MECr1ANICAL 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 # AFUE ❑ Heat Pump Model # AFUE HSPE L� AC Unit Model # TC4B3021H SEER 14 Freestanding Stove Fj Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping U Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: 6 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 <jil�cJ n��actha.I Applicant Signature: W � " Date: 09/14/2016 Applicant Printed Name: Amy Dewaard 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 s -- SpeClf•IC8t10nS + - Notes Manufacturer Product Specifications Depth 29-1/4" EER 117 Height 30" Liquid Conn 318^ Max.Fuse S¢e 20 Min_Circuit Amps 142 Motor Type PSC Nom Tons 2-112 Phase Single Refrigerant R410A SEER 14 Suction Fitting 3/4" Volts 20W30 Width 29-114" WE Lbs_ 155 Shipping Weight 155.00 Shipping Width 30.00 Shipping Length 2925 Shipping Height 2925 Air Conditioning Condensing Unit LX Series, 14 SEER, Single-Phase, 2-1/2 Ton, R410A, Southeast & Northern Region Only SEER:14;EER:11.7;Nam Tons:2-112;Volts:208/230,Phase:Single;Motor Type:PSC Min.Circuit Amps:142;Max Fuse Size:20;Liquid Conn.:318-; Suction Fitting:3A4 Refrigerant:R410A;Width:24-114"Height:30"Depth: 29-1/4";Wt.Lbs.:155; Order#:B77-427 Catalog Page#:708 Mfg.#:TC463021 H Shipping Weight:155.00 Brand:Colerna Country of Origin:UNITED STATES Customer Part#:Edit 9/15/2016 BARRON HEATING&A/C INC . l Search L&I Si-ifety&i{ez�lt!7 �s& (nsurrinn,F, Aforkplace Righis Trades $ 1_icensing Washington State Department of " Labor & Industries BARRON HEATING &A/C INC Owner or tradesperson 5100 Pacific Hwy.#103 BARRON,JOHN R FERNDALE,WA 98248 360-676-1131 Principals WHATCOM County BARRON,JOHN R BARRON,BETH PINKEY,WILLIAM E WA UBI No. Business type 600 092 564 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. BARROHA179137 Effective—expiration 03/27/1983—10/23/2016 Bond DEVELOPERS SURETY&INDEM CO $12,000.00 Bond account no. 850875C Received by L&I Effective date 10/22/2001 10/22/2001 Expiration date Until Canceled Insurance Continental Western Ins Co $1,000,000.00 Policy no. CPA2943960 Received by L&I Effective date 10/20/2015 10/24/2015 Expiration date 10/24/2016 Insurance history Savings (in lieu of bond) $6,000.00 Received by L&I Effective date 04/24/1984 Release date Impaired date N/A N/A Help us imprnve hftps://secure.Ini.wa.gov/verify/Detaii.aspx?UBI=600092564&LIC=BARROHA179D7&SAW= 1/2 9/15/2016 BARRON HEATING&A/C INC Savings account ID 1714-513577 Lawsuits against the bond or savings No lawsuits against the bond ui 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. 333,597-00 Doing business as BARRON HEATING&AC INC Estimated workers reported Quarter 2 of Year 2016"Greater than 100 Workers" L&I account representative T2/LESLIE QUNELL(360)902-5631-Email:BAKY235@lni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. O Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=600092564&LIC=BARROHA179D7&SAW= 2/2 BUILDING INSPECTION REPORT — MECHANICAL (RESIDENTIAL) Permit No. 1150 Address: 17417 81st Drive NE Contractor: Barron Heating Owner: Gerdy Van Leemput Date: 12/28/2016 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: AC Unit CO DETECTOR: ❑ HEAT PUMP/AC UNIT: N GAS PIPING: N DISCONNECT: N DRIP LEG: N SEISMIC: N VENTING: N 3" PAD: N ACCESS: N INSULATION/PROTECTION: N SHUT-OFF VALVE: N DUCTS: N/A L&I: Yes Date: 12/28/2016 Inspector: Kevin Olander Permit#: 1150 Permit Date: 09/15/16 Permit Type: RESIDENTIAL MECHANICAL Project Nam e Gerdy Van Leem pat Applicant Nam a Barron Heating Applicant Address: 5100 Pacific Hwy#103 Applicant, City, State, Zip: Ferndale, WA98248 Contact: Am yDewaard Phone: 360-676-1131 Email: am 3d@barronheating.com Scope of Work: Install A/C Valuation: 0.00 Square Feet: 1552 Num ber of Stories: 1 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 09/15/2016 Permit Expires: 03/15/2017 Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wrier Nam e Ovner Phone Zoning 01040900002200 1 7417 81 ST DR NE VAN LEEM PUT 111 Single Fam iy GERTRUDE Residence-Detached Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# BARRON HEATING MAKENNA 360-676-1131 5100 PACIFIC CONSTRUCTION COA 600092564 &AC INC STEINKAMP HWY STE 103 CONTRACTOR BARRON HEATING MAKENNA 360-676-1131 5100 PACIFIC CONSTRUCTION LABOR& BARROHA179D7 &ACINC STEINKAMP HWY STE 103 CONTRACTOR INDUSTRIES Fees Fee D escription N otes A m mnt Air Cond.Unit Btu/h<100>; $25.00 Btu/hp>500 Mechanical Base P erm i Fee $ 25.00 Total $ 50.00 Attached Letters Date Letter D escription 09/15/2016 Building Perm i Paym eats Date Paid By D escription P aym ait Type A ccepted By A m cunt 09/19/2016 WILLIAM PINKEY 6 1420511 c c $50.00 O ttstanding Balance $0.00 Uploaded Files Datc File Nam e 12/29/2016 2028272-17417 81st Drive NE.docx 09/21/2016 1853227-1150 Issued Perm i.pdf 09/15/2016 1843589-1150 Specs.pdf 09/15/2016 1843587-1150 Application.pdf