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HomeMy WebLinkAbout4508 200TH ST NE_BLD1252_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:4508 200th Street Northeast, Arlington, WA 98223 USA Project Description:Like for kind furnace replacement Owner: Darlene Kuehn Address. 4508 200th Street Northeast City. Arlington State.WA Zip Code: 98223 Phone. 360.720.8480 Email:marinac@belred.com Applicant: Bel Red Energy Solutions Address: 10733 47th PL W City. Mukilteo State WA Zip Code: 98275 Phone. 425.493.5353 Email. marinac@belred.com CONTRACTOR INFORMATION Contractor Name:Bel Red Energy Solutions Address: 10733 47th PL W City: Mukilteo State WA Zip Code: 98275 License Number. BELREES8880E / UBI# 603-074-001 Expiration: 09/11/2018 Phone: 425.493.5353 Email:marinac@belred.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 #R802VA075421ZSA AFUE80% ❑ 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: [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 Applicant Signature: Date: 12/12/2016 Applicant Printed Name: Marina Cappagli 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 ,a CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE;(360)403-3551 BUILDING PERMIT Address:4508 200th Street NE Permit#:1252 Parcel#:00898600001000 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:KUEHN DARLENE Name:Bel Red Energy Solutions Name:Bel Red Energy Solutions Address:4508 200TI-I ST NE Address:10733 47th PI W Address:10733 47th PI W City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mukilteo,WA 98275 City,State Zip:Mukilteo,WA 98275 Phone: Phone:425-493-5353 Phone:425-493-5353 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Bel Red Energy Solutions Name: Address:10733 47th PI W Address: City,State,Zip:Mukilteo,WA 98275 City,State,Zip: Phone:425-493-5353 Phone: ! LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: I OCC GROUP: BUILDINGS: OCC LOAD: i 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. ' SA LES TA\NOTiCF,:Sales tax relating to construction and construction materials in the City of Arlin i Ll rr i d on your sales tax return form and coded City of Arlington#3101. ��`qed Eoegy tz— to ignature Print Name Date Released By Date CONDITIONS ' Approved as submitted. Duct Testing is required per the 2015 Washington State Energy Code R402.4.1.2 'PHIS PERMIT AUTIIORIZS 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 12/12/2016 Furnace $25.00 12/12/2016 Mechanical Permit Base Fee $25.00 Total Due: S50.00 Total Payment: $50.00 Balauce 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:4508 200th Street NE Permit#:1252 Parcel#:00898600001000 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:KUEHN DARLENE Name:Be[Red Energy Solutions Name:Be[Red Energy Solutions Address:4508 200TH ST NE Address:1073 3 47th Pl W Address: 10733 47th PI W City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mukilteo,WA 98275 City,State Zip:Mukilteo,WA 98275 Phone: Phone:425-493-5353 Phone:425-493-5353 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Bel Red Energy Solutions Name: Address: 10733 47th PI W Address: City,State,Zip:Mukilteo,WA 98275 City,State,Zip: Phone:425-493-5353 Phone: LIC#: EXP: 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 SPATE 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. IBCl l0/IRC110. SALES TAX NOTICE,:Sales tax relating to construction and construction materials in the City of Arlin on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Approved as submitted. Duct Testing is required per the 2015 Washington State Energy Code R402.4.1.2 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 12/12/2016 Furnace $25.00 12/12/2016 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 --on - Air Model Features/Physical Data&Specifications R802V(DF)Series Model Features • 80% residential Gas Furnace CSA certified • Low profile 34"cabinet ideal for space constrained • Two stages of operation to save energy and maintain optimal installations comfort level. • Integrated Controls board features dip switches for easy • Variable speed blower motor technology provides ultimate system set up humidity control,quieter sound levels,and year round energy • Insulated blower compartment savings • QR code for quick access to product information from your • EcoNet enabled HVAC product smart phone or tablet • PlusOne'"Diagnostics — 7 Segment LED all units • Compatible with single or two stage thermostats. For optimal • PlusOne'"Ignition System—DSI for reliability and longevity performance a two stage thermostat is recommended. • Heat exchanger is removable for improved serviceability. Aluminized steel construction provides maximum corrosion resistance and thermal fatigue reliability. Physical Data and Specifications—Dow fow,,Models MODEL NUMBERS R802V(DF)SERIES ( R802VA075317Z*A R802VA075421Z*A R802VA100521Z*A R802VA125524Z*A 11` 100%High Input—BTU/Hr[kW](Z 75,000[22] 100,000[29] 125,000[37] High Heating Capacity—BTU/Hr[kW]O 60,000[18] 60,000[18] 80,000[23] 100,000[29] 70%Low Input—BTU/Hr[kW] 52,500[15] 52,500[15] 70,000[20] 87,500[25] Low Heating Capacity—BTU/Hr[kW] 42,000[12] 42,000[12] 56,000[16] 70,000[20] Heating—Ext.Static Pressure[kPa] .12[.029] .12[.029] .15[.037] .20[.05] Blower(D x W)[mm] 11 x 7 11 x 10 11 x 10 11 x 10 [279 x 1781 [279 x 254] [279 x 254] [279 x 254] ECM Motor H.P.[W] 1/2[373] 3/4[559] 1 [746] 1 [746] Motor Full Load Amps. 7.7 9.6 12.8 12.8 Unit Amps 8.7 12.0 12.0 12.0 Maximum Overcurrent Protection 15 15 15 15 Cooling CFM Q.5"[kPa]E.S.P. 600-1200 1000-1600 1200-2000 1200-2000 (Nominal)[Us](Range) [283]-[566] [472]-[755] [566]-[944] [566]-[944] Max.E.S.P.(In.W.C.)[kPa] 0.8[0.2] 0.8[0.2] 0.8[0.2] 0.8[0.2] Temperature Rise High Fire 30-60[17-33] 25-55[14-31] 30-60[17-33] 35-65[19.4-36.0] Range°F[°C] Low Fire 20-50[11-28] 20-50[11-28] 25-55[14-31] 30-60[17-33] Max.Outlet Air Temp.°F['C] 165[73.9] 165[73.9] 165[73.9] 185[85] Approx.Shipping Weight(Lbs.)[kg] 115[52] 115[52] 120[54] 140[63] AFUEO 1 80% 1 80% 80% 80% Notes:All models are 115V,60 Hz,1 Ph.Gas connection size for all models is 1/2"[12 mm]N.P.T. O In accordance with D.O.E.test procedures. a See Conversion Kit Index Form for high altitude derate in U.S.applications. [ ]Designates Metric Conversions INTEGRATED . COMFORT CITY OF ARLINGTON �\ 238 N.OLYMPIC AVE-ARLINGTON,WA.98223 PHONE;(360)403-3551 BUILDING PERMIT Address:4508 200th Street NE Permit#:1252 Parcel#:00898600001000 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:KUEFIN DARLENE Name:Be[Red Energy Solutions Name:Be!Red Energy Solutions Address:4508 200TII ST NE Address:10733 47th PI W Address:10733 47th PI W City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mukilteo,WA 98275 City,State Zip:Mukilteo,WA 98275 Phone: Phone:425493-5353 Phone:425493-5353 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR I Name:Bel Red Energy Solutions Name: Address:10733 47th PI W Address: City,State,Zip:Mukilleo,WA 98275 City,State,Zip: Phone:425-493-5353 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: ] OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGRF.F 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 WASIIINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. TFIIS 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 l0/IRCI I0, SALES TAX NOTICE:sales lax relating to construction and construction materials in the City of Arlin i r on your sales tax return form and coded City ofAtling(on#3101, '{mil q ed-oe S6 cr Signature Print Name Date Released By Date CONDITIONS Approved as submitted. Duct Testing is required per the 2015 Washington State Energy Code R402.4.1.2 THIS PERMIT AUTIIORIZS 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,FTC)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 12/12/2016 Furnace $25.00 12/12/2016 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 ioformalion: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon J CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:4508 200th Street NE Permit#:1252 Parcel#:00898600001000 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:KUEHN DARLENE Name:Bel Red Energy Solutions Name:Bel Red Energy Solutions Address:4508 200TH ST NE Address:10733 47th PI W Address: 10733 47th PI W City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mukilteo,WA 98275 City,State Zip:Mukilteo,WA 98275 Phone: Phone:425-493-5353 Phone:425-493-5353 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Bel Red Energy Solutions Name: Address: 10733 47th PI W Address: City,State,Zip:Mukilteo,WA 98275 City,State,Zip: Phone:425-493-5353 Phone: LIC#: EXP: 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. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin ie et on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Approved as submitted. Duct Testing is required per the 2015 Washington State Energy Code R402.4.1.2 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 12/12/2016 Furnace $25.00 12/12/2016 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 ti 1 ■ •1•)• 1 •�� y Sti �- ,� 1 I RESIDENTIAL MECHANICAL PERMIT APPLICATION lfN(�� 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:4508 200th Street Northeast, Arlington, WA 98223 USA Project Description:Like for kind furnace replacement Owner: Darlene Kuehn Address: 4508 200th Street Northeast City:Arlington StateyVA Zip Code: 98223 Phone: 360.720.8480 Email:marinac@belred.com Applicant: Bel Red Energy Solutions Address: 10733 47th PL W City. Mukilteo State WA Zip Code: 98275 Phone: 425.493.5353 Email: marinac@belred.com CONTRACTOR INFORMATION Contractor Name:Bel Red Energy Solutions Address: 10733 47th PL W City: Mukilteo State WA Zip Code: 98275 License Number:BELREES8880E/UBI# 603-074-001 Expiration: 09/11/2018 Phone:425.493.5353 Ernail:marinac@beired.com STAFF USE ON Received Permit#: Accepted by: Date: DEC 12 2016 6/16LP Page i of 2 RESIDENTIAL MECHANICAL PERMIT APPLICATION fi 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#R802VA075421ZSA AFUE80% ❑ Heat Pump Model # AFUE_ HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove Qi Fire Place Insert D Outdoor BBQ ❑ Gas Piping L7; Solid-Fuel Appliance Q; 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 2tidt2�Q A�� Applicant Signature: Date: 12/12/2016 Applicant Printed Name: Marina Cappagli y 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 Model Features/Physical Data&Specifications a Air R802V(DF)Series Model Features • 80% residential Gas Furnace CSA certified • Low profile 34"cabinet ideal for space constrained • Two stages of operation to save energy and maintain optimal installations comfort level. • Integrated Controls board features dip switches for easy • Variable speed blower motor technology provides ultimate system set up humidity control,quieter sound levels,and year round energy • Insulated blower compartment savings • OR code for quick access to product information from your • EcoNet enabled HVAC product smart phone or tablet • PlusOne'"'Diagnostics— 7 Segment LED all units • Compatible with single or two stage thermostats. For optimal • PlusOneTM Ignition System-DSI for reliability and longevity performance a two stage thermostat is recommended. • Heat exchanger is removable for improved serviceability. Aluminized steel construction provides maximum corrosion resistance and thermal fatigue reliability. Physical Data and Specifications—DoWjifloW Models MODEL NUMBERS R802V(DF)SERIES R802VA075317Z'A > R802VA075421Z'A R802VA100521Z•A R802VA125524Z"A 100%High Input-BTU/Hr[kW]® 7 75,000[22] 100,000[29] 125,000(37) High Heating Capacity-BTU/Hr[kW] ip 60,000[18] 60,000[181 80,000[231 100,000(291 70%Low Input-BTU/Hr[kW] 52,500[15] 52,500[151 70,000[20] 87,500[25] Low Heating Capacity-BTU/Hr[kW] 42,000[12] 42,000[121 56,000[16] 70,000[20] Heating-Ext.Static Pressure[kPa] .12[.029] .12[.0291 .15[.037) .20 1,051 Blower(D x W)[mm] 11 x 7 11 x 10 11 x 10 11 x 10 [279 x 178] [279 x 254] [279 x 254] [279 x 2541 ECM Motor H.P.[W] 1/2[3731 3/4[5591 1 [746] 1 [746] Motor Full Load Amps. 7.7 9.6 12.8 12.8 Unit Amps 8.7 12.0 12.0 12.0 Maximum Overcurrent Protection 15 15 15 15 Cooling CFM®.5'[kPa]E.S.P. 600-1200 1000-1600 1200-2000 1200-2000 (Nominal)[Us](Range) [283]-[566] [4721-[755] [566]-[944] [566]-[944] Max.E.S.P.(In.W.C.)[kPa) 0.8[0.2] 0.8[0.21 0.8[0.2] 0.8[0.2] Temperature Rise High Fire 30-60 17-331 25-55 14-31 30-60(17-331 35-65 19.4-36.01 Range•F[•C] Low Fire 20-50 11-28 20-50 11-28 25-55 14-31 30-60 17-331 Max.Outlet Air Temp.•F[•C1 165[73.9] 165[73.91 165[73.9] 185[851 Approx.Shipping Weight(Lbs.)[kg] 115[52] 115[521 120[54] 140[63] AFUE i0 80% 80% 80% 80% Notes;All models are 115V,60 Hz,1 Ph.Gas connection size for all models is 1/2"112 mm]N.P.T. i0 In accordance with D.O.E.test procedures. ®See Conversion Kit Index Form for high altitude derate In U.S.applications. [ ]Designates Metric Conversions COMFORT—D, INTEGRATED HOME i 12/12/2016 BEL-RED ENERGY SOLUTIONS LLC I (frrtt rSearch L&I S€fEery&Fi0rllth Claiws&lnsufawf.�: 'P orkpiace Rights Trades . Licensing Washington State Department of `J Labor & Industries BEL-RED ENERGY SOLUTIONS LLC Owner or tradesperson 10733 47TH PL W Principals MUKILTEO,WA 98275 425-493-5353 BEL-RED HEATING&AIR COND SNOHOMISH County INC, PARTNER/MEMBER MILLARD, DONALD WESLEY, MANAGER Doing business as BEL-RED ENERGY SOLUTIONS LLC WA UBI No. Business type 603 074 001 Limited Liability Company Governing persons ADAM D GLOSS AIR BEL-RED HEATING&; DON MILLARD; 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. BELREES8880E Effective—expiration 09/11/2012—09/11/2018 Bond Ironshore Indemnity Inc $12,000.00 Bond account no. SUR40006036 Received by L&I Effective date 08/27/2015 08/06/2015 Expiration date Until Canceled Bond history Insurance Continental Western Ins Co $1,000,000.00 Policy no. CPA6012055 Received by L&I Effective date 01/14/2016 01/21/2016 Expiration date 01/21/2017 H,CrJ p trs iroprove https://secure.ini.wa.gov/verify/Detaii.aspx?UBI=603074001&LIC=BELREES8880E&SAW= 1/2 12/12/2016 BEL-RED ENERGY SOLUTIONS LLC 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 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. 517,076-02 Doing business as BEL-RED ENERGY SOLUTIONS LLC Estimated workers reported Quarter 3 of Year 2016"31 to 50 Workers" L&I account representative T1 /FEARAED FEROZE(360)902-0797-Email:FERH2350jni.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. Help us irnprove https://secure.Ini.wa.govtverify/Detail.aspx?UBI=603074001&LIC=BELREES88BOE&SAW= 212 i� I I Permit#: 1252 Permit Date: 12/12/16 Permit Type: RESIDENTIAL MECHANICAL Project Nam a Kuehn Applicant Nam a Bel Red Energy Solutions Applicant Address: 10733 47th PI W Applicant, City, State, Zip: Mukilteo,WA98275 Contact: Marina Cappagli Phone: 425-493-5353 Em al: m.Tinac@belred.com Scope of Work: Replace Gas Furnace Valuation: 0.00 Square Feet: 0 Num ber of Stories: 0 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 12/12/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description 0 wrier Nam e Ovner Phone Zoning 00898600001000 4 508 200TH ST NE K UEHN DARLENE 111 Single Fam iy Residence-Detached Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# Bel Red Energy Marina Cappagli 4 25-493-5353 1 0733 47th Pl W CONSTRUCTION Labor&Industries BELREES8880E Solutions CONTRACTOR Inspections Date I nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus CIO. Inspected furnace-installed 12/20/2016 MECHANICAL per plan/code.Duct leak test 12/20/2016 1 2/20/2016 z.Christopher Young A pproved ROUGH-IN is ok and L&Iapproved. Fees Fee D escription N otes A m cunt Forced Air Heat f ee per Btu $ 25.00 Mechanical Base P erm i Fee $25.00 Total $50.00 Attached Letters Date Letter D escription 12/12/2016 Building Perm i Paym sits Date Paid By D escription P aym ant Type A ccepted By A m mnt 12/12/2016 Brandon Richer 6 2671623 c c $50.00 O utstanding Balance $0.00 Notes Date Note C reated By: 12/12/2016 Em riled perm i for signature.KF K ristin Foster Uploaded Files Date File Nam e 12/13/2016 2007946-1252 Issued Permt.pdf 12/12/2016 2007044-1252 Application.pdf 12/12/2016 2007043-1252 Specs.pdf