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Home My WebLink About19205 45th Dr Ne_BLD4012_2026 CITY OF ARLINGTON 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS:360-403-3417-Permit Center:360-403-3551 BUILDING PERMIT Permit#:4012 19205 45TH DR NE PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Parcel#:00928200003900 Valuation: .00 OWNER APPLICANT CONTRACTOR JACOBSEN LYNDA Nordstrom Heating&Air NORDSTROM HEATING&AIR INC 19205 45TH DR NE 1059 State Ave Suite G 1059 State Ave.Ste.G ARLINGTON,WA 98223-4764 Marysville,WA 98271 MARYSVILLE,WA 98270 3603869819 425-335-4029 LIC:NORDSHA884JW LXP:04/16/2022 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR NORDSTROM HEATING&AIR INC 1059 State Ave.Ste,G MARYSVILLE,WA 98270 425-335-4029 LIC#:NORDSHA884JW EXP: 04/16/2022 LIC#: EXP; JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2018 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation, guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor. 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. IBC110ARC110. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. n C a C v �� .Rh /4,� 07/08/2021 Si&ature Print Name Date Released By Date CONDITIONS 3"concrete pad with seismic bracing attached.Provide electrical disconnect.Lines shall be insulated;use of adhesive tapes are prohibited.Adhere to approved appliances.Call for inspections. THIS PERMIT AUTHORIZES 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 07/08/2021 Inspection Fee $75.00 07/08/2021 Air Cond.Unit $15.00 07/08/2021 Mechanical Base $25.00 07/0812021 Processing/Technology Fee $25.00 07/08/2021 Credit Card Surcharge $4.20 Total Due: $144.20 Total Payment: $144.20 Balance Due: $0.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon RESIDENTIAL MECHANICAL s o 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:19205 45th DR NE Arlington, WA. 98223 Project Description_ add a/c Owner: Lynda Jacobsen Address: 19205 45th Dr N E City: Arlington State:WA Zip Code: 98223 Phone: 425-359-5117 Email;office@ nordstromheating.com Applicant: Nordstrom Heating & Air Address: 1059 State Ave Suite G City: Marysville State WA Zip Code: 98270 Phone: 360-386-9819 Email: office@ nordstromheating.com CONTRACTOR INFORMATION Contractor Name-Nordstrom Heating & Air Address: 1059 State Ave Suite G City: Marysville StatOA Zip Code: 98270 License Number:nordsha884jw Expiration: 04/16/2022 Phone:36-386-9819 Email:office@ nordstromheating.com STAFF USE ONLY Recefved Permit #: �L� �� Accepted by: Date: JUL 0` 2 2021 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL PERMIT APPLICATION LrN' , 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 [A AC Unit Model # RAC RA1324BJlNB SEER 13 ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance ❑ 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 t%�/rc,t�l�//I�C:�Iellctsr Applicant Signature: . ..�,, Date: 07/02/2021 Applicant Printed Name: Cheryl McClellan 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 wrJ�p.kr.Ui..�w.' Labor&Industries_(httpS://Ini W,3 gov). Contractors S & S ROOFING LLC Owner or tradesperson 104 S West Ave. Principals ARLINGTON,WA 98223 JOHNSON.NANCY,PARTNER/MEMBER 360-386-9903 SNOHOMISH County DUNLAP,SHERI LYNN,PARTNER/MEMBER DUNLAP,SHERI LYNN,AGENT DUNLAP,SHANE STEVEN,PARTNER/MEMBER (End:08/03/2011) JOHNSON,STEVEN MICHAEL,PARTNER/MEMBER (End:08/03/2011) Doing business as S&S ROOFING LLC WA JBI No Business type 602 934 849 Limited Liability Company Parent company Governing persons COMPLETE ROOFING&CONTRACTING SHERI DUNLAP NANCYJOHNSON; SHANE DUNLAP; STEVEN M JOHNSON; License Verify the contractor's active registration/license I certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties ROOFING License no. SSROOSR918MM Effective—expiration 07/1512009—08/03/2021 Bond CBIC $6,000.00 Bond account no. S13456 Received by L&I Effective date 07/14/2009 07/15/2009 Expiration date Until Canceled Insurance Houston Specialty Ins Co $1,000,000.00 Policy no. TEN23542 Received by L&I Effective date 06/19/2020 07/15/2019 Expiration date 07/15/2021 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. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. A, rent1 a Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor &Industry to verify if this business has apprentices. 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 Accnunt is current. 178,628-00 Doing business as S&S COMPLETE ROOFING LLC Estimated workers reported Quarter 1 of Year 2021 "31 to 50 Workers" L&I account contact T4/STEPHEN TASSONI(360)902-4819-Email:TASS235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects- Required Training—Effective July 1,2019 Exempt from this requirement. Contractor Strikes No o strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety & Health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 0 Violations 5/08/2019 Inspection no. 317954022 Location 2629 NE 82nd St Seattle,WA 98115 Inspection results date 0 Violations 7/09/2018 Inspection no. 317949404 Location 1106 Ekle St Camano Island,WA 98282 I �_y Q. RESIDENTIAL MECHANICAL 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: 19205 45th DR NE Arlington, WA. 98223 Project Description:like in kind furnace and add a/c Owner: Lynda Jacobsen Address: 19205 45th Dr NE City: Arlington State WA Zip Code: 98223 Phone: 425-359-5117 Email:office@ nordstrom heating.com Applicant: Nordstrom Heating & Air Address: 1059 State Ave Suite G City: Marysville State WA Zip Code: 98270 Phone: 360-386-9819 Email: office@ nordstrom heating.com CONTRACTOR INFORMATION Contractor Name:Nordstrom Heating & Air Address: 1059 State Ave Suite G City: Marysville State WA Zip Code: 98270 License Number: nordsha884jw Expiration. 04/16/2022 Phone. 36-386-9819 Email:office@ nordstromheating.com STAFF USE ONLY Permit #: Accepted by: Date: 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL 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 ❑ AC Unit Model # RAC RA1324BJlNB SEER 13 ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance ❑ 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 Le��_)w� � Applicant Signature: I.ytl5a51c3bba4a9294ftlaeB�b41eb Date: 07/02/2021 Applicant Printed Name: Cheryl McClellan 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 CITY OF ARLINGTON Dw 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT Permit#: 4012 19205 45TH DR NE PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Parcel#: 00928200003900 Valuation: .00 OWNER APPLICANT CONTRACTOR JACOBSEN LYNDA Nordstrom Heating&Air NORDSTROM HEATING&AIR INC 19205 45TH DR NE 1059 State Ave Suite G 1059 State Ave. Ste.G ARLINGTON,WA 98223-4764 Marysville,WA 98271 MARYSVILLE,WA 98270 3603869819 425-335-4029 LIC:NORDSHA884JW EXP:04/16/2022 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR NORDSTROM HEATING&AIR INC 1059 State Ave. Ste.G MARYSVILLE,WA 98270 425-335-4029 LIC#:NORDSHA884JW EXP: 04/16/2022 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2018 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation, guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor. 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 must be reported on your sales tax return form and coded City of Arlington#3101. .Z 07/08/2021 Signature Print Name Date Released By Date CONDITIONS 3"concrete pad with seismic bracing attached.Provide electrical disconnect.Lines shall be insulated;use of adhesive tapes are prohibited.Adhere to approved appliances. Call for inspections. THIS PERMIT AUTHORIZES 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 07/08/2021 Inspection Fee $75.00 07/08/2021 Air Cond. Unit $15.00 07/08/2021 Mechanical Base $25.00 07/08/2021 Processing/Technology Fee $25.00 07/08/2021 Credit Card Surcharge $4.20 Total Due: $144.20 Total Payment: $144.20 Balance Due: $0.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections 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 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS:360-403-3417-Permit Center:360-403-3551 BUILDING PERMIT Permit#:4012 19205 45TH DR NE PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Parcel#:00928200003900 Valuation: .00 OWNER APPLICANT CONTRACTOR JACOBSEN LYNDA Nordstrom Heating&Air NORDSTROM HEATING&AIR INC 19205 45TH DR NE 1059 State Ave Suite G 1059 State Ave. Ste. G ARLINGTON,WA 98223-4764 Marysville,WA 98271 MARYSVILLE,WA 98270 3603869819 425-335-4029 LIC:NORDSHA884JW EXP:04/16/2022 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR NORDSTROM HEATING&AIR INC 1059 State Ave. Ste,G MARYSVILLE,WA 98270 425-335-4029 LIC#:NORDSHA884JW EXP: 04/16/2022 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2018 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation, guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor. 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. IBC110/1RC110. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. S' �aC. ,eV - ac. I�` �"� .fQ1022211.2Gd. .[�.�ZGc�a- 07/08/2021 ture �PrintName Date Released By Date CONDITIONS 3"concrete pad with seismic bracing attached.Provide electrical disconnect.Lines shall be insulated;use of adhesive tapes are prohibited.Adhere to approved appliances.Call for inspections. THIS PERMIT AUTHORIZES 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 07/08/2021 Inspection Fee $75.00 07/08/2021 Air Cond.Unit $15.00 07/08/2021 Mechanical Base $25.00 07/08/2021 Processing/Technology Fee $25.00 07/08/2021 Credit Card Surcharge $4.20 Total Due: $144.20 Total Payment: $144.20 Balance Due: $0.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections 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#: 4012 Permit Date: 07/07/21 Permit Type: RESIDENTIAL MECHANICAL Project Name: Jacobsen Applicant Name: Nordstrom Heating &Air Applicant Address: 1059 State Ave Suite G Applicant, City, State, Zip: Marysville,WA 98271 Contact: Phone: 3603869819 Email: office@nordstromheating.com Scope of Work: Add A/C Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: 01/03/2022 Form Permit Type: Status: COMPLETE Assigned To: Ameresia Lawlis Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 100 SINGLE 00928200003900 19205 45TH DR NE JACOBSEN LYNDA FAMILY RESIDENCE Contractors Contractor Primary Contact Phone Address Contractor Type License License# NORDSTROM 1059 State Ave. CONSTRUCTION HEATING&AIR INC 425-335-4029 Ste.G CONTRACTOR COA 601764617 NORDSTROM 1059 State Ave. CONSTRUCTION Labor&NORDSHA772L2 HEATING&AIR INC 425-335-4029 Ste.G CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 07/20/2021 R04.PLUMBING 07/21/2021 07/20/2021 BUILDING Completed GROUNDWORK Fees Fee Description Notes Amount Inspection $75.00 Air Cond.Unit Btu/h< 100>; $15.00 Btu/hp>500 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Credit Card Service $4.20 Total $144.20 Attached Letters Date Letter Description 07/08/2021 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 07/08/2021 Daniel Nordstrom 87408841 $140.00 07/08/2021 87408841 Ameresia Lawlis $4.20 Outstanding Balance $0.00 Uploaded Files Date File Name 07/08/2021 9197731-scan-111312.12-df 07/07/2021 9188105-4012 Application.pdf