HomeMy WebLinkAbout20214 44th Dr Ne_BLD4129_2026 CITY
OF ;ARLINGTON
• 18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS:360-403 3417-Permit Center: 360-403-3551
BUILDING PE g MIT
20214 44TH DR NE Permit#:4129
Parcel#:008986 0007900 PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Scope of Work:Furnace replacement Valuation: .00
OWNER APPLICANT CONTRACTOR
BRADSHAW AL AN L&LAURA J Nordstrom Heating&Air NORDSTROM HEATING&AIR INC
20214 44TH DR 14E 1059 State Ave Suite G 1059 State Ave.Ste.G
ARLINGTON,Wk 98223-4722 Marysville,WA 98271 MARYSVILLE,WA 98270
3603869819 425-335-4029
LIC:NORDSHA884JW EXP:04/16/2022
MECHANICAL CONTRACFOR PLUf 4BING CONTRACTOR
NORDSTROM F EATING&AIR INC
1059 State Ave.Sic.G
MARYSVILLE, A 98270
425-335-4029
LIC#:NORDSH 884JW EXP: 04/16/2022 LIC# EXP:
JOB DES ON
PERMIT TYPE: Residential Mechanical COL E YEAR: 2018
STORIES: COls ST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPRCIVAL
The issuance or grinting 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 )rder of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the
Governor of this Slate.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any
period of time whe t such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance
advice or decision f the Governor of this State,this permit shall not authorize such work and shall not be valid.The building
official is authorize d 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 ably state or federal law,or of any order,proclamation,
guidance advice or decision of the Governor.The building official is aut iorized 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,proelaff ation,guidance or decision of the Governor.
I AGREE TO C01v PLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK
AUTHORIZED T EREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE
OF WASHINGTOT I RELATING TO WORKMEN'S COMPENSATIOi INSURANCE AND RCW 18.27.
THIS APPLICATT N IS NOT A PERMIT UNTIL SIGNED BY THE OUILDING OFFICIAL OR HIS/HER DEPUTY AND
ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCIURE UNTIL A FINAL INSPECTION HAS BEEN
MADE AND AP P OVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110.
ALES TAX NO1 :Sales tax relating to construction and Construction materials in the City of Arlington must be reported on
your sales tax retuni form and coded City of Arlington#3101.
09/14/2021
tgn re Print Name Da a Released By Date
9 �1�� i �►
CONDITIONS
Adhere to approved appliances.Approved job copy shall be onsite for inspections.Call for final inspection.
THIS PERMIT A UTHORIZES 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�EPARATE PERMISSION.
PERMIT FE S
Date Description l Fee Amount
09/14/2021 Inspection Fee $75.00
09/'14/202'1 Forced Ali Heal $15.00
09/14/2021 Mechanical Base $25.00
09/14/2021 Processing/Technology Fee $25.00
Total Due: $140.00
Total Payment: $140.00
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
PERMIT APPLICATION
�llN�f�O 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:20214 44th Dr NE _
Project Description:furnace replacement
Owner: Allen & Laura Bradshaw
Address:
20214 44th Dr N E City: Arlington State:WA Zip Code: 98223
Phone: 425-293-7883 Email:office@ nordstrom heating.com
Applicant: Nordstrom Heating and Air
Address:
1059 State Ave # G City: Marysville State:-YVA Zip Code: 98270
_
Phone: 360-386-9819 Email: office@ nordstromheating.com
CONTRACTOR INFORMATION
Contractor Name:Nordstrom Heating and Air
Address: 1059 State Ave #G City: Arlington StateYVA Zip Code: 98223
License Number:nordsha884jw Expiration: 04/16/2022
Phone:360-386-9819 Email:office@ nordstrom heating.com
STAFF USE ONLY SEP 10 2021
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 #R801CA050314MSA AFUE80
❑ Heat Pump Model # AFUE HSPE
❑ AC Unit Model # SEER
I� Freestanding Stove ❑ Fire Place Insert U Outdoor BBC
❑ 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
Applicant Signature: Date: 09/09/2021
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
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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: 20214 44th Dr NE
Project Description:furnace replacement
Owner: Allen & Laura Bradshaw
Address: 20214 44th Dr NE City: Arlington State WA Zip Code: 98223
Phone: 425-293-7883 Email:office@ nordstrom heating.com
Applicant: Nordstrom Heating and Air
Address: 1059 State Ave # G City: Marysville State WA Zip Code: 98270
Phone: 360-386-9819 Email: office@ nordstrom heating.com
CONTRACTOR INFORMATION
Contractor Name:Nordstrom Heating and Air
Address: 1059 State Ave #G City: Arlington State WA Zip Code: 98223
License Number: nordsha884jw Expiration. 04/16/2022
Phone. 360-386-9819 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 # R801CA050314MSA 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: ❑
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: 09/09/2021
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
20214 44TH DR NE Permit#: 4129
PERMIT EXPIRES 180 DAYS AFTER
Parcel#: 00898600007900 DATE OF ISSUANCE.
Scope of Work: Furnace replacement Valuation: .00
OWNER APPLICANT CONTRACTOR
BRADSHAW ALLAN L&LAURA J Nordstrom Heating&Air NORDSTROM HEATING&AIR INC
20214 44TH DR NE 1059 State Ave Suite G 1059 State Ave. Ste.G
ARLINGTON,WA 98223-4722 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.
.A� 09/14/2021
Signature Print Name Date Released By Date
CONDITIONS
Adhere to approved appliances.Approved job copy shall be onsite for inspections.Call for final inspection.
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
09/14/2021 Inspection Fee $75.00
09/14/2021 Forced Air Heat $15.00
09/14/2021 Mechanical Base $25.00
09/14/2021 Processing/Technology Fee $25.00
Total Due: $140.00
Total Payment: $140.00
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 OFARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS:360-403-3417-1 ermit Center: 360-403-3551
BUILDING PERMIT
20214 44TH DR NE Permit#:4129
Parcel#:008986 0007900 PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Scope of Work:F unace replacement Valuation; .00
OWNER APPLICANT CONTRACTOR
BRADSHAW AL AN L&LAURA J Nordstrom Heating&Air NORDSTROM HEATING&AIR INC
20214 44TH DR NE 1059 State Ave Suite G 1059 State Ave. Ste.G
ARLINGTON,WA,98223-4722 Marysville,WA 98271 MARYSVILLE,WA 98270
3603869819 425-335-4029
LIC:NORDSHA884JW EXP:04/16/2022
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
NORDSTROM 11 EATING&AIR INC
1059 State Ave. Ste.G
MARYSVILLE,WA 98270
425-335-4029
LIC#:NORDSH 884JW EXP: 04/16/2022 LIC# EXP:
JOB DESCRIPI ION
PERMIT TYPE: Residential Mechanical CO LE YEAR: 2018
STORIES: CO ST.TYPE:
DWELLING UI S: OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPRC VAL
The issuance or gr nting of this permit shall not be construed to be ape it 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 pe it 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 authorize to prevent occupancy or use of a structure where ir 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 aut orized 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 CON.PLY WITH CITY AND STATE LAWS REGULAT G CONSTRUCTION AND IN DOING THE WORK
AUTHORIZED T EREBY;NO PERSON WILL BE EMPLOYED IN IOLATION OF THE LABOR CODE OF THE STATE
OF WASHINGTON RELATING TO WORKMEN'S CoMpENSATIOiN INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE E UILDING 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 APPR OVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC IO/IRCI10.
ALES TAX NOT CE: Sales tax relating to construction and construction matey als in the City of Arlington must be reported on
your sales tax return form and coded City of Arlington#3101.
E G� i CG lk efM 1ytMQQGCL Z-a4f 09/14/2021
ign re Print Name Date Released By Date
/ILI
CONDITIO S
Adhere o approved appliances.Approved job copy shall be nsite for inspections.Call for final inspection.
THIS PERMIT A UTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE
PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLI DOMAN(CURBS,SIDEWALKS,DRIVEWAYS,
MARQUEES,ETC.)WILL REQUIRE EPARA E PERMISSION.
PERMIT FEES
Date Description Fee Amount
09/14/2021 Inspection Fee $75.00
09/14/2021 Forced Air Heat $15.00
09/14/2021 Mechanical Base $25.00
09/14/2021 Processing/Technology Fee $25.00
Total Due: $140.00
Total Payment: $140.00
Balance.Due: $0.00
CALL FOR INSPE TIONS
Call by 3:30 pm for next day inspection,all w 48 hours for Fire Inspections
When calling for an inspection please lev ve the following information:
Perm t Number,Type of Inspection being requested,ar d whether you prefer morning or afternoon
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Permit#: 4129
Permit Date: 09/13/21
Permit Type: RESIDENTIAL MECHANICAL
Project Name: Bradshaw
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: Furnace replacement
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 09/14/2021
Permit Expires: 03/12/2022
Form Permit Type:
Status: COMPLETE
Assigned To: Ameresia Lawlis
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
BRADSHAW 100 SINGLE
00898600007900 20214 44TH DR NE ALLAN L& FAMILY
LAURA J 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
09/21/2021 R04.PLUMBING 09/22/2021 09/23/2021 BUILDING Approved
GROUNDWORK
Fees
Fee Description Notes Amount
Inspection $75.00
Forced Air Heat fee per Btu $15.00
Mechanical Base Permit Fee $25.00
Processing/Technology $25.00
Credit Card Service $4.20
Total $144.20
Attached Letters
Date Letter Description
09/14/2021 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
09/13/2021 Daniel Nordstrom 88491874 $140.00
09/13/2021 88491874 Ameresia Lawlis $4.20
Outstanding Balance $0.00
Uploaded Files
Date File Name
09/14/2021 9678575-4129 Signed Permit.pdf
09/13/2021 9663772-4129 Site Plan.pdf
09/13/2021 9663773-4129 Application.pdf