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HomeMy WebLinkAbout3628 176th Pl Ne_BLD235_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:3628 176th Place NE Permit#:235 Parcel#:00598900000500 Valuation: OWNER APPLICANT CONTRACTOR Name: 11-12 Property Washington LP Name:Five Star Comfort,LLC Name: Address:P.O.Box 3117 Address:2209 Bedal Lane Address: City,State Zip:Kirkland,WA 98083 City,State Zip:Everett,WA 98208 City,State Zip: Phone: Phone:425-344-5438 Phone: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Five Star Comfort,LLC Name: Address:2209 Bedal Lane Address: City,State,Zip:Everett,WA 98208 City,State,Zip: Phone:425-344-5438 Phone: LIC#: FIVESSC881 L2 EXP: 6/22/2014 LIC#: EXP: JOB DESCRIPTION f "I., PERMIT TYPE: Residential Mechanical CODE YEAR: STORIES: CONST.TYPE: DWELLING UNITS: 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 1 I O/IRC 110. SALES TAX NOTICE:Sales x relating to construction and construction materials in the City o Arl' n must be reported on y es tax return form coded f 101. ignature Print Name Date Released By Date CONDITIONS Adhere to approved plans. 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 11/8/2013 Mechanical Fee(Enter Fixture Fee) $25.00 11/8/2013 Mechanical Permit Base Fee $25.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: S50.00 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 �l RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community Development City of Arlington• 238 N Olympic Ave. •Arlington,WA 98223 • Phone(360)403 3551 • FAX(360)403 3418 THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS, TWO(2)SETS OF SPECIFICATION SHEETS AND TWO(2) SETS OF WASHINGTON STATE ENERGY CODE(if applicable). Project Valuation: arcel ID#: 00 S-!n ,9 ©O � " ® �0a Project Address L Lot#: Subdivision: Project Description: Ja-� kit U ka-2 / f1z Owner Z1Y �Z- PR_� U/0 S61/VC+i' OitJ Phone Number: _ y _ S',3 6 Address: City: State: Zip Code: Contact Person: S 44 L O_/V Phone Number: Z06 93 Tz Cell Phone: Fax: E-mail: Address: City: State: Zip Code: Please List quantity of fixtures below: l FURNACE UP TO 100K BTU CLOTHES DRYER GAS OUTLETS FURNACE OVER 100K FLOOR FURNACE SUSPENDED HTRIUNIT HTR BOILER UP TO 3 HP APPLIANCE REPAIR SOLID-FUEL APPLIANCE BOILER UP TO 4-15 HP AIR HANDLING UP TO 10K CFM FIREPLACE INSERT _ BOILER UP TO 16-30 HP AIR HANDLING OVER 10K CFM VENTILATION SYSTEM HEAT PUMP VENTILATION FANS OTHER VENT HOOD DOMESTIC INCINERATOR ALL OTHER UNITS FREESTANDING STOVE Contractor: rr i/e 12 Z_ C Phone Number: Address: 2 z_d 9 BR_,Ia 1 Lti City: Cs22� State: Wt4 Zip Code: Contractor's License Number: �a `L p 0 2— Expiration. 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 in accordance with the laws, rules and regulation of the State of Washington. C%;� /r/Os f/3 Xp�pcants na re Date L ti 4 71f-1,57 Print Applicants Name RECEIVE FOR STAFF USE ONLY Nov 0 8 2013 % COA En Permit# Accepte B Amount Received Receipt 2010 CJY �� � aoc� _7c�z - o�efl Permit#: 235 Permit Date: 11/08/13 Permit Type: RESIDENTIAL MECHANICAL Project Name: Furnace Change Out Applicant Name: Five Star Comfort, LLC Applicant Address: 2209 Bedal Lane Applicant, City, State, Zip: Everett,WA 98208 Contact: Ivan Baka Phone: 425-344-5438 Email: fivestarcomfort@gmail.com Scope of Work: Furnace change out Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 11/08/2013 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00598900000500 3628 176TH PL NE IH2 Property 111 Single Family Washington LP Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# Five Star Comfort Andrey Heichenko 425 345 6416 22407 61 st Ave MECHANICAL COA 603 208 718 SE CONTRACTOR Five Star Comfort Andrey Heichenko 425 345 6416 22407 61stAve MECHANICAL Labor&Industries FIVESSC881L2 SE CONTRACTOR Fees Fee Description Notes Amount Mechanical Fee(Enter Fixture Fee) $25.00 Mechanical Base Permit Fee $25.00 Total $50.00 Attached Letters Date Letter Description 11/08/2013 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/08/2013 Five Star cash Launa Black $50.00 Outstanding Balance $0.00 Notes Date Note Created By: 06/30/2014 No inspection ever scheduled for the installation.CY Chris Young 11/08/2013 100%efficency Launa Black Uploaded Files Date File Name 11/08/2013 BLD-235.pdf