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Home My WebLink About17625 79TH DR NE_BLD2881_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 42 PHONE; (360) 403-3551 BUILDING PERMIT Address:17625 79th Drive NE Permit#:2881 Parcel#:01107700001000 Valuation:3603.88 OWNER APPLICANT CONTRACTOR Name:BENTLEY KEVIN L&MAUREEN S Name:[Company Name] Name:NORDSTROM HEATING&AIR INC Address: 17625 79TH DR NE Address:[Company Address] Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:360-389-9819 Phone:425-335-4029 LIC:NORDSHA884JW EXP:04/16/2020 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:NORDSTROM HEATING&AIR INC Name: Address:3930 88th Street NE Address: City,State,Zip:MARYSVILLE,WA 98270 City,State,Zip: Phone:425-335-4029 Phone: LIC#:NORDSHA884JW EXP: 0 4/1 612 02 0 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONST.TYPE: VB DWELLING UNITS: I OCC GROUP: R3 BUILDINGS: I 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 1 CTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCI10. SALTS TAX NOTICE::Sales tax relating to construction and construction materials in the C'y of m s re rte on your sales tax return form a d coded City of Arlington#3101. Cheryl McClellan Zvl Signature Print Name Date c eas Date CONDITIONS ADHERE TO THE INSTALLATION OF THE APPROVED APPLIANCE. FURNACE MINIMUM 80% AFUE. JOB COPY SHALL BE ON SITE FOR INSPECTION. 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 10/31/2019 Furnace $25.00 10/31/2019 Mechanical Permit Base Fee $25.00 10/31/2019 Processing(Technology Fee $25.00 Total Due: $75.00 Total Payment: $75.00 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 - ' CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17625 79th Drive NE Permit#:2881 Parcel#:0 110770000 1000 Valuation:3603.88 OWNER APPLICANT CONTRACTOR Name:BENTLEY KEVIN L&MAUREEN S Name:[Company Name] Name:NORDSTROM HEATING&AIR INC Address: 17625 79TH DR NE Address:[Company Address] Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:360-389-9819 Phone:425-335-4029 LIC:NORDSHA884JW EXP:04/16/2020 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR _ Name:NORDSTROM HEATING&AIR INC Name: Address:3930 88th Street NE Address: City,State,Zip:MARYSVILLE,WA 98270 City,State,Zip: Phone:425-335-4029 Phone: LIC#:NORDSHA884JW EXP: 04/16/2020 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONST.TYPE: `IB DWELLING UNITS: I OCC GROUP: R3 BUILDINGS: I 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 CTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the C'y of teas oil on your sales tax return form and coded City of Arlington#3101. ZV1 Signature Print Name Date Date CONDITIONS ADHERE TO THE INSTALLATION OF THE APPROVED APPLIANCE. FURNACE MINIMUM 80% AFUE. JOB COPY SHALL BE ON SITE FOR INSPECTION. 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 10/31/2019 Furnace $25.00 10/31/2019 Mechanical Permit Base Fee $25.00 10/31/2019 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $75.00 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 -C DM-MERCIAL MECHANICAL • PERMIT APPLICATION Cll G Department of Community& Economic Development City of Arlington• 18204 59th Ave NE • Arlington,WA 98223• Phone(360) 403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS AND ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE. Type of Permit: New Installation ❑ Replacement Q Alteration Project Address: 17625 79th DR NE Arlington, WA 98223_ __ _ _ Parcel#: 01107700001000 like in In furnace replacement 3 603.88 Project Description: _ _ Valuation. Owner:Maureen Bentley Phone#:425-220-9345 Address: 17625 79th DR NE Arlington, Wa. 98223 City:Arlington State: Zip:98223 Email Address: bentleymaureen@yahoo.com Maureen Bentley 425-220-9345 Contact Person: Phone#: Address: 17625 79th DR NE Arlington, Wa. 98223 City:Arlington State: WA Zip: 98223 Email Address:bentleymaureen@yahoo.com Contractor Name.Nordstrom Heating and Air Phone#: 360-389-9819 Contractor Address:4717 87th Ave NE City:Marysville State:Wa Zip: Email:office@nordstromheating.co Contact Person:Cheryl or Debbie Contractor License Number: nordsha. J884'w Expiration: 04-16-2020 _ _ _ _ _ Please indicate type of number of appliances: FURNACE X CONDENSING UNIT GAS PIPING OUTLET BOILER HEAT PUMP(multi-split) UNIT HEATER CHILLER HEAT PUMP(mini-split) PAINT BOOTH COOLER HEAT PUMP(other) TYPE I HOOD AC(air cooled) HEAT REJECTION EQUIP TYPE II HOOD AC(water cooled) VENTILATION SYSTEM AST AC(evaporator) PACKAGED UNIT UST AC(VRF) DRYER OTHER 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 aa- u "te laws:rules and regulation of the State of Washington. Applicants Signature: Date 10/31/2019 Applicants Printed Name: Cheryl McClellan �(,),( FOR STAFF USE ONLY Received Permit `((//j/v/ Acc By Amount Received Receipt# Dale eCei 6/16LP Page 1 of 1 S��nrrh I&I Home Espahol Contact Labori Industries Workplace Rights .• • IS Washington State Department of Labor & Industries NORDSTROM HEATING &AIR INC Owner or tradesperson 4717 87TH AVE NE Principals MARYSVILLE,WA 98270 NORDSTROM,DANIEL JASON,PRESIDENT 425335-4029 SNOHOMISH County ® AHLERS&CRESSMAN PLLC,AGENT Doing business as NORDSTROM HEATING&AIR INC WA UBI No. Business type 602 279145 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. NORDSHA884JW Effective—expiration 04/16/2012—04/16/2020 Bond Developers Surety&Indem Co $12,000.00 Bond account no. 256304C Received by L&I Effective date 04/16/2012 04/12/2012 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9869472 Received by L&I Effective date 03/29/2019 05/07/2019 Expiration date 05/0712020 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 Help us Improve ,.__ 1 i .. No L&I tax debts are recorded for this contrac'--'jcense during the previous 6 year period,but some dpAlts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications & Endorsements I OMWBE Certifications No active certifications exist for this business. Apprentice Trainins Agent Not allowed to have apprentices. I 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. 099,363-00 Doing business as NORDSTROM HEATING&AIR INC Estimated workers reported Quarter 2 of Year 2019"4 to 6 Workers" L&I account contact T3/NATHAN KOZAK(360)902-6243-Email:KOZN235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Needs to complete training. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. .ltcess it�ll':�shingten• Help us . . w z oe '�///' •��! z o z x W 0-4 reCL4 O A Q+ 3 p F Z p Z V Voa W O W N O p ❑ Ilk om a U - Z o � M CQ O Q _ m U O a w c oL2 Zm � o GC a (67) r z a. t4 O �� O z �. 0 O C z vai w a oW o f� O W F F z :4 h d O ¢ r� W e cw o aw o � z Q F z ❑ 171 a 96 o ❑ ❑a ❑ ❑ ¢ ❑� ❑ I z o �1ly o� COMMERCIAL MECHANICAL • PERMIT APPLICATION ��ilvGSp Department of Community& Economic Development City of Arlington• 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS AND ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE. Type of Permit: ❑ New Installation ❑ Replacement ✓❑ Alteration Project Address: 17625 79th DR N E Arlington, WA 98223 Parcel #: 01107700001000 like in kind furnace replacement Project Description: Valuation:3,603.88 Owner: Maureen Bentley Phone#:425-220-9345 Address: 17625 79th DR NE Arlington, Wa. 98223 City: Arlington State:Wa Zip:98223 Email Address: bentleymaureen@yahoo.com aureen en ey Contact Person: Phone #: 425-220-9345 Address: 17625 79th DR NE Arlington, Wa. 98223 City:Arlington State: WA Zip: 98223 Email Address:bentleymaureen@yahoo.com Contractor Name:Nordstrom Heating and Air Phone #: 360-389-9819 Contractor Address: 4717 87th Ave NE City: Marysville State:Wa Zip: 98270 Email:office@nordstromheating.co Contact Person: Cheryl or Debbie Contractor License Number: nordsha884jw Expiration: 04-16-2020 Please indicate type of number of appliances: FURNACE X CONDENSING UNIT GAS PIPING OUTLET BOILER HEAT PUMP(multi-split) UNIT HEATER CHILLER HEAT PUMP(mini-split) PAINT BOOTH COOLER HEAT PUMP(other) TYPE I HOOD AC(air cooled) HEAT REJECTION EQUIP TYPE II HOOD AC(water cooled) VENTILATION SYSTEM AST AC(evaporator) PACKAGED UNIT UST AC(VRF) DRYER OTHER 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 b in acc 5- d, s Te55�'"'he laws rules and regulation of the State of Washington. L � Applicants Signature: Date 10/31/2019 Applicants Printed Name: Cheryl McClellan FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received 6/16LP Page 1 of 1 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17625 79th Drive NE Permit#:2881 Parcel#:01107700001000 Valuation:3603.88 OWNER APPLICANT CONTRACTOR Name:BENTLEY KEVIN L&MAUREEN S Name:[Company Name] Name:NORDSTROM HEATING&AIR INC Address: 17625 79TH DR NE Address:[Company Address] Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:360-389-9819 Phone:425-335-4029 LIC:NORDSHA8841W EXP:04/16/2020 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:NORDSTROM HEATING&AIR INC Name: Address:3930 88th Street NE Address: City,State,Zip:MARYSVILLE,WA 98270 City,State,Zip: Phone:425-335-4029 Phone: LIC#:NORDSHA884JW EXP: 04/16/2020 LIC#: EXP JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONST.TYPE: `1B DWELLING UNITS: I OCC GROUP: R3 BUILDINGS: I 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 I CTION 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 C' of m s re rtc on your sales tax return form a d coded City of Arlin on#3101. Cheryl McClellan Zvl Signature Print Name Date a eas Date CONDITIONS ADHERE TO THE INSTALLATION OF THE APPROVED APPLIANCE. FURNACE MINIMUM 80% AFUE. JOB COPY SHALL BE ON SITE FOR INSPECTION. 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 10/31/2019 Furnace $25.00 10/31/2019 Mechanical Permit Base Fee $25.00 10/31/2019 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $75.00 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 Permit#: 2881 Permit Date: 10/31/19 Permit Type: RESIDENTIAL MECHANICAL Project Name Bentley Applicant Nam a Nordstrom Heating and Air Applicant Address: 4717 87th Avenue NE Applicant, City, State, Zip: Marysville,WA98270 Contact: Cheryl McClellan Phone: 360-389-9819 Em al: office@nordstrom heating.com Scope of Work: Replace furnace Valuation: 3603.88 Square Feet: 3095 Num ber of Stories: 2 Construction Type: VB O xupancy G ioup: R-3; Residential ID Code: Permit Issued: 11/01/2019 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wrier Nam e Caner Phone Zoning 01107700001000 1 7625 79TH DR NE BENTLEY KEVIN L 910 Undeveloped &MAUREEN S (Vacant)Land Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense 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 Fees Fee D escription N otes A m mnt Forced Air Heat f ee per Btu $ 25.00 Mechanical Base P erm i Fee $ 25.00 Processing/Technology $25.00 Credit Card Service $2.25 Total $ 77.25 Attached Letters Date Letter D escription 10/31/2019 Building Perm i Paym arts Date Paid By D escription P aym ait Type A ccepted By A m aunt 10/31/2019 Daniel Nordstrom 7 7713339 $75.00 10/31/2019 Daniel Nordstrom Transaction CC Surcharge $2.25 77713339 O itstanding Balance $0.00 Notes Date Note C reated By: 11/05/2019 Furnace m odel num ler ADD2B06A9V3VA. K ristin Foster Uploaded Files Date File Nam e 01/02/2020 6046942-2881 12-5-19 IC.pdf 10/31/2019 5831795-2881 Application.pdf