HomeMy WebLinkAbout20218 77TH AVE NE_056406_2026 14 rL
INSPECTION REPORT
4t,ZN G TO Permit No.: &; 04 o(o Lot #:
Address: emu" 8 '7 A--,k5
Contractor: A Atiy%jytn-j
'Ys, GAO Owner:
IN
Date: Co 30 05
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
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Inspector: f= Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
A Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
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Owner: GAY, SAWN 20308 '77'I'H AVE NE STE E ARLINGTON `382 3
Value of Work: Tax ID: 008219100000400 Phone: 360-435-3900
Describe Work: INSTALL FURNACE AND DUCTS
Proposed Use:
Legal Description. JAY THREE TWO LOT 4
Job Address: 20218 77TH AVE NE
Contractor's Name Type Address License`
GRANDVIEW NORTH LLC GEN PO BOX 159 GRANDNLO13KP
ROBIN BONNER ORCA HEATING & AC MEG 8721 27TH AVE NE ORC:AHC*993DH
� P E R PI I T F E E S
Equipment and Fixtures Number Fee Total Charge +
VENTILATION FANS 2 $7. 00 $14. 00 '
AIR HANDLING UNIT 1 $37. 00 $37. 00
S U B T 0 T A L. . . . . . $51. 00
R
TOTALS Fee
Equipment $51. 00
Mech Permit $24. 00 SIGNATUR
TOTAL FEE. . . . . . . . . . . . . . . . . $75. 00 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 0 KNOW THE SAME TO BE TRUE AND COR-
REC ALL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $75. 00 ORD P ANG'E. GD VEIN I THIS TYPE OF
WO WILL (CoPL G�D WITH WHETHER
SF C .FIE !. Y OG NOT
DATE RECEIPT # Mat 914
I -7 "Q1"? DING OFFIC AL
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�``Y °� COMMERCIAL MECHANICAL
7 o PERMIT APPLICATION
t�N G� Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3431 • FAX (360)403 3447
THIS APPLICATION MUST BE ACCOMPANIED BY EIGHT(8) SETS OF CONSTRUCTION DRAWINGS, AND THREE
(3) SETS OF WASHINGTON STATE ENERGY CODE APPLICATIONS.
Type of Permit: ( ) Residential Apartment Kcommerciai
Project Address/ 2 1 (1 n `c Parcel ID#:
Lot#: 1 Subdivision: J a�I V� 1-fit J2`'O Lot
Project Description: �c�'����dnc
Owner: J Phone Number:
Address: Q0 30e) �� �J c N� 1 City:k2(1�, All Stater Zip Code:
Contact Person: Jeff S►r%'4e rz / oebb�'c L;��kkgi S Phone Number: 3(20 -'LtMS- Z 11
Cell Phone: 3(op _ ZO$ r(p45—Lp Fax:3LO)-43S-aaU E-mail: 6�V9 bQj%n1y;#,_0inc. *Jr-
Address: city:V,16\" State: IjSf� Zip Code:
J
Please List Quantity of Fixtures Below:
CLOTHES DRYER FURNACE UP TO 100K BTU GAS OUTLETS
FURNACE OVER 100K FLR FURN INSTALL/RELOCATE SUSPENDED HTR/UNIT HTR\
APPL VENT/OTHER APPLIANCE REPAIR BOILER UP TO 3 HP
BOILER UP TO 4-15 HP BOLIER UP TO 16-30 HP BOILER UP TO 31-50 HP
BOILER 51 HP AND UP AIR AHNDLING UP TO 1 OK CFM AIRHANDLING OVER 1 OK CFM
EVAL COOLER 5 VENTILATION FANS OTHER VENTILATION SYSTEM
VENT HOOD DOMESTIC INCINERATOR COM/IND INCINERATOR
ALL OTHER UNITS II FREESTANDING STOVE FIREPLACE INSERT
Contractor: Jnkpyy1 y r xD N U'%L .1-k t- L Phone Number:
Address: U, 'fax \sn City: _ State: I 0A Zip Code: ggaa3
Contractor's License Number:-1'�� �0(�.l' to -� F, 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.
os
Applicants Signature Date
�� o A,--:,,
Print Applicants Name
RECENED
APR 11 2005'
COA BUILDING DEPT
Forms/MECH-1
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238 N Olympic Ave
Arlington,WA 98223 City of Arlington
Phone:360.403.3431
Fax:360.403.3447
Fax
To: Debra Whittis From: Scott Black
Fax: 435-2265 Date: April 19, 2005
Phone: 435-7171 Pages: 2
Re: Arlington Family Chiropractic CC:
❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
Review letter for Mechanical permit#05-6406.
If you have an additional questions please feel free to contact me @ 360.403.3437or
you can email me @ sblack@ci.arlington.wa.us
Thank you,
Scott Black
Building Inspector
C��TY o� City of Arlington Community Development
7� 238 N. Olympic Avenue Arlington, WA 98223
tING'S
April 19, 2005
Grandview North LLC
P.O. Box 159
Arlington, WA 98223
Re: Arlington Family Chiropractic, Shawn Gay Mechanical permit#05-6406
The submitted drawings have been reviewed for compliance with the 2003 edition of The
International Mechanical Code. The following corrections and/or additional
requirements are necessary before the permit can be issued.
1. Provide the manufacturers specifications for the air handler.
2. Specify the cfm of the exhaust fans.
3. Specify on the plans that all exhaust fans vent to the exterior.
4. Provide specifications for range hood over stove.
The drawings should be revised, 2 sets of drawings are required at the time of re-
submitted.
Thank you,
Scott Black
Plans Examiner/Inspector
360-403-3437
sblack@ci.arlington.wa.us
Building Division 360.403.3431 • Planning Division 360.403.3434 Natural Resources 360.403.3440 Code Enforcememt 360.403.3457
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License Information
License ORCAHC*993DH
Licensee Name ORCA HEATING Et A/C
Licensee Type CONSTRUCTION CONTRACTOR
UBI 601260585 Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
Business Type INDIVIDUAL
Address 1 8721 27TH AVE NE
Address 2
City MARYSVILLE
County SNOHOMISH
State WA
Zip 98271
Phone 3606587137
Status ACTIVE
Specialty 1 AIR CONDITIONING
Specialty 2 AIR HEAT,VENTILATION,EVAPORAT
Effective Date 3/8/2001
Expiration Date 5/9/2006
Suspend Date
Separation Date
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https://fortress.wa.gov/lni/bbip/Detail.aspx?License=ORCAHC*993DH 4/13/2005
Look Up a Contractor, Electric` n or Plumber License Detail Page 2 of 2
Business Owner Information
Name Role Effective Date Expiration Date
BONNER, ROBIN OWNER 01/01/1980
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No Matching Information
Savings Information
Bank Assignment
Bank Branch of Savings Effective Release Assignment Impaired Received
Savings Name Location Number Date Date Type Date Amount Date
EVERTRUST Until
#2 BANK MARYSVILLE 4000102908 05/09/2002 Released Bond $2,000.00 5/9/2002
EVER
TRUST Until
#1 BANK MARYSVILLE 4000100503 03/06/2001 Released Bond $4,000.00 3/8/2001
Insurance Information
Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Date Date Date Amount Date
TRUCK INS
#5 EXCHANGE 79035071260 03/02/2005 03/02/2006 $1,000,000.00 03/02/2005
BURLINGTON
#4 INS CO 540B001582 03/02/2004 03/02/2005 $1,000,000.00 03/01/2004
BURLINGTON
#3 INS CO 540B000529 03/02/2003 03/02/2004 $1,000,000.00 03/13/2003
FULCRUM
#2 INS CO CP1037091 03/02/2002 03/02/2003 $1,000,000.00 05/09/2002
FULCRUM
INSURANCE
#1 CO CP1037463 03/02/2001 rO3/02/2002 03/08/2001
Summons/Complaints Information
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https:Hfortress.wa.gov/lni/bbip/Detail.aspx?License=ORCAHC*993 DH 4/13/2005
Grandview Homes Fax:360-435-2265 Apr 13 2" 9: P. 01
April 13, 2005
Attention: Scott
�'{0��3��� •
Here is the inforniatioxi on the contractors you asked for:
Plumbing Contractor =
Emerald Plumbing Contact:., JoshGaston
Cell- 425-308-4991
l51] S. �rraham :.. ............_ _._
Camano Island 98292
License#EMERAPC001DL Exp. 3/13/06 w
Mechanical Contractor
Orca Heating&Air Conditioning Cvzatact:Ia1in Bouiier
8721 276 Ave NE Cell: -4225-508=2484.... Y :.. :,............
Marysville 98271
License#ORCAHC*993DH Exp. 5/9/0'6 "
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