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Home My WebLink About18009 Ambleside Ct_BLD745_2026 ANDGAR CORPORATION Ferndale Warehouse or Jobsite Name: (360) 366-9900 (360) 366-5800 fax Delivery Date: Hour: .,ob #: SR? (888)437-2144 " SL, S&D, S&S, DM, RA, SA Color: Page # For: 9 (Locate Color Side) Label As: Page of O9V3 S 1 Y,\j (66 tc-- a 1-,?aep— be � ° S Qrb ej s t°1 W �(p to L `�-• �� ?.ems � `� ` z 28077 RESIDENTIAL MECHANICAL 01" "" 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:18009 Ambleside Ct, Arlington, WA 98223 Project Description: Replace furnace like in kind Owner: Greg & Nancy Gustelius Address: 18009 Ambleside Ct City: Arlington State-.WA Zip Code: 98223 Phone: 206-718-7196 Email:n/a Applicant: Andgar Corporation Address: 6920 Salashan Pkwy A102 City: Ferndale State WA Zip Code: 98248 Phone. 360-366-9900 Email: brandiz@andgar.com CONTRACTOR INFORMATION Contractor Name:Andgar Corporation Address: 6920 Salashan Pkwy A102 City: Ferndale State:WA Zip Code: 98248 License Number:ANDGAC*19102 Expiration: 7/11/2017 Phone-360 366 9900 Email:brandiz@andgar.com STAFF USE ONLY Permit #: Accepted by: Date: 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 Q Furnace (80+) Model # TDH2C100A9V4VB AFUE 96 ❑ 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 to 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: 07/23/2015 Applicant Printed Name: Brandi Zacarias l 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. "" ITY OF ARLINGTON 238 N. OLYMPIC AVE- ARCING"I.ON, WA. 98223 PHONE; (360)403-355I BUILDING PERMIT Address:18009 Ambleside Court Permit#:745 Parcel#:00832900001600 Valuation:0,00 OWNER APPLICANT CONTRACTOR` Name:GUSTELIUS GREGORYi NANCY Name:Andgar Corporation Name:Andgar Corporation Address: 19009 AMBLESIDE COURT Address:6920 Salashan Parkway,#A102 Address:P.O.Box 2708 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Ferndale,WA 98248 City,State Z,ip:Femdate,WA 98248 Phone: Phone:360-366-9900 Phone:360-366-9900 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Andgar Corporation Name: Address:P.O.Box 2708 Address: City,State,Zip:Ferndale,WA 98248 City,State,Zip, Phone:360-366-9900 Phone: LIC#:ANDGAC*19102 EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2012 STORIES: CONST.TYPE; DWELLING UNITS: I OCC GROUP: 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 INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, IBC l I0/IRC 110, SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City ArI' Ito r tiist be reported on your sales tax return form ded City of Arlingt n#310 ignature Print Name Date Released By Date CONDITIONS Trane TDC2C I 00A9V4VI3 AFUE 96% 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" G. i Date Description Fee Amount 7/24/2015 Mechanical Fee(Enter Fixture Fee) $25,00 7/24/2015 Mechanical Permit Base Fee $25.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: $50.00 a CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: {( Permit Number,Type or inspection being requested,and whether you prefer morning or afternoon 1 s f i t 3 1 Permit#: 745 Permit Date: 07/24/15 Permit Type: RESIDENTIAL MECHANICAL Project Name: Gustelius Applicant Name: Andgar Corporation Applicant Address: 6920 Salashan Parkway, #A102 Applicant, City, State, Zip: Ferndale, WA 98248 Contact: Phone: 360-366-9900 Email: brandiz@andgar.com Scope of Work: Replace existing furnace like for like Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 07/24/2015 Permit Expires: Permit Form Type: Civic Plus Number: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning GUSTELIUS 00832900001600 18009 AMBLESIDE CRT GREGORY/ Residence Single Family -Detached NANCY Contractors Contractor Primary Contact Phone Address Contractor Type License License# Andgar Mechanical Dale Vanrooyen 360-366-9900 6920 Salashan MECHANICAL COA 604 255 353 LLC Parkway CONTRACTOR Andgar Mechanical Dale Vanrooyen 360-366-9900 6920 Salashan MECHANICAL Labor&ANDGAML825N3 LLC Parkway CONTRACTOR Industries 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 07/24/2015 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 07/24/2015 Kat Helmick 55382323 cc $50.00 Outstanding Balance $0.00 Notes Date Note Created By: 07/24/2015 Trane TDC2CI00A9V4VB,AFUE 96% Launa Black Uploaded Files Date File Name 07/24/2015 1200607-745 Issued Permit.pdf 07/24/2015 1200331-18009 Ambleside Ct Specs.pdf 07/24/2015 1200332-18009 Ambleside Ct Application.pdf