HomeMy WebLinkAbout4822 Cemetery Rd_BLD801_2025 CITY OF ARLINGTON
238
N. OLYMPIC AVE-ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:4822 Cemetery Rd Permit#:801
Parcel#:00564600001001 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:FLETCHER JEFFREY K&ZENAIDA M Name:Fast Water Heater Name:Fast Water Heater Company
Address:4822 CEMETERY RD Address:11715 N Creek Parkway S C-106 Address: 1 1715 North Creek Parkway South,Ste
C-106
City, State Zip:ARLINGTON,WA 98223-6334 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011
Phone: Phone:425-636-7094 Phone:(425)636-7054 Ext.
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: ResUlentlat Plumbing CODE YEAR:
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS OCC LOAD:
PERMIT APPROVAL
l 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. IHCI 10/IRCI 10.
SALES TAX 14011CF.,Sales tax relating to construction and construction materials in the City of ArliugI t must be re>orlcd on your sales tax return
form and coded City ot'Arlington#3101.
rt- - 30 9 ' 1
Signature Print Name Date cl t1sed Ily ntc
CONDITIONS
THIS PERMIT AUTFIORIZS 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, F,'f(;.)WILL REQUIRE SFIIARATE PERMISSION,
PERMIT FEES
Date Description Fee Amount
9/30/2015 Plumbing Permit Base Fee $25.00
9/30/2015 Water Heater $25.00
Total Due: $50.00
Total Payment: SO.00
Balance Due: $50.00
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: 4822 Cemetery Rd Permit#: 801
Parcel#:0056460000 100 1 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name: FLETCHER JEFFREY K&ZENAIDA M Name:Fast Water Heater Name:Fast Water Heater Company
Address:4822 CEMETERY RD Address:11715 N Creek Parkway S C-106 Address: 11715 North Creek Parkway South, Ste
C-106
City, State Zip:ARLINGTON,WA 98223-6334 City,State Zip: Bothell, WA 98011 City, State Zip:Bothell,WA 98011
Phone: Phone:425-636-7084 Phone:(425)636-7054 Ext.
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Naive: Name:
Address: Address:
City, State, Zip: City, State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing 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. IBCI l0/IRC1 10.
SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlingt must be re orted on your sales tax return
form and coded City of Arlington#3101. A /�
Signature Print Name Date cl ased By G//ate
CONDITIONS
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
9/30/2015 Plumbing Permit Base Fee $25.00
9/30/2015 Water Heater $25.00
Total Due: $50.00
Total Payment: $0.00
Balance Due: $50.00
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
--�' RESIDENTIAL MECHANICAL
PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington • 19204 59th Ave NE•Arlington,WA 99223 • 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:4822 CEMETARY ROAD, ARLINGTON, WA 98223
Project Description_Remove/replace gas water heater
Owner: JEFF FLETCHER
Address:4822 CEMETARY RD City: ARLINGTON State:WA Zip Code: 98223
Phone: 425-493-7424 Email:KKEHLE@fastwaterheater.com
Applicant: FAST WATER HEATER
Address: 11715 N CREEK PKWY S#C-106 City: BOTHELL State:WA Zip Code: 98011
Phone: 425-636-7084 Email: KKEHLE@fastwaterheater.com
CONTRACTOR INFORMATION
Contractor Name:FAST WATER HEATER
Address: 11715 N CREEK PKWY S#C-106 City: BOTHELL State:WA Zip Code: 98011
License Number:FASTWWH948BC Expiration: 1_4-16
Phone:425-636-7084 Email;KKEHLE@fastwaterheater.com
Received-
STAFF USE ONLY SEP 3 0 2015
Permit#: b b l Accepted by: &,E�_ 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
❑ Furnace (80+) Model # AFUE
Q Heat Pump Model # AFUE HSPE
!� AC Unit Model # SEER
[✓� Freestanding Stove Fire Place Insert Outdoor BBQ
Gas Piping Solid-Fuel Appliance C�J Other hi-R water
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: _�_ ��`�ilwon16 ^ Date: 09/30/2015
Applicant Printed Name: Kathleen Kehle
1 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.
MODEL#: GG30T06
GE SmartWaterTM Gas Water Heater
i
Model#GG30TO6AVG00
/�► FEATURES
Fuel Type Natural Gas(factory set)
Height Description Tall
Sensor Smart Shield
• Full 2-year in-home warranty;limited 5-year warranty
on tank and functional parts(see written warranty for
complete details)
• -SmartShieldTM sensor system
• -No filters to clean,service or replace
• Pilot light ignition-Offers a simple push button
operation
• Special porcelain lining-Provides tank protection
• -Meets or exceeds National Appliance Energy
Conservation Act(NAECA)and ASHRAE requirements
• -Factory installed temperature and pressure relief valve
Have more questions?Please contact I-800-626-2005