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HomeMy WebLinkAbout18319 E Country Club Dr_BLD20110106_2025 BUILDING INSPECTION REPORT C1T Y O f Permit No. —O/V -2 Address: �l�NG1i7 Contractor: Owner: �- Date: APPROVAL ® PARTIAL APPROVAL VIOLATION CORRECTION REQUEST Corrections listed below MUST BE MADE before work can be approved Please contact inspector Was not able to perform inspection Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before Inspector: Date: E S// ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation 0 Foundation ®Shear Nailing ® Groundwork mechanical ® Grid ® Struct. Slab ® Wood Stove ® Rough-in ® Final ® Masonry ® Drainage ® Insulation ® Other: BUILDING INSPECTION REPORT G11Y U� Permit No. z�'A� 7 Address: 1 Contractor: Owner: �llF� -i(f �f3S 7 6 Date: APPROVAL PARTIAL APPROVAL ® VIOLATION CORRECTION REQUEST Corrections listed below MUST BE MADE before work can be approved Please contact inspector Was not able to perform inspection Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before Inspector: ` Date: zf Ii ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork �Mechanicai ® Grid ® Struct. Slab ® Wood Stove ® Rough-in ® Final ® Masonry ® Drainage ® Insulation ® Other: 531518-U€M-C-091p COMBUSTION AIR SUPPLY Ambient Combustion Air Supply All installations must comply with Section 5.3,Air for Combustion and This type installation will draw the air required for combustion from Ventilation of the National Fuel Gas Code, ANSI Z223,1 or Sections within the space surrounding the appliance and from areas or rooms 7.2. 7.3 or 7.4 of CAN/CGA B149.1 or.2 Installation Code-latest edi- adjacent to the space surrounding the appliance. This may be from ` ticns, within the space in a non-confined location or it may be brought into the { This furnace is certified to be Installed with one of three possible com- furnace area from outdoor through permanent openings or duds. It is { bastion air intake configurations. not piped directly into the furnace.A single,properly sized pipe from the 1. OUTDOOR COMBUSTION AIR-This is a direct vent configuration furnace vent connector to the outdoors must be provided. It is recom- where the combustion alr Is supplied through a PVC or ABS pipe mended that the supplied intake coupling and 13"of pipe be attached to - that is connected to the PVC coupling attached to the furnace and the furnace to prevent accidental blockage or combustion air intake. is terminated in the same atmospheric zone as the vent.This type of installation Is approved on all models.Refer to Figure 40, COMBUSTION AIR Vent pipe cements 2. AMQIENT COMBUSTIQN AiR: Combustion air is supplied from into socket just `` the area surrounding the furnace through openings in the furnace above tap panel k casing.The combustion air and the vent pipes are not terminated in the same atmospheric zone.Refer to Figure 33 for v t ina- fliir uppy Tor proper ins Refer to Figure 41_ Or vent pipe may be r•ES. LATED COMBUSTION AIR: Combustion air is supplied clamped into outlet rlh a PVC or A9S pipe that is connected to the PVC coupling — r of drain coupling t td to the burner box and is terminated in a ventilated attic or pace.The combustion air and the vent pipes are not termi- in the same atmospheric zone.Refer to Figure 43 for attic \l j awl space termination,Only the combustion air intake may _ —J te In the attic.The vent must terminate outside, om it FIGURE 41: Combustion Zflew Path Through The Furnace Casing Combustion Air IntakeNent Connections This installation requires combustion air to be brought in from outdoors. //�p�r /'► This requires a properly sized pipe(Shown in Figure 40)that will bring tea^ A■�ARNIN , ' air in from the outdoors to the furnace combustion air intake collar on This type of installation raqu/re; that the supply air to the appli- the b ce ance(5)be of a sufficient amount to support all of the appliance(s) v pipe. 1n the area.Operation of a mechanical exhaust,such as an exhaust fen,kitchen ventilation system, clothes dryer or fireplace may cre- �^ I N QTI C E j' + ate conditions requiring special attention to avoid unsatisfactory _ operation of gas appliances.A venting problem or a lack of supply An opt;onai plastic birdscrecn Is shipped in the loose parts beg vath air w;11 result in a hazardous condition, which can cause the app6- every furnace. This may be installed in the intake collar to prevent once to soot and generate dangerous levels of CARBON MONOX- any small objects from entering the fumace. IDE, which can lead to serious injury, property damage and/or death_ Connects to r ^i Vent pips cements An unconfined space is not less than 50 ft3(1,42 m3)per 1,000 BTU/ collar on top Into socket just hr(0.2928 kW) Input rating for all of the appliances installed in that of burner boxes above top panel area_ Rooms communicating directly with the space containing the all ance-3 are considered part of the unconfined space, if doors are fur- Or vent pipe may be nished with openings or louvers. clamped into outlet A confined s ee is an area with less than 50 ft3 1.42 m + of drain coupling � ( 3)per 1,000 BTU/hr(0.2928 kW)input rating for all of the appliances installed In that area.The following must be considered to obtain proper air for combus- Qiil ` tion and ventilation in confined spaces. Combustion Air Source From Outdoors The blocking effects of louvers,grilles and screens must be given con- sideration In calculating free area.If the free area of a speck louver or FIGURE 40, Direct Vent Air Intake Connection and Vent Connection grille is not known,refer to Table 11,to estimate free area_ The combustion air intake pipe should be located either through the Table 19:Estimated Free Area wall (horizontal Or side vent)or through the roof(vertical vent)_ Care Wood or Metal Wood 20-25%- should be taken to locate side vented systems where trees or shrubs Louvers or Grilles Metal 50-70% will not block or restrict supply air from entering the terminal. Screens+ 1/4'(6.4 mm) Also,the terminal assembly should be located as far as possible from a mesh or larger 100% swimming pool or a location where swimming pool chemicals might be Do not use loss then 1/4•(6.4 mm)mesh. stored. Be sure the terminal assembly follows the outdoor clearances * Free area of louvers antl.grille varies widely;the installor should follow listed in Section#1"Outdoor Air Contaminants," louver or grille manufacturer's instructions. Johnson Controls Unitary Products 31 531518-UIM-C-0110 YAMillated Combustion V n i C o Air 7 R The ventilated attic space or a Crawl space from which the combustion Refer to Figure 43 for required etLc termination for the combustion air air is taken must comply with the requirements specified in "AIR intake pipe.For attic termination,use two 90°elbows with the open end SOURCE FROM OUTDOORS"in this instruction or in SeCuon 5.3,Air in a downward position. Be sure to maintain 12"(30.5 cm)clearance for Combustion and Vendlation of the National Fuel Gas Code, ANSi above any insulation,flooring or other material. Z223.1 (latest edition).This type installation requires two property sized A crawl space combustion air installation consists of a straight pipe from Pipes.One brings combustion air from a properly ventilated attic space the PVC coupling on the burner box that extends into the crawl space or crawl space and a second pipe that extends from the furnace vent v connection (top right of unit) to the exterior of the building. Refer to and terminates with a i/G"(6.4 mm)mesh screen and no elbows. 2 Table 7 for intake pipe sizing,allowable length and elbow usage.Follow j all notes, procedures and required materials in the 'COMBUSTION AIR/VENT PIPE SIZING" section in these instructions when installing j the combustion air pipe from the unit and into a ventilated attic space or I crawl space.DO NOT terminate vent pipe in an Attic or Crawl Space. AWARNING.,& CARBON MONOXIDiE POISONING HAZARD Failure to follow the steps outlined below for each appliance connected to the venting system being placed into operation could result in carbon- monxide poisoning or death. The following steps shall be followed for each appliance connected to the venting system being placed info operation, while all other appliances connected to the venting system arc not in operation' 1, inspect the venting system for proper size and horizontal pitch.Determine that there is no blockage,restriction,leakage,corrosion or other deficiencies,which could cause an unsafe Condition 1 2. Close all building doors and windows and all doors. w 3. Tum on clothes dryers and TURN ON any exhaust fans,such as range hoods and bathroom exhausts,so they shall operate at maximum speed.Open the fireplace dampers.Do not operate a summer exhaust fan, 4. Follow the lighting instructions.Place the appliance being inspected in operation.Adjust thermostat so the appliance shall operate contin- uously_ 5. Test each appliance(such as a water heater)equipped with a draft hood for spillage(down-draft or no draft)at the draft hood relief opening after 5 minutes of main burner operation.Appliances that do not have draft hoods need to be checked at the vent pipe as close to the appliance as possible.Use a combustion analyzer to check the CO2 and CO levels of each appliance.Use a draft gauge to check for a downdraft or inadequate draft condition. 6. After it has been determined that each appliance properly vents when tested as outlined above,return doors,windows,exhaust fans,fire- place dampers and any other gas burning appliance to their normal condition, 7. If improper venting Is observed during any of the above tests,a problem exists with either the venting system or the appliance does not have enough combustion air(Supply Air from outside)to complete combustion.This condition must be corrected before the appliance can function safety. NOTIz.An unsafe condition exists when the CO reading exceeds 40 ppm and the draft reading is not in excess of-0.1"w.c.(-25 kPa)with all of the appliance(s)operating at the same time_ 8. Any corrections to the venting system and/or to the supply(outside)air system must be in accordance with the National Fuel Gas Code Z223,1 or CANICGA 6149.1 Natural Gas and Propane Installation Code(latest edltlons), If the vent system must be resized,follow the appropriate tables in Appendix G of the above codes or for this appliance. 12"minimum ���_ ✓ � �►1NARNING between.bottom C/ J r of air intake and 3e sure to instruct tho owner not to block this intako pipe. any material below, �, ',+ 2 VENT BLOWER ROTATION is r�iA For ease of venting.the vent blower may be rotated 90'in either direc- tion,For upflow installations the vent may exit through the top or either 1 side of the cabinet.For downflow lnstallations,the vent blower must be J rotated so that the vent exits through either side of the cabinet.See Fig- ures 29-32 for details. SECTION Vill; START-UP AND ADJUSTMENTS The initial start-up of the furnace requires the following additional procedures: FIGURE 43: Attic and Crawl Space Combustion Air Termination /�Specially Engineered installation9 IMPGRTANT �. v The above requirements shall be permitted to be waived where special engineering,approved b the authori havingjurisdiction, mvides an All electrical connections made in the field and in the factory should adequate supply p y p be chocked for proper tightness. ode q pply of air for combustion and ventilation. Johnson Controls Unitary Products 33 AMA CITY OF ARLINGTON \, 238 N. OLYMPIC AVE.-ARLINGTON,WA. 98223 PHONE: (360)403-3421 BUILDING PERMIT _ Address: 18319 E COUNTRY CLUB DR,ARLINGTON Permit#:BLD20110107 Parcel#:00832900005100 Valuation:$2,250.00 -- . APPLICANT'., CONTRACTOR. Gatterman NW Permits Wesco EUGENE GATTERMAN 1345 Gulf Road 2800 Thomdyke Avenue W 18319 E COUNTRY CLUB DR Point Roberts,WA 98281 Seattle,WA 98199 ARLINGTON,WA 98223 Lic#:WASHIES97IOB Exp:9/2/2011 PLUMBING CONTRACTOR MECHANICAL CONTRACTOR Lic#: Exp: Lic#: Exp JOB DESCRIPTION Replace gas 50 gallon hot water heater in an sfr PERMIT TYPE: Residential PERMIT GROUP: Plumbing STORIES: 0 CONST TYPE: DWELLING UNITS: 0 OCC GROUP: CODE: 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 110/IRC110. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. 7"/3-- 1 /( gna Print Name Date Relea a By Dat ARCHIVE = APPLICANT ASSESSOR OTHER BLD20110107 CONDITIONS I 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. • None PERMIT FEES - — --- _ -:— - - ;__- Description - _ Fee Anjount Paid Balance Dtl�' 7/8/2011 Plumbing Permit Fee $37.00 $0.00 $37.00 Total Due: $37.00 $0.00 $37.00 CALL FOR INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. • None CITY OF ARLINGTON J 238 N. OLYMPIC AVE.-ARLINGTON,WA. 98223 PHONE: (360)403-3421 BUILDING PERMIT Address: 18319 E COUNTRY CLUB DR,ARLINGTON Permit#:BLD20110106 Parcel#:00832900005100 Valuation:$2,250.00 _:•APAt.iL`ANT r_n_NT ar-rna Gatterman NW PermitsV Wesco EUGENE GATTERMAN 1345 Gulf Road 2800 Thorndyke Avenue W 18319 E COUNTRY CLUB DR Point Roberts,WA 98281 Seattle,WA 98199 ARLINGTON,WA 98223 Lic#:WASHIES971 OB Exp:9/2/2011 PL(JN1BING CONTRACTOR MECHANICAL CONTRACTOR Lic#: Exp: Lic#: Exp: JOB DESCRIPTION 60K BTU Gas Furnace Replacement PERMIT TYPE: Residential PERMIT GROUP: Mechanical/Solar STORIES: 0 CONST TYPE: DWELLING UNITS: 0 OCC GROUP: CODE: OCC LOAD: PERMIT APPR 1 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.IBC110/IRC110. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. :'-- Signature Print me Date Re eas d By i to ARCHIVE APPLICANT ASSESSOR OTHER BLD20110106 CONDITIONS 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. • None PE:RIN11 U FGES Date Description __j,- Fee Amount Paid Balance Due 7/8/2011 Mechanical Permit Fee $50.00 $0.00 $50.00 Total Due: $50.00 $0.00 $50.00 CALL FOR INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. • None �`�Y RESIDENTIAL MECrIANICAL 7 o PERMIT APPLICATION �rNG� Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223 • Phone (360)403 3431 - FAX (360)403 3447 THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS, AND TWO(2) SETS OF WASHINGTON STATE ENERGY CODE APPLICATIONS. Type of Permit: iII ) Residential ( ) Commercial 18319 E COUNTRY CLUB DR,Arlington WA 98223 00832900005100 Project Address: Parcel ID#: Lot#: Subdivision: REPLACE GAS 60K BTU FURNACE Project Description: Owner: EUGENE&NAOMI GATTERMAN Phone Number: 360-435-7306 Address: City: Arlington AS PROJECT ADDRESS Cit . Arlington State: WA Zip Code: 98223 Contact Person: CYNDAL MILLHOLLIN Phone Number: 360-945-2787 Cell Phone: Fax: 360-945-2091 E-mail: Cyndal@nwpermit.com Address: 1345 Gulf Road city: Point Roberts State: WA-- Zip Code:98281 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 HTR1 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 1OK CFM AIRHANDLING OVER 1 OK CFM EVAL COOLER VENTILATION FANS OTHER VENTILATION SYSTEM _ VENT HOOD DOMESTIC INCINERATOR COM/IND INCINERATOR ALL OTHER UNITS FREESTANDING STOVE FIREPLACE INSERT Contractor: WESCO Phone Number: 800-398-4663 Address: 2800 Thorndyke Ave W City: State: WA Zip Code:Seattle p 98199 Contractor's License Number: WASHIES971 OB Expiration 09/02/11 1 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. 7/6/11 Applicants Signature Date Cyndal M111ho111n TFICE COPY Print Applicants Name clT., .._ - -1 1 ECEI►/Ep BUILDING DEPARTMENT JUL 7 2011 A�� COA PERMIT CENTER DATE 7 BY Nd C14ANGES AUTHORIZED Forms/MECH-1 UNLESS APPROVED BY THE ► ���\� ��04 BUILDING INSPECTOR 1�1J k �Ll Property Owners Name: ,1� U-tr'CO sessor's parcel Site Address: , Site Plan North Lk , f 4v"t ace- Pt Lend: i -- property line �-- Building perimeter i Map Scale:P(in)=20'(ft) r 1 r ,fie � rv1 Li6�' S r 1 � r RECEIVE® JUL 7 COA PERMIT CENTER Residential Heating Loss Calculation Name: 'f Date: Address: 9 r f L✓1Lad I et Section t ! Y Section 4 Continued Heat Loss SO FT Heat Lossl SO FT "U or"F" Factor "U or"F" Factor Heat Loss Item Value 46 T S It Heat Loss Heat Loss Item Value 46 T Lin Ft Heat Loss (iF1C��k�'Sr^ 'Ij..�1tS.,r�1pQ :b�{co`.�i ,"; Single Pane 12 F 00 55.2 Double Pane Concrete Slab Meta{Frame per LF of erimeter 0.090 41.4 Grad�NOM daacn 0.73 33.6 Wood or ti to t Frame 0.750 34.5 Cn Cr ogame;er 0.58 26.7 Wood Dr.1.75"solid core 0.330 15.2 7 r �� Wood Dr.175"w/Panels on Gr�7aR-to 0.057 26.2 bofov►adeur,n latcj 0.053 24.4 Metal Dr.w/o Thermal Break 0.040 18 4 Other Other Section 5 Section 2 ( a- eHeat Loss r' . �-'��:�,-��S,rNss Value 46 T Sgft Heat Loss Pre 1980 1.2 ACH 0.02 1 Wood Studs-Above Grade No Insulation Post 1980 .6 ACH 0.01 0.5 0.250 11.5 Section 6 R-7 fl-103 4,7 A7 oaCt a - - R-R-11 fl.fl88 4.0 11 rn-r�Add all btu/hr from Sections 1-5 L V.UOL Wig-r T•YJ� S < ,t #n.-,' , Concrete-Above Grade For ducts with heated s ace 0% No Insulation 0.752 34,6 For ducts In unheated s aces: R-11 Furred In 0.105 4.8 Uninsulated ducts 20°i° Concrete Block-Above Grade Insulated to R-5 or less 10% No Id wfin Insulation 0.450 25.3 Insulated to R-6 or more 5% Filled Furred in is n 0.091 4.2 For ducts buried n slab 25% Rete Furred in fl.091 4.2 Er§i ;t{att" a ;fffiG_ . a ;£�'. Concrete-concrete Grade � -�` No Insulation (Line A+Line B l7 0.278 12,8 D_)INiXr4 .tf 'tieC(S " <Se .F.iiCi1 a-4li tity�r. , R-11 Furred in 0.062 2.9 OHL Plus 10%Cversizin Factor R-19 Furred in 0.041 t.9 Line C x 1.1 R-10 Rigid id Exterior 0.064 2.9 f Other -Wa 0116 ed°Fnsilac� n_ _�. , r Section 3 DHL Plus 50%Oversizin factor „ q (Line C x 1.5) Value 46 T S tt Heat Loss No Insulation 18.4 R-7 fl.13.134 6.2 S R-11 0.091 4.2 J t�q G v�v lr�7 R-19 0.049 2.3 Recommended Furnace: fr � � R-30, 0.03fi 1.7 / odel #: R 0.031 1.4 Othh er d' Furnace Output(btu's per hour) (Cathedrals add 20%more area) Section 4 F 001`i,,,,g R- 7,r�",:37-7 Value 46 T "IH Loss Wocd Joist over crawl y No insulation 0.134 6,2 � �� R-11 0.056 2.6 R-19 0.041 1 9 UR-300.029 1.3v j Sizing(AirFlow@75-too CFM perregister) Style House: Cubic Contents x 3.5 Air Changes/60 Minutes= Min.CFM V �- Cubic Contents x 5 Air Changes/60 Minutes= Max.CFM Heated Square Footage: No.W/A registers x75••100= to CFM Req. (RECEIVED JUL 7 20' Q COA PERMIT CENTER P LD " `il RESIDENTIAL PLUMBING o PERMIT APPLICATION �IN G i Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223• Phone(360)403 3431 • FAX(360)403 3447 THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY THREE(3)SETS OF CONSTRUCTION DRAWINGS, THREE(3)ACCURATE,AND FULLY DIMENSIONED PLOT PLANS. Type of Permit: ( ) New Residential _/)Addition/Alteration Project Address: 18319 E COUNTRY CLUB DR Parcel ID#: 00832900005100 Lot#: Subdivision: Project Description: replace gas 50 gallon hot water heater Owner: EUGENE & NAOMI GATTERMAN Phone Number: 360-435-7306 Address: same as project address city: Arlington State: WA Zip Code: 98223 Contact Person: Cyndal Mlllhollln Phone Number: 360-945-2787 Cell Phone: Fax: 360-945-2091 E-mail: cyndal@nwpermit.com Address 1345 Gulf Road city. Point Roberts State:WA Zip Code: 98281 Plumbing Contractor: WESCO Phone Number: 800-398-4463 Address: 2800 Thorndyke Ave W city: Seattle State: WA Zip Code: 98199 Contractor's License Number: W A S H I E S 9 7 1 0 B Expiration: 09/02/11 1 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. 7/6/11 NA�pp �q� �y�GXN Date C �1 IV1 111IUl me RF� �E ECEI I E COPY y "P(i t�p Cant, 7 2011 DATE B No VHA ES AUTHOR ED COA PERMIT CENTER UNLESS APPROVED BY THE G` �\ �/6r7 BUILDING INSPECTOR 1,D 1 FOR STAFF USE ONLY 1101D`� Permit# Accepted By Amount Received Receipt# Date Received WEB Forms—44 Page 1 of 2 5/05 dwa " °^ RESIDENTIAL PLUMBING o PERMIT APPLICATION -jN G 1 Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3431 • FAX(360)403 3447 Water Supply Piping A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units B. Distance from meter to most remote outlet: feet. C. Difference in elevation between meter and highest fixture:_ feet above meter or feet below meter D. Pressure in street main: psi. (Measure with gauge or check with Water Department) Number of Plumbing Fixtures (Including Rough-Ins) Plumbing Accessory Main Total Fixture Total Number Fixtures Dwelling unit Residence #X Multiplier Fixtures Units Bar Sink X 1.0 = Bathtub orCombinatfon Bath/Shower X 4.0 = Clotheswasher X 4.0 = Dishwasher X 1.5 = Hose Bibb X 2.5 = Kitchen Sink X 1.5 = Laundry Sink X 2.0 = Lavatory Bathroom Sink) X 1.0 = Shower Stand Alone Each Head X 2.0 = Water Closet Toilet X 2.5 = Whirlpool Bath or Combination Bath/Shower X 4.0 = Water Heater 1 Other TOTAL Traps(other than above items) FIXTURE UNITS: 1 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. � - 7/6/11 Applicants Signature Date RECEIVED Cyndal Millhollin Print Applicants Name JUL 2�? COA PERMIT CENTER 6�LDab� t DI oto FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Forms—44 Page 2 of 2 5/05 dwa