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Home My WebLink About340 Burke Ave Unit 4_BLD20120287_2025 [0,15A kIm YL5-Z'?I- P4-'rd BUILDING INSPECTION REPORT G'T Y r Permit No. lZ-"F7 Address: 3yV 7�'t If N �o Contractor: �z ��, G Owner: _ lexa4(JIvl•(lj Date: — - —I//,?/Z A7AWROVAL Ep 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: lzv Date: 7jVz_Y ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork Mechanical ® Grid ® Struct. Slab ® Wood Stove ® Rough-in ® Final ® Masonry ® Drainage ® Insulation ® Other: CITY OF ARLINGTON 238 N.OLYMPIC AVE,-ARLINGTON,WA 98223 PHONE:(360)403-3551 BULLDLNG PERMIT Address:340 3URKEAVE#4,ARLINGTON Permit#:BLD20120287 Parcel#:0046I801400100 Vaivatiou:$800,00 O%N'NNR APPI.IC'AW CON'rRj%c.ToR - I ' Jerry 6t Kimberly BROWNING FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY 340 E BURKE AVE#4 JESSICA VARON JESSICA VARON ARLINGTON.WA 98223 12601 132ND AVE NE 1260t 132ND AVE NE KIRICLAND,WA 98034 KIRKLAND,WA 98034 Lie N:FASTM'WH948BC Exp 0L,,)4,'14 PI.0NW1NGCOIVRtAM1t' " " :'''l MOtttVICALCQMIUAC?OR FAST WATER HEATER COMPANY JESSICA VARON 12601 132ND AVE NE KIRKLAND.WA 98034 Lie#:FASTWWH94SBC E p:01/04/14 Lie#: Exp: JOB DISCkRITION Replace Gras Water Heater PERMIT TYPE: Residential-Residential-Repair CODE YEAR: STORIES: 0 CONST TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: 0 OCC LOAD: ��"itt��"*..;T':r'l;sty'jit�Tu,15�1t��t�r;t�!_•.�-,r-�� PGRMfI'.1PPftO�'Af. I AGREE TO COMPLY WITI4 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 WASHINGI'ON RELATING TO %'1'ORKMEN'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 101 IRCI 10 SALES TAX NOTICE: Sales tax relating to constr�ztion and Construction rnatcrials in the City of Arlington musl be sported un your rules lax return faun and coded City ufA,hngton 11101. / Signature Print Name Date 9leased By Date( c a ARCHIVE Q APPLICANT ASSESSOR OTHER CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA 98223 PHONE:(360)403-3551 BUILDING PERMIT Address:340 BURIHJAVE#4,ARLINGTON Permit#:BLD20120287 Parcel#:00461801400100 Valuation:$800.00 OWNER APPLICANT CONTRACTOR .. _ A Jerry&Kimberly BROWNING FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY 340 E BURKE AVE 44 JESSICA VARON JESSICA VARON ARLINGTON,WA 98223 12601 132ND AVE NE 12601 132ND AVE NE KIRKLAND,WA 98034 KIRKLAND,WA 98034 Lie#:FASTWWH948BC Exp:01/04/14 PLUMBING CONTRACTOR MECHANICAL CONTRACTOR FAST WATER HEATER COMPANY JESSICA VARON 12601 132ND AVE NE KIRKLAND,WA 98034 Lie#:FASTWWH948BC Exp:01/04/14 Lie#: Exp: POB DESCRIPTION _- Replace Gas Water Heater PERMIT TYPE: Residential-Residential-Repair CODE YEAR: STORIES: 0 CONST TYPE: DWELLINGUNITS: 0 OCC GROUP: BUILDINGS: 0 OCC LOAD: 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.IBC110/1RC110. 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 43101. /Z/Z/, LIj x.,1 12- r-/' / /Z Signature Print Name Date eleased By Date( ARCHIVE APPLICANT ASSESSOR OTHER From: 12/1' 112 08:50 #141 P.002/004 6 16gOS RESIDENTIAL PLUMBING r � PERMIT APPLICATION Department of Community Development City of Arlington•238 N Olympic Ave. -Arlington,WA 98223•Phone (360)403 3551 •FAX(360)403 3418. THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. MISAPPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS AND TWO SETS OF SPECIFICATION SHEETS. Type of Permit: 0 New Residential (�Addition/Alteration r�{ � � �I L, Project Address: [ G `- yc kC e' ' ` "0- +P q Parcel ID Lot#: Subdivision: pp _ Project Description'ReAy,oyo_�( kppl4cC(?" �1 I�Pa kF"�Prolect Valuation: •C//� Owner:trown 11 �� a0 y_• y J _Cr`Y M�.__ Phone Number: "t ` ^0590 Address: 2) n F b(AdP MICA' City: ftr ht)U .State:Of �Zip Code: C1X� s _ ,� y � I= 636_ 7aS' y Contact Person: � �� Phone Number: 1 Q i Cell Phone: ml e: _ r Fax: ��iC:`�E l�S E- ai ,Q�� (��_ � �11J(I� XF`� (1�'�� Address:l`2 60 I` (S 2 r"' O K Ip City: , t ^ State:G�1A Zip Code. Plumbing Cotntraactor: r_� � kQ_ f h �(�Phone Number: .gW_ G 3 t%'' /6 L4 Address;lh2 t O I N: " i Q City: State:kQA "f Ziip Code: Q 3 Contractor's License Number. M&T 1 � 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 ccordance with the laws, rules and regulation of the State of Washington. Y OF ARLINGTON f Ap cans ignatur ate BUILDING DEPARTMENT Print Applicants Name o l DATE— Y NU 6 1141GES AUTHORIZED UNLESS APPROVED BY THE BUILDING INSPECTOR GAL E RECEIVED DEC 13 2012 COA PERMIT CENTER �("awled on BLD20120287 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 �- BUILDING PERMI. PERMIT#: BLD20120287 OWNER: BROWNING,Jerry& Kimberly STATUS:APPLIED ` ADDRESS: 340 BURKE AVE#4,ARLINGTON BALANCE: $50.00 1 ISSUED: CREATED: 12/14/2012 ,t SCREENS:I Select Screen... - I FUNCTIONS:.Select Permit Function... RESIDENTIAL-RESIDENTIAL-REPAIR REVIEWS PRINT ADD NEW SUMMARY COMME... ID DESCRIPTION ASSIGNED... DUE DA... LAST (#) REQ? DON... ASSIGN REMOVE 2000 C-Building I CYOUNG 12/14/2... 0 Y N U. (0 2008 C-Community Developme... ARUSKO 0 Y N https:Hcoapermits.arlington.local/PermitTrax/Module_Permits/Permits_Permit/Pennit_Reviews.... 12/14/2012 From: 12/11'--1)12 08:50 #141 P.002/004 6 16�10� RESIDENTIAL PLUMBING PERMIT APPLICATION Department of Community Development City of Arlington• 238 N Olympic Ave. •Arlington,WA 98223• Phone(360)403 3551 •FAX(360)403 3418. 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 SETS OF SPECIFICATION SHEETS. Type of Permit: ® New Residential Addition/Alteration 4- u 1rlCe- AveU�� t � u1�1oo � �v Project Address: 5F pv Parcel ID Lot#: Subdivision: fP 1 7� Project Description:- U�� f�NP 1ACP'r��"teh 64rolect Valuation: �12 1/�[�*0 0 Owner: ~ Phone Number: Yl�� '��1�`�{ lL l YY1�f..?�J1 i Address: �� NA2rk • �'.•Tf-"1 City: �rhIIct _f0A _State: 10ft_ Zip Code: 21's Contact Person: L Q/� t �( rJ —Phone Number: i f 6 J6_ Cell Phone: ++ Fax:y Z�-L;6,`_r� .S O � E-mail: (n� (1� [� �� N PtJ Address:12 60 1 l? 2!�P 1p u `City. State:bd Zip Code: Plumbing Contractor:i } �� 60 !r1M,vj Phone Number: _L.� G•3��" 0 S 1 Address;I�l O 1� Z 1f f`" 6 V� City: '.` J State:kQ-&_ Zip Code: Contractor's License Number. �� Expiration• � ��1 ly — 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 ccordance with the laws,rules and regulation of the State of Washington. Ap 'cans ignatur ate Print Applicants Name RECEIVED DEC 13 201Z COA PERMIT CENTER From: 12/11f-112 08:50 #141 P.003/004 RESIDENTIAL PLUMBING PERMIT APPLICATION Department of Community Development City of Arlington•238 N Olympic Ave.•Arlington,WA 98223•Phone(360)403 3551 •FAX(360)403 3418 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 or Combination 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 1.5 = 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 Other TOTAL_ Traps other than above items) FIXTURE UNITS: 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 i accordance with the laws, rules and regulation of the State of Washington. N)RX7� Ap cants Signature Date Print Applicants Name 2 RECEIVED DEC 13 2012 COA PERMIT CENTER From: 12/11 '112 08:51 #141 P.004/004 -' RESIDENTIAL PLUMBING PERMIT APPLICATION ley X? � Department of Community Development City of Arlington•238 N Olympic Ave. •Arlington, WA 98223• Phone(360)403 3551 •FAX(360)403 3418 CROSS CONNECTION SURVEY FORM Forward to Utilities Division for Review Type of Residence: ❑Single-Family ❑ Duplex Kother The Rules and Regulations of the State of Washington Department of Health require that certain premises install backflow prevention assemblies(WAC 246.290.490). Backflow prevention assemblies shall be installed at any premise where,in the judgment of the City of Arlington Cross Control Specialist,the nature of activities on the premises may pose a hazard to the public water system, Type of Permit: ® New Residential ®Addition/Alteration Project Description: ��V+�WU li �{ �eof aee' Q 0'0 MJe r h(Oall-;ey tI Project Address: g L4 o u I�UY KQ,�1 � `4 Parcel lD#: 0 d q 6Q( 90( �'t1J01 0 D Owner: b� n Phone Number. �� !a?3 1 -0� Address: `o u Fe 8JE tt q City: ^ "i State: Zip Code: R IQ'Z 3 c t l Contact Person: 'at a,, ca t/0'row Phone Number: "I �- 6 3 a``?D J Cell Phone: ,p ii 22 t� Fax: L C-6�6-WDS5 E-mail:, y1�� (fit p�''I Qp�eYe �Y11 Address, kU Q l 62-A p N� City: �� \C�d State:Sl L.___ Zip Code: Appliances permanently connected to water service may require Cross-Connection-Control(check all that apply) ❑ Fire Sprinkler System ❑ Medical Equipment ❑ Lawn Sprinkler System [] Livestock Drinking Tanks ❑ Decorative Pond/Fountain ❑ Private Well ❑ Hot Tub ❑ Re-circulating Heating System ❑ Swimming Pool ❑ Other Authorized Signature: Date: For Office Use Only Date Received: Survey Received By: Assembly Required: ❑ DCVA ❑ RPBA ❑ AVB ❑ Other Inspection Required. YES ❑ NO ❑ 3 RECEIVED DEC 13 201Z COA PERMIT CENTER From: 12/1V "T 2 08:49 #141 P.001/004 S ff PVT� r WdTBR t a ",UATSR 4570A PANY The Water H40ater E'aperts 12601 132"'Ave NE Kirkland WA. 98034 www.fastwaterheater.com 1-800-THINKFAST Date: �— From the desk of: Salina Thapa Email: SThapa@fastwaterheater.com Or: PermitsCcDfastwaterheater.com Fax:425-636-7085 Phone:425-636-7084 To: Art �_o il Fax:- - 3 u l Pages: L4 COMMENTS: *If applicable, please fax or email a copy before mailing hard copy,Thank yowl* qtezw(? c6Wkw 4-4L pq.(4m.,L.q4,,t,t: tVLwr L �— - •�-