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Home My WebLink About7421 Country Club Dr_BLD20120148_2025 INSPECTION REPORT • Permit No.: Lot #. Address: Z Contractor: wig- f��f2 • • Owner: 1 ,Q Date: _ 7�-3//Z 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. Inspector: Date: TY E OF INSPECTION REQUESTED ❑ 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 ,x Other:/�� , Al'. /� 1�.� 1 _ _ 1 r t i `� I � i . '� �VW"1� i _ �� :,. •;. I _ ,_. . _ �1J �,• � • ' � . 1 � From: 06/26' 12 10:44 #284 P.004/005 I CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA 98223 PHONE:(360)403-3551 - �� is Address:7421 COLM YCLUB DR,ARLINGPON Permit#:BLD20120148 Parcel#:00809200007700 'Valuation:$750,00 BRIAN&ELIZABETH GIERSEE FAST WATER HEATER FAST WATER HEATER GIERSEE ELIZABETH D JULIE MILNE JULIE MILNE 7411 COUNTRY CLUB DR 12601 132ND ANE NE 12601 132ND AVE NE ARLINGTON,WA 98223 KIRKLAND,WA 98034 KIRKLAND,WA 98034 Lic#:FASTWWH948BC Exp: lAi.014 FAST WATER HEATER JULIE MILNE 12601 132ND AVE NE KIRKLAND,WA 98034 Lie 9:FASfWWH948BC F,xp:1.4/2014 Lie#: Exp: JOB DkSCR&WNI Replace Gas Water Heater PERMIT TYPE: Residcntinl PERMIT GROUP Plumbing STORIES: 0 CONST TYPE: DWELLING UNITS: 0 OCC GROUP: CODE: OCC LOAD: I AGREE TO COMPLY WITH CITY AND STATE LAWS RIiGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO PERSON?WILL BE EMPLOYED IN VIOLATION Or 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 HITHER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MAX AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.IBCI 10/IRCI 10. S,4LkS'GkX 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 Cit-of Arlington 93 101. L2&Ll r 1,9 Signature Print Name ate Released BY c Dale ARCHIVE O A.PPUCA,N'T ASSESSOR Q OT11ER 1-`• '. I I From: 06/26/-'�, 2 10:45 #284 P.005/005 BLD20120148 x �tx.�iyr• •^.'rar- 5'. 'r N aascZr err{� '4�,Y, aa"-. tii .1'> { 1{,t , ^� fl ?' C�' ,]1 'V � f:t.•. ` ' fih%1 ''� THIS PERNATAUTHORIZES 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 S ( y �'•y �� '• `+Ai�}'SI.isJ�j�'•%3ry43,\kiit•%Sli�4 .t�"�_ '�.'i �,�� ,. 64OM1`��qf�'�N r '�Ti'!.j '.L .'�'��;�5��"'fxr�C31)A�-t4�r'�%'�l�!',�•.>��+^is�.�.'�� t�'.��•s ,+.�`�. 'T��v� F +�'��j��f��x�3 ��<S��k � 1i�e! 6!20/2012 Plumbing Permit Fee(QTY.1) $50.00 $0.00 V $50.00 Total Due: $50.00 $0.00 $50.00 �x�t1��'�ky"�.tt+"c+�%„�STfrv:� wG �y'['yyy�^'��yjq� i � �" Y�a�'f�"�,f•aur� �3 � -<�,t.t•. -.-�:en°' t rail n .t..l 3'��'Y,sJ'��....-�IJAL'L1�11'/�['J19a� A2� ��Li.�.r.'¢3t` 4fct��;�ti', zyYP2�'tte.�M1��- '�� BUM,DING/E gGINMINUPARKSIUITid1'IES/FI NAL(360)435-0674 FM(360)403-3607 When calling for an inspection please lease the follo-Aing 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 .�� \ 1 1 �t I 1 I i f CITY OF ARLINGTON \• 238 N.OLYMPIC AVE.-ARLINGTON,WA 98223 PHONE:(360)403-3551 BUILDING PERMIT Address:7421 COUNTRYCLUB DR,ARLINGTON Permit#:BLD20120148 Parcel#:00809200007700 Valuation:$750.00 OW - — - - - CONTRACTOR- BRIAN&ELIZABETH GJERSEE FAST WATER HEATER FAST WATER HEATER GJERSEE ELIZABETH D JULIE MILNE JULIE MILNE 7421 COUNTRY CLUB DR 12601 132ND AVE NE 12601 132ND AVE NE ARLINGTON,WA 98223 KIRKLAND,WA 98034 KIRKLAND,WA 98034 Lie#:FASTWWH948BC Exp: 1/4/2014 PLUNtR INC.comrRAcift "�'---` CI•IANICAL FAST WATER HEATER JULIE MILNE 12601 132ND AVE NE KIRKLAND,WA 98034 Lie#:FASTWWH948BC Exp: 1/4/2014 Lie#: Exp JOB DETIO , Replace Gas Water Heater PERMIT TYPE: Residential PERMIT GROUP: Plumbing STORIES: 0 CONST TYPE: DWELLINGUNITS: 0 OCC GROUP: CODE: OCC LOAD: - PERNirT 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.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 /j, Date AReleased By Date �d-The vv-- � 1V'I' ASSESSOR o'rHM 0 0 BLD20120148 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 PI7L11TT Ris Date Description Fee Amount Paid Balance Dne 6/20/2012 Plumbing Permit Fee(QTY.1) $50.00 $0.00 $50.00 Total Due: $50.00 $0.00 $50.00 CALL FOR INS1111TIONS BURRING/ENGMMMGJPARKS/UrRHIES/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 From: 06/19 1-5'�12 11 :00 #174 P.002/005 51�a� RESIDENTIAL PLUMBING (PI PERMIT APPLICATION Department of Community Development City of Arlington•238 N Olympic Ave. •Arlington, WA 98223• Phone(360)403 3561 • 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: 0 1N,e'w Residential 9 Add ition(/�Alltteration �7 Project Address. NJ/ y� Gooe,`y CIU19 1) , Parcel ID Lot#: Subdivision: � Project Description:� � �r"'''aC �a r h"p"` Project Valuation: WS- 1 Owner: c is l l efsee, Phone Number:3&0 Address:7421 V U 1 b UTP tl CIO/ City: 7�/) "( State: `� Zip Code: Contact Person:`-� +�i II /q'Ifi e, Phone Number: 4O S b3t,— /D9q Cell Phone: �— /1- o Fax: . -k3t--_/085 E-mail:jM 1/� e.06 &a�� &#'f Address: [ `'b D I '32— } `le— "E City: ll'e / State: NA Zip Code: 03 CJ Plumbing Contractor: CySr 1'V f L a4 — / Phone Number: Address: I26P()113,2 q� AJ� City:p 1( f State: l� Zip Code: q� � 7 +Contractor's License Number:/ -6 r' � Expiration: I 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, Applicants Signature Date Print Applicants Name OFFICE COPY CITY OF ARLINGTON BUILDING DEPARTMENT APPR,() DECEIVED DATE— 4f' G'( - 3UN 19 2012 S AUTHORIZED UNLESS APPROVED BY THE CQA PERMIT CENTER BUILDING INSPECTOR / V ��l ��I /6 f-. 1 -i ' �.. i i ► � n �'��l � �� _ � •�- From: 06/1V-7 2 11 :01 #174 P.003/005 RESIDENTIAL PLUMBING PERMIT APPLICATION 12 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) l 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: 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 Slate of Washington. U Applicants Signature Date( /1'e- A'4 /n e Print Applicants Name 2 RECEIVED JUN 19 2012 COA PERMIT CENTER U0np D 1� ;�+yl �' r��.j' � ,� �� ,, y • � �a1 I �i From: `-) 06/19P')l 2 11 :01 #174 P.004/005 50 Gal. Tall 12 Year 40,000 BTU Natural Gas Water Heater-SG50Tl2AVG at The Home... Page 1 of 3 �qIFREF_SIlIF'@'1NG` FREE 1I1i 57(71E PICK U[' +fRE JRE7U115" �� Store Finder For Pros I Get It Installed Tool Rental I Gift Cards Credit Center 1 Savings Center M"AJ How-To More saving.More doing. My Store Location:Lander 94702(chon9e) Local Ad Help My Account(sign in or Register) U Share a Email Q Print "'40 41 GE 50 Gal.Tall 12 Year 40,000 BTU Natural Gas Water Heater Model#SG50112AVG Store SKU#185191 Store SO SKU#607988 (58) Write a Review Read All O&A $578.00/EA-Each F=. Zoom Product Description Specifications Customer Reviews i More Info Shipping Options RECEIVED JUN 19 .2012 COA PERMIT CENTER U0 2Dl a-01 q8r http://www.homedepot.com/Plumbing-Water-Heaters-Residential-Gas/h_d 1/N-5ycl vZcl t... 6/19/2012 R � . 1 � From: �� 06/1911112 11 :01 #174 P.005/005 50 Gal. Tall 12 Year 40,000 BTU Natural Gas Water Heater-SG50Tl2AVG at The Home... Page 2 of 3 PRODUCT DESCRIPTION The GE 50-Gafon 40,000 BTLF Natural Gas Water Heater saves you the effort of replacing and cleaning fillers thanks to Its combustion air intake.The low-NOx burner reduces your emissions,and the Plaza ignition system eliminates the need for lighting matches.The air/fuel shut-off device of the SmartShield sensor system protects against the Ignlllon of flammable vapors.This low maintenance heater has a self-cleaning function that enhances its performaice life. . 50-gallon tank provides ample hot water for your household . Natural gas water heater 40.4 GPH recovery rate at a 90 degree Fahrenheit rise . 12-year limited warranty on the tank and parts,plus a 2-year in-home service warranty for your convenience . 0.62 energy factor signifies an energyefflclent heater Maintenance free-no filter to clean . Self-cleaning function saves you effort and enhances performance life . Piezo ignition system for no match lighting . I ow-NOx burner reduces emissions and offers energy efficiency . Rated for installations up to 10.200 ft.above sea level e Factory-installed temperature and pressure relief valve enhances your safety . SmarlShleld sensor system has an exclusive air/fuel shut-off device that gives double protection aga:nsl the ignition of flammable vapors outside the water heater . Note:Product may vary by store. MFG Brand Name:GF. . MFG Model#:SG50112AVG . MFG Part#:579153 Return To Top SPECIFICATIONS Application Type Residential Assembled Depth(in.) 23 in Assembled Ilelght(in.) 62.251n Assembled Width(in.) 23 In Automatic Shut-off Yes CSA Listed Yes ETL Usled No Energy Star Compliant No Finish Steel I-inish Family Beige/Bisque Fuel Type Gas Gas Connection Size 1/2 In. Gas type Natural Gas Indoor/Outdoor Indoor Item Package Typo Cardboard Container labor Warranty 2 Year Low NOx Yes Maximum temperature(1') 160 Minimum Temperature 60°l' Overheat Protection Yes (F-) Part Warranty 12 Year Product Depth(in.) 23 Product Height(in.) 62,25 Product Weight(Ib.) 165 Product Width(in.) 23 in Recovery Rate at 90F Rise 40.4 (gallons/hour) Self Cleaning Yes Tank Capacity(gallons) 50 gal(US) Tank Diameter(In.) 23 lank Valve Size(In.) 0.75 Temperature Pressure Yes Total BIU 40000 Btu Relief Valve(I PR) UI Listed N-No UI Coda Rating Vent diameter(in.) 3 Water Connection To Water Connection Size 3/4 In, I ocation p (in.) Water Heater Profile lell RECEIVED J� Return To Top IJUN n 1 IV ��12 CUSTOMER REVIEWS COA PERMIT CENTER (bL )a-D/.loly8 http://www.homedepot.com/Plumbing-Water-Heaters-Residential-Gas/h d1/N-5yclvZcIt... 6/19/2012 �: - r ;,; �,�,� ;� .• �� - � � From: 06/19/7-9, 11 :01 #174 P.0041005 50 Gal. Tall 12 Year 40,000 BTU Natural Gas Water Heater-SG50T12AVG at The Home... Page 1 of 3 01®rds ,F71r" ►►'71R�,F` s "}yv �'ww Y•i Ifs"s' =ig? vm�,X;$,:.—rj.. Store Finder I For Pros I Get It Installed I Tool Rental I Gift Cards I Credit Center I Savings Center How-To Is` ` More saving.More doing: My Store Localion:Lander 44702(chanQe) Local Ad Help My Account(sianin or RegWer) G Share 0 Email ®Print r GE 50 Gal.Tall 12 Year 40,000 BTU Natural Gas Water Heater ^"Y'= Model#SG501'12AVG Store SKU#186191 F Store SO SKU#607988 (59) writ..Revlaw Read All QM $578.00/EA-Each Zoom Product Description Specifications 1 Customer Reviews More Info Shipping Options )0�;k/ JOB COPY CITY OF ARLINGTUN BUILDING DEPARTMENT APPR+OVED - RECEIVED DATE Z BY CHANGES AUTHORIZED JUN 19 2012 UNLESS APPROVED BY TH BUILDING INSPECTOR CCA PERMIT CENTER 6WaD)3_ o1yg http://www.homedepot,com/Plumbing-Water-Heaters-Residential-Gas/h dl/N-5yclvZclt... 6/19/2012 ,.,.y _, �'1' ►�r� From: '_) 06/191, -)2 11 :01 #174 P.005/005 50 Gal. Tall 12 Year 40,000 BTU Natural Gas Water Heater-SG50Tl2AVG at The Home... page 2 of 3 PRODUCT DESCRIPTION The GE 50-Gabon 40.000 BTU Natural Gas Walor Hoatm saves you the effort of replacing and cleaning filters thanks to Its combustion air intake.The low•NOx burner reduces your emissions.and the Piezo ignition system eliminates the need for lighting matches.The avltuel shut-elf device of the SmortShield sensor system protects against Ina Ignition of flammable vapors.This low maintenance heater has a self-cleaning function that enhances its performanco life. • 50-gallon lank provides ample hot water for your household • Naturaf gas water heater • 40.4 GPH recovery rate at a 90-degree f'ahrenhell rise • 12.-year limited warranty on the tank and pans.plus a 2-yoar in-home service warranty for your convenience • 0.62 energy factor signifies an energy-eff!clent heater • Maintenance free-no filter to clean • Self-cleaning function saves you effort and enhances performance life . Pie7o ignition system for no match lighting • I ow-NOx burner reduces emissions and offers w1croy,efficiency • Bated for installations up to 10.200 fl,above sea lave) • Factory-installed temperature and pressure roliof valve enhances your safety • SmarlShleid sensor system has an exclusive air/fuel shut-off device that gives double protection 09a'nst the ignition of flammable vapors outside the water healer • Note:Product may vary by store. • MFG Brand Name;GF. • MFG Model#:SG50112AVG • MFG Part#:579153 Return To Top SPECIFICATIONS Application Type Residential Assembled Depth(in.) 23 in Assembled I]eight(in.) 62.25 in Assembled Width(In.) 23 In Automatic Shut-off Yes CSA Listed Yes ET'L Listed No Energy Star Compliant No F!nlsh Steel 17Inish Family BelgelBlsque Fuel Type Gas Gas Connection Size 1/2 In. Gas type Natural Gas IndoorlOutdoor Indoor Item Package Type Cardboard Container I.abor Warranty 2 Year Low NOx Yes Maximum temperature(F) 160 Minimum Temperature(F) 60°I' Overheat Protection Yes Part Warranty 12 Year Product Depth(in.) 23 Product Height(in.) 62.25 Product Weight(lb.) 165 Product Width(in,) 23 In Recovery Rate at 90F Rise q0.4 (gallons/hour) Self Cleaning Yes Tank Capacity(gallons) 50 gal(US) I ank Diameter(in.) 23 lank Valve Size(in.) 0.75 Temperature Pressure Relief Valve(1111j) as l otal Bl U 40000 Btu UI Listed N-No UI Code Rating Vont diameter(in.) 3 Water Connection Water Connection Size I ocation Top (in) 314 In. Water Heater ro(ile tall RECEIVED 1 CUSTOMER REVIEWS Return To Tap 'JUN T 9 .2012 COAA p�RMIT ICENTC>Iy 8Ei� http://www.homedepot.com/plumbing-Water-Heaters-Residential-Gas/h_dl/N-5yclvZ,clt'." 6/19/2 12 .-� I .+ I _ . + + '� _�.,� Bellevue Bothell Burien Duvall Gig Harbor Issaquah Kenmore Kirkland Mercer Island CONSTRUCTION TIP SHEET 7 MyBuildingPermit.com Water Heaters July 2010 Mill Creek Renton Sammamish SeaTac Snohomish County Snoqualmie Woodinville Side-to-Side Straps 2010 Codes Exhaust to outside Clearance to 12"maximum — combustibles, or as per from ceiling _ 3"min. 4. N maufacturer's listing. 12'max. Ventilation -- duct: min. 3"x 3" 3"min. 6"min. (see next page) I 6"min. I -_ Venting (exhaust gases) I Provide solid blocking B-vent clearance, between wall and tank TOP exhaust to outside. it I at each strap VIEW Temperature and pressure relief valve (drain to outside or other approved location-check with local building inspector) per UPC I — Expansion tank required w/ sections 505.4, 505.5, 505.6& 506.2. I closed plumbing system Hot water pipe-insulation per UPC section 608.3 required _ I Cold water supply pipe w/shut off(see General Use min. 22 gauge x 3/4" II Information note#6) wide metal straps. II 2 straps required Drill pilot hole on centerline I II locate @ upper and of stud, insert 1/4"x 4" lag screw II lower 1/3rd-of.tank- through hole in strap. Use washers. UPC 508.2 Alternative - If wall studs I I II I I When installed in garages, are not properly located 18"minimum required to allow adequate anchorage, between bottom edge of attach min. 2x4 cross brace source of ignition and finish to studs with 1/4"x 4" -floor level unless the tank is lag screw and washers. a flammable vapor ignition Then attach anchor strap 4" min. resistant design. UPC 508.14 to cross brace with lag scre II &G2408.2. and washers. UPC 508.2 Wall Stand required in garage I Istudingll Provide protective steel bollard locations as per UPC 508.14(1). I if water heater is placed in front 508.14(1). It is recommended control unit of a parking stall. Provide that the stand be bolted to wall. adequate anchorage to floor. NOTE: NOTE: Building departments may of Perforated iron strap air pa test oln rnative Con ultorms your local (plumbers tape)will not be bce uilding department for an acceptable method for alternative methods. UPC strapping. 12" max. 508.14(2) to f.f. GENERAL INFORMATION: w 2009 UPC requires that all water heaters be strapped to resist motion during an earthquake. UPC 508.2 states that water heaters must be strapped in at least two places,upper and lower 1/3 rd. e Lag screws not less than 1/4"in diameter with at least 1-1/2"of thread penetration must be used to anchor the restraints to the wall. Washers must be used. s 2009 UPC requires liquid and past fluxes for soldering applications of copper and copper alloy tube be manufactured to meet the ASTM 6 813 standards. s It Is the responsibility of the Installer to schedule inspections. • For combustion air requirements,see page 2. s Unless built into the appliance from the factory,install a vacuum relief valve in the cold water supply line above the highest point of the 1 i tyG ov.n et lank. No valve shall be placed between the relief valve and the tank. 2005 tS eCilyGovAlliance �[� a-DI_�-olq 9 I I �. �. � a , From: 06/261 '2 10:42 #284 P.001/005 r WATER HEATER �,�+ d' TOMPA" 12601 132ndAve NE Kirkland WA. 98034 www.fastwaterheater.com 1-800-THINKFAST Date: (0 ZLOI 12- From: Julie Milne Email: imilne@fastwaterheater.com Fax: 425-636-7085 Phone: 425-636-7084 To: tTi �1 U1 `T1 Y1 Fax: �r Pages: COMMENTS: R' Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name FAST WATER HEATER COMPANY UBI No. 602564544 Phone 4258143124 Status Active Address 12601 132Nd Ave Ne License No. FASTWWH948BC Suite/Apt. License Type Construction Contractor City Kirkland Effective Date 1/3/2006 State WA Expiration Date 1/4/2014 Zip 98034 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company FWH ACQUISITION COMPANY LLC Other Associated Licenses _ Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status FASTWHC110MC FAST WATER Construction General Unused 7/3/1989 6/19/1995 Archived HEATER CO Contractor FASTWHC052DF FAST WATER Construction General Unused 3/6/1995 2/16/2007 (Expired HEATER COMPANY lContractor Business Owner Information Name Role Effective Date Expiration Date JORDAN, JEFF Partner/Member 01/03/2006 HANLEYBROWN, JASON Partner/Member 01/03/2006 Bond Information 113ond'Bond Company Name Bond Account NumberjEffective DatelExpiration Date Cancel Date Impaired Date iBond AmountlReceived Date 1 DEVELOPERS SURETY 549792C 01/01/2005 Until Cancelled $12,000.0001/03/2006 Et INDEM CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Namel Policy Number jEffective Date Expiration Date Cancel Date Impaired Date Amount lReceived Date American 8 States 01C155607601 02/17/2012 02/17/2013 $1,000,000.0002/16/2012 Insurance Co 7 PHOENIX INS CO C00658M42A _j02/17/2010_02/17/2013 $1,000,000.0001/05/2012 TRAVELERS 6 PROPERTYCAS DTECO0658M42ATIL0902/17/2009 02/17/2011 $1,000,000.00 01/27/2010 INS CO 5 TRAVELERS DTECO065BM42ATIL0802/17/2008 02/17/2009 $1,000,000.0002/15/2008 PROP Et CAS 4 NORTH PACIFIC C01167977 01/01/2008 02/17/2009 $1,000,000.00 01/22/2008 INS CO 3 OHIO CAS INS BL00753401848 01/01/2007 01/01/2008 $1,000,000.0010/16/2006 2 OHIO CAS INS BH05305002 01/01/2006 01/01/2007 $1,000,000.00 01/03/2006 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period https:Hfortress.wa.gov/lni/bbip/Print.aspx 6/19/2012 I 1 :.: Contractors or Tradespeople Printer Friendly Page Page 2 of 2 Warrant Information No unsatisfied warr 1 on file within prior 6 year period Infractions/Citations Information Infraction/Citation I Date RCW Code Type Status Violation Amount PWHIJ00342 6/9/2009 18.106.020 PLUMBER INFRACTION Satisfied $500.00 PCLE000450 3/31/2008 18.106.020(5)(b)RCW PLUMBER INFRACTION Satisfied $250.00 PPEJP00230 12/9/2011 18.106.020 PLUMBER INFRACTION Satisfied $1,000.00 PBATIO0591 1/27/2010 18.106.020 PLUMBER INFRACTION Satisfied $1,000.00 PBATIO0592 1/27/2010 18.106.020 PLUMBER INFRACTION Satisfied $1,000.00 FJACH00483 10/14/2008 43.22.435 RCW FAS INFRACTION Satisfied $200.00 PJAJC01333 11/30/2011 18.106.020 PLUMBER INFRACTION Satisfied $1,000.00 PZETDO0570 11/14/2011 118.106.020 IPLUMBER INFRACTION ISatisfied $1,000.00 FJACH00482 10/14/2008 43.22.435 RCW IFAS INFRACTION ISatisfied 1 $200.00 https:Hfortress.wa.gov/lni/bbip/Print.aspx 6/19/2012 J I BLD20120148 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 BUILDING PERMIT PERMIT#: BLD20120148 OWNER: GJERSEE, BRIAN&ELIZABETH STATUS: APPLIED ADDRESS: 7421 COUNTRY CLUB DR,ARLINGTON BALANCE: $0.00 ISSUED: CREATED: 6/19/2012 SCREENS: Select Screen... _ FUNCTIONS:I Select Permit Function.._�- PLUMBING REVIEWS PRINT ADD NEW SUMMARY REVIE.. DESCRIPTION ASSIGNE.. DUE DATE LAST j (#) REQ7 DQ.. ASSIGN REMOVE 2000 C-Building I CYOUNG 6/20/2012 0 Y N Assign Remove 2008 C-Community Development I 'ARUSKO 6/20/2012 0 Y N Assign Remove https:Hcoapermits.arlington.local/PermitTrax/Module_Permits/Permits Permit/Permit_Reviews.as... 6/19/2012 I From: 06/19/112 10:59 #174 P.001/005 J. WATER HBATFI? COMPA)VY •.ems, 12601132"d Ave NE Kirkland WA. 98034 www.fastwaterheater.com 1-800-TH I N KFAST Date: ��l Z From: Julie Milne Email: imilneC@fastwaterheater.com Fax: 425-636-7085 Phone: 425-636-7084 To: Fax: 3&0—` p'3 -3q Pages: 1 COMMENTS: (RECEIVED JUN 19 2012 COA PERMIT CENTER 5('0?1D0-b1 qX - +r+_