HomeMy WebLinkAbout8017 Carlisle Pl_BLD1484_2025 CITY OF ARLINGTON
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238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
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PHONE; (360) 403-3551
BUILDING PERMIT
Address:8017 Carlisle Place Permit#: 1484
Parcel#:00874800008000 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:CLEAVER EMILY/WORTH KERRY Name:Kerry Worth Name:Kerry Worth
Address: 8017 CARLISLE PLACE Address:8017 Carlisle Place Address:8017 Carlisle Place
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:208-353-5361 Phone:208-353-5361
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name:Owner Name:Owner
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE. Residential Mechanical & CODE YEAR: 2015
Plumbing
STORIES: CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: 1 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 10/IRC110.
SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Art' ton mu t be reported on your sales tax return
form and coded City of Arlington#3101.
Signature Print Name Date Released By Date
CONDITIONS
See redlined plans for additional requirements. Adhere to approved plans. Call for inspections prior to
cover.
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
6/13/2017 Gas Outlets Base Fee 1 to 5 $10.00
6/13/2017 Mechanical Permit Base Fee $25.00
6/13/2017 Mechanical Plan Review Fee $25.00
6/13/2017 Plumbing Permit Base Fee $25.00
6/13/2017 Plumbing Permit Fee(Enter Fixture Fee) $24.00
6/13/2017 Processing/Technology Fee $25.00
Total Due: $134.00
Total Payment: $0.00
Balance Due: $134.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
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Permit Information
Date 6/5/2017
Permit Number 1484
Project Name Worth
Applicant Name Kerry Worth
Applicant Address 8017 Carlisle Place
City, State, Zip Arlington,WA 98223
Contact Matt Worth
Phone 208-353-5361
Email matt.worth@hotmail.com
Permit Type Residential Mechanical&Plumbing
Site Address 8017 Carlisle Place
Valuation 0.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load
Number of Stories 0
Proposed Use Kitchen Remodel
Assigned To Launa Peterson
Property Information Owner Information
Parcel#:00874800008000 CLEAVER EMILY/WORTH KERRY
CLEAVER EMILY/WORTH KERRY 8017 CARLISLE PLACE
8017 CARLISLE PL ARLINGTON,WA98223
Contractors
Contractor Name Primary Contact Phone Email Contractor Type License License#
Kerry Worth Vlatt Worth 208-353-5361 natt.worth hotmail.com OWNER
Review
Date Type Description Target Date Completed Date I Assigned To Status
6/5/2017 residential Plumbing roved with red lines. 3/12/2017 3/5/2017 IRick Karns lComplete
Fees
Fee Description Notes Amount
Gas Outlets Base Fee 1 to 5 322.10.00.00 $10.00
Mechanical Permit Base Fee 322.10.00.00 $25.00
Mechanical Plan Review Fee 322.10.00.00 $25.00
Plumbing Permit Base Fee 322.10.00.00 $25.00
Plumbing Permit Fee Enter Fixture Fee 322.10.00.00 $24.00
Processing/Technology Feel 341.43.00.021 $25.00
Totall $134.00
RESIDENTIAL MECHANICAL
PERMIT APPLICATION
IN 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: _ '�Jb 11
Project Description: �-e" �Li rnn tle
Owner: -t`'`�'c
Address: $0k1 C&C t&P �L City: State: A Zip Code: a g ZZ3
Phone: 20 353- 53(o Email: y►'lu U, c 41 Pl0- "kA'1 I o Ca
Applicant: dos
Address: 4D ,'e �S's (46m City: State: Zip Code:
Phone: � r-IR, Email:
CONTRACTOR INFORMATION
Contractor Name:
Address: City: State: Zip Code:
License Number: Expiration:
Phone: Email:
Received
STAFF USE ONLY
JUN 13 2017
Permit#: t Accepted by: Date:
y�q
6/16LP Page 1 of 2
`1VY RESIDENTIAL MECHANICAL
• •
0
PERMIT APPLICATION
LI 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
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: I,7-
Distance from Meter to Furthest Appliance: O t
Total BTU's of all Appliances: C((o dnl�
New gas piping requires a pressure test 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, ra
Applicant Printed Name: K-e ('c j
I 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.
6/16LP Page 2 of 2
Permit Information
Date 6/5/2017
Permit Number 1484
Project Name Worth
Applicant Name Kerry Worth
Applicant Address 8017 Carlisle Place
City, State, Zip Arlington,WA 98223
Contact Matt Worth
Phone 208-353-5361
Email matt.worth@hotmail.com
Permit Type Commercial Plumbing
Site Address 8017 Carlisle Place
Valuation 0.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load
Number of Stories 0
Proposed Use Kitchen Remodel
Assigned To Launa Peterson
Property Information Owner Information
Parcel#:00874800008000 CLEAVER EMILY/WORTH KERRY
CLEAVER EMILY/WORTH KERRY 8017 CARLISLE PLACE
8017 CARLISLE PL ARLINGTON,WA98223
Review
Date Type Description I Target Date Completed Date Assi ned To Status
3/5/2017 Residential Plumbin 3/12/2017 lRick Karns n Review
Fees
Fee Description Notes Amount
Plumbing Permit Base Fee 322.10.00.00 $25.00
Plumbing Permit Fee Enter Fixture Fee) 322.10.00.00 $24.00
Processing/Technology Fee 341.43.00.02 $25.00
Total $7L
Uploaded Files Upload File
Date File Uploaded B
6/5/2017 9:58:34 AM ulicaticm.�,r1f Peterson,Launa I ?C
Y RESIDENTIAL PLUMBING
7 PERMIT APPLICATION
jti' 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 PLUMBING INSTALLATION FOR
EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL
INFORMATION.
Project Address: - Sy C6, (�t
Project Description: V,�
Owner: �4�
Address: �j�'j C.v �`;5`� (�(_ City: i State: dy�- Zip Code: 'kg`�Z�
Phone: 2cb '( - ��� -5c3(o I - Email _�J�
Applicant: V=LLr_., (,�.('r L ��� yiky_ G C Gt-
1
Address: City: State: Zip Code:
Phone: Email:
CONTRACTOR INFORMATION
Contractor Name: a. S G�
Address: City: State: Zip Code:
License Number: - - Expiration:
Phone: Email:
STAFF USE ON Y Received
Permit#: 1 Accepted by: DAUN 0 b 2017
REV 2015 Page 1 of 2
RESIDENTIAL PLUMBING
z PERMIT APPLICATION
�LINGt Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
Plumbing Section (check all that apply)
(Check all that apply and indicate the number of fixtures proposed)
❑ Bath/Shower Combo (4.0) x Sink (1.5) x 1
❑ Shower (2.0) x ❑ Lavatory (1.0) x
❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x
Dishwasher (1.5) x I ❑ Water Heater x
❑ Hose Bibb (2.5) x
Water Heater Model #
❑ Other(list) x
Proposed Water Piping Size:
Proposed Piping Material:
Proposed DWV Material:
Proposed DWV Size: _
• All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV)
• Cross-Connection-Control may be required
Applicant Signature Date: (D h 2
I 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.
REV 2015 Page 2 of 2