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17807 W COUNTRY CLUB DR_BLD20120097_2026
/*4 BUILDING INSPECTION REPORT oy 'qr)""' Permit No. 12- (jlj 7 Address: /7f67 Contractor: Owner: Date: d/n, 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 oT Inspector: V. e':e Date: 1 W12_ ® 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: Li::w:; - � .r•. , i� . . .. ,' .:r;t,,?'::a'f1 •;• . :'lid;, .. i:: ii y4,; '•i• 't .)Ircip. �i;y,�:�� �; I�Ili�tiA•. - irit: Mar 16 12 02:32p Washington Water Heaters 4257461563 p.1 CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA 98223 PHONE:(360)403-3SS I Address:17807 W COUNI WCLUH DR,ARIX443 IN Permit#:BID20120097 Part el#:00916000004100 Valuation:$0.00 W INTCH FRED WINiCH FRED W ASH040TON WATER HEATERS INC FRED W dt SHARON O WINTCH FRED W&SHARON O W3WTCH JACCI DANIELS 17807 W COUNTRY CLUB DR 17807 W COUNTRY CLUB DR 1800 RICHARDS RD STE A ARLINGTON,WA 18223-5961 ARLiNGTON,WA 99223-596I BELLEVUE,WA 98005 Lic II:WASMI'9800P Exp:9/I7R012 WASH NGTON WATER HEATERS INC JACCI DANIELS 1300 RICHARDS RD STE A BELLEVUE,WA 98005 Lk i.WASHII°9800P l xp:9/17/2012 Lie f: Exp: CFIANGE OUr-aWTRIC W A 17.R I-(FA."IFR PERMIT TYPE: Rssideatial PERMIT GROUP: Plumbing SPORIES 0 CONST TYPE: DWELLING UNITS 0 OCC GROUP: CODE- 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 WORKMEM COMPENSATION INSURANCE AND RCW 18:27. THIS APPLICATION ISNOT A PERMIT UNTIL,SIGNED BY THE BUILDING OFFICIAL OR HI.9HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL.TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECT[ON HAS IAEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.MCI I D/IRCI 10. SALES TAX NO UCE Sales tax mJatMg to'con. ruction and construction materials in the City of Arlington must be reported an your sales tax return r ndcodcd(ZV ofAryngt 93101 VJSignature RIM Nama Date teas to ARCIAVE [] MTLXAlvr E-1 ASSESSOR OrTEM l CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA 98223 PHONE:(360)403-3551 B UILD IN G PERM IT Address:17807 W(01 NTRI CLUB DR,ARI NGTON Permit#:BLD20120097 Parcel#:00816000004100 Valuation:$0.00 AI'I'LI CO1rTItAC7'OR WINTCH FRED WINTCH FRED WASHINGTON WATER HEATERS INC FRED W& SHARON 0 WINTCH FRED W&SHARON O WINTCH JACCI DANIELS 17807 W COUNTRY CLUB DR 17807 W COUNTRY CLUB DR 1800 RICHARDS RD STE A ARLINGTON,WA 98223-5961 ARLINGTON,WA 98223-5961 BELLEVUE,WA 98005 Lie#:WASHII*9800P Exp:9/17/2012 PLUNMING CONI'RACIPOR WCHANICAL CONTRACTOR WASHINGTON WATER HEATERS INC JACCI DANIELS 1800 RICHARDS RD STE A BELLEVUE,WA 98005 Lie#:WASHII*9800P Exp:9/17/2012 Lic#, Exp: CHANGE OUT ELECTRIC WATER HEATER PERMIT TYPE: Residential PERMIT GROUP: Plumbing STORIES: 0 CONST TYPE: DWELLING UNITS: 0 OCC GROUP: CODE: OCC LOAD: ERMU 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 HIStHER 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 Name Date F elease y Ole ARCHIVE = APPLICANT ASSESSOR OTHER BLD20120097 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 PERMIT FEES Date _ Description Fee mount Paid Balance Due 3/15/2012 Plumbing Permit Fee(QTY-. 1) $50.00 ($50.00) $0.00 Total Due: $50.00 ($50.00) $0.00 CALL FOR INSPWTIONS BURDING/FNGINEERINGIPARKS/UTHXM/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 BLD20120097 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 BUILDING PERMIT PERMIT#: BLD20120097 \\ OWNER:WINTCH FRED-WINTCH, FRED W... STATUS:APPLIED �i ADDRESS: 17807 W COUNTRY CLUB DR,AR... BALANCE: $0.00 J� ISSUED: CREATED: 3/15/2012 SCREENS:1 Select Screen... - FUNCTIONS: Select Permit Function... �[�} PLUMBING REVIEWS PRINT ADD NEW SUMMARY REVIE... DESCRIPTION ASSIGNE... DUE DATE LAST (#) REQ?DO... ASSIGN REMOVE EXCEL. 2000 C-Building I CYOUNG 3/22/2012 0 RTFY N Assign Remove 2008 C-Community Development I BFECHT 3/22/2012 0 TEA N Assign Remove CSV TIFF o � https:Hcoapermits.arlington.local/PennitTrax/Module_Permits/Permits_Permit/Permit Rev... 3/15/2012 J y � j � RESIDENTIAL PLaJMBING 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 Project Address: 7 () 7 W C�y-yve&X J'T,ri Parcel ID#: Lot#: Subdivision: Project Description -h4iiu ( 5,ke oel- ject Valuation: �r�- > c�lI y t � Owner: Fret l )y4rDi'1 ��tr �� Phone Number: Address: I ''�j� lae-City: / State:W, Zip Code: 90 �-3 Contact Person: 1Jl�4?c~,' �)Q.`)if Phone Number. ?60' ! n, y s'n Cell Phone: ���� Fax: E-mai1: a3. Address: 1,14,414 6k 's State: Zip Code: Plumbing Contractor: - i�Sr�ln,J(,77TStil ��� ��� 1-t-ITC one Number: Ri) Cr No) , / / 9 a Vsr Address: I�tr) ��(�`-,CC!'( 5 City: I✓` "� t ( 'Le State: G�fG� Zip Code: Contractor's License Number: 1cli )� �� /' Expiration: �-Z ` C 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 Signa ure Date RECEIVED / y MAR 15 2012 Print Applicants Name ""©Q PERMIT C INT D p _ r 1 I 5 �ZU17C> 0C? 7. -- �� y - �- - , - - - - - i � . i .i _ �.: 1 RESIDENTIAL PLUMBING PERMIT APPLICATION Qi 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 Dwellingunit 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: /70 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. / Applicants Sig/ tur Date Print Applicants Name 2 50 gal. Gas Water Heater- Kenmore-Appliances-Water Heaters-Natural Gas Page 1 of 2 ) I I saver. iasale ENDSTHURSDAY extra 5-16%off sale prices online only 0 Kenmore 50 gal. Gas Water Heater Sears Item#04233188000 1 Model#33188 Rating I Be the first to rate and review this item Reg Price:$55359 Savings:$27 00 At a Glance specifications $532.99 Need a water heater ASAP?Order by noon and get it Online Only Price installed TODAY!Call 1-800-877-6420. Sold by Sears 50 gal tall,natural gas water heater with 9-year tank and parts warranty Check for clearance items in your area Read full description..- Support Click to call a Sears expert now. Chat live with a Sears expert now. Wshlisl,Registries Availability&Rewards Earn 5330 SHOP YOUR WAY REWARDS"points on this item, Kenmore Natural Gas Special pricing for,and Puerto Rico OFFICE Kenmore Water Heaters All Kenmore Specifications&Dimensions Overview I Ratings&Reviews Guides&Policies Also A vallable From Capacity and Flow: First Hour Delivery(gal.): 88 Product Description Recovery at 90 Degree Rise 409 (gph.): Need a water heater ASAP?Order by noon and get it installed TODAY!Call 1-800-877-6420. Tank Capacity: 50 gal 50 gal tall,natural gas water heater with 9-year lank and parts warranty. • 9-year warranty on tank and parts Dimensions and Capacity •Height to Vent Hood(In 61 Energy efficient foam insulation .): Required Vent Size: 3 in or 4 in Self-cleaning,RotoSwirl cold water inlet tube Tank Diameter(In.): 20 Tank Height(In.): 5725 Cobalt Blue,Ultra-Coat,Glass-lined tank with anode rod for corrosion protection Tank Insulation Thickness: 1 in Factory installed Temperature and Pressure Relief Valve Product Overview: See Owners Manual: Click Here This product is: Energy Guide Rated General Features: Altitude Rating(ft): 10100 Added on April 16,2011 Control Type: Mechanical �F S9 d� ��4 Heal Trap Fittings: Yes Heavy Duty Anode Rod: Yes Low NOx Burner: No Number of Anode Rods: 1 Tank Lining: Tank Style: Tall CITY OF ARLINGTON RECEIVED BUILDING DEPARTMENT Warranty: Tank Warranty: 9 year limited A!i—)P R O NI- -D MAR 15 2012 Certifications i_ r� COA PERMIT CENTER ENERGY STAR Compliant: No DATE �VES�A eY Power and Performance N CHAUTHORIZED Fuel Type: Natural gas UNLESS APPROVED BY THE Gas Input(btu/hr): 40000 BUILDING INSPECTOR http://www.sears.com/shc/s/P_10153 12605—0423 3188000P?prdNo=24&blockNo=24&bl... 3/13/2012 � 0-00 �17 . � � Z �. . Contractors or Tradespeople Printer Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with LEI 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 WASHINGTON WATER HEATERS INC UBI No. 602214757 Phone 8009788588 Status Active Address 1800 Richardson Rd Ste A License No. WASHII"9800P Suite/Apt. License Type Construction Contractor City Bellevue Effective Date 9/17/2002 State WA Expiration Date 9/17/2012 Zip 98005 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date HAGAR,THOMAS JEFFREY President 09/17/2002 SKEEN,STEVEN ROGER 'Vice President 09/17/2002 SKEEN,STEVE Secretary 09/17/2002 09/02/2010 HAGAR„THOMAS ITreasurer 09/17/2002 09/02/2010 Bond Information Bond Bond Company Name Bond Account N urn berl Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 Lexon Ins Co 9809771 09/16/2011 Until Cancelled $12,000.0008/16/2011 COLONIAL AM CAS E 2 'SURETY OF LPM4062425 08/28/2007 Until Cancelled 09/16/2011 $12,000.0009/20/2007 MARYLAND 1 'COLONIAL AM CAS E LPM4062425 09/16/2002 08/28/2007 $6,000.0009/17/2002 SURETY OF MD Assignment of Savings Information No records found for the previous 6 year period Insurance Information InsurancelCompany Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 9 AMERICAN 01CH0329645 02/18/2010 02/18/2013 $1,000,000.00 01/23/2012 STATES INS CO 8 AMERICAN 01CH0329644 02/18/2009 02/18/2011 $1,000,000.00 01/19/2010 STATES INS CO 7 AMERICAN 01CH0329643 02/18/2008 02/18/2009 $1,000,000.00 01/31/2008 STATES INS CO _ 6 AMERICAN 01CH03296408 02/18/2007 02/18/2008 $1,000, STATES INS CO 000.00IO2/21/2007 5 AMERICAN 01CH03296408 02/18/2006 02/18/2007 $1,000,000.00 02/14/2006 STATES INS CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information Infraction/Citation Date RCW Code Type Status Violation Amount FJACH00604 1/14/2010 43.22.435 RCW IFAS INFRACTION Satisfied $200.00 https://fortress.wa.gov/lni/bbip/Print.aspx 3/16/2012 I 1 i