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HomeMy WebLinkAbout20507 66TH DR NE_BLD20120108_2026 APR-04-2012 14:58 FROM-WASHINGTG, (TER HEATERS 8883757454 T-944 P-001/001 F-250 CITY OF ARLI 238 N_OLYM PIO AW_-ARLINGTON,WA 99223 PHONE:(360)403.3551 Ad&resR;20307 66T7I1.IR,ARUNGION Paroe1*0095750000M Putt#:BF M#120108 valuatiall:$0 00 IiUMNS MARVIN BURNS11rtARVIN MARVJN M ERIJI+Ig IKAXWN M SwN5 WASHINGTON WAT I?R NEATER57NC 20507 66TH DR,NI; YACCI DANCELS ARL1NCrTON.WA 9R223-4236 20507 1S00 RICMRDSRD STEA •A[tLINCTO DR NE CON,WA 9$223-4236 -BELLME,WA 99011S Lic#;WASHII.9Sa0P Exp:9/I7no t2 W ASMNGI ON WATER gEATEpS INC JAC a DANIEL$ I SDO RICF)<4M RD ST13 A BIMLEVUT WA 91005 Liu#:WAM09$40P Exp:9/17/2012 Lio# Exp: REPLAC1 wwrGAS WAT'IIt.HI~ATEp, PERMIT TYPE' RasitkrtfalSTORIES PERMIT GROUP: ylomhmg DWELLI u CONST TYPE- CODE: N�"r UNITS 0 OCC moue: OCC LOAD: I AA5UE TO OOMPLY WITH CITY AND STATE LAWS REGULATING COiY31 puCfION AND 1N DOING THE WORK AUTHORIZHp TOEREtix-NO PEIt, N WILL BE EMPLOYED IN W41,ATION Ol`+THE i.A80R OdbE OF THE 31'AI'B OF'AtASH114GTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 11127, THIS APPLICATION i$NOT A PTaRMIT UNTIL SIGNW BY THE BUILDING OPPicJAI,OR NISI=DEPUTY AND ALL f=ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OIL STRUC um LINTI1 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED_IBC]I O/IRCI I4_ SALES TAIL NOT]C&Sales tax ralatinS to constnxuon and Soualnrtian materials in the City of AYHn on mast Form and c*dW City of Artiag/0n a3 I. be reported on your Sales lax return 9';f—�Jacci&ws' Sgnahrre Rini Name Data Tieleas© BY API<UCAW ASSESSOR UTl�R i� ' � ' � �� i� ��k i AM I CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA-98223 qw PHONE:(360)403-3551 BUELDING PERMIT permit 11#:BLD20120108 Valuation:$0•00 Address:20507 66TH DR,ARLINGIbN Parcel#:00957500003000 cotgmcIO APPLICANT V/ASH►NGT ON WATER HEAT ERS INC BURNS MARVIN JACCI DANIELS BURNSMARVIN MARVIN M BRUNS j800 RICHARDSRD S'I'E A MARVIN M BRUNS 20507 66TIl DRNE BELLEVUE•WA 98005 20507 66TH DRNE Lic#:WASHII*9800P Exp:9/17/2012 ARLINGPON.WA 98223-4236 ARLINGfON,WA 98223-4236 Jy�,x}J kMCAL CONtRAC�R WAS14INGTON WATER HEATERS INC JACCI DANIELS 1800 RICHARDS RD STE A BELLEWE,WA 98005 Lic it: Exp: Lic#:WASHII*9800P Exp:9/17/2012 �oB Dkscx . REPLACEMENT GAS WATERHEATER plumbing PERMIT GROUP: PERMIT TYPE: Residential CONST TYPE: STORIES: 0 OCC GROUP. DWELLING UNIT S: 0 OCC LOAD: CODE: — pR AUTHOR' OR CODE OF THE STATE OF WASHINGTON RELATING TO pLy WITH CITY AND STATE LAWS REGULATING CONSTRUCTAND IN DOING THE WO I AGREE T O COM PAID. THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LALL FEES ARE WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. THIS APPLICATION ISNO T A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND MADE AND APPROVAL OR A IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.IBC110/IRCI 1 our sales tax return NO Sales tax relating to construction and construction materials in the City of Arlington must be reported on y SALES TAX N / form and coded City of Arlington#3101. �te Release BY Signature Print Name Date � � ARCHIVE � APPLICANT ASSESSOR OTHER CONDITIONS BLD20120108 THIS PERMITAUTHORIIES ONLY THE WORK NOTED,THIS PERMITCOVERS WORK TO BE DONE ON P PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,M'°'RQUEES, ETC. SEPARATE RIVATE Ty ONLY.ANY CONSTRUCTION ON THE • None )WILL REQUIRE ENARATE PERMISSION. FTC} Date PIR�IIT Description 4/3/2012 Plumbing permit l-ce(QTy. 1) Nee Amount $5000 Paid Balance Due . Total Due: $0.00 $50.00 $50.00 $0.00 $50.00 CALL FOR INS PEC IONS BUll"DIN OFTICIN�NC✓PA RM/UTILITIES/FINAL(360)435-0674 When calling for an ins FIRE(360)403-3607 inspection please leap the following information: Permit Number JobSite Address of7ns coon being requested,Contact Name and Phone Number,Date Preferee d anfl wllethcr you 'Type Y prefer morning or afternoon. • None BLD20120108 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 BUILDING PERMIT PERMIT#: BLD20120108 OWNER: BURNS MARVIN- BRUNS, MARVIN M STATUS: APPLIED i ADDRESS: 20507 66TH DR,ARLINGTON BALANCE: $0.00 ISSUED: CREATED: 4/3/2012 SCREENS: Select Screen... - FUNCTIONS: Select Permit Function... - PLUMBING REVIEWS PRINT ADD NEW SUMMARY REVIE... DESCRIPTION ASSIGNE... DUE DATE LAST (#) REQ?DO... ASSIGN REMOVE 2000 C-Building I CYOUNG 4/10/2012 0 Y N Assign Remove 2008 C-Community Development I BFECHT 4/10/2012 0 Y N Assign Remove lso- r https:Hcoapermits.arlington.local/PermitTrax/Module Permits/Permits—Permit/Permit _Revi... 4/3/2012 Apr 02 12 02:21p Washington Water-14 aters 4257461663 p,1 RESIDENTIAL, PLUMBING PERMIT APPLICATION nt City of Arlington•238 N Olympic Ave, •Arlington,on WA 98223 • hone(3 0)03 355epa,rtment Of Community 1 FAX(360)403 3418. THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTL4L STRUCTURES. TNIS APPLICATf ON 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: - —1�" '1 /)i- -- Parcel ID Lot#: Subdivision: Project Description: t C'd' /X{��_ Project Valuation: Owner:L1 I^Ur'f1 �,�• J � - Phone Number. � :? Oz. ��0� Address: ,_�J�Q (L D - City 1` a a State:�.* i�— dip Code: Contact Person �:({�7 � i )0,12 1 t/S Phone Number: 7F• � Cell Phone: Fax. E-mail: c� .�n•Corn Address: �t�i22� Q 9 /rn4f��t7l�/'� City, State: Zip Code: Plumbing Contractor. y�.�/�Sf�!/�,J�:/A/U �C=�� /t��� ��}T��,'} one Number _ Address: �?_I _ �tl�tb`t�5 I !C �'� t �f-t` G �.(i State: t!_ '611 Zip Code:_ LCOltlact- or's License Number.-- `� /, E�iration; �`SLF-o I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- de bed properly will be in accor noe with the la rules and regulation of the State of Washington. Applican Signatu Date J�cc �s Print Applicants Name ee �.-P�i�- �` '� �:-�� �-v���zc� • r- Cam, f RECEIVFP APR 0 2 201"? 1z 0 �2 o I L 01 O8 OA{RE PO '. _'_ r-- Y Apr 02 12 02:21 p Washington Water 4 eaters 4257461563 p.2 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 Dwellingunit Residence 0 X Multiplier Fixtures Units Bar Sink X 1.0 = Bathtub or Combination Bath/Shower X 4.0 = -Clothes-washer X 4.0 = Dishwasher X 1.5 = Hose Bibb X 2.5 = Kitchen Sink X 1.5 = Laund Sink X 1.5 = [Lavatory Bathroom Sink 1 X 1.0 = Shower Stand Alone Each Head X 2.0 = Water Closet oilet X 2.5 Whirlpool Bath or Combination Bath/Shower X 4.0 = Water Heater Qther TOTAL r 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 roperty will be in accordance with the laws,rule and regulation of the State of Washington. . L1W OAwxA, f Applicants Signatu Date Print Applicants Name APR 02 2012 .0A P EFlisiI I Ck"Fn T Erl 2 �C)612-010g APR-03-2012 10:40 FROM-WASHINGTV'" HEATERS 8663757454 T-926 P.001/001 F-232 N / k_3 Whirlpool 6th Sense 50-Gallon 9-Year ;--- �-' Tall Gas Water Heater(Natural Gas) i Find:a store near you far great 1 selections at neighborhood Item q�339677 I Model#:M5gTB1_Ag3 prkel.• A I I Do you have a question about this product? I' r . Description sth sense 50-Gallon 9-Year Tall Gas water Heatcr(Natural Gas) Wnidpool Eth sense technology advanced electronic gas control • High-altitude cerfiried from o to imao ft • FVIR sarety System protects yourtamlty from accidental ignition of tiammable vapors • Consurrer•trlenaly combination gas valvenhermostat with soll-diagnostics • Push-button pilot-light Igniter with view port for ease-of•Ilghting pilot without matches • Factory Instslfed temperature and pressure rellcf vd;V,: Specifications Water Heater Style Tall CSA Listed Yes Water Connection Size 31V ETL Listed No Temperature and Pressure Relief Valve Yes Commercial 1 Residential Residential GPH Recovery at 90 Degrees F(Gallons) 40.5 Vent Diameter(Inches) 3.0 Energy Factor 0.58 Type is High Allitude Model Yes Vent Type Double Lo Nox Yes Wall Foam Insulation Yft ENERGY STAR Qualified No Ignition Type Pilot Family Size 5.0Wartent Pilot Reset 130ton No y a-Year Pilot Light window Yes Fuel Source Natural Gas Tank Capacity(Gallons) 50.0 BTU Input(BTU) 40000.0 UL Listed No Diameter(Inches) 20.0 Height(Inches) 57.5 water Connection Location Top 0 2012 Lowers.All rights reserved,Lowe's and the gable design are registered trademarks of LF.LLC CITY OF ARLINGTON BUILDING DEPARTMENT, FF/APPR Y DATE — _ ?Z BY I YOV CH NGES AUTHORIZE UNLESS APPROVED BY THE I of BUILDING INSPECTOR 4/3/2012 11:36 AM IL Contractors or Tradespeople Printe Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with Lftl 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 109/17/2002 SKEEN, STEVE Secretary 09/17/2002 09/02/2010 HAGAR„THOMAS ITreasurer 09/17/2002 09/02/2010 Bond Information BondiBond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 ILexon Ins Co 9809771 09/16/2011 jUntil Cancelled $12,000.0008/16/2011 COLONIAL AM CAS Et 2 SURETY OF LPM4062425 08/28/2007 Until Cancelled 09/16/2011 $12,000.0009/20/2007 MARYLAND 1 COLONIAL AM CAS Ft LPM4062425 09/16/2002 108/28/2007 $6,000.0009/17/2002 'SURETY OF MD Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company NamelPolicy Numberl Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date '? AMERICAN 01CH0329645 02/18/2010 02/18/2013 $1,000,000.0001/23/2012 STATES INS CO 8 AMERICAN 01CH0329644 02/18/2009 02/18/2011 $1,0002000.00 01/19/2010 STATES INS CO 7 AMERICAN 01CH0329643 02/18/2008 IO2/18/2009 $1,000, STATES INS CO 11 000.00 01/31/2008 6 AMERICAN I01CH03296408 02/18/2007 02/18/2008 $1,000,000.0002/21/2007 STATES INS CO 5 AMERICAN �01CH03296408IO2/18/2006 02/18/2007 $1,000, STATES INS CO 000.0002/14/2006 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 I Violation Amount IFJACH00604 1/14/2010 143.22.435 RCW IFAS INFRACTION ISatisfied 1 $200.00 https:Hfortress.wa.gov/lni/bbip/Print.aspx 4/3/2012