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HomeMy WebLinkAbout17422 73RD AVE NE_BLD1140_2026 RESIDENTIAL PLUMBING PERMIT APPLICATION ING�� 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. 17422 73rd Ave NE Project Description:Natural gas water heater replacement Owner: Michael Mayo 17422 73rd Ave NE Address: City-Arlington State.WA Zip Code: 98223 Phone: 360 631-4648 Email: absoluteplumbing247@yahoo.com Applicant:Absolute Plumbing Address: PO Box 1445 City:Mount Vernon State WA Zip Code: 98273 Phone: 360 610 6141 Email: absoluteplumbing247@yahoo.com CONTRACTOR INFORMATION Contractor Name:Absolute Plumbing Address:PO Bos 1445 CIty:Mount Vernon StateWA Zip Code:98273 License Number. Expiration Expiration:09/04/2017 Phone-360 610 6141 Email.absoluteplumbing247@yahoo.com STAFF USE ONLY Permit #: Accepted by: Date REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION ING�� 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 ❑ Shower (2.0) x ❑ Lavatory (1 .0) x ❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x ❑ Dishwasher (1 .5) x ❑ Water Heater x 1 ❑ Hose Bibb (2.5) x Water Heater Model # ❑ Other (list) x 40S6-40NG Proposed Water Piping Size: 0 Proposed Piping Material: 0 Proposed DWV Material: 0 Proposed DWV Size: 0 • 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 G � 08/31/2016 Applicant Signature: °28f9L5O13O5.......aa Date: 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 CITY OF ARLINGTON l. � 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 " PHONE; (360)403-3551 BUILDING PERMIT Address:17422 73rd Ave NE Permit#:1140 Parcel#:01030500005200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:MAYO MICHAEL D/DE VELDER Name:Absolute Plumbing Name:Absolute Plumbing MAYO KELLIE M Address: 17422 73RD AVE NE Address:P.O.Box 1445 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223-8192 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 Phone:360-610-6141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:PO Box 1445 City,State,Zip: City,State,Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: 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. IBC 110/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of NRelemed us rerted on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date By Date CONDITIONS Approved as submitted. Adhere to model#40S6-40NG E.F. - .62 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 8/31/2016 Plumbing Permit Base Fee $25.00 8/31/2016 Water Heater $25.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: $50.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:17422 73rd Ave NE Permit#: 1140 Parcel#:01030500005200 Valuation:0-00 OWNER APPLICANT CONTRACTOR Name:MAYO MICHAEL D/DE VELDER MAYO KELLIE M Name:Absolute Plumbing Name:Absolute Plumbing Address: 17422 73RD AVE NE Address:P.O.Box 1445 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223-8192 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 Phone:360-610-6141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:PO Box 1445 City,State,Zip: City,State,Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: 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. IBC110/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Art' of us eported on your sales tax return form and coded City of Arlington#3101. P-I v Signature Print Name Date Released By Date CONDITIONS Approved as submitted. Adhere to model #40S6-40NG E.F. - .62 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 8/31/2016 Plumbing Permit Base Fee $25.00 8/31/2016 Water Heater $25.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: $50.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon x� •,� �� RESIDENTIAL PLUMBING 41 PERMIT APPLICATION f N G O 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:17422 73rd Ave NE Project Description:Natural gas water heater replacement Owner: Michael Mayo Address:17422 73rd Ave NE Cit Arlin ton y: g State:WA Zip Code: 98223 Phone. 360 631-4648 Email: absoluteplumbing247@yahoo.com Applicant:Absolute Plumbing Address:PO Box 1445 City:Mount Vernon State WA Zip Code: 98273 Phone. 360 610 6141 Email: absoluteplumbing247@yahoo.com CONTRACTOR INFORMATION Contractor Name:Absolute Plumbing Address:PO Bos 1445 CityMount Vernon StateWA Zip Code:98273 License Number ABSOLP`8720D Expiration. Phone:360 610 6141 Email:absoluteplumbing247@yahoo.com STAFF USE O Received Permit#: (� Accepted by: Date AUG 31 2016 REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING • s PERMIT APPLICATION eN'G 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) L1 Bath/Shower Combo (4.0) x Sink (1.5) x Shower (2.0) x Q1 Lavatory (1.0) x Q Clothes Washer (4.0) x Q Water Closet (2.5) x ❑ Dishwasher (1.5) x Water Heater x 1 Q; Hose Bibb (2.5) x Water Heater Model# UI Other (list) x 40S6-40NG Proposed Water Piping Size:0 _ Proposed Piping Material: 0 Proposed DWV Material:0 Proposed DWV Size: 0 • 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: 08/31/2016 1 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 8/31/2016 ABSOLUTE PLUMBING [Search L&I 1-f ins? ; i frhi .IS-f�f safet,j&HeaMl Glints& Insurance Workplace Rights Trades& Licensing Washington State Department of " Labor & Industries ABSOLUTE PLUMBING Owner or tradesperson P O BOX 1"S Principals MOUNT VERNON,WA 98273 OLIVER,JEREMY MICHAEL,PRESIDENT SKAG0�141 KAGIT County Doing business as ABSOLUTE PLUMBING WA UBI No. Business type 603 305 333 Corporation Parent company JO ABSOLUTE PLUMBING INC License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties PLUMBING License no. ABSOLP"872013 Effective—expiration 09/04/2013—09/04/2017 Bond Contractors Bonding&Insurance Co $6,000.00 Bond account no. SH5089 Received by L&I Effective date 09/04/2013 09/03/2013 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9145772 Received by L&I Effective date 11/02/2015 11/05/2015 Expiration date 11/05/2016 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. https://secure.i ni.wa.gov/verify/Detail.aspx?UBI=603305333&LIC=ABSOLP*872OD&SAW= 1/3 8/31/2016 ABSOLUTE PLUMBING License Violations Infraction no. PBATIO1201 Satisfied Issue date RCW/WAC 04/25/2016 18.106.020 Violation city Violation amount MOUNT VERNON $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.Company had two plumber trainees installing new shower/tub unit when not supervised as required. Infraction no. PBUJD00525 Satisfied Issue date RCW/WAC 05/04/2015 18.106.020 Violation city Violation amount MOUNT VERNON $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.Contractor employed Kristopher Schuhow to install rough plumbing at the listed location. Infraction no. PBATIO1033 Satisfied Issue date RCW/WAC 04/15/2014 18.106.020 Violation city Violation amount MOUNT VERNON $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.Contractor employed Matthew Carr to perform gas water heater installation when his plumbing certification was inactive. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 266,163-00 Doing business as JO ABSOLUTE PLUMBING INC Estimated workers reported Quarter 2 of Year 2016"11 to 20 Workers" L&I account representative T5/BETTY VANCE(360)9025137-Email:VABE235@lni.wa.gov Workplace safety and health https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603305333&LIC=ABSOLP"872OD&SAW= 2/3 i� 8/31/2016 ABSOLUTE PLUMBING Check for any past safety and health violations jobsites this business was responsible for. ©Wash ngton State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603305333&UC=ABSOLP*872OD&SAW= 313 CITY OF ARLINGTON, WASHINGTON --- BUILDING DEPARTMENT No building construction shall be commenced unti pi rmit_holder_ INSPECTION RECORD SHALL or his agent has posted this Inspection Record Card in a REMAIN AT JOB SITE conspicuous lace on the premises. EOWNER: M MA`((� CONTRACTOR: AU-j(0` �AUMEAIJLI JOB ADDRESS: -11'-i OWNER ADDRESS: USE of BUILDING: SFR PLAT NAME: Description of Work LOT# PERMIT No: k 140 SPrinklered: CONDITIONS: GROUP DEPARTMENT INSPECTION �/ °AIL INITIALS FOOTING ,�Iv`111C9_J- BUILDING FOUNDATION 360-403-3417 UNDERFLOOR ,! SHEARWALL PLUMBING(groundwork) 1 GAS PIPING(groundwork) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING_&VE_NTILATI FRAMING INSULATION WALLBOARD(SHEAR/RATING) ROOF DRAINAGE The following documents will be required and must be available during the final inspection: Completed Public Works & Utility Inspection Card Final electrical sign off by L & I Completed Blower Door test certificate Completed Duct test certificate (if applicable) Conditions (if applicable) *indicates that the Inspection is approved but there is a minor correction FINAL INSPECTION Required Documents: CORRECTIONS " . ,::s Permit#: 1140 Permit Date: 08/31/16 Permit Type: RESIDENTIAL PLUMBING Project Name: Michael Mayo Applicant Name: Absolute Plumbing Applicant Address: P.O. Box 1445 Applicant, City, State, Zip: Mount Vernon,WA 98273 Contact: Janine Hill Phone: 360-610-6141 Email: absoluteplumbing247@yahoo.com Scope of Work: Replace gas water heater Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: EXPIRED Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning MAYO MICHAEL 01030500005200 17422 73RD AVE NE D/DE VELDER Residence Single Family -Detached MAYO KELLIE M Contractors Contractor Primary Contact Phone Address Contractor Type License License# Absolute Plumbing Paul Hooley 360-610-6141 PO Box 1445 CONSTRUCTION Labor&Industries ABSOLP*799MB CONTRACTOR Absolute Plumbing Paul Hooley 360-610-6141 PO Box 1445 CONSTRUCTION COA 603 305 333 CONTRACTOR Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Water Heater(Tank) $25.00 Total $50.00 Attached Letters Date Letter Description 08/31/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 09/01/2016 Jeremy Oliver 61106587 cc $50.00 Outstanding Balance $0.00 Notes Date Note Created By: 12/12/2019 Permit not signed.Filed under address Raelynn Jones 09/01/2016 Emailed permit for signature.KF Kristin Foster 08/31/2016 Whirlpool model#40S6-40NG E.F.-.62 Kristin Foster Uploaded Files Date File Name 08/31/2016 1820724-1140 Apnlication.pdf