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HomeMy WebLinkAbout17628 UPLAND DR_BLD1147_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. 17628 Upland Project Description:Natural gas water heater replacement Owner: Juan Duron 17628 Upland Address: City-Arlington State.WA Zip Code: 98223 Phone: 562 569-5384 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 � 09/13/2016 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 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE, (360)403-3551 BUILDING PERMIT Address:17628 Upland Drive NE Permit#:1147 Parcel#:00870600011600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DURON JUAN R&SILVIA J Name:Absolute Plumbing Name:Absolute Plumbing Address: 10734 WESTERN AVE Address:P.O.Box 1445 Address:PO Box 1445 City,State Zip:DOWNEY.CA 90241 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#: F.XP LIC#:ABSOLP'8720D EXP:9/4/2017 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: 1 CONST.TYPE: DWELLIN(i UNITS: 1 OCC GROUP: BUILDINGS: 0 OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULAI'ING CONSTRUCTION AND IN DOING THE WORK AUTHORI7.F.D TI IEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF I HE 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/HLR 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. IBCI10/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin c on your sales tax return form addedC!'tyofArli $ n#3101 / Signature Print Name Date elease Ily Date CONDITIONS Approved as submitted. Adhere to model#40S6-40NG. THIS PERMIT AUTHORIZE 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 9/13/2016 Plumbing Permit Base Fee $25.00 9/13/2016 Water Heater $25.00 Total Due: S50.00 Total Payment: $50.00 Balance Due: S0.00 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:17628 Upland Drive NE Permit#:1147 Parcel#:00870600011600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DURON JUAN R&SILVIA J Name:Absolute Plumbing Name:Absolute Plumbing Address: 10734 WESTERN AVE Address:P.O.Box 1445 Address:PO Box 1445 City,State Zip:DOWNEY,CA 90241 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#:ABSOLP*8720D EXP:9/4/2017 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: I CONST.TYPE: DWELLING UNITS: I OCC GROUP: BUILDINGS: 0 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 1S 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 Arlin n b cp r on your sales tax return form and coded City of Arlington#3101. 2 /n J•It(/ Signature Print Name Date Clease Ely Date CONDITIONS Approved as submitted. Adhere to model#40S6-40NG. 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 9/13/2016 Plumbing Permit Base Fee $25.00 9/13/2016 Water Heater $25.00 Total Due: $50.00 Total Payment: $50.00 Balance Due: $0.00 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: 17628 Upland Drive NE Permit#:1147 Parcel 4:0087060(N)11600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DURON ITJAN R&Sll VIA 3 Name:Absolute Plumbing Name:Absolute Plumbing Address: 107.34 WESTFAN AVE Address:P.O.Box 1445 Address:Pp Box 1445 City,State Zip:DOWNEY,CA 90241 City,State Zip Mount Vernon,WA 98273 City,State Zip:Muunt Vernon,WA 98273 Phone: Phone:36U-610-6141 Phone:360-6 10-6 141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:110 3ox 1445 City,State,Zip: City,State,Zip:; Vernon,unt Veon,WA 98273 Phone: Phone:160-610.6141 LIC d: EXP' LIC N:ABSOLPa87201) I-:XP-9/4/2017 JOB DESCRIPTION PERN1rT TYPE: Residential Plumbing CODE YEAR 2015 S'CORIES: 1 CONS 1',TYPE: DWELLING UNITS: I OC.0 GROUP: BUILDINGS: 0 OCC LOAD: PERMIT APPROVAL I AGRi ti fOCOMPLY WTTT4 CITY ANI)STATE LAWS Rt�'GULA ZING CONSTRUCTION AND IN DOING i'HF:WORK AIJTtit 1RiZFU) rl IEREBY'NO PFRSON WILL BE EM1'I,OY IiU IN VIOLA FION OF'I Hli LABOR CODE OF THE STATE OF WAS]IINGTON RELATING I'O WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPI.ICATION 15 NO'I'A PI:RMI'I.1JN lI-SIGNED BY THF.BUILDING OFFICIAL Olt HIS/HLR DE'PIJTY AND ALL FELTS ARE PAID IT IS UNLAWFUL rr)11SF OR OCCUPY A BUILDING OR S I'RUCI-URE UNTIL A(INA).INSPECTION HAS HFFN MADE AND APPROVAL OR A Ci-R'I'IFICATF OF O(-CUPAN('Y IIAS BFFN GRAN`rED, IRCI[O/IRCI iO, 1AI.0 TAX NO-PIE_Saies tax relating to construction and construction materials in the City of Arlin,, , n he cp on your sales tax return firm and c dt:dCityof.4rli g nN310 '� Signature Print Name Dalc W":ICj%Cj Ily, Dntc / CONDITIONS Approved as submitted. Adhere to model 040S6-40NG. THIS PRRM1-I'AL'Tf IORIZS ONLY i HF WORK NO I'1q) THIS PERMIT COVERS WORK TO BE DONI,ON PRIVATE.PROPARTY ONLY ANY CONSTRUCTION ON'I'Hfl PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC)WILT.RCQUIRESEPARA FF.PERMISSION PERMIT FEES Date Description Fee Amount 9/13/2016 Plumbing Permit Base Fee $25,00 9/13/2016 Water Heater $25.00 Total Due: S50.00 Total Payment: $$50.00 Balance Due: SO.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 I ,. � CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 _ BUILDING PERMIT Address:17628 Upland Drive NE Permit#: 1147 Parcel#:00870600011600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DURON JUAN R&SILVIA J Name:Absolute Plumbing Name:Absolute Plumbing Address: 10734 WESTERN AVE Address:P.O.Box 1445 Address:PO Box 1445 City,State Zip:DOWNEY,CA 90241 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#:ABSOLP*8720D EXP:9/4/2017 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: I CONST.TYPE: DWELLING UNITS: I OCC GROUP: BUILDINGS: 0 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 Arlin n he cp�r on your sales tax return form and coded City of Arlington#3101. 3•IV Signature Print Name Date cleric By Date CONDITIONS Approved as submitted. Adhere to model#40S6-40NG. 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 9/13/2016 Plumbing Permit Base Fee $25.00 9/13/2016 Water Heater $25.00 Total Due: $50.00 Total Payment: $50.00 Balance Due: $0.00 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 i i :� I RESIDENTIAL PLUMBING PERMIT APPLICATION 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:17628 Upland Project Description:Natural gas water heater replacement Owner:Juan Duron Address:17628 Upland Cit Arlin ton y: g State:WA Zip Code: 98223 Phone: 562 569-5384 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:09/04/2017 ' Phone:360 610 6141 Email:absoluteplumbing247@yahoo.com STAFF USE ON Received Permit#: l�� Accepted by: Date SEP 13 2016 REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION 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) [�Jl Bath/Shower Combo (4.0) x a! Sink (1.5) x ❑ Shower (2.0) x Lavatory (1.0) x ❑ Clothes Washer (4.0) x Water Closet (2.5) x n! Dishwasher (1.5) x [ l Water Heater x 1 ❑� Hose Bibb (2.5) x Water Heater Model# �1 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 ASS 1019 • All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) • Cross-Connection-Control may be required C�CLYCf l�lP�a``Tt</_� Applicant Signature: Date: 09/13/2016 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 9/13/2016 ABSOLUTE PLUMBING Search L&I 11vLW �arety Her Itli Clairns & lmsuraw;e V,/s.rkplacf- Rights trade's&4111*4 �Icenair�g I Washington State Department of " Labor & Industries ABSOLUTE PLUMBING Owner or tradesperson P O BOX 1445 MOUNT VERNON,WA 98273 Principals 360-610-6141 OLIVER,JEREMY MICHAEL, PRESIDENT SKAGIT 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•8720D 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. HOp us unprc,sve https://secure.I ni.wa.gov/verify/D etai i.aspx?UBI=603305333&LIC=ABSOLP*872OD&SAW= 1/3 i �� 9/13/2016 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)902-5137-Email:VABE235@lni.wa.gov Workplace safety and health hfps://secure.1ni.wa.gov/verify/Detail.aspx?UBi=603305333&LIC=ABSOLP*8720D&SAW= 2/3 I I t 1 9/13/2016 ABSOLUTE PLUMBING Check for any past safety and health violations f l',on jobsites this business was responsible for. U Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the strife of Washington. I Null)us Improve https://secure.ini.wa.gov/verify/Detail.aspx?UBI=603305333&LIC=ABSOLP*872OD&SAW= 3/3 I I Permit#: 1147 Permit Date: 09/13/16 Permit Type: RESIDENTIAL PLUMBING Project Name: Juan Duron 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: 09/13/2016 Permit Expires: 03/13/2017 Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00870600011600 17628 UPLAND DR DURON JUAN R& 111 Single Family SILVIA J Residence-Detached 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 09/13/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 09/13/2016 Jeremy Oliver 61314171 cc $50.00 Outstanding Balance $0.00 Notes Date Note Created By: 09/13/2016 Model#40S6-40NG E.F.-.62 Kristin Foster Uploaded Files Date File Name 09/14/2016 1841253-1147 Issued Permit.pdf 09/13/2016 1840055-1147 Application.pdf