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HomeMy WebLinkAbout18414 CHAMPIONS DR_BLD1149_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. 18414 Champions Dr Project Description:Natural gas water heater replacement Owner: Linda Stafford 18414 Champions Dr Address: City-Arlington State.WA Zip Code: 98223 Phone: 360 403-3153 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 � 09/14/2016 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 42 PHONE; (360)403-3551 BUILDING PERMIT Address:18414 Champions Drive Permit q:1149 Parcel H:00874400010200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:LINDA M STAFFORD Name:Absolute Plumbing Name:Absolute Plumbing Address: 1706 W WRENWOOD AVE Address:P.O.Box 1445 Address:PO Box 1445 City,State Zip:FRESNO,CA 93711 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: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC it: FXP LIC ft: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: 2 CONST.TYPE: DWELLING UNITS. ] OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULA"PING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE.LABOR CODE OF THE STATE OF WASI IINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RC W 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 STRucrURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington u. on your sales tax return torm and coded City of Arlington#3101. .ze �•14 he Signature Print Name Date ReleascrBy 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 9/14/2016 Plumbing Permit Base Fee $25.00 9/14/2016 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 42 PHONE; (360)403-3551 BUILDING PERMIT Address:18414 Champions Drive Permit#:1149 Parcel#:00874400010200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:LINDA M STAFFORD Name:Absolute Plumbing Name:Absolute Plumbing Address: 1706 W WRENWOOD AVE Address:P.O.Box 1445 Address:PO Box 1445 City,State Zip:FRESNO,CA 93711 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: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: 2 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/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin"' Ott your sales tax return form and coded City of Arlington#3101. Signature Print Name Date RelmerBy !/{I 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 9/14/2016 Plumbing Permit Base Fee $25.00 9/14/2016 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 BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No 1149 Address: 18414 Champions Drive Contractor: Absolute Plumbing Owner: Linda Stafford Date: 9/19/2016 N APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas Water Heater LOCATION OK: © L&I: ❑ EXPANSION TANK: ® SEISMIC: INSULATION: ❑ VENTING (6x6 collar): 18 INCHES OR FVIR: ® PRV 6 INCHES: SHUT-OFF VALVE: © PRV < 150PSI: DRAIN: © DRIP LEG: IMPACT PROTECTION: ® ACCESS: COMBUSTION AIR: Date: 9/19/2016 Inspector: Kevin Olander ° CITY OF ARLINGTON .1 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 _ BUILDING PERMIT Address:18414 Champions Drive Permit 0: 1149 Parcel tl:00874400010200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:LINDA M STAFFORD Name:Absolute Plumbing Name:Absolute Plumbing Address: 1706 W WREN WOOD AVE Address:P.O.Box 1445 Address:PO Box 1445 City,Slate Zip:FRESNO,CA 93711 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: Address: Address: City,State,Zip: City,Stale,Zip Phone: Phone: LIC# EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR. 2015 STORIES: 2 CONST.*TYPE: DWELLING UNITS: OCC GROUP BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGRF.E'TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZIiD 1•HLREBY,NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE.STA IT,OF WASI IINGTON RI',I.ATING TO WORKMEN'S COMP1',NSAI'ION INSURANCE AND RCW 18,27 THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR H1SIHER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY ABUILDINU OR STRUCT1,RE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CER'T'IFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 1011RC1 ID, SALF.%TAX NOTICE:Sales tax relating to construction and construction materials in(he City ofArhngtou t oo your sales tax return lone and coded City ol'ArlinglOn 03101- �� J."t ; '/ ,y R Signature Print Name Date RelrAsc y Dale CONDITIONS Approved as submitted. Adhere to model#40S6-40NG. THIS PFRIOIT Al!THORTZS ONLY TI I WORK NOTED TI I I S PERMIT COVERS WORK to BF DON ON PRIVATE PROPERTY OM,Y ANY CONSTRUCTION ON A IF PUBLIC DOMAIN(CURBS,SIDEWALKS,DRI VEWAYS,MARQUEES,ETC)WILL REQUIRE SEPARATF.PERMISSION PERMIT FEES Date Description Fee Amount 9114/2016 Plumbing Permit Base Fee $25 00 9/1412016 Water Heater $25.00 Total Due: $50.00 rotal Payment: $0.00 Balance Due: S50.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection plense 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: 18414 Champions Drive Permit#:1149 Parcel#:00874400010200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:LINDA M STAFFORD Name:Absolute Plumbing Name:Absolute Plumbing Address: 1706 W WRENWOOD AVE Address:P.O.Box 1445 Address:PO Box 1445 City,State Zip:FRESNO,CA 93711 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: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: 2 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. 1BCI10/IRC110. SALES TAX NOTICE::Sales tax relating to construction and construction materials in the City of Arlinglon u r on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Rcleas By Date tl 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 9/14/2016 Plumbing Permit Base Fee $25 00 9/14/2016 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 Ay ° RESIDENTIAL PLUMBIN 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'18414 Champions Dr Project Description:Natural gas water heater replacement Owner: Linda Stafford Address:18414 Champions Dr Cit Arlin ton y: 9 State:WA Zip Code: 98223 Phone: 360 403-3153 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#: HO Accepted by: Date SEP 14 2016 REV 2015 Page 1 of 2 '` RESIDENTIAL PLUMBING y PERMIT APPLICATION �tJ 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) Q 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 ASS 1019 • All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) • Cross-Connection-Control may be required Applicant Signature: Date: 09/14/2016 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 Taws of the City of Arlington and the State of Washington. REV 2015 Page 2 of 2 9/14/2016 ABSOLUTE PLUMBING Search L&I 1%-V..In l. . I lrlh ah f;<I Safety&H- 'C ilh Claims& !nsuraf7re V/orkplace Rights Trades&Licensing 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*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. 'HOP us iniprove https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603305333&LIC=ABSOLP*872OD&SAW= 1/3 9/14/2016 ABSOLUTE PLUMBING License Violations Infraction no. PBATI01201 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. PBATI01033 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 Help(is improve hftps://secure.Ini.wa.govtverify/Detail.aspx?UBI=603305333&LIC=ABSOLP'872OD&SAW= 213 9/14/2016 ABSOLUTE PLUMBING Check for any past safety and health violations fo, in jobsites this business was responsible for. Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://secure.1ni.wa.gov/verify/Detail.aspx?UBI=603305333&LIC=ABSOLP*872OD&SAW= 313 Permit#: 1149 Permit Date: 09/14/16 Permit Type: RESIDENTIAL PLUMBING Project Name: Linda Stafford 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: 1547 Number of Stories: 2 Construction Type: Occupancy Group: ID Code: Permit Issued: 09/14/2016 Permit Expires: 03/14/2017 Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning LINDA M 116 Common Wall 00874400010200 18414 CHAMPIONS DR STAFFORD Single Family Residence 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 09/14/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 09/14/2016 Jeremy Oliver 61327929 cc $50.00 Outstanding Balance $0.00 Notes Date Note Created By: 09/14/2016 Model#40S6-40NG E.F.-.62 Kristin Foster Uploaded Files Date File Name 09/21/2016 1853482-1149 Issued Permit.pdf 09/19/2016 1849828-18414 Champions Drive.docx 09/14/2016 1841199-1149 Apnlication.pdf