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Home My WebLink About7320 COUNTRY CLUB DR_BLD1177_2026 RESIDENTIAL MECHANICAL PERMIT APPLICATION t�N 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 MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:7320 W Country Club Dr. Project Description:Extend gas line 30' to range Owner: Bill & Carla Brown Address. 7320 W Country Club Dr. City: Arlington StateyVA Zip Code: 98223 Phone. 425-530-8755 Emai I:carla_m_brown@hotmail.com Applicant: Timothy A. Hamblen Address: 7409 68 Ave NE City. Marysville State WA Zip Code: 98270 Phone. 425-501-0123 Email: hamblen.sons@gmail.com CONTRACTOR INFORMATION Contractor Name:Hamblen & Sons Heating Address: 7409 68 Ave NE City: Marysville StatelNA Zip Code: 98270 License Number.hamblsh922de Expiration: 2/2017 Phone:425-501-0123 Emai1:hamblen.sons@gmai1.com STAFF USE ONLY Permit #: Accepted by: Date: 6/16LP Page 1 of 2 Y. RESIDENTIAL MECHANICAL PERMIT APPLICATION SING Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model # AFUE ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ C� Gas Piping ❑ Solid-Fuel Appliance lEJ Other range Gas Piping Information Not Applicable: ❑ Pipe Material: black iron Pipe Size: 1/2" Distance from Meter to Furthest Appliance: Total BTU's of all Appliances:-200,000 • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances Applicant Signature: Date: 10/17/2016 Applicant Printed Name: Timoty A. Hamblen 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. 6/16LP Page 2 of 2 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 Go PHONE; (360)403-3551 BUILDING PERMIT Address:7320 W Country Club Dr Permit#:1177 Parcel#:00816000000300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BROWN WILLIAM E Name:Hamblen&Sons Heating Name:HAMBLEN&SONS HEATING Address:7320 COUNTRY CLUB DR Address:7409 68th Ave NE Address:7409 68TH AVE NE. City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:425-501-0123 Phone:360-653-1544 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:HAMBLEN&SONS HEATING Name: Address:7409 68TH AVE NE. Address: City,State,Zip:MARYSVILLE,WA 98270 City,State,Zip: Phone:360-653-1544 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: rrt 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 1 l0/IRC 110. SALES TA CE:Sales tax relating to construction and construction materials in the City ofArli n usl be re or our sales tax return form and code ity Arlin 1#3101. Signal re Print Name Dalic 1 sed By ( Date CONDITIONS Approved as submitted. 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 10/18/2016 Gas Outlets Base Fee 1 to 5 $10.00 10/18/2016 Mechanical Permit Base Fee $25.00 Total Due: $35.00 Total Payment: $0-00 Balance Due: $35.00 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 III i �� Fmk S' < Permit Information Date 10/18/2016 Permit Number 1177 Project Name Bill and Carla Brown Applicant Name Hamblen&Sons Heating Applicant Address 7409 68th Ave NE City,State,Zip Marysville,WA 98270 Contact Tim Hamblen Phone 425-501-0123 Email hamblen.sons@gmail.com Permit Type Residential Mechanical Site Address 7320 W Country Club Dr Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Extend gas line 30'to range Assigned To Kristin Foster Property Information Owner Information Parcel#:00816000000300 BROWN WILLIAM E BROWN WILLIAM E 7320 COUNTRY CLUB DR 7320 COUNTRY CLUB DR ARLINGTON,WA 98223 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# HAMBLEN&SONS HEATING :360-653-1544 1 11CONTRACTOR IlLabor&Industries JHAMBLSH922DE Review Date Type Description I Target Date I Completed Date I Assigned To I Status 10/18/2016 Residential Mechanical 10/25/2016 1 JlKevin Olander lin Review i Uploaded Files Upload File Date File Uploaded By 10/18/2016 9:46:31 AM 11177 A lication pdf 1-oster,Kristin . :., ,• p : •� �, ;`?_ I I I AN ESIDENTIAL MECHANICAL 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 MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:7320 W Country Club Dr. Project Description:Extend gas line 30'to range Owner: Bill & Carla Brown Address: 7320 W Country Club Dr. City:Arlington StateWA Zip Code: 98223 Phone: 425-530-8755 Email:carla_m_brown@hotmail.com Applicant: Timothy A. Hamblen Address:7409 68 Ave NE City: Marysville State WA Zip Code: 98270 Phone: 425-501-0123 Email: hamblen.sons@gmail.com CONTRACTOR INFORMATION Contractor Name:Hamblen & Sons Heating Address:7409 68 Ave NE City: Marysville State WA Zip Code: 98270 License Number:hamblsh922de Expiration: 2/2017 Phone:425-501-0123 Email:hamblen.sons@gmail.com STAFF USE ONLY Permit#: Accepted by: Date: 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL PERMi T APPLi%ATi0N 1,C.�� Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington,WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES [� Furnace (80+) Model # AFUE ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert C3 Outdoor BBQ �I Gas Piping ❑ Solid-Fuel Appliance Itj Other range Gas Piping Information Not Applicable: f:� Pipe Material: black iron Pipe Size: 1/2" Distance from Meter to Furthest Appliance: Total BTU's of all Appliances:-200,000 • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances Applicant Signature: _ _"" Date: 10i17i2016 Applicant Printed Name: Timoty A. Hamblen 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. 6/16LP Page 2 of 2 10/18/2016 HAMBLEN&SONS HEATING .' Search L&I A-Z Indc', k:!p ',!, I&I Safety&Hf alth Clafnis&insurance Aforkplace Rghfs -fades&Ucensmg Washington State Department of " Labor & Industries HAMBLEN & SONS HEATING Owner or tradesperson 7409 68TH AVE NE Principals MARYSVILLE,WA 98270 360-658-0124 HAMBLEN, TIMOTHY(TIM)A, OWNER SNOHOMISH County Doing business as HAMBLEN&SONS HEATING WA UBI No. Business type 601 481 968 Individual Governing persons JAN A HAMBLEN TIM A HAMBLEN; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. HAMBLSH922DE Effective—expiration 02/13/2008—02/13/2018 Bond Wesco Insurance Co $12,000.00 Bond account no. 46WBO30786 Received by L&I Effective date 07/11/2013 07/01/2013 Expiration date Until Canceled Bond history Insurance Ohio Security Ins Co $500,000.00 Policy no. BKS5578"58 Received by L&I Effective date 06/29/2016 08/14/2014 Expiration date 08/14/2017 Insurance history .Savings .................... No savings accounts during the previous 6 year period. Lawsuits against the bond or savings Help LIS irrsprczVe https://secure.Ini.wa.gov/verify/Detai I.aspx?U BI=601481968&LIC=HAM BLSH 922D E&SAW= 1/2 ili i I 10/18/2016 HAMBLEN&SONS HEATING No lawsuits against the bond or savings acco'---)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. License Violations Infraction no. PBATI00885 Satisfied Issue date RCW/WAC 07/25/2012 18.106.020 Violation city Violation amount Marysville $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 installed a gas hot water heater without a certified plumber. 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. 123,252-01 Doing business as HAMBLEN&SONS HEATING Estimated workers reported Quarter 2 of Year 2016"Less than 1 Workers" L&I account representative T5/STEPHANIE HENDERSON(360)902-6266-Email:HSTE235(oni.wa.gov Workplace safety and health Check for any past safety and health violations found on 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. Help us improve https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=601481968&LIC=HAMBLSH922DE&SAW= 212 i� I I it Permit#: 1177 Permit Date: 10/18/16 Permit Type: RESIDENTIAL MECHANICAL Project Name: Bill and Carla Brown Applicant Name: Hamblen & Sons Heating Applicant Address: 7409 68th Ave NE Applicant, City, State, Zip: Marysville,WA 98270 Contact: Tim Hamblen Phone: 425-501-0123 Email: hamblen.sons@gmail.com Scope of Work: Extend gas line 30' to range Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 10/18/2016 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00816000000300 7320 COUNTRY CLUB DR BROWN WILLIAM 111 Single Family E Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# HAMBLEN&SONS 425-501-0123 7409 68TH AVE CONSTRUCTION Labor&HAMBLSH922DE HEATING NE. CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 11/08/2016 R09.GAS PIPING 11/08/2016 BUILDING Completed ROUGH-IN Plan Reviews Date Review Type Description Assigned To Review Status 10/18/2016 RESIDENTIAL BUILDING MECHANICAL Fees Fee Description Notes Amount Gas Piping/Units Enter#of units $10.00 Mechanical Base Permit Fee $25.00 Total $35.00 Attached Letters Date Letter Description 10/18/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/18/2016 Timothy Hamblen 61916601 cc $35.00 Outstanding Balance $0.00 Uploaded Files Date File Name 10/18/2016 1897883-1177 Application.pdf