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HomeMy WebLinkAbout7929 EAGLEFIELD DR_BLD1170_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 Add ress.7929 EAGLEFIELD DR, ARLINGTON, WA 98223 Project Description:Remove/replace gas water heater Owner: KERMIT BENSON 7929 EAGLEFIELD DR Address: City:ARLINGTON State. Zip Code: 98223 Phone: 4255839299 Email: kkehle@fastwaterheater.com Applicant:FAST WATER HEATER Address: 11715 N CREEK PKWY S #C106 City.BOTHELL State:WA Zip Code: 98011 Phone: 4256367084 Email: kkehle@fastwaterheater.com CONTRACTOR INFORMATION Contractor Name:FAST WATER HEATER Address: 11715 N CREEK PKWY S #C106 City:BOTHELL StateWA Zip Code-98011 License Number.FASTWWH948BC Expiration.1-4-18 Phone.4256367084 Email.kkehle@fastwaterheater.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 Q Water Heater x 1 ❑ Hose Bibb (2.5) x Water Heater Model # ❑ Other (list) x XG50T09 Proposed Water Piping Size: n/a_ Proposed Piping Material: n/a Proposed DWV Material: n/a Proposed DWV Size: n/a • 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: 10/12/2016 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:7929 Eaglefield Drive Permit#:1 I70 Parcel#:00865900010800 Valuation:0.00 OWNER _ APPLICANT _ CONTRACTOR Name:BENSON KERMIT E&JANICE L Name:Fast Water Heater Name:Fast Water Heater Company Address:7929 EAGLEFIELD DR Address:11715 N Creek Pkwy S#C-106 Address: 11715 North Creek Parkway South,Ste C-106 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011 Phone: Phone:425-636-7084 Phone:(425)636-7084 Ext. MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name, Name:Fast Water Heater Company Address: Address: 11715 North Creek Parkway South,Ste C-106 City,State,Zip: City,State,Zip:Bothell,WA 98011 Phone: Phone: (425)636-7084 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: ( OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL AGREE TO COMPLY WITH CITY AND S'TA I'H 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 13Y THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND AI.I,FEES ARE PAID. IC IS UNLA WFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CF:Rt'1FICA'fE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCI l0. SALES rAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingit u: Iypur es tax return form ant of Arkin t n#3101. Signs t c Print Wine Date Released By Date CONDITIONS Approved as submitted. Adhere to model number XG50T09 E.F. - .62. THIS PERMIT AOTHORIZS ONI,Y 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 10/12/2016 Plumbing Permit Base Fee $25.00 10/12/2016 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:7929 Eaglefield Drive Permit#:1170 Parcel#:00865900010800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BENSON KERMIT E&JANICE L Name:Fast Water Heater Name:Fast Water Heater Company Address:7929 EAGLEFIELD DR Address:11715 N Creek Pkwy S#C-106 Address: 11715 North Creek Parkway South,Ste C-106 City,State Zip:ARLBJGTON,WA 98223 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011 Phone: Phone:425-636-7084 Phone:(425)636-7084 Ext. MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Fast Water Heater Company Address: Address: 11715 North Creek Parkway South,Ste C-106 City,State,Zip: City,State,Zip:Bothell,WA 98011 Phone: Phone: (425)636-7084 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: E! , iIT APPRO' 'AL 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 Arlin gt us=By ur sales tax return form and coded City of Arlington#3101. to. I Z• �co Signature Print Name Date Released Date CONDITIONS Approved as submitted.Adhere to model number XG50T09 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 10/12/2016 Plumbing Permit Base Fee $25.00 10/12/2016 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 BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No 1170 Address: 7929 Eaglefield Drive Contractor: Fast Water Heater Owner: Kermit Benson Date: 11/3/2016 ® 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: 11/3/2016 Inspector: Kevin Olander CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON, WA.98223 PHONE;(360)403-3551 4 BUILDING PERMIT _ Address:7929 Eaglerield Drive Permit#:1170 Parcel#:00865900010800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BENSON KERMff E&JANICE L Name:Fast Water Heater Name:Fast Water Heater Company Address:7929 EAGLEFIELD DR Address:I 1715 N Creek Pkwy S#C-106 Address:11715 North Creek Parkway South,Ste C-106 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011 Phone. Phone.-425-636-7084 Phone:(425)636-7084 Ext. MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Fast Water Heater Company Address: Address:11715 North Creek Parkway South,Ste C-106 City,State,Zip: City.State,Zip:Bothell,WA 98011 Phone: Phone: (425)636-7084 LIC#: EXP: LIC# EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: ( OCCGROUP: BUILDINGS: OCC LOAD, PERMIT APPROVAL I AGREE TO COMPLY WIT]I CITY.AND STA I'F.LAWS REGULATING CONSTRUCTION AND 1N DCiTNG THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF TI IE STATE OF WASHINGTON REL ATINOTO WORKMI=:N'S COMPENSATION INSURANCE AND RCW79.27_ THIS APPLICATION IS No'rA PERMIT UNTIL SIGNED BYTt[E BUILDING OFFICIAL OR HISIHER DEPUTY,AND AI.I,FEES ARE PAID. IT(.S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPI'.CTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY"HAS BEEN GRANTED. IBCI 10/IRCI IQ SA1,F;5 VAX NU'rlCk:SaleS tax relating to construction and construction materials in the City of Arlinka I as e I C 1 ynut sales tax return fomn am cod Lit of Arhn t n#3101. A lo- )3" t' 7V to. IZ. zoc(o Signs I Print N u Date Released By Date, CONDITIONS Approved as submitted. Adhere to model number XG50T09 E.F. - .62. THIS PERM[T AU"I'HORf7,S ONLY THE WORK NOTED THIS PERMIT COVERS WORK TO BL DONE ON PRIVA'i7 PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS.SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION PERMIT FEES Date Description Fee Amount 1 011 2/2 016 Plumbing Permit Base Fee $25,00 1 0/1 212 01 6 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 Numher,Type of Inspection being requested,and whether you prefer morning or afternoon i i i CITY OF ARLINGTON % 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:7929 Eaglefield Drive Permit#:1170 Parcel#:00865900010800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BENSON KERMIT E&JANICE L Name:Fast Water Heater Name:Fast Water Heater Company Address:7929 EAGLEFIELD DR Address:11715 N Creek Pkwy S#C-106 Address: 11715 North Creek Parkway South,Ste C-106 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011 Phone: Phone:425-636-7084 Phone:(425)636-7084 Ext. MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Fast Water Heater Company Address: Address: 11715 North Creek Parkway South,Ste C-106 City,State,Zip: City,State,Zip:Bothell,WA 98011 Phone: Phone: (425)636-7084 LIC#: EXP: LIC#: EXP: 1011 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. IBCI 10/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin=Releawd �yousalcs tax return form and coded City of Arlington#3101. 10. IZ• �x(o Signature Print Name Date Date CONDITIONS Approved as submitted. Adhere to model number XG50T09 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 10/12/2016 Plumbing Permit Base Fee $25.00 10/12/2016 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 it i I Permit Information Date 10/12/2016 Permit Number 1170 Project Name Kermit Benson Applicant Name Fast Water Heater Applicant Address 11715 N Creek Pkwy S#C-106 City, State,Zip Bothell,WA 98011 Contact Kathleen Kahle Phone 425-636-7084 Email kkehle@fastwaterheater.com Permit Type Residential Plumbing Site Address 7929 Eaglefield Drive Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Replace Gas Water Heater Assigned To Kristin Foster Property Information Owner Information Parcel#:00865900010800 BENSON KERMIT E&JANICE L BENSON KERMIT E&JANICE L 7929 EAGLEFIELD DR 7929 EAGLEFIELD DR ARLINGTON,WA 98223 Contractors Contractor Name Primary Phone Email Contractor Type License License# Contact Fast Water Heater (425)636- PLUMBING Labor& Company7084 Ext. permits@fastwaterheater.co CONTRACTOR Industries f=ASTWWH948BC Fees Fee Description Notes Amount Plumbing Permit Base Fe 322.10.00.0 $25.00 Water Heated 322.10.00.00 $25.00 Total $50.0 Uploaded Files Upl=File Date I File IUploaded B 10/12/2016 3:22:23 PM 1170 Application.pdf Foster,Kristin RESIDENTIAL PLUMBING PERMIT APPLICATION Department of Community & Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223• Phone(360) 403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:7929 EAGLEFIELD DR, ARLINGTON, WA 98223 Project Description:Remove/replace gas water heater Owner: KERMIT BENSON 7929 EAGLEFIELD DR Address: City:ARLINGTON State:WA Zip Code: 98223 Phone: 4255839299 Email: kkehle@fastwaterheater.com Applicant:FAST WATER HEATER Address:11715 N CREEK PKWY S #C106 City:BOTHELL State:WA Zip Code: 98011 Phone: 4256367084 Email: kkehle@fastwaterheater.com CONTRACTOR INFORMATION Contractor Name:FAST WATER HEATER Address:11715 N CREEK PKWY S #C106 City$OTHELL StatelNA Zip Code:98011 License Number:FASTWWH948BC Expiration:1-4-18 Phone:4256367084 Email:kkehle@fastwaterheater.com `/��1 r"� STAFF USE O Received Permit#: Y` I V Accepted by: Date OCT 12 2016 i&U- 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) El; Bath/Shower Combo (4.0) x LJ' Sink (1.5) x 13 Shower (2.0) x 0, Lavatory (1.0) x ❑ Clothes Washer (4.0) x LJ Water Closet (2.5) x JI Dishwasher (1.5) x Water Heater x 1 ❑ Hose Bibb (2.5) x Water Heater Model# Other (list) x XG50T09 Proposed Water Piping Size:n/a Proposed Piping Material: n/a Proposed DWV Material:n/a Proposed DWV Size: n/a • 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�C���•/�•�C�'f....�clfeji�^Applicant Signature: Date: 10/12/2016 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 I 10/12/2016 FAST WATER HEATER COMPANY A-Z ff"li) Cafety&Health Claims& Insurance `dVorkplace Rights Trades,� Licensing Aft Washington State Department of " Labor & Industries FAST WATER HEATER COMPANY Owner or tradesperson 11715 N CREEK PARKWAY S,C-106 Principals BOTHELL,WA 98011 JORDAN,JEFFERY KING 4-8381 KING County DAVID, PARTNER/MEMBER HANLEYBROWN, JASON, PARTNER/MEMBER Doing business as FAST WATER HEATER COMPANY WA UBI No. Business type 602 564 5" Limited Liability Company Parent company Governing persons FWH ACQUISITION COMPANY LLC JASON HANLEYBROWN JEFFREY DAVID JORDAN; 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. FASTWWH948BC Effective—expiration 01/03/2006—01/04/2018 Bond DEVELOPERS SURETY&INDEM CO $12,000.00 Bond account no. 549792C Received by L&I Effective date 01/03/2006 01/01/2005 Expiration date Until Canceled Insurance American States Insurance Co $1,000,000.00 Policy no. OIC155607620 Received by L&I Effective date 01/25/2016 02/17/2014 Expiration date 02/17/2017 Insurance history Help us improve https://secure.ini.wa.govtverify/Detaii.aspx?UBI=602.564 LIC=FASTWWH948BC&SAW= 1/5 i M Permit#: 1170 Permit Date: 10/12/16 Permit Type: RESIDENTIAL PLUMBING Project Name: Kermit Benson Applicant Name: Fast Water Heater Applicant Address: 11715 N Creek Pkwy S #C-106 Applicant, City, State, Zip: Bothell,WA 98011 Contact: Kathleen Kehle Phone: 425-636-7084 Email: kkehle@fastwaterheater.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: 10/12/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00865900010800 7929 EAGLEFIELD DR BENSON KERMIT 111 Single Family E&JANICE L Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# FAST WATER It715 N CREEK PLUMBING HEATER 425.636.7054 PKWY S,Ste CONTRACTOR COA 602 564 544 C106 FAST WATER 11715 N CREEK PLUMBING LABOR& HEATER 425.636.7054 PKWY S,Ste CONTRACTOR INDUSTRIES FASTWWH948BC C106 Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 11/03/2016 R00.WATER 11/03/2016 BUILDING Approved HEATER FINAL Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Water Heater(Tank) $25.00 Total $50.00 Attached Letters Date Letter Description 10/12/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/12/2016 JASON HANLEYBROWN 61830747 cc $50.00 Outstanding Balance $0.00 Uploaded Files Date File Name 11/03/2016 1931878-7929 Eaglefield Drive.docx 10/13/2016 1891263-1170 Issued Permit.pdf 10/12/2016 1889832-1170 Application.pdf