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HomeMy WebLinkAbout18614 Newport Dr_BLD856_2026 BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No. 856 Address: 18614 Newport Drive Contractor: Washington Water Heaters Owner: SHELDON RICHARD T & SHIRLEY Date: 1/29/2016 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas HWT. 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: 1/29/2016 Inspector: Kevin Olander Shop Whirlpool 5013 6-Year Ng'Pall Low Nox Water Heater Hi Alti... http://www.lowes.com/p4__592551-135-5OT6-40NG—O—?PjroductId... Your Mom: Bellevue,WA ............_,.,,,.,....................._..............................,,,.,.,,.......»,.,.................,.................._,...............................................,w ! . ue WA .....,,»,,., ..... .... ............ ........... Store Pickup._....... ........ '`......._.. FREE . •..,•,,.,. _ Your$tQf@..BelleV.. � I I lour order can be avarlAbEg for pickup 1 Whirlpool 50G 6-Year Ng Tall Low Noxlm I Water Heater Hi Altitude Certified i in� %«Bellevue,WA today. From 0 to 10,100 tit. 50dGallon 6-Year ; ;Lolnres Truck Delivery I . Tall Gas Water Heater(Natural Gas) Your order will be ready for delivery to Item#:592b61 1 Model p:50T640NG I �u from your selected store. I $469.00 _»»....................................... ...... ........................ II il � Was:$499.00 Parcel Shipping SavrB% , I Unavailable for This Order II � � !- •----• ! 1 ; Sent by carriers like UPS, Get S°16"Off Every pay or Special Flnonclnr ! Feat=x,USPS,etc. Minimum Purchase Required _ _ _,.... ..... _.....I W—hirlpool fdifa-Year $469.00 Ng Tell Low Nox Water Heater Hi Altitude Certified From 0 to 10,100 Ft. 50-Gallon a-Year Tall Goa Water Heater (Natural Gas) ....._ ®email ...................................».................._. 1.$+ti.: . 0� E Y Water $9A.g7 Heater Extended j Protection Plan 1 Description 500 Year Ng Tall.Low Nox Water Heater Hi Altitude Certified From 0 to 10,100 Ft.60-oallon 6-Year Tell Gas Water Heater (Natural Gas) •Whirlpool 6th sense technology advanced electronic gas control 1 • Htglt-•al&lude corlified from O ft to 10,100 ft I I • FVIR safety system protecte your family from accidental ignition or flammable vapors i .Consumerdriandly combination gas valvelthermosiat with self-diagnostics {, • Push-button pilot-light igniter with view port for ease-of-lighting pilot without matches - Factory Installed temperature and pressure relief valve ; I I 1 1 ! Specifications i Tiank Capacity(Gallons) 50 ETL Listed No 1 i Family size ---� -4 Commercial I Residential �. .. - Rasidentiai t ..............................................................................................................»...,»............................. ..................,..........................................................._......................................... ............................... WaRarY4l ear S-y Vent Diameter(Inches) 3 . _. _».. s .............,..,,_.,... ..... ... _. . .,....,,.,,. .....,......»._,_..................... ............ .....,.. »,_..».»,.,».,.»,.,..,.»,.,».»»,..»...»...,...»,..,,...,,. ! , Fyei Source Natural Type B I gas Vaal Type double ( ... '..........,,..»,.........,,.,..,.,..,.,,.,,.,,.,,,.,..,,•,...............-._s............. wall Height Inch 1 i Water Connection..... _. ..Size in"., ENERGY STAR Qualified......»,,.,.,,,.,».,.»,.».,.».,»............................................. t No .»,.,..,.»,.,..,.»,.»,,.,...............,.....,»,»».,.,, PressureTemperature and ...,......... .........Valve Yes Width(Inches)....................................•....,.......... � r .... t, GPH Recoveryat 90 Degrees F(Gallons).._.) wW » .._...... Serlee NIA r FtigtlAlStutleMotlel........,.9...:....:.:.....:................_»...,.._»....,....Y®.94....... ..............».....».,. Oha Works with Iris No e I Energy Factor 0.61 11 FOgr11InsWQtlon...., .Ye3 ..............................................»._»._».»,,,»»_»»..»..».»..»....».....................,......,...,............... .,...on » Yea.........» 1 Diameter(inches) 22 1 Pilot Reset Buts BTU Input(BTU) 40000 I: Pilot Light Ignition Type Piezo ,.,_»,»_.».,,»_».,_,.,_,_.»,.»...................... ...Water...,..ter.......,..,,,.,.,:,.,,»,,.,.,,.,»,,.,.:....:.:...,.....,..,:.....:........:.........:»..:.... F, UL Lrsled now No r Style Tall j; Heater CSA Listed ...............Yee........... Water connection Location T.....,»...»..,,...». OP U ii I� ....,..,.,,,....,..,....,,,..,......,,..„..w,.......,.., ..,...,,.,.;... ;, H•..,,.,,.1,;;,,,,,,,,;,,,,.... ,.........,...................._;.;.;.;,...;. .;.,.._;,,:.,.........,;.",.,.,.;.;, „-..,,,.;..,_..;_;, ®2015 Lowers.All rights reserved.Lowe'a and the gable design are registered trademarks of LF,LLC 1 of 1 7/27/2015 10:42 AM . ` BUILDING INSPECTION REPORT— PLUMBING (HWT) Permit No. 856 Address: 18614 Newport Drive Contractor: Washington Water Heaters Owner: SHELDON RICHARD T & SHIRLEY Date: 1/29/2016 M APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas HWT. LOCATION OK: N L&I: ❑ EXPANSION TANK: N SEISMIC: N INSULATION: N VENTING (6x6 collar): N 18 INCHES OR FVIR: N PRV 6 INCHES: N SHUT-OFF VALVE: N PRV< 15OPSI: N DRAIN: N DRIP LEG: N IMPACT PROTECTION: ❑ ACCESS: N COMBUSTION AIR: N Date: 1/29/2016 Inspector: Kevin Olander I v 1 1 -ry. CITY OF ARLINGTON 238 N.OLYMPIC AVE -ARLINGTON, WA.98223 PHONE; (360)403-3551 ............ . ........ ..... Address:19614 Newport Dr1w, Permit 0.956 Parml 9:00861900000,500 V61LIatiOn:0,00 W ME Name:SHELDON RICHARD T&SHIRLEY Name:Washington Water Heaters Name:WASHINGTON WATFR HEATERS 14C Addra55:1&6 14 NE WPQRT DR Add re.95:1 g00 Richards Rtioid,Suite.A Address:1800 RICHARDS PO STE A City,Stale Zip:ARLINOTOIN,WA 98223 City,State Zip,Bellevue,WA 9800< Cio,,Stale Zip-BEILEVUE.,WA R8005 Phone: Phone:800-978-8599 Phone:(800)Q78-8588 EXT: g�'Igggge.v"r. M." M00 'Name: Neow:WASHINGTON WA:TER HEATERS INC Address: Address: 1800 RICHARDS RD STE A City,State,Zip: City',State,Zip:3ELJ.EXW WA M05 pholle: Phone: LIC EXP: LfC#: EXP: N N '10� WN A . )Q IFt PFRMtT'I'YI1E: Residential Plumbing CODI,.Y(-,A R: 2012 STQRIES: CONST.,TYPE; DWF[..UNG IJN'lTS; I OC'C(jROIJP: BUI LDINC,'r,5: 1 OCCLOAD; 5ml"�Itt V, J. I AGREE TO COMPLY WITH CITY AND STATE LAWS RFQLJT.ATING CONSTRUCTION AND IN r)OFNG T14E WORK AVWOr(TZED THEA,F8Y:NO PERSON WILL tat;EMPLOYrD IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION JNS(JRANCE AND RCW 1 d,27_ THIS APPLICAT(QN IS NUT A PERMIT UNTIL SIGNED BY T[qC BUILDING 017FICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID_ IT 15 UNLAWFUUTO USE OR.OCCUPY A BUILMNG OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CFKTIf fCATF,OF OCCUPANCY RAS MEN CYRANJ'EF.?, J(t�CJ lOiIRC110. -Sol lax rel 1, construction end construction materials in the City ol'Arl o si be reported on your sales lax return fbnn 4d code, C I�flinglpn M, N PC49 ( Sl Pat.. Print Name Dole ftalcxscd B.. onto Wbirlpool Model#50T8-40NG-EF.61 THIS P.EPNllT ALJT149RTZ-5 ONLY THE WORK NOTED,TfflS PERMIT COVERS WORK TO BE DONE ON PIUVATS PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC T)0" 4AIN(CL)RDS,51DFWA1,K5,DRIVEWAYS,MAPQVCFS,ETC,..,)WILi,RF.QOIFF 3EVARATE.PFRM(33(0N, M- 1.W-k—EX*WNI'1�f`1="� Dbte Description 'AN Fee Amount 12IV2015 Plumbing Permit Base Fee $.25;QQ 12/8(2015 Plumbing Permit Fee(Enter Fixture Fee) $4.00 Total Due: $59.00 Total Payment: $0.00 Ralance Due: S5(1,00 C_kLL.FOR INSITGnONS BUILDING(360)403-3417 When calling foran Inspection please leave the following InformathDn.- Permit Nvmbci'Typc of Inspection being requested,and whether you prefer morning or afternoon ,Y � I I Y I CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 18614 Newport Drive Permit#:856 Parcel#:00861900000500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:SHELDON RICHARD T&SHIRLEY Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC Address: 18614 NEWPORT DR Address:1800 Richards Road,Suite A Address: 1800 RICHARDS RD STE A City,State Zip:ARLINGTON,WA 98223 City,State Zip:Bellevue,WA 98005 City,State Zip:BELLEVUE,WA 98005 Phone: Phone:800-978-8588 Phone:(800)978-8588 EXT: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON WATER HEATERS INC Address: Address: 1800 RICHARDS RD STE A City,State,Zip: City,State,Zip: BELLEVUE,WA 98005 Phone: Phone: (800)978-8588 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2012 STORIES: CONST.TYPE: DWELLING UNITS: I 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 IOARC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlinglo sl be reported on your sales tax return form and coded City of Arlington#3101. — Signature Print Name Date Released By Date CONDITIONS Whirlpool Model#50T8-40NG - EF .61 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 12/8/2015 Plumbing Permit Base Fee $25.00 12/8/2015 Plumbing Permit Fee(Enter Fixture Fee) $25.00 Total Due: S50.00 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 - -' 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:18614 Newport Dr Project Description: Remove and Replace 1 Gas Water Heater Owner:Robert Sheldon 18614 Newport Dr Address: City:Arlington State:WA Zip Code:98223 Phone: 425-418-9888 Email: none@noemail.com Appllcant:Washington Water Heaters Address:1800 Richards Rd STE A City:Bellevue State:WA Zip Code:98005 Phone: (800)978-8588 Email: WAWAHVAC@Gmail.com CONTRACTOR INFORMATION Contractor Name:Washington Water Heaters Address:1800 Richards Rd STE A City:Bellevue State:WA Zip Code:98005 License Number:WASHW9800P Expiration:9/17/16 Phone:800-978-8588 Email:WaWaHvac@gmail.com Receivpri STAFF USE O�LY DEC 08 2015 Permit#: Accepted by: - ,� Date J II II RESIDENTIAL PLUMBING { PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave N E •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 ❑ Other(list) 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: �'�"'''''��h' � �'��� Date: 12/08/2015 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. Shop'Whirlpool 50G 6-Year Ng'Tall Low N Nater Heater Hi Alti.., http://www.lowes.col� _592551-195-50T6-40NG_0_?productId... Your Mum: Bellevue,WA Your Store:Bellevue,WA FR!F i8tore Pickup ?i� Whirlpool BOGS Year Ng Tall Low Nox !�t xftrwei tu br.a Babble for today. ! Water Heater Hi Altitude Certified i From 0 to 10,100 Ft.50-Gallon 6-Year "'-- E Lowe's Truck Delivery ; Tall Gas Water Heater(Natural Gas) ; ; Your order will be ready for delivery to i Ilem#:592b611 Model#:50T6-40NG �ouRom your selected store $469.00 wae:$499.00 i Parcel Shipping Save Oho ; Unavailable for This Order I Sent by tamers like UPS, Got 51/6"Off Every Day or Special Flnanclnr FedEX,USPS,etc. Minlmum Purchase Required Whirlpool b0C-`,8•Yter t89.00_ Ng Tall Low Nox Water Heater Hi Altitude Certified From 0 to 10,100 FL 50-Gallon 9-Year Tall Gag Water Heater (Natural Gas) email 5-Year Water $49,97 Heater Extended Proteotion Plan , Description 50G r Y,.ar Ng Tall.Low Nox Wafer Heater Hi Altitude Certified From 0 to 10,100 Ft.613-0allon 6-Year Tall Gee Water Heater (Natural oae) p k +Whirlpool 61h sense technology advanced electronic gas control -Hig"11Rudrt caMed from 0 R to 10,100 ft .FVIR safety system protects your family from accidental ignition of flammable vapors f j •Consumm*iendly oombinaWn gas valveRhermastat with self-diagnostics t +Push-button pilot-light i9nRerwith view port forease-bf4ighting Allot without matches F Factory Installed bemperature and pressure rellef valve Speelficatlana �. Tbnk Capacity(Gallons) w _ 50 ETL Listed No I Family Size 4�- Commercial Resldentlai Residential r /Warranty 6-year Vent Diameter(inches) -- -- 3 - r I RAO Source Natural Type B gas Venl Type double Height(inches) 61 T well t ' ENERGY STAR Qualified ~• No Water Connection Size 314 in Width(Inches)------------•----•--'22 Temperature and Pressure Relief Valve 1 GPH Recovery at 90 Degrees F(Gallons) `40.94- sertea--_-- -_�-_ NIA I High AROude•Model - u YQa Wanks weh Eris --.___-v - - -- r• I Lc Nox -�� --- _- -_�.__•Yee- aror'dy Feotvr - - - - ------------._-.. ' Foam InsulaVon Yea Diameter(Inches) 22 j ---------------•-_- -- -__-_.-__ -___.__. aTu Input(BTU) 4t}9110 I Pilot Reset Button -_- - � Yes Pilot Llght Window Yee ignition Type Pieza ULWsied' -- _ -- No Water Heeler style �' -_ Tall - -- Water Connea�loo Locatlon Top I 08A Listed Yea L , I.._.--�._..._.-...:�..•-rrn...--.........r+-.ram-.x-_�a..a+�,n...,►r.�---�—._... ..�........ .—._._.....�_ m..e ®2015 Lowers All rights reserved Lowe's and the gable design are registered trademarks of LF,LLC 1 of 1 7/27/2015 10:42,AM i CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 18614 Newport Drive Permit#:856 Parcel#:00861900000500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:SHELDON RICHARD T&SHIRLEY Name: Washington Water Heaters Name:WASHINGTON WATER HEATERS INC Address: 18614 NEWPORT DR Address:1800 Richards Road,Suite A Address: 1800 RICHARDS RD STE A City,State Zip:ARL.INGTON,WA 98223 City,State Zip: Bellevue,WA 98005 City,State Zip:BELLEVUE,WA 98005 Phone: Phone:800-978-8588 Phone:(800)978-8588 EXT: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON WATER HEATERS INC Address: Address: 1800 RICHARDS RD STE A City,State,Zip: City,State,Zip:BELLEVUE,WA 98005 Phone: Phone: (800)978-8588 L1C#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2012 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 I8.27. 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/ARC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arhngto I List be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Whirlpool Model #50T8-40NG - EF .61 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 12/8/2015 Plumbing Permit Base Fee $25.00 12/8/2015 Plumbing Permit Fee(Enter Fixture Fee) $25.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: S50.00 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 Permit#: 856 Permit Date: 12/08/15 Permit Type: RESIDENTIAL PLUMBING Project Name: Sheldon Applicant Name: Washington Water Heaters Applicant Address: 1800 Richards Road, Suite A Applicant, City, State, Zip: Bellevue,WA 98005 Contact: Jacci Daniels Phone: 800-978-8588 Email: wawahvac@gmail.com Scope of Work: Replace Gas HWT Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 12/08/2015 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning SHELDON 00861900000500 18614 NEWPORT DR RICHARD T& Residence Single Family -Detached SHIRLEY Contractors Contractor Primary Contact Phone Address Contractor Type License License# WASHINGTON WATER JACCI DANIELS (800)978-8588 PO Box 59208 CONSTRUCTION Labor&WASHII*9800P HEATERS INC EXT: CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 02/01/2016 R00.WATER 01/29/2016 BUILDING Approved HEATER FINAL Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Mechanical Commercial Permit Table 4-7;Per Unit $25.00 Total $50.00 Attached Letters Date Letter Description 12/08/2015 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 12/08/2015 washington water heaters 57314988 cc $50.00 Jacci Daniels Outstanding Balance $0.00 Notes Date Note Created By: 12/08/2015 Whirlpool Model#50T8-40NG-EF.61 Launa Black Uploaded Files Date File Name 02/01/2016 1455260-18614 Newport Drive.docx O1/13/2016 1423811-Sheldon signed permit.pdf 12/08/2015 1387522-Residential Plumbing 1Ffulh7t1XHGOC.pdf 12/08/2015 1387523-18604 Newport Drive Specs.pdf RESIDENTIAL PLUMBING 01" ", 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:18614 Newport Dr Project Description: Remove and Replace 1 Gas Water Heater Owner:Robert Sheldon 18614 Newport Dr Address: City:Arlington State:WA Zip Code: 98223 Phone: 425-418-9888 Email. none@noemail.com AppIicant:Washington Water Heaters Address:1800 Richards Rd STE A City: Bellevue State:WA Zip Code: 98005 Phone: (800)978-8588 Email: WAWAHVAC@Gmail.com CONTRACTOR INFORMATION Contractor Name:Washington Water Heaters Address:1800 Richards Rd STE A City:Bellevue State:WA Zip Code:98005 License Number:WASHII*9800P Expiration. -9/17/16 Phone-800-978-8588 Email:WaWaHvac@gmail.com STAFF USE ONLY Permit #: Accepted by: Date 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) ❑ 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 ❑ Other (list) 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: C�accGC. 6�/' a , Date: 12/08/2015 l 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. s E CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA, 98223 PHONE; (360)403-3551 r.1"' 1 ad.'.b'1f d k' ••••'r'I.?L�.,IA[.I;rr:.Yt_'l.lo.t.lu:l—,�,.�li,i,.qqrt (!'I°il��i[ .I!Nf.il j'lll[1 NI�ur":'Ar i,,lAA.l a q!'.Nr r[iti'1 r7'�A II,.N,iA!r1 n ! 'u:,:.I:n li.x iay;:�x,:r•dyr;F,•i n[i I l '"•;:.i:'a.'nuW n I'�r'n'".1�Dpu,a{`"�a.r!u,�n:f l,rl°n:alnl'a!1�.r9l�a\nw7•�e:�rlu�'rn�',Fyi+i ','N"`WY['nle:4i61!a.�rI.Epr'tNl,'S lid°Y tl"?iI!ii�i,n.,"Y"IIW"Z''m'Yi,t;•F'I•'U�•IrIa'H�pT;'�r".. a[tFllilil l'!�:!.1aKvjIaNil:IM^'I�e'II;•In'Id+Ji,m•n+Pl:uui°a;l�r�illnC.irrlyr:G�n?ltY a:.'[�:;m.:�.,rl.;;ianli,�L�lY..Ii.l.ltj;,u��"..I.an•;.[,.IY.�I la r�J'h.''BSir�. r,rhl� Address,1.8614 Newport DHve Permit f1:856 Parcel ii:0080900000500 VHILIati0n:0,00 W�r�r- � Ile::,.a L a' :[a,::alLtL::::;+..vronk.lraa;•,i, ...r,' +I u a•� 1f f tLlro al.�M1 .! !!M1 n,r I I n l ¢tl f I nln ';4'W,..I.hi"' al �,, n :' ,�e�,• C!ih"�.' ""II,I'll II uk�rI!"1.1fIIIILIJIt.:.l``'!,L I,.L:L.. I;. w-' WIIp1.�i-itj'p�'i:�r llrn:a F Il�ur,.aa,I Lfr,1F '!�. .I Q.'•1"« ..•a^i'� 1MIi u l: •1,+I Mi�Aail nn'Inln'-'rlr?r,'I 1;1 "!` . 'IS�i111n,R I An>iinr'.I':r!I i:iie'r 'iNi„•,u, nr,!i 1 "ryidix,I i'�,iF,IF+';°��1!?;lV�'?':i!'?'� +l' _ _ Y f I i 1?I:,;'ir; I 1�i' •1 •u '?I ,' +e' i f n!i'i3�,lYu,'ifi 1 nrl.::,11411e.1 i^tlln::l:3.oa:"r,ri„ Name:SHELDON RICHARD T&SHIRLEY Name:Washington Water Heater Name:WgSH(NGTON WATER HEATERS INC Address:18614 NE WPORT DR Address:1800 Richards Road,Suite A Address:I800 RICHARDS RD STF"x A City,Stele ZIp:ARLINGTON,WA 98223 City,State zip:Bellevue,WA 980W CRY,StateZip:BGLL,EVUE,WA 98005 Phone: Phone:S00-978-8588 Phone:(800)978-8588 EXT: S["" �,yq.�I1) 1;•, a p1 'H::'":•-•1 � In'tl:'..•., I;..""'iL Ir,�il LNw `ILi7t"i hti:hl,AJWk:J>IHIy�',�y�ir'r.' •iFi'•• ••.•r'•'•""[" !lTW.'. 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PFRMtT'I'YI}F: Residential Numbing CODFYEAR: 2012 STORIES: CONST,TYPE; DWELLING UNITS; I OCCOROUP: BUILDINGS: OCCLOAD; 51iL11•I�Yr�riiif'M,,'.31'..:vr"+xrl�,pnG!'k+uA}L�1�Xi`l!:.P Crfill:I.lill..li.YtA Itbru I\Init,,n,i,ILr+�II1.,tC.fl1a'.t•••.i•••' r '�.•:::..11i:!J..,r..:.An�,).�..M N`fl .I•Yh.rd1A,1,UIL:LVRiM:El1A':1,1111 Iril.r�ll'.V1r:rr..I.tSWIr'I IIUIM119N1:11!4A1Ln4l,I,IxiVri`NI'I�,i rl':IVl:li lrr..iil'.'Y,:i�flf,:iJ °L.!d!II`:tll Fx:l4l;nl;rt;IMI�IN 1'r :I"li.I?I,Ir;j l'r:'I 1::1'• ,::�I:ru..:l IT I':I'n,T•,inl•Irl%r!IAPIk11J 7,tFf:PAI'r',•:Al!if t'JI•llll"lt':IIII:S:.,dP'":Ill":yel4q)l'q•I:ig%i�.:llrYlx lnl�.J •AI,,r Lr,,r1((J,.rp ,,, q...[,S IM,nrr.a nl;a!!f,•,1„I I, „7 r.:!I`1I�'F,I171r�I'i,Il'vu't,11'µlinl'rT7�' ?1L.eit :!ulf'tl'l.I::'!tlUIh1':R!I' .......!..... 1.1:�1. 41,a,1uil.rY',�w'':iCl, '?inuiµilriCl::r�!I!'uiW''orsu'wi Ji'�i!y11:JNni�r'y:Y'''li lbi!Oilry.�411W1{�`Jw"iY..'IJWI{.N01 nw NrGK1v.,.I .�.,14a:��••V ^�r•,••,". •:••1•n5' F:Li1GIRAM>,ln'\••••':,',::r;ldi:a'•nl 1 n.......�.� 1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZFD TWEReBY:NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF'WASHINGTON RELATING;TO I WORKMEN'S COMPENSATION INSURANCE AND RCW I8Y'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 USC OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ACERTIFICATE OF OCCUPANCY 14AS BF6N ORANTED. 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"mate Description Fee Amount 1 21812 01 5 Plumbing Pernik Bass Fga $25,00 121a/2015 Plumbing permit Fee(Enter Fixture Fee) P5.00 Total Due: $59.00 Total Payment: $0.00 Balance Due: 550.00 x.';.I.'r:.�IA��1:`r::•ri:'.r�,i'�..,,.�,...,�,...,'I\N:ir,.;�'�:'T��::I,}�:4a rr��1'I�.r:"N„��,'.„_. .�».�:.I�.I.. �a,f�x�.x,Nx�,. ..I�n•� xr JSNfxN•,',•,Nnx�„:•:; �rl.Y i:4i:u..,��,. .r., L, ,,I .. sy),rrhr.;l.,r,;I,�;;,,;;,,,,,,,,;,;,».,a.l.r-::i�:�r.r.: .I.'.I?a,q;,;.,,,,,"' „I..',::r,h:. .,,.,I ,.1•' •'r,. 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