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Home My WebLink About19601 KNOLL DR_BLD1214_2026 Y °� RESIDENTIAL PLUMBING PERMIT APPLICATION �I1vG`SO 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: Ad�l Project Description: Owner: ol Address: City: ,� ,/'� State_bJA Zip Code:e�8?'23 Phone: 9buo Email: aL'2. rOA, � COS Applicant: C Cbm Address: City: State: Zip Code: Phone: Email: CONTRACTOR INFORMATION Contractor Name: � VV Address: � � `( �' �Uj City: f (y, State: A Zip Code: License Number "�� li�� Expiration: Phone: �' � ® �� Email: ' YG-. Sty �j1\ STAFF USE ONLY Permit#: Accepted by: Date REV 2015 Page 1 of 2 X RESIDENTIAL PLUMBING PERMIT APPLICATION I"�C'�� 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 (� Hose Bibb (2.5) x Water Heater Model# ❑ Other(list) x Proposed Water Piping Size: Proposed Piping Material: Proposed DWV Material: Proposed DWV Size: • 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 ma ,be required J 1 1 ( 1 t J } Applicant Signature: Date: �X 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. REV 2015 Page 2 of 2 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 ` =" PHONE; (360) 403-3551 BUILDING PERMIT Address:19601 Knoll Drive Permit#:1214 Parcel#:00898100003700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:CRAIG ROBERT A&PAMELA M Name:King's Heating,Inc Name:King's Heating,Inc. Address: 19601 KNOLL DR Address:6925 216th St SW Address:6825 216th St SW City,State Zip:ARLINGTON,WA 98223-4011 City,State Zip:Lynnwood,WA 98036 City,State Zip:Lynnwood,WA 98036 Phone: Phone:425-275-5153 Phone:425-344-9668 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:King's Heating,Inc. Address: Address:6825 216th St SW City,State,Zip: City,State,Zip:Lynnwood,WA 98036 Phone: Phone:425-344-9668 LIC#: EXP: L[C#: EXP: JOB 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. IBC110/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City ofAr 1 t be epone on your sales tax return form and coded City of Arlington#3101. Af Signature Print Name Date V I eleascd By Date CONDITIONS Approved as submitted. Adhere to model#PROG50-38N 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 11/14/2016 Plumbing Permit Base Fee $25.00 11/14/2016 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: 19601 Knoll Drive Permit#: 1214 Parcel#:00898100003700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:CRAIG ROBERT A&PAMELA M Name:King's Heating,Inc. Name:King's Heating,Inc. Address: 19601 KNOLL DR Address:6925 216th St SW Address:6825 216th St SW City,State Zip:ARLINGTON,WA 98223-4011 City,State Zip:Lynnwood,WA 98036 City,State Zip:Lynnwood,WA 98036 Phone: Phone:425-275-5153 Phone:425-344-9668 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:King's Heating,Inc. Address: Address:6825 216th St SW City,State,Zip: City,State,Zip:Lynnwood,WA 98036 Phone: Phone:425-344-9668 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 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 l0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City- n t he tpon� on your sales tax return form and coded City of Arlington#3101. Signature Print Name cleascd By Date COJN' Approved as submitted. A F. - .62 THIS PERMIT AUTHORIZS ONLY THE WORK NOTE' kTE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURP- ` TIRE SEPARATE PERMISSION. Date Description \' Fee Amount 11/14/2016 Plumbing Permi. / $25.00 11/14/2016 Water Heater \ $25.00 $50.00 f $50.00 / $0.00 CALL FOR INSPECTIONS Ilk ' When calling for an inspec, .,on: Permit Number,Type of Inspection being r, morning or afternoon �' i � i � - �� .,:' � k � . I i RESIDENTIAL PLUMBING PERMIT APPLICATION �h 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:J�bo 1 f 1o( u Av-�I ` 1 4 A t � Project Description: `d4 � Owner: g a LO_A� Address: H 6Q (� �,r City:: /lYi��llJ� State:G lA Zip Code: ?a j Phone: r 7MLl Email: 0_d''Uf` 0 " U Applicant: &eA Ce Nk&tA 4r Address: City_ _State_ Zip Code: Phone: Email: CONTRACTOR INFORMATION Contractor Name: IIf1 J �C Address: CHh. "_ au`o- 'S'� SW City: StateAc�Zi/p Code: License Number: "� �-- L4 Expiration: l I y 1 Phone: 1 �� Email: i(,N�Gt�tG� J eceive STAFF USE ON NQv 14 2016 Permit* � Accepted by: Date _ REV 2015 Page 1 of 2 c1�Y �'� 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 y Water Heater x I ❑ Hose Bibb (2.5) x Water Heater Model# ❑ Other(list) x Proposed Water Piping Size: Proposed Piping Material: Proposed DWV Material: Proposed DWV Size: • 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: 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 Permit#: 1214 Permit Date: 11/14/16 Permit Type: RESIDENTIAL PLUMBING Project Name: Craig Applicant Name: King's Heating, Inc. Applicant Address: 6925 216th St SW Applicant, City, State, Zip: Lynnwood, WA 98036 Contact: Michaela Pollard Phone: 425-275-5153 Email: michaelap@kingsheating.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: Permit Expires: Form Permit Type: Status: EXPIRED Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00898100003700 19601 KNOLL DR CRAIG ROBERT A 111 Single Family &PAMELA M Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# King's Heating,Inc. Michaela Pollard 425-344-9668 6825 216th St SW CONSTRUCTION Labor&Industries KINGSH1044JA 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 11/14/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/14/2016 Erin Pollard 62290342 cc $50.00 Outstanding Balance $0.00 Notes Date Note Created By: 12/12/2019 Permit not signed.Filed under address. Raelynn Jones 11/14/2016 Model#PROG50-38N E.F.-.62 Kristin Foster Uploaded Files Date File Name 11/14/2016 1948525-1214 Application.pdf