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Home My WebLink About18332 CHAMPIONS DR_BLD1263_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. 18332 CHAMPIONS DR Project Description.REMOVE & REPLACE 1 GAS WATER HEATER Owner: ROBERT BROWN 18332 CHAMPIONS DR Address: City:ARLINGTON State:WA Zip Code: 98223 Phone: 425-359-0382 Email: NONE@NOEMAIL.COM Applicant:JACCI DANIELS Address: PO BOX 59208 City:RENTON State:WA Zip Code: 98058 Phone. 800-978-8588 Email: WAWAHVAC@GMAIL.COM CONTRACTOR INFORMATION Contractor Name:WASHINGTON WATER HEATERS Address:PO BOX 59208 City:RENTON StateWA Zip Code:98058 License Number:WASHII*9800P Expiration.09/17/18 Phone:800-978-8588 Email.WAWAHVAC@GMAIL.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 40S6-40NG 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: 12/20/2016 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 1 a i 1 al"" i OF; ARLINGTON 239 N.OL'YMPIC AVE-ARLINGrTOK WA. 98223 PHONE;(360)403-3SS I I' ;ir;i;il.i'e�";;1n;;;i�>:?:"`,"'r.rl%:S7i?',l J�}I{lia6l:�r/:•r lul l' r:,. ,i.�y� •,.. ;:r ::d M' 1. : :��,�.',.r;,,•!:.,:ri'4,!.n.,.r:.':..:•++:,:r•�•l::p:K::ry:.:.i.;A:•l:a,: `:'I}II �.n.'..; •,�::. •,: 1:':,h4 :..r,,:::,.r:r:::.:, 1.: ...:::1,.::. :.•,.:,1,:;;n,,:..:'•: yyy� ,),I,+r;r.::I' r'',,.':I'.._:n'; 'i„i•.,:IIII! .,:I.,:,. t ., h�: :: ■. •7�KS•f;.::.:.:.,.:.:A,::.:vr:'1.:':II• .:..I:'•:,:: .::. :.,• FI 117��,;r,l,q� ,::,.;;fN:l,.^: �'r��rl�j:i;:;,: _1�3�'C'tieriipiiYl�BISi'rve. •a `:Yi`.:7",•r :`1.f:",i,l 't:ti�, Parcel ii?:0It87'4400i)09700 Perirr ! ua t n• a . "•::I"': :•:::S:r:.:1!t1!:'''I:'•.;r!::,.... .•::"' a11 .rr •';: :::i.a...�:.". ..h:`::I:I•r,(i'_"^:;7' •.,:,r . � ::::..:,:..:.:a17:,:r.:.n k•,:^:;: :;••;•;: ..:^:!{,r.,p .. r!' .:A:,: ,yr;:.;n :IMI:,::r,:•:C.ti",.:� ',..,.„? .._... 9 .:/'.,..1." rv.. �'.:;::1 I".:'1�:!•;,':r. :::.,:,.. ..l:lli��'..ra, .• .fr; 1,'il�:i:::�1::1J 4e.J' y�yyl�yyey; �'p'11.:],...:1Nfl:if.i1::1 j 11.�,w:r�^".':. 'Ir'�J!'i .,..,I,,r,;;.:� .,....�.. *�eF�""I 'I rA.'.ri�;.,',!.;.N•J:!c:,'a!M olry d,v Foil.::e;::. :.:,n::..; ..... Nathe'"6RLy1NN'JE'AA1N 'A&'Rb'BE1�C W Nwns:Washington water Heatem Narm-WASMGTON WATER I :ATERS INC Address:1032 CRAMPONS DR Address;PU Box 59z4$ Address:PO Box$9208 Cib,,State Zip'ARLIN101'ON,WA 98223-5077 City,State Zip:Renton,WA 98056 City.State ip:Rcnton,WA 9$058 kprl e: Phone:800,979.8588 . I>It(Ula• $00 97$-$5 V, •� 8$EXT. : .,..:...... ,......... , ; .,..t �•..'... 'i. ' .. .._..._: OnA tNx�s:.�iylaf�"!•!k"ru:•�:Iy,:..lA:,:,,rr;;l•.,:,;r'I;,: thrtime: . � dame:WA,SEDNGTON WA"fER HEATERS INC"' ' Address: Address_PO Box$920$ ' City,State,Zip; City,State,lip:Renton,WA 9$059 Phone: Phone.(800)978-0588 EXP: LIC#: 1 ti�i�' .I'i': 'it.S.: .:). ,l,:.y.l;.;: w'4M1 I"'�:yh' •oru• ��yy nr�W�:Y �i'• ;i•' �,' ,tip'• '�i•i'i h:M: it I' .N..,., ..;.. I U.:'..�'':al,�sa3 �i�'• :/•,. ;i;,t�•, •:'�:'sir,a:.•I:n'a,:':i' :.t::,n: �SM,".: ':rs� i�,.rY:r,,.:!H'.,,. ;'a':r,: :•. I� '!tl:u :........, �:.. .�:::::a::;l{y:i:,r.'!;r'�. :,;I:• lii•. i,t'!i ::>fl:M:"i, 1!k ,I:an!:r,;;r::;.t�11n�,:.:`^•f:.,�l.,n•ty,l::,,r;:.._x:,':Y,��J ,''p,at:,)�I};:a;j• I :.,-,..,.,... ..:: Y '• :. ,. :r�,'.. ..,:^ ,.:;,1'.:. ..p;a+,;:;,� rc.u,;,,., :..'h.ah, '£.w•�',•(Ml�li.e, t: I ..: .:.:.... :. .....;';i':::.r::. �ti''ii:i.'^: .A!!!i:i:i°;!I;rsC l:: �Y•l;C:,P.r!F;'; ...rpur!:il:itip�ii�'ii !b • •I I.rw••.:, PERMIT TYPE., Residential Plumbitlg CODEYBAR: 2015. ST0111133: CONST,TYPE: DWELLING UNITS; ] OC:C GROUP: BUI1 DKNOS: OCC LOAD: ,.;,,, �:. :..:,.,;::'.I,:� .ill .i:.:f...I:l:1r.:1YY!:F:al';:, •W'L Y:.,.It;111:h II,A;.,Y,,4;��I ::,,.;.Iri,i..�;,,,;,,,,,,,,;•c..,y;:.:t,r. .,•.;....'.C.n.•".::::P.,;';"; ��"'� :,L:�.I't:I,•.•r,;lf,�;:,r:':hgik�,t ,00, .:§:'"6i;p;•�..,.tv. :.,:r;,.�,.;,..lr .,..,,.,,.,l......_I.. ,...�i..l .'.::.. .. .I..i, ..:..'I::.'......;:'.. I..•�.!•;/..,<,':• A 'i:tii,: "Ir::I:.,I!!,y;:.:.:a:..,;4.:..: .,1. .:.,:.«.:1Y..1 i..:.:,':.:...:...... .:...':,•i:.�::'•:::..'i:.;�� •'7;; '.,,,,r.,. yy,, �.�I.1'."taw, :�1�11:r;y �'I�(.:,y.:;.:l:.r:,:.;:,,:,:"..r,rArx:,,r::...},l':'.'J,",«.::',,i1:!...1lI4y...;,.:)1.:,V..N::I:.;•Wy.:•1::: 1'AL'rRP I170 COMP WY174 CITY AND STATE LAWS REGVLATTNG CONSTRUCTION AND IN'DOINO T WQKr,AUT�IORr�ED THEREBY;No PERSON WILL BE LMMKOYED IN VIOLATION OF TI,TF LABOR CODE OF Ton.STATE OF WASRI-NQ'r N Rr"r,I.A•I'INO To WORKMF:iN'S COMPENSATION INSI MANCE,AND RC.W 18.27. T141S AP.YI,.KCATIONl 13 NOT A PERMIT UNTIL 5745NED 13Y THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID, IT Is UNLAWFUL TO USE'OR OCCUPY A BU11r•171NG OR RTRI IC:TURP T•rNTIL A FINA) TNSPtCrrON HAS BEEN&TADC AND APPROVnIW OR A CERTIFICATE OF OCCUHAuNCY IIAS BEEN GRAI`47F . IBCI IUnrrC'!I0. "^ slew t telaun o construction an 6 d onrtruction jqateries in the City ufpifi`' 'IYlei1,ute your acids tlsrc return�btm;hd4o ed 4, fArfi rd Ptlril Name Dite „ :,:.�:: :.,...,:I:v:.:.:: :....: :::..+•.:. : :�'�'�'.•':";r{� rrumo::Y.W.1,srnu.,O:X Approved as submitted, ..�..:.�..,....i.�.....�;w.�..u�''_��•• ;i ri:/;!'r.:rv',a,.i!•,,.I,.if�d;u:F iil'•��'•";,��ilr,•s'.�.,`:ti:.r'.'�!,'.!:_,;�.F I-1�`M:y.omr�'rv'';�.�.;::'+1:,:r,:';.s.:::.x.�::.n�'Y�11'i:,s.l.ui,1a:a:Y:r°.9�.'l,..�r::ri::a:,.}:c!I,Ml:yiJi.W:blldrI,,,'�1m4�eYa.:1',.,.l: .li�:,�—I�''�:n1:._,,___..'::....f:s_.r:.• Adhere to,model#40$6,40NGr:E.I~.W.,62 THIS PERMIT AUI'HbI0Z3()NLY'1;4 wORK NOTUD,THIS PfsItM,IT COVERS WORK TO;1H 130n:ON PIUVATF,,PREVEftTY ONLY, ANY t=ONSfRUCrION pN'TRE P'USLIC DOMArN(CMBS,Sir3UWALKS,DRt`ZWAY5,14AXQUEES,BTC,)'WV,L REQtl1I;E.SDAR tB P ,MI5SICIN.. „�.�;�'„ : . ,.,..,, '.:r;'':.I'`.;'°I.'.. �iy'„s ./I„ rii.L....N•;;-:L'III:I "'e:r:::,..;:,_'.�.,... : .:�,��,,.: ... .. ':,:i:.::...:•..:' '.�;'• ::r' r ':;��,...''' �/ "1i13::'" �a'.':ii'i;p:!i:,:;:,.n:;,,,i:,!,::i'1:i;9V<iluii:P0;Ir7�?iz1.;7:':>',�;;1;In3fLiih�Jii,;;111.Y,.�::ual'iy�'!:I ,... ..: ,,„:.�;:, :.y ..'I:<":.•.::, , C.,:. ,1'::''`e':C':T'r'rti.�:�l'�,21•."':'.l��.a.., Deserlgtigrt Fee Amount plumbing Permit Base Foe mount 122012016 Watar Heater $25.00 Total Due: $59,00 Total Payment: $0,00 ��Iy■+��'%rf�,.] .y�yYy- Ralaner Dug; $50.00 . +Ai.A•.I+.si'.1/'• I•,1 ��al ••L■«y'';'�j'TA{��1�� ,:'t" ti"Ir :. ,.�M!� �N;'A1YJ\W.' .::}: :T•.: 1}r.:S n:.I' ::I" }.YI•}':}':I:IV.:': '1;;:.:I.•'Y�1! �I .'Y.S�W�' .giii.rl'lit •4•i 4r:°:jy:: BUILDING(3—,40 -34T7 1Vlren Calling for an 1n1i>rrti41l please leove the Cellawln(t itlformation; Permit Number,Type of Inrsliertioo being rtqursted,and ivtrether you lrrtfe.r morning or Atftrno(ni CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 ' PHONE 360 403-3551 BUILDING PERMIT Address:18332 Champions Drive Permit#:1263 Parcel#:00874400009700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BROWN JEANNE A&ROBERT W Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC Address: 18332 CHAMPIONS DR Address:PO Box 59208 Address:PO Box 59208 City,State Zip:ARLINGTON,WA 98223-5077 City,State Zip:Renton,WA 98058 City,State Zip:Renton,WA 98058 Phone: Phone:800-978-8588 Phone:(800)978-8588 EXT: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON WATER HEATERS INC Address: Address:PO Box 59208 City,State,Zip: City,State,Zip:Renton,WA 98058 Phone: Phone:(800)978-8588 LIC#: EXP: LIC#: 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/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of�)� les tax return form and coded City of Arlington#3101. 2(7• lt0 Signature Print Name Date - kereasc'ifBy Date CONDITIONS Approved as submitted. Adhere to model#40S6-40NG 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 12/20/2016 Plumbing Permit Base Fee $25.00 12/20/2016 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 orinspection being requested,and whether you prefer morning or afternoon ShopWhirlpool40G6-YearNgShort Lownox Water Heater Hi Alti.. http'//www.lowes.com/pd_542548-135-4056-40NG 7Ntt=40s6-... Your Stan. Bellevuer WA ,.,,.......... , ..............._............................................ ! r Your Store' Bellevue,WA _. � f ! FRrzr �.___..._..,,..,.....,..__-___.,_,......_.___......—-- ..........._............—...._.........._...._ �I Ptore Pickup +__._.. Whirlpool 40G 6-Year Ng Short i Nourordercanbeavellableforpickup I f i Lownox Water Heater Hi Altitude n Lowe's Of Bellevue,WA today. i ! ' Certified From 0 to 10,100 Ft. ...................................................................................I I !Lowe's Truck Delivery 40-Gallon 6-Year Short Gas Water !Nour order will be ready for Delivery toHeater(Natural Gas) ; youfrom your selacled store. k Mir F:5925481.Model A 408S40N0 ..__.......Parcepp.,..,... $449.00 Ship Ino ' I � bis for Thle Order � l Sent by carriers like UPS, ' FedPx US>'5, Get 5%"Off Every Day or Special Fln$ncing"" -e a $�tM19.0Ui II� Minimum Purc ee Required Whirlpool 40G Cr Ng Short Lownox Water Heater Hl Altitude Certlffod From 0 to 10,100 Ft. 40-43allon e-Year Short Gas Water Heater(Natural Gas) _ I�watr 5 of{ .,1f._0.J ®email i Protection Plan $49,97 ................ Heater Extended $"t .........i l � I Description 4oG e'Year Ng Short Lownox Water Heater Hl Altitude Certified From 0 to 10,100ft.40-Oellon 6-Year short Gas Water , r Heater(Natural aas) I *Whirlpool Sin sense technology advanced electronic gas control •Hlgb-altihrde certified from 0 R to 10.100 ft t: +FVIR safety system proteots your family from accidental ignition of flammable vapors I -Consumer-friendly combination gas valvelthermostat with self-diagnostics h +Push-button pilot-light ignitor with view part for ease-of lighting pilot without matches !!' .Factory installed temperature and pressurereliefvalve I' l Specifications I Tank Ca...aoi.....,..0albns...........»....,..»,»,»,.».................,.„.,»,,..............a4.,......,...... .»ETL histad............................»,,.,,».,,»..».»..................,,..... N: p tY(( No Family 7e 4 Commercial/Reel ,»,..,.,.,.»»............................... ,.._........,....,.............................dentlal Residential R l .•. ............................._ Warranty 0-year Diameter •....,.............. .,.,.,_,,.,.,.,.,.,.,,.»,.,,»,»» ,»,,.»,.»,.,»»,.»,............. , .._ ,. ... Fuel source Natural ,.•.,,,»:..•..._..»».....Tay.p....e.....B.................. Ics, 1 gas Vent I (Inches) ,,_.,.. Type do.p bie Haight{!nc es) 52S II ................_.,_._...,,......._.,»..__„_...... ": .....,.,_. .,-Water Conn .»..».....» ENERoY STAR Qualified N...........:....._- -».,,..».».»,»-...»»„»», ,. ......„,.»__,.....-,,....-»,..I...... ... jil,1 In 4 TempeRecovery re anal g0 s .• as IF.Gallons Yes 8,'�t' rature andPressure g.....,.11s valve........................... .M,.. ,�. .................._{Inabas)...._...._..-........._...,..•,....,.._...,..,.,_..._...............N A-.....»...._,.,,. I; r OPH .l o Degrees ) 40.g4 Works with Iris N AllitudaModel., ....»._,:.............................»,_»,..-,..........,......* ,.» .._..... 1 »,»»_»..,»., ,,.,.-,.,,»»,.,.,,.»,...............»,».»...,».. Foam In.....»....». Diameter(Inches) s) 22 � Lo»,..»..sulatifJon.... Yes Dlamr.H.»...�!�•.. .........,._..,,.,.,..»,_...»..,....,»..,.._.,,.:._..._...........».......»,.,,_.»» r, Nbx Style has ! PI Reset Button Yes Energy Factor 0.132 it r .....s..te..d...,...:.. ._»_,.,,.,,._„•,.,,w,.,..,.»,.,____,......................... ......f.4...'.n:....T..Y. ............. ......... .....:.......».._..»..»,.,._„..»...,..,.,.,................e..z..o...........,,,._,, iiPiLhLightWirdow Yee g•......... . .......... .......,,..,,-, u u ,:..,,,._,,...,.».,_,.,.,..,.,..,.,.,»,.,,.,.,,.,,.»,...» ... ...x.._ Water Conhoc o^L°cat Top 1) .L ) 40000 Listed Yea.........».,»,,,,,,,,,,,,,.,.,,.,,»,.,,.,_,.,,.,,,,.,,.,,,,.,,.,.»,.,_,.,,.,,,,.,,».....,...,..,...,......,...,..,... GSA , BTU Input(BTU) t. ' t Ga•a..,...._......,., r_.,.;.,.....::r...•,..;w,ww,,.......,,:r:rvr:nr,.:..�...�.......�..,.. e:n......,.�..,:.,.........:...:.. .,......._.........,.,w................ ;.,_.,.,..� 0 2015 Lowe's.All rights reserved.Lowe's and the gable design are registered trademarks of LF,LLC 1 of 1 604011111 "7.57 A kr i i -0 ARLINGTON 238 N.(:)1,YMPIC AVE-ARLINGTONj WA.98223 (} _ PHONE;(360)403•-3551 rraai iltP�32 Chaml,Sonr Drive Perailt N:1263 Petrel ii.45187440UU(19700 .w` Valuatipn;0.00 AP r 1 d w a,.t,-•''si..�,y-r4wi' � .... .l Mt. ��''-•��,1' �•�P�•i�l��+�{W��i•iip�-1'.<�, Naive 6RtJWN)r-k*`A&ROBERT W Name.Washington water t 1cute s Name:WASHIN iTON WATER MAIM INC W Address:1032 CHAMM(WS DR Addray poBox 5920E Address:PO Box$9208 Cttf,lhrte Zip;ARL IN'li'I' N,WA 98223-5077 Clty,Stste Zip:Renton,WA 98039 City.'State Zfii:Renton,WA 99058 ' PPho.,fic: Phone 800,978.8398 Phoac (800)9784585 t iQ Nana' Name:WASWNGTON WAT I R HEATF'RC INC Ad�resa: Address:Pb Hox 59208 { Ciq%State,Zip; � Phone: City,State,ffp:Ra4lan,WA 9805$ i Phone;(900)978-8599 Exp- I,IC 1#` i [:y�ry��yr�� LIB.W. E,xP �J1l.QiOR3l 'C1 "��'� �:. PERMIT TYPE, Residential Plumbing ^�COM-'YEAR; 2015. $'fOREl:4S; CONST.TYPE: DWELLING UNITS: ] OCC:GPOUP: SUIT rX..TTOS: OCC LOAD: ' :. , , . . • P�1� �1,�,'1'�t�1�;E�` ' " s��.��Y--:��.ts�,��;t�.,;�t;r3,:.��,, R1 F.TO COIr{p "pq CITY AND STATE LAWS RE-GULAMG-CON 'RUCTION AND FN R'O1tK AUTHOW,M,T14MOY;NO PERSON WILL BE CMPLOYED IN VIOLATION OF THE LABOR CODE pF THr,STATE()F WA.%IJNCr'fON P%LATINr TO 1 WOPKMP.N'S COMPENSATION INSURANCE AND RCW 19.77. T141S APPLICATION IS NOT A PERMIT r TN*nL SIGNED HY THE BUILDING OFFICIAL OR I IIWHF(T)P,PUTY AND ALE.,FEES ARE PAZI), IT IS UNLAWFUL TO USF:OR OCCUPY A 9UI1;DING OR STRI 1(:7I,fRF T.rNT1L A FINAL TNSPjiCTI()N HA&13ECU bIADI:ANV APPROVAL OR A CERTIFICATE OF OCCUPANcv lGLS BEEN GRANTEI). IIIC1 i0/1RCI T0. F' ir9sles I relating o cat151ruClien and conctntotimt terials in the City of AtJ . ( Ytefl un your sttl�s tnx rerytrrj 4nde /PrhU Noma ' d 7�ty�rDate eas t3y DW _l.ONDI i.10 -'.[' -. - l Ir -.Jq * •:{r�_i'yr,,hr Yr. Approved as submitted. Adhere mn to model#4054-40NCr E l~,-.tiZ THIS PERMIT>>UTHORIZS()NLY 11ZE%YORK NO'rF,P•7"IS PEltMrt COVERS WORD TO,W1 DONS ON PRIV q-F PROM-TY ONLY, ANY COW.RUCr1ONON THE PUOUC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MAttQtlFES,ETC.$WILL REAl1R8SGPARAI PP.RNI1SS10N Description �*k'I ��$y �'•�r��y�,,�'t'3'��'• 1 yJy:t. Fee Amenoutlt 12120=16 Plumbing PA(Mit attse Fee ouri 12/20/2016 avatar Heater $25,00 Total Due: $50.00 Total Nywaat: Solon Balance Dar $50 00 00-004, . BUILDING(360>4U.i•34I 7 ,• ,;•,. x :< - :?r- -_ "t r _ Whm"lling forsa ir"VvrtiUn(lease Ienvt The foll)wlak Informatioe: Permit Nnmber,'1'ype of 1119C01oa helog requested,Intl wfrcthcr you prefer maro$ag or afternoon CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:18332 Champions Drive Permit#:1263 Parcel#:00874400009700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BROWN JEANNE A&ROBERT W Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC Address: 18332 CHAMPIONS DR Address:PO Box 59208 Address:PO Box 59208 City,State Zip:ARLINGTON,WA 98223-5077 City,State Zip:Renton,WA 98058 City,State Zip:Renton,WA 98058 Phone: Phone:800-978-8588 Phone:(800)978-8588 EXT: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON WATER HEATERS INC Address: Address:PO Box 59208 City,State,Zip: City,State,Zip:Renton,WA 98058 Phone: Phone:(800)978-8588 LIC#: EXP: LIC#: 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. IBCI I0/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arl' potted on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date R case By Date CONDITIONS Approved as submitted. Adhere to model#40S6-40NG E.F. - .62 THIS PERMIT AUT 40RIZS 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 12/20/2016 Plumbing Permit Base Fee $25.00 12/20/2016 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 Permit Information Date 12/20/2016 Permit Number 1263 Project Name Brown Applicant Name Washington Water Heaters Applicant Address PO Box 59208 City,State,Zip Renton,WA 98058 Contact Jacci Daniels Phone 800-978-8588 Email wawahvac@gmail.com Permit Type Residential Plumbing Site Address 18332 Champions 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#:00874400009700 BROWN JEANNE A&ROBERT W BROWN JEANNE A&ROBERT W 18332 CHAMPIONS DR 18332 CHAMPIONS DR ARLINGTON,WA 98223-5077 Contractors Primary Contractor Contractor Name Contact Phone Email Type License License# iNASHINGTON WATER JACCI (800)978-8588 roawahvac@gmail.co CONTRACTOR (Labor& NASHII*9800 HEATERS INC DANIELS I_XT: (Industries Fees Fee Description Notes Amount Plumbing Permit Base Fe 322.10.00.001 $25.0 Water Heated 322.10.00.001 $25.0 Total $50.001 Notes Date Note 12/20/2016 Whirlpool model#40S6-40NG Uploaded Fites Upload File Date File Uploaded B 12/20/2016 10:24:05 AM 1263 Ap lication.edf IFoster,Kristin 12/20/2016 10:24:04 AM 11263 Specs Of IFoster,Kristin RESIDENTIAL PLUMBING PERMIT APPLICATION IN O 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:18332 CHAMPIONS DR Project Description:REMOVE & REPLACE 1 GAS WATER HEATER Owner: ROBERT BROWN 18332 CHAMPIONS DR Address: CityARLINGTON State:WA Zip Code: 98223 Phone: 425-359-0382 Email: NONE@NOEMAIL.COM Applicant:JACCI DANIELS Address:PO BOX 59208 City:RENTON State:WA Zip Code: 98058 Phone: 800-978-8588 Email: WAWAHVAC@GMAIL.COM CONTRACTOR INFORMATION Contractor Name:WASHINGTON WATER HEATERS Address:PO BOX 59208 City;RENTON StateWA Zip Code:98058 License Number: Expiration. Expiration 09/17/18 Phone:800-978-8588 Email:WAWAHVAC@GMAIL.COM STAFF USE ON Received Permit#: 2� Accepted by: Date 0 E c 2 0 2.016 REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING r 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) �1 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: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 12/20/2016 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 Shop Whirlpool 40G 6-Year N9 Short Lown ^'Vater Neater Hi Alti... http'//www.lowes-cozl' M54$-135-40S6-40NG 2Ntrr-40s6-... Veer ftm: Bellevue,WA Your Store: Bellevue,WA E � tt FREE 5t° Pickup ~ Whirlpool 40G 6-Year Ng Short t 'Your order canbeavelleble for plckup { • in Lowe'a Or Bellevue,WA today. Lownox Water Heater Hi Altitude , Certified From 0 to 10,100 Ft. -0"1e'$Truck Delivery J 40-Gallon 6-Year Short Gas Water (Mr order will be ready fordeliv"to Nea#er(Natural Gas) l 3mu from your seladed store. 04M F.5925401.Model 9_408"ONO 3 $449.00 Parcel Shipping Uoavarltble for This Order Sent by carriers Ilse UPS, tt FedFx,USPS,etc. 1 J Get 5%*ply Evoty Day or Special Financing"* Mlnlmum PurctWee Requlred Whirlpool 40G rr- oiar ^ 9160 Ng Short Lwmox Wctor Heater HI Altitude Ceri fled From 0 to 10,100 Ft. do-Gallon s Year Short Gas Water Heater(Natural Gas) I %ad,10 e,emait 5-Y4ar Water $49.97 Heater Extended ;! Protection Plan Description 4DG a-Yhar N9 Short Loamox water Heater Hi Altibade Certified From o to 10,100ft 40-Gallon 6-Year Short Cws Wafer Heater(Natural Gas) j +Whlrlpoot 5th sense technology advanced electronic gat control r •Nlgh-altitude certified from O ft to 1 D,1oo R r +FVIR salary sySlern prvteols your family from eccluenfal ignition of t'ammade vapory is .Consumer-friundty combinonon ga:valve/thermostat with Self-diagnostics d i •Push-button pilot-ught igniter with view port for ease of.iightcrg plot without meteltes .Factory lnst ftd temperature and pressure felief valve Specuyicatlons '° i Tenk Capacity(Gallons) - 40 ETL LANE$ " --- - -- «^ No I. Family Size 4 Commercial IResklentFa Resltlentfal f Warranty 6-year Vent Diameter(Inches) 8 Fuel Souroe Natural - "'-•�_. .. ... ........_...__.___. Tyne B - -- � gas - Vent Type dout$e Haight(Inches) -52.5 _ __----- well Wa1sr Conneclicn SI¢a 3�4 -ENERoY STAR Qualified No Temperature and Pressure Relief valve yB5— Width(Inoh9s) 22 is I OPH Recovery at 90 Degrees F(Gallons) 40.94 Series NIA WorktwithIds No_-- -I High Altitude Modal _ La Nax -T^— v — m- Yes- Water Heater style~----Y—Short I - - ------- --- Fou�rn Insulation yes Diameter(.Inches) 22 ; Energy Factor 0.6 1 Pilot Reset Button, Yax . _ Pilot Light Window ~ —` Yee Ignition Type Piezo 1� lu L Listed ~ _—KY.Na Water Contw4on Location _ _.- _...._Top 1 GSA Listed ye8 BTU In"(BTU) 40000 '•------•--T-.,-T .<---•,-::�.Y..� _,._«.,..ter-.-u..,..�--- - .: . Mr.—.T.��!-ftlT•_s•••. T.r.... - 0 2015 Lowe'&All rights reservad.Lowe'a and the gable design are registered trademafKa of LF,LLC 1 of 1 604/71115 7-50 AM Permit#: 1263 Permit Date: 12/20/16 Permit Type: RESIDENTIAL PLUMBING Project Name: Brown Applicant Name: Washington Water Heaters Applicant Address: PO Box 59208 Applicant, City, State, Zip: Renton,WA 98058 Contact: Jacci Daniels Phone: 800-978-8588 Email: wawahvac@gmail.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: 12/20/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning BROWN JEANNE A 116 Common Wall 00874400009700 18332 CHAMPIONS DR &ROBERT W Single Family Residence 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 Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Water Heater(Tank) $25.00 Total $50.00 Attached Letters Date Letter Description 12/20/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 12/20/2016 JACCI DANIELS 62774328 cc $50.00 Outstanding Balance $0.00 Notes Date Note Created By: 12/20/2016 Whirlpool model#4056-40NG Kristin Foster Uploaded Files Date File Name 12/20/2016 2018498-1263 Issued Permit.pdf 12/20/2016 2017719-1263 Application.pdf 12/20/2016 2017718-1263 Specs.pdf