Loading...
HomeMy WebLinkAbout7805 Jensen Farm Ln Unit A4_BLD1402_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. 7805 JENSEN FARM LANE UNITA4 Project Description:Remove/replace gas water heater Owner: HOWATSON WILLIAM 7805 JENSEN FARM LANE UNITA4 Address: City:ARLINGTON State:WA Zip Code: 98223 Phone: 4253156123 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 XG40T09 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: LPW7 Date: 03/28/2017 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, WASHINGTON --- BUILDING DEPARTMENT No building construction shall be commenced until permit holder INSPECTION RECORD SHALL _ _or his agent has posted this Inspection Record Card in a REMAIN AT JOB SITE conspicuous place on the premises. OWNER: CONTRACTOR: r v I (JDt� JOB ADDRESS: kal9nd ftm Ihk, 6 OWNER ADDRESS: USE of BUILDING: SFR PLAT NAME: Description of Work: LOT# PERMIT No: I Sprinklered: CONDITIONS: DATE ISSUED: TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION 360-403-3417 UNDERFLOOR SHEARWALL PLUMBING(groundwork) GAS PIPING(groundwork) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD(SHEAR/RATING) ROOF DRAINAGE The following documents will be required and must be available during the final inspection: Completed Public Works & Utility Inspection Card Final electrical sign off by L & I Completed Blower Door test certificate Completed Duct test certificate (if applicable) Conditions (if applicable) *indicates that the inspection is approved but there is a minor correction FINAL INSPECTION Required Documents: CORRECTIONS (*) AWL CITY OF ARLINGTON M'1 AIM 'Mr 238 N. OLYMPIC AVE-ARLINGTON, WA.98223 PHONE; (360)403-3551 BUILDING PERMIT Address:7805 Jensen Farm Lane,Unit A4 Permit#: 1402 Parcel#:01024400100400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:HOWATSON WILLIAM R&VANESSA Name:Fast Water Heater Name:Fast Water Heater Company R Address:7805 JENSEN FARM LN UNIT A-4 Address:11715 N Creek Pkwy S#C-106 Address: 11715 North Creek Parkway South,Ste C-106 City,State Zip:ARLINGTON,WA 98223-4685 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#:FASTWWH948BC EXP: 1/4/2018 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 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 RC W 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. IBC1l0/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arli ton must be reported on your sales tax return form an RC,*'-� tyofAr ingto 31 1. ZOOignatu Print a Date t. By Date CONDITIONS Approved as submitted. Adhere to the installation of Rheem model#XG40T09 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 3/30/2017 Plumbing Permit Base Fee $25.00 3/30/2017 Processing/Technology Fee $25 00 3/30/2017 Water Heater $25.00 Total Due: $75.00 Total Payment: $0 00 Balance Due: S75.00 CALL FOR INSPECTIONS 131JILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,'rype of Inspection being requested,and whether you prefer morning or afternoon ' CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 4�- ----- PHONE; (360)403-3551 BUILDING PERMIT Address:7805 Jensen Farm Lane,Unit A4 Permit#:1402 Parcel#:01024400100400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:HOWATSON WILLIAM R&VANESSA Name:Fast Water Heater Name:Fast Water Heater Company R Address:7805 JENSEN FARM LN UNIT A-4 Address:11715 N Creek Pkwy S#C-106 Address: 11715 North Creek Parkway South,Ste C-106 City,State Zip:ARLINGTON,WA 98223-4685 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#:FASTWWH948BC EXP:1/4/2018 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 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 RC W 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/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of ArltFjgton must be reported on your sales tax return form and coded City of Arlington#3101. ljfljzLl�� Signature Print Name Date By Date CONDITIONS Approved as submitted. Adhere to the installation of Rheem model#XG40T09 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 3/30/2017 Plumbing Permit Base Fee $25.00 3/30/2017 Processingrrechnology Fee $25.00 3/30/2017 Water Heater $25.00 Total Due: S75.00 Total Payment: $0.00 Balance Due: $75.00 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 �s. 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 0 PHONE; (360) 403-3551 BUILDING PERMIT Address:234 W.Jensen St Permit#:2347 Parcel#:00663200001500 Valuation:7500.00 OWNER APPLICANT CONTRACTOR Name:Shane Wold/Darryl Korr Name:Shane Weld Name:Shane Wold Address:234 W JENSEN ST Address:234 W.Jensen Address:234 W.Jensen St City,State Zip:ARLINGTON,WA 98223-8223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:928-565-0202 Phone:928-565-0202 LIC: EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Alteration CODE YEAR: 2015 STORIES: 2 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. IBC1 IO/IRC110. SALE TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax r et urn fb ded Cit of rlin tt5n#3101. , r r S' ature w Pr' t Name Date Wic CONDITIONS See red-lined drawings. Adhere to approved plans. 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 1/31/2019 Building Permit Fee $220.11 1/31/2019 Building Plan Review Fee $143.07 1/31/2019 Plumbing Permit Base Fee $25.00 1/31/2019 Plumbing Permit Fee(Enter Fixture Fee) $12.00 1/31/2019 Processing/Technology Fee $25.00 Total Due: $425.18 Total Payment: $0.00 Balance Due: $425.18 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 i . ,� i� R ,., u. r Permit Information Date 1/7/2019 Permit Number 2347 Project Name 234 W.Jensen Basement Remodel Applicant Name Shane Wold Applicant Address 234 W.Jensen City,State,Zip Arlington,WA 98223 Contact Shane Wold Phone 928-565-0202 Email smwold200l@yahoo.com Permit Type Residential Alteration Site Address 234 W.Jensen St Valuation 7500.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Residential remodel Assigned To Raelynn Jones Property Parcel Address Legal Owner Owner Phone Zoning 00663200001500 1234 W JENSEN ST Shane Wold/Darryl Korr 111 Single Family Residence-Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Shane Wold Shanw Wold 925-565-0202 3mwold2001 ahoo.com iWNER Fees Fee Description Notes Amount Building Permit Fee 322.10.00.00 $220.11 Building Plan Review Fee 345.83.00.00 $143.07 Plumbing Permit Base Fee 322.10.00.00 $25.00 Plumbing Permit Fee Enter Fixture Fee 322.10.00.00 I $12.00 Process inc RTedwolo Fee 341.43.00.02 $25.00 Total $425.18 Uploaded Files Upload File Date File Uploaded B 1/7/2019 1:57:48 PM 2347 Site Plan.pdf Jones,Raelynn 1/7/2019 1:57:48 PM 2347 Application.pdf Jones,Raelynn }C Y °� RESIDENTIAL PERMIT APPLICATION Department of Community&Economic Development �l1N O City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR A NEW SINGLE-FAMILY, DUPLEX, TOWNHOUSE, ADDITION,DECK,OR ACCESSORY STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS AND TWO(2)SETS OF STRUCTURAL CALCULATIONS. THE APPLICATION MUST ALSO INCLUDE THE PLUMBING SUBMITTAL AND THE MECHANICAL SUBMITTAL FORMS. THE ZONING VERIFICATION MAY BE SUBMITTED PRIOR. Project Address: ?��T �, " S r.,d/S y F -y� . Plat: �f Single-family ❑ Duplex ❑ Townhouse ❑ Addition ❑ Accessory structure Proposed Area: 1st Floor: nd Floor: Garage: Total SF: I qC Describe Proposal (include cross street): -T Valuation: Owner: '~ '11 &161 Address: Z5`C City: 12")" State:/V-4- Zip Code:`' -?�' Phone: 617 _, 7v�- 6 �t"Z_ Email: ��n��/d ZovelT��h�,�t .�;,�.. t Applicant: . I Address: City: State: Zip Code: Phone: Email- Contractor: -s ,wic Address: City: State: Zip Code: Phone: Email: Contact Person: License Number: Expiration: Received 6/16LP Page 1 of 3 JAN 0 7 2019 13t-b 2-64 7 ' RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development l INc City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone (360)403-3551�t Plumbing Section (continue filling out if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) ft 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 Plumbing Section Continued Proposed Water Piping Size: Proposed DWV Material: Proposed Piping 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) 6/16LP Page 2 of 3 i ``'Y RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development IN City of Arlington • 18204 59th Ave NE•Arlington,WA 98223 • Phone(360)403-3551 � G� Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: El Furnace (80+) Model# AFUE 0 Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER Type II Hood ❑ Commercial Cooking Appliance Hydronic Piping Boiler Q Solid-Fuel Appliance ❑ PV System Fireplace Insert ❑1 Outdoor BBQ ❑ Storage Tank Freestanding Stove Gas Piping ❑ Other _ Gas Piping Information Not Applicable: ❑ Pipe Material: Pipe Size: Total BTU's of all Appliances: Distance from Meter to Furthest Appliance: • New gas piping requires a pressure test to 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 is required within 6 feet of all appliances Applicant Signature_. - Date: ZZ Z�/ Print Applicants Name: Gi wd 6/16LP Page 3 of 3 rn 7 CD 1 Cu C: go c m °-g O � �ri o Received >--k)7-- r;rO-OIDEI._ FOP. > JAN 0 7 2019 - �o JPPFR�' AAA,'p,) F)W� 13 6,0 gip. r-r. �1Af�/DJ rC�a'-- L,r JPL C� J 1 BUILDING INSPECTION REPORT— PLUMBING (HWT) Permit No 1402 Address: 7805 Jensen Farm Lane, Unit A4 Contractor: Fast Water Heater Owner: Howatson Date: 4/24/2017 N APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas Water Heater 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< 150PSI: N DRAIN: N DRIP LEG: N IMPACT PROTECTION: N ACCESS: N COMBUSTION AIR: N Date: 4/24/2017 Inspector: Kevin Olander i CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON,WA.98223 PHONE; (360)403-3551 BUILDING PERMIT Address:7905 Jensen Farm Lane,Unit A4 Permit#:1402 Parcel#:01024400100400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:HOWATSON WILLIAM R Bc VANESSA R Name.Fast Water Heater Name:Fast Water Fleeter Company Address:7805 JENSEN FARM LN UNIT A-4 Address:11715 N Creek Pkwy S#C-106 Address: 1015 North Creek Parkway South,Ste C-106 City,State Zip:ARLINGTON,WA 98223-4685 City,State Zip:Bothell,WA 99011 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: L1C#:FASTWWH9480C EXP:1/4/2018 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 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 COMPENSATTON INSURANCE AND RC W 19,27. 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 101IRCl10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City ofAtilwamimust be reported on your sales tax return form an od 'iof A . ,I .Zol nstu Print Hatue Dale By Date CONDITIONS Approved as submitted.Adhere to the installation of Rheem model#XG40T09 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 3/30/2017 Plumbing Permit Base Fee $25.00 3/30/2017 Processing/Technology Fee $25.00 3/30/2017 Water Heater $25.00 Total Due: $75.00 Total Payment: $0 00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of(napection beiag 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:7805 Jensen Farm Lane,Unit A4 Permit#:1402 Parcel#:01024400100400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:HOWATSON WILLIAM R&VANESSA Name:Fast Water Heater Name:Fast Water Heater Company R Address:7805 JENSEN FARM LN UNIT A-4 Address:11715 N Creek Pkwy S#C-106 Address: 11715 North Creek Parkway South,Ste C-106 City,State Zip:ARLINGTON,WA 98223-4685 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#:FASTWWH948BC EXP: 1/4/2018 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL 1 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 RC W 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 IO/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of ArliaLton must be reported on your sales tax return form and coded City of Arlington#3101. IajljArl Signature Print Name Date By Date CONDITIONS Approved as submitted. Adhere to the installation of Rheem model#XG40T09 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 3/30/2017 Plumbing Permit Base Fee $25.00 3/30/2017 Processing/Technology Fee $25.00 3/30/2017 Water Heater $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon i.., ` �� RESIDENTIAL PLUMBING PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223• Phone(360) 403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:7805 JENSEN FARM LANE UNITA4 Project Description:Remove/replace gas water heater Owner: HOWATSON WILLIAM 7805 JENSEN FARM LANE UNff A4 Address: City:ARLINGTON State:WA Zip Code: 98223 Phone: 4253156123 Email: kkehle@fastwaterheater.com Applicant-FAST WATER HEATER Address:11715 N CREEK PKWY S #C106 City:BOTHELL State:WA Zip Code: 98011 Phone: 4256367084 Email: kkehle@fastwaterheater.com CONTRACTOR INFORMATION Contractor Name:FAST WATER HEATER Address:11715 N CREEK PKWY S #C106 City$OTHELL State!NA Zip Code:98011 License Number: Expiration. Expiration:i-4-18 Phone:4256367084 Email:kkehle@fastwaterheater.com STAFF USE Y Received Permit#: LID 2, Accepted b : Date MAR 2 8 2017 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) QJ 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 FJ Dishwasher (1.5) x 56 Water Heater x 1 ❑1 Hose Bibb (2.5) x Water Heater Model# 01 Other (list) x XG40T09 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: 03/28/2017 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 3/30/2017 FAST WATER HEATER COMPANY ,pall,J C,lIlki r Search L&I , a-%imik rfclp \fYT.&-1 Safety&Health Claims &Insurance Workplace Rights Trades& Licensing Washington State Department of " Labor & Industries FAST WATER HEATER COMPANY Owner or tradesperson 11715 N CREEK PARKWAY S,C-106 BOTHELL,WA 98011 Principals 425-814-8381 JORDAN,JEFFERY KING County DAVID, PARTNERIMEMBER HANLEYBROWN, JASON,PARTNER/MEMBER Doing business as FAST WATER HEATER COMPANY WA UBI No. Business type 602 564 544 Limited Liability Company Parent company Governing persons FWH ACQUISITION COMPANY LLC JEFFREY DAVID JORDAN JASON HANLEYBROWN; 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. 01C155607661 Received by L&I Effective date 02/24/2017 02/17/2017 Expiration date 02/17/2018 Help us improve https://secure.ini.wa.govtverify/Detaii.aspx?UBI=602564544&LIC=FASTW W H948BC&SAW= 1/5 3/30/2017 FAST WATER HEATER COMPANY American States Insurance Co $1,000,000.00 Policy no. 01CI55607620 Received by L&I Effective date 01/23/2017 02/17/2014 Expiration date 02/17/2018 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings Cause no. 13-2-17632-7KNT Open Cnmplaint filed by Complaint against bond(s)or savings AMERICAN FAMILY MUTUAL INS CO 549792C Complaint date Complaint amount 05/29/2013 $10,825.45 L&1 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. PFAZF00278 Satisfied Issue date RCW/WAC 04/12/2016 18.106.020 Violation city Violation amount BOTHELL $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required. Infraction no. FCHMA01002 Satisfied Issue date RCW/WAC 04/01/2016 43.22.435 RCW Violation city Violation amount BOTHELL $400.00 Type of violation FAS INFRACTION Description Failure to correct alteration violations to a mobile home or manufactured home as required. Infraction no. FCHMA00995 Satisfied Issue date RCW/WAC 02/29/2016 43.22.435 RCW Violation city Violation amount BOTHELL $200.00 Type of violation FAS INFRACTION Description Failure to correct alteration violations to a mobile home or manufactured home as required. Helga w�improves https://secure.ini.wa.govtverify/Detail.aspx?UBI=602564544&LIC=FASTW W H948BC&SAW= 215 3/30/2017 FAST WATER HEATER COMPANY Infraction no. PSACE00226 Satisfied Issue date RCW/WAC 01/05/2015 18.106.020 Violation city Violation amount BOTHELL $1,000.00 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.(Employed Christopher William Best to engage in the trade of plumbing while in possession of an expired trainee certificate at above SFR) Infraction no. PSACE00227 Satisfied Issue date RCW/WAC 01/05/2015 18.106.020 Violation city Violation amount BOTHELL $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.(Employed plumber trainee Friedrich Laurence Timmons to engage in the trade of plumbing at above SFR without providing him with supervision required by statute) Infraction no. PESPR00717 Satisfied Issue date RCW/WAC 09/26/2014 18.106.020 Violation city Violation amount BOTHELL $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.Contractor failed to provide proper supervision as required.Chris L Lowrie/plumber trainee Installed a hot water tank without supervision. Infraction no. PPEJP00468 Satisfied Issue date RCW/WAC 10/04/2013 18.106.020 Violation city Violation amount BOTHELL $1,000.00 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.On 10/03/2013,FAST WATER HEATER COMPANY employed Mr.Richard E. Eggs an expired plumbing trainee to perform plumbing related duties. Help us Improve https://secure.Ini.wa.govtverify/Detaii.aspx?U BI=602564544&LIC=FASTW W H948BC&SAW= 3/5 3/30/2017 FAST WATER HEATER COMPANY Infraction no. PPEJP00230 Satisfied Issue date RCW/WAC 12/09/2011 18.106.020 Violation city Violation amount Kirkland $1,000.00 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.Fast Hot Water Company employed Christopher W Best,an expired plumber trainee to remove an old hot water heater and replace it with a new one. Infraction no. PJAJC01333 Satisfied Issue date RCW/WAC 11/30/2011 18.106.020 Violation city Violation amount Kirkland $1,000.00 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.(Fast hot water company employed Patrick James Folkes,an uncertified individual,who removed the water supply lines and was in the process of removing the electrical branch circuit connection to the HWT). Infraction no. PZETD00570 Satisfied Issue date RCW/WAC 11/14/2011 18.106.020 Violation city Violation amount Kirkland $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.(Chris Lowrie/plumber trainee installed hot water tank without supervision) Infraction no. PJAJC01324 Satisfied Issue date RCW/WAC 11/09/2011 18.106.020 Violation city Violation amount Kirkland $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.(contractor dispatched plumber trainee Jeff Zimnisky to d ie;ir US iMprOV0 https://secure.Ini.wa.gov/verify/Detaii.aspx?U BI=602564544&LIC=FASTW W H948BC&SAW= 4/5 3/30/2017 FAST WATER HEATER COMPANY install an expansion tank and replace a pressure relief valve on a HWT at the above SFR). 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. 053,806-01 Doing business as FAST WATER HEATER COMPANY Estimated workers reported Quarter 4 of Year 2016"31 to 50 Workers" L&I account representative T7/NIKKI BUTLER(360)902-0918-Email:BUTQ235toni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. v 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.govtverify/Detaii.aspx?U BI=602564-544&LIC=FASTW W H948BC&SAW= 5/5 J 1 `II I PER ORMANCE PtUS"' , 1111111h. / 11 The new degree of comfort:" The PERFORMANCE PLUS" atmospheric gas water heaters are engineered for more hot water at a low operating cost Efficiency Longer Life .62 EF Premium grade anode rod provides Performance long-lasting tank protection FHR: 71 -84 gallons High Altitude Compliant Recovery rate is up to 40.4 gallons All models certified up to 6,000 ft. at a 90 degree rise,depending on above sea level model Some models certified up to Diagnostic Valve 10,200 ft.above sea level,check factory for listings Self powered diagnostic plus... gas control valve for improved monitoring Easy to light—no matches required and service Temperature and pressure relief valve Low Emissions included Eco-friendly burner, low NOx design Low lead compliant Meets 40 ng/J NOx requirements Warranty • Self-Cleaning 9-Year limited warranty for tank Fights sediment and and parts,2-year full in-home labor mineral build-up -. warranty' Reduces fuel costs "See written warranty for complete details Units meet or exceed ANSI requirements and have Maintenance Free been tested according to D.O.E.procedures.Units meet or exceed the energy efficiency requirements Burner System of NAECA,ASHRAE standard 90,ICC Code and all PERFORMANCE PLUS Exclusive air/fuel shut-off device state energy efficiency performance criteria. Maintenance free—no filter to clean Atmospheric 40 and 50-Gallon Capacities j Up to 40,000 Btu/h 7 li;� M] Combustion Shut-oil System Flems Arrestor Plata Y-- -J M kitenence Free can Point.I See dimensions chart on back. a4/14 FORM NO.THD-P+HE rr i The new degree of comfort:" PERFORMANCE ) . r• Atmospheric Gas Specif _ Ge•tagat R•oa•eryhl FMH•ar HL10 Tank HLIDGM van Water Conn.,ID.bSIde�WaYrConn, 5Mp Galan Model InTlaua. G.P.H. Ddimy Vied Height Dhaa Can She csflor Tap VW Sho weigh) Energy ype Fud T D•scrtptlm CapacRy Men" ON& 90'TANBRIL A B C D E F G R W Factor Tao 50 XG50T09HE4000 40 40.4 84 62-3/4 59-1/4 21-1/2 14 3 or4 8 52-1/2 3/4 165 0.62 Tag 40 XG40T09HE4000 40 40.4 71 63-3/4 60-1/4 19-1/2 14 3 or 8 53-1/2 3/4 135 0.62 _ Short 40 XG40S09HE38U0 38 38.4 71 53-3/4 50-1/4 21-1/2 14 3 8 44 314 125 0.62 Tall 50 XP50T09HE36U0 36 1 36.4 84 1 62-3/4 1 59-1/4 21-1/2 14 3 or 8 52-1/2 3/4 165 0.62 Tap 40 XP40T09HE36U0 36 36.4 71 63-3/4 60-1/4 19-1/2 14 3 or 8 53-1/2 3/4 135 0.62 Shnrt 4n XP409nRHF3611n 36 364 71 n-w4 fin-1/d 21-1/2 14 3 8 44 3/d 129 nR2 Energy Factor based on D.O.E.(Department of Energy)test procedures. FLUE ANODE ROD WWff H O HOT O O H WATER COLD CONNECTION WATER r CONNECTION +(EI•I 3/4"N.P.T. RELIEF VALVE OPENING 0 C A B 1 iz" G — §--g V D In keeping with its policy of continuous progress and product improvement,Rheem reserves the right to make changes without notice. Rheem Water Heating • 101 Bell Road Montgomery,Alabama 36117-4305 • www.rheem.com 04/14 FORM NO.THD-P+HE BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No 1402 Address: 7805 Jensen Farm Lane, Unit A4 Contractor: Fast Water Heater Owner: Howatson Date: 4/24/2017 ® 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: 4/24/2017 Inspector: Kevin Olander Permit#: 1402 Permit Date: 03/30/17 Permit Type: RESIDENTIAL PLUMBING Project Name: Howatson 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: 03/30/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning HOWATSON 143 Single Family 01024400100400 7805 JENSEN FARM LN WILLIAM R& Residence UNIT A-4 VANESSA R Condominium Multiple Contractors Contractor Primary Contact Phone Address Contractor Type License License# FAST WATER 11715 N CREEK PLUMBING HEATER 425.636.7054 PKWY S,Ste CONTRACTOR COA 602 564 544 C106 FAST WATER It715 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 04/24/2017 R00.WATER 04/24/2017 BUILDING Completed HEATER FINAL Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Processing/Technology $25.00 Water Heater(Tank) $25.00 Total $75.00 Attached Letters Date Letter Description 03/30/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 03/30/2017 JASON HANLEYBROWN 64070082 cc $75.00 Outstanding Balance $0.00 Notes Date Note Created By: 03/30/2017 Rheem model number XG40T09 E.F.-.62 Kristin Foster Uploaded Files Date File Name 04/24/2017 2236919-7805 Jensen Farm Lane,Unit A4.docx 03/30/2017 2187409-1402 Issued Permit.pdf 03/30/2017 2186395-1402 Application.pdf