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HomeMy WebLinkAbout423 E GILMAN AVE_BLD1336_2026 Y RESIDENTIAL PLUMBING PERMIT APPLICATION I 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: / 2.3 GIlmkv� /b Project Description: Owner: )4( Cl �•`���� Address: \ j d 2- `o okk Gj City: %v��r State: Wk Zip Code: 20- Phone: 5406, 116' - 1� 2 o 2.. Email Ua h i 00, C-or-A Applicant: b m( d A,1`��� Address: City: State: Zip Code Phone: Email: CONTRACTOR INFORMATION Contractor Name: )40 1?e C o1754VU L f0v\ Address: 19 I, wY R I o City: LXA1,kv1wctcJ State: vpA Zip Code: 03 License Number: Expiration: Phone: 2d E ��— 2 0 2 Email: STAFF USE OIL Received Permit#: 17,;Np Accepted by: Date FEB 17 2017 REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING 7 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) Q Bath/Shower Combo (4.0) x 01 Sink(1.5) x Ell Shower(2.0) x 1 UI Lavatory(1.0) x 01 Clothes Washer(4.0) x Water Closet(2.5) x 1 Ul Dishwasher(1.5) x ❑ Water Heater x ❑ Hose Bibb (2.5) x Water Heater Model# UI 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 JApplicant Signature: Date: 1 hereby certify that the above information is correct and that the construction, installation for the aboyp,pentioned 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:723 E Gilman Ave Permit#:1336 Parcel#:00461801301400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:MALS 1 LLC Name:Omid Agahi Name:Hope Construction,LLC Address: 12131 113TH AVE NE UNIT 201 Address:1302 100th CT SE Address: 18601 Hwy 99,Suite 260 City,State Zip:KIRKLAND,WA 98034 City,State Zip:Everett,WA 98208 City,State Zip:Lynnwood,WA 98037 Phone: Phone:206-795-5202 Phone:206-795-5202 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Hope Construction,LLC Address: Address: 18601 Hwy 99,Suite 260 City,State,Zip: City,State,Zip:Lynnwood,WA 98037 Phone: Phone:206-795-5202 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. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the i f t iust be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date etea dBy Date CONDITIONS Approved as submitted. Call for inspection prior to cover. 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 2/16/2017 Plumbing Permit Base Fee $25.00 2/16/2017 Plumbing Permit Fee(Enter Fixture Fee) $36.00 2/16/2017 Process ing/Technology Fee $25.00 Total Due: $86.00 Total Payment: $0 00 Balance Due: S86.00 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:723 E Gilman Ave Permit#:1336 Parcel#:00461801301400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:MALS 1 LLC Name:Omid Agahi Name:Hope Construction,LLC Address: 12131 113TH AVE NE UNIT 201 Address:1302 100th CT SE Address: 18601 Hwy 99,Suite 260 City,State Zip:KIRKLAND,WA 98034 City,State Zip:Everett,WA 98208 City,State Zip:Lynnwood,WA 98037 Phone: Phone:206-795-5202 Phone:206-795-5202 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Hope Construction,LLC Address: Address: 18601 Hwy 99,Suite 260 City,State,Zip: City,State,Zip:Lynnwood,WA 98037 Phone: Phone:206-795-5202 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 CERTIFICATEJOFOCCUPCY HAS BEEN GRANTED. IBCI10/IRCI10. $ LFS TA O relating to construction and construction materials in the f ust be reported on your sales tax return form codedC of . V \ nature Print Name Date N-9—eleAed By Date CONDITIONS Approved as submitted. Call for inspection prior to cover. 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 2/16/2017 Plumbing Permit Base Fee $25.00 2/16/2017 Plumbing Permit Fee(Enter Fixture Fee) $36.00 2/16/2017 Processing/Technology Fee $25.00 Total Due: $86.00 Total Payment: $0.00 Balance Due: $86.00 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 I I �� I BUILDING INSPECTION REPORT— PLUMBING Permit No. 1336 Address: 423 E Gilman Ave Contractor: Hope Construction, LLC Owner: Omid Agahi Date: 4/6/2017 M APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER INSPECTION: Master bath & Kitchen re-mod of existing MEDICAL GAS: ❑ HANGARS/SUPPORTS: ❑ ROUGH-IN: ® PROTECTION: ❑ INSULATION: ❑ VENTING: PRESSURE TEST: ® RPBA: ❑ SUMPS/PUMPS: ❑ CLEANOUTS: DRAIN: ® PRV: ❑ MATERIAL: ® SIZE: SHUT-OFF VALVE: ❑ AIR/VACUUM: ❑ Date: 4/6/2017 Inspector: Kevin Olander i ti �� �`�1 °�' RESIDENTIAL PLUMBING y PERMIT APPLICATION �ltNG�� 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: 1 1 ,`� L CAI�vkavt ✓ _ _ Project Description: Owner: Qid 19,E a k t U Address: c7 2- o okk C,( S C- City: �'-v State: Wk Zip Code: 20 Phone: 0 �� � �� - �,' 2 o 2, Email: O a l r(a y'q kc9d, Lary U Applicant: Q r✓Lr {_��t V► J Address: City: State: Zip Code: Phone: Email: CONTRACTOR INFORMATION (� Contractor Name: )40 P-e C drl 5R(A L I ivv\ Address: 6 p� 14WY 11 &2, o City. h;�vtwtt j State: vpA Zip Code: 03 License Number: Expiration: Phone: 2d ��` 2 0 2 Email: STAFF USE ON4,, Receiv®d Permit#: P; p Accepted by: Date FEB 17 2017 REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION LING1, 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) Cl Bath/Shower Combo (4.0) x ❑ Sink(1.5) x ❑l Shower(2.0) x ❑ Lavatory(1.0) x CI: Clothes Washer(4.0) x ❑ Water Closet(2.5) x ❑! Dishwasher(1.5) x 0 Water Heater x ❑ Hose Bibb (2.5) x Water Heater Model# 0 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 entioned 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 Information Date 2/16/2017 Permit Number 1336 Project Name Agahi Applicant Name Omid Agahi Applicant Address 1302 100th CT SE City, State,Zip Everett,WA 98208 Contact Omid Agahi Phone 206-795-5202 Email oagahi@yahoo.com Permit Type Residential Plumbing Site Address 723 E Gilman Ave Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Plumbing repair and adding a three pc.bath Assigned To Kristin Foster Property Information Owner Information Parcel#:00461801301400 MALS 1 LLC MALS 1 LLC 12131 113TH AVE NE UNIT 201 423 E GILMAN AVE KIRKLAND,WA 98034 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Hope Construction,LLC 10mid Agahi 206-795-5202 oagahi yahoo.com 4PPLICANT JiLabor and Industries IHOPECCL857L6 Review Date Type Descri tion Target Date Completed Date Assigned To I Status 2/16/2017 lResidential Plumbing 2/23/2017 JKevin Olander Iln Review :2/16/2017 lResidential Plumbing 2/23/2017 JRick Karns Iln Review Uploaded Files Upload File Date File Uploaded B 2/16/2017 3:34:56 PM 11336 Ap lication.pdf Foster.Kristin i �, i BUILDING INSPECTION REPORT — PLUMBING Permit No. 1336 Address: 423 E Gilman Ave Contractor: Hope Construction, LLC Owner: Omid Agahi Date: 4/6/2017 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER INSPECTION: Master bath & Kitchen re-mod of existing MEDICAL GAS: ❑ HANGARS/SUPPORTS: ❑ ROUGH-IN: ® PROTECTION: ❑ INSULATION: ❑ VENTING: PRESSURE TEST: M RPBA: ❑ SUMPS/PUMPS: ❑ CLEANOUTS: DRAIN: ® PRV: ❑ MATERIAL: M SIZE: SHUT-OFF VALVE: ❑ AIR/VACUUM: ❑ Date: 4/6/2017 Inspector: Kevin Olander Permit#: 1336 Permit Date: 02/16/17 Permit Type: RESIDENTIAL PLUMBING Project Name: Agahi Applicant Name: Omid Agahi Applicant Address: 1302 100th CT SE Applicant, City, State, Zip: Everett,WA 98208 Contact: Omid Agahi Phone: 206-795-5202 Email: oagahi@yahoo.com Scope of Work: Plumbing repair and adding a three pc. bath Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 02/17/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00461801301400 423 E GILMAN AVE MALS 1 LLC 111 Single Family Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# Hope Construction,LLC Omid Agahi 206-795-5202 18601 Hwy 99, APPLICANT Labor and HOPECCL857L6 Suite 260 Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 02/28/2017 R20.SFR/DUPLEX 04/06/2017 Completed FINAL Plan Reviews Date Review Type Description Assigned To Review Status 02/16/2017 RESIDENTIAL BUILDING PLUMBING 02/16/2017 RESIDENTIAL z.Rick Karns PLUMBING Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Mechanical Commercial Permit Table 4-7;Per Unit $36.00 Processing/Technology $25.00 Total $86.00 Attached Letters Date Letter Description 02/16/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 02/17/2017 OmidAgahi 63549865 cc $86.00 Outstanding Balance $0.00 Uploaded Files Date File Name 04/07/2017 2205192-423 E Gilman Ave.docx 02/17/2017 2111798-723 Issued Permit.pdf 02/16/2017 2109620-1336 Application.pdf