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Home My WebLink About207 N GIFFORD_BLD1335_2026 Y RESIDENTIAL PLUMBING • PERMIT APPLICATION �ll;�rGC� 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-C ' J Project Descri tion: i"apw� Owner: Address: City: State: Zip Code: 019 22-S Phone: _ S�k Email: Applicant: ---sz � 72�r't'�05r_', � Address: 5o31 b (o��'- - City: -�, -,jpState: Zip Code: Z�Z Phone: G __Z7� y — Email: 2CAJ VJ WN, CONTRACTOR INFORMATION Contractor Name: ��,� T��tate- __0Address: ^-� City: Zip Code: License Number: - Expiration: Phone: - �� ` �1Z - �I `-tom,_- Email: 20\ `ice - Cz� STAFF USE ONLY Received Permit#: �� , Accepted by: Date FEB 13 2017 REV 2015 Page 1 of 2 Y RESIDENTIAL PLUMBING PERMIT APPLICATION IN � 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) ❑i Bath/Shower Combo (4.0) x Sink (1.5)-, x 1 Shower(2.0) x 0/1"Lavatory(1.0} x ❑ Clothes Washer(4.0) x fl Water Closet(2.5) x Q, Dishwasher(1.5) x 0; Water Heater x Fj Hose Bibb (2.5) x Water Heater Model# D! 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- A 6513 I hereby certify that the above rnforr etr cis correct and that the construction, installation for the above mentioned property will be in accordance with the ippil�able 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:207 N Gifford Avenue Permit#:1335 Parcel#:00455400300600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:S WIRTZ RON/NANCY Name:Renewed Construction NW,LLC Name:RENEWED CONSTRUCTION Address:450 E BURKE Address:30310 68th Avenue NW Address:30310 68TH AVE NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Stanwood City,State Zip:STANWOOD,WA 98292 Phone: Phone:4254225147 Phone:425-422-5142 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:RENEWED CONSTRUCTION Address: Address:30310 68TH AVE NE City,State,Zip: City,State,Zip:STANWOOD,WA 98292 Phone: Phone:425-422-5142 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing 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, IBC1I0/IRC110. ALES TAX i OTK'E:Sales tax relating to constructiot struction materials in the City of Arlingto must be repo ed on your sales tax return form and coded City 'Arli ton#3101. Signal re Print Name Date sed 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 2/15/2017 Plumbing Permit Base Fee $25.00 2/15/2017 Plumbing Permit Fee(Enter Fixture Fee) $36.00 2/15/2017 Processing/Technology Fee $25.00 Total Due: $86.00 Total Payment: $86.00 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 i CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:207 N Gifford Avenue Permit#:1335 Parcel#:00455400300600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:SWIRTZ RON/NANCY Name:Renewed Construction NW,LLC Name:RENEWED CONSTRUCTION Address:450 E BURKE Address:30310 68th Avenue NW Address:30310 68TH AVE NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Stanwood City,State Zip:STANWOOD,WA 98292 Phone: Phone:4254225147 Phone:425-422-5142 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:RENEWED CONSTRUCTION Address: Address:30310 68TH AVE NE City,State,Zip: City,State,Zip:STANWOOD,WA 98292 Phone: Phone:425-422-5142 LIC#: EXP: L1C#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing 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. IBC1l0/IRC110. SALES TAXNOTICE:Sales tax relating to construotio canstruction materials in the City of Ar►iaglon j!usl be repo red on your sales tax return form and coded City Arli ion#3101. Signal re Print Name Date scd 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 2/15/2017 Plumbing Permit Base Fee $25 00 2/15/2017 Plumbing Permit Fee(Enter Fixture Fee) $36.00 2/15/2017 Processing/Technology Fee $25.00 Total Due: $86.00 Total Payment: $86.00 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 Permit Information Date 2/13/2017 Permit Number 1335 Project Name Swirtz Applicant Name Renewed Construction NW,LLC Applicant Address 30310 68th Avenue NW City, State, Zip Stanwood Contact Tony Johnsen Phone 4254225147 Email rcnwllc@yahoo.com Permit Type Residential Plumbing Site Address 207 N Gifford Avenue Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Existing plumbing remodel Assigned To Launa Peterson Property Information Owner Information Parcel#:00455400300600 SWIRTZ RON/NANCY SWIRTZ RON/NANCY 450 E BURKE 207 N GIFFORD ARLINGTON.WA 98223 Review Date Type Description Target Date Completed Date Assigned To Status 2/13/2017 lResidential Plumbing /27/2017 1 Kevin Olander In Review ?/13/2017 Residential Plumbing /27/2017 1 Pick Karns In Review Notes Date Note 2/13/2017 Apparently the plumbing remodel was done by a drywaller and is in need of repair.Contractor to contact Kevin-Ip UploadedUpload File Date File Uploaded By 2/13/2017 4:19:07 PM 1335 A Iication. df eterson,Launa I ��'A,. 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: 2-0-) �J Project Descri tion: � Owner: ' Address: ,f..i City State: \JA Zip Code: 019 ZZ Phone: Email: Applicant: —\,T�V -1ty� Address: 3� b ( yj�^' �� City: Zip Code:_Cjq?Ci Phone: - H. 7-� —42Z �1HZ Email: ��,�,�: �� c� ��1� •C2v'� CONTRACTOR INFORMATION Contractor Name: Address: ? ® bb4''^-� �� City: tate._�J Zip Code. License Number: Expiration:Phone: �� -- LA _--S_ r�147_ Email: �,(,�� Ltc Jp STAFF USE ONLY Received Permit#: Accepted by: Date FEB 13 2017 REV 2015 Page 1 of 2 ��LAY 0�' RESIDENTIAL PLUMBING ♦ r.' • PERMIT APPLICATION �i1NGt� 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 Z� S' hower (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 may be required Applicant Signature_ j Date. l3 � I hereby certify that the above ir,fort ati c .s correct and that the construction, installation for the above mentioned property will be in accordance with the,��ppll�able laws of the City of Arlington and the State of Washington. REV 2015 Page 2 of 2 2/16/2017 R&H MECHANICAL INC Washington State Department of " Labor & Industries R & H MECHANICAL INC Owner or tradesperson 1711 PORT DR Principals BURLINGTON,WA 98233 360-757-6909 CHRITTON,VIRGIL SCOTT, PRESIDENT SKAGIT County Doing business as R&H MECHANICAL INC WA UBI No. Business type 600 311 146 Corporation 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. RHM ECI.951 LC Effective—expiration O610312005—07/19/2017 Bond CBIC $12,000.00 Bond account no. SF2795 Received by L&I Effective date 03/18/2009 04/12/2009 Expiration date Until Canceled Insurance American Fire&Casualty Co $1,000,000.00 Policy no. BKA56118156 Received by L&I Effective date 07/01/2016 07/10/2016 Expiration date 07/10/2017 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I 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 No license violations during the previous 6 year period. https://secure.Ini.wa.gov/verify/Detai i.aspx?UBI=600311146&L[C=RH M EC I*951 LC&SAW= 1/2 I I 1 I 2/16/2017 R&H MECHANICAL INC 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. 403,299-00 Doing business as R&H MECHANICAL INC Estimated workers reported Quarter 4 of Year 2016"21 to 30 Workers" L&I account representative T1 /NIKKI BUTLER(360)902-4918-Email:BUTQ235@lni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. 7 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.1ni.wa.gov/verify/Detail.aspx?U BI=600311146&LIC=RH M ECI"951 LC&SAW= 2/2 � � I ti Date: 03/13/2026 Permit#: 1335 Permit Date: 02/13/2017 Review Date: 02/13/2017 Permit Type: RESIDENTIAL PLUMBING Review Type: RESIDENTIAL PLUMBING Target Date: 02/27/2017 Scheduled Time: 00:00 Completed Date: 02/14/2017 Description: Call for inspection prior to cover. Review Status: Assigned To: z.Rick Karns Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 00455400300600 SWIRTZ RON/NANCY SWIRTZ RON/NANCY 450 E BURKE 207 N GIFFORD ARLINGTON, WA 98223 Zoning: 111 Single Family Residence - DetachedLot: 6, 7, 8131ock: 003 Permit#: 1335 Permit Date: 02/13/17 Permit Type: RESIDENTIAL PLUMBING Project Name: Swirtz Applicant Name: Renewed Construction NW, LLC Applicant Address: 30310 68th Avenue NW Applicant, City, State, Zip: Stanwood Contact: Tony Johnsen Phone: 4254225147 Email: rcnwllc@yahoo.com Scope of Work: Existing plumbing remodel Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 02/15/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00455400300600 207 N GIFFORD SWIRTZ RON/ 111 Single Family NANCY Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# RENEWED 30310 68TH AVE CONSTRUCTION Labor d RENEWCN971L4 CONSTRUCTION Tony Johnsen 425-422-5142 NE CONTRACTOR Industri anes Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status R14.PLUMBING Site visit to look at plumbing Corrections- 02/17/2017 FINAL and framing.its a mess.He 02/17/2017 02/17/2017 Needs will recall when ready. reinspection R20.ACCESSORY 06/02/2017 STRUCTURE Approved FINAL 02/28/2017 C04.PLUMBING 02/27/2017 BUILDING Approved GROUNDWORK Plan Reviews Date Review Type Description Assigned To Review Status 02/13/2017 RESIDENTIAL BUILDING PLUMBING RESIDENTIAL 02/13/2017 PLUMBING Call for inspection prior to cover. z.ltick Karns Fees Fee Description Notes Amount Processing/Technology $25.00 Plumbing Base Permit Fee $25.00 Mechanical Commercial Permit Table 4-7;Per Unit $36.00 Total $86.00 Attached Letters Date Letter Description 02/15/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 02/15/2017 Renewed Construction NW, Check#3476 Kristin Foster $86.00 LLC Outstanding Balance $0.00 Notes Date Note Created By: 02/13/2017 Apparently the plumbing remodel was done by a drywaller and is in need of repair.Contractor Launa Black to contact Kevin-1p Uploaded Files Date File Name 02/16/2017 2107807-1335 Issued Permit.pdf 02/13/2017 2101624-1335 Application.pdf