Loading...
HomeMy WebLinkAbout16833 41ST DR NE UNIT B_BLD1362_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. 16833 41st Dr NE Project Description:natural gas water heater replacement Owner: lack Jurdon 16833 41st Dr NE Address: City.Arlington State-WA Zip Code: 98233 Phone: 425 737-0863 Email: absoluteplumbing247@yahoo.com Applicant:Absolute Plumbing Address: PO Box 1445 City.Mount Vernon State:WA Zip Code: 98273 Phone: 3606106141 Email: absoluteplumbing247@yahoo.com CONTRACTOR INFORMATION Contractor Name:Absolute Plumbing Address:PO Box 1445 City:Mount Vernon StateWA Zip Code:98273 License Number:AB50LP*8720D Expiration.09/01/2017 Phone-3606106141 Email.absoluteplumbing247@yahoo.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 ❑ Water Heater x 1 ❑ Hose Bibb (2.5) x Water Heater Model # ❑ Other (list) x 40S6-40NG Proposed Water Piping Size: 0 Proposed Piping Material: Proposed DWV Material: 0 Proposed DWV Size: 0 • 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 0-7 G � 03/02/2017 Applicant Signature: 89c5O13O5........a 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 CITY OF ARLINGTON 238 N. OL.YMPIC AVE-ARLINGTON,WA.98223 PHONE; (360)403-3551 BUILDING PERMIT Address: 1683341st Drive ml,I nit B Permit#:1362 Parccl#:00866700002400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:JURDON JACKIE D&ANGELA M Name-Absolute Plumbing Name:Absolute Plumbing .Address:16933 40TH AVE NE UNIT B Addmss:PO Box 1445 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 Phone:360-610-6141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:PO Box 1445 City.State,Zip: City,State,"Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 LIC#: FXP LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: I OCCOROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL 1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED TI{EREBY;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 I IAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 110ARC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington t y ur sales tau return form and c ed City of Arl' top#3I01. Signature Print Name Date ca. Date CONDITIONS Approved as submitted. THIS PERMIT AUTHORTZS ONLY THE WORK NOTED THIS PERMIT COVERS WORK TO BE DONF.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 3/2/2017 Plumbing Permit Base Fee $25 00 3/2/2017 Processing/Technology Fee $25.00 3/2/2017 Water Heater $25.00 Total Due: S75.00 Total Payment: $0 00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(369)463-3417 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: 16833 41st Drive NE,Unit B Permit#:1362 Parcel#:00866700002400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:JURDON JACKIE D&ANGELA M Name:Absolute Plumbing Name:Absolute Plumbing Address: 16833 40TH AVE NE UNIT B Address:PO Box 1445 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 Phone:360-610-6141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:PO Box 1445 City,State,Zip: City,State,Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 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/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington r{lst your sales tax return form and coded City of Arlington#3101. Signature Print Name Date c e�i Date CONDITIONS Approved as submitted. 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 3/2/2017 Plumbing Permit Base Fee $25.00 3/2/2017 Processing/Technology Fee $25.00 3/2/2017 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 238 N. OLYMPIC AVE- ARLINGTON, WA. 98223 PHONE; (360)403-3551 _BU_ILDIN_G PERMIT Addrm%: 16833 41st Drive NF".t nit B H:136Z Permit Parcel N 00966700002400 Permit Valliallon 11 00 OWNER APPLICANT CONTRACTOR Nalnc JURDON JACKIE D&ANGFI A M Name Absolute PhonbinP Nance Absolute Plumbing %ddres.s 16833 46!'H AVF NF UNIT B Address PC)Box 1445 Address:PO Box 1445 Cirv.Stale/it) ARI INGTON,WA 98223 City.State ZiP:Mourn Vernon,WA 98273 City,State ZIP:Mounl Vernon,WA 98273 Phone: Phone:300.610-61•4 1 Phone.360-610-6141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Narne Name:Absolute Plumbin@ Address Address:PO Box 1445 l iry date,LIP: Cit),State_RIP:Mount V'enton,WA 98273 Phone Phonc:360-610-614i LIC 9 I'XP LIC q: I:XP JOB DESCRIPTION PERMIT TYPE Residential Plumbing CODE YEAR: 2015 S'I'OkI1'.5" CONST 'TYPF DNVIi1 I ING',NI IS 1 OCC ORO11P !iWll DINGS OCC LOAD: PERMIT APPROVAL I A(;Rf'I:TO C010111N NVITII(-ITY AND S IAUF LAWS RI(ill MING CONS FRII(Tk)N AND IN 11)(ANG 111E WORK At:I I IOKIZED I II-RI-MY;NO PERSON WILL BE EMPLOYED IN VIO1 \TION OF"rHP I ABOR CODE OF I HL S1A FC OF WASHING I'ON RELATING TO WORKMI'N'S COIVIPHNSA'I ION INSURANCE AND RCW 18.27 1 HIS WPLICATION IS\OI A PERMIT LNTI1 SIGNED BY I'M BCILDING OFI ICIA1 OR HIS/1WR DIJ'L'1 Y AND ALI"FEES,ARE PAID I I IS IrNLAWFUI 10 USF OR OCCUPY A BU]I DING OR STRUCTURE LIM11 A FINAL INSPF,Ci ION I[AS Bf:I:N MADV AND APPROVAI OR A C FKTIFTCATY OF OCCUPANCY I IAS BliLN GRAN I[-.[) IBC 1 10,111 I t0 SMIUS IIAX Myll lUE;Stile,lax rclaling to construction and construction materials tit the Cily oI Arbnglolt �H T r t your sales lax relwn lurm and cydrd("in of Arl tcgl dS 101 Si nalurc Z�•�'2�1� 8 Print Name !)ate Date CONDITIONS Approved as submitted. !'I IIS PERMI I AU llfOR:ZS ON[Y I HIs WORK NOTED TI IIS PFRMI I'COVERS WORK TO BE DONI ON PRIVA"I1'..PHtll'ER"I Y ONI Y ANY CONS'I'RUCTP)NON I HI;PUBIICDOMAfN(CURBS SIOF.WALKS,DRIVt,,"'AYS,.MARQt16ES,F1C)WII"l REQUIRPSF:PARATI:PERMISSION PERMIT FEES Date Description Fee Amount 3/212017 Plumbing Permit Base Fee $25 00 3/2/2017 Processing/Technology Fee $25 00 3/2/2017 Water Heater $25 00 Total Due: S75,00 Total Pay meat: $0 00 Balance Due: $75,00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please Icave the fallowing Information: Permit Number,Type of Inspection being requesled,and whether you prefer morning or afternoon i i CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:16833 41st Drive NE,Unit B Permit#:1362 Parcel#:00866700002400 Valuation:0.00 OWNER APPLICANT CONTRACTOR 1 Name:JURDON JACKIE D&ANGELA M Name:Absolute Plumbing Name:Absolute Plumbing Address: 16833 40TH AVE NE UNIT B Address:PO Box 1445 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 Phone:360-610-6141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:PO Box 1445 City,State,Zip: City,State,Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 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 s„s 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 City of Arlington 'bsl u i your sales tax return form and coded City of Arlington#3101, / Signature Print Name Date cuts Date CONDITIONS Approved as submitted. THIS PERMIT AUTHORIZE 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 3/2/2017 Plumbing Permit Base Fee $25.00 3/2/2017 ProcessingfTechnology Fee $25.00 3/2/2017 Water Heater $25 00 Total Due: $75.00 Total Payment: $0 00 Balance Due: S75.00 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 . ,q �- � � w. � � RESIDENTIAL PLUMBING PERMIT APPLICATION f'At�n`C�O Department of Community & Economic Development p 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:16833 41st Dr NE Project Description:natural gas water heater replacement Owner:lack Jurdon Address:16833 41st Dr NE Cit :Arlin ton y 9 State:WA Zip Code: 98233 Phone: 425 737-0863 Email: absoluteplumbing247@yahoo.com Appiicant:Absolute Plumbing Address:PO Box 1445 City:Mount Vernon State:WA Zip Code: 98273 Phone: 3606106141 Email: absoluteplumbing247@yahoo.com CONTRACTOR INFORMATION Contractor Name:Absolute Plumbing Address:PO Box 1445 City�ulount Vernon StateWA Zip Code:98273 License Number:ABSOLP*8720D Expi ratio n:09/01/2017 Phone:3606106141 Email:absoluteplumbing247@yahoo.com STAFF USE ON'L Received (CZ Permit#: Z� Accepted by: Date 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) Bath/Shower Combo (4.0) x ❑ Sink (1.5) x ❑ Shower (2.0) x ❑ Lavatory (1.0) x ❑ Clothes Washer (4.0) x U Water Closet (2.5) x Dishwasher (1.5) x ❑ Water Heater x 1 ❑ Hose Bibb (2.5) x Water Neater "yodel # ❑ Other (list) x 40S6-40NG Proposed Water Piping Size: 0 Proposed Piping Material: 0 Proposed DWV Material:0 Proposed DWV Size: 0 • 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 Applicant Signature: I- �m Date: 03/02/2017 I hereby certify that the above information is correct and that the construction, installation for the,Zbove,mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Wasliingtorf. REV 2015 Page 2 of 2 3/2/2017 ABSOLUTE PLUMBING �;�, h: p„nisi Conlzit Search L&I \-%lndrs ffclp I. I Safety&Health Maims&Insurance Workplace Rights Trades& Licensing Washington State Department of Labor & Industries ABSOLUTE PLUMBING Owner or tradesperson P O BOX 1445 Principals MOUNT VERNON,WA 98273 360-610-6141 OLIVER,JEREMY MICHAEL, PRESIDENT SKAGIT County Doing business as ABSOLUTE PLUMBING WA UBI No. Business type 603 305 333 Corporation Parent company JO ABSOLUTE PLUMBING INC License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties PLUMBING License no. ABSOLP*8720D Effective—expiration 09/04/2013—09/04/2017 Bond Contractors Bonding&Insurance Co $6,000.00 Bond account no. SH5089 Received by L&I Effective date 09/04/2013 09/03/2013 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9145772 Received by L&I Effective date 10/24/2016 11/05/2015 Expiration date 11/05/2017 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. Help us improve https://secure.1ni.wa.gov/verify/Detai I.aspx?UBI=603305333&LIC=ABSOLP*8720D&SAW= 1/3 3/2/2017 ABSOLUTE PLUMBING License Violations Infraction no. PBATIO1201 Satisfied Issue date RCW/WAC 04/25/2016 18.106.020 Violation city Violation amount MOUNT VERNON $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.Company had two plumber trainees installing new shower/tub unit when not supervised as required. Infraction no. PBUJD00525 Satisfied Issue date RCW/WAC 05/04/2015 18.106.020 Violation city Violation amount MOUNT VERNON $250.00 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.Contractor employed Kristopher Schuhow to install rough plumbing at the listed location. Infraction no. PBATIO1033 Satisfied Issue date RCW/WAC 04/15/2014 18.106.020 Violation city Violation amount MOUNT VERNON $250.00 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.Contractor employed Matthew Carr to perform gas water heater installation when his plumbing certification was inactive. 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. 266,163-00 Doing business as JO ABSOLUTE PLUMBING INC Estimated workers reported Quarter 4 of Year 2016"21 to 30 Workers" L&I account representative T5/BETTY VANCE(360)902-5137-Email:VABE235@lni.wa.gov Workplace safety and health https:Hsecure.1ni.wa.gov/verify/Detail.aspx?U BI=603305333&LIC=ABSOLP*8720D&SAW= 2/3 3/2/2017 ABSOLUTE PLUMBING Check for any past safety and health violations fc on jobsites this business was responsible for. J Washington Stale Dept,of Labor&Industries.Use of this site is subject to[he laws of the state of Washington. Help L19 ilnPrOVE' hftps://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603305333&LIC=ABSOLP*872OD&SAW= 313 i BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No 1362 Address: 16833 41st Drive NE, Unit B Contractor: Absolute Plumbing Owner: JURDON JACKIE D & ANGELA M Date: 3/30/2017 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: HWT. 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: 3/30/2017 Inspector: Kevin Olander CITY OF ARLINGTON 238 N. OL.YMPIC AVE-ARLINGTON,WA.98223 PHONE; (360)403-3551 BUILDING PERMIT Address: 1683341st Drive ml,I nit B Permit#:1362 Parccl#:00866700002400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:JURDON JACKIE D&ANGELA M Name-Absolute Plumbing Name:Absolute Plumbing .Address:16933 40TH AVE NE UNIT B Addmss:PO Box 1445 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 Phone:360-610-6141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:PO Box 1445 City.State,Zip: City,State,"Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 LIC#: FXP LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: I OCCOROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL 1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED TI{EREBY;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 I IAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 110ARC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington t y ur sales tau return form and c ed City of Arl' top#3I01. Signature Print Name Date ca. Date CONDITIONS Approved as submitted. THIS PERMIT AUTHORTZS ONLY THE WORK NOTED THIS PERMIT COVERS WORK TO BE DONF.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 3/2/2017 Plumbing Permit Base Fee $25 00 3/2/2017 Processing/Technology Fee $25.00 3/2/2017 Water Heater $25.00 Total Due: S75.00 Total Payment: $0 00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(369)463-3417 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#: 1362 Permit Date: 03/02/17 Permit Type: RESIDENTIAL PLUMBING Project Name: Jurdon Applicant Name: Absolute Plumbing Applicant Address: PO Box 1445 Applicant, City, State, Zip: Mount Vernon,WA 98273 Contact: Janine Hill Phone: 360-610-6141 Email: absoluteplumbing247@yahoo.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: 03/02/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 142 Single Family 00866700002400 16833 41 ST DR NE UNIT B JURDON JACKIE D Residence &ANGELA M Condominium Common Wal Contractors Contractor Primary Contact Phone Address Contractor Type License License# Absolute Plumbing Paul Hooley 360-610-6141 PO Box 1445 CONSTRUCTION Labor&Industries ABSOLP*799MB CONTRACTOR Absolute Plumbing Paul Hooley 360-610-6141 PO Box 1445 CONSTRUCTION COA 603 305 333 CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 03/30/2017 R00.WATER 03/30/2017 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 03/02/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 03/02/2017 Jeremy Oliver 63726103 cc $75.00 Outstanding Balance $0.00 Uploaded Files Date File Name 03/30/2017 2188406-16833 40TH AVE NE UNIT B.docx 03/02/2017 2135219-1362 Issued Permit.pdf 03/02/2017 2135010-1362 Application.pdf