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HomeMy WebLinkAbout17707 HILLSIDE CRT_BLD1373_2026 RESIDENTIAL PLUMBING �,� PERMIT APPLICATION lN(G 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:17707 Hillside Ct Arlington, WA 98223 Project Description:Replacing gas water heater Owner: Richard Bullene 17707 Hillside Ct Address: City-,Arlington State:WA Zip Code: 98223 Phone: 360-913-0295 Email: rb.kb@comcast.net Applicant•DeAnna Eagle/Washington Energy Services Address:3909 196th St SW City:Lynnwood State-WA Zip Code: 98036 Phone: 206-378-6648 Email: deagle@washingtonenergy.com CONTRACTOR INFORMATION Contractor Name•Washington Energy Services Address:3909 196th St SW City�ynnwood StateYVA Zip Code:98036 License Number:WASHIES851NS Expiration:09/17/17 Phone:206-378-6648 Email:deagle@washingtonenergy.com STAFF USE ONLY Permit#: Accepted by: Date REV 2015 Page 1 of 2 ° RESIDENTIAL PLUMBING PERMIT APPLICATION •�iIN 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 (-1 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 [3 Hose Bibb (2.5) x Water Heater Model# ❑ Other (list) x PROG40S38NRH62 Proposed Water Piping Size: Proposed Piping Material: _ - Proposed DWV Material: Proposed DVdV 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: 3 /q//� 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 m EE m z n I N �v �y o � Qa 0.Vl i CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON, WA.98223 PHONE; (360)403-3551 _ BUILDING PERMIT Address.,17107 hillside CI — -- Permit 9:1373 Parcel 4:00870600001300 Valuation;0.00 OWNER APPLICANT CONTRACTOR Name:BULLHNE RICI IARD 11&MARY K Name:Washington Energy Services Name:WASHINGTON ENERGY SERVICES Address:17707 HILLSIDE CRT Address:3909 196th St SW Address:3909 196th Street SW City,State Zip:ARLINGTON,WA 98223-7867 City,State Zip:Lynnwood,WA 98036 City,State Zip:Lynnwood,WA 98036 Phone: Phone:206-378-6648 Phone:800-398-4663 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Nance: Name:WASHINGTON ENERGY SERVIClis Address: Address:3909 1961h Street SW City,Slate,Zip: City,Slate,Zip;Lynnwood,WA 98036 Phone; Phone;800-398-4663 LIC N: EXP: LIC 0:W ASHIF,S8S INS EXP:OW07/2017 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING:UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD PERM1tAPT40V „ I AGREE?TO COMPLY WITI I CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN IX)ING TI IF WORK AlITl1ORiZEI) 'rHFRFBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OP THE LABOR COD(-;OF'rlil:STATIi OF WASHINGTON RELATING TO WORKMEN:Y COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION I$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 ACERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBrl iQ/IRC110, SALES TAX NtD I . :Sales tax relating to construction and construction materials In the City of Arlingl I on your silos tax return form and dcd C' of Arlington It3101. At t e, q&11 7 .ignawre Print Name Date ea►d By Dale CONDITIONS Approved as submitted. Adhere to model UPROG40S38NRH62. THIS PERMIT AUT1 IORMS ONLY THE WORK NOTED,THIS PER1vl1T COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON T1IF PUBLIC DOMAIN(CURBS,SIDL'•WALKS,DRIVEWAYS,MARQUEES,ETC.)WILL RliQUIRE SEPARATE PERMISSION PERMIT FEES Date Description Fee Amount 311012017 Plumbing Permit Base Fee $25.00 3/1 012 0 1 7 Processing/Technology Fee $25.00 3/10/2017 Water Healer $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 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address: 17707 Hillside Ct Permit#:1373 Parcel#:00870600003300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BULLENE RICHARD B&MARY K Name:Washington Energy Services Name:WASHINGTON ENERGY SERVICES Address: 17707 HILLSIDE CRT Address:3909 196th St SW Address:3909 196th Street SW City,State Zip:ARLINGTON,WA 98223-7867 City,State Zip:Lynnwood,WA 98036 City,State Zip:Lynnwood,WA 98036 Phone: Phone:206-378-6648 Phone:800-398-4663 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON ENERGY SERVICES Address: Address:3909 196th Street SW City,State,Zip: City,State,Zip:Lynnwood,WA 98036 Phone: Phone:800-398-4663 LIC#: EXP: LIC#:WASHIES85INS EXP:09/07/2017 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. IBC1 l0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingt t perle on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date e e d By Date CONDITIONS Approved as submitted. Adhere to model #PROG40S38NRH62. 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 3/10/2017 Plumbing Permit Base Fee $25.00 3/10/2017 Processing/Technology Fee $25.00 3/10/2017 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 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 cons icuous place on the premises. OWNER: + F#-� CONTRACTOR: L%b JOB ADDRESS: (w OWNER ADDRESS: t7o USE of BUILDING: SFR PLAT NAME: Description of Work: f LOT# PERMIT No: 1 1 fZj 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 j 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 & itil!V Irl pection Card _ Final electrical sign off by L & I Colleted Blower Door test certificate Completed Duct test certificate (if a licable Conditions cif applicable)-_ * indicates that the inspection is approved but there is a minor correction FINAL INSPECTION Required Documents: CORRECTIONS BUILDING INSPECTION REPORT— PLUMBING (HWT) Permit No 1373 Address: 17707 Hillside Ct Contractor: Washington Energy Services Owner: BULLENE RICHARD B & MARY K Date: 4/24/2017 M APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas water heater LOCATION OK: N L8J: ❑ 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< 160PSI: 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 AdJreas: 17707 IIiIIsIJc Ct Permit ll:1373 Parcel N:00870601K103300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BIJI.I.FNE RICHARD II&MARY K Name:Washingron Energy Services Name:WASHINGTON ENERGY SERVICES Address:17707 HILLSIDE CRT Address:3909 196th St SW Address:3909 196th Street SW City,State Zip;ARLINGTON,WA 98223-7867 City,State Zip:Lynnwood,WA 98036 City,State Zip:Lynnwood,WA 98036 Phone: Phone;206-378-6648 Phone:900-398-4663 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASIIINGTON ENERGY SERVICES Address: Address:3909 1961h Street SW City,State,Zip: City,Slate,Zip:Lynnwood,WA 98036 Phone: Phone;800-398=4663 I LIC M: E P: LIC N:WASHIES8SINS EXP:09107l2017 JOB DESCRIPTION PERMIT TYPE; Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING IINITS: ] OCC GROUP: BUILDINGS: OCC LOAD'. PFRMIT APPROVAL 7 I AGREF TOCOMPLY WITII CITY AND STATE LAWS RRGULATIN1 0 CONSTRUCTION AND IN DOING TiIE WORK AtITIIORIZI?D THEREBY;NO PERSON WILL BE EMFLOVED IN VIOLATION OF T1IE LABOR CODE OF TI IE STATE'Up WASHINGTON RELATING TO WORKMEN'S COMPI?NSATION INSURANCE AND RCW 18-27. THIS APPLICATION I$NOT A PERMIT UNTIL SIGNED BY THE BUII..DING 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 1q/JRC 110, S AtM TAX NOTICE.:Sales tax relating to construction and construction materials in the City 720� sates tax return form and ded C of Arlington N3101. .ZQ 1� i,� 1 .Ignnwre Print Nome Dalo Dale CONDITIONS Approved as submitted. Adhere to model #PROG40S3 8N RH62. THIS PERMIT AUTIIORIZ.S ONLY'171E WORK NOTC•.D.THIS i'FRMrr COVERS WORK TO BE DONE ON 11RIVA 1T-PI2011IiRl'Y ONLY. ANY CONS'rRUCTION ON T716 PUBLIC DOMAIN(CURBS,SIDL•.WALkS,DRIVEWAYS.MARQUEES,ETC,)WII.1.REQUIRE SEPARATE I'L'RMISSION, PERMIT FEES Date Doscription Fee Amount 3/10/2017 Plumbing Permit Base Fee $25.00 3/10/2017 Processingrrechnology Fee $25.00 I 3/1 012 0 1 7 Water Heater $25.00 Total Due: $75.00 Total Payment: $0,00 Balance Due: $75.00 CALL FOR INSPECTIONS Buu.Dmr.(3601 ao3-3d17 When calling for as Inspection please leave the following Information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon 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 cons icuous place on the.Ipremises, OWNER: �_ -(�--i&11-� CONTRACTOR: W0I0U W6-n.I C, JOB ADDRESS: 1 III, OWNER ADDRESS; Hill USE of BUILDING: SFR PLAT NAME: Description of Work: LOT# PERMIT No: i S rfnkiered:; CONDITIONS: DATE ISSUED: TYPF 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(SHFARMATING) ROOF DRAINAGE Thor following_documents will be required'and must be available during the final Inspdctlon: -- . - - Completed Public Works_&Utility Inspection Card - -- - Final electrical sign off by LA I --- ---- - - Completed Blower Door test certificate -- Completed_Duct test certificate(ifapplicable)__ Conditions (it applicable "indicates that the Inspection is approved but there is a minor correction FINAL INSPECTION Required Documents: I I CORREC-rIONS CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address: 17707 Hillside Ct Permit#: 1373 Parcel#:00870600003300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BULLENE RICHARD B&MARY K Name:Washington Energy Services Name:WASHINGTON ENERGY SERVICES Address: 17707 HILLSIDE CRT Address:3909 196th St SW Address:3909 196th Street SW City,State Zip:ARLINGTON,WA 98223-7867 City,State Zip:Lynnwood,WA 98036 City,State Zip:Lynnwood,WA 98036 Phone: Phone:206-378-6648 Phone:800-398-4663 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON ENERGY SERVICES Address: Address:3909 196th Street SW City,State,Zip: City,State,Zip:Lynnwood,WA 98036 Phone: Phone:800-398-4663 L1C#: EXP: LIC#:WASHIES85INS EXP:09/07/2017 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 ArliZbe, on your sales tax return form and coded City of Arlington#3101. ?. .2_ A-1 Signature Print Name Date By Date CONDITIONS Approved as submitted. Adhere to model #PROG40S38NRH62. 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 3/10/2017 Plumbing Permit Base Fee $25.00 3/10/2017 Processing/Technology Fee $25.00 3/10/2017 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 Permit Information Date 3/9/2017 Permit Number 1373 Project Name Bullene Applicant Name Washington Energy Services Applicant Address 3909 196th St SW City, State,Zip Lynnwood,WA 98036 Contact DeAnna Eagle Phone 206-378-6648 Email deagle@washingtonenergy.com Permit Type Residential Plumbing Site Address 17707 Hillside Ct 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#:00870600003300 BULLENE RICHARD B&MARY K BULLENE RICHARD B&MARY K 17707 HILLSIDE CRT 17707 HILLSIDE CRT ARLINGTON,WA 98223-7867 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type JVASHINGTON ENERGY Ethan Onat 4663 I 300-398- �onat@washingtonenergy.co CONTRACTOR Labor&ndustries SERVICES JVASHIES851NS Fees Fee Description Notes Amount Plumbing Permit Base Fee 322.10.00.00 $25.00 Processing/Technology Fe 341.43.00.021 $25.0 Water Heateii 322.10.00.001 $25.00 Total $75.0 Notes Date Note 3/9/2017 Model#PROG40S38NRH62. Uploaded Files Upload File Date File Uploaded By 1 3/9/2017 4:53.26 PM 11373 Applicauoa. df Foster, Kristin RESIDENTIAL PLUMBING X'��� 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:17707 Hillside Ct Arlington, WA 98223 Project Description;Replacing gas water heater Owner: Richard Bullene 17707 Hillside Ct Address: City-,Arlington State;WA Zip Code: 98223 Phone: 360-913-0295 Email; rb.kb@comcast.net Appilcant:DeAnna Eagle/Washington Energy Services Address:3909 196th St SW City:Lynnwood State:WA Zip Code: 98036 Phone: 206-378-6648 Email; deagle@washingtonenergy.com CONTRACTOR INFORMATION Contractor Name:Washington Energy Services Address:3909 196th St SW City:Lynnwood StateYVA Zip Code:98036 WAS H IES 851 N S 09/17/17 License Number: _ Expirstian: Phone:206-378-6648 Email:deagle@washingtonenergy.com STAFF USE ONL Received Permit#: �?>��j Accepted by: Date MAR 0 9 2017 REV 2015 Page 1 of 2 6 . RESIDENTIAL PLUMBING • a 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 ❑ Water Closet(25) x ❑ Dishwasher (1.5) x Water Heater x I ❑ Hose Bibb(2.5) x Water Heater Model# ❑ Other(list) x PROG40S38NRH62 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 / l Applicant Signature: � see e 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 V�lashiilgon. REV 2015 Page 2 of 2 �a a, r r i z - Cy o a, '�1 3/10/2017 WASHINGTON ENERGY SVCS CO LLC .51).11144 4,01114 (Search L&I Saf�,ty&He',0th clafrns& Insuranr;a viorkpiace Rights 11 dns&Licensing Aft Washington State Department of " Labor & Industries WASHINGTON ENERGY SVCS CO LLC Owner or tradesperson 3909 196TH STREET SW LYNNWOOD,WA 98036 Principals 206-282-4700 OLSON,CRAIG E,PARTNER/MEMBER SNOHOMISH County OLSON,VERA A, PARTNER/MEMBER NG,YUN-KWAN WINNIE,AGENT Doing business as WASHINGTON ENERGY SVCS CO LLC WA UBI No. Business type 603 522 032 Limited Liability Company Governing persons CRAIG E OLSON LLC FIRST POINT; VERN A OLSON; 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. WASHIES851NS Effective—expiration 09/07/2015—09/07/2017 Bond North American Spec Ins Co $12,000.00 Bond account no. 2198899 Received by L&I Effective date 08/10/2015 09/07/2015 Expiration date Until Canceled Insurance United Specialty Insurance Com $1,000,000.00 Policy no. BV01673641 Received by L&I Effective date 04/29/2016 05/01/2016 Expiration date 05/01/2017 Insurance history Help uF improve https://secure.Ini.wa.gov/verify/Detai l.aspx?UBI=603522032&LIC=WASH IES851 N S&SAW= 1/2 i �i i I 3/10/2017 WASHINGTON ENERGY SVCS CO LLC Savings No savings accounts during the previous 6 yt;,_ ,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 Infraction no. PZETDO0865 Satisfied Issue date RCW/WAC 05/06/2016 18.106.020 Violation city Violation amount LYNNWOOD $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.Danny H Padilla Workers' comp Do you know if the business has employees?If so,verify the business is up-to-late on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts L&I Account ID Account is current. 224,000-17 Doing business as WENERGY LLC Estimated workers reported Quarter 4 of Year 2016"Greater than 100 Workers" L&I account representative T2/SUSAN BETTS(360)902-4828-Email:BETT235@Ini.wa.gov Track this contractor A Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. O Washington State Dept,of Labor&Industries.Use of this site is subject to the laws of the slate of Washington. Hello Us improva hops://secure.I ni.wa.gov/verify/Detai l.aspx?U BI=603522032&LIC=WASH I ES851 N S&SAW= 2/2 i BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No 1373 Address: 17707 Hillside Ct Contractor: Washington Energy Services Owner: BULLENE RICHARD B & MARY K 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#: 1373 Permit Date: 03/09/17 Permit Type: RESIDENTIAL PLUMBING Project Name: Bullene Applicant Name: Washington Energy Services Applicant Address: 3909 196th St SW Applicant, City, State, Zip: Lynnwood, WA 98036 Contact: DeAnna Eagle Phone: 206-378-6648 Email: deagle@washingtonenergy.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: 04/17/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning BULLENE 00870600003300 17707 HILLSIDE CRT RICHARD B& Residence Single Family -Detached MARY K Contractors Contractor Primary Contact Phone Address Contractor Type License License# WASHINGTON Karen Matheney 2063786648 3909 196th Street CONSTRUCTION COA 603 522 032 ENERGY SERVICES SW CONTRACTOR WASHINGTON Karen Matheney 2063786648 3909 196th Street CONSTRUCTION Labor&WASHIES85INS ENERGY SERVICES SW CONTRACTOR Industries 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 03/10/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 04/06/2017 Craig Olson 64170606 cc $75.00 Outstanding Balance $0.00 Notes Date Note Created By: 04/06/2017 Emailed permit for signature Kristin Foster 03/09/2017 Model#PROG40S38NRH62. Kristin Foster Uploaded Files Date File Name 04/24/2017 2237156-17707 Hillside Ct.docx 04/17/2017 2220181-1373 Issued Permit.pdf 03/09/2017 2148342-1373 Application.pdf 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:Bullene CONTRACTOR: Washington Energy Services JOB ADDRESS: 17707 Hillside Ct OWNER ADDRESS: 17707 Hillsido Ct USE of BUILDING: SFR PLAT NAME: Description of Work: Replace Gas Water Heater LOT# PERMIT No: BLD-1 373 Sprinklered:I NO CONDITIONS:See Permit DATE ISSUED:4.6.201 7 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 (*