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Home My WebLink About17625 36TH DR NE_BLD1789_2026 RESIDENTIAL MECHANICAL PERMIT APPLICATION t�N 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 MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address: 17625 36th Dr. NE, Arlington Project Description-gas piping to (6) outlets: F/P, dryer, BBQ, range, water heater, furnace Owner: Brian Jack (Gunerius) Address. 17625 336th Dr. NE City. Arlington State.Wa• Zip Code: 98223 Phone. 425-232-4835 Emaii:bgunerius@gmail.com Applicant: (Contractor) Right On Heating & Sheet Metal, Inc. Address: PO 758 City. Lake Stevens State.Wa Zip Code: 98258 Phone. 425-335-4207 Email. rightonheating@frontier.com CONTRACTOR INFORMATION Contractor Name:Right On Heating & Sheet Metal, Inc. Address: PO 758 City: Lake Stevens StateWa Zip Code: 98258 License Number. RIGHTHM988CM Expiration: 02/14/2018 Phone: 425-335-4207 Email:rightonheating@frontier.com STAFF USE ONLY Permit #: Accepted by: Date: 6/16LP Page 1 of 2 Y. RESIDENTIAL MECHANICAL PERMIT APPLICATION SING Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model # AFUE ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ C� Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: ❑ Pipe Material: Pipe Size: Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: • New gas piping requires a pressure test 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 valve is required within 6 feet of all appliances LC�191 �� Applicant Signature: d5a513be"a9 Date: 12/29/2017 Applicant Printed Name: Jeanie Graves 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. 6/16LP Page 2 of 2 -CnM=i11= �L�M E C H A N I C A L PRESSURE PIPING INFORMATION Department of Community& Economic Development City of Arlington •.18204 59th Ave NE•Arlington, WA 98223• Phone (360) 403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: TR at--) ,A t,�b L SST Inlet Pressure: N �� Pressure Drop: N/A Specific Gravity: J�& Pressure Piping Schematic Show Pipe Size(s) and Lengt (s) from meter to all appliances. ❑ Scale or Not to Scale NOTE: any E-`°DER � O r interior �r �:tA!P, Na C g- 6 0 pressure regulators ` eK L"J<' L%0E Is must be JZ„ indicated NOTE: drip legs/sediment traps are required at all appliances unless integrated in the listed 3� appliance T mETCZ � o �RyER S-Tov c I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be' accordance with the laws, rules and regulation of the State of Washington. ticantsS�ignature Date Print Applicants Name F"'I E R 'S " Inc - ' CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON,WA.98223 PHONE;(360)403-3551 BUILDING PERMIT Addren:1162336th Devoe NF Prrslt•t IM - — ?a eel a:D05911900003210C valuannn 11�i0 OWNER APPLICANT CONTRACTOR Na:nc JACKGCT"ERIUS DRIAN Narne.R*t x Heemg aol Shmi\/etal,fnc Same R,ghl an llanog s-.t Sliml h41ai,lrc Addrem 1*25 36T H OR NC Adarm PC1 Bon 754 Ad&m Pu Han T54 City,Slw Zip ARLfNGTON.WA 91I?3-d748 City.Suet Zip 1 Ake]kve WA M%S Civ.Sias:Zip I.Ake Ste.em,W A 91?tk Pharr. Phone 4-11-3334d07 Phrnc 421-335-4.107 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR 'vane.Right on Heating ant Sneel Maul,la Name Arflcf.PO Bin 759 Add taa- City,Slate,Zip:14ke Slr.ent.WA 9925S Clfy.S1aa,ZIP. Phone:423.3154207 Plana _IC Is:R1GIM0.19116CM E?CP 02111MIS LICa- EX? JOB DESCRIPTION PfxMlf rYPI Residential Mechanical COIX YEAR 2015 STORIES CONST TYPF UWTI.11ACi IINITI' I OCC GROUP BIILLDINOS. OCC LOAD. PERMIT APPROVAL I AGREC TO COMPLY WITH CITY AND STATE LAWS RFOULATING CONS-1 RLX:1It)N AND IN UOINti THE WORK AMORIZED 1'14ERLBY;NO PERSON WILL RE FMPI OYFn IN VIOLATION OF 114E LAHOR CODE OF TILE STATE OF WASHING TON RELAITNG IQ WORKMEN'S C006IMNSATION:NS JR.AWE AND RC'N'I127. 1'H35 APPI.:CATION IS NOT A PERMIT UMTL SIG)a D BY IHE GUILD I Ri OfF1C1AL OR MS44ER DEPUTY AND ALL FLES ARE PAID. 11 IS UNIAWnX TO L'SE OR OCCUPY A HU1131NG OR STRUY-TLIF ONrITL A FINAI.MSPFLTION HAS HI-UN MADE AND APPROVAL OR ACLR11F1C.:AIFO1F0ML'PAW'V FASBEENORANTED, IBC.I0,111(010 NA LS TAXI NOTICE:Sala to miming in:rnntvuina w1 conitrwion maarwa in the Cory of,vlingLw tut 1►rcpmeed on your sacs do rte "form Dried Ci fArl- a3W-? ,- Signore P-ml N.- Date Redteod By CONDITION'S Approved as submitted. TILES PFRM11 AUIVORIZS ONLY ML N'UKK LAMED THIS P:=RAIIT COVERS WORK TO DT U01'C ON PIUVA-E•PROPF.RrY ONLY ANY CONCIRL.CT'UN ON Tr1F.pJB:.I[OOa,tAM:Q.W&S SIDFW AI.A S.I1N i\'EW A YS.KLhRr1UFSS.E'TL)Nlt.l.RFQI RRE 3F3'ARA�PF.ZMI3SIGV PEILMM F'EFS Dada Description Fee Arnouret 1la2018 Gas Outsets Base Fee 1 to 5 $10 00 142014 Gas Oullecs Bose Fee over 5 31 70 1JU2018 McClari cal Fer it Base Fee $25 30 1J6201B Procawirgro hrblogy goo $25 30 Total Out. 161.90 Taal Pa)seaa 541 ro Bale ate Doe- CALL FOR INSPECTIONS Bt R.DING(360)46,1341+ N-hra calling fur an laaprtlias pleae leave Ike following rfarsatWa: 1'rrsti NuMhrr,Tvpr of larpeclion Mid"que'ted,Mind w►eeher you prefer moraine or afkrnoon CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON,WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17625 36th Drive NE Permit#:1789 Parcel#:00598900003200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:JACK-GUNERIUS BRIAN Name:Right on Heating and Sheet Metal,Inc. Name:Right on Heating and Sheet Metal,Inc. Address: 17625 36TH DR NE Address:PO Box 758 Address:PO Box 758 City,State Zip:ARLINGTON,WA 98223-8748 City,State Zip:Lake Stevens,WA 98258 City,State Zip:Lake Stevens,WA 98258 Phone: Phone:425-335-4207 Phone:425-335-4207 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Right on Heating and Sheet Metal,Inc Name: Address:PO Box 758 Address: City,State,Zip:Lake Stevens,WA 98258 City,State,Zip: Phone:425-335-4207 Phone: LIC#:RIGHTHM988CM EXP: 02/18/2018 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical 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 must be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Il a 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 1/4/2018 Gas Outlets Base Fee 1 to 5 $10.00 1/4/2018 Gas Outlets Base Fee over 5 $1.00 1/4/2018 Mechanical Permit Base Fee $25.00 1/4/2018 Processing/Technology Fee $25.00 Total Due: $61.00 Total Payment: $0 00 Balance Due: $61.00 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 Community and Economic Development , Building Division INSPECTION RECORD SHALL REMAIN AT JOB Building construction shall not commence until permit SITE holder or agent has posted this Inspection Record Card in a conspicuous place on the premises. OWNER: BRIAN JACK-GUNERIUS CONTRACTOR: RIGHT ON HEATING AND SHEET METAL, INC JOB ADDRESS:17625 36TH DRIVE NE OWNERADDRESS: 17625 36TH DRIVE NE USE of BUILDING: SFR PLAT NAME: VB R3 Description of Work: GAS PIPING LOT# PERMIT NO: 1789 Sprinklered:NO CONDITIONS: CALL FOR INSPECTIONS DATE ISSUED: 1/4/2018 TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION INSPECTION LINE UNDERFLOOR (360)403-3417 SHEARWALL PLUMBING (groundwork) GAS PIPING(groundwork) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD(SHEAR/RATING) ROOF DRAINAGE DEVELOPMENT STORM INFILTRATION SERVICES GRADING INSPECTION LINE CURB GUTTER&SIDEWALK (360)403-3417 LANDSCAPE DRIVEWAY UTILITIES SIDE SEWER INSPECTION LINE SEWER CLEANOUT/FINAL (360)403-3508 WATER SERVICE INSPECTION WATER SERVICE FINAL CROSS CONNECTION FINAL (360)403-3417 FINAL INSPECTION All sections must be signed off prior to final inspection Electrical must be signed off prior to final inspection COMMENTS: CITY OF ARLINGTON 238 N.Ol,YMPIC AVE-A RUrrGTON,WA,98223 PllONF;(360)4a3-3551 BUILDING PERMIT Addrerr:11623 3dch hme NF: I'l-mll Pt l'7ey — OWNER APPLICANT CONTRACTOR Nsmc IACK4 WER1A MIAN Nuelu:Righr m Ntitingurd 3hrnl,Lrelel,rnr Name R,ahl hn HontY nad 31ial kb ful,Ira Addtt,o 11+25 70-H OR NT' AddreM:W.7 9 714 Ad inii A)Hnx T}d Lily,5rer•Zip AR1 rNj,,i^ W,k qui3-d74a CiI? Slue T.ip.J like SA.onu. WA 96258 CtLy Slw Zip Likt Sle m,'YA 9N'-1-a f^K''t Phunr:1.25-335-a207 Phcnn 425-}3-4207 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR ;Name:Rlghl unikolulg rnd Sht l Meld,loi; Nome A':A'416 rD Box 759 Addre" C117Y,4rare,V ill:I-I14 p Slr rll i,WA M 59 Ory.Sim,Z 1p Phase:425,135.4207 plaint '-i x:Rir.irF11M4aBcsi EICP: -02'15,^JJIk 1.1C+ FiX JOB DESCRIPTION III HMI I'I'YuF: Residential W'IL'C:hanic'ill Y1-AR 2015 -- STORIES CUSIgT T'ePl; fjW'?i1.1.R,CiIINI15 l OCC'41(f)t GLJLLDINGS OCC LC,,%rj. PERMIT APPROVAL i GREL TO C1,WPLY W1 i11 C:I Y,V4175 TATE LAWS RF)fzULftTITiQ;YJ?iSl'MR-1li.lrr,"Ll IN UHINN MH W'r1Ry A UT&10F8Z.ED I'�'Hr'RI,IIY;140 PERIAN W 11.1,HE;F.NIPI gym IN'01JL?.T14 4 OF THE LALION CODE OF TIIE STATE OF WAS11I NCTON R€LAT1,N C,, IrJ Y910LI(MLYS CrXiPINNSATT+)Il NURANCE AND RCW 18 Z7 I'Frl$API'T;("kT1(3N P.5 N^rT,4 r'ERvrr W,fI_.SiGNJSJJ I1Y SHK IMII.1)(Mi OFRC IA1,CIR AIM IER DEPI„TY ANIJ'tU.4-F:S ARF PAlIk. 1135 UNi..40A FI_i TO(.SE OR IA,L;LIPY 411 U 1111f eJ OR 37RLCTL'RE UNIT€.A I-INAI,I NSPk:�JU)IY t1.4,5 919-N MADE ANl7,APPRO4AL OR A C!R 1TFWA r I:{IF I){'t;l_'PAf d_Y 1-l"BEEN rJRAI ZFED. IBC.INN RC 110 SALES THY NOTICE:9oln c►a celuing rn.s ,Imuion le4 eangmmlorl nrlterius in Ihh CicV nP,Srllnpfori.Trial R repnlegQ on"lie i*m wx Rt.rn farm !M♦„�dw rl P.1r1. I npan u i JN SlIputat 11hit N.-Ite I]rm Rektwd 9y CONDITIONS Apprllvcd a submitted. 71115 PF..A 4,1I1 ALIM011.124 ONLY II IL WURJ:N TILD"HIS PT=RMI?CWVFRR WORK TO IN:;WN'aiN PIUVI-PROPERrY ONLY ANY u)NyfRL(:I-,0NI;N?41.P:.:i_icrw:41J,%,t4 L'TJpAti iMPA'Ar.l:S.URI'iL WAYS.NVAQUEES,ETC_i'Ali.1.N:-gIHFF,SF?AR,i-F1'IaMM- 10w PERNnT FEES Otto Dailcrlption pN Amount 14,2018 Gas Oudele Base Fee 1 ld 5 $10 10 1i4J2t118 Gas Oullefa Base Fee ever 5 $1 90 1(411,018 I'Acononica1 Ferret Base FBB $25 M 1I4,12918 Pr c irgl'achiwIQgy Etta S25 30 TdtaF Otte. 361.aa Ira ill PlAymr.r- ill I;U Rai ire age- CALL FOR WSPECTIONS Bu rLDmr,t3601 W-3a1T whts tlflloll fix*n 1+9pA itow pleaxe feo-e Ise following lor—ollAYAo! Permit Nu.her,Typ+orlwiWrlie heina m4eested,nord»sether you prerte mprnIgg,lr Apl,nuon i / CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 17625 36th Drive NE Permit#:1789 Parcel#:00598900003200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:JACK-GUNERIUS BRIAN Name:Right on Heating and Sheet Metal,Inc. Name:Right on Heating and Sheet Metal,Inc. Address: 17625 36TH DR NE Address:PO Box 758 Address:PO Box 758 City,State Zip:ARLINGTON,WA 98223-8748 City,State Zip:Lake Stevens,WA 98258 City,State Zip:Lake Stevens,WA 98258 Phone: Phone:425-335-4207 Phone:425-3354207 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Right on Heating and Sheet Metal,Inc Name: Address:PO Box 758 Address: City,State,Zip:Lake Stevens,WA 98258 City,State,Zip: Phone:425-335-4207 Phone: LIC#:RIGHTHM988CM EXP: 02/18/2018 LIC#: EXP JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: j 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 must be reported on your sales tax return form and coded City of Arlington 43101. Signature Print Name Date Released By to 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 1/4/2018 Gas Outlets Base Fee 1 to 5 $10.00 1/4/2018 Gas Outlets Base Fee over 5 $1.00 1/4/2018 Mechanical Permit Base Fee $25.00 1/4/2018 Processing[Technology Fee $25.00 Total Due: $61.00 Total Payment: $0.00 Balance Due: $61.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type or Inspection being requested,and whether you prefer morning or afternoon i I I ` Permit Information Date 12/29/2017 Permit Number 1789 Project Name Jack-Gunerius Applicant Name Right on Heating and Sheet Metal,Inc. Applicant Address PO Box 758 City,State,Zip Lake Stevens,WA 98258 Contact Jeanie Graves Phone 425-335-4207 Email rithonheating@frontier.com Permit Type Residential Mechanical Site Address 17625 36th Drive NE Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Gas Piping Assigned To Kristin Foster Property Parcel Address Legal Owner Owner Phone Zoning 00598900003200 17625 36TH DR NE JACK-GUNERIUS BRIAN 111 Single Family Residence-Detached Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type Right on Heating and Sheet 425-335- ,•ightonheating@frontier.co CONTRACTOR Labor& IRIGHTHM988CM (Metal, Inc. 4207 Industries Review Date Type Description I Target Date Completed Date I Assigned To T Status 12/29/2017 lResidential Mechanical 11/5/2018 Kevin Olander 111n Review Fees Fee Description Notes Amount Gas Outlets Base Fee 1 to 322.10.00.00 $10.00 5 Gas Outlets Base Fee over 322.10.00.00 $1.0 Mechanical Permit Base Fed 322.10.00 00 $25.0 Processing/Technology Fed 341.43.00.02 $25.0 Tota $61.0 Uploaded Files Upload File Date File Uploaded B 12/29/2017 2:15:42 PM 1789 Gas Piping Application.pdf Foster,Kristin x 12/29/2017 2:15:42 PM 1789 Application.pdf Foster,Kristin X 12/29/2017 RIGHT ON HEATING/SHT METAL INC Search L&I Washington State Department of " Labor & Industries RIGHT ON HEATING/SHT METAL INC Owner or tradesperson P O BOX 758 2213 131 STAVE NE Principals LAKE STEVENS,WA 98258 GIPSON,KATHLEEN MARIE,PRESIDENT 425-335-4207 GIPSON,MARK WAITE,SECRETARY SNOHOMISH County Doing business as RIGHT ON HEATING/SHT METAL INC WA UBI No. Business type 602170 524 Corporation Governing persons KATHLEEN MARIE GIPSON MARK WAITE GIPSON; 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. RIGHTHM988CM Effective—expiration 02/14/2002—02/14/2018 Bond OLD REPUBLIC SURETY CO $12,000.00 Bond account no. YLI243178 Received by L&I Effective date 02/01/2008 01/04/2008 Expiration date Until Canceled Insurance Liberty Northwest Ins Corp $1,000,000.00 Policy no. BKS57441267 Received by L&I Effective date 09/26/2017 09/28/2016 Expiration date 09/28/2018 Insurance history Savings No savings accounts during the previous 6 year period. https://secure.ini.wa.gov/verify/Detaii.aspx?UBI=602170524&LIC=RIGHTHM988CM&SAW= 1/2 12/29/2017 RIGHT ON HEATING/SHT METAL INC Lawsuits against the bond or savings No lawsuits against the bond or savings a,-...unts 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. 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. 004,991-01 Doing business as RIGHT ON HEATING Estimated workers reported Quarter 3 of Year 2017"11 to 20 Workers" L&I account contact T2/LINDA ALGUIRE(360)902-4678-Email:POTH235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been Issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. Washington State Dept,of Labor&Industries.Use of this site is subject to the laws of the state of Washington. hftps:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602170524&LIC=RIGHTHM988CM&SAW= 2/2 I i RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 591h Ave NE• Arlington, WA 98223• Phone(360) 403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:17625 36th Dr. NE, Arlington Project Description:gas piping to (6) outlets: F/P, dryer, BBQ, range, water heater, furnace Owner: Brian Jack (Gunerius) Address: 17625 336th Dr. NE City:Arlington State'.V Zip Code: 98223 Phone: 425-232-4835 Email:bgunerius@gmail.com Applicant- (Contractor) Right On Heating & Sheet Metal, Inc. Address:PO 758 City: Lake Stevens State- Zip Code: 98258 Phone: 425-335-4207 Email: rightonheating@frontier.com CONTRACTOR INFORMATION Contractor Name:Right On Heating & Sheet Metal, Inc. Address:PO 758 City: Lake Stevens StateWa Zip Code: 98258 License Number:RIGHTHM988CM Expiration: 02/14/2018 Phone:425-335-4207 Email:rightonheating@frontier.com STAFF USE ONLY Received 4 2 9 Permit #: 1700P1 Accepted by: Date: O C M? 6/16LP Page 1 of 2 �lot, RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington,WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model # AFUE ❑ Heat Pump Model # AFUE HSPE_ ❑i AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ l� Gas Piping [-}" Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: ❑ Pipe Material.- Pipe Size: Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: • New gas piping requires a pressure test 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 valve is required within 6 feet of all appliances Applicant Signature: Date: 12/29/2017 Applicant Printed Name: Jeanie Graves 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. 6/16LP Page 2 of 2 O07.M- 71° L--MECHANICAL PRESSURE PIPING INFORMATION Department of Community& Economic Development City of Arlington •.18204 591h Ave NE•Arlington,WA 98223• Phone (360) 403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: 'M AcK TR at-) A t6b C SST Inlet Pressure: N /A Pressure Drop: N 1 A Specific Gravity: Njk, Pressure Piping Schematic Show Pipe Size(s) and Lengt (s) from meter to all appliances. ❑ Scale or Not to Scale R�QG� NOTE: any interior I'r FU- tVQ GE pressure regulators S must be indicated NOTE: drip legs/sediment traps are required at all appliances unless integrated in the listed 3�y appliance Li SST t �css� 1''r1ETt2 STov c �RyER F.P I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be�' accorclance with the laws,rules and regulation of the State of Washington. pp(cants Signature Date D►� ` �S�tv l® Print Applicants Name // -Z)vov E R S = �o ' i t i t S-T6V(- r 0 dv. H , Permit#: 1789 Permit Date: 12/29/17 Permit Type: RESIDENTIAL MECHANICAL Project Name: Jack-Gunerius Applicant Name: Right on Heating and Sheet Metal, Inc. Applicant Address: PO Box 758 Applicant, City, State, Zip: Lake Stevens, WA 98258 Contact: Jeanie Graves Phone: 425-335-4207 Email: rightonheating@frontier.com Scope of Work: Gas Piping Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 01/09/2018 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00598900003200 17625 36TH DR NE JACK-GUNERIUS 111 Single Family BRIAN Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# Right on Heating and 425-335-4207 PO Box 758 CONSTRUCTION UBI 602 170 524 Sheet Metal,Inc. CONTRACTOR Right on Heating and 425-335-4207 PO Box 758 CONSTRUCTION Labor&RIGHTHM988CM Sheet Metal,Inc. CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status O1/11/2018 R09.GAS PIPING O1/10/2018 BUILDING Approved ROUGH-IN Plan Reviews Date Review Type Description Assigned To Review Status 12/29/2017 RESIDENTIAL BUILDING MECHANICAL Fees Fee Description Notes Amount Gas Piping/Units Enter#of units $10.00 Gas Outlets Base Fee over 5 $1.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Total $61.00 Attached Letters Date Letter Description O1/04/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount O1/04/2018 Kathleen Gipson 67931599 cc $61.00 Outstanding Balance $0.00 Notes Date Note Created By: O1/05/2018 Emailed permit for signature.KF Kristin Foster Uploaded Files Date File Name O1/09/2018 2938804-1789 Issued Permit.pdf 12/29/2017 2916344-1789 Application.pdf 12/29/2017 2916345-1789 Gas PipingApplication.pdf