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HomeMy WebLinkAbout6900 UPLAND DR_BLD1809_2026 RESIDENTIAL PLUMBING PERMIT APPLICATION �llNG`t� 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: Project Description: ` C? l/ el Owner: � ,l /', 1`��✓r2 S Address: 0/?'00 �p �� City: le 7�1 State/� Zip Code: Phone: 099,— 612 - Email: Applicant: i / 6 ��e. J/ Address: 19'Z}© 111134 dl, City: State LZip Code: �y7Z3 Phone: Email: lG0' CONTRACTOR INFORMATION y� Contractor Name: O/w,p?�S�G/11 Address: �Gfz �5 Arl City.4-11' 1,4 State Zip Code: 92Z� License Number: ' D Zp/ Expiration: '. Z- q Phone: EmaiL_/onma ccJ7�'I STAFF USE ON Received Permit#: I�O� Accepted by: Date lAN 2 2 2.018 REV 2015 Page 1 of 2 Y RESIDENTIAL PLUMBING PERMIT APPLICATION JPlJ ti G�0 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 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 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. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:6900 Upland Drive Permit#: 1809 Parcel#:00870600011400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:THOMAS PAUL D/DONNA M Name:Ronin Construction Name:Ronin Construction Address:6900 UPLAND DR Address:19200 Vista Drive Address: 19200 Vista Drive City,State Zip:ARLINGTON,WA 98223-7872 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:206-909-7999 Phone:206-909-7999 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Ronin Construction Address: Address: 19200 Vista Drive City,State,Zip: City,State,Zip:Arlington,WA 98223 Phone: Phone:206-909-7999 LIC#: EXP: LIC#:RONINC*831KE EXP:05/05/2019 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 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. IBCI 10/IRC110. SALES TAX NO ' F-Sales tax relating to construction and construction materials in the City of Arlin ton ed our sales tax return form and c •d it A n#310 / Signature Print Name Date R e y Date CONDITIONS All work to be site verified. 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 1/22/2018 Building Permit-Other $50.00 1/22/2018 Plumbing Permit Fee(Enter Fixture Fee) $12.00 1/22/2018 Processing/Technology Fee $25.00 Total Due: $87.00 Total Payment: $0 00 Balance Due: $87.00 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:6900 Upland Drive Permit#:1809 Parcel#:00870600011400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:THOMAS PAUL D/DONNA M Name:Ronin Construction Name:Ronin Construction Address:6900 UPLAND DR Address:19200 Vista Drive Address: 19200 Vista Drive City,State Zip:ARLINGTON,WA 98223-7872 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:206-909-7999 Phone:206-909-7999 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Ronin Construction Address: Address: 19200 Vista Drive City,State,Zip: City,State,Zip:Arlington,WA 98223 Phone: Phone:206-909-7999 LIC#: EXP: LIC#:RONINC*831KE EXP:05/05/2019 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 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. IBCI 10/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin ton I -p ledyour sales tax return form and coded i A ' m#310 tl�t Z7,k,., Za/ Signature Print Name Date R-c .c v11 Date CONDITIONS All work to be site verified. 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 1/22/2018 Building Permit-Other $50.00 1/22/2018 Plumbing Permit Fee(Enter Fixture Fee) $12.00 1/22/2018 Processing/Technology Fee $25.00 Total Due: $87.00 Total Payment: $0.00 Balance Due: $87.00 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 r � -�� - ti 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: Project Descnption:__L�_54 , j el- Owner: Pe ,L /), yj"�c S Address: 6y�� O/ City: �� /l/'� State/ W Zip Code: Phone: _��9�5/� — o12 5 Email: Applicant: Address: 1,7WO //,31;1r_ dl: City: State:v/ " Zip Code: 162&7Z3 Phone: Email: CONTRACTOR INFORMATION Contractor Name: /`�G➢I/�'J y?,ST)ZGGIJ� Address: Ax ') l �,, City: State�Zip Code:J�922 License Number: A" Expiration: zo/q Phone: 2 - Q j'. Email: lonl4 tom. c cj'-� Li STAFF USE ON Received Permit#: I�(�� Accepted by: Date BAN 2 2 2018 REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION LINGO 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 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: 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 1/22/2018 RONIN CONSTRUCTION (Search L&I 3afeh/&Hea31dh C!-,Ims& Insurance �Norkplace, Ricjhts Trades& Lic;ensing Washington State Department of " Labor & Industries RONIN CONSTRUCTION Owner or tradesperson 19200 VISTA DRIVE Principals ARLINGTON,WA 98223 206-909-7999 DETCHEMENDY,WILLIAM BRIAN,OWNER SNOHOMISH County Doing business as RONIN CONSTRUCTION WA UBI No. Business type 604105 486 Individual Governing persons WILLIAM BRIAN DETCHEMENDY SUSAN RENEE DETCHEMENDY; 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. RONINC*831KE Effective—expiration 05/05/2017—05/05/2019 Bond Western Surety Co $12,000.00 Bond account no. 63188359 Received by L&I Effective date 05/05/2017 05/04/2017 Expiration date Until Canceled Insurance Contractors Bonding&Insuranc $1,000,000.00 Policy no. C11SL3673 Received by L&I Effective date 05/05/2017 05/04/2017 Expiration date 05/04/2018 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 hftps://secure.ini.wa.gov/verify/Detaii.aspx?UBI=604105486&LI C=RONI NC*831 KE&SAW= 1/2 1/22/2018 RONIN CONSTRUCTION No L&I tax debts are recorded for this con' -tor license during the previous 6 year period,but so ^lebts 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'camp premiums. L&I Account ID Account is current. 649,752-00 Doing business as RONIN CONSTRUCTION Estimated workers reported Quarter 3 of Year 2017"1 to 3 Workers" L&I account contact T2/SUSAN BETTS(360)902-4828-Email:BETT235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes Nn strikrs have horn 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. hftps:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=604105486&LIC=RONINC"831 KE&SAW= 2/2 Permit#: 1809 Permit Date: 01/22/18 Permit Type: RESIDENTIAL PLUMBING Project Name: Thomas Applicant Name: Ronin Construction Applicant Address: 19200 Vista Drive Applicant, City, State, Zip: Arlington,WA 98223 Contact: William Detchemend Phone: 206-909-7999 Email: roningc@yahoo.com Scope of Work: Add Shower to Bathroom Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 01/22/2018 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00870600011400 6900 UPLAND DR THOMAS PAUL 111 Single Family D/DONNA M Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# William CONSTRUCTION Labor and BONING*831KE Bonin Construction Detchemend 206-909-7999 19200 Vista Drive CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 03/12/2018 C19.PLUMBING Shower drain&vent 03/09/2018 BUILDING Approved FINAL approved Fees Fee Description Notes Amount Building Permit-Other $50.00 Mechanical Commercial Permit Table 4-7;Per Unit $12.00 Processing/Technology $25.00 Total $87.00 Attached Letters Date Letter Description O1/22/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount O1/22/2018 William Detchemend 68218430 cc $87.00 Outstanding Balance $0.00 Uploaded Files Date File Name 03/09/2018 3144477-1809 Issued Permit.pdf RESIDENTIAL PLUMBING PERMIT APPLICATION ��llNG�O 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 El Sink (1.5) x Shower(2.0) x LJ Lavatory(1.0) x Clothes Washer(4.0) x Water Closet(2.5) x Dishwasher(1.5) x EJ Water Heater x Hose Bibb (2.5) x Water Heater Model# U 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 mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. 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