HomeMy WebLinkAbout104 N FRENCH AVE_BLD1930_2026 RESIDENTIAL PLUMBING
PERMIT APPLICATION
IN'6 Department of Community & Economic Development
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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: 164 Al • i:�,&Kc
Project Description.- �SQ(Nwy1# r� ►�,b(\A,
Owner:
Address: City: State: Zip Code:
Phone: Email:
Applicant: 1��crk rS �ta \.h I
Address: D9 J)d2 _ City i`yy State:UA Zip Code: � Zz
Phone: �Z� . S7�Intel Email: PAr s of 4'1-y �D
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CONTRACTOR INFORMATION
Contractor Name_ PAOr ' 15 �f �►� s GG�
Address:-13���� p,Q IVE, City_ d+24- State: U'4 Zip Code: ffZZ 3
License Number:. PA R KS_PL 8 i'CoO N Expiration:
Phone:__f" rO• 4-G Email: C)A—; . Qar...
STAFF USE ON Received
Permit#: I Accepted by: Date APR 2018
REV 2015 Page 1 of 2
RESIDENTIAL PLUMBING
r 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 I � Sink (1.5) x
❑ Shower (2.0) x l ❑ Lavatory (1.0) x 2
❑ Clothes Washer (4.0) x— ❑ Water Closet (2.5) x I
❑ Dishwasher (1.5) x ` ❑ Water Heater x
❑ Hose Bibb (2.5) x
Water Heater Model#
❑ Other (list) x
I �
Proposed Water Piping Size:
Proposed Piping Material: PEY,
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: 1 1 7 '
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
IWORQ Systems Inc. Page 1 of 2
CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:104 N French Avenue Permit#:1930
Parcel#:00378800400800 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:BARKER ABIGAIL R Name:Park's Plumbing Name:Park's Plumbing
Address: 104 N FRENCH AVENUE Address:]3832 85th Drive NE Address: 13832 85th Dr NE
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone: Phone:425-870-4940
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Park's Plumbing
Address: Address: 13832 85th Dr NE
City,State,Zip: City,State,Zip:Arlington,WA 98223
Phone: Phone:425-870-4940
LIC#: EXP: LIC#:PARKSPL8460N EXP:09/15/2018
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE: ` B
DWELLING UNITS: 1 OCC GROUP: R3
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. 1BC110/IRC110.
SALES TAX NOTICE:$does tax relating to construction and construction materials in the City of Arlington must be re reed on your sales tax return form
and oded City of A i gton#3101.
--- IX 4
Signature Print Name Date Released By
CONDITIONS
Approved as submitted. Inspections required.
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
4/19/2018 Plumbing Permit Base Fee $25.00
4/19/2018 Plumbing Permit Fee(Enter Fixture Fee) $96.00
4/19/2018 Processing/Technology Fee $25.00
Total Due: $146.00
Total Payment: $146.00
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
https://www.iworq.net/iworq/Permit/popupPermitEditLetterPrint.asp?sid=GDHFOHHIOI... 4/19/2018
IWORQ Systems Inc. Page I of 2
CITY CIF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:104 N French Avenue Permit#:1930
Parcel#:00378800400800 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:BARKER ABIGAIL R Name:Park's Plumbing Name:Park's Plumbing
Address: 104 N FRENCH AVENUE Address:13832 85th Drive NE Address: 13832 85th Dr NE
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone: Phone:425-870-4940
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Park's Plumbing
Address: Address: 13832 85th Dr NE
City,State,Zip: City,State,Zip:Arlington,WA 98223
Phone: Phone:425-870-4940
LIC#: EXP: LIC#:PARKSPL8460N EXP:09/15/2018
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE: ` B
DWELLING UNITS: 1 OCC GROUP: R3
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/IRCI 10.
SALES TAX NOTICE:Jides tax relating to construction and construction materials in the City of Arlington must be rc riLd on your sales tax return form
and oded City of A gton#3101. ��I ,, I
Uo! 1 "J
Signature Print Name Datc Released By
CONDITIONS
Approved as submitted. Inspections required.
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
4/19/2018 Plumbing Permit Base Fee $25.00
4/19/2018 Plumbing Permit Fee(Enter Fixture Fee) $96.00
4/19/2018 Processing/Technology Fee $25 00
Total Due: $146.00
Total Payment: $146 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
https://www.iworq.net/iworq/Permit/popupPermitEditLetterPrint.asp?sid=GDHFOHHIOI... 4/19/2018
IWORQ Systems Inc. Page 2 of 2
� ,^ � . lug,'•4
https://www.iworq.net/iworq/Permit/popupPennitEditLetterPrint.asp?sid=GDHFOHHIOL.. 4/19/2018
,f
Search L&I '
Washington State Department of
Labor & Industries
PARK'S PLUMBING LLC
Owner or tradesperson 13832 85TH DR NE
NEALIOUS,TREVOR ALEXANDER ARLINGTON,WA 98223
425-870.4940
Principals SNOHOMISH County
NEALIOUS,TREVOR
ALEXANDER,PARTNER/MEMBER
WA UBI No. Business type
603 577 564 Limited Liability Company
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.
PARKSPL8460N
Effective—expiration
09/15/2016—09/15/2018
Bond
Contractors Bonding&.Insurance Co $12,000.00
Bond account no.
S12325
Received by L&I Effective date
09/15/2016 09/15/2016
Expiration date
Until Canceled
Insurance
Contractors Bonding&Insuranc $1,000,000.00
Policy no.
ClIS12325
Received by L&I Effective date
0211412018 03116/2016
Expiration date
03/16/2019
Savings
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
No lawsuits against th 11 e 11.bond or savings accounts during the previous 6 year period.
L&I Tax debts
No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts
may be recorded by other agencies.
License Violations
No license violations during the previous 6 year period.
Workers' comp
No active workers'comp accounts during the previous 6 year period.
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
No strikes have been issued against this contractor.
Contractors not allowed to bid
No debarments have been issued against this contractor.
� i.
Workplace safety and healti, I }
No inspections during the previous 6 year period.
Wasnioglon Slate Dopr,of Labor 8.Industries.Use of shis site is subject to the laws of the slate of Washinglon
�'t�c il!r�'-ir11ti1'I1:Jn
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1
i
RESIDENTIAL PLUMBING
f PERMIT APPLICATION
�1IN't.' � Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223• Phone(360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR
EXISTING RESIDENCES, PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL
INFORMATION.
Project Address:
Project Description: yv- lA {Lk VLIV
Owner:
Address: City: State: Zip Code:
Phone: Email:
Applicant: (Irk rS (AWv_&I n.
Address: Pg�l-U�W City: Ii �w State: Zip Code: �f�2 Z`1
J
Phone: �'Z� . _ �l'�0 Email: oarkle/k"4.1
CONTRACTOR INFORMATION
Contractor Name: _PAV'k 'S pl"-,;,�
Address: ! _J_? Z�150A D,Q A19' City: h+k- State: La14 Zip Code: 9.0Z j
License Number: PR RKS Pt gJ-(oO Expiration: 9 IS 2-451&
Phone: 4 . _ 7v 11j 4-G _ Email: �Gt" '$IOL I h^-.►'/ mar...
STAFF USE ON Received
Permit#: I q� Accepted by: Date APR 17 2Q1�
REV 2015 Page 1 of 2
RESIDENTIAL PLUMBING
PERMIT APPLICATION
,I T� 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 2
❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x I
❑ Dishwasher (1.5) x l ❑ Water Heater x
❑ Hose Bibb (2.5) x
Water Heater Model#
❑ Other (list) x
la
Proposed Water Piping Size:
Proposed Piping Material: REX
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 I
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
1
I
Permit#: 1930
Permit Date: 04/19/18
Permit Type: RESIDENTIAL PLUMBING
Project Name: Barker
Applicant Name: Park's Plumbing
Applicant Address: 13832 85th Drive NE
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Trevor Nealious
Phone: 425-870-4940
Email: parksplumbing@gmail.com
Scope of Work: Plumbing for basement remodel
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 04/19/2018
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
00378800400800 104 N FRENCH AVE BARKER ABIGAIL 111 Single Family
R Residence-Detached
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
Park's Plumbing Trevor Nealious 425-870-4940 13832 85th Dr NE PLUMBING Labor and PARKSPL8460N
CONTRACTOR Industries
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
06/12/2018 C04.PLUMBING 06/06/2018 BUILDING Approved
GROUNDWORK
04/23/2018 C19.PLUMBING 04/20/2018 BUILDING Approved
FINAL
Fees
Fee Description Notes Amount
Plumbing Base Permit Fee $25.00
Mechanical Commercial Permit Table 4-7;Per Unit 8 @ 12 $96.00
Processing/Technology $25.00
Total $146.00
Attached Letters
Date Letter Description
04/19/2018 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
04/19/2018 Trevor Nealious 69552719 cc $146.00
Outstanding Balance $0.00
Uploaded Files
Date File Name
04/19/2018 3284451-1930 Application.pdf
04/19/2018 3284450-1930 Issued Permit.pdf