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HomeMy WebLinkAbout104 N FRENCH AVE_BLD1930_2026 RESIDENTIAL PLUMBING PERMIT APPLICATION IN'6 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: 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 r 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 $1,000,000.00 Policy no. ClIS12325 Received by L&I Effective date 0211412018 03116/2016 Expiration date 03/16/2019 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against th 11 e 11.bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp No active workers'comp accounts during the previous 6 year period. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. � i. Workplace safety and healti, I } No inspections during the previous 6 year period. Wasnioglon Slate Dopr,of Labor 8.Industries.Use of shis site is subject to the laws of the slate of Washinglon �'t�c il!r�'-ir11ti1'I1:Jn � r �� 1 i RESIDENTIAL PLUMBING f PERMIT APPLICATION �1IN't.' � Department of Community & Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223• Phone(360) 403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR EXISTING RESIDENCES, PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address: Project Description: yv- lA {Lk VLIV Owner: Address: City: State: Zip Code: Phone: Email: Applicant: (Irk rS (AWv_&I n. Address: Pg�l-U�W City: Ii �w State: Zip Code: �f�2 Z`1 J Phone: �'Z� . _ �l'�0 Email: oarkle/k"4.1 CONTRACTOR INFORMATION Contractor Name: _PAV'k 'S pl"-,;,� Address: ! _J_? Z�150A D,Q A19' City: h+k- State: La14 Zip Code: 9.0Z j License Number: PR RKS Pt gJ-(oO Expiration: 9 IS 2-451& Phone: 4 . _ 7v 11j 4-G _ Email: �Gt" '$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