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Home My WebLink About121 GIFFORD AVE_BLD1980_2026 CITY OF ARLINGTON ® � 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:121 N Gifford Avenue Permit#:1980 Parcel#:00455400600400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Nance:MENDRO BENJAMIN S&LIMA Name:Shelley Lima Name:ADAM'S PLUMBING INC SHELLEY A Address: 121 N GIFFORD AVE Address:121 N Gifford Avenue Address:PO BOX 1677 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:253-382-2275 Phone:360 659-2153 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:ADAM'S PLUMBING INC Address: Address:PO BOX 1677 City,State,Zip: City,State,Zip:MARYSVILLE,WA 98270 Phone: Phone:360 659-2153 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: 1 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 n must be reported i our sales tax return form d coded C' of li gto 3101. Signature(_j Print Ame Date leased By batc CONDITIONS DO NOT COVER WITHOUT INSPECTION. THIS PERMIT AUTHORIZE 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 5/30/2018 Plumbing Permit Base Fee $25.00 5/30/2018 Plumbing Permit Fee(Enter Fixture Fee) $24.00 5/30/2018 Processing/Technology Fee $25.00 Total Due: $74.00 Total Payment: $0.00 Balance Due: $74.00 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 40 PHONE; (360) 403-3551 BUILDING PERMIT Address:121 N Gifford Avenue Permit#:1980 Parcel#:00455400600400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:MENDRO BENJAMIN S&LIMA Name:Shelley Lima Name:ADAM'S PLUMBING INC SHELLEY A Address: 121 N GIFFORD AVE Address:121 N Gifford Avenue Address:PO BOX 1677 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:253-382-2275 Phone:360 659-2153 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:ADAM'S PLUMBING INC Address: Address:PO BOX 1677 City,State,Zip: City,State,Zip:MARYSVILLE,WA 98270 Phone: Phone:360 659-2153 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: I 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/IRC1I0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingt n must be reported�your ales tax return form and coded City of Arlington#3101. Signature Print Name Date V 1 leased By hate CONDITIONS DO NOT COVER WITHOUT INSPECTION. 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 5/30/2018 Plumbing Permit Base Fee $25.00 5/30/2018 Plumbing Permit Fee(Enter Fixture Fee) $24.00 5/30/2018 Processing/Technology Fee $25.00 Total Due: $74.00 Total Payment: $0.00 Balance Due: $74.00 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:121 N Gifford Avenue Permit#:1980 Parcel#:00455400600400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:MENDRO BENJAMIN S&LIMA Name:Shelley Lima Name:ADAM'S PLUMBING INC SHELLEY A Address: 121 N GIFFORD AVE Address:121 N Gifford Avenue Address:PO BOX 1677 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:253-382-2275 Phone:360 659-2153 _MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:ADAM'S PLUMBING INC Address: Address:PO BOX 1677 City,State,Zip: City,State,Zip:MARYSVILLE,WA 98270 Phone: Phone:360 659-2153 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: 1 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. IBC1l0/IRC1I0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingt n must be reported your sales tax return form d coded C' of li gto 3101. Signature Print ame Date lensed By ate CONDITIONS DO NOT COVER WITHOUT INSPECTION. 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 5/30/2018 Plumbing Permit Base Fee $25.00 5/30/2018 Plumbing Permit Fee(Enter Fixture Fee) $24.00 5/30/2018 Processing/Technology Fee $25.00 Total Due: $74.00 Total Payment: $0.00 Balance Due: $74.00 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 < t .. - \ - � Permit Information Date 5/29/2018 Permit Number 1980 Project Name Mendro/Lima Applicant Name Shelley Lima Applicant Address 121 N Gifford Avenue City,State,Zip Arlington,WA 98223 Contact Shelley Lima Phone 253-382-2275 Email shelleylima68@hotmail.com Permit Type Residential Plumbing Site Address 121 N Gifford Avenue Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Add double sink Assigned To Launa Peterson Property Parcel Address Subdivision Lot Owner 00455400600400 1121 GIFFORD AVE MENDRO BENJAMIN S&LIMA SHELLEY A Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# ADAM'S PLUMBING INC 1360 659-2153 ICONTRACTOR Fees Fee Description Notes Amount Plumbing Permit Base Fee 322.10.00.00 $25.00 Plumbing Permit Fee Enter Fixture Fee 322.10.00.00 $24.00 Processin (Technolo Fee 341.43.00.02 $25.00 Total $74.00 Uploaded Files Upload File Date File Uriloaded B 5/29/2018 4:37:01 PM External-LimaMendro permit information.msg Peterson,Launa 5/29/2018 4:37:01 PM attachments CO15031000017666103 2oUIHLIpT8S6d8FIrVQA plumbing version2 iceMaker.pdf Peterson, Launa 5/29/2018 4:37:01 PM IResidenfial Plumbing D50LT6gTVEfOXx.pdf Peterson, X I I ILauna RESIDENTIAL PLUMBING PERMIT APPLICATION ,IN 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:121 N. Gifford Ave, Arlington, WA 98223 Project Description:We are upsizing drain line to 2" from lav to nearest fixture, for double lav rough in. Owner: Ben Mendro/Shelley Lima Y� Address: 121 N. Gifford Ave. Cit Arlington State:WA Zip Code: 98223 Phone: 253-382-2275 Email: shelleylima68@hotmail.com Applicant:Ben Mendro/Shelley Lima Address:l21 N. Gifford Ave. City:Arlington State:WA Zip Code: 98223 Phone. 253-382-2275 Email: shelleylima68@hotmail.com CONTRACTOR INFORMATION Contractor Name:Adam's Plumbing & Fire Systems Address:P.O. Box 1677 Cityyarysville State!NA Zip Code:98270 License Number: adamspf858ja _- Expiration 04-01-2019 Phone:360-659-2153 Email:kim@adamsplumbinginc.com STAFF USE ON Received Permit#: Accepted by: DatMAY 2 9 2018 REV 2015 Page 1 of 2 Y RESIDENTI AL PLUMBING PERMIT APPLICATION Depent City of Arlington rt18204 59th Ave NE - Arlington, WA ment Of Community & Economic Phone(3 0) 403-3551 Plumbing Section (check all that apply) (Check all that apply and indicate the number of fixtures proposed) Qi Bath/Shower Combo (4.0) x ( ( Sink (1.5) x �! Shower (2.0) x Lavatory (1.0) x 1 Clothes Washer (4.0) x 0; Water Closet (2.5) x Dishwasher (1.5) x 01 Water Heater x U! Hose Bibb (2.5) x Water Heater Model# UJI Other (list) x Proposed Water Piping Size:We are u sizin drain line to 2" Proposed Piping Material: (sorry, we haven't received this info Proposed DWV Material:(sorry, we haven't received this info Proposed DWV Size: (sorry, we haven't received this info from • 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: a5 «y a tza' J Date: 05/29/2018 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 APFS Inc Estimate P.O. Box 1677 —� Marysville, WA 98270 -- -----•-- -- - ---- ��(q�i pate Estimate No. F:rrr.rnft:ts a f•IRs x'r.•i•M. - 3/20/2018 2188 Name/Address ;Job Site Address ` Shelley Lima 121 North Gifford Ave Arlington WA 98223 k._M Description Qty -,X -Rate Total Supply and Install new double lav rough in to include 1 1,489.00 1,489.00T new fresh and waste water stubouts install-custorner-suppod-lav sink--and faucet-to-include 2 &9 Of} _.- ___._.378.00T new-stop-anti risers(fit Supply and Install new ice maker rough in with box 1 389.00 389.00T SALES TAX(SHIP TO: ARLINGTON-3101) 9.10% 205.30 - ' , X., tJ`J.�` a.. n}¢;? l.:/) �-.�'�.".�fS� } �'y:�. f.. '�,'f,I✓��:&� IMF. f ?i�.r✓� ,. `V�i') � C, "f'V o f 1 j.j 50%On start of Job 50%On completion of each phase Total $2,461.30 Phone# E-mail -� , ,. :F r{,r. 360-659-2153 Kim@adamsplumbinginc.com i Launa Peterson From: Shelley Lima <shelleylima68@hotmail.com> Sent: Tuesday, May 29, 2018 4:08 PM To: Launa Peterson Cc: Ben Mendro Subject: [External] - Lima/Mendro permit information Address: 121 N. Gifford Ave. The information that was missing on the permit-- Piping material: Wirsbo+copper DWV material: ABS DWV size: 2" Thank you so, so much for all your help! --Shelley Lima (253)381-2275 Husband's cell--Ben Mendro (425)330-8102 1 Y p� 11 APFS Inc P.O. Box 1677 Estimate i' Marysville, WA 98270 I Ws date >`st�ma#e Nn �.�.�. 3/20/2018 Pi.Uf.DING&i1RZ SY a EMS 2188 i? Name/Address w--'.. ----- Shelley Lima 121 North Gifford Ave �! Arlington WA 98223 B r �i is f li i' Il = i?rotet ry. pecrrption . Qty. ... Rate To#al r Supply and Install new double lav rough in to include 1 1,489.00 z 00 1,489.00T �. new fresh and waste water stubouts 378:DOT F new—stop-and-risers- Supply and Install new ice maker rough in with box 1 389.00 389.00T s SALES TAX(SHIP TO: ARLINGTON-3101) 9.10% 205.30 lei if r i! r. 4' S "�rlf I 5' f I k it 1 `4 It it i i 13 I i it 50%On start of Job 50%On completion of each phase Total $2,461.30 t�hone# Email l 360-659-2153 Kim@adamsplumbinginc.com `C, is i I l Permit#: 1980 Permit Date: 05/29/18 Permit Type: RESIDENTIAL PLUMBING Project Name: Mendro/Lima Applicant Name: Shelley Lima Applicant Address: 121 N Gifford Avenue Applicant, City, State, Zip: Arlington,WA 98223 Contact: Shelley Lima Phone: 253-382-2275 Email: shelleylima68@hotmail.com Scope of Work: Add double sink Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 06/01/2018 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning MENDRO 00455400600400 121 GIFFORD AVE BENJAMIN S& Residence Single Family -Detached LIMA SHELLEYA Contractors Contractor Primary Contact Phone Address Contractor Type License License ADAM'S PLUMBING CONSTRUCTION INC 360 659-2153 PO BOX 1677 CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 06/15/2018 C04.PLUMBING 06/15/2018 Completed GROUNDWORK Plan Reviews Date Review Type Description Assigned To Review Status 05/29/2018 RESIDENTIAL BUILDING PLUMBING Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Mechanical Commercial Permit Table 4-7;Per Unit $24.00 Processing/Technology $25.00 Total $74.00 Attached Letters Date Letter Description 05/30/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 06/01/2018 Shelley Lima 70233971 cc Launa Black $74.00 Outstanding Balance $0.00 Uploaded Files Date File Name 06/01/2018 3562816-1980 Issued Permit.pdf 05/29/2018 3543786-Residential Plumbing D50LT6gTVEfOXx.pdf 05/29/2018 3543787-attachments C015031000017666103 2oU1HL1pT8S6d8FIrVOA_lumbing version2 iceMaker.pdf 05/29/2018 3543788-External-LimaMendro permit infonnation.msg RESIDENTIAL PLUMBING PERMIT APPLICATION ING�� 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. 121 N. Gifford Ave, Arlington, WA 98223 Project Description:We are upsizing drain line to 2" from lav to nearest fixture, for double lav rough in. Owner: Ben Mendro/Shelley Lima 121 N. Gifford Ave. Address: City-Arlington State:WA Zip Code: 98223 Phone: 253-382-2275 Email. shelleylima68@hotmail.com Applicant:Ben Mendro/Shelley Lima Address: 121 N. Gifford Ave. City:Arlington State:WA Zip Code. 98223 Phone: 253-382-2275 Email: shelleylima68@hotmail.com CONTRACTOR INFORMATION Contractor Name:Adam's Plumbing & Fire Systems Address:P.O. Box 1677 City-Marysville StateWA Zip Code:98270 License Number:adamspf858ja Expiration.04-01-2019 Phone-360-659-2153 Email.kim@adamsplumbinginc.com STAFF USE ONLY Permit #: Accepted by: Date REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION ING�� 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 Q Lavatory (1 .0) x 1 ❑ 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: We are upsizing drain line to 2___ Proposed Piping Material: (sorry, we haven't received this info Proposed DWV Material: (sorry, we haven't received this info Proposed DWV Size: (sorry, we haven't received this info from • 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: � aa � Date: 05/29/2018 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 • 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:SHELLEY LIMA CONTRACTOR:ADAMS PLUMBING oBADDRESS:121 N GIFFORD AVENUE OWNER ADDRESS: 121 N GIFFORD AVENUE USE ofBUILDING: SFR PLAT NAME:GIFFORDS 1 ST ADD Description of Work:PLUMBING LOT# 4 & 5 PERMIT NO: BLD-1980 Sprinklered:NO CONDITIONS:DO NOT COVER WITHOUT INSPECTION DATE ISSUED:5/30/2018 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 CONNECTIONFINAL (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: