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HomeMy WebLinkAbout17727 31ST DR NE_BLD2001_2026 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: —� � N ^� �\ n G cn NA cl E ZZ�) Project Description Owner: 156 COS C (AV V GU N A Address: n L 1 DMZ N C_ City-& ��,1 -�_,,� State. N-A Zip Code:9 8 ZL� Phone:��> Z�``'1- 2-rDcl 9 Email: UGiO C --" r S 1 MW I , fOYN, Applicant: 1 Address: ,S(,mf iqJ a�,qy vt City: State: Zip Code: Phone: Email- CONTRACTOR INFORMATION Contractor Name: Address: City: State: Zip Code: License Number: Expiration: Phone- Email: STAFF USEqN ec .lVea Permit#: Accepted by Date U N REV 2015 Page 1 of 2 'y RESIDENTIAL PLUMBING 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 ❑ Sink(1.5) x I ❑ Shower(2.0) x I ❑ 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 ----V4--- Applicant Signature: Date: �Q 1 hereby certify that the above information is correct and that the construction, installation for the above!nibntioned 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:17727 31st Drive NE Permit#:2001 Parcel#:00621300007800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:CARRANZA ISAIAS&GONZALEZ Name:Isaias Carranza Name:Isaias Carranza ELMA NYDIA O Address: 17727 31ST DRIVE NE Address:17727 31st Drive NE Address: 17727 31st Drive NE City,State Zip:ARLINGTON,W 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-244-2594 Phone:425-244-2594 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Isaias Carranza Address: Address: 17727 31st Drive NE City,State,Zip: City,State,Zip:Arlington,WA 98223 Phone: Phone:425-244-2594 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: • CONST.TYPE: VB DWELLING UNITS: ] 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 INSPE N 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 rlin n m t rep on your sales tax return form and coded City of rlin n#3101. lCl q Signature Print Name Date Lj/(//L!clj.WC03y Date CONDITIONS Approved as submitted. Inspections required. Call for rough 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 6/15/2018 Plumbing Permit Base Fee $25.00 6/15/2018 Plumbing Permit Fee(Enter Fixture Fee) $36.00 6/15/2018 Processing/Technology Fee $25.00 Total Due: $86.00 Total Payment: $0.00 Balance Due: $86.00 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:17727 31st Drive NE Permit#:2001 Parcel#:00621300007800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:CARRANZA ISAIAS&GONZALEZ ELMA NYDIA O Name:Isaias Carranza Name:Isaias Carranza Address: 17727 31ST DRIVE NE Address:17727 3lst Drive NE Address: 17727 31st Drive NE City,State Zip:ARLINGTON,W 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-244-2594 Phone:425-244-2594 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Isaias Carranza Address: Address: 17727 31 st Drive NE City,State,Zip: City,State,Zip:Arlington,WA 98223 Phone: Phone:425-244-2594 LIC#: EXP: LTC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: • CONST.TYPE: VB DWELLING UNITS: I 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 INSPE N 14AS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCl10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of lin n m t rep on your sales tax return form and coded City of rl in n#3101. Signature Print Name Date cl c y Date CONDITIONS Approved as submitted. Inspections required. Call for rough 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 6/15/2018 Plumbing Permit Base Fee $25.00 6/15/2018 Plumbing Permit Fee(Enter Fixture Fee) $36.00 6/15/2018 Processing/Technology Fee $25.00 Total Due: $86.00 Total Payment: $0.00 Balance Due: $86.00 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 �,� . ;. .ti, I 1 �� 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. �s Project Address:_ �� 1 /\,n 1 n g t 0n Project Description: ► `� �/Q Owner: Address: ill 0 51 City Y 1�,�� � State: N-A Zip Code:9 fs ZL Phone:W L",� ' �,� ��` �7 `1 Email: 0001 Ql-A+-+tY 5 I 0GJM6tl 1 , t0fvN Applicant: CS C y ra2� 1 Address:-Alf aJ atoy y-c City: State: Zip Code: Phone: Email: CONTRACTOR INFORMATION Contractor Name: kzz, W Ae—v� Address: City: State- Zip Code.- License Number- Expiration: Phone: Email: STAFF USE N ec elvea Permit#: 'Plat Accepted by: Date JUN 1 2018 REV 2015 Page 1 of 2 A Y RESIDENTIAL PLUMBING PERMIT APPLICATION l jNG� 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 I ❑ 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 ►ftntioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washingt6n. REV 2015 Page 2 of 2 Permit#: 2001 Permit Date: 06/15/18 Permit Type: RESIDENTIAL PLUMBING Project Name: Carranza Applicant Name: Isaias Carranza Applicant Address: 17727 31 st Drive NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Isaias Carranza Phone: 425-244-2594 Email: aaaguttersl@gmail.com Scope of Work: Bathroom Remodel Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 06/15/2018 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning CARRANZA 00621300007800 17727 31 ST DR NE ISAIAS& I I I Single Family GONZALEZ ELMA Residence-Detached NYDIA O Contractors Contractor Primary Contact Phone Address Contractor Type License License # Isaias Carranza Isaias Carranza 425-244-2594 17727 31 st DriveNE OWNER Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 07/16/2018 C04.PLUMBING Plumbing complete.KO. 07/16/2018 BUILDING Approved GROUNDWORK Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Mechanical Commercial Permit Table 4-7;Per Unit 3@$12 $36.00 Processing/Technology $25.00 Total $86.00 Attached Letters Date Letter Description 06/15/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 06/15/2018 Isaias Carranza Cash Kristin Foster $86.00 Outstanding Balance $0.00 Uploaded Files Date File Name 06/18/2018 3619964-2001 Issued Permit.pdf 06/18/2018 3619965-2001 Application.pdf