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Home My WebLink About19223 46th Dr Ne_BLD2127_2026 RESIDENTIAL MECHANICAL PERMIT APPLICATION t�N 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 MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address: 19223 46th dr ne Project Description:replace nat gas water heater with new like for like Owner: ben decker Address. 19223 46th dr ne City: arlington StateYva Zip Code: 98223 Phone. 3604037610 Email:na Applicant: nwbathworks Address: 18821 11th ave ne City. arlington State.wa Zip Code: 98223 Phone: 4254189545 Email: nwbathworks@gmail.com CONTRACTOR INFORMATION Contractor Name:nwbathworks Address: 18821 11th ave ne City. arlington State vva Zip Code: 98223 License Number: nwbatbl855pa Expiration: oct 18 Phone: 4254189545 Email:nwbathworks@gmail.com STAFF USE ONLY Permit #: Accepted by: Date: 6/16LP Page 1 of 2 Y. RESIDENTIAL MECHANICAL PERMIT APPLICATION SING Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model # AFUE ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance 16 Other HWT Gas Piping Information Not Applicable: 16 Pipe Material: Pipe Size: Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances Applicant Signature: 13be"a92O�tle a Date: 08/22/2018 Applicant Printed Name: Jason g 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. 6/16LP Page 2 of 2 CITY OF ARLINGTON \ 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 ' s PHONE; (360)403-3551 BUILDING PERMIT Address:19223 46th Drive NE Permit#:2127 Parcel#:00928200000400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DECKER BENJAMIN F JR&DIANE L Name:NW Bathworks,LLC Name:NW Bathworks,LLC Address: 19223 46TH DR NE Address:18821 11 th Avenue NE Address: 18821 11 th Ave NE City,State Zip:ARLINGTON,WA 98223-4762 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425418-9545 Phone:425-248-0950 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:NW Bathworks,LLC Address: Address: 18821 1 Ith Ave NE City,State,Zip: City,State,Zip:Arlington,WA 98223 Phone: Phone:425-418-0905 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: I 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 IO/IRCI IO. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of A7v�� turn f nn and coded City of Arlington#3101. ,� Signature Print Name Date eleased By Date CONDITIONS Adhere to the 2015 WSEC. Call for final 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 8/27/2018 Plumbing Permit Base Fee $25.00 8/27/2018 Processing/Technology Fee $25.00 8/27/2018 Water Heater $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 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 RESIDENTIAL MECHANICAL • s f 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 MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:19223 46th dr ne Project Description:replace nat gas water heater with new like for like Owner: ben decker Address: 19223 46th dr ne City: arlington StateYva Zip Code: 98223 Phone: 3604037610 Email:na Applicant: nwbathworks Address: 18821 11th ave ne City: arlington StateYva Zip Code: 98223 Phone: 4254189545 Email: nwbathworks@gmail.com CONTRACTOR INFORMATION Contractor Name:nwbathworks Address: 18821 11th ave ne City: arlington State.wa Zip Code: 98223 License Number:nwbatbl855pa Expiration: Oct 18 Phone:4254189545 Email:nwbathworks@gmail.com II STAFF USE ON Permit#: �l Accepted by: � Date: v, 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223 • Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model # AFUE Heat Pump Model # AFUE _ HSPE ❑ AC Unit Model #` SEER (� Freestanding Stove Q Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance 16 Other HWT Gas Piping Information Not Applicable: Pipe Material: Pipe Size.- Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances 1 Jado�c� Applicant Signature: __.�• .. _ Date 08i22i2018 Applicant Printed Name: Jason g 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. 6/16LP Page 2 of 2 CITY ARLINGTONOF 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 19223 46th Drive NE Permit#:2127 Parcel#:00928200000400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DECKER BENJAMIN F JR&DIANE L Name:NW Bathworks,LLC Name:NW Bathworks,LLC Address: 19223 46TH DR NE Address:18821 11 th Avenue NE Address: 18821 11 th Ave NE City,State Zip:ARLINGTON,WA 98223-4762 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-418-9545 Phone:425-248-0950 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:NW Bathworks,LLC Address: Address: 18821 11th Ave NE City,State,Zip: City,State,Zip:Arlington,WA 98223 Phone: Phone:425-418-0905 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical 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. IBC1I0/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of A 'ngton nt be reported on your sales return f rm and coded City of Arlington#3101. ^/^ Signature Print Name Date V Ifeleased By Date CONDITIONS CONDITIONS Adhere to the 2015 WSEC. Call for final 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 8/27/2018 Plumbing Permit Base Fee $25.00 8/27/2018 Processing/Technology Fee $25.00 8/27/2018 Water Heater $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 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 • 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:BENJAMIN AND DIANE DECKER CONTRACTOR:NW BATHWORKS, LLC JOB ADDRESS:19223 46TH DRIVE NE OWNER ADDRESS: 19223 46TH DRIVE NE USE ofBUILDING: SFR PLAT NAME: VB R3 Description of Work:REPLACE GAS HWT LOT# PERMIT NO: BLD-2127 Sprinklered: CONDITIONS:SEE PERMIT/INSPECTION REQUIRED DATE ISSUED:8/28/2018 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: Permit#: 2127 Permit Date: 08/27/18 Permit Type: RESIDENTIAL MECHANICAL Project Name: Decker Applicant Name: NW Bathworks, LLC Applicant Address: 18821 1 Ith Avenue NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Jason Gay Phone: 425-418-9545 Email: nwbathworks@gmail.com Scope of Work: Replace gas HWT Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: EXPIRED Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning DECKER 00928200000400 19223 46TH DR NE BENJAMIN F JR& Residence Single Family -Detached DIANE L Contractors Contractor Primary Contact Phone Address Contractor Type License License# NW Bathworks,LLC Jason Gay 425-248-0950 18821 1 lth Ave CONSTRUCTION Labor andNWBATBL855PA NE CONTRACTOR Industries Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Processing/Technology $25.00 Water Heater(Tank) $25.00 Total $75.00 Attached Letters Date Letter Description 08/27/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/28/2018 jason gay 71478334 cc $75.00 Outstanding Balance $0.00 Notes Date Note Created By: 12/11/2019 Permit not signed.Filed in address files Raelynn Jones 08/30/2018 Emailed permit for signature. Kristin Foster Uploaded Files Date File Name 08/27/2018 3869954-19223 Residential Mechanical D711g618XaV5or.pdf