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Home My WebLink About19110 44TH AVE NE_BLD2206_2026 IWORQ Systems Inc. Page 1 of 1 - ' CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:19110 44th Ave NE Permit#:2206 Parcel#:00952200002400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:PRICE DANIEL J Name:NW Bathworks Name:NW Bathworks,LLC Address: 19110 44TH AVE NE Address:18821 1 lth Ave NE Address: 18821 1 lth Ave NE City,State Zip:ARLINGTON,WA 98223-4786 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 1 lth Ave NE City,State,Zip: City,State,Zip:Arlington,WA 98223 Phone: Phone:425-248-0950 LIC#: EXP: LIC#:nwbatbl855pa EXP: 10/2019 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: 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, IBCI10/IRC1I0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingtonst be reported on your sales tax return form and coded City of Arlington#3101, 7-7 1� 'eh Signature Print Name Date Rclease, y j Date CONDITIONS Approved as submitted. Inspection 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 10/10/2018 Mechanical Permit Base Fee $25.00 10/10/2018 Processing/Technology Fee $25.00 10/10/2018 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 https://www.iworq.net/iworq/Permit/popupPermitEditLetterPrint.asp?sid=OMHNDHEO... 10/10/2018 1 IWORQ Systems Inc. Page 1 of 2 Permit Information Date 10/10/2018 Permit Number 2206 Project Name Price Applicant Name NW Bathworks Applicant Address)18821 11th Ave NE City,State,Zipl Arlington,WA 98223 Contact NW Bathworks Phone 425-418-9545 Email nwbathworks@gmail.com Permit Type I Residential Plumbing Site Address 119110 44th Ave NE Valuation I 0 00 Status I Applied Permit Issued Permit Expires Square Feet I 0 Type of Construction/Occupancy Load Number of Stories)0 Proposed Usel Replace gas HWT Assigned To Raelynn Jones Property Parcel Address Legal Owner Owner Phone Zoning 00952200002400 19110 44TH AVE NE PRICE DANIEL J 111 Single Family Residence-Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# NW Bathworks, LLC Jason Gay 425-248-0950nwbathworks@gmail.com CONTRACTOR Labor and Industries NWBATBL855PA Fees Fee Description Notes Amount Mechanical Permit Base Fee 322.10.00.00 $25.00 Processing/Technology Fee 341.43.00.02 $25.00 Water Heater 322.10.00.00 $25.00 Total $75.00 Uploaded Files I Upload File Date File Uploaded By https://www.iworq.net/iworq/Permit/popupPertnitEditPrint.asp?sid=OMHNDHEOMBM... 10/10/2018 IWORQ Systems Inc. Page 2 of 2 10/10/2018 3:40:55 PM 2206 Application pdf Jones,Raelynn _X https://www.iworq.net/iworq/Pennit/popupPemlitEditPrint.asp?sid=OMHNDHEOMBM... 10/10/2018 AN RESIDENTIAL ME�HNIL • s PERMIT APPLICATION tr�'u 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:19110 44th ave ne Project Description:replace 50 gal nat. gas hwt with a new Owner: daniel price Address' 19110 44th ave ne City:arlington State+Q Zip Code: 98223 Phone: 3604353979 Email:na Applicant: nwbathworks Address: 18821 11th ave ne City: arlington Stated Zip Code: 98223 Phone: 4254189545 Email: nwbathworks@gmail.com CONTRACTOR INFORMATION Contractor Name:nwbathworks Address: 18821 11th ave ne City: arlington Statewa Zip Code: 98223 License Number:nwbatbl855pa Expiration: 2019 Phone:4254159545 Email:nwbathworks@gmail.com STAFF USE ONLY Permit #: Accepted by: Date 6/16LP Page 1 of 2 AN 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 ❑i Freestanding Stove Fire Place Insert ❑i Outdoor BBQ hwt (� Gas Piping i_li Solid-Fuel Appliance i Other r--- Gas Piping Information Not Applicable: lei 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 just�a7 Applicant Signature: Date 10/07/2018 Applicant Printed Name: Jason gay 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 10/10/2018 NW BATHWORKS LLC h L,V AAft Washington State Department of "Labor & Industries NW BATHWORKS LLC Owner or tradesperson 18821 11TH AVE NE ARLINGTON,WA 98223 Principals 425-418-9545 GAY,JASON BRIAN,PARTNER/MEMBER SNOHOMISH County BESANCON,GREGORY THOMAS,PARTNER/MEMBER BESANCON,BRENT ALLEN,MANAGER Doing business as NW BATHWORKS LLC WA UBI No. Business type 603 537 470 Limited Liability Company Governing persons BRENT A BESANCON GREG BESANCON; JASON BRIAN GAY: 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. N W BATB L855PA Effective—expiration 10/01/2015—10/01/2019 Bond Ironshore Indemnity Inc $12,000.00 Bond account no. SUR40015865 Received by L&I Effective date 09/28/2017 09/28/2017 Expiration date Until Canceled Bond history Insurance American Hallmark Ins Co of Te $1,000,000 00 Policy no. 44CL610660 Received by L&I Effective date 10/03/2018 09/28/2018 Expiration date 09/28/2019 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the 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. https://secure.ini.wa.gov/verify/Detail.aspx?UBI=603537470&LIC=NWBATBL855PA&SAW= 1/2 10/10/2018 NW BATHWORKS LLC Workers' comp 1 Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 285,684-01 Doing business as NW BATHWORKS LLC Estimated workers reported Quarter 2 of Year 2018"0"Workers L&I account contact T2/LINDA ALGUIRE(360)902-4678-Email:POTH235@lni.wa.gov 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. Workplace safety and health No inspections during the previous 6 year period. 's°Ndshutgtun State Dept of Loh.,&lndush es.Use of Biis site is subjort to the laws of the state o`VVasNrigton, https://secure.ini.wa.gov/verify/Detail.aspx?UBI=603537470&LIC=NWBATBL855PA&SAW= 2/2 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: 19110 44th ave ne Project Description-replace 50 gal nat. gas hwt with a new Owner: daniel price Address. 19110 44th ave ne City: arlington StateWa Zip Code: 98223 Phone. 3604353979 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: 2019 Phone: 4254159545 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: Date: 10/07/2018 Applicant Printed Name: Jason gay 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 IWORQ Systems Inc. Page 1 of 1 CITY OF ARLINGTON a 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:19110 44th Ave NE Permit#:2206 Parcel#:00952200002400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:PRICE DANIEL J Name:NW Bathworks Name:NW Bathworks,LLC Address: 19110 44TH AVE NE Address:18821 11th Ave NE Address:18821 1 lth Ave NE City,State Zip:ARLINGTON,WA 98223-4786 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:425-248-0950 LIC#: EXP: LIC#:nwbatb1855pa EXP: 10/2019 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: 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/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingtonst be reported on your sales tax return form and coded City of Arlington#3101. l Signature Print Name Date Rcleascd y Date CONDITIONS Approved as submitted. Inspection 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 10/10/2018 Mechanical Permit Base Fee $25.00 10/10/2018 ProcessingfTechnology Fee $25 00 10/10/2018 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 https://www.iworq.net/iworq/Permit/popupPermitEditLetterPrint.asp?sid=OMHNDHEO... 10/10/2018 Permit#: 2206 Permit Date: 10/10/18 Permit Type: RESIDENTIAL PLUMBING Project Name: Price Applicant Name: NW Bathworks Applicant Address: 18821 1 Ith Ave NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: NW Bathworks 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: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00952200002400 19110 44TH AVE NE PRICE DANIEL J 111 Single Family Residence-Detached 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 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Water Heater(Tank) $25.00 Total $75.00 Attached Letters Date Letter Description 10/10/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/15/2018 JASON GAY 72215627 cc $75.00 Outstanding Balance $0.00 Notes Date Note Created By: 12/11/2019 Permit not signed.Filed in address files Raelynn Jones 10/16/2018 Emailed permit for signature. Kristin Foster Uploaded Files Date File Name 10/10/2018 4030452-2206 Application.pdf