HomeMy WebLinkAbout18609 Balmoral Dr_BLD20130009_2025 BUILDING INSPECTION REPORT
GtK Y pA Permit No. r
Address: LT6 ,
7��tNG Contra r:
"t0
Owner:
Date:
APPROVAL ® PARTIAL APPROVAL
® VIOLATION ® CORRECTION REQUEST
Corrections listed below MUST BE MADE before work can be approved
Please contact inspector
Was not able to perform inspection
Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before
Inspector: C' u Date:
® Under-floor ® Framing ® Gas Piping
® Footing ® Drywall, nailing ® Consultation
® Foundation ®Shear Nailing ® Groundwork
® Mechanical ®Grid ® Struct. Slab
® Wood Stove ® Rough-in '9Final
® Masonry ® Drainage ® Insulation
® Other:
BUILDING INSPECTION REPORT
C"V Y o� Permit No. 13 — odo 9
Address:
7
t1t1VGt0 Contractor:
Owner:
Date:
,IMAPPROVAL ® PARTIAL APPROVAL
® VIOLATION ® CORRECTION REQUEST
Corrections listed below MUST BE MADE before work can be approved
Please contact inspector
Was not able to perform inspection
Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before
Inspector: Date: 1110 13
® Under-floor ® Framing ® Gas Piping
® Footing ® Drywall, nailing ® Consultation
® Foundation ®Shear Nailing ® Groundwork
® Mechanical ® Grid ® Struct. Slab
® Wood Stove Rough-in 'Final
® Masonry ® Drainage ® Insulation
® Other:
CITY OF ARLINGTON
238 N.OLYMPIC AVE.-ARLINGTON,WA 98223
PHONE:(360)403-3551
BUILDING PERMIT
Address:18609 BALNIORAL DR,ARLINGTON Permit#:BLD20130009
Parcel#:00865900007200 Valuation:$10,000.00
OWNER .. APPLICANT AWL CONTRACTOR*
RANDLE W SACHA NEW CONCEPTS PLUMBING& NEW CONCEPTS PLUMBING&
118609 BALMORAL DR MECHANICAL MECHANICAL
ARLINGTON,WA 98223 JOHN MORELLI JOHN MORELLI
1726 NE 24TH ST 1726 NE 24TH ST
RENTON,WA 98056 RENTON,WA 98056
Lic#:NEWCOCP890LZ Exp:06/09/13
PLUMBING CONTRACTOR MECHANICAL CONTRACTOR
NEW CONCEPTS PLUMBING&MECHANICAL
JOHN MORELLI
1726 NE 24TH ST
RENTON,WA 98056
Lic#:NEWCOCP890LZ Exp:06/09/13 Lic# Exp:
JOB DESCRIPTION -- _
Repipe Plumbing Lines
PERMIT TYPE: Residential-Residential-Alteration CODE YEAR:
STORIES: 0 CONST TYPE:
DWELLINGUNITS: 0 OCC GROUP:
BUILDINGS: 0 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 Arlington must be reported on your sales tax return
form and coded City of Arlington#3101.
a l.J 'Ra&Cuc w S-J5
Signature Print Name Date 4eleased By Dafe
ARCHIVE = APPLICANT ASSESSOR O'I'IIER
CITY OF ARLINGTON
238 N.OLYMPIC AVE.-ARLINGTON,WA 98223
PHONE:(360)403-3551
PERMIT FEES/RECEIPT -
DATE: Wednesday, January 16, 2013 PERMIT#:BUS20130007
PROJECT ADDRESS:0 Out of City, ARLINGTON
LOCATION:
BUSINESS: NEW CONCEPTS PLUMBING&MECHANICAL
JOHN MOREL LI
1726 NE 24TH ST
RENTON,WA 98056
(206)948-1617
l FESUNLMARY*
Date Description Fee Amount Paid Balance Due
01/15/13 Business License Out of City $20.00 ($20.00) $0.00
Total Due: $20.00 ($20.00) $0.00
*FEES ARE ESTIMATED BASED ON INFORMATION PROVIDED AT SUBMITTAL-SUBJECT TO CHANGE
PA,yTv NTTRANSACTTbNS:' - > s-
DATE RF(:QPT# MEI'HO, PAS rLhIOUVf
01/16/13 RECO03081 JOHN MORELLI ($20.00)
321.00,00.00 Business License Out of City ($20.00)
CITY OF ARLINGTON
238 N.OLYMPIC AVE.-ARLINGTON,WA 98223
11�0
PHONE:(360)403-3551
PERMIT FEES/RECEIPT W
DATE: Wednesday, January 16,2013 PERMIT#:BLD20130009
PROJECT ADDRESS: 18609 BALMORAL DR,ARLINGTON
LOCATION:
OWNER: RANDLE W SACHA
118609 BAI.MORAL DR
ARLINGTON,WA 98223
(206)963-2290
:T+FESMlAlARl'-
Date Description Fee Amount Paid Balance Due
01/16/13 Plumbing Permit Fee $206.00 ($206.00) $0.00
Total Due: $206.00 ($206.00) $0.00
*FEESAREESTIMATED BASED ONINFORMATIONPROVIDED AT SUBUITTAL-SUBJECT TO CHANGE
PAIML INTTRANSAC BONS:
DATE RECTIPT# MEMOD -- A :111(>�N'I'
01/16/13 RE0003080 JOHN MORELLI ($206.00)
322.10.00.00 Plumbing Permit Fee ($206.00)
RESIDENTIAL PLJMBING
`lt PERMIT APPLICATION!
Aye-- Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418
Water Supply Piping
A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units
B. Distance from meter to most remote outlet: feet.
C. Difference in elevation between meter and highest fixture:_ feet above meter or feet below meter.
D. Pressure in street main: psi. (Measure with gauge or check with Water Department)
Number of Plumbing Fixtures (Including Rough-Ins)
Plumbing Accessory Main Total Fixture Total Number
Fixtures Dwelling unit Residence #X Multiplier Fixtures Units
Bar Sink X 1.0 =
Bathtub or Combination Bath/Shower / X 4.0 = y
Clotheswasher ! X 4.0 = y
Dishwasher ! X 1.5 = S
Hose Bibb / X 2.5,,= S
Kitchen Sink X 1.5 = 5-
Laundry 5-
Laundry Sink X 1.5 =
Lavatory Bathroom Sink X 1.0 = 3, 0
Shower Stand Alone Each Head L X 2.0 = q .6
Water Closet Toilet X 2.5 =
Whirlpool Bath or Combination Bath/Shower X 4.0 =
Water Heater
—Csthe Adr�lv�7 SO7' r0 TOTAL
raps other than above items 2 V FIXTURE UNITS:
hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described prope will be in accordance with the laws, rules and regulation of the State of Washington.
i-Az EL3 F ARLINGTON
Applicants ignature D I
to BUILDING DEPARTMENT
Print Applicants Name
DATE �V BY
0 CI NGES AUTHORIZED
UNLESS APPROVED BY THE
BUILDING INSPECTO
2
RESIDENTIAL PLwJMBING
PERMIT APPLICATION
i
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418.
THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION
MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS AND TWO SETS OF SPECIFICATION SHEETS.
Type of Permit: iD New Residential g'Addition/Alteration
Project Address: / 7 9'tr 1"A"d �1 y'E' Parcel ID#:
Lot#: Subdivision:
Project Description: Lf Project Valuation: va6
Owner: / �R''�l� ��� '�2 Phone Number: l?off/ z Z_
Address: dD 1 13W1,, f .4 Pig City: AIA Z, o_State: 4" Zip Code: 19 rL Z 3
Contact Person: -J y K ll, Phone Number: ��6/ 2 t,,
Cell Phone: Fax: 7-30 2. 7 — 4 3 t 3E-mail: l 7;Z,., Zl,^&2
A,--CC
Address: City: 4' State: Zip Code: pg�
Plumbing Contractor: lVe b✓ GG�e- r '�hone Number:
Address: / 2 Z-6 Al £' 7-1/Oz 5 i7— City: leKiuv�"Delf State: " Zip Code:
Contractor's License Number: /1,P a-)GoC,4 ?9 0 L Expiration: .r�
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulation of the State of Washington.
Applic-a4sSighature Date
J L
Print Applicants Name
RECEIVED
1
JAN 14 2013
COA PERMIT CENTER
B ,6 ,?D13000g
BLD20130009 (PT-LIVE) - PermitTr�ax by Bitco Software Page 1 of 1
BUILDING PERMI PERMIT#: BLD20130009
\ OWNER: SACRA, RANDLE W STATUS: APPLIED
`�► ADDRESS: 18609 BALMORAL DR,ARLINGTON BALANCE: $0.00
�1 ISSUED: CREATED: 1/15/2013
SCREENS: Select Screen... l=l FUNCTIONS: Select Permit Function...
RESIDENTIAL-RESIDENTIAL-ALTERATION
REVIEWS PRINT ADD NEW SUMMARY
COMME... ID DESCRIPTION ASSIGNED.. DUE DA... LAST (#) REQ? DON... ASSIGN REMOVE
2000 C-Building I CYOUNG 1/18/20... 0 Y N
2008 C-Community Developme... ARUSKO 1/18/20., 0 Y N
https://coapermits.arlington.local/PermitTrax/Module_Permits/Permits_Permit/Permit_Reviews.as... 1/15/2013
RESIDENTIAL PLJMBING
PERMIT APPLICATION
Department of Ccmmunity Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418
CROSS CONNECTION SURVEY FORM
Forward to Utilities Division for Review
Type of Residence: ❑ Single-Family ❑ Duplex ❑ Other
The Rules and Regulations of the State of Washington Department of Health require that certain premises install
backflow prevention assemblies (WAC 246.290.490). Backflow prevention assemblies shall be installed at any
premise where, in the judgment of the City of Arlington Cross Control Specialist, the nature of activities on the
premises may pose a hazard to the public water system.
Type of Permit: ® New Residential ® Addition/Alteration
Project Description:
Project Address: Parcel ID#:
Owner: Phone Number:
Address City: State: Zip Code:
Contact Person: Phone Number:
Ce!I Phone: Fax: E-mail:
Address: City: State: Zip Code
Appliances permanently connected to water service may require
Cross-Connection-Control (check all that apply)
Fire Sprinkler System ❑ Medical Equipment
Lawn Sprinkler System [_] Livestock Drinking Tanks
❑ Decorative Pond/Fountain ❑ Private Well
❑ Hot Tub ❑ Re-circulating Heating System
❑ Swimming Pool ❑ Other
Authorized Signature: Date:
For Office Use Only
Date Received Survey Received By:
Assembly Required: ❑ DCVA ❑ RPBA ❑ AVB ❑ Other
Inspection Required: YES NO [-]
3
Contractors or Tradespeople Printer Friendly Page Page 1 of 1
General/Specialty Contractor
A business registered as a construction contractor with LEtI to perform construction work within the scope of
its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name NEW CONCEPTS PLBG Et MECH UBI No. 603108872
Phone 2069481617 Status Active
Address 1726 Ne 24Th Street License No. NEWCOCP89OLZ
Suite/Apt. License Type Construction Contractor
City Renton Effective Date 6/9/2011
State WA Expiration Date 6/9/2013
Zip 98056 Suspend Date
County King Specialty 1 Plumbing
Business Type Individual Specialty 2 Unused
Parent Company
Business Owner Information
Name Role Effective Date Expiration Date
IMORELLI, FRANCIS JOHN jOwner 06/09/2011
Bond Information
Bond Bond Company Name Bond Account NumberjEffective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date
1 ISta
to Farm Fire Et Cas 98BMUl107 06/07/2011 Until Cancelled $6,000.00 06/09/2011
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance Company Name Policy N umberl Effective DatelExpiration Date Cancel Date Impaired Datel Amount Received Date
2 State Farm Fire 98bgk4581 06/01/2012 06/01/2013 $1,000,000.00 04/30/2012
Et Cas Co
1 IState Farm Fire 98BPD6194 06/01/2011 06/01/2012 $1,000,000.00 06/09/2011
Et Cas Co
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
Infractions/Citations Information No records found for the previous 6 year period
https:Hfortress.wa.gov/lni/bbip/Print.aspx 1/15/2013
City of Arlington
238 N Olympic
Arlington, WA 98223
Out of City License Application — Businesses Located Outside Arlington
Business Name V •* ��.••a� �,�
Business Location 17 Z ,6 AI -5-- z -1 ii 2 S✓ ,�s Ile C�
Business Phone 4 �� 9 q 1�
Mailing Address L e AeAs.V GL•W, Gyi 9 �05
State UBI No. '®- z-7 S 7 V Email: -Cs/c,X v AAA g
Business Owner's Name 1) U 0A-7 klh
Professional/Contractor License Number lvf'4e" C o c% 8%D L L
(Any other licenses required by the State of Washington)
Nature of Business f�L y,r.� // 4 IV
Emergency Contact
Emergency Contact
Applicant Signature Date
Print Name J V 4 A• /✓Z a A 4 L� f
Title O w
Fee: $20 annual fee. Licenses are valid for 1 year from date of issue.
Out Of City Business License Application 03/15/2010