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Home My WebLink About19713 51st Dr Ne_BLD2618_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 4D PHONE; (360)403-3551 BUILDING PERMIT Address:19713-1/2 51 st Dr NE Permit#:2618 Parcel M 00426400005000 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:MATTHEWS CELINDA Name:Celinda Matthews Name:Dudley's Heating and Air Conditioning Address:PO BOX 219 Address:19713 51st Dr NE Address: 16821 Smokey Point Blvd City,State Zip:SILVANA,WA 98287 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-890-8779 Phone:425-322-8077 LIC: EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Dudley's Heating and Air Conditioning Name: Address: 16821 Smokey Point Blvd Address: City,State,Zip:Arlington,WA 98223 City,State,Zip: Phone:425-322-8077 Phone: LIC#:DUDLE**932N7 EXP: 09/28/2019 LIC#: EXP: JOB DESCRIPTION - PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 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. 1BC110/IRC110. 'ALES TAX-NO 1 'E• relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and cod i'City of- in a 1. 6/17/2019 rLQ,d Signature Print Name Date Rel ,ed By Date CONDITIONS Pipe shall be pressurized at 15-20 lbs (psi) for minimum 2 hours. Adhere to approved appliances. Call for inspections. 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 6/17/2019 Gas Outlets Base Fee 1 to 5 $10.00 6/17/2019 Mechanical Fee (Enter Fixture Fee) $100.00 6/17/2019 Mechanical Permit Base Fee $25.00 6/17/2019 Processing/Technology Fee $25.00 Total Due: $160.00 Total Payment: $0.00 Balance Due: $160.00 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 � � � �' � - .� � �� .: I ' t I Permit Information Date 6/17/2019 Permit Number 2618 Project Name Matthews Gas Line Install 2 Applicant Name Celinda Matthews Applicant Address 19713 51st Dr NE City,State,Zip Arlington,WA 98223 Contact Celinda Matthews Phone 425-890-8779 Email wapikwan60@gmaii.com Permit Type Residential Mechanical Site Address 19713-1/2 51st Dr NE Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Residential Mechanical Number of Stories 0 Proposed Use Install gaslines and 4 appliances MIC/Opportunity Zone Assigned To Raelynn Jones Property Parcel Address Legal Owner Owner Phone Zoning 00426400005000 119713 51ST DR NE MATTHEWS CELINDA 122 Two Family Residence(Duplex) Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Dudley's Heating and Air Conditioning David Dudlev Q5-322-8077 I "ONTRACTOR OUDLE"'932W Fees Fee Description Notes Amount Gas Outlets Base Fee 1 to 5 322.10.00.00 $10.00 Mechanical Fee Enter Fixture Fee) 322.10.00.00 4 $25 ea. $100.00 Mechanical Permit Base Fee 322.10.00.00 $25.00 Processina/Technolo v Fee 341.43.00.02 $25.00 Total $160.00 Uploaded Files Upload File Date File Uploaded B 6/17/2019 4:55:56 PM IZ618 Application and Specs.pdf Jones,Raelynn x RLSIDENTIAL MECHANICAL o e 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: —�—� - S/ ` AAFANY Project Description:�� lit Owner: ,�!!,� q C� • /yATT�/��S . --- - Address: tate: ir Zip Code:;V Phone: —�� [�.. ��T� Email: Applicant: .—�it — Address: L� City: State: Zip Code.- Phone: Email: CONTRACTOR INFORMATION Contractor Name: to r Address:�_�i� ,•sd�r �`/�� ity: K —--fir / rr�✓_`Lr' 1 State._�_/ , Zip Code: Z,3 License Number:_ 1_ 3vW-7 Expiration: Phone: y�2,�'�._3 STAFF USE ON Y Received Permit #: b 2U(gj Accepted by DateJ 1 $ 2019 6/16LP Page 1 of 2 .. ► i t - _ _ i ■`_ �'i 11 _ 1 _ i � � - i _ i i .� 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 [ Fire Place Insert [ ' Outdoor BBQ c fof Co c yd;00-a� 9136L )�O K Gas Piping Solid-Fuel Appliance I!C( Other,6�`d_r_5 5 t8G oqd Gas Piping Information Not Applicable: U Pipe Material: � � er3rz Pipe Size: / it Distance from Meter to Furthest Appliance: S"p Total BTU's of all Appliances: 116,0,C>00 • 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: IL Date: Applicant Printed Name: 67t7iN�>A 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 f �1 A t f \ 1:0 , I �r �� :- ., � I THE FASTEST WAY TO REGISTER IS WITH YOUR SMARTPHONE, JUST FOLLOW THE TWO STEPS BELOW. LE PLUS RAPIDE WAY POUR VOUS INSCRIRE EST AVEC VOTRE SMARTPHONE, IL SUFFIT DE SUIVRE LES DEUX STAPES DESSOUS. Take a photo of the camera icon to the right including the points(0) 0 �� i Prenez une photo de I'icone de I'appareil photo ci-dessus,y compris les points de contr3le Model N o: -- FGGF3036TWE K Send it in via text, Facebook Messenger or go Online Envoyez-le via le texte,Facebook Messenger ou aller en ligne � ® Text photo ® Facebook Messenger ® Online at Serial No: to 91097(US Only) @Photoregister www.frigidaire.photo VF90800256 Photo texte Facebook Messenger Ligne 0- V F 9 0 8 0 0 2 5 6 -O A 91097(US Only) @Photoregister www.frigidaire.photo OR REGISTER BY MAIL OR ONLINE AT FRIGIDAIRE.COM OR FRIGIDAIRE.CA OU VOUS INSCRIRE PAR LA POSTE OU LIGNE A FRIGIDAIRE.COM OU FRIGIDAIRE.CA First Name, Pr@nom Last Name/Nom de tamllle Address Aadresse ---- _- _ State/Provin . �� I Tankless Rinnai R53 Residential Dimensions 9" D x 14"W x 24" H 8" D x 14"W x 22" H Weight 49 Ibs 34 Ibs Maximum/Minimum Gas Rate (Input BTU's) 180,000/15,000 Hot Water Capacity Range 0.6 to 5.3 GPM 0.6 to 5.3 GPM Maximum Hot Water Capacity(35"F Rise)5.3 GPM 5.3 GPM Maximum Hot Water Capacity(50°F Rise) 5.3 GPM 4.8 GPM Temperature Range With Remote Key Pads Connected MC-100V-1, MC-91-1, BC-100V and MC-502RC: 98°-1400 F I I I' c � FPX 32 ®VS Artisan Face Charcoal:98500507 Patina Bronze: 95300398 AFUE 72%NG,73%LP HEATING CAPACITY 1,200-2,250 Square Feet BTU RANGE 23,000-43,000 OUTSIDE AIR Standard EFFICIENCY 79%NG.00%LP ROOMFAN Standard FLUE SIZE 6-5/6 STANDING PILOT Works When Power is Out FUEL gas SIZE Large WEIGHT 250 Pounds N I 1 AP OMMMA KWitflk • - _ 7 r, ate. ;��. .�• ■ 1W J6 - - L 1 r %bpi No jr 'I • � 1 1 L - moor 1 ■■ ■ . 1 7 i1 1 ■•' T rl 7 1 1 - • 1 - ■ r --mmm 7 ' - 7 ■ ■ � No - ' - 1 F ' ALi rl • , . — Nit 1 ' - , . - , No ' 1 : . F No . r • • . r - � ' ME mI 1 . . . IN V , No ME IN .� MENIN 0 MEt.• No M. 0 search L&I • ' Safety&Health 0 Claims&Insurance 0 Workplace Rights 0 Trades&Licensing 8 Washington State Department of " Labor & Industries DUDLEY'S Owner or tradesperson 16821 SMOKEY PT BLVD#812 Principals ARLINGTON,WA 98223 DUDLEY,DAVID DUANE,OWNER 425-322-8077 Doing business as SNOHOMISH County DUDLEY'S WA UBI No. Business type 602 061 158 Individual Certifications & Endorsements OMWBE Certifications Apprentice Training Agent License Verify the contractor's active registration/license!certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties Heating/Vent/Air-Conditioning and Refrig (HVAC/R) License no. DUDLE"932N7 Effective—expiration 08/2712007—09/28/2019 Bond WESTERN SURETY CO $6,000.00 Bond account no. 70345426 Received by L&I Effective date 08/27/2007 08/10/2007 Expiration date Until Canceled Insurance Ohio Cas Ins Co $1,000,000.00 Policy no. BLO53687425 Received by L&I Effective date 09/1212018 10/12/2017 Expiration date 10/12/2019 Insurance history HelSavings a us improve No savings accounts during the previous 6 year period. _ .�: h � f 1 ` I I f Lawsuits against the bond or savings _ No lawsuits against the bond or savings accc ring 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 Infraction no. EJONM01199 Satisfied Issue date RCW/WAC 05/15/2014 19.28.041 RCW Violation city Violation amount Arlington $500.00 Type of violation ELECTRICAL CITATION Description Offering to perform,submitting a bid for, advertising,installing or maintaining cables, conductors or equipment that convey or utilize electrical current without having a valid electrical contractor license. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts L&I Account ID Account is current. 997,725-01 Doing business as DUDLEY'S Estimated workers reported Quarter 1 of Year 2019"1 to 3 Workers" L&I account contact T4/SYDNEY RAVES(360)9024659-Email:RAVS235@lni.wa.gov Track this contractor e Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training-1.Effective July 1,2019 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. - \cccsa Help.us W ti1`axhingtarr° improve 1 7 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY APPROVED PERMIT#: 4�p� ` `V LOT#: DATE: :S JOB ADDRESS: C; '�! _> y✓, I`% 1 ' { i TYPE OF INSPECTION: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK: MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION: $50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 Cl CALL FOR REINSPECTION THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY, FOR INSPECTION CALL: 360-403-3417 INSP.Ct'OR DATE -BUILDING DEPT. f O PLANNING DEPT. CITY OF ARLINGTON }1. CV - RESIDENTIAL MECHANICAL w w PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223 • Phone(360) 403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address: �`�?�� w- Project Description: lf _ Owner: Address.- /�`7� — .S� ` ,D , 7State: A�/iT Zip Code:C4 Phone: do.� Email: / Applicant: Address: �.__ C City: State: Zip Code: Phone: Email: CONTRACTOR INFORMATION Contractor Name: s Address:/(�sx S,�sd�J t�`/� ity: " �' �_ 04-4- Stater Zip Code: �3 License Number: ��U_& n02/V7 Expiration: Phone:— �.�'".— SCJ�'7 - Email:- *&W-404%,20 h �j,,,t,y4l F,c*r STAFF USE ON Y Received Permit #:a,b SU 16 Accepted by, DateJUN 1$ 2019 6/16LP Page 1 of 2 a 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 it AFUE [) Heat Pump Model # AFUE HSPE AC Unit Model #_ SEER Freestanding Stove Fire Place Insert IN Outdoor BBQ elof ao a &n�� ydf 9 13 6L 1�C)K. Gas Piping ❑ Solid-Fuel Appliance 10 Other s L 8ve�0od Gas Piping Information Not Applicable: n Pipe Material: 1i4� Two^ Pipe Size: I « Distance from Meter to Furthest Appliance: s"p Total BTU's of all Appliances: ( �C=0 • 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:1Z __,_ Applicant Printed Name: 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 \ I ; I r-- r-- n n THE FASTEST WAY TO REGISTER IS WITH YOUR SMARTPHONE; JUST FOLLOW THE TWO STEPS BELOW. LE PLUS RAPIDS WAY POUR VOUS INSCRIRE EST AVEC VOTRE SMARTPHONE,IL SUFFIT DE SUIVRE LES DEUX STAPES DESSOUS. Take a photo of the camera icon to the right including the points(0) 0 ^ Prenez une photo de I'ic6ne de I'apparell photo ci-dessus,y compris ies points de contr6le Model No: Send it in via text, Facebook Messenger or go Online FGGF3036TWE = G Envoyez-le via le texte,Facebook Messenger ou aller en ligne ® Text photo ® Facebook Messenger Online at Serial No: to 91097(US Only) @Photoregister www.frigidaire.photo VF90800256 10 Photo texte Facebook Messenger Ligne O- VF90800256 -O a 91097(US Only) @Photoregister www.frigidaire.photo OR REGISTER BY MAIL OR ONLINE AT FRIGIDAIRE.COM OR FRIGIDAIRE.CA OU VOUS INSCRIRE PAR LA POSTE OU LIGNE A FRIGIDAIRE.COM OU FRIGIDAIRE.CA First Name/Prenom Last NBme/Nom de famille Address :.oclresse a State!Province Zip Code'CP Tankless Rinnai R53 Residential Dimensions 9" D x 14" W x 24" H 8" D x 14" W x 22" H Weight 49 Ibs 34 Ibs Maximum/Minimum Gas Rate (Input BTU's) 180,000/15,000 Hot Water Capacity Range 0.6 to 5.3 GPM 0.6 to 5.3 GPM Maximum Hot Water Capacity(35°F Rise) 5.3 GPM 5.3 GPM Maximum Hot Water Capacity(50°F Rise) 5.3 GPM 4.8 GPM Temperature Range With Remote Key Pads Connected MC-100V-1, MC-91-1, BC-100V and MC-502RC: 98°- 140° F C�7 FPX 32 ®VS Artisan Face Charcoal: 98500507 Patina Bronze: 95300398 AFUE ^ 72%NG,73%LP HEATING CAPACITY 1,200-2,250 Square Feet BTU RANGE 23,000-43,000 OUTSIDE AIR Standard EFFICIENCY 79%NG,60%LP ROOMFAN Standard FLUE SIZE 6-5/6 STANDING PILOT Works When Power is Out FUEL gas SIZE Large I WEIGHT 250 Pounds ` 1 - r a 4 jkp AL ..it ram• _JY.-. _ i.1. - KKK^^^ '.. W � ///�� ' _ mi a u—,Iva y } CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:19713-1/2 51st Dr NE Permit#:2618 Parcel#:00426400005000 Valuation:0.00 OWNER MW APPLICANT * CONTRACTOR Name:MATTHEWS CELINDA Name:Celinda Matthews Name:Dudley's Heating and Air Conditioning Address:PO BOX 219 Address:19713 51 st Dr NE Address: 16821 Smokey Point Blvd City,State Zip:SILVANA,WA 98287 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-890-8779 Phone:425-322-8077 LIC: EXP: MECHANICAL CONTRACTOR = PLUMBING CONTRACTOR Name:Dudley's Heating and Air Conditioning Name: Address: 16821 Smokey Point Blvd Address: City,State,Zip:Arlington,WA 98223 City,State,Zip: Phone:425-322-8077 Phone: LIC#:DUDLE**932N7 EXP: 09/28/2019 LIC#: EXP: JOB DESCRIPTION V PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 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 Arlington must be reported on your sales tax return form and coded City of Arlington#3101. ,d- 6/17/2019 Signature Print Name Date Rel sed By Date gr CONDITIONS Pipe shall be pressurized at 15-20 lbs (psi) for minimum 2 hours. Adhere to approved appliances. Call for inspections. 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. IV PERMIT FEES Date Description Fee Amount 6/17/2019 Gas Outlets Base Fee 1 to 5 $10.00 6/17/2019 Mechanical Fee(Enter Fixture Fee) $100.00 6/17/2019 Mechanical Permit Base Fee $25.00 6/17/2019 Processing/Technology Fee $25.00 Total Due: $160.00 Total Payment: $0.00 Balance Due: $160.00 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:19713-1/2 51st Dr NE Permit#:2618 Parcel#:00426400005000 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:MATTHEWS CELINDA Name:Celinda Matthews Name:Dudley's Heating and Air Conditioning Address:PO BOX 219 Address:19713 51st Dr NE Address:16821 Smokey Point Blvd City,State Zip:SILVANA,WA 98287 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-890-8779 Phone:425-322-8077 LIC: EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Dudley's Heating and Air Conditioning Name: Address: 16821 Smokey Point Blvd Address: City,State,Zip:Arlington,WA 98223 City,State,Zip: Phone:425-322-8077 Phone: LIC#:DUDLE**932N7 EXP: 09/28/2019 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 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/IRC110. SALES TA&NOTICE:,�ales to relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and cod d'City of- li n913 1. 6/17/2019 Signature Print Name Date RcI66ed By Date CONDITIONS Pipe shall be pressurized at 15-20 lbs (psi) for minimum 2 hours. Adhere to approved appliances. Call for inspections. 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 6/17/2019 Gas Outlets Base Fee 1 to 5 $10.00 6/17/2019 Mechanical Fee(Enter Fixture Fee) $100.00 6/17/2019 Mechanical Permit Base Fee $25.00 6/17/2019 Processing/Technology Fee $25.00 Total Due: $160.00 Total Payment: $0.00 Balance Due: $160.00 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 Permit#: 2618 Permit Date: 06/17/19 Permit Type: RESIDENTIAL MECHANICAL Project Name: Matthews Gas Line Install 2 Applicant Name: Celinda Matthews Applicant Address: 19713 51 st Dr NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Celinda Matthews Phone: 425-890-8779 Email: wapikwan60@gmail.com Scope of Work: Install gaslines and 4 appliances Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 06/20/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00426400005000 19713 51 ST DR NE MATTHEWS 122 Two Family CELINDA Residence(Duplex) Contractors Contractor Primary Contact Phone Address Contractor Type License License# Dudley's Heating and Air David Dudley 425-322-8077 16821 Smokey CONSTRUCTION DUDLE**932N7 Conditioning Point Blvd CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status C10. AM 08/14/2019 MECHANICAL Gas Lines/Appliances 08/14/2019 BUILDING Completed ROUGH-IN Duplex Fees Fee Description Notes Amount Gas Piping/Units Enter#of units $10.00 Mechanical Fee(Enter Fixture Fee) 4 @$25 ea. $100.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Credit Card Service $4.80 Total $164.80 Attached Letters Date Letter Description 06/17/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 06/17/2019 Celinda Matthews 75797394 iTransact CC $160.00 06/17/2019 75797394 CC Surcharge Raelynn Jones $4.80 Outstanding Balance $0.00 Uploaded Files Date File Name O1/15/2020 6113714-2618 8-14-19IC.pdf 06/20/2019 5227230-2618 Signed Permit.pdf 06/17/2019 5209173-2618 Application and Specs.pdf