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HomeMy WebLinkAbout7805 Jensen Farm Ln Unit G4_BLD2662_2026 CITY OF ARLINGTON 23`l \ oj.!,M Pl( \VF -ARL f\()FON `IkA 98223 0 Fit ION 1—13607 40--3 5 5 1. BUILDING PERMIT -'SI)4 lon3en Farm I Anl OWNER APPLICANT CONTRACTOR ,"'mt, 0i I NALI-AlilF f I,—, "UnLn- t, Sw, oll I Nk Phu", MECHANICAL CONTRACTOR PLUMBING CONTRACTOR ,At ti 0 JOB DESCRIPTION ?'.R\iI Pr 2nlli Fi; it I(, rRi)l p I c, ;,xD PERMIT APPROVAL f,W\s:R!1-10»_ N"D 1; 'AORIN, 11 TNORVI 0 174FRFH) Al 1 x1p,(1) 1. !N (f fl 11. (4'f k4 '!I[ A olds , aK t I P! 1 SIR itsLti j QpR( RA" o- all! It I t.- q 7!1 1;2";19 5 CONDITIONS �7-7-7 )N,777-77, j-()j,final uutIccUDn ":l. I 'WiU, jfA PERMIT FEES Date Description Fee Amo mt Par7nit i2E JC 525 ic i i o a M { m 2 3 ( ƒ ) M J i ƒ -4 ' ° ; § 3 ° � o ( ` 0 » C- m i m n - ( § C 2 M m ■ ■ o i , . ■ & « ■ , ■ 2 f ; ■ 2 ; ■ _ � I o z \ E o ca E | E % L 3 E } g o ; ; M E m B £ ■ B ; 2 & § ; § 2 ■ $ Im 7 C ƒ - \ 0 cr / f 0 U \ \ \ w f E ƒ ° « E ƒ ) ƒ a � o g C i a o \ 2 E \ \ w 0 ) i § p a \ Q g © CD ( { 2 \ / Cn\ cn \ } , ] E � m 2 ] / 1 4 w E th CD CD 2 m E 2 o b - \ 3 z 0 o m I � ■ » / m \ � � 0 ■ 2 / ■ \ @ f / \ cn » / 7 0 ] f f c m v � n O O O1 (D 7 a -D (D C N (a co a J O _ T � o N N CT O to J N W W D D m N N N N C D (n o 10 N O 01 O f)� (On < v D n o is 0 J Er a a T m rn Q rn o =r 0 CD A J fD 0 E Q C (n (D O (n O- C S.S J N � � C DN _r = 7 (D O W N O 0) p 2 � N � < CDm 'fD CD CDd 0 0 0 0 v m U) (D (D 0 n �n p O m chi 0 0 0 m m n 0 J J N A N O O NON Z7 � 666 W O O O 66O O O Q 0CL O (D 0. Z 0o o CX < CD N 7 N (D (D cn Ol co cn O Ic > � r p oc � m -n J O CDT v :It }( w Ea 4NiNN�( r7 x Sh 511 Ln C-n O O O 0 5 0 0 0 RESIDENTIAL PLUMBING PERMIT APPLICATION ING 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:7805 Jensen Farm Lane G4 Project Description:replacement of natural gas water heater Owner: Cathy Olson Address:7805 Jensen Farm Lane G4 City-Arlington State:WA Zip Code: 98223 Phone: 425 350-2166 Email: absoluteplumbing247@yahoo.com Applicant:JO Absolute Plumbing Address:PO Box 1445 City:Mount Vernon State:WA Zip Code: 98273 Phone: 3606106141 Email: absoluteplumbing247@yahoo.com CONTRACTOR INFORMATION Contractor Neme:Absolute Plumbing Address:PO Box 1445 City�Mount Vernon StateWA Zip Code:98273 License Number:ABSOLP*8720D Expi ratio n:09/08/2019 Phone:3606106141 Email:absoluteplumbing247@yahoo.com STAFF USE O Y Received Permit#: Accepted by: Date �u�019 REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION f��oNG 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 Chi Sink (1.5) x ❑ Shower (2,0) x Lavatory (1.0) x ❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x ❑ Dishwasher (1.5) x C ;' Water Heater x 1 ❑ Hose Bibb (2.5) x Water Heater Model# Other (list) x G9-T4040NVR Proposed Water Piping Size:0 Proposed Piping Material: 0 Proposed DWV Material:0__—_ Proposed DWV Size:0 • 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: 07/09/2019 1 hereby certify 4hat 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. REV 2015 Page 2 of 2 INSTALLER COPY INSTALLATION SERVICES CUSTOMER CONTRACT-PLUMB-WATER HEATER ONLY LOWE'S OF SMOKEY POINT WA STORE#61 STORE PHONE (360)653-7405 3300 169TH PLACE NE SALESPERSON:THOMAS GILMAN RLINGTON WA 98223-8418 SALESPERSON i0:2566842 Document Print Date 07/05/2019 Thls cs ony a Ouote for the merchandise and Services printed below This Decorces an agreement upon payment and issuance of a Lowe's fceipt,upon which the enure agree- ment,including the specifically completed pages Of this document the Terms and Conditions included with this document,the applicable other addenda or attachments hereto shall be eferred to herein as this"Contract Pp pomon(s)et Lowe's receipt,and any P ea READ THIS ENTIRr nrx�i iuc�r��..y�ptN_�F,.�.�M�NO CONOfTiONS"BEFQ � Lowe's Raglstratlon or Contractor License Number/Lowa's Contractor Nama Customer Name S CATHY OLSON Home Phone Customer Addresz 425-360-2166 7805 JENSEN FARM LN,UNIT G4 Other Phone L Gry p ARLINGTON State Province Zip J Postal Code WA98223 Installation Address T 7805 JENSEN FARM LN UNIT G4 O Installation Cary �r15faUut,on Slate/P rhVlhce - -- y ARLINGTON nstallation'ipMpostal Code - WA 98223 MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 13931 CSSD44R-24 XL STK 1120D CONN 1/2MIP S+ X1/2MIP X24: 1/20D CONN 1/2MIP S+X1/2MIP X24:BRASSCRAFT CORPORATION-QTY 1 826513,STK:5YR EPP WATER HEATER :5YR EPP WATER HEATER-QTY 1 962538 G9-T4040NVR:STK AO SMITH 40-GAL 9YR NG TALL LNX AO SMITH 40-GAL 9YR NG TALL LNX AMERICAN WATER HEATER CO INC- QTY 1 963318:LET2:STK: EXPANSION TANK 2-GAL(160680):EXPANSION TANK 2-GAL(160680):.A O SMITH WATER SYSTEMS-QTY 1 1288488:QFC-7524Z STK:24-IN CS STEEL 3/4-IN FIP(-758112:24-IN CS STEEL 3/4-IN FIP(-758112:RELIANCE WORLDWIDE CORP-QTY 2 Materials Price S 730.8 Store 61 Project No 587154664 for CATHY OLSON Page 1 of 4 Received JUL 09 2019 1 Labor • Safety&Health o Claims&Insurance WorkplaceRightsc Trades&Licensing c Washington State Department of Labor & Industries ABSOLUTE PLUMBING Owner or tradesperson P O BOX 1445 Principals MOUNT VERNON,WA 98273 OLIVER,JEREMY MICHAEL,PRESIDENT 360-610-6141 Doing business as SKAGIT County ABSOLUTE PLUMBING WA UBI No. Business type 603 305 333 Corporation Parent company JO ABSOLUTE PLUMBING INC Certifications& Endorsements License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties PLUMBING License no. ABSOLP"872OD Effective—expiration 09/04/2013—09/08/2019 Bond Contractors Bonding&Insurance Co $6,000.00 Bond account no. SH5089 Received by L&I Effective date 09/04/2013 09/03/2013 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9145772 Received by L&I Effective date 11/09/2018 11/05/2018 Expiration date 11/05/2019 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. L81 Tax debts No L81 tax debts are recorded for this contt r license during the previous 6 year period,but sor, jbts may be recorded by other agencies. License Violations Infraction no. PBUJD00703 Satisfied Issue date RCW/WAC 10/19/2017 18.106.020 Violation city Violation amount MOUNT VERNON $500.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.Contractor employed Dustin Rose,an expired plumber trainee Infraction no. PBUJD00704 Satisfied Issue date RCW/WAC 10/19/2017 18.106.020 Violation city Violation amount MOUNT VERNON $500.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.contractor employed Eric Bates, an expired plumber trainee Infraction no. PBUJD00676 Satisfied Issue date RCW/WAC 05/26/2017 18.106.020 Violation city Violation amount MOUNT VERNON $500.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required. Infraction no. PBATI01201 Satisfied Issue date RCW/WAC 04/25/2016 18.106.020 Violation city Violation amount MOUNT VERNON $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.Company had two plumber trainees installing new shower/tub unit when not supervised as required. Help,us improve Infraction no. PBUJD00525 Satisfied Issue date RCW/WAC 05/04/2015 18.106.020 Violation city Violation amount MOUNT VERNON $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.Contractor employed Kristopher Schuhow to install rough plumbing at the listed location. Infraction no. PBATI01033 Satisfied Issue date RCW/WAC 04/15/2014 18.106.020 Violation city Violation amount MOUNT VERNON $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.Contractor employed Matthew Carr to perform gas water heater installation when his plumbing certification was inactive. Workers' comp Public Works Requirements Workplace safety and health Ir�1luhingturr° 0 i it i� 1: I •�5 NOTICE JV i TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY 0 APPROVED PERMIT#: (e C ''L LOT#: DATE: JOB ADDRESS: TYPE OF INSPECTION: i,li c a_ - ❑ 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 ❑ CALL FOR REINSPECTION THEACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR BUILDING DEPT. 0 PLANNING DEPT. CITY OF ARLINGTON . RESIDENTIAL PLUMBING PERMIT APPLICATION ING�� 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. 7805 Jensen Farm Lane G4 Project Description:replacement of natural gas water heater Owner: Cathy Olson 7805 Jensen Farm Lane G4 Address: City-Arlington State:WA Zip Code: 98223 Phone: 425 350-2166 Email. absoluteplumbing247@yahoo.com Applicant:JO Absolute Plumbing Address: PO Box 1445 City.Mount Vernon State:WA Zip Code: 98273 Phone: 3606106141 Email: absoluteplumbing247@yahoo.com CONTRACTOR INFORMATION Contractor Name:Absolute Plumbing Address:PO Box 1445 City:Mount Vernon StateWA Zip Code:98273 License Number:AB50LP*8720D Expiration.09/08/2019 Phone-3606106141 Email.absoluteplumbing247@yahoo.com STAFF USE ONLY Permit #: Accepted by: Date REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION ING�� 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 ❑ Lavatory (1 .0) x ❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x ❑ Dishwasher (1 .5) x Q Water Heater x 1 ❑ Hose Bibb (2.5) x Water Heater Model # ❑ Other (list) x G9-T4040NVR Proposed Water Piping Size: 0 Proposed Piping Material: Proposed DWV Material: 0 Proposed DWV Size: 0 • 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: °af °°3° tl3tl a° °3tl° Date: 07/09/2019 1 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. REV 2015 Page 2 of 2 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT An Address:7805 Jensen Farm Lane Permit#:2662 Parcel#:01024400700400 Valuation:0.00 OWNER APPLICANT CONTRACTOR - Name:OLSON CATHERINE I Name:Absolute Plumbing Name:Absolute Plumbing Address:7805 JENSEN FARM LN UNIT G-4 Address:PO Box 1455 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223-4685 City,State Zip:Marysville,WA 98273 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 Phone:360-610-6141 LIC: EXP: MECHANICAL CONTRACTOR ' PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:PO Box 1455 City,State,Zip: City,State,Zip:Mount Vernon,WA 98273 Phone:WA Phone:360-610-6141 LIC#: EXP: LIC#:ABSOLP*8720D EXP:09/08/2019 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing 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. 7/11/2019 Signature Print Name Date P91eased By Date CONDITIONS Adhere to approved appliance. 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 7/11/2019 Plumbing Permit Base Fee $25.00 7/11/2019 Processing/Technology Fee $25.00 7/11/2019 Water Heater $25.00 Total Due: $75.00 Total Payment: $75.00 Balance Due: $0.00 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 INSTALLER COPY INSTALLATION SERVICES CUSTOMER CONTRACT-PLUMB-WATER HEATER ONLY LOWE'S OF SMOKEY POINT,WA.STORE#61 STORE PHONE(360)653-7405 3300 169TH PLACE NE SALESPERSON.THOMAS GILMAN RLINGTON, WA 98223-8418 SALESPERSOEID 566842 Document Prin07/05/2019 This is only a Quote for the merchandise and services printed below This becomes an agreement upon payment and issuance of a Lowe's receipt,upon which the entire agree- ment, including the specifically completed pages of this document the Terms and Conditions included with this document,the applicable portion(s)of Lowe's receipt,and any other addenda or attachments hereto,shall be referred to herein as this"Contract" PLEASE READ THIS ENTIRE DOCUMENT INCLUDING THE"T SMS AND CONDITIONS BEFORE SIGNING Lowe's Registration or Contractor License Number/Lowe's Contractor Name Customer Name S CATHY OLSON Home Phone Customer Address 425-350-2166 7805 JENSEN FARM LN, UNIT G4 Other Phone L city State i Province p ARLINGTON Zip/Postal Code ton Installa Address WA 98223 T 7805 JENSEN FARM LN UNIT G4 O Installation City Installation State/Province ARLINGTON Installation Zip/Postal Code WA 98223 MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 1 :CSSD44R-24 XL:STK: 1/20D CONN 1/2MIP S+X1/2MIP X24: 1/20D CONN 1/2MIP S+X1/2MIP X24 BRASSCRAFT CORPORATION-QTY 1 826 113:STK:5YR EPP WATER HEATER:5YR EPP WATER HEATER-QTY 1 962538:G9-T4040NVR:STK:AO SMITH 40-GAL 9YR NG TALL LNX:AO SMITH 40-GAL 9YR NG TALL LNX:AMERICAN WATER HEATER CO INC- QTY 1 963318:LET2:STK:EXPANSION TANK 2-GAL(160680):EXPANSION TANK 2-GAL(160680):A.0.SMITH WATER SYSTEMS-OTY 1 1288488:QFC-7524Z:STK:24-IN CS STEEL 3/4-IN FIP(-758112:24-IN CS STEEL 3/4-IN FIP(-758112 RELIANCE WORLDWIDE CORP-QTY 2 Materials Price 5 730.87 Store 61 Project No.587154664 for CATHY OLSON Page 1 of 4 Permit#: 2662 Permit Date: 07/11/19 Permit Type: RESIDENTIAL PLUMBING Project Name: Olson Applicant Name: Absolute Plumbing Applicant Address: PO Box 1455 Applicant, City, State, Zip: Marysville,WA 98273 Contact: Phone: 360-610-6141 Email: absoluteplumbing247@yahoo.com Scope of Work: Replace gas water heater Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 07/11/2019 Permit Expires: Form Permit Type: Status: IN PROCESS Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 143 Single Family 01024400700400 7805 JENSEN FARM LN OLSON Residence UNIT G-4 CATHERINE I Condominium Multiple Contractors Contractor Primary Contact Phone Address Contractor Type License License# Absolute Plumbing Paul Hooley 360-610-6141 PO Box 1445 CONSTRUCTION Labor&Industries ABSOLP*799MB CONTRACTOR Absolute Plumbing Paul Hooley 360-610-6141 PO Box 1445 CONSTRUCTION COA 603 305 333 CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 08/07/2019 R00.WATER AM 08/07/2019 BUILDING Completed HEATER FINAL 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 07/11/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 07/11/2019 Jeremy Oliver 76124382 iTransact CC $75.00 Outstanding Balance $0.00 Uploaded Files Date File Name 01/15/2020 6113720-2662 8-7-19IC.pdf 07/11/2019 5309407-Permit#2662.jpg 07/11/2019 5308555-2662 Application.pdf 07/11/2019 5308556-2662 Specs.pdf CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON.WA.98223 PHONE;(360)403-3551 BUILDING PERMIT Address:7805 Jensen Farm Lane Permit#:2662 Parcel#' 01024400700400 Valuation 000 OWNER APPLICANT CONTRACTOR Name,OLSON CATHERINE I Name.Absolute Plumbing Name:Absolute Plumbing Address:7805 JENSEN FARM LN UNIT G-4 Address:PO Box 1455 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223-4685 City,State Zip Marysville,WA 9S273 City,State Zip:Mount Vemon,WA 98273 Phone Phone.360-610.6141 Phone:360-610.6141 LIC MECHANICAL CONTRACTOR PLUMBING CONTRACTOR EXP Name. Name Absolute Plumbing Address Address.PO Box 1455 City,State.Zip City,State,Zip Mount Vernon,WA 98273 Phone:WA Phone.360.610-6141 LIC a EXP LIC#-ABSOLP•8720D EXP 0%08l2019 JOB DESCRIPTION PERMIT TYPE. Residential Plumbing CODE YEAR 2015 STORIES: CONST TYPE. DWELLING UNITS OCC GROUP BUILDINGS OCC LOAD PERMIT APPROVAL 1 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 WORKMENS 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/IRCI10 SALES TAR NOTICE:Sales tax relating to construction and construction materials m the Ci of Arhngton must be reported on vour sales tas return form and co ed Ciit of Arhngt #31QI- �t9A�icc , 7/11/2019 Signature Pnnt Name Date eased Be' Date CONDITIONS Adhere to approved appliance.Call for final inspection. THIS PERMIT AU7HORIZS 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 7/11/2019 Plumbing Permit Base Fee mount 7/11/2019 ProcessmgfTechnology Fee $25.00