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HomeMy WebLinkAbout17909 39th Dr Ne_BLD2694_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 17909 39th Dr NE Permit#:2694 Parcel#:00714500001100 Valuation:0 00 OWNER APPLICANT CONTRACTOR Name:MATTHEWS MICHELLE MARIE KELRICK&JERRY BRETT Name:Nate Kalaf Name:KALAF'S SERVICE&REPAIR Address: 17909 29TH DR NE Address:14431 132nd St NE Address: 14431 132ND ST NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:425-308-7165 Phone:800-901-7245 LIC:KALAFSRIOIDN EXP:02/27/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC# EXP: 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. IBC110/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be i epoilcd on your sales tax return form and coded City Arlin tun 31 I. A F OKAar l `J 7/30/19 Signature Print Name Date IcascJ 11 Date CONDITIONS PIPE SHALL BE PRESSURIZED AT 15-20 LBS (PSI)FOR MINIMUM OF 2 HOURS. ADHERE TO APPROVED APPLIANCE. CALL FOR FINAL INSPECTION. THIS PERMIT AUTHORIZES 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 7/30/2019 Gas Outlets Base Fee 1 to 5 $10.00 7/30/2019 Mechanical Permit Base Fee $25.00• 7/30/2019 Process ing/Technology Fee $25.00 Total Due: $60.00 Total Payment: $0.00 Balance Due: $60.00 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 .. Y RESIDENTIAL MECHANICAL 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: �� F 0 Q_ �q,'"'4 �` �G���7-0 'v Project Description: 67,49 e E TcJ Owner: A41CI ZFL oP4�77.1ccvS Address: / 7 f O cl 2 9 rlv D2 City: tiState: Zip Code:yFz,z 3 Phone: 4-�*ZS- 2 W- P.z V 4 P�zL Email: Applicant: ,q T16F K -L-11 F Address: �sN D ,S'i AJE-City: 4/?-LIA-C94c�/ State: U,4 Zip Code-,PiFvz Phone: VZ4E t?or- 714Lr- (r-,eLe-L Email: CONTRACTOR INFORMATION Contractor Name: L.4/=S' J'L.,Z a Address: f,V4CJ1 3,Z,v D ,C?,AJ E City: 4 2L-j.,o azt-yl/ State: Zk lo- Zip Code: 5' .—Lj License Number: k4 L/fF 5!� /G 1 Pt) Expiration: 9—Ls- X u z-o Phone: 4Crc&-- Email: tklw� P4teC- # a r�7 /� Sa coo o STAFF USE O pi'' Received Permit# jL Accepted by: Ju�D�t� 2Q1� 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 ❑ Fire Place Insert ❑ Outdoor BBQ loll Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: ❑ Pipe Material: << Pipe Size: /V Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: 7e2 K • 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: U Date: '— Applicant Printed Name: ��A � rj -4/4 P, 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 �.`.Y MECHANICAL • PRESSURE PIPING INFORMATION r �ll�GAO Department of Community&Economic Development City of Arlington •.18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: Pressure Drop: o A/ C� G Inlet Pressure: Specific Gravity: Pressure Piping Schematic Show Pipe Size(s) and Length(s)from meter to all appliances. ❑ Scale or Q Not to Scale S 7- 1 � 0>e- dV C 1qo g r_- T/J A-1 NOTE: Any interior pressure regulators must be indicated NOTE: Drip legs/sediment traps are required at all appliances unless integrated in the listed appliance 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. ap lic nts Signature Date Print Applicants Name 6/16LP Page 1 of 1 I Labor Safety&Health o Claims&Insurance c Workplace Rights .d • c Washington State Department of " Labor & Industries KALAF•S SERVICE& REPAIR Owner or tradesperson 14431 132ND ST NE Principals ARLINGTON,WA 98223 KALAF,NATHAN JOHN,OWNER 360-691-7245 Doing business as SNOHOMISH County KALAF'S SERVICE&REPAIR WA UBI No. Business type 601 033 974 Individual Governing persons DORIS JANET KALAF NATHAN J KALAF; 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 APPLIANCES/EQUIPMENT License no. KALAFSR101DN Effective—expiration 03/15/1990—02/27/2021 Bond American Contractors Indem CO $6,000.00 Bond account no. 100385407 Received by L&I Effective date 03/16/2018 03/09/2018 Expiration date Until Canceled Bond history Insurance Ohio Security Ins Co $1,000,000.00 Policy no. BKS56566905 Received by L&I Effective date 02/06/2019 03/15/2015 Expiration date 03/15/2020 Insurance history SavingsHelp us improve No savings accounts during the previous 6 •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 L8d 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. Workers' comp Public Works Requirements Workplace safety and health �W'ashfngtun6 : . us improve NOTICE TO PERMITEE AND/OR OWNER �4,A ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY 7APPROVED PERMIT#: mot_, I LOT#: DATE: < r,. �lr 1 -1 JOB ADDRESS: "1�I� `1 ice(} t TYPE OF INSPECTION: L_OL, �,Ji ❑ 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 THE ACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAY APPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE CABUILID� ING DEPT. o PLANNING DEPT. CITY OF ARLINGTON - N� RESIDENTIAL MECHANICAL PERMIT APPLICATION ail YG�J 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: ® 9 ��' /M t-5- 121-fiti TG_'v Project Description: 7w_ _ 10-0/= Owner: /G'/� 171' A 77-1cu-1S Address: / 7 70 % 9 Tom' b2 City: AAeZ./NL�tiState: Zip Code:Fez -3 Phone. ZIWS' a32_ oZA V 4- PALL Email: Applicant: IV IA T,6F Address: /4e .3/ D ,S'y�iJE-City: 4/zL IA-C94 t/ State: CIAO- Zip Code-Xv7.z 3 Phone: 71 l,Lr- ( e-L Email: CONTRACTOR INFORMATION Contractor Name: L,4/=S' S'L=✓z d cc RjSldAj�R Address: f j �t �,Z,yD .CT.JE City: State: ZeI,Q Zip Code: License Number: �4 L«F 5 g!- /G 1 ,a t/ Expiration: 9—/s- -Z a z.a Phone: Email: "Ca,1,1 v)1� -; l�>�l R4M-fit-. # a o7 !f 5, ao n i/ o0 STAFF USE ONLY Received IL� Permit#: Accepted by: jupttlw 2� 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL ��i 'wul o 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 l Freestanding Stove ❑' Fire Place Insert D Outdoor BBQ ill Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: ❑ Pipe Material: ��c!` /=L�3Sl't rr Pipe Size: 3 Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: 70 (' • 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: 4�4 ql;� Date: 7— Applicant Printed Name:_�'�TG/�� 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 �N'` MECHANICAL • PRESSURE PIPING INFORMATION Department of Community&Economic Development City of Arlington •.18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: 14L4 Sl/..AKW 6 Pressure Drop: Inlet Pressure: dll Specific Gravity- Pressure Piping Schematic Show Pipe Size(s) and Length(s)from meter to all appliances. El Scale or [ Not to Scale 7- ,�r, lv 06zr 7-/4Av C ' Cti't=s r NOTE: Any interior pressure regulators must be indicated NOTE: Drip legs/sediment traps are required at all appliances unless integrated in the listed appliance 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 �ylrez-'� /47-0;r9 `/ p Ap lic is Signature Date 1(JA7-?-= 4<'A 1-44 � Print Applicants Name 6/16LP Page 1 of 1 i CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17909 39th Dr NE Permit#:2694 Parcel#:00714500001100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:MATTHEWS MICHELLE MARIE Name:Nate Kalaf Name:KALAF'S SERVICE&REPAIR KELRICK&JERRY BRETT Address: 17909 29TH DR NE Address:14431 132nd St NE Address: 14431 132ND ST NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:425-308-7165 Phone:800-901-7245 LIC:KALAFSR101DN EXP:02/27/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: 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. IBC 110/IRCI10. 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. � 7/30/19 Signature Print Name Date Peased B Date CONDITIONS PIPE SHALL BE PRESSURIZED AT 15-20 LBS (PSI)FOR MINIMUM OF 2 HOURS. ADHERE TO APPROVED APPLIANCE. CALL FOR FINAL INSPECTION. THIS PERMIT AUTHORIZES 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 7/30/2019 Gas Outlets Base Fee 1 to 5 $10.00 7/30/2019 Mechanical Permit Base Fee $25.00 7/30/2019 Processing/Technology Fee $25.00 Total Due: $60.00 Total Payment: $0.00 Balance Due: $60.00 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: 17909 39th Dr NE Permit 4:2694 Parcel#:00714500001100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:CK&J E R BRETTMICHE LE MARIE Name:Nate Kalaf Name:KALAPS SERVICE&REPAIR KELRICK&JERRY BRETT Address: 17909 29TH DR NE Address:14431 132nd St NE Address: 14431 132ND ST NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:425-308-7165 Phone:800-901-7245 LIC:KALAFSR10lDN EXP:02/27/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: 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. IBC 110/IRC l 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arl inglon must be repoilal on y oui sales tax return form and coded City e Arlin ton I I_ 4� elg,#r F f -/P 7/30/19 Signature Print Name Date vicased Rs Date CONDITIONS PIPE SHALL BE PRESSURIZED AT 15-20 LBS (PSI)FOR MINIMUM OF 2 HOURS. ADHERE TO APPROVED APPLIANCE. CALL FOR FINAL INSPECTION. THIS PERMIT AUTHORIZES 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 7/30/2019 Gas Outlets Base Fee 1 to 5 $10.00 7/30/2019 Mechanical Permit Base Fee $25.00 7/30/2019 Processing/Technology Fee $25.00 Total Due: $60.00 Total Payment: $0 00 Balance Due: $60.00 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#: 2694 Permit Date: 07/30/19 Permit Type: RESIDENTIAL MECHANICAL Project Name: Mathews Applicant Name: Nate Kalaf Applicant Address: 14431 132nd St NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Nate Kalaf Phone: 425-308-7165 Email: Scope of Work: Install gas line extension to range Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/01/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning MATTHEWS 00714500001100 17909 39TH DR NE MICHELLE MARIE I I I Single Family KELRICK&JERRY Residence-Detached BRETT Contractors Contractor Primary Contact Phone Address Contractor Type License License# KALAF'S SERVICE& 800-901-7245 14431 132ND ST CONSTRUCTION Labor d KALAFSR101DN REPAIR NE CONTRACTOR Industri anes Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 08/16/2019 R09.GAS PIPING AM or PM 08/16/2019 BUILDING Completed ROUGH-IN Fees Fee Description Notes Amount Gas Piping/Units Enter#of units $10.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Credit Card Service $1.80 Total $61.80 Attached Letters Date Letter Description 07/30/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/01/2019 Nathan Kalaf 76390649 $60.00 08/01/2019 76390649 CC Surcharge Raelynn Jones $1.80 Outstanding Balance $0.00 Notes Date Note Created By: 07/30/2019 L/M w/applicant for fee information Raelynn Jones 07/30/2019 Applicant does not use email Raelynn Jones Uploaded Files Date File Name 01/15/2020 6113729-2694 8-16-19IC.pdf 08/01/2019 5403336-2694 Signed Permit.pdf 07/30/2019 5389641-2694 Application.pdf