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