The URL can be used to link to this page

Home My WebLink About20419 LANTERN LN NE_BLD3528_2026 NOTICE V TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY 711,A PPROVED PERMIT# !`� ❑ AM �l PM DATE: 1 _ADDRESS: �'f"'d 1(, 3� ;i�_`r=''d_l i LOT#: PROJECT: V 1 l a TYPE OF INSPECTION: h\,"ry OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK Cl 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 ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR YAT)r / 0 PLANNING Cl CIVIL 71 BUILDING CITY OF ARLINGTON ' • # f - CITY OF ARLINGTON ` 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS:360-403-3417-Permit Center:360-403-3551 BUILDING PERMIT 20419 LANTERN LN NE Permit#:3528 Permit Expiration Date: 05/02/2021 Parcel#: 00746500000500 Valuation: .00 OWNER APPLICANT CONTRACTOR KEESEE JACK JR Washington Energy Services WASHINGTON ENERGY SERVICES 20419 LANTERN LANE 3909 196th Street SW 3909 196th Street SW ARLINGTON,WA 98223 Lynnwood,WA 98036 Lynnwood,WA 98036 206-378-6648 800-398-4663 LIC:WASHIES851NS EXP:09/07/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR WASHINGTON ENERGY SERVICES 3909 196th Street SW Lynnwood,WA 98036 800-398-4663 LIC#: EXP: LIC#: WASHIES85INS EXP: 09/07/2021 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation, guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor. 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. IBCl10/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. KAREN MATHENEY 12/21/20 kvik h T-Wev 11-4-2020 Signature Print Name Date Released By Date CONDITIONS APPROVED AS SUBMITTED.APPROVED JOB COPY SHALL BE ONSITE FOR INSPECTION.CALL FOR 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 11/04/2020 Inspection Fee $75.00 11/04/2020 Processinglrechnology Fee $25.00 11/04/2020 Water Heater $25.00 Total Due: $125.00 Total Payment: $0.00 Balance Due: $125.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections 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#: 3528 Permit Date: 11/03/20 Project Name: Keesee Company/Applicant Name: Washington Energy Services Company/Applicant Address: 3909 196th Street SW City, State, Zip: Lynnwood, WA 98036 Contact: Karen Matheney Phone: 206-378-6648 Email: permits@washingtonenergy.com Permit Type: Residential Plumbing Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Type of Construction: VB Occupancy Type: R-3; Residential Scope of Work: Replace HWT MIC/Opportunity Zone: Permit Issued: Permit Expires: 05/02/2021 DNU: Status: PENDING PAYMENT Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 120 SINGLE 00746500000500 20419 LANTERN LN NE KEESEE JACK JR FAMILY RESIDENCE Contractors Contractor Primary Contact Phone Address Contractor Type License License# WASHINGTON Vaness Stephenson 800-398-4663 3909 196th Street CONTRACTOR Labor& WASHIES85INS ENERGY SERVICES SW Industries Fees Fee Description Notes Amount Inspection Fee $75.00 Processing/Technology Fee $25.00 Water Heater Tank or Tankless $25.00 Total $125.00 Foots Dwe Note Created By; 11/03/2020 Emailed for the cut sheet to verify EF. Kristin Foster Uploaded Files Date File Name 11/04/2020 7643609-3528 ARnlication,Rdf 11/04/2020 7643610-3528 Cut Sheet.liff i RESIDENTIAL PLUMBING APPLICATION • Community&Economic Development City of Arlington• 18204 59th Ave NE•Arlington,WA 98223• Phone (360)403-3551 This application is for new,repaired,altered or replaced plumbing installation for existing residences. Please fill out all pages of this application and include all information. The City of Arlington does not require a permit to stop leaks or clear stoppages,unless the piping is repaired,altered or replaced. Type of Permit: ❑ New Installation Addition/Alteration/Repair Property Address: 20419 Lantern Ln Project Valuation: 1900 Lot#: Parcel ID No.: 00746500000500 preferred Contact: ❑Owner ®Contractor Project Description: 20419 Lantern Ln Owner Name: JACK KEESEE Home No.: 360-435-2753 jkeesee3lo@gmaii.com Email Address: Cell No.: 360-435-2753 Mailing Address: 20419 Lantern Ln City: ARLINGTON State: WA Zip: 98223 Contractor Name: WASHINGTON ENERGY SERVICES Office No.: 206-378-6648 PERM ITS @ WAS H I N GTO N E N E RGY.0 OM Email Address: Cell No.: 206-378-6648 Mailing Address: 3909 196TH ST S W City: LYN N WOOD State: WA Zip: 98036 L&I Contractor License Number: WAS H I E S 851 N S Expiration Date: 9/7/21 • 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 Proposed Interior Water Piping Size: ❑ 1/2 ❑5/8" ❑ 3/4 ❑ 1" ❑CPVC ❑ Brass ❑ PEX-AL-PEX Proposed Interior Piping Material: ❑ Copper ❑ PEX ❑ Galvanized Steel ❑ Other Proposed Exterior Water Piping Size: ❑ 1A" ❑s/8" ❑ 3/" 711 ❑ 11/2 ❑ 2" ❑PVC ❑ Copper ❑ PEX-AL-PEX ❑PEX-AL-PE Proposed Exterior Piping Material: ❑PE ❑ PEX ❑ Other Proposed Drain-Waste-Vent(DWV) ❑ Schedule 40 ABS DWV ❑ Copper ❑ Galvanized Steel ❑ Cast Iron Material: ❑ Schedule 40 PVC DWV ❑ Brass ❑ Other Proposed Drain-Waste-Vent(DWV) ❑ 1/2" ❑ s/9" ❑ 3/" ❑ 1" ❑ 11/2" ❑ 2" ❑ 3" ❑4" Piping Size: REV2.2020 ot2 l PLUMBING PERMIT FEES(per fixture Type of Fixture No.of Fixtures Cost er Fixture Subtotal _ Additional Plan Review fees x $75.00 = 0 Alteration/repair piping x $15.00 = 0 Backflow Assembly x $25.00 = 0 Base Plumbing Fee $25.00 $25.00 Bath Shower Combo x $15.00 = 0 Building Main Waste x $25.00 0 Clothes Washer x $15.00 = 0 Dishwasher x $15.00 = 0 Drinking Fountain x $15.00 = 0 Floor Drains x $15.00 = 0 Grease Interceptor x $75.00 = 0 Grease Trap x $25.00 = 0 Hose Bibb x $15.00 = 0 Icemaker Refri erator x $15.00 = 0 Irrigation-per meter x $25.00 - 0 Kitchen Sink&Disposal x $ 15.00 = 0 Laundry Tray x $15.00 = 0 Lavatory x $15.00 0 Med Gas Pi in <- 5 inlets outlets x $60.00 = 0 Med Gas Piping> 5 inlets/outlets(plus:5 5 x $5.00 = 0 inlets outlets Miscellaneous-regulated by plumbing x $15.00 = 0 code,not otherwise specified Pretreatment Interceptor x $15.00 = 0 Re-inspection Fee all x $75.00 = 0 Roof Drains x $ 15.00 = 0 Shower(only) x $15.00 = 0 Sink bar,service,etc. x $15.00 = 0 Toilets x $15.00 = 0 Urinal x $15.00 = 0 Vacuum Breakers x $25.00 = 0 Water Heater 1 x $25.00 = 25 Water Heater- Tankless x $25.00 = 0 Pen-nit Fee Inspection Fee $75.00 Processing/Technology Fee $25.00 Total 75.00 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. 1 ..4- �ifrtil[ i� lc��l� KAREN MATHENEY 11/2/20 Signature Print Name / Date :OR STA E USE ONLY 1 PERMIT# ACCEPTED BY: DATE STAMP REV1.2020 Page 2 of L&I regional offices are closed to public visits until further notice. Offices can still help you by phone from 8 a.m.to 5 p.m. weekdays (except state holidays). Use the phone number for your closest regional office (htt[L ;,i,:v;i gov agency/contacti#office4ocations)., or you can call the Office of Information and Assistance at 360-902-5800. 1Yas�ingbn Srnle Depar,i tabor&indusuies(httal://fni.wa.gov). WASHINGTON ENERGY SVCS CO LLC Owner or tradesp_ers_on 3909 196TH STREET SW Principals LYNNWOOD,WA 98036 OLSON,CRAIG E,PARTNER/MEMBER 206-282-4700 SNOHOMISH County a OLSON,VERN A,PARTNER/MEMBER KELLER ROHRBACH LLP,AGENT ■ NG,YUN-KWAN WINNIE,AGENT (End:09/03/2019) Doing business as WASHINGTON ENERGY SVCS CO LLC WA UBI No Business type 603 522 032 Limited Liability Company Governing persons CRAIG E OLSON VERN A OLSON; CRAIG E OLSON; LLC FIRST POINT: License Verify the contractor's active registration/license/certification(depending on trade)and any past violations Construction Contractor Active Meets current requirements. License specialties GENERAL License no. WASHIES851 NS Effective—expiration 09/07/2015—09/07/2021 Bond North American Spec Ins Co $12,000.00 Bond account no 2198899 Received by L&I Effective date 08/10/2015 09/07/2015 Expiration date Until Canceled Insurance Peleus Insurance Company $1,000,000.00 Policy no 103GL0019184-03 Received by L&I Effective date 07/31/2020 08/01/2020 Expiration date 08101/2021 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. 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, PJONV04547 Satisfied Issue date RCW/WAC 11/02/2018 18.106.020 Violation city Violation amount LYNNWOOD $1,000.00 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.TOBIAS DOUGHERTY DISCONNECTING HOT WATER HEATERS WITHOUT CERTIFICATION. Infraction no PPEJP01008 Satisfied Issue date RCW/WAC 08/22/2018 18.106.020 Violation city Violation amount LYNNWOOD $1,000.00 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. PBUJD00664 Satisfied Issue date RCW/WAC 04/12/2017 18.106.020 Violation city Violation amount LYNNWOOD $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 Patrick Michaelson to install a new gas hot water heater. Infraction no. PBUJD00665 Satisfied Issue date RCW/WAC 04/12/2017 18.106.020 Violation city Violation amount LYNNWOOD $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 endorsemei as required.Contractor employed Mario Valencia to install a new gas hot water heater. Infraction no. PZETDO0865 Satisfied Issue date RCW/WAC 05/06/2016 18.106.020 Violation city Violation amount LYNNWOOD $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.Danny H Padilla Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor &Industry to verify if this business has apprentices. Workers' Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 224,000-17 Doing business as WENERGY LLC Estimated workers reported Quarter 3 of Year 2020"Greater than 100 Workers" L&I account contact T4/BRIANA NAVARRETE(360)902-6266-Email:NAVB235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective JuI 1,2019 Needs to complete training. 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 & Health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. i�il r I` Residential Gas ' ..�""... Water professional Classic Atmospheric Water Heaters The new degree of comfort' Professional Classic®Atmospheric gas water heaters are engineered for more hot water at a low operating cost Efficiency Altitude Certification • .58- .66 UEF •All models certified up to 5,999 feet •More hot water at a low operating cost above sea level,some certified up to 10.000 feet.Consult factory for Performance specifications •FHR:51 -87 gallons Plus... Installed Valve on Select Models •Recovery:30.3 to 40.4 GPH at a Easy to light—no matches required 90'F rise, depending on model IF •EverKleenr"patented system fights Guardian System-&Sensor sediment build-up •Exclusive air/fuel shut-off device •Exclusive Rheemglas°tank lining •Maintenance free—no filter to clean resists corrosion and prolongs tank life •Protective control system that e Enhanced flow brass drain valve disables the heater in the presence of •Temperature and pressure relief valve flammable vapor accumulation included •Factory installed temperature and pressure relief valve on select models • Low lead compliant Combustion Shut-off System Flame Artestor Plate •Standard replacement parts Warranty La •6-Year limited tank and parts warranty' Maintenance Free e With ProtectionPlus°the 6-year limited tank warranty becomes 10-year Professional Classic Low Emissions "See Residential Warranty Certificate for Atmospheric •Eco-friendly burner, low NOx design complete information 29, 30, 40 and •Meets 40 ng/J NOx requirements Units meet or exceed ANSI requirements and have 50-Gallon Capacities been tested according to D.O.E,procedures.Units U t0 40,000 BTU/h Longer Life meet or exceed the energy efficiency requirements {� •Premium grade anode rod provides of NAECA,ASHRAE standard 90,ICC Code and all Natural and LP Gas long-lasting tank protection state energy efficiency performance criteria. I LEE.Point=1 Received NOV 0 4 202D See specifications chart on back. INTEGRATED HOME .- PRINTED IN U.S.A.04/20 WP FORM NO.PROG RH N COMBO Rev.1 Residential Gas Water Professional Classic Atmospheric Water Heaters The new degree of comfort' Professional Classic®Atmospheric Specifications DESCRIPTION FEATURES ROUGHING IN DIMENSIONS(SHOWN IN INCHES) ENERGY INFO. GASINPUT RECOVERY UEF HT.TO T IN THOUS IN G.P.H. FIRST HR. HEIGHT HT.70 WATER SIOE WATER UNIFORM Y NOMINAL RATED BTU/H 90'F RISE DEL.G.P.H. TO TANKF GAS VENT CONN. T&P CONK. SHIP ENERGY P GALLON GALLON MODEL - - - VENT HEIGHTCONK SIZE CENTER VALVE SIZE WE FACTOR E CAPACITY CAPACITY NUMBER r32 T. LP NAL LP NATA B D E F G H (LBS) IUEFl Tall 29 28 PROG29-32N RH63 - 32.3 - 63 - 59-3/4 56-7/8 16-1/2 14-1/4 3or4 8 50-3/4 3/4 110 0.60 Tall 29 28 PROG29-30P RH63 30 - 30.3 - 63 59-3/4 56-7/8 16-1/2 14-1/4 3 or 4 8 50-3/4 3/4 110 0.60 Tall 40 38 PROG40-36N RH62i 36 - 36.4 - 1 64 - 61-1/2 58-1/2 19 14-1/4 3or4 8 52-1/4 3/4 127 0.58 Tall 40 38 PROG40-38N RH62i 38 - 38.4 - 64 - 61-1/2 58-1/2 19 14-1/4 3 or 4 8 52-1/4 3/4 127 0.58 Tall 40 38 PROG40-40N RH62i 40 - 40.4 - 64 - 63-1/4 60 19-1/2 14 3 or 4 8 53-1/2 3/4 135 0.66 Tall 40 38 PROG40-36P RH621 - 36 - 36.3 - 84 63-1/4 60 1 19-1/2 14 3 or4 8 53-1/2 3/4 135 0.66 Tap 40 38 PROG40-32P RH62' - 32 - 32.3 - 67 61-1/2 58-1/2 18-1/2 14-1/4 3 or4 B 52-1/4 3/4 125 0.59 Tall 50 48 PROG50 40N RH62i 40 40.4 76 62 1/2 50 1/4 21 1/2 14 1/2 3 or4 a 52-1/2 3/4 165 0.65 Tall 50 48 PROG50-36P RH62i - 36 - 36.4 - 76 62-1/2 59-1/4 21-1/2 14-1/2 3 or4 8 52-1/2 3/4 165 0.65 Tall 50 48 PROG50-38N RH60i 38 1 - 38.4 - 85 - 61-1/4 58-3/8 20-1/2 14-1/4 3 or4 8 51-3/8 3/4 150 0.64 Tap 50 48 PROG50-36P RH60i 36 1 - 36.4 - 85 61-1/4 58-3/8 20-1/2 14-1/4 3or4 8 51-3/8 3/4 150 0.64 Short 30 29 PROG30S-30N RH63 30 1 - 30.3 - 51 49-7/8 47 19-3/4 14-1/4 3 or 4 8 40-3/8 3/4 112 0.60 Short 40 3B PROG40S-40N RH62i 40 - 40.4 - 66 - 53-7/8 50-1/2 23 14-1/2 3 6 44 3/4 135 0.58 Short 40 38 PROG40S-36P RH62i - 36 - 36.4 - 66 53-7/8 50-1/2 23 14-1/2 3 8 44 3/4 135 0.58 Short 40 39 PROG40S-38N RH62i 36 - 38.4 - 65 - 53-1/4 50-1/4 21-3/8 14-1/4 3 or 4 8 44 3/4 125 0.58 Short 40 39 PRO04OS-35P RH62' - 35 - 35.4 - 65 53-1/4 50-1/4 21-3/8 14-1/4 3 or 4 8 44 3/4 125 0.58 Short 50 48 PROG50S-40N RH611 40 - 40.4 - 87 - 54-1/4 51-1/8 23-3/4 14-1/4 3 or 4 8 44 3/4 106 0.63 Short L__2L_L 48 PROG50S-36PRH61i - 36 - 36.4 - 87 54-1/4 51-1/8 23-3/4 14-1/4 3or4 8 44 3/4 186 0.63 Models with Installed Top T&P Valve Tall 40 38 PROG40-38N RH62TT 38 1 - 138.41 - 164 1 - 1 61-1/2 1 58-1/2 1 19 1 14-1/41 3 or 4 1 8 1 .. 1 314 1 127 1 0.58 Tall 40 38 PROG40-40N RH62TF 40 - 40.4 - 84 - 63-1/4 60 19-1/2 14 3or4 8 - 1 3/4 1 135 0.66 Tat 50 48 PROG50-40N RH62TT 40 - 40.4 - 76 - 62-1/2 59-1/4 21-1/2 14-1/2 3or4 8 - 3/4 165 0.65 Tat 50 48 PROG50-38N RH60TT 38 1 - 138.4 - 85 61-1/4 58-3/8 20-1/2 14-1/4 3or4 6 - 3/4 150 0.64 Uniform Energy Factor and rated gallon capacity based on Department of Energy(DOE)requirements. FLUE O ANODE ROD FLUE O (ANODE ROD BLEED Point=1 HOT COLD HOT O8.0H WATER WATER COLD CONECTION CONNECTION CONECTION :WATER WATER INSTALLEDNNECTION T&PVALVE �ETOP"A � R N.P.T. _- 1-1/2"ABOVE RELIEF TOP PANTO VALVE CENTER OF OPENING OPENING o -C.-s -C� A B n Q 1/2" 1/2" G IL � D D Top T&P models In keeping with its policy of continuous progress and product improvement,Rheem reserves the right to make changes without notice, l Rheem Water Heating • 1115 North meadow Parkway,Suite 100 Roswell,Georgia 30076 • www.rheem.com 0 INTEGRATED HOME GO PRINTED IN U.S.A.04/20 WP FORM NO.FROG RH N COMBO Rev.1 RESIDENTIAL PLUMBING APPLICATION Community&Economic Development City of Arlington-18204 59th Ave NE•Arlington,WA 98223- Phone(360) 403-35 51 This application is for new,repaired,altered or replaced plumbing installation for existing residences. Please fill out all pages of this application and include all information. The City of Arlington does not require a permit to stop leaks or clear stoppages,unless the piping is repaired,altered or replaced. Type of Permit: ❑ New Installation ® Addition/Alteration/Repair Property Address: 20419 Lantern Ln Project Valuation: 1900 Lot#: Parcel ID No.: 00746500000500 Preferred Contact: ❑Owner 0 Contractor Project Description: 20419 Lantern Ln Owner Name: jACKKEESEE Home No.: 360-435-2753 jkeesee3lO@gmail.com Email Address: Cell No.: 360-435-2753 Mailing Address: 20419 Lantern Ln City: ARLINGTON State: WA Zip: 98223 Contractor Name: WASHINGTON ENERGY SERVICES Office No.: 206-378-6648 Email Address: PERM ITS @ WAS HINGTON EN ERGY.00M Cell No.: 206-378-6648 Mailing Address: 3909 196TH ST S W City: LY N N WOOD State: WA Zip: 98036 L&I Contractor License Number: WAS H I E S 851N S Expiration Date: 9/7/21 • 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 Proposed Interior Water Piping Size: ❑ 1/" ❑ 5/s" ❑ 3/4 ❑ 1" ❑CPVC ❑ Brass ❑ PEX-AL-PEX Proposed Interior Piping Material: ❑ Copper ❑ PEX ❑ Galvanized Steel ❑ Other Proposed Exterior Water Piping Size: ❑ 1/" ❑ 5/s" ❑ 3/" ❑ 1" ❑ 11/z" ❑ 2" ❑PVC ❑ Copper ❑ PEX-AL-PEX ❑PEX-AL-PE Proposed Exterior Piping Material: ❑PE ❑ PEX ❑ Other Proposed Drain-Waste-Vent(DWV) ❑ Schedule 40 ABS DWV ❑ Copper ❑ Galvanized Steel ❑ Cast Iron Material: ❑ Schedule 40 PVC DWV ❑ Brass ❑ Other L roposed Drain-Waste-Vent(DWV) 1/2 ❑ s/$ ❑ 3/ ❑ 1 ❑ 11h" ❑ 2" ❑ 3" ❑4" iping Size: REV2.2020 C iE � jof 2 PLUMBING PERMIT FEES(per fixture Type of Fixture No.of Fixtures Cost per Fixture Subtotal Additional Plan Review fees x $75.00 = 0 Alteration/repair piping x $15.00 0 Backflow Assembly x $25.00 = 0 Base Plumbing Fee $25.00 $25.00 Bath Shower Combo x $ 15.00 - 0 Building Main Waste x $25.00 = 0 Clothes Washer x $15.00 = 0 Dishwasher x $15.00 = 0 Drinking Fountain x $15.00 = 0 Floor Drains x $15.00 = 0 Grease Interceptor x $75.00 0 Grease Trap x $25.00 = 0 Hose Bibb x $ 15.00 = 0 Icemaker Refri erator x $ 15.00 = 0 Irrigation-per meter x $25.00 = 0 Kitchen Sink&Disposal x $ 15.00 = 0 Laundry Tray x $15.00 = 0 Lavatory x $15.00 = 0 Med Gas Piping<_ 5 inlets outlets x $b0.00 - 0 Med Gas Piping> 5 inlets/outlets(plus 15 5 x $5.00 = 0 inlets outlets Miscellaneous-regulated by plumbing x $ 15.00 = 0 code not otherwise specified Pretreatment Interceptor x $15.00 = 0 Re-inspection Fee all x $75.00 = 0 Roof Drains x $ 15.00 = 0 Shower(only) x $15.00 = 0 Sink bar,service,etc. x $15.00 = 0 Toilets x $ 15.00 = 0 Urinal x $15.00 = 0 Vacuum Breakers x $25.00 = 0 Water Heater 1 x $ 25.00 = 25 Water Heater-Tankless x $25.00 = 0 Permit Fee Inspection Fee $75.00 Processing/Technology Fee $25.00 Total 75.00 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. �:t�corJl� P�ii /csrY! KAREN MATHENEY 11/2/20 Signature Print Name Date OR STA-B USE ONLY �j7iLU PERMIT# ACCEPTED BY: DATE STAMP REV1.2020 Page 2 of2 Residential Gas ' Water Professional Classic Atmospheric Water Heaters The new degree of comfort' Professional Classic°Atmospheric gas water heaters are engineered for more hot water at a low operating cost Efficiency Altitude Certification • .58- .66 UEF •All models certified up to 5,999 feet • More hot water at a low operating cost above sea level, some certified up to 10,000 feet. Consult factory for Performance specifications • FHR: 51 -87 gallons NEW! Models' • Recove 30.3 to 40.4 GPH at a ry� Easy to light—no matches required V=ve on Select 90'F rise, depending on model . EverKleen"patented system fights Guardian System`&Sensor sediment build-up • Exclusive air/fuel shut-off device • Exclusive Rheemglas®tank lining • Maintenance free—no filter to clean resists corrosion and prolongs tank life • Protective control system that • Enhanced flow brass drain valve disables the heater in the presence of •Temperature and pressure relief valve flammable vapor accumulation included • Factory installed temperature and pressure relief valve on select models • Low lead compliant Combustion Shut-off System •..'Flame Arrestor Plate •Standard replacement parts Warranty o •6-Year limited tank and parts warranty" Maintenance Free •With ProtectionPlusO the 6-year limited tank warranty becomes 10-year Professional Classic Low Emissions `See Residential Warranty Certificate for Atmospheric • Eco-friendly burner, low NOx design complete information 29, 30, 40 and • Meets 40 ng/J NOx requirements Units meet or exceed ANSI requirements and have 50-Gallon Capacities been tested according to D.O.E.procedures.Units U to 40 000 BTU/h Longer Life meet or exceed the energy efficiency requirements p • Premium ro anod e de d provides of NAECA,ASHRAE standard 90,ICC Code and all Natural and LP Gas g long-lasting tank protection state energy efficiency performance criteria. *LEED Point=1 See specifications chart on back. INTEGRATED HOME PRINTED IN U.S.A.04/20 WP FORM NO.FROG RH N COMBO Rev.1 Residential Gas ' Water Professional Classic Atmospheric Water Heaters The new degree of comfort° Professional Classic° Atmospheric Specifications DESCRIPTION FEATURES ROUGHING IN DIMENSIONS(SHOWN IN INCHES) ENERGY INFO. GASINPUT RECOVERY UEF HT.TO T IN THOUS. IN G.P.H. FIRST HR. HEIGHT HT.TO WATER SIDE WATER UNIFORM Y NOMINAL RATED BTU/H 900 F RISE DEL.G.P.H. TO TANK GAS VENT CONN. T&P CONN. SHIP ENERGY P GALLON GALLON MODEL VENT HEIGHT DIAM. CONN. SIZE CENTER VALVE SIZE WE FACTOR E CAPACITY CAPACITY NUMBER NAT. LP NAT. LP NAT. LP A B C D E F G H ILES) (UEF) Tall 29 28 PROG29-32N RH63 32 - 32.3 - 63 - 59-3/4 56-7/8 16-1/2 14-1/4 3 or 4 8 50-3/4 3/4 110 0.60 Tall 29 28 PROG29-30P RH63 - 30 - 30.3 - 63 59-3/4 56-7/8 16-1/2 14-1/4 3 or4 8 50-3/4 3/4 110 0.60 Tall 40 38 PROG40-36N RH62i 36 - 36.4 - 64 - 61-1/2 58-1/2 19 14-1/4 3 or4 8 52-1/4 3/4 127 0.58 Tall 40 38 PROG40-38NRH621 38 - 38.4 - 64 - 1 61-1/2 1 58-1/2 19 14-1/4 3or4 8 1 52-1/4 1 3/4 127 1 0.58 Tall 40 38 PROG40-40NRH62t 40 - 40A - 84 - 63-1/4 60 19-1/2 14 3or4 8 53-1/2 3/4 135 0.66 Tall 40 38 PROG40-36PRH62t - 36 - 36.3 - 84 63-1/4 60 19-1/2 14 3or4 8 53-1/2 3/4 135 0.66 Tall 40 38 PROG40-32PRH62t - 32 - 32.3 - 67 61-1/2 58-1/2 18-1/2 14-1/4 3or4 8 52-1/4 3/4 125 0.59 Tall 50 48 PROG50-40NRH62t 40 - 40.4 - 76 - 62-1/2 59-1/4 21-1/2 14-1/2 3or4 8 52-1/2 3/4 165 0.65 Tall 50 48 PROG50-36PRH62i - 36 - 36.4 - 76 62-1/2 59-1/4 21-1/2 14-1/2 3or4 8 52-1/2 3/4 165 0.65 Tall 50 48 PROG50-38N RH60t 38 - 38.4 - 85 - 61-1/4 58-3/8 20-1/2 14-1/4 3 or4 8 51-3/8 3/4 150 0.64 Tall 50 48 PROG50-36PRH601 - 36 - 36.4 - 85 61-1/4 58-3/8 20-1/2 14-1/4 3or4 8 51-3/8 3/4 150 0.64 Short 30 29 PROG30S-30N RH63 30 - 30.3 - 51 - 49-7/8 47 19-3/4 14-1/4 3 or 4 8 40-3/8 3/4 112 0.60 Short 40 38 PROG40S-40N RH62i 40 - 40.4 - 66 - 53-7/8 50-1/2 23 14-1/2 3 8 44 3/4 135 0.58 Short 40 38 PROG40S-36P RH62i - 36 - 36.4 - 66 53-7/8 50-1/2 23 14-1/2 3 8 44 3/4 135 0.58 Short 40 39 PROG40S-38N RH62i 38 - 38.4 - 65 - 53-1/4 50-1/4 21-3/8 14-1/4 3 or4 8 44 3/4 125 0.58 Short 40 39 PROG40S-35PRH62t - 35 - 35.4 - 65 53-1/4 50-1/4 21-3/8 14-1/4 3or4 8 44 3/4 125 0.58 Short 50 48 PROG50S-401NRH61f 40 - 40.4 - 87 - 54-1/4 51-1/8 23-3/4 14-1/4 3or4 8 44 3/4 186 0.63 Short 50 48 PROG50S-36PRH611 - 36 - 36.4 - 87 54-1/4 51-1/8 23-3/4 14-1/4 3or4 8 44 3/4 186 0.63 Models with Installed Top T&P Valve Tall 40 38 PROG40-38NRH62TT 38 1 - 138.4 1 - 64 1 - 1 61-1/2 58-1/2 19 14-1/4 3or4 8 - 3/4 127 0.58 Tall 40 38 PROG40-40NRH62TT 40 - 40.4 L- 76 - 63-1/4 60 19-1/2 14 3or4 8 - 3/4 135 0.66 Tall 50 48 PROG50-40NRH62TT 40 - 40.4 - 62-1/2 59-1/4 21-1/2 14-1/2 3or4 8 - 3/4 165 0.65 Tall 50 48 PROG50-38NRH60TF 38 - 38.4 - 61-1/4 58-3/8 20-1/2 14-1/4 3or4 8 - 3/4 150 0.64 Uniform Energy Factor and rated gallon capacity based on Department of Energy(DOE)requirements. 19 FLUE O ANODEROD FLUE O ANODEROD iLEED Point H COLD HOT H WATER HOT WATER COLD CONNECTION WATER CONNECTION CON ECTION ; WATER CONNECTION INSTALLED F T&P VALVE F ICI EI�I it Eli �T TOP"A 3R N.P.T. -_ 1-1/2"ABOVE i i RELIEF TOP PAN TO VALVE CENTER OF OPENING OPENING 0 C C� A B A B 1/2" 1/2" G f f D D Top T&P models In keeping with its policy of continuous progress and product improvement,Rheem reserves the right to make changes without notice. Rheem Water Heating • 1115 Northmeadow Parkway,Suite 100 Roswell,Georgia 30076 • www.rheem.com --a INTEGRATED HOME COMFORT PRINTED IN U.S.A.04/20 WP FORM NO.FROG PH N COMBO Rev.1 NOTICE V TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ❑ APPROVED PERMIT#: - t, i L';'` ❑ AM Q"PM DATE:i", OB ADDRESS: �� I I�i i t_ _l i LOT#: PROJECT: TYPE OF INSPECTION: (OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ 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 %GrziC i i THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR ' AT M PLANNING 0 CIVIL 71 BUILDING CITY OF ARLINGTON y � CITY OF ARLINGTON Dw 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 —BUILDING PERMIT 20419 LANTERN LN NE Permit#:3528 Permit Expiration Date:05/02/2021 Parcel#: 00746500000500 Valuation: .00 OWNER APPLICANT CONTRACTOR - KEESEE JACK JR Washington Energy Services WASHINGTON ENERGY SERVICES 20419 LANTERN LANE 3909 196th Street SW 3909 196th Street SW ARLINGTON,WA 98223 Lynnwood,WA 98036 Lynnwood,WA 98036 206-378-6648 800-398-4663 LIC:WAS14IES851NS EXP:09/07/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR 1 WASHINGTON ENERGY SERVICES 3909 196th Street SW Lynnwood,WA 98036 800-398-4663 LIC#: EXP: LIC#: WASHIES85INS EXP: 09/07/2021 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: RERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation, guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor. 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. KAREN MATHENEY 12/21/20 krdtlh 7�Jtet- 11-4-2020 Signature Print Name Datc Released By Date — CONDITIONS APPROVED AS SUBMITTED.APPROVED JOB COPY SHALL BE ONSITE FOR INSPECTION. CALL FOR 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. ERMIT FEES Date Description Fee Amount 11/04/2020 Inspection Fee $75.00 11/04/2020 Processing/Technology Fee $25.00 11/04/2020 Water Heater $25.00 Total Due: $125.00 Total Payment: $0.00 Balance Due: $125.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections 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 Dw 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 —BUILDING PERMIT 20419 LANTERN LN NE Permit#:3528 Permit Expiration Date:05/02/2021 Parcel#: 00746500000500 Valuation: .00 OWNER APPLICANT CONTRACTOR - KEESEE JACK JR Washington Energy Services WASHINGTON ENERGY SERVICES 20419 LANTERN LANE 3909 196th Street SW 3909 196th Street SW ARLINGTON,WA 98223 Lynnwood,WA 98036 Lynnwood,WA 98036 206-378-6648 800-398-4663 LIC:WAS14IES851NS EXP:09/07/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR 1 WASHINGTON ENERGY SERVICES 3909 196th Street SW Lynnwood,WA 98036 800-398-4663 LIC#: EXP: LIC#: WASHIES85INS EXP: 09/07/2021 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: RERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation, guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor. 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. OlStih 7�Jte- 11-4-2020 Signature Print Name Date Released By Date . CONDITIONS APPROVED AS SUBMITTED.APPROVED JOB COPY SHALL BE ONSITE FOR INSPECTION. CALL FOR 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. ERMIT FEES Date Description Fee Amount 11/04/2020 Inspection Fee $75.00 11/04/2020 Processing/Technology Fee $25.00 11/04/2020 Water Heater $25.00 Total Due: $125.00 Total Payment: $0.00 Balance Due: $125.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections 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#: 3528 Permit Date: 11/03/20 Permit Type: RESIDENTIAL PLUMBING Project Name: Keesee Applicant Name: Washington Energy Services Applicant Address: 3909 196th Street SW Applicant, City, State, Zip: Lynnwood, WA 98036 Contact: Karen Matheney Phone: 206-378-6648 Email: permits@washingtonenergy.com Scope of Work: Replace HWT Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: VB Occupancy Group: R-3; Residential ID Code: Permit Issued: 12/22/2020 Permit Expires: 06/20/2021 Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 120 SINGLE 00746500000500 20419 LANTERN LN NE KEESEE JACK JR FAMILY RESIDENCE Contractors Contractor Primary Contact Phone Address Contractor Type License License# WASHINGTON Karen Matheney 2063786648 3909 196th Street CONSTRUCTION COA 603 522 032 ENERGY SERVICES SW CONTRACTOR WASHINGTON Karen Matheney 2063786648 3909 196th Street CONSTRUCTION Labor&WASHIES85INS ENERGY SERVICES SW CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 12/23/2020 R00.WATER 12/23/2020 12/23/2020 BUILDING Approved HEATER FINAL Fees Fee Description Notes Amount Inspection $75.00 Processing/Technology $25.00 Water Heater(Tank) $25.00 Credit Card Service $3.75 Total $128.75 Attached Letters Date Letter Description 11/04/2020 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 12/21/2020 CRAIG OLSON 84052232 $125.00 12/21/2020 Craig Olson CC Surcharge Transaction $3.75 84052232 Outstanding Balance $0.00 Notes Date Note Created By: 11/03/2020 Emailed for the cut sheet to verify EF. Kristin Foster Uploaded Files Date File Name 12/23/2020 7887337-3528 Issued Permit.pdf 11/04/2020 7643609-3528 Application.pdf 11/04/2020 7643610-3528 Cut Sheet.pdf