HomeMy WebLinkAbout20220 Old Burn Rd_BLD2899_2026 CITY OF ARLINGTON
238 N. OLYMPIC AVE- ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:20220 Old Burn Rd Permit 4:2899
Parcel 4:3 105 1400102000 Valuation: 00
OWNER APPLICANT CONTRACTOR
Name:ELLIOTT DONNA L i ELLIOTT SHAWN 1. Name:[Company Name] Name,Fast Water Heater Company
Address:20220 OLD BURN RD Address:[Company Addressl Address: 11715 North Creek Parkway South,Ste C-
106
City,State Zip:ARLINGTON,WA 98223-5904 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011
Phone: Phone:425-636-7084 Phone:(425)636-7084 Ext.
LIC: EXP:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Fast Water Heater Company
Address: Address: 11715 North Creek Parkway South,Ste C-106
City,State,Zip: City,Slate,Zip:Bothell,WA 98011
Phone: Phone:425-636-7084
LIC 4: E:XP: LIC 4:FASTWWH94SBC EXP:0 t/04/2022
JOB DESCRIPTION i
PERMITTYPE: 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 AUTl IORIZED THEREBY,
NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHING CON RN AT1NG TO WORKMEN'S
COMPENSATION INSURANCE.AND RCW 1827
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. BCI l0/IRCI I0.
Soles t s elating tow struc ton and construction materials in the City of Arli igtou must be reported on your sales tax return Corm
d odcd('it ol'Arh ton43 UI
\ 11/15/2019
rtl Print Name Ualc cicascd Date
CONDITIONS
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,L-TC-)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
11116/2019 Plumbing Permit Base Fee $25.00
11/16/2019 Process ing/Technology Fee $25.00
11/16/2019 Water Heater $25.00
Total Due: %75.II0
Total Payment: $0.00
Balance Due: $75.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
PermitNumber Type of Inspection being requested,and whether you prefer morning or afternoon
I
:�
I
i
I ,
Permit#: 2899
Permit Date: 11/15/19
Project Name: Elliott
Site Address: 20220 Old Burn Rd
Company/Applicant Name: Fast Water Heater
Company/Applicant Address: 11715 N. Creek Pkwy. S. #C 106
City, State, Zip: Bothell, WA 98011
Contact:
Phone: 425-636-7084
Email: permits@fastwaterheater.com
Permit Type: Residential Plumbing
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Type of Construction:
Occupancy Type:
Proposed Use: Remove/Replace gas water heater
MIC/Opportunity Zone:
Permit Issued:
Permit Expires:
DNU:
Status: PENDING PAYMENT
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
ELLIOTT DONNA I I I Single Family
31051400102000 20220 OLD BURN RD L/ELLIOTT Residence-
SHAWN L Detached
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
Fast Water Heater (425)636-7084 11715 North PLUMBING Labor&
Company Ext. Creek Parkway CONTRACTOR Industries FASTWWH948BC
South,Ste C-106
Fees
Fee Description Notes Amount
Plumbing Permit Base Fee 322.10.00.00 $25.00
i
,;
Processing/Technology Fee 1 341.43.00.02 $25.00
Water Heater 322.10.00.00 $25.00
Total $75.00
Uploaded Files
Date File Name
11/15/2019 5891967-2899 Appli tion.pdf
i� YY
I
RESIDENTIAL PLUMBING
PERMIT APPLICATION
✓�A!`1' O Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington, WA 98223• Phone(360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR
EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL
INFORMATION.
Project Address:20220 OLD BURN RD , ARLINGTON, WA 98223
Project Description:REMOVE/REPLACE GAS WATER HEATER
Owner: ELLIOTF SHAWN L/ANDERSON ELIZABETH NOELL
20220 OLD BURN RD
Address: City:ARLINGTON State:WA Zip Code: 98223
Phone: 2068172576 Email: PERMITS@FASTWATERHEATER.COM
Applicant:FAST WATER HEATER
Address:11715 N CREEK PKWYS C106 City:BOTHELL State:WA Zip Code: 98011
Phone: 4256367084 Email: PERMrFS@FASTWATERHEATER.COM
CONTRACTOR INFORMATION
Contractor Name:FAST WATER HEATER
Address:11715 N CREEK PKWYS C106 City$OTHELL StateWA Zip Code:98011
License Number:WG2Z91464563028 Expiration:1-4-2020
Phone:4256367084 Email:PERMfFS@FASTWATERHEATER.COM
STAFF USE ONL Recelve�a
Permit#: �-�6( Accepted by: Date NOV 14 2019
REV 2015 Page 1 of 2
RESIDENTIAL PLUMBING
PERMIT APPLICATION
IN 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 Water Heater x 1
❑ Hose Bibb (2,5) x
Water Heater Model#
❑ Other (list) x XP50T06
Proposed Water Piping Size: N/A
Proposed Piping Material: N/A
Proposed DWV Material:N/A
Proposed DWV Size: N/A
• All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASS 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV)
• Cross-Connection-Control may be required
Applicant Signature: Date: 11/14/2019
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.
REV 2015 Page 2 of 2
XP50T06
O-,h���o.s�l�o-mmmlol
Labor&Industries(httos:/llni_wa-gov),
Contractors
FAST WATER HEATER COMPANY
Owner or tradesperson 11715 N CREEK PARKWAYS,C-106
Principals BOTHELL,WA 98011
JORDAN,JEFFERY DAVID,PARTNER/MEMBER 425-814-8381
KING County
HANLEYBROWN,
JASON,PARTNER/MEMBER
Doing business as
FAST WATER HEATER COMPANY
WA UBI No. Business type
602 564 544 Limited Liability Company
Parent company Governing persons
FWH ACQUISITION COMPANY LLC JEFFREY
DAVID
JORDAN
JASON HANLEYBROWN;
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.
FASTWWH948BC
Effective—expiration
01/03/2006—01/04/2022
Bond
DEVELOPERS SURETY&INDEM CO $12,000.00
Bond account no
549792C
Received by L&I Effective date
01/03/2006 01/01/2005
Expiration date
Until Canceled
Insurance
American States Insurance Co $1,000,000.00
Policy no.
01C155607670
Received by L&I Effective date
02/15/2019 02/17/2018
Expiration date
02/17/2020
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.
�.
I
:�
z
Op a z 0
3 GG G ~V F z A
� F_ 3 r. Q ❑
a A ¢ z
O V C w O w Ln
A ❑ ��FF a Q o F z w u�, o m a U
ENO m
� �� zz
c cx A oo "' ZQ w o
ate.
�' 'co ] z aka �
CA
U > z w z
o c�
p F ALo z C O p: 0. 1' z z
o ow. o z ow. V)i C-)
❑ ❑ Q. o a H O ❑ ❑ ❑ ❑ ❑ ❑ � � z o
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.20220 OLD BURN RD , ARLINGTON, WA 98223
Project Description.REMOVE/REPLACE GAS WATER HEATER
Owner: ELLIOTT SHAWN L/ANDERSON ELIZABETH NOELL
20220 OLD BURN RD
Address: City:ARLINGTON State:WA Zip Code: 98223
Phone: 2068172576 Email: PERMITS@FASTWATERHEATER.COM
Applicant:FAST WATER HEATER
Address: 11715 N CREEK PKWY S C106 City:BOTHELL State WA Zip Code: 98011
Phone: 4256367084 Email: PERMITS@FASTWATERHEATER.COM
CONTRACTOR INFORMATION
Contractor Name:FAST WATER HEATER
Address: 11715 N CREEK PKWY S C106 City:BOTHELL StateWA Zip Code:98011
License Number.WC2Z91464563028 Expiration.1-4-2020
Phone:4256367084 Email: PERMITS@ FASTWATERH EATER.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 XP50T06
Proposed Water Piping Size: N/A
Proposed Piping Material: N/A
Proposed DWV Material: N/A
Proposed DWV Size: N/A
• 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
kr!
Applicant Signature: d,a, °°3°°neads3da,a° °3 Date: 11/14/2019
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
Address:20220 Old Burn Rd Permit#:2899
Parcel#:31051400102000 Valuation: 00
OWNER APPLICANT CONTRACTOR
Name:ELLIOTT DONNA L/ELLIOTT SHAWN Name:[Company Name] Name:Fast Water Heater Company
L
Address:20220 OLD BURN RD Address:[Company Address] Address: 11715 North Creek Parkway South,Ste C-
106
City,State Zip:ARLINGTON,WA 98223-5904 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011
Phone: Phone:425-636-7084 Phone:(425)636-7084 Ext.
LIC: EXP:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Fast Water Heater Company
Address: Address: 11715 North Creek Parkway South,Ste C-106
City,State,Zip: City,State,Zip:Bothell,WA 98011
Phone: Phone:425-636-7084
LIC#: EXP: LIC#:FASTWWH948BC EXP:01/04/2022
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. IBC I I OARC 110.
SALES TAX NOTICE.•Sales 0011
to co stntctionand construction materials in the City ofArlington must be reported on your sales tax return form
td odedC'it ofArli ton#3
\ cleascd rr,� 11/15/2019
Print Name 4*.P�' Date
CONDITIONS
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
11/16/2019 Plumbing Permit Base Fee $25.00
11/16/2019 Process ing/Technology Fee $25.00
11/16/2019 Water Heater $25.00
Total Due: $75.00
Total Payment: $0 00
Balance Due: $75.00
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
r
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:20220 Old Burn Rd Permit#:2899
Parcel#:31051400102000 Valuation:.00
OWNER APPLICANT CONTRACTOR -
Name:ELLIOTT DONNA L/ELLIOTT SHAWN Name:[Company Name] Name:Fast Water Heater Company
L
Address:20220 OLD BURN RD Address:[Company Address] Address: 11715 North Creek Parkway South,Ste C-
106
City,State Zip:ARLINGTON,WA 98223-5904 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011
Phone: Phone:425-636-7084 Phone:(425)636-7084 Ext.
LIC: EXP:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Fast Water Heater Company
Address: Address: 11715 North Creek Parkway South,Ste C-106
City,State,Zip: City,State,Zip:Bothell,WA 98011
Phone: Phone:425-636-7084
LIC#: EXP: LIC#:FASTWWH948BC EXP:01/04/2022
JOB DESCRIPTION W
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.
rr.¢w, 11/15/2019
Signature Print Name Date 40"
Date
CONDITIONS
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
11/16/2019 Plumbing Permit Base Fee $25.00
11/16/2019 Processing/Technology Fee $25.00
11/16/2019 Water Heater $25.00
Total Due: $75.00
Total Payment: $0.00
Balance Due: $75.00
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#: 2899
Permit Date: 11/15/19
Permit Type: RESIDENTIAL PLUMBING
Project Name: Elliott
Applicant Name: Fast Water Heater
Applicant Address: 11715 N. Creek Pkwy. S. #C 106
Applicant, City, State, Zip: Bothell,WA 98011
Contact:
Phone: 425-636-7084
Email: permits@fastwaterheater.com
Scope of Work: Remove/Replace gas water heater
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 11/18/2019
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Raelynn Jones
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
ELLIOTT DONNA L
31051400102000 20220 OLD BURN RD /ELLIOTT SHAWN Residence
Single Family
sidence-Detached L
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
FAST WATER 11715 N CREEK PLUMBING
HEATER 425.636.7054 PKWY S,Ste CONTRACTOR COA 602 564 544
C106
FAST WATER It715 N CREEK PLUMBING LABOR&
HEATER 425.636.7054 PKWY S,Ste CONTRACTOR INDUSTRIES FASTWWH948BC
C106
Fees
Fee Description Notes Amount
Plumbing Base Permit Fee $25.00
Processing/Technology $25.00
Water Heater(Tank) $25.00
Credit Card Service $2.25
Total $77.25
Attached Letters
Date Letter Description
11/15/2019 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
11/18/2019 AMY TILLMAN 77952351 $75.00
11/18/2019 Amy Tillman CC Surcharge Transaction Kristin Foster $2.25
#77952351
Outstanding Balance $0.00
Notes
Date Note Created By:
11/18/2019 Emailed permit for signature. Kristin Foster
Uploaded Files
Date File Name
O1/02/2020 6047369-2899 11-25-19 IC.pdf
11/18/2019 5895958-2899 Issued Permit.pdf
11/15/2019 5891967-2899 Application.pdf