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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