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HomeMy WebLinkAbout20711 63rd Ave Ne_BLD2970_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20711 63rd Ave NE Permit#•2970 Parcel#:00875200006500 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:STIRES NALANI Name:[Company Name] Name:TRI-STATE PLUMBING Address:20711 63RD AVE NE Address:[Company Address] Address: 13420 NE 16TH ST City,State Zip:ARLINGTON,WA 98223-4205 City,State Zip:Anacortes,WA 98221 City,State Zip:BELLEVUE,WA 98005 Phone: Phone:360-420-5753 Phone:206-643-3830 LIC:tricocp838m7 EXP:07/27/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Naive: 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. 1BC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and 24iCtion materials in the City of Arlington must c reported on your sales tax return form and coded o Arlington#3101. JAI) Signature Print Name Date R,case 1 v 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 01/10/2020 Mechanical Permit Base Fee $25.00 01/10/2020 Processing/Technology Fee $25.00 01/10/2020 Water Heater $25.00 Total Due: $75.00 Total Payment: $75.00 Balance Due: $0.00 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 ` � �f t � 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: Project Description: /2tCs� � .� l4 Owner: IV6 LP, 1-J t Address: �& o � a ✓Zip Code: Phone: 6 O 8 � Email: Applicant: f�l_ G / 91v�G� �l� �,L Address: /0-01f 1 L j City: Mate: G. Zip Code: 9 2 Phone: �6 T(� r J Email: CONTRACTOR INFORMATION- Contractor Name: l��� /?-vM41 V' e L Le Address: NO 6401-%' IfC-42.( 61 l___ City: 4K}Ccr -GT_State: 6V Zip Code: License Number: �� 1 �!����`�M Expiration. Phone: �o� l J^ Email STAFF USE O Y Received Permit#: fW Is-it Accepted b : _ t DatelAN 10 2020 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 ill Fire Place Insert ❑ Outdoor BBQ Gas Piping [ Solid-Fuel Appliance Xother Gas Piping Information Not Applicable: EX jPVN4N Pipe Material: Pipe Size: Distance from Meter to Furthest Appliance. Total BTU's of all Appliances: Y J to v d • 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: _ Date: Applicant Printed Name 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 A i COMMERCIAL-GRADE • m RESIDENTIAL GAS WATER HEATERS PROLINE® ATMOSPHERIC VENT COMMERCIAL-GRADE RESIDENTIAL INTELLIGENT CONTROL LOGIC* ENHANCED-FLOW BRASS DRAIN • The internal microprocessor provides VALVE enhanced operating parameters and tighter • Our residential water heaters have a solid (� differentials for precise sensing and faster brass,tamper resistant,enhanced-flow,ball heating response to optimize performance. type,drain valve. • Uses a thermopile to generate the power • Uses a standard female hose fitting that �.:........ needed to operate the electronic gas control allows for fast and easy draining during without requiring an external power source. maintenance. • The electronic gas control incorporates an • Designed for easy operation,this valve LED status indicator that monitors system includes an integral screwdriver slot that operation and service diagnostics. features a 1/4 turn(open/close)radius,which • "Not available on 60,000 BTU input models not only permits full straight-through water (GCRX-50 and GCRX-55). flow but also a quick and positive shut off. GREEN CHOICE®GAS BURNER CODE COMPLIANCE • Patented eco-friendly burner design reduces • Meets UBC,CEC and HUD National Codes. NOx emissions by up to 33%and complies • Meets the thermal efficiency and standby with Low-NOx emission requirements of less loss requirements of the U.S.Department than 40 ng/1. of Energy and current edition of ASHRAE/ i DYNACLEAN' DIFFUSER DIP TUBE IES 90.1. • Complies with the Federal Energy • Reduces lime and sediment buildup and Conservation Standards effective April 16, maximizes hot water output.Made from 2015,in accordance with the Energy Policy long-lasting PEX cross-linked polymer. and Conservation Act,(EPCA),as amended. _ COREGARD'"ANODE ROD HIGH UNIFORM ENERGY FACTOR(UEF) r • Our anode rods have a stainless steel core . Eco-Friendly non-CFC foam insulation, that extends the life of the anode rod allowing superior tank protection far longer external heat traps and specially designed than standard anode rods. combustion chamber combine to produce a high UEF for maximum savings on PUSH-BUTTON PIEZO IGNITOR operating costs. • Makes lighting the pilot fast and easy with CSA CERTIFIED AND ASME RATED T&P • one-hand push-button spark ignition. RELIEF VALVE HEAT TRAP NIPPLES MAXIMUM HYDROSTATIC WORKING • Factory-installed for faster installation. PRESSURE 150 PSI BLUE DIAMOND®GLASS COATING DESIGN-CERTIFIED BY CSA • Provides superior corrosion resistance INTERNATIONAL compared to industry standard glass lining. • Certified at 300 PSI test pressure and 150 PSI working pressure.Listed according to ANSI Z21.10.1-CSA 4.1 standards governing storage tank-type gas water heaters. 6-YEAR LIMITED TANK AND PARTS �FSr•� WARRANTY m • For complete information,consult written c Green Choice- warranty or go to hotwater.com c-ceived ©May 2017 A.0.Smith Corporation.All rights reserved. �A N 1 ® °t(�?�gp 1 of 2 www.hotwater.com 1 800-527-1953 Toll-Free USA I A.0.Smith Corporation 1 500 Tennessee Waltz Parkway I Ashland City,TN 37015 F4�V `�RG47000 ?o � 2q_� 0 CO ' COMMERCIAL-GRADE O m i RESIDENTIAL GAS WATER HEATERS Nominal Rated First BTU BTU Recovery Dimensions in Inches Approx. Model Gallon Storage Hour UEF Input Input 90°F Rise Draft Shippingg Number Capacity Volume Rating Natural Propane Gallon Per A B C D E F 'G .H Hood Weight(Ihs) (Gallons) Gas Gas Hour Tall Models tGCB-30 30 29 69 0.61 35,500 32,000 37 61-1/2 58 16 12-114 8 51-3/4 N/A N/A 3 or 4 123 GCR-30 30 29 69 0.60 35,500 32,000 37 61-1/2 58 18 12-1/4 8 51-3/4 N/A N/A 3 or 4 132 #GCRH-40 40 38 65 0.61 35,500 N/A 38 61-3/4 58-1/4 20 12-1/4 8 52 N/A N/A 3 or 138 tGCB-40 40 38 78 0.65 40,000 36,000 42 61-3/4 58-1/4 18 12-1/4 8 52 N/A N/A 3 or 4 130 GCR-40* 40 38 80 0.66 40,000 36,000 42 61-3/4 58-1/4 20 12-1/4 8 52 14-1/4 51-3/4 3 or 4 138 GCG-50* 50 48 81 0.62 40,000 37,000 41 60-3/4 57-1/4 21 12-114 8 50112 14-1/4 50-1/2 3or4 148 GCR-50* 50 48 84 0.62 40,000 37,000 43 60-3/4 57-1/4 22 12-114 8 50-1/2 14-1/4 50-1/2 3or4 165 GCRT-50* 50 48 89 0.61 50,000 45,000 54 60-3/4 57-1/4 22 12-1/4 8 50-1/2 14-1/4 50-1/2 4 165 tGCRX-50* 50 49 99 0.61 60,000 54,000 65 65-1/2 61 22 13-1/2 8 54-1/4 14-1/4 54-114 4 182 GCRX-55* 55 55 83 0.62 60,000 54,000 65 59-3/4 55-1/4 24 13-12 8 48 1 14-1/4 48 1 4 185 Short Models 11 tGCBL-30 30 28 68 0.58 35,500 32,000 37 50 46-1/2 18 1 12 8 40 N/A N/A 3or4 110 GCRL-30 30 28 66 0.59 35,500 32,000 36 50 46-1/2 20 12 8 40 N/A N/A 3 or 4 118 tGCBL-40 40 38 68 0S7 40,000 36,000 41 51-1/2 48 20 12 8 41-1/4 N/A N/A 3 or 4 134 GCRL-40 40 38 67 0.59 40,000 36,000 41 51-1/2 48 22 12 8 41-1/4 N/A N/A 3 or 4 135 GCRL-50 50 50 81 0.62 40,000 40,000 43 53-1/4 49-3/4 24 13-1/4 8 41-3/8 N/A N/A 3 or 4 177 Recovery capacities based on actual performance tests, Water connection is 3/4"on all models tModels ship with supplied insulation blanket. For 10-year tank and 10-year parts warranty,change"G"to "X"in model number(example:XCR-30). #LP models not available on GCRH-40. For optional side-mounted recirculating taps,add'T'to the suffix(example:GCR-40L). All models approved for installation from sea level to 10,100 ft.elevation. Dimensions and specifications subject to change without notice in accordance with our policy of continuous product improvement. C FLAMMABLE VAPOR IGNITION RESISTANT(FVIR)WATER HEATERS A.0.Smith FVIR design meets the American National Standards Institute standards(ANSIZ21.10.1-CSA 4.1)that deal with the ® accidental or unintended ignition of flammable vapors,such as those emitted by gasoline. j Features a sealed combustion chamber with intake air filter and T&P VALVE— a flame arrestor built into the water heater base.In addition,a thermal cutoff(TCO)device,is designed to shut off gas flow to the burner and pilot if poor combustion is detected. F B A 1/2" GAS H CONNECTION ANODE ROD (OPTIONAL T&P 0 LOCATION) t I HOT D G CONNECTION O(ANODE &P 0 0�MODELS) O N COLD Maximum Hydrostatic Working Pressure: 150 PSI CONNECTION E For technical information call 800-527-1953.A.0.Smith Corporation reserves the right to make product changes or improvements without prior notice. ©May 2017 A.0.Smith Corporation.All rights reserved Page 2 of 2 www.hotwater.com 1 800-527-1953 Toll-Free USA AOSRG47000 RESIDENTIAL MECHANICAL PERMIT APPLICATION IN 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. ram' Project Address: LTI&„ Project Description: �✓ .�(V--M L Owner: lV�L001 �i H�Ak Address: z D 7 (� 3 ifs �5�vst� ��✓Zip Code: Phone: O 0 8 -)S- Email: Applicant: e�av�A�ff► / 9N!!�e1j4V- L Address: /00E� City: State: Zip Code: Phone: V T(� r J '� '� Email: CONTRACTOR INFORMATION Contractor Name: ! 6W�T /y`"d e10"RU7 L L.d Address: N0 9� (__ City: ��Ct�`j' State: &� Zip Code: ov2V License Number: 7-t2 I CnC �� l Expiration: 2--a Zl Phone: �o f^ Email. STAFF USE ONLY Permit#: Accepted by: Date: 6/16LP Page 1 of 2 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20711 63rd Ave NE Permit#•2970 Parcel#:00875200006500 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:STIRES NALANI Name:[Company Name] Name:TRI-STATE PLUMBING Address:20711 63RD AVE NE Address:[Company Address] Address: 13420 NE 16TH ST City,State Zip:ARLINGTON,WA 98223-4205 City,State Zip:Anacortes,WA 98221 City,State Zip:BELLEVUE,WA 98005 Phone: Phone:360-420-5753 Phone:206-643-3830 LIC:tricocp838m7 EXP:07/27/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION J - 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 RC W 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. IBC1I0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and • chon materials in the City of Arlington must c reported on your sales tax return form and coded o Arlington#3101. J Signature Print Name Date 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 01/10/2020 Mechanical Permit Base Fee $25.00 01/10/2020 Processing/Technology Fee $25.00 01/10/2020 Water Heater $25.00 Total Due: $75.00 Total Payment: $75.00 Balance Due: $0.00 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* 'h M t COMMERCIAL-GRADE he) RESIDENTIAL GAS WATER HEATERS PROLINE° ATMOSPHERIC VENT COMMERCIAL-GRADE RESIDENTIAL INTELLIGENT CONTROL LOGIC* ENHANCED-FLOW BRASS DRAIN • The internal microprocessor provides VALVE enhanced operating parameters and tighter • Our residential water heaters have a solid differentials for precise sensing and faster brass,tamper resistant,enhanced-flow,ball heating response to optimize performance. type,drain valve. C-Smith. • Uses a thermopile to generate the power • Uses a standard female hose fitting that needed to operate the electronic gas control allows for fast and easy draining during without requiring an external power source. maintenance. • The electronic gas control incorporates an • Designed for easy operation,this valve LED status indicator that monitors system includes an integral screwdriver slot that operation and service diagnostics. features a 1/4 turn(open/close)radius,which • *Not available on 60,000 BTU input models not only permits full straight-through water (GCRX-50 and GCRX-55). flow but also a quick and positive shut off. GREEN CHOICE®GAS BURNER CODE COMPLIANCE • Patented eco-friendly burner design reduces • Meets UBC,CEC and HUD National Codes. NOx emissions by up to 33%r,and complies • Meets the thermal efficiency and standby with Low-NOx emission requirements of less loss requirements of the U.S.Department than 40 ng/J. of Energy and current edition of ASHRAE/ IES 90.1. DYNACLEANTM DIFFUSER DIP TUBE . Complies with the Federal Energy • Reduces lime and sediment buildup and Conservation Standards effective April 16, maximizes hot water output.Made from 2015,in accordance with the Energy Policy long-lasting PEX cross-linked polymer. and Conservation Act,(EPCA),as amended. COREGARD""ANODE ROD HIGH UNIFORM ENERGY FACTOR(UEF) • Our anode rods have a stainless steel core that extends the life of the anode rod Eco-Friendly non-CFC foam insulation, allowing superior tank protection far longer external heat traps and specially designed than standard anode rods. combustion chamber combine to produce a high UEF for maximum savings on PUSH-BUTTON PIEZO IGNITOR operating costs. • Makes lighting the pilot fast and easy with CSA CERTIFIED AND ASME RATED T&P •- -, one-hand push-button spark ignition. RELIEF VALVE HEAT TRAP NIPPLES MAXIMUM HYDROSTATIC WORKING • Factory-installed for faster installation. PRESSURE 150 PSI BLUE DIAMOND®GLASS COATING DESIGN-CERTIFIED BY CSA • Provides superior corrosion resistance INTERNATIONAL compared to industry standard glass lining. Certified at 300 PSI test pressure and 150 PSI working pressure.Listed according to ANSI Z21.10.1-CSA 4.1 standards governing storage tank-type gas water heaters. 6-YEAR LIMITED TANK AND PARTS QEg�gM1 WARRANTY • For complete information,consult written C" en Greice, FRrIF�F' ® warranty or go to hotwater.com �°w�°ad°°^1P^� c-.e egg ©May 2017 A.0.Smith Corporation.All rights reserved. Page 1 of 2 www.hotwater.com 1 800-527-1953 Toll-Free USA I A.0.Smith Corporation 1 500 Tennessee Waltz Parkway I Ashland City,TN 37015 AOSRG47000 Ce h' COMMERCIAL-GRADE Mithe RESIDENTIAL GAS WATER HEATERS First BTU BTU Recovery Dimensions in Inches Nominal Rated Approx. Model Hour Input Input 90°F Rise Number Gallon Storage Rating UEF Natural Propane Gallon Per A g C D E F *G *H Draft Shipping Capacity Volume(Gallons) Gas Gas Hour Hood Weight(Ibs) Tall Models tGCB-30 30 29 69 0.61 35,500 32,000 37 61-1/2 58 16 12-1/4 8 51-3/4 N/A N/A 3 or 123 GCR-30 30 29 69 0.60 35,500 32,000 37 61-1/2 58 18 12-1/4 8 51-3/4 N/A N/A 3 or 132 #GCRH-40 40 38 65 0.61 35,500 N/A 38 61-3/4 58-1/4 20 12-1/4 8 52 N/A N/A 3or4 138 tGCB-40 40 38 78 0.65 40,000 36,000 42 61-3/4 58-1/4 18 12-1/4 8 52 N/A N/A 3or4 130 GCR-40* 40 38 80 0.66 40,000 36,000 42 61-3/4 58-1/4 20 12-1/4 8 52 14-1/4 51-3/4 3or4 138 GCG-50* 50 48 81 0.62 40,000 37,000 41 60-3/4 57-1/4 21 12-1/4 8 50 1/2 14-1/4 50-1/2 3 or 4 148 GCR-50* 50 48 84 0.62 40,000 37,000 43 60-3/4 57-1/4 22 12-1/4 8 50-1/2 14-1/4 50-1/2 3or4 165 GCRT-50* 50 48 89 0.61 50,000 45,000 54 60-3/4 57-1/4 22 12-1/4 8 50-1/2 14-1/4 50-1/2 4 165 tGCRX-50*I 50 49 99 0.61 60,000 54,000 65 65-1/2 61 22 13-1/2 8 54-1/4 14-1/4 54-1/4 4 182 GCRX-55* 55 55 83 0.62 160,0001 54,000 65 59-3/4 55-1/4 24 13-1/2 8 48 14-1/4 48 4 185 Short Models tGCBL-30 30 28 68 0.58 35,500 32,000 37 50 46-1/2 18 12 8 40 N/A N/A 3 or 4 110 GCRL-30 30 28 66 0.59 35,500 32,000 36 50 46-1/2 20 12 8 40 N/A N/A 3 or 4 118 tGCBL-40 40 38 68 0.57 40,000 36,000 41 51-112 48 20 12 8 41-1/4 N/A N/A 3or4 134 GCRL-40 40 38 67 0.59 40,000 36,000 41 51-112 48 22 12 8 41-1/4 N/A N/A 3or4 135 GCRL-50 1 50 50 81 0.62 40,000 40,000 43 53-1/4 1 49-3/4 24 13-1/4 8 41-3/8 N/A N/A 3 or 4 177 Recovery capacities based on actual performance tests. Water connection is 3/4"on all models tModels ship with supplied insulation blanket. For 10-year tank and 10-year parts warranty,change"G"to "X"in model number(example:XCR-30). *LP models not available on GCRH-40. *For optional side-mounted recirculating taps,add"C to the suffix(example:GCR-40Q. All models approved for installation from sea level to 10,100 ft.elevation. Dimensions and specifications subject to change without notice in accordance with our policy of continuous product improvement. C FLAMMABLE VAPOR IGNITION RESISTANT(FVIR)WATER HEATERS A.0.Smith FVIR design meets the American National Standards Institute standards(ANSIZ21.10.1-CSA 4.1)that deal with the ® accidental or unintended ignition of flammable vapors,such as those emitted by gasoline. Features a sealed combustion chamber with intake air filter and T&P VALVE a flame arrestor built into the water heater base.In addition,a thermal cutoff(TCO)device,is designed to shut off gas flow to the burner and pilot if poor combustion is detected. F B A 1/2" GAS H CONNECTION ANODE ROD (OPTIONAL T&P LOCATION) HOT D G CONNECTION l (ANODE OUTLET 0 O 0 ON T&P MODELS) COLD Maximum Hydrostatic Working Pressure: 150 PSI CONNECTION E For technical information call 1 1-527-1953.A.0.Smith Corporation reserves the right to make product changes or ©May 2017 A.0.Smith Corporation.All rights reserved. Page 2 of 2 www.hotwater.com 1800-527-1953 Toll-Free USA AOSRG47000 Permit#: 2970 Permit Date: 01/10/20 Permit Type: RESIDENTIAL MECHANICAL Project Name: Chung Applicant Name: Tri County Plumbing Applicant Address: 1004 Commercial Applicant, City, State, Zip: Anacortes,WA 98221 Contact: Phone: 360-420-5753 Email: Scope of Work: Like for like water heater Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 01/10/2020 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00875200006500 20711 63RD AVE NE STIRES NALANI 111 Single Family Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License TRI-STATE PLUMBING 206-643-3830 13420 NE 16TH ST CONSTRUCTION CONTRACTOR Fees Fee Description Notes Amount Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Water Heater(Tank) $25.00 Total $75.00 Attached Letters Date Letter Description O1/10/2020 Building Permit O1/10/2020 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount O1/10/2020 Richard Perkins 78570205 $75.00 Outstanding Balance $0.00 Uploaded Files Date File Name O1/10/2020 6085977-2970 Specs.pdf O1/10/2020 6085975-2970 Application.pdf O1/10/2020 6085976-2970 Issued Permit.pdf