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Home My WebLink About19401 46th Dr Ne_BLD2998_2026 lot. RESIDENTIAL MECHANICAL �� o? 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:19401 46TH DR NE ARLINGTON, WA 98223 Project Description:Hot Water Heater Replacement "Like for Like" Owner: VALERIY BALYKO Address: 19401 46TH DR NE City:Arlington StateYVA Zip Code: 98223 Phone: 425-345-4585 Email:V.BALYKO@YAHOO.COM Applicant: NW Bathworks, LLC Address:3405 172nd St NE #5-158 City: Arlington State WA Zip Code: 98223 Phone: 425-418-9545 Email: anna.nwbathworks@gmail.com CONTRACTO► Contractor Name:Anna Neal 3405 172nd St NE # - / Address. 5 15i C e; 98223 License Number:NWBATBL855PA Phone:425-418-9545 n 'C' J � i �c STAFF USE O Rece!Ve(}' Permit 1� �� g Accepted by. Date:JAN 2 3 2020 6/16LP Page 1 of 2 i' ■ RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360)403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model # AFUE ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ Hot Water ❑ Gas Piping ❑ Solid-Fuel Appliance 16 OtherNoator Gas Piping Information Not Applicable: Pipe Material: Pipe Size: Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: • 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: 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 1 I I I ` WaLabor sb o;--&Race lup smenl trieof Induss(https://Ini.wa.gov). Contractors NW BATHWORKS LLC Owner or tradesperson 18821 11TH AVE NE Principals ARLINGTON,WA 98223 GAY,JASON BRIAN,PARTNER/MEMBER 425-418-9545 SNOHOMISH County . BESANCON,GREGORY THOMAS,PARTNER/MEMBER BESANCON,BRENT ALLEN,MANAGER Doing business as NW BATHWORKS LLC WA UBI No. Business type 603 537 470 Limited Liability Company Governing persons BRENT A BESANCON GREG BESANCON; JASON BRIAN GAY: License Verify the contractor's active registration/license I certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. NWBATBL855PA Effective—expiration 10/01/2015-10107/2021 Bond Ironshore Indemnity Inc $12,000.00 Bond account no. SUR40015865 Received by L&I Effective date 09/28/2017 09/28/2017 Expiration date Until Canceled Bond history Insurance American Hallmark Ins Co of Te $1,000,000.00 Policy no 44CL610660 Received by L&I Effective date 09/0512019 09/28/2018 Expiration date 09/28/2020 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 , i 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 No license violations during the previous 6 year period. 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. 285,684-01 Doing business as NW BATHWORKS LLC Estimated workers reported Pending current quarter filing L&I account contact T2/LINDA ALGUIRE(360)902-4678-Email:POTH235@lni.wa.gov Fvublic Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 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. Raelynn Jones From: Anna Neal <anna.nwbathworks@gmail.com> Sent: Friday, January 24, 2020 8:35 AM To: Raelynn Jones Subject: Re: 19401 46th Dr NE - Mechanical Permit Applicaiton [NOTICE: This message originated outside the City of Arlington mail system.-- DO NOT CLICK on links or open attachments unless you are sure the content is safe.] I woke last night at 2 AM an realized I submitted the wrong form.... I just sent over the correct form and below is the model number. Item # 962538 Model # G9-T4040NVR A.O. Smith Signature Select 40-Gallon Tall 9-Year Limited Natural Gas Water Heater 55 Ratings 4.6 Average 91%Recommend this product 1 • Smith. �rrOV'1�tbw WAS A N�Y11 1 3 � M •,' v ii R- ', -� �� 1 i�� :� - � - _ �•,�� r. � AM Y A1.M. •w...M h.r�wM.��y ., �Y,Y •.wd�. �1N...h�M��1w..Y.1�w: I.M.1 �.� Mrr. � wlW '• ' 1111.N�.b�.,�..r..• w�l�. rM�N��.W, � Fir�w.r•..Y.w/ i On Thu, Jan 23, 2020 at 4:56 PM Raelynn Janes<riones(c,,,arlingtonwa.gov>wrote: Good Afternoon Anna, Do you have the model number and/or specs on the hot water heater for this one?Please advise. Thank you! Sincerely, Raelynn Jones Permit Technician City of Arlington Community& Economic Development 18204 591h Ave NE Arlington, WA 98223 8 Office: 360-403-3436 www.arlingtonwa.gov I Best regards, Anna Neal NW Bathworks, LLC 425-418-9545 9 I RESIDENTIAL MECHANICAL PERMIT APPLICATION t�N 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: 19401 46TH DR NE ARLINGTON, WA 98223 Project Description:Hot Water Heater Replacement "Llke for Llke" Owner: VALERIY BALYKO Address. 19401 46TH DR NE City. Arlington State.WA Zip Code: 98223 Phone. 425-345-4585 Email:V.BALYKO@YAHOO.COM Applicant: NW Bathworks, LLC Address: 3405 172nd St NE #5-158 City. Arlington State.WA Zip Code: 98223 Phone. 425-418-9545 Email. anna.nwbathworks@gmail.com CONTRACTOR INFORMATION Contractor Name:Anna Neal Address: 3405 172nd St NE #5-158 City: Arlington State.WA Zip Code: 98223 License Number. NWBATBL855PA Expiration: 8/31/20 Phone: 425-418-9545 Email:anna.nwbathworks@gmail.com STAFF USE ONLY Permit #: Accepted by: Date: 6/16LP Page 1 of 2 Y. RESIDENTIAL MECHANICAL PERMIT APPLICATION SING Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model # AFUE ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ Hot Water ❑ Gas Piping ❑ Solid-Fuel Appliance Other uontor Gas Piping Information Not Applicable: Pipe Material: Pipe Size: Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: • 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 LC4 Applicant Signature: tl5a51`3bba4a924ftltlb8"b41`e6 Date: 01/23/2020 Applicant Printed Name: Anna Neal 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:19401 46th Dr NE Permit#:2998 Parcel#:00928200010600 Valuation:.00 OWNER APPLICANT Aff CONTRACTOR Name:BALYKO VALERIY M&TATYANA A Name:[Company Name] Name:NW Bathworks,LLC Address: 19401 46TH DR NE Address:[Company Address] Address: 18821 1lth Ave NE City,State Zip:ARLINGTON,WA 98223-4770 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-418-9545 Phone:425-248-0950 LIC: EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:NW Bathworks,LLC Name: Address: 18821 11th Ave NE Address: City,State,Zip:Arlington,WA 98223 City,State,Zip: Phone:425-248-0950 Phone: LIC#:NW13ATBL855PA EXP: 10/07/2021 LIC#: EXP: JOB DESCRIPTION I g PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/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. 12 2 2 Signature Print Name Date Release y 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 01/24/2020 Mechanical Permit Base Fee $25.00 01/24/2020 Processing/Technology Fee $25.00 01/24/2020 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#: 2998 Permit Date: 01/23/20 Permit Type: RESIDENTIAL MECHANICAL Project Name: Balyko Applicant Name: NW Bathworks Applicant Address: 3405 172nd St NE#5-158 Applicant, City, State, Zip: Arlington,WA 98223 Contact: Anna Neal Phone: 425-418-9545 Email: anna.nwbathworks@gmail.com Scope of Work: Like for like HWT Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00928200010600 19401 46TH DR NE BALYKO VALERIY 111 Single Family M&TATYANAA Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# NW Bathworks,LLC Jason Gay 425-248-0950 18821 1 lth Ave CONSTRUCTION Labor andNWBATBL855PA NE CONTRACTOR Industries 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 O1/23/2020 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount O1/24/2020 Greg Besancon 78729379 $75.00 Outstanding Balance $0.00 Uploaded Files Date File Name O1/23/2020 6151541-2998 Application.pdf