HomeMy WebLinkAbout18609 Balmoral Dr_BLD20130009_2025 (3)BUILDING INSPECTION REPORT
Permit No. lqk)-� A %
Address: o ,
Contra :
Owner: r
Date: _ 1.
APPROVAL EP PARTIAL APPROVAL
® VIOLATION ® CORRECTION REQUEST
Corrections listed below MUST BE MADE before work can be approved
Please contact inspector
Was not able to perform inspection
Call 360-435-0674 FOR RE -INSPECTION by 5:00 pm the day before
Inspector:
Date:
® Under -floor
® Framing
® Gas Piping
® Footing
® Drywall, nailing
® Consultation
® Foundation
® Shear Nailing
® Groundwork
® Mechanical
® Grid
® Struct. Slab
® Wood Stove
® Rough -in
Final +Vtlo_T_�
® Masonry
® Drainage
0 Insulation
® Other:
BUILDING INSPECTION REPORT
Gt v Permit No. 13 - odo 9
Address:
Contractor:tIN
Owner:
Date:
APPROVAL PARTIAL APPROVAL
® VIOLATION CORRECTION REQUEST
Corrections listed below MUST BE MADE before work can be approved
Please contact inspector
Was not able to perform inspection
Call 360-435-0674 FOR RE -INSPECTION by 5:00 pm the day before
lee
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Inspector:
® Under -floor
® Footing
® Foundation
® Mechanical
® Wood Stove
® Masonry
® Other:
® Framing
® Drywall, nailing
® Shear Nailing
® Grid
ZXRough-in
0 Drainage
Date:
® Gas Piping
® Consultation
® Groundwork
® Struct. Slab
'Final
® Insulation
AakL CITY OF ARLINGTON
w
238 N. OLYMPIC AVE. - ARLINGTON, WA 98223
PHONE: (360) 403-3551
Bummo PERMIT
Address:18609 BALNIORAL DR, ARLINGTON Permit #:BLD20130009
Parcel #: 00865900007200 Valuation: $10,000.00
O}i4TNM
APPLICANT
CONTRACTOR
RANDLE W SACHA
NEW CONCEPTS PLUMBING&
NEW CONCEPTS PLUMBING&
118609 BALMORAL DR
MECHANICAL
MECHANICAL
ARLINGTON, WA 98223
JOHN MORELLI
JOHN MORELLI
1726 NE 24TH ST
1726 NE 24TH ST
RENTON, WA 98056
RENTON, WA 98056
Lic #: NEWCOCP890LZ Exp: 06/09/13
NEW CONCEPTS PLUMBING& MECHANICAL
JOHN MORELLI
1726 NE 24TH ST
RENTON, WA 98056
Lic #: NEWCOCP890LZ Exp: 06/09/13 Lic # Exp:
JOB DESCRIPTION
Repipe Plumbing Lines
PERMIT TYPE: Residential -Residential -Alteration CODE YEAR:
STORIES: 0 CONST TYPE:
DWELLINGUNITS: 0 OCC GROUP:
BUILDINGS: 0 OCC LOAD:
PF1tW 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
Signature Print Name Date
= ARCHIVE = APPLICANT
leased By
ASSESSOR = OTC
CITY OF ARLINGTON
238 N. OLYMPIC AVE. - ARLINGTON, WA 98223
PHONE: (360) 403-3551
PERM IT FEES/ RECEIPT
DATE: Wednesday, January 16, 2013 PERMIT #: BUS20130007
PROJECT ADDRESS: 0 Out of City, ARLINGTON
LOCATION:
BUSINESS: NEW CONCEPTS PLUMBING& MECHANICAL
JOHN MOREL LI
1726 NE 24TH ST
RENTON, WA 98056
(206)948-1617
FEEStWr4ARV*
Date Description Fee Amount Paid Balance Due
01/15/13 Business License Out of City $20.00 ($20.00) $0.00
Total Due: $20.00 ($20.00) $0.00
*FEES ARE ESTIMATED BASED ONINFORMATION PROVIDED AT SUBMITTAL -SUBJECT TO CHANGE
PAYMINTTRANSACTIONS:
DATE RECEIPT# NIKMOD PAIM AMOUNT
01/ 16/ 13 RECO03081 JOHN MORELLI ($20.00)
321,00,01.00 Business License Out of City ($20.00)
Alkk
CITY OF ARLINGTON
238 N. OLYMPIC AVE. - ARLINGTON, WA 98223
qv PHONE: (360) 403-3551
PERMIT FEES/ RECEIPT
DATE: Wednesday, January 16, 2013 PERMIT #: BLD20130009
PROJECT ADDRESS: 18609 BALMORAL DR, ARLINGTON
LOCATION:
OWNER: RANDLE W SACHA
118609 BAI.MORAL DR
ARLINGrON, WA 98223
(206)963-2290
FEE S UMIUARY*
Date Description Fee Amount Paid Balance Due
01/16/13 Plumbing Permit Fee $206.00 ($206.00) $0.00
Total Due: $206.00 ($206.00) $0.00
*FEES ARE ESTIMATED BASED ONINFORMA TION PROVIDED AT SUBMITTAL -SUBJECT TO CHANGE
rVAIWI ENT TRANSACTIONS :
(DATE RECEIPT# METHOD PAYEE AMOUNT
01/ 16/ 13 RECO03080 JOHN MORELLI ($206.00)
322.10, 00.00 Plumbing Permit Fee ($206.00)
r
RESIDENTIAL PLJMBIN
PERMIT APPLICATION
_5 r Department of Community Development
City of Arlington • 238 N Olympic Ave. • Arlington, WA 98223 • Phone (360) 403 3551 • FAX (360) 403 3418
Water Supply Piping
A. Fixture Units: Number of Fixtures X Fixture Units = Total Fixture Units
B. Distance from meter to most remote outlet:
C. Difference in elevation between meter and highest fixture:
D. Pressure in street main:
feet.
feet above meter or feet below meter.
psi. (Measure with gauge or check with Water Department)
Number of Plumbing Fixtures (Including Rough -Ins)
Plumbing
Fixtures
Accessory
Dwelling unit
Main
Residence
Total Fixture
# X Multiplier
Total Number
Fixtures Units
Bar Sink
X 1.0 =
Bathtub or Combination Bath/Shower
/
X 4.0 =
y
Clotheswasher
/
X 4.0 =
y
Dishwasher
/
X 1.5 =
s"
Hose Bibb
X 2.5,, _
S
Kitchen Sink
X 1.5 =
5-
Laundry Sink
X 1.5 =
Lavatory Bathroom Sink
X 1.0 =
3. U
Shower Stand Alone Each Head
L
X 2.0 =
y .6
Water Closet Toilet
X 2.5 =
Whirlpool Bath or Combination Bath/Shower
X 4.0 =
Water Heater
the r, A4dt;IAI V
r0
TOTAL
FIXTURE UNITS.
Ur a s other than above items
7- 4/ I
hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above -
described prope will be in accordance with the laws, rules and regulation of the State of Washington.
- f ` C 3 OF ARLINGTON
Applicants'Sid-nature D I
to BUILDING DEPARTMENT
j
Print Applicants Name
12�1,fz,7-
2
APPRO ro
DATE _ BY T ��
O CI NGES AUTHORIZED
UNLESS APPROVED BY THE
BUILDING INSPECTO
ot
RESIDENTIALP'LJMIBING
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. • Arlington, WA 98223 • Phone (360) 403 3551 • FAX (360) 403 3418.
THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION
MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS AND TWO SETS OF SPECIFICATION SHEETS.
Type of Permit: CD New Residential e'Addition/Alteration
Project Address: / X z 10 ! 9,0 /ti.-, o",q / i' Parcel ID #:
Lot #:
Subdivision:
Project Description: Lf Project Valuation: va6
Owner: .r+i , 'c _ � rt Phone Number: I ) z 2 %Q
Address: dD 1 6/01,w f .4 C Pic City: A Z, o_State: 0 "9 Zip Code: 19 rL Z 3
Contact Person: -Jy K ll, Phone Number: 4 6) 2 t/' 9--16t %
Cell Phone: Fax: (y L3 2. i 3 t 3E-mail: /-. —. �� ,� d �t�� l/, ^ � eno.t�c.,Ysl�7_
Address: / ��C/V€ 2- City: ' Go4' State: �� Zip Code: pgo Sd,
Plumbing Contractor:
G✓ G
I—v,!'.? r one Number:
Address: / 2 Z- 6 Al
E' Z S/ OZ f i7_ City:
/�
iu�D� State: "
Zip Code:
Contractor's License Number: /lgj,4)C0C,4 890 L 2 Expiration: 'r% / 13
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.
Applic'arfsSighature Date
Print Applicants Name
RECEIVED
JAN 14 2013
Coa PERMIT CENTER
�� & 509
BLD20130009 (PT -LIVE) - PermitTr�ax by Bitco Software
BUILDING PERMI
OWNER: SACRA, RANDLE W
t ADDRESS: 18609 BALMORAL DR, ARLINGTON
10 IN 1 ISSUED:
Page 1 of 1
PERMIT #: BLD20130009
STATUS: APPLIED
BALANCE: $0.00
CREATED: 1/15/2013
SCREENS-., Select Screen... FUNCTIONS: Select Permit Function... ;
RESIDENTIAL -RESIDENTIAL -ALTERATION
REVIEWS PRINT ADD NEW SUMMARY
COMME... ID DESCRIPTION ASSIGNED.. DUE DA... LAST (#) REQ? DON... ASSIGN REMOVE
2000 C-Building I CYOUNG 1/18/20... 0 Y N _
2008 C-Community Developme... ARUSKO 1/18/20... 0 Y N
https:Hcoapermits.arlington.locallPermitTrax/Module_Permits/Permits PermitIPermit_Reviews.as... 1/15/2013
RESIDENTIAL PLaJMBING
PERMIT APPLICATION
Department of Ccmmunity Development
City of Arlington • 238 N Olympic Ave. • Arlington, WA 98223 • Phone (360) 403 3551 • FAX (360) 403 3418
CROSS CONNECTION SURVEY FORM
Forward to Utilities Division for Review
Type of Residence: ❑ Single -Family ❑ Duplex ❑ Other
The Rules and Regulations of the State of Washington Department of Health require that certain premises install
backflow prevention assemblies (WAC 246.290.490). Backflow prevention assemblies shall be installed at any
premise where, in the judgment of the City of Arlington Cross Control Specialist, the nature of activities on the
premises may pose a hazard to the public water system.
Type of Permit: ® New Residential ® Addition/Alteration
Project Description
Project Address:
Owner:
Address
Contact Person:
Cell Phone:
Address:
Fax:
City:
City:
Parcel ID #:
Phone Number:
State: Zip Code:
Phone Number:
E-mail:
State: Zip Code:
Appliances permanently connected to water service may require
Cross -Connection -Control (check all that apply)
❑ Fire Sprinkler System
❑ Lawn Sprinkler System
❑ Decorative Pond/Fountain
❑ Hot Tub
❑ Swimming Pool
Authorized Signature:
Date Received:
Assembly Required: ❑ DCVA
Inspection Required: YES ❑
F-1 Medical Equipment
❑ Livestock Drinking Tanks
❑ Private Well
❑ Re -circulating Heating System
❑ Other
For Office Use Only
Survey Received By:
❑ RPBA ❑ AVB
NO ❑
3
Date:
❑ Other
Contractors or Tradespeople Printer Friendly Page
Page 1 of 1
General/Specialty Contractor
A business registered as a construction contractor with LEtI to perform construction work within the scope of
its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
IBusiness and Licensing Information
Name
NEW CONCEPTS PLBG Et MECH
UBI No.
603108872
Phone
2069481617
Status
Active
Address
1726 Ne 24Th Street
License No.
NEWCOCP89OLZ
Suite/Apt.
License Type
Construction Contractor
City
Renton
Effective Date
6/9/2011
State
WA
Expiration Date 6/9/2013
Zip
98056
Suspend Date
County
King
Specialty 1
Plumbing
Business Type
Individual
Specialty 2
Unused
Parent Company
Business Owner Information
Name Role Effective Date Expiration Date
MORELLI, FRANCIS JOHN jOwner 06/09/2011
Bond Information
Bond Bond Company Name Bond Account Numberired Date _Effective Date Expiration Date Cancel Date ImpaBond Amount Received Date
1 St to Farm Fire it Cas 98BMUl107 06/07/2011 Until Cancelled $6,000.0006/09/2011
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
2
State Farm Fire
98bgk4581
06/01/2012
06/01/2013
$1,000,000.00
04/30/2012
Et Cas Co
1
State Farm Fire
98BPD6194
06/01/2011
06/01/2012
$1,000,000.0006/09/2011
Et Cas Co
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
Infractions/Citations Information No records found for the previous 6 year period
https:Hfortress.wa.gov/lni/bbip/Print.aspx 1 / 15/2013
City of Arlington
238 N Olympic
Arlington, WA 98223
Out of City License Application — Businesses Located Outside Arlington
Business Name M
Business Location
S' i% eK V / /5 6
Business Phone
4 ��
q f — / 6 /7
Mailing Address L 4 N 4- _L Z4 V Go.w
State UBI No. '�� z-7 S 7 g3 /V Email:-C)oX,,. ,yteV co -we y it -, v,5
Business Owner's Name i . / ►' "a,ff— /milli
Professional/Contractor License Number lvf"4--, C o c- /, b' % o L z
(Any other licenses required by the State of Washington)
Nature of Business PZ v
Emergency Contact -VS-
Emergency Contact
Applicant Signature �� Date
Print Name J 0 4 A. /✓Z o 2 ,� l� f
Title
O "-1 ZA.-I
Fee: $20 annual fee. Licenses are valid for 1 year from date of issue.
Out Of City Business License Application 03/15/2010