HomeMy WebLinkAbout16604 41ST DR NE UNIT A_BLD3431_2026 r
" CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS:360403-3417-Permit Center:360403-354
BUILDING PERMIT
Permit#:3431
16604 41st Dr NE Unit A Permit Expiration Dal L 03/15/2021
Parcel#: 00866700004800 Valuation: .00
OWNER fl APPLICANT CONTRACTOR
STEPHENSON THOMAS B & Hamblen&Sons HAMBLEN&SO4 HEATING
HANNAHI fi
16604 41 S'1*11.DR NE 7409 68th Ave NE 7409 68TH AVE NEB
ARLINGTCIN,WA 98223-8433 Marysville MARYSVILLE,WA,98270
4255010123 425-501-0123 t
LIC:HA.tiIBLSH9221)EG EXP:02/18,1022
MECELk*AL CONTRACTOR PLUMBING CONTRACTOR
Hamblen&iSons Heating
7409 68th Ave NE
Marysville,jWA 98270
425-501-01,23
LIC#: LSH922DE EXP: 02/18r2022 LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Mechanical CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
R PERMIT APPROVAL
The issuance or granting of this permit shall not be construed to he a permit for, or approval of;any viola of this Code or any
other ordinance or order of the City,of any state or federal law, or of any order,proclamation,guidance advice or decision of the
Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construe ion activity during any
period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance
advice or decision of the Governor of this State,this permit shall not authorize such work and shall not bet valid_The building
oMcial is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this
jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any oFder,proclamation,
guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this Oermit if it is
determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City
ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the'lGovernor.
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 18.21.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND
ALL FEES ARE PAID.
IT IS LiNLAWFL-L TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN--
MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GR N`I-ED_ IBC110/IRC110_
SALES TAX NOTICE: Sales fax relating to construction and construction materials in the City of Arlington must be reported on
your sales tau return form and coded Ci . f Arlington 43 I01,
0
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9/16/2020
Z�Z�Z—
S Print Name Date Rele By Date
I
L&I regional offices are closed to public visits until further notice. Offices can still help you by phone from 8 a.m.to
5 p.m.weekdays (except state holidays). Use the phone number for your closest regional office
.(https://Ini.wa.gov/agency/contact/#office-locations),or you can call the Office of Information and Assistance at 360-902-5800.
wa:nmyw�scare cewmmml or
Labor&Industries(hops://Ini.wa.gov).
QtLEN&SONS HEATING
Owner or tradesperson 7409 68TH AVE NE
Principals MARYSVILLE,WA 98270
HAMBLEN,TIMOTHY(TIM)A,OWNER 360-658-0124
SNOHOMISH County
Doing business as
HAMBLEN&SONS HEATING
WA UBI No. Business type
601 481 968 Individual
Governing persons
TIM
A
HAMBLEN
JAN A HAMBLEN:
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.
HAMBLSH922DE
Effective—expiration
02/13/2008—02/18/2022
Bond
Western Surety Co $12,000.00
Bond account no.
65130241
Received by L&I Effective date
07/01/2020 07/01/2020
Expiration date
Until Canceled
Bond history
Insurance
Ohio Security Ins Co $500,000.00
Policy no.
BKS55784458
Received by L&I Effective date
07/14/2020 08/14/2014
Expiration date
08/14/2021
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.
License Violations
No license violations during the previous t _r period.
Certifications&Endorsements
OMWBE Certifications
No active cei cations 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.
123,252-01
Doing business as
HAMBLEN&SONS HEATING
Estimated workers reported
Quarter 2 of Year 2020"Less than 1 Workers"
L&I account contact
T3/LAURIE BROWN(360)902-4679-Email:BRLB235@lni.wa.gov
Public 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.
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
Gas Piping ❑ Solid-Fuel Appliance lJ Other
Gas Piping Information
Not Applicable: [�
Pipe Material: black or C SST
Pipe Size: 1/2 or 3/4
Distance from Meter to Furthest Appliance: — 60'
Total BTU's of all Appliances: 145 Kbtu's
• 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: 09/15/2020
Applicant Printed Name: Timothy A. Hamblen
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
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:16604 41st Dr. NE
Project Description:Extend gas line to support a range.
Owner: Thomas Stephenson
Address: 16604 41st Dr. NE City: Arlington State WA Zip Code: 98223
Phone: 3602044046 Email:stephensont@ gmail.com
Applicant: Tim Hamblen
Address: 7409 68th AVE NE City: MARYSVILLE StateYVA Zip Code: 98270
Phone: 4255010123 Email: hamblen.sons@gmail.com
CONTRACTOR INFORMATION
Contractor Name:HAMBLEN & SONS HEATING
Address: 7409 68TH AVE NE City: MARYSVILLE State WA Zip Code: 98270
License Number:601481968 Expiration: 2-18-2022
Phone:4255010123 Email:hamblen.sons@ gmail.com
STAFF USE ONLY Rece;ved
Permit#: lwvb- ��nk Accepted by: _ Date:sFp 15 2g20
6/16LP Page 1 of 2
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SEP 15 2020
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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.
P roject Add ress: 16604 41st D r. N E
Project Description:Extend gas line to support a range.
Owner: Thomas Stephenson
Address: 16604 41st Dr. NE City: Arlington State.WA Zip Code: 98223
Phone: 3602044046 Email:stephensont@gmail.com
Applicant: Tim Hamblen
Address. 7409 68th AVE NE City. MARYSVILLE StateYVA Zip Code: 98270
Phone. 4255010123 Email. hamblen.sons@gmail.com
CONTRACTOR INFORMATION
Contractor Name:HAMBLEN & SONS HEAFING
Address: 7409 68TH AVE NE City. MARYSVILLE State WA Zip Code: 98270
License Number-601481968 Expiration: 2-18-2022
Phone: 4255010123 Email:hamblen.sons@gmail.com
STAFF USE ONLY
Permit #: Accepted by: Date:
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 ❑ Fire Place Insert ❑ Outdoor BBQ
Gas Piping ❑ Solid-Fuel Appliance ❑ Other
Gas Piping Information
Not Applicable: ❑
Pipe Material: black or CSST
Pipe Size: 1/2 or 3/4
Distance from Meter to Furthest Appliance: — 60'
Total BTU's of all Appliances: 145 Kbtu's
• 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
LPI--- - cl/ �
Applicant Signature: tl5a51c3bba4a9294ftlaeB�b41eb Date: 09/15/2020
Applicant Printed Name: Timothy A. Hamblen
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
Dw
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551
—BUILDING PERMIT
16604 41st Dr NE Unit A Permit#:3431
Permit Expiration Date:03/15/2021
Parcel#: 00866700004800 Valuation: .00
APPLICANT CONTRACTOR
STEPHENSON THOMAS B& Hamblen&Sons HAMBLEN&SONS HEATING
HANNAHI
16604 41 ST DR NE 7409 68th Ave NE 7409 68TH AVE NE.
ARLINGTON,WA 98223-8433 Marysville MARYSVILLE,WA 98270
4255010123 425-501-0123
LIC:HAMBLSH922DE EXP:02/18/2022
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR '
Hamblen&Sons Heating
7409 68th Ave NE
Marysville,WA 98270
425-501-0123
LIC#:HAMBLSH922DE EXP: 02/18/2022 LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Mechanical CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
- `PERMIT APPROVAL
The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any
other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the
Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any
period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance
advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building
official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this
jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation,
guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is
determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City
ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor.
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.
9/16/2020
Signature Print Name Date Rcic d By Date
CONDITIONS
Pressure test required.Approved permit shall be onsite for inspection.Call for inspections.
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
09/16/2020 Inspection Fee $75.00
09/16/2020 Gas Piping/Units $15.00
09/16/2020 Mechanical Base $25.00
09/16/2020 Processing/Technology Fee $25.00
Total Due: $140.00
Total Payment: $0.00
Balance Due: $140.00
CALL FOR INSPECTIONS
Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
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CITY OF ARLINGT N
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS:360-403-3417-Permit Center:360-403-355,
BUILDING PERMIT
Permit#:3431
16604 41st Pi r NE Unit A Permit Expiration Dai 03/15/2021
Parcel#: 00 66700004800 Valuation: .00
OWNER E APPLICANT CONTRACTOR
STEPHENSON THOMAS B& Hamblen&Sons HAMBLEN&SON HEATING
HANNAHI
16604 41 ST',DR NE 7409 68th Ave NE 7409 68TH AVE N
ARLINGTON,WA 98223-8433 Marysville MARYSVILLE,WA 98270
4255010123 425-501-0123
LIC:HAMBLSH922DE EXP:02/18/2022
MEC AL CONTRACTOR PLUMBING CONTRACTOR
Hamblen&Sons Heating
7409 68th Ave NE
Marysville,!W, A 98270
425-501-013
LIC#: HA h 13LS11922DE EXP: 02/18/2022 LIC#: EXP:
JOB DESCRIPTION
PERMIT TITE: Residential Mechanical CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
(�I PERMIT APPROVAL
The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violat bn of this Code or any
other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance a ice or decision of the
Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow constru4 ion activity during any
period of time when such construction is prohibited or restricted by any state or federal law,or order,proc imation,guidance
advice or d4ision of the Governor of this State,this permit shall not authorize such work and shall not be slid.The building
official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other ity ordinances of this
jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation,
guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this Sermit if it is
determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in vi Ration of any City
ordinance,i♦egulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor.
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN WING 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 18.2 7.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS R 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 110 C 110.
SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlin on must be reported on
your sales tax return form and coded Ci f Arlington#3101.
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9/16/2020
Signatur Print Name Date Rele d By Date
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Permit#: 3431
Permit Date: 09/16/20
Permit Type: RESIDENTIAL MECHANICAL
Project Name: Stephenson
Applicant Name: Hamblen & Sons
Applicant Address: 7409 68th Ave NE
Applicant, City, State, Zip: Marysville
Contact: Tim Hamblen
Phone: 4255010123
Email: hamblen.sons@gmail.com
Scope of Work: Extend gas line to support range
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 09/16/2020
Permit Expires: 03/15/2021
Form Permit Type:
Status: LASERFICHE
Assigned To: Raelynn Jones
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
STEPHENSON 142 Single Family
00866700004800 16604 41 ST DR NE UNIT A THOMAS B& Residence
HANNAH I Condominium
Common Wal
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
HAMBLEN&SONS 425-501-0123 7409 68TH AVE CONSTRUCTION Labor&HAMBLSH922DE
HEATING NE. CONTRACTOR Industries
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
09/16/2020 R09.GAS PIPING Inspected @ 15 psi approved 09/16/2020 09/16/2020 BUILDING Approved
ROUGH-IN
Fees
Fee Description Notes Amount
Inspection $75.00
Gas Piping/Units Enter#of units $15.00
Mechanical Base Permit Fee $25.00
Processing/Technology $25.00
Credit Card Service $4.20
Total $144.20
Attached Letters
Date Letter Description
09/16/2020 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
09/16/2020 TIMOTHYHAMBLEN 82327889 $140.00
09/16/2020 82327889 Raelynn Jones $4.20
Outstanding Balance $0.00
Uploaded Files
Date File Name
09/16/2020 7360799-Arlington Permit#3431-Stephenson gas extension 9-15-20.12-df
09/16/2020 7355807-3431 Apnlication.pdf
09/16/2020 7355808-3431 Site Plan.pdf