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Home My WebLink About17717 83RD DR NE_BLD1004_2026 RESIDENTIAL PLUMBING 01" ", 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 PLUMBING INSTALLATION FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address.17717 83rd Dr NE Project Description: Remove and Replace 1 Gas Water Heater Owner:Robert Jones 17717 83rd Dr NE Address: City:Arlington State:WA Zip Code:98223 Phone. 4252322884 Email. none@noemail.com App I icant:Washington Water Heaters Address:1800 Richards Rd STE A City: Bellevue State:WA Zip Code:98005 Phone. (800)978-8588 Email: WAWAHVAC@Gmail.com CONTRACTOR INFORMATION Contractor Name:Washington Water Heaters Address:1800 Richards Rd STE A City:Bellevue State.WA Zip Code:98005 License Number:WASHII*9800P Expiration. -9/17/16 Phone 800-978-8588 Email:WaWaHvac@gmail.com STAFF USE ONLY Permit #: Accepted by: Date RESIDENTIAL PLUMBING PERMIT APPLICATION 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 ❑ Other (list) Proposed Water Piping Size: 0 Proposed Piping Material: 0 Proposed DWV Material: 0 Proposed DWV Size: 0 • 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-Con nectio'n-Control may be required Applicant Signature: asa Date: 05/05/2016 l 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. ShopWhirlpool40G6-YearNgShort Lownox Water Heater Hi Alti.. http'//www.lowes.com/pd_542548-135-4056-40NG 7Ntt=40s6-... Your Stan. Bellevuer WA ,.,,.......... , ..............._............................................ ! r Your Store' Bellevue,WA _. � f ! FRrzr �.___..._..,,..,.....,..__-___.,_,......_.___......—-- ..........._............—...._.........._...._ �I Ptore Pickup +__._.. Whirlpool 40G 6-Year Ng Short i Nourordercanbeavellableforpickup I f i Lownox Water Heater Hi Altitude n Lowe's Of Bellevue,WA today. i ! ' Certified From 0 to 10,100 Ft. ...................................................................................I I !Lowe's Truck Delivery 40-Gallon 6-Year Short Gas Water !Nour order will be ready for Delivery toHeater(Natural Gas) ; youfrom your selacled store. k Mir F:5925481.Model A 408S40N0 ..__.......Parcepp.,..,... $449.00 Ship Ino ' I � bis for Thle Order � l Sent by carriers like UPS, ' FedPx US>'5, Get 5%"Off Every Day or Special Fln$ncing"" -e a $�tM19.0Ui II� Minimum Purc ee Required Whirlpool 40G Cr Ng Short Lownox Water Heater Hl Altitude Certlffod From 0 to 10,100 Ft. 40-43allon e-Year Short Gas Water Heater(Natural Gas) _ I�watr 5 of{ .,1f._0.J ®email i Protection Plan $49,97 ................ Heater Extended $"t .........i l � I Description 4oG e'Year Ng Short Lownox Water Heater Hl Altitude Certified From 0 to 10,100ft.40-Oellon 6-Year short Gas Water , r Heater(Natural aas) I *Whirlpool Sin sense technology advanced electronic gas control •Hlgb-altihrde certified from 0 R to 10.100 ft t: +FVIR safety system proteots your family from accidental ignition of flammable vapors I -Consumer-friendly combination gas valvelthermostat with self-diagnostics h +Push-button pilot-light ignitor with view part for ease-of lighting pilot without matches !!' .Factory installed temperature and pressurereliefvalve I' l Specifications I Tank Ca...aoi.....,..0albns...........»....,..»,»,»,.».................,.„.,»,,..............a4.,......,...... .»ETL histad............................»,,.,,».,,»..».»..................,,..... N: p tY(( No Family 7e 4 Commercial/Reel ,»,..,.,.,.»»............................... ,.._........,....,.............................dentlal Residential R l .•. ............................._ Warranty 0-year Diameter •....,.............. .,.,.,_,,.,.,.,.,.,.,,.»,.,,»,»» ,»,,.»,.»,.,»»,.»,............. , .._ ,. ... Fuel source Natural ,.•.,,,»:..•..._..»».....Tay.p....e.....B.................. Ics, 1 gas Vent I (Inches) ,,_.,.. Type do.p bie Haight{!nc es) 52S II ................_.,_._...,,......._.,»..__„_...... ": .....,.,_. .,-Water Conn .»..».....» ENERoY STAR Qualified N...........:....._- -».,,..».».»,»-...»»„»», ,. ......„,.»__,.....-,,....-»,..I...... ... jil,1 In 4 TempeRecovery re anal g0 s .• as IF.Gallons Yes 8,'�t' rature andPressure g.....,.11s valve........................... .M,.. ,�. .................._{Inabas)...._...._..-........._...,..•,....,.._...,..,.,_..._...............N A-.....»...._,.,,. I; r OPH .l o Degrees ) 40.g4 Works with Iris N AllitudaModel., ....»._,:.............................»,_»,..-,..........,......* ,.» .._..... 1 »,»»_»..,»., ,,.,.-,.,,»»,.,.,,.»,...............»,».»...,».. Foam In.....»....». Diameter(Inches) s) 22 � Lo»,..»..sulatifJon.... Yes Dlamr.H.»...�!�•.. .........,._..,,.,.,..»,_...»..,....,»..,.._.,,.:._..._...........».......»,.,,_.»» r, Nbx Style has ! PI Reset Button Yes Energy Factor 0.132 it r .....s..te..d...,...:.. ._»_,.,,.,,._„•,.,,w,.,..,.»,.,____,......................... ......f.4...'.n:....T..Y. ............. ......... .....:.......».._..»..»,.,._„..»...,..,.,.,................e..z..o...........,,,._,, iiPiLhLightWirdow Yee g•......... . .......... .......,,..,,-, u u ,:..,,,._,,...,.».,_,.,.,..,.,..,.,.,»,.,,.,.,,.,,.»,...» ... ...x.._ Water Conhoc o^L°cat Top 1) .L ) 40000 Listed Yea.........».,»,,,,,,,,,,,,,.,.,,.,,»,.,,.,_,.,,.,,,,.,,.,,,,.,,.,.»,.,_,.,,.,,,,.,,».....,...,..,...,......,...,..,... GSA , BTU Input(BTU) t. ' t Ga•a..,...._......,., r_.,.;.,.....::r...•,..;w,ww,,.......,,:r:rvr:nr,.:..�...�.......�..,.. e:n......,.�..,:.,.........:...:.. .,......._.........,.,w................ ;.,_.,.,..� 0 2015 Lowe's.All rights reserved.Lowe's and the gable design are registered trademarks of LF,LLC 1 of 1 604011111 "7.57 A kr BUILDING INSPECTION REPORT— PLUMBING (HWT) Permit No 1004 Address: 17717 83rd Dr NE Contractor: Washington Water Heaters Owner: Robert Jones Date: 5/19/2016 ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas HWT LOCATION OK: ❑ L&I: ❑ EXPANSION TANK: ❑ SEISMIC: ❑ INSULATION: ❑ VENTING (6x6 collar): ❑ 18 INCHES OR FVIR: ❑ PRV 6 INCHES: ❑ SHUT-OFF VALVE: ❑ PRV< 15OPSI: ❑ DRAIN: ❑ DRIP LEG: ❑ IMPACT PROTECTION: ❑ ACCESS: ❑ COMBUSTION AIR: ❑ Date: 5/19/2016 Inspector: Kevin Olander i CITY OIFARUNGTON 238 N.OLYMP1C AVE-ARUNGTON,WA.98223 I* PHONE;(360)403-3551 x •r � =11- 'r�, rK tD^r •w .�, w- t, :'!, +y'7'' "�''c-� �1:� �' � +�i�G 1 t:tt r; is j Address:17717 83rd Or NE Permit#:1004 f Parrelfk:009M"0005700 Valofttion-0.0D ! Name:LONGS.KOBERT D 8t MALUREEN Namo:Washington Waiter Heaters Name:WASHINGTON WATER HEATERS INC Address;17717 83RD DR NF A(Idress:l$00 Richards Rd Suite A Address:1800 RICHARDS RD S TE A City,State Zip:ARLINGTON,WA 98223-4033 City,5tate Zip:Bellevue,WA 98005 City,State Zip:BFT LLEYUE,WA 9800 .Phone: Phone;800.979-9589 Phone:(804)979-9588 EXT; Namtr: Name WASFi1NGI'ON WATER HEATS RS 1NC i Address: Address:1800 JUC14ARDS RID STE A. Oily,State,Zip: City,State,Zip:BELLEVUE,WA 9800S Phone: Phone:(800)978-4589 LTC#: EXP: LIC#: EXP: �,_ ..t �y �ty� ,r �t�r' �t�a �`(�,t•' �` .t��y`''�':_K' 't+,� '.�;�tl"�.•, ,.. �. � PERMIT ME: Residential Plumbing CODE YEAR: 2012 STORIES: CONST.IYPE.: DWI=LLING UNITS; OCC GROUP: ! BUILDINGS: ( yS{ QCCLOAD: l i�nr '`'l� �ry'.Iy��.N •�t, - c�.l� I 11 ;, tNY4,M _ ]w..�: I AORM TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTILUCT[ON AND I OiNG THE WORK AUTHORIZED TI(FREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OP WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 1817. Tlq,%APPLICA- ION 15 NOT A PERMIT UNTIL SIGNED BY THE OUR-DINO OFFICIAL OR 1-TTSII{ER DEPUTY AND ALL FEP.S ARE PAID., IT 1$UNLAWFUL TO USG OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECT PION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, IBCI I0ARCI l0. SA �r_Sales tar rolaI' to traction end wns(ruetion materials in the Clry ofArlingtort 0 'your sales lox return fbTra Coded CiSy of rlin M3101. At OC,IC411(r/s Signet re Prim Name Date ,fin, <7�+;,�'7;N` 7�TJJKx.M,�ta .•�,� +'� 7'§7 r+ '�vir'�'I'+�:3.i'ih'�nt. � �' •�,Tf v a~ Y'' 't;a"��r!i"�(;i�?`{�� Adhere to Whirlpool model#40S640NG. +."ia rdAMIT AVT"4DA193 ONLY'IIM WORK 1Jta- o,'t7irt]r'1 A&41T C01f WQ WOV-TO DQ DONrs Girt PR IVATR PY0PPRT7(1ri11,M ON CONSTRUCTION.ON THE.PUBLIC DOMAIN(CUU3.�SIDI?�W.ALKS,t)MVB.WAYS,MARQUIMS,ETC,)WILL REQUIRE SEPARATE PERMISS1t7N�,, �M1yT,:•. `?J?"��,?i;�: dt��'�•' iY"iJ��c.v � »7I`�x*.`�" ,' .v71i' .' ' t'��.6r i 'N ,1N� i"h,u�.1 tY 3 ti. pats Doscrlpt{arl Fee Amount 6/5/201l3 Plumbing Permit Base Fee $25.00 5/512016 Plumbing Patmit Fee(Enter Fixture Fee) $25,00 Total Due: $50.00 Total Paiymentt $0.00 Ilalaacc Due: S50.00 BUILDING(360)403:341T When calling for on Inspection please leave the following information; Permit Numbcr Type of lnspection being requested,and whether you prel;r morning or afternoon i CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 17717 83rd Dr NE Permit#:1004 Parcel#:00958500005700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:JONES ROBERT D&MAUREEN Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC Address: 17717 83RD DR NE Address:1800 Richards Rd Suite A Address: 1800 RICHARDS RD STE A City,State Zip:ARLINGTON,WA 98223-4038 City,State Zip:Bellevue,WA 98005 City,State Zip:BELLEVUE,WA 98005 Phone: Phone:800-978-8588 Phone:(800)978-8588 EXT: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON WATER HEATERS INC Address: Address: 1800 RICHARDS RD STE A City,State,Zip: City,State,Zip:BELLEVUE,WA 98005 Phone: Phone:(800)978-8588 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2012 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 14AS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC1I0/IRC1 I0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City ofArlington m c ncd o your sales tax return form and coded City of Arlington#3101. S S l(o Signature Print Name Date IfRclkasea By bate CONDITIONS Adhere to Whirlpool model#40S6-40NG. THIS PERMIT AUTHORIZS 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 5/5/2016 Plumbing Permit Base Fee $25.00 5/5/2016 Plumbing Permit Fee(Enter Fixture Fee) $25.00 Total Due: $50.00 Total Payment: $0 00 Balance Due: $50.00 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 RESIDENTIAL PLUMBING 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 PLUMBING INSTALLATION FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address 17717 83rd Dr NE Project Description:Remove and Replace 1 Gas Water Heater Owner:Robert Jones 17717 83rd Dr NE Address: City:Arlington State:WA Zip Code:98223 Phone: 4252322884 Email: none@noemail.com Applicant:Washington Water Heaters Address 1800 Richards Rd STE A City:Bellevue State:WA Zip Code:98005 Phone: (800)978-8588 Email: WAWAHVAC@Gmail.com CONTRACTOR INFORMATION Contractor Name:Washington Water Heaters Address:1800 Richards Rd STE A City:Bellevue State.WA Zip Code:98005 License Number:WASHII.9800P Expiration:9/17/16 Phone:800-978-8588 Email:WaWaHvac@gmail.com STAFF USE ONLY Received Permit#: 100q Accepted by: Date MAY 0 5'2016 ' RESIDENTIAL PLUMBING PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave N E!Arlington,WA 98223• Phone(360)403-3551 Plumbing Section (check all that apply) (Char:k all that apply and indirate the number of fixtures proposed) ❑ Bath/Shower Combo (4.0) x ❑ Sink (1.5) x Ul 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 t4- ❑ Hose Bibb(2.5) x ❑ Other(list) Proposed Water Piping Size: 0 Proposed Piping Material: 0 Proposed DWV Material: 0 Proposed DWV Size:0 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 Applicant Signature: Date: 05/05/2016 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. Shop Whirlpool 40G 6-Year Ng Short Lowni later Heater Hi Alti... http://www.lowes-coif 1 542548-135-40S6-40NG ',Ntt=4ps6-... Your efam. Bellevue,WA Your Store' Bellevue,WA I , ; FREt: Pickup Whirlpool40G 6-Year Ng Short -- 1Yorrrardar ran beavellable for plrkup 1 I Lownox Water Heater Hi Altitude i Lowers Of emewe,WA today. Certified From 0 to 10,100 Ft. 40-Gallon 6-Year Short Gas Water 1Lowe's Truck.Delivery Heater(Natural Gas) your ordw witl be ready for delivery to ?pu from your selected$tore. 14m#.$925481 ModelA-40$r>g0N0 ' I $449.00 Parcel Ship ing wavailwe for This Order i 1 Sent by Cartier,like UPb, Fed.Fy,,U$P5,etc....- I Get 5%"ply Five>yr Day or Special Financing- Minimum Purchase Required W ,hiff 40G&Year 544200 Ng Short Lownox Water Heater HI Altitude Certified From 0 to 10,100 Ft. 40-Gallon e4ear Short Gas Water Heater(Natural Gas) -•,._ _1W' i;?°.;l�+j.�_..°.., ®email � 5-Yaar Water $49.97 Heater Extended fProtection Plan DOEtription Out;a-Ya it Ng Shari Lownox Water Heater HI Altitude Certified From 010 10,100-Fi.4"allon 6-Year Short Gas Wafer Heatw(Natural Gas) *Whirlpool 5m sense technology advanced electronic gay control t- •Hlgh•allituda certified from 0 it to to,100 a •FVIR safety system proteors your family from accktental ignition of flammable vapors y -Consurner-nondly aombinallon gas valvaltheimostat with aeif-diagnostics k€' •Push-button pilot-tight igniter with view port for ease-of.fightitg pilot without nyatchc .Factory Installed temperature and pressure relief valve i 4 Speci/icatlons Tonk Capacity(Gallons) 40 ETL L)stW _ _Na 1 Family Size _ 4 Co-Family . ..-....-. _- mmetciall Raeltlentle! Residential Ventolametcr(Inches) -- a --- Fuel Sauroe Natural - --_._---`-TYPe B gas Vent Type doable Height(Inches) - 52.S _ _ well l ter Size - ENERGY STAR qualified-- No -- _ 314 it I Temperature and Pressure Rellar Valve Yes Width(lnahas) 22 l GPH Recovery Series at 90 Pegreas F(Gallons) 40.94 -NIA fHigh Akqude Model - Yes WofKs wqh Iris No - h Water Lo Nax Ye9 Heater Style Short Poem Insulation_ -_ -- Yss- Diameter (nchos) 22 i' Pilot Reset Button -� yam Energy Factor Y� -_ p ga f Pile}Light Windrnv--� M� -Yea- - Ignition Type Piezo ULtlsted ---� No- Water ConnaclionLocation F C€A Listed yea 0TV Input(BTU) - ~•� _ 40000 1...--�--�•---r-r:.nr...—�_,_._�.•.r-.-s_,......;.-riw��.._--.-r.�--_.•_..-.__._:--.anti .••r.-.. .-•r--,T•-'^•.--*raw--`'• .. - ..-ram-.. _l-•. - +nuwtnrnwswe 0 2015 Lowe'S.All rights reserved.Lowers and the gable design are registered trademarks of LF,LLC 1 of 1 Fi/74/if)15 7•51 AU �� I Search L&I it kAPI-abilir'& ►ustries Safety&Health 0 Claims& Insurance 0 Workplace R• adLicensing Washington State Department of " Labor & Industries WASHINGTON WATER HEATERS INC Owner or tradesperson 1800 RICHARDSON RD STE A Principals BELLEVUE,WA 98005 800-978-8588 HAGAR,THOMAS JEFFREY,PRESIDENT KING County SKEEN,STEVEN ROGER,VICE PRESIDENT SKEEN,STEVE,SECRETARY (End:09/02/2010) ■ HAGAR„THOMAS,TREASURER (End:09/02/2010) Doing business as WASHINGTON WATER HEATERS INC WA UBI No Business type 602 214 757 Corporation Governing persons STEVEN D HYDE STEVEN R SKEEN; THOMAS J HAGAR; 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 WASHII.9800P Effective—expiration 09/17/2002—09/17/2016 Bond Lexon Ins Co $12,000.00 Bond account no 9809771 Received by L&I Effective date 08/16/2011 09/16/2011 Expiration date Until Canceled Bond history Insurance Hudson Specialty Ins Co $1,000,000.00 Policy no TEN-17069 Received by L&I Effective date 02/16/2016 02/18/2016 Expiration date 02/18/2017 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. License Violations Infraction no PBUJD00497 Satisfied Issue date RCW/WAC 11/07/2014 18,106.020 Violation city Violation amount BELLEVUE $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.Contractor employed Stephen Pearson to install a hot water heater without a valid plumbing certification. 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 currant. 052,899-00 Doing business as WASHINGTON WATER HEATERS INC Estimated workers reported Quarter 4 of Year 2015'7 to 10 Workers" L&I account representative T1/FEARAED FEROZE(360)902-4797-Email:FERH235@lnl.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for N tcalSiyttV GltaWc.3,1114& l UMOW4 s.glicu lecaxt A&L1t:uhinllton' Permit#: 1004 Permit Date: 05/05/16 Permit Type: RESIDENTIAL PLUMBING Project Name: Robert Jones Applicant Name: Washington Water Heaters Applicant Address: 1800 Richards Rd Suite A Applicant, City, State, Zip: Bellevue, WA 98005 Contact: Jacci McDaniels Phone: 800-978-8588 Email: wawahvac@gmail.com Scope of Work: Replace Gas Water Heater Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 05/05/2016 Permit Expires: 11/05/2016 Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00958500005700 17717 83RD DR NE JONES ROBERT D 111 Single Family &MAUREEN Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# WASHINGTON WATER JACCI DANIELS (800)978-8588 PO Box 59208 CONSTRUCTION Labor&WASHII*9800P HEATERS INC EXT: CONTRACTOR Industries Fees Fee Description Notes Amount Mechanical Commercial Permit Table 4-7;Per Unit $25.00 Plumbing Base Permit Fee $25.00 Total $50.00 Attached Letters Date Letter Description 05/05/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount WASHINGTON WATER 05/06/2016 HEATERS JACCI 59490129 cc $50.00 DANIELS Outstanding Balance $0.00 Notes Date Note Created By: 05/05/2016 Whirlpool model#40SG-40NG EF.-.62 Kristin Foster Uploaded Files Date File Name 07/06/2017 2424210-17717 83rd Dr NE.docx 05/06/2016 1608647-Permit.pdf 05/05/2016 1606707-1004 Specs.pdf 05/05/2016 1606708-1004 Application.pdf Permit#: 1001 Permit Date: 05/05/16 Permit Type: RESIDENTIAL MECHANICAL Project Name: Donna Bosley Applicant Name: Right on Heating and Sheet Metal Inc. Applicant Address: P.O. Box 758 Applicant, City, State, Zip: Lake Stevens, WA 98258 Contact: Jeanie Graves Phone: 425-335-4207 Email: rightonheating@frontier.com Scope of Work: HVAC Replacement Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 05/17/2016 Permit Expires: 11/17/2016 Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00621300009300 3319 176TH PL NE BOSLEY DONNA 111 Single Family SUE Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# Right on Heating and 425-335-4207 PO Box 758 CONSTRUCTION UBI 602 170 524 Sheet Metal,Inc. CONTRACTOR Right on Heating and 425-335-4207 PO Box 758 CONSTRUCTION Labor&RIGHTHM988CM Sheet Metal,Inc. CONTRACTOR Industries Plan Reviews Date Review Type Description Assigned To Review Status 05/05/2016 RESIDENTIAL BUILDING MECHANICAL Fees Fee Description Notes Amount Forced Air Heat fee per Btu $25.00 Gas Piping/Units Enter#of units $10.00 Heat Pump/Heat Exchangers $25.00 Mechanical Base Permit Fee $25.00 Vents $10.00 Total $95.00 Attached Letters Date Letter Description 05/16/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 05/17/2016 Jeanie Graves 59652513 cc $95.00 Outstanding Balance $0.00 Notes Date Note Created By: 05/16/2016 Will require blower door&Duct test Kevin Olander 05/05/2016 Waiting for the gas piping portion of the application. Kristin Foster 05/05/2016 Furnace Model#TG8S040A08MP11 AFUE 80%A/C Model#TCHD18S41S3 SEER 13 Kristin Foster Uploaded Files Date File Name 07/07/2016 1714006-1001 Issued Permit.pdf 05/06/2016 1608718-1001 Gas Piping.pdf 05/05/2016 1605419-1001 Application.pdf 05/05/2016 1605420-1001 Specs.pdf C ' OFAR. TON IUNG- 238 N.OLYMPIC AVE-ARUNGTON,WA.99223 PHONE;(360)403-3551 JJ yy t l.1 0- -ma Y - to- M i�'I W 91 11 ll i Address:17717 83rd Dr NE Permit#:1004 Parcet P:009583044005700 Valuation!0.01) ` { ,.�v�—r r Itt^ G,rc;' � _.? ....bf,,�� ..3 �d$'i?'... � � y, ..., . ..•��. Iti`�;r+,r�"' th�+��'��:t j T:ame:JONES&OSEIZT D&MAl31LFfiN Nama Washington Water Heaters Name:WASHINGTON W,AT6R.[31iATCRS IA1C Address;17717 83RD DR NE AldrewlQ00 Richards Rd Suite A Address:1$00 RICHARD$KID STE A j City,State Zip:ARLINGTON,WA 98223.4038 City,State tip:Bellovue,WA 99005 City,State 2ip:BF£LLEYUE,WA 9800 Moe_ Phona:800-978.9568 Phone:(844)978-8588 EXT: iMORD 0, NOW . Name: Nam*,WASHINGTON WATER HEATF KS)NC ! Addres9: Address:1800 RICHARDS RID STE A Qity,Statc,Zip: City,Slate,Zip:BELLEVUE,WA 98005 1 Phone: Phone;(800)9784599 LTC#: EXP: L)C#: EXP: � � � ariA�'' ate•. " r.. � .. .�?C',1f„ k 'L � .. PERMIT TYPE. Residential Plumbibg CODE YEAR: 200 STORIES: CONST.TYPfi: 1 DWELLING tJMTS: OCC GROUP: l BUILDINGS, OCC LOAD; r�" G• ,�' ' eS.r W '�f �,.a��S�t�G"'-Y � r " i�F��•�'ar�,``.� 2�d ,r�''�IlaybY} L AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CON.STItUCl'[ON AND 1N OLNG THE,WORK AUTHORLZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OP WASKINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18 27. TIJIS APPLICATION 15 NOT A PERMIT UNTIL SIGNED BY THE BUILDINO OFFICLAL OR HI.SI..HER DEPUTY AND ALL FEES ARE PAID. )T IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTUPX UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICAT9 OF OCCUPANCY HAS BEEN GRANTED, IBC I011RC110. AV vaTAX hr^ortdrF:Sales tax rala ittg to traction and Wristraction materials in the C)U'of Arlington o our sales tax return form Signature Print Name Date By tC • , �,� ,�. _,n,.N 4:,,F� ,�. �,nygr�r�.� ,,., �y <<..1�.. .r ,� t.u'��T`��'�"c,,,•-� ,�� t��r.>.. ..)i �"tt�i�r�^�,y sT n r MoXI il- Tr• iC Adhere to Whirlpool model 040S640NG, rr+ca 17191tv1)'r AV77S*rklX$014LY TILL'WORK Tr(nj' o,'t' IC PERMIT COVER19 WOR-Y_Tn 22 N7Nb F%1 r)?1WATW PROPPRTY( in.Y ANY CoNgrRUCTION ON THE PUBLIC COMAIN(CURDS,SIDEWALKS,09 VEWAYS,MARQU.%S,ETC,)WILL REQUIRE$ )'ARATS PERMISSTQNt Qate Doscrlpflon FeQ Amount fslS/ZQ70 Plumbing Permit Blow Fee $25,00 5/5/2019 Plumbing Parrrtlt Fee(Enter Fixture Fee) $25.00 Total Due: $50.00 Total Payment: $0.00 Balance Doe: 550.00 _, .,,,. , . j� .,�- ST.. f,.I111X Eg rip. l'n"' •w N.++ :t i„' -.i v: '+ }iS- ��1 <a �'.}. � i��}ry��N�L�� .,�'�'l:yn; �'"1}tyyl'' t � �.^�',�;� •��j i , BUILDING(360)403-3a17" When calling for an Inspection please leave the Po[Iowing iorermation: ftrmit Number,Type of lnepection being requested,and whether you prel�r morning or afternoon CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 �` PHONE; (360) 403-3551 BUILDING PERMIT Address:17717 83rd Dr NE Permit#: 1004 Parcel#:00958500005700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:JONES ROBERT D&MAUREEN Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC Address: 17717 83RD DR NE Address:1800 Richards Rd Suite A Address: 1800 RICHARDS RD STE A City,State Zip:ARLINGTON,WA 98223-4038 City,State Zip:Bellevue,WA 98005 City,State Zip:BELLEVUE,WA 98005 Phone: Phone:800-978-8588 Phone:(800)978-8588 EXT: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON WATER HEATERS INC Address: Address: 1800 RICHARDS RD STE A City,State,Zip: City,State,Zip:BELLEVUE,WA 98005 Phone: Phone:(800)978-8588 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2012 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: t 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 m c rted o your sales tax return form and coded City of Arlington#3101. S S l to Signature Print Name Date IfRelkasca By Date CONDITIONS Adhere to Whirlpool model 440S6-40NG. THIS PERMIT AUTHORIZS 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 5/5/2016 Plumbing Permit Base Fee $25.00 5/5/2016 Plumbing Permit Fee(Enter Fixture Fee) $25.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: $50.00 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