HomeMy WebLinkAbout17907 85TH AVE NE_BLD1005_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:17907 85th Ave NE
Project Description: Remove and Replace 1 Gas Water Heater
Owner:Alberto Duarte
17907 85th Ave NE
Address: City:Arlington State:WA Zip Code:98223
Phone. 4252446798 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-Connection-Control may be required
Applicant Signature: � s s°° 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.
Whirlpool 40-Gallon 10-Year Residential Tall
Natural Gas Water Heater
Item#: 7572811 Model#: 40T10-40NG
3/5
8 Reviews
$529.00
Get 5%* Off Every Day or Special Financing**
Minimum Purchase Required Get Details
• O
FREE
Store Pickup
Check Availability
• O
Lowe's Truck Delivery
Specifications
Got an update or addition to this product's details? Share it here.
Tank Capacity (Gallons) 40
Family Size 3
Warranty 10-year
Fuel Source Natural gas
Height(Inches) 62
Water Connection Size 3/4 in
Temperature and Pressure Relief Valve Yes
GPH Recovery at 90 Degrees F (Gallons) 40.94
High Altitude Model Yes
Foam Insulation Yes
Pilot Reset Button Yes
Pilot Light Window Yes
UL Listed No
CSA Listed Yes
ETL Listed No
Vent Diameter(Inches) 3
Vent Type Type B double wall
ENERGY STAR Qualified No
Works with Iris No
Insulation Thickness (Inches) 2
Commercial/Residential Residential
BTU Input(BTU) 40000
Series N/A
Lo Nox Yes
Energy Factor 0.62
Diameter(Inches) 19.75
Ignition Type Piezo
Water Heater Style Tall
Water Connection Location Top
Product Documentation
Download these helpful files for this product.
• Installation Guide
• Warranty Guide
• Use & Care Guide
• Energy Guide
l
,
1
f
01TY OFARLINGTON,
j 238 N.OLYMPIC AVE-ARLINGTON,W'A._98223
' PHONE;(360)403-3551
- �.u. � ,r ": `�} `' �'L�,+!�!1'J!)J"._�'�'t�!
'r tt ; rI f � 1r4'•iw
Addreai,17907 85th Ave Permit 4:106S
i 1}prcel#:OOhSRSQOQ09100 u! Valuation:0 00
i �,dZ,,A �"f' �x1� n'-^"y 5' ,. x•�a z ' M yv y.5. r-rr ,�, ' f�tliii�'.' .;t 'r"t 'zvb
V Une;Dt7AAlt-ALBER`1'0 E&ESPEWLNZA Namtr:Washington Water Heaters Name:WASIQNGTON WATER REA.TJ RS INC
S
I Addws:17WI 85TH AVE NE Address:1800 Richards Rd Suite A Address:1900 RICHARDS RD STE A
City,State Zip:ARLINGTON,WA 98z23 City,$tata Zip:Bvllavuo,WA 98005 City,Stuto ZipIMLF.VVE.WA 98005
1PI14114i Phone:800-978-4593 Phone:(800)978-95"EXT:
- •'l•. nu. " ,;r..V9
4tY. •N'�: � r, � N � a 7.-•r ° 81k<h wl:�u0
Name: Namc:WASHING'ITON WATER HEATF•RS INC
Address: Address:1800 RICHARDS RU STF_A
City,state,.ZIpr city,State,Zip:BELLEVUE,WA 98005
Phone: Phone:(NO)979-8589
LIC#: EXP: �! LIC
.1 - ..w, r ,,'`r .f + �� !l,•Iy!•• ' ``d„:fit w• :` � "`s:' � y I(tt-:'u•v. -:� rs. 4 X:rLiu,,'l`,
PERMIT TYPO: Residential Plumbing CODE YEAR: 2012
1 STORIES: CONST TYPE:
j DWELLING UNITS: Oce GROUP:
' BU11 D[NGS; I OCC LOAD:
J _ -
r } I? r l.L ' _� a 51 s7t'�,��".�cv'-7'�,!�`�t �r'• ��.i
Cn �S"v3?t tnt ,kt�•°' Ciro• t_ o_ �.•.,.` «.'. x ti�,k. o-ir' A. e,
1 AGREE TO COMPLY WITH CITY STATE LAWS REGULA G CONSTRUCTION AND 1N D01 E WORK AUTHORIZED
THEREBY,NO PERSON WILT..BE EMPLOYED IN VIOLATION OF THE LABOR CODE OP THE HE ST47E OF WASHINGTON RELATING TU
WORKMFN'S COMPENSATION INSURANCE AND RCW 18 27.
1 THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OF'F.ICJAL OR FUS/HF-P,DFPlJtY AND ALL FEES ARE PAID,
IT IS UNLAWFUL TO USF OR OCCUPY A BIJTLDING OR STRUCTURE UNTIL A FINAL INSP8C;TION HAS PEEN MADE AND APPROVAL,OR
ACEsRTWICATE OP OCCUPANCY HAS BEEN GRANTED, 113CI101IRC110,
j SALRS.TAX NOTICE:SaleE tax relating to Constnttt!on and Construction mnte:ria15 in the City of Arlingtgn be t10 OrW on your sales tax return form
! ed City
(off Aft
1 /���'ife'r"" �[�l C. ��f''L �S ✓—�j r/ � 'S r'�O
I Sigruffute Print Name Date 4fAA,By Date
I � _� a H� ,. y eh�, .,may,� ., .. �.. 'W°�eY����., i��• "i 7q4 'rr�r 4 S1 r�''fF S' �nFt��'!'+J�
' `•A,- �- s C.. .!.r� .ru. ,'.Y� � '�4 F?:n `!t.1�1 -) rx,.;..�r�� .• �� ..;r
Adhere to Whirlpool model#40T1040NTG E.F. .62
THIS P>~,RM)[T AUTHORIZE ONIN T[AF WORK NO'f F,17.'MTS PERMIT CQVM$WORK TO BE DQ E ON PRIVATE PROPFIM ONLY.ANY
CONSMUCTTON ON THE PlAtl,IC,DOMAIN(CURTS9,SIDEWALKS,OXIVEWAYS,MARCIUEMETC,)WILL REQUMF S$PARATS PERMI514JON.
�{ .;:."�i"�7j r,'�j•"� .,7 'rG�F�t�•.i'�'i'�l'I,r���t,�Iy�je 4• -i !. �•�l- ..'.��ilY.r- ,�1!T�'r���ay�;,S,..'^Cr'ba�(e}Y� �'t. .�A��y�...ge1u'��
! Date Description Fes Amount
515/2016 Plurnbinq Permit Base Fee W5100
5(612016 Plumbing Permit gee(Ender Fixture Fee) $26,00
Total Due: $50.00
Total Paymetki, S0:00
galanee Due: 590.00
�'�y�NNrr;;__��..Ij..�). uet4" •a ti r3F :". T�;+�n�e n5' �• ''� i i b.� •�n, e1µ••,. '°•�i"Y'-'! �.•i
't ..+ii�.T.'S •Y1 �>'� ro�o-���F�'�.:.,�i��d�'�!.�r ew r��y,:�;,� r��. y1� ��i�•1?• A ��' rn
BUILDING(360).11 3aI7
1 Wben calling for an inspection please leave the fbilorving information:
Permit Number,Type of Inspection being requested,pad whether you prefer morning or afternoon
i
i
3
a.
� - ' CITY OF ARLINGTON
% 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:17907 85th Ave Permit#: 1005
Parcel#:00958500009100 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:DUARTE ALBERTO E&ESPERANZA V Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC
Address: 17907 85TH AVE NE Address:1800 Richards Rd Suite A Address: 1800 RICHARDS RD STE A
City,State Zip:ARLINGTON,WA 98223 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: I 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. IBC 110/IRC 110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington be re orted on your sales tax return form
and coded City of Arlington#3101.
Signature Print Name Date ased By Date
CONDITIONS
Adhere to Whirlpool model #40T10-40NG E.F. - .62
THIS PERMIT AUTHORIZE 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
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.17907 85th Ave NE
Project Description:Remove and Replace 1 Gas Water Heater
Owner:Alberto Duarte
17907 85th Ave NE
Address: City:Arlington State:WA Zip Code:98223
Phone: 4252446798 Email: none@noemaiI.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@a gmail.corn
STAFF USE ONLY Received
Permit#: l�� Accepted by: Date MAY 0 5 2016
RESIDENTIAL PLUMBING
PERMIT APPLICATION
_1 Department of Community&Economic Development
City of Arlington • 18204 5"Ith Ave.NE•Arlington,`,klA 98223•Phone(350)403-3551
Plumbing Section (check all that apply)
(Check all that apply and indicate the number of fixtures proposed)
I]1 Bath/Shower Combo(4.0) x ❑ Sink (1.5) x
[JI 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 i- 0T 10
❑'i 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: 05i05i2016
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.
r
Whirlpool 40-Gallon 10-Year Residential Tall
Natural Gas Water Heater
Item#: 7572811 Model#: 40T10-40NG
3/5
8 Reviews
$529.00
Get 5%* Off Every Day or Special Financing**
Minimum Purchase Required Get Details
• O
FREE
Store Pickup
Check Availability
• O
Lowe's Truck Delivery
Your order will be ready for delivery to you from your selected store.
n
Parcel Shipping
Unavailable for This Order
Sent by carriers like UPS, FedEx, USPS, etc.
• Need help?Call 1-866-609-3066.
• Whirlpool 40-Gallon 10-Year Residential Tall Natural Gas Water Heater$529.00
• ❑ 5-Year Water Heater Extended Protection Plan
$59.97
• Subtotal: $529.00
• Check Availability
• Ship/Delivery Rate Estimate
Your Store:
Bellevue, WA
Store Info
Change Store
• Description
• Specifications
• Info & Guides
• Protection Plans
• Reviews
• Community Q&:A
Description
Got an update or addition to this product's details? Share it here.
40-Gallon 10-Year Residential Tall Natural Gas Water Heater
• Whirlpool 6th sense technology advanced electronic gas control
• High-altitude certified from 0 ft to 10,100 ft
• FVIR safety system protects your family from accidental ignition of flammable vapors
• Consumer-friendly combination gas valve/thermostat with self-diagnostics
• Push-button pilot-light igniter with view port for ease-of-lighting pilot without matches
• Factory installed temperature and pressure relief valve
Specifications
Got an update or addition to this product's details?Share it here.
Tank Capacity (Gallons) 40
Family Size 3
Warranty 10-year
Fuel Source Natural gas
Height(Inches) 62
Water Connection Size 3/4 in
Temperature and Pressure Relief Valve Yes
GPH Recovery at 90 Degrees F (Gallons) 40.94
High Altitude Model Yes
Foam Insulation Yes
Pilot Reset Button Yes
Pilot Light Window Yes
UL Listed No
CSA Listed Yes
ETL Listed No
Vent Diameter(Inches) 3
Vent Type Type B double wall
ENERGY STAR Qualified No
Works with Iris No
Insulation Thickness (Inches)2
Commercial/Residential Residential
BTU Input(BTU) 40000
Series N/A
Lo Nox Yes
Energy Factor 0.62
Diameter(Inches) 19.75
Ignition Type Piezo
Water Heater Style Tall
Water Connection Location Top
Product Documentation
Download these helpful files for this product.
• Installation Guide
• Warranty Guide
• Use & Care Guide
• Energy Guide
To view these documents, you need Adobe Acrobat Reader. You can download a free copy from
the Adobe web site.
Lowe's Service Advantage
Lowe's Extended Protection Plans
Enhance your purchase beyond the Manufacturer's Warranty. Lowe's carries the brand names you
know and trust. We're dedicated to protecting the products that consumers will keep for years beyond
the manufacturer's limited warranty. That is why we offer the Lowe's Extended Protection Plan,
because over time, even the best-made products can succumb to normal wear and tear. Click here for
more details, including terms and conditions.
5-Year Water Heater Extended Protection Plan
• From day one, we'll cover the labor cost of re-installation if your water heater cannot be
repaired and needs to be replaced
• We'll cover repairs due to power surge, from day one
• Lowe's Water Heater plans start one year from the date of product purchase for traditional water
heaters
• If your water heater cannot be repaired or requires a fourth repair for the same major failure
within a 12-month period, we'll replace it
• Lowe's Protection Plans can be transferred with the product to a new owner
• No hassles, deductibles or hidden fees
❑ select item
$59.97
Community Q&A
Customers Also Viewed
• Whirlpool 40-Gallon 6-Year Residential Tall...
0 4.43/5
$439.00
• Whirlpool 40-Gallon 6-Year Residential Tall...
4.52/5
$419.90
Home Espafiol I Contact (SearcA L&ISEARCH
Labor
Safety&Health G' Claims& Insurance 0 Workplace Rights E' Trades&Licensing 8
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:09/0212010)
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*980OP
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 02/1812016
Expirat cn date
02/18/2017
lnsurdailuc�Ilibboiy
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 fax aebts
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
TifrioC;iiur--i r-
PBUJD00497 Satisfied
11/07/2014 18.106.020
/inl&:ion�;i+y Violation amount
BELLEVUE $250.00
?y'pc:oi'v,phcior.
PLUMBER INFRACTION
Contractor employed a person to engage in
the trade of plumbing without a current
iourneyman,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 plumbinq 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 A,.,..;`r%IL; Accolipt is c"rrpnt.
052,899-00
WASHINGTON WATER HEATERS INC
Stlrn BiC;d v[4r'«;fS r[;pOriC'd
Quarter 4 of Year 2015"7 to 10 Workers"
L&I ,cc0u t r.-�r)r,sent,,ativc
T1/FEARAED FEROZE(360)9024797-Email:FERH235@lni.wa.gov
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for-
Accem
�r14`a�Idnlaun"
Permit#: 1005
Permit Date: 05/05/16
Permit Type: RESIDENTIAL PLUMBING
Project Name: Alberto Duarte
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: 1
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
DUARTE
00958500009100 17907 85TH AVE NE ALBERTO E& Residence
Single Family
-Detached
ESPERANZA V
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
Plumbing Base Permit Fee $25.00
Mechanical Commercial Permit Table 4-7;Per Unit $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 JAM 59490156 cc $50.00
DANIELS
Outstanding Balance $0.00
Uploaded Files
Date File Name
05/06/2016 1608642-Permit.pdf
05/05/2016 1606777-1005 Specs.pdf
05/05/2016 1606778-1005 Apnlication.pdf
CrY -Y OF ARLI, TON
239 N.OLYMPIC AVE-ARLINGTON,WA. -982-23
PHONE (360)403-3551
Address:17907 fifith Ave Permit#-105
Parcel N!009585OW0910 Valuation:0 OD
A— IMEN"I I MR-
Nxvvic':'60ATC ALBERTO 8&ESPERAnA Name:Washington Water Heaters Name:WASMNOTON WATER ITEATERS INC
V
Addross:17W7 MR AVE NE Address:1800 Richards lid Suite A Address;I8U0 IUCHARDS RD STE A
ii City,State,Zip!ATILINGTON,WA 911223 City,state Zip:Ballavuq,WA 08W5 City,State ZipzBELLFVVE.WA 98005
Phone;800-978-8538 Phone:(800)9 78-86"EXT:
,M W'-r gg Esc
.r,�1,N W-9
Nante: Name:WASHINGTON WATER HEATERS INC
Address: Addtv5S:ISOO RICHARDS RD STF A
City,state,Zip, City,State,Zip:BELLEVUE,WA 98005
Phone: Phorio;(800)978-9588
LIC 4: EXP: LIC 4:
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: 1 OCC r.04kD!
-.00 q. P.
"ULM
42 IS
-r- Fig
"D O'K W
I AGUE TO COMPLY WITH CITY ST,%,TE LAWS REIGULATING CONSTRUCTION AND IN DOING THE WORK AUT14ORIZED
THEREBY,NO PERSON WILL 13E ZMPLOYED IN VIOLATION OF THE LABOR CODE Or THE STATE OF WASHINGTQN RELATING TQ
WOP,KMENS COMPENSATION INSURANCE AND RCW 18,27,
THIS APPLICATION 1,9 NOT A FFKMI'r UNTIL ST(IIIIED BY THE BUILDING OFF(CJAL OR HIS/14ER DEPUTY ANO ALJ—FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR S'VP.UMRE UNTIL A FINAL JNSP8CTIO.r4 HAS BEEN MADE AND APPROVAL,OR
ACERTIViCATE OF,OCCUPANCY HAS BEEN GRANTF13, IKI110/1=110,
SALES TLCE-I ingtqn be xv metl
,Sairs tax relating to cQnsvw;I foi and constmcllon rrintcriik ip the City of UP yf)qT$qjCs tax famm fr)rm
-"d)�od-1 C lk" f V1111118i 9310
i7l' JG{C
-c-
C-
V F P Fr�TY ONLY.Al RAEU P'�SSJ�.
PA
Print N Ay
Date Dale
..•
.........
.62
'I�AT 11
Izq Adhere to 11 440TI'
, tj'j�'T14P
TI P, III A IR Is ITC V
T"
L 'jLJ
'I I'(' S
CTI U 1 'AYS.IARQ11�'
4"�
qf .� t�•1� "i l � t�',d'�k f lyAye�u �dn Y,
Date Description Fen Amount
515/2016 Plumbing Permit Base Fee $25.00
516/2018 Plumbing Permit Fee(Enter Fixture!Fee) $26,00
Total Due.- $50.00
Tolid Paymetke SOM
0211ance Due:
Igg- •A
L BURMKNG(30)403.3417
When esiting Corso jagpeetian please leave the foillowing inforMfiflOn'
Permit Number,Type of][aspection being requested,and whether you prefer morning or afteracon
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address: 17907 85th Ave Permit#:1005
Parcel#:00958500009100 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:DUARTE ALBERTO E&ESPERANZA Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC
V
Address: 17907 85TH AVE NE Address:1800 Richards Rd Suite A Address: 1800 RICHARDS RD STE A
City,State Zip:ARLINGTON,WA 98223 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: 1 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 be re rted on your sales tax return form
and coded City of Arlington#3101.
S S/I(o
Signature Print Name Date asc:d By Date
CONDITIONS
Adhere to Whirlpool model#40T10-40NG E.F. - .62
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