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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