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HomeMy WebLinkAbout17425 81ST DR NE_BLD1058_2026 ' 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 i INCLUDE ALL INFORMATION. Project Address:17425 81 st Dr NE _- - - Project Description:Replacing 2 gas water heaters Owner•.Debra Rankin _ s 17425 81 st Dr NE ! Address: City:Arlington State:WA Zip Code:98223 Phone: 360-474-1694 Email: debbierankin@comcast.net i i Applicant-Ethan Onat/Washington Energy Services j Address:3909 196th St SW City:Lynnwood State:WA Zip Code:98036 Phone: 206-378-6927 Email; eonat@washingtonenergy.com CONTRACTOR INFORMATION Contractor Name:Washington Energy Services Address:3906. 196th St SW City:Lynnwood State.WA Zip Code:98036 License Number:WASHIES851NS Expiration:09/07/17 Phone:206-378-6927 Email:eonat@washingtonenergy.com 1 Y STAFF USE ONLY Permit 1t: Accepted by: Date I RESIDENTIAL PLUMBING PERMIT APPLICATION Department of Community&Economic Development City of Arlington • 18204 59th Ave NE•Arlington,WA 98223 *Phone(360)403-3551 i I I i 1 Plumbing Section (check all that apply) (Check all that apply and indicate the number of fixtures proposed) 9 ❑ 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 Wade Heater x 2 ❑ Hose Bibb(2.5) x ❑ Other(list) Ii Proposed Water Piping Size: N/A ` Proposed Piping Material: N/A Proposed DWV Material: N/A Proposed DWV Size: N/A • 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: pater i hereby certify that the above info r at' n is correct and that the construction, installation for the above mentioned property will be in accordance with the pplicable laws of the City of Arlington and the State of Washington. 1 1 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 17425 8 1 st Or NE Permit#; HIS8 Parcel 0:01040900002300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:RANKIN JAMES 1,&DE13BRA Narne:Washington Energy Services Nnme:WASIIINGTON FNFRGY SERVICES Address: 17425 81 ST DR NE Address:3906 1960 Street SW Address:3909 196th Street SW City,Stare Zip:ARLINGTON,WA 98223-9834 City,Stale Zip:Lynnwood,WA 98036 City,Statc Zip:l,ynnwood,WA 98036 Phone: Phone:206-378-6927 Phone:800-398-4663 MECHANICAL_ CONTRACTOR' ` }'' PLUMBING CONTRACTOR Name: Nunn::WASIIINGTON ENERGY SERVICES Address: Address:3909 196th Slreel SW City,Slafe,zip: City,Slule,Zips Lynnwood,WA 98036 Phone: Phone:800-39H4663 LIC Y: 6XP: LIC 9: IiXP: JOB DESCRIPTION PERMITTYPE: Residential Plumbing CODE YEAR 2012 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: l OCC LOAD PERMIT APPROVAL AGREE TO COMPLY WITI I CITY AND STATE LAWS REOULATINC3 CONSTRUCTION AND IN DOING TI11'WORK A(frI IORIZED TI IEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OP 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 TI IE 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 I[AS BEEN MADE AND APPROVAL Olt A CERTIFICATE OF OCCUPANCY HAS BFF.N GRANTED. IBCI 10/IRCI 10. S\LCS I'A .fY I'It: ':Sides tax relating to construction and constructian materials in the City ol'Arlington Yl i� your Sales tax rehim foram and coded C' r/rlinglan N3101. �/1p d t0 Z 1� (p z-2- ;n;dure print Nana: I ate c0641 33 ( to CONDITIONS Adhere to Rheem model number PROG4038NRH62 E.F. - .62 and Rheem model number PROG5038NRH60 E.F. - .60 'I1IN PERMIT AUTI IORIZS ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO BF,DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,FTC.)WILL RFQUIRP.SEPARATEPERMISSION, PERMIT FEES Date Description Fee Amount 6/22/2016 Plumbing Permit Base Fee $25,00 6/22/2016 Water Heater $25,00 6/22/2016 Water Healer $25.00 Total Due: $75.00 "Total Payment: $75,00 Balance Due: S0.00 CALL FOR INSPECTIONS BIALWNC(360)40J 3417 When calling,I'or nn inspection please leave the following information: Permit iNumher,'Fype of lnspection being requested,and whether you prefer morning or alternonn CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address: 17425 81st Dr NE Permit#:1058 Parcel#:01040900002300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:RANKIN JAMES L&DEBBRA Name:Washington Energy Services Name:WASHINGTON ENERGY SERVICES Address: 17425 81ST DR NE Address:3906 196th Street SW Address:3909 196th Street SW City,State Zip:ARLINGTON,WA 98223-9834 City,State Zip:Lynnwood,WA 98036 City,State Zip:Lynnwood,WA 98036 Phone: Phone:206-378-6927 Phone:800-398-4663 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON ENERGY SERVICES Address: Address:3909 196th Street SW City,State,Zip: City,State,Zip:Lynnwood,WA 98036 Phone: Phone:800-398-4663 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. IBC 1 I O/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington st o your sales tax return form and coded City of Arlington#3101. Signature Print Name Date cle c to CONDITIONS Adhere to Rheem model number PROG4038NRH62 E.F. - .62 and Rheem model number PROG5038NRH60 E.F. - .60 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 6/22/2016 Plumbing Permit Base Fee $25.00 6/22/2016 Water Heater $25 00 6/22/2016 Water Heater $25.00 Total Due: $75.00 Total Payment: $75-00 Balance Due: $0.00 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 BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No 1058 Address: 17425 81st Dr NE Contractor: Washington Energy Services Owner: RANKIN JAMES L & DEBBRA Date: 7/14/2016 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Two gas water heaters LOCATION OK: © L&I: ❑ EXPANSION TANK: ® SEISMIC: INSULATION: ® VENTING (6x6 collar): 18 INCHES OR FVIR: ® PRV 6 INCHES: SHUT-OFF VALVE: © PRV < 150PSI: DRAIN: © DRIP LEG: IMPACT PROTECTION: ® ACCESS: COMBUSTION AIR: Date: 7/14/2016 Inspector: Kevin Olander - CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 :B.UILDING PERMIT' Address: 17425 81st Dr NE Permit N: 11158 Parcel N:0[040900002300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Namc:RANKIN JAMES 1,&DFBRRA Name:Washiugion Energy Services Name:WAS[IlWiCON FNFRGY SERVICES Address: 17425 81 ST DR NF Address:3900 1961h Street SW Address:3909 196th Street SW City,State Zip:ARLINGTON,WA 98223-9834 City,Stale Zip:Lynnwood,WA 98036 City,Slate Zip:l.ynnwood,WA 98036 Phone, Phone:206-378-6927 Phone:800-398-4663 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Namc:WASIIINGTON ENERGY SERVICES Address: Address:3909 1961h Street SW City,SInto,zill.- City,Slate,Zip:Lynnwood,WA 98036 Phonc: Phone:800-398.4663 LIC ll: EXP: LIC#: I:XP: JOB DESCRIPTION PERMITTYPF Residential Plumbing CODE YEAR- 2012 S I'ORIF& CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: I OCC LOAD: PIRMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING N 11'WORK Alri'11GRILED 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 PF,RMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ART,PAID, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR s,rRUCTURr?UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY IIAS BEEN GRANTED. 1BCI 10/IRCI 10. S LFS'fA "N '1' :Saks tax relating to catslruction and construction materials in the City ol'Arlin6lon sl tc ) your soles tax returnm for and coded C t/rlington 83 10 1. ^ to � zZ ti lnalnro Print Name I'ate cle..rd 3 D.nc CONDITIONS Adhere to Rheem model number PROG4038NRH62 E.F. - .62 and Rheem model number PROG5038NRH60 E.F. - .60 n IIS PERMIT MITI IORILS ONLY THE WORK NOTED,THJS PERMIT COVERS WORK TO BF DONE ON PRIVATE PROPERTY ONI.Y, ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,RTC,)WILL.REQUIRE.SEPARATE PERMISSION, PERMIT FEES Date Description Fee Amount 6/22/2016 Plumbing Permit Base Fee $25 00 6/22/2016 Water Healer $25,00 6/22/2016 Water Heater $25.00 Total Due: $75.00 "Total Payment: $7-',00 Balance Due: S0.00 CALL FOR INSPECTIONS BUILDING(.160)4021 3417 When eallhip for on inspection please leave the following infurmatiuu: Permit iNumher,Type of Inspecliun being requcslekl,and whether Tna prefer morning or afternoon CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 Go PHONE; (360) 403-3551 BUILDING PERMIT Address: 17425 81st Dr NE Permit#:1058 Parcel#:01040900002300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:RANKIN JAMES L&DEBBRA Name:Washington Energy Services Name:WASHINGTON ENERGY SERVICES Address: 17425 81ST DR NE Address:3906 196th Street SW Address:3909 196th Street SW City,State Zip:ARLINGTON,WA 98223-9834 City,State Zip:Lynnwood,WA 98036 City,State Zip:Lynnwood,WA 98036 Phone: Phone:206-378-6927 Phone:800-398-4663 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON ENERGY SERVICES Address: Address:3909 196th Street SW City,State,Zip: City,State,Zip:Lynnwood,WA 98036 Phone: Phone:800-398-4663 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. IBC110/1RC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington sl S c o your sales tax return form and coded City of Arlington#3101. Signature Print Name Date cic c Date CONDITIONS Adhere to Rheem model number PROG4038NRH62 E.F. - .62 and Rheem model number PROG5038NM60 E.F. - .60 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 6/22/2016 Plumbing Permit Base Fee $25.00 6/22/2016 Water Heater $25.00 6/22/2016 Water Heater $25.00 Total Due: $75.00 Total Payment: $75-00 Balance Due: S0.00 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:17425 81st Dr NE Project Description:Replacing 2 gas water heaters Owner:Debra Rankin 17425 81 st Dr NE Address: City:Arlington State:WA Zip Code:98223 Phone: 360-474-1694 Email: debbierankin@comcast.net Applicant•Ethan Onat/Washington Energy Services Address:3909 196th St SW City:Lynnwood State:WA Zip Code:98036 Phone; 206-378-6927 Email: eonat@washingtonenergy.com CONTRACTOR INFORMATION Contractor Name:Washington Energy Services Address:3906 196th St SW City:Lynnwood State WA Zip Code:98036 License Number:WASHIES851NS Expiration99107/17 Phone:206-378-6927 Email:eonat@washingtonenergy.com STAFF USE ON J Received Permit rf: ���� Accepted by. Date JUN 21 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Department of Community&Economic Development City of Arlington •18204 59th Ave N6•Arlington,WA 98223*Phone(360)403-3551 Plumbing Section(check all that apply) (Check all that apply and fnd"te the number of fixtures proposed) ❑ Bath/Shower Combo (4.0) x ❑ Sink (15) x ❑ Shower(2,0) x ❑ Lavatory(1,0) x ❑ Clothes Washer(4.0) x ❑ Water Closet(2.5) x ❑ Dishwasher(1.5) x Wafer H ater x ❑ Hose Bibb(2.5) x ❑ Other(list) Proposed Water Piping Size., N/A mo �1 Proposed Piping Material: N/A �1�����iJNvtt�� I(J& Proposed DWV Material; N/A Proposed-OW Size: N/A • All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019 • All water supplies at 60psi or greater shall have Pressure Reducing Valves (PRV) • Cross-Connection-Control may be required Applicant Signature: Date: �1 L�_ 1 hereby certify that the above uttormati n is correct and that the construction, installation for the above mentioned property will be in accordance with the -oplicable laws of the City of Arlington and the State of Washington. 6/21/2016 WASHINGTON ENERGY SVCS CO LLC r ,nrch L&I �iealth C;Iau;is&lnsurnnce V)forr pl,3r 5 Rights &i_-icensing Washington State Department of " Labor & Industries WASHINGTON ENERGY SVCS CO LLC Owner or tradesperson 3909 196TH STREET SW Principals LYNNWOOD,WA 98036 206-282-4700 OLSON, CRAIG E, PARTNER/MEMBER SNOHOMISH County OLSON,VERA A, PARTNER/MEMBER NG,YUN-KWAN WINNIE,AGENT Doing business as WASHINGTON ENERGY SVCS CO LLC WA UBI No. Business type 603 522 032 Limited Liability Company Governing persons CRAIG E OLSON LLC FIRST POINT; VERN A OLSON; 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. WASHIES851NS Effective—expiration 09/07/2015—09/07/2017 Bond North American Spec Ins Co $12,000.00 Bond account no. 2198899 Received by L&I Effective date 08/10/2015 09/07/2015 Expiration date Until Canceled Insurance United Specialty Insurance Com $1,000,000.00 Policy no. BV01673641 Received by L&I Effective date 04/29/2016 05/01/2016 Expiration date 05/01/2017 Insurance history https://secure.I ni.wa.gov/verify/Detai l.aspx?UBI=603522032&LIC=WASH I ES851 N S&SAW= 1/2 6/21/2016 WASHINGTON ENERGY SVCS CO LLC Savings No savings accounts during the previous%. :ar 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. PZETD00865 Satisfied Issue date RCW/WAC 05/00/2010 18.106.020 Violation city Violation amount LYNNWOOD $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. Danny H Padilla Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts L&I Account ID Account is current. 224,000-17 Doing business as WENERGY LLC Estimated workers reported Quarter 1 of Year 2016"Greater than 100 Workers" L&I account representative T2/SUSAN BETTS(360)902-4828-Email:BETT235@lni.wa.gov Track this contractor A Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. , 'Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Nlashingtor. hftps://secure.I ni.wa.gov/verify/D etai l.aspx?U BI=603522032&LIC=W ASH I ES851 N S&SAW= 212 Permit#: 1058 Permit Date: 06/21/16 Permit Type: RESIDENTIAL PLUMBING Project Name: Debra Rankin Applicant Name: Washington Energy Services Applicant Address: 3906 196th Street SW Applicant, City, State, Zip: Lynnwood, WA 98036 Contact: Ethan Onat Phone: 206-378-6927 Email: eonat@washingtonenergy.com Scope of Work: Replace two gas water heaters Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 06/22/2016 Permit Expires: 12/22/2016 Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 01040900002300 17425 81 ST DR NE RANKIN JAMES L 111 Single Family &DEBBRA Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# WASHINGTON Karen Matheney 2063786648 3909 196th Street CONSTRUCTION COA 603 522 032 ENERGY SERVICES SW CONTRACTOR WASHINGTON Karen Matheney 2063786648 3909 196th Street CONSTRUCTION Labor&WASHIES851NS ENERGY SERVICES SW CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 07/14/2016 R00.WATER 07/14/2016 BUILDING Approved HEATER FINAL Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Water Heater(Tank) $25.00 Water Heater(Tank) $25.00 Total $75.00 Attached Letters Date Letter Description 06/22/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 06/22/2016 Craig olson 60146111 cc $75.00 Outstanding Balance $0.00 Notes Date Note Created By: Rheem model number PROG4038NRH62 E.F.-062 and Rheem model number 06/22/2016 Kristin Foster PROG5038NRH60 E.F.-.60 Uploaded Files Date File Name 07/18/2016 1735109-17425 81 st Dr NE.docx 06/22/2016 1691046-1058 Permit.pdf 06/21/2016 1688284-1058 Application.pdf