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HomeMy WebLinkAbout17618 85TH AVE NE_BLD1059_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:17618 85TH AVE NE Project Description: REMOVE & REPLACE 1 GAS WATER HEATER Owner:WHITLEY, DAVID 17618 85TH AVE NE Address: City:ARLINGTON State:WA Zip Code:98223 Phone: 360-631-1130 Email: NONE@NOEMAIL.COM Applicant:JACCI DANIELS 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@GMAI L.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 Q Water Heater x 1 ❑ Hose Bibb (2.5) x ❑ Other (list) 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: Date: 06/21/2016 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. i r r G1 TY OF AR LINGTON s 238 N,OLYMPIC AVE-ARUNGTON,WA. 98223 PHONE;(360)403.-3551 Yil y •M;;j,'" �,.. ..li .]� Y h'.n„ L lj°a�• $'�✓�Y�j,�iFt7a'n.�,.Y � I..,,�YI1n1��' ���' ''� ''°�'�. r'� i. �sr �rFi� Cr'•::,,��j.'� � ,Pf r'�"��'t(. Aaferessg 1RFIs8sthnveldlC erOt�t ;ltl , Porcoi M.00958500006499 v aluation:0.00 ..{,,,,1 r, +VY 'l"� ���.. v '• �r,y :P �1 •!t,�A'rA"� i (�' i� �iuiy� "e`' v `'Iy fi 4 F RI N4rao:W ITLE Y DAVlfl& INA Alttmv;tiva h,lrt$tnri Wal@rkletticrs Nhmgl A HINC}TON WA�`E R H�i� 1iS INC' Address:1703 B 85TH AVE NE Addrva�:1900 Richards Rd Suite A Addrose:1800 I Q 1A 9S R0 STL.A City,Sate Zip:ARLINOTON.WA 982234044 City,StYtq Zip:Bellevue,WA 98005 City,St fm 7,ll#:B$I.LIsVUB,.WA,9800 Phone; Ph000;1109.978.9588 Phone:(900)978.8598 k?XT: � .,K♦i WORM,• .i.r '� Yen �c„m ;yl,, .I, �P... i�`N4'4t':1°.,�ZM1 st; t wig:........ , 3 !flaizre: wame A fi ';�A'k�IC I.:A'I'k:ttSINL AddreGs_ Address:1800 RICHARDS RP STF A City,stata,zip: City,Statc,Zip;i9E1.LEVUE,WA 98045 P Ph one:(8Q0)978.8888 C. c. w .."rCC N: E , il. '11 EXP�Y � I.'1'ry XP' a �!�� �,��:• I'��� .. •, •��'"'�'. �� ��. 1 �r��ii';'�k��r`I��, PERMIT TYP$: eai ien#iat PitiTijbinS CODE YEAR' 2012 STORIES: 1 CO1NST,TYPE: DWELLINQ,UNITS;, QC•C•GROUP; BUILDINCIS. ] ©CC LOAD: .Yr 1In t"r" `'�"}M,,:"� lil. `•nMn�: f{ :t'."': y•.i ,.•r1 MiV'°�7("fYr yal•.I�i '`.'�'�!/"V'YLtt��gg��{{pp itb.:pp,� IIM'"in�i 'y'�tW.�l .rlyy,'(Yn:�yll Y rl�" � � e'�.�']'� ':ir{.i k tlrh �' 7� S'TII .'M1 0'.i'u �1`77ii'�•�V,! }... �.+` 't;�a• I'ry'',. ,�''R 1!'�u, '"�1.;,�,\;�..I.'"`*�;i�"a`{r�R;''�'�ti�5j:r f 1 y.�/'"s,� ':'s:;c� �`,4 r•. f l,'f�$:, 'V;'" II "t 1 a"q,. a ��:�Y���t`.�s/-rt�:'Id{v:a'tGiM I'?1"• i1.'., ',:P�Vir,'AL�i..:,iYiIV�IJ:vY:,.'0171�iM ':L� n �:',r 4n .e J tiF'.A� .1Fw.•.l�.F�r.".flip; ry ....tnL�9� 12ii� 46 1W y�lSi:r':f}.'y+ 1 AGREE TO COMPLYWITH CITY AND STATE 1,AW, IW ULATIN. QONS'rRU(;TI N A140 IN 01 U VME WVKK AV I LA Z D THEREBY;NO PERSON WILL BE EMPLOYED 1N VIOLATION OF T14Z I,MOR CODE OIL THE STATF OFF WASHINOTON RELATING TO WORKW.,N'S COMPENSATION INSURANCE+.ANQ RCW 18.27, THIS APPLICANION 15 NOT A PBgmrr UK)3L SIONltD BY THE BUILDINO OF1,4C1AL OR HIS/HER IMPVTY AND ALL FEE$ARE PAID. 1 IT 15 UNLAW17UL TO USE OF,OCCUPY A 13U11-DING OP.Snl'RUC"TURE ERTrIL A FINAL CNSPECTION HAS YAWN MADE AND APPROVAL QR I A CERWIGATE OP OCCUPANCY HAS BIJFN GRA:NTF..13. Ip1Q1 I04.KC1101 I i • I"NOTICE:S#iea tar Ivia g to G struetion and oonstnidlon Matexiols In the City of A11190. nttpdoll your Was tax retun,form as 09ded City of Adiitgt N31011 c Rnla Date � a�esi k3 5igrtatu Drint Nam$ !� y et® •NJ'p 4 r. "S'R' 'Annlrvr. 't 1. r'G'..}nrw.l�l'•S: Y1 ;•1hl 'A'A'y\I'1:i¢i'�6:'itnN \LI'LI1ic; y: "•,al +. ¢:' ' ^&I " iwY�' 'T'�Ut:h�,;'..� s 'la fn? ti r .n,..";• ,•Ae ;K; ai +ray t;r1;�'^> t «' a;,�ii~'` ,i� �r � d`.:. �'. y ir� J �rY i Wl,Y, ,I, 7C• M" I'? '.�I ifil h dl V1f 1 �r iF� I A.t;...A:I�""i ls;'rNa�ui'`0�r(�.�.3 •'1 ,�':r r��,Lt !`lli)§'.,i •�iwt� ?'Yi�f'_"',n,il�:'G,�;�I:i •rv,,; � Adhere to Whirlpool modol?� P number'SOT l 0w40NG E.F.-,62. . 'CHM PERMIT AUTHORIZE ONLY TWO WORK NOTED,THIS PERTY UT COVERS WORK'r0 BE DONE ON PRIVATE=,PROPBRTY ONLY,,.ANY CON )• _ t YEr NIARQUEZE,RTR:)WILL REQUIRE 99PARAT1ri PER,MISS10Nr. d RUC'r1ola 4N TH$'Pl1BLE0 DOMAIN GURq`a,91AT=WAGC{0,1']9;IVEW,+, ,H.;..;y. ,?•��` � "'',I„d Win'},�, ;Ns :.a" ;''' •;¢,Y.,g1F , "eAI,<, :',t'. 4''I N�+'b+'I� �J 'a�•. �tii`` s "'�;#i:">insll'r,!1••: i 'S;:i;;;:Y.. � 1''•`•�""'i�xa..,. (��('r�l.l;�•••" ,.'lyl�.... .I,�`il ;U<•;�;a.,"al� ,,,. n, •;t,.ls'�:r;�l�.rti:�yiilsk�l` �1>„R 'r! n•}a 7Lr�.:�� ;YEI r,�n�It1,�,����',��,�r.� 7: �''tr.'t'iP+t!���"@� :i' '��;; ,�'�L,l,,{{R,rt ;lulat ,,,, ,��,� ..911Y1a`�fiul#!�F!. :itd•r, A. ".IQP.h�� `...2.'1s. ��?�'an�,,M'o' �>.,,Y, .r,.. "" ei pl o• '1 e. ....... ... •:. . .. • , r 1,,... ..L, 'Fee A'iltou�t flute Deficrlptlarl 6/2 212 0 1 6 Plumbing Perrpit l3aso Fee $25•00 ? 612212016 Water Heater $25.00 Total Due: SS0.00 `tutrrl Payment: Xoo 9 Baiartce Due: $511.40 N;........,;.:) .n,'s"k.Yw..,.:ai• A�"Y"J:a"if!,Vp".I, yit l.. n:ul 'Mi'.f:'.: iris•V,pi'!1`,,�i ;�ii�nu:,,7/.RY;,),I.1�'.'.Pi\',,"'A1{r1•'rYi�!1�,'fi.>•}I,Vi;;:�•'7r'�•'�'a•:lye I�.''�, ,�: .vt �'. ';; :: �Y .� •'.�>t�Y^ LEA„�F,�G .��>t,� �! 1 .r,''�.n, �'' 'r',• "n Myl!��'Irhn�'^f.:j'i1"u�•i•x�' 'MI:, it �' ItJnl ���:r'�w)�F::i 1 ,' `.. w,•>iN. ..ik " ';�:+£. w iad:""L'�1j +>,.�- _.s:' .. " . ,.n,,'.h �_,'i. BUILDING(360)40 1' When veiling for on Inspection please Leave the following informationt Pcrmit Number,Typt of Inspectum tieing reyorsted,Nnd whether you prefer mowing or afternoon CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17618 85th Ave NE Permit#:1059 Parcel#:00958500006400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WHITLEY DAVID&GEORGINA Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC Address: 17618 85TH AVE NE Address:1800 Richards Rd Suite A Address: 1800 RICHARDS RD STE A City,State Zip:ARLINGTON,WA 98223-4044 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: 1 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. IBC 110/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingl s orted on your sales tax return form and coded City of Arlington#3101. t! j Signature Print Name Date Released By Date CONDITIONS Adhere to Whirlpool model number 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 6/22/2016 Plumbing Permit Base Fee $25.00 6/22/2016 Water Heater $25.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: S50.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Shop Whirlpool 40-Gallon 10-Yeah Residential Taal Natural Gas Wat... http://www.lowes conVp 757281-135-4OT10-40N(-3 Your store: Bellevue,WA x•_,.,.•,.,••.••__...._..,...........................:.:. ••.._•,..•..•••_.,.•..•_.__..•._••_._••.•••__.•.••,•.••.•_•.••-,_••.•.•.•_•••.»....................••.._•_.,,._.•_......».......»«....................,............................................ Your Store: Bellevue,WA I ; i FREE i•.••"...................•__................•. ••.••.••,:•._...__._.••._•.•.•.,...••_.•._«•••_»•••..•.,»••.,.«,..,.........................._._._............................................... ................ �,.,,,...,. ! Stara Pickup Whirlpool 40-Gallon 10-Year I ' Residential Tall Natural Gas Water I I �Pwe'$............................_....._.._.._._.._._•..I , Heater � 4,m••_,..»._.....,... Truck.Delivery Item#;7877r31 l Modm1*4010-4UNG II ! I $529.00 I ! I ' i Parcel Shipping I it I ! Unavailable for This Order Get 6%"Off Every Day or Special Financlnq** Sent by camera like UPS, MirliII)LIM Purchase Required i Pedroc,USPS,atc. I i w................................................... :.:.....:.:..:_.:,,,.,.:,:.,,.,,..,.,..,a i Whirlpool40-Gallon $529.00 10-Year Residential Tali Natural Gas Water Heater 6-Year Water $59,97 ! Heater Extended Protection Plan Farcbaok ' 7wlttcr 600ylc� Emall I r, Description 40-Geeon 1[Year Residenbal Tall Natural Gas water Heater jC I I; •Whirlpool 6th Sense technology advanced Oucbonic gas control •High-altitude certified from 0 tt to 10.100 tt I R •FVIR safety system protects your family from accidental ignition of flammable vapors I' •Gongumer-friendly combination gas valve/thermostat with self-diagnostics E •Push-button plloiAght igniter with view port for ease-of-lighting pilot without matches 4 •Factory Installed temperature and pressure relief valve I { specifications I! I ) 40 Vent Diameter(Inches) 9 t •Tank.�epa.Gty......,a. ...............,.«,......................«..«.«,.,.,.••.•»• •,»•••.•.•.«_•. •.•••.•.•••.••_._••.•••....••...•._.•,»«...•,..,,.,.•«..•••_••••.•.•._.•.__,.•.••.•_•_._•.•.......•.•...•.•_••.._•_.,•,.••._• I l Farm Size a Type B .....•.......«.....».....•._...«».....•..._•..•»•..•_._«_.•_»•............_,.«•.,.........•._•.................... Type Warranb. ..«...•»,_..•• ....••.•».».••.«.«...................«...,, ...,,.,,.,»1o,'yeer Vent wgllble 1 Fuel Source „., Natuml "ENERGY STAR Qualitled,..1..,».,..•....'..^......_.,..».._....NOas ............�... .........................». .,. ...«, ., 9 I Helght(Inches) gg Works with Ids No I Wgter Connection Size in Insulation Thickness(Inches) 2 4 Clef......._...,..._..........._...._........._..--.._.._—........__ ._.»..._........_. Temperature and Pressure ReIIef Valve -Yes » Commer•• .Reeldentlal Residential C3PN Recovery at 90 Degrees F(Gallons)•.,_,.,•.,_,•.,•4o.e4.•... ........«_.Input(I,..................._._.._.._..•».•,.:,••.•.,..••.•,••.•••,.••"..,,....,.•...••_._••.•.•..»•...»,_. 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Energy Factor O.fi2 PtlokReset Button Yee ._.._..............._........,....,..,_•...•__.•_..._._.»,..•.•,._....•__...-_._.•--,.•.................•..._.... l •................_._...,_......._._..•,..,,., "." . ... .... „"•",..,•_._...•_._,...•_...•_.,,...•_»,......_.._...,._...._..».._.Yes II Pilot ._,Light ,,....J.,,.nr;d.,aw Dimle (Inches) 19.75 ..». _ r. .«...,....•_.••...•.•._•••.•..,.••.,».,.•••.,.••.••.••.•.•.•»,..•.•.•.•••.•••.._.....•.._.....•....._ ;_,..._.. _ _..._....... _.•.» Yy!9 Type ti UL Listed No Ignition T e Fttfzo ..�.•�.,•«,»�•,:C!•�»••�Y'l!'r�.!'r�rn�rM Wflx,x,iirv��xr�r.,fi,.r.�Y.�.«�rvi.�»�•rv..�•.�,.;�.,�e!«.�..,.Y,.�•.,i.•p��Y«f�•.,�.���.tY'lYr.�l'!Y•'.'list'PIT�IS'.'d'.•�IMW:T•ITT�i"'LY"lfdt'�".'.Ti.tl�.�.••.�»••.�.� »•.«............ «.............«...... 1 of 2 4/19/2016 1:05 PM BUILDING INSPECTION REPORT — MECHANICAL (RESIDENTIAL) Permit No. 1041 Address: 17917 Country Club Dr Contractor: CM Heating Owner: Lynn Shinnick Date: 6/27/2016 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas Furnace CO DETECTOR: © HEAT PUMP/AC UNIT: ❑ GAS PIPING: © DISCONNECT: ❑ DRIP LEG: ® SEISMIC: ❑ VENTING: ® 3" PAD: ❑ ACCESS: ® INSULATION/PROTECTION: ❑ SHUT-OFF VALVE: Fx DUCTS: N/A L&I: Yes Date: 6/27/2016 Inspector: Kevin Olander BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No 1059 Address: 17618 85th Ave NE Contractor: Washington Water Heaters Owner: David Whitley Date: 6/27/2016 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas Hot Water Heater LOCATION OK: N L&I: ❑ EXPANSION TANK: N SEISMIC: N INSULATION: N VENTING (6x6 collar): N 18 INCHES OR FVIR: N PRV 6 INCHES: N SHUT-OFF VALVE: N PRV < 150PSI: N DRAIN: N DRIP LEG: N IMPACT PROTECTION: N ACCESS: N COMBUSTION AIR: N Date: 6/27/2016 Inspector: Kevin Olander 1 } CITY OF ARLINGTON 1 239 N.OLYMPIC AVE-AR.LINGTON,WA. 98223 PRONE,(360)403.3551 ! n� a nilJ'HG'jS�ar kCr , }(Ij A,ddreatt 176 39Sib Ave NE l�erdtfl :tfN� Parcel 9:00938500006400 Valupthm:0.00 } ✓^.. ., i ,. _ IN y�„�,r, •a,• i .., '_ w V mar rye' 'i w�'• A." ;.- (j a nt a "44MV:WAITI.I+YDAVfp&G (11NA !Name;:WRibinNtonwiderHoatcii Ntur!oa A HINQTQ 1 WAIT.R149 SIN Addrass:17019 95TH AVE NE A4drrlss:1800 Ricbprds Rd Sufto A. Adrlross:I$W PIPFMR139 RD 811 A City.Sate Zip:ARLIN{GTON.WA 98223^4044 City,31419 Zip:Iiallewv,WA 98005 Croy,Stem Zip;13S1.L13VUf,,WA 9$ 0 Phone Phol+a SQQ�978.0588 P}a0ne;(800)978,8599 A?A"R Plomts: inii:WAS14INGTON W'Ni'bX HIIXUL-Kb INC j Address_ Addrm:180D RIC14AREA It.D STE A i City.State,Zip: City,Slaw,Zip:Bl:l IXIVUP'WA 9800$ F phono: Phone:($0)97&8§88 1 IAC#: EXP; LIC N: 6XP: N d� -^(.. '; ;r��.-_ -3T �'^"•"'rn.� h .]s•,-"y^7'Q' �Lrll�. � PE-kMITTYPr: Rosidcotittl Plumbing CODE YEAR: 2012 STOR3E:5: I CONST,TYPF,: DWELLINQ UNITS; ()CC GROUP: BUILDIN03, ]; OCC LOAD? I r�+•g. t� •�}{* a,yt�1;s is •. �s �:•� .r v; � .:.. r. =Y• .�.:,V w'%�`� a'-i�s�•� �:� 'r 1 v Z s4'� IF!{ ..'.�r '3 w7y�C.;fys 'Qe✓ � "-��'#'k�s.. 1� �a � � 1 � e A ° a.y f �� � ��..�� f f •` �s'1: AGREE TO COMPLY't H CITY AIM STATE'LAWS RE ULA C(XdSTRUCI 1 N. f 'h()I G fl IE WURI:AUTH z p THIiIiE13Y;NO PERSON WILL 13B E M1P'LOYLI)IN VIOLATION OF TRZ,1..AFlI)Et CQ[).F OF THE STATE OF-WASHNNNOTOhi ItEIR.A'FING To # WORK,IV Ft W8 COMPENSATION INSURANCE,,ANQ RCW 18,27, { THIS APPLICATION IS NOT A Pl R1a IT UNTIL SIGNUD BY THE BUILDING OFMCIAL OR tlIS/HFK 0171,1TY AND ALL!^FFS ARE PAID, IT IS UNLAWUL TO USE OR OCCUPY A 13LIKJ 1NG 40K STKl1CTUR9 UNTIL A FINXt lNSPE CTION HAS BKN MADE ANp APPROVAL QR j A CIERT;F1CATR OP OWIPANCY HAS BEF14 GltAAEITD, 10Q1101IIt.C110, F. 'r NOTIC •Sales tale rela 8 w struation and canOnwtl,On materitils in the CI4Y o1'A,rlingt. n tted nn y0uc bales lax return form a opdcd City of ArI fti t 43101, Slgnatu print Nana; Date Relea ed By Iota �y� �gyt"h +�+•�ty�YU `i, ttt� � `S + �•y: '' ;�4 7g nfi3 "�93 }},, -r• 1y,} n 4v `rt" "kr,' ' yl',;�,5k r �i.���c �a .• ,Y+•. -J ^9$�;.. 7��J'�. r 'a3 � �"y Adhere to Whirlpool modol Humber 40T10-40NG E.F. _ ,62. TW,$PERMIT AUTHORUS ONLY THR WORK NOTED.THIS PERMIT COVJ5R.$WORK TO BE DONE ON PRIVATE Pfk()IIt?RTY ONLY,.ANY y} CONSTRUC-T.(019(5'N TV13 PUBLIC DOMA114(CUU%S1/STIWAI,T 'DRIVEWAYS,hIARQUF;ETE,.ToTO'{:,)�W�IIT.L REQUIRS 8 b{{9PARATPs FERM18S10N, t d9t�r"T d.Mi,�r,,,,.���^'��lla4 •l'a V,`f� H.•�_�, �fi�r�Y• , „�, �it(1• a•v'•a al 5 �'ihS,,.n'u�7(r+�, W�L��+�' �1��1}'Y }�• 1 Date Ostertptlon Fex Amount i 6)2212016 Plumbing Permit sass Fee $25.00 6/22=16 Water Heater $25.00 t Total Due: $50.00 I Total Payment: $0100 Balance Dut: $50.00 Y. .-f.�rt.�re�a�w ':r3kr.;If"�y, - ,�;. .�yt��.�� je :. -,;��j ,�r' St.a ;i�.•:.,y,•'' �� •.J. f,.'L',�` � i'y,wa�ifi,^4V'�a���� �'�!4� 'Jti ��!."�'� !,.� ��il!t '6 w.�' �•+t A B ILDI ti (360)41 1 j when caffing for an laipection plemst leave the following Informarian: {N Permit Nuiflbcr,Type of inspection being rg4uosted,Nod whethrr you prefer morping or a fteenoon f t r �I I CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 _ PHONE; (360)403-3551 BUILDING PERMIT Address:17618 85th Ave NE Permit#• 1059 Parcel#:00958500006400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WHITLEY DAVID&GEORGINA Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC Address: 17618 85TH AVE NE Address:1800 Richards Rd Suite A Address: 1800 RICHARDS RD STE A City,State Zip:ARLINGTON,WA 98223-4044 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: I 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 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 Arlingt i s cc4 orted on your sales tax return form and coded City of Arlington#3101. B Signature Print Name Date Released By Date CONDITIONS Adhere to Whirlpool model number 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 6/22/2016 Plumbing Permit Base Fee $25.00 6/22/2016 Water Heater $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:17618 85TH AVE NE Project Description: REMOVE & REPLACE 1 GAS WATER HEATER Owner:WHITLEY, DAVID 17618 85TH AVE NE Address: City:ARLINGTON State:WA Zip Code:98223 Phone: 360-631-1130 Email: NONE@NOEMAIL.COM Applicant JACCI DANIELS 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:WASHW980OP Expiration:9/17/16 Phone:800-978-8588 Email:WAWAHVAC@GMAI L.COM STAFF USE ONL '1 Received Permit#: V�`) 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: 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 �1c ,CA'NYr e?J(�4C lt�Yt` Applicant Signature: Date: 06/21/2016 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. Shop Whirlpool 40-Gallon 10-Year Residentiz `11 Natural Gas Wat... bttp://www---')es.coin/p4_757281-135-40T10-40NG_ your iftfs! HYllevue,INA _.. I Your Store: Bellevue,WA i • FREE Store Pickup Whirlpool 40-Gallon 10-Year Residential Tall Natural Gas Water Heater !1, _ Lowe's Truck Delivery i Item*767,2e11 Mvdcl4,40T1t1-0NCa l t = $529.00 Ir 1�1 Peroel Shipping Unavailable for This Order Get 6¢/e"Oft Every Day or Speclal Flnsnclnq" I t sent by tamers like UPS, Minimum Purchase Required PQdEx,USPS,etc 1 Whirlpool40-Galoan 5529.00 1 p-Year Residential Tall Natural Gas Water Heater — 16-Year V,eter $499,97 Heater Extsnded 1 Protection Plan Facebook Prntcri¢¢t Twitter nooyl¢� Emarl i I Deseriptiml i #; 44Galion 10-Year Realdential Tall Natural ras Water He*er i •VVhldpool Bth sense technology advanced elr-ctronic gas coni,nl .High-A(iturie certified from 0 ft to,10,100 ft 1 •FVIR safety,system protects your family from accidental ignition of llarnmable vapors •Corrsumee-mendly eombinetion gas valvenharmostat with salt`diagnostics •Push-button pilotAght igniter with view port for ease-oFgghttng pilot without matches •Factory Installed temperature and pressure relief valve 1 1 Specifications Tank 0.pedty(Gallons) •^--- 40 Vent Diamelef(inches) ��— 3 Family Size a TYPe 6 - - -�dRanty 1Q,yeaY Venl Type doublewog A Fuel Bours Natural e gas ENERGY S7Paa t]ualtded`r�. �T No f _..- l Halght(In Works wilh his No Mier _ 62 _-__---___•_••---._______._,,._.._..�.,...:,..,.,-._ �, -�" Insulation Thisknrss(Incites) water Connection Size 3/4 in ..,. . . .,.._._•---•_••_-•-._ r_ __.--- t Te rnpereiure and Pressure Reller Valve Yea -CommerelallRealdentlal J _ w� Residential 1 " lnput(B. GPH Recovery at r30 L7egre¢s F(Gallons) 4094 9TU --__.TU) 40000•, _ .. _ .�.._ .___.... ..._.. HighAi6 series NIAludeModel Yee _, . . _.._._. .. ._ __._•.�._. _____W__� Foam Insuledon Yea La No yes Pilot Reset Bufforl �•-•�•�--•- -Yes Energy Factor 0.62 Diamrkr(lnchrs) 19.75.y-.- Pllot Light Window Yes _ � I UL Lialed --_......-. ��-•_ ._..._No _ Ignhicn Type -- - ^� Reza i 11 _- ---'-,._�.. .. .. �,,..•r--•.�-•� r. .- -._ -_.-,._a��rreza:a--r =fir—.cam.-%.rye-ts;_•..:.0 1 of 2 4/19/2016 1'05 PM i� � I 1 6/22/2016 WASHINGTON WATER HEATERS INC „'. .. Search L&I Siiiety& H('alth Claims.&insurance iNorkplare Rights Tr&rle�; &t_irt;n<;ing 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:09102/2010) 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. WASHI I"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 hftps://secure.Ini.wa.govtverify/Detaii.aspx?UBI=602214757&LIC=WASHII*980OP&SAW= 1/2 6/22/2016 WASHINGTON WATFR HFATFRS INC Received by L&I Effective date 02/16/2016 02/18/2016 Expiration date 02/18/2017 Insurance hislury Savin0s 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 current. 052,899-00 Doing business as WASHINGTON WATER HEATERS INC Estimated workers reported Quarter 1 of Year 2016"7 to 10 Workers" L&I account representative T1!FEARAED FEROZE(360)902.4797-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. P Washington Slake Dept.of Labor&Industnes.Use of this site is subject to the laws of the state of Washington https:Hsecure.ini.wa.gov/verify/Detai i.aspx?U BI=602214757&LIC=WASH II*980OP&SAW= 212 Permit#: 1059 Permit Date: 06/22/16 Permit Type: RESIDENTIAL PLUMBING Project Name: David Whitley Applicant Name: Washington Water Heaters Applicant Address: 1800 Richards Rd Suite A Applicant, City, State, Zip: Bellevue,WA 98005 Contact: Jacci Daniels Phone: 800-978-8588 Email: wawahvac.gmail.com Scope of Work: Replace gas water heater Valuation: 0.00 Square Feet: 1791 Number of Stories: 1 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 00958500006400 17618 85TH AVE NE WHITLEY DAVID 111 Single Family &GEORGINA 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 Plumbing Base Permit Fee $25.00 Water Heater(Tank) $25.00 Total $50.00 Attached Letters Date Letter Description 06/22/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount WASHINGTON WATER 06/22/2016 HEATERS JACCI 60152445 cc $50.00 DANIELS Outstanding Balance $0.00 Notes Date Note Created By: 06/22/2016 Whirlpool model number 40T10-40NG E.F.-.62 Kristin Foster Uploaded Files Date File Name 06/27/2016 1698382-17618 85thAve NE.docx 06/27/2016 1697675-17917 Country Club Dr.docx 06/22/2016 1690424-1059 Permit.pdf 06/22/2016 1690023-1059 Specs.pdf 06/22/2016 1690015-1059 Application.pdf