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HomeMy WebLinkAbout3131 186TH PL NE_BLD1176_2026 RESIDENTIAL PLUMBING PERMIT APPLICATION ING�� 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.3131 186th PI NE Project Description:Natural gas water heater replacement Owner: Matt Dube 3131 186th PI NE Address: City-Arlington State.WA Zip Code: 98223 Phone: 425 280-7626 Email: absoluteplumbing247@yahoo.com Applicant:Absolute Plumbing Address: PO Box 1445 City:Mount Vernon State WA Zip Code: 98273 Phone. 360 610 6141 Email: absoluteplumbing247@yahoo.com CONTRACTOR INFORMATION Contractor Name:Absolute Plumbing Address:PO Bos 1445 CIty:Mount Vernon StateWA Zip Code:98273 License Number. Expiration Expiration:09/04/2017 Phone-360 610 6141 Email.absoluteplumbing247@yahoo.com STAFF USE ONLY Permit #: Accepted by: Date REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION ING�� 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 Water Heater Model # ❑ Other (list) x 40T6-34NG 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 0-7 G � 10/14/2016 Applicant Signature: 89c5O13O5........a Date: I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. REV 2015 Page 2 of 2 CITY OF ARLINGTON 238 N.OLYMPIC AVE- ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:3131 186th PI NE Permit#: 1176 Parcel#:00901400001800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DUBE MATTHEW A Name:Absolute Plumbing Name:Absolute Plumbing Address:3131 1861'H I'L NE Address:PO Box 1445 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223-7890 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 Phone:360-610-6141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name.Absolute Plumbing Address: Address:PO Box 1445 City,State,Zip: City,State,Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 LIC#: EXP: LIC# EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: j CONST.TYPE: DWELLING UNITS: 1 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. TT 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. IBC1 IOARC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington t your sales tax return form and coded City o/f.Arlington 1$3101 Signature Print Name Date el d y Date CONDITIONS Approved as submitted. Adhere to Whirlpool model #40T6-34NG E.F. - .62 THIS PERMIT AUTHORIZS ONLY THE WORK NOTED THIS PERMIT COVERS WORK TO BE DONE ON PRIVA'PE PROPHRI'Y ONLY ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,FTC)WILL RF.QUIRF SEPARATE PERMISSION PERMIT FEES Date Description Fee Amount 10/17/2016 Plumbing Permit Base Fee $25.00 10/17/2016 Water Heater $25.00 Total Due: $50.00 Total Payment: $50.00 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 CITY OF ARLINGTON a, 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 - PHONE; (360)403-3551 BUILDING PERMIT Address:3131 186th PI NE Permit#:1176 Parcel#:00901400001800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DUBE MATTHEW A Name:Absolute Plumbing Name:Absolute Plumbing Address:3131 186TH PL NE Address:PO Box 1445 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223-7890 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 Phone:360-610-6141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:PO Box 1445 City,State,Zip: City,State,Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: 1 CONST.TYPE: DWELLING UNITS: 1 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. IBC1I0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington I r i your sales tax return form and coded City of Arlington#3101. I'1.2o1 Signature Print Name Date elea ed y Date CONDITIONS Approved as submitted. Adhere to Whirlpool model #40T6-34NG 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 10/17/2016 Plumbing Permit Base Fee $25.00 10/17/2016 Water Heater $25.00 Total Due: $50.00 Total Payment: $50.00 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 CITY OF ARLINGTON 238 N. OLYMPIC AVF. - ARI JNGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:3131 I86th PI NE Permit#: 1176 Parcel#:00901400001800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DUBE MA'FTHFIA'A Namc:Absolute Plumbing Name:Absolute Plumbing Address: 3131 186 fH Pl.NF_ Address:PO Box 1445 Address:PO Sox 1445 City,Statc Zip:.ARLINGTON.WA 98223-7890 City.State Zip Mount Vernon.WA 98273 City.Stale Zip:Mount Vernon.WA 98273 Phone: Phone:360-610-6141 Phone-360-610-6 141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name Name:Absolute Plumbing Address: Address:PO Box 1445 City.State,Zip: City.State,Zip Mount Vemor.WA 98273 Phone' Phone:360-610-6111 LIC r: EXP LIC a EXP JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 S'I'OIUES I CONST.TYPF DWELLING UNITS_ I OC'C GROUP: 131111.1)IN(iS: OCC LOAD PERMIT APPROVAL I AGREE TO COMPLY Wl FH CITY AND ST AI-L LAWS REGULATING C'ONS'I RUC HON AND IN DOING THE WORK.AUTHORIZED THEREBY:NO PERSON WILL BL LMPLOYED Iti VIOLATION OF THE LABOR CODE.OF THE STATE OF WASHINOTON RELATING 1'0 WORKMFN'S COMPENSATION INSURANCE AND RCW 18 27 THIS APPLICATION IS NOT A PF.RMIT UNTIL SIGNED BY THF.BI III DING OFFICIAL OR HISAIER DEPUTY AND ALL FEES ARL PAID. I'I'IS UNLAWFUL TO USE:OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION I IAS BEEN MADF AND APPROVAL OK A CERTIFICATE OF OCCUPANCY I IAS BELN GR.ANTCD. IBC 110/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlinglnn r t n vmur.ales tax return form and coded City of.Arlington h3101 ' - 6 r Z� �;r�1,1 �/; i� i ��: 0. 11.2011p Signature Print Name Darr. tclr cil lip Date CONDITIONS Approved as submitted. Adhere to Whirlpool model #40T6-34NG E.F. - .62 TIBS PL-R,MIT ALIT HCRIZS ONLY T'HF.WORK NOTED THIS PERMIT COVERS WORK TO BF.DONE ON PRIVA'1'1,1,ROPI R I Y ONLY ANY CUNS'I RLIC HUN UN r11L PUBLIC DOMAIN(CLR135.SIDEWALKS,DRIVEWAYS,MIA RQUFES.FTC)WILL RF.QUIRF 9F.P.ARA 11'111:RMISSION PERMIT FEES Date Description Fee Amount 10/17/2016 Plumbing Permit Base Fee $25.00 10/17/2016 Water Heater $25.00 Total Due: $50.00 Total Payment: $50.00 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:3131 186th PI NE Permit#:1176 Parcel#:00901400001800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DUBE MATTHEW A Name:Absolute Plumbing Name:Absolute Plumbing Address:3131 186TH PL NE Address:PO Box 1445 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223-7890 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 Phone:360-610-6141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:PO Box 1445 City,State,Zip: City,State,Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: 1 CONST.TYPE: DWELLING UNITS: 1 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. IBC IOARCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingtams;���o and coded City of Arlington#3101. a Signature Print Name Date :Clca_ed By Date CONDITIONS Approved as submitted. Adhere to Whirlpool model #40 T 6-34NG 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 10/17/2016 Plumbing Permit Base Fee $25.00 10/17/2016 Water Heater $25.00 Total Due: $50.00 Total Payment: $50.00 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 i RESIDENTIAL PLUMBING s � 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:3131 186th PI NE Project Description:Natural gas water heater replacement Owner: Matt Dube 3131 186th PI NE Address: City:Arlington State:WA Zip Code: 98223 Phone: 425 280-7626 Email: absoluteplumbing2479yahoo.com Applicant-Absolute Plumbing Address:PO Box 1445 City:Mount Vernon State:WA Zip Code: 98273 Phone: 360 610 6141 Email: absoluteplumbing2479yahoo.com CONTRACTOR INFORMATION Contractor Name:Absolute Plumbing Address:PO Bos 1445 CityMount Vernon StateWA Zip Code:98273 License Number:ABSOLP*8720D Expiration:09/04/2017 Phone:360 610 6141 Emai1:absoluteplumbing247@yahoo.com STAFF USE ON Received Permit#: (� Accepted by: Date OCT 14 2016 REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION ��ir� CEO Department of Community& Economic Development P 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 Water Heater Model# ❑ Other (list) x 40T6-34NG 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 ASS 1019 • All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) • Cross-Connection-Control may be required Applicant Signature: Date: 10/14/2016 I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. REV 2015 Page 2 of 2 1 011 7/201 6 ABSOLUTE PLUMBING Ftin Search L&I Safety&Health Claims& Insurance UVorkplace Rights Trades& Licensing Washington State Department of Labor & Industries ABSOLUTE PLUMBING Owner or tradesperson P O BOX 1445 MOUNT VERNON,WA 98273 Principals 360-610-6141 OLIVER,JEREMY MICHAEL,PRESIDENT SKAGIT County Doing business as ABSOLUTE PLUMBING WA UBI No. Business type 603 305 333 Corporation Parent company JO ABSOLUTE PLUMBING INC License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties PLUMBING License no. ABSOLP*8720D Effective—expiration 09/04/2013—09104/2017 Bond Contractors Bonding&Insurance Co $6,000.00 Bond account no. SH5089 Received by L&I Effective date 09/04/2013 09/03/2013 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9145772 Received by L&I Effective date 11/02/2015 11/05/2015 Expiration date 11/05/2016 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&1 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. ielp us improve https://secure.ini.wa.gov/verify/Detail.aspx?UBI=603305333&LIC=ABSOLP*872OD&SAW= 1/3 i ' � 1 i 10/17/2016 ABSOLUTE PLUMBING License Violations Infraction no. PBATI01201 Satisfied Issue date RCW/WAC 04/25/2016 18.106.020 Violation city Violation amount MOUNT VERNON $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.Company had two plumber trainees installing new shower/tub unit when not supervised as required. Infraction no. PBUJD00525 Satisfied Issue date RCW/WAC 05/04/2015 18.106.020 Violation city Violation amount MOUNT VERNON $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 Kristopher Schuhow to install rough plumbing at the listed location. Infraction no. Satisfied PBATIO1033 Issue date RCW/WAC 04/15/2014 18.106.020 Violation city Violation amount MOUNT VERNON $250.00 Type of violation PLUMBER INFRACTION Desu ptlon 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 Matthew Carr to perform gas water heater installation when his plumbing certification was inactive. 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. 266,163-00 Doing business as JO ABSOLUTE PLUMBING INC Estimated workers reported Quarter 2 of Year 2016"11 to 20 Workers" L&I account representative T5/BETTY VANCE(360)902-5137-Email:VABE235@lni.wa.gov Workplace safety and health Help us improve https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603305333&LIC=ABSOLP*872OD&SAW= 213 10/17/2016 ABSOLUTE PLUMBING Check for any past safety and health violations 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 Washington. Help us improve https://secure.ini.wa.govtverify/Detail.aspx?UBI=603305333&LIC=ABSOLP*872OD&SAW= 31`3 II I Permit#: 1176 Permit Date: 10/17/16 Permit Type: RESIDENTIAL PLUMBING Project Nam e Matt Dube Applicant Nam a Absolute Plum ling Applicant Address: PO Box 1445 Applicant, City, State, Zip: Mount Vernon,WA98273 Contact: Janine Hill Phone: 360-610-6141 Em al: absoluteplum hng247@yahoo.com Scope of Work: Replace Gas Water Heater Valuation: 0.00 Square Feet: 0 Num ber of Stories: 0 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 10/17/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wrier Nam e Ovner Phone Zoning 00901400001800 3 131 186TH PL NE DUBE MATTHEW 111 Single Fam iy A Residence-Detached Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# Absolute Plumbing P aul Hooley 3 60-610-6141 P O Box 1445 CONSTRUCTION Labor&Industries ABSOLP*799MB CONTRACTOR Absolute Plumbing P aul Hooley 3 60-610-6141 P O Box 1445 CONSTRUCTION COA 603 305 333 CONTRACTOR Fees Fee D escription N otes A m amt Plum fing Base P erm i Fee $ 25.00 Water Heater(Tank) $25.00 Total $ 50.00 Attached Letters Date Letter D escription 10/17/2016 Building Perm i Paym sits Date Paid By D escription P aym art Type A ccepted By A m cunt 10/17/2016 Jerem yOliver 6 1894963 c c $50.00 O rtstanding Balance $0.00 Notes Date Note C reated By: 10/17/2016 Whirlpool model#40T6-34NG E.F.-.62 K ristin Foster Uploaded Files Date File Nam e 10/17/2016 1895384-1176 Issued Permt.pdf 10/17/2016 1894842-1176 Application.pdf