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