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HomeMy WebLinkAbout6118 209TH ST NE UNIT 6_BLD1143_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.6118 A 209th St NE Project Description:Natural gas water heater replacement Owner: Linda Bardell 6118 A 209th St NE Address: City-Arlington State.WA Zip Code: 98223 Phone: 425 492-6227 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 40S6-40NG 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 G � 09/06/2016 Applicant Signature: °28f9L5O13O5.......aa 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 VAW-M 1W 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:6118 209th Street NE,Unit 6 Permit#: 1143 Parcel#:01099100000600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BARDELL LINDA S Name:Absolute Plumbing Name:Absolute Plumbing Address:6118 A 209TIl ST NE Address:P.O.Box 1445 Address:PO Box 1445 City,State Zip:ARLING['ON,WA 98223 City,State Zip:Mount Vernon,WA 98273 City,State Z.ip: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#: CXP LIC#: EXP: JOB DESCRIPTION PERMIT TYPE. Residential Plumbing CODE YEAR: 2015 STORIES: 2 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/IRCI l0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City ol'Arlingt m to o t your sales tax return form and coded City of(Arllii gt n#310 . Signature Print Name Date Refeased By to CONDITIONS Adhere to model #40S6-40NG. 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 9/6/2016 Plumbing Permit Base Fee $25.00 9/6/2016 Water Heater $25.00 Total Due: $50.00 Total Payment: $0.00 Balance out: $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 ' CITY OF ARLINGTON % 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING_ PERMIT Address:6118 209th Street NE,Unit 6 Permit#: 1143 Parcel#:01099100000600 Valuation:0 00 OWNER APPLICANT CONTRACTOR Name:BARDELL LINDA S Name:Absolute Plumbing Name:Absolute Plumbing Address:6118 A 209TH ST NE Address:P.O.Box 1445 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223 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: 2 CONST.TYPE: DWELLING UNITS: l 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 110/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City ofArlingt m • ed o your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By I atc CONDITIONS Adhere to model #40S6-40NG. 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 9/6/2016 Plumbing Permit Base Fee $25.00 9/6/2016 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 BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No 1143 Address: 6118 209th Street NE, Unit 6 Contractor: Absolute Plumbing Owner: Linda Bardell Date: 10/4/2016 ❑ APPROVAL ® PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas Water Heater 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: 10/4/2016 Inspector: Kevin Olander . ` BUILDING INSPECTION REPORT— PLUMBING (HWT) Permit No 1143 Address: 6118 209th Street NE, Unit 6 Contractor: Absolute Plumbing Owner: Linda Bardell Date: 10/4/2016 ❑ APPROVAL ® PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas Water Heater LOCATION OK: N L8d: ❑ EXPANSION TANK: N SEISMIC: ❑ INSULATION: ❑ VENTING (6x6 collar): ❑ 18 INCHES OR FVIR: N PRV 6 INCHES: N SHUT-OFF VALVE: N PRV< 15OPSI: N DRAIN: N DRIP LEG: ❑ IMPACT PROTECTION: N ACCESS: N COMBUSTION AIR: Date: 10/4/2016 Inspector: Kevin Olander V I CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINC,TON1. WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:6118 209th Street NF.,Unit 6 Permit#: 1143 Parcel# 0 1 099 1000011600 Valuation:0 00 OWNER APPLICANT CONTRACTOR Namc:BARDELL LINDA S Name Absolute Plumbing Name:Absolute Plumbing Address:6118 A 209TI1 S"I'NI[ Address P O Box 1445 Address:PO Box 1445 Cd),Stale/ip:ARLING I'ON.WA 98223 City,State Zip:MDun(Vernon,WA 99273 City,Store Z.ip:Mount Vernon.WA 98273 Phone: Phone 360-610-6141 Phone 360.610-6141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Narne Name Absolute Plumbing Address: .Address:PO Box 1445 City,State,Zip- City,Stale,/ip:Mount Vernon,WA 98273 Phone: Phone-360-610-6141 L IC#- TXP LIC#: EXP JOB DESCRIPTION PERMIT TYPE Residential Plumbing CODE YEAR, 2015 S FORIFS: 2 CONST TYPE: DWELLING UNITS: I OCC GROUP: BUII.I)INGS: OCC LOAD: PERMIT APPROVAL 1 AGREE TO COMPLY WITH CITY AND S"1'Al E LAWS REGUI,.A'fING CONSTRUC TION AND IN DOING THE WORK AUTHORIZED THEREBY.NO PFRSON WILI Hll EMPI DYED IN VIOLATION OF'THE LABOR CODE.OF TI IE STA LE OP WASHINGTON RELATING FO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NO'l A I'I.RMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HLS/HFR DEPUTY AND ALL FEES ARE PAID IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR S I RUC'I URE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRA.N'I FI), IHCI I0/IRCI 10 SALF1 I'AX NOTU'F,a Sake tax relating to construction and construction malerials in the City oI Arlmgl nl nnedun ur sales tax return form and c c 101)of A"IN g14n 0.310J '!' d'7 / Signature Print Name Dale c CONDITIONS Adhere to model #40S6-40NG. PHIS PERMIT AU I I IORIZ.S ONLY TI IP WORK NOI'HI) TI IIS PERM[l'COVLRS WORK TO[If:DONE ON PRIVA 11•1 PROPERTY ONLY ANY CONS IRUCTION ON THE PUBLIC DOMAIN(CURBS,SII)I:WALKS,DRIVEWAYS,MARQUEES.F-IC I WILL REQUIRE SEPARATE PERMISSION PERMIT FEES Date Description Fee Amount 9/6/2016 Plumbing Permit Base Fee $25 00 9/6/2016 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 ini'ormalion: Permit Number, 1 ype 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:6118 209th Street NE,Unit 6 Permit#:1143 Parcel#:01099100000600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BARDELL LINDA S Name:Absolute Plumbing Name:Absolute Plumbing Address:6118 A 209TH ST NE Address:P.O.Box 1445 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223 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: 2 CONST.TYPE: DWELLING UNITS: I OCC GROUP: BUILDINGS: OCC LOAD: 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. IBC110/IRCl10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingt m ed on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date eleased By [ate CONDITIONS Adhere to model #40S6-40NG. 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 9/6/2016 Plumbing Permit Base Fee $25.00 9/6/2016 Water Heater $25.00 Total Due: S50.00 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 yR�I GAO Department of Community & Economic Development City c f 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:6118 A 209th St NE Project Description:Natural gas water heater replacement Owner: Linda Bardell Address:6118 A 209th St NE Cit Arlin ton y: g State:WA Zip Code: 98223 Phone: 425 492-6227 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 CityMount Vernon StateWA Zip Code:98273 License Number:ABSOLP 8720D Expiration:09/04/2017 Phone:360 610 6141 Email:absoluteplumbing247@yahoo.com STAFF USE O Received Permit #: I l A b - wi - SEP 0 6 2016 {, Accepted y Date REV 2015 Page 1 of 2 ``V ° RESIDENTIAL PLUMBING PERMIT APPLICATION IN 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 Fj 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 4nS6-40NG 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 A "Iel 09/06/2016 Applicant Signature: Date: 1 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 Permit#: 1143 Permit Date: 09/06/16 Permit Type: RESIDENTIAL PLUMBING Project Nam e Linda Bardell Applicant Nam a Absolute Plum hng Applicant Address: P.O. Box 1445 Applicant, City, State, Zip: Mount Vernon,WA98273 Contact: Janine Hill Phone: 360-610-6141 Email: absoluteplum hng247@yahoo.com Scope of Work: Replace Gas Water Heater Valuation: 0.00 Square Feet: 0 Num ber of Stories: 2 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 09/07/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wrier Nam e Ovner Phone Zoning 142 Single Fam iy 01099100000600 6 118 209TH ST NE UNIT 6 B ARDELL LINDA S Residence Condominium CommaWal 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 Plum hng P aul Hooley 3 60-610-6141 P O Box 1445 CONSTRUCTION COA 6 03 305 333 CONTRACTOR Inspections Date I nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus 10/04/2016 R00.WATER Approved pending sedim art 10/04/2016 B UILDING A pproved HEATER FINAL trap on gas line.KO. Fees Fee D escription N otes A in oxnt Plum flng Base Perm i Fee $25.00 Water Heater(Tank) $25.00 Total $50.00 Attached Letters Date Letter D escription 09/06/2016 Building Perm i Paym eats Date Paid By D escription P aym ait Type A ccepted By A in Gmt 09/07/2016 Jerem yOliver 6 1199753 c c $50.00 O ttstanding Balance $0.00 Notes Date Note C reated By: 09/06/2016 Model#4056-40NG.E.F.-.62 K ristin Foster Uploaded Files Date File Nam e 10/05/2016 1875833-6118 209th Street NE,Unit 6.docx 09/07/2016 1829509-1143 Issued Perm i.pdf 09/06/2016 1828466-1143 Application.pdf