HomeMy WebLinkAbout17430 80TH DR NE_BLD1197_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. 17430 80TH DR NE
Project Description.REMOVE & REPLACE 1 GAS WATER HEATER
Owner: BOBIE MOORING
17430 80TH DR NE
Address: City:ARLINGTON State:WA Zip Code: 98223
Phone: 360-913-1349 Email: NONE@NOEMAIL.COM
Applicant:JACCI DANIELS
Address: PO BOX 59208 City:RENTON State:WA Zip Code: 98058
Phone. 800-978-8588 Email: WAWAHVAC@GMAIL.COM
CONTRACTOR INFORMATION
Contractor Name:WASHINGTON WATER HEATERS
Address:PO BOX 59208 City:RENTON StateWA Zip Code:98058
License Number:WASHII*9800P Expiration.09/17/18
Phone:800-978-8588 Email.WAWAHVAC@GMAIL.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 57950
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
r�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
Nov 07 2016 10:57AM Washington Water Heaters 8663757454 page 1
CITY OF ARLINGTON
238 N. OLYMPIC AVE- ARLINGTON,WA.98223
PHONE; (360)403-3551
Address:17434 801h Drive NR Permit#:1197
Parcel#:0I017900002200 Valuation:0.00
CANT CONTRACTOR
Name:MOORING 13OBBIE F 8c JEREMY T K Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC
Address:17430 3IST AVE NE Address:PO Box 592DS Address:1900 RICHARDS RD STE A
City,StaleGip:ARLINGTON,WA 93223.98IS City,Slate Zip:Renton,WA 98059 City,State Zip.BELLEVUE,WA 98005
Phone: Phone:900-978-8588 Phone:(900)978-SSBB EXT:
MECEAL"Co15TItACTOR PLUMBING CONTRACTOR
Name: Name WASHINGTON WATER HEATERS INC
Address: Address:1800 RIC1 LARDS RD STE A
City,State,Zip: City,Stale,Zip:BELLEVUE,WA98005
Phone: Phone:(800)978-8 58 8
LIC M: EXP: LIC 0: EXP:
PERMIT TYPE: ReS1CIeI1t1aI PIULTIE?ltlb CODE YEAR: 2015
STORIES: CONST.TYPE:
DWEI.LINO 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 VIOL.ATION 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(1011RCI10.
SALES TAX-NO['ICE.SaIA tax relating to construction and construction materials in the City of A& n t ed an your sales tag:return form
and co C ty Arlin�tnn V3101.
Gu Mv11 C
Signature Print Name Date eie 13y Date
coxnlTiorrs
:
Approved as submitted. Adhere to model#57950 E.F. - .62
I 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,
P-. .. . ERMIT FEES
Date Doscription Fee Amount
1117l2016 Plumbing Permit Base Fee $25.00
1117/2015 Water Heater $25.00
Total Due: S50.00
Total Payment: S50.00
Balance Due: S0.00
CALL PQR EmpECTIUNS
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: 17430 80th Drive NE Permit#:1197
Parcel#:01017900002200 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:MOORING BOBBIE F&JEREMY T K Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC
Address: 17430 81ST AVE NE Address:PO Box 59208 Address: 1800 RICHARDS RD STE A
City,State Zip:ARLINGTON,WA 98223-9818 City,State Zip:Renton,WA 98058 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: 2015
STORIES: 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. IBCI l0/IRCl10.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arli n ed on your sales tax return form
and coded City of Arlington#3101.
2-D(b
Signature Print Name Date cic By Date
CONDITIONS
Approved as submitted. Adhere to model#57950 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
11/7/2016 Plumbing Permit Base Fee $25.00
11/7/2016 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
Oct 24 2016 02:09PM Washington Water Heaters 8663757454 page 1
Kenmore 57950 50 gal. 9-Year Short Natural Gas Water Heater-App... http://www.sears.com/kenmore-50-gal-9-year-short-nature-gas/p-042,,.
Meet an Expert in our Store =eedetails
we're sorry,something went wrong during confirmation.Chances are everything is fine.If you don't get a
confirmation email from us,please try scheduling your appointment again.
Cancel
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Heater Sold by:Sears
Regu]arprize S64s.99
Your savings -566.00
$584.99
Earn$20,95 in points
tc=use iat,r
Layaway Eligible
FREE Delivery
Enter location for availability
FREE Store Pickup
Enter location for availability
add to list add to registry—
Like It Want it Have It
Learn about ot:r regular price offer
Description Item #04257950000P Model # 5795C Questions?Call(888)246-3761
Meet with an expert in our store
The Kenmore 57950 50-gallon short residential natural gas water heater is energy efficient,with View Alaska/Hawaii Pricing
foam insulation,and has a cobalt blue glass-lined tank with a large anode rod to protect the tank
from corrosion.It also includes a self-cleaning cold water inlet tube which reduces and protects
against mineral build-up In the tank.
A SO-gallon natural gas water heater is the minimum recommended size for a 5-person ormore
household with typical water use.
California residents:If you live in an air quality management district that requires a
low-emission water heater,slick to see all water heaters that meet local requirements.Districts
include Bay Area,Sacramento Metro,San Joaquin Valley,Santa Barbara,South Coast(most of LA
county),Ventura County and Yolo-Soll click for a searchable ZIP code list.For help,call
1-800-549-7853.
Glass-lined steel tank with one anode rod for increased tank protection
2 inches of energy-efficient foam insulation
Factory-installed temperature and pressure safety valve
High recovery 45,000 BTU input delivers more hot water
9-year warranty on tank and parts
Customers Who Viewed This Also Liked
1 of 5 10/24/2016 2:06 PM
Oct 24 2016 02:09PM Washington Water Heaters 8663757454 page 2
Kenmore 57950 50 gal. 9-Year Short Natural Gas Water Heater-App.,, http://www.sears.com/kenmore-50-gal-9-year-short-nature-gas/p-042...
Meet an Expert in our Store
We're sorry,somethingwantwrnngrliirinBrnnflr—..ion.cha -mot y,i,;,,giofoie.iryuuuontgKa
confirmation email from us,please try scheduling your appointment again.
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Tank Diameter(In.): 24
Tank Height(In,): 49.50
Height to Water Connection(In.): 51.50
Water Inlet/Outlet Size: 3/4 in.
Height to Vent Hood(In.): 54
Gas Inlet Size: 3/4 in.
Height to Gas Connection(In.): 12.25
General Features:
Number of Anode Rods: 1
Heat Trap Fittings: Yes
Fower Cord Included: No
Control Type; Digital
Tank Style: Short
Low NOx Burner: No
Color Family: Gray
Altitude Rating(ft.): 10100
Heavy Duty Anode Rod: Yes
Unit Location: Indoor
Drain Valve: Plastic
Relief Valve Included: Temperature and Pressure
Self Cleaning: Yes
Tank Lining: Gass
Venting:
Venting: Atmospheric(standard)
Warranty:
Parts Warranty: 9 year limited
Tank Warranty: 9year limited
Certifications:
ENERGY STAR Compliant: No
Power and Performance:
Fuel Type: Natural gas
Energy Factor: 0.62
Gas Input(btu/hr): 45000
Maximum Operating Pressure(psi.): 150
Heating Range(deg F,): 55-155
Sears Protection Agreements select one
Keep your products running like new for years to come with the Guaranteed BEST
Protection.Enjoy the peace of mind that comes from having a plan that delivers what it
3 of 5
1 0/24/20 1 6 2:06 PM
BUILDING INSPECTION REPORT — PLUMBING (HWT)
Permit No 1197
Address: 17430 80th Drive NE
Contractor: Washington Water Heaters
Owner: Mooring
Date: 11/21/2016
❑ APPROVAL ® PARTIAL APPROVAL
❑ CORRECTION ❑ OTHER
APPLIANCE: Gas Water Heater
LOCATION OK: N L&I: N
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: ❑
IMPACT PROTECTION: N ACCESS: N
COMBUSTION AIR: N
Date: 11/21/2016 Inspector: Kevin Olander
Nov 07 2016 10:57AM Washington Water Heaters 8663757454 page. _1
CITY OF ARLINGTON
238 N. OLYMPIC AVE- ARLINGTON,WA.98223
PHONE; (360)403-3551
BUILDIN6PERMIT _
Address:17430 801h Drive NE Permit*1197
Pared k 01017900002200 Val tuuion:0.00
OWNER APPLICANT CONTRACTOR
Name;MOORING BODDIE F&JEREMY T K Name:Washington Water Hearers Name:WASHINGTON WATER HEATERS INC
Address;17430 8IST AVE NE Address:PO Box 59209 Address:1800 RICHARDS KD STE A
City,State Zip:ARLINGTON,WA 98223-93 1 8 City,State Zip;Renton,WA 98059 City,State 7ip:BELLEVUE,WA 98005
Phone: Phone:900-978-8588 Phone:(800)978-8589 EXT;
MIECH&NICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name.WASHINGTON WATER HEATERS INC
Address_ Address:1800 RICI LARDS RD STE A
City,State,Zip: City,State,Zip:BELLEVUE,WA 98005
Phone: Phone:(800)978-8588
LIC 4: VAP: LIC 0: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbino, CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING LNITS. 1 OCC GROUP:
BUILDINGS: OCC .OAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS RLGULATING CONSTRUCTION AND IN DOING TI IE WORK AUTI{ORIZED
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 H.AS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI I0/IRCI10,
SALM TAX ftQ_E'10E:Sa tax rclating to construction and constriction materiels in the City of Arli n t w ed on your sales tax return form
"' and a Cry Arling`ron 3 101.
licu M lw(s
Signature Print Name Date cfe liy Date
CONDITIONS
Approved as submitted. Adhere to model 457950 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,DRI VEWAYS,MARQUEES,ETC)WILL REQUIRE SEPARATE PERMISSION,
PERMIT FEE_S
Date Description Fee Amount
111712016 Plumbing Permit Base Fee $28:00
11/7/2016 Water Heater $2S.00
Total Duo: $50.00
Total Payment: S50.00
Balance Due: S0,00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When Cutting for an inspection please leave the following information:
Permit Number,Type or 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: 17430 80th Drive NE Permit#: 1197
Parcel#:01017900002200 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:MOORING BOBBIE F&JEREMY T K Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC
Address: 17430 81ST AVE NE Address:PO Box 59208 Address: 1800 RICHARDS RD STE A
City,State Zip:ARLINGTON,WA 98223-9818 City,State Zip:Renton,WA 98058 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: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: I 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. IBCI l0/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City ofA our sales tax return form
and coded City of Arlington#3101.
Lb
Signature Print Name Date eleas By Date
CONDITIONS
Approved as submitted. Adhere to model#57950 E.F. - .62
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
11/7/2016 Plumbing Permit Base Fee $25.00
11/7/2016 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
Permit Information
Date 10/24/2016
Permit Number 1197
Project Name Mooring
Applicant Name Washington Water Heaters
Applicant Address PO Box 59208
City, State,Zip Renton,WA 98058
Contact Jacci Daniels
Phone 800-978-8588
Email wawahvac@gmail.com
Permit Type Residential Plumbing
Site Address 17430 80th Drive NE
Valuation 0.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load
Number of Stories 0
Proposed Use Replace Gas Water Heater
Assigned To Kristin Foster
Property Information Owner Information
Parcel#:01017900002200 MOORING BOBBIE F&JEREMY T K
MOORING BOBBIE F&JEREMY T K 17430 81 STAVE NE
17430 80TH DR NE ARLINGTON,WA 98223-9818
Contractors
Contractor Name Primary Phone Email Contractor License License#
Contact Type
WASHINGTON WATER JACCI (800)978 8588 mawahvac@gmail.com CONTRACTOR Labor& WASHII"9800
HEATERS INC DANIELS TEXT: Industries
Fees
Fee Description Notes Amount
Plumbing Permit Base Fe 322.10.00.09 $25.00
Water Heate 322.10.00.0 $25.0
Total $50.0
Notes
Date I Note
10/24/2016 Model#57950 E.F.-.62
Uploaded Files Upload File
Date File Uploaded B
10/24/2016 4:02:56 PM 11197 Applicationpddf IFoster.Kristin
10/24/2016 4:02:56 PM 11197 S ecs. df IFoster,Kristin
RESIDENTIAL PLUMBING
PERMIT APPLICATION
ING4� 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:17430 BOTH DR NE
Project Description:REMOVE & REPLACE 1 GAS WATER HEATER
Owner: BOBIE MOORING
Address:17430 BOTH DR NE Cit -ARLINGTON
y State:WA Zip Code: 98223
Phone: 360-913-1349 Email: NONE@NOEMAIL.COM
Applicant:JACCI DANIELS
Address:PO BOX 59208 City:RENTON State WA Zip Code: 98058
Phone: 800-978-8588 Email: WAWAHVAC@GMAIL.COM
CONTRACTOR INFORMATION
Contractor Name:WASHINGTON WATER HEATERS
Address:PO BOX 59208 CityfRENTON StateWA Zip Code:98058
License Number:WASHII*9800P Expiration-09/17/18
Phone:800-978-8588 Email:WAWAHVAC@GMAIL.COM
STAFF USE O Received
Permit# M1 Accepted by Date OCT 2 4 2016
REV 2015 Page 1 of 2
4kING
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
�Il Dishwasher (1.5) x Water Heater x 1
J; Hose Bibb (2.5) x Water Heater Model#
�^1-I Other (list) x 57950
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 ASS 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV)
• Cross-Connection-Control may be required
Applicant Signature: •.•••.••. Date: 10/24/2016
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
Oct 24 2016 02:09PM Washington Water 'leaters 8663757454 page 1,I
Kenmore 57950 50 gal.9-Year Short Natural C. \Water Heater-App... http://www.sears.com/k,.imore-50-gal-9-year-short-nature-gas/p-042,,.
Meet an Expert in our Store ;eedetails
We're sorry,something went wrong during confirmation.Chances are everything is fine.If you don't get a
confirmation email from us,please try scheduling your appointment again.
Cancel
Cancel
Heater y Sold by:Sears
Regular price SG49.99
Your savings 585.00
$584.99
Eaen$20,95In points
to uCn
Layaway Eligible
FREE Delivery
Enter location far availability
FREE Store Pickup
Enter location for availability
add to list. add to registry
Like It Want it Have It
Description Item #04257950000P Model # 57950 Learn about oLr regular price offer
Questions?Call(888)246-3761
Meet with an expert in our store
The Kenmore S1950 50-gallon short residential naleral gas water heater is energy-efficient,with ViewAlaska/Hawaii Pricing
foam insulation,and has a cobalt blue glass4ined tank with a large arode rod to protect the tank
from corrosion.It also Includes a self-cleaning cold water inlet tube which reduces and protects
against mineral build-up In the tank.
A SO-gallon natural gas water heater is the minimum recommended size for a 5-person or more
household with typical water use.
California residents:If you live in an air quality management district that requires a
low-emission water heater,slick to see all water heaters that meet local requirements.Districts
include Bay Area,Sacramento Metro,San Joaquin Valley,Santa Barbara,South Coast(most of LA
county),Ventura County and Yolo-Solanor LLLck for a searchable ZIP code list.For help,call
1-800-549-7853.
Glass-lined steel tank with one anode rod for increased tank protection
2 inches of energy-efficient foam insulation
Factory-installed temperature and pressure safety valve
High recovery 45,000 BTU input delivers more hot water
9-year warranty on tank and parts
Customers Who Viewed This Also liked
1 of 5
10/24/2016 2:06 PM
Oct 2d 2016 02:09PM Washington Wat-r Heaters 8663757454 pap- 2
Kenmore 57950 50 gal.9-Year Short Natt.. .Gas Water Heater-App.., http://www.sem,cu�n/kenmore-50-gal-9-year-short-nature-gas/p-042...
Meet an Expert in our Store
We're sorry,something went WrMg rh irinII ronfirmntiorn,chaoeeo arc tray L1.:,5 is rii ie.Ir yuu don t get a
confirmation email from us,please try scheduling your appotnt+nent again.
Cancel
Cancel
Tank Diameter(in): 24
Tank Height(In.): 49.50
Height to Water Connection(In,): 51.50
Water Inletioutlet 52e: 3/4 in.
Height to Vent Hood(In.): 54
Gas Inlet Size: 3/4 in
Height to Gas Connection(In.): 12.25
General Features:
Number ofAnode Rods: 1
H eat Trap Fittings: Yes
Power Cord Included: No
Control Type; Digital
Tank Style: Short
Low NOx Burner: No
Color Family: Gray
Altitude Rating(ft.): 10100
Heavy Duty Anode Rod: Yes
Unit Location: Indoor
Drain Valve: Plastic
Relief Valve Included! Temperature and Pressure
Self Cleaning: Yes
Tank Lining: Glass
venting:
Venting: Atmospheric(standard)
Warranty:
Parts Warranty. 9 year limited
Tank Warranty: 9year limited
Certifications:
ENERGY STAR Compliant: No
Power and Performance:
Fuel Type: Natural gas
Energy Factor: 0.62
Gas Input(latu/hr): 45000
Maximum Operating Pressure(psi.): 150
Heating Range(deo`): 55-155
Sears Protection Agreements select one
Keep your products running like new for years to come with the Guaranteed BEST
Protection.Enjoy the peace of mind that comes from having a plan that delivers what it
3 of 5
10/24/2016 2:06 PM
10/24/2016 WASHINGTON WATER HEATERS INC
1
Search L&I
Safety&Headth Claims&lnsuram>; Vlorkpl�ir;e Rights, trades Licensing
Alft Washington State Department of
" Labor & Industries
WASHINGTON WATER HEATERS INC
Owner or tradesperson PO BOX 59208
Principals RENTON,WA 98058
800-978-8588
HAGAR,THOMAS JEFFREY, PRESIDENT KING County
SKEEN, STEVEN ROGER,VICE
PRESIDENT
HYDE,STEVEN DORAN,VICE PRESIDENT
SKEEN,STEVE,SECRETARY
(End:09/02/2010)
HAGAR„THOMAS,TREASURER
(End:09/02/2010)
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.
WASHII*980OP
Effective—expiration
09/17/2002—09/17/2018
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 Help gas improve
https://secure.Ini.wa.gov/verify/Detail.aspx?U BI=602214757&LIC=WASHII*980OP&SAW= 1/3
10/24/2016 WASHINGTON WATER HEATERS INC
Received by L&I Effective date
02/16/2016 02/18/2016
Expiration date
0211812017
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&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.
PSACE00428 Satisfied
Issue date RCW/WAC
08/05/2016 18.106.020
Violation city Violation amount
RENTON $500.00
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.
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 2 of Year 2016"7 to 10 Workers"
L&I account representative
T1 /FEARAED FEROZE(360)902-4797-Email:FERH235@Ini.wa.gov
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
hftps://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602214757&LIC=WASHII*980OP&SAW= 213
10/24/2016 WASHINGTON WATER HEATERS INC
r�
1
t)Washington State Dept.of Labor&Industries.Use of this site ..bject to the laws of the slate of Washington.
https://secure.I ni.wa.gov/verify/D etai I.aspx?U BI=602214757&LIC=WASH I I.980OP&SAW= g/g
Permit#: 1197
Permit Date: 10/24/16
Permit Type: RESIDENTIAL PLUMBING
Project Nam e Mooring
Applicant Nam a Washington Water Heaters
Applicant Address: PO Box 59208
Applicant, City, State, Zip: Renton,WA98058
Contact: Jacci Daniels
Phone: 800-978-8588
Email: wawahvac@gm dl.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: 11/07/2016
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Kristin Foster
Property
Parcel# Address L egal Description O wrier Nam e Cvner Phone Zoning
01017900002200 1 7430 80TH DR NE M OORING BOBBIE 111 Single Fam iy
F&JEREMYT K Residence-Detached
Contractors
Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License#
WASHINGTON WATER JACCI DANIELS (800)978-8588 PO Box 59208 CONSTRUCTION Labor&WASHII*9800P
HEATERS INC EXT: CONTRACTOR Industries
Inspections
Date I nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus
11/21/2016 R00.WATER 11/21/2016 B UILDING A pproved
HEATER FINAL
Fees
Fee D escription N otes A m aunt
Plum hng Base P erm i Fee $ 25.00
Water Heater(Tank) $25.00
Total $50.00
Attached Letters
Date Letter D escription
11/07/2016 Building Perm i
Paym sits
Date Paid By D escription P aym art Type A ccepted By A m aunt
WASHINGTON WHER
11/07/2016 HEATERS 7ACCI 62187776 c c $50.00
DANIELS
O ttstanding Balance $0.00
Notes
Date Note C reated By:
10/24/2016 Model#57950 E.F.-.62 K ristin Foster
Uploaded Files
Date File Nam e
11/21/2016 1961501-17430 80th Drive NE.docx
11/07/2016 1934890-1197 Issued Penn i.pdf
10/24/2016 1909972-1197 Specs.pdf
10/24/2016 1909973-1197 Application.pdf