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HomeMy WebLinkAbout3313 180TH ST NE_BLD1225_2026 �`SY °�' RESIDENTIAL PLUMBING PERMIT APPLICATION ��l�NG��� 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: �3 �� 57` /�r 1 LT Project Description: /Q.e--en H e)t _f ) k7`c r am- i4 Owner: Address: 3-3 /3 —%5 0 cot N City: [1 n Mate:Ull Zip Code: Phone: Q 6 3 / KO �D ��� Email: �}— Applicant: & r7/2 V f, Address: 3/ 3 — /'D 5 11E City:., r i Fyn State: Q Zip Code: Phone: / 11 l�3 / S'o 7d C e/� Email: 95 CONTRACTOR INFORMATION Contractor Name: S -C_- � Address: City: State: Zip Code: License Number: Expiration.- Phone: Email: STAFF USE ONLY Permit#: Jz Accepted by: 'tr Date / REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION ��lv 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 0 Dishwasher(1.5) x L1 Water Heater x ❑ Hose Bibb (2.5) x Water Heater Model# ❑' Other(list) x o Proposed Water Piping Size: Proposed Piping Material: Proposed DWV Material: Proposed DWV Size: • 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: 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:3313 180th Street NE Permit#: 1225 Parcel#:00472500000205 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:RIOS CARLOS A&BONNY J Name:Bonny Rois Name:WASHINGTON WATER HEATERS INC Address:3313 180TH ST NE Address:3313 180th Street NE Address: 1800 RICHARDS RD STE A City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:BELLEVUE,WA 98005 Phone: Phone:360-631-8070 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: 1 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 10. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arling I 't be re o our sales tax return o d od.ed City of Ming on 3101. i Signature Print Name Date leased By Date CONDITIONS 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 12/5/2016 Plumbing Permit Base Fee $25.00 12/5/2016 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 BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No 1225 Address: 3313 180th Street NE Contractor: WASHINGTON WATER HEATERS INC Owner: Bonny Rois Date: 12/12/2016 ❑ APPROVAL ® PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: HWT LOCATION OK: N L&I: ❑ EXPANSION TANK: ❑ SEISMIC: N INSULATION: N VENTING (6x6 collar): ❑ 18 INCHES OR FVIR: N PRV 6 INCHES: ❑ SHUT-OFF VALVE: N PRV< 150PSI: N DRAIN: N DRIP LEG: ❑ IMPACT PROTECTION: ❑ ACCESS: N COMBUSTION AIR: ❑ Date: 12/12/2016 Inspector: Kevin Olander CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:3313 180th Street NE Permit#: 1225 Parcel#:00472500000205 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:RIOS CARLOS A&BONNY J Name:Bonny Rois Name:WASHINGTON WATER HEATERS INC Address:3313 180TH ST NE Address:3313 180th Street NE Address: 1800 RICHARDS RD STE A City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:BELLEVUE,WA 98005 Phone: Phone:360-631-8070 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: I 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/IRCI I0. SALES TAX NOTICE: ales tax relating to construction and construction materials in the City of Arlin t be re o our sales tax return o �d oded City of Arling on 3101. i Signature Print Name Date Aleased By Date CONDITIONS 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. 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PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address: Project Description: /�'-_� r Owner: Address:-3 /3 -/5 D St N r;::� City: I�`0f4Wate j�1�Zip Code: Phone: -2 � ,� 6 1 / K a Email: -z4— Applicant: 80 r7/2 V Address: 3 3 - I j s 7' WIF City: A.r f;t ox State: Wd, Zip Code: Phone: 3 4�1 1�3 / �rU 7D C e/1 Email: d5 CONTRACTOR INFORMATION Contractor Name: S -c--'z-r-,5 Address: City: State: Zip Code: License Number: Expiration: Phone: Email: STAFF USE ONLY / } ! ,7,1,dXv1 Permit#: � Accepted by: Date REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION 11NG'� 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 ❑ Hose Bibb(2.5) x Water Heater Model# ❑ Other(list) x L, Q 0 Proposed Water Piping Size: Proposed Piping Material: Proposed DWV Material: Proposed DWV Size: • 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 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. REV 2015 Page 2 of 2 Permit#: 1225 Permit Date: 12/05/16 Permit Type: RESIDENTIAL PLUMBING Project Nam a Rois Applicant Nam a Bonny Rois Applicant Address: 3313 180th Street NE Applicant, City, State, Zip: Arlington,WA98223 Contact: Bonny Rois Phone: 360-631-8070 Em al: Scope of Work: Replace HWT Valuation: 0.00 Square Feet: 0 Num ber of Stories: 0 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 12/05/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Launa Black Property Parcel# Address L egal Description 0 wner Nam e Ovner Phone Zoning 00472500000205 3 313 180TH ST NE RIOS CARLOS A& 111 Single Fam iy BONNY J 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 12/12/2016 R00.WATER 12/12/2016 B UILDING A pproved HEATER FINAL Fees Fee D escription N otes A m cunt Water Heater(Tank) $25.00 Plum ling Base P erm i Fee $ 25.00 Total $50.00 Attached Letters Date Letter D escription 12/05/2016 Building Perm i Paym efts Date Paid By D escription P aym dit Type A ccepted By A m aunt 12/05/2016 Rois c ash L auna Black $50.00 O itstanding Balance $0.00 Notes Date Note C reated By: 12/05/2016 Kenm are Model#58950-.95 EF L auna Black Uploaded Files Date File Nam e 12/12/2016 2006318-3313 180th Street NE.docx 12/05/2016 1994678-1225 Issued Perm i.pdf 12/05/2016 1994217-1225 Application.pdf