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Home My WebLink About7926 210TH PL NE_BLD1258_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. 7926 210th PL NE Project Description.REMOVE & REPLACE 1 GAS WATER HEATER Owner: GLASS, CHERYL 7926 210TH PL NE Address: City:ARLINGTON State:WA Zip Code: 98223 Phone: 360-435-7869 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 Q Water Heater x 1 ❑ Hose Bibb (2.5) x Water Heater Model # ❑ Other (list) x 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 Applicant Signature: Date: 12/15/2016 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 3 i CITY OF ARLINGTOIN 238 N.QLMIC AVE,ARLINGTON,WA.99223 PHONE,(360)403-3551 � ``•`.�a :�k YY•��:{��,,.tt��,� st L�./ �t ,4' �1<y" ..:. � •i: z!'iII •.--, inn:-., N.�'.v .'i,�-. F{` r+tilNu4t1 t y. n. .. rV ,y• �iGfotJb'a.ar'\" 'iw' ` A449tCSat 79Z6'ZJ4tb Place IYE PerMntlMa 1298 Parcel k 009056i44 01800 valuation:0.00 -�y •rt Tds'tr'�a5',::�'�t1•yP�� s..�.:.fi;e=• ;'� .��Q..:; ,.R�� f?'t �.. i�.r.iir'�: :�a `; { cmirMR Name;GLASS C HERYL L NamName; Washington Water Treaters Waft:WASHIN TON WATER HEATERS tNC !!4 Addrew 7926 210TH PL N..E Address;PQ l ux 59208 ,Address:PO Box 59208 CJIY,State Zip:ARi.JNG71Y.W,WA 9i1223 City,Sn&-Zip;Renton,WA M59 City,State Zip:Fetlten,WA 98059 Phone: SM-978-8588 Phone,(800)978-1158S EXM Nance. Name:WASBI'NGTON WATER HEATERS INC Address: Address;PO Bon S9209 City,State,Zip- City,State,Zip:Rentots,WA 0505$ rbOne Phone: 1 C, � � fi1IP �W�� '- - � ,..�. �,., .. ��.'��.�>riar�6lk��Alpc� +�1Y' r t�s'M[Ir � �.:e��c�f#t�•i•�� I PeRM[TTYPf;, Resideltlial Plumbing �CO DF YFAR; +� 2p J. 15 3Tt31t[[3S: CONS'J'.1"Y11c, DWX?LUNG UN[TS: I OCC GI MR, t BUILDING& Ot'C LOAD: V.{1 yL ` L�F t. Irv, } 1nr i1'�t� t K41tr . .. •YyY�rcu �`aa 2.• �u'tirl ��`i Pa'Ir +"Yk 1 AC RPF 1-0 CObfPL4'N'l fH L[TY AN0S1 ATE-LAWS R1,GU[.ATI'NG CONSTRUdIO;V AND IN r1mNC THE WOitKAUT110R1➢ED TUEPEEW;NO PERSON WILL HE EMPLOYED IN VIOLATION OF THL LA13OR C()0l'OF.CJfF:STATE OP WASHINGTO'N IMXfjNG To Jl WORKMEN'S COMPENSATION INSURANCE AND RC:W 1$-27, THI$APPLICATION IS NOT A PERMIT LN`111-SIGNE.0 BY THE BUILDING O[.'F[CIAL OR WS/HER DEPL[•fY AND AU,FI I;S AItE PAJD. ' 1T 1S UMI_l lA.'f0 UEB OR 9[:CtJI`Sr A 0[11LD1I TC GR STl[UC!'CIRN.V K[Jeri A FINAL IMI'U'1"ION HAS BFEN.MAVF-AND ANRQVAI OR A CEWnKCATE OF OCCUPANCY HAS OFFN CRANTSSP, JOCI 10/1RC I to. c5 tax sting I Construction end uonstruction m4lerials in the City of Ay .40,odod on your Utica tax.return form all co ed icy Aria n 4310I Signat i'tmt Name U>} a i ji�11 r K /� � lie Date *'k ~ •�'tc11i''IY�� ;.CON''b Approved as Submitted.Adhere to Kenmore(yodel#57941 E.F. .62 r THIS PJR[MIT AtrrHOIUIZS ONLY'ME WORK IYC ,LD.,rMS PERMIT C(r fR,%WORK To'!iL,BONE ON PRIVATE PROPBRTY ONLY.ANY CONSTR[.'t ON ON THE"LIC DOMAIN(CU 3,,SIDEWALKS.)DRIVE WAY$,MARQ11M.B11G:)WILL REQUIRE 14EPARATE PJi•RM1SS[ON t - ay A i4. i7rwj•t�ti^'so'.:x'= ; ,;.; ' ,3�� •.rli�. DesatlJJtton 12116/2016 Plumbing Permit Bata roe Ftoit Amount moUnt 12/1S/2CI1$ Water Heater $25,00 25,00 Total Due: sS0.00 Total exyminle $S0,00 .lYiNN BUILDING(360)403,3411 - When calling for to iospcet[oo Pkase IGastc the(0110n-ine tnformatiov Pefrtnit Plumber,Typt of 1nspeeti0a being recinewd,and w4tiicr yoo preter morning or afterpoog 1- % e CITY OF ARLINGTON \\• . of 238 N. OLYMPIC AVE-ARLINGTON WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:7926 210th Place NE Permit#:1258 Parcel#:00805600001800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GLASS CHERYL L Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC Address:7926 210TH PL N E Address:PO Box 59208 Address:PO Box 59208 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Renton,WA 98058 City,State Zip:Renton,WA 98058 Phone: Phone:800-978-8588 Phone:(800)978-8588 EXT: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON WATER HEATERS INC Address: Address:PO Box 59208 City,State,Zip: City,State,Zip:Renton,WA 98058 Phone: Phone: 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/FIER 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 IO/IRC1I0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Ar rted on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Releas B Date CONDITIONS Approved as submitted.Adhere to Kenmore Model#57941 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 12/16/2016 Plumbing Permit Base Fee $25.00 12/16/2016 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 12115120 Kenmore 5794140 gal.9-Year Tall Natural Gas Water Heater-Apo lances-Water Heaters-Natural Gas Water 1-1100tarr, 20% Off' KITCHENAID"'ATTACHMENTS! shop now Home 1 Appljon(p..3 1 Water Heat•irs , olatural Gas'AlLter Heaters : Product Details Kenmore 57941 40 gal. 9-Year Tall Natural Gas Water Heater ................................................................. ......... ............. Sok by.. Se4 Yours $5 ........................................................................................ ........................................................ .................... add to list add to registry � Uke 11 v Want it w/ 1-1,%ve it ........................................................................ ............................ Description item #04257941000P Model # 57941 The Kenmore 57941 40-gallon tall natural gas water heater is energy-effl cient,with 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 that reduces and protects against Learn about mineral build-up In the tank, our regular price Offer A 40-gallon natural gas water heater is the minimum recommended size for a 2-to 4-person Questions? household with typical water use, Call(800) 549-7853 California residents;If you live in an air quality management district that requires a low- Meet with an emission water heater,OZI to see all water heaters that rneet local requirements.Districts expert in out Include Bay Area,Sacramento Metro,San Joaquin Valley,Santa Barbara,South Coast(most of LA store county),Ventura County and Yolo-Solano,C14 for a searchable ZIP code list.For help,call 1-800- VIP.,v 549-7853. Alaska/Kiw0ii Pri4Jng 9-year warranty on tank and parts 2 inches of energy-efficient foam insulation self-cleaning cold water inlet tube cobalt blue glass-lined tank with anode rod for corrosion protection Factory-installed temperature and pressure relief valve Would you like to provide feedback on the Product Information displayed 7 ;.Provide Feedback ................... ........................... Customers Who Viewed This Also Liked I== - http:/A,vww,sear-s-oomtkenmore-67941-40-921-9-year-tall-nedural/li-042579410OOP?ptpSalierld=sears&prdNo=l&blookNo=i&blockType--GI 1/7 12/152016 Kenmore 57941 40 gal-4-Year Tall Natural Gas Water heat,,-Appliances-Water Heaters-Natural Gas Watr-r Heaters $521.99 $539.99 $584..99 Kenmore 57650 50 gal.6 Kenmore 57940 40 dal,9- Kenmore 57951 5o gal.9 Year Tali Natural Gas Water Year Short Natural Gas Year Tall Natural Gas Wa Heater Water Heater Heater ***** (5) 7t*** (2) (5) Too Pick.,, For You " } $359.99 $521.99 $404.99 Kenmore 58640 40 gal,6- Kenmore$5240 40 gal.I.- Kenmore 57340 40 gal.3 Year Tall Electric Water Year Tall Electric Water Year`tall Natural Gas Wa Heater Heater Heater ***** (6) '7k71C*7of'7ilt (3) ***** (4) ....»_.....,.,,........»....»,».,._.,,.,.,,..__...»».»»..,...».,,.v rfv i s.a ....__...»_......_.....»...,...,..........,..»........_,� a artse�nem EI Specifications Product Specifications Capacity and Flow:-UP Tank Capacity; 40 gal. Recovery at 90 Degree Rise(gph,): 41 First Hour Delivery(gal,): 70 10iri"Igns anti C.,p'acity: i' Tarik irIsula'fiori.Thlckness, 2 in'. ' Re ui�edWn „ 31n,or.4 in, '•,,• 1 atik liaRieter(ln.)r, dQ , :.Tank;;H.eight 58,25 . ection:,00; Slze: 3%41n htfp.Uwww,sears.comlkanmor�57941-40-gal-9-year-tal l-natural/p-04267941000P?plp5ellerld=Sears&prdNo-1&bl c o*No=1&bl or,kType=G 1 12J1 f201& Kanmae579414U el.9-Year Tell Natural Gas Water Heater 9 Appliances-Water Hedter.q-Natural Gas W.9ter Heaters Height W,Ven Hood(In.)E. " 62 Gas'Inlet5iae:•.. 3141h' „ Hell Yitto'Gas',Cdringctapn(In,j:' • ;`'` '1,2.zS''' General Features: Number of Anode Rods: 1 Heat Trap Flttings: yes Power Cord Included: No Control Type: Digital Tank Style: Tall Low NOx Burner: No Color Family; Gray Altitude Rating(ft.); 10100 Heavy Duty Anode Rod: Yes Unit Location: Indoor brain valve: Plastic Relief Valve Included: TemperaturE and Pressure Self Cleaning: Yes Tank Lining: Glass r,EWfltl,llgy., ;;,,;,Vsrl�lgi ' ? t;;,''; '' •i Atmosphiaric Warranty: Parts Warranty: 9 year limited Tank warranty: 9 year I!mited 'Ce ifleatiorts':.,,; " NRGY'S'tAil;Gdn 1pElartit'; : . No ; Power and Performance: Fuel Type: Natural gas Energy Factor; 0_62 Gas Input(btu/hr); 40000 Maximum Operating Pressure(psi.); -150 Heating Range(deg F.): 55.155 Sears Protection Agreements sJ,•V,i .; .,, "':.� 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 promises,Our.e,Ppllence rE p ig technicians have the training and knowledge to get every job done right,You'll get: • Worry-Free Coverage-Unlimited service with no deductibles or fees * Replacement Guarantee-If we can't fix it,we'll ' deliver and install a new one: a Technical Assistance by Phone' Expert advice from �r repair professionals; • Experienced Service Technicians-Sears technicians are trusted in millions of homes every year. ('5 9-Year In-Home Repair Protection Agreement S1 54•vq Maybe Later „ . ....... ... ... .... .. ... .. .. ... ... ... .. .. ... .... ... .... .... ... only,Fin;xraw:irig rat;;v,ailable.Payinr:ral.due in iul!at WEtpCkuut. ... http:!lwww.sears.comlkenm ore-57941-40-gal-I-year-tall-natural 1"- 4257941ODOP7plpSelIerld=SparswprdNo=-1&b1or-ANo 1..`SUDckType�G1 3f7 CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON,WA. .98223 PHONE;(360)403-3551 .. f p Address.,79,20 140th Place NE Permit it.12$8 Parcel 00805i)00018c val"ation,0.00 r�=14 'NZE", j Name;UI-A$S CHERYL L "j6i'4 Name:WoLsbiogtoll water Het1togs Nuft:WASHTNOTON'WATER HEATERS WC Address;7926 2 10TH PL N E Addm53F0 Box 59208 Address:PO Box 59208 CAY,514te Zip;AR1 IN017M,WA 98223 City,Suite Zip;R4,aton,WAM. 59 Phoner City,State Zij);RcOton,WA 98059 (tong:S(V-978-8598 Phone;(W)978-15M E)(T: M91 OMAAWO L 042M Name: Name:WASHINGTON WATER HEATER-5 INC Address: Address;PO Box S9209 City,State,zip: City,State,Lip:RC"Wn,WA M053 More; Phone; IC#: IMP- ", a—M,%4 7 . 4_1 PERMIT TYPE: Residential Plumbing CODIF YEAR. 2015 CONST.TYPE, OWELLINGUNITS; OCC QRWP_, BUILDINGS: OCCLOAD: 4 y' WN "p L I AGRPIR TO COMPLY WITH CITY ANOSTATE LAWS UGULATIN(;wNmucTl(),jq AND IN=NG WORK ALM-10M.En THEREBY;NO PERSON WILL"E EWLOYW IN VIOLAMON OP THE LABOR CODE OF'I STATE OF WAS14INGTON R13(.ATING TO WORKMEN'S COMPBNSAITION INSURANCP AND RC%'18.27. TICS APPLICATION 13 NOT A PERNOT UNtIL SIGNED BY THE BUILDING OFFICIAL OR H)S/HER DEPIM AND ALL pE)ESkkL,PAID. IT 15 ON1,1AW1.71.CO tj&r,OR OCCUPVA DUIL131140 OR 5T)kXJCl'UM VIM UL A PIMOLL A(4,Sk%UTJQN HAS BEEN MADE ANDAMOVAI,OR A CER RPICATE OF OCCUPANCY HAS BEEN()RANTED. ISCI MARC I to. T t afes,box Sting CofMC0011 and UORNMOiOn MOWFiAlS in the City So cc ed-i Ar in i n 43101 dal anYour Males%x JvtUM form 24 S gnat b Pant Naik 'Ital 3i;& x0ploved as submitted.Adhere to Kenmore Model#57941 E.F.-.62 THIS P,rRMIT AUTHORM k)jjLy ME WORK NOTEaTHIS FERA41TW/PiRS WORK TQ'BP,OME ON MVATC PROPBXTY ONLY.ANY CONSTRI,I(MON k1N.THE PUY�UC DOMAIN(VU&0,,9IDEWA1,K%Ptkl VFWAYS,KkRQIyEF$.RTC)VALL RPQUIRrt ASPARATe P t 0 Date Deactiption F44 Amewd 121M2015 Plutnbirio Permit Base roe VValer Haalor $25,00 $25,00 Total Due: WIWI Total Payment: $50,00 ft12RcF Duel XTIONS W) UP- BUILOtNt;(360)403-3417 When caffIng for in i0spectipe phasc(cx%-c the(0110mia?Information: Permit Number,YYPt of IFVqVtctl0"being requ,29(ed,And whether you prefer morolog or afteirnpon i i CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:7926 210th Place NE Permit#:1258 Parcel#:00805600001800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GLASS CHERYL L Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC Address:7926 210TH PL N E Address:PO Box 59208 Address:PO Box 59208 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Renton,WA 98058 City,State Zip:Renton,WA 98058 Phone: Phone:800-978-8588 Phone:(800)978-8588 EXT: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON WATER HEATERS INC Address: Address:PO Box 59208 City,State,Zip: City,State,Zip:Renton,WA 98058 Phone: Phone: 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. IBC110/IRC110. SALO TAX NOTICE:Sales tax relating to construction and construction materials in the City of A,fi&o7 ZrIcdn your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Relcasut B Date CONDITIONS Approved as submitted.Adhere to Kenmore Model#57941 E.F. - .62 THIS PERMIT AUT 40RIZS 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 12/16/2016 Plumbing Permit Base Fee $25.00 12/16/2016 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 ti� - � i ' titi• �� s I I I RESIDENTIAL PLUMBING 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:7926 210th PL NE Project Description:REMOVE & REPLACE 1 GAS WATER HEATER Owner: GLASS, CHERYL Address:7926 210TH PL NE Ci ARLINGTON ty: State:WA Zip Code: 98223 Phone: 360-435-7869 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 CityRENTON StateWA Zip Code:98058 License Number: Expiration. Expiration:09/17/18 Phone:800-978-8588 Email:WAWAHVAC@GMAIL.COM STAFF USE O Received Permit#: �7�/ Accepted by b6t4 Date DEC 15 2016 REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION o L� 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 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 �G'C°?NSrr�t J'C WeWe3r. Applicant Signature. - �•� �•• --�._,•x..� Date: 12/15/2016 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 12/1512016 Kenmore 57W1 40 4 Year Tall Natural Gas Water Heater-ApolaoCe5-Water mrs-Natural Gas Water Heaters 20% O.FF' KITCHENAI D'D ATTACHMENTS 'hOp now 1-lorrie 1 AppllonCp.s I Water Hear.q.,rS ; Natural Gas Water Hc-,3[erS .' Product Details Kenmore 57941 40 ,gal, 9-Year Tall Natural Gas Water Heater M Yours $5 Farn OR add to list r Ndd to registry V kNWIt it V H&e 1: "o Description Item #04257941000P Model # 57941 The Kenmore 57941 40-gallon tall natural gas water heater is energy,effIcient,with foam insulation,and has a cobalt blue glass-lined rank with a large,anode rod to orotert the tank From corrosion,It also includes a self-cleaning cold water inlet tube that reduces and protects against Learnibouk mineral build-up in the tank. our regular prlce.offer A 40-gallon natural gas water heater is the minimum recommended size for a 2-to 4-person Questions? household with typical water use. Call(80Q) 549-7853 California residents;If you live in an air quality management district that requires a low Meet with In emission water heater,�Ur_k to see all water heaters that meet local requirements,Districts expert in out Include aay Area,Sacramento W!tro,San Joaquin Valley,Santa Barbara,South Coast(most Of LA score county),Ventura County and Yolo-salano.Cict for a searchable zip rode list.For help,call 1-800- vlpdv 549-7853. Alaska/KqWaii prising 9-year warranty on tank and parts 2 inches of energy,efficlent foam insulation Self-cleaning cold water inlet tube Cobalt blue glass-lined tank with anode rod for corrosion pl'otection Factory-installed temperature and pressure relief valve Would you like to provide feedback on the Product Information displayed 7 Provide Feedback Customers Who Viewed This Also Liked 1� httP://www,sears-Qam/kenrn ore-57941-40-gal-9-year-tal 1-nedural/p-04257941 000F7PIPSQIIerId-$ears&prdN ci�1&bl0rkN o=i&bI oOkType7—G 1 12115J201$ Kenrr)oi, 57 SP,I I.9-Year Tail Natural Gas Water Heater-Appliance;-W, {eaters-Natural Gas Waiter Heaters $521.99 $539.99 $584,99 Kenmore 57650 50 gal.6- Kenmore 57940 40 sal,9- Kenmore 57951 so gal.9 Year Tau Natural Gas Water Year Short Natural Gas Year Tall Natural Gas VVa Heater Water Heater Heater (5) ff7+C7k7k}+t (2) (5) Top Picks For You t $359.99 $521.99 $404.99 Kenmore 58640 40 gal,6- Kenmore 58240 40 gal 1,,- Kenmore 57240 40 gal.3 Year Tall Electric Water Year Tall Electric Water Year Tall Natural Gas wa Heater Heater Heater 7E7t 7ki` (6) rF747ir�k (3} '>fY �kyF (4) e ;gay. Y{]{J Diu f;5':M9(6Y:'. i NEXT w� T . Specifications Product Specifications Capacity and Flow.-Up Tank Capacity; 40 gal. Recovery at 90 Degree Rise(gph,): Al First Hour delivery(gal.): 70 pimenslons arid Capacity: Tank Insulation.Thlckness: Required Vent Size: 3 in.or•1 in. Tank oiameter(In,): 20 Tank Height(In.)!58.25 nnection'(In.>: Slae: 3741rt: hltPllwww.sears.comlkonmore-57941-40-gal-9-year-tall-ratural!{r0426794100pPVPSelterld=Sears&prdNou'1&blookNo=l&blockType=G1 217 1V.512016 Kenmore5794140 g Year Tall Natural Gas Water Heater-Appliances-Water, a•s-Natural Gas Water Heaters 'Height to,ven{Hood(!n.):. G2 Gas'Inlet Size%.. 314 in. HeIgl#to Gas r=onneetipn(In.). 12.25 General Features: Number of Anode Rods: 1 Heat Trap Fittings: Yes Power Cord Included: No Control Type; Digital Tank Style: Tait Low NOx Burner: No Color Family; Gray Altitude Rating(ft.); 10100 Heavy Duty Anode Rod; Yes Unit Location: Indoor brain valve: Plastic Relief Valve Included; Temperature and Pressure Self Cleaning: Yes 'tank Lining: Glass •Venting; Venting: = Atmosjiheri�fstaridard) Warranty: parts Warranty: 9 year limited Tank Warranty: 9 year limited Certifications:.. ENERGY STAR,Compita6&;• No ' yit - Power and Performance: , Fuel Type: Natural gas Energy Factor, 0.62 Gas Input(btu/hr); 40000 Maximum Operating Pressure(psi.); 150 Heating Range(deg 5.): 55-155 Sears Protection Agreements Keep your products running like new for years to come with the Guaranteed 655T Protection,Enjoy the peace of mind that comes from having a plan that deliver-,what It promises,Oura2p1ianc2 rcpX technicians have the training and knowledge to get every job done right,You'll get: • Worry-Free Coverage-Unlimited service with no deductibles or fees • Replacement Guarantee-If we can't fix it,we'll deliver and Install a new one: • Technical Assistance by Phone-Expert advice from repair professionals; • Experienced Service Technicians-Sears technicians are trusted in millions of homes every IF year. �0 9-Year in-Home Repair Protection Agreement $1"a4.99 Maybe Later only,Financing not rPayrneret tlue in 1:0 at 4;heCkout• _.. http/fwww.sears.com*enmort�57941-40-gal-9-year-tall-natural!p-0425794100OP7pip5eflerld=Sears&prdNo=1&bicckNo--I&bl ockType=G1 39 Permit#: 1258 Permit Date: 12/15/16 Permit Type: RESIDENTIAL PLUMBING Project Name Glass 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: 12/16/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wner Nam e Cvner Phone Zoning 116CommnWall 00805600001800 7 926 210TH PL NE G LASS CHERYL L Single Fam iy Residence 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 Fees Fee D escription N otes A m aunt Plum ling Base P erm i Fee $ 25.00 Water Heater(Tank) $25.00 Total $ 50.00 Attached Letters Date L etter D escription 12/16/2016 Building Perm 1 Paym eats Date Paid By D escription P aym ait Type A ccepted By A m omt 12/15/2016 JACCI DANIELS 6 2713702 c c $50.00 O ttstanding Balance $0.00 Notes Date Note C reated By: 12/15/2016 Kenm ae Model#57941 E.F.-.62 K ristin Foster Uploaded Files Date File Nam e 12/20/2016 2018753-1258 Issued Perm t.pdf 12/15/2016 2012544-1258 Specs.pdf 12/15/2016 2012545-1258 Application.pdf