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HomeMy WebLinkAbout8428 178TH PL NE_BLD1294_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.8428 178th PI NE Project Description:Natural gas water heater replacement Owner: Leslie Carlson 8428 178th PI NE Address: City-Arlington State:WA Zip Code: 98223 Phone: 425 238-2847 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:AB50LP*8720D 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 Proposed Water Piping Size: 0 Proposed Piping Material: 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 � 01/18/2017 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 lllww 1�fiWt . CITY OF ARLINGTON MIAM 1W 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:8428 178th Place NE Permit#:1294 Parcel#: Valuation:0.00 OWNER APPLICANT CONTRACTOR Name: Name:Absolute Plumbing Name:Absolute Plumbing Address: Address:PO Box 1445 Address:PO Box 1445 City,State Zip:, 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#: FXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS. ] OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL 1 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. I13CI10/IRCI I0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin d n your sales tax return form and coded City of Arlington#3101. 6 Signature Print Name ate Released y Date CONDITIONS Approved as submitted. Adhere to model#40136-40NG E.F.- .62 THIS PERMIT AU'1'HORIZS ONLY THE.WORK NOTED THIS PERMIT COVERS WORK'rO BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON TIIF.PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUFHS,F"rC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 1/18/2017 Plumbing Permit Base Fee $25.00 1/18/2017 Processing/Technology Fee $25.00 1/18/2017 Water Heater $25.00 Total Due: $75.00 Total Payment: $75.00 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 ' A. CITY OF ARLINGTON % 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:8428 178th Place NE Permit#:1294 Parcel#: Valuation:0.00 OWNER APPLICANT CONTRACTOR Name: Name:Absolute Plumbing Name:Absolute Plumbing Address: Address:PO Box 1445 Address:PO Box 1445 City,State Zip:, 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: 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. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin i d n your sales tax return form and coded City of Arlington#3101. nn Signature Print Name Date Released 1 Date CONDITIONS Approved as submitted. Adhere to model#40D6-40NG 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 1/18/2017 Plumbing Permit Base Fee $25.00 1/18/2017 Processing/Technology Fee $25.00 1/18/2017 Water Heater $25.00 Total Due: $75.00 Total Payment: $75.00 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 1/18/2017 Permit Number 1294 Project Name Carlson Applicant Name Absolute Plumbing Applicant Address PO Box 1445 City, State,Zip Mount Vernon,WA 98273 Contact Janine Hill Phone 360-610-6141 Email absoluteplumbing247@yahoo.com Permit Type Residential Plumbing Site Address 8428 178th Place NE Valuation 0.00 Status Completed Permit Issued 1/19/2017 Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Gas water heater Assigned To Kristin Foster Contractors Contractor Primary Phone Email Contractor License License# Name Contact Type Absolute Paul Hoole 360-610- •3bsoluteplumbin 247@yahoo.co CONTRACTOR Labor& ABSOLP'8720 Plumbing y 5141 g Industries Inspection Date Type Description Scheduled Time Completed Date Date Assigned To Status 3/3/2017 (H Tank lander ot Water ,Corrections complete approved 3/2/17 KO. 0:0 3/2/2017 Kevin Approved 1/30/20171Hot Water 'Seismic straps not tight 3'vent pipe shall have no 30:0 1/27/2017 Kevin orrection Tank (holes.replace pipe. lander Fees Fee Description Notes Amount Plumbing Permit Base Fee 322.10.00.00 $25.00 Processing/Technology Fee 341.43.00.02 $25.00 Water Heater 322.10.00.0 $25.00 Total $75 0a Payments Date Paid By Amount Description Payment Type Accepted B 1/1 8120 1 7 Peremy0liver $75.00 3161862 c Totaq $75.0 Amount Outstandin :$0.0 Notes Date Note 1/18/2017 Model#40S6-4ONG E.F.-.62 1/18/2017 Waiting for model number. Uploaded Fifes Upload File i Date File Uploaded B 3/3/2017 7:52:11 AM 8428 178th Place NE.docx Olander,Kevin x 1/19/2017 8:50:11 AM 1294 Issued Permit.odf Foster,Kristin 1/18/2017 2:35:20 PM 1294 Foster,Kristin CITY OF ARLINGTON 238 N. OI_YMPIC AVE -ARLINGTON, WA.98223 PHONE; (360)403-3551 BUILDING PERMIT Address:8428 178th Place NE Permit#:1294 Parcel#: Valuation:0 00 OWNER APPLICANT CONTRACTOR Name: Name:Absolute Plumbing Name:Absolute Plumbing Address: Address:P0 Box 1445 Address:PO Box 1445 City,State Zip:, City,Stale Zip:Mount Vernon,WA 98273 City,State Zip Blount 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,Stale,Zip:Mount Vernon.WA 98273 Phone: Phone:360-610-6 14 1 LIC#: I:XP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE. Residential Plumbing CODE:YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS. ] OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL 1 AGREE f 0 COMPLY WITH CITY AND STAIT'LAWS REGULATING CONSTRUCTION AND IN DOING THE.WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF TI IE LABOR CODE OF THE STATE OP WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RC W 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL.SIGNED BY THE BUILDING OFI'ICIAL OR HIS/HER DEPU I'Y AND ALI.FEES ARE PAID II'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. IBCI10/IRC'110. SALES TAX NQTICE:Sales lax relating to construction and construction materials in the City of%'1tn n your sales tax return form and coded City of Arlington 43101. Signature Prim Name Ja1c Rcicascd % Date CONDITIONS Approved as submitted. Adhere to model#40D6-40NG E.F.- .62 THIS PERMIT AU I HORIZS ONLY THE WORK NOTED THIS PERMIT COVERS WORK 1-0 BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC DDMAIN(CURBS.SIDEWALKS,DRIVEWA YS,MARQUEES,I:I'C)WILL REQUIRE SEPARATE PERMISSION PERMIT FEES Date Description Fee Amount 1/18/2017 Plumbing Permit Base Fee $25.00 1/18/2017 Processing/Technology Fee $25.00 1/18/2017 Water Heater $25.00 Total Due: $75.00 Total Payment: $75.00 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 moraing or afternoon _, I = ' CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:8428 178th Place NE Permit#:1294 Parcel#: Valuation:0.00 OWNER APPLICANT CONTRACTOR Name: Name:Absolute Plumbing Name:Absolute Plumbing Address: Address:PO Box 1445 Address:PO Box 1445 City,State Zip:, 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: 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. IBC110/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin voised n your sales tax return form and coded City of Arlington#3101. 1 P9��1)7 10 .� •� Signature Print Name Date Released y Date CONDITIONS Approved as submitted.Adhere to model#40D6-40NG 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 1/18/2017 Plumbing Permit Base Fee $25.00 1/18/2017 Processing/Technology Fee $25.00 1/18/2017 Water Heater $25.00 Total Due: $75.00 Total Payment: $75.00 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 RESIDENTIAL PLUMBING r PERMIT APPLICATION \\'N'CG; � 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:8428 178th PI NE Project Description:Natural gas water heater replacement Owner: Leslie Carlson Arlington State:WA Zi Address:8428 178th PI NE City: p Code: 98223 Phone: 425 238-2847 Email: absoluteplumbing247@yahoo.com Appiicant•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:ABSOLP*8720D Expiration-09/04/2017 Phone:360 610 6141 Email:absoluteplumbing247@yahoo.com ecelved STAFF USE O Q Permit#: t 2- 1 Accepted by: Date JAN 18 2017 REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING s . a r PERMIT APPLICATION �At IN O 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 lJ: 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: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 GZ`�GK Applicant Signature: - Date: 01/18/2017 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 BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No 1294 Address: 8428 178th Place NE Contractor: Absolute Plumbing Owner: Carlson Date: 3/2/2017 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: HWT LOCATION OK: N L&I: ❑ EXPANSION TANK: N SEISMIC: N INSULATION: ❑ VENTING (6x6 collar): N 18 INCHES OR FVIR: N PRV 6 INCHES: N SHUT-OFF VALVE: N PRV< 150PSI: N DRAIN: N DRIP LEG: N IMPACT PROTECTION: N ACCESS: N COMBUSTION AIR: N Date: 3/2/2017 Inspector: Kevin Olander Permit#: 1294 Permit Date: 01/18/17 Permit Type: RESIDENTIAL PLUMBING Project Name Carlson 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: Gas water heater Valuation: 0.00 Square Feet: 0 Num ber of Stories: 0 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 01/19/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egat Description O wner Nam e Caner Phone Zoning 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 Inspections Date I nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus 03/03/2017 R00.WATER Corrections corn liete 03/02/2017 B UILDING A pproved HEATER FINAL approved 3/2/17 KO. R00.WATER Seism b straps not tight 3' 01/30/2017 HEATER FINAL vent pipe shall have no 01/27/2017 B UILDING C om lieted holes,replace pipe. Fees Fee D escription N otes A m oant Plum ling Base Perm i Fee $25.00 Processing/Technology $25.00 Water Heater(Tank) $25.00 Total $75.00 Attached Letters Date Letter D escription 01/18/2017 Building Perm i Paym acts Date Paid By D escription P aym ant Type A ccepted By A m(unt 01/18/2017 Jerem yOliver 6 3161862 c c $75.00 O ttstanding Balance $0.00 Notes Date Note C reated By: 01/18/2017 Waiting for m odel num ter. K ristin Foster 01/18/2017 Model#40S6-40NG E.F.-.62 K ristin Foster Uploaded Files Date File Nam e 03/03/2017 2135579-8428 178th Place NE.docx 01/19/2017 2056722-1294 Issued Perm i.pdf 01/18/2017 2055976-1294 Application.pdf