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HomeMy WebLinkAbout3710 168TH ST NE_BLD1301_2026 Y ° COMMERCIAL PLUMBING PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE • Arlington,WA 98223 • Phone (360) 403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS, AND TWO (2) SETS OF FIXTURE SPECIFICATIONS (CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. Type of Permit: 0 New Installation ❑ Addition/Alteration ❑ Industrial Project Address: 3710 168th st ne b103 Parcel ID#: 310528-002-00 Lot#: 6 Subdivision: The park Project Description: new office Valuation:4300.00 Owner:The park LLC Phone Number360-659-8551 Address:3710 168th st ne b 208 City.Arlington State:WA Zip Code Contact Person-Aaron Monty Phone NuMber425-508-2704 Cell Phone: 425-508-2704 E-mail: aaron@ramoconstruction.com Address-24601 99th ave NE CityArlington State WA Zip Code98223 Contractor:nw plumbing Phone Number-.360-653-7224 Cell Phone:425-508-9707 Email: nwpc@msn.com Address-3810 166th pi ne City:Arlington State:WA Zip Code: 98223 Contractor License Number:northpc255kb Expiration Date:10/3/17 Please indicate number of fixtures: Water Closet 2 Floor Sink Sump Hose Bibb Miscellaneous Lavatory Laundry Tub Washer Water Heater Grease Trap Urinal Interceptor Sink 3 Med Gas Drinking Fountain Floor Drain Dishwasher Backf low Shower Other 6/16LP Page 2 of 3 COMMERCIAL PLUMBING Y !' PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE • Arlington,WA 98223 • Phone (360)403-3551 PROPOSED BUILDING USE 0 New Commercial ❑ Restaurant ❑ Automotive Based ❑ Commercial Addition/Alteration �z Office ❑ Machine Shop ❑ Industrial ❑ Medical ❑ Other: CROSS CONNECTION Please check all appliances that are proposed or are permanently connected to the water supply. ❑ Ice Machine ❑ Dialysis Equip. ❑ Air washers ❑ Swimming ❑ Fire Sprinkler Pools ❑ Coffee Steam Sprinkler ❑ Hydrotherapy Equip. ❑ ❑ Hot Tub/Spa ❑ Urn/Espresso Generators w/chemicals ❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Aquarium ❑ Lawn Irrigation ❑ Fume Hoods ❑ Laboratory Equip.E ui ❑ Pressure ❑ Decorative ❑ Well on Washers Fountain property ❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers Other: WASTEWATER DISCHARGE 1. Does the plumbing system currently have a grease interceptor? ❑ Yes ® No ❑ Don't Know Date grease trap/interceptor was last cleaned(provide service record): 2. Does the plumbing system currently have an oil/water separator? ❑ Yes Z No ❑ Don't Know 3. Date oil/water separator was last cleaned(provide service record): 4. Is water used in the business process(washing, rinsing, cooling)? ❑ Yes ❑ No ❑ Don't Know 5. Does your business require a NPDES permit? ❑ Yes U No ❑ Don't Know I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-described property will be in accordance with the laws, rules and regulation of the State of Washington. Applicants Signature Date Received Print Applicants Name FOR STAFF USE ONLY �2Z�b� Permit# AcCepjJA ity Amount Received Receipt# Date Received 6/16LP Page 3 of 3 J � o N Sheel Content RESTROOM RE1 A 1 kO 103 Revision Q. revised W/D — — BREAK - - - - - - - STOR. A2.0 P OP A2.0 1 2 3 4 1,2,3,4 REF . O 0'-9 1/4 m 4' 2 1/4" 5' 7 1/2' `° a- c C NOTES:FOOTING CONFLICT 'a) I L Q m n 0 Sheet No R1 . of C:1UserslTFBorseth\Desktop\RAWbldgbrealty.dwg, 1/23/2017 10:45:09 AM,DWG To PDF.pc3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 - PHONE; (360)403-3551 BUILDING PERMIT Address:3710 168th Street NE,#13103 Permit#:1301 Parcel#:01036100110200 Valuation:4300.00 OWNER APPLICANT CONTRACTOR Name:RAMO REALTY&CONST Name:The Park,LLC Name:Ramo development LLC Address: 16710 SMOKEY POINT BLVD STE Address:3710 168th Street NE,#13208 Address:24601 99th Ave NE 305 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-508-2704 Phone:425-508-2704 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Northwest Plumbing Contractors Address: Address:3810 166th PI NE#123 City,State,Zip: City,State,Zip:Arlington,WA 98223 Phone: Phone:360-653-7224 LIC#: EXP: LIC#:NORTHPCO55KB EXP:10/03/2017 JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing CODE YEAR: STORIES: 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/IRC110. SALES TAX NOTICE:Sales tax relating to constructio onstruction materials in the City of Arlington must be reported on your sales tax return form and oded Ci rlm on# 101. / Signatu Print a e Date Released By !Date CONDITIONS Adhere to approved plans. 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 1/31/2017 Plumbing Permit Base Fee $25.00 1/31/2017 Plumbing Permit Fee(Enter Fixture Fee) $60.00 1/31/2017 Plumbing Plan Review Fees $200.00 1/31/2017 Processing/Technology Fee $25.00 Total Due: $310.00 Total Payment: $0.00 Balance Due: $310.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: I WALL TYPES 8'-11 1/4' 9'-10 1/2 9'-41/2• 8'-1 3/4 T F ggpoM�gEET�yy AI�CNITECTS ARCHITECTURE DESIGN BUILD BOTTOM OF STRUCTURE \ i ° ^ ^% A ^ �CA> INTERIOR DESIGN 32 172ND PL SW Mn STUD,I�, EL� 5/8'GWB,TYPE'X' OFFICE OFFICE OFFICE OFFICE OFFICE MILL42.3 10348012 HOR&FASTEN TO STRUCTURE TO WALL I �' Sheet Content ll > �.) Floor Plan,RCP,Wall Types � LOBBY 04 \ Original Sheet Date s/e'cWB ACOUSTIC CEILING �-- D u o1.03.2017 (WHERE DDaRs) (WHERE OCCURS) / 07 09 00 i0' Drawn By 6"24 GA.MTL STUD ®24"O.C. + f WB Checked By PLAN SECTION i EA SIDE OPEN OFFICE WORK AREA O Lf.b. I ° I Sheet Dates INSUL PER SCHD 1 BASE,SEE FIN.SCHD. PERMITSET OL77.2017 SEALANT,INTUMESCENT, s Mn RUNNER- I COUNTER BOTTOM OF GWB FIN.FL,SEE SCHD 0 WAITING --- TOP OF FLOOR FLOOR PLAN 1 NOTE:1 HOUR FIRE-RESISTIVE PER GYPSUM ASSOC,FILE"WP7200' L " 4'-21/4' 6'-11/2' 4'-61/2 12'-91/4" WALL TYPE NON RATED PLUMBING WALL P A2.0 2.3.4 P A2.0 STOR. ,� - ` DOOR SCHEDULE MTL RUNNER = BOTTOM OF STRUCTURE 4 D LAIDE HT. WIDTH;TYPE DNATL. F.R. I THRESH.' RE"r1ARKS AND HOrE$ I.AA?40 HDWf2 -FASTEN TO STRUCTURE O2 03 h 01 7'-0" .(2)3'-0" C EXIST G - DOOR EXISTS MTL STUD, 1�", 1 - - - - HORZ. FASTEN 5/e"GWBX, E0. SIDE 02- ]'-D" S"-0' B NO N LOCKING TO WALL 7 03 2'-0" S-0" B J WD NO N LOCKING I ACOUSTC CEILING LUNCH % 04 T-0" (2)3-0" C NO N KEYED 3/A10.0 3 s/R"GWB - — - f (WHERE OCCURS) ,M — (WHERE OCCURS) 05 T-0" '(2)34-0" C EXISTG - - DOOR EXISTS 3.5"24 GA.MTL STUD 22 COUNTER 0 24"O.C. 06 T-p" 3'-0" B WD NO N KEYED PLAN SECTION -- L_ - ' I 11 L 07 T-0" B WD - I - KEYED 1 / R13 INSULATION R F I (pl� / 08 7'-0" S-0" B WD NO i N KEYED MTL,RUNNER BASE, SEE FIN,SCHD. \\ 09 7'-C' 3'-0" B WD NO N KEYED '\ SEALANT. INTUMESCENT, _ L BOTTOM OF GWB FIN FL, SEE SCHD j 7'-0" 3'-0" B WD NO N KEYED 1101r-0" S-0" B WD NO N KEYED TOP OF FLOOR v NOTE:1 HOUR FIRE RESISTIVE PER GYPSUM / ASSOC.FILE"WP1240' \ i ) DOOR TYPES DOOR NOTES % _ WALL TYPE El REF.: GYP ASSOC. FILE b WP1240, ONE HOUR ))) 3 O1 ALL DITERNN DOORS SHALL BE PROVIDED WITH'SELF-RELEASING HARDWARE'AND SHALL - OPEN NTH A SINGLE MORON FROM INSIDE. SHOULD PROBLEMS WITH OBSTRUCTION OF FIRE DOOR ARISE,SICNS WILL BE REWIRED \ STATING,"FRE OOOi-DO NOT OBSTRUCT. Project Information Q3 PROVIDE SOLID BLOCKING AT DOOR STOPS A AS RED ELSEWHERE PROVIDE SEIE CLOSING SITE ADDRESS: ARCHITECT: ' �� MECHAWSM. O MTL RUNNER VLBOTTOM of STRUCTURE 3710 1687H STREET N.E. BORSETH ARCHITECTS \ MAX DOOR OPENING ETTa1r ar &s IBS AT IXIBGOR AND 5 LBS.AT INTENIOR. FASTEN To STRUCTURE ARLINGTON, WA 98223 32-172nd i L MILLCREEK, WA 98012 s DOORS TD HAVE 1z'sTMKE soE z 4R'DEEP 0.EM SPACE ON S DE OPPOSITE SMNG OF Tq MTL STUD, IE". OWNER: 425359.1034 O O O DOORS E° HORz' FASTEN 3710RAM REALITY&CONSTRUCTION B C DOORS W LOCI(SET OR LAO SET RILL HAVE To WALL TODDBORSETH(�GMAILCOM Project Locator ` ARLINGTON. 1TON. STREET SUIT B20B CONTACT: TODD _ , FLUSH WOOD FLUSH WOOD ® UM-TYPE >ARLINGTON, WA. 98223 360.653.4555 CONTRACTOR RAMO REALITY&CONSTRUCTION +J 5/8"GWB TAX ID: 310528-002-00 3710 168TH STREET SUIT B208 THRESHOLD NOTES (WHERE occuRs) ARLINGTON, WA. 98223 .� 310528-002-045-00 3-5/8" za GA MTL STUD 36Q653.4555 PraonCr Q PLAN SECTION ® 24'O.C. LOCATION Q DOOR RIRE51101➢5 SIIOUID BE NO HIGHER TITAN I/2'.I.THE EDCFS SOLID BE BEVELED 1 ',< Code Information 01 VERWAL 2 HORIZONTAL.W/A MAX EDGE HEIGHT OF 1/4'. J (1)5/B"GWB%- �' CODES R13 INSULATION IBC 2015 __ - ANSI 2009 ACCESSIBILITY STANDARDS D a MTL RUNNER- BASE, SEE FIN. SCHD TOTALS.O Received FT SEALANT, INTUMESCENT . .: BOTTOM OF GWB TOTAL BUILD'G B SQ.FT.=12,889.4 SQ.FT, a FIN. FL, SEE SCHD 1n111rX1M'A JAN 2 3 Z017 NEW TI=3,121 SQ.FT. ?� 1 TOP OF FLOOR OCCUPANCY FLOORS OCCUPANTS BUILDING B B FIRST 32 ONE EXIT NOTE:1 HOUR FIRE-RESISTIVE PER GYPSUM NO PANIC HARDWARE ASSOC.FILE"WP1240" �� Sheaf NO `D WALL TYPE ELECTRICAL BY BIDDER DESIGN MECHANICAL BY BIDDER DESIGN A 1 .0 \ / REF.: GYP ASSOC FILE# WP1052, ONE HOUR C.W l t'"l7 re755AM.DWOTePDFpr1 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:3710 168th Street NE,#B103 Permit#:1301 Parcel#:01036100110200 Valuation:4300.00 OWNER APPLICANT CONTRACTOR Name:RAMO REALTY&CONST Name:The Park,LLC Name:Ramo development LLC Address: 16710 SMOKEY POINT BLVD STE Address:3710 168th Street NE,#B208 Address:24601 99th Ave NE 305 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-508-2704 Phone:425-508-2704 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Northwest Plumbing Contractors Address: Address:3810 166th PI NE#123 City,State,Zip: City,State,Zip:Arlington,WA 98223 Phone: Phone:360-653-7224 LIC#: EXP: LIC#:NORTHPCO55KB EXP: 10/03/2017 JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing CODE YEAR: STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL ',L 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 constructio onstruction materials in the City of Arlington must be reported on your sales tax return form and oded Ci rlin on 15101. / �� 4Z4 -7 Signatu Print a e Date Released By Da& CONDITIONS Adhere to approved plans. 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 1/31/2017 Plumbing Permit Base Fee $25.00 1/31/2017 Plumbing Permit Fee(Enter Fixture Fee) $60.00 1/31/2017 Plumbing Plan Review Fees $200.00 1/31/2017 Processing/Technology Fee $25.00 Total Due: $310.00 Total Payment: $0.00 Balance Due: $310.00 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 fEE S* 2 0'n> (?c no oe rLZ 4;0 . o d--) P(Tf 25 . 60 3 / o . vo InformationPermit Date 1/24/2017 Permit Number 1301 Project Name The Park-New Office Applicant Name The Park,LLC Applicant Address 3710 168th Street NE,#13208 City, State, Zip Arlington,WA 98223 Contact Aaron Monty Phone 425-508-2704 Email aaron@ramoconstuction.com Permit Type Commercial Plumbing Site Address 3710 168th Street NE,#B103 Valuation 4300.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use New Office Space Assigned To Launa Peterson Property • • Owner Information ERArcel#:01036100110200 RAMO REALTY&CONST MO REALTY&CONST 16710 SMOKEY POINT BLVD STE 305 110 168TH ST NE ARLINGTON.WA 98223 Contractors Contractor Name Primary Contact • • . Ty License License pe amo development LLC vVeron Mon 25-508-2704 15aron0ramoconstruction.com [CONTRACTOR ILabor&Industries IRAMODDL844BJ Review Date Type DescriptionDate Completed Date Assigned To Status t=517 13LD 1 /31/2017 evfn Olander n Review 1/24/2017 LD /31/2017 Marysville In Review Uploaded FileUpload File Uploaded 1/24/2017 11:31:06 AM 1301 Detailed Site Plan.odfPeterson,Launa 1/24/2017 11:31:06 AM 1301 Overall Site Plan.xis Peterson.Launa 1/24/2017 11:31:06 AM 11301 Application.Of Peterson.Launa .. i ` � i �. � `' °^ COMMERCIAL PLUMBING r PERMIT APPLICATION f�tiV` Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington, WA 98223 • Phone (360) 403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS, AND TWO (2) SETS OF FIXTURE SPECIFICATIONS (CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. Type of Permit: ✓[] New Installation Addition/Alteration L-1 Industrial Project Address: 3710 168th st ne b103 Parcel ID#: 310528-002-00 Lot#: 6 Subdivision: The park Project Description: new office Valuation:4300.00 Owner:The park LLC Phone Number:360-659-8551 Address:3710 168th st ne b 208 city-Arlington -State:WA Zip Code:98223 Contact Person:Aaron Monty Phone Number425-508-2704 Cell Phone: 425-508-2704 E-mail: aaron@ramoconstruction.com Address:24601 99th ave NE CityArlington State WA Zip Code98223 Contractor:nwplumbing Phone Number: 360-653-7224 Cell Phone:425-508-9707 Email: nwpc@msn.com Address:3810 166th pl ne City:Arlington State:WA Zip Code:98223 Contractor License Number:northpco55kb Expiration Date: 10/3/17 Please indicate number of fixtures: Water Closet 2 - Floor Sink Sump Hose Bibb Miscellaneous Lavatory Laundry Tub Washer Water Heater Grease Trap Urinal Interceptor Sink 3 Med Gas _ Drinking Fountain Floor Drain Dishwasher Backflow Shower Other Received JAN 2 3 2017 6/16LP Page 2 of 3 11.) COMMERCIAL PLUMBING PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE • Arlington,WA 98223 • Phone (360)403-3551 PROPOSED BUILDING USE ❑ New Commercial ❑ Restaurant ❑ Automotive Based ❑ Commercial Addition/Alteration P Office ❑ Machine Shop ❑ Industrial ❑ Medical ❑ Other: CROSS CONNECTION Please check all appliances that are proposed or are permanently connected to the water supply. ❑ Ice Machine ❑ Dialysis Equip. ❑ Air washers ❑ Swimming ❑ Fire Sprinkler Pools ❑ ❑Coffee Steam Sprinkler Hydrotherapy Equip. ❑ ❑ ❑Hot Tub/Spa Urn/Espresso Generators w/chemicals ❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Aquarium ❑ Lawn Irrigation ❑ Fume Hoods ❑ Laboratory Equip. ❑ Pressure ❑ Decorative ❑ Well on Washers Fountain property ❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers ❑ Other: WASTEWATER DISCHARGE 1. Does the plumbing system currently have a grease interceptor? ❑ Yes br I No ❑ Don't Know Date grease trap/interceptor,.was last cleaned(provide service record): 2. Does the plumbing system currently have an oil/water separator? ❑ Yes lr! No ❑ Don't Know 3. Date oil/water separator was last cleaned (provide service record): 4. Is water used in the business process(washing, rinsing, cooling)? ❑ Yes 0 No ❑ Don't Know 5. Does your business require a NPDES permit? ❑ Yes 0 No ❑ Don't Know I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-described property will be in accordance with the laws, rules and regulation of the State of Washington. `--ram--c Applicants Signa` Wre Date 1 i'1��'1 /-n"/2, ,� Received Print Applicants Name / 1 l FOR STAFF USE ONLY Y� 1 Permit# AcceptIgy Amount Received Receipt# Date Received 6/16LP Page 3 of 3 I �IVY COMMERCIAL PLUMBING y� PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington, WA 98223 • Phone (360) 403-3551 WHEN is a PLUMBING PERMIT REQUIRED? The City of Arlington requires a plumbing permit before a plumbing system or fixture is installed, altered, or remodeled. This also includes replacement of a Hot Water Tank. The City of Arlington does not require a permit to stop leaks or clear stoppages, unless the piping being repaired is altered or replaced. PLUMBING PLAN REVIEW IS REQUIRED FOR THE FOLLOWING PROJECTS 1. New Commercial Buildings 2. New Multi-Family Buildings 3. Roof Drains and Overflow Systems 4. Tenant Improvements 5. Installation of Medical Gas Systems 6. Installation of Commercial Kitchen's and Deli's 7. Installation of Grease Traps 8. Installation of Grease Interceptors 9. Installation of Sumps 10. Installation of Cross Connection Backflow Devices SUBMIT TWO (2) COPIES OF THE FOLLOWING FOR PLUMBING PLAN REVIEW: ❑ Plumbing plans or drawings. (Minimum plan size is 18" X 24" scale, '/4" scale for details.) ❑ Provide one set of plumbing drawings maximum size 11" X 17" ❑ Size of sanitary and potable water systems. ❑ Location, type and specifications (cut sheets) of proposed fixtures and equipment. ❑ Riser diagram of waste and vent, potable water and rain water systems, including sizes. ❑ Medical gas piping riser diagram indicating type of gas, storage room and size of piping. ❑ Location and type of all backflow assemblies for each fixture. I hereby certify that I have read and examined this application and know the same to be true and correct and I am authorized to apply for this permit. 6/16LP Page 1 of 3 I 1/31/2017 NORTHWEST PLUMBING CONTRS INC 1 (�nn .1rAiiul CgnE`zt Search L&I .1/l 0 .< fuL� 1.u1 `aifety&H-Ie211h C Cairns& Insurance V,/orkplace Rights Trades&Licensing Ailft Washington State Department of " Labor & Industries NORTHWEST PLUMBING CONTRS INC Owner or tradesperson 3810 166TH PL NE,#123 Principals ARLINGTON,WA 98223 360-653-7224 ANDERSEN, RICHARD SNOHOMISH County CHRISTIAN, PRESIDENT ANDERSEN,SHAWN MARIE,VICE PRESIDENT Doing business as NORTHWEST PLUMBING CONTRS INC WA UBI No. Business type 601 614 169 Corporation License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties PLUMBING License no. NORTHPC055KB Effective—expiration 05/02/1995—10/03/2017 Bond DEVELOPERS SURETY&INDEM CO $6,000.00 Bond account no. 437012C Received by L&I Effective date 10/03/2001 10/01/2001 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9853139 Received by L&I Effective date 08/22/2016 10/01/2014 Expiration date 10/01/2017 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits a�q.alnst the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. Help its improve- https://secure.ini.wa.gov/verify/Detaii.aspx?UBI=601614169&LIC=NORTHPCO55KB&SAW= 1/4 1/31/2017 NORTHWEST PLUMBING CONTRS INC L&I Tax debts No L&I tax debts are recorded for this con...ctor license during the previous 6 year period,but s%—ae debts may be recorded by other agencies. License Violations Infraction no. PSACE00392 Satisfied Issue dale RCW/WAC 04/21/2016 18.106.020 Violation city Violation amount ARLINGTON $750.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.Plumber trainee Mario Luna was working unsupervised. Infraction no. PSACE00394 Satisfied Issue date RCW/WAC 04/21/2016 18.106.020 Violation city Violation amount ARLINGTON $750.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.Plumber trainee Gabriel Luna was working unsupervised. Infraction no. PBUJD00585 Satisfied Issue date RCW/WAC 03/30/2016 18.106.020 Violation city Violation amount ARLINGTON $500.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.Contractor failed to supervise Gabriel Luna,a plumber trainee. Infraction no. PBUJD00584 Satisfied Issue date RCW/WAC 03/30/2016 18.106.020 Violation city Violation amount ARLINGTON $500.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.Contractor failed to supervise Mario Luna,a plumber trainee. Infraction no. PBUJD00575 Satisfied Issue date RCW/WAC 01/22/2016 18.106.020 Violation city Violation amount https://secure.i ni.wa.gov/verify/Detai i.aspx?U BI=601614169&LIC=N ORTH PCO55KB&SAW= 24 1/31/2017 NORTHWEST PLUMBING CONTRS INC ARLINGTON $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 Torrey Muchoney to install rough plumbing with an expired plumber certification. Infraction no. PJONBO1214 Satisfied Issue date RCW/WAC 07/07/2015 18.106.020 Violation city Violation amount ARLINGTON $750.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.(Employing Adam Miller to work as a plumber trainee without supervision) Infraction no. PJONBO1215 Satisfied Issue date RCW/WAC 07/07/2015 18.106.020 Violation city Violation amount ARLINGTON $750.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.(Employed Brian Smith to work as a plumber trainee without supervision) Infraction no. PREMT00706 Satisfied Issue date RCW/WAC 11/06/2014 18.106.020 Violation city Violation amount ARLINGTON $500.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.Firm employed Chris Dunkinson,a plumber trainee,to perform plumbing work at 12350 33rd Ave NE,Seattle, WA on 10/21/14. He was not supervised for 75%of that day by a journeyman(PL01) plumber. Infraction no. PREMT00707 Satisfied Issue date RCW/WAC 11/06/2014 18.106.020 Violation city Violation amount ARLINGTON $500.00 Type of violation Help US improve https://secure.ini.wa.gov/verify/Detail.aspx?UBI=601614169&LIC=NORTHPCO55KB&SAW= 314 1/31/2017 NORTHWEST PLUMBING CONTRS INC 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.Firm employed Paul Kuchler,a residential(PL02)plumber,to perform plumbing at 12350 33rd Ave NE,Seattle,WA, a five story building,on 10/21/14.A journeyman(PL01)or trainee certification is required to perform plumbing on buildings exceeding three stories in height. Infraction no. PPEJP00504 Satisfied Issue date RCW/WAC 01/15/2014 18.106.020 Violation city Violation amount ARLINGTON $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.On 1/14/2014,NORTHWEST PLUMBING CONTRACTORS INC employed Mr.Kyle Michael Donovan,an expired plumbing trainee,to perform plumbing rated duties. 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. 835,398-01 Doing business as NORTHWEST PLUMBING CONTRACTORS Estimated workers reported Quarter 4 of Year 2016"21 to 30 Workers" L&I account representative T3/REAGAN MOREY(360)902-5135-Email:MREA235&ni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. olp https://secure.I ni.wa.gov/verify/Detai i.aspx?U BI=601614169&LIC=N ORTH PC055KB&SAW= 4/4 C V Cn T -n W Io T m CD cn D F- Cr CL ED CD � I c O I N UO I I V D W o I -1 O I (Jn CO N � I N 0 \ O � -D o p T � W S W I .P U' N W N I cs N U I I � I a o m _ p T Lfl 0 Z \ Gl Z _n n D 11'-1" Job Title `��°- m m Received The Park Building B a A o Latham Realty JAN 2 3 2011 ■ Rnnnn m 1 I / - dOd olOAl01'IVtt'lS1alOLONI- �:1.38 \ HnOH 3NO 'ZSOLdM H 3113 '70ssVdAO• � V MGM WOOS A8 IVOINMIN 3du N91S30 830018 AS IVOlUO313 _ .OYZLdM.311d'OOM 2i01'J3dSNl JNIOlinB _ ® 3aVMaaVHowVdoN wnSdAOH3d3AliSIS3a-3HIdHnOHL310N 'ON 1Be45 3H1 AS o3AO8dd`d SS3lNn1 11X3 3N0 Z£ 1sal� a e'JNIOIIne j 40� N (` GUlklOHMV S3ONVH3 ON �� s1NVdn000 saoau ADNvdnDOO 8001d do dol 6�7—'Q y//� '1H'DS 1Z1'E=11 M3N fir✓' /� 31vU V!NVNI WIiI OHM 335 "ld 'Nld p lap d03 331AA0 � 13'DS 4'6BB'Zl='ld'DS B°J,011nB 1V101 a0d0W0J1013T �(� vVV '1N3053Wn1Nl'1NV1tl35'OHOS'Nld 335 '3StlH ' 3NNnH"l1W /� SONVONV1S LFIIGISS300Y 60OZ ISNV a3/1[ ]addH P StoZ 081 N011VInSNI fLH ' — ♦� Y S30o0 ',Y/L!O 1H90H 3003 XVW V/M-lVINOZlUGH Z l OUM L 0 1N31AIINVdW ONIG line �' I NOI1VOO1 uo1;ewao;ul apoo bZ ® _ ' _ Q331435 30 Q10H5 53003 3Hl'{'.Z/I HVHl N3H;IIH ON 38 OIWNS 5010H53NHl NOW (D 173road SSSY£S9'09£ - an1S 11YV b0 tZ„6/S-f - NOLL03S Ntlld 1�OLT f)Nl'T� �O IUD m £ZZ96 'VM 'NOION11NV 00-900-ZOO-OZ90I£ (s8n330 383HM) cC S310N QIOHS3ZIHl — ooze ins EMS H1991 OU oo zoo 9ZSOL£ :01 XVl eMa.H/g O NOuonMN03 R AlllV38 OWVa h. p 53aYM0aYH ONLLYa3d0 3dA1-N3A31 Llvo�>4n U01OV81NOD SSSY£S9'09V £ZZ96 YM'NOIONIISV n' 3AVH TIM 13S HaLV1 NO 13S NMI/M SNOW ® WOM xsnv WOM Hsnl! coot •10VINOD 90ae l nS 133als H1991 OLLf '�� lltlM O1 NWa O O O ao;e�o� ;aa�oad WOO'l1YWJ®H13SM080001 NOUna1SN03 W A1nV3N OWVN _ N31stl3'zaOH w V£Ot'6S£'SZY 'N3NMO 'Al 'ants uW (con 3o ONN 5 311saddo W S No 37rds Nr3o d3Ga,6Y x W6 3NIws,zl 3nrH m sNWa © Z 1096 VM 'X33lYJ nivt ? 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