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HomeMy WebLinkAbout6122 206TH ST NE_BLD1322_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.6122 206th St. NE Project Description:Re-pipe of Single Family Residence from CPVC to PEX Owner: Daniel Whornham 6122 206th St. NE Address: City-Arlington State:WA Zip Code: 98223 Phone: 360.488.7976 Email. Gluwman@aol.com Applicant:Same as Owner Address:6122 206th aaast. NE City-Arlington State:WA Zip Code: 98223 Phone. 360.488.7976 Email: Gluwman@aol.com CONTRACTOR INFORMATION Contractor Name:Mr. Rooter Plumbing Address-2000 S 116th Street City:Seattle StateWA Zip Code:98168 License Number.MRROOP*022NE Expiration.- Phone:800.845-3107 Email.www.mrrooter.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) 0 Bath/Shower Combo (4.0) x 2 Q Sink (1.5) x 4 Shower (2.0) x Q Lavatory (1 .0) x 3 Clothes Washer (4.0) x 1 L1 Water Closet (2.5) x 0 Dishwasher (1 .5) x 1 Q Water Heater x 1 0 Hose Bibb (2.5) x 2 Water Heater Model # Other (list) x Proposed Water Piping Size: 1" to 1/2" Proposed Piping Material: PEX Proposed DWV Material: unk Proposed DWV Size: unk • 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 �w,.ueC�l�o%til�a Applicant Signature: Date: 02/07/2017 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 CITY OF ARLINGTON 238 N.OLYMPIC AVE- ARLINGTON, WA.98223 PHONE; (360)403-3551 BUILDING PERMIT Address:6122 206th Street NE Permit#:1322 Parcel#:00875200007600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:W HORNHAM DANIEL K Name:Daniel Whomham Name:Mr,Rooter Plumbing Address:6122 206TH ST NE Address:6122 206th Street NE Address:2000 S 116th Street City,State Zip:ARLINGTON,WA 98223-8299 City,Slate Zip:Arlington,WA 98223 City,State Zip:Sealtle,WA 98169 Phone: Phone:360488-7976 Phone:800-845-3107 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Mr.Rooter Plumbing Address: Address:2000 S 116th Street City,Slate,Zip: City,State,Zip:Seattle,WA 98168 Phone: Phone:800-945-3107 L1C#: EXP: LIC#:MRROOPt022NE EXP:08/19/2018 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 10/IRCI 10. AI.FS TA OTICF: ales tax relating to construction and construction materials in the City Of Arlington must be reported on your sales tax return form a odcd ty f Art' on#3101. Signature Print Name Date Rckawd By Date CONDITIONS Approved as submitted. 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 2110/2017 Plumbing Permit Base Fee $25.00 2/10I2017 Plumbing Permit Fee(Enter Fixture Fee) $168.00 2110/2017 Processing/Technology Fee $25.00 Total Dire: S218.00 Total Payment: $0.00 Balance Due: $218.00 CALL FOR INSPECTIONS BUILDING(360)4143-3417 When calling for an inspectieQo pknat leave the following Inrormathm: 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:6122 206th Street NE Permit#:1322 Parcel#:00875200007600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WHORNHAM DANIEL K Name:Daniel Whomham Name:Mr.Rooter Plumbing Address:6122 206TH ST NE Address:6122 206th Street NE Address:2000 S 1 16th Street City,State Zip:ARLINGTON,WA 98223-8299 City,State Zip:Arlington,WA 98223 City,State Zip:Seattle,WA 98168 Phone: Phone:360-488-7976 Phone:800-845-3107 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Mr.Rooter Plumbing Address: Address:2000 S 116th Street City,State,Zip: City,State,Zip:Seattle,WA 98168 Phone: Phone:800-845-3107 LIC#: EXP: LIC#:MRROOP*022NE EXP:08/19/2018 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 ofArlinglon must be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Approved as submitted. 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 2/10/2017 Plumbing Permit Base Fee $25.00 2/10/2017 Plumbing Permit Fee(Enter Fixture Fee) $168.00 2/10/2017 Processing/Technology Fee $25.00 Total Due: $218.00 Total Payment: $0 00 Balance Due: $218.00 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 • • Mr.Rooter Plumbing&Heating Estimate 146514739 2000 S 116th Street Seattle,WA 98168 Job 146504548 800-845-3107 Customer Service Estimate Date 1/27/2017 Technician Shawn Burke Customer PO Billing Address Job Address Dan Whornham Dan Whornham 6122 206th Street Northeast 6122 206th Street Northeast Arlington,WA 98223 USA Arlington,WA 98223 USA Estimate Details Your Your Task# Description Quantity Price Total 991003 Addl Plumbing Service(Labor&Mat'I) 1.00 $7,300.00 $7,300.00 repipe whole home Remove all pcvc piping Replace with Pex Replacement for two full bath upper floor hot and cold to include two sinks,two shower tub and two toilets New valves and trim for tubs First floor hot and cold supply ice maker add on,kitchen one half bath,laundry Room and hot water heater Crawl,main supply run Pull and replace toilet in lower half bath Include all new angle stops,laundry box,water hammer devices,ice maker box shoutoff and pry and pis gage 991009F Fuel &Environmental Surcharge 1.00 $20.00 $20.00 Sub-Total $7,320.00 Tax $666.12 Total $7,986.12 IMPORTANT NOTICE:You and your contractor are responsible for meeting the terms and conditions of this contract,if you sign this contract and you fail to meet the terms and conditions of this contract you may lose legal ownership rights to your home.KNOW YOUR RIGHTS AND DUTIES UNDER THE LAW.YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT THE 3RD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION,SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.I agree that initial price quoted prior to start of work does not include any additional or unforeseen tasks. Nor materials which may be found to be necessary to complete repairs or replacements.I also agree to hold Mr.Rooter or its assigns harmless for parts deemed corroded,unusable,or unreliable for completion of stated work to be done.I hereby authorize Mr.Rooter to perform proposed work and agree to all agreement conditions as displayed on this page and the following two pages of this document and further acknowledge that this invoice is due upon receipt.A monthly service charge,at maximum allowed by law,will be added after 10 days.Independently owned and operated franchise. Acceptance of work performed:I find the service and materials performed&installed have been completed in accordance with this agreement.I agree to pay reasonable attorney fees,collection fees,and court costs in the event of legal action pursuant to collection of amount due. Permit Information Date 2/7/2017 Permit Number 1322 Project Name Whornham Applicant Name Daniel Whornham Applicant Address 6122 206th Street NE City,State,Zip Arlington,WA 98223 Contact Daniel Whornham Phone 360-488-7976 Email gluwman@aol.com Permit Type Residential Plumbing Site Address 6122 206th Street NE Valuation 0.00 Status Completed Permit Issued 2/10/2017 Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Replace all plumbing with pex Assigned To Kristin Foster Property Information Owner Information Parcel#:00875200007600 WHORNHAM DANIEL K WHORNHAM DANIEL K 6122 206TH ST NE 6122 206TH ST NE ARLINGTON,WA 98223-8299 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Mr.Rooter Plumbing 800-845-3107 CONTRACTOR Labor and Industries IMRROOP*022NE Inspection Date I Type Descri Lion Scheduled Date I Time Completed Date I Assigned To I status :3/7/2017[Plumbing Rough-in JPIumbing complete KO.316/17 PO,00:3/6/2017 JKevin Olander Completed Review Date Type Description I Target Date Completed Date I Assigned To I Status :2/7/2017 lResidential Plumbing :2/14/2017 lKevin Olander Iln Review Fees Fee Description Notes Amount Plumbing Permit Base Fee 322.10.00.0 $25.0 Plumbing Permit Fee Enter Fixture Fee) 322.10.00.0 $168.0 Processing/Technology ProcessingfTechnology Fee 341 43.00.02 $25.00 Total $21R 0 Payments Date Paid By Amount Description Pa meet T na Acice ted B 2/10/2017 jDaniel Whornham $218.00 3465818 c Total $218.00J Amount Outstanding:$0.0 Notes Date Note 2/10/2017 Contractor out of city issued. 2/7/2017 Contractor needs out of city prior to issuance. KF Uploaded Files Upload File Date File Uploaded B 2/13/2017 9:06:51 AM 1322 Issued Permit.pdf Foster, Kristin X 2/7/2017 3:43:39 PM 1322 Application.pdf Foster. Kristin x 2/7/2017 3:43:39 PM 1322 Scope of Workpdf Foster, Kristin x CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA.98223 PHONE; (360)403-3551 BUILDING PERMIT _ Address:6122 206th Street NE Permit#:1322 Parcel#:00875200001600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WHORNHAM DANIEL K Name:Daniel Whomham Name:Mr.Rooter Plumbing Address:6122 206TH ST NE AdOress:6122 206th Street NE Address:2000 S 116th Street City,State Zip:ARLINGTON,WA 98223-8299 City,Stale Zip:Arlington,WA 98223 City,State Zip:Seattle,WA 98168 Phone: Phone:360-488-7976 Phone:800-845-3107 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Mr.Rooter Plumbing Address: Address:2000 S I I6th Street City,Slate,Zip: City,State,Zip:Seattle,WA 98168 Phone: Phone:900-845-3107 L1C#: EXP: LIC#:MRROOP*022NE EXP:08/19/2018 JOB DESCRIPTION PERMITTYPE: 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 10/IRC110. ALES TAX NOT ales lax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form a odcd Sty f A/rlr ton#3101. Signature Print Name Dale elcased By Date CONDITIONS Approved as submitted. 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 211012017 Plumbing Permit Bash Fee $25.00 2/1 012 0 1 7 Plumbing Permit Fee(Enter Fixture Fee) $168.00 2/10/2017 Processing/Technology Fee $25.00 Total Due: $218.00 Total Payment: $0.00 Balance Due: $218.00 CALL FOR INSPECTIONS _ BUILDING(360)403-3417 When cnlliog for an iaspecliae pkyse leave the following larormallen: Permit Number,Type or Inspection being requested,and whether you prefer morning or atlernoon �I J r�l. �• ,If � I I Q ek it Al 1 �•tl� II r 1 1 ti r r I 'r 1 1, 1 r •. ul CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:6122 206th Street NE Permit#:1322 Parcel#:00875200007600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WHORNHAM DANIEL K Name:Daniel Whomham Name:Mr.Rooter Plumbing Address:6122 206TH ST NE Address:6122 206th Street NE Address:2000 S 116th Street City,State Zip:ARLINGTON,WA 98223-8299 City,State Zip:Arlington,WA 98223 City,State Zip:Seattle,WA 98168 Phone: Phone:360-488-7976 Phone:800-845-3107 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Mr.Rooter Plumbing Address: Address:2000 S 116th Street City,State,Zip: City,State,Zip:Seattle,WA 98168 Phone: Phone:800-845-3107 LIC#: EXP: LIC#:MRROOP*022NE EXP:08/19/2018 JOB DESCRIPTION Al PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: I OCC GROUP: BUILDINGS: OCC LOAD: PERMIr SAP , .•©'SAL 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 NOIFICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. Signature �- C I g Print Name Date Released By Date CONDITIONS Approved as submitted. 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 2/10/2017 Plumbing Permit Base Fee $25.00 2/10/2017 Plumbing Permit Fee(Enter Fixture Fee) $168.00 2/10/2017 Processing/Technology Fee $25.00 Total Due: S218.00 Total Payment: $0.00 Balance Due: $218.00 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 1 Permit Information Date 2/7/2017 Permit Number 1322 Project Name Whornham Applicant Name Daniel Whornham Applicant Address 6122 206th Street NE City, State,Zip Arlington,WA 98223 Contact Daniel Whornham Phone 360-488-7976 Email gluwman@aol.com Permit Type Residential Plumbing Site Address 6122 206th Street 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 all plumbing with pex Assigned To Kristin Foster Property Information Owner Information Parcel#:00875200007600 WHORNHAM DANIEL K WHORNHAM DANIEL K 6122 206TH ST NE 6122 206TH ST NE ARLINGTON,WA 98223-8299 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# IMr.Rooter Plumbing 300-845-3107 ;ONTRACTOR IlLabor and Industries IMRROOP"022NE Review Date Type Description Target Date Completed Date Assigned To I Status 2/7/2017 lResidential Plumbing. 2/14/2017 lKevin Olander In Review Notes Date Note 2/7/2017 Contractor needs out of city prior to issuance.KF Uploaded Files Upload Re Date File Uploaded B 2/7/2017 3:43:39 PM 11322 Apphcation.pdf roster,Kristin 2/7/2017 3:43:39 PM 11322 Scope of Work.pdf Foster,Kristin 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:6122 206th St. NE Project Description:Re-pipe of Single Family Residence from CPVC to PEX Owner: Daniel Whornham Address:6122 206th St. NE City-Arlington State:WA Zip Code: 98223 Phone: 360.488.7976 Email: Gluwman@aol.com Applicant:Same as Owner Address:6122 206th aaast. NE City:Arlington State:WA Zip Code: 98223 Phone: 360.488.7976 Email: Gluwman@aol.com CONTRACTOR INFORMATION Contractor Name:Mr. Rooter Plumbing Address:2000 S 116th Street City:Seattle StateWA Zip Code:98168 License Number:MRROOP*022NE Expiration:unk Phone:800.845-3107 Email:www.mrrooter.com STAFF USE ON Received Permit#: 1252,Z Accepted by: Date FEB 0 7 2017 REV 2015 Page 1 of 2 Y RESIDENTIAL PLUMBING s • 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 2 Sink (1.5) x 4 Shower (2.0) x Lavatory (1.0) x 3 Clothes Washer (4.0) x 1 Water Closet (2.5) x Dishwasher (1.5) x 1 Water Heater x 1 [� Hose Bibb (2.5) x 2 Water Heater Model# Other (list) x Proposed Water Piping Size: 1"to 1/2" Proposed Piping Material: PEX Proposed DWV Material:unk Proposed DWV Size: unk • 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 �)ixoa�CAl1?�ko�r.,sd Applicant Signature: �cr"? Date: 02/07/2017 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. t REV 2015 Page 2 of 2 2/7/2017 MR ROOTER PLUMBING (Search L&I v Y,I , Safely&Inc-alth t', )mis 8.Insw tv'n,rkplace Righk Iredr;s Licensing Washington State Department of " Labor & Industries MR ROOTER PLUMBING Owner or tradesperson 2000 S 116th Street SEATTLE,WA 98168 Principals 425-226-4731 SPOSARI,VINCENT, PRESIDENT KING County Doing business as MR ROOTER PLUMBING WA UBI No. Business type 601 432 172 Corporation Parent company SPOSARI INC 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. MRROOP*022NE Effective—expiration 08/05/1998—08/19/2018 Bond CBIC $12,000.00 Bond account no. S B3633 Received by L&I Effective date 08/19/2002 08/10/2001 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9910721 Received by L&I Effective date 09/13/2016 10/26/2015 Expiration date 1 0/2 612 01 7 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. Help i is lwpc-ov€a hftps://secure.ini.wa.gov/verify/Detail.aspx?UBI=601432172&LIC=M RROOP*022N E&SAW= 1/3 2/7/2017 MR ROOTER PLUMBING License Violations Infraction no. PJACH00812 Satisfied Issue date RCW/WAC 04/15/2015 18.106.020 Vinlation city Violation amount SEATTLE $500.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.(Employed Barrett Roberts,Joshua Musgrove,and James Cunningham to install potable water in a four story multi family structure without supervision as required) Infraction no. PERVB00553 Satisfied Issue date RCW/WAC 11120/2013 18.106.020 Violation city Violation amount SEATTLE $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.The uncertified plumber (Brandon TO Cunningham)helped install a new kitchen faucet Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts L&I Account ID Account is current. 582,318-01 Doing business as MR ROOTER PLUMBING SERVICES Estimated workers reported Pending current quarter filing L&I account representative T4/MELVINA RAMSDELL(360)902-4814-Email:RAMM235@lni.wa.gov Track this contractor G Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 10/11/2016 Under appeal.The results of the inspection are Inspection no. being challenged. 317940256 Date of appeal Location 12/29/2016 15053 Main Street Bellevue,WA 98007 hfps:/Isecure.ini.wa.gov/verify/Detail.aspx?U BI=601432172&LIC=M RROOP*022N E&SAW= 213 2/7/2017 MR ROOTER PLUMBING Inspection results date Violations 12/05/2012 Inspection no. 316396647 Location 623 23rd Ave E Seattle,WA 98112 Inspection results date 04/06/2011 Violations Inspection no. 314798877 Location 1120 Sw 16th St Ste I Renton,WA 98057-2639 Cal Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the slate of Washington. Help us improve https://secure.ini.wa.gov/verify/Detail.aspx?UBI=601432172&LIC=MRROOP`022NE&SAW= 3►3 i r,r A pl Mr.Rooter Plumbing&Heating Estimate 146S14739 2000 S 116th Street r Seattle,WA 98168 Job 146504548 800-845-3107 Customer Service Estimate Date 1/27/2017 Technician Shawn Burke Customer PO Billing Address Job Address Dan Whornham Dan Whornham 6122 206th Street Northeast 6122 206th Street Northeast Arlington,WA 98223 USA Arlington,WA 98223 USA Estimate Details Your Your Task# Description Quantity Price Total 991003 Addl Plumbing Service(Labor&Mat'I) 1.00 $7,300.00 $7,300.00 repipe whole home Remove all pcvc piping Replace with Pex Replacement for two full bath upper floor hot and cold to include two sinks,two shower tub and two toilets New valves and trim for tubs First floor hot and cold supply ice maker add on,kitchen one half bath,laundry Room and hot water heater Crawl,main supply run Pull and replace toilet in lower half bath Include all new angle stops,laundry box,water hammer devices,ice maker box shoutoff and pry and pis gage 991009F Fuel&Environmental Surcharge 1.00 $20.00 $20.00 Sub-Total $7,320.00 Tax $666.12 Total $7,986.12 IMPORTANT NOTICE:You and your contractor are responsible for meeting the terms and conditions of this contract,if you sign this contract and you fail to meet the terms and conditions of this contract you may lose legal ownership rights to your home.KNOW YOUR RIGHTS AND DUTIES UNDER THE LAW.YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT THE 3RD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION,SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.I agree that initial price quoted prior to start of work does not include any additional or unforeseen tasks. Nor materials which may be found to be necessary to complete repairs or replacements.I also agree to hold Mr.Rooter or its assigns harmless for parts deemed corroded,unusable,or unreliable for completion of stated work to be done.I hereby authorize Mr.Rooter to perform proposed work and agree to all agreement conditions as displayed on this page and the following two pages of this document and further acknowledge that this invoice is due upon receipt.A monthly service charge,at maximum allowed by law,will be added after 10 days.Independently owned and operated franchise. Acceptance of work performed:I find the service and materials performed&installed have been completed in accordance with this agreement.I agree to pay reasonable attorney fees,collection fees,and court costs in the event of legal action pursuant to collection of amount due. Received FFR 0 7 )1117 FAD 1222Z- ;� N ',. � �. Permit#: 1322 Permit Date: 02/07/17 Permit Type: RESIDENTIAL PLUMBING Project Name Whornham Applicant Nam a Daniel Whornham Applicant Address: 6122 206th Street NE Applicant, City, State, Zip: Arlington,WA98223 Contact: Daniel Whornham Phone: 360-488-7976 Em al: gluwm ai@aol.com Scope of Work: Replace all plum ling with pex Valuation: 0.00 Square Feet: 0 Num ber of Stories: 0 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 02/10/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wner Nam e Ovner Phone Zoning 00875200007600 6 122 206TH ST NE WHORNHAM 111 Single Fam iy DANIEL K Residence-Detached Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# Mr Rooter Plum ling 8 00-845-3107 2000 S 116th CONSTRUCTION UBI 604 891 844 Street CONTRACTOR 2000 S 116th CONSTRUCTION Labor and NBLYCC0771NB Mx Rooter Plum ling 8 00-845-3107 Street CONTRACTOR Industries Inspections Date I nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus 03/07/2017 C04.PLUMBING Plum ling corn Bete KO. 03/06/2017 B UILDING C om lieted GROUNDWORK 3/6/17 Plan Reviews Date Review Type D escription A ssigned To R eview Status 02/07/2017 RESIDENTIAL BUILDING PLUMBING Fees Fee D escription N otes A m omt Plum ling Base Perm is Fee $25.00 Mechanical Comm ecial Perm t T able 4-7;Per Unit $168.00 Processing/Technology $25.00 Total $218.00 Attached Letters Date Letter D escription 02/10/2017 Building Perm i Paym efts Date Paid By D escription P aym ant Type A ccepted By A m aunt 02/10/2017 Daniel Whornham 6 3465818 c c $218.00 O ntstanding Balance $0.00 Notes Date Note C reated By: 02/10/2017 Contractor out of city issued. K ristin Foster 02/07/2017 Contractor needs out of city prior to issuance.KF K ristin Foster Uploaded Files Date File Nam e 02/13/2017 2100049-1322 Issued Penn i.pdf 02/07/2017 2090340-1322 Scope of Wcrk.pdf 02/07/2017 2090341-1322 Application.pdf