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Home My WebLink About4018 168TH ST NE UNIT A_BLD1392_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:4018 168TH ST NE, UNITA Project Description.REMOVE & REPLACE 1 GAS WATER HEATER Owner: LINDA ISRAELSON 4018 168TH ST N E , UNIT A Address: City:ARLINGTON State:WA Zip Code: 98223 Phone: 425-652-*0288 Email: NONE@EMAIL.COM Applicant:JACCI DANIELS Address: PO BOX 59208 City:RENTON State:WA Zip Code: 98058 Phone: 425-883-4871 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:425-883-4871 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 40T10-40NG 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: 03/21/2017 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, WASHINGTON --- BUILDING DEPARTMENT No building construction shall be commenced until permit holder INSPECTION RECORD SHALL or his agent has posted this Inspection Record Card in a REMAIN AT JOB SITE conspicuous place on the premises. OWNER: '\ CONTRACTOR: JOB ADDRESS: `WIlb wd CAMAr yokk OWNER ADDRESS: USE of BUILDING: SFR PLAT NAME: i Description of Work: v LOT# PERMIT No: Z/ Sprinklered: CONDITIONS: DATE ISSUED: TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION 360-403-3417 UNDERFLOOR SHEARWALL PLUMBING(groundwork) GAS PIPING(groundwork) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD(SHEAR/RATING) ROOF DRAINAGE The following documents will be required and must be available during the final inspection: Completed Public Works & Utility Inspection Card Final electrical sign off by L & Completed Blower Door test certificate Completed Duct test certificate (if applicable) Conditions (if applicable) * indicates that the inspection is approved but there is a minor correction FINAL INSPECTION Required Documents: CORRECTIONS *) I : i , Ji! C Y OF ARLI NGTON j 239 X Ol.YMPIC AVE-AR JNGTON',WA.98223 VITO1NF;(360 40373551 ;^..411SnJxLen�r..nl^.:.,.•.,,, ,,,q.,,llrrgr f.,:,.,�,I'!•,,•,�,; •„y..r..,,, ,:.,.Ir•I r: :,rr ,,r,l,'!sl., „»�, r nx,•,: •. „I r":,i w'1' .'.;Y:n!:wh: ,!;.,._...:lY•.,',::. ..,.T..t,,,a�. !! LI 1,a611L! ,.,Mn�• M;r;An .••••.; 1,'• d !bM" ,11 .J.a'.t..n::nr;.•...e•r�... rt1�1.1.,_I,,..,^.,, C' �•IL.a;w,6 i : ..I ,.,,,N �,.,..., ."v,. ! ',...•...,:L,.�;. ,_..r. ..•:.�:x••�,,r�x ad•"•.,.,u ill, '':ry.}•'::}::!;^•',.�,.•,.••. ! it _i,'•wtr,ni,r.,u:, .!h•�1'�"itia:��uuer'n:nifl'fl„�!:.,'.1r1!,6u M,1111rIx:lY1•!'tw<(1 F; ,t i•. �^,., �l.r ,». il^.I,u n,,.L�,,,..aw,',,,.,.,.;,,,r,r•Y.. „L.,,uti., ,,,�, .,1 ::i�d,j'r:�, (�IeLNt,fY';;r �' ,' •',1!'h'..1 i:,1J+,i.rl>,t'741rr• 'a�P.u�d•w1�;, C ! A ddretii:40IR 168th Street NE;Unit A p4Mmit*IM Tarsal;1:00866700008700 Na1u8lion: i!'I! ,,r,: , 1•:.,11'. , Y�.,.,ui•nilN�.rl�r rr:^••I�,:a�,.,,uw ir:f,'1•�•^.'s>_"�'",.yLr,'r1„;?.;• ::;11.y?qM:A!•.y N'r,;,,x y,,;'::''l.'1gJi''I'�i„!,�!It•..ia.::?„l.t.1,.:u1"�;i'"' :,.N, .;,, ;i;t Ia._..,.....� 1, ..�a rvnJ,J;,•,.L�!,1•,.,,_.,.iY{,;.i�L,,�,»A r.S?a•,.a..�•.JI;Ck.q..':.,S:rril.1i,,!aA.d1,,.,.�I.,,,,1I 1,i`,'ira.IiiL,..t.i 1�, ! 'I O,UU ; .......r: Y,. L a Vie1RA1LS( V BLNJAMIN)StA1F.SUN 1*�A Nanw.Wtshi: ton WaterHeale3 Name:WASH'; 'I:NC:T 1,O' N WAT.nrE:iRneR,!�.:1 F'iy 4A111E•i;.;Rp�'.5...S INC . �. ^ Address:4018 166'ru ST NC UNIT AL rAddress:P(.)Box 99208 Address;,PO Box 59208 ' City,Slate Zip!ARLWGTO N1,WA 982234429 City,State:Zip:Renton,WA 98058 City,state[ip:Renton,WA 98058 1 Phone: Fit _ 5J� Ex , •.,. !l�' I.iI�Y.�.•• :.:.iFn l.._"..i. ,r• �Y;Yhn::., :;,r ,Eii'tC�•+�r Iu .,,.1{In,..rr,.,...,•,.•, .P FI✓\✓I, .• /4, -„ . .:,,".,.. 1.�.4.»�. ,.;1::-J:,,...{,� �:(/ �1t,M�• 85118r:.La•� ,iu'. : •. 4 .r.., ., .• ...�, ., Ir!;•;n,r'�'ixJ t i��;16'-;y:'I,xc.�tira•:r'w � ; ':r!'• �� }�� ,,.'r".%�:'r':�;':y:'Ivx•;umv!i J';re!,a'r,!cr- � #ono:t ) 7 ri: ,.li„y •17•i;l.:1f� I t,'e (' �:�',�i(�}�•;� •.1xy.1 ,, .v`:M. .�C;7,':g C .,,,. .t?�.IrA!:+L+,..IT> p 4 :•.<.t. Ii,S?,Irl'r.I,IY.�;I::i.rlll.i.�::#h_I ri' J::.x.l `k'Ir�i17!>.!.n,. .;; 1 ` I! wr,a`'::a�?: ;a,. L;;,,>'f<: °a Name: Name:WAS�t OTON WATER FIF.ATFRS INC 1 Addre%S: Address:PO Box 59208 I City,State,Zip: City,Statc,zip:RenWo,WA 98058 phone; Phone:(800)9Tti-85$9 LIC 0: EXP: LIC N:W'ASH11*98001P EXP:09117/201A +'•r:.r..�I........... , x.!::u!'Ii'I!ia:;t!.:it'1!'T'!.r'ni.•,..,,!;uAl kl!.. .,.....li.::I.raa, r„r; .._;.�.;,.. 'd:»:q"I r ,,...;;,�,.;,, .I„ ... ... .. r e,mlrrM'4i .h. n..»i•i' ( ,t :»,.fit;,ulk, .I t),.:.E Yi ,i!,rll _J ,.1 MM,^, ,i.L.,1911VFn''kr�,in•„'riy';,}+,f+ + Fa:'?g..mr1:gl,�ilE!:�1al.;;a,;k, q!'.!Ila'eh}li'r'11!litlkl:!:iL'1}t!I!!II,'i!.G:�:{{r!iiii!:!;:g!ilr.i!,t iFE+i!iri� r' RMrr"rYPF::: Residential Plumbing CO 0E YEAR: 2015 ' STUR11rS; CONST.TYPE:: DWELLING}UNIT$: OCC CROUP: BUILDINGS: OC:C LOAD: ...1� '!i' •�'::"•y...l,.,. I.. .Il,V.i` !' f � •Y:p"i.. , ,,....;.,:.,�.,..,.,..u.;.e.tail:,�, ..,Im ,.,.,..r.,. ,. 't'f•',n:f:.Y.•,,,....y:». rlL,! V.rl t .. � � t.. IlNlli;•'•liei!Vr'!'•uY41i��::f•IjMll,'-+':.S"}+ •'� :1 ''.�,:I'r�li . L •p;�.;"f,!1''�';(Y'4 ''�1"Sltli•it'.,•::r,ih{{w 1au'nr,rl}t111.;f!!r4,,.,...ly.�;.w.lw!;i.':•II Ni I 1 I. .j. M .IF.I ,!'�':•S°. 'Y„!,,n,v,,9',p" .�.. n�S•!}! 1 :. "'A ar.:•rirYt.;rYlllla,lJS, .1,..:7,!.i,•: t..,r,,.::,.,,,!Il,i.;j;l,� �r 1' a i!r111;l�?Ili ?.!i!:;_' w•!- C !I;Ikil! ,; :,?r ai1 :�,r. 1.xltr,�r,..,,.,tr„r7,.,;,;,,»tl,!!ta!th,:. .I:'Isi��a �� r'r�!„arll•r� '1'"ll.,iii�'�it. au�•1: t�S,f'': �i• 1 AGREE TO COMPLY WITH CI.1'Y'AND S"I'A.'I"E":LAWS ryRL^'OU1 A'I'ING CONSTRUCTION AND INt DOING T}1Z WORK�AUTHL7PJZF '� j THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLA"11ON OF THE LAOOR CODE OF THE 5'CA'1`l;?OF WASHINGTON RELATTNO'•O WORKMEN'S COMPENSATION INSURANCE AND RCW 19,27. Ti'115 APPLICATION IS NOT A PERmi*F UNTIL.sicNED BY THE F3T:i,l,J)INO OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE,PAID, 1 1T IS UNLAWFUL.TO USE OR OCCUPY A BUILDING OR STRU'C 1JRF UNTIL A FINAL,INSPIX-11ON HAS BEEN MADE AND Al'PROy"AL OR i A C:ERTIFIC".ATE OF OCCUPANCY HAS BEEN CM ANTED. 113C 110/IRG 110. i E •1' Sales tax relating to construction and construction nmterials in tiro City ofAflln` " XO(xf11L�on yotU aslCS Gix.,alum form f an coded 1 0 A in8ton 0 1. � Y Ii.� /�,� l Signature PKittt Nam' " Qate Date 1 :•Yf'•:I•',�:I,i11,.':tl::,k::,Ai,,,p1u ,.,r.li:,�.r.,... ., ^+.•.L,u C..,.,:":S•, ... ,..1 r'!t-'::,ro;'x,:.;nln•.'rr:::..;tvl^�„P•.J.,...,.,.,.�ly:::'::II.:..,,;'.,II;:•„��,!. �.�I,.,..,,......��.., W, .t• rr' •l,d� » l.b ,.,. .J..,..'J'. .Y;'rr..rl rn•o•rr.:::u:!: •:'!u i, r!!"„iS�.quf5:•:.;!xhl.,I;!h ij!:,a:ir'o4{'a:1,d1i!i,:i!:j: A!Iln :•1=.'L•N'i�r'riti!r,!,u;::�7i:"7,arw. ?• :'x!i>�'iK'?Jih;:aliu.:!.v;.,,•Y4'11.�1?i';,;; 1,;=.<tltnxwbyY,:rrn,laJ�„b,7•�h n1r!r��uaxr.r, ,.,{F,�i It:i IS1:./y�'u!1, !��y.��.�� /�•��■ L��1' r• I t• ,qr•1 t'4,1; f; .t.A!1 � •)�N,� •.il:Ili�.r Ir.7: ..1 I:1 y.;:I.,, 1.tI.1,r.•.r8 7 'w.' WJ:� OF.ltillhll?�II.1�'�lr��ift�:ltu�iil" ,.' A Ct3Ye�SS subMitked.Adherq t4'Che.1r15tallat1011 Qf Whlri:!.i:,,;,',"I-! ::.1 -, La PP •,. 1pool model#4oT1aaONG E.F., 4.b211 T111$•PEliMIT AUTHOP17S ONLY THE WORK NOTED,THI-S PERMIT COVURS WORK TO 9E DONE ON PRiVATS PROPERTY ONLY, ANY CONSTRUCTION ON THIS PUBLIC T)OMA1N(CURBS,SIDE.WA.L.KS,DRIVEWAYS,MAR9I.111IT ,FxC;)WILL,Itk?F,UI'1;T3$EPAFtATE OrAMISSIO,N, I , 1 !i''1'L i:,!;t' ,t1„;C. r,,,,.,r lxla„1 .n„^-,•'• v,.r'1,,;�!;!;„I';,,,:,:,,:,,rl:, �:Y•^ :F;..,,,,, r e�•' 1:•„x,.. u IJI,.,I,t �HIC^ „ .•'4.�r1 rYN:r LL':'.N ._,H.rl,.!ylll,.,,,,::,::Il,ii:'13�:,.,rr.'!4•. ' + ..,,�"'Yt'^Cjri':!:'.1'!,JJ',:r,:41}.,.., :.1',1.,y,:n:.'.: r•rl<II •i:11:N,lwl•r,,.l •,'t„'N ! ;!I�;I. ,..,. �.,r,• ate..,.�,,:.,.,.:W .tl..,,..u,L.h...^..:P,.....1P..:�..•�:r..;..�:_�rx!41N:.. :: ...JL1.. .,i.;.,;..;,;,.»,.n�AIN !1?iL1,IrrL,:.raaij:. tt LI.IY•��u..l. ..r,i..urn::::•��.....I. .. \..........:.. .. .t :�� 1: Nay .�xl_. 1 ,.I.. .L:.^,71!::t,ir.ImuxJl!fJpi•":I�?lii!f'»„f!1.'1.;r1!:: x, 6G.uta.6 1t711 rl.l......•n.�, N:: +:'l. �l,nv vL,:r i:, ^rl.x„>,,y. 1 .1.� .. .. ik' :',e:.,,,,,sli�iax,,d�:(ur..:•_�:.,•y.....taaii:>,;.,•'„mxaVtq;,:;n,::4•^,:r 1. r ..th!,f V, .,�. t'Yd.I:x.�,. ,r.,NOnA:/rv,"I ,., uH N B••.J il:fage !, .1 t M'IML1 IrflflnlLYllli ll'!1 l Date Dascriptlan " Fes ouht 3/21/2017 Plumbing Permit Base Fee $25.00 3/2112017 Processing/Technology Fee $25.00 3/21/2017 Water Heater25 60 Total Due: S75.00 ,oral#'a�'mcnt: $0,00 Winner Due: Ji75^00 , * .,. ,.... �r In, '.:1 ualP•, .1..... ..rv:.: 1'.' ,. ..... � , tirf;+„'fM, .,»„u's:_., ' .: ,, #,,.�„ ,1, �y ..,1f. : ;y�L1.,.I'.I,•,'I!,,,!:!.:::,;r;"•Y?', Y:'::., Y'II!411'lii,�"Ar'."�.', :Ilrr• :•riL•,!,ViJtfn!;jfij�:li.,:.-i11:.i7Y.:'::i'!i,,l,..d ii:,,., ;'iyS!�i7• .L'r '�a;'+i �: I"• Il•�t�7:y11,,.. Inn.I.F::':.:I`:rl'r•:ab.1i'!'I':;.,?ll.l iiti�r:.r',_'I�.Jel:.ti'f'..'.'-„ !,!_;_,I .t"1'i' ':It"'ih.l l:eilffttl ..'":••�'C•,. •. 1,.1 ... 4i ..:.. .....�.r_d....,;••.•::..n, .VIf„n. }1;,..nplJ•yl,};,A .._n,m,p .A.1 , '.t•^v.11nitjll••; .l�.,t;ti.ICt_rYl{lilllt!i.!:'1,'t„; '1.'iy<.7:.%.ill!Yil� a BUILDING(360)403-3417 When calling For•an lgspection please leave the following information_ Permit Number,Type of Inspeclinn being Yceluested,and Fyltethrr yuu prefer morning or agernaon CITY OF ARLINGTON ' 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:4018 168th Street NE,Unit A Permit#: 1392 Parcel#:00866700008700 Valuation:0 00 OWNER APPLICANT CONTRACTOR Name:ISRAELSON BENJAMIN/ISRAELSON Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC 1,INDA Address:4018 168TH ST NE UNIT A Address:PO Box 59208 Address:PO Box 59208 City,State Zip:ARLINGTON,WA 98223-8429 City,State Zip:Renton,WA 98058 City,State Zip:Renton,WA 98058 Phone: Phone:425-883-4871 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:(800)978-8588 LIC#: EXP: LIC#:WASH11*980OP EXP:09/17/2018 JOB DESCRIPTION s 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. IBC1 l0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City ofArli roported on your sales tax return form and coded City of Arlington#3101. Zj.1�.20l Signature Print Name Date 9 cascd E y Date CONDITIONS Approved as submitted. Adhere to the installation of Whirlpool model #40T10-40NG 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 3/21/2017 Plumbing Permit Base Fee $25-00 3/21/2017 Process ing/Technology Fee $25.00 3/21/2017 Water Heater $25.00 Total Due: $75.00 Total Payment: $0 00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Shop Whirlpool 40-Gallon 10-Yeah Residential Taal Natural Gas Wat... http://www.lowes conVp 757281-135-4OT10-40N(-3 Your store: Bellevue,WA x•_,.,.•,.,••.••__...._..,...........................:.:. ••.._•,..•..•••_.,.•..•_.__..•._••_._••.•••__.•.••,•.••.•_•.••-,_••.•.•.•_•••.»....................••.._•_.,,._.•_......».......»«....................,............................................ Your Store: Bellevue,WA I ; i FREE i•.••"...................•__................•. ••.••.••,:•._...__._.••._•.•.•.,...••_.•._«•••_»•••..•.,»••.,.«,..,.........................._._._............................................... ................ �,.,,,...,. ! Stara Pickup Whirlpool 40-Gallon 10-Year I ' Residential Tall Natural Gas Water I I �Pwe'$............................_....._.._.._._.._._•..I , Heater � 4,m••_,..»._.....,... Truck.Delivery Item#;7877r31 l Modm1*4010-4UNG II ! I $529.00 I ! I ' i Parcel Shipping I it I ! Unavailable for This Order Get 6%"Off Every Day or Special Financlnq** Sent by camera like UPS, MirliII)LIM Purchase Required i Pedroc,USPS,atc. I i w................................................... :.:.....:.:..:_.:,,,.,.:,:.,,.,,..,.,..,a i Whirlpool40-Gallon $529.00 10-Year Residential Tali Natural Gas Water Heater 6-Year Water $59,97 ! Heater Extended Protection Plan Farcbaok ' 7wlttcr 600ylc� Emall I r, Description 40-Geeon 1[Year Residenbal Tall Natural Gas water Heater jC I I; •Whirlpool 6th Sense technology advanced Oucbonic gas control •High-altitude certified from 0 tt to 10.100 tt I R •FVIR safety system protects your family from accidental ignition of flammable vapors I' •Gongumer-friendly combination gas valve/thermostat with self-diagnostics E •Push-button plloiAght igniter with view port for ease-of-lighting pilot without matches 4 •Factory Installed temperature and pressure relief valve I { specifications I! I ) 40 Vent Diameter(Inches) 9 t •Tank.�epa.Gty......,a. ...............,.«,......................«..«.«,.,.,.••.•»• •,»•••.•.•.«_•. •.•••.•.•••.••_._••.•••....••...•._.•,»«...•,..,,.,.•«..•••_••••.•.•._.•.__,.•.••.•_•_._•.•.......•.•...•.•_••.._•_.,•,.••._• I l Farm Size a Type B .....•.......«.....».....•._...«».....•..._•..•»•..•_._«_.•_»•............_,.«•.,.........•._•.................... 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D_ lJt� ?"^!"`, � i" �i^y,-�z�"��St`i�:%� r� t: °fi�7i!�''rrr Addrety:0818168tb Street NE;Unit A Permit •1392 } Parcel 4:00W7.0000I1700 Valualioa:0,01) 2�i , ,)Y� 4 l� r " i ! •r. . ... 1'n...v..• 'rr.a„L�;1 a m w.+l .�j ^�itcr#•.•�i .' ,,y�..p Ntuitc.ISRAkf SbN BLIVJAltAIN/ISRAHFSU G(N{)A Nanw:Wsihington Water Hitatery tiW Name:WASHINGTON ATPR lJFA t'ER$)IBC { Addrt s:4015 166TI:I ST DlC tJNIT A< Addxcss;PO Box 39208 ,Address;.PQ 136x 59208 City,Statt Zip:ARI,II+IC}TQN,WA 99223-8429 (ityr&atc:Zip:Renton,WA 9805$ city,state lip:Renton,WA 98058 Phone Phatu 42i 88:+-4$7I Pbau4.(300)978 8533 FXT; Name. Name:WASM. 10TON WA-rPR Hr.ATERS INC Cd)y,St t Ady St;ate.Lap: Address:PO Box.59208 i City.State,7ip:Renloo,WA 93058 Phone: Phone;(800)9T5-85kiS LIC LI4 k WAISNR 9800Y AlD 1'iw ! FXP 11 04/17I2t 1R 1 V � ,;vs-• , .>, ti� ,<t tr,,,r, w.,jltt'j;i'�7a' fl:Sr:):Y r''.m.�f. Y a .rL ..ao •'i *'� ,�i `q+•t 4rr•i%t, i .( .y�t!1L."�.. •,+irx�� ` ° � d¢ '}: �' .,,rr,rr�_gs�rt=�, -,. .. ...... � � :� rf!�r l b_." .'.� .;1}� v.�'�;�r�tF�t�d*k. �'�;'Gf' s?t^r '�Sq'-; PERMIT TYF'L': R<s dentiAl P1utTlbing CONST.TYPE;: DWEVANG UNITS: 1 OCC GROLIP: f c7t;t.LOAL) � t.� r. /F t t'i :•1 '1 $t t,,�� r�././pp "'i r r'' it � ►c'--H' c•r, .+� ;- i '$••.+"�� t�iCe I AGREE TO Ct>Htp(Y WITH CITY AND$'f SKI-8 l A1kS RE(i LA'17NG C NSTRUL71ON ATlki Ito UUVI:,:U Tk.kF WORK AUTHOR37.0 4 'rHE P-EBY;Nil PER$ON WILL BE EMPLOYED IN VIOUATION OF THE Ln00R CODE QF Tlir STAT(?O}WAS;HJN, (J70� I RELAM4cj'I'C> WORKMEN'-,CUMFENSATIUN INSURANCE ANL0 RCW 18,27. THIS APPLICATION I$NOT A PEICMrf UhTTIl.SIGNED BY Tllk=BIIl.l.l)ING OFFICIAL OR HIS/HER DEPIITY AND AJA,FEES ARF,PAID, t IT IS LTNLAWFI)t Tt?USE OR(]CCUPY A)WILDING OR S 1'I?UCi'U:RF()NTI L A.FINA).•1hJSt F.i[TIUN H,•kS.BFFN NIAV)E AND AN)ROVAL OR j A GF'll'1'IF'IC A"1 E C)F()[:GL3I>,Ii�IC Y HAS 6FEN CIRAN'TFD. IBCi I(1/kRC t I0. 4 -TA %ales v r elating to eonstraetien and construction materials ill the City ofAtiin' ro�iied on your sales tax return form ' n ington x3 eodret i o A t. 16a�k � .- Signature Print Name Date 'red X Oare .� a l', �f x r. tw�. �r•r•..xe.-c-r:n . �.„Hae ��t`,C;.ry �i4ytia��i.4a-.i5jvr- ni .ri � lr,�.. • ; •. r DaI'y �.t:;ter)t4+_.5.'iJn'�Nri t`i7;��.7�:�, .*} -.n F'.��.v'r'�� • .Y..i4,L.�lu.L1 .tr t, _ ,.-•a. k A t.w�� ... .: .� ' r. .. -�'.J. i .. .. ... .. Approved a5 aubmitted•AdhCre to the installation of Whirlpool model&OT10-40Na E.F. - ,62 MIS PERMIT AUTHOR=ONLY THE WORK NOTm,THIS PERMITCOVUAS WORK TO BE DONE city FRiVATE FR0PFR rY cJNLT. ANY CONSTRUCTION ON T})B PUBL.]C r)O v)AIN(CtMM.SRXWAI.KS,DK)VSWAY5.MARQI)).a;s,FTC;)WILL,ItN�11J11Ztv5g[AfIATL PERIai;islUH, ` ; •^ r"• _ �� ,,.; :{r;M,y-i v rK„o�: _ r • Yr cR,r 77 Date Description Fes Atgount 3/21/2417 Plumbing Permit l3ase Fee $25.00 3/2V2017 Processing/rechnology Fee $25 00 3/21/2017 Water Heater $25.60 Total Due: $75.09 TOW 1?Itymcnt: $0,0R RAlance Due; Ti75,00 yy�� YY @ "�� + y� ryd ';''%:''F' .Jr 'a',i, N.3'�ItF?J.'L "f?'i:�".•''�i'e� r Y•t!..- x'±n`i,.a- iiy l-1',Y. }�,►,,�" '-, '!�, .,�iJJ:�3,,:i+�•:yt 4 :?till,• .ir. a,:I,1Fvt;;i�n'"�x >~�,'1`•: s~ e rn'`'t'n{�r. °hj�! �� r�� BUILDING(360)403-3417 When calling for an Inspection pIMC:leave the following information_ Permit Number,Type of Inspeclinn being requested,and whether yriu prefer morning or q)*rnoon i CITY OF ARLINGTON - ARLINGTON, WA. 98223 238 N. OLYMPIC AVE PHONE; (360)403-3551 BUILDING PERMIT Address:4018 168th Street NE,Unit A Permit#:1392 Parcel#:00866700008700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:ISRAELSON BENJAMINASRAELSON Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC LINDA Address:4018 168TH ST NE UNIT A Address:PO Box 59208 Address:PO Box 59208 City,State Zip:ARLINGTON,WA 98223-8429 City,State Zip:Renton,WA 98058 City,State Zip:Renton,WA 98058 Phone: Phone:425-883-4871 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:(800)978-8588 LIC#: EXP: LIC#:WASHII*980OP EXP:09/17/2018 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 of Arlin reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date eased 1 v Date CONDITIONS Approved as submitted. Adhere to the installation of Whirlpool model#40T10-40NG 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 3/21/2017 Plumbing Permit Base Fee $25.00 3/21/2017 ProcessingfTechnology Fee $25.00 3/21/2017 Water Heater $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 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 PERMIT APPLICATION f�L�yG�O 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:4018 168TH ST N E, U N IT A Project Description:REMOVE & REPLACE 1 GAS WATER HEATER Owner: LINDA ISRAELSON Address:4018 168TH STNE , UNITA CityARLINGTON State:WA Zip Code: 98223 Phone: 425-652-*0288 Email: NONE@EMAIL.COM Applicant:JACCI DANIELS Address:PO BOX 59208 City:RENTON State WA Zip Code: 98058 Phone: 425-883-4871 Email: WAWAHVAC@GMAIL.COM CONTRACTOR INFORMATION Contractor Name-WASHINGTON WATER HEATERS Address:PO BOX 59208 CiyRENTON StateWA Zip Code:98058 License Number: Expiration. Expiration;09/17/18 Phone:425-883-4871 Email:WAWAHVAC@GMAIL.COM STAFF USE O Received Permit#: �Z. Accepted by: Date -_MAR 2 0 2m REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING { PERMIT APPLICATION I\r��0 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# �I Other (list) x 40T10-40NG 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 Applicant Signature: Date: 03/21/2017 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 Shop Whirlpool 40-Gallon 10-Year Residentiz �It Natural Gas Wat... httP_//www.' }s-coin/pd_757281-135-40T10-40NG Your atom: Brllavue,WA t Your Store: Bellevue,WA ..._.------•- ---•---.- ___-- _-.., Face L —...... .. _-....__.._. _. 1 Stara Pickup 1 4 Whirlpool 40-Gallon 10-Year I ; Residential Tall Natural Gas Water Heater Lowe's Truck Delivery Item#;7872811 Madel4k 44T10,40NG ; t $529.00 I � l . t Parcel Shipping I r Unavailable for This Order Get 501"OR Every Day or Special Financing** i Sent by camera Ike ups, Minimum Purchase Required Fedex,LISPS,etc 1 ; Whidpool tW-Gallon IM.00 10--Year Restden6al Tali Natural Gas Water Heater 6-Year Water $50,67 E i Heator Ddended Protection Plan ; f Fwebook Plnt�[�st Twitter NDooyle« (�EnN11 Deseription r 40-Gelion 1D-Year Residential Tall Natural Gas Vier Heater •Whirlpool 6th sense technology advanced electronic gas control *High-attitude certified from 0 tt to 10,1 o0 it FVIR safety system protects your family from accidental ignition of llarnmable vapors .Gopaurner4fiendly combination gas valvenhenmostat with self-diagnostics +Push-button pilot,-light igniter with view port for eaae-of-lighting pilot without matches •Factory Installed temperature and pressure relief valve Specifications ' Tank Capacity(Gallons) 40 Verd Diaroeter(Inches) 3 Family Size _.___.....,_ a ------- Type B ----- — -- Vent Type double tt /Jarranty 10�year i Fuel Source Natural ENERGY STAR 0ua11tled —- No - . gas Height(Inches) 62 Wm1ea with h5s— Water Connection 51ze M _ 3/4 in insulation Thickness(Inches) _2_ TempeMIure and Pressure Relief Valve _. Yea Commardai/Resldenllal �—.µw _Residential GPH Recovery at W Degrees F(Gallon-) 40.94 BTU Input(UTU) 40000 - High Altitude Model Yee 9edesY�^ _ _— A._.�. Foam Insuledon Yes Lo Nox—- Yea. PilptReselButlon^ 17as- Energy Factor Received Diameter(inches) 19.75 f Pilot Light Window Yes _ _. . --1 -- - MAR 0 2Q11 UL Listed No Ignition Type Piazo yr, 1 of 2 4/19/2016 1:05 FM I 3/21/2017 WASHINGTON WATER HEATERS INC Search L&I .- Washington State Department of Labor & Industries WASHINGTON WATER HEATERS INC Owner or tradesperson PO BOX 59208 Principals RENTON,WA 98058 800-978-8588 HAGAR,THOMAS JEFFREY, PRESIDENT KING County SKEEN,STEVEN ROGER,VICE PRESIDENT HYDE, STEVEN DORAN,VICE PRESIDENT SKEEN,STEVE, SECRETARY (End:09/02/2010) HAGAR„THOMAS,TREASURER (End:09/02/2010) Doing business as WASHINGTON WATER HEATERS INC WA UBI No. Business type 602 214 757 Corporation Governing persons STEVEN D HYDE STEVEN R SKEEN; THOMAS J HAGAR; 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. WASHII*980013 Effective—expiration 09/17/2002—09/17/2018 Bond Lexon Ins Co $12,000.00 Bond account no. 9809771 Received by L&I Effective date 08/16/2011 09/16/2011 Expiration date Until Canceled Bond history Insurance American Family Mutual Insuran $2,000,000.00 Policy no. 46-X39535-01 https://secure.1ni.wa.gov/verify/Detai l.aspx?U BI=602214757&LIC=WASHII*980OP&SAW= 1/3 3/21/2017 WASHINGTON WATER HEATERS INC Received by L&I Effective date 02/15/2017 02118/2017 Expiration date 02/18/2018 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bund ui sdvingb amounts during the previous 6 year peliud. 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. License Violations Infraction no. PSACE00428 Satisfied Issue date RCW/WAC 08/05/2016 18.106.020 Violation city Violation amount RE NTON $500.00 Typo 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. Infraction no. PBUJD00497 Satisfied Issue date RCW/WAC 11/07/2014 18.106.020 Violation city Violation amount BELLEVUE $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 Stephen Pearson to install a hot water heater without a valid plumbing certification. 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. 052,899-00 Doing business as WASHINGTON WATER HEATERS INC Estimated workers reported Quarter 4 of Year 2016'7 to 10 Workers" L&I account representative T1/FEARAED FEROZE(360)902-4797-Email:FERH235@lni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. https://secure.ini.wa.gov/verify/Detail.aspx?UBI=602214757&LIC=WASHII.980OP&SAW= 2/3 Permit#: 1392 Permit Date: 03/21/17 Permit Type: RESIDENTIAL PLUMBING Project Nam a Isrealson Applicant Nam a Washington Water Heaters Applicant Address: PO Box 59208 Applicant, City, State, Zip: Renton,WA98058 Contact: Jacci Daniels Phone: 425-883-4871 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: 03/21/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wner Nam e Omer Phone Zoning ISRAELSON 142 Single Fam iy 00866700008700 4018 168TH ST NE UNIT BENJAMIN/ISRAELSON Residence A LINDA Condom nium Com rmn Wal 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*980OP HEATERS INC EXT: CONTRACTOR Industries Fees Fee D escription N otes A m cunt Plum bng Base P erm i Fee $ 25.00 Processing/Technology $25.00 Water Heater(Tank) $25.00 Total $ 75.00 Attached Letters Date Letter D escription 03/21/2017 Building Perm t Paym acts Date Paid By D escription P aym art Type A ccepted By A m aunt WASHINGTON WATER 03/21/2017 HEATERS JACCI 63962271 c c $75.00 DANIELS O itstanding Balance $0.00 Uploaded Files Date File Nam e 03/21/2017 2167861-1392 Issued Perm i.pdf 03/21/2017 2167406-1392 Application.pdf 03/21/2017 2167407-1392 Specs.pdf