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17422 74th Dr Ne_BLD308_2026
BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No. 308 Address: 17422 74th Dr Contractor: Tri-County Plumbing Owner: Lissa Date: 3/18/2014 N APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas Hot Water Heater LOCATION OK: © L&I: ❑ EXPANSION TANK: ® SEISMIC: INSULATION: ❑ VENTING (6x6 collar): 18 INCHES OR FVIR: ® PRV 6 INCHES: PRV SET < 210: M PRV < 150PSI: DRAIN: © DRIP LEG: IMPACT PROTECTION: ® ACCESS: SHUT-OFF VALVE: ® COMBUSTION AIR: Date: 3/18/2014 Inspector: YOUNG CITY OFARLINGTON • 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 _ PHONE; (360) 403-3551 BUILDING PERMIT Address: 17422 74th Drive NE Permit#:308 Parcel#:0 10699000022 00 Valuation:0 00 OWNER APPLICANT CONTRACTOR Name: LISSA WADI J&KARLIN A Name:Tri-County Plumbing Name:Tri-County Plumbing Address: 17422 75TH DR NE Address:1004 Commercial Avenue#1101 Address: 1004 Commercial Avenue#1 101 City,State Zip: ARLINGTON,WA 98223 City,State Zip:Anacortes,WA 98221 City,State Zip:Anacortes,WA 98221 Phone: Phone:360-420-5753 Phone: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Tri-County Plumbing Address: Address: 1004 Commercial Avenue#1 101 City,State,Zip: City,State,Zip:Anacortes,WA 98221 Phone: Phone:360-420-5753 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 20112 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: 1 OCC LOAD: PERMIT APPROVAL A 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. 1BC110/1RC110. SALES TAX NoTi(syrisaies tax vela' g to cons ruction and construction materials in the City of Arlie must be reported on your sales tax return form and coded City -rl' Ion#3101. 4 ' f-/ - 4—/ Signature Print Name 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 3/4/2014 Plumbing Permit Fee(Enter Fixture Fee) $50.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: $50.00 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 �p RESIDENTIAL PLUMBING / MECHANICAL PERMIT APPLICATION Department of Community& Economic Development ` City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 Phone (360) 403-3551r,J THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING/MECHANICAL INSTALLATION FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:* j Z�-1 Z Z 7 q-"4 D E Project Description: / r r-A 440 cx N 4 L4 14 Fs2 1! Owner* L I N Address: E-mail:* Phone (h)* S- (c) Applicant: 121 — uN 611 1 M Address: o L' o Phone (h)* I U4 a - y Zo- S7J (c) E-mail: Contractor Information Contractor Name: TA I -- Q-0u N G✓e-1 41 I rJ Company: Address: /Pal 64"M�yL GJ NL License Number: �'° 1 (e ( Expiration: .-- Phone: E-mail: Plumbing Section (select all that apply) Bath/Shower Combo (4.0) V1 Sink (1.5) Shower(2.0) I v Lavatory (1.0) Clothes Washer F Water Closet (2.5) V i i � . • '•� �� .'1 ,4 a� � i � r ► � ,► . } � � Dishwasher(1.5) [ Water Heater V Hose Bibb (2.5) Other (list) Proposed Water Piping Size: [ Proposed Piping Material: Proposed DWV Material: Proposed DWV Size: • 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 Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: ❑ Furnace (80+) ❑ Fireplace Insert ❑ Outdoor BBQ ❑ Heat Pump ❑ Freestanding Stove ❑ Hydronic Piping ❑ Type II Hood ❑ Commercial Cooking Appliance ❑ PV System ❑ Boiler ❑ AC Unit Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable ❑ Pipe Material: [ Pipe Size. Distance from Meter to F_ Furthest Appliance: Total BTU's of all Appliances: • New gas piping requires a pressure test to hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off is required within 6 feet of all appliances Please Attach Site Plan and Supporting Documents (PDF Only)* Select File i I Permit#: 308 Permit Date: 03/04/14 Permit Type: RESIDENTIAL PLUMBING Project Name: Lissa Applicant Name: Tri-County Plumbing Applicant Address: 1004 Commercial Avenue#1101 Applicant, City, State, Zip: Anacortes,WA 98221 Contact: Phone: 360-420-5753 Email: Scope of Work: replace HWT like for like Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 03/04/2014 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 01069900002200 17422 74TH DR NE LISSA WADI J& 111 Single Family KARLIN A Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# 1004 Commercial Labor and TRICOCP838M7 Tri-County Plumbing Avenue#1101 Industries Fees Fee Description Notes Amount Mechanical Commercial Permit Table 4-7;Per Unit $50.00 Total $50.00 Attached Letters Date Letter Description 03/04/2014 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 03/04/2014 Tri Country check#1768 Launa Black $50.00 Outstanding Balance $50.00 Uploaded Files Date File Name 03/18/2014 17422 74th.docx 03/04/2014 BUS-308.pdf