HomeMy WebLinkAbout17626 83RD DR NE_BLD1568_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. 17626 83RD DR NE, ARLINGTON, WA 98223
Project Description:Remove/replace gas water heater
Owner: TODD BAUER
17626 83RD DR NE
Address: City:ARLINGTON State:WA Zip Code: 98223
Phone: 2063518626 Email: permits@fastwaterheater.com
Applicant:FAST WATER HEATER
Address: 11715 N CREEK PKWY S #C106 City:BOTHELL State:WA Zip Code: 98011
Phone: 4256367084 Email: permits@fastwaterheater.com
CONTRACTOR INFORMATION
Contractor Name:FAST WATER HEATER
Address: 11715 N CREEK PKWY S #C106 City:BOTHELL StateWA Zip Code:98011
License Number.FASTWWH948BC Expiration.1-4-18
Phone-4256367084 Email.permits@fastwaterheater.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 XG40SO6N3
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: LPW7 Date: 07/25/2017
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
o,
238 N. OLYMPIC AVE-ARLINGTON, WA.98223
PHONE;(360)403-3551
BUILDING PERMIT_
Address:17626 83rd Drive NE Permit#:1568
Parcel 0:00958500001200 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:BAUER TODD C&GOODMAN Name:Fast Water Heater Name:Fast Water Heater Company
TAMMIE A Pony
Address: 17626 83RD DR NE Address:11715 N Creek Pkwy S#C-I06 Address:11715 North Creek Parkway South,Ste
C-106
City,State Zip:ARLINGTON,WA 98223-4041 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011
Phone: Phone: Phone:(425)636-7084 Ext.
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Fast Water Heater Company
Address: Address: 11715 North Creek Parkway South,Ste C-106
City,State,Zip: City,State,Zip:Bothell,WA 98011
Phone: Phone:(425)636-7084
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 W I'fH 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 Arling n rc your sales tax return form
d coded City ofAr ington 31 1.
t atu Print c Datc 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
7/26/2017 Plumbing Permit Base Fee $25.00
7/26/2017 Processingfrechnology Fee $25.00
7/26/2017 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:
CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:17626 83rd Drive NE Permit#:1568
Parcel#:00958500001200 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:BAUER TODD C&GOODMAN Name:Fast Water Heater Name:Fast Water Heater Company
TAMMIE A
Address: 17626 83RD DR NE Address:11715 N Creek Pkwy S#C-106 Address: 11715 North Creek Parkway South,Ste
C-106
City,State Zip:ARLINGTON,WA 98223-4041 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011
Phone: Phone: Phone:(425)636-7084 Ext.
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Fast Water Heater Company
Address: Address: 11715 North Creek Parkway South,Ste C-106
City,State,Zip: City,State,Zip:Bothell,WA 98011
Phone: Phone:(425)636-7084
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. IBCI10/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin n nr your sales tax return form
and coded City of Arlington#3101.
Signature Print Name Date 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
7/26/2017 Plumbing Permit Base Fee $25.00
7/26/2017 Processing/Technology Fee $25.00
7/26/2017 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:
Community and Economic Development
,
Building Division
INSPECTION RECORD SHALL REMAIN AT JOB Building construction shall not commence until permit
SITE holder or agent has posted this Inspection Record Card in a
conspicuous place on the premises.
OWNER: Todd Bauer & Tammie Goodman CONTRACTOR: Fast Water Heater Company
JOB ADDRESS:17626 83rd Drive NE OWNERADDRESS: 17626 83rd Drive NE
USE of BUILDING: SFR PLAT NAME:
Description of Work: Replace Gas HWT LOT#
PERMIT NO: 1568 Sprinklered:
CONDITIONS: See Permit DATE ISSUED:7.25.2017 TYPE GROUP
DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS
FOOTING
BUILDING FOUNDATION
INSPECTION LINE UNDERFLOOR
(360)403-3417 SHEARWALL
PLUMBING (groundwork)
GAS PIPING(groundwork)
ROUGH PLUMBING
ROUGH GAS PIPING
ROUGH HEATING&VENTILATION
FRAMING
INSULATION
WALLBOARD(SHEAR/RATING)
ROOF DRAINAGE
DEVELOPMENT STORM INFILTRATION
SERVICES GRADING
INSPECTION LINE CURB GUTTER&SIDEWALK
(360)403-3417 LANDSCAPE
DRIVEWAY
UTILITIES SIDE SEWER
INSPECTION LINE SEWER CLEANOUT/FINAL
(360)403-3508 WATER SERVICE INSPECTION
WATER SERVICE FINAL
CROSS CONNECTION FINAL
(360)403-3417 FINAL INSPECTION All sections must be signed off prior to final inspection
Electrical must be signed off prior to final inspection
COMMENTS:
AMR&r'"Alm"M
CITY OF ARLINGTON
238 N.OLYMPIC AVE-ARLINGTON,WA.98223
lqw PHONE;(360)403-3551
BUILDING PERMIT
Address:17626 83rd Drive NE Permit#:1568
Parcel N:00958500001200 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name BAUER TODD C&MX)DMAN Name:Fast Water Heater
TAMMIE A Name:Fast Water Heater Company
Address:17626 83RD DR NE Address:11715 N Creek Pkwy S#C-106 Address:11715 North Creek Parkway South,Ste
C-106
City,State Zip:ARLINGTON,WA 98223-4041 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011
Phone: Phone: Phone:(425)636-7084 Ext.
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Fast Water Heater Company
Address: Address:11715 North Creek Parkway South,Ste C-106
City,State,Zip: City,State,Zip:Bothell,WA 98011
Phone: Phone:(425)636-7084
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 18,21.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR H1SfHER 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. IBCI10/IRC110.
SAL"TAX NOTICE:Selcs tax relating to construction and construction materials in the City ofArling n 11re r Id your sales tax return form
d coded City of Ar inglon 31 1
.210.2p l�
t nnrr Print Narfile Date • , Date
CONDITIONS
Approved as submitted.
THIS PERMIT AUTHORMS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON PRE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
7/26/2017 Plumbing Permit Base Fee $25.00
7126/2017 Processing/Technology Fee $25.00
7/26/2017 Water Heater $25.00
Total Due: S75.00
Total Payment: S75.00
Balance Due: S0.00
CALL FOR.INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
I
CITY OFARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:17626 83rd Drive NE Permit#:1568
Parcel#:00958500001200 Valuation:0.00
OWNER APPLICANT CONTRACTOR
ER TODD C&GOODMAN
TAMMIE A Name:Fast Water Heater Name:Fast Water Heater Company
Address: 17626 83RD DR NE Address:11715 N Creek Pkwy S#C-106 Address: 11715 North Creek Parkway South,Ste
C-106
City,State Zip:ARLINGTON,WA 98223-4041 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011
Phone: Phone: Phone:(425)636-7084 Ext.
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Fast Water Heater Company
Address: Address: 11715 North Creek Parkway South,Ste C-106
City,State,Zip: City,State,Zip:Bothell,WA 98011
Phone: Phone:(425)636-7084
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. IBCI10/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arling n re your sales tax return form
and coded City of Arlington#3101.
Signature Print Name Date s 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
7/26/2017 Plumbing Permit Base Fee $25.00
7/26/2017 Processing/Technology Fee $25.00
7/26/2017 Water Heater $25.00
Total Due: $75.00
Total Payment: $75.00
Balance Due: $0.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
1
I
RESIDENTIAL PLUMBING
{ PERMIT APPLICATION
/I Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223• Phone(360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR
EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL
INFORMATION.
Project Address:17626 83RD DR NE, ARLINGTON, WA 98223
Project Description:Remove/replace gas water heater
Owner:TODD BAUER
Address:17626 83RD DR NE City:ARLINGTON State:WA Zip Code: 98223
Phone: 2063518626 Email: permits@fastwaterheater.com
Applicant:FAST WATER HEATER
Address:11715 N CREEK PKWYS #C106 City:BOTHELL State:WA Zip Code: 98011
Phone: 4256367084 Email: Permits@fastwaterheater.com
CONTRACTOR INFORMATION
Contractor Name:FAST WATER HEATER
Address:11715 N CREEK PKWY S #C106 City$OTHELL StateWA Zip Code:98011
License Number: Expiration.
Expiration:l-4-18
Phone:4256367084 Email:permits@fastwaterheater.com
STAFF USE O L Received
Permit#: Accepted by Date
J11L 25 1�111
REV 2015 Page 1 of 2
RESIDENTIAL PLUMBING
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 ❑ 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 Mode!#
❑ Other (list) x XG40SO6N3
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: 07/25/2017
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 Wash ingtoni
REV 2015 Page 2 of 2
MODEL #: XG40SO6N3
Received
JUL 2-5 2017
Permit#: 1568
Permit Date: 07/25/17
Permit Type: RESIDENTIAL PLUMBING
Project Name Bauer
Applicant Nam a Fast Water Heater
Applicant Address: 11715 N Creek Pkwy S #C-106
Applicant, City, State, Zip: Bothell,WA98011
Contact: Katy Kehle
Phone:
Email: perm is@ fastwaterheater.corn
Scope of Work: Replace Gas HWT
Valuation: 0.00
Square Feet: 0
Num ber of Stories: 0
Construction Type:
O xupancy G ioup:
ID Code:
Permit Issued: 08/01/2017
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Kristin Foster
Property
Parcel# Address L egal Description O wner Nam e Ovner Phone Zoning
BAUER TODD C&
00958500001200 1 7626 83RD DR NE GOODMAN Residence
Single Dam iy
-Detached
TAMME A
Contractors
Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License#
FAST WATER It715 N CREEK PLUMBING
HEATER 425.636.7054 PKWY S,Ste CONTRACTOR COA 602 564 544
C106
FAST WATER It715 N CREEK PLUMBING LABOR&
HEATER 425.636.7054 PKWYS,Ste CONTRACTOR INDUSTRIES FASTWWH948BC
C106
Fees
Fee D escription N otes A m atnt
Plum hng Base P erm i Fee $ 25.00
Processing/Technology $25.00
Wier Heater(Tank) $25.00
Total $75.00
Attached Letters
Date Letter D escription
07/25/2017 Building Perm i
Paym nits
Date Paid By D escription P aym ant Type A ccepted By A m atnt
07/26/2017 JASON HANLEYBROWN 6 5679890 c c $75.00
O ttstanding Balance $0.00
Uploaded Files
Date File Nam e
08/03/2017 2500284-1568 Issued Perm i.pdf
07/25/2017 2475085-1568 Application.pdf