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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