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HomeMy WebLinkAbout4030 167TH ST NE UNIT B_BLD1616_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.4030 167th St NE Project Description:replacement of natural gas water heater Owner: Corianne Orozco 4030 167th St NE Address: City.Arlington State-WA Zip Code: 98223 Phone: 719 649-7485 Email: absoluteplumbing247@yahoo.com Applicant:Absolute Plumbing Address: PO Box 1445 City.Mount Vernon State:WA Zip Code: 98273 Phone: 3606106141 Email: absoluteplumbing247@yahoo.com CONTRACTOR INFORMATION Contractor Name:Absolute Plumbing Address:PO Box 1445 City:Mount Vernon StateWA Zip Code:98273 License Number:ABSOLP*8720D Expiration.0 Phone-3606106141 Email.absoluteplumbing247@yahoo.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 ❑ Water Heater x 1 ❑ Hose Bibb (2.5) x Water Heater Model # ❑ Other (list) x G6-S4040NV Proposed Water Piping Size: 0 Proposed Piping Material: Proposed DWV Material: 0 Proposed DWV Size: 0 • 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: 08/21/2017 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 42 238 N.OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 Address:4030 167th Street NE,Unit R BUILDING PERMIT Parcel#:00866700011500 Permit#:1616 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:OROZCO DUSTIN/CORIANNE Name:Absolute Plumbing Name:Absolute Plumbing Address:4030 B 167TH ST NE Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223 Address:PO Box 1445 City,State Zip:Mount Vernon,WA 98273 City,Sta Phone: te Zip:Mount Vernon,WA 98273 Phone:360-610-6141 Phone:360-610-6141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:PO Box 1445 City,State,Zip:Phone City,State,Zip:Mount Vernon,WA 98273 Phone:360-610-6141 LIC#: EXP: LIC#: JOB DESCRIPTION ExP: PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: j OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION.AND IN DOING THE WORK AUTIIORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF TI IE LABOR CODI: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. IBC I l0/IRC 110. tiALES TAX NQTI 'E=Sales tax relating to construction and construction materials in the City of Arli and code City oFArling'n#3101. p be on your sales tax return form 43 Signature Print Name to ca y' Date CONDITIONS Approved as submitted. Adhere to the installation of model #G6-S404ONV. 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 Date PERMIT FEES Description 8/22/2017 Plumbing Permit Base Fee Fes Amount 8/22/2017 Processingfrechnology Fee $25.00 8/22/2017 Water Heater $25.00 $25.00 Total Due: S75.00 Total Payment: $75.00 CALL FOR INSPECTIONS Balance Due: $0.00 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 - _ PHONE; (360)403-3551 BUILDING PERMIT Address:4030 167th Street NE,Unit B Permit#:1616 Parcel#:00866700011500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:OROZCO DUSTIN/CORIANNE Name:Absolute Plumbing Name:Absolute Plumbing Address:4030 B 167TH ST NE Address:PO Box 1445 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 Phone:360-610-6141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:PO Box 1445 City,State,Zip: City,State,Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 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. IBC 110/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin p be p don your sales tax return form and coded City of Arlington#3101. Signature Print Name Date case MY Date CONDITIONS Approved as submitted. Adhere to the installation of model#G6-S4040NV. 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 8/22/2017 Plumbing Permit Base Fee $25.00 8/22/2017 Processing/Technology Fee $25.00 8/22/2017 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 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: Dustin and Corianne Orozco CONTRACTOR: Absolute Plumbing JOB ADDRESS:4030 167th Street NE, Unit B OWNERADDRESS: 4030 167th Street NE, Unit B USE of BUILDING: SFR PLAT NAME: Description of Work: Replace Gas HWT LOT# PERMIT NO: 1616 Sprinklered: CONDITIONS: See Permit DATE ISSUED:8.22.2017 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: } CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:4030 167th Street NE,Unit B Parcel#:00966700011500 Permit#: 1616 OWNER Valuation:0.00 APPLICANT CONTRACTOR Name:OROZCO DUSTIN/CORIANNE Name:Absolute Plumbing Name:Absolute Plumbing Address:4030 B 167TH ST NE Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223 Address:PO Box 1445 City,State Zip:Mount Vernon,WA 98273 Phoneity,State Zip:Mount Vernon,Veon,WA 98273 Phone:36M 10-6141 Phone:360fi10.6141 MECHANICAL CONTRACTOR Name: PLUMBING CONTRACTOR Address: Name:Absolute Plumbing City,State,Zip: Address:PO Box 1445 Phone: City,State,Zip:Mount Vernon,WA 98273 LIC p: Phone:360-610.6141 EXP` LIC#: JOB DESCRIPTION ExP PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: DWELLING UNITS: ] CONST.TYPE: BUILDINGS: OCC GROUP: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND 1N IX)IN(i THE WORK A.... ED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF TIIE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27 [HIS APPLICATION IS NO"[A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID, IT 1S 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/IRC 110. SALES 1'AX INMLr•Sales tax relating to construction and construction materials in the City of,Nrlmg its he c don your sales tax return form and cod City ot'Arfin n#3101. Signature Print Name re 3 /7 — tease y Date CONDITIONS Approved as submitted. Adhere to the installation of model#136-S4040NV. 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 Date Description PERMIT FEES 8/22/2017 Plumbing Permit Base Fee Fete Amount 8/22/2017 Processing/Technology Fee $25.00 8/22/2017 Water Heater $25.00 $25.00 Total Due: $75.00 Total Payment: $75 00 CALL FOR INSPECTIONS Balance Due: SO 00 BUILDING(360)403-3417 When calling for an inspection please leave the I'ollowiog information: Permit Number,Type of inspection txinE requested,and whether you prefer morning or afternoon '�, I I AMIhL CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:4030167th Street NE,Unit B Permit#:1616 Parcel#:00866700011500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:OROZCO DUSTIN/CORIANNE Name:Absolute Plumbing Name:Absolute Plumbing Address:4030 B 167TH ST NE Address:PO Box 1445 Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 Phone:360-610-6141 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:PO Box 1445 City,State,Zip: City,State,Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 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. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin p be cp don your sales tax return form and coded City of Arlington#3101. Signature Print Name Date ease y Date CONDITIONS Approved as submitted.Adhere to the installation of model#G6-S4040NV. 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 8/22/2017 Plumbing Permit Base Fee $25.00 8/22/2017 Processing/Technology Fee $25.00 8/22/2017 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 ,r . ,� 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:4030 167th St NE Project Description:replacement of natural gas water heater Owner: Corianne Orozco Address:4030 167th St NE City-Arlington State:WA Zip Code: 98223 Phone: 719 649-7485 Email: absoluteplumbing247@yahoo.com Applicant:Absolute Plumbing Address:PO Box 1445 City:Mount Vernon State WA Zip Code: 98273 Phone: 3606106141 Email: absoluteplumbing247@yahoo.com CONTRACTOR INFORMATION Contractor Name:Absolute Plumbing Address:PO Box 1445 City�Jlount Vernon State!NA Zip Code:98273 License Number:ABSOLP*8720D Expiration:0 Phone:3606106141 Email:absoluteplumbing247@yahoo.com STAFF USE L Received Permit#: It0ty Accepted by- Date AUG 21 2017 REV 2015 Page 1 of 2 �`,Y °�' RESIDENTIAL PLUMBING 7 PERMIT APPLICATION "j\I O 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) D Bath/Shower Combo (4.0) x LJ 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# 01 Other (list) x G6-S4040NV Proposed Water Piping Size:0 Proposed Piping Material: 0 Proposed DWV Material:0 Proposed DWV Size: 0 • 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: 08/21/2017 I hereby certify that the above information is correct and that the construction, installation for the aboye mentioned property will be in accordance with th6 applicable laws of the City of Arlington and the State of Washington. REV 2015 Page 2 of 2 8/22/2017 ABSOLUTE PLUMBING (Search L&I 1 7 O�rb•-< t teJp �. i .r ?i f Fiea(!i ;;air s Y.Aft In urar:cr kplc;e ;='ig?il� r s L.irer?„r;q Washington State Department of " Labor & Industries ABSOLUTE PLUMBING Owner or tradesperson P O BOX 1445 Principals MOUNT VERNON,WA 98273 360-610-6141 OLIVER,JEREMY MICHAEL,PRESIDENT SKAGIT County Doing business as ABSOLUTE PLUMBING WA UBI No. Business type 603 305 333 Corporation Parent company JO ABSOLUTE PLUMBING 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 PLUMBING License no. ABSOLP'8720D Effective—expiration 09/04/2013—09/0412017 Bond Contractors Bonding&Insurance Co $6,000.00 Bond account no. SH5089 Received by L&I Effective date 09/04/2013 09/03/2013 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9145772 Received by L&I Effective date 10/2412016 11105/2015 Expiration date 11/05/2017 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. t ei a cgs istlrgrov"> https://secure.ini.wa.gov/verify/Detaii.aspx?UBI=603305333&LIC=ABSOLP*872OD&SAW= 1/3 I 8/22/2017 ABSOLUTE PLUMBING License Violations Infraction no. PBUJD00676 Satisfied Issue date RCWNVAC 05/26/2017 18.106.020 Violation city Violation amount MOUNT VERNON $500.00 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. Infraction no. PBATI01201 Satisfied Issue date RCWNVAC 04/25/2016 18.106.020 Violation city Violation amount MOUNT VERNON $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.Company had two plumber trainees installing new shower/tub unit when not supervised as required. Infraction no. PBUJD00525 Satisfied Issue date RCW/WAC 05/04/2015 18.106.020 Violation city Violation amount MOUNT VERNON $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 Kristopher Schuhow to install rough plumbing at the listed location. Infraction no. PBATI01033 Satisfied Issue date RCWNVAC 04/15/2014 18.106.020 Violation city Violation amount MOUNT VERNON $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 Matthew Carr to perform gas water heater installation when his plumbing certification was inactive. i e!p us improve https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603305333&LIC=ABSOLP*872OD&SAW= 2/3 8/22/2017 ABSOLUTE PLUMBING 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. 266,163-00 Doing business as JO ABSOLUTE PLUMBING INC Estimated workers reported Quarter 2 of Year 2017"21 to 30 Workers" L&I account contact T5/BETTY VANCE(360)902-5137-Email:VABE235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Holy US improve https://secure.ini.wa.gov/verify/Detaii.aspx?UBI=603305333&LIC=ABSOLP*872OD&SAW= 3/3 . � .� I BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No 1616 Address: 4030 167th Street NE, Unit B Contractor: Absolute Plumbing Owner: Orozco Date: 8/30/2017 N APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas HWT LOCATION OK: N L&I: N EXPANSION TANK: N SEISMIC: N INSULATION: N VENTING (6x6 collar): N 18 INCHES OR FVIR: N PRV 6 INCHES: N SHUT-OFF VALVE: N PRV< 150PSI: N DRAIN: N DRIP LEG: N IMPACT PROTECTION: N ACCESS: N COMBUSTION AIR: N Date: 8/30/2017 Inspector: Kevin Olander Permit#: 1616 Permit Date: 08/22/17 Permit Type: RESIDENTIAL PLUMBING Project Name Orozco Applicant Nam a Absolute Plum ling Applicant Address: PO Box 1445 Applicant, City, State, Zip: Mount Vernon,WA98273 Contact: Janine Hill Phone: 360-610-6141 Em al: absoluteplum hng247@yahoo.com 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: 08/23/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wner Nam e (finer Phone Zoning 142 Single Fam iy 00866700011500 4030 167TH ST NE UNIT OROZCO Residence B DUSTIN/CORIANNE Condominium Com ton Wal Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# Absolute Plumbing P aul Hooley 3 60-610-6141 P O Box 1445 CONSTRUCTION Labor&Industries ABSOLP*799MB CONTRACTOR Absolute Plum ling P aul Hooley 3 60-610-6141 P O Box 1445 CONSTRUCTION COA 6 03 305 333 CONTRACTOR 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 08/22/2017 Building Perm i Paym ants Date Paid By D escription P aym ant Type A ccepted By A m mnt 08/22/2017 Jerem yOliver 6 6034971 c c $75.00 O ttstanding Balance $0.00 Notes Date Note C reated By: 08/22/2017 Model#G6-S4040NV E.F.-.62 K ristin Foster Uploaded Files Date File Nam e 08/31/2017 2574601-4030 167th Street NE,Unit B.docx 08/23/2017 2549990-1616 Issued Perm i.pdf 08/22/2017 2547149-1616 Application.pdf