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
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?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