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Home My WebLink About3109 181ST ST NE_BLD1638_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.3109 181st St NE Project Description:Like in kind water heater replacement Owner: Angelina and William Brown 3109 181st St NE Address: City.Arlington State:WA Zip Code: 98223 Phone: 360-651-9822 Email: feya2@outlook.com Applicant:Foss Heating and Cooling Address:333 E Blackburn Road, Ste A City.Mount Vernon StateWA Zip Code: 98273 Phone. 360-336-1517 Email: orders@fossheating.com CONTRACTOR INFORMATION Contractor Name:Foss Heating and Cooling Address:333 E Blackburn Road, Ste A City:Mount Vernon StateWA Zip Code:98273 License Number:FOSSHC19858A Expiration.11/1/2018 Phone-360-336-1517 Email orders@fossheating.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 GS6 40 BCT 400 Proposed Water Piping Size: 3/4 Inch Proposed Piping Material: Copper 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 L04 -,,1,�� "z 5� � Applicant Signature: Date: 09/07/2017 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 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 o, PHONE; (360)403-3551 BUILDING PERMIT Address:3109 181st Street NE Permit#:1638 Parcel#:00920800005300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BROWN ANGELINA&WILLIAM R Name:Foss Heating and Cooling Name:Foss Heating and Cooling,Inc Address:3109 181ST ST NE Address:333 E Blackburn Road,Ste A Address:333 E Blackburn Road City,State Zip:ARLINGTON,WA 98223-4744 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-336-1517 Phone:360-336-1517 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Foss Heating and Cooling,Inc Address: Address:333 E Blackburn Road City,State,Zip: City,State,Zip:Mount Vernon,WA 98273 Phone: Phone:360-336-1517 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. IBC1 l0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlii gtT;r�t�,�don your sales tax return form and coded City of Arlington#3101. a 2c)n Signature Print Name Date VL> a 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 9/7/2017 Plumbing Permit Base Fee $25.00 9/7/2017 Processing/Technology Fee $25.00 9/7/2017 Water Heater $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 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: Angela and William Brown CONTRACTOR: Foss Heating and Cooling JOB ADDRESS:3109 181 st Street N E OWNER ADDRESS: 3109 181 st Street NE USE of BUILDING: SFR PLAT NAME: Description of Work: Replace HWT LOT# PERMIT NO: 1638 Sprinklered: CONDITIONS: See Permit DATE ISSUED:9.7.2017 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:3109 181st Street NE Permit#:1638 Parcel#:00920800005300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BROWN ANGELINA&WILLIAM R Name:Foss Heating and Cooling Name:Foss Heating and Cooling,Inc Address:3109 181ST ST NE Address:333 E Blackburn Road,Ste A Address:333 E Blackburn Road City,State Zip:ARLINGTON,WA 98223-4744 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-336-1517 Phone:360-336-1517 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Foss Heating and Cooling,Inc Address: Address:333 E Blackburn Road City,State,Zip: City,State,Zip:Mount Vernon,WA 98273 Phone: Phone:360-336-1517 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 HISMER 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 Arli gt U ed on your sales tax return form and coded City of Arlington#3101. �.Ztrl 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 9/7/2017 Plumbing Permit Base Fee $25.00 9/7/2017 Processing/Technology Fee $25.00 9/7/2017 Water Heater $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 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 Permit Information Date 9/7/2017 Permit Number 1638 Project Name Brown Applicant Name Foss Heating and Cooling Applicant Address 333 E Blackburn Road,Ste A City,State,Zip Mount Vernon,WA 98273 Contact Abraham Rollins Phone 360-336-1517 Email orders@fossheating.com Permit Type Residential Plumbing Site Address 3109 181st Street NE Valuation 0.00 Status Ready to Issue Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Replace HWT Assigned To Kristin Foster Property Information Owner Information Parcel#:00920800005300 BROWN ANGELINA&WILLIAM R BROWN ANGELINA&WILLIAM R 3109 181 ST ST NE 3109 181 ST ST NE ARLINGTON,WA 98223-4744 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type Foss Heating and Cooling, 360-336- orders@fossheating.comCONTRACTOR Labor& FOSSHC19858 Inc 1517 Industries Fees Fee Description Notes Amount Plumbing Permit Base Fee 322.10.00.00 $25.00 Processing/Technology Fee 341.43.00.02 $25.00 Water Heater 322.10.00.00 $25.00 Total $75.0 Uploaded Files Upload File Date File Uploaded By 1 9/7/2017 2:51:58 PM 11638 Applicatioo.pdf Foster,Kristin I X( 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:3109 181st St NE Project Description:Like in kind water heater replacement Owner:Angelina and William Brown 3109 181st St NE Address: City:Arlington State:WA Zip Code: 98223 Phone: 360-651-9822 Email: feya2@outlook.com Applicant•Foss Heating and Cooling Address:333 E Blackburn Road, Ste A City:Mount Vernon State-.WA Zip Code: 98273 Phone: 360-336-1517 Email: orders@fossheating.com CONTRACTOR INFORMATION Contractor Name-Foss Heating and Cooling Address:333 E Blackburn Road, Ste A City�Mount Vernon State!NA Zip Code:98273 License Number:FOSSHC19858A Expiration:11/1/2018 Phone:360-336-1517 Email:orders@fossheating.com KLsceived7 STAFF USE ON Y Permit#: � � Accepted by: Date sEP o 7 2017 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 d 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 GS6 40 BCT400 Proposed Water Piping Size:3/4 Inch Proposed Piping Material: Copper Proposed DWV Material:N/A Proposed DWV Size: N/A • All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASS 1019 • All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) • Cross-Connection-Control may be required LC1fC ral/IK!�i�ia/F r llcrJ• Applicant Signature: Date: 09/07/2017 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 WaSFtington. REV 2015 Page 2 of 2 BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No 1638 Address: 3109 181st Street NE Contractor: Foss Heating and Cooling Owner: Brown Date: 9/28/2017 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: HWT LOCATION OK: N L&I: ❑ 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: ❑ Date: 9/28/2017 Inspector: Kevin Olander Permit#: 1638 Permit Date: 09/07/17 Permit Type: RESIDENTIAL PLUMBING Project Nam a Brown Applicant Nam a Foss Heating and Cooling Applicant Address: 333 E Blackburn Road, Ste A Applicant, City, State, Zip: Mount Vernon,WA98273 Contact: Abraham Rollins Phone: 360-336-1517 Em al: orders@fossheating.com Scope of Work: Replace HWT Valuation: 0.00 Square Feet: 0 Num ber of Stories: 0 Construction Type: O xupancy G ioup: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wner Nam e Ovner Phone Zoning BROWN 00920800005300 3 109 181 ST ST NE ANGELINA& Residence Single Dam iy -Detached WILLIAM R Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# Foss Heating and 360-336-1517 333 E Blackburn CONSTRUCTION Labor&Industries FOSSHCI9858A Cooling,Inc Road CONTRACTOR Inspections Date I nspection Type D escription S cheduled Date C om Iieted Date I nspector S tatus 09/29/2017 R00.WATER 09/28/2017 B UILDING A pproved HEATER FINAL Fees Fee D escription N otes A m cant Plum ling Base P erm i Fee $ 25.00 Processing/Technology $25.00 Wder Heater(Tank) $25.00 Total $75.00 Attached Letters Date Letter D escription 09/07/2017 Building Perm i Paym acts Date Paid By D escription P aym eit Type A ccepted By A m wnt 09/11/2017 Abrahm Rollins 6 6321575 c c $75.00 O ttstanding Balance $0.00 Notes Date Note C reated By: 12/12/2019 Perm i not signed.Filed under address R aelynn Jones 09/11/2017 Em tiled perm i for signature.KF K ristin Foster Uploaded Files Date File Nam e 09/29/2017 2662124-3109 181 st Street NE.docx 09/07/2017 2588464-1638 Apnlication.pdf