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Home My WebLink About17316 79TH DR NE_BLD1647_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. 17316 79TH DR NE Project Description.REMOVE & REPLACE 1 GAS WATER HEATER Owner: STANLEY BALINGIT 17316 79TH DR NE Address: City:ARLINGTON State:WA Zip Code: 98223 Phone: 425-232-2371 Email: NONE@NOEMAIL.COM Applicant:JACCI DANIELS Address: PO BOX 59208 City:RENTON State:WA Zip Code: 98058 Phone: 425-883-4871 Email: WAWAHVAC@GMAIL.COM CONTRACTOR INFORMATION Contractor Name:WASHINGTON WATER HEATERS Address:PO BOX 59208 City:RENTON StateWA Zip Code:98058 License Number:WASHII*9800P Expiration.09/17/18 Phone:425-883-4871 Email:WAWAHVAC@GMAIL.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 G6-S404NV 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 �Cffcl'� Applicant Signature: �k� Date: 09/12/2017 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-ARz..zrrGTON,W.A.982.23 HONE;(360)403-35.51 f'•, ... I, .I. I , .!f r':•!Il:j !!�� 1:71�t ry.;,M,l;:pai;.a",','r, .Ir,A, tialr,a rr"I. :•a';:. Ag ,It.'.I';pr ,:r;,;,,l.11,;,;,!..rril,„:l.,ti';•,I''f.,J,,,.,... •,1M .,;.. .,r„ Nil. !Y„ :'". ! •11, i . • , :.,I,.M.k:IM.J«. 1,. ,r1....L��•Y:,.il,..,,:i�i:�.r:. Addrisit 17316"/Ath Drive 14I': Pt!t'nit#:1647 Parcel#:0 10 1790OW4400 V:duatiun:0,0 /-:,..,'.,:. ;.,,,r<,,::.•'.:':..•;,;1,,,,r•.':;r:'.�;"'•i1'.::.,::.• r»l.,J,:l'„,.,,.,,•,;,a I . ,., ,,,4,;.;,.,•, ,,:: , ,,,• a.,.. :,,!, ;;;;.;,."� ,i,ai.:,i': . ,, , ,�, rr„•.. .r.,, �„ Ir::.'rJ�,:4:':S;I::R:L.,.,,.., ,,,r •%;,":- "i,.,,,1„. '�,'' ,il;.,y:'s:M1u�"",;.,. Name:i7A.[.[NC}[I S'C'AN'LII1t I dk IMklrl?A C IVatnC:VY'aehinetors Wnter I Icfiti�"t3 ' Name:WASI'•;ING'I'ON W/LYBR itF"sA:`I"EM INC Address: 17316 79TH OR NE Addreo:PO Box.59208 Address:PO Box 59208 City,State 71p:ARLINOaTON,WA 98223 *city,State Zip:Renlon,lVA•98058 City,Statt rLip;Retitory WA 98059 Phone: Phone;425-$V-4871 Phorta:(800)978-8588 EXT: •...�. r.l.,• C.r+!, :•F;T. •1•.,,, ::rn .,y:': •s b:r '.I:i�• :'!U'•Y!y;;;5d,;".1fr ,',!,:r{': !'„' .,,,.,i'"J•. -9 „ill•;a,}'c•'v,,r•r;;n,.,,";.JI�'1:;.. :!,:i:. ?{'r!i ■�;,y,'..1. ?",,! ! , Nwhe.- - Name:WA.SHINGTON WATFR EieATERS INC Address; Address:PO Box 59208 City,State,Vir City,Slate,Zip:Renton.WA 98CM Phone: Phone,(800)978-8588 LIC#: t xpC L.IC ,,..r.,w,,.•»,.•„r,.,r„'"n,., , � ............ .«1,,, ..,,. •,;.,,,,,.,.',«„ t,r,l„ I....::."1., ur::!.1:'• I:l�:.l:V„'•rY:S;t!1,'.',''a, w1 AJ,V,•:M1:1::7YCA�i•x.1,:,N,.✓rl:r•J�illl"iS11�A::1�i��eiJ!Y'!(I.t�,llll,:,'j ^ ... .:.::.r,•"•,.'` ..i::::i•:r.:'«..::,',,:••.r:...lu 1..;.,;r .. 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THIS APPLICATION 18 NOT A PEMM IT UNTIL SIGNED I#'i TFIT,a JBUTE,UING OFFICIAL OR WSIRt^:R DEP11'CY A'ND ALL FhES ARE PAID, rI^13.UNLAWFUL TO LISE C)R OCCUPY A 13UTI.,OINO OR S'I RUCTURE LINTIC.A.FINAL INSPI"CTION HAS WN N MADE AND APPROVAl,OR A C[RTII=ICATF OF OCCUPANCY UPANCY HAS BTrN GTtr�NTE'D, INGI[lll[RC:110. L 1C w'sales tax re ing joc nsmictiuri and ootistructloo materials in die City pfArl'(rtgt n I e(1 on your sales tax rctufTl 6)rm i ArIiig It ell sl t{t� Priot Name ,,,,,.;,,,,,•„rr.,.,,.,,1.,,..,,..I,.^::.,';'::,:P„rv:,::^,.,. ,,,.' •.�.,r.::,c;,,,.,.,»,,,;;,,,,, ,,,,,'. , ,•. „t:ai';as ':rs:v'I,,,,,/rawdr'ii1,n:'inlBlu'':*,itir•i,..L!a„,:;ra,:a'�rrtrbrt,;�n::::'..w,:. ,".rW, ..,.1.rwU„•,,.f.I.. ':1'::I',I'. ...,.. ,,, r.,.. r„,,.,., ., ,ll,i, u:l:liill:.'�IYl:li(1":.IN'.1!?.'ll'x?Q!r:l,:S.Y,.,, '.,.J.;. :lutiilY'Y?,,rlr:M1t•MMJII�';:1i•1•I::!,ih 'I);Jr, „I;;ti•I�l a}, q,,;:.7., ,RiVdrllll`' '�,,,,'�11\.A7•:.w^'w{`d'i: ..1:•;,1•:.�11, .:5:7:11111: n:rYl,a.11 :.I: •.l>✓.. ,. Approved Its subs-nil•'ted. TFI1F4 Pf?RMIT MM10IMS 0141,Y1110,W(XZK NOTED.TH fS PERMIT COVER5 WORK TO lali'•D0149 ON PRIVA1N PROPERTY ONLY, ANY CONbIMUCTIONON THEPUBLIC DOMAIN(CURETS,SIDEWALKS,PRIM WAYSt,MARQt)EES,G'I'4•,)W[I,L'Rr:QuiR.rl'SPPARATI P1�t1IJI1S5,tf) -'ii.° fir, •�.�.:,;.::q..;.., ':�I,t:;.i:,,f ti"r;'!*. '�,,;,,. .;,:I}•� :-)�1:',^•,•::.;.1�.1. 4:lil'+:J;:i`,". Y 1 !I,i�••.iiar'=•�S.'x-• •�11�.1.�;a ti;:� •iw'.. ::•Nh rr::.�::�.1`'f'i`!•'4 '�il',f.(r,l}!.!:�.'i�.^il il•7�i o J'•/r�";"" ,.d: .:.!•W:r.^re•.. ,r .0 i>.lVu.......,.x.,.1. W.,»wr:,.._. ,, �nyy,- «r,IL^a•.•r� '•''•J'rlti ;1.1 'I,iw^ ,,i,,�,• 1 !. ..: Milk- » Desariptiort Amintitlt 9114M17 Plumbing Kermit fuse Fee $25.00 V14l2017 Processing/Technology Fee 911412017 Water Heater $25,00 Total Dui): S75.00 Total rn•Vmeet: f 0.0iJ Balance Due: $75,00 j. r, 01,.!I1,.D[1N Ci(36'A)493-3417 When calling for an inspettiori please leave the following inrormatiun: Permit Number,Type of Inspection being requested,and whether yam prerer mor'nieg or afternoon CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:17316 79th Drive NE Permit#:1647 Parcel#:0 10 17900004400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BALINGIT STANLEY E&IMELDA C Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC Address: 17316 79TH DR NE Address:PO Box 59208 Address:PO Box 59208 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Renton,WA 98058 City,State Zip:Renton,WA 98058 Phone: Phone:425-883-4871 Phone:(800)978-8588 EXT: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON WATER HEATERS INC Address: Address:PO Box 59208 City,State,Zip: City,State,Zip:Renton,WA 98058 Phone: Phone:(800)978-8588 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: 2 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 Arlingt n tnd on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date R le d By 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 9/14/2017 Plumbing Permit Base Fee $25.00 9/14/2017 Processing/Technology Fee $25 00 9/14/2017 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: Stanley and Imelda Balingit CONTRACTOR: Washington Water Heaters JOB ADDRESS:17316 79th Drive NE OWNERADDRESS: 17316 79th Drive NE USE of BUILDING: SFR PLAT NAME: Description of Work: Replace Gas HWT LOT# PERMIT NO: 1647 Sprinklered: CONDITIONS: See Permit DATE ISSUED:9.14.2017 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: Jul 26 2017 10:51 AM Washington Water Heaters 8663757454 page 1 Shop A.O.Smith Signature 40-Gallon 6-year Limited Short Natural G... https://www.lowes.com/pd/A-0-Smith-Signature-40-Gallon-6-year-L... flammahle vapors • Push button ignition system simplifies the startup process • High-altitude certified from 0 ft to 10,100 ft • Factory installed temperature and pressure relief valve ensures safe operation �m 4 q(v a 3-4 People,family size R Specifications C,6— sq Q(1( O ff Tank Capacity(Gallons) 40.0 Portable x Family Size 4.0 Mobile Home Compatible x Warranty 6-year limited Venting Type Atmospheric Fuel Source Natural gas Works with Nest x Height linches) 52.5 Works with Apple HomeKit x Water Connection Size 3/4-in Installation Location Indoor Temperature and Pressure ✓ Energy Factor 0.62 Relief Valve Diameter(inches) 22.0 GPH Recovery at 90 Degrees 41.0 F(Gallons) App Compatibility x High Altitude Model ✓ Bluelooth Compatibility x Emission Rating Law NOx ENERGY STAR Certified x Foam Insulation ✓ Hub Required x Pilot Reset Button ✓ Point of Use x Pilot Light Window ✓ Voice Controlled x UL Listed x Wi-Fi Compatibility x CSA Listed ✓ Works with Amazon All x ETL Listed x Works with Android x Vent Diameter(Inches) 3.0 Works with Google Horne x Vent Type Type B double wall Works with SmartThings x Works with Iris x Works with iOS x Weight(Ibs.) 146.0 Ignition Type Piezo Insulation Thickness(inches) 2.0 Water Heater Style Short CommemiallResidential Residential Water Connection Location Top Series Name Signature BTUs 40000.0 Projects, Tips & Services F y . Hl 2 of 8 7/26/17, 10:41 AM CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARL.iNGTON,WA.98223 "3�0 _ k"Ht�'NE ,t )40 3 _3 551 Addrttft 1173.1699th Drive NIA Permit)!:1647 Parcci#:0I(1179C)0004400 VllUation:0,0[1 Name:BALIN(J[T STANI,VY L•&IMUM C Name:Washington Water I1caftrs TfWne:WASIUNG!'ON WY TER NI.ATER';INC Asldtvss: 1[73;6 79TH OR NZ Address:R()Rox.S9;?W3 Addtess:PO Box 59208 CRY,Stale Tip:ARi•INGTQq,WA 98123 City.slate zip..R.enlon,iVA%053 City,Slide Zlp;ROMOtt,WA.98019 Phone: Maw W-M-•,17I I'ho.ne,(800)97s-8588 RXT: ivr rs+ ,±c irr i� 08, Y 3 , Name: blame_WASNIN TON WATM HEATERS INC Addtv-,w ,address:PO Buie S9 tM City,slate;Zirt; riry,State,Zip:Renton.WA 9SO-18 Phone' Phone:(800)978-8588 LIC 9: F"Rf'; L1C#: F:7ii ON- /y7�� _ ��s�-s:r;•ir�j;�s��•'��F::.,r,;.�;;., 4 a ,;. �,,��t �•�•x: _14)1 ,' - ��Tr`.::91 �1 -t`•'� cys,1�Y[►�S a h-�;t•5n['�a,'.lS:�{y'y�� IC."•d n- i i�is PkigMI'TTYPE: Residential A.umbing CODE Y.LAR; 2015 STORAI:.:S; 2 CONIST.'I.YrI,. �Wlyr..l.tNC)I1NIT5; ()CC OrILC?LrP: 63lJILDi1`JCr: Cl['G i.CJACJ. ifs}r i ,c'k•„[ �g.a �'u-s-1 _ 1 y� �{�,�(.yr�j.�t�a.y a�t:•t tiy'; + T r# . � ,I t .:'f}_�''.r�,�uE.�b��, ayr>�:NY�M n f ,r. i"F � �''fi14iY',fa1LY 3'�'!•��''-�� -`Srl :� >h _sti ti ,� viY ji ��- .'••'�Y '�~15�1^- j. _-✓I:CMYt.. ....t=R t..rah I AGRIsk 1'0 COMPLY w1TO CITY AND STA I f LAWS R)EGW ATING CONSTRU('"I740N.AND•1 IN 001NO T146 WORK AUTHORIZED `Fl4CREL3Y,NO PERSON WILL BF,6N1PLOYFD IN VIC)LATK"JN or'I1IE r:Af5OR CODE OF T E,STA'PI3 OF WA$!-1INQT0T,1 ltl'_'I.ATINC,TO WORKMEN'S COMPM9ATION 11VSUKA'NCF.AND R(I- J 18.27. THIS APPLIC;ATiON IS N(Yr P,PT7.KMIT U NTIL.SICINED BYPIU,BIRLDING OFFICIAL,OR H16/I*3x DLPI;l:Y AND ALL.!~}?I S ARE PAU), IT MUNLAWFI,110 LTSF.,.CJR OC C13PY.A BUrL:DING OR S"A RUC'UIkF.UNTIL AFINAL INSPECTION 1145 Rr.,J N n4A0t,AND'1k^MO AI,OR II,(:I�R"f IF I(vATr�.OF'OCt;[1PANC'Y I^rA$13L:rIV CiRAi~ITF!?.. II3C,'l il)(€RC L L0. itm V)VtC ,4alcs tax re ingto nsrntction and�oltsttltctic>n,atyteriais It1 rllo CC,iry;rr:trlingt n(S: �4a i p Cd nnyour sslcs lax return form Ariitg n#31t)€.iguotu Print Name pn!'e R.lw -by Dale Approved as sobmilted• VV',PI.RMIT AU1' ORM CtN1,Y11W WORK NOTC0.THIS PEMIT(VIVERS WORK To 11V.00N) ON VRIV,a'm PIK(SPERTY ONLY, ANY CONSTRUCTION 011'rliE PUBLIC:DOM.otN!CURBS.Suw%'AI,,IC(S,MURI Vr:W A Y s,MARQUEES.FIN)WILT,REQUIRE'.SI?,PAEUkTE P.f ltt�ItS41l"1�, �f4.4-144 Dille Description Fqe Annotm 9/14/2017 Plumbing Parmit aasa nee $25.aG RM 2b17 Process€ngffechnology Fee $25.00 i 9/14/2017 Water Heater $25.00 Total Due., s75.00 'ratan payment: so,00 11119nee Dot: s75,t10 "VILph (36'0)4W-J417 When c.Alling foray inspcetiun please leave the following Information: Permit Number,Type of Inspcctlon being rcrlawed,and'whether ynu prefer mornitt%or afterauon ��; �l� 1 ,� i Permit Information Date 9/14/2017 Permit Number 1647 Project Name Balingit Applicant Name Washington Water Heaters Applicant Address PO Box 59208 City, State,Zip Renton,WA 98058 Contact Jacci Daniels Phone 425-883-4871 Email wawahvac@gmail.com Permit Type Residential Plumbing Site Address 17316 79th Drive 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 Gas HWT Assigned To Kristin Foster Property Information Owner Information Parcel#:01017900004400 BALINGIT STANLEY E&IMELDA C BALINGIT STANLEY E&IMELDA C 17316 79TH DR NE 17316 79TH DR NE ARLINGTON,WA 98223 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type NASHINGTON WATER JACCI (800)978-8588 wawahvac@gmail.co CONTRACTOR Labor& 6NASHII*9800 HEATERS INC DANIELSTEXT: Industries Fees Fee Description Notes Amount Plumbing Permit Base Feel 322.10.00.001 $25.00 Processing/Technology Fee 341.43.00.021 $25.0 Water Heated 322.10 00.00 $25.00 Total $75.0 Uploaded Files Upload File ! Date Fi►e Uploaded B 9/14/2017 8:43:52 AM 1647 ApplicaUon.pdt Foster, Kristin x 9/14/2017 8:43:52 AM 1647 Specs.pdf Foster, Kristin x CITY OF ARLINGTON -ARLINGTON, WA. 98223 238 N. OLYMPIC AVE PHONE; (360)403-3551 BUILDING PERMIT Address: 17316 79th Drive NE Permit#:1647 Parcel#:0 10 17900004400 Valuation:0 00 OWNER APPLICANT CONTRACTOR Name:BALINGIT STANLEY E&IMELDA C Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC Address: 17316 79TH DR NE Address:PO Box 59208 Address:PO Box 59208 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Renton,WA 98058 City,State Zip:Renton,WA 98058 Phone: Phone:425-883-4871 Phone:(800)978-8588 EXT: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON WATER HEATERS INC Address: Address:PO Box 59208 City,State,Zip: City,State,Zip:Renton,WA 98058 Phone: Phone:(800)978-8588 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: 2 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. IBC1l0/IRC110. SAI.FS TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingt n r4 c ed on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Rcle ed 13y 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 9/14/2017 Plumbing Permit Base Fee $25.00 9/14/2017 Processing/Technology Fee $25.00 9/14/2017 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 ,�r, _ � .. , RESIDENTIAL PLUMBING y�P 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:17316 79TH DR NE Project Description:REMOVE & REPLACE 1 GAS WATER HEATER Owner: STANLEY BALINGIT Address:17316 79TH DR NE Ci ARLINGTON ty: State:WA Zip Code: 98223 Phone: 425-232-2371 Email: NONE@NOEMAIL.COM Applicant:JACCI DANIELS Address:PO BOX 59208 City:RENTON State:WA Zip Code: 98058 Phone: 425-883-4871 Email: WAWAHVAC@GMAIL.COM CONTRACTOR INFORMATION Contractor Name:WASHINGTON WATER HEATERS Address:PO BOX 59208 City{tENTON StateWA Zip Code:98058 License Number:WASHII*9800P Expiration 09/17/18 Phone:425-883-4871 Email:WAWAHVAC@GMAIL.COM STAFF USE ON /' Received Permit#: L1A- Accepted by: Date SEP 12 2017 REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION t� 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 I Water Heater x 1 ❑ Hose Bibb (2.5) x Water Heater Model # ❑ Other (list) x G6-S404NV 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 ASS 1019 • All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) • Cross-Connection-Control may be required Applicant Signature: Date: 09i12i2017 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 Washingtbn. REV 2M Page 2 of 2 Jul 26 2017 10:51AM Washington Water , -hers 8663757454 page 1 Shop A.O.Smith Signature 40-Gallon 6-year Lim,ked Short Natural G... https://www.lowes.com/pL.,,:-O-Smith-Signature-40-Gallon-6-year-L... flammable vapors • Push button ignition system simplifies the startup process * High-altitude certified from 0 ftto 10,100 ft • Factory installed temperature and pressure relief valve ensures safe operation • 3-4 People,family size fllV// ►lj/%' ��c(�{/�/ (w/%� Specifications C,16— Tank Capacity(Gallons) 40.0 Portable ( x Family Size 4.0 Mobile Home Compatible x Warranty 6-year limited Venting Type Atmospheric Fuel Source Natural gas Works with Nest x Height(Inches) 52.5 Works with Apple HomeKlt x Water Connection Site 314-in Installation Location Indoor Temperature and Pressure Energy Factor 0.62 Rai ief Valve Diameter(Inches) 22.0 GPH Recovery at 90 Degrees 41.0 F(Gallons) App Compatibility x High Altitude Model ✓ Bluetooth Compatibility x Emission Rating Low NOx ENERGY STAR Certified x Foam Insulation Hub Required x Pilot Reset Button ./ Point of Use x Pilot Light Window ./ Voice Controlled x UL Listed x WI-Fl Compatibility x CSA Listed Works with Amazon Alexa x ETL Listed x Works with Android x Vent Diameter(Inches) 30 Works with Google Home x Vent Type Type B double well Works with SmartTh 1ngs x Works with Iris x Works with iOS x Weight(lbs.) 146.0 Ignition Type Piezo Insulation Thickness(Inches) 2.0 Water Heater Style Short Commercial/Residential Residential Water Connection Location Top Series Name Signature BTUs 40000.0 Projects, Tips & Services Received S E P l 2, 2017 a4'iP 2 of 9 7126/17, 10:41 AM - �• �I� I I 9/14/2017 WASHINGTON WATER HEATERS INC Search L&I Washington State Department of kJ Labor & Industries WASHINGTON WATER HEATERS INC Owner or tradesperson PO BOX 59208 Principals RENTON,WA 98058 800-978-8588 HAGAR,THOMAS JEFFREY,PRESIDENT KING County SKEEN,STEVEN ROGER,VICE PRESIDENT HYDE,STEVEN DORAN,VICE PRESIDENT SKEEN,STEVE,SECRETARY (End:09/02/2010) HAGAR„THOMAS,TREASURER (End:09/02/2010) Doing business as WASHINGTON WATER HEATERS INC WA UBI No. Business type 602 214 757 Corporation Governing persons THOMAS J HAGAR STEVEN D HYDE; STEVEN R SKEEN; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. WASHII"980OP Effective—expiration 09/17/2002—09/17/2018 Bond Lexon Ins Co $12,000.00 Bond account no. 9809771 Received by L&I Effective date 08/16/2011 09/16/2011 Expiration date Until Canceled Bond history Insurance American Family Mutual Insuran $2,000,000.00 Policy no. 46-X39535-01 https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602214757&LIC=WASHII*980OP&SAW= 1/3 i �� I 9/14/2017 WASHINGTON WATER HEATERS INC Received by L&I Effective date 02/15/2017 02/18/2017 Expiration date 02/18/2018 Insurance history Savings IVo 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&1 tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations Infraction no. PSACE00428 Satisfied Issue date RCW/WAC 08/05/2016 18.106.020 Violation city Violation amount RENTON $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. PBUJD00497 Satisfied Issue date RCW/WAC 11/07/2014 18.106.020 Violation city Violation amount BELLEVUE $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 Stephen Pearson to install a hot water heater without a valid plumbing certification. 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. 052,899-00 Doing business as WASHINGTON WATER HEATERS INC Estimated workers reported Quarter 2 of Year 2017"7 to 10 Workers" L&I account contact T1/FEARAED FEROZE(360)902-4797-Email:FERH235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602214757&LIC=WASHI I*980OP&SAW= 2/3 a I i 9/14/2017 WASHINGTON WATER HEATERS INC No strikes have been issued against this contr 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. 7 Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602214757&LIC=WASHI I*980OP&SAW= 3/3 ili I BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No 1647 Address: 17316 79th Drive NE Contractor: Washington Water Heaters Owner: Balingit 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: N Date: 9/28/2017 Inspector: Kevin Olander Permit#: 1647 Permit Date: 09/14/17 Permit Type: RESIDENTIAL PLUMBING Project Name Balingit Applicant Nam a Washington Water Heaters Applicant Address: PO Box 59208 Applicant, City, State, Zip: Renton,WA98058 Contact: Jacci Daniels Phone: 425-883-4871 Email: wawahvac@gm dl.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: 09/14/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wner Nam e Cvner Phone Zoning BALINGIT 01017900004400 1 7316 79TH DR NE STANLEY E& Residence Single Dam iy -Detached IMELDA C Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# WASHINGTON WATER JACCI DANIELS (800)978-8588 PO Box 59208 CONSTRUCTION Labor&WASHII*9800P HEATERS INC EXT: CONTRACTOR Industries 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 Water Heater(Tank) $25.00 Total $75.00 Attached Letters Date Letter D escription 09/14/2017 Building Perm i Paym acts Date Paid By D escription P aym eit Type A ccepted By A m cunt 09/14/2017 JACCI DANIELS 6 6373033 c c $75.00 O ttstanding Balance $0.00 Notes Date Note C reated By: 09/14/2017 Em aled perm i for signature.KF K ristin Foster Uploaded Files Date File Nam e 10/09/2017 2683648-1647 Issued Perm i.pdf 09/29/2017 2662074-17316 79th Drive NE.docx 09/14/2017 2603254-1647 Specs.pdf 09/14/2017 2603255-1647 Application.pdf