Loading...
HomeMy WebLinkAbout3611 168th St Ne_BLD455_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE- ARLINGTON,WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:361, 1681th St#AI Permlt#:455 Parcel#:31052800203000 Valuation: 1800.00 OWNER. ! APPLICANT CONTRACTOR Name:SMOKEY POINT ANIMAL HOSPITAL Name:Northwest Permits Name:WASHINGTON ENERGY SERVICES Address: 16720 SMOKEY POINT BLVD Address:9808 31 st SI SE Address:3909 196th Street SW City,State Zip: ARLINGTON,WA 98223 City,State Zip:Everett,WA 98208 City,State Zip:Lynnwood,WA 98036 Phone: Phone:360-945-2787 Phone:800-398-4663 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON ENERGY SERVICES Address: Address:3909 196th Street SW City,State.Zip. City,State,Zip:Lynnwood,WA 98036 Phone: Phone:800-398-4663 LIC 4: EXP: LTC#:WASHIES97IOB EXP:9/2/2015 JOB DESiCRIPTION PERMTT TYPE: COt11ITleicial Ping CODE YEAR: STORIES CONST.TYPE; DWELLING UNITS, OCC GROUP: BUILDINGS; OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED THEREBY;No PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPE NSATION 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. TBCI 10/IRC110. SA[,IR TAX NO71C't[; Sales tax relating to construction and construction materials in the City nt'Arlington must be reported on you-sales tax retturn Form and coded City of Arlington#3101, D SC Sipiatiurc Print Name Date Relenud Da c i CONDITIONS THIS PEt MIT AUTHORIZE 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 Deacrlptlon Fee Amount 0/22/2014 Plumbing Psrrnit Base Fee $25.00 8/22/2014 Plumbing Permit Fee(Enter Fixture Fee) $25.00 ' Total Due: $50.00 Total Payments $0.00 Bnience Due: $50.00 CALL FOR INSPECTIONS •'� BUILDING(360)403-3417 I I I ' CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 3611 168th St#A1 Permit#: 455 Parcel#:31052800203000 Valuation: 1800.00 OWNER APPLICANT CONTRACTOR Name: SMOKEY POINT ANIMAL HOSPITAL Name:Northwest Permits Name:WASHINGTON ENERGY SERVICES Address: 16720 SMOKEY POINT BLVD Address:9808 31st St SE Address: 3909 196th Street SW City, State Zip:ARLINGTON,WA 98223 City, State Zip: Everett,WA 98208 City,State Zip:Lynnwood,WA 98036 Phone: Phone: 360-945-2787 Phone: 800-398-4663 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:WASHINGTON ENERGY SERVICES Address: Address:3909 196th Street SW City, State,Zip: City,State,Zip: Lynnwood,WA 98036 Phone: Phone: 800-398-4663 LIC#: EXP: LIC#:WASHIES97I OB EXP:9/2/2015 JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing CODE YEAR: STORIES: CONST.TYPE: DWELLING UNIT S: 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. IBCI 10/IRC1 10. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released CONDITIONS THIS PERMIT AUTHORIZS ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTTON ON THE PUBLIC DOMAIN(CURBS, SIDEWALKS, DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 8/22/2014 Plumbing Permit Base Fee $25.00 8/22/2014 Plumbing Permit Fee (Enter Fixture Fee) $25.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: $50.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When ca g for an inspection please leave the following formation: Permit Number,Type of inspection being requested,and whether you prefer morning or afternoon 0 JCEP'YFBRADFORD MWITE" W A T E R H E A T E R S Residential Atmospheric Vent High Input Energy Saver Gas Water Heater The Atmospheric Vent Models Feature: ■ Bradford White ICON System'"—Intelligent gas control with proven millivolt a F__ powered technology and built-in piezo igniter. A standard,off the shelf thermopile converts heat energy from the pilot flame into electrical energy to operate the gas valve and microprocessor. No need for external electricity. -Enhanced Performance—Proprietary algorithms provide enhanced First Hour Delivery ratings and tighter temperature differentials. -Advanced Temperature Control System—Microprocessor constantly monitors and controls burner operation to maintain consistent and accurate water temperature levels. - Intelligent Diagnostics—An exclusive green LED light prompts the installer during start-up and provides ten different diagnostic codes to assist in troubleshooting. - Pilot On Indication—Flashing green LED provides positive indication that pilot is on. -Separate Immersed Thermowell—High strength advanced polymer composite thermowell provides isolation between electric temperature sensor and surrounding water. No need to drain the tank when removing gas valve. ■ Factory Installed Hydrojet 2-Total Performance System—Cold water inlet sediment reducing device helps prevent sediment build up in tank and increases first hour delivery of hot water. ■ Vitraglas®Lining—Bradford White tanks are lined with an exclusively engineered enamel formula that provides superior tank protection from the highly corrosive effects of hot water.This formula(Vitraglas®)is fused to the steel surface by firing at a temperature of over 1600oF(871°C). ■ Side Connections-3/4" (19mm) NPT tappings that allow easy connections ' for space heating applications(potable water only). its ■ Non-CFC Foam Insulation—Covers the sides and top of tank, reducing the 1 amount of heat loss. This results in less energy consumption, improved operation efficiencies and jacket rigidity[M-I-75 has 1'/"(32mm)and M-I-100T has 2"(51 mm)]. ■ Pedestal Base(75 gallon). ■ Water Connections—Factory installed true dielectric fittings extend water heater life and eases installation(M-I-75S has 1" (25mm)NPT and -+� M-I-100T has 1%" (32mm)NPT). ■ Hand Hole Cleanout—Allows inspection of tank interior and facilitates the removal of sediment deposits(M-I-100T models only). ■ Protective Magnesium Anode Rod. Photo is of ■ 4" (107mm) "Snap Lock" Draft Diverter. M-I-100T66N ■ T&P Relief Valve—Included. FEATURING: ■ Low Restriction Brass Drain Valve—Durable tamper proof design. ICONAll System- ALIEW S P� ® 6 or 10-Year Limited Tank Warranties/6-Year Limited Warranty on Component Parts. For more information on warranty,please visit www.bradfordwhite.com For products installed in USA,Canada and Puerto Rico.Some states do not allow limitations on warranties.See complete - copy of the warranty included with the heater. MANUFACTURED UNDER ONE OR MORE OF THE FOLLOWING U.S.PATENTS:5,954,492;5,761,379;5,943,984;5,081,696;5,988.117;6,142,216:5,199,385;5,574,822;5,372,185;5,485,879;5.277,171; (B1)5,341,770;5,660.165;5,596,952;5.682,666;4,904,428;5,023.031;5,000,893;4,669,448;4,829,983;4,808,356;5,115,767;5,092,519:5,052,346;4,416,222:4,628.184;4,861.968;4,672,919;Re 34,534; 7,270,087 62 OTHER U S AND FOREIGN PATENT APPLICATIONS PENDING CURRENT CANADIAN PATENTS:1,272,914;1,280,043;1,289,832;2,045,862;2,112,515;2,108,186;2,107,012;2,092,105;2,409,271 VIIraglasa and Hydrojel"are registered trademarks of Bradlerd White®Corporation. 108-8-0413-A Residential Atmospheric Vent Gas Water Heater High Input Energy Saver Models Meet or exceed ASHRAE 90.1b(current standard)C.E.C.Listed NATURAL GAS AND LIQUID PROPANE GAS 80%Thermal Efficiency Capacity Recovery A B C D E F G H K Approx. Model 901 Rise' Floor to Jacket Vent Floor to Floor to Floor to Floor to Floor to Depth Shipping Number Flue Dia. Size T&P Gas Space Space Water Weight p Nat. LP Nat. Nat. LP LP Conn. Conn. Conn. Conn. Heating Heating Conn. U.Gas. Gal. BTU/Hr. BInputr. U.S.P GPH GPU.H GP'inH in. in. in. in. In Inlet Outlet In. in. lbs. M-1-75S68N 75 63 76,000 76,000 82 69 82 69 62% 24 4 51 X 15 16% 51a/ 59 28% 238 M-1.10OT68N 100 83 85.000 88.000 92 77 95 80 681Xa 28'/< 4 59Ya r 15X 17 6 50% 651Xa 32X 420 Capacity Recovery A B C D E F G H K Approx. Model 50°C Rise' Floor to Jacket Vent Floor to Floor to Floor to Floor to Floor to Depth Shipping Number Flue Dia. Size T&P Gas Space Space Water Weight Nat. LP Nat. LP Conn. Cann. Conn. Heating Heating Conn. kW kW Liters/ Liters/ Inlet Outlet Liters Input Input Hour Hour mm. mm. mm. MM. mm. mm. mm. mm. mm. kg. M-I-75S66N 284 22.3 22.3 310 310 1575 622 102 1321 381 432 1321 1549 718 107 M-1.10OT68N 379 24.9 25.7 348 359 1745 718 102 1507 397 448 1286 1676 797 191 Propane models feature a Titanium Stainless Steel propane burner. For Propane(LP)models change suffix"BN"to"SX". For 10 year models,change suffix from"6"to 1011. 'Based on manufacturers rated recovery efficiency. M-I-100T models feature hand hole cleanout. C r � C � PLUG TYPE —ANODE O K o O o B A H G&D H G&D A 0 O 0 E IF E � 1 LW ILIU M-I-75S Model M-I-100T Model Meets NAECA Requirements General All gas water heaters are certified at 300 PSI test pressure(2068 kPa)and 150 PSI working pressure(1034 kPa).The 75 gallon model(284 liters)has 1" NPT(25mm)water connections on 11"(279mm)centers and 100 gallon model(379 liters)has 1Y<"NPT(32mm)water connections on 16"(406mm)centers. All gas connections are 1/2"(13mm). All models design certified by CSA International(formerly AGA/CGA),ANSI standard Z-21.10.3 and peak performance rated. Dimensions and specifications subject to change without notice in accordance with our policy of continuous product improvement. Suitable for Water(Potable)Heating and Space Heating. Toxic chemicals,such as those used for boiler treatment,shall NEVER be introduced into this system.This unit may NEVER be connected to any existing heating system or component(s)previously used with a non-potable water heating appliance. 1101 BR"FORD WHITE` W A T E R H E A T E R S Ambler,PA For U,S and Canada field service,contact your professional installer or local Bradford White sales representative. Sales 800-523-2931-Fax 215-641-1670/Technical Support 800-334-3393-Fax 269-795-1089-Warranty 800-531-2111-Fax 269-795-1089 International:Telephone 215-641-9400-Telefax 215-641-9750/www.bradfordwhite.com tF BRADFORD WHITE-CANADA`INC. Sales/Technical Support 866-690-0961/W5-238-0100-Fax W5-23&0105/www.bradfordwhite.com Built to be the Best TM ©2013,Bradford White Corporation All rights reserved. 108-B-0413-A Printed in U.S.A. Property Owners Name:/VjU,i-('G �_;�m Assessor's parcel Site Address: 3 I 1 , I , Site Plan North Legend: PrOPertY line Building perimeter Map Scale:1"(in)=201(ft) Gas piping layout from meter Gas pipe size t Venting size Hold-Rite CL QS"- EQ Straps Make/Model t, i � I *14 JOB COPY BR"FORD WHITE W A T E R H E A T E R S Residential Atmospheric Vent High Input Energy Saver Gas Water Heater The Atmospl *,'^ p � millivolt■ Bradford' powered tf elf - - thermopile -•� iergy to operate thi OVA � � v 2I /q ,tricity. - Enhanc I :ed First Hour De -Advanc y monitor: I accurate water to - Intellige he installer during s st in troubles - Pilot Or ition that pilot is c -Separai Amer compos iture sensor E moving gas valv ■ Factory If 1 water inlet sedirT,__. ,__. .y - - ---.... -- Ink and increases first hour delivery of hot water. ■ Vitraglas®Lining—Bradford White tanks are lined with an exclusively engineered enamel formula that provides superior tank protection from the highly corrosive effects of hot water.This formula(Vitraglas°) is fused to the steel surface by firing at a temperature of over 1600'F(871'C). k ■ Side Connections-3/4" (19mm) NPT tappings that allow easy connections for space heating applications(potable water only). 1 I ■ Non-CFC Foam Insulation—Covers the sides and top of tank, reducing the amount of heat loss. This results in less energy consumption, improved operation efficiencies and jacket rigidity[M-I-75 has 1'/" (32mm)and M-I-100T has 2" (51mm)]. ■ Pedestal Base(75 gallon). ■ Water Connections—Factory installed true dielectric fittings extend water go heater life and eases installation(M-I-75S has 1" (25mm)NPT and M-I-100T has 1%" (32mm) NPT). ■ Hand Hole Cleanout—Allows inspection of tank interior and facilitates the removal of sediment deposits(M-I-100T models only). ■ Protective Magnesium Anode Rod. Photo is of ■ 4" (107mm) "Snap Lock" Draft Diverter. M-I-100T6BN ■ T&P Relief Valve—Included. FEATURING: ■ Low Restriction Brass Drain Valve—Durable tamper proof design. ICON � CITY OF ARLINCTON =--'System 41wr BUILDING DEPAR,rMENT C it ILJ.KN- APP R V E ...�D 6 or 10-Year Limited Tank Warranties/6-Yeat Limited Warran n n arts. O For more information on warranty,please visit wwv braAm hiie.00m B _ 2 For products installed in USA,Canada and Puerto Rico.S me states do noNf/ C �6 oA 4all"An complet copy of the warranty included with the heater. UNLE S APPR MANUFACTURED UNDER ONE OR MORE OF THE FOLLOWING U.S. PATENTS:5,954,492;5,761,379:5,943,984;5,081.E 2 !;5.277,17 (81)5,341,770;5,660,165;5,596,952;5,682,666:4,904,428;5,023,031;5,000,893:4,669,448;4,829,983;4,808,356:5,115,767;5.092,519:5,052.346.4416,222,4,6 ,1 : 7,270,087 B2_OTHER U.S.AND FOREIGN PATENT APPLICATIONS PENDING.CURRENT CANADIAN PATENTS:1,272,914;1,280,043;1,289,832;2,045,862;2,112,515;2,108,186;2,107,012;2,092,105;2,409,271 Vitraglas"and Hydralel'are registered trademarks of Bradford White'Corporation. 108-B-0413-A ji,-110kilJIIA Ir 'YTO. TM - C IN 1 . 1}TLMi 109 r;y. W6-J Lkpr" Irt111a d��� MOM fn4�Jt41M1"��= 1 1 Residential Atmospheric Vent Gas Water Heater High Input Energy Saver Models Meet or exceed ASHRAE 99.1b(current standard)C.E.C.Listed NATURAL GAS AND LIQUID PROPANE GAS 80%Thermal Efficiency Capacity Recovery A B C D E F G H K Approx. Model 90°F Rise' Floor to Jacket Vent Floor to Floor to Floor to Floor to Floor to Depth Shipping Number Flue Dia. Size T&P Gas Space Space Water Weight V. Nat. LP Nat. Nat. LP LPp Con n. Conn. Conn. Heating Heating Conn. U.Gas. Gal. BInp/tr BInputr G H GPH G H GPH in. in. in. in. in Inlet Outlet in. in. lbs. M-1-75S6BN 75 63 76,000 176.000 82 69 82 69 62% 24 4 513 15 m 51% 59 1 283A 216 M-I-100T613N 100 83 85.000 1 88,000 92 77 95 80 681% 28Y 4 59i,1 15Y 1 17% 50% 65IV 32% 420 Capacity Recovery A B C D E F G H K Approx. 50°C Rise" Floor oor to Jacket Vent Floor to Floor to Floor to Floor to Floor to Depth Shipping Number Flue Dia. Size T&P Gas Space Space Water Weight Nat. LP Nat. LP Conn. Conn. Conn. Heating Heating Conn. kW kW Liters/ Liters/ Inlet Outlet Liters Input Input Hour Hour mm. mm. mm. mm. mm. mm. mm. mm. mm. kg. Md-73S88N 284 22.3 22.3 310 310 1575 622 102 1321 381 1 432 1321 1549 718 107 M-I-100T6BN 379 24.9 25.7 348 359 1745 1 718 102 1507 397 1 448 1286 1676 797 191 Propane models feature a Titanium Stainless Steel propane burner. For Propane(LP)models change suffix"BN"to"SX". For 10 year models,change suffix from"6"to"10". 'Based on manufacturers rated recovery efficiency. M-1-100T models feature hand hole cleanout. --► C ~I C I~ PLUG TYPE —ANODE O 4-7 7 K oOa s A H G&D H G&D A a- - Do t >' 1 E _ IF IE IF UJJ Ill il UJUi M-I-75S Model M-I-100T Model Meets NAECA Requirements General All gas water heaters are certified at 300 PSI test pressure(2068 kPa)and 150 PSI working pressure(1034 kPa).The 75 gallon model(284 liters)has 1" NPT(25mm)water connections on 11"(279mm)centers and 100 gallon model(379 liters)has 1%"NPT(32mm)water connections on 16"(406mm)centers. All gas connections are 1/2"(13mm). All models design certified by CSA International(formerly AGA/CGA),ANSI standard Z-21.10.3 and peak performance rated. Dimensions and specifications subject to change without notice in accordance with our policy of continuous product improvement. Suitable for Water(Potable)Heating and Space Heating. Toxic chemicals,such as those used for boiler treatment,shall NEVER be introduced into this system.This unit may NEVER be connected to any existing heating system or component(s)previously used with a non-potable water heating appliance. BRADFORD WHITE' W A T E 11 I1 E A T E 11 A Ambler,PA For U.S and Canada field service,contact your professional installer or local Bradford White sales representative. Sales 800-523-2931•Fax 215-641-1670/Technical Support 800-334-3393•Fax 269-795-1089•Warranty 800-531-2111•Fax 269-795-1089 C� International:Telephone 215-641-9400•Telefax 215-641-9750/www.bradfordwhite.com sRADFDI�D MITE-CANADA`INC. Sales/Technical Support 866-690-0961/905-238-0100•Fax 905-238-0105/www.bradfonlwhite.com Built to be the Best"' 02013,Bradford White Corporation.All rights reserved 108-B-0413-A Printed in U.S.A. Property Owners Name:AkAv— ,c nv `�U Site Address: 3611 f�iT�_Assesstx's parcel � itt�Plllll North Legend: Property line 1 _Building perimeter `I Map Scale:l"(in)=20'(ft) Gas piping layout 1 from meter VA Gas pipe sizq Venting size ,$ Hold-Rite ' �— QS_ EQ Straps Make/Model V City of Arlington Building Division INSPECTION REQUEST PROCEDURE To schedule an inspection: Call the Automated Inspection Line @ (360) 403-3417 The Automated Inspection Line acts exactly like voicemail. Simply listen to the voice message and leave the information indicated below. You may stay on the line and request multiple inspections giving the required information each time. Required Information: Give Permit Number (BLD#) Give Inspection Request (Type) Give Inspection Time (am or pm) - you may request a specific time. We will do our best to honor the time requested. • Inspections must be called in before 5:OOPM in order for a next day inspection • To cancel and/or modify the inspection please call 360-403-3432 Permit Information Date 8/21/2014 Permit Number 455 Project Name Paraiso Mexican Restaurant Applicant Name Northwest Permits Applicant Address 9808 31st St SE City,State,Zip Everett,WA 98208 Contact Naida Khan Phone 360-945-2787 Em ail naida@nwperrrit.com Perm it Type Commercial Plumbing Site Address 3611 168th St#A1 Valuation 1800.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Replace Water Heater Assigned To,Arry Rusko Property Information Owner Information Parcel#:31052800203000 SMOKEY POINT ANIMAL HOSPITAL SMOKEY POINT ANIMAL HOSPITAL 16720 SMOKEY POINT BLVD 3611 168TH ST NE ARLINGTON,WA 98223 Review Date Type Description Target Date Completed Date I Assigned To Status 8/21/2014 lComn-ercial Plumbing 8/28/2014 lChris Young _In Review Uploaded Files + Upload File Date File _ 8/21/2014 BUS 455Sc_._df - - - - - - - - - - �D_elete 8/21/2014 IBUS 455 Site gn, df Delete 8/21/2014 B 455 A lication. df —IDelete n I COMMERCIAL PLUMBING SUBMITTAL CHECKLIST ou, Department of Community&Economic Development City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY THREE(3) SETS OF CONSTRUCTION DRAWINGS, AND THREE (3) SETS OF FIXTURE SPECIFICATIONS(CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. Type of Permit: New Installation Addition/Alteration ❑ Industrial Project Address 3611 168TH ST NE#A1 Parcel ID# 31052800203000 _ Lot# Subdivision Project Description: Replace 75 gallon gas water heater in kitchen. valuation $1800.00 Owner: MARCIANO SOLTERO Phone Number: Address: 3611 168TH ST NE #A1 City: Arlington __State: WA Zip Code: 98223 Contact Person:Naida Khan / Northwest Permit Inc. Phone Number: 360-945-2787 Cell Phone: Fax: E-mail: naida@nwpermit.com Address: 9808 31 st St SE City: Everett State: WA Zip Code: 98208 Please indicate number of fixtures: Water Closet Floor Sink Sump Hose Bibb Miscellaneous Lavatory Laundry Tub Washer _ _ Water Heater 1 Grease Trap Urinal Interceptor Sink _ _._ Med Gas _ Drinking Fountain Floor Drain Dishwasher Backflow Shower Other Contractor: Washington Energy Services Phone Number: 800-398-4663 Address: 3909 196th St SW City: Lynnwood State: WA Zip Code: 98036 Contractor's License Number: WASHIES9720B Expiration. 9/2/2015 I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in accordance with the laws, rules and regulation of the State of Washington. Naida Khan 8/19/2014 Applicants Signature Date Naida Khan Print Applicants Name ReCeiVad FOR STAFF USE ONLY F)1b �5 5 � AUG 0 2014 Permit# Accepted By Amount Received Receipt# Date Received COMMERCIAL PLUMBING SUBMITTAL CHECKLIST Department of Community& Economic Development City of Arlington • 18204 59th Ave NE•Arlington, WA 98223 • Phone (360)403-3551 PROPOSED BUILDING USE ❑ Commercial Addition/Alteration ❑ Restaurant ❑ Medical ❑ Automotive Based ❑ New Commercial ❑ Office ❑ Industrial ❑ Machine Shop ❑ Other:_ CROSS CONNECTION Please check all appliances that are proposed or are permanently connected to the water supply. ❑ Ice Maker ❑ Dialysis Equip. ❑ Air washers ❑ Swimming Pools ❑ Fire Sprinkler ❑ Espresso Mach. ❑ Hydrotherapy Equip. ❑ Steam ❑ Hot Tub/Spa ❑ Sprinkler Generators w/chemicals ❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Ice Machine ❑ Lawn Irrigation 1-1Fume Hoods ❑ Laboratory Equip. ❑ Pressure ❑ Coffee ❑ Well on Washers Urn/Espresso property ❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers El Aquarium ❑ Decorative Fountain ❑ Other: WASTEWATER DISCHARGE 1. Does the plumbing system currently have a grease interceptor? ❑Yes ❑ No ❑ Don't Know Date grease trap/interceptor was last cleaned (provide service record): 2. Does the plumbing system currently have an oil/water separator? ❑Yes ❑ No ❑ Don't Know 3. Date oil/water separator was last cleaned (provide service record): 4. Is water used in the business process (washing, rinsing,cooling)? ❑Yes ❑ No ❑ Don't Know 5. Does your business require a NPDES permit? ❑Yes ❑ No ❑ Don't Know Page 3 of 3 i a , COMMERCIAL PLUMBING SUBMITTAL CHECKLIST Department of Community&Economic Development City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 WHEN is a PLUMBING PERMIT REQUIRED? The City of Arlington requires a plumbing permit before a plumbing system or fixture is installed, altered, or remodeled. This also includes replacement of a Hot Water Tank. The City of Arlington does not require a permit to stop leaks or clear stoppages, unless the piping being repaired is altered or replaced. PLUMBING PLAN REVIEW IS REQUIRED FOR THE FOLLOWING PROJECTS 1. New Commercial Buildings 2. New Multi-Family Buildings 3. Roof Drains and Overflow Systems 4. Tenant Improvements 5. Installation of Medical Gas Systems 6. Installation of Commercial Kitchen's and Deli's 7. Installation of Grease Traps 8. Installation of Grease Interceptors 9. Installation of Sumps 10. Installation of Cross Connection Backflow Devices SUBMIT THREE (3) COPIES OF THE FOLLOWING FOR PLUMBING PLAN REVIEW: ❑Plumbing plans or drawings. (Minimum plan size is 18" X 24" scale, %" scale for details.) ❑Provide one set of plumbing drawings maximum size 11" X 17" ❑Size of sanitary and potable water systems. ❑Location, type and specifications (cut sheets) of proposed fixtures and equipment. ❑Riser diagram of waste and vent, potable water and rain water systems, including sizes. ❑Medical gas piping riser diagram indicating type of gas, storage room and size of piping. ❑Location and type of all backflow assemblies for each fixture. I hereby certify that I have read and examined this application and know the same to be true and correct and I am authorized to apply for this permit. Page 1 of 3 Permit#: 455 Permit Date: 08/21/14 Permit Type: COMMERCIAL PLUMBING Project Name: Paraiso Mexican Restaurant Applicant Name: Northwest Permits Applicant Address: 9808 31 st St SE Applicant, City, State, Zip: Everett,WA 98208 Contact: Naida Khan Phone: 360-945-2787 Email: naida@nwpermit.com Scope of Work: Replace Water Heater Valuation: 1800.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/25/2014 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning SMOKEY POINT 699 Other 31052800203000 3611 168TH ST NE ANIMAL Miscellaneous HOSPITAL Services NEC Contractors Contractor Primary Contact Phone Address Contractor Type License License# WASHINGTON Karen Matheney 2063786648 3909 196th Street CONSTRUCTION COA 603 522 032 ENERGY SERVICES SW CONTRACTOR WASHINGTON Karen Matheney 2063786648 3909 196th Street CONSTRUCTION Labor&WASHIES85INS ENERGY SERVICES SW CONTRACTOR Industries Northwest Permit Naida Khan 360-945-2787 9808 31 st AvenSue APPLICANT Plan Reviews Date Review Type Description Assigned To Review Status 08/21/2014 COMMERCIAL OK to issue z.Christopher Young PLUMBING Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Mechanical Commercial Permit Table 4-7;Per Unit $25.00 Total $50.00 Attached Letters Date Letter Description 08/22/2014 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/22/2014 Winnie Ng 51375263 cc $50.00 Outstanding Balance $0.00 Uploaded Files Date File Name 08/29/2014 Paraiso Rest..docx 08/26/2014 455-signed permit.pdf 08/21/2014 BUS 455 Application.pdf 08/21/2014 BUS 455 Specs.pdf 08/21/2014 BUS 455 Site Plan.pdf