HomeMy WebLinkAbout17617 84TH AVE NE_BLD2175_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. 17617 84TH AVE NE, ARLINGTON, WA 98223
Project Description:Remove/replace gas water heater
Owner: MCCART MICHELINE
17617 84TH AVE NE Address: City:ARLINGTON State:WA Zip Code: 98223
Phone: 3606317003 Email. kkehle@fastwaterheater.com
Applicant:FAST WATER HEATER
Address: 11715 N CREEK PKWY S #C106 City:BOTHELL State:WA Zip Code: 98011
Phone: 4256367084 Email: kkehle@fastwaterheater.com
CONTRACTOR INFORMATION
Contractor Name:FAST WATER HEATER
Address: 11715 N CREEK PKWY S #C106 City:BOTHELL StateWA Zip Code:98011
License Number.FASTWWH948BC Expiration.1-4-2020
Phone-4256367084 Email:kkehle@fastwaterheater.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 XG50T12
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
L_�_cleP�c C14.cX6;;&
Applicant Signature: tl2Bf9G5O13O5vaBatl53tlaaO5193tlO Date: 09/11/2018
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 Washington.
REV 2015 Page 2 of 2
CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
ia PHONE; (360)403-3551
BUILDING PERMIT
Address: 17617 84th Avenue NE Permit k:2175
Parcel 0:00958500003900 Valuation:0.00
OWNER APPLICANT CONTRACTOR
ROBERT pCART MICHELINE J&RAY Name:Fast Water Heater Name:Fast Water Heater Company
Address: 17617 84TH AVE NE Address:I 17 15 N Creek Pkwy S,#C106 address: 117IS Notch Creek Parkway South,Ste C-
106
City,State Zip:ARLINGTON,WA 982234050 City,State Zip:Bothell,W.a 98011 City,State Zip:Bothell,WA 98011
Phone: Phone:425-636-7084 Phone:(425)636-7084 Ext.
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Fast Water Hcater Company
Address: Address: 11715 North Creek Parkway South,Ste C-106
City,State,Zip: City,State,Zip:Bothell,WA 98011
Phone; Phone:(425)636-7084
LIC#: EXP: LIC#: EX?:
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS I OCC GROUP:
BUILDINGS; 1 OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND W DOING THE.WORK AUTHORIZED THEREBY;
NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RF.LArING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISIHER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL,INSPECTION HAS BEEN MAOF.AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 110/IRC110.
SALFS TAX N TIC Sales tax relating t construction and construction materials in the City of Arlin r tm pt be reported on your sales In returnArnn
and ud City of It
rlin to #31 U 1.
- a- 8
5igoa Print dnte Date a cased By Did
CONDITIONS
Adhere to the 2015 Washington State Energy Code. Call for final inspection.
THIS PERMIT AUTHORIZS ONLY TIIE 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
9/24/2018 Mechanicai Fee(Enter Fixture Fee) $25.00
9/24/2018 Mechanical Permit Base Fee $25.00
9/24/2018 Processing/Technology Fee $25,00
Total Due: $75.00
Total Payment: $0.11(1
Balance Due: $75.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling Far an inspection please leave the following information:
Permit✓umber,Type of Inspection being requested,and whether you prefer morning or afternoon
UITY OF ARLINGTON
�i
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:17617 84th Avenue NE Permit#:2175
Parcel#:00958500003900 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:MCCART MICHELINE J&RAY Name:Fast Water Heater Name:Fast Water Heater Company
ROBERT P
Address: 17617 84TH AVE NE Address:11715 N Creek Pkwy S,#C 106 Address: It 715 North Creek Parkway South,Ste C-
106
City,State Zip:ARLINGTON,WA 982234050 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011
Phone: Phone:425-636-7084 Phone:(425)636-7084 Ext.
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Fast Water Heater Company
Address: Address: 11715 North Creek Parkway South,Ste C-106
City,State,Zip: City,State,Zip:Bothell,WA 98011
Phone: Phone:(425)636-7084
LIC M EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: 1 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 on t be reported on your sales to return orni
and coded City of Arlington#3101.
Signature Print Name Date a eased By Dat
CONDITIONS
Adhere to the 2015 Washington State Energy Code. Call for final inspection.
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
9/24/2018 Mechanical Fee(Enter Fixture Fee) $25.00
9/24/2018 Mechanical Permit Base Fee $25.00
9/24/2018 Processing/Technology Fee $25.00
Total Due: $75.00
Total Payment: $0.00
Balance Due: $75.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
RESIDENTIAL PLUMBING
f ` PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington, WA 98223• Phone(360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR
EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL
INFORMATION.
Project Address:17617 84TH AVE NE, ARLINGTON, WA 98223
Project Description:Remove/replace gas water heater
Owner: MCCART MICHELINE
17617 84TH AVE NE
Address: City:ARLINGTON State:WA Zip Code: 98223
Phone: 3606317003 Email: kkehle@fastwaterheater.com
Applicant-FAST WATER HEATER
Address:11715 N CREEK PKWYS #C106 City:BOTHELL State:WA Zip Code: 98011
Phone: 4256367084 Email: kkehle@fastwaterheater.com
CONTRACTOR INFORMATION
Contractor Name:FAST WATER HEATER
Address:11715 N CREEK PKWY S #C106 City$OTHELL StateYVA Zip Code:98011
License Number: Expiration.
Expiration:l-4-2020
Phone:4256367084 Email:kkehle@fastwaterheater.com
STAFF USE ONLY Received
Permit#: Accepted by: SEPN 2018
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)
11 R;4fh/ShnwPr f'.nmhn (d M Y ❑ Cink (I R) Y
❑ 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 XG50T12
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: 09/11/2018
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
MODEL#: XG50T12
CITY OF ARLINGTON
a,
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address: 17617 84th Avenue NE Permit#:2175
Parcel#:00958500003900 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:MCCART MICHELINE J&RAY Name: Fast Water Heater Name:Fast Water Heater Company
ROBERT P
Address:17617 84TH AVE NE Address:11715 N Creek Pkwy S,#C106 Address: 11715 North Creek Parkway South,Ste C-
106
City,State Zip:ARLINGTON,WA 982234050 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011
Phone: Phone:425-636-7084 Phone:(425)636-7084 Ext.
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Fast Water Hcater Company
Address: Address: 11715 North Creek Parkway South,Ste C-106
City,State,Zip: City,State,Zip:Bothell,WA 98011
Phone: Phone:(425)636-7084
LIC#: EXP: LIC#: EX?:
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
I
DWELLING UNITS: I OCC GROUP:
BUILDINGS: 1 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 WORK1VIEN'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/IRCI10.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin on t S1 be reported on your salest8f return form
and odcdclryof rlin o #3101.
Signs Print ame Date a eased By Dat
CONDITIONS
Adhere to the 2015 Washington State Energy Code. Call for final inspection.
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
9124/2018 Mechanical Fee(Enter Fixture Fee) $25.00
9/24/2018 Mechanical Permit Base Fee $25.00
9/24/2018 Processing/Technology Fee $25.00
Total Due: $75.00
Total Payment: $0.00
Balance Due: $75.00
CALL FOR INSPECTIONS
BUI LDING(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
02 PHONE; (360) 403-3551
BUILDING PERMIT
Address:17617 84th Avenue NE Permit#:2175
Parcel#:00958500003900 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:MCCART MICHELINE J&RAY Name:Fast Water Heater Name:Fast Water Heater Company
ROBERT P p y
Address: 17617 84TH AVE NE Address:11715 N Creek Pkwy S,#CI06 Address: 11715 North Creek Parkway South,Ste C-
106
City,State Zip:ARLINGTON,WA 98223-4050 City,State Zip:Bothell,WA 98011 City,State Zip:Bothell,WA 98011
Phone: Phone:425-636-7084 Phone:(425)636-7084 Ext.
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Fast Water Heater Company
Address: Address: 11715 North Creek Parkway South,Ste C-106
City,State,Zip: City,State,Zip:Bothell,WA 98011
Phone: Phone:(425)636-7084
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: 1 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 IOARCI10.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin on t be reported on your sales la return orm
and coded City of Arlington#3101. �r
Signature Print Name Date a eased By t Dat `w
CONDITIONS
Adhere to the 2015 Washington State Energy Code. Call for final inspection.
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
9/24/2018 Mechanical Fee(Enter Fixture Fee) $25.00
9/24/2018 Mechanical Permit Base Fee $25.00
9/24/2018 Processing/Technology Fee $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#: 2175
Permit Date: 09/24/18
Permit Type: RESIDENTIAL PLUMBING
Project Name M cCart
Applicant Nam a Fast Water Heater
Applicant Address: 11715 N Creek Pkwy S, #C 106
Applicant, City, State, Zip: Bothell, WA98011
Contact: kathleen Kehle
Phone: 425-636-7084
Email: kkehle@fastwaterheater.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: 09/28/2018
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Launa Black
Property
Parcel# Address L egal Description O wner Nam e Ovner Phone Zoning
M CCART
00958500003900 1 7617 84TH AVE NE M ICHELINE J& Residence
Single Dam iy
-Detached
RAY ROBERT P
Contractors
Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License#
FAST WATER It715 N CREEK PLUMBING
HEATER 425.636.7054 PKWY S,Ste CONTRACTOR COA 602 564 544
C106
FAST WATER It715 N CREEK PLUMBING LABOR&
HEATER 425.636.7054 PKWYS,Ste CONTRACTOR INDUSTRIES FASTWWH948BC
C106
Fees
Fee D escription N otes A m cunt
Mechanical Fee(Enter Fixture Fee) $25.00
Mechanical Base P erm i Fee $ 25.00
Processing/Technology $25.00
Total $75.00
Attached Letters
Date Letter D escription
09/24/2018 Building Perm i
Paym acts
Date Paid By D escription P aym ant Type A ccepted By A m cunt
09/24/2018 JASON HANLEYBROWN 71887486 c c $75.00
O ttstanding Balance $0.00
Notes
Date Note C reated By:
09/25/2018 Em tiled perm i for signature. K ristin Foster
Uploaded Files
Date File Nam e
09/28/2018 3990257-2175 Issued Perm i.pdf
09/24/2018 3974529-17617 Residential Plum ling 1JObXdTBFCT61U.pdf