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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