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HomeMy WebLinkAbout17508 81ST DR NE_BLD2763_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE- ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 17508 81st Dr NE Permit#:2763 Parcel#:01040900000300 Valuation: 00 OWNER APPLICANT CONTRACTOR Name:DUGAN ROCHELLE C Name:Hamblen Sons Heating Name:HAMBLEN&SONS HEATING Address: 17508 81 ST DR NE Address:7409 68th Ave NE v Address:7409 68TH AVE NE. City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:425-501-0 123 Phone:360-653-1544 LIC:HI-VBLSH922DE EXR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Hamblen&Sons Heating Name: Address:7409 68th Ave NE Address: City,State,Zip:Marysville,WA 98270 City,State,Zip: Phone:360-653-1544 Phone: LIC#:HAiMBLSH922DE EXP: 02/13/2020 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP- BUILDINGS: OCC LOAD: PERMIT APPROVAL 1 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 rHE LABOR CODE OF THE STATE OF WISHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION 1S 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/IRC1I0. 1 St -s ix relating to •onstniction and constriction materials in the City of Arlington must be reported on your sales tax return form ands ityo' din 1 101, )CAJ S l 9/3/19 Signatu Print Name Date eleaseJ Date CONDITIONS Pipe shall be pressurized at 1-20 lbs (psi) for minimum 2 hours, Adhere to approved appliance. Call for inspection. THIS PERMIT AUTHORIZES 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 PEW01SSION. PERMIT FEES Date Description Fee Amount 09/03/2019 Gas Outlets Base Fee 1 to 5 $10.00 09/03/2019 Mechanical Permit Base Fee $25.00 09/03/2019 Processing/Technology Fee $25.00 Total Due: S60.00 Total Payment: $0.00 Balance Due: $60.00 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 ram+ • I Permit#: 2763 Permit Date: 09/03/19 Project Name: Dugan Applicant Name: Hamblen Sons Heating Applicant Address: 7409 68th Ave NE City, State, Zip: Marysville, WA 98270 Contact: Phone: 425-501-0123 Email: hamblen.sons@gmail.com Permit Type: Residential Mechanical Site Address: 17508 81 st Dr NE Valuation: 0.00 Status: Applied Permit Issued: Permit Expires: Square Feet: 0 Type of Construction/Occupancy Load: Residential Mechanical Number of Stories: 0 Proposed Use: gas line MIC/Opportunity Zone: Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning DUGAN I I I Single Family 01040900000300 17508 81 ST DR NE ROCHELLEC Residence- Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# HAMBLEN&SONS 360-653-1544 7409 68TH AVE CONTRACTOR Labor& HAMBLSH922DE HEATING NE. Industries Fees Fee Description Notes Amount Gas Outlets Base Fee 1 to 5 322.10.00.00 $10.00 Mechanical Permit Base Fee 322.10.00.00 $25.00 Processing/Technology Fee 341.43.00.02 $25.00 Total $60.00 Uploaded Files Date File Name 09/03/2019 5545232-2763 Apnlication.pdf RESIDENTIAL MECHANICAL PERMIT APPLICATION I N 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 MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:17508 81st Dr. NE Project Description:Extend gas line < 5' to range Owner: Rochelle Dugan Address: 17508 81st Dr. NE City:Arlington State YVA Zip Code: 98223 Phone: 3609293643 Email:hamblen.sons@gmail.com Applicant: Tim Hamblen Address:7409 68th Ave NE City: Marysville State-,WA Zip Code: 98270 Phone: 425-501-0123 Email: hamblen.sons@gmail.com CONTRACTOR INFORMATION Contractor Name:Hamblen Sons Heating Address: 7409 68th Ave NE City: Marysville State WA Zip Code: 98270 License Number:601481968 Expiration: 5/31/2020 Phone:425-501-0123 Emai1:hamblen.sons@gmail.com STAFF USE ON -Y Received Permit # l.D Z��p?� Accepted by- DateF ® a 2019 6/16LP Page 1 of 2 N RESIDENTIAL MECHANICAL �► PERMIT APPLICATION � xV Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington,WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model # AFUE _ ❑ Heat Pump Model#_ AFUE_ HSPE ❑ AC Unit Model # SEER Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ C� Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: ❑ Pipe Material: CSST or Black Iron Pipe Size: 1/2" X 5' Distance from Meter to Furthest Appliance: — 50' Total BTU's of all Appliances:255,000 • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances �ireNfiJ r�.eir/rletia Applicant Signature Date 08/30/2019 Applicant Printed Name: Timothy Hamblen 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. 6/16LP Page 2 of 2 Search I.lAISEARCH Labor i Industries -ZIndex Safety&Health c Claims&Insurance M Workplace ' . Trades&Licensing M Washington State Department of " Labor & Industries HAMBLEN&SONS HEATING Owner or tradesperson 7409 68TH AVE NE Principals MARYSVILLE,WA 98270 HAMBLEN,TIMOTHY(TIM)A,OWNER 360-658-0124 Doing business as SNOHOMISH County HAMBLEN&SONS HEATING WA UBI No. Business type 601 481 968 Individual Governing persons TIM A HAMBLEN JAN A HAMBLEN; Certifications&Endorsements 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. HAMBLSH922DE Effective—expiration 02/13/2008—02/13/2020 Bond Wesco Insurance Co $12,000.00 Bond account no. 46W BO30786 Received by L&I Effective date 07/11/2013 07/01/2013 Expiration date Until Canceled Insurance Ohio Security Ins Co $500,000.00 Policy no. BKS55784458 Received by L&I Effective date 06/24/2019 08/14/2014 Expiration date 08/14/2020 Insurance history Savings No savings accounts during the previous 6 year period. Help us improve Lawsuits against the bond or savings No lawsuits against the bond or savings ack is during the previous 6 year period. L&I Tax debts No L&I 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 No license violations during the previous 6 year period. Workers'comp Public Works Requirements Workplace safety and health ..l:F'',n;i-+ , '.'q'- _,E;.,„- , •q•ris .,.!of 1n i rp�i:•'i. uw:�,r.:�Pu�6'Uw�nmr� -i, ... Help us improve x v a o V Z W O Q zv E- w z Q O w F A H Z A w oae, d" O O pCi a r1 F" z Q OC cv ¢ O � � w z oz ❑ LQ M F O v d x z w > o w LM o G ❑ c ; Q a z z g c Q z a Q z � acnx A � °� Ln M � � O w p w U Z M O� 0 00 Ca CJ w F � w p h a Z H a C) >• � a zo�Cca Q w owe rx o � Lei cn0z a F p O � a , F z N F V SAC O p � Zaz z cn x C F Z o W., O c w z a F O U > z w Z c Q .. 0 d O Q w � Ow m O a H z U Z O, C oC 0.1 a z tea. vFi OOuQ� � � 8 m a RESIDENTIAL MECHANICAL PERMIT APPLICATION t�N 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 MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address- 17508 81st Dr. NE Project Description:Extend gas line < 5' to range Owner: Rochelle Dugan Address. 17508 81st Dr. NE City. Arlington State.WA Zip Code: 98223 Phone. 3609293643 Email:ham blen.sons@gmail.com Applicant: Tim Hamblen Address: 7409 68th Ave NE City. Marysville State.WA Zip Code: 98270 Phone. 425-501-0123 Email. hamblen.sons@gmail.com CONTRACTOR INFORMATION Contractor Name:Hamblen Sons Heating Address: 7409 68th Ave NE City: Marysville State.WA Zip Code: 98270 License Number.601481968 Expiration. 5/31/2020 Phone: 425-501-0123 Email:hamblen.sons@gmail.com STAFF USE ONLY Permit #: Accepted by: Date: 6/16LP Page 1 of 2 Y. RESIDENTIAL MECHANICAL PERMIT APPLICATION SING Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model # AFUE ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER l� Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ C� Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: Q Pipe Material: CSST or Black Iron Pipe Size: 1/2" X 5' Distance from Meter to Furthest Appliance: — 50' Total BTU's of all Appliances:255,000 • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances Applicant Signature: d5a513be"a92O�tlb81'e`1e6' Date: 08/30/2019 Applicant Printed Name: Timothy Hamblen 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. 6/16LP Page 2 of 2 } CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17508 81st Dr NE Permit#:2763 Parcel#:01040900000300 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:DUGAN ROCHELLE C Name:Hamblen Sons Heating Name:HAMBLEN&SONS HEATING Address: 17508 81ST DR NE Address:7409 68th Ave NE Address:7409 68TH AVE NE. City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:425-501-0123 Phone:360-653-1544 LIC:HAMBLS11922DE EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Hamblen&Sons Heating Name: Address:7409 68th Ave NE Address: City,State,Zip:Marysville,WA 98270 City,State,Zip: Phone:360-653-1544 Phone: LIC#:HAMBLSH922DE EXP: 02/13/2020 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 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 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 RC W 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/UER 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 CERTIFICATTE OF OCCUPANCY HAS BEEN GRANTED, IBC110/IRCH0. SALES T i-40T :Sales x relating to onstruction and construction materials in the City of Arlington must be reported on your sales tax return form and co �iyo rlinQ ;- � Z6A 1. Y'r l .� 9/3/19 Signatu e Print Name Date eleased Date CONDITIONS Pipe shall be pressurized at 1-201bs (psi) for minimum 2 hours. Adhere to approved appliance. Call for inspection. THIS PERMIT AUTHORIZES 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 09/03/2019 Gas Outlets Base Fee 1 to 5 $10.00 09/03/2019 Mechanical Permit Base Fee $25.00 09/03/2019 Processing/Technology Fee $25.00 Total Due: $60.00 Total Payment: $0.00 Balance Due: S60.00 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17508 81st Dr NE Permit#:2763 Parcel#:01040900000300 Valuation:.00 OWNERS M APPLICANT k W CONTRACTOR Name:DUGAN ROCHELLE C Name:Hamblen Sons Heating Name:HAMBLEN&SONS HEATING Address: 17508 81 ST DR NE Address:7409 68th Ave NE Address:7409 68TH AVE NE. City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:425-501-0123 Phone:360-653-1544 LIC:HAMBLSH922DE EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTORE Name:Hamblen&Sons Heating Name: Address:7409 68th Ave NE Address: City,State,Zip:Marysville,WA 98270 City,State,Zip: Phone:360-653-1544 Phone: LIC#:HAMBLSH922DE EXP: 02/13/2020 LIC#: EXP: JOB DESCRIPTION ]p M PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 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 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 Arlington must be reported on your sales tax return form and coded City of Arlington#3101. ,,, 9/3/19 Signature Print Name Date Aeleased Date CONDITIONS Pipe shall be pressurized at 1-20 lbs (psi) for minimum 2 hours. Adhere to approved appliance. Call for inspection. THIS PERMIT AUTHORIZES 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 09/03/2019 Gas Outlets Base Fee 1 to 5 $10.00 09/03/2019 Mechanical Permit Base Fee $25.00 09/03/2019 Processing/Technology Fee $25.00 Total Due: $60.00 Total Payment: $0.00 Balance Due: $60.00 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#: 2763 Permit Date: 09/03/19 Permit Type: RESIDENTIAL MECHANICAL Project Nam a Dugan Applicant Nam a Ham Hen Sons Heating Applicant Address: 7409 68th Ave NE Applicant, City, State, Zip: Marysville, WA98270 Contact: Phone: 425-501-0123 Email: ham lien.sons@gm al.com Scope of Work: gas line Valuation: 0.00 Square Feet: 0 Num ber of Stories: 0 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 09/05/2019 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Raelynn Jones Property Parcel# Address L egal Description O wner Nam e Cvner Phone Zoning 01040900000300 1 7508 81 ST DR NE DUGAN 111 Single Fam iy ROCHELLE C Residence-Detached Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# HAMBLEN&SONS 425-501-0123 7409 68TH AVE CONSTRUCTION Labor&HAMBLSH922DE HEATING NE. CONTRACTOR Industries Inspections Date I nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus 09/05/2019 R09.GAS PIPING PM 0 9/05/2019 B UILDING C om lieted ROUGH-IN Fees Fee D escription N otes A m cant Gas Piping/Units E nter#of units $ 10.00 Mechanical Base P erm i;Fee $ 25.00 Processing/Technology $25.00 Credit Card Service $1.80 Total $61.80 Attached Letters Date Letter D escription 09/03/2019 Building Perm 1 Paym Bits Date Paid By D escription P aym ant Type A ccepted By A m aunt 09/04/2019 Tim dhy Ham Hen 7 6876147 $60.00 09/04/2019 76876147 C C Surcharge R aelynn Jones $1.80 O ttstanding Balance $0.00 Uploaded Files Date File Nam e 09/05/2019 5555734-2763 Issued permt.pdf 09/03/2019 5545232-2763 Application.pdf