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