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Home My WebLink About20210 77th Ave Ne_BLD522_2026 ' CITY OF ARUNGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 20210 77th Ave Permit#: 522 Parcel#:00829100000500 Valuation: 1345.00 OWNER APPLICANT CONTRACTOR Name:HULEATT INVESTMENTS LLC Name: Silvana Plumbing, LLC Name: SILVANA PLUMBING Address: 17102 JIM CREEK RD Address:P.O.BOX 160 Address:P.O.BOX 160 City, State Zip:ARLINGTON,WA 98223 City,State Zip: Silvana,WA 98287 City, State Zip:SILVANA,WA 98287 Phone: Phone:360-652-8500 Phone:360-652-8700 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Silvana Plumbing,LLC Address: Address:P.O.BOX 160 City, State,Zip: City, State,Zip: Silvana,WA 98287 Phone: Phone:360-652-8500 LIC#: EXP: L1C#: CARR*TP23ILT EXP:3/17/2015 JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing 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 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. V40 I(Mliq Signature Print Name Date Rele t By Date CONDITIONS Water Heater Model Number M11150T. Applicant verified efficiency. 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 11/18/2014 Plumbing Permit Base Fee $25.00 11/18/2014 Water Heater $25.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: $50.00 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 � J. r v a K COMMERCIAL PLUMBING , SUBMITTAL CHECKLIST 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: Parcel ID#: Lot#: Subdivision: Project Description: Valuation: �),�Z-12,,V Owner: vt Phone Number: Address: �' ,>�/ City: State Zip Code: 9' 2,J 3 Contact Person: CL � Phone Number: Cell Phone: Fax: E-mail: Address: -0 City: State: Zip Code: Please indicate number of fixtures: ZtJ �� - Water Closet Floor Sink Sump Hose Bibb Miscellaneous Lavatory Laundry Tub Washer _ Water Heater Grease Trap Urinal Interceptor Sink Med Gas Drinking Fountain Floor Drain — Dishwasher Backflow Shower Other Contractor:, -_ Phone Number: ?zaez—4iJ V Address: �!�L �� City: State: X' Zip Code: Contractor's License Number:C4 All?X13 -rim�I�-Z— Expiration: 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. Applicants Signature Date Print Applicants Name FOR STAFF USE ONLY at� cot- Permit# Accepted By Amount Received Receipt#' Date fleceived CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 cl;;o PHONE; (360) 403-3551 BUILDING PERMIT Address: 20210 77th Ave Permit#: 522 Parcel#:00829100000500 Valuation: 1345.00 OWNER APPLICANT CONTRACTOR Name:HULEATT INVESTMENTS LLC Name: Silvana Plumbing, LLC Name: SILVANA PLUMBING Address: 17102 JIM CREEK RD Address:P.O.BOX 160 Address:P.O.BOX 160 1 City, State Zip:ARLINGTON, WA 98223 City,State Zip: Silvana,WA 98287 City, State Zip:SILVANA,WA 98287 Phone: Phone:360-652-8500 Phone: 360-652-9700 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Silvana Plumbing, LLC Address: Address:P.O.BOX 160 City, State,Zip: City, State,Zip: Silvana,WA 98287 Phone: Phone:360-652-8500 LIC#: EXP: L1C#:CARR*TP231 LT EXP:3/17/2015 JOB DESCRIPTION ` PERMIT TYPE: Commercial Plumbing 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 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. Signature Pi int Name Date Rcica. d By Date CONDITIONS Water Heater Model Number M11150T. Applicant verified efficiency. 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 11/18/2014 Plumbing Permit Base Fee $25.00 11/18/2014 Water Heater $25.00 Total Due: $50.00 Total Payment: $0.00 Balance Due: $50.00 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 BUILDING INSPECTION REPORT — PLUMBING (HWT) Permit No. 522 Address: 20210 77th Ave. Contractor: Silvana Plumbing Owner: Huleatt Investments Date: 11/24/2014 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: HWT Replacement LOCATION OK: N L8J: ❑ EXPANSION TANK: N SEISMIC: N INSULATION: N VENTING (6x6 collar): ❑ 18 INCHES OR FVIR: ❑ PRV 6 INCHES: ❑ PRV SET < 2101: N PRV< 150PSI: N DRAIN: N DRIP LEG: ❑ IMPACT PROTECTION: ❑ ACCESS: N SHUT-OFF VALVE: ❑ COMBUSTION AIR: ❑ Date: 11/24/2014 Inspector: YOUNG Permit#: 522 Permit Date: 11/18/14 Permit Type: COMMERCIAL PLUMBING Project Name: Eagle Family Dental Applicant Name: Silvana Plumbing, LLC Applicant Address: P.O.BOX 160 Applicant, City, State, Zip: Silvana, WA 98287 Contact: Tim Carr Phone: 360-652-8500 Email: Scope of Work: Replace Water Heater Valuation: 1345.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 11/20/2014 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning HULEATT 00829100000500 20210 77TH AVE NE INVESTMENTS He Medical&Other Health Services LLC He Contractors Contractor Primary Contact Phone Address Contractor Type License License# SILVANA PLUMBING TIM CARR 3606528500 PO Box 160 CONSTRUCTION LABOR& SILVAPL792MK CONTRACTOR INDUSTRIES SILVANA PLUMBING TIM CARR 3606528500 PO Box 160 CONSTRUCTION COA Business602711823 CONTRACTOR License SILVANA PLUMBING TIM CARR 3606528500 PO Box 160 CONSTRUCTION LABOR&CARR*TP231LT CONTRACTOR INDUSTRIES Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Water Heater(Tank) $25.00 Total $50.00 Attached Letters Date Letter Description 11/18/2014 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/20/2014 Silvana Plumbing cash Launa Black $50.00 Outstanding Balance $0.00 Uploaded Files Date File Name 11/24/2014 862866-20210 77th Ave..docx 11/20/2014 859519-522 Issued Permit.pdf