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17523 OSPREY RD_BLD20110136_2026
Aug 16 11 04:1$p Washington Water Heaters 1563 p.1 CITY OF ARLINGTON 238 N.OL.YMPIGAVE.-ARLINMN,WA.98223 PHONE(360)403-3421 Address: 17523 OSPREY RD,ARLINGTON Per7nit#:BLD20110136 Parcel#.100809200000600 Valuation:$1,100.00 TIFFANYDMACK WAS8DVL'"WATER IMTERS WASHRIG ON WATER HEATERS 17523 OSPREY RD 7ACCIDANMLS 9ACCI DANIELS ARI.WG 0N,WA 9R223-5953 1140E RIC HARM FA SUITE A 1800 RX3fARDS AD,SUITE A BEIU' M.WA 9a005 BELLEVUE,WA 98005 Lie Y:WASHI1498U P Exp:911712D12 WASHD'IOM WATER RE ATERS ]ACCI DANW" 1 SW RICHARDS RD,SUITE A BEL.LEVLK WA 9800s Lie d:WASM*9MOP Exp:9/1712012 Lie#: Fxp: C.lIuljlte out water heater PEAW TBFT: R"idemw PERMIT GRiOM Plumbing STORM: 0 CONST TYPE. I)WEL LNIG UNFis: 0 OCC GROUP. CODE OCC LOAD: I AGREE Td COMPLY Wrm CRY AND STATE LAWS REOULAT m cONSTRUCTiON AND iN DO1NO THE WORK AUTHORIZED TFmRFBY,NO PMON VALL BE EWrLOYED IN VIOLATION OF THE L 13OR CODE OF THE STATE OF WASHDIGTON RELATING TO WORKM WIS CON 15WSATION INSURANCE AIOP.CW 1827. THIS APPLICATI N MNOT APIwRMIT UNTIL SIGNED DY WE BUILDING OFFICIAL OR.WSAM DEPUTY AND ALL FEES ARE PAID. rr IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR SI1tUC URE UNTIL A FINAL RJSPBCTION HAS BEEN MADE AND APPROVAL Olt A CEXMICATE OF OCCUPANCY HAS SM MANTIM.MCI IW IlRCI I& SALESTAX NOTICE:Sales tax relating to cormuction and construction materiels in the City of Arlington must be reported on your sales m rawrL born and Agk/ eodedCityo lingtcxti13L01. 44 Sigtiattire Print Name Qale eieased y, e ARCHIVE APPLICANT ASSESSOR OTHER CITY OF ARLINGTON 238 N. OLYMPIC AVE.-ARLINGTON,WA. 98223 PHONE: (360)403-3421 BUILDING PERMIT ; Address: 17523 OSPREY RD,ARLINGTON Permit#:BLD20110136 Parcel#:00809200000600 Valuation:$1,100.00 OWNER APPLICANT CONTRACTOR ? TIFFANY D MACK WASHINGTON WATER HEATERS WASHINGTON WATER HEATERS 17523 OSPREY RD JACCI DANIELS JACCI DANIELS ARLINGTON,WA 98223-5953 1800 RICHARDS RD,SUITE A 1800 RICHARDS RD,SUITE A BELLEVUE,WA 98005 BELLEVUE,WA 98005 Lie#:WASHII*980OP Exp:9/17/2012 PLUMBING CONTRACTOR MECHANICAL CONTRACTOR WASHINGTON WATER HEATERS JACCI DANIELS 1800 RICHARDS RD,SUITE A BELLEVUE,WA 98005 Lie#:WASHII*9800P Exp:9/17/2012 Lie#: Exp: JOB DESCRIPTION Change out water heater PERMIT TYPE: Residential PERMIT GROUP: Plumbing STORIES: 0 CONST TYPE: DWELLING UNITS: 0 OCC GROUP: CODE: 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 110/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 43101. Q / Y Signature Print Name Date F'rReleased y' Da e ARCHIVE APPLICANT ASSESSOR OTHER i i 1 I i BLD20110136 CONDITIONS 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. • None PERMIT FEES Date Description Fee Amount Paid Balance Due 8/15/2011 Plumbing Permit Fee(QTY: 1) $50.00 ($50.00) $0.00 Total Due: $50.00 ($50.00) $0.00 CALL FOR INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. None i i J,� f Whirlpool Water Heaters Page 1 of 2 Wa?alignealkt.31er erural Gas 50G 6YR NG TALL LOW NOX WTR HTR Model: N50T61-403 Lowe's Item* #: 333569 Product Features • FLAME LOCK® Safety System Reduces the Risk of Accidental Fires Involving Flammable Vapors • Self Diagnostics - LED status indicator monitors system status • Piezo Electronic Igniter - makes lighting the pilot fast and easy • Customer Friendly Combination Gas Valve/Thermostat with Vacation Setting © shop now Low NOx Available exclusively at Lowe's Features Specs • Cj Guides & Literature . / 5 + ser�se Energy Efficiency • Rebate Finder Readall 7 reviews Write a review Support Resources • Ratings & Reviews Features and Specs • Capacity 50 Gallons • Family Size 5+ • Warranty 6 Years • Gas BTU Input 40,000 BTU's Energy Factor 0.58 • Self Cleaning No • Tank Style Tall • Gas Type Natural Gas • High Altitude Certified from 0 to 10,100 Feet OFFICE Dimensions COPY Diameter 20" Height 60.75" Height with Draft Hood 64.5" CITY OF ARLINGTON Available at BUILDING DEPARTMENT Lowe's@ Stores APPROWEDr� NationwideProfessional DATE -7 �� Installation available at BY N M ANGES AUTHORIZED Lowe's UNLESS APPROVED BY THE BUILDING INSPECTOR http://www.whirlpoolwaterheaters.com/products/product.aspx?id=128 8/15/2011 I ,� r I I I 1 I I V r J � I - I 1 I I �', Whirlpool Water Heaters Page 2 of 2 Read all N50T61-403 reviews *Some items numbers may not be stocked in all Lowe's Home Improvement Warehouse stores. Some item numbers are available through special order only. Please consult the special order catalog or any sales associate for assistance at any Lowe's Home Improvement Warehouse store. © 2010-2011 American Water Heater (877) 817-6750 Privacy p Registered trademark/TM Trademark of Whirlpool, U.S.A. All other trademarks are owned by their respective companies. © 2010-2011 Whirlpool Corporation. All rights reserved. http://www.whirlpoolwaterheaters.com/products/product.aspx?id=128 8/15/2011 1 1 BLD20110136 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 BUILDING PERMIT PERMIT#: BLD20110136 OWNER: MACK,TIFFANY D STATUS: APPLIED ADDRESS: 17523 OSPREY RD,ARLINGTON BALANCE: $0.00 ISSUED: CREATED: 8/15/2011 SCREENS: Select Screen— - i FUNCTIONS: Select Permit Function... PLUMING REVIEWS PRINT ADD NEW SUMMARY REV[E... DESCRIPTION JASSIGNE...IDUEDATE1- LAST 1#) jREQ?jD0... ASSIGN REMOVE 2000 C-Building I CYOUNG 8/17/2011 0 Y N Assign Remove 2008 C-Community Development I ARUSKO 8/17/2011 0 Y N Assign Remove http://coaweb2.arlington.local/PermitTrax/Module_Permits/Permits_Permit/Permit Revie... 8/15/2011 I Whirlpool Water Heaters Page 1 of 2 lay l ec� `fiefmt+aa' al n atural Gas er �ea�ter YR NG TALL LOW NOX WTR HTR a Y) I: N50T61-403 Lowe's Item* #: 333569 1l a duct Features • �� LOCK@ Safety System Reduces the Risk of ntal Fires Involving Flammable Vapors • agnostics - LED status indicator monitors i status lectronic Igniter - makes lighting the pilot fast isy • ner Friendly Combination Gas Valve/Thermostat with Vacation Setting 4D shop now Low NOx Available exclusively at Lowe's Features & Specs • r ��hirip►dj 14(5 Guides & Literature .7 / S s ns Energy Efficiency • Rebate Finder Ready II 7 reviews Write a review Support Resources • Ratings & Reviews Features and Specs ��'v �'v' • Capacity 50 Gallons • Family Size 5+ • Warranty 6 Years • Gas BTU Input 40,000 BTU's U� • Energy Factor 0.58 • Self Cleaning No • Tank Style Tall • Gas Type Natural Gas • High Altitude Certified from 0 to 10,100 Feet Dimensions Diameter 20" JOB COPY Height 60.75" Height with Draft Hood 64.5" Available at CITY OF ARLINGTON BUILDING DEPARTMENT, -� �D Lowe's@ Stores A PP�V NatianwideProfessional rN6CH Installation available at DATEI BYNGES Au-rHORIZELowe's APPROVED BY T E BUILDING INSPECT http://www.whirlpoolwaterheaters.com/products/product.aspx?id=128 8/15/2011 w ' '� 1 II I A ti - I 1 � 1 1 ' �' � , 1 1 1 ' , 1 1 1 1 , �' 1 �1 Whirlpool Water Heaters Page 2 of 2 Read all N50T61-403 reviews *Some items numbers may not be stocked in all Lowe's Home Improvement Warehouse stores. Some item numbers are available through special order only. Please consult the special order catalog or any sales associate for assistance at any Lowe's Home Improvement Warehouse store. © 2010-2011 American Water Heater (877) 817-6750 Privacy * Registered trademark/TM Trademark of Whirlpool, U.S.A. All other trademarks are owned by their respective companies. © 2010-2011 Whirlpool Corporation. All rights reserved. http://www.whirlpoolwaterheaters.com/products/product.aspx?id=128 8/15/2011 I JUL-28-2011 10:23 FROt1-WASHINGT0P'" 'NTER HEATERS 8663757454 T-898 P 001/001 F-153 RESIDENTIAL PLUMBING PERMIT APPLICATION Department of Community Development City of Arlington-238 N Olympic Ave.-Arlington,WA 98223-Phone(360)403 3551 -FAX(360)403 3447 THIS APPLICATION TO 13E USED FOR ONEAND TWO DWELLING UNITS R931DENT1A1,STRUCTURES. THIS APPLICATION• MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS AND TWO SETS OF SPECIFICATION SHEETS. Type of Permit: 13 New Residde]n'ti�al/ , (Q Addition/Alteration Project Address: 1 ' ` Parcel ID Ik Lot#: Subdivision: Project Descriptionn Clan( OWner: 1 1��(JZ� tC l� --Phone Number. =✓l Address: mz-- DSor� City: State: 041 Zip Code: Contact Person �CCL (S Phone Number: Cell Phone: /\4 Fox: �J � t E-mail: Yl6'WaJ_e4"4(/M1a �W'(Ib CQIY� Address: . o21 li s ' o�,Sul pi II ,CI�y�.�.f 5 -- city: State: Zip Cade: Plumbing Contractor. fllN TON WAT 1 C)LI /Z� Phone Number: bF Address: ,Sur, A ity: _[I>-uu?e Mate: yet Zip code: $ Contractor's License Number Expiration,— ` ` y o I a I hereby cer fy that the above information is corivq and that the odnstruction on, and the occupancy and the use of the above- described property virillebe in accordan with the la rules and regulation of the State of Washington. -2 I Applicants Signature Date Print Applicants Name RECEIVED FOR STAFF USE ONLY Ub-, l�0I 3 zero, Ala% COA PERMIT CENTER Permit# Accepted By Amount Received Receipt# DaleRaceivad VVE8 Farms—138 Pape 1 of 2 04108 eb c rn- JUL-28-2011 10:24 FROM-WASHINGTON''TER HEATERS 8663757454 - T-898 P.001/001 F-154 RESIDENTIAL PLUMBING I PERMIT APPLICATION Department of Community Development City of Arlington•238 N Olympic Ave.•Arlington,WA 98223-Phone(360)403 3551 - FAX (360)403 3447 Water Supply Piping A. Fixture units:Number of Fixtures X Fixture units=Total Fixture Units t S. Distance from meter to most remote outlet: feet, C. difference in elevation between meter and highest fixture:_feet above meter or_._feget below meter. D. Pressure in street main: psi.(Measure with gauge or check with Water Department) Number of Plumbing Fixtures (Including Rough-Ins) Plumbing Accessory Main Total Fixture Total Number Fixtures Dwelllnq unit Residence #X Multi tier Fixtures Units Bar Sink X 1.0 = Bathtub or Combination Bath/Shower X 4.0 = Clotheswasher X 4.0 = Dishwasher X 15 Hose Bibb X 2.5 = Kitchen Sink X 1.5 = Laund Sink X 2.0 Lavatory Bathroom Sink X 1.0 = Shower Stand Alone Each Head X 2.0 Water Closet Toilet X 2.5 Whirlpool Bath or Combination Bath/Shower X 4.0 Water Heater 75 1f Other TOTAL Traps(other than above items) FIXTUkE UNITS: I hereby certify that the above information is correct and that the construction on, and the occupancy anci the use of the above- ribed property(Will{bye in a dance with the ws, rules and regulation of the State of Washington. Applicants Signature Date r Date l�JAcc lU — !( l Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Data Received WEB Forms—138 Page 2 of 2 04/06 315 JUL-26-2011 10:21 FROM-WASHINGTOP' --`TER HEATERS 8663757454 1 T-696 P-001/001 F-151 NJ:r •ti>,::, .�^ THE MOST COMFORTASLC CALL YDU CAN IKAKJ� G TO N FAX from . r: . Date Sent:TO: fu Cmkie 3(oo— 4 e334q-7 Sent By: �JC CI Total Pages Including C over: Rw/yLbt RC, R? V-(9kJ- CY WYC'Tr)(" 7? C� perfn.tom WS 7 � www_Washinatonwaterheaters.com Ph. 1-800-978-8588 Fax 1-866-375 7454