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HomeMy WebLinkAbout18530 HAWKSVIEW DR_BLD20120121_2026 I BUILDING INSPECTION REPORT C'N v �j f Permit No. • Address: 19,530 7•pllNG-0 Contractor: FLAJ i n Owner: GDY okC)k Doff A scan, Date: APPROVAL ® PARTIAL APPROVAL ® VIOLATION ® CORRECTION REQUEST Corrections listed below MUST BE MADE before work can be approved Please contact inspector Was not able to perform inspection Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before sir. Inspector: Date: S`/o /L ® Under-floor ® Framing ® Gas Piping ® Footing ®Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork ® Mechanical ®Grid ® Struct. Slab ® Wood Stove Rough-in ® Final ® Masonry ®Drainage ® Insulation ® Other: . s r _ _ .� � �� _ H ' . � • . . �. � � � � . � ' . 1� .'f� r � � \�. F-1 - �, ..^�j=J;�. ... r 1+�;. ... .. ti 1 ' T . � i t _ .i :� . � i.. •_ ., _ f� �_ , � .a...,' � ® CITY OF ARLINGTON ��• 238 N.OLYMPIC AVE.-ARLINGTON,WA 98223 PHONE:(360)403-3551 - --- __- ---_ - BUILDING PERMIT --- -Address:18530 HAWKSVIEW DR,ARLINGTON Permit#:BLD20120121 Parcel#:00898300003400 Valuation:$0.00 DOWN !APPLICANT -i6+ CONTRACI'OR DONALDSON,GORDON DONALDSON,GORDON ARTISTIC DRYWALL GORDON DONALDSON GORDON DONALDSON ARTISTIC 18530 HAWKSVIEW DR 18530 HAWKSVIEW DR 3810 166TH PL NE ARLINGTON,WA 98223 ARLINGTON,WA 98223 ARLINGTON,WA 98223 Lie#:ARTISDT033BB Exp:5/21/2013 PLUMBINGMNTRACTOR 'J1F"r-„—NwHANICALCONTRACTOR TWIN CITY PLUMBING&RADIANT HEAT ING INC ALEX LEMAICH 26910 92ND AVE NW STE C-5/PMB201 STANWOOD,WA 98292 Lie#:TWINCCP916CZ Exp:2/9/2013 Lie#: Exp: FINISH EXISTINGFRAMED IN BASEMENT AREA-APROX. 1100SQ.FT. ROUGH IN PLUMBING FOR BATHROOM AND BAR SINK. PERMIT TYPE: Residential PERMIT GROUP. Alteration/Remodel Interior STORIES: 0 CONST TYPE: DWELLINGUNITS: 0 OCC GROUP: CODE: OCC LOAD: - PERMITAPPROVA[. 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 Print Name Date Released Dafe �' m 7/se ARCHIVE APPLICANT = ASSESSOR OTBER BLD20120121 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. • SEE ATTACHED REVIEW NOTES per C.Y. P MNU T FEES Date Uescri[lian Fee Amount Paid Balance Due 5/7/2012 Plumbing Permit Fee $110.00 $0.00 $110,00 5/7/2012 Mechanical Permit Fee $35.00 $0.00 $35.00 5/8/2012 OUT of City(QTY-. 1) $20.00 $0.00 $20.00 Total Due: $165.00 $0.00 $165.00 CALL FOR INSPECTIONS BUIIAINCIFNGINFERINGPARKS/UTILITICS/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 • e F.• t) Plan Review for 18530 Hawksview Dr A combination smoke detector and carbon monoxide detector needs to be installed outside the sleeping area. Smoke detectors need to be installed inside the bedrooms. All appliances need to be hard-wired and inter- connected. A 50cfm fan needs to be installed in the bathroom. Unknown if furnace already exists or not. Need combustion air path regardless since there will be sleeping rooms on this floor. P61D2_01�61c�-I i i 1 1 RESIDENTIAL ADDITION/ALTERATION PERMIT APPLICATION Department of Community Development City of Arlington• 238 N Olympic Ave. •Arlington,WA 98223•Phone(360)403 3551 •FAX(360)403 3418 THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS, TWO(2) ACCURATE,FULLY DIMENSIONED PLOT PLANS AND ONE(1)CROSS CONNECTION CONTROL SURVEY(if adding plumbing). TYPE OF PERMIT: ([D Residential Addition Residential Alteration Also Including:!, ,k(�Plumbing (a Mechanical Project Address: �`��C7 �a"`" `Sl V ) D Q Parcel ID#: �q� 3 D dJ j �� Lot#: Subdivision: �1'eti c�l�e_ ^ Project Description t g'v\-.4 —Valuation: 5ee_h#d dw-e ,C,tk a dna et Owner: C2o401-3 .Z�eSU00 J,Us. cC\c SNV Phone Number:3&a'-{'S-3'�4�' Address/6S 3 i�tiwk" ��'xN City: t State: � Zip Code: y Contact Person:Ga t—Q Phone Number:3(;U-("5-3'30& Cell Phone:_3bC) ' 673o-- %'�/'J Fax: E-mail: �u,U�w�ct7 ornCa �e� Address: sue^`— City: State: Zip Code: Building Area(Sq Ft): Iwt Floor: 2nd Floor: 3rd floor: q� Deck: Garage/Carport: Basement: \\ G ® S�I- Project Valuation: Contractor: � �S�C- �RYl.Uc�� Phone Number: Address: City - 41- State: �""� Zip Code: Contractor's License Number: 3 OT 3 R Expiration: Plumbing Contractor-�;;Voo C'�Lt p/Lr,��N�` Phone Number: Address �k A) C& City:�7�&cv�C_` State: Zip Code: Contractor's License Number: c�'� -I LI)r +lC C Pq I(oC -Expiration: <� �1- 20 I Mechanical Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number. Expiration: I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- descnbpdc ropert will in accordance with the laws,rules and regulation of the State of Washington. Applicants Signature Date �-_�d-vo Zr e-le-(:,-;`A) ----CITY OF ARLIN ECG Print Applicants Name GTO N MAY o,b L U I L BUILDING DEPARTMENT, �+ FOR STA�j "P"n V E C0 PERMIT l�a EN" Permits Accepted By Recelved ipt# Date Received NO CHANGES AUTHORIZED ICE COPY UNLESS APPROVED BY THE BUILDING INSPECTOR ■1 •1 1� W � �1 ���1 It_ 1 • • -16 H 1 I�_ �•. - 1 1 l••I All 1 "A 1 14 I l r 7 T u 71, y M' II YJ A .,r� 1 qk,1 :-\ti J% V"-% rn 1 u -rLfi_ 3 ■ J:j K: I' - - a nlrnl � I � I • rdI 1 I '11111 .11 1-- `` Ul - All - - - • � I • 1 mw21 I P 1 II II a 1 1 - sr1.; 1 _ I 1 I �� 1 ■ 1 » Plan Review for 18530 Hawksview Dr A combination smoke detector and carbon monoxide detector needs to be installed outside the sleeping area. Smoke detectors need to be installed inside the bedrooms. All appliances need to be hard-wired and inter- connected. A 50cfm fan needs to be installed in the bathroom. Unknown if furnace already exists or not. Need combustion air path regardless since there will be sleeping rooms on this floor. I BLD20120121 (PT-LIVE) -PermitTrax by Bitco Software Page 1 of 1 f BUILDING PERMIT PERMIT#: BLD20120121 OWNER: DONALDSON, GORDON - DONALDS... STATUS: APPLIED ADDRESS: 18530 HAWKSVIEW DR,ARLINGT... BALANCE: $0.00 }� ISSUED: CREATED: 5/4/2012 SCREENS: Select Screen... a FILINCTIONS:1 Select Permit Function... ALTERATION/REMODEL INTERIOR REVIEWS PRINT ADD NEW SUMMARY REVIE... DESCRIPTION ASSIGNE... DUE DATE LAST (#) REQ?DO... ASSIGN REMOVE 1014 P-Public Works I LTAYLOR 5/11/2012 0 Y N Assign Remove 1026 P-Utilities Fees RSHEPA... 5/11/2012 0 Y N Assign Remove 2000 C-Building I CYOUNG 5/11/2012 0 Y N Assign Remove 2008 C-Community Development I BFECHT 5/11/2012 0 Y N Assign Remove rk (5S W c PLA*) 6/1/nu) cmwa;rs https:Hcoapermits.arlington.local/PermitTrax/Module Permits/Permits Permit/Permit Revi... 5/4/2012 _ it 1 I � ` � �; �,� �� I � � I . ��� M I I . } . I� C. -i ti RESIDENTIAL ADDITION/ALTERATION PERMIT APPLICATION Department of Community Development City of Arlington•238 N Olympic Ave. •Arlington,WA 98223 • Phone(360)403 3551 •FAX(360)403 3418 Water Supply Piping A. Fixture Units:Number of Fixtures X Fixture Units=Total Fixture Units B. Distance from meter to most remote outlet: feet. C. Difference in elevation between meter and highest fixture:. feet above meter or feet 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 Dwelling unit Residence #X Multiplier Fixtures Units Bar Sink l X 1.0 = Bathtub or Combination Bath/Shower X 4.0 = Clotheswasher X 4.0 = Dishwasher X 1.5 = J Hose Bibb X 2.5 = Kitchen Sink X 1.5 = Laundry Sink X 1.5 = Lavatory(Bathroom Sink) X 1.0 = Shower Stand Alone Each Head X 2.0 = Water Closet(Toilet) X 2.5 = 1 Whirlpool Bath or Combination Bath/Shower X 4.0 = Water Heater 1 Other TOTAL i Traps other than above items FIXTURE UNITS: (Q 1 hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- describ property Vill.4e in accordance with the laws,rules and regulation of the State of Washington. Applicants Signature Date 6Gi-,rN D �cs yALIJScxI Print Applicants Name R E C E OYE-ED, MAY 0 3 2012 COA PERMIT CENTER 8 :FACIETA311"A PIPA11jo drc • I� 01-on-"Ef' ■ ■ mv ■ II i L II L �6 1 1 J % ■ ■ � � ■ ■ M ■9 - ■ ■ m ■ m ■ - ■ 11 ■ ■ MFCJ -Ldr1 !I NNU SI 1190 NJ& 14 II r/1■.111 No1 I 1 1 _ M . man m .m ■ 1 0 ■1m ■ ■ j ■r i ■1 M'_ I _ ; 1 1 1 1 1 1 ■ 1 1 i• 1 1 . 1 � ■ ■ ■ 1 No 1 ■li ■ ' -■ ■ Ed ■I■ 11 ■.r _ 11 1 _ ■ n ! 11 a_ - ■ -Y - - - Iti . _ _ 7 ■ ■ _ 7 ■ ■ ■ IT ■ ■ ■ ■ ■ ■ ■ No i ■ ■ m ■ 1 ! 1 I RESIDENTIAL ADDITION/ALTERATION PERMIT APPLICATION Department of Community Development City of Arlington•238 N Olympic Ave. •Arlington,WA 98223•Phone(360)403 3551 •FAX(360)403 3418 The building permit does not include any mechanical, electrical or plumbing work. These permits are issued separately. These permits require a separate permit application. To ensure that you have the most current information, please contact the City of Arlington Permit Center at (360)403 3551 or by email to Permit Center. Applications delivered by courier or mail will not be accepted. Incomplete applications will not be accepted. I acknowledge that all items designated as submittal requirements must accompany my Building Permit Application to be considered a complete submittal. Signature: Date.. Owner/Owner's Representative Company: Phone: 6 ■ IN-M ■ it _ ■ ■ �_ _ n u �I ■ ■ ' ■ _ ' iv i.r ■ ti ti m% 1 ME a..x - '■.:. '9■u= k r ■ ■ _ ly l �! ■ T ' 'nu -7 n �r �� II .1 -- ILL i LJj", Washington State Department of ELECTRICAL Inspection Labor & Industries Correction Report ELECTRICAL Section The corrections Usted below are hereby ordered and must be completed within 15 days of issuance. Contractor/Owner Date of Insoection Per24 Number SELTEC ELECTRICAL SERVICES _ 4/24/2012 83619E Address of Inspection City 18530 hawks dr ARLINGTON NO PPROVED FOR COVER ❑ NOT APPRO D FOR SERVICE Is the permit fe orrect Yes No Fee due $0.00 Correction(s) issued on: 4/Z Q012 2008 NEC 410.16 (B) Lumin e Types Not Permitted Correcti Issued on: 4/24/2012 by ROACH, CHARLES Incandescent luminaires with op or partially enclosed la s and pendant luminaires or lampholders shall not be permitted. CLOTH CLOSET LIGHT 2008 NEC 410.16 (C) Location Corractio s o :ued 4/24/2012 by ROACH, CHARLES The minimum clearance between luminaires t ed in clothes closets and the nearest point of a storage space shall be as follows: (1) (12 in.)for surface-mounted incandes nt or LED minaires with a completely enclosed light source installed on the wall above the door or on the ceiling (2) (6 in.)for surface-mounted fluor cent luminaires installed o the wall above the door or on the-ceiling (3) (6 in.)for recessed incandes ent or-LED luminaires With a compile ly enclosed light source installed in the wall or the ceiling (4) (6 in.)for recessed fluor scent luminaires installed in the wall or the ceiling (5) Surface-mounted fl rescent or LED luminaires shall be permitted to be installed thin the storage space where identified for this use. inspector ROACH, CHARLES . (360) 416-3019 _ Inspection Request Line 360 416-3005 Page 1 of 1 ra�c 1 vi t, POST ON JOBSITE PRIOR TO BEGINNING OF WORK Department of Labor and Industries ELECTRICAL CONTRACTOR ELECTRICAL WORK PERMIT # 2083619E Contractor Name License Number Installation Description: SELTEC ELECTRICAL SERVICES SELTEES895KP install sub panel and branch circuits for basement upgrade Purchaser's mailing address — - -- - -- 21421 N CARPENTER RD Services to inspect: SNOHOMISH WA 98290 Description Quantity Amount Telephone number 4253979600 dditional Feeder(s)-0-200 MP 27.70 Premises owner's name Circuits-#of Circuits donaldson, lajuan [added/altered F� 1$63.30 I Inspection Fee: $91.00 Andress of inspection The department will perform 1 inspection for 18530 hawksview dr Site Phone Number 3606533082 permits where total fee paid on permit is less ARLINGTON than$86.19. For more than l inspection, additional fees are required. Power company Additional Fees May Be Assessed Upon Field Snohomish County-PUD Inspection This permit expires in one(1)year from date of last activity. Applied: 4/2/2012 Expiration: 4/2/2013 Date Approved By Date Approved By WALLS insulation Only SERVICE Cover /Z FEEDER CEILING Insulation Only THERMOSTAT Cover Z / DITCH Inspection Date Area, Building or Equipment Inspected Action Taken Ele deal Inspector XA Property Owner: This is your permanent record of inspection FAILURE TO POST PRIOR TO BEGINNING WORK WILL RESULT IN CIVIL PENALTIES Attention Applicant! The Department will not conduct this inspection if there are unrestrained animals on the premises. Failure to comply with this requirement may result in additional inspection service fees and delay in service. https:Hsecureaccess.wa.gov/lni/epis/rptPermit.aspx 4/2/2012 n. Twin City Plumbing 8--'�diant Heat Inc Invoice -amlt ing. 26910 92nd Avenue NW PMB 201 ►� Suite C-5 Date Invoice# Stanwood, WA 98292 4/26/2012 769 Bill To Gordon Donaldson 18530 Hawksview Dr. Arlington,WA 98223 Terms Description Qty Amount Plumbing Labor:Rough in of water and waste on new tub shower and valve,lav sink, 1 2,100.00T toilet,kitchenette,and tankless hot water heater in unfinished basement.Also roughed in new gas supply to outside deck BBQ. Plumbing Materials:pipe and fittings,Rinnai tankless,and miscellaneous items. 1 2,756.58T SALES TAX(SHIP TO:ARLINGTON-3101) 417.67 Please remit to above address.Thank you for your Business! Total $5,274.25 1 Proposal��=•�m Artistic Drywall T'2xtures, Inc. 381u-166T"PL NE, Suite 205 Arlington,WA 98223 360-652-7570 425-771-2572 425-821-6784 Fax: 360-652-9166 ARTISDT-033-BB PROPOSAL SUBMITTED TO PHONE DATE Gordon Donaldson 360-630-1947/Gordon.d.donaldson gmail.com April 23,2012 STREET JOB NAME 18530 Hawksview Drive CITY, STATE AND ZIP CODE JOB LOCATION Arlington,WA 98223 Same We hereby submit specifications and estimates for drywall furnished and installed: Texture: X Light Dash/ Dash/ Fog/ _Brocade/ Smooth/ Mask Floors/ Closet: Wrap/ X Wrap,%Drop(Bi-fold)-back bedroom only/_Wrap,2 '/2 Drop(Bi-pass)/_Wood/ '/Z Jam Windows: X 3-way/ 4-way/ Wood Case/ Wrap High Only/ Other/ Garage: No Completely Hang/ Warm Wall/ Fire-tape/ Finish up to Texture Finish to match house/ Paint Sealer/` Vapor Sealer / Mask Garage Floor Unfinished Areas: No Basement/ Basement to Code/ Bonus Room/ Other- Skylights: No Number/ With J-Vinyl/ With L-Metal Beams: Exposed/ Wrap/ Bull Nose: No Throughout/ Windows only/ Main Floor/ Other/ Water Resistant: Tubs/ Shower/ Complete Bath/ Tile Backer/ X Not Included Gypsum Wallboard: All 5/8"/ 5/8"in garage only/ 1/2"on ceilings and walls/ 5/8"ceiling only 1/2"water resistant/ 5/8"water resistant/ water resistant not included Builders Responsibility: Optional Adds: Heat,water,and power. Finish Garage Call for inspections. Smooth Wall Stair Skirt installation. 2nd layer GWB Removal of debris and personal belongings prior to stock. Mark closet door types on doorjamb. Mark wallpaper walls/wainscot. Installation of backing. Miscellaneous: If smooth wall,it is still necessary for finish painters to prime again for smooth wall. Bid from prints/reserve right to live measure Contractor to provide reasonable access for boom trucks to stock GWB. Artistic assumes no responsibility for dust barriers or dust infiltration. We scrape floors after texture,however there will be some residue left.Artistic provides a full one year warranty from the date of completion of our work. All claims must be made within one month from expiration of warranty period.There will be an additional charge if vapor barrier is required. Bid includes paint primer applied prior to texture. We will not guarantee the joints will not flash if primer is not applied prior to texture. Bid includes masking floors. We propose hereby to furnish and install material and labor—comp'.ete in accordance with above specifications,for the sum of- Four thousand dollars and 00/100 dollars($ 4,000.00 ). Verbal acceptance constitutes contract. *Now Accepting Visa and MasterCard* Bid does not include tax. Finance charge is 1 %:%per month on past duc accounts. Legal fees charged on all collections. To be paid in full by tenth of month following completion. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements are contingent upon strikes,accidents,or delays beyond our control. Owner is to carry tire,tornado,and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. -Note:This proposal may be withdrawn by us if not accepted within 60 days. Acceptance of Proposal-_ he Bove prices,specifications,and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment wi� do outli / above. UPON ACCEPTANCE Of PROPOSAL,PLEASE SIGN BOTH SIDES AND RETURN. Submitted by Signature Date of Acceptance t ��"� Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with Lftl to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name ARTISTIC DRYWALL TEXTURES INC UBI No. 601741720 Phone 3606527570 Status Active Address 3810 166Th Pl Ne#205 License No. ARTISDT033BB Suite/Apt. License Type Construction Contractor City Arlington Effective Date 1/2/1997 State WA Expiration Date 5/21/2013 Zip 98223 Suspend Date County Snohomish Specialty 1 Dry Wall Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type l 1 2 Date Date Status ARTISJ10851-3 ARTISTIC JWKC INC Construction Dry Wall Plastering 6/23/1992 6/16/1993 Archived Contractor ARTISTIC DRYWALL Construction ARTISDT232JJTEXTURES Contractor Wall Unused 4/11/1977 3/11/1997 Archived Business Owner Information Name Role Effective Date Expiration Date WICKBERG,WILLIAM LLOYD Agent 05/11/2011 WICKBERG,WILLIAM LLOYD President 09/15/2008 PRATER, KRISTINA JOY Secretary 09/15/2008 PRATER, KRISTINA JOY Treasurer 09/15/2008 DORRIS, DAVID OWEN Vice President 09/15/2008 ORCUTT,TERRY President 01/02/1997 09/15/2008 ORCUTT,VERN CHARLES Secretary 01/02/1997 09/15/2008 'WICKBERG,WILLIAM(LLOYD) Vice President 08/19/2004 09/15/2008 ALBERT, KELLEY A Vice President 05/14/2002 08/19/2004 STEVENS, DANIEL Secretary 01/02/1997 05/16/2002 Bond Information No records found for the previous 6 year period Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 4 1813027933 2/12/2009 Until Bond $6,000.00 4/27/2009 Released 3 3234030494 5/9/2002 2/13/2009 Bond $1,000.00 5/13/2002 2 1813001318 5/17/2002 2/13/2009 Bond $5,000.0015/21/2002 2 1813001318 5/17/2002 12/13/2009 Bond $5,000.00 5/21/2002 1 1813001318 12/24/1996 12/13/2009 113ond $4,000.00 7/18/2008 1 11813001318 12/24/1996 2/13/2009 113ond $4,000.00 7/18/2008 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Datel Amount lReceived Date American Fire 1-7I&Casualty Co I BKA1355093366 05/16/2012 05/16/2013 _ $1,000,000.0004/25/2012 16 10hio Cas Ins Co IBKA1253856596 05/16/2011 05/16/2012 __�$1,000,000.0005/05/2011 https://fortress.wa.gov/lni/bbip/Print.aspx 5/4/2012 -• i. Contractors or Tradespeople Pr1,iter Friendly Page Page 2 of 2 15 'OHIO CAS INS iBKO1053856596 05/16/2010 05/16/2011 E$1,000,000.00 05/13/2010 CO LIBERTY 14 NORTHWEST BKO1053856596 05/16/2009 05/16/2010 $1,000,000.00 05/13/2009 INS CORP 13 OOHIO CAS INS BKO0953724025 05/16/2008 05/16/2009 $1,000,000.00 05/15/2008 12 OOHIO CAS INS BKO0953724025 05/16/2008 05/16/2009 $1,000,000.00 05/15/2008 11 FIRST MERCURY FMFL001760 05/16/2007 05/16/2008 $1,000,000.00 05/01/2007 INS CO 10 FIRST MERCURY FMFL000769 05/16/2006 05/16/2007 $1,000,000.00 05/12/2006 INS CO 19 FIRST MERCURY IFMFL000769 05/16/2005 05/16/2006 $1,000,000.0005/12/2005 NNS CO 8 FIRST MERCURY IFMFL000769 05/16/2005 05/16/2006 $250,000.00 05/12/2005 INS CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https:Hfortress.wa.gov/lni/bbip/Print.aspx 5/4/2012 .�' � q RESIDENTIAL PLJIil RING PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3551 • FAX(360)403 3418. THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS AND TWO SETS OF SPECIFICATION SHEETS. Type of Permit: QD New ZZ-1/ov ntial ® Addition/Alteration Project Address: —_L � WP, - Parcel ID#: h i) �/5l 'J 000 1 Lot#: Subdivision: 14 Project Description: 1 pr ct Valuation: eG7 Owner: (,2(5�� 4�1A S'4xf '— Phone Nu' er. _ ( ` Address: �J�V /I��� ��L✓ ��� City: L _ 111State: Zip Code: Contact Person: A�/�/�f2 //GU►1/l 614 Phone Number: V _S8 7"1— 13 Cell Phone: 6 _, ,�-aw Fax: 50_-1 ,5Z15Qel) E-mail: /P/.fs1(//,lJ lQL1f/7.,(/J/✓j Address: J' Q/ City: State: VW-- Zip Code: V q) Plumbing Contractor: Phone Number: 21,0 39 -1VI 1 F /a/y/1 Address: ' City: �rl State: Zip Code: Contractor's License Number: " �" Fxpiration: / 1 I hereby certify that the abc /1� /� n �, '� i, and the occupancy and the use of the above- describl property II be in; I ' fi (�J �Y1�' to of Washington. Applicantsiv ,V�/ f� Print Applicai /t LJ RV MAY 0 a I Z COA PERRA' 1 Lt.0-a-0 a!_0 I ,?_( RESIDENTIAL PLJMBING PERMIT APPLICATION L Department of Community Deveiopment City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3418 Water Supply Piping A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units B. Distance from meter to most remote outlet: feet. C. Difference in elevation between meter and highest fixture: feet above meter or feet 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 Dwelling unit Residence #X Multiplier Fixtures Units Bar Sink / X 1.0 = Bathtub or Combination Bath/Shower X 4.0 = Clotheswasher X 4.0 = Dishwasher X 1.5 = Hose Bibb X 2.5 = Kitchen Sink X 1.5 = Laundry Sink X 1.5 = Lavato Bathroom Sink X TO = 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 Other TOTAL Tra s other than above items) FIXTURE UNITS: hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described prope y will be i accorda ice with the laws, rules and regulation of the State of Washington. � v a Applicantts/Signature Date Print Applicants Name 2 r � � Ii `1 _ � 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 3418 CROSS CONNECTION SURVEY FORM Forward to Utilities Division for Review Type of Residence: d'ingle-Family ❑ Duplex ❑ Other The Rules and Regulations of the State of Washington Department of Health require that certain premises install backflow prevention assemblies (WAC 246.290.490). Backflow prevention assemblies shall be instalied at any premise where, in the judgment of the City of Arlington Cross Control Specialist, the nature of activities on the premises may pose a hazard to the public water system. Type of Permit: ® New Residential dAddition/Alteration Project Description: Project Address: �' Al" Parcel ID#. Owner: Phone Number: Address: 7 1 City: XVIM4111State:�([� Zip Code: l i Contact Person:—A. ' Phone Number: , 5 V_ Cell Phone: � S,��.;',offs Fax: 10-1 343 -0✓LJO E-mail: ,tINO L"&IZ ,(dN Address: N W� ',7�f//((_ ��City:..Li ��� State: Zip Code: Z Z Appliances permanently connected to water service may require Cross-Connection-Control (check all that apply) ❑ Fire Sprinkler System ❑ Medical Equipment ❑ Lawn Sprinkler System ❑ Livestock Drinking Tanks ❑ Decorative Pond/Fountain ❑ Private Well ❑ Hot Tub ❑ Re-circulating Heating System ❑ Swimming P 01 ❑ Other I6Y1/9l', Authorized Signature: " / Date:V oc�%tR� For Office Use Only Date Received: Survey Received By: Assembly Required: 0 DCVA 0 RPBA ❑ AVB Other Inspection Required: YES ❑ NO ❑ 3 Contractors or Tradespeople Printer Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name TWIN CITY PLBG&RDIANT HT INC UBI No. 602894369 Phone 3606521212 Status Active Address 10101 270Th St Nw Pmb 201 License No. TWINCCP916CZ Suite/Apt. License Type Construction Contractor City Stanwood Effective Date 2/9/2009 State WA Expiration Date 2/9/2013 Zip 98292 Suspend Date County Snohomish Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status DOUBLKP891 R1 DOUBLE K Construction General Unused 12/21/2011 12/21/2013 Active PLUMBING Contractor Business Owner Information Name Role Effective Date Expiration Date WATSON, DEREK ALLEN Agent 02/09/2009 WATSON, DEREK ALLEN President 02/09/2009 LEMAICH,ALEX BRITTON 'Vice President 02/09/2009 Bond Information Bond d Ac Bond Company Name Boncount Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 FEDERATED MUTUAL 9413854 02/09/2009 Until Cancelled $12,000.00 02/09/2009 INS CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective DateiExpiration Date Cancel Date Impaired Datei Amount lRecelved Date 1 FEDERATED 9817945 102/09/2009 102/09/2013 $1,000,000.0001/04/2010 MUTUAL INS CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https:Hfortress.wa.gov/lni/bbip/Print.aspx 5/4/2012 Contractors or Tradespeople Printer Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with L&Ito perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name TWIN CITY PLBG Et RDIANT HT INC UBI No. 602894369 Phone 3606521212 Status Active Address 10101 270Th St Nw Pmb 201 License No. TWINCCP916CZ Suite/Apt. License Type Construction Contractor City Stanwood Effective Date 2/9/2009 State WA Expiration Date 2/9/2013 Zip 98292 Suspend Date County Snohomish Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status DOUBLKP891R1'DOUBLE K Construction General Unused 12/21/2011 12/21/2013 Active PLUMBING Contractor Business Owner Information Name Role Effective Date Expiration Date 'WATSON, DEREK ALLEN Agent 02/09/2009 WATSON, DEREK ALLEN President 02/09/2009 LEMAICH,ALEX BRITTON Vice President 02/09/2009 Bond Information Bond Bond Company NamelBond Account Numberl Effective Date Expiration Date Cancel Date Impaired Date(Bond Amount Received Date 1 FEDERATED MUTUAL 9413854 02/09/2009 Until Cancelled $12,000.00 02/09/2009 INS CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Numberf Effective DatelExpiration Date Cancel Date(Impaired Datel Amount lReceived Date 1 IMUTUALINS COFEDERATED 9817945 02/09/2009 102/09/2013 $1,000,000.00 01/04/2010 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 5/4/2012 I W,lnnai, Type of Appliance Temperature controlled, continuous flow, Rinnai Model Number REU-VA2535FFUD-UC gas hot water system Operation/Exhaust System Forced combustion/Direct vent Minimum/Maximum Gas Rate(Input) 15,000 - 199,000 BTU/h (Natural Gas) '190,000 BTU/h (Propane) Electrical Appliance: Controller: AC 120 Volts-60 Hz Electrical Consumption Normal DC 12 Volts Standby 79 watts Anti-frost protection 2.0 watts Ignition System Direct electronic ignition 100 watts Hot Water Capacity 0.6 to 9.4 GPM (35 F rise) Temperature 980 - 120- F (factory default) Maximum temperature is selectable at 120° F or at 140o F- 98° - 185°F available with the MCC-91 controller for commercial and hydronic applications Temperature(without remote) 120° F (factory default) Approved Gas Types Natural or Propane(ensure unit matches as t Installation Indoor only g ype) Energy Factor Natural Gas: 0.82 Propane: 0.82 Thermal Efficiency Natural Gas: 84% Service Connections Gas supply: Propane: 84% 3/4 inch MNPT Cold water inlet: 3/4 inch MNPT Hot water outlet: 3/4 inch MNPT Water Flow Control Water flow sensor, electronic water control and by-pass Minimum/Maximum Water Supply Pressure 20- 150 PSI (recommended 30-80 PSI for maximum perfomance ME 10.0 ) 9.0 8.0 R94LSi(Natural Gas) 7.0 6.0 — 0 5.0 ---- U` 4.0 R94LSi(Propane Gas) 3.0 1.0 — - — 0.0 — -- - 0 25 50 75 AT-Temperature Rise 'F 100 125 150 ©2008 Rinnai Corporation R94LSi SP e/2008 al77. rr 1 .i Rinnal. • i Water Temperature Control Simulation feed forward and feedback Controller MC-91-1 US (part of the front panel) Deluxe controller: MC-100V-1 US (optional) Bathroom controller: BC-100V-1 US (optional) Wireless controller: MC-502RC-1 US-MS (optional) MCC-91-1 US (for commercial applications) Controller Cable Non-polarized two-core cable, minimum 22 AWG Safety Devices • Flame failure-Flame Rod • Remaining flame (OHS) • Boiling protection • Thermal fuse Combustion fan rpm check . Automatic frost protection • Over current-glass fuse(3 amp) Clearances from Combustibles o Top of heater-6 inches • Back of heater-0 inches (suitable for closet, attic, and • Front of heater-6 inches • Bottom of heater- 12 inches crawl space installations) • Sides of heater-2 inches • From vent pipe-0 inches Clearances from Non-combustibles • Top of heater-2 inches . Back of heater-0 inches • Front of heater-6 inches . Bottom of heater- 12 inches • Sides of heater- 1/2 inch • From vent pipe-0 inches Min./Max. Gas Supply Pressure Natural Gas: min 5" W.C. max 10.5" W.C. Propane Gas: min 8" W.C. max 13.5" W.C. Manifold Gas Pressure(inches W.C.) Natural Gas: high fire 3.3" W.C. low fire 0.52" W.C. Propane Gas: high fire 5.0" W.C. low fire 0.92" W.C. NOx Meets California and Texas NOx Emission Rules Warranty Heat exchanger: 12 years*for residential and 5 years*for commercial and hydronic applications; (10 years*if used with the Rinnai Hydronic Air Handler); all other parts 5 years*; labor 1 year; (*3 years if used as a circulating water heater within a circulation loop,when the water heater is in series with a circulation system and all circulating water flows through the water heater) Rinnai is continually updating and improving products; therefore. specifications are subject to change without prior notice. Local, state, provincial and federal codes must be adhered to prior to installation. M 14(355,6) 9.6(244.5)_I WEIGHT: 50 LBS(23 KG) in (mm) I N N 00 4 0 c� I N 3.6(91) 1.1( 7) — 2.8(70) 3.9(99 4.3(110)--I_- 3.5(89) The wall bracket is adjustable to allow an additional 1.57 inches (40 mm). Rinnai Corporation•103 International Drive•Peachtree City,GA 30269•Toll-Free:1-800-621-9419-Fax:678-364-8643-www.rinnai.us t Brenda Fecht From: Brenda Fecht Sent: Wednesday, May 02, 2012 3:49 PM To: 'gordon.d.donaldson@gmail.com' Cc: 'alex@tcpnrh.com'; Launa Peterson; Amy Rusko Subject: REsidential Alteration Permit including plumbing. Mr Donaldson, See the attached website link to our Residential Permit Alteration application packet as discussed on the phone. Please fill the additional form out and return via email or in the office. It will be reviewed at the same time as the plumbing permit application that Launa received the other day. It was for the rough-in plumbing but doesn't cover your basement finish work. http://www.arlingtonwa.gov/modules/sliowdocument.aspx?documentid=807 Follow the submittal requirements on the application, and some of the specifics are: -floor layout and what type of rooms, sizes etc. Show what is framed and any new proposed. -re: Estimated project Valuation-Since the plumber put the valuation of his portion on the plumbing application,you only need to show the valuation of the other work. -You said you have bid documents for the finish work,you can include. -The plumbing application shows the work proposed as inside your existing basement area and not planning to add on to the outside of your home, then a site plan (A), foundation plan (b) of the submittal requirements is not needed. If you are planning on adding to the outside then give us a call to explain, as it would require site-zoning verification. If you have questions, please call. 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