HomeMy WebLinkAbout18422 Champions Dr_BLD290_2026 (3) RESIDENTIAL PLUMBING
.r.f PERMIT APPLICATION
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 PLUMBING INSTALLATION
FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND
INCLUDE ALL INFORMATION.
Project Address: z;Z'J ��► �lti �(
P
Project Description: ( 'Iwtt- I lwkv
Owner: f-9 LtX6
Address: 2'� (ha•"CYtS 'ter Aj-6 0oftl'i ( )Ck
Phone: ���t3��r Kezf Email:
Applicant: .JMCi^4Ntw ' �S ,Shj '1 Gu�v V&d&s .
Address: z�i �iC � � . /��� &/it
Phone: Email:
t
Applicant Signature: AV
Electronic Signature if submitting on-line
1 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.
CONTRACTOR INFORMATION
Contractor Name: �611111T Z1Y). zoak'v *nkf's'
Company:
License Number:
�(�A�sr '� ���/ Expiration:
Phone: ( ����� lS Email:
STAFF USE ONLY Received
Permit#:Q� ��� Accepted byL4 / DateOEB 13 2014
RESIDENTIAL PLUMBING
.4
PERMIT APPLICATION
Department of Community&Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 •Phone(360)403-3551
Plumbing Section (check all that apply)
(Check all that apply and indicate the number of fixtures proposed)
Bath/Shower Combo (4.0) x Q Sink (15) x
C Shower(2.0) x E Lavatory(1.0) x
El Clothes Washer(4.0) x Water Closet(2.5) x
Dishwasher(1.5) x Water Heater x
Hose Bibb(2.5) x Other(list).
Proposed Water Piping Size:
Proposed Piping Material:
Proposed DWV Material:
Proposed DWV Size:
• All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV)
• Cross-Connection-Control may be required
Shop Whirlpool 6th Sense 40-Gallon 6-Year Short Gas Water Heater(Natural Gas) at Lo... Page 1 of 1
Your Eton:
Auburn,WA
Your Store:Auburn,WA FREE
Store Pickup
Whirlpool 6th Sense 40-Gallon 6-Year
Your order will be ready for pickup from
Lowe's Of Auburn,WA by
Short Gas Water Heater(Natural Gas) 02126120114
4 Item#:3335671 Model*N40S61AO3
t# Lowe's Truck Delivery
Your order will be ready for delivery to
$384.94 you from Lowe's Of Auburn,WA by
02/2612014
Get 504•Off Every Day or Special Financing"' Parcel Shipping
Minimum Purchase Required Unavailable for This Order
Sent by carriers like UPS,
FedEx,USPS,etc
Whirlpool 6th Sense $384.94
40-Gallon 6-Year
Tweet 0 $•1 2 Short Gas Water
Heater(Natural Gas)
5-Year Water $49 97
Heater Extended
Protection Plan
Description
6th Sense 40-Gallon 6-Year Short Gas Water Heater(Natural Gas)
• Whirlpool 6th sense technology advanced electronic gas control
• High-altitude certified from Oft.to 10,100 ft
• FVIR safety system protects your family from accidental ignition of flammable vapors
• Consumer-fiiendly combination gas valve/thermostat with self-diagnostics
• Push-button pilot4ighl igniter with view port for ease-of-lighting pilot without matches
• Factory installed temperature and pressure relief valve
Specifications
Water Heater Style Short Energy Factor 0.59
Series N/A High Altitude Model Yes
Iris Technology No Lo Nox Yes
Tank Capacity(Gallons) 40.0 Foam Insulation Yes
Family Size 4.0 Ignition Type Piezo
Warranty 6 year Pilot Reset Button Yes
Fuel Source Natural Pilot Light Window Yes
gas UL Listed No
BTU Input(BTU) 40000.0 CSA Listed Yes
Diameter(Inches) 20.0 ETL Listed No
Height(Inches) 52.25 Commercial/Residential Residential
Water Connection Location Top Vent Diameter(Inches) 30
Water Connection Size 3/44n. Type B
Temperature and Pressure Relief Valve Yes Vent Type double
GPH Recovery at 90 Degrees F(Gallons) 40.5 wall
ENERGY STAR Qualified No
®2014 Lowe's.All rights reserved.Lowe's and the gable design are registered trademarks of LF,LLC
http://www.lowes.com/pd_333567-135-N4OS61-403_0 ?Ntt=n4Os6l-403&UserSearch=... 2/11/2014
CITY OF ARLINGTON
` 18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551
BUILDING PERMIT
18422 CHAMPIONS DR Permit#:290
PERMIT EXPIRES 180 DAYS AFTER
Parcel#: 00874400010500 DATE OF ISSUANCE.
Scope of Work:Replace Gas Water Heater Valuation: .00
OWNER APPLICANT CONTRACTOR
BALL BECKY L Washington Water Heaters WASHINGTON WATER HEATERS INC
18422 CHAMPIONS DR 1800 Richards Rd,Ste A PO Box 59208
ARLINGTON,WA 98223 Bellevue,WA 98005 Renton,WA 98058
1-800-978-8588 (800)978-8588 EXT:
LIC:WASHII*9800P EXP:09/17/2024
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Washington Water Heaters
1800 Richards Rd,Ste A
Bellevue,WA 98005
1-800-978-8588
LIC#: EXP: LIC#:WASHII*9800P EXP:9/17/2014
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL PLUMBING CODE YEAR:
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any
other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the
Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any
period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance
advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building
official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this
jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation,
guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is
determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City
ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor.
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/IRC 110.
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.
�1 Z02/13/2014
Applicant Signature Date Building Official Date
CONDITIONS
The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations.The
property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment
or community.The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant
authorities before commencing construction.The property owner shall ensure that the construction project complies with all
applicable design review requirements.
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
09/08/2026 Water Heater(Tank) $25.00
09/08/2026 Mechanical Commercial Permit $25.00
Total Due: $50.00
Total Payment: $50.00
Balance Due: $0.00
CALL FOR INSPECTIONS
Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
INSPECTION INFORMATION I Pass/Fail
Permit#: 290
Permit Date: 02/13/14
Permit Type: RESIDENTIAL PLUMBING
Project Name: Becky Ball
Applicant Name: Washington Water Heaters
Applicant Address: 1800 Richards Rd, Ste A
Applicant, City, State, Zip: Bellevue,WA 98005
Contact: Jacci Daniels
Phone: 1-800-978-8588
Email: hotwater4you@yahoo.com
Scope of Work: Replace Gas Water Heater
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 02/14/2014
Permit Expires:
Permit Form Type:
Civic Plus Number:
Status: COMPLETE
Assigned To:
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
It 6 Common Wall
00874400010500 18422 CHAMPIONS DR BALL BECKY L Single Family
Residence
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
WASHINGTON WATER JACCI DANIELS (800)978-8588 PO Box 59208 CONSTRUCTION Labor&WASHII*9800P
HEATERS INC EXT: CONTRACTOR Industries
Fees
Fee Description Notes Amount
Water Heater(Tank) $25.00
Mechanical Commercial Permit Table 4-7;Per Unit $25.00
Total $50.00
Attached Letters
Date Letter Description
02/13/2014 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
Hot Water Tank
02/13/2014 Washington Water Heaters Permit- 18422 Check#6108 $50.00
Champions Dr
Outstanding Balance $0.00
Notes
Date Note Created By:
04/07/2014 This permit was obtained by WA Water Heater and no inspection was ever scheduled.See letter Chris Young
Uploaded Files
Date File Name
02/13/2014 BLD 290.pdf