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HomeMy WebLinkAbout405 E 3rd St_BLD6091_2025 RESIDENTIAL PLUMBING APPLICATION Community and Economic Development City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551 This application is for new, repaired, altered or replaced plumbing installation for existing residences. Please fill out all pages of this application and include all information. The City of Arlington does not require a permit to stop leaks or clear stoppages, unless the piping is repaired, altered or replaced. Type of Permit:  New Installation  Addition  Alteration  Repair Property Address: Project Valuation: Lot #: Parcel ID No.: Preferred Contact:  Owner  Contractor Project Description: Owner Name: Home No.: Email Address: Cell No.: Mailing Address: City: State: Zip: Contractor Name: Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: L&I Contractor License Number: Expiration Date: • 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 Proposed Interior Water Piping Size:  ½”  ⅝”  ¾”  1” Proposed Interior Piping Material:  CPVC  Brass  Copper  PEX-AL-PEX  PEX  Galvanized Steel  Other Proposed Exterior Water Piping Size:  ½”  ⅝”  ¾”  1”  1½”  2” Proposed Exterior Piping Material:  PVC  PE  Copper  PEX-AL-PEX  PEX-AL-PE  PEX  Other Proposed Drain-Waste-Vent (DWV)  Schedule 40 ABS DWV  Copper  Galvanized Steel  Cast Iron Material:  Schedule 40 PVC DWV  Brass  Other Proposed Drain-Waste-Vent (DWV)  ½”  ⅝”  ¾”  1”  1½”  2”  3” 4” Piping Size: Residential plumbing permits will be assessed a base fee, fee per unit, and inspection fee (plan review fee per Table 4-6 may be required for certain permits) Type of Fixture No. of Fixtures Cost per Fixture Subtotal Additional Plan Review fees x $ 75.00 = Alteration/repair piping x $ 15.00 = Backflow Assembly x $25.00 = Base Plumbing Fee 1 x $ 25.00 = $25.00 Bath/Shower Combo x $ 15.00 = Building Main Waste x $ 25.00 = Clothes Washer x $ 15.00 = Dishwasher x $ 15.00 = REV03.2022 Page 1 of 2 Residential plumbing permits will be assessed a base fee, fee per unit, and inspection fee (plan review fee per Table 4-6 may be required for certain permits) Drinking Fountain x $ 15.00 = Floor Drains x $ 15.00 = Grease Interceptor x $ 75.00 = Grease Trap x $ 25.00 = Hose Bibb x $ 15.00 = Icemaker/Refrigerator x $ 15.00 = Irrigation – per meter x $ 25.00 = Kitchen Sink & Disposal x $ 15.00 = Laundry Tray x $ 15.00 = Lavatory x $ 15.00 = Medical Gas Piping ≤ 5 Inlets / Outlets x $ 60.00 = Medical Gas Piping for each additional Inlet / x $ 5.00 = Outlet > 5 Miscellaneous – regulated by plumbing code, not x $ 15.00 = otherwise specified Pretreatment Interceptor x $ 15.00 = Re-inspection Fee x $ 75.00 = Roof Drains x $ 15.00 = Shower (only) x $ 15.00 = Sink (bar, service, etc.) x $ 15.00 = Toilets x $ 15.00 = Urinal x $ 15.00 = Vacuum Breakers x $ 25.00 = Water Heater x $ 25.00 = MODEL NO.: Water Heater – Tankless x $ 25.00 = MODEL NO.: Permit Fee Inspection Fee $75.00 Processing/Technology Fee $25.00 Total 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. Signature Print Name Date FOR STAFF USE ONLY PERMIT # ACCEPTED BY: DATE STAMP REV02.2024 Page 2 of 2 Date: 10/03/2025 Permit #: 6091 Permit Date: 07/30/2024 Review Date: 07/30/2024 Permit Type: RESIDENTIAL PLUMBING Review Type: RESIDENTIAL PLUMBING Target Date: 08/20/2024 Scheduled Time: 00:00 Completed Date: 08/05/2024 Description: Must contact PW water dept. before connecting to meter. Review Status: Approved with Conditions Assigned To: BUILDING Time In: 00:00 Time Out: 00:00 Hours: 0.5 Notes 08/05/2024 Must contact PW water dept. before connecting to meter. 08/09/2024 #10 Tracer Wire with blue jacket taped every 24 inches is required. Property Information Parcel#: 00529900401100 CARTWRIGHT ADAM CARTWRIGHT ADAM 405 E 3RD ST 405 E 3RD ST Arlington, WA 98223 Zoning: 100 SINGLE FAMILY RESIDENCELot: Block: Permit #: 6091 Permit Date: 07/30/24 Permit Type: RESIDENTIAL PLUMBING Project Name: Cartwright Applicant Name: Adam Cartwright Applicant Address: 405 E. 3rd St. Applicant, City, State, Zip: Arlington Contact: Adam Cartwright Phone: 4252322108 Email: borsteth@gmail.com Scope of Work: Replace existing iron pipe connection with 1" poly pipe Valuation: 300.00 Square Feet: 2758 Number of Stories: 2 Construction Type: VB Occupancy Group: R-3; Residential ID Code: Permit Issued: Permit Expires: 02/14/2025 Form Permit Type: RESIDENTIAL PLUMBING Status: EXPIRED Assigned To: Kristin Foster Property Parcel # Address Legal Description Owner Name Owner Phone Zoning 100 SINGLE CARTWRIGHT 00529900401100 405 E 3RD ST FAMILY ADAM RESIDENCE Contractors Contractor Primary Contact Phone Address Contractor Type License License # CONSTRUCTION Shell Excavating David Shell 425-754-1889 PO Box 187 COA 602 218 838 CONTRACTOR CONSTRUCTION Shell Excavating David Shell 425-754-1889 PO Box 187 L&I SHELLEI971M2 CONTRACTOR Plan Reviews Date Review Type Description Assigned To Review Status RESIDENTIAL Approved with 07/30/2024 Must contact PW water dept. before connecting to meter. BUILDING PLUMBING Conditions Fees Fee Description Notes Amount Processing/Technology $25.00 Inspection $75.00 Pipe Alteration or Repair $15.00 Plumbing Base Permit Fee $25.00 Credit Card Service $4.20 Total $144.20 Attached Letters Date Letter Description 02/06/2025 Building Permit 08/09/2024 Building Permit 07/30/2024 Web Form- Residential Plumbing Application Payments Date Paid By Description Payment Type Accepted By Amount XBP Conf: 07/30/2024 $140.00 206158419 07/30/2024 Adam Cartwright 20615419 $4.20 Outstanding Balance $0.00 Notes Date Note Created By: 08/15/2024 Contractor has COA license endorsement. Kristin Foster 07/30/2024 Contractor needs COA license prior to issuance. Emailed the information. Kristin Foster 07/30/2024 Applicant is required to call PW to shut off water service. Kristin Foster Uploaded Files Date File Name 07/30/2024 21811047-20240730_BLD6091_Plan.jpg 07/30/2024 21811048-20240730_BLD6091_Application.pdf