HomeMy WebLinkAbout19216 Crown Ridge Blvd_BLD6351_2025
Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551
Page 1 of 1
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BLD6351 Residential Plumbing
19216 Crown Ridge Blvd March 2025
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CITY OF ARLINGTON
18204 59th Avenue NE, Arlington, WA 98223
INSPECTIONS: 360-403-3417 - Permit Center: 360-403-3551
B UILDING PERM IT
19216 CROWN RIDGE B LVD
Parcel #: 00910700001900
Pe rmit #: 6351
PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Scope of Work: Master bath, 1st floor tub to tub Valuation: 18865.00
OWNER APPLICANT CONTRACTOR
LOPEZ JOHN M & CAJIGAS OLEA
ANA D
Jauzzi Bath REmodel of SEA Jacuzzi Bath Remodel of SEA
19216 CROWN RIDGE BLVD 8330 S 259th St 8330 S 259th St
ARLINGTON, WA 98223 Kent, WA 98168 Kent, WA 98168
491-470-4274 971-470-4274
LIC: 604750064 EXP: 08/31/2025
LIC: JACUZBR798LD EXP: 06/07/2025
MECHANICAL CONTRACTOR PLUMB ING CONTRACTOR
LIC #:EXP:LIC #:EXP:
JOB DESCRIPTION
PERMIT TYPE:RESIDENTIAL P LUMBING CODE YEAR:2021
STORIES:2 CONST. TYP E:VB
DWELLING UNITS:1 OCC GROUP :R-3; Residential
BUILDINGS:1 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 P ERSON 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 P ERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEP UTY 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.
02/14/2025
Applicant Signature Date Building Official Date
CONDITIONS
Inspection is required prior to cover. Signed permit shall be onsite for inspections. Call for inspections.
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 P ERMIT COVERS WORK TO BE DONE ON P RIVATE
PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS,
MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date De s cription Fe e Amount
02/24/2025 Processing/Technology $25.00
02/24/2025 Inspection $75.00
02/24/2025 Bath/Shower Combo $15.00
02/24/2025 Plumbing Base $25.00
02/24/2025 Credit Card Service $4.20
Total Due :$144.20
Total Payme nt:$144.20
B alance Due :$0.00
CALL FOR INSPECTIONS
Call by 3:30 pm for ne xt day ins pe ction, allow 48 hours for Fire Ins pe ctions
Whe n calling for an ins pe ction ple as e le ave the following information:
Pe rmit Numbe r, Type of Ins pe ction be ing re que s te d, and whe the r you pre fe r morning or afte rnoon
INSPECTION INFORM ATION Pas s /Fail
RESIDENTIAL PLUMBING APPLICATION
Community and Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
REV03.2022 Page 1 of 2
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.
• 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
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 =
Type of Permit: New Installation Addition Alteration Repair
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) Material:
Schedule 40 PVC DWV Brass OtherProposed Drain-Waste-Vent (DWV) Piping Size: ½” ⅝” ¾” 1” 1½” 2” 3” 4”
REV02.2024 Page 2 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 / Outlet > 5 x $ 5.00 = Miscellaneous – regulated by plumbing code, not otherwise specified x $ 15.00 = 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
MODEL NO.:
x $ 25.00 = Water Heater – Tankless
MODEL NO.:
x $ 25.00 = 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
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