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HomeMy WebLinkAbout17727 W Country Club Dr_BLD6780_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: PLUMBING PERMIT FEES (per fixture) 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 PLUMBING PERMIT FEES (per fixture) 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 = Med Gas Piping ≤ 5 inlets/outlets x $ 60.00 = Med Gas Piping > 5 inlets/outlets (plus ≤ 5 x $ 5.00 = inlets/outlets) 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 I am the Owner, Applicant, Contractor, and authorized to sign this application and that the above information is correct and 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, and the City of Arlington. A final inspection and approval shall be obtained when complete. Signature Print Name Date REV03.2022 Page 2 of 2 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: PLUMBING PERMIT FEES (per fixture) 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 PLUMBING PERMIT FEES (per fixture) 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 = Med Gas Piping ≤ 5 inlets/outlets x $ 60.00 = Med Gas Piping > 5 inlets/outlets (plus ≤ 5 x $ 5.00 = inlets/outlets) 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 I am the Owner, Applicant, Contractor, and authorized to sign this application and that the above information is correct and 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, and the City of Arlington. A final inspection and approval shall be obtained when complete. Signature Print Name Date REV03.2022 Page 2 of 2 CITY OF ARLINGTON 18204 59th Avenue NE, Arlington, WA 98223 INSPECTIONS: 360-403-3417 - Permit Center: 360-403-3551 BUILDING PERMIT 17727 W COUNTRY CLUB DR Permit #: 6780 PERMIT EXPIRES 180 DAYS AFTER Parcel #: 00816000004200 DATE OF ISSUANCE. Scope of Work: Re-pipe Domestic water system Valuation: 17100.00 OWNER APPLICANT CONTRACTOR DUFFEY JAMES L & DRU E All Valley Plumbing All Valley Plumbing 17727 W COUNTRY CLUB DR 19322 95Th Ave Ne 19322 95th Ave NE ARLINGTON, WA 98223-5948 Arlington WA 98223 Arlington, WA 98223 360-965-5473 360-355-0417 LIC: ALLVAVP782CN EXP: 04/19/2027 LIC: 604575717 EXP: 01/31/2026 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC #: EXP: LIC #: EXP: JOB DESCRIPTION PERMIT TYPE: RESIDENTIAL PLUMBING CODE YEAR: 2021 STORIES: 2 CONST. TYPE: VB DWELLING UNITS: OCC GROUP: R-3; Residential 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. 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. 10/22/2025 Applicant Signature Date Building Official Date CONDITIONS Call for inspection before cover 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 10/22/2025 Processing/Technology $25.00 10/22/2025 Inspection $75.00 10/22/2025 Pipe Alteration or Repair $330.00 10/22/2025 Plumbing Base $25.00 10/22/2025 Hose Bib $45.00 10/22/2025 Credit Card Service $13.65 Total Due: $513.65 Total Payment: $513.65 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 Pass/Fail Permit #: 6780 Permit Date: 10/16/25 Permit Type: RESIDENTIAL PLUMBING Project Name: Susan Cotton Applicant Name: All Valley Plumbing Applicant Address: 19322 95Th Ave Ne Applicant, City, State, Zip: Arlington WA 98223 Contact: Brittany Lamkey Phone: 360-965-5473 Email: allvalleyplumbing.pnw@gmail.com Scope of Work: Re-pipe Domestic water system Valuation: 17100.00 Square Feet: 3568 Number of Stories: 2 Construction Type: VB Occupancy Group: R-3; Residential ID Code: Permit Issued: 10/22/2025 Permit Expires: 04/22/2026 Form Permit Type: RESIDENTIAL PLUMBING Status: COMPLETE Assigned To: LaNay Hendrick Property Parcel # Address Legal Description Owner Name Owner Phone Zoning 100 SINGLE 17727 W COUNTRY CLUB DUFFEY JAMES L 00816000004200 FAMILY DR & DRU E RESIDENCE Contractors Contractor Primary Contact Phone Address Contractor Type License License # 19322 95th Ave CONSTRUCTION All Valley Plumbing Duston McGinnis 360-355-0417 ALLVAVP782CN NE CONTRACTOR 19322 95th Ave CONSTRUCTION All Valley Plumbing Duston McGinnis 360-355-0417 COA 604575717 NE CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status They were informed that the R07. PLUMBING inspection would be 11/12/2025 11/13/2025 11/13/2025 BUILDING Approved ROUGH-IN Thursday instead of requested Wednesday Plan Reviews Date Review Type Description Assigned To Review Status RESIDENTIAL Approved with 10/16/2025 Call for inspection before cover BUILDING PLUMBING Conditions Fees Fee Description Notes Amount Processing/Technology $25.00 Inspection $75.00 Pipe Alteration or Repair $330.00 Plumbing Base Permit Fee $25.00 Hose Bib $45.00 Credit Card Service $13.65 Credit Card Service $1.35 Total $515.00 Attached Letters Date Letter Description 10/22/2025 Building Permit 10/16/2025 Web Form- Residential Plumbing Application Payments Date Paid By Description Payment Type Accepted By Amount 10/16/2025 Melissa C cc LaNay Hendrick $13.65 XBP Conf: 10/16/2025 $455.00 246073505 10/22/2025 Duston McGinnis cc LaNay Hendrick $1.35 XBP Conf: 10/22/2025 $45.00 246673676 Outstanding Balance $0.00 Uploaded Files Date File Name 10/22/2025 28998079-Building-Permit32100352_copy.pdf 10/22/2025 28997787-residential_plumbing_1__copy.pdf 10/16/2025 9f283234184a0acbbc4c11887de7b98d_12641940-residential_plumbing_1_.pdf