HomeMy WebLinkAbout18727 67th Ave Ne_BLD6677_2025 RESIDENTIAL BUILDING PERMIT APPLICATION
Community and Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
The following information is required for Residential: Single Family, Duplex, Townhomes, Additions, and
Accessory Structure Building Permit Applications.
Mark each box to designate that the information has been provided. Please submit this checklist as part of
the submittal documents.
EACH BUILDING OR STRUCTURE REQUIRES A SEPARATE SUBMITTAL.
Incomplete applications will not be accepted.
SUBMIT ELECTRONIC FILES FOR EACH OF THE FOLLOWING:
REQUIRED DOCUMENTS
Proof of approved Zoning Verification
City of Arlington Residential Permit Application
Site Plan
Architectural Plans
Structural Plans
Structural Calculations
Project Specification Manuals, if applicable
WSEC Compliance Forms https://waenergycodes.com/
Special Inspection and Testing Agreement, if applicable
Deferred Submittal Request, if applicable
1. Plan Review fee is due at time of submittal and remaining balance will be due at time of issuance.
2. The City of Arlington does not review or inspect electrical systems. Contact Labor and Industries at
lni.wa.gov or 360-416-3000.
A. DEFERRED SUBMITTALS
If the project requires any of the following, a Deferred Submittal Request MUST be completed. Deferred submittals
require separate applications, plans and plan review.
1. Mechanical Plans (if not included in the plan set)
2. Plumbing Plans (if not included in the plan set)
3. Fire Sprinkler
B. SPECIAL INSPECTION AND TESTING AGREEMENT
A Special Inspection Firm is required to perform special inspections for the following type of work.
*The Special Inspection and Testing Agreement MUST be submitted with the Building Application.
Structural Masonry Spray-Applied Fireproofing Other - Specify: ____________________
I acknowledge that all items designated as submittal requirements must accompany my Building Permit
Application to be considered a complete submittal.
RESIDENTIAL BUILDING
Type of Permit: Single-family Duplex Townhouse Addition/Alteration Accessory Structure
IBC Construction Type: IBC Occupancy Type:
Building Square Footage: Number of Stories:
Square Footage Per Floor: B: 1st: 2nd: 3rd: Garage:
Property Address: Project Valuation:
Lot #: Parcel ID No.: Preferred Contact: ï² Owner ï² Contractor
Project
Scope of Work:
Owner Name: Home No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
Primary Contractor: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
L&I Contractor License Number: Expiration Date:
MECHANICAL SYSTEM INFORMATION ï² Not Applicable
Type of Permit: ï² New Installation ï² Addition/Alteration/Repair ï² Gas Piping
Mechanical Contractor: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
L&I Contractor License Number: Expiration Date:
• New gas piping requires a pressure test hooking to any appliance
• Sediment traps (drips) are required on all gas lines
• Gas lines are required to be supported/secured every 6 to 8 feet
• Proper Combustion air and venting required for all appliances
• A shut-off valve is required within 6 feet of all appliances
REV03.2022 Page 2 of 6
RESIDENTIAL BUILDING
MECHANICAL PERMIT FEES (per unit)
Type of Fixture No. of Units Cost per Unit Subtotal Model No.
Additional Plan Review fees x $ 75.00 =
Air Cond. Unit ≤100Btu/h x $ 15.00 =
Air Cond. Unit >100Btu/h x $ 25.00 =
Air Cond. Unit >500Btu/h x $ 50.00 =
Air Handling Units x $ 15.00 =
Base Mechanical Fee 1 x $ 25.00 = $ 25.00
Boiler <100Btu/h >3hp x $ 15.00 =
Boiler >1 million Btu/h<50hp x $ 25.00 =
Boiler >1.5 million Btu/h<50hp x $ 50.00 =
Boiler >100Btu/h 3-15hp x $ 15.00 =
Boiler >500Btu/h 15-30hp x $ 25.00 =
Diffusers x $ 15.00 =
Dryer Ducting x $ 15.00 =
Ductwork (drawings required) x $ 25.00 =
Evaporative Coolers x $ 15.00 =
Exhaust/Ventilation Fans x $ 15.00 =
Fireplace/Insert/Stove x $ 15.00 =
Forced Air Heat ≤100 Btu/h x $ 15.00 =
Forced Air Heat >100 Btu/h x $ 25.00 =
Gas Clothes Dryer x $ 15.00 =
Gas Fired AC ≤100 Btu/h x $ 15.00 =
Gas Fired AC >100 Btu/h x $ 25.00 =
Gas Fired AC > 500 Btu/h x $ 50.00 =
Gas Piping ≤ 5 units x $ 15.00 =
Gas Piping > 5 units (plus <5 units) x $ 2.00 =
Heat Exchangers x $ 15.00 =
Heat Pump-Condensing Unit x $ 25.00 =
Hot Water Heat Coils x $ 15.00 =
Miscellaneous Appliance - regulated by $ 15.00
x =
mechanical code, not otherwise specified
Pkg. Units ≤100btu x $ 25.00 =
Pkg. Units >100btu x $50.00 =
Range/Cook top-Gas Fired x $ 15.00 =
Refrigeration Unit ≤100Btu/h x $ 15.00 =
Refrigeration Unit >100Btu/h x $ 25.00 =
Refrigeration. Unit >500Btu/h x $ 50.00 =
Re-inspection fee x $ 75.00 =
Residential Range Hood x $ 15.00 =
Unit Heaters ≤ 100 Btu/h x $ 15.00 =
Unit Heaters >100 Btu/h x $ 25.00 =
VAV Boxes (Variable Air Volume, part of air $ 10.00
x =
conditioning system)
Wall Heaters - Gas Fired x $ 25.00 =
Water Heater - Gas Fired x $ 25.00 =
Permit Fee
Inspection Fee $75.00
Processing/Technology Fee $25.00
Total
REV03.2022 Page 3 of 6
RESIDENTIAL BUILDING
GAS PIPING INFORMATION ï² Not Applicable
Proposed Piping Material: ï² CSST ï² Brass ï² Galvanized Steel ï² Black Steel ï² Other _______________
Proposed Piping Size: ï² Â½â€ ï² â…â€ ï² Â¾â€ ï² 1â€ ï² 1Â½â€ ï² 2â€
Distance from Meter to furthest Appliance: Total BTU’s of all Appliances:
PRESSURE PIPING SCHEMATIC
COMPLETE FOR GAS PIPING ONLY – USE A SEPARATE SHEET, IF NECESSARY
ï² SCHEMATIC IS TO SCALE ï² SCHEMATIC NOT TO SCALE
Show Pipe Size(s) and Length(s) from meter to all appliances
NOTE: Any interior pressure regulators must be indicated
REV03.2022 Page 4 of 6
RESIDENTIAL BUILDING
PLUMBING SYSTEM INFORMATION ï² Not Applicable
Type of Permit: ï² New Installation ï² Addition/Alteration/Repair
Plumbing Contractor: 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: ï²Â½â€ ï² â…â€ ï² Â¾â€ ï² 1â€
ï² CPVC ï²Brass ï²PEX-AL-PEX ï²PEX
Proposed Interior Piping Material:
ï²Copper ï²Galvanized Steel ï²Other _______________________
Proposed Exterior Water Piping Size: ï²Â½â€ ï² â…â€ ï² Â¾â€ ï² 1â€ ï² 1Â½â€ ï² 2â€
ï² PVC ï²Copper ï²PEX-AL-PEX ï²PEX-AL-PE
Proposed Exterior Piping Material:
ï² PE ï²PEX ï²Other
ï²Schedule 40 ABS DWV ï²Copper ï²Galvanized Steel ï² Cast Iron
Proposed Drain-Waste-Vent (DWV)
Material:
ï²Schedule 40 PVC DWV ï²Brass ï²Other: ________________________________
Proposed Drain-Waste-Vent (DWV)
ï²Â½â€ ï² â…â€ ï² Â¾â€ ï² 1â€ ï² 1Â½â€ ï² 2â€ ï² 3†ï²4â€
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 =
Floor Drains x $ 15.00 =
Grease Interceptor x $ 75.00 =
Grease Trap x $ 25.00 =
Hose Bibb x $ 15.00 =
REV03.2022 Page 5 of 6
RESIDENTIAL BUILDING
PLUMBING PERMIT FEES (per fixture)
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 =
Miscellaneous – regulated by plumbing code, not x $ 15.00 =
otherwise specified
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 Architect Engineer 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.
Signature Print Name Date
REV03.2022 Page 6 of 6
1
Main Level
10' 7"
9' 11"
3' 3"
7'
2' 11"
2' 6"
11' 6"
5'
KitchenLaundry Room6' 10" 11' 2"
15' 6" 15' 2" 9' 6" 8' 10"
3' 4"
1' 2"
2' 2'
1' 8" Back Bedroom
10' 2"
Full Height2 (B2)1' 10"
13' 8"
13' 9" 1' 3" Lower Cabi1 (B3)2' 10"
5' 1" 4' 9"
12' 3" 2' 4" 5' 8"Upper Cabin7 (B15)3' 4" DW DW2' 11"
Upper Cabin5 (B11)Lower Cabi4 (B8)1'
3' 5"Closet1 (2)1' Closet (1)6' 1"
5' 7"
Upper Cabi2 (B9)6' 3" Upper Cabi3 (B13)2' 2" 1' 10"
3' 7" Lower Cabi2 (B5)14' 3" 8' 6" Vanity1 (B2)4' 1' 1' 1' 7"
Upper Cabin2 (B10)Lower Cabi3 (B7)6"
1' 1"3" 6' 1" 1' 6"
1' 2" Upper Cabin6 (B14)
2' 3" 3' 9" Bathtub (B1)
Hearth (B1) 5' 11" Bathroom 4' 10" 5' 6"
Fireplace (1)6' 6" 5' 11" 5' 5' 4"
Over Fridge1 (B12)3' 9'
8' 11" 7' 5"
Living Room Dining Room 0" 4"
24' 2" 23' 6" 6' 8"
5' 2" Hallway
21' 5"
Office 11'
11' 9"
23' 8" Closet (1)Closet (1)1' 8" 23' 9"
24'
Front Bedroom
10' 5" 10' 1"
11' 10"
Front bedroom wall is affected, minor
reframing needs to be completed
new insulation in the bedroom, Main Level
new drywall, and flooring.
BARDELL_JAMES 6/4/2025 Page: 1
OLD SFR 20
Det Gar
360 s.f.
18 18
20
188th ST NE 24
5
Wd Dk 10 10
330 s.f. 15
6
20
12
15
14 14
1 sFr
----------
C
24 1254 s.f.
44
24
11
12
67th AVE NE
CITY OF ARLINGTON
18204 59th Avenue NE, Arlington, WA 98223
INSPECTIONS: 360-403-3417 - Permit Center: 360-403-3551
BUILDING PERMIT
18727 67TH AVE NE Permit #: 6677
PERMIT EXPIRES 180 DAYS AFTER
Parcel #: 31052300200300
DATE OF ISSUANCE.
Scope of Work: Remove and replace fire damaged finishes and restore to original Valuation: 56248.51
condition
OWNER APPLICANT CONTRACTOR
BARDELL JAMES D Golden Coast Construction and RestorationGolden Coast Construction & Restoration
18727 67TH AVE NE 1201 Monster Rd SW, STE 320 1201 Monster Rd SW, STE 320
ARLINGTON, WA 98223-8942 Renton, WA 98057 ,
206-799-2395 2067992395
LIC: 604 548 854 EXP: 10/31/2025
LIC: GOLDECC809P1 EXP: 10/25/2026
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC #: EXP: LIC #: EXP:
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL ALTERATION CODE YEAR: 2021
STORIES: 1 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.
08/18/2025
Applicant Signature Date Building Official Date
CONDITIONS
Inspections required. 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 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
08/18/2025 Processing/Technology $25.00
08/18/2025 Building Permit $1,033.54
08/18/2025 State Surcharge - 1st DU $6.50
08/18/2025 Building Plan Review $676.98
Total Due: $1,742.02
Total Payment: $1,742.02
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 #: 6677
Permit Date: 08/14/25
Permit Type: RESIDENTIAL ALTERATION
Project Name: Bardell
Applicant Name: Golden Coast Construction and Restoration
Applicant Address: 1201 Monster Rd SW, STE 320
Applicant, City, State, Zip: Renton, WA 98057
Contact: Pavel Andriyets
Phone: 206-799-2395
Email: pavel.a@goldencoastco.com
Scope of Work: Remove and replace fire damaged finishes and restore to original condition
Valuation: 56248.51
Square Feet: 1254
Number of Stories: 1
Construction Type: VB
Occupancy Group: R-3; Residential
ID Code:
Permit Issued: 08/18/2025
Permit Expires: 02/13/2026
Form Permit Type: RESIDENTIAL ALTERATION
Status: COMPLETE
Assigned To: Kristin Foster
Property
Parcel # Address Legal Description Owner Name Owner Phone Zoning
100 SINGLE
BARDELL JAMES
31052300200300 18727 67TH AVE NE FAMILY
D
RESIDENCE
Contractors
Contractor Primary Contact Phone Address Contractor Type License License #
Golden Coast
1201 Monster Rd CONSTRUCTION
Construction & 2067992395 UBI 604 548 854
SW, STE 320 CONTRACTOR
Restoration
Golden Coast
1201 Monster Rd CONSTRUCTION Construction
Construction & 2067992395 GOLDECC809P1
SW, STE 320 CONTRACTOR Contractor
Restoration
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
R20.
to reach me my contact
12/09/2025 ADDITION/ALTERATION 12/10/2025 12/10/2025 BUILDING Approved
number is 206-947-5634
FINAL
R20. Smoke detectors required
Not
11/26/2025 ADDITION/ALTERATION in all sleeping areas and 12/01/2025 12/01/2025 BUILDING
Completed
FINAL common area
10/07/2025 R11. INSULATION AM would be great 10/08/2025 10/08/2025 BUILDING Approved
Please call when on the
09/30/2025 R10. FRAMING 10/01/2025 10/01/2025 BUILDING Approved
way, 206-947-5634
Plan Reviews
Date Review Type Description Assigned To Review Status
RESIDENTIAL
08/14/2025 BUILDING Approved
ALTERATION
Fees
Fee Description Notes Amount
Processing/Technology $25.00
Building Permit Table 4-1 $1,033.54
State Surcharge - 1st DU Residential - 1st Unit $6.50
Building Plan Review Table 4-2 $676.98
Total $1,742.02
Attached Letters
Date Letter Description
08/18/2025 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
XBP Conf:
08/18/2025 $1,742.02
240463337
Outstanding Balance $0.00
Uploaded Files
Date File Name
08/19/2025 27882630-20250818_BLd6677_IssuedPermit.pdf
08/14/2025 27823466-20250813_BLD6677_Site Plan.pdf
08/14/2025 27823464-20250813_BLD6677_Floor Plan and SOW.pdf
08/14/2025 27823463-20250813_BLD6677_Application.pdf