HomeMy WebLinkAbout17909 Highland View Dr_BLD6204_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:
To be applied separately.
MECHANICAL SYSTEM INFORMATION ï² Not Applicable
Contractor not signed yet
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
To be applied separately.
PLUMBING SYSTEM INFORMATION ï² Not Applicable
Contractor not signed yet
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
2021 WSEC-R 2nd Edition
Remodel / Alteration Worksheet
Will you be exposing the walls? Will the roof/ceiling framing cavities or attic be exposed? Will the will the floor framing
cavities be exposed?
X Yes No X Yes No Yes
X No
If yes, If yes,
If yes,
X 2 X 4 wall studs require R-15 insulation Exposed roof or ceiling assemblies must be insulated -
Exposed floor cavities
must be insulated to R-30
Vaulted ceilings, Insulate to the full depth of the
2 X 6 wall studs require R-21 insulation
framing member
If siding is replaced C.I. equal to R-5 may need installed X Flat ceilings, install R-60 insulation or what the
under the siding. attic space can accommodate based on the roof
pitch
Are more than
10% of the light fixtures being
Are the windows and/or doors being replaced? Will the heating or cooling system be replaced? Will the hot water system be altered?
changed?
X Yes No Yes X No Yes X No Yes
X No
If yes, If yes, If yes,
If yes,
New equipment must meet current New water heating equipment must
New windows and doors (+frames) must 100%
of all lamps must be high
X requirements and the ducts need to be meet current code requirements
have an area weighted average U-factor of
efficacy
tested
≤0.30
R503.2 Change in space conditioning. Any non-conditioned or low-energy space
that is altered to become conditioned space shall be required to be brought into
full compliance with this (WSEC-R) code.
R503.1.1 Building envelope.
Building envelope assemblies that are part of the alteration shall comply with Section R402.1.3 or R402.1.5, Sections
R402.2.1 through R402.2.11, R402.3.1, R402.3.2, R402.3.5 and R402.4.2.
Exception: The following alterations need not comply with the requirements for new construction provided the energy use
of the building is not increased:
1. Storm windows installed over existing fenestration.
2. Existing ceiling, wall or floor cavities exposed during construction provided that these cavities are filled with
insulation. 2x4 framed walls shall be insulated to a minimum of R-15 and 2x6 framed walls shall be insulated to a
minimum of R-21.
3. Construction where the existing roof, wall or floor cavity is not exposed.
4. Roof recover.
5. Roofs without insulation in the cavity and where the sheathing or insulation is exposed during reroofing shall be
insulated either above or below the sheathing.
6. Surface-applied window film installed on existing single pane fenestration assemblies to reduce solar heat gain
provided the code does not require the glazing fenestration to be replaced.
R503.1.1.1 Replacement fenestration.
Where some or all of an existing fenestration unit is replaced with a new fenestration product, including sash and glazing,
the replacement fenestration unit shall meet the applicable requirements for U-factor and SHGC in Table R402.1.3. Where
more than one replacement fenestration unit is being installed, an area-weighted average of the U-factor and SHGC of all
replacement fenestration shall be permitted to be used to demonstrate compliance.
R503.1.2 Heating and cooling systems.
New heating, cooling and duct systems that are part of the alteration shall comply with Section R403.
Exceptions:
1. Where ducts from an existing heating and cooling system are extended, duct systems with less than 40 linear
feet in unconditioned spaces shall not be required to be tested in accordance with Section R403.2.2
2. Existing duct systems constructed, insulated or sealed with asbestos.
R502.1.1.2 Heating and cooling systems.
New heating, cooling and duct systems that are part of the addition shall comply with Section R403.
Exception:
The following need not comply with the testing requirements of Section R403.3.3:
1. Additions of less than 750 square feet.
2. Duct systems that are documented to have been previously sealed as confirmed through field verification
and diagnostic testing in accordance with procedures in WSU RS-33.
3. Ducts with less than 40 linear feet in unconditioned spaces.
4. Existing duct systems constructed, insulated or sealed with asbestos.
R503.1.4 Lighting.
New lighting systems that are part of the alteration shall comply with Section R404.1.
Exception: Alterations that replace less than 10 percent of the luminaires in a space, provided that such
alterations do not increase the installed interior lighting power.
R503.1.3 Service hot water systems.
New service hot water systems that are part of the alteration shall comply with Section R403.5.
Community and Economic Development
Building Division
Building construction shall not commence until permit
INSPECTION RECORD SHALL REMAIN AT JOB
holder or agent has posted this Inspection Record Card in a
SITE
conspicuous place on the premises.
OWNER: CONTRACTOR:
JOB ADDRESS: OWNER ADDRESS:
USE of BUILDING: SFR PLAT NAME:
Description of Work: LOT #
PERMIT NO: Sprinklered:
CONDITIONS: DATE ISSUED: TYPE GROUP
DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS
FOOTING
BUILDING FOUNDATION
INSPECTION LINE UNDERFLOOR
(360) 403â€3417 SHEARWALL
PLUMBING (groundwork)
GAS PIPING (groundwork)
ROUGH PLUMBING
ROUGH GAS PIPING
ROUGH HEATING & VENTILATION
FRAMING
INSULATION
WALLBOARD (SHEAR/RATING)
ROOF DRAINAGE
DEVELOPMENT STORM INFILTRATION
SERVICES GRADING
INSPECTION LINE CURB GUTTER & SIDEWALK
(360) 403â€3417 LANDSCAPE
DRIVEWAY
SEWER INSPECTION SIDE SEWER
LINE SEWER CLEANOUT/FINAL
(360) 403â€3508
WATER SERVICE INSPECTION
WATER INSPECTION
LINE WATER SERVICE FINAL
(360) 403-3526 CROSS CONNECTION FINAL
(360) 403â€3417 FINAL INSPECTION
All sections must be signed off prior to final inspection
Electrical must be signed off prior to final inspection
COMMENTS:
CITY OF ARLINGTON
18204 59th Avenue NE, Arlington, WA 98223
INSPECTIONS: 360-403-3417 - Permit Center: 360-403-3551
BUILDING PERMIT
17909 HIGHLAND VIEW DR Permit #: 6204
PERMIT EXPIRES 180 DAYS AFTER
Parcel #: 00930200002000
DATE OF ISSUANCE.
Scope of Work: Fire Damage repairs. Replace interior finishes & fixtures at upper Valuation: 105681.00
floor, except bedrooms1/2 & hallway bathroom. Replace windows. NO work at main
floor, except at stairs.
OWNER APPLICANT CONTRACTOR
CHAMBERS IAN & DESIREE BC Investigative Engineers; Jesse Binford Golden Coast Construction & Restoration
17909 HIGHLAND VIEW DR 3605 C St NE 1009 Enterprise Way Suite 350
ARLINGTON, WA 98223 Auburn Roseville, CA 95678
2538335557
LIC: 604 548 854 EXP: 02/28/2025
LIC: GOLDECC809P1 EXP: 10/25/2024
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC #: EXP: LIC #: EXP:
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL ALTERATION 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.
11/15/24 11/14/2024
Applicant Signature Date Building Official Date
CONDITIONS
ADHERE TO THE APPROVED PLANS. APPROVED JOB COPY 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 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
11/15/2024 Building Plan Review $1,006.33
11/15/2024 Credit Card Service $30.19
11/15/2024 Processing/Technology $25.00
11/15/2024 Building Permit $1,545.52
11/15/2024 State Surcharge - 1st DU $6.50
11/15/2024 Credit Card Service $47.31
Total Due: $2,660.85
Total Payment: $2,660.85
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
Inspection Approved
Inspection Unable to
Inspect - No
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