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Home My WebLink About19614 51st Dr Ne_BLD6152_2025 i Permit Packet Coversheet Community and Economic Development City of Arlington • 18204 591h Avenue NE • Arlington,WA 98223 • Phone(360)403-3551 Permit Number: Permit Type: Address/Parcel: Completed (Month/Year): Land Use ❑ Notice of Decision ❑ Bonding or Assignment of Funds ❑ Staff Report o Confidential Documents. Contact the ❑ Application City to obtain. ❑ Narrative ❑ Letters and Project Documents ❑ Legal Description ❑ Other: ❑ Vicinity Map ❑ Site Plan Civil ❑ Landscape Plan ❑ Issued Permit ❑ Complete Streets Checklist ❑ Application ❑ Traffic Impact Analysis ❑ Other Applications ❑ Snohomish County Traffic Mitigation Offer ❑ Construction Calculation Worksheet ❑ WSDOT Traffic Offer Form ❑ Approved Plans ❑ Tree Survey ❑ Review Comment Form ❑ Stormwater Drainage Report ❑ Letters and Project Documents ❑ Geotech Report ❑ Other Agency Permits ❑ Critical Area Evaluation Form ❑ Reports: ❑ SEPA Checklist o Drainage Report Pg: ❑ Public Notice Material o Stormwater Pg: ❑ Noticing and Related Documents o Geotech Pg: ❑ Water/Sewer Availability Certificate o All Other Reports ❑ Unanticipated Discovery Plan Form ❑ SEPA and Noticing Materials ❑ Aerial Photo of Site ❑ Inspections ❑ Proposed Building Materials ❑ As-Builts ❑ Lighting Plans and Lighting Cut Sheets ❑ Other: ❑ Color Elevations ❑ Design Matrix Building ❑ Plat Map ❑ Issued Permit ❑ Title Report ❑ Application ❑ Lot Closures ❑ Additional Applications ❑ Preliminary Civil Plans ❑ Approved Plans ❑ Archaeological Survey ❑ Site Plan o Confidential Documents. Contact the ❑ Letters and Project Documents City to obtain. ❑ Calculations ❑ Topography(Existing Conditions) ❑ Project Specification Manuals ❑ CC&R's ❑ Reports ❑ Deeds /Easements /Conveyances ❑ Certificate of Occupancy /Dedications ❑ Inspections ❑ Developer's Agreement ❑ Other: ❑ Recorded Copies Page 1 of 1 CITY OF ARLINC 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT 19614 51ST DR NE Permit#:6152 PERMIT EXPIRES 180 DAYS AFTER Parcel#: 00426400004400 DATE OF ISSUANCE. Scope of Work:Repair duplex due to fire damage Valuation: 108000.00 OWNER APPLICANT CONTRACTOR MCKENZIE LAURIE Scott Benham A&D MECHANICAL 18324 GREYWALLS DR 4329 84th St NE 9726 WATERWORKS RD ARLINGTON,WA 98223 Marysville,WA 98270 MARYSVILLE,WA 98271 360 840 1461 360-658-7262 LIC:601861250 EXP:03/31/2025 LIC:ABSOLP*799MB EXP:07/12/2026 LIC:603 305 333 EXP:05/31/2025 LIC:DMECHDM902CD EXP:04/25/2026 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.IBC 110/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. 12/02/2024 p�li nt Signature Date Building Official Date CONDITIONS Approved Job copy shall be onsite for inspections.Adhere to approved plans.Call for inspections. s 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: REQUHM 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:./.Iwaenergycodes.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: I�rn�, -r' IBC Occupancy Type: Building Square Footage: Number of Stories: Square Footage Per Floor: B: 1st: 2nd: 3rd: Garage: Property Address: I Q(p 1q S1 si Pt 4E Project Valuation: 1' Lot#: Parcel ID No.: Preferred Contact: O Owner R1 Contractor Project Scope of Work: � � p �e-5 M A C-,< Owner Name: L n kA eim 1 m V-Cn 7 p Home No.: !SB-KA_A_ Email Address: Lc wrW� -e-cm Cell No.: Q, $9_/ // Mailing Address: 17314 fills .D f City: A-eA i t4 State: 1 Zip: 9F.2 3 4 ti.3e P*N Primary Contractor: ::r-g Q Office No.: Email Address: D 11 Q be.r,�� •� G`,�,e, L'ar—t Cell No.: Mailing Address: %_.T q (O'S-r ^Jr City: State: W 0 Zip:Z,'17D L&I Contractor License Number: Expiration Date: IMCHMMAL IVOPMATWX of ApplicaMe Type of Permit: ❑ New Installation ® Addition/Alteration/Repair ❑ Gas Piping 11 Mechanical Contractor: so ry r h6k h 1 C_ca ( Office No.: Email Address: I p ' 2r (9.Ga/�-tL�. t Z�'►� Cell No.: Mailing Address: q13-(0 W 4-tikM16 City: ff) Ji te- State: w pq Zip: 9f�f�-7l L&I Contractor License Number: � e `� M lJ''%J� 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 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>3h 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 3-15h 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 = y S Fire lace 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!9100 Btu h x $15.00 = Gas Fired AC>100 Btu h x $25.00 = Gas Fired AC>500 Btu h x $50.00 = Gas Pi in _<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 x $15.00 = 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 C x $15.00 = I S Unit Heaters<_100 Btu h x $15.00 = Unit Heaters>100 Btu h L/ x $25.00 AV Boxes(Variable Air Volume,part of air x $10.00 = conditioning system) Wall Heaters-Gas Fired x $25.00 = ater 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 O Not Applicable Proposed Piping Material: O CSST O Brass O Galvanized Steel O Black Steel O Other Proposed Piping Size: 0 Y2" O 5/s" O 3/4" O 1" O 1%" O 2" 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 ❑ SCHEMATIC IS TO SCALE ❑ 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 O Not Applicable Type of Permit: ❑ New Installation Addition/Alteration/Repair Plumbing Contractor: 485CY A-r 1'L.� IfO -hGc� Office No.: Email Address: Gtk[SAL c tirllb 1-',1 LL?Q GvrVt Cell No.: Q3&0 I0 -�d�3ld Mailing Address: State: ")A- , Zip: ? J.7 3 L&I Contractor License Number: 2(n 1&-3 ' Expiration Date: 711 4//v • 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: 'M 1/z" ❑ S/a" ❑ 3/4" ❑ 1" ❑CPVC ❑ Brass ❑ PEX-AL-PEX PEX Proposed Interior Piping Material: ❑ Copper ❑ Galvanized Steel ❑ Other Proposed Exterior Water Piping Size: ❑ '/z" ❑ s/s" ❑ 3/4" ❑ 1" ❑ 11/z" 712 ❑ PVC ❑ Copper ❑ PEX-AL-PEX ❑ PEX-AL-PE Proposed Exterior Piping Material: ❑ PE ❑ PEX ❑ Other Proposed Drain-Waste-Vent(DWV) Schedule 40 ABS DWV ❑ Copper ❑ Galvanized Steel ❑ Cast Iron Material: ❑ Schedule 40 PVC DWV ❑ Brass ❑ Other: L Proposed Drain-Waste-Vent(DWV) ❑ 1/z„ ❑ s/s" ❑ s/4" ❑ 1" ® 11/z" ❑ 2" ❑ 3" ❑4" Piping Size: PLUMBING PERMIT FEES (per fixture) Type of Fixture No.of Fixtures Cost per Fixture Subtotal Additional Plan Review fees i x $75.00 = Alteration/repair piping x $15.00 = Backflow AssemblyP 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 1 x $15.00 = 1 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 A+1BING PERNIff FEES(per ire) Icemaker Refri erator x $15.00 = Irrigation-per meter x $25.00 = Kitchen Sink&Disposal I x $15.00 Laundry Tray x $15.00 = Lavatory x $15.00 = ) S— 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.: �� I r'j Water Heater-Tankless x $25.00 = MODEL NO.: Permit Fee Inspection Fee $75.00 Processing/Technology Fee $25.00 Total 1 hereby certify that 1 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. Sig ur - Print Name Date SAVE PRINT REV03.2022 Page 6 of 6 i 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:llwaenergycodes.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: ❑ !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. 19614 51 St pj,ne. Project Valuation: $40,000 about Lot#: Parcel ID No.: Preferred Contact: M Owner O Contractor Project Scope of Work: Owner Name: Laurie c Mc kenzie Home No.: Email Address: �,gy,riggMgg p=nzi:q,@gmail.com Cell No.: 425.359.1411 Mailing Address: City: State: Zip: Primary Contractor: Friend. Scott Benham Office No.: Email Address: TeXt Cell No.: 425.422.0250 Mailing Address: City: State: Zip: L&I Contractor License Number: Expiration Date: MECHANICAL SYSTEM INFORMATION O Not Applicable Type of Permit: ❑ New Installation ❑ Addition/Alteration/Repair ❑ 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>3h 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 3-15h 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 Pi in <_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 x $ 15.00 = 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:5 100 Btu h x $ 15.00 = Unit Heaters>100 Btu h x $25.00 = AV Boxes(Variable Air Volume,part of air x $ 10.00 = 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 0 Not Applicable Proposed Piping Material: O CSST O Brass O Galvanized Steel O Black Steel O Other Proposed Piping Size: O 1/2" O S/a" 03/a" O 1" O 11/2" O 2" 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 ❑ SCHEMATIC IS TO SCALE ❑ 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 ❑ Not Applicable Type of Permit: ❑ New Installation ❑ 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: ❑ 1/2" ❑ s/s" ❑ 3/4" ❑ 1" ❑ CPVC ❑ Brass ❑ PEX-AL-PEX ❑ PEX Proposed Interior Piping Material: ❑ Copper ❑ Galvanized Steel ❑ Other Proposed Exterior Water Piping Size: ❑ 1/2" ❑ 5/8" ❑ 3/4" ❑ 1" ❑ 11/2" ❑ 2" ❑ PVC ❑ Copper ❑ PEX-AL-PEX ❑ PEX-AL-PE Proposed Exterior Piping Material: ❑ 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) ❑ 1/2» ❑ 5/8» 713/4" ❑ 1" ❑ 11/2" ❑ 2" ❑ 3" 714" 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 Refri erator 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 1 hereby certify that 1 am the ❑ caner ❑ 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. (::: — O�� Jay Faber 8.31.2024 Signa ure Print Name Date SAVE PRINT REV03.2022 Page 6 of 6 BUSINESS LICENSE STATE OF Unified Business ID 604785916 Limited Liability Company Business ID 001 Location: 0001 TOPMOST ROOFING LLC Expires: Jul 31, 2025 TAX REGISTRATION -ACTIVE 4� CITY/COUNTY ENDORSEMENTS: BURLINGTON HOME OCCUPATION BUSINESS -ACTIVE ARLINGTON GENERAL BUSINESS - NON-RESIDENT-ACTIVE This document lists the registrations,endorsements, and licenses authorized for the business named above.By accepting this document,the licensee certifies the information on the application as.plete,true,and accurate to the best of his or her knowledge,and that business will be conducted in compliance with all applicable Washington state,county,and city regulations. DiLr,,1.r,Department of Revenue STATE opwxo*/worow UB|: 6047859160810001 Expires: Jul 31. 2025 TOPMOST ROOFING LuC TAX REGISTRATION'ACTIVE 1a11sum CREEK no ouRuwoTom HOME OCCUPATION ARuwGTOwvvA88zu3'8o17 oU8|msS8 ACTIVE AnuwGT0m GENERAL BUSINESS' wow'REa|oEwT AoT|vs IMPORTANT! PLEASE READ THE FOLLOWING INFORMATION CAREFULLY BEFORE POSTING THIS LICENSE General Information Endorsements Post this Business License in a visible location at your All endorsements should be renewed by the expiration place of business. date that appears on the front of this license to avoid any late fees. If you were issued a Business License previously, destroy the old one and post this one in its place. If there is no expiration date, the endorsements remain active as long as you continue required reporting. Tax Login to My DOR at dor.wa.gov if you need to make Registration, Unemployment Insurance, and Industrial changes to your business name, location, mailing Insurance endorsements require you to submit periodic address, telephone number, or business ownership. reports. Each agency will send you the necessary reporting forms and instructions. Telephone: 360-705-6741 For assistance or to request this document in an alternate format,visit http://business.wa.gov/BLS or call(360)705-6741.Teletype(TTY)users may use the Washington Relay Service by calling 711. BLS-700-107(07/27/20) � oT CITY OF ARLINGTON CERTIFICATE OF OCCUPANCY INTERNATIONAL BUILDING CODE SECTION 111 NOTE: THIS CERTIFICATE DOES NOT CERTIFY ELECTRICAL WORK At 19614 51St Dr NE, Unit A Building Permit Number 6152 Name &Address of Owner Occupant Load Number of Stories LAURIE MCKENZIE Table 1004.5 1:200 1 18324 GREYWALLS DR Type of Construction/Sprinkler System Required Use ARLINGTON,WA 98223 VB/No Duplex THE Structure HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE 2021 EDITION OF THE INTERNATIONAL BUILDING CODE FOR GROUP R-3 OCCUPANCY ISSUED December 23, 2024 BY BUILDING OFFICIAL CITY OF ARLINGTON CERTIFICATE OF OCCUPANCY INTERNATIONAL BUILDING CODE SECTION 111 NOTE: THIS CERTIFICATE DOES NOT CERTIFY ELECTRICAL WORK At 19614 515t Dr NE, Unit B Building Permit Number 6152 Name &Address of Owner Occupant Load Number of Stories LAURIE MCKENZIE Table 1004.5 1:200 1 18324 GREYWALLS DR Type of Construction/ Sprinkler System Required Use ARLINGTON,WA 98223 VB/No Duplex THE Structure HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE 2018 EDITION OF THE INTERNATIONAL BUILDING CODE FOR GROUP R-3 OCCUPANCY ISSUED September 17, 2024 BY BUILDING OFFICIAL