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Home My WebLink About4022 168th Pl Ne Unit B_BLD5211_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: BLD5211 Permit Type: Residential Plumbing Address/Parcel: 4022 168th PI Ne Unit B Completed (Month/Year): May 2023 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 ARLINGTON 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS:360-403-3417-Permit Center:360-403-3551 BUILDING PERMIT 4022 168TH PL NE UNIT B Permit#: 5211 PERMIT EXPIRES 180 DAYS AFTER Parcel#:00866700006800 DATE OF ISSUANCE. Scope of Work:REPLACE 50 GALLON GAS WATER HEATER Valuation:.00 OWNER APPLICANT 'RI CONTRACTOR MILLSAP-SMITH MICHELLE L SEATOWN ELECTRIC PLUMBING, SEATOWN ELETRIC PLUMBING HEATING,AND AIR HEATING AND AIR 4022 168TH PL NE UNIT B 4200 78TH ST SW 4200 78TH ST SW ARLINGTON,WA 98223 MUKILTEO WA 98275 MUKILTEO,WA 98275 425.270.1623 206.905.4946 LIC:SEATOEH791MR EXP:07/12/2023 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR SEATOWN ELETRIC PLUMBING HEATING AND AIR 4200 78TH ST SW MUKILTEO,WA 98275 206.905.4946 LIC#: EXP: LIC#:SEATOEH791MR EXP:07/12/2023 6 JOB DESCRIPTION i PERMIT TYPE: RESIDENTIAL PLUMBING CODE YEAR: 2018 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: I 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. 03/17/2023 �Gr� 03/15/2023 Applicant Signature Date Building Official Date CONDITIONS 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 03/15/2023 Processing/Technology $25.00 03/15/2023 Inspection $75.00 03/15/2023 Plumbing Base $25.00 03/15/2023 Water Heater(Tank) $25.00 Total Due: $150.00 Total Payment: $150.00 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 R00.WATER HEATER FINAL Assigned i 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. 4022 168th PI NE #B Project Valuation: Lot#: Parcel ID No.: 00866700006800 Preferred Contact: ❑ Owner ❑ Contractor Project Description:Replace 5091111, It,,191,water heate! Owner Name: Michelle Millsap-Smith Home No.: 4253331759 Email Address: mmilsapsmith@gmail.com Cell No.: Mailing Address: 4022 168th PI NE#B City: Arlington State: WA Zip: 98223 Contractor Name: Seatown Electric Plumbing Heating and Air Office No.: 4252701623 Email Address: permits@seatownservices.com Cell No.: Mailing Address: 4200 78th St SW City: Mukilteo State: WA Zip: 98275 L&I Contractor License Number: SEATOEH791 MR p Expiration Date: 10/04/2024 p • 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" ❑ 5/s" ❑ 3/4" ❑ 1" Proposed Interior Piping Material: ❑ CPVC ❑ Brass ❑ Copper ❑ PEX-AL-PEX ❑ PEX ❑ Galvanized Steel ❑ Other Proposed Exterior Water Piping Size: ❑ 1/2" ❑ 5/s" ❑ 3/4" ❑ 1" ❑ 11/2" ❑ 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) ❑ 1/2" ❑ 5/s" ❑ 3/4" ❑ 1" ❑ 11/2" ❑ 2" ❑ 3" 04" 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 Pagel 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 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 = Med Gas Pi in <-5 inlets outlets x $60.00 = Med Gas Piping>5 inlets/outlets(plus:5 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 =25.00 MODEL NO.: Water Heater-Tankless x $25.00 = MODEL NO.: Permit Fee 50.00 Inspection Fee $75.00 Processing/Technology Fee $25.00 Total 150.00 I hereby certify that 1 am the❑Owner, ❑Applicant, El 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. t ?:= Bekah Swanson 03/15/2023 Signature Print Name Date SAVE PRINT REV03.2022 Page 2 of 2