HomeMy WebLinkAbout20018 45th Dr Ne_BLD5161_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: BLD5161 Permit Type: Residential Plumbing
Address/Parcel: 20018 45th Dr Ne Completed (Month/Year): EXPIRED January 2024
Land Use
❑ Notice of Decision ❑ Bonding or Assignment of Funds
❑ Staff Report o Confidential Documents. Contact the
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❑ Narrative ❑ Letters and Project Documents
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❑ Critical Area Evaluation Form ❑ Reports:
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❑ Unanticipated Discovery Plan Form ❑ SEPA and Noticing Materials
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❑ Lighting Plans and Lighting Cut Sheets ❑ Other:
❑ Color Elevations
❑ Design Matrix Building
❑ Plat Map ❑✓ Issued Permit
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o Confidential Documents. Contact the ❑ Letters and Project Documents
City to obtain. ❑ Calculations
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❑ Recorded Copies
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CITY OF ARLINGTON
f 18204 59th Avenue IN E,Arlington,WA 98223
INSPECTIONS:360-403-3417-Permit Center:360-403-3551
BUILDING PERMIT
20018 45TH DR NE Permit#:5161
Parcel#:00898600002700 PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Scope of Work:REMOVE TUB/SHOWER COMBO-INSTALL WALK IN Valuation: 1100.00
SHOWER USING EXISTING FOOTPRINT AND PLUMBING
OWNER APPLICANT CONTRACTOR
KALLSTROM SCOTT R&DESIREE L PACIFIC BATH COMPANY Pacific Bath Company
20018 45TH DR NE 7859 S 180TH ST 7859 S 180TH ST
ARLINGTON,WA 98223-4725 KENT WA 98032 KENT,WA 98032
206.565.2035
UC:PACIFBC810JJ EXP:04/11/2023
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Pacific Bath Company
7859 S 180TH ST
KENT,WA 98032
LTC 4: EXP: LTC#:PACIFBC8IOJJ FXT:04/11 2023
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL PLUMBING CODE YEAR: 2018
STORIES: CONST.TYPE: VB
DWELLING UNITS: I OCC GROUP: R-3:Residential
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
Govemor 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 prolubited 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 irncorrect,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 W 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 10/1RC110.
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.
02115/2023
Applicant Signature Date Building Official Date
CONDITIONS
CALL FOR ALL INDICATED INSPECTIONS.
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
02/15/2023 Processing/Technology $25.00
02/15/2023 Inspection $75.00
02115/2023 Plumbing Base $25.00
02/152023 Shower(only) $15.00
02/152023 State Surcharge-1 st DU $6.50
02/152023 Credit Card Service $4.40
Total Due: $150.90
Total Payment: S 150.90
Balance Due: $0.00
CALL FOR INSPECTIONS
Call by3:30 pm for next day inspection,allow48 hours for Fire Inspections
V1hen 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
ROT PLUMBING ROUGH-IN Assigned
R10. FRAMING Assigned
R14. PLUMBING FINAL Assigned
i
l
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,tuiless the piping is repaired,altered
or replaced.
Type of Permit: ❑ New Installation ❑ Addition/Alteration/Repair
Property Address: 20018 45th Dr NE Arlington, WA 98223 Project Valuation: 1100.00
Lot#: Parcel ID No.: 00898600002700 Preferred Contact: ❑Owner 7Contractor
Project Description: Remove shower/tub combo install Walk in Shower using existing foot print and plumbing
Owner Name: Scott Kallstrom Home No.: 2064963823
Email Address: scott.kallstrom@gmail.com Cell No.: 4252313268
Mailing Address: 20018 45th DR NE City: Arlington State: WA Zip: 98223
Contractor Name. Pacific Bath Company Office No.: 2065652035
Email Address: jgreer@ pacificbath.com Cell No.:
Mailing Address: 7859 S 180th ST City: Kent State: WA Zip: 98032
L&I Contractor License Number: S P E C IC N 843D3 Expiration Date: 2/24/23
• 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: ❑ 'h" ❑ 5/8" ❑ 3/4" ❑ 1"
Proposed Interior Piping Material: ❑CPVC ❑ Brass ❑ Copper ❑ PEX-AL-PEX ❑ PEX ❑ Galvanized Steel ❑ Other
Proposed Exterior Water Piping Size: ❑ 'h" ❑ 5/s" ❑ 3/4" ❑ 1" ❑ 1'h" ❑ 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) ❑ V2 ❑ 5/8'• ❑ 3/4" ❑ 1" ❑ 1'h" ❑ 2" ❑ 3" 1734"
Piping Size:
I hereby certify that the above information is correct and that the 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.
d v-Seamless�ocs.com
Sigua«l a 6(481-22-6-560817acab75 Print Name Date
FOR STAFF USE ONLY
PERMIT# ACCEPTED BY: DATE STAMP
REV03.2022 Page 1 of 2
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 = 0
Backflow Assembly x $25.00 = 0
Base Plumbing Fee 1 x $25.00 = $25.00
Bath Shower Combo 1 x $15.00 = 15
Building Main Waste x $25.00 = 0
Clothes Washer x $15.00 = 0
Dishwasher x $15.00 = 0
Drinking Fountain x $15.00 = (I
Floor Drains x $15.00 = 0
Grease Interceptor x $75.00 = 0
Grease Trap x $25.00 = 0
Hose Bibb x $15.00 =
Icennaker 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 Piping<- 5 inlets/outlets x $60.00 =
Med Gas Piping> 5 inlets/outlets(plus 15 5 x $5.00 =
inlets outlets
Miscellaneous-regulated by plumbing code, x $15.00 =
not otherwise specified
Pretreatment Interceptor x $15.00 = 0
Re-inspection Fee x $75.00 = 0
Roof Drains x $15.00 = 0
Shower(only) x $15.00 = 0
Sink bar,service,etc. x $15.00 = 0
Toilets x $15.00 = 0
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
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