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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 ❑ 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 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 REV03.2022 Page 2 of