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Home My WebLink About4108 175th Pl Ne_BLD5706_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: BLD5706 Permit Type: Residential Plumbing Address/Parcel: 4108 175th PI NE Completed (Month/Year): February 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 ` 18204 59th Avenue NE,Arlington,WA98223 INSPECTIONS: 360-403-3417-Perm i Center: 360-403-3551 BUILDING PERMIT 4108 175TH PL NE Perm t#: 5706 PERMIT EXPIRES 180 DAYS AFTER Parcel#: 00780400000800 DATE O FSSUANCE. Scope of Wak:NG water heater replacem ait V aluation: 3000.00 O W TER APPLICANT C O NIRACTO R VALLEY MARK LEE&TANYA LYNN C PI Plum ling,Heating,Cooling LLC. C PI PLUMBING&HEATING 4108 175TH PL NE 1 900 Railroad Ave 1 900 Railroad Ave ARLINGTONgWA98223 M unt Vernon,WA98273 M ount Vernon,WA98273 360-428-5636 3 60-428-5636 LIC:604909749 E XP:04/30/2024 LIC:CPIPLPH780M 1 EKP:08/26/2024 MECH ANICAL CO NIRACTO R LUMBING CO NIRACTO R LIC#: EXP: L IC#: E XP: JO BDESCRIPTIO N PERMIT TYPE: R ESIDENTIAL PLUMBING C ODE YEAR: 2 018 STORIES: 2 C ONST.TYPE: V B DWELLING UNITS: O CC GROUP: R -3;Residential BUILDINGS: O CC LOAD: PERMIT APPRO VAL The issuance or granting of this perm i shall not be construed to be a perm i 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,proclam Jion,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this perm i is interpreted to allow construction activity during any period of tim ewhen such construction is prohibited or restricted by any state or federal law,or order,proclam lion,guidance advice or decision of the Governor of this State,this perm i 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,proclam Jion, guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this perm 1 if it is determ iced to be issued in error or on the basis of incorrect,inaccurate or incom Bete inform aion,or in violation of any City ordinance,regulation or order,state or federal law,or any order,proclam aion,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/IRCI 10. SALES TAX NO HCE: Sales tax relating to construction and construction m Aerials in the City of Arlington m ist be reported on your sales tax return form and coded City of Arlington#3101. 11/17/2023 �Gf� 11/17/2023 Applicant Signature D ate B uilding Official D ate CO MITIO M Adhere to approved m xhanical equipm alt. Call for final inspection.Perm i Shall be onsite for inspection. The property owner shall ensure that the construction project com hies with all applicable zoning codes and regulations.The property owner shall also ensure that the construction project does not cause any adverse im pact on the surrounding environm ait or com m uity.The property owner shall be responsible for obtaining all necessary perm is and approvals from the relevant authorities before com m acing construction.The property owner shall ensure that the construction project com hies with all applicable design review requirem acts. 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 Am cunt 11/17/2023 Processing/Technology $25.00 11/17/2023 Inspection $75.00 11/17/2023 Plum king Base $25.00 11/17/2023 Water Heater(Tank) $25.00 Total Due: $150.00 Total Paym art: $150.00 Balance Due: $0.00 CALL FO RINSPECTIO M 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 Num ber,Type of Inspection being requested,and whether you prefer m arning or afternoon INSPECTIO NINFO IMATIO N Pass/Fail 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: (Ai O W 115-11-1 Place- Nt)y-MM&t Project Valuation: Lot#: g Parcel ID No.: 0-J Qp Preferred Contact: ❑ Owner QK Contractor Project Description: Na+ yea V Owner Name: Va Q n Home No.: ZPD--770- Email Address: cewt. Cell No.: 1475^ -oZ 7 / Mailing Address: 410 2" 1E7 City: r l i State: VU Zip: 3 Contractor Name: CPI Plumbing, Heating, Cooling 1-1-6 Office No.: 360-428-5636 Email Address: permitting@cpiplumbing.com Cell No.: Mailing Address: 1900 Railroad Ave city: Mt. Vernon State: WA Zip:98273 L&I Contractor License Number: 089, 492-02 Expiration Date: 08/26/24 • All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASS 1019 • All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) • Cross-Connection-Control maybe required Proposed Interior Water Piping Size: ❑ 1/z" ❑ S/s" ❑ 3/4" ❑ 1" Proposed Interior Piping Material: ❑CPVC ❑ Brass ❑ Copper ❑ PEX-AL-PEX ❑ PEX ❑ Galvanized Steel ❑ Other \� Proposed Exterior Water Piping Size: ❑ %" ❑ S/s" ❑ 3/4" ❑ 1" ❑ 11/z" ❑ 2" Proposed Exterior Piping Material: ❑PVC ❑PE ❑ Copper ❑ PEX-AL-PEX ❑ PEX-AL-PE ❑ PEX ❑ Other Proposed Drain-Waste-Vent(DWV) ❑ Schedule 40 ABS DVVV ❑ Copper ❑ Galvanized Steel ❑ Cast Iron Material: ❑ Schedule 40 PVC DWV ❑ Brass ❑ Other Proposed Drain-Waste-Vent(DWV) ❑ 12 ❑ s/s" ❑ 3/4" ❑ 1" ❑ 11h" ❑ 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—E: $ 15.00 = REV03.2022 Page 1 of 2 PLUMBING PERMIT FEES (per fixture) M, 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 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 = Med Gas Pi in 5 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 OCR MODEL NO.: 25 O t 2 N Water Heater-Tankless x $25.00 = MODEL NO.. Permit Fee �� , V v Inspection Fee $75.00 Processing/Technology Fee $25.00 Total 1 hereby certify that I am the❑ Owner, ❑Applicant, 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. �Guy/YGG/L�/2t�� O�S1E h 112 3 Signature Print Name Date SAVE PRINT REV03.2022 Page 2 of 2 175th PI NE 175th PI NE rr a Ilk Jr • Im's.1 T 10