HomeMy WebLinkAbout311 N Dunham Ave_BLD5652_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: BLD5652 Permit Type: Residential Plumbing
Address/Parcel: 311 N Dunham Ave Completed (Month/Year): December 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
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CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551
BUILDING PERMIT
311 N DUNHAM AVE Permit#:5652
PERMIT EXPIRES 190 DAYS AFTER
Parcel#: 00529900401400 DATE OF ISSUANCE.
Scope of Work:new water line from meter to house Valuation:4000.00
OWNER APPLICANT CONTRACTOR
GRIFFITH STEPHEN N Silvana Plumbing SILVANA PLUMBING
1628 STANWOOD BRYANT RD PO Box 160 PO Box 160
ARLINGTON,WA 98223 Silvana,Wa,98287 Silvana,WA 98287,WA 98287
4253087459 3606528500
LIC:SILVAPL792MK EXP:07/09/2025
LIC:602711823 EXP:03/31/2024
LIC:CARR*TP23I IT EXP:03/17/2024
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL PLUMBING CODE YEAR: 2018
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.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.
11/07/2023
Applicant Signature Date Building Official Date
CONDITIONS
Approved job copy shall be onsite for inspection.Adhere to approved plans. Call for inspection.
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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: J/ jU. � an'64 Project Valuation: G DOIJ.
Lot#: Parcel ID No.: Preferred Contact: ❑ Owner ❑ Contractor
Project Description:
Owner Name: �Laa--L�-C Home No.:
Email Address: Cell No.: O
Mailing Address: City: State: Zip:
Contractor Name: �a+Q' � �/� � Office No.:
Email Address: San& y►� r�„c`�' &-� Co'�Cell No.: O it—71�
Mailing Address: City: selva'-ez- State: i _ Zip:
L&I Contractor License Number: T Ex iration 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 maybe required
Proposed Interior Water Piping Size: ❑ Y2' ❑ s/a" ❑ 3A 1"
Proposed Interior Piping Material: ❑CPVC ❑ Brass ❑ Copper PEX-AL-PEX ❑ PEX ❑ Galvanized Steel ❑ Other
Proposed Exterior Water Piping Size: ❑ y2" ❑ s/a" ❑ 3/4" ❑ 1" ❑ iY2" ❑ 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) ❑ y2„ ❑ s/$1, ❑ 3/41, ❑ 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 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 =
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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 Tra 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 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 =
MODEL NO.:
Water Heater-Tankless x $25.00 =
MODEL NO.:
Permit Fee
Inspection Fee $75.00
Processing/Technology Fee $25.00
Total
I 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.
�I � 6y1 12'J& (f ) ///.,/ )� �
Signature Print Name Date
SAVE PRINT
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