HomeMy WebLinkAbout605 Newberry St_BLD5657_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: BLD5657 Permit Type: Residential Plumbing
Address/Parcel: 605 Newsberry St Completed (Month/Year): WITHDRAWN November 2023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
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❑ Critical Area Evaluation Form ❑ Reports:
❑ SEPA Checklist o Drainage Report Pg:
❑ Public Notice Material o Stormwater Pg:
❑ Noticing and Related Documents o Geotech Pg:
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❑ Unanticipated Discovery Plan Form ❑ SEPA and Noticing Materials
❑ Aerial Photo of Site ❑ Inspections
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❑ Lighting Plans and Lighting Cut Sheets ❑ Other:
❑ Color Elevations
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o Confidential Documents. Contact the ❑ Letters and Project Documents
City to obtain. ❑ Calculations
❑ Topography(Existing Conditions) ❑ Project Specification Manuals
❑ CC&R's ❑ Reports
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/Dedications ❑ Inspections
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❑ Recorded Copies
Page 1 of 1
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 0 Alteration ❑ Repair
Property Address. 605 N Newberry St Project Valuation: 1000.00
Lot#: Parcel ID No.: 00461800900900 Preferred Contact: ❑ Owner O Contractor
Project Description:Like for like shower replacment. Cosmetic only. No drain moves or changes.
Owner Name: Matthew Dewberry Home No.: 425-232-1369
Email Address: mattdeberry@hotmail.com Cell No.: 425-232-1369
Mailing Address: 605 N Newberry St City: Arlington State: WA Zip: 98223
Contractor Name: Rebath of Seattle Office No.: 206-494-9000
Email Address: rebathseattle@gmail.com Cell No.:
Mailing Address: 402 Valley Ave NW, A city: Puyallup State: WA Zip: 98371
L&I Contractor License Number: REBATS*780OZ Expiration Date: 09/07/2024
• 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: 0 1/2" ❑ S/a" ❑ 3/4' ❑ 1"
Proposed Interior Piping Material: ❑ CPVC ❑ Brass ❑ Copper ❑ PEX-AL-PEX 0 PEX ❑ Galvanized Steel ❑ Other
Proposed Exterior Water Piping Size: ❑ 1/2" ❑ S/a" ❑ 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) 0 Schedule 40 ABS DWV ❑ Copper ❑ Galvanized Steel ❑ Cast Iron
Material: ❑ Schedule 40 PVC DWV ❑ Brass ❑ Other
Proposed Drain-Waste-Vent(DWV) ❑ 1/2" ❑ s/e" ❑ 3/4" ❑ 1" ❑ 11/2 0 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 1 x $ 15.00 = $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 =
MODEL NO.:
Water Heater-Tankless x $25.00 =
MODEL NO.:
Permit Fee $40.0
Inspection Fee $75.00
Processing/Technology Fee $25.00
Total $140.00
I hereby certify that 1 am the❑ Owner, DApplicant, 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.
Jos-& s Josh Schofield 10/24/2
Signature Print Name Date
SAVE PRINT
REV03.2022 Page 2 of 2
'Detailed diagram of existing bathroom required with any Phase 2 work
'If layout of bathroom is changing,new layout should be on Diagram Page of Contract
'Must show size&location of all applicable walls,doors,cabinetry,fixtures,and accessories.
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Y0 36
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36 y 2 a
Before
After(if layout is changing)
W NOTES
'Note any approved one-off Items&pricing approved by GM.