HomeMy WebLinkAbout20203 44th Dr NE_BLD5585_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: BLD5585 Permit Type: Residential Plumbing
Address/Parcel: 20203 44th Dr Ne Completed (MonthNear): EXPIRED February 2024
Land Use
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Page 1 of 1
CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
� INSPECTIONS: 360-403-3417-Permit Center:3601103-3551
BUILDING PERMIT
20203 44TH DR NE Permit#: 5585
PERMIT EXPIRES 180 DAYS AFTER
Parcel#:00898600007200 DATE OF ISSUANCE.
Scope of Work: Installation of ADA Shower Valuation: 10000.00
OWNER APPLICANT CONTRACTOR
ANDERSON M STEPHAN M& Stephan Anderson Stephan Anderson
ESTHER
20203 44TH DR NE 20203 44th DR NE 20203 44th Dr NE
ARLINGTON,WA 98223 Arlington,WA 98223 Arlington,WA 98223
702-576-8041 702-576-8041
LIC: EXP:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL PLUMBING CODE YEAR: 2018
STORIES: CONST.TYPE: VB
DWELLING UNITS: 1 OCC GROUP: R3
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/IRCI 10.
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.
_ j - a 3 e �% h�l�• 09/01/2023 J
Applicant Signature Date Building Official Date
CONDITIONS
ADHERE TO APPROVED PLANS.APPROVED JOB COPY SHALL BE ONSITE FOR INSPECTIONS.CALL FOR
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
09/01/2023 Pmcessingfrechnology $25.00
09/01/2023 Plumbing Base $25.00
09/01/2023 Plumbing Res.Plan Review $176.01
0910112023 Shower(only) $15.00
Total Due: $241.01
Total Payment: $0.00
Balance Due: $241.01
CALL FOR INSPECTIONS
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 Number,Type of Inspection being requested,and whether you prefer morning or afternoon
INSPECTION INFORMATION Pass/Fail
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: 20203 44th Dr. NE Arlington WA 98223 Project Valuation: $10,000
Lot#: Parcel ID No.: Preferred Contact: ;?Owner ❑Contractor
Project Description: adding ADA shower
Owner Name: Stephan Anderson Home No.: 702-576-8041
Email Address: sglshot@hotmail.com Cell No.: 702-576-8041
Mailing Address: 20203 44th Dr. NE City: Arlington State: WA Zip: 98223
Contractor Name. Owner Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
L&I Contractor License Number: Expiration 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 may be required
Proposed Interior Water Piping Size: 2 '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) ❑ ,h„ ❑ 5/8• ❑ 3/4" ❑ 1" ❑ 1'h" C7 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.
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Sigma-Lui�....1....................... 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 x $15.00 = 0
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
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CITY OF ARLING,rON
BUILDING DEPARTMENT
APPROVED
DOE 3 3BY
R,9jewed
NO CHANGES AUTHORIZED
UNLESS APPROVED BY THE AUG 3 0 2023
BUILDING INSPECTOR