HomeMy WebLinkAbout124 S Dunham Ave_BLD5317_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: BLD5317 Permit Type: Residential Mechanical
Address/Parcel: 124 S Dunham Ave 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
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❑ Recorded Copies
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CITY OF ARLINGTON
18204 59th Avenue: NL-,Arlington,WA 982223
INSPECTIONS:360403-3417-Permit Center 360-403-3551
BUILDING PERMIT
124 S DUNHAM AVE Permit#:5317
Parcel ti:00378800MM
PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Scope:of Work:Install ncvv tank-less water heater(1)_ Required I"gas supply from Vakmtion:7630,00
new teeter set
OWNER APPLICANT CONTRACTOR
MATHIESON DAVID A&MEGAN Regional Mechanical REGIONAL MECHANICAL LLC
124 S DUNHAM AVE 3502 Creswwell Rd 3502 CRESWELL RD
ARLINGTON,%A'A 98223-1508 Snohomish,WA 98290 SNOHOMISH,WA 98290
4252991266 425-299-1266
uc RbGl0ML794PK EXP_I0-092023
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC : I.\1': LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL MECHANICAL CODE YEAR: 2018
STORIES: 1 CONST.TYPE: VB
DWELLING UNITS: OCC CROUP: R-3:Residential
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
The issuance or granting of this pemtit 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 lave,or of any order.prx:kamatiem,guidance advice or decision of the
Governor of this State. To the extent die issuance or granting of this permit is interpreted to allow construction activity during any
period of tinne 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 pemnit shall not authorize;such work and shall not be valid.The building official is
authorized to prevent occupancy or use of 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 low,or of any order,prx:larnation.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 die 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. IBC I 104RCI 10.
SA LES TAX N )TI . .: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 43101.
Z n z 3 -"O�� 041240M
Applicant Signature 1>: e_ Building Official I Date
CONDITIONS
Adhere to apprmed plans.Call for insl ction.
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
050512023 Processing/Technology S25.00
05MM23 Inspedion S75.00
0505d2023 Gas PipirgUnits S15.00
0%5f2023 Plumbing Base S25.00
05)05/2023 VMw Heater(Tanidess) $25.00
Total Due: S165.00
Total 1'aN me nt: S165.00
Balance Due: $0.00
CALL FOR INSPECTIONS
Call by 3:30 pm for next day inspection,alloN 48 hours for Fire Inspections
When calling for an inspection please leave the folloNing information:
Pcnuit umber.Tope of Inspection being requested,and whether you prefer morning or afternoon
INSPECTION INFORMATION P:t,s.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 0 Alteration ❑ Repair
Property Address: 124 S Dunham Ave Project Valuation: 7,630.00
Lot#: Parcel ID No.: Preferred Contact: 0 Owner 21 Contractor
Project Description:lnstall new tankiess water heater (1) Requires 1" gas supply from new meter set
Owner Name: David Mathieson Home No.:
Email Address: Cell No.: (425) 343-5690
Mailiniz Address: 124 S Dunham City: Arlington State: WA Zi :98223
Contractor Name: Regional Mechanical Office No.:
Email Address: coreyregional@comcast.net Cell No.: (425) 299-1266
Mailing Address: 3502 Creswell Rd City: Snohomish State: WA Zip:98290
L&I Contractor License Number:REGIOML794PK Expiration Date: 10/08/2023
• 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" ❑ Sib" ❑ -1/4" ❑ 1"
Proposed Interior Piping Material: ❑ CPVC ❑ Brass El Copper ❑ PEX-AL-PEX ❑ PEX ❑ Galvanized Steel ❑ Other
Proposed Exterior Water Piping Size: ❑ 'h" ❑ SA ❑ 3/4" ❑ 1" ❑ 11h" ❑ 2"
Proposed Exterior Piping Material: ❑PVC Il 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) ❑ t12." ❑ _' ❑ 3K ❑ 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 re pair piping x $ 15.00 =
Backflow Assembly x $25.00 =
Base Plumbing Fee 1 x S 25.00 - S25.00
Bath Shower Combo x S 15.00 =
Building Main Waste x S 25.00 =
Clothes Washer x $ 15,00 =
Dishwasher x $ 15.00 =
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PLUMBING PERMIT FEES (per fixture)
Drinking Fountain j x $ 15.00 -
Floor Drains x $ 15.00 -
Grease Interceptor x $7S.00 =
Grease Trap x $25.00 _
Hose Bibb x $ 15.00 =
Icemaker Refri orator 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 x $5.00 =
inlets outlets
Miscellaneous-regulated by plumbing code,not x $ 15.00 =
otherwise specified
Pretreatment Interceptor x $ 15.00 =
Re-ins ection 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 1 x $25.00 =25.00
MODEL NO.:
Permit Fee
Inspection Fee $75.00
Processing/Technology Fee $25.00
Total
1 hereby certify that 1 am the❑Owner, QApplicant 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.
C ` Corey Watson 04/24/2023
Signature Print Name Date
SAVE PRINT
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