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215 N Washington Ave_BLD898_2026
CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING_ PERMIT Address:215 N Washington Ave Permit#:898 Parcel#:00455400400600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:SMITH THOMAS M&CECILIA M Name:Cecilia Smith Name:Oso Plumbing Address: 101 E UNION ST,ARLINGTON,WA 98223 Address:101 E Union St Address:23020 Oso Loop Rd City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-631-2868 Phone:360-435-3508 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Oso Plumbing Address: Address:23020 Oso Loop Rd City,State,Zip: City,State,Zip:Arlington,WA 98223 Phone: Phone:360-435-3508 LIC#: EXP: LIC#:OSOPL**IOIOP EXP:9/11/2016 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2012 STORIES: 1 CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 1 OCC LOAD: PERMIT APPROVAL 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 Ch�of Arling #3Ip 1. t C ` Signature Print Name Date Release�By ���aje � CONDITIONS See redlined drawings. Adhere to approved plans. THIS PERMIT AUTHORIZS 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 2/5/2016 Plumbing Permit Base Fee Fee Amount 2/5/2016 Plumbing Permit Fee(Enter Fixture Fee) $25.00 2/5/2016 State Building Code Surcharge Fee $12.00 $4 50 Total Due: $41.50 Total Payment: $0.00 Balance Due: $41.50 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon :. ti pLB,!�- 2 5 . 00 ss� . s o Permit Information Date 2/3/2016 Permit Number 898 Project Name Thomas&Cecilia Smith Applicant Name Cecilia Smith Applicant Address 101 E Union St City, State,Zip Arlington,WA 98223 Contact Cecilia Smith Phone 360-631-2868 Email Cecilia_valentine@hotmail.com Permit Type Residential Plumbing Site Address 215 N WashingtonAve Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use Remodel of kitchen to include adding a dishwasher Assigned To Kristin Foster Property Information Owner Information Parcel#:00455400400600 SMITH THOMAS M&CECILIA M SMITH THOMAS M&CECILIA M 101 E UNION ST,ARLINGTON,WA 98223 215 N WASHINGTON AVE ARLINGTON,WA 98223 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Oso Plumbing Kevin Burke 360-435-3508 linfo@osoplumbing.com 1CONTRACTOR Labor and Industries OSOPL**101 OP Review Date Type Description I Target Date I Completed Date Assigned To I Status 2/3/2016 lResidential Plumbing 2/10/2016 1 JlKevin Olander lin Review Uploaded Files Upload File Date File 2/3/2016 9:30:42 AM JStnith Residential Plumbing A >licaiton. df 2/3/2016 9:29:49 AM BLD-898 Plans IEq https://fortress.wa.gov/lni/epis/rptPennit.aspx?guid=2e4fd351-df55... I JOBSITE COPY INDIVIDUAL OWNER ELECTRICAL WORK PERMIT #2634679P Contractor Name License Number Installation Description: Kitchen remodel: adding 2 outlets to relocate Purchaser's mailing address refrigerator and add a dishwasher & garbage 101 E Union St Arlington WA 98223 disposal. Possibly move electrical box for range Telephone number (depending on current box location). Replace 3606312868 wall heater with under cabinet heater. Premises owner's name Smith, Cecilia iServices to inspect: Description Quantity Amount Address of inspection Circuits -#of Circuits added/altered R $59'S0 215 N Washington Ave Inspection Fee: $59.50 02 9L7 The department will perform 1 inspection for ARLINGTON permits where total fee paid on permit is less than $89,79. For more than 1 inspection, Power company Snohomish County PUD additional fees are required. - - - Additional Fees May Be Assessed Upon Field Inspection This permit expires one (1) year after the date of purchase. Applied:2/11/2016 Expiration:2/11/2017 Date Approved By Date Approved By WALLS Insulation Only SERVICE Cover FEEDER CEILING Insulation Only THERMOSTAT Cover DITCH Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector Property Owner: Retain Permit Number for your records Attention Applicant! The Department will not conduct this inspection if there are unrestrained 1 of 3 2/11/2016 1:13 PM RESIDENTIAL PLUMBING PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:215 N Washington Ave Project Description: Remodel of kitchen to include adding a new dishwasher Owner:Thomas & Cecilia Smith 101 E Union St Address: City:Arlington State:WA Zip Code:98223 Phone: 360-631-2868 Email: cecilia_valentine@hotmail.com Applicant•Cecilia Smith Address:101 E Union St City:Arlington State:WA Zip Code:98223 Phone: 360-631-2868 Email: Cecilia_valentine@hotmail.com CONTRACTOR INFORMATION Contractor Name: Kevin Burke - Oso Plumbing Address:23020 OSO LOOP RD City:Arlington State:WA Zip Code:98223 License Number:OSOPL"1010P Expiration:9/11/16 Phone:360-435-3508 Email:info@osoplumbing.com STAFF USE ON G deceived Permit #: l Accepted by: Date FEB RESIDENTIAL PLUMBING PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave N E •Arlington,WA 98223 • Phone(360)403-3551 Plumbing Section (check all that apply) (Check all that apply and indicate the number of fixtures proposed) ❑ Bath/Shower Combo (4.0) x ❑ Sink (1.5) x ❑ Shower (2.0) x ❑ Lavatory(1.0) x ❑ Clothes Washer(4.0) x ❑ Water Closet (2.5) x [� Dishwasher(1.5) x 1 [ Water Heater x ❑ Hose Bibb(2.5) x ❑ Other(list) Proposed Water Piping Size: 1/2" Proposed Piping Material: copper Proposed DWV Material: abs Proposed DWV Size: 2 • 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 Applicant Signature: ��e�������mea-h Date: 02/02/2016 1 hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. X T G-12 c �L V-I A LI-- r J I i i r �clp-m VEa -+ r r-- ;� t- cl t tom_ .. I JL , ' v' ExTL�1a 1rL w��� yr 7 �- N , t OF ARLINGTO BUILDING DEPARTMENT -� -- �- APPROVED DKr 5 / ? s i J NO CHANGES AUTHORIZED } } All UNLESS APPROVED BY THIN 3 BUILDING INSPECTOR OFFICE :. IG p�t�'►n S 1 � --__ �� '— I Reca- i��►�;d �.. I j,n FFB 0 2 2016 � f MOTOt41aS LA ilO YTID UU1 ATMq"CW.iCU;sd c---- VOR99A 0- - -�- �MC WM&V%R*an AOTZ)39M VAIWUd CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:215 N Washington Ave Permit#:898 Parcel#:00455400400600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:SMITH THOMAS M&CECILIA M Name:Cecilia Smith Name:Oso Plumbing Address: 101 E UNION ST,ARLINGTON,WA 98223 Address:101 E Union St Address:23020 Oso Loop Rd City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-631-2868 Phone:360-435-3508 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Oso Plumbing Address: Address:23020 Oso Loop Rd City,State,Zip: City,State,Zip:Arlington,WA 98223 Phone: Phone:360-435-3508 LIC#: EXP: LIC#:OSOPL**IOIOP EXP:9/11/2016 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2012 STORIES: 1 CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 1 OCC LOAD: PERMIT APPROVAL 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 l0. 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 cod edCit ofArling #31p1. t b Signature Print Name Date Released By r5ate CONDITIONS See redlined drawings. Adhere to approved plans. THIS PERMIT AUTHORIZS 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 2/5/2016 Plumbing Permit Base Fee $25.00 2/5/2016 Plumbing Permit Fee(Enter Fixture Fee) $12.00 2/5/2016 State Building Code Surcharge Fee $4.50 Total Due: $41.50 Total Payment: $0.00 Balance Due: $41.50 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon FUZZ, P&-r-n L zs . coo FlXfde,6 FF� z z o0 000,00,0000, • ��. 5© Permit Information Date 2/3/2016 Permit Number 898 Project Name Thomas&Cecilia Smith Applicant Name Cecilia Smith Applicant Address 101 E Union St City,State,Zip Arlington,WA 98223 Contact Cecilia Smith Phone 360-631-2868 Email Cecilia_valentine@hotmail.com Permit Type Residential Plumbing Site Address 215 N WashingtonAve Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use Remodel of kitchen to include adding a dishwasher Assigned To Kristin Foster Property Information Owner Information Parcel#:00455400400600 SMITH THOMAS M&CECILIA M SMITH THOMAS M&CECILIA M 101 E UNION ST,ARLINGTON,WA 98223 215 N WASHINGTON AVE ARLINGTON,WA 98223 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Oso Plumbing JiKevin Burke 60-435-3508 info osoPlumbin .com 1CONTRACTOR Labor and Industries ISOPL**1010P Review Date Type Description I Target Date Completed Date Assigned To I Status 2/3/2016 lResidential Plumbing 2/10/2016 1 lKevin Olander lin Review Uploaded Files Upload File Date File 2/3/2016 9:30:42 AM ISmith Residential PlUmbing Applicaiton.pdf 2/3/2016 9:29:49 AM BLD-898 Plans. https:Hfortress.wa.gov/lni/epis/rptPermit.aspx?guid=2e4fd35 I-df55... JOBSITE COPY INDIVIDUAL OWNER ELECTRICAL WORK PERMIT#2634679P Contractor Name License Number Installation Description: Kitchen remodel: adding 2 outlets to relocate Purchaser's mailing address refrigerator and add a dishwasher& garbage 101 E Union St Arlington WA 98223 disposal. Possibly move electrical box for range Telephone number (depending on current box location). Replace 3606312868 wall heater with under cabinet heater. Premises owner's name Smith, Cecilia iServices to inspect: Description Quantity Amount Address of inspection ircuits-#of Circuits added/altered R �` aJ0 215 N Washington Ave Inspection Fee: $59.50 92 fJ0 The department will perform 1 inspection for ARLINGTON permits where total fee paid on permit is less than $89.79. For more than 1 inspection, Power company l fe es are required. Snohomish County PUD q -Additional Fees May Be Assessed Upon Field Inspection This permit expires one (1)year after the date of purchase. Applied:2/11/2016 Expiration:2/11/2017 Date Approved By Date Approved By WALLS Insulation Only SERVICE Cover FEEDER CEILING Insulation Only THERMOSTAT Cover DITCH Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector 3 I(v W PYt s E9C�'�� ��l_ f=��DC�rs cw— Cal elz�- i �i�, Ai.ru Sci �Z5 oK Property Owner: Retain Permit Number for your records Attention Applicant! The Department will not conduct this inspection if there are unrestrained 1 of 3 2/11/2016 1:13 PM -- ' RESIDENTIAL PLUMBING �le PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:215 N Washington Ave Project Description: Remodel of kitchen to include adding a new dishwasher Owner:Thomas & Cecilia Smith 101 E Union St Address: City:Arlington State:WA Zip Code:98223 Phone: 360-631-2868 Email: Cecilia_valentine@hotmail.com AppIicant:Cecilia Smith Address:101 E Union St City:Arlington State:WA Zip Code:98223 Phone: 360-631-2868 Email: cecilia—valentine@hotmail.com CONTRACTOR INFORMATION Contractor Name:Kevin Burke - Oso Plumbing Address:23020 OSO LOOP RD City:Arlington State:WA Zip Code:98223 License Number:OSOPL"101OP _ Expiration:9/11/16 Phone:360-435-3508 Email:info@osoplumbing.com STAFF USE ON G deceived Permit#: l Accepted by: Date r€D n ?nt6 LL- r) 47"ci 00 cp'm Pv-.o vc- 4 Lj Liz >( W 7 V�c 9 ------4 rl IL 00 c if F% C t5ITLXbo- V-1- In Q rY OF ARLINGTO BUILDING DEPARTMENT APPROVED V-J NO CHANGES AUTHORIZED UNLESS APPROVED BY THE BUILDING INSPECTOR FFICE COP , _� 0 Received F. CA ° e I �' - C4 I NtVN SYC3 oj o CA � ono, Q Vet l �c- r C, d Lo -�- dr— ..� > ► Irv, j e � v4 � G � it Permit#: 898 Permit Date: 02/03/16 Permit Type: RESIDENTIAL PLUMBING Project Name: Thomas & Cecilia Smith Applicant Name: Cecilia Smith Applicant Address: 101 E Union St Applicant, City, State, Zip: Arlington,WA 98223 Contact: Cecilia Smith Phone: 360-631-2868 Email: cecilia valentine@hotmail.com Scope of Work: Remodel of kitchen to include adding a dishwasher Valuation: 0.00 Square Feet: 0 Number of Stories: I Construction Type: Occupancy Group: ID Code: Permit Issued: 02/05/2016 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00455400400600 215 N WASHINGTON AVE SMITH THOMAS M 112 2 Single Family &CECILIA M Residences Contractors Contractor Primary Contact Phone Address Contractor Type License License# Oso Plumbing Kevin Burke 360-435-3508 23020 Oso Loop CONSTRUCTION Labor and OSOPL**1010P Rd CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 03/25/2016 C04.PLUMBING 03/25/2016 Completed GROUNDWORK Plan Reviews Date Review Type Description Assigned To Review Status 02/03/2016 RESIDENTIAL See redlined drawings. BUILDING PLUMBING Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Mechanical Commercial Permit Table 4-7;Per Unit $12.00 State Surcharge- 1 st DU Residential- 1 st Unit $4.50 Total $41.50 Attached Letters Date Letter Description 02/05/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 02/05/2016 Thomas Smith 58129239 cc $41.50 Outstanding Balance $0.00 Uploaded Files Date File Name 03/31/2016 1544366-L&I Permit.pdf 02/05/2016 1463790-Signed Permit.pdf 02/03/2016 1459445-Smith Residential Plumbing Applicaiton.pdf 02/03/2016 1459441-BLD-898 Plans.jpg https://fortress.wa.gov/lni/epis/rptPermit.aspx?guid=2e4fd35 I-df55,.. JOBSITE COPY INDIVIDUAL OWNER ELECTRICAL WORK PERMIT #2634679P Contractor Name License Number Installation Description: Kitchen remodel: adding 2 outlets to relocate Purchaser's mailing address refrigerator and add a dishwasher& garbage 101 E Union St Arlington WA 98223 disposal. Possibly move electrical box for range Telephone number (depending on current box location). Replace 3606312868 wall heater with under cabinet heater. Premises owner's name Smith, Cecilia Services to inspect: Description Quantity Amount Address of inspection Circuits-#of Circuits added/altered 9'S0 215 N Washington Ave Inspection Fee: $59.50 � The department will perform 1 inspection for ARLINGTON permits where total fee paid on permit is less than$89.79. For more than 1 inspection, Power company additional fees are required. Snohomish County PUD q - - Additional Fees May Be Assessed Upon Field Inspection This permit expires one (1) year after the date of purchase. Applied:2/11/2016 Expiration:2/11/2017 Date Approved By Date Approved By WALLS Insulation Only SERVICE Cover FEEDER CEILING Insulation Only THERMOSTAT Cover DITCH Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector >'(, W Prc t,S �Xc�' - �`� Z��C�cs — ply— Cci,l Property Owner: Retain Permit Number for your records Attention Applicant! The Department will not conduct this inspection if there are unrestrained 1 of 3 2/11/2016 1:13 PM =T CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT _ Address:215 N Washington Ave Permit#•898 Parcel#:00455400400600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:SMITH THOMAS M&CECILIA M Name:Cecilia Smith Name:Oso Plumbing Address: 101 E UNION ST,ARLINGTON,WA Address:101 E Union St Address:23020 Oso Loop Rd 98223 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-631-2868 Phone:360-435-3508 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Oso Plumbing Address: Address:23020 Oso Loop Rd City,State,Zip: City,State,Zip:Arlington,WA 98223 Phone: Phone:360-435-3508 LIC#: EXP: LIC#:OSOPL**l0ICP EXP:9/11/2016 JOB DESCRIPTION _ PERMIT TYPE: Residential Plumbing CODE YEAR: 2012 STORIES: 1 CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 1 OCC LOAD: PERMIT APPROVAL 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 WASIIINGTON 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. IBCI10/IRC1 I0. 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 Cit o, rlinggar #31Q1. r `gLAokk3LLI cJ 2 — Signature Print Name Date Released By 621C CONDITIONS See redlined drawings. Adhere to approved plans. THIS PERMIT AUTHORIZE 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 2/5/2016 Plumbing Permit Base Fee $25.00 2/5/2016 Plumbing Permit Fee(Enter Fixture Fee) $12-00 2/5/2016 State Building Code Surcharge Fee $4.50 Total Due: $41.50 Total Payment: $0.00 Balance Due: $41.50 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon RESIDENTIAL PLUMBING 01" ", PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address?15 N Washington Ave Project Description: Remodel of kitchen to include adding a new dishwasher Owner:Thomas &Cecilia Smith 101 E Union St Address: City:Arlington State:WA Zip Code, 98223 Phone: 360-631-2868 Email: cecilia_valentine@hotmail.com AppIicant:Cecilia Smith Address:101 E Union St City: Arlington State:WA Zip Code: 98223 Phone: 360-631-2868 Email: cecilia_valentine@hotmail.com CONTRACTOR INFORMATION Contractor Name: Kevin Burke - Oso Plumbing Address:23020 OSO LOOP RD City:Arlington State:WA Zip Code:98223 License Number:OSOPL"1010P Expiration-9/11/16 Phone-360-435-3508 Email:info@osoplumbing.com STAFF USE ONLY Permit #: Accepted by: Date RESIDENTIAL PLUMBING PERMIT APPLICATION Department of Community & Economic Development City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 Plumbing Section (check all that apply) (Check all that apply and indicate the number of fixtures proposed) ❑ Bath/Shower Combo (4.0) x ❑ Sink (1.5) x ❑ Shower (2.0) x ❑ Lavatory(1.0) x ❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x 0 Dishwasher (1.5) x 1 ❑ Water Heater x ❑ Hose Bibb (2.5) x ❑ Other (list) Proposed Water Piping Size: 1/2" Proposed Piping Material: copper Proposed DWV Material: abs Proposed DWV Size: 2" • 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 Applicant Signature: � �.... Date: 02/02/2016 I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington.