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HomeMy WebLinkAbout7210 Country Club Dr_BLD1477_2026 RESIDENTIAL PLUMBING PERMIT APPLICATION ING�� 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. 7210 W Country Club Dr Arlington WA 98223 Project Description:Move walkin tub drain and supply li nes to newlocation. also install newshower pan Owner: David & Janice Fallen 7210 W Country Club DR Address: City.Arilington State,wa Zip Code: 98223 Phone: (360) 322-7369 Email. N/A Applicant:Steven Cook Address:763 El Gato St City:Coupeville State:WA Zip Code: 98239 Phone. 360-320-7655 Email: info@undergroundsolutions.net CONTRACTOR INFORMATION Contractor Name:UGS,LLC Address:763 El Gato St CityCoupeville StateWA Zip Code:98239 License Number:UGS****841P1 Expiration.10/21/2018 Phone-360-320-7655 Email. Info@undergroundsolutions.net STAFF USE ONLY Permit #: Accepted by: Date REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION ING�� 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) 0 Bath/Shower Combo (4.0) x 1 ❑ Sink (1.5) x Q Shower (2.0) x 1 ❑ Lavatory (1 .0) x ❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x ❑ Dishwasher (1 .5) x Q Water Heater x 1 ❑ Hose Bibb (2.5) x Water Heater Model # ❑ Other (list) x Proposed Water Piping Size: 1 Proposed Piping Material: copper Proposed DWV Material:ABS_ Proposed DWV Size: 4 • 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 a��ao,� Applicant Signature: Date: 05/22/2017 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. REV 2015 Page 2 of 2 CITY OF ARLINGTON �:38 N. OI-YMPIC AVE - ARLINGTON, WA. 99223 PI-IONI ; (360) 403-3 5 51 BUILDING PERMIT_ Address:7310 W.Usaetry Ct•b pr*e - Parcel r MA 16 MMtODILft YBlwta,n 0 Qt 42 OWNER APPLICANT CONTRACTOR war fru I IN DAVIO L A jAtvirl hi Nome I kiS.LLC None tXjs,11-( Addnm 7210 W 0.10%TRY C LIM OR Ad*m 76)El Gft Stttarrt AddtM M FA C;sio Strad Cry,State lip ARIJMjT()N.WA 98213 city,salt Zip Cetttiestllo.WA M39 ('1ty.StiIY rip-17011MvRle R A i 1%"W Milne 3r).120.76-41t Meow 360-320-7651 MECHANICAL CONTRACTOR PLi"NIBING CONTRACTOR gunk Addrtsw vanx. Ad*m CityNYree 1 PM Snle,Y,p co.Slue,Zip t IC b 'ne F\N - JOB DESCRIPTION PFRhm'Tm- Residential Plumbing COIN;YI-AR smltlts CYNtST. I YPV IW.LIJNGUNIT` I OCrGROUP WILDING% UCC LOAD: PERMIT APPROVAL AGRf F.TO COMPLY WITH GTTY AND SI-A7E LAW'S Rr(iU1 A'I'ING CUNSTKUC 1'10N AND 1N CXNNG T RK At. ) TIZMREBY,M)PERs(N<wll_I.OF FMPLUI'ED IN VifH.ATION O=T13E LABOR CODE OF THE STATL OF WASHINGIAW RLLATINCi TO %`DR"E1''4 COMPENSATION INSURANCE AND RCW 1917 TIRS APPIACATION IS N(7T A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIFAIER DEPI 1'V AND ALL FEES ARE PAID. 11 IS UNLAWFUL TO USE OR OLCUPY A BUILDING OR STRUCTURE UNTIL.A FINAI.INSPECTION HAS BEEN MAPI_ANl)APPROVAL Olt A CFJtT1F1CATE()*OCCUPANCY HAS BEEN GRANTTD Ift('11111KC110. hA ' k's tax Mletmg to co tructi nJ consbw:tion materinls in the City oX f and of he ed on)vur sates tax return form Print N me Y r IT.rle Ct fay Dart CONDITIONS Approved as submitted. Inspection is required prior to cover. 1Mp1 MW AU IZS(N1LYTHE W(*K Non;o.THISPERM1T COVERS W0RK TO III-.E)DNt:rJN PRIVATE PRO". TV ONLY AyY or 11R)R PC-nON ON THF.PURL IC 130MAIN ICURIiS.SIDEWALKS,DRIVEWAYS,SIARVUEI•S,ETC i Witl REQUIRE SR.PAIRA It 14-R#�I>JInN PERMIT FEES Date Ott criptlon Bwldrng Permh-Other Fee Amount Plumbing Permit Base Fee $100.00 PrOC665ing/Technology Fee SMOD M 00 Total Due: St" M1 Intal Payment: S0.011 CALL FOR INSPECTIONS N'bra calllr8 for as rnrpertfon Please knee the folia"ing Infarsaaliva: Permit�umhrr, I yPe Of Inapealon being reyunlyd.Bad Mhritter vbtl Prercr fflu"ing Or aRernonn CITY OF ARLINGTON ` 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 ` PHONE; (360) 403-3551 BUILDING PERMIT Address:7210 W.Country Club Drive Permit#:1477 Parcel#:00816000001000 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:FALLEN DAVID L&JANICE M Name:UGS,LLC Name:UGS,LLC Address:7210 W COUNTRY CLUB DR Address:763 El Gato Street Address:763 El Gato Street City,State Zip:ARLINGTON,WA 98223 City,State Zip:Coupeville,WA 98239 City,State Zip:Coupeville,WA 98239 Phone: Phone:360-320-7655 Phone:360-320-7655 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: I OCC GROUP: BUILDINGS: 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/IRC1 l0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of- li gtOW7n 't be re ed on your sales tax return form and coded City of Arlington#3101. 1 M Signature Print Name Date a eas d By Date CONDITIONS Approved as submitted. Inspection is required prior to cover. 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 5/23/2017 Building Permit-Other $100.00 5/23/2017 Plumbing Permit Base Fee $25 00 5/23/2017 ProcessingfTechnology Fee $25.00 Total Due: $150.00 Total Payment: $0-00 Balance Due: $150.00 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 000 0 � 0 o o o 0 0 0 �1 ; N O ° Q 69 v es C7 O ° i z LL Z00 a Q Oa �/ F N Fy 3 ¢ O a w c00 Cl) aw as rn [� o 7� 0 a 3 x z� z T c V U C7 r [I X W tl u c) Z z YM Z zW Q Oza co O v, Z o f x o ° F e d w E ` M - u V z d 'L O N zw w o �w _ d C4 cc i Ma, O ¢ Uo U w W i ti 2 v ti t W i O O O c4 CG w ¢ 5 °' Z •v a oC7 w z o n 3� 09 z GEW4� z d U ° 0° 0u >' x Q cG u,4A q C7 a o A O o FO w U� Q a q 3 U C7 U o z U V a /W u en O c. 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OWNER:David and Janice Fallen CONTRACTOR:UGS, LLC JOB ADDRESS:7210 W. Country Club Drive OWNER ADDRESS: 7210 W. Country Club Drive USE of BUILDING: SFR PLAT NAME: Description of Work: Plumbin LOT# PERMIT No: 1 477 Sprinklered:I NO CONDITIONS:See Permit DATE ISSUED:5.24.2017 TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION 360-403-3417 UNDERFLOOR SHEARWALL PLUMBING(groundwork) GAS PIPING(groundwork) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD(SHEAR/RATING) ROOF DRAINAGE The following documents will be required and must be available during the final inspection: Completed Public Works & Utility Inspection Card Final electrical sign off by L & I Completed Blower Door test certificate Completed Duct test certificate (if applicable) Conditions (if applicable) *indicates that the inspection is approved but there is a minor correction FINAL INSPECTION Required Documents: CORRECTIONS (*