HomeMy WebLinkAbout17810 W Country Club Dr_BLD5778_2025 Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551
Permit Number: BLD5778 Permit Type: Residential Plumbing
Address/Parcel: 17810 W Country Club Dr Completed (Month/Year): EXPIRED July 2024
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Page 1 of 1
Kristin Foster
From: robert duncan <robert.w.duncan@outlook.com>
Sent: Wednesday, January 17, 2024 1:50 PM
To: Kristin Foster
Subject: Re: City of Arlington Plumbing Permit
Attachments: Residential Plumbing.2022.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
This message is from an External Sender
This message came from outside the City of Arlington
I believe I filled out the additional form. Also yes there is already preexisting plumbing for a bathtub, toilet and sink. I am
just looking to add the fixtures.
Robert Duncan
360â€632â€3186
Robert.w.duncan@outlook.com
On Jan 17, 2024, at 13:37, Kristin Foster <kfoster@arlingtonwa.gov> wrote:
Good Afternoon,
I’m working on your plumbing permit submittal and ask that you complete the attached application and
return so that I can include it in the packet for review. Additionally, please verify if the plumbing has
already been stubbed into the space, or if you are running new plumbing lines?
Thanks,
<image001.png>
Kristin Foster
Permit Technician II
Community and Economic Development
18204 59th Ave NE, Arlington, WA 98223
P. (360)403-3545
E. kfoster@arlingtonwa.gov
<Residential Plumbing.2022.pdf>
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: ï² New Installation ï² Addition/Alteration/Repair
Property Address: Project Valuation:
Lot #: Parcel ID No.: Preferred Contact: ï² Owner ï² Contractor
Project Description:
Owner Name: Home No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
Contractor Name: 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: ï² Â½â€ ï² â…â€ ï² Â¾â€ ï² 1â€
Proposed Interior Piping Material: ï² CPVC ï² Brass ï² Copper ï² PEX-AL-PEX ï² PEX ï² Galvanized Steel ï² Other
Proposed Exterior Water Piping Size: ï² Â½â€ ï² â…â€ ï² Â¾â€ ï² 1â€ ï² 1Â½â€ ï² 2â€
Proposed Exterior Piping Material: ï² PVC ï² PE ï² Copper ï² PEX-AL-PEX ï² PEX-AL-PE ï² PEX ï² Other
Proposed Drain-Waste-Vent (DWV) ï² Schedule 40 ABS DWV ï² Copper ï² Galvanized Steel ï² Cast Iron
Material: ï² Schedule 40 PVC DWV ï² Brass ï² Other
Proposed Drain-Waste-Vent (DWV)
ï² Â½â€ ï² â…â€ ï² Â¾â€ ï² 1â€ ï² 1Â½â€ ï² 2â€ ï² 3†ï²4â€
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.
Signature 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 =
Backflow Assembly x $25.00 =
Base Plumbing Fee 1 x $ 25.00 = $25.00
Bath/Shower Combo x $ 15.00 =
Building Main Waste x $ 25.00 =
Clothes Washer x $ 15.00 =
Dishwasher x $ 15.00 =
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/Refrigerator 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 ≤ 5 x $ 5.00 =
inlets/outlets)
Miscellaneous – regulated by plumbing code, x $ 15.00 =
not 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
Inspection Fee $75.00
Processing/Technology Fee $25.00
Total
REV03.2022 Page 2 of 2
CITY OF ARLINGTON
18204 59th Avenue NE, Arlington, WA 98223
INSPECTIONS: 360-403-3417 - Permit Center: 360-403-3551
BUILDING PERMIT
17810 W COUNTRY CLUB DR Permit #: 5778
PERMIT EXPIRES 180 DAYS AFTER
Parcel #: 00816000002400
DATE OF ISSUANCE.
Scope of Work: Bathroom fixture install. All plumbing lines have been stubbed into Valuation: 50000.00
the space.
OWNER APPLICANT CONTRACTOR
DUNCAN ROBERT W & NICOLE L Robert Duncan Robert Duncan
17810 W COUNTRY CLUB DR 17810W Country Club Dr 17810 W Country Club Dr
ARLINGTON, WA 98223-5961 Arlington, WA 98223 Arlington, WA 98223
3606323186 360-632-3186
LIC: EXP:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC #: EXP: LIC #: EXP:
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL PLUMBING CODE YEAR: 2018
STORIES: 0 CONST. TYPE: VB
DWELLING UNITS: OCC GROUP: R-3; Residential
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/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 City of Arlington #3101.
01/19/2024
Applicant Signature Date Building Official Date
CONDITIONS
APPROVED AS SUBMITTED. ADHERE TO THE APPROVED PLAN. APPROVED JOB COPY SHALL BE ONISTE FOR
INSPECTION. CALL FOR INSPECTION.
The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations. The
property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment
or community. The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant
authorities before commencing construction. The property owner shall ensure that the construction project complies with all
applicable design review requirements.
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
01/19/2024 Processing/Technology $25.00
01/19/2024 Inspection $75.00
01/19/2024 Bath/Shower Combo $15.00
01/19/2024 Pipe Alteration or Repair $15.00
01/19/2024 Plumbing Base $25.00
01/19/2024 Plumbing Misc. $15.00
01/19/2024 Sink (bar, service, etc.) $15.00
01/19/2024 Toilets $15.00
01/19/2024 Credit Card Service $6.00
Total Due: $206.00
Total Payment: $206.00
Balance Due: $0.00
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
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