HomeMy WebLinkAbout17727 31ST DR NE_BLD2001_2026 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: —� � N ^� �\ n G cn NA cl E ZZ�)
Project Description
Owner: 156 COS C (AV V GU N A
Address: n L 1 DMZ N C_ City-& ��,1 -�_,,� State. N-A Zip Code:9 8 ZL�
Phone:��> Z�``'1- 2-rDcl 9 Email: UGiO C --" r S 1 MW I , fOYN,
Applicant:
1 Address: ,S(,mf iqJ a�,qy vt City: State: Zip Code:
Phone: Email-
CONTRACTOR INFORMATION
Contractor Name:
Address: City: State: Zip Code:
License Number: Expiration:
Phone- Email:
STAFF USEqN ec .lVea
Permit#: Accepted by Date U N
REV 2015 Page 1 of 2
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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 I
❑ Shower(2.0) x I ❑ Lavatory (1.0) x
❑ Clothes Washer(4.0) x ❑ Water Closet(2.5) x
❑ Dishwasher(1.5) x ❑ Water Heater x
❑ Hose Bibb (2.5) x
Water Heater Model#
❑ Other(list) x
Proposed Water Piping Size:
Proposed Piping Material:
Proposed DWV Material:
Proposed DWV Size:
• 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
----V4---
Applicant Signature: Date: �Q
1 hereby certify that the above information is correct and that the construction, installation for the above!nibntioned
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
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:17727 31st Drive NE Permit#:2001
Parcel#:00621300007800 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:CARRANZA ISAIAS&GONZALEZ Name:Isaias Carranza Name:Isaias Carranza
ELMA NYDIA O
Address: 17727 31ST DRIVE NE Address:17727 31st Drive NE Address: 17727 31st Drive NE
City,State Zip:ARLINGTON,W 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-244-2594 Phone:425-244-2594
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Isaias Carranza
Address: Address: 17727 31st Drive NE
City,State,Zip: City,State,Zip:Arlington,WA 98223
Phone: Phone:425-244-2594
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: • CONST.TYPE: VB
DWELLING UNITS: ] OCC GROUP: R3
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 INSPE N 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 rlin n m t rep on your sales tax return form
and coded City of rlin n#3101.
lCl q
Signature Print Name Date Lj/(//L!clj.WC03y Date
CONDITIONS
Approved as submitted. Inspections required. Call for rough inspection 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
6/15/2018 Plumbing Permit Base Fee $25.00
6/15/2018 Plumbing Permit Fee(Enter Fixture Fee) $36.00
6/15/2018 Processing/Technology Fee $25.00
Total Due: $86.00
Total Payment: $0.00
Balance Due: $86.00
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
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
--___ PHONE; (360)403-3551
BUILDING PERMIT
Address:17727 31st Drive NE Permit#:2001
Parcel#:00621300007800 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:CARRANZA ISAIAS&GONZALEZ
ELMA NYDIA O Name:Isaias Carranza Name:Isaias Carranza
Address: 17727 31ST DRIVE NE Address:17727 3lst Drive NE Address: 17727 31st Drive NE
City,State Zip:ARLINGTON,W 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-244-2594 Phone:425-244-2594
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Isaias Carranza
Address: Address: 17727 31 st Drive NE
City,State,Zip: City,State,Zip:Arlington,WA 98223
Phone: Phone:425-244-2594
LIC#: EXP: LTC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: • CONST.TYPE: VB
DWELLING UNITS: I OCC GROUP: R3
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 INSPE N 14AS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCl10.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of lin n m t rep on your sales tax return form
and coded City of rl in n#3101.
Signature Print Name Date cl c y Date
CONDITIONS
Approved as submitted. Inspections required. Call for rough inspection 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
6/15/2018 Plumbing Permit Base Fee $25.00
6/15/2018 Plumbing Permit Fee(Enter Fixture Fee) $36.00
6/15/2018 Processing/Technology Fee $25.00
Total Due: $86.00
Total Payment: $0.00
Balance Due: $86.00
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
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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.
�s
Project Address:_ �� 1 /\,n 1 n g t 0n
Project Description: ► `� �/Q
Owner:
Address: ill 0 51 City Y 1�,�� � State: N-A Zip Code:9 fs ZL
Phone:W L",� ' �,� ��` �7 `1 Email: 0001 Ql-A+-+tY 5 I 0GJM6tl 1 , t0fvN
Applicant: CS C y ra2�
1 Address:-Alf aJ atoy y-c City: State: Zip Code:
Phone: Email:
CONTRACTOR INFORMATION
Contractor Name: kzz, W Ae—v�
Address: City: State- Zip Code.-
License Number- Expiration:
Phone: Email:
STAFF USE N ec
elvea
Permit#: 'Plat Accepted by: Date JUN 1 2018
REV 2015 Page 1 of 2
A Y RESIDENTIAL PLUMBING
PERMIT APPLICATION
l jNG� 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 I ❑ Lavatory(1.0) x
❑ Clothes Washer(4.0) x ❑ Water Closet(2.5) x
Dishwasher(1.5) x ❑ Water Heater x
Hose Bibb (2.5) x
Water Heater Model #
Other(list) x
Proposed Water Piping Size:
Proposed Piping Material.
Proposed DWV Material:
Proposed DWV Size:
• 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.
I hereby certify that the above information is correct and that the construction, installation for the above ►ftntioned
property will be in accordance with the applicable laws of the City of Arlington and the State of Washingt6n.
REV 2015 Page 2 of 2
Permit#: 2001
Permit Date: 06/15/18
Permit Type: RESIDENTIAL PLUMBING
Project Name: Carranza
Applicant Name: Isaias Carranza
Applicant Address: 17727 31 st Drive NE
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Isaias Carranza
Phone: 425-244-2594
Email: aaaguttersl@gmail.com
Scope of Work: Bathroom Remodel
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 06/15/2018
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
CARRANZA
00621300007800 17727 31 ST DR NE ISAIAS& I I I Single Family
GONZALEZ ELMA Residence-Detached
NYDIA O
Contractors
Contractor Primary Contact Phone Address Contractor Type License License
#
Isaias Carranza Isaias Carranza 425-244-2594 17727 31 st DriveNE OWNER
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
07/16/2018 C04.PLUMBING Plumbing complete.KO. 07/16/2018 BUILDING Approved
GROUNDWORK
Fees
Fee Description Notes Amount
Plumbing Base Permit Fee $25.00
Mechanical Commercial Permit Table 4-7;Per Unit 3@$12 $36.00
Processing/Technology $25.00
Total $86.00
Attached Letters
Date Letter Description
06/15/2018 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
06/15/2018 Isaias Carranza Cash Kristin Foster $86.00
Outstanding Balance $0.00
Uploaded Files
Date File Name
06/18/2018 3619964-2001 Issued Permit.pdf
06/18/2018 3619965-2001 Application.pdf