HomeMy WebLinkAbout110 E Highland Dr_BLD5468_2024
Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551
Page 1 of 1
Permit Number: Permit Type:
Address/Parcel: Completed (Month/Year):
Land Use
Notice of Decision
Staff Report
Application
Narrative
Legal Description
Vicinity Map
Site Plan
Landscape Plan
Complete Streets Checklist
Traffic Impact Analysis
Snohomish County Traffic Mitigation Offer
WSDOT Traffic Offer Form
Tree Survey
Stormwater Drainage Report
Geotech Report
Critical Area Evaluation Form
SEPA Checklist
Public Notice Material
Noticing and Related Documents
Water / Sewer Availability Certificate
Unanticipated Discovery Plan Form
Aerial Photo of Site
Proposed Building Materials
Lighting Plans and Lighting Cut Sheets
Color Elevations
Design Matrix
Plat Map
Title Report
Lot Closures
Preliminary Civil Plans
Archaeological Survey
o Confidential Documents. Contact the
City to obtain.
Topography (Existing Conditions)
CC&R’s
Deeds / Easements / Conveyances
/Dedications
Developer’s Agreement
Recorded Copies
Bonding or Assignment of Funds
o Confidential Documents. Contact the
City to obtain.
Letters and Project Documents
Other:
Civil
Issued Permit
Application
Other Applications
Construction Calculation Worksheet
Approved Plans
Review Comment Form
Letters and Project Documents
Other Agency Permits
Reports:
o Drainage Report Pg:
o Stormwater Pg:
o Geotech Pg:
o All Other Reports
SEPA and Noticing Materials
Inspections
As-Builts
Other:
Building
Issued Permit
Application
Additional Applications
Approved Plans
Site Plan
Letters and Project Documents
Calculations
Project Specification Manuals
Reports
Certificate of Occupancy
Inspections
Other:
BLD5468 Residential Plumbing
110 E Highland Dr April 2024
✔
✔
✔
!"#$ #%"&'"'"
('$) %"&'"'"
*+,-.,/01234,59/..3
1=>?@ABCDEFG1234,52H1,32I6G7.9JI.952LK,II+9/M2NQ%!:R: O:;) S:: %
T911-,M9/5 ML/539M5L3VWR #):!:XOY #):!:XOYZZ S
#TW [#
W [#!" $:P[
& $:P[
&&"'&
' &"'&
'(
%&& \$%]"]
%#^ !(_$ \$%]]9-ML/539M5L3 1-+4*,/0ML/539M5L3\$%
<% \$%`L*.2IM3,15,L/% #Z
$
a^W Z %
#T$%a#% a$%%
Z%1234,59113Lb9- : PYO)Y: c; Y[ c:O)P :OO : P:d : PY [ P d P:dY: P[::e P:d [O ;:): [:;:[; [;Y#:T XYY:; : PYO)YO[ : e; Y; :;eY;; Y; YO c[ Y;[cd:dY: P[::e [O ;:): Y P PY#:YO)Y: : fY;e Q:[Y: c:[T f[ O ;;O:;d Y P:Y;e : PY [:d d [::d [:; X; [ P d P:dY: P[::e P:d [O ;; [;Y P Tc[ PP;:Y: f[ YYO[ QYO)PcYY[ c:YY P; ;:;;: ; )OP ): : P:: [Y: P[::e :d [O ;:): [:; [;Y P T ^$
!R Z#
!# a
# a ZZRZR Wh$ #!
W^$
ZS
R
W Z
! _^i# ^$##a Z !
T(T#$ ^a
#ZWRWa
Z
R#]R Z$a$ZTa
a# a$Wa
Z # a a a
#$ R#$$ S
a$ R#W ZTW
]
T/L5,M2C#:Y:X: ; Y; :[; Y; )::Y d P )YcP ):[; [[ d P <"
T
10/19/2023
!"#$#%& '(%)&*+,*-,.+./ 0123455678,943:72;28</ @75A43B627/ 0;DEF678 GH54/ IHB41 J4HB41 K9H7LM/ N4O63H; PH5 06A678/ R14O6B RH1O S41T634 %U )V%U ^(&VeU&! )Vf'gg h ifhifUU j^ \V\] $( k%" &l m^ #& $!#%&n UU%o pq r%)" k%" #" & $!#%& sr& !UU#&t k%" & #& $!#%& $U Uu r k%UU%o#&t #&k%"(#%&V"(# i)(j"n ^$ %k & $!#%& j#&t "v) mn &m orr" ^%) $"k" (%"&#&t %" k"&%%&ifhi ih'hi
RESIDENTIAL PLUMBING APPLICATION
Community and Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
REV03.2022 Page 1 of 2
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.
• 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
PLUMBING PERMIT FEES (per fixture)
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 =
Type of Permit: New Installation Addition Alteration Repair Property Address: Project Valuation: Lot #: Parcel ID No.: Preferred Contact: Owner 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:
Proposed Interior Water Piping Size: ½” ⅝” ¾” 1” Proposed Interior Piping Material: CPVC Brass Copper PEX-AL-PEX PEX Galvanized Steel Other Proposed Exterior Water Piping Size: ½” ⅝” ¾” 1” 1½” 2” Proposed Exterior Piping Material: PVC PE Copper PEX-AL-PEX PEX-AL-PE PEX Other Proposed Drain-Waste-Vent (DWV) Material: Schedule 40 ABS DWV Copper Galvanized Steel Cast Iron Schedule 40 PVC DWV Brass Other Proposed Drain-Waste-Vent (DWV) Piping Size: ½” ⅝” ¾” 1” 1½” 2” 3” 4”
4
110 E Highland Dr $2,419.98
4
Water Heater Replacment
Eric Reincke 425-931-2683
Eric.reincke@Yahoo.Com
110 E Highland Dr Arlington WA 98223
Smart Water Experts 630-615-4580
permits@DRFtps.com
10242 S. Bode St.Plainfield IL 60585
SMARTWE782KP 8/2/2024
REV03.2022 Page 2 of 2
PLUMBING PERMIT FEES (per fixture) 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 inlets/outlets) x $ 5.00 = Miscellaneous – regulated by plumbing code, not otherwise specified x $ 15.00 = 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
MODEL NO.:
x $ 25.00 = Water Heater – Tankless
MODEL NO.:
x $ 25.00 = Permit Fee Inspection Fee $75.00 Processing/Technology Fee $25.00 Total
Signature Print Name Date
I hereby certify that I am the Owner, Applicant, Contractor, and authorized to sign this application and that the above information is
correct and construction on, and the occupancy and the use of the above-described property will be in accordance with the laws, rules and
regulation of the State of Washington, and the City of Arlington. A final inspection and approval shall be obtained when complete.
E6-50H45DV
1 25.00
50.00
150.00
4
Michael Lawyer 7/12/2023
SAVE PRINT
!"!#$%&)* +,-./+2* 3456746+589+56:0;;<< =%>?+6B@C "D4,-E,+D?F!
A'2) G"+53,6+94563+-6 H'2 I
I
J1 9+53,6:KG69:=.>3'LM'N 746+5O+46+5+9D4.+3+-6P1Q'2 R=R
QT 'LB'< '2 )W'Q XA'; X<<Q; RJY<
!"!#$%&BQ< Z[$"!<\2;' ]5,:6,-G>:6+5 ??5+:: !+_4D+:.5,96,>- [`-+543+ [`-+5"a>-+ O&O! & & !b %O G $!6>5 "5,345dZ>-64.6 "a>-+ ??5+:: Z>-654.6>5d9+ !,.+-:+9+56: I
I%>?+65++6 Z[#Z[Z[ Z[Z[ 9+56: I
I%>?+Z[#Z[!e$
! " ! #'"(%)
# ! ."23 "% 4 "(!$!(! 89:;<!! ! "KLMNOMPQ RSTUMVWSX YZTU[ \S]MOSPVM^N RNLUXMPQ _``NMa^VMZP
. ) ! "
.)#"! &) ! ) f
"4gJJh . /. JJ i ! " !jk::;eGlem n;<;eE! .!"! p .! " "! 0."".' 0.q"! p .! " "! 0."".' 0.q ri ! " ! ( .#uvwxyxzw[wyw{|K}~zx€| ]]zuƒO^€{aS€S€€xƒ^{SyzyaXz{w€zwza|uuy|S|„MQ„N^PO|OT|[|`