HomeMy WebLinkAbout19928 47th Ave Ne_BLD6510_2026 CITY
OF
18204 59th Avenue NE,Arlington, WA 98223
INSPECTIONS: 3(OQ3-3417- Permit Center: 360403-3551
BUILDING PERMIT
19928 47TH AN'E Permit #: 6510
Parcel#:00849100001200
PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Scope of Work: Domestic repipe of hot and cold water Imes Vahuati)n: 11000 W
ON NF.R APPLICANT CONTRACTOR
HAWK I N S ELGIN L PEX Phimbing PEX P lu nbing
19928 4717H AVE NE 5866 NE Pinefarm Ct. 5866 NE Pincfarm Ct
ARLINGTON,WA 98223 Hillsboro Hillsboro,OR 97124
2534877473 503-886-8664
L1C:605 341 289 EXP:OSl312026
UC.PFXPLP*777QL EXP: 11/132025
UC PFXPLP*773PO EXP: 1012025
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
L1C EXT LIC EXP
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL PLUMBING CODE YEAR: 2021
STORIES: I CONST. TYPE: VB
DWELLING UNITS: OCC GROUP: R-3, Residential
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
The issuance or granting of diis 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 niterpreted 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 pernvt if it is deterniincd 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 WITII 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, IBC I0/IRC110.
SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on
your sale return form and c d City of Arlington#3101.
Z� WNV2025
Applicant Signature Da a Building Oflicial Date
CONDITIONS
Adhere to approved plans. Pennit shall be onsite for inspection. Cap for fnial inspection.
The property ty owivr shall enstwc that the construction project complies with all applicable Toning codes and regulations. "rhe property
owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or
conmiunity. The property owivr shall be responsible for obtaining all necessary permits and approvals from the relevant authorities
before conmiencing commruction. 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
05/202025 Processing/Technology $25.00
05202025 Inspection $75.00
05202025 Clothes Washer $15.00
0520/2025 Hose Bib $30•00
05/202025 loemaker/Refrigerator $15.00
05202025 Ktchen Sink&Disposal $15.00
05202025 Plumbing Base $25.00
05202025 Shower(only) $30•00
0520r2025 Sink(bar,service,etc.) $45.00
0520,2025 Toilets $30.00
Total Due: $305.00
Total Pavment: S305.00
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 dumber, Type of Inspection being requested, and whether you prefer morning or afternoon
INSPECTION INFORMATION I Pass/Fail
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: ❑ New Installation ❑ Addition 0 Alteration ❑ Repair
Property Address: 19928 47th Ave. NE Project Valuation: 11000
Lot#: Parcel ID No.: 00849100001200 Preferred Contact: ❑ Owner O Contractor
Project Description: Domestic repipe of hot and cold water lines.
Owner Name: Teresa & Elgin Hawkins Home No.:
Email Address: Cell No.: 360-399-3925
Mailiniz Address: 19928 47th Ave. NE City: Arlington State: WA Zip:98223
Contractor Name: PEX Plumbing/Saleena Coulter Office No.: 253-487-7473
Email Address: scheduling@peXpdX.com Cell No.:
Mailing Address: 5866 NE Pinefarm Ct. City: Hillsboro State: OR Zip:98223
L&I Contractor License Number: PEXPLP"773PO Expiration Date: 1111125
• 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: ❑ V2" ❑ s/a" ❑ 3/a" ❑ 1"
Proposed Interior Piping Material: ❑CPVC ❑ Brass ❑ Copper ❑ PEX-AL-PEX ❑ PEX ❑ Galvanized Steel ❑ Other
Proposed Exterior Water Piping Size: ❑ 'h" ❑ s/a" ❑ 3/4" ❑ 1" ❑ 1'/i" ❑ 2"
Proposed Exterior Piping Material: ❑ PVC ❑PE ❑ Copper ❑ PEX-AL-PEX ❑ PEX-AL-PE ❑ PEX ❑ Other
Proposed Drain-Waste-Vent(DWV) ❑ Schedule 40 ABS DWV ❑ Copper ❑ Galvanized Steel ❑ Cast Iron
Material: ❑ Schedule 40 PVC DWV ❑ Brass ❑ Other
Proposed Drain-Waste-Vent(DWV) ❑ ,h" ❑ 5/8 ❑ 3/4" ❑ 1" ❑ 11h" ❑ 2" ❑ 3" 04"
Piping Size:
PLUMBING PERMIT FEES (per fixture)
Type of Fixture No.of Fixtures Cost per Fixture Subtotal
Additional Plan Review fees x $75.00 =
Alteration re air 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 = $15.00
Dishwasher x $15.00 =
REV03.2022 Page 1 of 2
PLUMBING PERMIT FEES (per fixture)
Drinking Fountain $15.00
Floor Drains x $ 15.00
Grease Interceptor x $75.00 =
Grease Trap x $25.00
Hose Bibb _ 2 x $15.00 = $30.00
Icemaker Refri erator 1 x $15.00 $15.00
Irrigation-per meter x $25.00 = _
Kitchen Sink&Disposal I x $15.00 = $15.00
Laundry Tray x $15.00 =
Lavatory x $15.00 -
Med Gas Pipings 5 inlets outlets x $60.00 =
Med Gas Piping>5 inlets/outlets(plus<-5 x $5.00 =
inlets outlets
Miscellaneous-regulated by plumbing code,not x $15.00 =
otherwise specified
Pretreatment interceptor x $15.00
Re-inspection Fee x $75.00 =
Roof Drains x $15.00 -
Shower(only) 2 x $15.00 - $30.00
Sink bar,service,etc. 3 x $15.00 = $45.00
Toilets 2 x $15.00 = $30.00
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 $205.00
Inspection Fee $75.00
Processing/Technology Fee $25.00
Total $305.00
1 hereby certify that 1 am the❑Owner, 9p,pplicant, contractor,and authorized to sign this application and that the above information is
correct and construction on, and the occupancy and t e use of the above-described property will be in accordance with the laws, rules and
regulation of the State of Washington,and the City ofArlington.A final inspection and approval shall be obtained when complete.
Saleena Coulter 05/20/25
ig ature Print Name D'Ite
SAVE PRINT
REV03.2022 Page 2 of 2
Permit#: 6510
Permit Date: 05/20/25
Permit Type: RESIDENTIAL PLUMBING
Project Name: Hawkins#2035918
Applicant Name: PEX Plumbing
Applicant Address: 5866 NE Pinefarm Ct.
Applicant, City, State, Zip: Hillsboro
Contact: Saleena Coulter
Phone: 2534877473
Email: scheduling@pexpdx.com
Scope of Work: Domestic repipe of hot and cold water lines
Valuation: 11000.00
Square Feet: 1428
Number of Stories: 1
Construction Type: VB
Occupancy Group: R-3; Residential
ID Code:
Permit Issued:
Permit Expires:
Form Permit Type: RESIDENTIAL PLUMBING
Status: EXPIRED
Assigned To: Hannah Hardwick
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
HAWKINS ELGIN 100 SINGLE
00849100001200 19928 47TH AVE L FAMILY
RESIDENCE
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
5866 NE Pinefarm CONSTRUCTION
PEX Plumbing 503-886-8664 Ct CONTRACTOR UBI 605 341 289
5866 NE Pinefarm CONSTRUCTION Plumbing
PEX Plumbing 503-886-8664 PEXPLP Ct CONTRACTOR Contractor 777QL
PEX Plumbing 503-886-8664 5866 NE Pinefarm CONSTRUCTION Construction PEXPLP*773PO
Ct CONTRACTOR Contractor
Fees
Fee Description Notes Amount
Processing/Technology $25.00
Inspection $75.00
Clothes Washer $15.00
Hose Bib $30.00
Icemaker/Refrigerator $15.00
Kitchen Sink&Disposal $15.00
Plumbing Base Permit Fee $25.00
Shower(only) $30.00
Sink(bar,service,etc.) $45.00
Toilets $30.00
Credit Card Service $9.15
Total $314.15
Attached Letters
Date Letter Description
05/20/2025 Building Permit
05/20/2025 Web Form-Residential Plumbing Application
Payments
Date Paid By Description Payment Type Accepted By Amount
05/20/2025 Robin Grover 231988116 Hannah Hardwick $9.15
05/20/2025 XBP Conf: $305.00
231988116
Outstanding Balance $0.00
Uploaded Files
Date File Name
05/21/2025 26053542-2025 BLD6510 IssuedPermit.pdf
05/20/2025 364dee5ae6977aa0d07742d73ecb8c6e plumbing application.pdf