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HomeMy WebLinkAbout18128 E Country Club Dr_BLD6132_2025 Permit Packet Coversheet Community and Economic Development City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551 Permit Number: BLD6132 Permit Type: Residential Plumbing Address/Parcel: 18128 E Country Club Dr Completed (Month/Year): September 2024 Land Use Bonding or Assignment of Funds Notice of Decision o Confidential Documents. Contact the Staff Report City to obtain. Application As-Builts Narrative Letters and Project Documents Legal Description Other: Vicinity Map Site Plan Civil Landscape Plan Issued Permit Complete Streets Checklist Application Traffic Impact Analysis Other Applications Snohomish County Traffic Mitigation Offer Construction Calculation Worksheet WSDOT Traffic Offer Form Approved Plans Tree Survey Review Comment Form Stormwater Drainage Report Letters and Project Documents Geotech Report Other Agency Permits Critical Area Evaluation Form Reports: SEPA Checklist o Drainage Report Pg: Public Notice Material o Stormwater Pg: Noticing and Related Documents o Geotech Pg: Water / Sewer Availability Certificate o All Other Reports Unanticipated Discovery Plan Form SEPA and Noticing Materials Aerial Photo of Site Inspections Proposed Building Materials As-Builts Lighting Plans and Lighting Cut Sheets Other: Color Elevations Design Matrix Building Plat Map ✔ Issued Permit Title Report ✔ Application Lot Closures Additional Applications Preliminary Civil Plans Approved Plans Archaeological Survey Site Plan o Confidential Documents. Contact the Letters and Project Documents City to obtain. Calculations Topography (Existing Conditions) ✔ Project Specification Manuals CC&R’s Reports Deeds / Easements / Conveyances Certificate of Occupancy /Dedications Inspections Developer’s Agreement Other: Letters and Project Documents Page 1 of 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:  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: • 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:  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)  Schedule 40 ABS DWV  Copper  Galvanized Steel  Cast Iron Material:  Schedule 40 PVC DWV  Brass  Other Proposed Drain-Waste-Vent (DWV)  ½”  ⅝”  ¾”  1”  1½”  2”  3” 4” 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/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 = REV03.2022 Page 1 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 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) 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 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. 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