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Home My WebLink About5906 Cemetery Rd_BLD6191_2025 Permit Packet Coversheet Community and Economic Development City of Arlington â€¢ 18204 59th Avenue NE â€¢ Arlington, WA 98223 â€¢ Phone (360) 403-3551 Permit Number: BLD6191 Permit Type: Residential Plumbing Address/Parcel: 5906 Cemetery Rd Completed (Month/Year): November 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 âœ” Issued Permit Title Report âœ” 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) âœ” Project Specification Manuals CC&Râ€™s Reports Deeds / Easements / Conveyances Certificate of Occupancy /Dedications âœ” Inspections Developerâ€™s Agreement âœ” Other: Inspection photos Letters and Project Documents Page 1 of 1 CITY OF ARLINGTON 18204 59th Avenue NE, Arlington, WA 98223 INSPECTIONS: 360-403-3417 - Permit Center: 360-403-3551 BUILDING PERMIT 5906 Cemetery Rd Permit #: 6191 PERMIT EXPIRES 180 DAYS AFTER Parcel #: 31051500100800 DATE OF ISSUANCE. Scope of Work: Replace 50gal electric water heater Valuation: 900.00 OWNER APPLICANT CONTRACTOR PHAM MARYVAN PHI & MURRAY Jacquelyn Murray HOME OWNER BRIAN L 5906 Cemetery Rd 5906 Cemetery Road ARLINGTON, WA 98223 Arlington, WA, 98223 , 425-478-2335 LIC: EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC #: EXP: LIC #: EXP: JOB DESCRIPTION PERMIT TYPE: RESIDENTIAL PLUMBING CODE YEAR: 2021 STORIES: CONST. TYPE: DWELLING UNITS: OCC GROUP: 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. 10/08/2024 Applicant Signature Date Building Official Date CONDITIONS Adhere to approved plans. 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 10/08/2024 Processing/Technology $25.00 10/08/2024 Inspection $75.00 10/08/2024 Plumbing Base $25.00 10/08/2024 Water Heater (Tank) $25.00 Total Due: $150.00 Total Payment: $150.00 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 RESIDENTIAL PLUMBING APPLICATION Community and Economic Development City of Arlington â€¢ 18204 59th Ave NE â€¢ Arlington, WA 98223 â€¢ 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: ï²âœ” New Installation ï² Addition ï² Alteration ï² Repair Property Address: 5906 Cemetery Road, Arlington, WA 98223 Project Valuation: $900.00 Lot #: Parcel ID No.: Preferred Contact: ï²âœ” Owner ï² Contractor Project Description: Replace 50gal electric water heater Owner Name: Jacquelyn Murray Home No.: n/a Email Address: jacqmurray2@outlook.com Cell No.: 425-478-2335 Mailing Address: 5906 Cemetery Road City: Arlington State: WA Zip: 98223 Contractor Name: Homeowner Office No.: Email Address: n/a Cell No.: Mailing Address: n/a City: State: Zip: L&I Contractor License Number: n/a Expiration Date: n/a â€¢ All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019 â€¢ All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) â€¢ Cross-Connection-Control may be required Proposed Interior Water Piping Size: ï² Â½â€ ï² â…â€ ï²âœ” Â¾â€ ï² 1â€ Proposed Interior Piping Material: ï²âœ” 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 3â€ ï²4â€ 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 0 x $ 15.00 = Floor Drains 0 x $ 15.00 = Grease Interceptor 0 x $ 75.00 = Grease Trap 0 x $ 25.00 = Hose Bibb 0 x $ 15.00 = Icemaker/Refrigerator 0 x $ 15.00 = Irrigation â€“ per meter 0 x $ 25.00 = Kitchen Sink & Disposal 0 x $ 15.00 = Laundry Tray 0 x $ 15.00 = Lavatory 0 x $ 15.00 = Med Gas Piping â‰¤ 5 inlets/outlets 0 x $ 60.00 = Med Gas Piping > 5 inlets/outlets (plus â‰¤ 5 0 x $ 5.00 = inlets/outlets) Miscellaneous â€“ regulated by plumbing code, not 0 x $ 15.00 = otherwise specified Pretreatment Interceptor 0 x $ 15.00 = Re-inspection Fee 0 x $ 75.00 = Roof Drains 0 x $ 15.00 = Shower (only) 0 x $ 15.00 = Sink (bar, service, etc.) 0 x $ 15.00 = Toilets 0 x $ 15.00 = Urinal 0 x $ 15.00 = Vacuum Breakers 0 x $ 25.00 = Water Heater 1 x $ 25.00 = 25 MODEL NO.: XE50M06CG45U0 Water Heater â€“ Tankless 0 x $ 25.00 = MODEL NO.: Permit Fee $25.00 Inspection Fee $75.00 Processing/Technology Fee $25.00 Total $125.00 I hereby certify that I am the Owner, Applicant, Contractor, and authorized to sign this application and that the above information is âœ” âœ” 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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