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C ac A ii sZ3 a0 000000 0 4- d Q W N " Z w rn W �` f P: w I ? OC rn < aZ z0 ZO c o Lij `0 = z ' v)wo (U c t ca0 E �d a)d oZv a U) E c ai w 7 z Z 000000 o o t-, o oC �} LL a) ccfA y a0 O Z J Z W j0 ° � r a > c o ca s �` u p o F o o V .. c� " w " 'c v) Z' O N o v :� 1 � c v cts � Q > cou 0 J � � ° o � y $ Ito. oaoo C o 000ao " CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 ♦ PHONE:(360)403-3421 Permit#: BLD20077566 BUILDING Project Address: 126 W NIARION ST, ARLINGTON Parcel No: 00560500001102 PROPERTY SCHMIDT SCHMIDT NCPII-DBA PETERSON CUSTOM HOMES 124 W MARION ST 124 W MARION ST 12906 JIM CREEK ROAD ARLINGTON.WA 98223 ARLINGTON,WA 98223 ARLINGTON,WA 98223 LICENSE#:NCPIII*982PB EXP: PLUMBING CONTRACTOR MECHANICAL CONTRACTOR NORTHWEST PLUMBING EMC CUSTOM HEATING,LLC 3810 166TH PLACE NE #123 22604 PRAIRIE ROAD ARLINGTON,WA 98223 SEDRO WOOLLEY.WA 98284 JOB DESCRIPTION SFR VALUATION: $165,997 PERMIT TYPE:Residential PERMIT GROUP:Single Family Residence New NUMBER OF STORIES: 1 TYPE OF CONSTRUCTION:V-B NUMBER OF DWELLING UNITS: 1 OCCUPANT GROUP:R-3 CODE:2006 OCCUPANT LOAD: EXISTING AREA PROPOSED AREA BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0 BASEMENT:0 1ST FLOOR: 1558 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 3RD FLOOR:0 GARAGE:420 DECK: 107 OTHER:0 SETBACKFRONTSETBACK SIDE p REQUIRED:22 PROPOSED:20 1 REQUIRED:5 PROPOSED:12 RE UIRED:5 PROPOSED:37 HEIGHTALLOWED:35 PROPOSED:19 I REQUIRED:5 PROPOSED:25 SETBACK NOTES:Front setback not clear. Driveway shall beat least 22'however building garage of building appears to start at 20'setback from marion street. 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. •r ignat Gf1 ure�,cLPrint N a,wroy.-����" Same Date Released By Date ATTENTION 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.UBC109/IBC 110/IRCl 10. ARCHIVE 0 APPLICANT ASSESSOR OTHER BLD20077566 CONDITIONS • Prior to final occupancy existing SFR must be demolished.See under permit#BLD20077575 • Lot line stakes must be in place at the time of foundation/setback inspection. • Installation,use and maintenance of equipment and components shall be per manufacturer's specifications,installation instructions,and applicable state codes. Provide manufacture's installation instructions on site for Building Inspector. • Approval of this foundation design is conditional subject to inspection of existing site soil conditions. Retaining Walls must be designed and constructed to resist the lateral pressure of the retained material. Provisions must be made for the control and drainage of surface water around buildings. • Installer shall provide the manufacturer's installation,operating instructions,and a whole house ventilation system operation description.A label shall be affixed to the whole house timer control that reads"Whole House Ventilation" (see operating instructions). • Hose Bibbs(exterior faucets)are required to have a permanently affixed anti-siphon device installed. • In addition to the required pressure/relief valve,an approved listed expansion tank shall be installed on all hot water tanks. Per UPC 608. • Type B or L vent connectors required on fuel-burning appliances passing through unheated spaces.Per IMC 803.2 • Obtain Electrical Permit from State Department of Labor&Industries. • Pursuant to UPC 605.2 a water service shutoff shall be installed on the water line as it enters the building. • City approved plastic piping may be used in water service piping provided that where metal water service piping is used for electrical grounding purposes,replacement piping shall be of like materials(UPC 604.8).A state electrical permit and inspection is required if electrical grounding is altered,removed,improved,or added. Contact State Dept.of Labor& Industries Electrical Division at 425-290-1309. • Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of the building or structure.Check the job card for all required City inspections including final project approval and final occupancy inspections. • Provide combustion air per IMC for commercial and multi-family residential installations,and IRC for one and two-family dwellings. • A pressure regulator valve(PRV)shall be installed near the water shutoff. • Obtain a separate permit from the City for work within right-of-way. • 48 hours notice is required when requesting your FINAL Engineering Inspection. 360-403-3500 • New and existing buildings shall have approved address numbers,building numbers or approved building identification placed in a position that is plainly visible from the street or road fronting the property. Address numbers shall be Arabic numerals or alphabet letters. Numbers shall be legible from the public way,at least 4 inches high with a%inch min.stroke width on a contrasting background. • Pre-sales or"model showing of units"is defined as a"use"of a building or premises and is inherently hazardous to the public prior to issuance of a certificate of occupancy. Pre-sales or model showing shall not be allowed without a(permanent or temporary)certificate of occupancy. Emergency plans as outlined by IFC Chapters 4 or 14 and local safety standards must be met for approval of temporary certificate. No building or structure shall be used or occupied until that certificate of occupancy,or temporary certificate is issued. • Call for locates of underground utilities 2 business days prior to any excavation. 1-800-424-5555 • Call for required inspections as noted and prior to backfill. INSPECTIONS 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 CALL FOR INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. C-Footings i • C-Foundation Wall • C-Foundation Drainage • C-Plumb Ground Work • C-Plumb Rough In • C-Gas Test/Pipe • C-Equipment-Mechanical • C-Shear Nailing-Exterior • C-Framing • C-Wall Insulation/Caulk • C-Building Final • C-Underfloor • C-Gas Piping Groundwork • P-Landscape Final • P-Storm Sewer Infiltration • P-Road Curb and Gutter • P-Road Sidewalk 1 1 CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 PHONE:(360)403-3421 PERMIT FEES/RECEIPT DATE: Thursday,October 04,2007 PERMIT#: BLD20077566 PROJECT ADDRESS: 126 W MARION ST, ARLINGTON LOCATION: OWNER: SCHMIDT 124 W MARION ST ARLINGTON,WA 98223 360.435.3070 *FEE SUMMARY: Fee Amount Pahl C-Building Permit Fee $1,583.25 ($1,583.25) $0.00 C-Plumbing Permit Fee $155.00 ($155.00) $0.00 C-Mechanical Permit Fee $99.00 ($99.00) $0.00 C-Building Plan Review Fee $900.00 ($900.00) $0.00 C-Building Plan Review Fee $1,030.00 ($1,030.00) $0.00 C-State Building Code Surcharge $4.50 ($4.50) $0.00 Total Due: $3,771.75 ($3,771.75) $0.00 *FEES ARE ESTIMATED BASED ON INFORMA TION PRO VIDED AT SUBMITTAL-SUBJECT TO CHANGE PAYMENT TRANSACTIONS: Receipt# Method/Payee Paid 9/17/2007 REC000021 Check 2001/ ($900.00) C-Building Plan Review Fee ($900.00) 10/4/2007 REC000064 Check 2005/DOUG&LAURIE SCHMIDT ($2,871.75) C-Building Permit Fee ($1,583.25) C-Plumbing Permit Fee ($155.00) C-Mechanical Permit Fee ($99.00) C-Building Plan Review Fee ($1,030.00) C-State Building Code Surcharge ($4.50) �� �;: I I I I G11 Y O f, Community Development ' o Planning Division I N G"t Fax Transmission Cover Sheet FAX TRANSMISSION City of Arlington 238 North Olympic Avenue Arlington, WA 98223 Phone 360-403-3551 Fax 360-403-3447 TO: Norm Peterson COMPANY: FAX NO.: (360)-403-0437 PAGES (including cover sheet): 3 DATE: October 19, 2007 FROM: Nate Hudson, Associate Planner, 360-403-3435 SUBJECT: Deviation approval COMMENTS: Norm, here is the memo signed by Assistant City Administrator, and the approved site plan in the file. The site plan does not get signed or stamped, but in the memo it is clear that the house was approved with a setback of 19' from the front property line. If you have questions, feel free to call me. Thank you, Nate Hudson 1 I � � - I C)j Y Ur City of Arlington Community Development Department NG�0 MEMO October 19, 2007 TO: Kristin Banfield, Assistant City Administrator FROM: Nate Hudson, Associate Planner RE: Single-Family Building Permit at 126 Marion Street Kristin, Per our conversation on Tuesday, October 16, 2007, because there was confusion between the permit center staff and the applicant as to the required building setback from the "street," the City's administration is allowing a deviation from dimensional standards. Your signature below is verification that the City is approving building permit # BLD20077566 located at the address above, with a minimum front setback requirement of 19' instead of the required 20'. - 1 Kristin lkanfield r 1AK !0tr\. 5�r a ° C4 aiL --- - C_FftlenT 4\ , g -brig► - �� s -boxer - I mall e T D.Sr- on I - v 1 1z N ' ' c v' .Z b cs� ,C to House 1 s52 s Cftmy 411 T'arftL Ig63 C son win i i� Z 0' CMA^ - g6oc) s r= Lo7 I Owner Doug Schmidt -Lot# 1 (& 2) Phone 360-435-3070 / 124 Marion St C ph 425-754-1659 B,l-ilding Address 126 W Marion Street/City Sewer and eater at previous home Building Height 1.4'/Sind a story Total building Sq. Ft. 1963 Lot Sime 9.600 sf x 35% =3360sf 1_,ot Coverage 1963=9600 =20.4% See attached: Plat Map,Volume 6 PG 19 N of o Sc a1� I 4 -`� ;� 1 �� � R. � I II I i Permit Review Details Permit: BLD20077566 1002-P-Engineering I., Complete? Y 09/26/2007 arusko 0 Y Total Time: 0 1004-P-Engineering>Il` Complete? Y 09/25/2007 tcross 30 Full frontage improvements will need to be completed. Y This includes but not limited to Curb,Gutter and sidewalk w/4.5 ft.planter between the curb and sidewalk. Total Time: 30 1006-P-Engineering III Complete? Y 09/21/2007 mwang 0 No comment. Y Total Time: 0 1014-P-Public Works] Complete? Y 09/24/2007 Itaylor 1 no comments Y Total Time: 1 1020-P-Sewer Complete? Y 09/25/2007 vrenfroe 45 This is an existing residential building which our wastewater records do not indicate ever Y having been connected to sanitary sewer. My asumption is that it is connected but at this time I could not perform any testing for verification.Sanitary sewer requirements prior to demolition will be: 1)Verification of sewer flow by means of dye testing from within the existing residential building.Arrangements will need to be made with the wastewater utility. 2)If the existing residence is connected to the sanitary sewer system out in Marion Street it will need to be excavated at the property line,disconnected and capped with an inspection by the wastewater untility prior to the actual demolition process is to occur. 3)If the existing residence is still in use of an on-site septic system it must be disconnected and abandoned according to the Snohomish County Health Department regulations and inspected by the wastewater utility. 4)All wastewater utility inspections require a minimum of 24 hrs prior notice.Contact the wastewater utility at 360-403-3526 Virgil Renfroe. Total Time: 45 1026-P-Utilities Fees Complete? Y 09/24/2007 rshepard 30 If the existing home that is presently on this lot is demolished before the applicant builds a Y new SFR then the applicant will be required to pay a side sewer inspection fee and obtain a side sewer permit. If this house is being built in addition to the existing house currently on this lot then the applicant will need to pay all new connection and tap-in fees. Total Time: 30 1028 -P-Water Complete? Y 09/26/2007 eanderson 120 #1 The property has an existing water service but it looks like it will be in conflict with the new Y driveway. #2 The City of Arlington Utilities will disconnect the existing and re-locate a new service line and meter to the East out of the construction area. #3 There is an existing tree located at the frontage on Marion at the proposed site. I was told that this tree will be removed. I have a concern regarding the roots around the 4"AC water main. Care will have to be take when it is removed. The Main is shallow in that area. Total Time: 120 2000 -C-Building I , Complete? Y 09/25/2007 sblack 30 Provide floor joist spacing. N 2x8 floor joist will not span 11'. Provide brick veneer attachment details. Provide IRC compliant shear schedule. Provide portal frame opening details. Provide interior shear wall locations. 09/25/2007 sblack 0 Y Total Time: 30 2008 -C-Community.Development I Complete? Y. 09/26/2007 arusko 0 Y Total Time: 0 9/26/2007 3:43:14 PM Page 1 of 2 h�tl� � 1 f 2012 -C-Natural Resources Complete? Y 09/24/2007 Wake 5 Make sure they are aware of significant tree rules. Y Total Time: 5 2014 - C-Planning I Complete? Y 09l21/2007 nhudson 30 Garage is not set back to minimum of 22'. Y Show shade trees per 20.76.124. Verify that plan shows all structures and that structures shown on plat map are no longer on property. Note,plans show lot to be 9,600 square feel,however snohomish county shows approx 7,405 square feel. Total Time: 30 Total Reviews: 12 Total Time: 291 9/26/2007 3:43:14 PM Page 2 of 2 - y I fA 1 � JILT _�--- Permit Review Details � Permit: BLD20077566 PERMIT 1002 -P-Engineering I Complete? Y 09/26/2007 arusko 0 Y Total Time: 0 1004-P-Engineering II Complete? Y 09/25/2007 tcross 30 Full frontage improvements will need to be completed. Y This includes but not limited to Curb,Gutter and sidewalk w/4.5 ft planter between the curb and sidewalk. Total Time: 30 1006-P-Engineering III Complete? Y 09/21/2007 mwang 0 No comment. Y Total Time. 0 1014- P-Public Works I Complete? Y 09/24/2007 Itaylor 1 no comments Y Total Time: 1 1020 - P-Sewer Complete? Y 09/25/2007 vrenfroe 45 This is an existing residential building which our wastewater records do not indicate ever Y having been connected to sanitary sewer.My asumption is that it is connected but at this time I could not perform any testing for verification.Sanitary sewer requirements prior to demolition will be: 1)Verification of sewer flow by means of dye testing from within the existing residential building.Arrangements will need to be made with the wastewater utility. 2)If the existing residence is connected to the sanitary sewer system out in Marion Street it will need to be excavated at the property line,disconnected and capped with an inspection by: the wastewater untility prior to the actual demolition process is to occur. 3)If the existing residence is still in use of an on-site septic system it must be disconnected and abandoned according to the Snohomish County Health Department regulations and inspected by the wastewater utility. 4)All wastewater utility inspections require a minimum of 24 hrs prior notice.Contact the wastewater utility at 360-403-3526 Virgil Renfroe. Total Time: 45 1026- P-Utilities Fees Complete? Y 09/24/2007 rshepard 30 If the existing home that is presently on this lot is demolished before the applicant builds a Y new SFR then the applicant will be required to pay a side sewer inspection fee and obtain a side sewer permit. If this house is being built in addition to the existing house currently on this lot then the applicant will need to pay all new connection and tap-in fees. Total Time: 30 1028 - P-Water Complete? Y 09/26/2007 eanderson 120 #1 The property has an existing water service but it looks like it will be in conflict with the new Y driveway. #2 The City of Arlington Utilities will disconnect the existing and re-locate a new service line and meter to the East out of the construction area. #3 There is an existing tree located at the frontage on Marion at the proposed site. I was told that this tree will be removed. I have a concern regarding the roots around the 4"AC water main. Care will have to be take when it is removed. The Main is shallow in that area. Total Time: 120 2000 -C-Building I Complete? Y 09/25/2007 sblack 30 Provide floor joist spacing. N 2x8 floor joist will not span 11'. ----_P_rovide brick veneer attachment details.— -" / Provide IRC compliant shear schedule Provide portal frame opening details. Provide interior shear wall locations. 09/25/2007 sblack 0 Y Total Time: 30 2008 -C-Community Development I Complete? Y 09/26/2007 arusko 0 Y Total Time: 0 9/26/2007 3:20:46 PM Page 1 of 2 2012 -C-Natural Resources Complete? Y 09/24/2007 bblake 5 Make sure they are aware of significant tree rules. Y Total Time: 5 2014 -C-Planning I Complete? Y 09/21/2007 nhiui::Un 30 Garage is not set back to minimum of 22'. Y Show shade trees per 20.76.124. Verify that plan shows all structures and that structures shown on plat map are no longer on property. Note,plans show lot to be 9.600 square feet,however snohomish county shows approx 7,405 square feet. Total Time: 30 Total Reviews: 12 Total Time: 291 9/26/2007 3:20:46 PM Page 2 of 2 t � 1 i i ' SEP 19 2007 PERMIT TRAX BUILDING REVIEW COVER SHEET DATE 9/18/2007 Please see attached and Permit TRAX reference permit number BLD,2ye j FOR REVIEW click on "My PERMITS". Review Items that can be scanned have been done. VIEW THEM under ATTACHMENTS. Permit Tech. 1U�C i�� 07 -�t NGLE FAMILY RESIDENCE BUILDING PERMIT' APVL.ICATI®N Department of Community Development City of Arlington - 238 N Olympic Ave. -Arlington,WA 98223- Phone(360)403 3431 -FAX(360)403 3447 THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS, SIX RATE, FULLY DIMENSIONED PLOT PLANS AND TWO{2) SETS OF ENERGY CODE APPLICATIONS_ y TYPE OF PERMIT: Building ( )Mechanical ( ) Plumbing KCornbination M lye,�. O ID 0� O 00 O Project Address: Lot#: Subdivision: ) Project Description:� � Fd`I'''t'l- Lve- I I ,� f N dt Phone � � 3s'�07U Owner: O u. 0.n f.�V'LQi -+.�L �� P Number - Address: /01 /, 0*1 - City: i h � State-. AIA Zip Code. 9 P"ZI 3 Contact Person: O LC- iSG-Y_�_ 101 t- Phone Number: 06 O) v, �'� - '3 O ' 0 Cell Phone: �a�.S� �S�_/ 6�/ Fax: _ E-mail- 1�G� 5- . I- cA " Address: oZ'7' �✓, seal-t p n . City: LI f� Slate: Zip Code: Lending Agency: Phone Number: - Address: City:_ State: Zip Code: Contractor- G� /� (45 —�C�—Phone Number: .3LCKL ��j�� 0- Address: 179Ae , jl'1'lc�✓A�' ( ——City: State: Zip CodeJ4??? Contractor's License Number- IUC P 'L- `7ef Z P.S Expiration: Plumbing Contractor Phone Nu nbber: —2)k, Address: �� �L¢fn finQl- AJf�1?3 /� City: Lh691C�Staler e Zip Code: -- Contractor's License Numbeerr: ,pDA'T�'tl f ,02i a , ! Expiration: 7/} ��/ Mechanical Contractor_ U`�I ���L__(1�S�WI Gt1,1/►G1 [�.-�- Phone Number: 3&p- ' _—z. "P 7ZJvo4 WVW- l C 0 --City: State:�— Zip Code: Address: � Y� Contractors License Number: Expiration: - FOR STAFF USE ONLY Permit l Accepted By Amount Received Receipt# Date Received Page t of 2 5105 dwa WEB Forms-46 g p r r '` . � G'`Y SINGLE FAMILY REL:'DENCE Bo BUILDING PERMIT APPLICATID14 �NG� Department of Community Devefopment City of Arlington• 238 N Olympic Ave.•Arlington,WA 98223 • Phone(360)403 3431 • FAX (360)403 3447 Number of Plumbing Fixtures (Including Rough-Ins) Accessory Main Total Fixture Total Number Fixtures Plumbing Fixtures Dwelling Unit Residence Unit#X Units Multiplier Bar Sink x 1-o = Bathtub or Combination Bath/Shower , X 4.0 = Clotheswasher X 4.0 = Dishwasher X 15 = Hose Bibb 3 X 25 = 3 Kitchen Sink x 1-5 r Laundry Sink X 2.0 Lavatory(Bathroom Sink) X 1 0 = Shmver(Stand A!one)Each Head / X 20 = / Water Closet(Toilet) X 2.5 = Whirlpool Bath or Combination Bath/Shower X 4 0 = Water Heater / Other Total Fixture / _ Units Traps other than above items) Column Totals Estimated Project Valuation 0 & 7 Building Square Footage T6- 1 s` Floor 6 2nd Floor Sd Floor Basernent Deck_._ Garage_ Water Supply Piping A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units B. Distance from meter to most remote oullel feet. C_ Difference in elevation between meter and highest fixture: feet above meter or feel below meter, D. Pressure in street main: psi.(Measure with gauge or check with Water Department) I hereby certify that the above information is correct and that the 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 Stale of Washington. Applicants Signature Dale FOR STAFF USE ONLY 200 17 C, Permit# Accepted By Amount Received Receipt X Date Received WEB Forms-46 Page 2 of 2 5105 dwa _ � I - _ -I - - - - - - - A: y 1 . III ,� I I� ��"` ��.% City of Arlington • Public Works Utilities Division '+0 -*Co water Department ph. 360.403.3526 SEP 17 2001 CROSS CONNECTION SURVEY �Z.00-7 ' S-6 ("9 Residential FOR OFFICE USE ONLY Date Received: Survey reviewed by: Survey accepted by: Assembly Required: ❑ No 0 Yes DCVA RPBA Inspection Type of Residence: 10 Single Family ❑ Duplex ❑ Triplex ❑ Apartment # of Units ❑ Other Project Site Address: lab 41. mo l-) oP-.4 9 Property Tax ID#: 005-6 OT OOOO I l U Q. Lot#: Building Permit #: Subdivision: Building size: / # of stories Project description: Property Owner: 0Lc SCkHwi it Property Owner's mailing address: / XV I-✓- ntaj- 1 n a�'o► )n/� q�1.� oZ 3 Property Owner's Phone# �b�� `f S� cS� Fax # _ Occupant/Contact's name: �a►.r��� Occupant/Contact's mailing Address: Occupant/Contact's Phone# Fax# The Rules and Regulations of the State of Washington Department of Health require that certain premises install backflow prevention assemblies. (WAC 246.290.490). Backflow prevention assemblies shall be installed at any premise where, in the judgement of the City of Arlington Cross Connection Control Specialist,the nature of activities on the premise may present a hazard to the public water system, should a cross connection exist. CCS Residential pg 1 2006 City of Arfin0on Utilities Division Cross Connection Survey Property Site Address: / a 0 W a�"� O�'�► �j (- Name of person filling out survey (please print)• t)oLA-g 6_ l%'t 1Jt Place a check mark next to all equipment/fixtures listed below that are, or will be, permanently or occasionally connected to water for use at your residence (single family, multi-family, mobile, etc.) r Toilets ❑ Shampoo Basin, Sinks (kitchen, bathroom, etc.) ❑ Drinking Fountains I/Janitor sink ❑ Film Processors Gr/Hose Bib (outside faucet) ❑ Photo Developing Sinks/Tanks etc. d Bath tub ❑ Solar Heating system o/ Shower ❑ Heating system using water Dishwasher ❑ Heating Boilers U/Garbage disposal ❑ Boiler Feed Lines r/Ice maker ❑ Bidets a/ Clothes Washer ❑ Dialysis Equipment ❑ Air Conditioner ❑ Medical Equipment ❑ Fire Sprinkler system ❑ Water Treatment/Filtration System ❑ Lawn Sprinkler system ❑ Decorative pond/fountain ❑ Private Well on property ❑ Hot tub ❑ Swimming pool The above information is complete and accurate to the best my knowledge. I understand that any changes in equipment connected to the domestic water system must be reported immediately to the City of Arlington Utilities Division as a condition of continued service. s Signature o UC C_ kA %cid Print pname Date CC Residential pg2 2006 Y °l L-SIDENTIAL APPLL ATION z SUBMITTAL CHECKLIST klING�o Department of Community Development City of Arlington• 238 N Olympic Ave. •Arlington,WA 98223 • Phone (360)403 3431 • FM(360)403 3447 Please use this checklist to ensure that all necessary information is provided for review of your project. A completed building permit application Six (6) accurate fully dimensioned plot plans Two (2) sets of construction drawings n � Two (2) sets of engineered drawings and calculations / (if required) ✓ A completed Energy Code application A photocopy of current Washington State Contractor License T Verification of Water and Sewer Availability from City of Marysville (if applicable) A rt- Health Department Approval of septic system at time of / submittal Co r-�n e Ck7 s APPLICATIONS ARE ONLY CONSIDERED COMPLETE IF ALL INFORMATION REQUESTED ON FORMS IS FILLED IN. Forms/MISC-1 �,3 OrM-C J`r i 1 C``Y �� �. NGLE FAMILY REO� 13ENCE err o BUILDING PERMIT APPLICATION �rlvG� Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223• Phone(360)403 3431 • FAX(360)403 3447 THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS, SIX(6)ACCURATE, FULLY DIMENSIONED PLOT PLANS AND TWO(2) SETS OF ENERGY CODE APPLICATIONS_ TYPE OF PERMIT: %ftuilding ( ) Mechanical ( ) Plumbing Combination Project Address: d- l^1 avL, tJ Parcel ID#: O05-60 OOOOJI O 2 Lot#: Subdivision: ) Project Description: �� d` t ` Owner: f,)0 u- I 0-ft al l Qi _k N iU I C t Phone Number: Address: �a 7� �e �A/"1 Oki �( City: i y State: WA Zip Code: 3 Contact Person: JJOttiJ JLk VK r c1 t Phone Number: 6 O O Cell Phone. �roZ.� �S T-�o S� Fax: E-mail: Address: 02 City: (,l State: Zip Code: Lending Agency: Phone Number: Address: City: State: Zip Code: Contractor: k,ja Q �.�� '► 5 Phone Nfumbber Address: L2 49424 M66 Ak- 10• City:: , J ,, State: 1L� Zip/Code� ? i Contractor's License Number: &!Lr 'K '7AZY$ Expiration: Q �3�11�j2�� )��,{j/�� hil-M Phone Number: - 0 "— Plumbing Contractor•-.���1�(�-`-'-z' ID 1 tlh QL- YVL`'f73 City: ) n State: W14 p C Address:M I1 ,1 n r"�" Zi Code:lr�� Contractor's License Number: ,��`^Z*73l I�,1`�jS�A Expiration: -�2 Mechanical Contractor: U"1 `U �UI'Y) Ol4l� �C Phone Number: ?W-q2,0-94o Address: 221&pq l't/1 C 0 City: State:K- Zip Code: , Z Contractor's License Number Expiration: FOR STAFF USE ONLY Permit b Accepted By Amount Received Receipt# Date Received WEB Forms-46 Page 1 of 2 5105 dwa �,0A - '?C+ r f� .�, � � � r. � i - i � - � 4 � ' �, � _ ti 5 ,_1 1 �.� 1 ,; � .� � _� � � ` � 1� i � � ;ti _ � 1 4 ' � � i i i `''`Y "' SgNGLE FAMILY RESgDENCE 7 o BUILDING PERMIT' APPLICATION -ING� Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3431 • FAX(360)403 3447 Number of Plumbing Fixtures (Including Rough-Ins) Access ory Main Total Fixture Plumbing Fixtures ry Unit#X Total Number Fixtures Dwelling Unit Residence Units Multiplier Bar Sink x 10 = Bathtub or Combination Bath/Shower / X 4.0 = ' Clolheswasher X 4.0 = Dishwasher X 15 = , Hose Bibb 3 X 25 = 3 Kitchen Sink X 1 5 = Laundry Sink X 2.0 = Lavatory(Bathroom Sink) l o� x 10 = Shower(Stand Alone)Each Head x 20 Water Closet(Toilet) A X 25 = 02 Whirlpool Bath or Combination Bath/Shower X 40 = Water Healer / I Other Total Fixture / UnitsYEE Traps(other than above items) Column Totals Estimated Project Valuation 0 & .7 /< Building Square Footage IS-5-8 J 15' Floor 6 2"d Floor 3'd Floor Basement Deck > Garage i// Water Supply Piping A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units B. Distance from meter to most remote outlet: feet. C. Difference in elevation between meter and highest fixture: feet above meter or feet below meter. D. Pressure in street main: psi. (Measure with gauge or check with Water Department) I hereby certify that the above information is correct and that the 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. Applicants z5ignatutei Date FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-46 Page 2 of 2 5105 dwa J i 1 ORDER NO. ESCROW NO. MORTGAGOR PLAT MAP Vol ' PG 1 �TMAR/o T�PE� -,X 'Y AW hl*"#)r 0 Err rwGLor iY RvWEE S�f(11C�q gG� f'r (� zap � � 6 J _ 1 E.RS B. y o O� V 1 ' A/�B� aE �� f��� M�bA, t 6 M Lor ,Z sip''-.....• gJ L 12239 29 -5a rr IAlrf� /Ltok30 act. FY' WlrAk'XIr • 0 /uvtcArEs l�CttEG� air idl q �i3sc,e� T.uQ✓E✓AUL TAIL. 1 � Ap,{/AiWDLE � /u: NE/4, .5W14 .-Zc. DATE: �Evf -4s /D6S TOTAL �9G�EN6C f .0.90. I ; I AAD?�as: 12e. Aft-Orau sr, .dei/al�7Zuf, -0 —A-#— Qb2P3 "K a9 v W17'v MAP SCALE' a Ar ta.owriL �. GREWi + + r DM I r RLOlLX This map does not purport to show all highways, roads or easements affecting said property; no liability is assumed for variations in dimensions and location. LY212 r' 14` I 4