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Home My WebLink About17600 83rd Dr Ne_BLD5676_2026 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 I ' Repair Property Address: \`1lCp 3 rd D rl w NE Project Valuation: Lot#: g Parcel ID No.: ,5 00 Preferred Contact: ❑ Owner L"Contractor Project Description: Owner Name: Nbuy ,l y, Home No.: ()- L,. �) 1p Email Address: C.V►►' 'l�A'( ail n 652 Pn'►'lb1.I� Cell No.: Mailing Address: vi koo0 s-3v 1 -CVN\e NC Ci : State: zip:9'6'L-L3 Contractor Name: CPI Plumbing, Heating, Cooling LLB. Office No.: 360-428-5636 Email Address: permitting@cpiplumbing.com Cell No.: Mailing Address: 1900 Railroad Ave city: Mt. Vernon State: WA Zip:98273 L&I Contractor License Number: 089, 492-02 Expiration Date: 08/26/24 • 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 maybe required Proposed Interior Water Piping Size: ❑ 1/z" ❑ 5/s" ❑ 3/4" ❑ 1" Proposed Interior Piping Material: ❑CPVC ❑ Brass ❑ Copper ❑ PEX-AL-PEX ❑ PEX ❑ Galvanized Steel ❑ Other Proposed Exterior Water Piping Size: ❑ 1h" ❑ 5/s" ❑ 3/4" ❑ 1" ❑ 11/z" ❑ 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„ ❑ s/8» ❑ 3/4" ❑ 1" ❑ 11/z" ❑ 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 = Icemakerl 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 Pi in <-5 inlets outlets x $60.00 = Med Gas Piping>5 inlets/outlets(plus:5 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 (:i2 Li U`f x $25.00 MODEL NO.: NAA Water Heater-Tankless x $25.00 = MODEL NO.: Permit Fee 255 CZ Inspection Fee $75.00 Processing/Technology Fee $25.00 Total fj 2,�.U-3 1 hereby certify that 1 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. ��►�.�� 1�uu�- Che�s�e �1u.v�h�c�� 12�,123 Signature Print Name Date SAVE PRINT REV03.2022 Page 2 of 2 �A .� Y4 - .. � 5q.v lu(3�Sh�✓ = �afi�,fuL + stio4.�- MAP Cy v►i-k I Cl IM Ja ,v,�v Sly� )o6 P: 7356GH7 ajo�r�s5 /7660 No,t Gt�o� �— 4 r!t►�f-0 V/r¢ gzZZ 3 CITY OF ARLINGTON ` 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT 17600 83RD DR NE Permit#: 5676 PERMIT EXPIRES 180 DAYS AFTER Parcel#: 00958500000800 DATE OF ISSUANCE. Scope of Work:NG water heater replacement Valuation: 3255.00 OWNER APPLICANT CONTRACTOR MANN CYNTHIA A CPI Plumbing,Heating,Cooling LLC CPI PLUMBING&HEATING 17600 83RD DR NE 1900 Railroad Ave 1900 Railroad Ave ARLINGTON,WA 98223-4041 Mount Vernon,WA 98273 Mount Vernon,WA 98273 360-428-5636 360-428-5636 LIC:604909749 EXP:04/30/2024 LIC:CPIPLPH780MI EXP:08/26/2024 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: RESIDENTIAL PLUMBING CODE YEAR: 2018 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.IBC 110/IRC 110. 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. 10/31/2023 10/31/2023 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 10/31/2023 Processing/Technology $25.00 10/31/2023 Inspection $75.00 10/31/2023 Plumbing Base $25.00 10/31/2023 Water Heater(Tank) $25.00 10/31/2023 Medical Gas Piping $60.00 Total Due: $210.00 Total Payment: $210.00 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 I Pass/Fail CITY OF ARLINGTON ` 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT 17600 83RD DR NE Permit#: 5676 PERMIT EXPIRES 180 DAYS AFTER Parcel#: 00958500000800 DATE OF ISSUANCE. Scope of Work:NG water heater replacement Valuation: 3255.00 OWNER APPLICANT CONTRACTOR MANN CYNTHIA A CPI Plumbing,Heating,Cooling LLC CPI PLUMBING&HEATING 17600 83RD DR NE 1900 Railroad Ave 1900 Railroad Ave ARLINGTON,WA 98223-4041 Mount Vernon,WA 98273 Mount Vernon,WA 98273 360-428-5636 360-428-5636 LIC:604909749 EXP:04/30/2024 LIC:CPIPLPH780MI EXP:08/26/2024 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: RESIDENTIAL PLUMBING CODE YEAR: 2018 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.IBC 110/IRC 110. 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. 10/31/2023 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 10/31/2023 Processing/Technology $25.00 10/31/2023 Inspection $75.00 10/31/2023 Plumbing Base $25.00 10/31/2023 Water Heater(Tank) $25.00 10/31/2023 Medical Gas Piping $60.00 Total Due: $210.00 Total Payment: $210.00 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 I Pass/Fail Permit#: 5676 Permit Date: 10/31/23 Permit Type: RESIDENTIAL PLUMBING Project Name: Cynthia Mann Applicant Name: CPI Plumbing, Heating, Cooling LLC Applicant Address: 1900 Railroad Ave Applicant, City, State, Zip: Mount Vernon,WA 98273 Contact: Chelsie Hunnicutt Phone: 360-428-5636 Email: permitting@cpiplumbing.com Scope of Work: NG water heater replacement Valuation: 3255.00 Square Feet: 1558 Number of Stories: 1 Construction Type: VB Occupancy Group: R-3; Residential ID Code: Permit Issued: Permit Expires: Form Permit Type: RESIDENTIAL PLUMBING Status: ISSUED Assigned To: Ameresia Lawlis Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 100 SINGLE 00958500000800 17600 83RD DR NE MANN CYNTHIAA FAMILY RESIDENCE Contractors Contractor Primary Contact Phone Address Contractor Type License License# CPI PLUMBING& 360-428-5636 1900 Railroad Ave CONSTRUCTION COA 604909749 HEATING CONTRACTOR CPI PLUMBING& 360-428-5636 1900 Railroad Ave CONSTRUCTION Labor&Industries CPIPLPH780M1 HEATING CONTRACTOR Fees Fee Description Notes Amount Processing/Technology $25.00 Inspection $75.00 Plumbing Base Permit Fee $25.00 Water Heater(Tank) $25.00 Medical Gas Piping fee per inlets/outlets $60.00 Credit Card Service $6.30 Total $216.30 Attached Letters Date Letter Description 10/31/2023 Building Permit 10/31/2023 Web Form-Residential Plumbing Application Payments Date Paid By Description Payment Type Accepted By Amount 10/31/2023 XBP Con£ $210.00 157481509 10/31/2023 Chelsie Hunnicutt 157481509 Kristin Foster $6.30 Outstanding Balance $0.00 Notes Date Note Created By: 11/28/2023 Received a FYI from Finance that the reimbursement should have been made payable to CPI Kristin Foster and not Chelsie Hunnicutt. 10/31/2023 Refund for med gas piping Ameresia Lawlis 10/31/2023 Refund request submitted Ameresia Lawlis Uploaded Files Date File Name 11/01/2023 17368682-20231031 BLD5676 IssuedPermit.pdf 10/31/2023 cl54dd9lf24e7e9cf61473118ec6afa6 mannsitemap.pdf 10/31/2023 cf 94325596ec1b679a74edf84d2ffe0 mannapplication.pdf