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12 CITY OF ARLINGTON
238 N. OLYMPIC AVE.-ARLINGTON,WA. 98223
PHONE: (360)403-3421
BUILDING PERMIT
Address: 1101 E 5TH ST,ARLINGTON Permit#:BLD20110141
Parcel#:00605200001301 Valuation:$19,012.80
OWNER APPLICANT CONTRACTOR
Sharon Robertson Bud Robertson Bud Robertson
1 101 E 5TH ST 8133 75th Street NE 8133 75th Street NE
ARLINGTON,WA 98223 Marysville,WA 98270 Marysville,WA 98270
Lie#: Exp:
PLUMB)(NG CONTRACTOR MECHANICAL CONTRACTOR "�--
Lie#: Exp: Lie#: Exp:
.JOB DESCRIPTION
1
Enclose existing carport.
PERMIT TYPE: Residential PERMIT GROUP: Garage
STORIES: 1 CONST TYPE: VB
DWELLING UNITS: 1 OCC GROUP: U
CODE: 2009 IRC OCC LOAD: N/A
PERMIT APPRON'%L
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 1 10/IRC 1 10.
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 ofArli g n#3101.
ignature Print me Date R 6 1 efased By ate
ARCHIVE APPLICANT ASSESSOR OTHER
__ R
BLD20110141
CONDITIONS
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.
• None
PERMIT FEES
Date Description Fee Aniount Paid 13a1ance Due
&29;201 1 Building Permit Fee(QTY: 1) $122.15 $0.00 $122.15
8/29/2011 Building Plan Check Fee(QTY: 1) $79.40 $0.00 $79.40
8/29/2011 State Building Code Surcharge(QTY: 1) $4.50 $0.00 $4.50
Total Due: $206.05 $0.00 $206.05
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.
• None
BLD20110141 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1
BUILDING PERMIT PERMIT#: BLD20110141
OWNER: Robertson, Sharon STATUS: APPLIED
ADDRESS: 1101 E 5TH ST,ARLINGTON BALANCE: $638.75
ISSUED: CREATED: 8/29/2011
SCREENS:.Select Screen... FUNCTIONS: Select Permit Function...
GARAGE
REVIEWS PRINT ADD NEW SUMMARY
REVI.. DESCRIPTION ASSIGNE... DUE DATE I LAST I (#) JREQ DO... ASSIGN REMOVE
1004 :P-Engineering II LPETER... 9/6/2011 0 Y N Assign Remove
2000 C-Building I CYOUNG 9/6/2011 0 Y N Assign Remove
4 SSa t°
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http://coaweb2.arlington.local/PermitTrax/Module Permits/Permits Permit/Permit Revie... 8/29/2011
Page 1 of 2
SnohomishOntine Government Information & Services
County4O
Washington
Structure Information
Close Window
General Description
Parcel Number 00605200001301 (R01)
Structure Class Dwelling
Structure Type 1 Story
Year Built 1952
Exterior Features
Foundation Conc or CB
Exterior Brick&Wood
ROOF Type: Gable Pitch Medium Cover Composition
Interior Features
Bedrooms 2
Full or 3/4 Baths 2 1/2 Baths 0
Heat Forced Hot Air-Elec
Fireplace Masonry fireplace
Floor Area
Floor 1 Base SF 1709 Finished S 1709..:.
Garage(s) & Carport(s)
Carport SF 480
Other Features
http://web5.co.snohomish.wa.us/propsys/Asr-Tr-Propinq/PropInfoO5-StructData.asp?parce... 8/29/2011
1
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Page 2 of 2
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http://web5.c o.snohomish.wa.us/propsys/Asr-Tr-PropInq/Propinfo 05-StructData.asp?parce... 8/29/2011
I
RESIDENTIAL ADDITION/ALTERATION
r'. 1
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223 • Phone(360)403 3551 • FAX(360)403 3418
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, TWO(2)
ACCURATE, FULLY DIMENSIONED PLOT PLANS AND ONE(1) CROSS CONNECTION CONTROL SURVEY(if
adding plumbing).
TYPE OF PERMIT: Residential Addition jg Residential Alteration
Also Including: ED Plumbing CD Mechanical
Project Address: 1 k®` !q—, Parcel ID#:
Lot# Subdivision:
Project Description: C1�CS'r ' �.Qa lz:T Valuation:
Owner: ��"�� 0 Phone Nymbeer 3 =3��
Address: r; � S� City: ��-��-A tate. Zip Code: R
Contact Person: Phone Number: Z�
Cell Phone: 5Avv\E Fax: A E-mail:-RuoXxL--9—Z, cc, Cbtn.�
Address: 3 3 .-)S `S� City: �N V_� LLiState: W Zip Code: Z 1
Building Area(Sq Ft): 1st Floor: _ 2"d Floor: 1 _ 3`d floor:
Deck: Garage/Carport: Basement:
Project Valuation; �-
Contractor:_ ��j� Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration
Plumbing Contractor- / Phone Number:
Address City: State: Zip Code:
Contractor's License Number: Expiration:
Mechanical Contractor: �1/ Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration
hereby certify that the above information is correct and that the construction on, and the occupancy a the use of the above-
described property will be in accordan ith the la�Iregulation of th State of ashington. RECEIVED
Applicants Sig (@ure Date AUG 2 6 2011
-5�kAe-o j �-zor36T-:5VD,�J COA PERMIT CENTER
Print Applicants Name
�Pf FOR STAFF USE ONLY
I
Permit# Acce ed B Amount Received Receipt# Date Received
II
� i1Sp
RESIDENTIAL ADDITION/ALTERATION
PERMIT APPLICATION
-P- 1 Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418
Water Supply Piping
A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units
B. Distance from meter to most remote outlet: /aboveeter
C. Difference in elevation between meter and highest fixture: fe feet below meter.
D. Pressure in street main: psi. (Measure with gaugter Department)
Number of Plumbing Fixtures (I luding Rough-Ins)
Plumbing Accessory Main Total Fixture Total Number
Fixtures Dwelling unit Residence #X Multiplier Fixtures Units
Bar Sink X 1.0 =
Bathtub or Combination Bath/Shower X 4.0 =
Clotheswasher X 4.0 =
Dishwasher X 1.5 =
Hose Bibb X 2.5 =
Kitchen Sink X 1.5 =
Laundry Sink X 1.5 =
Lavatory(Bathroom Sink) X 1.0 =
Shower(Stand Alone) Each Head X 2.0 =
Water Closet Toilet X 2.5 = _
Whirlpool Bath or Combination Bath/Shower X 4.0 =
Water Heater
Other TOTAL
Traps(other than above items) FIXTURE UNITS:
I hereby certify that the above inform tion is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accorda a with the laws, rules and regulation of the State of Washington.
Applicants Sigrlature Date
Print App(icants Name
8
RESIDENTIAL ADDITION/ALTERATION
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 - Phone (360)403 3551 • FAX (360)403 3418
CROSS CONNECTION SURVEY FORM
Forward to Utilities Division for Review
Type of Residence: ❑ Single-Family ❑ Duplex ❑ Other
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 judgment of the City of Arlington Cross Control Specialist, the nature of activities on the
premises may pose a hazard to the public water system.
Type of Permit: 0 New Residential ® Addition/Alteration
Project Description:
Project Address P rcel ID#:
Owner: Phon umber:
Address: City: ate: Zip Code:
Contact Person: Phone Number:
Cell Phone: Fax: E-mail
Address: City: State: Zip Code:
Appliances permanentl connected to water service may require
Cross-Conne ion-Control (check all that apply)
❑ Fire Sprinkler System ❑ Medical Equipment
❑ Lawn Sprinkler System ❑ Livestock Drinking Tanks
❑ Decorative Pond/Fountai ❑ Private Well
❑ Hot Tub ❑ Re-circulating Heating System
❑ Swimming Pool ❑ Other
Authorized Signature. Date:
For Office Use Only
f.
Date Received: Survey Received By:
Assembly Required: ❑ DCVA ❑ RPBA ❑ AVB ❑ Other
Inspection Required: YES ❑ NO
\'
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' RESIDENTIAL ADDITION/ALTERATION
�. PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418
Community Development
Single Family Residence
Building Permit
Supplemental Checklist
1. Plat name, if applicable.
2. Vicinity map.
3. Zoning of property.
4. Front, rear, and side yard setbacks.
5. Garage setbacks. NOTE: All residential driveways taking access from a public road (not including
alleys) shall be a minimum of 22 feet in length.
6. Building height.
7. A break down of lot coverage by building.
8. All critical areas, if applicable, with designated setbacks and buffers.
9. Two (2) shade trees per lot are required for Residential Low/Moderate Density, Residential
Moderate Density, and Old Town zoning. (20.76.124)
a.) If street trees are present, or are required to be installed as part of the building permit, said
street trees may count toward one of the trees required.
b.) At least one of the required trees shall be planted near the rear property line of the lot.
c.) Non street trees shall be native species, have a minimum 2 inch diameter breast height, and
attain a minimum height of 25 feet at maturity.
10
RESIDENTIAL ADDITION/ALTERATION
Q-- "
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418
Steep Slope
134'
T t 10'Utility Easement
• 4 L.r./
Deck
\ •-ink Shed p
a
,t is
House 4160
za Garage 1215
f�\ 4 Deck 600
Porch 192
Shed 120
Wetland 1 Tutal 62BB
3 2' a
9
House
Lot Size=18,760 sgft s
Garage
J N
36'
1 Parch
Driveway
10'utility easement
Plat Name Incline Lot 0 14
Scale 1"=20'
Address 20402 Mt.View Dr_
2
Parcel Number 00477600101400 s
Building Height 17' �" -�•e,.,S�
Total Building sgft. 5376
t M
Lot Size 18760 sq.ft. x 35%= 6566 sq.ft. ►±2sr
Lot Coverage 6288 sq.ft.:18760 sgJt. =34 %
0=2 trees on the lot;1 in front(s:ereee tree can ccum)and 1 in hack
%1Cyirr MAP
11
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_ 1
RESIDENTIAL ADDITION/ALTERATION
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418
The applicant shall submit two (2) copies of a site Improvement and Drainage Plan on 8.5" X 11" paper
showing ALL of the following. (See attached example)
General
1. Name, address and phone number of owner and/or contact person.
2. North arrow, 1" = 20' scale, date, lot number and plat, address and street name fronting proposed
structure.
3. Location and finished floor elevation of all proposed structures and any existing structures on the site in
relation to lot lines and corners.
4. All trees 6" diameter or greater are to specifically plotted in relationship to property corners; include
size, species and intention to save or remove. Provide the drip line of trees to be saved.
5. Any sidewalk fronting the property and whether or not the street is improved or unimproved. Indicate
whether the driveway apron will be modified, relocated or repaired.
6. Proposed elevation contours (2' interval) on the subject property along with existing contours or spot
elevations. Indicate any slopes greater than two (2) feet horizontal to one (1) foot vertical.
7. Provide location of all silt fences.
8. Indicate any proposed rockery and/or retaining wall construction including associated drainage.
9. Note any existing walls or rockeries along with finished floor elevations or grades on adjacent lots.
Water/Sewer
1. The location and dimensions of any existing utility easements (sewer, water, etc.) either public or
private.
2. The proposed location of the sanitary sewer line including cleanouts and the proposed location of the
water line along with the proposed connection points to the City's systems.
Stormwater
1. Location and size of all wetlands, streams or drainage channels located within 25 feet of the site, which
may involve or affect drainage of then site to be developed. Indicate swales, dips and pipes and provide
a cross-section of the areas. If culvert pipes are proposed, indicate size, type and inlet/outlet
information.
2. Indicate proposed location of foundation and roof drains along with appropriate cleanouts.
3. Indicate direction and location of surface water runoff entering the site from adjacent properties.
After review of this plan, a list of site-specific requirements will be issued.
A temporary erosion/sedimentation plan may be required in addition to this plan.
12
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RESIDENTIAL ADDITION/ALTERATION
PERMIT APPLICATION
Department of Community Development
City of Arlington - 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418
Please use this checklist to ensure that all necessary information
is provided for review of your project.
One (1) completed Single Family Residential Building Permits
Application
\\ Two (2) accurate fully dimensioned plot plans
' Two (2) sets of construction drawings
Two (2) sets of engineered drawings and calculations
(If required)
Health Department approval of septic system
f�'J Verification of Water and Sewer Availability from City of
�- Marysville (if applicable)
Cross-Connection Control survey application
APPLICATIONS ARE ONLY CONSIDERED COMPLETE IF ALL
INFORMATION REQUESTED ON FORMS IS FILLED IN.
1
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RESIDENTIAL ADDITION/ALTERATION
PERMIT APPLICATION
Department of Community Development
Q-
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360) 403 3418
A. FEES DUE AT TIME OF PERMIT APPLICATION
The following non-refundable fees will be collected at the time of application for all residential projects.
1. Building Plan Check Fee
B. CODES
The City of Arlington currently enforces the following:
International Codes
1. 2009 International Building Code (IBC)
2. 2009 International Residential Code (IRC)
3. 2009 International Mechanical Code (IMC)
4. 2009 International Fuel Gas Code (IFGC)
5. 2009 International Fire Code (IFC)
6. 2009 Uniform Plumbing Code (UPC)
7. 2009 International Property Maintenance Code (IPMC)
8. 2003 Accessible & Usable Buildings and Facilities (ICC/ANSI 1417.1)
Washington State Amendments
1. WAC 51-50 Washington State Building Code
2. WAC 51-51 Washington State Residential Code
3. WAC 51-52 Washington State Mechanical Code
4. WAC 51-54 Washington State Fire Code
5. WAC 51-56 & 51-57 Washington State Plumbing Code and Standards
6. WAC 51-11 Washington State Energy Code
7. WAC 51-13 Washington State Ventilation and Indoor Air Quality Code
8. WAC 296-46B Electrical Safety Standards, Administration, and Installation
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RESIDENTIAL ADDITION/ALTERATION
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418
C. CITY OF ARLINGTON DESIGN REQUIREMENTS
Design Wind Speed: 85 miles per hour (Exposure C)
Ground Snow Load: 25 pounds per square foot
Seismic Zone: D2
Rainfall: 2 inches per hour for roof drainage design.
Frost Line Depth: 12 inches
Soil Bearing Capacity: 1,500psf unless a Geo-Technical Report is provided.
D. PLANS AND DRAWINGS
Submit two (2) complete sets of drawings and plans. Drawings and plans must be submitted on minimum
18" X 24", or maximum 30"X 42" paper. All sheets are to be the same size and sequentially labeled.
Plans are required to be clearly legible, with scaled dimensions, in indelible ink, blue line, or other
professional media. Plans will not be accepted that are marked preliminary or not for construction, that
have red lines, cut and paste details or those that have been altered after the design professional has
signed the plans.
Please Note: A separate submittal of plans is required for each building or structure.
DETAILED SUBMITTAL REQUIREMENTS
Mark each box to designate that the information has been provided.
Please submit this checklist as part of your submittal documents
A. ❑ SITE PLAN — REQUIRED WITH ALL SUBMITTALS
1. Two (2) complete sets of plans on 8.5" X 11" paper which reflect all of the information noted in
the Site Improvement and Drainage Plan Requirements for Residential Construction.
B. ❑ FOUNDATION PLAN (Minimum '/4" Scale)
1. Show north direction
2. Indicate front street (and side street if corner lot).
3. show the location and dimension to all property lines.
4. Show the location for existing and/or proposed easements
5. Provide the scale for the drawing.
6. Show outline of foundation with section cuts and dimensions; include maximum wall heights and
all connections.
7. Provide the location and size of all beams, posts, interior footings and thickened footings within
slabs with their dimensions and connections.
8. Provide detail of step down foundation and footings with required reinforcing steel.
9. Show spacing of anchor bolts, location, and type of hold down fasteners to the foundation.
10. Retaining walls.
11. Show the location and size of all crawl space vents and the crawl space access with size and
location.
12. Show footing depth below grade and show the clearance between grade and sill plate.
13. Show the floor joist size, spacing, direction, support, connections and blocking.
14. Show all floor insulation.
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- ' RESIDENTIAL ADDITION/ALTERATION
- PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3551 • FAX(360)403 3418
15. Label any space within the foundation (i.e. basement, garage, storage room, etc.)
Note! Arlington is in seismic design category D2 which requires that foundations with stem walls have
a minimum #4 rebar at top and minimum #4 rebar at bottom of footing.
C. ❑ FLOOR PLAN (Minimum '/4" Scale)
i. Indicate the dimensions of all areas and the use of each room. Include fixed cabinet, counter or
island facilities.
2. Show all roof, floor or deck joist size, spacing, direction, support, connections. Blocking, etc.
3. Show the location of exhaust fans, smoke detectors, hot water heater, heating units, plumbing
fixtures and any other mechanical equipment.
4. Show the location of the attic and/or crawl space access.
5. Include all exterior decks on your floor plan, with necessary structural details and attachment to the
house.
Note! The 2009 International Residential Code requires smoke detectors at each level of the home
and in all rooms that can be used for sleeping. All smoke alarms shall be listed and installed in
accordance with the IRC and provisions of NFPA72.
D. ❑ ARCHITECTURAL CROSS SECTIONS & DETAILS (Minimum '/4" Scale)
i. Show a typical roof section with all materials labeled; indicate size and spacing of all members;
include all dimensions, venting, insulation and connections
2. Show a typical foundation and floor section with all material labeled; indicate size and spacing of all
members; include all dimensions, venting, insulation and connections.
3. Show a typical wall section with all materials labeled; indicate size and spacing of all members and
insulation values.
4. Show all connection details, including post-beam, post-footing, collar tie, etc.
5. Provide the dimensions for all stairs, with details showing rise, run, headroom and handrails per
Section R311 of 2006 International Residential Code. Guards require intermediate rails to be less
than 4" apart; handrails are to be 34" to 38"from nose of the tread and to be returned. Show any
fire blocking, landing sizes. Specify one-hour fire resistive construction for any usable space under
the stairs.
6. Show a section detail for any fireplace, including the hearth and hearth extension. Include
dimensions, materials, clearance from combustibles, height above roof, reinforcing, seismic
anchorage and foundation details.
E. ❑ STRUCTURAL NOTES
1. Specify all design load values, including dead, live snow, wind, lateral retaining wall pressures and
soil bearing values.
2. Specify minimum design concrete strength, concrete sack mix and reinforcing bar grade.
3. Specify the grade and species of all framing lumber.
4. Specify the combination symbol (strength) of all GLU-LAM beams.
5. Specify all metal connectors, including joist hangers, clips, post caps, post bases, etc.
6. Provide details showing the complete load path transfer at roof perimeter, interior shear walls,
cantilevered floors, off-set shear walls and ceiling diaphragm to shear walls (if used).
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RESIDENTIAL ADDITION/ALTERATION
PERMIT APPLICATION
-0 Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3551 • FAX (360)403 3418
7. Provide a shear wall schedule noting nail spacing, blocking, bolts, top and bottom plat nailing.
8. Locate all hold down straps on the drawings.
F. ❑ STRUCTURAL CALCULATIONS
1. Provide two (2) sets of structural calculations if prepared by an engineer or architect registered with
the State of Washington. (Not required if using Prescriptive Design Approach from the IRC/IBC.)
G. ❑ ELEVATIONS
1. Show elevations views of each side of the structure; provide finished floor level for each floor.
2. Show existing and proposed grades.
3. Show the maximum building height.
4. Show the maximum site slope.
5. Show all roof overhangs and any chimney clearances from the roof.
6. Indicate the pitch of the roof.
H. ❑ DOORS & WINDOWS
1. Show size and type of all doors.
2. Show the door size, type and closure device for doors between the garage and dwelling.
3. Show all window sizes and openable areas.
4. Show all sleeping room egress window locations, sill heights, methods of opening, dimension of
openable area and clear open space.
5. Show size and type of all skylights.
I. ❑ WASHINGTON STATE ENERGY CODE
1. Provide one (1) copy of the WSEC &VIAQ Residential Prescriptive Compliance Form.
2. Show the insulation R values on the floor plan drawings and glazing class of all windows and
skylights.
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RESIDENTIAL ADDITION/ALTERATION
PERMIT APPLICATION
fti Department of Community Development
City of Arlington • 238 N Olympic Ave. • Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418
The building permit does not include any mechanical, electrical or plumbing work. These permits are issued
separately. These permits require a separate permit application.
To ensure that you have the most current information, please contact the City of Arlington Permit Center at
(360) 403 3551 or by email to Permit Center.
Applications delivered by courier or mail will not be accepted.
Incomplete applications will not be accepted.
1 acknowledge that all items designated as submittal requirements must accompany my Building Permit
Application to be considered a complete submittal.
Signature: Date:
Owner/Owner's Representative
Company: Phone:
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