HomeMy WebLinkAbout17830 59th Dr Ne_BLD5403_2026 COMMERCIAL PLUMBING APPLICATION
Community&Economic Development
City of Arlington • 18204 59th Ave NE•Arlington,WA 98223 • Phone(360) 403-3551
WHEN is a PLUMBING PERMIT REQUIRED?
The City of Arlington requires a plumbing permit before a plumbing system or fixture is installed, altered, or
remodeled. This includes commercial, tenant improvements, multi-family buildings, roof drains, and overflows,
medical gas systems, commercial kitchens, grease traps and interceptors, sumps and cross connection backflow
devices.
The City of Arlington does not require a permit to stop leaks or clear stoppages,unless the piping is repaired,altered
or replaced.
SUBMIT THE FOLLOWING ELECTRONICALLY:
❑ Plumbing plans or drawings. (Minimum plan size is 18"X 24" scale, 1/4"scale for details.)
❑ Fixture specifications and equipment (cut sheets)with locations.
❑ Location and type of all backflow assemblies for each fixture.
IN ADDITION TO ABOVE, SUBMIT THE FOLLOWING,IF APPLICABLE TO YOUR PROJECT:
❑ Calculations for Grease Interceptor.
❑ Pipe size and location of sanitary and potable water systems.
❑ Riser diagram of waste,vent,and rainwater systems, including sizes.
❑ Medical gas piping riser diagram,type of gas,storage room and size of piping.
Type of Permit: ❑ New Installation 0 Addition/Alteration/Repair ❑ Industrial
Property Address: 17830 59th Dr NE, Arlington, WA 98223 project Valuation: $1 100.00
Lot#: Parcel ID No.: Preferred Contact: O Owner 9 Contractor
Project Description:
Replace Pressure Reducing Valve
Owner Name:
Erica Nomi Office No.: 206-683-3165
Email Address: enn@frontier.com _ Cell No.:
S
P 0 Box 447 Arlington WA 98223
Mailing Address: City: g State: Zip:
Contractor Name:
Silvana Plumbing LLC Office No.: 360-652-8500
silvans lumber mail.com 425-308-7459
Email Address: p �g Cell No.:
Mailing Address: P 0 BOX 160 City: Silvana State: WA Zip: 98223
L&I Contractor License Number: SILVAPL792MK Expiration Date: 7/9/2023
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PLUMBING PERMIT FEES(per fixture
Commercial plumbing permits are required to submit line drawings.A plan review fee of 69%per
Table 4-6 for plumbing permits will be assessed at time of submittal. Includes two (2) inspections with
permit.
Type of Fixture No.of Fixtures Cost per Fixture Subtotal
Additional Plan Review fees x $ 75.00 =
Alteration/repair piping x $ 15.00 =
Backflow Assemblyx $25.00 -
Base Plumbing Fee 1 $ 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 =
Drinking Fountain x 1 $ 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 1 $ 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 Pipings 5 inlets outlets x $ 60.00 =
Med Gas Piping> 5 inlets/outlets (plus <- 5 x $ 5.00 =
inlets outlets
Miscellaneous -regulated by plumbing x $ 15.00 = 15.00
code,not otherwise specified
Pretreatment Interceptor x $ 15.00 =
Re-ins ection Fee all 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 =
Water Heater-Tankless x $ 25.00 =
Permit Fee 40.00
Table 4-6; Plan Review Fee
Processing/Technology Fee $25.00
Total
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PROPOSED BUILDING USE
❑ New ❑ Restaurant ❑ Automotive Based
❑ Addition/Alteration ❑ Office ❑ Machine Shop
❑ Industrial ❑ Medical ✓❑ Other: Hangar
CROSS CONNECTION
Please check all appliances that are proposed or permanently connected to the water supply.
❑ Ice Machine ❑ Dialysis Equip. ❑ Air washers
❑ Coffee Urn/Espresso ❑ Hydrotherapy Equip. ❑ Steam Generators
❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats
❑ Fume Hoods ❑ Laboratory Equip. ❑ Pressure Washers
❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers
❑ Hot Tub/Spa ❑ Decorative Fountain ❑ Fire Sprinkler
❑ Aquarium ❑ Swimming Pools ❑ Sprinkler w/chemicals
❑ Lawn Irrigation ❑ Well on property ❑ Other:
WASTEWATER DISCHARGE
Does the plumbing system currently have a grease ❑ Yes ❑ No ❑✓ Don't Know
interceptor?
Does the plumbing system currently have an oil/water ❑ Yes ❑ No ❑ Don't Know
separator?
Is water used in the business process (washing, rinsing,cooling)? ❑ Yes ❑ No ✓❑ Don't Know
Does your business require a NPDES permit? ❑ Yes ❑ No ❑ Don't Know
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 ohtafned when
complete.
Timothy Carr 6/12/2023
Signature Print Name Date
-Z .
1! 5A,4 t.. 1.'Yi .tit+l r .. .*kkr!:sL
REV1.2020 Page 3 of 3
_ CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551
BUILDING PERMIT
17830 59TH DR NE Permit#: 5403
PERMIT EXPIRES 180 DAYS AFTER
Parcel#: 31052200300109 DATE OF ISSUANCE.
Scope of Work:Replace pressure reducing valve Valuation: 1100.00
OWNER APPLICANT CONTRACTOR
ARLINGTON HANGAR RENTALS Timothy Carr SILVANA PLUMBING
LLC
PO BOX 447 PO BOX 160 P.O.BOX 160
ARLINGTON,WA 98223 Silvana,WA 98223 SILVANA,WA 98287
360.652-8500 360-652-8700
LIC:SILVAPL792MK EXP:07/09/2023
LIC:602711823 EXP:03/31/2024
LIC:CARR*TP231LT EXP:03/17/2024
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
SILVANA PLUMBING
P.O.BOX 160
SILVANA,WA 98287
360-652-8700
LIC#: EXP: LIC#:SILVAPL792MK EXP:07/09/2023
JOB DESCRIPTION
PERMIT TYPE: COMMERCIAL PLUMBING CODE YEAR:
STORIES: 1 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.
06/21/2023 v/
Applicant Signature Date Building Official Date
CONDITIONS
APPROVED JOB COPY SHALL BE ONSITE FOR INSPECTION. CALL FOR INSPECTION.
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
06121/2023 Processing/Technology $25.00
06/21/2023 Inspection $75.00
06/21/2023 Plumbing Base $25.00
06/21/2023 Backflow Assembly $15.00
Total Due: $140.00
Total Payment: $0.00
Balance Due: $140.00
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 IPass/Fail
CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS:360-403-3417-Permit Center: 360403-3551
BUILDING PERMIT
17830 59TH DR NE Permit#:5403
PERMIT EXPIRES INO DAYS AFTER
Parcel#:31052200300109 DATE OF ISSUANCE.
Scope of Work:Replace pressure reducing valve Valuation: 1100.00
OWNER APPLICANT CONTRACTOR
ARLINGTON HANGAR RENTALS Timothy Carr SILVANA PLUMBING
LLC
PO BOX 447 PO BOX 160 P.O.BOX 160
ARLINGTON,WA 98223 Silvana,WA 98223 SILVANA,WA 98287
360.652-8500 360-652-8700
LIC:SILVAPL792MK EXP:07/09/2023
LIC:602711823 EXP:03131/2024
LIC:CARR*M3ILT EXP:03/17/2024
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
SILVANA PLUMBING
P.O.BOX 160
SILVANA,WA 98287
360-652-8700
LIC#: EXP: LIC#:SILVAPL792MK EXP:07/09/2023
JOB DESCRIPTION
PERMIT TYPE: COMMERCIAL PLUMBING CODE YEAR:
STORIES: 1 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 I I O/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.
��� w /2?lZ✓� ! -0 06/21/2023
Applicant Signature Date Building Official Date
CONDITIONS
APPROVED JOB COPY SHALL,BE ONSITE FOR INSPECTION.CALL FOR INSPECTION.
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
W21/2023 Pmcessingrrechnology $25.00
06121/2023 I nspeetion $75.00
06/21/2023 Plumbing Base $25.00
06/2112023 Backflow Assembly $15.00
Total Due: $140.00
Total Payment: $O,00
Balance Due: $140.00
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/liail
Permit#: 5403
Permit Date: 06/14/23
Permit Type: COMMERCIAL PLUMBING
Project Name: Nomi
Applicant Name: Timothy Carr
Applicant Address: PO BOX 160
Applicant, City, State, Zip: Silvana, WA 98223
Contact: Timothy Carr
Phone: 360.652-8500
Email: silvanaplumber@gmail.com
Scope of Work: Replace pressure reducing valve
Valuation: 1100.00
Square Feet: 17184
Number of Stories: 1
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 06/27/2023
Permit Expires: 12/24/2023
Form Permit Type: COMMERCIAL PLUMBING
Status: COMPLETE
Assigned To: Brittany Harrell
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
Section 22 Township 31
Range 5 Quarter SW BLDG ARLINGTON 090 MASTER
31052200300109 17830 59TH DR NE ONLY LOCATED ON HANGAR ADDRESS
31052200300100(LOT RENTALS LLC
001A)
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
SILVANA PLUMBING TIM CARR 3606528500 PO Box 160 CONSTRUCTION LABOR& SILVAPL792MK
CONTRACTOR INDUSTRIES
SILVANA PLUMBING TIM CARR 3606528500 PO Box 160 CONSTRUCTION COA Business602711823
CONTRACTOR License
SILVANA PLUMBING TIM CARR 3606528500 PO Box 160 CONSTRUCTION LABOR&CARR*TP231LT
CONTRACTOR INDUSTRIES
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
Waterline.Contact Erica
06/27/2023 Inspection Nomi before arrival so she 07/05/2023 07/05/2023 BUILDING Approved
can let you inside.
Plan Reviews
Date Review Type Description Assigned To Review Status
06/14/2023 COMMERCIAL BUILDING In Review
PLUMBING
06/14/2023 COMMERCIAL No comments,LT&KS PW-ADMIN-GIS Approved
PLUMBING
06/14/2023 COMMERCIAL No comments per Gus. PW-WAT-REV Approved
PLUMBING
06/14/2023 COMMERCIAL No comments.CD PW-SEW-REV Approved
PLUMBING
Fees
Fee Description Notes Amount
Processing/Technology $25.00
Inspection $75.00
Plumbing Base Permit Fee $25.00
Backflow Assembly $15.00
Credit Card Service $4.20
Total $144.20
Attached Letters
Date Letter Description
06/21/2023 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
06/27/2023 XBP Con£ $140.00
147915116
06/27/2023 200220949 Raelynn Jones $4.20
Outstanding Balance $0.00
Notes
Date Note Created By:
06/27/2023 Contact Nomi 206-683-3165 for Inspection time Kristin Foster
06/27/2023 Emailed the permit for signature Kristin Foster
Uploaded Files
Date File Name
06/28/2023 15910146-20230627 BLD5403 IssuedPermit.pdf
06/28/2023 15910123-20230627 BLD5403 IssuedPermit.pdf
06/14/2023 15761595-20230613 Nomi CommercialPlumbing Mp.pdf