HomeMy WebLinkAbout321 S Olympic Ave_BLD6242_2025 Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551
Permit Number: BLD6242 Permit Type: Residential Plumbing
Address: 321 S Olympic Ave Completed (Month/Year): November 2024
Land Use Bonding or Assignment of Funds
Issued Permit o Confidential Documents. Contact the
Application City to obtain.
Narrative As-Builts
Legal Description Letters and Project Documents
Vicinity Map Other:
Site Plan
Landscape Plan Civil
Complete Streets Checklist Issued Permit
Traffic Impact Analysis Application
Snohomish County Traffic Mitigation Offer Other Applications
WSDOT Traffic Offer Form Construction Calculation Worksheet
Tree Survey Approved Plans
Stormwater Drainage Report Review Comment Form
Geotech Report Letters and Project Documents
Critical Area Evaluation Form Other Agency Permits
SEPA Checklist Reports:
Public Notice Material o Drainage Report Pg:
Water / Sewer Availability Certificate o Stormwater Pg:
Unanticipated Discovery Plan Form o Geotech Pg:
Aerial Photo of Site o All Other Reports
Proposed Building Materials SEPA and Noticing Materials
Lighting Plans and Lighting Cut Sheets As-Builts
Color Elevations Other:
Plat Map
Title Report Building
Lot Closures ✔ Issued Permit
Preliminary Civil Plans ✔ Application
Archaeological Survey Additional Applications
o Confidential Documents. Contact the Approved Plans
City to obtain. Letters and Project Documents
Topography (Existing Conditions) Calculations
CC&R’s Project Specification Manuals
Deeds / Easements / Conveyances Reports
/Dedications Certificate of Occupancy
Letters and Project Documents Other:
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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: ï² New Installation ï² Addition ï² Alteration ï² Repair
Property Address: Project Valuation:
Lot #: Parcel ID No.: Preferred Contact: ï² Owner ï² Contractor
Project Description:
Owner Name: Home No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
Contractor Name: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
L&I Contractor License Number: Expiration Date:
• 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 may be required
Proposed Interior Water Piping Size: ï² Â½â€ ï² â…â€ ï² Â¾â€ ï² 1â€
Proposed Interior Piping Material: ï² 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 3†ï²4â€
Piping Size:
Residential plumbing permits will be assessed a base fee, fee per unit, and inspection fee (plan
review fee per Table 4-6 may be required for certain permits)
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
Residential plumbing permits will be assessed a base fee, fee per unit, and inspection fee (plan
review fee per Table 4-6 may be required for certain permits)
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 =
Icemaker/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 =
Medical Gas Piping ≤ 5 Inlets / Outlets x $ 60.00 =
Medical Gas Piping for each additional Inlet / x $ 5.00 =
Outlet > 5
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 x $ 25.00 =
MODEL NO.:
Water Heater – Tankless x $ 25.00 =
MODEL NO.:
Permit Fee
Inspection Fee $75.00
Processing/Technology Fee $25.00
Total
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.
Signature Print Name Date
FOR STAFF USE ONLY
PERMIT # ACCEPTED BY: DATE STAMP
REV02.2024 Page 2 of 2
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