HomeMy WebLinkAbout1201 Park Hill Dr_BLD6493_2025 CITY OF ARLINGTON
18204 59th Avenue NE, Arlington, WA 98223
INSPECTIONS: 360-403-3417 - Permit Center: 360-403-3551
BUILDING PERMIT
1201 PARK HILL DR Permit #: 6493
PERMIT EXPIRES 180 DAYS AFTER
Parcel #: 00562700000800
DATE OF ISSUANCE.
Scope of Work: tub to shower replacement - 1st floor - master bathroom Valuation: 16800.00
OWNER APPLICANT CONTRACTOR
ROSS JEFFREY A & ROBIN D Jacuzzi Bath Remodel Jacuzzi Bath Remodel of SEA
1201 PARK HILL DR 201 Frontage Rd N Suite C 8330 S 259th St
ARLINGTON, WA 98223-1137 Pacific WA 98047 Kent, WA 98168
971-470-4274 971-470-4274
LIC: 604750064 EXP: 08/31/2025
LIC: JACUZBR798LD EXP: 06/07/2025
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC #: EXP: LIC #: EXP:
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL PLUMBING CODE YEAR: 2021
STORIES: 1 CONST. TYPE: VB
DWELLING UNITS: OCC GROUP: R-3; Residential
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. IBC110/IRC110.
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.
5/29/2025 05/13/2025
Applicant Signature Date Building Official Date
CONDITIONS
Adhere to approved plans. Permit shall be onsite for inspection. Call for final 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
05/29/2025 Processing/Technology $25.00
05/29/2025 Inspection $75.00
05/29/2025 Plumbing Base $25.00
05/29/2025 Shower (only) $15.00
05/29/2025 Credit Card Service $4.20
Total Due: $144.20
Total Payment: $144.20
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 Pass/Fail
R14. PLUMBING FINAL Approved
R07. PLUMBING ROUGH-IN Approved
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
Page 1 of 19
Customer Name
Robin Ross
Bathroom Name Master Bath
Name: Robin Ross Date: 04/18/2025
Phone #: 4253595399 Email: rr1958@msn.com
Designer: Michael Hudson Prospect ID: %ProspectID%
Existing & New Measurements
Measuring From: Drywall To Tile
A. Old Base Length 59.5
A. New Base Length 60
B. Old Base Projection 31
B. New Base Projection 32
C. Right Wall to Obstruction 34
What is the obstruction? Wall edge
C2. Old Right Surround 34
C2. New Right Surround 34
D. Room Height 92
Existing Surround Height 92
New Surround Height 92
New Surround over 96â€: No
E. Left Wall to Obstrucion 38
What is the obstruction? Window trim
E2. Old Left Surround 34.5
E2. New Left Surround 35
F. Ceiling Projection na
G. Soffit Height na
Site Considerations/Measurements:
Level of Home: 1
Condo/Co-Op: No
Manufactured Home: No
Distance from SD Wall to Center of Drain: 16
Distance from Wet Wall to Center of Drain: 8
Drain Access Underneath: No
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Page 2 of 19
Moving Drain in Floor: No
Concrete Sub Floor: No
Post Tension Concrete: No
Distance Between Base and Center of Toilet: 22
15" Min? YES
Header? No
Electrical Panels
Are we installing or removing a jetted tub? No
Window Measurements:
Is there a window inside wet area? No
Site Notes
Wants both shelves on left side
Bathroom Sketch
Financing
Is customer ï¬nancing project? Yes
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