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HomeMy WebLinkAbout18725 Smokey Point Blvd NE_BLD20080226_2025AESIDENTIAL MEChsANICAL PERMIT APPLICATION Department of Community Development City of Arlington - 238 N Olympic Ave. - Arlington, WA 98223 - Phone (360) 403 3551 - FAX (360) 403 3447 1491-17i .11 . Q 0 --guir POK, tf f4fify, Project Valuation: t-- Project Address: - Lf � — Parcel ID #: Im k 44T ti�01 Project Description: I y 1U"-F I-r-e OW-1-1k vx. --- I - - L' _ -, / ; Owner: 6)'CkT L_ L' '-�- cui " 'J Phone Number: 'y -?o 2- 1- " Address: City: Contact Person: _ Cell Phone: rAA, Fax: Address: _. Please List quantity of fixtures Below: I' EVAL COOLER VENT HOOD ALL OTHER UN41TS C F F A 13 VENTILATION FANS DOMESTIC INCINERATOR FREESTANDING STOVE —16" State: — Zip Code: PhoneNumber: GAS OUTLETS SUSPENDED HTPJUNIT HTR\ BOILER UP TO 3 HP BOILER UP TO 31-50 HP AIRHANDLING OVER 10K CFM OTHER VENTILATION SYSTEM COWIND INCINERATOR FIREPLACE INSERT Contractor: i),e —Phone Number. Address: City: State: —Zip Code: Contractor's License Number. Expiration. I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above - described pr erty will be in accordance with the laws, rules and regulation of the State of Washington. Lb A' Ap 'c pli ants Signature Date 6_A�L ,j R E C E I V Ell) Print Applicants Name MG a n 90nA U 'Q V C. V V I r- FOR STAFF USE ONLY Permit * Accepted By Amount Received Receipt Date Received WEB Forms -139 Page 1 of 1 04108 sb tM 3�! Description C-Plumbing Permit Fee C-Mechanical Permit Fee BL120080226 CONDITIONS I PERMIT FEES Fee Amount SO-00 $45.00 Total Due: S45.00 INSPECTIONS Paid Balance Due S00) W00 ($45.00) 'S(00 ($45,00) $0.00 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. CALL FOR INSPECTIONS BUILDING/ENGINEERING/PARKSIUTILITIES/FINAL (360) 435-0674 FIRE (360) 403-3607 When calling for an inspection please leave the following information: Permit Number, Job Site Address, Typeof—Inspect—ion bein-, r Ouested, Contact Name and -Phone Number, Date Preferced, and whether vou orefer ntornitw or afternoon. RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community Development City of Ar lington • 238 N Olympic Ave. - Arlington, WA 98223 - Phone (360) 403 3551 - FAX (360) 403 3447 W,&[#J#JffJ1F. Mai troF7#70, Project Valuation: WC, S Project Address: Parcel ID #: Lot #: Subdivisiom Project Description: Owner: 6 9 L _v LAAr* Phone Number: &Y Address: :L) C'_ yy\-P- " City: Contact Person: 6-A- L" ( A _11P -­1 Cell Phone: S(34e:_2 -Fax: Address: C Please List quantity of fixtures Below: CLOTHES DRYER FURNACE OVER 100K APPL VENT IOTHER BOILER UP TO 4-15 HP BOILER 51 HP AND UP EVAL COOLER VENT HOOD ALL OTHER UNITS F F VENTILATION FANS DOMESTIC INCINERATOR FREESTANDING STOVE State: - Zip Code: Phone Number: (4 15- S ? 0 ^ 1- Zip Code: GAS OUTLETS SUSPENDED HTRIUNIT HTRN BOILER UP TO 3 HP BOILER UP TO 31-50 HP AIRHANDLING OVER 10K CFM OTHER VENTILATION SYSTEM COM/IND INCINERATOR FIREPLACE INSERT Contractor: 00) d P_ I Phone Number: Address: State: -Zip Code: Contractors License Number. Expiration: I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above - described pro erty will be in accordance with the laws, rules and regulation of the State of Washington. Applicants Signature Date REC-CEIVED Print Applicants Name COA PERMIT CENTER FOR STAFF USE ONLY Permit # Accepted By Amount Received Receipt # Date Received WEB Forms -139 Page 1 of 1 04/08 sb RESIDENTIAL MECHANICAL SUBMITTAL CHECKLIST Department of Community Development C4 of Arlington - 238 N Olympic Ave. - Arlington, WA 98223 - Phone (360) 403 3551 - FAX (360) 403 3447 Use this checklist to ensure that all necessary information is provided for review of your project. A completed residential mechanical permit application. 0 Two (2) accurate fully dimensioned plot plans 0 Two (2) sets of detailed floor plans drawings(including gas Two (2) is of detailed fixture lists Required In ections Rough -in Mechanical and Gas Piping IMMETT#_�� PH E C F,- I V E D' COA PERMIT CENTER NOTE: Gas piping inspection must be completed prior to mechanical rough in If k' I Ole] V �,T_Ivd 1101,11,111 1qk 4"11 J =1ZI 9 9yel"j, 11111.1 0I 1:4"'ITika, MT112F M, Page 1 of I 4108 sb & "SP CTION REPORT LIAPPROVAL El PARTIAL APPROVAL U VIOLATION �f4j CORRECTION REQUESTED K Corrections listed below MUST BE MADE before work can be approved. X Please contact inspector. R Was not able to perform inspection. K CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. E) Under -floor 0 Footing El Foundation xMechanical EJ Wood Stove U Masonry 0 Other: Tel a 12 17-1 :1 Mi 0 ; 0 1 K' Framing IL Drywall, Nailing IL Shear Nailing R Grid EJ Rough -in El Drainage El Gas Piping LJ Consultation Q Groundwork Q Struct. Slab U Final U lisulation