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
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Project Valuation:
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Project Address: - Lf � — Parcel ID #:
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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-
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Address: City:
Contact Person: _
Cell Phone: rAA, Fax:
Address: _.
Please List quantity of fixtures Below:
I'
EVAL COOLER
VENT HOOD
ALL OTHER UN41TS
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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.
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Ap 'c pli ants Signature Date
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Print Applicants Name MG a n 90nA
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I r- FOR STAFF USE ONLY
Permit * Accepted By Amount Received Receipt Date Received
WEB Forms -139 Page 1 of 1 04108 sb
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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
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Project Valuation: WC,
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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
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"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