Loading...
HomeMy WebLinkAbout4122 176th Pl Ne_BLD5720_2025 Permit Packet Coversheet Community and Economic Development City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551 Page 1 of 1 Permit Number: Permit Type: Address/Parcel: Completed (Month/Year): Land Use ˆ Notice of Decision ˆ Staff Report ˆ Application ˆ Narrative ˆ Legal Description ˆ Vicinity Map ˆ Site Plan ˆ Landscape Plan ˆ Complete Streets Checklist ˆ Traffic Impact Analysis ˆ Snohomish County Traffic Mitigation Offer ˆ WSDOT Traffic Offer Form ˆ Tree Survey ˆ Stormwater Drainage Report ˆ Geotech Report ˆ Critical Area Evaluation Form ˆ SEPA Checklist ˆ Public Notice Material ˆ Noticing and Related Documents ˆ Water / Sewer Availability Certificate ˆ Unanticipated Discovery Plan Form ˆ Aerial Photo of Site ˆ Proposed Building Materials ˆ Lighting Plans and Lighting Cut Sheets ˆ Color Elevations ˆ Design Matrix ˆ Plat Map ˆ Title Report ˆ Lot Closures ˆ Preliminary Civil Plans ˆ Archaeological Survey o Confidential Documents. Contact the City to obtain. ˆ Topography (Existing Conditions) ˆ CC&R’s ˆ Deeds / Easements / Conveyances /Dedications ˆ Developer’s Agreement ˆ Recorded Copies ˆ Bonding or Assignment of Funds o Confidential Documents. Contact the City to obtain. ˆ Letters and Project Documents ˆ Other: Civil ˆ Issued Permit ˆ Application ˆ Other Applications ˆ Construction Calculation Worksheet ˆ Approved Plans ˆ Review Comment Form ˆ Letters and Project Documents ˆ Other Agency Permits ˆ Reports: o Drainage Report Pg: o Stormwater Pg: o Geotech Pg: o All Other Reports ˆ SEPA and Noticing Materials ˆ Inspections ˆ As-Builts ˆ Other: Building ˆ Issued Permit ˆ Application ˆ Additional Applications ˆ Approved Plans ˆ Site Plan ˆ Letters and Project Documents ˆ Calculations ˆ Project Specification Manuals ˆ Reports ˆ Certificate of Occupancy ˆ Inspections ˆ Other: BLD5720 Residential Mechanical 4122 176th Pl Ne February 2024 ✔ ✔ ✔ ✔      !" #$ #%"&'"'" ('$)%"&'"'" *+,-.,/01234,51-/2"" &1?@ABCDEF98G1234,52H1,32I7JG.KLI.K52NM,II+K/O2PS%Q<=<TU<< V<< %"&WK11-,OK/5 ON/53KO5N3 ZZ[\  #] ! ^$ # #)<!<_QT   Y a# Y a#!"'(" $<Ra $<Ra &&"&  &"'& '( %&& ^$%b" b %#] !(c$ ^$%bbK-ON/53KO5N3 1-+4*,/0ON/53KO5N3^$% >% ^$%dN*.2IO3,15,N/% #Z  ]`  Z %    #W$% VYe #%  e$% '"f Ta<%  Z%1234,5K113NgK- < RTQ)T< h= Ta h<Q)R  <QQ < R<i <  RT  a Ri R<iT< Ra<<U  R<i aQ =<)< a<=<a= a=T#<W _TT<= < RTQ)TQa < U= T= <=UT== T= TQ ha T=ahi<iT< Ra<<U  aQ =<)< T  R   RT#<TQ)T< < jT=U S<aT< h<aW ja Q ==Q<=i T R<T=U <  RT a<i i a<<i  a<= _= a Ri  R<iT< Ra<<U  R<i aQ == a=T  R  Wha RR=<T< ja TTQa  STQ)RhTTa   h<TT R= =<==< = )QR )<   <  R<<   aT< Ra<<U <i aQ =<)< a<= a=T  R  W]$ !` Z# !#  e   # e  Z Z `Z` Yf $ # ! Y]$ Z V  ` Y Z    ! c] m#]$ #  #e   Z ! W(W # $ ]e  # ZY`Ye Z   `#b` Z$e$ZWe e# e$Ye Z  # ee e     #$ `#$$ V   e$ `#Y   ZWY b W/N5,O2E#<T<_< = T= <a= T= )<<Ti R )ThR )<a= aai R >"  W  11/29/2023                                                                                           !"#$%!& %'() *%!+'% , !"-%. !*%!+%/ ,%' %'!)%'()#')-%'!$-%'%' $/(-,%"#'0-$!/1, *#(+1,!. *"#!2$ 1 -3*((! 2$!  #!#  !"%'456789:55;<?@ABCD>CEFPQRSTUUVWXKYTSZWR[RX\`WUaTSbVRWdTSZeWVSe[feUTgebTQhTebTQijPk 9E>=l<I?m9E>=l4=sH?F>mx=l=FA?<I?myGzz:{68|;45y98{|;y=ll}s~m~qDHEBF?€> =sCF@D?A>CEF‚=llEƒ„…†EIB@EB:CB?8F@D?A>CEF@‡†?FA=llCFˆEB=FCF@D?A>CEFDl?=@?l?=‰?>†?EllEƒCFˆCFEBH=>CEFm?BHC>|IH}?B‚9sD?E8F@D?A>CEF}?CFˆB?ŠI?@>? ‚=F ƒ†?>†?BsEIDB??BHEBFCFˆEB=>?BFEEF8|;45y98{|8|:{67G98{| RESIDENTIAL MECHANICAL APPLICATION Community and Economic Development City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551 REV03.2022 Page 1 of 2 This application is for new, addition, altered or replaced mechanical installation and new or altered gas piping. Please fill out all pages of this application and include all information. • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances MECHANICAL PERMIT FEES (per unit) Additional Plan Review fees x $ 75.00 = Air Cond. Unit ≤100Btu/h x $ 15.00 = Air Cond. Unit >100Btu/h x $ 25.00 = Air Cond. Unit >500Btu/h x $ 50.00 = Air Handling Units x $ 15.00 = Base Mechanical Fee 1 x $ 25.00 = $ 25.00 Boiler <100Btu/h >3hp x $ 15.00 = Boiler >1 million Btu/h<50hp x $ 25.00 = Type of Permit:  New Installation  Addition/Alteration/Repair  Gas Piping Property Address: Project Valuation: Lot #: Parcel ID No.: Preferred Contact:  Owner  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: Gas Piping Information  Not Applicable Proposed Piping Material:  CSST  Brass Other  Black Steel  Galvanized Steel _______________________________________ Proposed Piping Size:  ½”  ⅝”  ¾”  1”  1½”  2” Distance from Meter to furthest Appliance: Total BTU’s of all Appliances: Water Heater Replacement Arlington 98223WA Smart Water Experts 630-615-4580 permits@drftps.com 10242 S Bode St Plainfield IL 60585 SMARTWE782KP 8/2/2024 4122 176Th Pl Ne 4122 176Th Pl Ne $2,306.58 Angel Williams 425-404-0145 REV2.2020 Page 2 of 2 MECHANICAL PERMIT FEES (per unit) Boiler >1.5 million Btu/h<50hp x $ 50.00 = Boiler >100Btu/h 3-15hp x $ 15.00 = Boiler >500Btu/h 15-30hp x $ 25.00 = Commercial Hoods -Type I x $ 25.00 = Commercial Hoods -Type II x $50.00 = Diffusers x $ 15.00 = Dryer Ducting x $ 15.00 = Ductwork (drawings required) x $ 25.00 = Evaporative Coolers x $ 15.00 = Exhaust/Ventilation Fans x $ 15.00 = Fireplace/Insert/Stove x $ 15.00 = Forced Air Heat ≤100 Btu/h x $ 15.00 = Forced Air Heat >100 Btu/h x $ 25.00 = Gas Clothes Dryer x $ 15.00 = Gas Fired AC ≤100 Btu/h x $ 15.00 = Gas Fired AC >100 Btu/h x $ 25.00 = Gas Fired AC > 500 Btu/h x $ 50.00 = Gas Piping ≤ 5 units x $ 15.00 = Gas Piping > 5 units (plus <5 units) x $ 2.00 = Heat Exchangers x $ 15.00 = Heat Pump-Condensing Unit x $ 25.00 = Hot Water Heat Coils x $ 15.00 = Miscellaneous Appliance - regulated by mechanical code, not otherwise specified x $ 15.00 = Pkg. Units ≤100btu x $ 25.00 =Pkg. Units >100btu x $50.00 = Range/Cook top-Gas Fired x $ 15.00 =Refrigeration Unit ≤100Btu/h x $ 15.00 =Refrigeration Unit >100Btu/h x $ 25.00 =Refrigeration. Unit >500Btu/h x $ 50.00 =Re-inspection fee x $ 75.00 =Residential Range Hood x $ 15.00 =Unit Heaters ≤ 100 Btu/h x $ 15.00 =Unit Heaters >100 Btu/h x $ 25.00 =VAV Boxes (Variable Air Volume, part of air conditioning system) x $ 10.00 = Wall Heaters - Gas Fired x $ 25.00 =Water Heater - Gas Fired x $ 25.00 =Permit Fee Inspection Fee $75.00 Processing/Technology Fee $25.00 Total 1 $25.00 $50.00 $150.00 REV2.2020 Page 3 of 3 PRESSURE PIPING SCHEMATICCOMPLETE FOR GAS PIPING ONLY SCHEMATIC IS TO SCALE SCHEMATIC NOT TO SCALEShow Pipe Size(s) and Length(s) from meter to all appliances NOTE: Any interior pressure regulators must be indicated I hereby certify that I 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 obtained when complete. Signature Print Name Date SAVE PRINT Michael Lawyer 11/29/2023 1/10/23, 10:54 AM 40-Gallon Tall Water Heater| Buy at Lowe's | A. O. Smith https://www.aosmithatlowes.com/products/water-heaters/gas-water-heaters/g12-t4040nvr/1/5 Gas Tank (/products/water-heaters/gas-water-heaters/) 40 Gallon Tall 12-Year 40,000 BTU Natural Gas Water Heater 40 GALLON TALL 12-YEAR 40,000 BTU NATURAL GAS WATER HEATER Write a review Model: G12-T4040NVR Lowe's Item #: 962539 (112)★★★★★★★★★★4.7 S HOP NO W A T L OWE’S (/) 1/10/23, 10:54 AM 40-Gallon Tall Water Heater| Buy at Lowe's | A. O. Smith https://www.aosmithatlowes.com/products/water-heaters/gas-water-heaters/g12-t4040nvr/2/5 PRODUCT FEATURES Ideal hot water delivery for households with 3-4 people when sized appropriately Environmentally friendly 40,000 BTU Low NOx gas burner delivers 80 gallons in the first hour Electronic gas valve provides precise temperature control for optimum hot water delivery Self-diagnostic electronic gas control incorporates an LED status indicator that monitors and reports on system operational status Built-in safety system reduces the risk of accidental flammable vapor ignitions Tall and slim 61.75-in H x 20-in diameter profile is designed for easier installation Protective anode rod and fused ceramic tank shield provide superior tank protection and extend water heater life High-altitude certified from 0 ft to 10,100 ft 12-year limited residential warranty gives you peace of mind RESOURCES Specifications Type:Tall Height:58 1/4" Height w/Draft Hood:61 3/4" Diameter:20" Width:20" Depth:20" VentType Standard Vent Vent Diameter:3" Nominal Capacity: 40 Rated Storage Volume: 38 ? ? (/) 1/10/23, 10:54 AM 40-Gallon Tall Water Heater| Buy at Lowe's | A. O. Smith https://www.aosmithatlowes.com/products/water-heaters/gas-water-heaters/g12-t4040nvr/3/5 UEF:0.66 Family Size:3 Self Cleaning:Yes Limited Warranty Tank:12 years Limited Warranty Parts:12 years BTU Input:40000 BTUs Water Connection Location:Top Water Connection Size:3/4" T&P Relief Valve:Yes Ratings/Reviews Use & Care Instructions FIND THE RIGHT WATER HEATER Try our Product Selector Tool to find the right models for your needs-for both heating and treating your home's water. USE THE PRODUCT SELECTOR (HTTPS://WWW.AOSMITHATLOWES.COM/BUYERS-GUIDE/) (/) 1/10/23, 10:54 AM 40-Gallon Tall Water Heater| Buy at Lowe's | A. O. Smith https://www.aosmithatlowes.com/products/water-heaters/gas-water-heaters/g12-t4040nvr/4/5 WATER HEATERS Gas Tank (/products/water-heaters/gas-water-heaters/) Electric Tank (/products/water-heaters/electric-water- heaters/) Gas Tankless (/products/water-heaters/gas-tankless/) Electric Tankless (/products/water-heaters/electric- tankless/) FILTERS Drinking Filters (/products/water-filters/drinking-water/) Whole Home Filters (/products/water-filters/whole- home/) Replacement Filters (/products/water- filters/replacements/) MORE PRODUCTS Water Softeners (/products/water-softeners/) Expansion Tanks (/products/pressure-tanks/water- heater-expansion-tanks/) Pump Tanks (/products/pressure-tanks/well-water- pump-tanks/) SUPPORT Product Support (/support/) Product Registration (/owner-center/product- registration/) Recall Notice (http://htwtr.co/aosalrec) Contact Us (/owner-center/contact-us/) Need Water Heater Help (/owner-center/need-more- help/) Water Heater Rebates (/owner-center/rebates/) Newsroom (/newsroom/) (/) Fe e d b a c k 1/10/23, 10:54 AM 40-Gallon Tall Water Heater| Buy at Lowe's | A. O. Smith https://www.aosmithatlowes.com/products/water-heaters/gas-water-heaters/g12-t4040nvr/5/5 WHERE TO BUY (/WHERE-TO-BUY/) © 2023 A. O. Smith. All rights reserved. Privacy Policy (/owner-center/privacy/) (/) Fe e d b a c k