HomeMy WebLinkAbout17707 Hillside Ct_BLD5331_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
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BLD5331 Residential Mechanical
17707 Hillside Ct January 2024
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CITY OF ARLINGTON
18204 59th Avenue NE, Arlington, WA 98223
INSP ECTIONS: 360-403-3417 - Permit Center: 360-403-3551
B UILDING PERM IT
17707 HILLSIDE CRT
Parcel #: 00870600003300
Pe rmit #: 5331
PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Scope of Work: Replace gas furnace and adding heat pump Valuation: 16500.00
OWNER APPLICANT CONTRACTOR
BULLENE RICHARD B & MARY K Washington Energy Services WASHINGTON ENERGY SERVICES
17707 HILLSIDE CRT 3909 196th St SW 3909 196th Street SW
ARLINGTON, WA 98223-7867 Lynnwood, WA 98036 Lynnwood, WA 98036
206-378-6648 2063786648
LIC: WASHIES851NS EXP: 09/07/2023
MECHANICAL CONTRACTOR PLUM B ING CONTRACTOR
WASHINGTON ENERGY SERVICES
3909 196th Street SW
Lynnwood, WA 98036
2063786648
LIC #:WASHIES851NS EXP :09/07/2023 LIC #:EXP:
JOB DESCRIPTION
P ERMIT TYPE:RESIDENTIAL MECHANICAL CODE YEAR:2018
STORIES:CONST. TYP E:
DWELLING UNITS:OCC GROUP :
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 P ERSON 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 APP LICATION IS NOT A P ERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEP UTY AND
ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUP Y 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.
05/03/2023
Applicant Signature Date Building Official Date
CONDITIONS
Adhere to approved appliances. Approved permit shall be onsite during installation. Call for final inspection.
THIS P ERMIT AUTHORIZES ONLY THE WORK NOTED. THIS P ERMIT COVERS WORK TO BE DONE ON P RIVATE
PROPERTY ONLY. ANY CONSTRUCTION ON THE P UBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS,
MARQUEES, ETC.) WILL REQUIRE SEP ARATE PERMISSION.
PERM IT FEES
Date De s cription Fe e Amount
05/03/2023 Processing/Technology $25.00
05/03/2023 Inspection $75.00
05/03/2023 Forced Air Heat $15.00
05/03/2023 Heat Pump/Heat Exchangers $25.00
05/03/2023 Mechanical Base $25.00
Total Due :$165.00
Total Payme nt:$165.00
B alance Due :$0.00
CALL FOR INSPECTIONS
Call by 3:30 pm for ne xt day ins pe ction, allow 48 hours for Fire Ins pe ctions
Whe n calling for an ins pe ction ple as e le ave the following information:
Pe rmit Numbe r, Type of Ins pe ction be ing re que s te d, and whe the r you pre fe r morning or afte rnoon
INSPECTION INFORM ATION Pas s /Fail
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:
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17707 Hillside Ct 16500
00870600003300 4
REPLACING GAS FURNACE AND ADDING HEAT PUMP
Richard Bullene 3604740364
17707 Hillside Ct Arlington wa 98223
WASHINGTON ENERGY SERVICES 2063786648
PERMITS@WASHINGTONENERGY.COM
3909 196th St SW lynnwood wa 98036
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
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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
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KAREN MATHENEY 5/3/2023
SAVE PRINT
Map Title
Feet 4/17/2023
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not to be considered an official citation to, or representation of, the Snohomish County Code.
Amendments and updates to the Data, together with other applicable County Code provisions,
may apply which are not depicted herein. Snohomish County makes no representation or
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use thereof and agree to hold Snohomish County harmless from and against any damages, loss,
claim or liability arising out of any error, defect or omission contained within said Data.
Washington State Law, Ch. 42.56 RCW, prohibits state and local agencies from providing access
to lists of individuals intended for use for commercial purposes and, thus, no commercial use may
be made of any Data comprising lists of individuals contained herein.
113560
14'
Heat Pump 14' from
property line