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Home My WebLink About19029 45th Dr Ne_BLD5700_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 Notice of Decision Staff Report Application Narrative Legal Description Vicinity Map Site Plan Landscape Plan Complete Streets Checklist Traffic Impact Analysis Snohomish County Traffic Mitigation Offer WSDOT Traffic Offer Form Tree Survey Stormwater Drainage Report Geotech Report Critical Area Evaluation Form SEPA Checklist Public Notice Material Noticing and Related Documents Water / Sewer Availability Certificate Unanticipated Discovery Plan Form Aerial Photo of Site Proposed Building Materials Lighting Plans and Lighting Cut Sheets Color Elevations Design Matrix Plat Map Title Report Lot Closures Preliminary Civil Plans Archaeological Survey o Confidential Documents. Contact the City to obtain. Topography (Existing Conditions) CC&R’s Deeds / Easements / Conveyances /Dedications Developer’s Agreement Recorded Copies Bonding or Assignment of Funds o Confidential Documents. Contact the City to obtain. Letters and Project Documents Other: Civil Issued Permit Application Other Applications Construction Calculation Worksheet Approved Plans Review Comment Form Letters and Project Documents Other Agency Permits Reports: o Drainage Report Pg: o Stormwater Pg: o Geotech Pg: o All Other Reports SEPA and Noticing Materials Inspections As-Builts Other: Building Issued Permit Application Additional Applications Approved Plans Site Plan Letters and Project Documents Calculations Project Specification Manuals Reports Certificate of Occupancy Inspections Other: BLD5700 Residential Mechanical 19029 45th Dr Ne December 2023 ✔ ✔ ✔ CITY OF ARLINGTON 18204 59th Avenue NE, Arlington, WA 98223 INSP ECTIONS: 360-403-3417 - Permit Center: 360-403-3551 B UILDING PERM IT 19029 45TH DR NE Parcel #: 00952200000500 Pe rmit #: 5700 PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Scope of Work: REPLACE GAS FURNACE Valuation: 3100.00 OWNER APPLICANT CONTRACTOR HALSEN JERRY P & ARLENE J Washington Energy Services WASHINGTON ENERGY SERVICES 19029 45TH DR NE 3909 196th St SW 3909 196th Street SW ARLINGTON, WA 98223-4783 LYNNWOOD,WA,98036 Lynnwood, WA 98036 2063786648 2063786648 LIC: 603 522 032 EXP: 07/31/2024 LIC: WASHIES851NS EXP: 09/07/2025 MECHANICAL CONTRACTOR PLUM B ING CONTRACTOR LIC #:EXP:LIC #:EXP: JOB DESCRIPTION P ERMIT TYPE:RESIDENTIAL MECHANICAL CODE YEAR:2018 STORIES:1 CONST. TYP E: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 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. 11/16/2023 Applicant Signature Date Building Official Date CONDITIONS ADHERE TO THE INSTALLATION OF THE APP ROVED AP PLIANCE. APPROVED JOB COPY SHALL BE ONSITE FOR INSP ECTION. CALL FOR 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 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 11/16/2023 Processing/Technology $25.00 11/16/2023 Inspection $75.00 11/16/2023 Forced Air Heat ≤ 100 BTU/h $15.00 11/16/2023 Mechanical Base $25.00 Total Due :$140.00 Total Payme nt:$140.00 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: 4 19029 45th Dr NE 3100 00952200000500 REPLACE GAS FURNACE Jerry Halsen (425)299-4449 jah636363@gmail.com 19029 45th Dr NE Arlington WA 98223 Washington Energy Services 2063786648 PERMITS@WASHINGTONENERGY.COM 3909 196th St SW LYNNWOOD WA 98036 WASHIES851NS 9/7/2025 4 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 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 KAREN MATHENEY 11/16/2023 SAVE PRINT