HomeMy WebLinkAbout3704 172nd St Ne Ste G_BLD6282_2025 COMMERCIAL TENANT IMPROVEMENT
PERMIT APPLICATION
Community and Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
The following information is required for Commercial, Multi-Family, and Mixed-Use Building Permit Applications.
Mark each box to designate that the information has been provided. Please submit this checklist as part of the
submittal documents. See ASSISTANCE BULLETIN #30 for detailed design requirements.
EACH BUILDING OR STRUCTURE REQUIRES A SEPARATE SUBMITTAL.
SUBMIT ELECTRONIC FILES FOR EACH OF THE FOLLOWING; Incomplete applications will not be accepted.
REQUIRED DOCUMENTS
City of Arlington Commercial Tenant Improvement Permit Application
Site Plan
Architectural Plans
Structural Plans
Structural Calculations n/a
Mechanical System Modifications, (if applicable) Deferred Submittal
Deferred Submittal
Plumbing System Modifications, (if applicable)
Project Specification Manuals, (if applicable)
WSEC Compliance Forms, (if applicable) https://waenergycodes.com/
Special Inspection and Testing Agreement
Deferred Submittal Request
Airport Property Lease (if building is located within the Arlington Airport Property Boundary)
1. Plan Review fee is due at time of submittal and remaining balance will be due at time of issuance.
2. The City of Arlington does not review or inspect electrical systems. Contact Labor and Industries at lni.wa.gov or
360-416-3000.
A. DEFERRED SUBMITTALS
If the project requires any of the following, a Deferred Submittal Request MUST be completed. Deferred submittals require
separate applications, plans and plan review.
1. Mechanical Plans (if not included in the plan set)
2. Plumbing Plans (if not included in the plan set)
3. Fire Sprinkler
4. Fire Alarm
5. Signage
B. SPECIAL INSPECTION AND TESTING AGREEMENT
A Special Inspection Firm is required to perform special inspections for the following type of work.
*The Special Inspection and Testing Agreement MUST be submitted with the Building Application.
Reinforced Concrete Structural Steel and Welding
Bolting in Concrete High-Strength Bolting
Pre-stressed Concrete Spray-Applied Fireproofing
Shotcrete Smoke-Control Systems
Structural Masonry Other - Specify: ______________________________________
I acknowledge that all items designated as submittal requirements must accompany my Tenant
Improvement Permit Application to be considered a complete submittal.
COMMERCIAL TENANT IMPROVEMENT
INSTALLATION, MODIFICATION OR REMOVAL MAY REQUIRE A SEPARATE PERMIT SUBMITAL
*CHECK ALL THAT APPLY
Automatic fire extinguishing systems Compressed gas systems
Fire pumps Flammable and combustible liquids (tanks, piping etc.)
Standpipe systems Hazardous materials
Private fire hydrants Industrial ovens/furnace
Fire alarm and detection systems Spraying or dipping operations
High piled/rack storage Temporary membrane structure, tents (>200 sq. ft.) or canopies (>400 sq. ft.)
Provide details on any of the above checked items: _________________________________________________________________________
________________________________________________________________________________________
Type of Permit: New Space Addition Alteration
Property Address: Project Valuation:
Lot #: Parcel ID No.: Subdivision:
Project Scope of Work:
Description of New Tenant Business Operations:
IBC Construction Type: IBC Occupancy Type:
Building/Space Square Footage: Number of Stories:
Square Footage Per Floor: 1st 2nd 3rd 4th 5th 6th
Primary Contact: Owner Architect Engineer Contractor
Owner Name: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
Architect Name: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
Professional License Number: Expiration Date:
Engineer Name: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
Professional License Number: Expiration Date:
Primary Contractor: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
L&I Contractor License Number: Expiration Date:
REV03.2022 Page 2 of 7
COMMERCIAL TENANT IMPROVEMENT
MECHANICAL SYSTEM INFORMATION Deferred Submittal
Type of Permit: ï² New Installation ï² Addition ï² Alteration ï² Replaced ï² Gas Piping
Mechanical Contractor: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
L&I Contractor License Number: Expiration Date:
• 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 per IFGS, Section 415
• Proper Combustion air and venting required for all appliances
• A shut-off valve is required within 6 feet of each appliance
Gas Piping Specification and complete Schematic PAGE 4 ï² Not Applicable
Proposed Piping Material: ï² CSST ï² Brass ï² Black Steel ï² Galvanized Steel ï² Other
Proposed Piping Size: ï² Â½â€ ï² â…â€ ï² Â¾â€ ï² 1â€ ï² 1Â½â€ ï² 2â€
Inlet Pressure: Pressure Drop: Specific Gravity:
MECHANICAL PERMIT FEES (per unit)
Type of Fixture No. of Units Cost per Unit Subtotal
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/hp x $ 50.00 = $
Air Handling Units x $ 15.00 = $
Base Mechanical Fee $ 25.00 $ 25.00
Boiler <100Btu/h >3hp x $ 15.00 = $
Boiler >1 million Btu/h<50hp x $ 25.00 = $
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 = $
REV03.2022 Page 3 of 7
COMMERCIAL TENANT IMPROVEMENT
MECHANICAL PERMIT FEES (per unit)
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 $ 15.00 $
x =
mechanical code, not otherwise specified
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 (all) x $ 75.00 = $
Unit Heaters ≤ 100 Btu/h x $ 15.00 = $
Unit Heaters >100 Btu/h x $ 25.00 = $
VAV Boxes (Variable Air Volume, part of air $ 10.00 $
x =
conditioning system)
Wall Heaters - Gas Fired x $ 25.00 = $
Water Heater - Gas Fired x $ 25.00 = $
Permit Fee $
Table 4-8; Plan Review Fee $
Processing/Technology Fee $25.00
Total $
PRESSURE PIPING SCHEMATIC
COMPLETE FOR GAS PIPING ONLY – USE A SEPARATE SHEET, IF NECESSARY
ï² SCHEMATIC IS TO SCALE ï² SCHEMATIC NOT TO SCALE
Show Pipe Size(s) and Length(s) from meter to all appliances
NOTE: Any interior pressure regulators must be indicated
REV03.2022 Page 4 of 7
COMMERCIAL TENANT IMPROVEMENT
PLUMBING SYSTEM INFORMATION No Work
Type of Permit: ï² New Installation ï² Addition ï² Alteration ï² Replaced ï² Industrial
Plumbing Contractor: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
L&I Contractor License Number: Expiration Date:
The following items need to be specified on the plans:
ï² Fixture specifications and equipment with locations.
ï² Location and type of all backflow assemblies for each fixture.
ï² Calculations for Grease Interceptor.
ï² Pipe size and location of sanitary and potable water systems.
ï² Riser diagram of waste, vent, and rain water systems, including sizes.
ï² Medical gas piping riser diagram, type of gas, storage room and size of piping.
PLUMBING PERMIT FEES (per fixture)
Commercial plumbing permits are required to submit line drawings. A plan review fee of 65% per Table 4-6 for
plumbing permits will be assessed at time of submittal. Includes two (2) inspections with permit.
Type of Fixture No. of Fixtures Cost per Fixture Subtotal
Additional Plan Review fees x $ 75.00 =
Alteration/repair piping x $ 15.00 =
Backflow Assembly x $25.00 =
Base Plumbing Fee $ 25.00 $25.00
Bath/Shower Combo x $ 15.00 =
Building Main Waste x $ 25.00 =
Clothes Washer x $ 15.00 =
Dishwasher x $ 15.00 =
Drinking Fountain x $ 15.00 =
Floor Drains x $ 15.00 =
REV03.2022 Page 5 of 7
COMMERCIAL TENANT IMPROVEMENT
PLUMBING PERMIT FEES (per fixture)
Grease Interceptor x $ 75.00 =
Grease Trap x $ 25.00 =
Hose Bibb x $ 15.00 =
Icemaker/Refrigerator x $ 15.00 =
Irrigation – per meter x $ 25.00 =
Kitchen Sink & Disposal x $ 15.00 =
Laundry Tray x $ 15.00 =
Lavatory x $ 15.00 =
Med Gas Piping ≤ 5 inlets/outlets x $ 60.00 =
Med Gas Piping > 5 inlets/outlets (plus ≤ 5 x $ 5.00 =
inlets/outlets)
Miscellaneous – regulated by plumbing x $ 15.00 =
code, not otherwise specified
Pretreatment Interceptor x $ 15.00 =
Re-inspection Fee (all) x $ 75.00 =
Roof Drains x $ 15.00 =
Shower (only) x $ 15.00 =
Sink (bar, service, etc.) x $ 15.00 =
Toilets x $ 15.00 =
Urinal x $ 15.00 =
Vacuum Breakers x $ 25.00 =
Water Heater x $ 25.00 =
Water Heater - Tankless x $ 25.00 =
Permit Fee
Table 4-6; Plan Review Fee
Processing/Technology Fee $25.00
Total
PROPOSED BUILDING USE
ï² New ï² Addition/Alteration ï² Medical ï² Automotive Based ï² Industrial
ï² Office ï² Restaurant ï² Machine Shop ï² Other: ____________________________________
CROSS CONNECTION
Please check all appliances that are proposed or permanently connected to the water supply.
ï² Ice Machine ï² Dialysis Equip. ï² Air washers
ï² Coffee Urn/Espresso ï² Hydrotherapy Equip. ï² Steam Generators
ï² Carbonated Bev. ï² Dental Equip. ï² Dye Vats
ï² Fume Hoods ï² Laboratory Equip. ï² Pressure Washers
ï² Degreasers ï² Autoclave/Sterilizers ï² Cooling Towers
ï² Hot Tub/Spa ï² Decorative Fountain ï² Fire Sprinkler
ï² Aquarium ï² Swimming Pools ï² Sprinkler w/chemicals
ï² Lawn Irrigation ï² Well on property ï² Other: ________________________
WASTEWATER DISCHARGE
Does the plumbing system currently have a grease interceptor? ï² Yes ï² No ï² Don’t Know
Does the plumbing system currently have an oil/water
ï² Yes ï² No ï² Don’t Know
separator?
REV03.2022 Page 6 of 7
COMMERCIAL TENANT IMPROVEMENT
Is water used in the business process (washing, rinsing,
ï² Yes ï² No ï² Don’t Know
cooling)?
Does your business require a NPDES permit? ï² Yes ï² No ï² Don’t Know
I hereby certify that the above information is correct and that the 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.
Signature Print Name Date
REV03.2022 Page 7 of 7
DEFERRED SUBMITTAL REQUEST
Community and Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
The undersigned has been issued a permit for construction prior to final approval of the following. The following
items shall be considered deferred submittals and shall be submitted AND approved prior to installation.
Property Address:
Parcel ID No.: Project Name:
Project Description:
Primary Contact: Owner Owner’s Agent
Owner Name: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
Owner’s Agent: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
LIST ALL ITEMS PROPOSED TO BE DEFERRED ESTIMATED DATE OF SUBMITTAL
ITEM: DATE:
ITEM: DATE:
ITEM: DATE:
ITEM: DATE:
ITEM: DATE:
ITEM: DATE:
I, Owner/ Owner’s Agent, hereby assumes all risk, financially and otherwise, for any construction performed that
may need to be removed if the deferred submittals listed above are not appropriate. I understand that certain
inspections will NOT be performed until the submissions are accepted, reviewed and issued. I understand additional fees
will be required based on the additional time spent for plan review. All deferred submittals must be submitted to the
City of Arlington Community and Economic Development Department for review.
Signature Print Name Date
REV03.2022
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