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Home My WebLink About910 Medical Center Dr Bldg H201_BLD5984_2025 i Permit Packet Coversheet Community and Economic Development City of Arlington • 18204 591h Avenue NE • Arlington,WA 98223 • Phone (360)403-3551 Permit Number: BLD5984 Permit Type: Residential Mechanical Address/Parcel: 910 Medical Center Dr BldgH201 Completed (Month/Year): EXPIRED December 2024 Land Use ❑ Notice of Decision ❑ Bonding or Assignment of Funds ❑ Staff Report o Confidential Documents. Contact the ❑ Application City to obtain. ❑ Narrative ❑ Letters and Project Documents ❑ Legal Description ❑ Other: ❑ Vicinity Map ❑ Site Plan Civil ❑ Landscape Plan ❑ Issued Permit ❑ Complete Streets Checklist ❑ Application ❑ Traffic Impact Analysis ❑ Other Applications ❑ Snohomish County Traffic Mitigation Offer ❑ Construction Calculation Worksheet ❑ WSDOT Traffic Offer Form ❑ Approved Plans ❑ Tree Survey ❑ Review Comment Form ❑ Stormwater Drainage Report ❑ Letters and Project Documents ❑ Geotech Report ❑ Other Agency Permits ❑ Critical Area Evaluation Form ❑ Reports: ❑ SEPA Checklist o Drainage Report Pg: ❑ Public Notice Material o Stormwater Pg: ❑ Noticing and Related Documents o Geotech Pg: ❑ Water/Sewer Availability Certificate o All Other Reports ❑ Unanticipated Discovery Plan Form ❑ SEPA and Noticing Materials ❑ Aerial Photo of Site ❑ Inspections ❑ Proposed Building Materials ❑ As-Builts ❑ Lighting Plans and Lighting Cut Sheets ❑ Other: ❑ Color Elevations ❑ Design Matrix Building ❑ Plat Map ❑✓ Issued Permit ❑ Title Report ❑✓ Application ❑ Lot Closures ❑ Additional Applications ❑ Preliminary Civil Plans ❑ Approved Plans ❑ Archaeological Survey ❑✓ Site Plan o Confidential Documents. Contact the ❑ Letters and Project Documents City to obtain. ❑ Calculations ❑ Topography(Existing Conditions) ❑ Project Specification Manuals ❑ CC&R's ❑ Reports ❑ Deeds/Easements/Conveyances ❑ Certificate of Occupancy /Dedications ❑ Inspections ❑ Developer's Agreement ❑ Other: ❑ Recorded Copies Page 1 of 1 CITY OF ARLINGTON 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS:360-403-3417-Permit Center:360-403-3551 BUILDING PERMIT 910 MEDICAL CENTER DR BLDG H2O1 Permit#:5984 Parcel#:01049600820100 PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Scope of Work:Install AC Valuation:9048.63 OWNER APPLICANT CONTRACTOR BROWN FLORENCE Rusty Reed Cool Heat 365 LLC 910 MEDICAL CENTER DR BLDG 9204 176th St NW 9204 176th St NW H2O1 ARLINGTON,WA 98223-1704 Stanwood Stanwood,WA 98292 4252931289 425-740-4212 LIC:604 252177 EXP:0430/2025 LIC:COOLH14382405 EXP:09/25/2024 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: RESIDENTIAL MECHANICAL CODE YEAR: 2021 STORIES: I CONST.TYPE: VB DWELLING UNITS: OCC GROUP: R-3;Residential BUILDINGS: OCC LOAD: P-P # � r _; ,�'�� .�.,;, �. <�.. �:' 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 PERSON 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 APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.IBCI10/IRCI 10. SALES TAX NOTICE:Sales tax relating to constru your sales tax return form and coded City of Arlingto ction and construction materials in the City of Arlington must be reported on n#3101. fG�iLGi.L r�r,Ga7,y o6/2a2o2a Appfican Date Building Official Date CONDITIONS 3"concrete pad with seismic bracing attached Provide electrical disconnect.Lines shall be insulated;use of adhesive tapes are prohibited.Adhere to approved appliances.Approved job copy shall be onsite for inspection;if applicable.Call for final 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 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. PERMIT FEES Date Description Fee Amount 06/20/2024 Processing/Technology $25.00 06/20/2024 Inspection $75.00 06/20/2024 Ar Cond.Unit<_100 BTU/h $15.00 06/20/2024 Nbehanical Base $25.00 06/20/2024 Credit Card Sermce $4.20 Total Due: $144.20 Total Payment: $144.20 Balance Due: $0.00 CALL FOR INSPECTIONS Call by 3.30 pm for next day inspection,allow 48 hours for Fire Inspections When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon INSPECTION INFORMATION Pass/Fa RESIDENTIAL MECHANICAL APPLICATION Community and Economic Development City of Arlington•18204 59th Ave NE•Arlington,WA 98223•Phone(360)403-3551 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. Type of Permit: ❑ New Installation Addition/Alteration/Repair ❑ Gas Piping -2jI Property tyAddress: Project ' Lot#: NA Parcel ID No.: 01049600820100 Preferred Contact: O Owner Contractor Project Description: c-%--;x/ /// 4L, Owner Name. Sheryl Metzner Home No.: (, /c� c (v Email Address: smhooVerl 1 @gmall.com Cell No.: , c c�S' , Mailing Address:9/6'/",-/i,.l 2c4 City: ;,., State: WA Zi •VV)k— Cool Heat 365 Contractor Name: Office No.: - Email Address: coolheat365@yahoo.com Cell No.: ---- MailingAddress: t-/ Aj�- i;7� Stanwood State: WA Zip: WA L&I Contractor License Number: 4) 6 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 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 Gas Piping Information ® Not Applicable ❑CSST ❑ Brass ❑ Other Proposed Piping Material: ❑Black Steel ❑Galvanized Steel Proposed Piping Size: O W O 5/a" 3/4" O 1" O 11h" O 2" Distance from Meter to furthest Appliance: Total BTU's of all Appliances: Type of Fixture No.of Cost per Unit Subtotal Model No. Units Additional Plan Review fees 1 x $75.00 = 1 1 Air Conditioning Units 100 Btu h x $15.00 = Air Conditioning Unit>100 Btu h 1 x 1 $25.00 - 1 r Conditioning Unit>500 Btu/hp x $50.00 = 1 r Handling Units 1 x $15.00 = Base Mechanical Fee 1 x $25.00 = $25.00 Boiler<100Btu h>3hp 1 x $15.00 = 1 REV03.2022 Page 1 of 3 Residential mechanical permits will be assessed a base fee,fee per unit,and inspection fee(plan review per Table 4-8 may'be re aired for certainpermits) Boiler>1 million Btu/h<50hp 1 x $25.00 = 1 Boiler>1.5 million Btu/h<50hp 1 x $50.00 = 1 Boiler>100Btu h 3-15h 1 x $15.00 = 1 Boiler>500Btu h 15-30h 1 x $25.00 = 1 Commercial Hoods-Type I 1 x $25.00 = 1 Commercial Hoods-Type II 1 x $50.00 = 1 Diffusers 1 x $15.00 = 1 Dryer Ducting 1 x $15.00 = 1 Ductwork(drawings required) 1 x $25.00 = 1 Evaporative Coolers 1 x $15.00 = 1 Exhaust Ventilation Fans 1 x $15.00 = 1 Fireplace/Insert/Stove 1 x $15.00 = 1 Forced Air Heat<_100 Btu h 1 x $15.00 = 1 Forced Air Heat>100 Btu h 1 x $25.00 = 1 Gas Clothes Dryer 1 x $15.00 = 1 Gas Fired Air Conditioning Unit<_100 Btu h 1 x $15.00 = 1 Gas Fired Air Conditioning Unit>100 Btu h 1 x $25.00 = 1 Gas Fired Air Conditioning Unit>500 Btu/hp 1 x $50.00 = 1 Gas Pi in <_5 units 1 x $15.00 = 1 Gas Piping for each additional unit >5 1 x $2.00 = 1 Heat Exchangers 1 x $15.00 = 1 Heat Pump-Condensing Unit 1 x $25.00 = 1 $25.00 Hot Water Heat Coils 1 x $15.00 = 1 Miscellaneous Appliance-regulated by x $15.00 = ,� mechanical code,not otherwise specified Package Units s 100 Btu >100 Btu 1 x $25.00 $50.00 = 1 Range/Cook top-Gas Fired 1 x $15.00 = 1 Refrigeration Unit<_100Btu h 1 x $15.00 = 1 Refrigeration Unit>100Btu h 1 x $25.00 = 1 Refrigeration.Unit>500Btu h 1 x $50.00 = 1 Re-inspection fee 1 x 1 $75.00 = 1 Residential Range Hood 1 x $15.00 = 1 Unit Heaters<_ 100 Btu h 1 x $15.00 = 1 Unit Heaters>100 Btu h 1 x $25.00 = 1 Variable Air Volume Boxes(part of Air ,� x $10.00 Conditioning System) Wall Heaters-Gas Fired 1 x $25.00 = 1 Water Heater-Gas Fired 1 x $25.00 = 1 $100.00 Permit Fee $100.00 Inspection Fee $75.00 Processing/Technology Fee $25.00 Total $100.00 I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above des ribbed property will be in accordance with the laws,rules and regulation of the State of Washington. C-7 Rusty Reed 5/9/2024 Signature Print Name Date REV2.2024 Page 2 of 3 No N __ - i�: i 00 � NQC4 m i