HomeMy WebLinkAbout19308 Crown Ridge Blvd_BLD5574_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: BLD5574 Permit Type: Residential Mechanical
Address/Parcel: 19308 Crown Ridge Blvd Completed (Month/Year): EXPIRED February 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
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CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS:360-403-3417-Permit Center:360-403-3551
BUILDING PERMIT
19308 CROWN RIDGE BLVD Permit#: 5574
Parcel#:00910700002400 PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Scope of Work:REMOVE/REPLACE GAS WATER HEATER Valuation:2053.00
OWNER APPLICANT CONTRACTOR
BEEM JIMMIE A JR Fast Water Heater FAST WATER HEATER
PO BOX 662 11715 N Creek Pkwy S. 11715 N CREEK PKWY S,Ste C106
MARYSVILLE,WA 98270 Bothell,WA 98011 BOTHELL,WA 98011
4256367054 425.636.7054
LIC:602 564 544 Dom:05/31/2024
LIC:FASrWWH948BC FXP:01/04✓2024
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL MECHANICAL CODE YEAR: 2018
STORIES: CONST.TYPE:
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 buikiutg 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. 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.
yk&e a- V'aZ-")- 08/25/2023
Applicant Signature Date BuikUtg Official Date
CONDITIONS
Approved permit shall be onsite during installation.Call for final inspection.
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.
Dale Description Fee Amount
081252023 Processing/technology $25.00
082512023 Inspection $75.00
08252023 Niachanical Base $25.00
08252023 Water Heater-LPG $25.00
0825/2023 Credit Card Service $4.50
Total Due: $154.50
'total Payment: $154.50
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 I Pass/Fail
i
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 tnechardcal installation and new or altered gas piping.
Please fill out all pages of this application and include all information.
Type of Permit: ❑ New Installation 0 Addition/Alteration/Repair ❑ Gas Piping
Property Address: 19308 CROWN RIDGE BLVD Project Valuation: 2053
Lot#: Parcel ID No.: 0091070002400 Preferred Contact: ❑Owner ;I Contractor
REMOVE/REPLACE GAS WATER HEATER
Project Description:
Owner Name:
JIM BEEM Home No.: 425-239-4744
Email Address: permits@fastwaterheater.com Cell No.:
Mailing Address: 19308 CROWN RIDGE City: ARLINGTON State: WA Zip: 98223
Contractor Name: FAST WATE R HEATER Office No.: 425-636-7054
Email Address: permits@fastwaterheater.com Cell No.:
Mailing Address: 11715 N Creek P KWY S City: Bothell State: WA Zip:
98011
L&I Contractor License Number: FASTWWH 948BC Expiration Date: 1/4/24
• 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: ❑ 1/2" ❑ 5/s" ❑ 3/a." ❑ 1" ❑ 11/i" ❑ 2"
Distance from Meter to furthest Appliance: Total BTU's of all Appliances:
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.
Signed via Seamlesspocs�.co/m/
StgllQT.1111yGp ay:66c9J68cJ11fi952ea9fi41146e5J45� Print Name Date
FOR STAFF USE ONLY
PERMIT# ACCEPTED BY: DATE STAMP
REV03.2022 Page 1 of
MECHANICAL PERMIT FEES (per unit)
Type of Fixture No.of Units Cost per Unit Subtotal Model No.
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>3 hp x $15.00 =
Boiler>1 million Btu/h<50hp x $25.00 =
Boiler>1.5 million Btu/h<50hp x $50.00 =
Boiler>100Btu 3-1 5hp x $15.00 =
Boiler>500Btu 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 x $25.00 =
Gas Fired AC> 500 Btu h x $50.00
Gas Pi in <_ 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 x $15.00
mechanical code,not otherwise specified
Pkg.Units<_100btu x $25.00 =
Pkg.Units>100btu x $50.00
Ran a 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 15 100 Btu x $15.00 =
Unit Heaters>100 Btu x $25.00 =
VAV Boxes(Variable Air Volume,part of air x $10.00
conditioning system)
Wall Heaters-Gas Fired x $25.00
Water Heater-Gas Fired 1 x $25.00 =
Permit Fee
Inspection Fee $75.00
Processing/Technology Fee $25.00
Total
REV2.2020 Page 2 of 2