HomeMy WebLinkAbout9006 171st St Ne_BLD5385_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: BLD5385 Permit Type: Residential Mechanical
Address/Parcel: 9006 171st St Ne Completed (Month/Year): June 2023
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,WA98223
INSPECTIONS: 360-403-3417-Perm i Center: 360-403-3551
BUILDING PERMIT
9006 171ST ST NE Perm #: 5385
PERMIT EXPIRES 180 DAYS AFTER
Parcel#: 01166900004500 DATE O FSSUANCE.
Scope of Wcrk:New 24,000 BTU AC V aluation: 7000.00
O W PER APPLICANT C O NIRACTO R
KAISER MARLENE P/KAISER Seatown Electric,Plum ling,Heating,Air SEATOWN ELETRIC PLUMBING
EDWARD ALBERT HEATING AND AIR
1450 LAKE ROBBINS DR STE 430 4 200 78th St SW4 200 78TH ST SW
THE WOODLANDS,WA79380 M kilteo MU KILTED,WA98275
4252701629 2 06.905.4946
LIC:603447624 E XP: 10/31/2024
LIC:SEATOEH821DG E XP:03/07/2026
MECH ANICAL CO NIRACTO R LUMBING CO NTRACTO R
LIC#: EXP: L IC#: E XP:
JO BDESCRIPTIO N
PERMIT TYPE: R ESIDENTIAL MECHANICAL C ODE YEAR: 2 018
STORIES: CONST.TYPE:
DWELLING UNITS: O CC GROUP:
BUILDINGS: O CC LOAD:
PERMIT APPRO VAL
The issuance or granting of this perm i shall not be construed to be a perm i 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,proclam aion,guidance advice or decision of the
Governor of this State.To the extent the issuance or granting of this perm i is interpreted to allow construction activity during any
period of tim ewhen such construction is prohibited or restricted by any state or federal law,or order,proclam aion,guidance
advice or decision of the Governor of this State,this perm i 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,proclam Etion,
guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this perm i if it is
determ ned to be issued in error or on the basis of incorrect,inaccurate or incom liete inform ation,or in violation of any City
ordinance,regulation or order,state or federal law,or any order,proclam aion,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 CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.IBC 110/IRC110.
SALES TAX NO TICE: Sales tax relating to construction and construction m Eterials in the City of Arlington m ist be reported on
your sales tax return form and coded City of Arlington#3101.
06/15/2023
Applicant Signature D ate B uilding Official D ate
CO MITIO 1%
3"concrete pad with seism c bracing attached.Provide electrical disconnect.Lines shall be insulated;use of adhesive tapes are
prohibited.Adhere to approved appliance.Approved perm i shall be onsite during installation.Call for final inspections.
The property owner shall ensure that the construction project com Hies with all applicable zoning codes and regulations.The
property owner shall also ensure that the construction project does not cause any adverse im pmct on the surrounding environm ait
or com m nity.The property owner shall be responsible for obtaining all necessary perm is and approvals from the relevant
authorities before com m acing construction.The property owner shall ensure that the construction project com Hies with all
applicable design review requirem acts.
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 Am aunt
12/18/2024 P rocessing/Technology $25.00
12/18/2024 1 nspection $75.00
e 12/18/2024 M chanical Base $25.00
a 12/18/2024 G s Piping/Units $15.00
12/18/2024 A it Cond. Unit<_100 BTU/h $15.00
12/18/2024 C redit Card Service $4.65
Total Due: $159.65
Total Paym ent: $159.65
Balance Due: $0.00
CALL FO RINSPECTIO INS
Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections
When calling for an inspection please leave the following inform anon:
Perm it Num ber,Type of Inspection being requested,and whether you prefer m arning or afternoon
INSPECTIO NINFO RVIATIO N Pass/Fail
R00.HEAT PUMP/AC UNIT FINAL Approved
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 mechanical installation and new or altered gas piping.
Please fill out all pages of this application and include all information.
Type of Permit: 0 New Installation ❑ Addition/Alteration/Repair ❑ Gas Piping
Property Address: 9006 171 st St NE Arlington, WA 98223 project Valuation: $7,000
Lot#: Parcel ID No.: 01 166900004500 Preferred Contact: ❑ Owner O Contractor
Project Description: New 24,000 BTU AC.
Owner Name: Marleen Kaiser Home No.:
Email Address: p-marleen.kaiser@comcast.net Cell No.: 4252399436
Mailing Address: 9006 171st St NE City: Arlington State: WA Zip: 98223
Contractor Name: Seatown Electric Corp. Office No.: 2069054946
Email Address: permits@seatownservices.com Cell No.: 4252701629
Mailing Address: 4200 78th St SW City: Mukilteo State: WA Zip: 98275
L&I Contractor License Number: SEATOEH821 DG Expiration Date: 3/7/2024
• 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 O Not Applicable
❑ CSST ❑ Brass ❑ Other
Proposed Piping Material:
❑ Black Steel ❑ Galvanized Steel
Proposed Piping Size: ❑ 1/2" ❑ 5/8" ❑ 3/4" ❑ 1" ❑ 11/2" ❑ 2"
Distance from Meter to furthest Appliance: Total BTU's of all Appliances:
MECHANICAL PERMIT FEES (per unit)
Tvve 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>3h x $ 15.00 =
Boiler>1 million Btu/h<50hp x $25.00 =
REV03.2022 Page 1 of 2
MECHANICAL PERMIT FEES (per unit)
Boiler>1.5 million Btu/h<50hp x $50.00 =
Boiler>100Btu h 3-15h 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 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 =
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:5 100 Btu h x $ 15.00 =
Unit Heaters>100 Btu h 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 x $25.00 =
Permit Fee
Inspection Fee $75.00
Processing/Technology Fee $25.00
Total
REV2.2020 Page 2 of 2
PRESSURE PIPING SCHEMATIC
COMPLETE FOR GAS PIPING ONLY
❑ SCHEMATIC IS TO SCALE SCHEMATIC NOT TO SCALE
Show 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.
Penney Christianson 6/6/2023
Signature Print Name Date
SAVE PRINT
REV2.2020 Page 3 of 3
PDS Map Portal Snohomish County Planning&Development Services 9006 171 st St NE _ Site Plan 6/12/2023
-- ° 8929 9007 I '
. 8911 89'17 8923 ,, 9013 9019 9025 _ 9027
- IN -1
Legend
1 09—
Snohomish County Tax Parcels
8916 8922'. 89i B N 90� 90,12
9018
i Cl) t. l w
- a 0 co - +°
c
Heat Pu p
8915
8909 • 8921 8927 .9005 9011- 9017
l
170TH ST NE
1:600
100.0 0 50.00 100.0 Feet All map,,aata,and mmrmannn,etrnrcn nerern f°Data'L ara fnrlm,tmn a purpn,e,only ana ara not to be on,mered an nfnaal a"'n to,nr Notes
representation of,the Snohomish Counry Code.Amendments and updates to the Data,together with other applicable Counry Code provisions,
may apply hich are not depicted herein.Snohomish County makes no representation or warranty concerning the content,accuracy,curtencI
ompleteness or quality of the Data contained here inand,,pressly disclaims any warranty of merchantability or fitness to,any particular Heat Pump shown as red square on site
purpose.All persons accessing or otherwise using this Data assume all responsibility far use thereof and agree to hold Snohomish Counry
Projection: NAD_1983_StatePlane_Washington North_FIPS_4601_Feet harmless from andagai-hydamages,lo,,,daimorliabilityHnng out ofanye,r defect nrnmi„ion aontainedwithin,aidData, plan.Unit will be located on back right
Washington State Law,Ch.42.56 RCW,prohibits state and local agencies from providing access W lists of individuals intended for use for
Planning and Development Services,Snohomish County comrnerdalpulp—,and,thu,,nocommerci,l ,emaybemadeofanyDatacompr,inglistsofindi.idaalscon,ainedherein. corner of home.