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Home My WebLink About17511 80th Dr Ne_BLD5192_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: BLD5192 Permit Type: Residential Mechanical Address/Parcel: 17511 80th Dr Ne Completed (Month/Year): April 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,WA 98223 INSPECTIONS:360-403-3417-Permit Center:360-403-3551 BUILDING PERMIT 17511 80TH DR NE Permit#:5192 Parcel#:01017900001500 PERMIT EXPIRES 180 DAYS AFTER Scope of Work: like in kind furnace replacement DATE OF ISSUANCE. Valuation: 3517.84 OWNER APPLICANT CONTRACTOR SMOOTS JAMES D Nordstrom Heating and Air NORDSTROM HEATING&AIR INC 17511 80TH DR NE 1059 State Ave#G 1059 State Ave. Ste.G ARLINGTON,WA 98223 Marysville,WA 98270 MARYSVILLE,WA 98270 360-386-9819 425-335-4029 LIC:NORDSHA884JW EXP:04/16/2024 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR NORDSTROM HEATING&AIR INC 1059 State Ave. Ste. G MARYSVILLE,WA 98270 425-335-4029 LIC#:NORDSHA884JW EXP: 04/16/2024 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: RESIDENTIAL MECHANICAL CODE YEAR: 2018 STORIES: 2 CONST.TYPE: 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 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.IBC 110/IRC 110. 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. I,q � Appli an Signature 03/03/2023 Date Building Official Date CONDITIONS Adhere to approved plans.Call for 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. PERMIT FEES Date Description Fee Amount 03/03/2023 Processing/Technology 03/03/2023 Inspection $25.00 03/03/2023 Forced Air Heat>100 BTU/h $75.00 03/03/2023 Mechanical Base $25.00 03/03/2023 Processing/Technology $25.00 $25.00 Total Due: $175.00 Total Payment: $0.00 Balance Due: $175.00 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/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: 17511 80th Dr NE Project Valuation: 3517.84 Lot#: Parcel ID No.: 01017900001500 Preferred Contact: ❑Owner ;I Contractor like in kind furnace replacement Project Description: Kinder Smoots 425-344-3578 Owner Name: Home No.: Email Address: kinder.smoots@gmail.com Cell No.: 425-344-3578 Mailing Address: 17511 80th Dr NE City: Arlington State: WA Zip: 98223 Contractor Name: Nordstrom Heating and Air Office No.: 360-386-9819 Email Address: office@ nordstromheating.com Cell No.: 360-386-9819 Mailing Address: 1059 State Ave #G City: Marysville State: WA Zip: L&I Contractor License Number: NORDSHA884JW Expiration Date: 04-16-2024 • 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 Ca' 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. esigned via Seamlesspocs.com �/zP/c.�G�c�leCCa,�a Signanire6BC11fi952ea9fi416e5"5� 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 1 x $15.00 = $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 x $25.00 = Permit Fee 40.00 Inspection Fee $75.00 Processing/Technology Fee $25.00 Total REV2.2020 Page 2 of 2