HomeMy WebLinkAbout17513 Osprey Rd_BLD690_2026 RESIDENTIAL PLUMBING / MECHANICAL
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223
Phone (360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING/MECHANICAL
INSTALLATION FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS
APPLICATION AND INCLUDE ALL INFORMATION.
Project Address: 17513 OSPREY RD
Project Description: REPLACE GAS FURNACE
Owner IH5 PROPERTY WASHINGTON LP
Address: 15400 30TH PL #100 BELLEVUE, WA 98007
E-mail: shannonheightsheating@gmail.com
Phone (h) 3604357359 (c)
Applicant: TERRA OCONNOR
Address: 18933 59TH AVE NE SPC 107
Phone (h) 3604357359 (c)
E-mail: shannonheightsheating@gmail.com
Contractor Information
Contractor Name: GEORGE SCHMAUS
Company: SHANNON HEIGHTS HEATING
Address: 18933 59TH AVE NE SPC 107
License Number: SHANNHH081BC Expiration: 01/01/16
Phone: 3604357359 E-mail: shannonheightsheating@gmail.com
Plumbing Section (select all that apply)
Bath/Shower Combo (4.0) Sink (1.5)
Shower (2.0) Lavatory (1.0)
Clothes Washer Water Closet (2.5)
Dishwasher (1.5) Water Heater
Hose Bibb (2.5) Other (list)
Proposed Water Piping Size:
Proposed Piping Material:
Proposed DWV Material:
Proposed DWV Size:
• All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV)
• Cross-Connection-Control may be required
Mechanical Section (continue filling out if mechanical equipment is involved)
Select proposed appliances:
Furnace (80+) Fireplace Insert
Outdoor BBQ Heat Pump
Freestanding Stove Hydronic Piping
Type II Hood Commercial Cooking Appliance
PV System Boiler
AC Unit Solid-Fuel Appliance
Other FURNACE 70 BTU
Gas Piping Information
Not Applicable
Pipe Material:
Pipe Size:
Distance from Meter to
Furthest Appliance:
Total BTU's of all Appliances:
• New gas piping requires a pressure test to 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 is required within 6 feet of all appliances
Please Attach Site Plan and Supporting Documents (PDF Only)
5WAS0228-City of Arlington.pdf
Permit #690
Address Payment Info
Address 17513 OSPREY RD Receipt # 1205914
City ARLINGTON Date 6/1/2015
State WA Paid By Shannon Heights Heating
Zip 98223Â5953 Description 54805603
Payment Type CC
Accepted By Amy Rusko
Fees Paid
Fee Fee Description Amount
Furnace 322.10.00.00 25.00
Mechanical Permit Base Fee 322.10.00.00 25.00
Total Payment: 50.00
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CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE~ (360) 403-3551
BUILDING PERMIT
Address: 17513 Osprey Rd Permit #: 690
Parcel #: 00809200000400 Valuation: 000
OWNER APPLICANT CONTRACTOR
Name: fH5 Property Washington, LP Name: Shannon Heights Heating Name: SHANNON HEIGHTS HEATING
Address: 15400 SE 30th Place, #100 Address:18933 59th Ave NE, #107 Address 18933 59TH AVE NE # I07
City, State Zip Bellevue, WA 98007 City, State Zip: Arlington, WA 98223 City, State Zip ARLINGTON, WA 98223
Phone: Phone: 360-435-7359 Phone: 360-435-7359
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: SHANNON HEIGHTS HEATING Name:
Address [8933 59TH AVE NE #107 Address:
City, State, Zip: ARliNGTON, WA 98223 City, State, Zip.
Phone: 360-435-7359 Phone:
LlC#: SHANNHH081BC EXP: 1/112016 LlC# EXP:
JOB DESCRIPTION
PERMIT TYPE Residential Mechanical CODE YEAR:
STORIES: CONST TYPE.
DWELLING UNITS· OCCGROUP:
BUILDINGS OCCLOAD
PERMIT APPROVAL
IAGREE TO COMPL Y W1TH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOJNG THE WORK AUTHORIZED
THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSA nON 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 FrNA.L INSPECTION HAS BEEN MADE AND APPROVAL
ORA CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED IBC1IOllRCIIO
CONDITIONS
Model #ML 180UH070P36A - AFUE 80% - Duct testing is required per RIO 1.4.3.1
TIDS PERMIT AUTHORIZS ONLY THE WORK NOTED THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY ANY
CONSTRUCTION ON THE PUBLIC DOMAJN (CURBS, SlDEWALKS, DRIVEWAYS, MARQUEES, ETe ) WILL REQUIRE SEPARATE PERMISSION
PERMIT FEES
Date Description Fee Amount
6i1/2015 Furnace $25.00
6/1/2015 Mechanical Permit Base Fee $25.00
Total Due: $50.00
Total Payment: $000
Balance Due: $50.00
CALL FOR INSPECTIONS
BUILDING (360) 403-3417
When calling for an inspection please leave the following information:
Permit Number, Type of Inspection being requested, and whether you prefer morning or afternoon
Permit #: 690
Permit Date: 06/01/15
Permit Type: RESIDENTIAL MECHANICAL
Project Name: IH5 Property Washington LP
Applicant Name: Shannon Heights Heating
Applicant Address: 18933 59th Ave NE, #107
Applicant, City, State, Zip: Arlington, WA 98223
Contact: Terra O'Connor
Phone: 360-435-7359
Email: shannonheightheating@gmail.com
Scope of Work: Replace Gas Furnace
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 06/16/2015
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To:
Property
Parcel # Address Legal Description Owner Name Owner Phone Zoning
GLENEAGLE DIV. 2 B
IH5 Property 111 Single Family
00809200000400 17513 OSPREY RD PHASE 1 BLK 000 D-00
Washington, LP Residence - Detached
LOT 4
Contractors
Contractor Primary Contact Phone Address Contractor Type License License #
SHANNON HEIGHTS 18933 59th Ave CONSTRUCTION
Terra O'Conner 3604357359 UBI 603 571 948
HEATING Ne #107 CONTRACTOR
SHANNON HEIGHTS 18933 59th Ave CONSTRUCTION Construction
Terra O'Conner 3604357359 SHANNHH842DJ
HEATING Ne #107 CONTRACTOR Contractor
Fees
Fee Description Notes Amount
Forced Air Heat fee per Btu $25.00
Mechanical Base Permit Fee $25.00
Total $50.00
Attached Letters
Date Letter Description
06/01/2015 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
06/01/2015 Shannon Heights Heating 54805603 CC $50.00
Outstanding Balance $0.00
Uploaded Files
Date File Name
06/16/2015 1144582-690-issued permit.pdf
06/01/2015 1117665-17513 Osprey Specs.pdf
06/01/2015 1117664-17513 Osprey Application.pdf