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18305 Woodlands Way_BLD5472_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: BLD5472 Permit Type: Residential Mechanical Address/Parcel: 18305 Woodlands Way Completed (Month/Year): July 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 El Issued Permit ❑ Title Report F1 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) 0 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 ARUNGTON 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS:360-403-3417-Permit Center:360-403-3551 BUILDING PERMIT 18305 WOODLANDS WAY Permit#:5472 Parcel#:00738500402000 PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Scope of Work:Insta➢ation of(2)Travis Industries DVS EG GSR2 gas inserts Valuation:4500.00 OWNER APPLICANT CONTRACTOR BARNETT JOLANDA M Advanced Installation,Inc ADVANCED INSTALLATION 18305 WOODLANDS WAY PO Box 1229 1650414WY 99 SUITE 101 '` �� /�-ARLINGTON,WA 98223-8973 Clinton LYNWOOD,WA 98037 4257455977 425-745-5977/360-331-3868 UC:ADVAN 1033DU FXP:03/13/2024 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR ADVANCED INSTALLATION 16504 HWY 99 SUITE 101 LYNWOOD,WA 98037 425-745-5977/360-331-3868 LTC#:ADVANII033DU EXP: 03/13/2024 LTC#: 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 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 WORKMEMS 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. 07/12J2023 Applicant Sigruiture Date Building Official Date CONDITIONS Adhere to approved appliance.Approved permit shall be onsite during installation. Pressure test required. Call for inspections. THIS PERMIT AUTHORIZES ONLY TIME 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 07/12/2023 Processing/Technology $25.00 07/12/2023 Inspection $75.00 07/12/2023 Freplace/InsertMbodstow, $30.00 07/12/2023 Mechanical Base $25.00 07/122023 Gas Rping/Units $15.00 Total Due: $170.00 Total Pa)Tnent: $170.00 Balance Due: $0.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection,allow 4$hours for Fire inspections When calling for an inspection please leave the following information: Permit Number,Type oflnspection being requested,and whetheryou 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 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 0 Gas Piping Property Address: 18305 Woodland Way Project Valuation: SDO Lot#: Parcel ID No.: 00738500402000 Preferred Contact: ❑ Owner 0 Contractor Project Description: Installation of (2) Travis Industries DVS ember glo gas fireplace inserts into existing fireplaees Owner Name: Kimberly Brown Home No.: Email address: sgklbrown1982@gmail.com Cell No.: 913-683-3036 Mailing Address: same as above City: State: Zip: Contractor Name: Advanced Installation, Inc. Office No.: 425-745-5977 Email Address: ady2@advancedinstallation.net Cell No.: Mailing Address: P.O Box 1229 City. Clinton State: Wa Zip:98236 L&I Contractor License Number: advanii033du Expiration Date: 03/31/2024 • 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 ❑ Not Applicable M CSST ❑ Brass ❑ Other Proposed Piping Material: ❑ Black Steel ❑ Galvanized Steel Proposed Piping Size: 71 1h ❑ 5/8" ❑ 3/4" ❑ 1" ❑ 1Y2" ❑ 2" Distance from Meter to furthest Appliance: y ' ;U ' Total BTU's of all Appliances: . j� 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 5100Btu h x $ 15.00 = Air Cond.Unit>10013tu 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 Pagel of 2 NEC PERMIT FEES(per OWO-11.1 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 11 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 = Fire lace I nsert Stove 2 x $15.00 = 30.00 DVS embwglo GSR2 gas insert Forced Air Heat 5100 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 2 x $15.00 = 30.00 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 5100btu x $25.00 = Pkg.Units>100btu x $50.00 = Range/Cook top-Gas Fired x $ 15.00 = Refrigeration Unit s100Btu 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 = AV 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 $185.00 REV2.2020 Page 2 of 2 24' iw I sFr (Upper) 856 s.f. M M 16' RFX Wd Dk N ------ 46 s.f, � µ Gui f 288 s.f. Zq+ 4, 'pLIT li 1 .n 1 1'h 1 sFr �` ;�� y�1� 1382 s.f. \ e r �Z 12' .._ COW' 0'� 0 7' `� r �' N 2' 3' 10 Fr G RFX _ 600 s.f. Uonc 35 s.f. b� PRESSURE PIPING SCHEMATIC COMPLETE FOR GAS PIPING ONLY ❑ SCHEMATIC IS TO SCALE F1 SCHEMATIC NOT TO SCALE Show Pipe Size(s) and Length(s) from meter to all appliances NOTE: Any interior pressure regulators must be indicated 1 I hereby certify that 1 am the []Owner, ❑Applicant" ontractor, 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, ru an dl egulation of the State of Washington, and the City of Arlington.A final inspection and approval shall be obtained when c t . Signature Print Name 4at SAVE PRINT Page 3 of 3 REV2.2020 JOTM DVS EmberG , GSR2 Insert TRAVIS - INDUSTRIES Owner's Manual HOUSE OF FIRE WARNING: FIRE OR EXPLOSION HAZARD Failure to follow safety warnings exactly could result in serious injury, death, or proper damage. - Do not store or use gasoline or other flammable vapors and liquids in the vicinity of this or any other appliance. - WHAT TO DO IF YOU SMELL GAS • Do not try to light any appliance. • Do not touch any electrical switch; do not use any phone in your building. • Leave the building immediately • Immediately call your gas supplier from a neighbor's phone. Follow the gas supplier's instructions. • If you cannot reach your gas supplier, call the fire department. Installation and service must be performed by a qualified installer, service agency, or the gas supplier. FE DANGER ■ C us Listed by HOT GLASS WILL CAUSE Omni-Test Laboratories, Inc. BURNS I Report# 0028GN126S ANSI Z21.88:19 -.. DO NOT TOUCH GLASS CSA 2.33:19 UNTIL COOLED CSA 2.17-2017 NEVER ALLOW CHILDREN Direct Vent Fireplace Insert TO TOUCH GLASS Masonry or Factory-Built A barrier designed to reduce the risk of burns from (Metal) Wood-Burning g the hot viewing glass is provided with this appliance Fireplace and shall be installed for the protection of children Residential or Mobile Home and other at-risk individuals. This appliance may be installed in an aftermarket, permanently located, manufactured home (USA only) or mobile home, where not prohibited by local codes. This appliance is only for use with the type of gas indicated on the rating plate. A conversion kit is supplied with the appliance. INSTALLER: Leave this manual with the appliance. French language manuals at CONSUMER: Retain this manual for future reference. fireplacex.com. & lopistoves.com Manuels de langue Fran�aise a fireplacex.com & lopistoves.com Travis Industries, Inc. 12521 Harbour Reach Dr., Mukilteo, WA 98275 www.travisproducts.com Copyright 2020, T.I. $10.00 4/26/2023 100-01537 • Features and Specifications Features Installation Options • Works During Power Outages (battery backup system) • Residential or Mobile Home • Blower and Remote Control Included 0 Fireplace Insert • Standing or Intermittent (GreenSmart) Pilot • Masonry or Factory Built(Metal)Wood- • Convenient Operating Controls Burning Fireplace • Variable-Rate Heat Output . Natural Gas or Propane • Accent Light Heating Specifications Natural Gas Propane Approximate Heating Capacity(in square feet)* 500 to 1,500 500 to 1,500 Maximum BTU Input Per Hour 31,000 31,000 Heating capacity will vary with floor plan, insulation, and outside temperature. Dimensions \ 1-3/4" Center .1-314" (45mm) --,� (45mm) 17-5/8"(448mm)• �J• _ — T f Intake 3"Dia. i 1=• -� 12-718" See"Surround + DO / (77mm) Exhaust 3"Dia. (325mm) Panels"for sizing ' (77mm) If 19-5/8" (498mm). 26-3/8"(671mm)'ta • • " — See"Surround I I Panels"for sizing20-114' (515mm) 15-118"(384mm)' _ s `, (448mm)i / 11 ® •il !' h 1-1/4"(32mm)' 'See"Fireplace Requirements"for sizing details with Trim Kit or without. Electrical Specifications Electrical Rating......................................... 120 Volts, 1.8 Amps, 60 Hz (205 watts). Fuel This heater is shipped in natural gas (NG)configuration but may be converted to use propane (LP) using a conversion kit. The sticker on top of the gas control valve will verify the correct fuel. ©Travis Industries 4/26/2023- 1537 DVS EG GSR2