HomeMy WebLinkAbout17529 Osprey Rd_BLD5749_2025 Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551
Permit Number: BLD5749 Permit Type: Residential Mechanical
Address/Parcel: 17529 Osprey Rd Completed (Month/Year): February 2024
Land Use Bonding or Assignment of Funds
Notice of Decision o Confidential Documents. Contact the
Staff Report City to obtain.
Application As-Builts
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:
Letters and Project Documents
Page 1 of 1
RESIDENTIAL MECHANICAL APPLICATION
Community andEconomic 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 Gas Piping
Property Address: Project Valuation:
Lot #: Parcel ID No.: Preferred Contact: Owner Contractor
Project Description:
Owner Name: Home No.:
Email Address: Cell No.:
City: State: Zip:
Contractor Name: Office No.:
Email Address: Cell No.:
City: State: Zip:
L&I Contractor License Number: Expiration Date:
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 rass Other
Galvanized Steel _______________________________________
Proposed Piping Size: ½†¾†1†1½†2â€
MECHANICAL PERMIT FEES (per unit)
Type of Fixture No. of Units Cost per Unit Subtotal Model No.
Additional Plan Review fees x $ 75.00 =
x $ 15.00 =
x $ 25.00 =
x $ 50.00 =
Air Handling Units x $ 15.00 =
1 x $ 25.00 = $ 25.00
x $ 15.00 =
x $ 25.00 =
REV03.2022 Page 1of 2
MECHANICAL PERMIT FEES (per unit)
x $ 50.00 =
-15hp x $ 15.00 =
-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 =
x $ 15.00 =
x $ 15.00 =
x $ 15.00 =
x $ 25.00 =
Gas Clothes Dryer x $ 15.00 =
x $ 15.00 =
x $ 25.00 =
x $ 50.00 =
x $ 15.00 =
x $ 2.00 =
Heat Exchangers x $ 15.00 =
Heat Pump-Condensing Unit x $ 25.00 =
Hot Water Heat Coils x $ 15.00 =
- regulated by $ 15.00
x =
mechanical code, not otherwise specified
x $ 25.00 =
Pkg. Units >100btu x $50.00 =
Range/Cook top- x $ 15.00 =
x $ 15.00 =
x $ 25.00 =
x $ 50.00 =
Re-inspection fee x $ 75.00 =
Residential Range Hood x $ 15.00 =
x $ 15.00 =
x $ 25.00 =
VAV $ 10.00
x =
conditioning system)
Wall Heaters - x $ 25.00 =
Water Heater - x $ 25.00 =
$75.00
$25.00
Total
REV2.2020 Page 2 of 2
PRESSURE PIPING SCHEMATIC
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
Signature Print Name Date
REV2.2020 Page 3of 3
Specifications
Approval & Codes Supply Gas
This appliance is certiï¬ ed to ANSI Z21.88/CSA 2.33 Heater engines 1000KN is used with natural gas.
American National Standard / CSA Standard for Vented Heater engines 1000KP is used with propane gas.
Gas Fireplace Heaters for use in Canada and USA, and
The supply pressure must be between the limits shown
to CGA 2.17-91 High Altitude Standard in Canada. This
in the Ratings section.
appliance is for direct vent installations.
The supply connection is 3/8â€
This appliance complies with CSA P.4.1-15 Testing
NPT male and located on the
method for measuring annual ï¬ replace effi ciencies.
right hand side of the ï¬ rebox.
The installation must conform to local codes or, in A shut-off valve (not supplied)
the absence of local codes, with the National Fuel is required on the supply line to
Gas Code, ANSI Z223.1/NFPA 54 or the Natural Gas isolate the unit during service. X
and Propane Installation Code CAN/CGA-B149.1. Only See Connect Gas Supply section
qualiï¬ ed licensed or trained personnel should install for details.
this appliance.
This appliance must be electrically grounded in Conversion Kits
accordance with local codes, or, in the absence of local The 1000K is supplied as natural gas or propane gas and
codes, with the National Electrical Code, ANSI/NFPA 70 is ï¬ eld convertible between fuels. See instructions pack-
or the Canadian Electrical Code, CSA C22.1. aged with the conversion kits for further information.
Ratings Electrical
The 1000K is designed to run on battery power and
Model 1000KN 1000KP
does not require an electrical power source to oper-
Gas Natural Propane
ate as a heater. However, it requires electrical power to
Altitude (Ft.)* 0-4,500 feet*
operate optional 1095CFK Circulating Fan Kit.
Input Maximum (Btu/h) 25,000 24,000
Input Minimum (Btu/h) 12,000 11,000 HeatShiftâ„¢System, optional
Manifold Pressure (in w.c.) 3.2†9.5†The 1000K are designed to allow the installation of
Minimum Supply Pressure (in w.c.) 5†11†the optional HeatShift, a convection system that
Maximum Supply Pressure (in w.c.) 10†14†redistributes the warm air fl ow away from the ï¬ replace
Main Burner Injector Marking 750 260 opening to a more desirable location using natural
Pilot Injector Marking 51 30 convection, without use of a fan.
Min. Rate By-Pass Screw 175 105 The warm air fl ow may be relocated to a position
higher up the wall, or even to another room. The result
is much cooler wall temperatures above the ï¬ replace
*High Altitude Installations
opening for locating televisions, artwork, etc.
Input ratings are shown in BTU per hour and are
Please note that the framing and mantel clearances
certiï¬ ed without deration for elevations up to 4,500
are aff ected by the installation of the HeatShift
feet (1,370 m) above sea level.
System. Refer to Appendix D - HeatShift System on page
For elevations above 4,500 feet (1,370 m) in USA, 72 for more information.
installations must be in accordance with the current
ANSI Z223.1 and/or local codes having jurisdiction. Outdoor Conversion Kit
Heating value of gas in some areas is reduced to The 1000K models are supplied standard for indoor
compensate for elevation—consult your local gas utility applications and may be adapted for installation in
to conï¬ rm. speciï¬ c “outdoor†applications protected from weather
For installations at elevations above 4,500 feet (1,370 m) as deï¬ ned in the GV60CKO outdoor conversion kit
in Canada, please consult provincial and/or local manual.
authorities having jurisdiction.
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