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HomeMy WebLinkAbout17735 59th Ave Ne_BLD1424_2026 IF1W o� COMMERCIAL MECHANICAL • PERMIT APPLICATION IVG Department of Community&Economic Development City of Arlington• 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS AND ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE. Type of Permit: ❑ New Installation Replacement Alteration Project Address: SG-11 &ue �L� Parcel#: L Project Description: �FYTz w (em s /_liuL Valuation: Owner: A 4 Gy Phone#: Address: City: State: Zip: Email Address: Contact Person: Phone#: Address: City: State: Zip: Email Address: Contractor Name: G L -J l'Lt /� tf G� Phone#: I&()— ,�3� 7 L6 Contractor Address: C 050 Goa r City: .--n .w je, J Statewi4 Zip: Email: Ih�a ra cs n n 1 u �it`.,� r�w. Contact Person: Contractor License Number: OSO i l_ >-C--V In Expiration: Please indicate type of number of appliances: FURNACE �' ' CONDENSING UNIT GAS PIPING OUTLET /\ BOILER HEAT PUMP(multi-split) UNIT HEATER CHILLER HEAT PUMP(mini-split) PAINT BOOTH COOLER HEAT PUMP(other) TYPE I HOOD AC(air cooled) HEAT REJECTION EQUIP TYPE II HOOD AC (water cooled) VENTILATION SYSTEM AST AC (evaporator) PACKAGED UNIT UST AC(VRF) DRYER OTHER I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described prope wi be in accordance with the laws, rules and regulation of the State of Washington. c,� / Applicants Signature- � ti� Date 4 1 ( -` z- Applicants Printed Name qW") FOR STAFF USE ONLY Permit# Acce Amount Received Receipt# Date Received 6/16LP Page 1 of 1 � 1 COMMERCIAL MECHANICAL PRESSURE PIPING INFORMATION Department of Community& Economic Development City of Arlington•.18204 59th Ave NE •Arlington, WA 98223• Phone(360)403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: K72 k-C �C% $c - c) Inlet Pressure: Pressure Drop- Specific Gravity: Pressure Piping Schematic Show Pipe Size(s)and Length(s)from meter to all appliances. / ❑ Scale or R Not to Scale NOTE: any `—� interior pressure regulators must be indicated NOTE: drip -cat legs(sediment traps are required at all appliances unless i integrated in the listed appliance 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. Applicants Sig ature Date K?U.Vt Ye l_�urIC<-- Print Applicants Name CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 Go PHONE; (360) 403-3551 BUILDING PERMIT Address: 17735 59th Avenue NE Permit#: 1424 Parcel#:31052200404500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:Arlington Advanced Manufacturing Park Name:Oso Plumbing Name:Oso Plumbing Address:3316 Fuhrman Ave E,Ste 200 Address:23020 Oso Loop Road Address:23020 Oso Loop Rd City,State Zip:Seattle,WA 98102 City,State Zip:Arlingotn,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-435-3508 Phone:360-435-3508 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Oso Plumbing Name: Address:23020 Oso Loop Rd Address: City,State,Zip:Arlington,WA 98223 City,State,Zip: Phone:360-435-3508 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES: I CONST.TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: 1 OCC LOAD: PERMIT APPROVAL 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. 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 fo and c ded City of Arlington#310I. Signature Print Name Date Released By Date CONDITIONS THIS PERMIT AUTHORIZS 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 4/14/2017 Furnace $25.00 4/14/2017 Furnace $25.00 4/14/2017 Gas Outlets Base Fee 1 to 5 $10.00 4/14/2017 Mechanical Permit Base Fee $25.00 4/14/2017 Processing/Technology Fee $25.00 Total Due: $110.00 Total Payment: $0.00 Balance Due: $110.00 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 GITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 02 PHONE; (360)403-3551 BUILDING PERMIT Address: 17735 59th Avenue NE Permit#: 1424 Parcel#:31052200404500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:Arlington Advanced Manufacturing Park Name:Oso Plumbing Name:Oso Plumbing Address:3316 Fuhrman Ave E,Ste 200 Address:23020 Oso Loop Road Address:23020 Oso Loop Rd City,State Zip:Seattle,WA 98102 City,State Zip:Arlingotn,WA 98223 City,State Zip:Arlington,WA 98223 Phone: - Phone:360-435-3508 Phone:360-435-3508 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR w Name:Oso Plumbing Name: Address:23020 Oso Loop Rd Address: City,State,Zip:Arlington,WA 98223 City,State,Zip: Phone:360-435-3508 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES: I CONST.TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: I OCC LOAD: PERMIT APPROVAL 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. IBCI 10/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 for and c dcd City of Arlington#3101. Signature Print Name Date! Released By Date CONDITIONS THIS PERMIT AUTHORIZS 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 4/14/2017 Furnace $25.00 4/14/2017 Furnace $25.00 4/14/2017 Gas Outlets Base Fee 1 to 5 $10.00 4/14/2017 Mechanical Permit Base Fee $25.00 4/14/2017 Processing/Technology Fee $25.00 Total Due: $110.00 Total Payment: $0.00 Balance Due: $110.00 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 �aY U'0, COMMERCIAL MECC� ANICAL • PERMIT APPLICATION ON Department Department of Community&Economic Development City of Arlington• 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS AND ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE. Type of Permit: New Installation Replacement Alteration Project Address: rvL'-- Parcel#: L Project Description: (<V1: /_ttu L Valuation: Owner: ttA Phone#: Address: City: State: Zip: Email Address: Contact Person: Phone#: Address: City: State: Zip: Email Address: Contractor Name: LJ L'Ll 5 Phone#: Contractor Address: 2--3 C>ZG OS g zoat, city: J2C 1 ,-r .J Statel- i4 Zip: XZ 2 Email: (lA C(b ecs a n 1 ub•V, �� ry cam. Contact Person: ke", Contractor License Number: OSO/ >-c�4 Expiration Please indicate type of number of appliances: FURNACE CONDENSING UNIT GAS PIPING OUTLET BOILER HEAT PUMP (multi-split) UNIT HEATER CHILLER HEAT PUMP(mini-split) PAINT BOOTH COOLER HEAT PUMP(other) TYPE I HOOD AC(air cooled) HEAT REJECTION EQUIP TYPE II HOOD AC(water cooled) VENTILATION SYSTEM AST AC(evaporator) PACKAGED UNIT UST AC(VRF) DRYER OTHER I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described proper wi be in accordance with the laws, rules and regulation of the State of Washington. cp / Applicants Signatur Date Applicants Printed Name: FOR STAFF USE ONLY Permit# Acce t d.wy Amount Received Receipt# Date Received 6/16LP Page 1 of 1 i � ,' C MMERCIAL MEC ANICAL PRESSURE PIPING INFORMATION _- Department of Community 8 Economic Development City of Arlington•.18204 59th Ave NE •Arlington, WA 98223• Phone(360)403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: SC C) Inlet Pressure: Pressure Drop: Specific Gravity: Pressure Piping Schematic �1 Show Pipe Size(s) and Length(s)from meter to all appliances. I ❑ Scale or Not to Scale NOTE: any interior pressure regulators must be indicated NOTE: drip legs/sediment traps are required at all appliances unless integrated in the listed appliance 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. A bz 4— ( `-f- (-t- Applicants Sigh ture-� / Date �( ` ( IPu,k Ji l �Uf(C� Print Applicants Name Permit#: 1424 Permit Date: 04/14/17 Permit Type: COMMERCIAL MECHANICAL Project Name: Morel Industries Applicant Name: Oso Plumbing Applicant Address: 23020 Oso Loop Road Applicant, City, State, Zip: Arlingotn,WA 98223 Contact: Kevin Burke Phone: 360-435-3508 Email: info@osoplumbing.com Scope of Work: gas piping installation Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 04/14/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31052200404500 17735 59th Ave NE Arlington Advanced Manufacturing Park Contractors Contractor Primary Contact Phone Address Contractor Type License License# Oso Plumbing Kevin Burke 360-435-3508 23020 Oso Loop CONSTRUCTION Labor and OSOPL**1010P Rd CONTRACTOR Industries Fees Fee Description Notes Amount Forced Air Heat fee per Btu $25.00 Gas Piping/Units Enter#of units $10.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Forced Air Heat fee per Btu $25.00 Total $110.00 Attached Letters Date Letter Description 04/14/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 04/14/2017 Oso Plumbing check#11481 Launa Black $110.00 Outstanding Balance $0.00 Uploaded Files Date File Name 04/14/2017 2218738-1424 Application.pdf 04/14/2017 2218739-1424 Issued Permit.pdf