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