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HomeMy WebLinkAbout17731 59th Ave Ne_BLD1448_2026 COMMERCIAL MECHANICAL • PERMIT APPLICATION IN 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: [Z[ New Installation ❑ Replacement ❑ Alteration Project Address: /7 23 Ak: 64610 Parcel#: Project Descriptions: g1V'w (-,. C 2- 4 � "'�`' Valuation: -2AZ70-- Owner:� Phone#: Address: City: State: Zip: Email Address: `` Contact Person: �{ .1r. Phone#: '?rldD.415. Address: City: State: Zip: Email Address: Contractor Name: n) U,— N/w Phone#: 3 C_, A Contractor Address: 23 7 c� G5 o Stated. i,Z^Zip: 9'j(Z Z 7 Email: (h-�p (�3 o,)rc Contact Person: �-- Contractor License Number: 654n�AA ((N I ()1E Expiration: 'I- Zo 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 property will be in accordance with the taws, rules and regulation of the State of Washington. Applicants Signature: 1 -� Date c Applicants Printed Name: ge FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received 6/16LP Page 1 of 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 Cory►mercial Mechanical Permit Application Pipe Material: Cl Inlet Pressure: Pressure Drop: Specific Gravity: Pressure Piping Schematic Show Pipe Size(s)and Length(s)from meter to all appliances. ❑ Scale or ❑ Not to Scale NOTE: any interior k, � C,x e pressure regulators must be indicated NOTE: drip legs/sediment traps are I required at all appliances - unless integrated in (v�n� the listed appliance 411 lOD. J (�-/k5 L✓1 i�1 f nf���f' 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 Signature Date Print Applicants Name CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:17731 59th Ave NE Permit#:1448 Parcel#:31052200404400 Valuation:3000.00 OWNER APPLICANT CONTRACTOR Name:ARLINGTON ADVANCED Name:Oso Plumbing Name:Oso Plumbing MANUFACTURING PARK 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:Arlington,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: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 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 HISMER 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/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the Ci f ton must be n portod on your sales tax return form Z ;ignature y of Arlington#3101. 1 ,! _ `�� Print Name Date Reficased By Da e CONDITIONS Approved as submitted. 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 4/28/2017 Gas Outlets Base Fee 1 to 5 $10.00 4/28/2017 Mechanical Permit Base Fee $25.00 4/28/2017 Mechanical Plan Review Fee $150.00 4/28/2017 Processing/Technology Fee $25.00 Total Due: $210.00 Total Payment: $0.00 Balance Due: $210.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address: 17731 59th Ave NE Permit#:1448 Parcel#:31052200404400 Valuation:3000.00 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:Arlington,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: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 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 Ci fArliWon must be reported on your sales tax return form and coded City of Arlington#3101. / .'ignaturc Print Name Date 116'eased By Dale CONDITIONS Approved as submitted. 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 4/28/2017 Gas Outlets Base Fee 1 to 5 $10.00 4/28/2017 Mechanical Permit Base Fee $25.00 4/28/2017 Mechanical Plan Review Fee $150.00 4/28/2017 Processing/Technology Fee $25.00 Total Due: $210.00 Total Payment: $0.00 Balance Due: $210.00 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 �•VY COMMERCIAL MECHANICAL • PERMIT APPLICATION ��LrNOt�Z 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: [7 7 S I �i�"� Ayi! Parcel#: /f < Project Description: ,1V� 4 1 Z,, Z F-.��., j /�-����c Valuation: Owner: &HAP Phone#: Address: City: State: Zip: Email Address: Contact Person: MI-A Phone#: 3��0• S. S� Address: City: State: Zip: Email Address: r/ Contractor Name: Phone#: Contractor Address: 2-3 O z o o-5 o L o.p go City:4111 /-5 4,,, Stat n Zip: Email: (ham, r Contact Person: . �— Contractor License Number: 6&cs)(O c I c)(P Expiration: Please indicate type of number of appliances: FURNACE G CONDENSING UNIT GAS PIPING OUTLET BOILER HEAT PUMP(multi-split) UNIT HEATER 4. / CHILLER HEAT PUMP(mini-split) PAINT BOOTH COOLER HEAT PUMP(other) TYPE I HOOD AC(air cooled) HEAT REJECTION EQUIP _ TYPE 11 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 property will be in accordance with the laws, rules and regulation of the State of Washington. it Zi Date Applicants Signature:��_�^� �� �` �r� --7—'o _ Applicants Printed Name: e cii !n� FOR STAFF USE ONLY eCeivuu 9 8 )r)12 Permit# MW t Amount Received Receipt# Date Received 6/16LP Page 1 of 1 •� , • •�•t it �) •Y � C �'� � � �. ��! ,ti��"•r �l i 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 Co mercial Mechanical Permit Application Pipe Material: —C-k-h - 0 6-4't- Inlet Pressure: Pressure Drop: C A-�'(o Oe pkl A T�k( � Specific Gravity: Pressure Piping Schematic Show Pipe Size(s)and Length(s)from meter to all appliances. ❑ Scale or ❑ Not to Scale NOTE: any at interior pressure ( regulators must be indicated NOTE: drip legs/sediment traps are I required at all appliances unless integrated in r",TZ, the listed appliance �G( G (-- (SAS Z" (-•-!� r��(' ��tl �.2(u� t V— 6" 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 Signature Date ke y i f /C_c Print Applicants Name 5/1/2017 OSO PLUMBING unu' Learch L&I 1-Zlndio' sa(ety&Health Claims& Insurance Vlorkplace Rights Trades&i_icensing Aft Washington State Department of " Labor & Industries OSO PLUMBING Owner or tradesperson 23020 OSO LOOP RD BURKE,KEVIN J ARLINGTON,WA 98223 360-435�3508 Principals SNOHOMISH County BURKE,KEVIN J,OWNER WA UBI No. Business type 601 273 492 Individual License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. OSOPL-101OP Effective—expiration 09/17/1990—09/11/2018 Bond CBIC $12,000.00 Bond account no. 628829 Received by L&I Effective date 08/08/2001 09/10/2001 Expiration date Until Canceled Insurance CBIC $1,000,000.00 Policy no. INS628829 Received by L&I Effective date 07/18/2016 09/10/2010 Expiration date 09/10/2017 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&1 Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp help us improve https://secure.ini.wa.gov/verify/Detaii.aspx?UBI=601273492&LIC=OSOPL**1010P&SAW= 1/2 5/1/2017 OSO PLUMBING No active workers'comp accounts during the Aous 6 year period. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.ini.wa.gov/verify/Detail.aspx?UBI=601273492&LIC=OSOPL*101OP&SAW= 212 Permit#: 1448 Permit Date: 04/28/17 Permit Type: COMMERCIAL MECHANICAL Project Name: Cleo Applicant Name: Oso Plumbing Applicant Address: 23020 Oso Loop Road Applicant, City, State, Zip: Arlington,WA 98223 Contact: Kevin Burke Phone: 360-435-3508 Email: info@osoplumbing.com Scope of Work: New Gas Line Valuation: 3000.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 04/28/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning ARLINGTON 31052200404400 17731 59TH AVE NE 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 Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 05/05/2017 R09.GAS PIPING 05/05/2017 BUILDING Approved ROUGH-IN Fees Fee Description Notes Amount Gas Piping/Units Enter#of units $10.00 Mechanical Base Permit Fee $25.00 Mechanical Commercial Plan Review Table 4-1 $150.00 Processing/Technology $25.00 Total $210.00 Attached Letters Date Letter Description 04/28/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 04/28/2017 Oso Plumbing Check#11486 Kristin Foster $210.00 Outstanding Balance $0.00 Uploaded Files Date File Name 05/01/2017 2250990-1448 Apnlication.pdf 05/01/2017 2250991-1448 Issued Permit.pdf