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Home My WebLink About18933 43RD DR NE_BLD1667_2026 RESIDENTIAL MECHANICAL PERMIT APPLICATION �l�NC'CO Department of Community&Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address: ? '�--_ -a-� Project Description: (_r-4 5 10( �P/NX �``��1� S 04 47-OX Td _,�9A119 �L Owner: &L4 V Address: City: State: 1" Zip Code: J�2_ Phone: �L �� S� Email.- Applicant: Address: / / /1a�V 17 5 7-A4i City: /,V,PI- /A,6'-7z:A-Btate: Ge--14 Zip Code: Phone: re'- s Email: !/ CONTRACTOR INFORMATION Contractor Name: AW/P-9 Y P_6z 9 /� Address: 3 /. .2_ (D STX)�.City: /Ku�r.�State: /Z�# Zip Code: "PP' License Number: A:�'J L*fs R/a/ PA') Expiration: ' - i __/s Phone: Email: eceive� STAFF USE NW UP 25 2017 Permit#: ��PIQ'1 Accepted b : Date: 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community&Economic Development City of Arlington • 18204 59th Ave NE•Arlington, WA 98223• Phone(360)403-3551 SELECT ALL PROPOSED APPLIANCES Furnace 0+) Model# 7 AFUE ❑ Heat Pump Model# AFUE HSPE ❑ AC Unit Model# SEER Q! Freestanding Stove Qi Fire Place Insert Outdoor BBQ Gas Piping Solid-Fuel Appliance ❑' Other Gas Piping Information Not Applicable: ❑1 Pipe Material 1-,-Z.45Af /CL Pipe Size: // Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: • 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 Applicant Signature: zk�eA_651r) A� Date: % `-� s- Applicant Printed Name: A-( 1-<,4 4!¢F 1 hereby certify that the above information is correct and that the construction, installation for the atibye,mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. 6/16LP Page 2 of 2 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: te=L D CSS/ Inlet Pressure: rr 7'�.0 0b 1-6c..t4 ti Pressure Drop: I Specific Gravity: iJA -7- � I Pressure Piping Schematic Show Pipe Size(s) and Lengths) from meter to all appliances. ❑ 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 f=ce 2lu,,q 1 I I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described pro erty will be in a 0 rdance with the laws, rules and regulation of the State of Washington. Applicants ignature Date %% > A,'�4 L/I /- Print Applicants Name i 7 ' CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 ` PHONE; (360)403-3551 BUILDING PERMIT Address:18933 43rd Drive NE Permit#:1667 Parcel#:00952200003100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:MCCLURE RAY L Name:Kalafs Service and Repair Name:KALAF'S SERVICE&REPAIR Address:4309 188TH ST NE Address:14431 132nd Street NE Address: 14431 132ND ST NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:425-308-7165 Phone:800-901-7245 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:KALAF'S SERVICE&REPAIR Name: Address: 14431 132ND ST NE Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:800-901-7245 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: I 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. IBC 110/IRC 1 I0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in Ci"FA-di on mu t be reported on your sales tax return form and coded Cit Arlington#31 1. GA F 2-X'a (— ?—Y— Signature Print Name Date eleased By Date 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 9/25/2017 Furnace $25.00 9/25/2017 Gas Outlets Base Fee 1 to 5 $10.00 9/25/2017 Mechanical Permit Base Fee $25.00 9/25/2017 Processing/Technology Fee $25.00 Total Due: $85.00 Total Payment: $85.00 Balance Due: $0.00 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 ° CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:18933 43rd Drive NE Permit#:1667 Parcel#:00952200003100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:MCCLURE RAY L Name:Kalafs Service and Repair Name:KALAF'S SERVICE&REPAIR Address:4309 188TH ST NE Address:14431 132nd Street NE Address: 14431 132ND ST NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:425-308-7165 Phone:800-901-7245 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:KALAF'S SERVICE&REPAIR Name: Address: 14431 132ND ST NE Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:800-901-7245 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: I 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. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in Ci"f-Aging on must he reported on your sales tax return form and coded Ci )l Arlington#31 1. Signature Print Name Date eleased By Date 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 9/25/2017 Furnace $25.00 9/25/2017 Gas Outlets Base Fee 1 to 5 $10.00 9/25/2017 Mechanical Permit Base Fee $25.00 9/25/2017 Processing/Technology Fee $25.00 Total Due: $85.00 Total Payment: $85.00 Balance Due: $0.00 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 t 1 RESIDENTIAL MECHANICAL PERMIT APPLICATION �ll;vC.`�O Department of Community&Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address: Project Description: �L--- Owner: z4 Address: Zip Code: Phone: _34,6 — �fi--. _S s` Email: r Applicant: �Gi�G�} -A"_4zX1 S ✓� ,e/Jl�� 9� � /"/�/� Address: /i/4,,/�,/ /1�,v ,� ?A44city: "1_ /A6:.7z7.i.,State: 2-e-14 Zip Code:9�� Phone: Email: 11/ CONTRACTOR INFORMATION Contractor Name: 4,444,r�s Address: / j� �.3/ ��„?�� ST�'�City: /K,GlWo -State: /Z/# Zip Code: License Number: A::a ZEFS R /,o/ P/L,' Expiration.- Phone: Z S`— _la V-- 7/ Email: eceived STAFF USE NW SEP 2 5 2017 Permit#: Accepted b : Date: 6/16LP Page 1 of 2 �`�� °�' RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community&Economic Development City of Arlington • 18204 59th Ave NE•Arlington,WA 98223• Phone(360)403-3551 SELECT ALL PROPOSED APPLIANCES / Furnace(80+) Model# 7 AFUF ❑1 Heat Pump Model# AFUE HSPE 01 AC Unit Model# SEER Clj Freestanding Stove Cl Fire Place Insert ❑ Outdoor BBQ Gas Piping DI Solid-Fuel Appliance F-1, Other Gas Piping Information Not Applicable: ❑! Pipe Material FZ.(SAI Pipe Size: // Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: ll,-", / 0 U • 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 Applicant Signature: Date: Applicant Printed Name: ¢ 1 hereby certify that the above information is correct and that the construction, installation for the,abbye.,mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. 6/16LP Page 2 of 2 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: s'w1,zF L D e.SSj- Inlet Pressure: Cr .� 7r�.0 ��1-6cti1 ti Pressure Drop: Specific Gravity: /JA 7-- Pressure Piping Schematic Show Pipe Size(s)and Length(s)from meter to all appliances. ❑ Scaie or O�Not to Scale NOTE: any interior pressure regulators must be indicated NOTE: drip �I legs/sediment traps are required at all appliances unless integrated in the listed appliance i I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described pro erty will be in a cordance with the laws, rules and regulation of the State of Washington. 9 ._d s- 7 Applicants tignature Date Print Applicants Name I } Permit#: 1667 Permit Date: 09/25/17 Permit Type: RESIDENTIAL MECHANICAL Project Name: McClure Applicant Name: Kalaf s Service and Repair Applicant Address: 14431 132nd Street NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Nate Kala Phone: 425-308-7165 Email: Scope of Work: Replace Furnace and Add Gas Piping Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 09/25/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00952200003100 18933 43RD DR NE MCCLURE RAY L 111 Single Family Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# KALAF'S SERVICE& 800-901-7245 14431 132ND ST CONSTRUCTION Labor and KALAFSR101DN REPAIR NE CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 09/28/2017 R09.GAS PIPING 09/27/2017 BUILDING Approved ROUGH-IN 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 Total $85.00 Attached Letters Date Letter Description 09/25/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 09/25/2017 Nathan Kalaf 66570445 cc $85.00 Outstanding Balance $0.00 Uploaded Files Date File Name 09/25/2017 2649348-1667 Issued Permit.pdf 09/25/2017 2649349-1667 Application.pdf