HomeMy WebLinkAbout518 E 3RD ST_BLD1748_2026 RESIDENTIAL MECHANICAL
PERMIT APPLICATION
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: `�f C 3 >� �r ��r—. +-�-}��- Y �7' -5
Project Description: !� ..� ,v e—.,� g,�s f v ,�/ �.� .s toJC
Owner: -7
Address: �J`/ r J 6} �-c �� City: 04g�(;C e--v State: L,,;1,4- Zip Code:
Phone: / Email:
Applicant: erAe 5 t7
Address: �/Z C 3)" City: A I k State: Otd- Zip Code: z�3
Phone: z ' S > W �� Z u ( Email:
CONTRACTOR INFORMATION
Contractor Name: 0 W .✓c/L
Address: City: State: Zip Code:
License Number: _ Expiration:
Phone: Email:
STAFF USE O L Received
Permit#: Accepted by. Jy Date: N O V 21 2 017
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�``� rM RESIDENTIAL MECHANICAL
�� o� PERMIT APPLICATION
� 68
l,N 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#
❑ Heat Pump Model# AFUE HSPE
❑ AC Unit Model# SEER
Freestanding Stove ❑ Fire Place insert 0 Outdoor BBQ
Gas Piping ❑ Solid-Fuel Appliance ❑; Other
Gas Piping Information
Not Applicable: ❑
Pipe Material: WO.- i7�1� F to (
Pipe Size:
i
Distance from Meter to Furthest Appliance: S
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:/2 :e4�4 ��/� Date:
Applicant Printed Name: 5 at, � z„e..rc.. Ykyt
t ,
I hereby certify that the above information is correct and that the construction, installation for the eb6vej mentioned
property will be in accordance with the applicable laws of the City of Arlington and the State of Washingtoni
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: ' 1����� } r I. 4- F1
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
pressure
regulators
must be
indicated
NOTE: drip
legs/sediment
traps are
required at all
appliances
unless
51 ,
. integrated in
I� 1 n the listed
appliance
(to 5
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 property will be in accordance with the laws, rules and regulation of the State of Washington.
�r 1�� -7
Ap icant Signature Date
6iftG4W&h ZA.Yt sNA--t
PAt Applicants Name
i
i
i
I
I
CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:518 E Third Street Permit#: 1748
Parcel#:00455400101902 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:SCHELLER BEVERLY K REVOCABLE Name:Gregory Zartman Name:Kay Scheller
LIV TRUST
Address:PO BOX 95 Address:917 Webster Ave Address:917 Webster Ave
City,State Zip:MUKILTEO,WA 98275 City,State Zip:Mukilteo,WA 98275 City,State Zip:Mukilteo,WA 98275
Phone: Phone:425-583-4201 Phone:425-583-4201
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name:Kay Scheller Name:
Address:917 Webster Ave Address:
City,State,Zip:Mukilteo,WA 98275 City,State,Zip:
Phone:425-583-4201 Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Mechanical CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: 1 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 14AS 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 b reported on your sales tax return form
and c City of Arlin on#3
Signature tPrint Name Date Released By Date
CONDITIONS
Approved as submitted. See attached Sediment Trap Detail 408.4 for required installation details.
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
11/21/2017 Gas Outlets Base Fee 1 to 5 $10.00
11/21/2017 Mechanical Fee(Enter Fixture Fee) $25.00
11/21/2017 Mechanical Permit Base Fee $25.00
11/21/2017 Processing/Technology Fee $25.00
Total Due: $85.00
Total Payment: $0.00
Balance Due: $85.00
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:518 E Third Street Permit#:1748
Parcel#:00455400101902 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:SCHELLER BEVERLY K REVOCABLE Name:Gregory Zartman Name:Kay Scheller
LIV TRUST
Address:PO BOX 95 Address:917 Webster Ave Address:917 Webster Ave
City,State Zip:MUKILTEO,WA 98275 City,State Zip:Mukilteo,WA 98275 City,State Zip:Mukilteo,WA 98275
Phone: Phone:425-583-4201 Phone:425-583-4201
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name:Kay Scheller Name:
Address:917 Webster Ave Address:
City,State,Zip:Mukilteo,WA 98275 City,State,Zip:
Phone:425-583-4201 Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Mechanical CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: 1 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. IBC1 IO/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must b reported on your sales tax return form
an�/,:
d City of Arlin on#3 I'll
//�///7 /
TV 0-7
Signature Print Name Date Released By Date
CONDITIONS
Approved as submitted. See attached Sediment Trap Detail 408.4 for required installation details.
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
11/21/2017 Gas Outlets Base Fee 1 to 5 $10.00
11/21/2017 Mechanical Fee(Enter Fixture Fee) $25.00
11/21/2017 Mechanical Permit Base Fee $25.00
11/21/2017 Processing/Technology Fee $25.00
Total Due: $85.00
Total Payment: $0.00
Balance Due: $85.00
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
RESIDENTIAL MECHANICAL
PERMIT APPLICATION
�PlINGSO 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: ] 3 IL,:A 7- 3
Project Description: ,✓C—%-) SetsS 4-v ^/c-4-3 .s toy&
Owner:
Address: / 7 6 City: State: u. 1.4- Zip Code: 5?z-7 S
Phone: // Email:
Applicant: bite_y&P^7 ��-
Address: 3-1-2- C- 3)1 Z City: State: Oki- Zip Code:
Phone: z 57 ' S L/ Z- d ( Email-
CONTRACTOR INFORMATION
Contractor Name: 0 W A/4,2
Address: City: State: Zip Code
License Number: Expiration:
Phone: Email:
STAFF USE O L
Permit#: nqb Accepted by. Date:
6/16LP Page 1 of 2
RESIDENTIAL MECHANICAL
PERMIT APPLICATION
�lING�O 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#
❑ Heat Pump Model# AFUE HSPE
❑ AC Unit Model# SEER
�-` Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ
C � Gas Piping ❑ Solid-Fuel Appliance ❑ Other
Gas Piping Information
Not Applicable: ❑
Pipe Material: K,k P^l� F/e.,)<
Pipe Size:
Distance from Meter to Furthest Appliance: 5
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: - /14141 �4 ��� Date:_
Applicant Printed Name:
I hereby certify that the above information is correct and that the construction, installation for the above fientioned
property will be in accordance with the applicable laws of the City of Arlington and the Si`ate of Washingtoni
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:
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
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 ashington.
/ zf / i7
Ap icant ignature Date
Pr At Applicants Name
Permit#: 1748
Permit Date: 11/21/17
Permit Type: RESIDENTIAL MECHANICAL
Project Name: Scheller
Applicant Name: Gregory Zartman
Applicant Address: 917 Webster Ave
Applicant, City, State, Zip: Mukilteo,WA 98275
Contact: Gregory Zartman
Phone: 425-583-4201
Email:
Scope of Work: Install Vent Free Gas Fireplace
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 11/21/2017
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
SCHELLER
00455400101902 518 E 3RD ST BEVERLY K 112 2 Single Family
REVOCABLE LIV Residences
TRUST
Contractors
Contractor Primary Contact Phone Address Contractor Type License License
#
Kay Scheller Gregory Zartman 425-583-4201 917 Webster Ave APPLICANT
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
11/22/2017 R09.GAS PIPING 11/22/2017 BUILDING Completed
ROUGH-IN
Fees
Fee Description Notes Amount
Gas Piping/Units Enter#of units $10.00
Mechanical Fee(Enter Fixture Fee) $25.00
Mechanical Base Permit Fee $25.00
Processing/Technology $25.00
Total $85.00
Attached Letters
Date Letter Description
11/21/2017 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
11/21/2017 Byron Scheller 67386918 cc $85.00
Outstanding Balance $0.00
Uploaded Files
Date File Name
11/21/2017 2791654-1748 Issued Permit.pdf
11/21/2017 2791655-1748 Application.pdf