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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 6/16LP Page 1 of 2 �``� 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