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HomeMy WebLinkAbout16528 41st Ave Ne Unit A170_BLD5047_2024_Expired Permit Packet Coversheet Community and Economic Development City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551 Page 1 of 1 Permit Number: Permit Type: Address/Parcel: Completed (Month/Year): Land Use ˆ Notice of Decision ˆ Staff Report ˆ Application ˆ Narrative ˆ Legal Description ˆ Vicinity Map ˆ Site Plan ˆ Landscape Plan ˆ Complete Streets Checklist ˆ Traffic Impact Analysis ˆ Snohomish County Traffic Mitigation Offer ˆ WSDOT Traffic Offer Form ˆ Tree Survey ˆ Stormwater Drainage Report ˆ Geotech Report ˆ Critical Area Evaluation Form ˆ SEPA Checklist ˆ Public Notice Material ˆ Noticing and Related Documents ˆ Water / Sewer Availability Certificate ˆ Unanticipated Discovery Plan Form ˆ Aerial Photo of Site ˆ Proposed Building Materials ˆ Lighting Plans and Lighting Cut Sheets ˆ Color Elevations ˆ Design Matrix ˆ Plat Map ˆ Title Report ˆ Lot Closures ˆ Preliminary Civil Plans ˆ Archaeological Survey o Confidential Documents. Contact the City to obtain. ˆ Topography (Existing Conditions) ˆ CC&R’s ˆ Deeds / Easements / Conveyances /Dedications ˆ Developer’s Agreement ˆ Recorded Copies ˆ Bonding or Assignment of Funds o Confidential Documents. Contact the City to obtain. ˆ Letters and Project Documents ˆ Other: Civil ˆ Issued Permit ˆ Application ˆ Other Applications ˆ Construction Calculation Worksheet ˆ Approved Plans ˆ Review Comment Form ˆ Letters and Project Documents ˆ Other Agency Permits ˆ Reports: o Drainage Report Pg: o Stormwater Pg: o Geotech Pg: o All Other Reports ˆ SEPA and Noticing Materials ˆ Inspections ˆ As-Builts ˆ Other: Building ˆ Issued Permit ˆ Application ˆ Additional Applications ˆ Approved Plans ˆ Site Plan ˆ Letters and Project Documents ˆ Calculations ˆ Project Specification Manuals ˆ Reports ˆ Certificate of Occupancy ˆ Inspections ˆ Other: BLD5047 Residential Mechanical 16528 41st Ave Ne Unit A170 EXPIRED January 2024 ✔ ✔ ✔ CITYOFARLNGTON 18204 59th Avenue NE, Arlingto4 WA,98223 INSPECTIONS: 360-403-3417 - Permil Center: 360-403-3551 BT]ILDINGPERMIT 16528 41ST AVE NE UNIT A17O Parcel #: 008667000 I 7000 Scope of Work:REPLACE GAS FURNACE - LIKE FOR LIKE OW{ER APPLICANT Permit #:5047 PERMIT E)CIRES 180 DAYS AFTER DATE OF ISSUANCE. Vahntion: 2500.00 CONTRACTOR MCDONALD WILLIAM & ELVROM ALYSA 16528 A 4IST AVENE ARLINGTON,WA98223 MECHAMCAL CONTRACTOR BILL MCDONALD SAME 425-518-0516 BLACKLION TIVAC I1OOl lI8TH PL NE KIRKLAND, WA 98033 425-81+3944 LIC:BLACKLH873QQ ilP: 1lll8l2C23 PLTJMBINGCONTRACTOR BLACK LION HVAC lIOOI IISTH PL NE KIRKLAND, WA 98033 425-814-3944 LIC #:BLACKIH873QQ E){F: ll/1812023 LTC#: JOB DESCRIPTION EXP: PERMITTYPE: RESIDENTIALMECHANICAL STORIES: 2 DWELLINGUNITS: 1 BUILDINGS: I CODE YEAR: CONST. TYPE: OCC GROUP: OCC LOAD: 2018 VB R-3; Residential SFR PERMITAPPROVAL The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of the Cify, of any state or federal law, or of any order, proclamatiorq guidance advice or decision of the Govemor of this State. To the extent the issuance or granting of this permit is interpreted to allow construction actir.ity during any period of time when such construction is prohibited or restricted by any state or federal law, or order, proclamation, guidance advice or decision of the Govemor of this State, this permit shall not authoizn such work and shall not be valid. The building official is authorized to prevent occupancy or use of a struchre where in violation of this Code, any other City ordinances of this jwisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamatiorl guidance advice or decision of the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, inaccurate or incomplete informatioq or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or decision of the Govemor. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATINGCONSTRUCTION AND IN DOINGTHE WORK AI-TTHORIZED THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE oF TIIT STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT T]NTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUry AND ALL FEES ARE PAID. IT IS LINLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE LINTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCIIO/IRCIIO. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the Ciff of Arlington must be reported on your sales tax retum form and coded Cfu of Arlington #3101. "/,v/2, e*""p&e-lIl09/2u2 Applicant Signature Date COI\DITIONS Building Official Date CALL FOR FINAL INSPECTION THIS PERMIT AUTHORIZES 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 F'EES Date 11114t2022 1111412022 1'1114t2022 1111412022 11t142022 Description Processi ng/Technology lnspection lVbchanical Base CreditCard Service Forced Ar Heat Total Due: Total Payment: Balance Due: Fee Amount $25.00 $75.00 $25.00 $4.20 $15.00 $144.20 $144.20 $0.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection, allow 48 hours for Fire Inspections When calling for an inspection please leave the following information: Permit Number, Type oflnspection being requested, and whetheryou prefer morning or afternoon INSPECTION INT'ORMATION Pass/tr'ail 5. MECHANICAL FINAL Assigned 16528 41st ave ne 2500 80-80 - like f or like gas f urnace swap Bill M cdonald 4255180516 mmsidekicker@ gmail.com ✔ ✔ same same same 0 black lion hvac 4258143944 inf o@ blacklionhvac.com 11001 118 pl ne kirkland wa 98033 blacklh873qq 11/2023 ✔ 151 40.00      !"!%& !'*& + !'(,,--  0.1 /#*% + !'2#*  3 43 56) 7!789 :!' #;<#= >!9?@!37?'7A)B#*  : BD #;0#- #* F+%H#B 3IJKLMNKOPMQRS/#, S--B,   6T-  4 I 0B- U>-V*,# QWOQ+RQXYNNZKLL K\QRKLXZM]PM^O '_OKZQ`K '_OKZ>a^OK 5 4 F@ !'c dF' e ? !'P^Z >ZM`QZf!^OPQXP >a^OK NNZKLL !^OPZQXP^Zf]K MXKOLK"F!+!7'"F!  34 3I  4">!'@!'!'!'+'d@+         $ )  , $ $%./012  @ABCDBEF$GHIJBK#'$%  # $   '$% -P-Q-?*  #$#R S%$&,T-P-Q-?* S%$&,T-P-Q-?* UV001O<WOX$Y121O: $# \]]^_`a\ba_aa\\\cde_c`dfgf\]]o_caeba_aa\\_^dipDqErCD$hHs$i