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3704 178th Pl NE_BLD5838_2025
Permit Packet Coversheet Community and Economic Development City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551 Permit Number: BLD5838 Permit Type: Residential Mechanical Address/Parcel: 3704 178th Pl Ne Completed (Month/Year): July 2024 Land Use Bonding or Assignment of Funds Notice of Decision o Confidential Documents. Contact the Staff Report City to obtain. Application As-Builts Narrative Letters and Project Documents Legal Description Other: Vicinity Map Site Plan Civil Landscape Plan Issued Permit Complete Streets Checklist Application Traffic Impact Analysis Other Applications Snohomish County Traffic Mitigation Offer Construction Calculation Worksheet WSDOT Traffic Offer Form Approved Plans Tree Survey Review Comment Form Stormwater Drainage Report Letters and Project Documents Geotech Report Other Agency Permits Critical Area Evaluation Form Reports: SEPA Checklist o Drainage Report Pg: Public Notice Material o Stormwater Pg: Noticing and Related Documents o Geotech Pg: Water / Sewer Availability Certificate o All Other Reports Unanticipated Discovery Plan Form SEPA and Noticing Materials Aerial Photo of Site Inspections Proposed Building Materials As-Builts Lighting Plans and Lighting Cut Sheets Other: Color Elevations Design Matrix Building Plat Map ✔ Issued Permit Title Report ✔ Application Lot Closures Additional Applications Preliminary Civil Plans Approved Plans Archaeological Survey Site Plan o Confidential Documents. Contact the Letters and Project Documents City to obtain. Calculations Topography (Existing Conditions) ✔ Project Specification Manuals CC&R’s Reports Deeds / Easements / Conveyances Certificate of Occupancy /Dedications Inspections Developer’s Agreement Other: Letters and Project Documents Page 1 of 1 2/20/2024 RESIDENTIAL MECHANICAL APPLICATION Community and Economic Development City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551 This application is for new, addition, altered or replaced mechanical installation and new or altered gas piping. Please fill out all pages of this application and include all information. Type of Permit: ï² New Installation ï² Addition/Alteration/Repair ï² Gas Piping Property Address: Project Valuation: Lot #: Parcel ID No.: Preferred Contact: ï² Owner ï² Contractor Project Description: Owner Name: Home No.: Email Address: Cell No.: Mailing Address: City: State: Zip: Contractor Name: Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: L&I Contractor License Number: Expiration Date: • 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 Gas Piping Information ï² Not Applicable ï² CSST ï² Brass ï² Other Proposed Piping Material: ï² Black Steel ï² Galvanized Steel _______________________________________ Proposed Piping Size: ï² Â½â€ ï² â…â€ ï² Â¾â€ ï² 1â€ ï² 1Â½â€ ï² 2†Distance from Meter to furthest Appliance: Total BTU’s of all Appliances: MECHANICAL PERMIT FEES (per unit) Type of Fixture No. of Units Cost per Unit Subtotal Model No. Additional Plan Review fees x $ 75.00 = Air Cond. Unit ≤100Btu/h x $ 15.00 = Air Cond. Unit >100Btu/h x $ 25.00 = Air Cond. Unit >500Btu/h x $ 50.00 = Air Handling Units x $ 15.00 = Base Mechanical Fee 1 x $ 25.00 = $ 25.00 Boiler <100Btu/h >3hp x $ 15.00 = Boiler >1 million Btu/h<50hp x $ 25.00 = REV03.2022 Page 1 of 2 MECHANICAL PERMIT FEES (per unit) Boiler >1.5 million Btu/h<50hp x $ 50.00 = Boiler >100Btu/h 3-15hp x $ 15.00 = Boiler >500Btu/h 15-30hp x $ 25.00 = Commercial Hoods -Type I x $ 25.00 = Commercial Hoods -Type II x $50.00 = Diffusers x $ 15.00 = Dryer Ducting x $ 15.00 = Ductwork (drawings required) x $ 25.00 = Evaporative Coolers x $ 15.00 = Exhaust/Ventilation Fans x $ 15.00 = Fireplace/Insert/Stove x $ 15.00 = Forced Air Heat ≤100 Btu/h x $ 15.00 = Forced Air Heat >100 Btu/h x $ 25.00 = Gas Clothes Dryer x $ 15.00 = Gas Fired AC ≤100 Btu/h x $ 15.00 = Gas Fired AC >100 Btu/h x $ 25.00 = Gas Fired AC > 500 Btu/h x $ 50.00 = Gas Piping ≤ 5 units x $ 15.00 = Gas Piping > 5 units (plus <5 units) x $ 2.00 = Heat Exchangers x $ 15.00 = Heat Pump-Condensing Unit x $ 25.00 = Hot Water Heat Coils x $ 15.00 = Miscellaneous Appliance - regulated by $ 15.00 x = mechanical code, not otherwise specified Pkg. Units ≤100btu x $ 25.00 = Pkg. Units >100btu x $50.00 = Range/Cook top-Gas Fired x $ 15.00 = Refrigeration Unit ≤100Btu/h x $ 15.00 = Refrigeration Unit >100Btu/h x $ 25.00 = Refrigeration. Unit >500Btu/h x $ 50.00 = Re-inspection fee x $ 75.00 = Residential Range Hood x $ 15.00 = Unit Heaters ≤ 100 Btu/h x $ 15.00 = Unit Heaters >100 Btu/h x $ 25.00 = VAV Boxes (Variable Air Volume, part of air $ 10.00 x = conditioning system) Wall Heaters - Gas Fired x $ 25.00 = Water Heater - Gas Fired x $ 25.00 = Permit Fee Inspection Fee $75.00 Processing/Technology Fee $25.00 Total REV2.2020 Page 2 of 2 PRESSURE PIPING SCHEMATIC COMPLETE FOR GAS PIPING ONLY ï² SCHEMATIC IS TO SCALE ï² SCHEMATIC NOT TO SCALE Show Pipe Size(s) and Length(s) from meter to all appliances NOTE: Any interior pressure regulators must be indicated I hereby certify that I am the Owner, Applicant, Contractor, and authorized to sign this application and that the above information is correct and 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, and the City of Arlington. A final inspection and approval shall be obtained when complete. Signature Print Name Date REV2.2020 Page 3 of 3 Certificate of Product Ratings AHRI Certified Reference Number : 208803533 Date : 10-23-2023 Model Status : Production Stopped AHRI Type : RCU-A-C (Split System: Air-Cooled Condensing Unit, Coil Alone) Series : MERIT ML17XC1 SERIES Outdoor Unit Brand Name : LENNOX Outdoor Unit Model Number (Condenser or Single Package) : ML17XC1-036-230A** Indoor Unit Model Number (Evaporator and/or Air Handler) : CR33-50/60+TDR+TXV Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note : On January 1, 2023, efficiency standards increased for central air conditioners. Beginning January 1, 2023, central air conditioners can only be installed in region(s) for which they meet the new regional efficiency requirements. The manufacturer of this LENNOX product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 - 2017 with Addendum 1, Performance Rating of Unitary Air-Conditioning & Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 36000 SEER : 15.50 EER (A2) - Single or High Stage (95F) : 12.70 Rated as follows in accordance with the latest edition of AHRI 210/240 – 2023, Performance Rating of Unitary Air-Conditioning & Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (AFull) – Single or High Stage (95F), btuh : 35600 SEER2 : 14.40 EER2 (AFull) – Single or High Stage (95F) : 12.20 †"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced.“Production Stopped†Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re-rate. The new published rating is shown along with the previous (i.e. WAS) rating. The Department of Energy has published updated energy efficiency metrics for central air conditioners and heat pumps. This publication reflects both the 1987 †metric (SEER) and the 2023 metric (SEER2). Efficiency requirements are published at 10 C.F.R. 430.32(c). Please refer to www.AHRInet.org for more information about updated energy efficiency metrics. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user’s individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on “Verify Certificate†link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. © 2023Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 133425911759890679 !"#" $%&' ( )*&+' ,-#(."" )*&+)//00 1"2"#34 )*&+565758 2 93 6$+& !4 4 :$+ ;<;=;< >* !4?,-#(@"-! 7&$$AB$C D2- D2E""#(-E F*G$+ =@; 7HGI = 'GJ$A7$0 6$+0G&$+ K, L&&G+&M$G < NOPQROSTQUV W 6$/ W00G/ >X0 I$ !"#" 7G0 "-!1 )00Y+/$ #USSUZ#U[R\Q]^ $ 1U[]OV_ RR[OPP O`UVOP][QaTQbS-\SO[UcO -\SO[1ZbSO dbSQS` ( ( = " " $%&'##() !"# * +) ' ) % 4 " , ,-." . / "0 "0 $%&' #,. 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