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HomeMy WebLinkAbout6730 Upland Dr_BLD2930_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:6730 upland Dr Permit#:2930 Parccl N:00870600002700 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:KANIPPI GLENN F Name:[Company Name] Name.lircn tail Heating Address:6730 UPLAND DR Address:[Com pany Address] Address:4601 S 134th Place City,State Zip:ARLINGTON,%VA 98223-6389 City.State Zip:Seattle,WA 98168 City,State Zip:Seattle,WA 98168 Phone: Phone:206-248-7900 Phone: 206-248-7900 LIC: FXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Brennan I Icaling Name: Address:4601 S 134th PL Address: City,Slate,Zip:Seattle.WA 98168 City,State.Zip: Phone:206 248.7900 Phone: LIC 4:BREN"NIIA97IR9 EXP: 12/29/2019 LIC tlt EXP JOB DESCRIPTION PFRNBT TYPE: Residential Mechanical CODE YEAR: 2015 STORIL-S" CONST.TYPE: DW1:1_LING L'NT]S. OCC GROUP: BUILDINGS: OC'C LOAD: PERMIT APPROVAL I AGREE'TO COMPLY WITH CITY AND S`I'A`lJ-'LAWS REGULAI'ING 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 CONIPENSATION INSURANCE AND RC'W 18.27. THIS APPLICA'FION IS NOTA PERNbI1T UNTIL SIGNED BY THE BUILDING OFFICIAL OR}IIS/IIE-R DEPUTY AND ALL FEf.S ARE P_VD, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPRO%!A1,OR A CW'r1FICrYT13-()[,'OCCUPANCY HAS BEEN GRANTED, IBC I I0/IRC 110. Pq ('F::Sa -,s tax relating to constnction and construction maleria s in I e City of Arling(on must be reported on your sales tax return form hugl( 13I0[.-/ i / 11 �� rt¢d 12/11/2019 e Print Name Date Release( Date CONDITIONS Adhere to approved appliance. Call for final inspection. THIS 11ERMI'T AUTHORIZES ONLY THE WORK NOTED.'1'HIS PERMIT COVERS WORK TO BE DONE ON PRIVAfE PROPHOW ONLY, ANY CONSTRUCTION ION ON THE PUBLIC DOMAIN(CURBS.SIDEWALKS,DRIVEWAYS,MARQUEES.E'f(',)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 12111/2019 Furnace $25.00 12/11/2019 Mechanical Permit Base Fee $25.00 12/11/2019 Processing/Technology Fee $25.00 Total Due: S75.00 Total Pa�rncnl: 5(I.00 Balance Due: $75,01) CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspeclion being requested,and whether you prefer morning or afternoon .:,� I RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington a 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 C) V Gl vLdDr t Project Description: S 'C C V%-a-C Owner: c A t" t �t�c�f' S Address: Phone: ` ,9 ' oI • 1 (c 5 Email: Applicant: Brennan Heating Address: 4601 S 134th PI Seat!ji�,98168 Phone: 206-248-7900 Email: Jaimie@brennanheating.com Applicant Signatur • Electronic Signature if submitting on-line 1 hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. CONTRACTOR INFORMATION Contractor Name:Brennan Heating Company: Brennan Heating License Number:BRENNHA971 R9 Expiration: 1212 20/ Ct Phone:206-248-7900 Email:Jaimie@brennan heating-corn — STAFF USE ON Received Date:®EC 112019 Permit#: &4) 1_1770 Accepted b . 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 (80f) ❑ Fireplace Insert ❑ Outdoor BBQ ❑ Heat Pump ❑ Freestanding Stove ❑ Hydronic Piping ❑ Type II Hood ❑ Commercial Cooking Appliance ❑ F'V System ❑ Boiler ❑ Gas Piping ❑ Storage Tank ❑ AC Unit ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: Pipe Material: Pipe Size: Distance From Meter to Furthest Appliance: Total BTU's of all Appliances: • New gas piping requires a pressure lest to 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 SPECIFICATIONS Gas Model No. EL280UH045E36A E1180 H070E36A Healing Model No.-Low Nox --- EL280UH070XE36A Performance AHRI Ref.No. Non"X"Models NIA NIA 'X"Models NIA NIA 'AFUE 80% 80% High Input-Btuh 44,000 66,000 Fire Output-Btuh 35.000 53,000 Temperature rise range-"F 30-60 30-60 Gas Manifold Pressure(in.w.g.) 3.5/10.0 3.5110.0 Nat.Gas I LPG/Propane Low Input-Btuh 29,000 43,000 Fire Output-Btuh 23,000 35,000 Temperature rise range-OF 20-50 20-50 Gas Manifold Pressure(in.w.g.) 1,7/4.9 1,7/4.9 Nat.Gas/LPG/Propane High static-in.w.g. Heating 0.5 0.5 Cooling 0.5 0.5 Connections Flue connection—in,round 4 4 In. Gas pipe size IPS 112 1/2 Indoor Wheel nominal diameter x width-in. 10 x 8 10 x 8 Blower Motor output-hp 1/2 112 Tons of add-on cooling 1,5-3.5 2-3.5 Air Volume Range-cfm 250-1500 350- 1375 Electrical Data Voltage 120 volts-60 hertz-1 phase Blower motor full load amps 6.1 6.1 Maximum overcurrent protection 15 15 Shipping Data lbs.-1 package 111 121 NOTE-Fillers and provisions for mounting are not furnished and must be field provided. 'Annual Fuel Utilization Elfldency based on DOE test procedures and according to FTC labeling regulations.isolated combustion system rating for non-weatherized rumacos. SPECIFICATIONS Gas Model No. EL280UH090E36B EL280UH09OE48B Heating Model No.-Low Nox ... EL280UH09OXE48B Performance AHRI Ref.No. Non"X"Models NIA NIA 'X"Models NIA NIA 'AFUE 80% 80% High Input-Bluh 88,000 88,000 Fire Output-Btuh 70,000 69,000 Temperature rise range-OF 35-65 30.60 Gas Manifold Pressure(in.w.g.) 3.5/10.0 3.5/10.0 Nat.Gas/LPG/Propane Low Input-Bluh 57,000 57,000 Fire Output-Btuh 46,000 46,000 Temperature rise range-OF 25-55 20-50 Gas Manifold Pressure(in.w.g,) 1.7/4.9 1.714.9 Nat.Gas I LPG/Propane High static-in,w.g. Heating 0,5 0.5 Cooling 0.5 0.5 Connections Flue connection—in.round 4 4 In. Gas pipe size IPS 1/2 1/2 Indoor Wheel nominal diameter x width-in. 10 x 9 _ 10 x 10 Blower Motor output-hp 112 3/4 Tons of add-on cooling 2-3.5 3-4 Air Volume Range-cfm 350-1600 765-1800 Electrical Data Voltage 120 volts-60 hertz-1 phase Blower motor full load amps 6,1 8.2 Maximum overcurrent protection 15 15 Shipping Data lbs.-1 package 136 140 ,.t NOTE-Fillers and provisions for mounting are not furnished and must be field provided, t? , , ell 'Annual Fuel Ulitization Elfrclancy based an DOE lest procedures and awarding to FTC labeling regulations,Isolated combustion system rating for nanAvealherized turacos. Ft 7stni wi:/panes A 9E" 1 1 2019 VL/o zq�C) i Wasinglon Slnle 0.pa•nrcH al Labor&Industries(LUns:/IInima.gov). Contractors BRENNAN HEATING &A/C LLC Owner or tradesperson 4601 S 134TH PL .................... ............................. Principals SEATTLE,WA 98168 ERDAHL,DARRIN PAUL,PARTNER/MEMBER 206-248-7900 KING County Doing business as BRENNAN HEATING&A/C LLC WA UBI No. Business type 602 346 866 Limited Liability Company Governing persons DARRIN P ERDAHL ERIC BEARDEMPHL: License Verify the contractor's active registration I license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no, BRENNHA971R9 Effective—expiration 12/29/2003-12/29/2021 Bond FEDERATED MUTUAL INS CO $12,000.00 Bond account no 9127230 Received by L&I Effective date 11/04/2004 12/22/2004 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no 9820726 Received by L&I Effective date 05/29/2019 07/13/2015 Expiration date 07/13/2020 Insurance history Savings ........... . No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations Infraction no PDOVE00515 Satisfied Issue date RCW/WAC 01/26/2018 18.106.020 :k ,I 1 I Violation city Violation amount SEATTLE $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Not allowed to have apprentices. Workers' Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts Account no. Account is current. 803,761-08 Doing business as BRENNAN HEATING&AIR CONDIT Certificate of Workers'Comp Coverage Track this contractor A Account no. Account is current. 803,761-18 Doing business as PUYALLUP HEATING&AIR CONDITI Certificate of Workers'Comp Coverage A Track this contractor i I 1 Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety & Health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. A v A z a m o 0 W Q - a z H � o 1 z Q w V � V '� • a — F Q a V w o A O O w z F w w z x Z c7 .. z o z x Wa �, W w Z W O 3xa H z A z deb' O w ❑ � � � can F O V Q W w O waa M Q �t .., A ❑ ❑ a Q O F z w v�i o 'Cl U z z A F Oa ►n Q z z Z m U A O O Gam. Z z04 0 .a F k" p 0 l � i N ❑ z rx Q � O a N y o ❑ a. om A W as a F z sa ° ¢ ❑ ❑ a p a F p O ❑ ❑ ❑ ❑ O ❑ 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(Y qZ O V iJ a ri-d i Project Description: Owner: \ !E 0' t q Address: Phone: 4d5 OA 5 Email: Applicant: Brennan Heating Address: 4601 S 134th PI Seatt 98168 Phone: 206-248-7900 Email: Jaimie@brennanheating.com Applicant Signatur * XQ�t/Y�1ti Electronic Signature if submitting on-line 1 hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. CONTRACTOR INFORMATION Contractor Name:Brennan Heating Company: Brennan Heating License Number:BRENNHA971 R9 Expiration: 12/2 2C/ C Phone:206-248-7900 Email:Jai mie@brennan heating-corn STAFF USE ONLY Permit#: Accepted by: Date: 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+) ❑ Fireplace Insert ❑ Outdoor BBQ ❑ Heat Pump ❑ Freestanding Stove ❑ Hydronic Piping ❑ Type II Hood ❑ Commercial Cooking Appliance ❑ PV System ❑ Boiler ❑ Gas Piping ❑ Storage Tank ❑ AC Unit ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: Pipe Material: Pipe Size: Distance From Meter to Furthest Appliance: Total BTU's of all Appliances: • New gas piping requires a pressure test to 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 SPECIFICATIONS Gas Model No. EL280UH045E36A EL280 H070E36A Heating Model No.-Low Nox ... EL280UH070XE36A Performance AHRI Ref.No. Non-X"Models N/A NIA "X"Models NIA NIA 'AFUE 80% 80% High Input-Btuh 44,000 66,000 Fire Output-Btuh 35,000 53,000 Temperature rise range-OF 30-60 30-60 Gas Manifold Pressure(in.w.g.) 3.5/10.0 3.5110.0 Nat.Gas/LPG/Propane Low Input-Btuh 29,000 43,000 Fire Output-Btuh 23,000 35,000 Temperature rise range-OF 20-50 20-50 Gas Manifold Pressure(in.w.g.) 1.7/4.9 1.7/4.9 Nat.Gas/LPG/Propane High static-in.w.g. Heating 0.5 0.5 Cooling 0.5 0.5 Connections Flue connection-in.round 4 4 In. Gas pipe size IPS 112 1/2 Indoor Wheel nominal diameter x width-in. 10 x 8 10 x 8 Blower Motor output-hp 1/2 112 Tons of add-on cooling 1.5-3.5 2-3.5 Air Volume Ran e-cfm 250-1500 350- 1375 Electrical Data Voltage 120 volts-60 hertz-1 phase Blower motor full load amps 6.1 6.1 Maximum overcurrent protection 15 15 Shipping Data lbs.-1 package 111 121 NOTE-Filters and provisions for mounting are not furnished and must be field provided. 'Annual Fuel Utilization EHldency,based on DOE test procedures and accarding to FTC labeling regulations.Isolated combustion system rating for non-weatherized furnaces. SPECIFICATIONS Gas Model No. EL280UH090E36B EL280UH09OE48B Heating Model No.-Low Nox ... EL280UH090XE48B Performance AHRI Ref.No. Non"X"Models N/A N/A 'X"Models N/A N/A 'AFUE 80% 80% High Input-Btuh 88,000 88,000 Fire Output-Btuh 70,000 69,000 Temperature rise range-OF 35-65 30-60 Gas Manifold Pressure(in.w.g.) 3.5/10.0 3.5110.0 Nat.Gas/LPG/Propane Low Input-Btuh 57,000 57,000 Fire Output-Btuh 46.000 46,000 Temperature rise range-OF 25-55 20-50 Gas Manifold Pressure(in.w.g.) 1.7/4.9 1.7/4.9 Nat.Gas/LPG/Propane High static-in,w.g. Heating 0.5 0.5 Cooling 0.5 0.5 Connections Flue connection-in.round 4 4 In. Gas pipe size IPS 1/2 1/2 Indoor Wheel nominal diameter x width-in. 10 x 9 10 x 10 Blower Motor output-hp 112 314 Tons of add-on cooling 2-3.5 3-4 Air Volume Range-cfm 350-1600 765-1800 Electrical Data Voltage 120 volts-60 hertz-1 phase Blower motor full load amps 6.1 8.2 Maximum overcurrent pratection 15 15 Shipping Data lbs.-1 package 136 140 NOTE-Fillers and provisions for mounting are not furnished and must be field provided. 'Annual Fuel Utilization Efficiency based on DOE lest procedures and aooarding to FTC labeling regulations.Isolated combustion system rating for non-weatherized furnaces. FI 7R1111WF/Dana A CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:6730 Upland Dr Permit#:2930 Parcel#:00870600002700 Valuation:.00 OWNE APPLICANT CONTRACTOR Name:KAMPPI GLENN E Name:[Company Name] Name:Brennan Heating Address:6730 UPLAND DR Address:[Company Address] Address:4601 S 134th Place City,State Zip:ARLINGTON,WA 98223-6389 City,State Zip:Seattle,WA 98168 City,State Zip:Seattle,WA 98168 Phone: Phone:206-248-7900 Phone:206-248-7900 LIC: EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTO Name:Brennan Heating Name: Address:4601 S 134th PL Address: City,State,Zip:Seattle,WA 98168 City,State,Zip: Phone:206-248-7900 Phone: LIC#:BFENNHA97IR9 EXP: 12/29/2019 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 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 the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. "w, 12/11/2019 Signature Print Name Date ifteleasecofy Date CONDITIONS Adhere to approved appliance. 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 FEES Date Description Fee Amount 12/11/2019 Furnace $25.00 12/11/2019 Mechanical Permit Base Fee $25.00 12/11/2019 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 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 Permit#: 2930 Permit Date: 12/11/19 Permit Type: RESIDENTIAL MECHANICAL Project Name: Sears Applicant Name: Brennan Heating Applicant Address: 4601 S 134th PL Applicant, City, State, Zip: Seattle,WA 98168 Contact: Jaimie How Phone: 206-248-7900 Email:jaimie@brennanheating.com Scope of Work: Replace gas furnace Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 12/11/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00870600002700 6730 UPLAND DR KAMPPI GLENN E 111 Single Family Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# Brennan Heating Jaimie How 206-248-7900 4601 S 134TH PL MECHANICAL COA 602 346 866 CONTRACTOR Brennan Heating Jaimie How 206-248-7900 4601 S 134TH PL MECHANICAL Labor and BRENNHA971R9 CONTRACTOR Industries Fees Fee Description Notes Amount Forced Air Heat fee per Btu $25.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Credit Card Service $2.25 Total $77.25 Attached Letters Date Letter Description 12/11/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 12/11/2019 Brennan Heating 78225845 $75.00 12/11/2019 78225845 CC Surcharge Raelynn Jones $2.25 Outstanding Balance $0.00 Uploaded Files Date File Name O1/02/2020 6046969-2930 12-17-19IC.pdf 12/11/2019 5978650-2930 Application.pdf CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:6730 Upland Dr Permit#:2930 Parccl#:00870600002700 Valuation:.00 OWNER APPLICANT CONTRACTOR Name:KAMPPI GLENN E Name:[Company Name] Name:Brennan licating Address:6730 UPLAND DR Addrcss:[Company Address] Address:4601 S 134th Place City,State Zip:ARLINGTON,WA 98223-6389 City,State Zip:Seattle,WA 98168 City,State Zip:Seattle,WA 98168 Phone: Phone:206-248-7900 Phone:206-248-7900 LIC: EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Brennan I leafing Name, Address:4601 S 134th PL Address: City,State.Zip:Seattle,WA 98168 City,State,'Lip: Phone:206-248-7900 Phone: LIC u:HRI:NNIIA971R9 FNP 12 29!'2019 1 IC#: FXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL 1 AGREE TO COMPLY WITH CITY AND S'17YTE 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 C TIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/IRCI 10. ALE TAX NOTI 'E:Sa s tax relating to construction and construction matcria in t e City of Arlington must be reported on your sales tax return Ibrm and c •d Cuy of Arlingl 13101. I / 11 rto� 12/11/2019 Signature Print Namc Date Release Date CONDITIONS Adhere to approved appliance. Call for final inspection. THIS PERMIT AUTHORIZES ONLY THE WORK NO"1*1:D.'I'H1S PERMI"f 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 12/11/2019 Furnace $25.00 12/11/2019 Mechanical Permit Base Fee $25.00 12/11/2019 Processing/Technology Fee $25.00 Total Due: S75.00 'Iota1 P:1\ill erit: SO.00 Balance Due: $75.00 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