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.
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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.
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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