HomeMy WebLinkAbout17223 Ironwood St_BLD5963_2025 (3) Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551
Permit Number: BLD5963 Permit Type: Residential Mechanical
Address/Parcel: 17223 Ironwood St Completed (Month/Year): August 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
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 2â€
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
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