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HomeMy WebLinkAbout3833 168TH ST NE_BLD1223_2026 COMMERCIAL MECHANICAL • PERMIT APPLICATION y�41v LOi Department of Community& Economic Development City of Arlington• 18204 59th Ave NE• Arlington,WA 98223• Phone(360) 403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS AND ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE. Type of Permit: Q New Installation Replacement 7 Alteration Project Address: 3833 168th St NE Suite 8 Parcel#: 2 Natural Gas Heater Installation — - - Project Description: Valuation:unknown Owner:Austin Johnson Phone#:425-512-5504 Address: 15923 loth Ave NW City:Arlington State:WA Zip:98223 Email Address: threesixtycollision@gmail.com Austin Johnson -- - - Contact Person: Phone#: 425-512-5504 Address:Same as above City same State: same Zip:same Email Address:same Contractor Name:Austin Johnson Phone#: 425-512-5504 Same as above same same Contractor Address: _ City. _ State:same Zip: Email same Contact Person: Contractor License Number: same _Expiration: same Please indicate type of number of appliances: FURNACE 2 CONDENSING UNIT GAS PIPING OUTLET BOILER HEAT PUMP(multi-split) UNIT HEATER CHILLER HEAT PUMP(mini-split) PAINT BOOTH COOLER HEAT PUMP(other) TYPE I HOOD AC(air cooled) HEAT REJECTION EQUIP TYPE 11 HOOD AC(water cooled) VENTILATION SYSTEM AST AC(evaporator) PACKAGED UNIT UST AC(VRF) DRYER OTHER I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in acc- �---•-• ?"• te laws, rules and regulation of the State of Washington G�uatcs��olucdasz f Applicants Signature: - - _ Date 11/29/2016 Applicants Printed Name Austin Johnson _ FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received 6/16LP Page 1 of 1 COMMERCIAL MECHANICAL PRESSURE PIPING INFORMATION Department of Community& Economic Development City of Arlington •.18204 59th Ave NE•Arlington,WA 98223• Phone (360) 403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: Black Iron Pipe Inlet Pressure: 2 lb Pressure Drop: unknown Specific Gravity: unknown Pressure Piping Schematic Show Pipe Size(s) and Length(s) from meter to all appliances. ❑ Scale or © Not to Scale NOTE: any interior pressure regulators must be indicated NOTE: drip legs/sediment traps are required at all appliances unless integrated in the listed appliance I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described rr'iy wiri'[ie µyaccordance with the laws,rules and regulation of the State of Washington. 11/29/2016 Applicants Signature Date Austin Johnson Print Applicants Name � l tJ� G d =- O Jil Uri G � S a CA N o O S d C 6 c7 d L V lip Qp s � � -1 c c c� 1 � b L 'o� I. ^F� i 1 ti II XD� a i IL -� ----- -------------- G-' Ad r G� ILI G� 471 y -J v 76. � 1p s��iLk r'[it o . • C x o� m o � (1 ol Q• U r. �1 000 i 13 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 42 PHONE; (360)403-3551 BUILDING PERMIT Address:3833 168th St NE Suite 8 Permit#:1223 Parcel#:31052800203700 Valuation: 1500.00 OWNER APPLICANT CONTRACTOR Name:AUSTIN FAMILY LLC Name:Austin Johnson Name:Austin Johnson Address: 1345 183RD AVE NE Address:15923 loth Ave NW Address:15923 loth Ave NW City,State Zip:BELLVUE,WA 98008 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-512-5504 Phone:425-512-5504 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE; DWELLING UNITS: OCC GROUP: BUILDINGS: 1 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 Ci ington ist be reported on your sales tax return form and coded City of Arlington#3101. 12— Z `�/ Signature Print Name Date Released Da CONDITIONS See red lined drawings. Adhere to approved plans. THIS PERMIT AUTHORIZS 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 12/1/2016 Gas Outlets Base Fee 1 to 5 $10.00 12/1/2016 Mechanical Fee(Enter Fixture Fee) $50.00 12/1/2016 Mechanical Permit Base Fee $25.00 12/1/2016 Mechanical Plan Review Fee $200.00 Total Due: $285.00 Total Payment: $0.00 Balance Due: $285.00 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 4a CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:3833 168th St NE Suite 8 Permit#:1223 Parcel#:31052900203700 Valuation: 1500.00 OWNER APPLICANT CONTRACTOR Name:AUSTIN FAMILY LLC Name:Austin Johnson Name:Austin Johnson Address: 1345 183RD AVE NE Address:15923 IOth Ave NW Address: 15923 IOth Ave NW City,State Zip:BELLVUE,WA 98008 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-512-5504 Phone:425-512-5504 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 1 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 I14E LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION 1S 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/IRCI 10. SALES TAX NQ11C .Sales tax relating to construction and construction materials in the Ci ington t be reported on your sales tax return form and coded C"Arli gton#3101. Signature Print Name Date Released Datt CONDITIONS See red lined drawings. Adhere to approved plans. THIS PERMIT AUTHORI7.S 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 12/1/2016 Gas Outlets Base Fee 1 to 5 $10 00 12/1/2016 Mechanical Fee(Enter Fixture Fee) $50.00 12/1/2016 Mechanical Permit Base Fee $25.00 12/12016 Mechanical Plan Review Fee $200.00 Total Due: $285.00 Total Payment: $0.00 Balance Due: S285.00 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 - CITY OF ARLINGTON 238 N. OLYMPIC AVE- ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:3833 168th St NE Suite 8 Permit#: 1223 Parcel#:31052800203700 Valuation: 1500.00 OWNER APPLICANT CONTRACTOR Name:AUSTIN FAMILY L LC Name:Austin Johnson Name:Austin Johnson Address:1345 183RD AVE.NE Address:15923 IOth Ave NW Address: 15923 IOth Ave NW City,State Zip:BELLVUE,WA 98008 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-512-5504 Phone:425-512-5504 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name. Address: Address: City,State,Zip: City,State,'Lip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: ] OCC LOAD: PERMIT APPROVAL I AGUE TO COMPLY WIT)I CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINO TI IF WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF'rHE 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/HF.R 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. IBCI IOARC110. SALES TAX N Sales tax relating to construction and construction materials in the Cil ington t he reported on your sales tax return form and coded City fArlit glon#3101. _SiRgalate Print Name Date Released Da CONDITIONS See red lined drawings. Adhere to approved plans. THIS PERMIT AUT40RIZS 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 12/1/2016 Gas Outlets Base Fee 1 to 5 $10.00 12/1/2016 Mechanical Fee(Enter Fixture Fee) $50.00 12/1/2016 Mechanlcal Permit Base Fee $25.00 12/1/2016 Mechanical Plan Review Fee $200.00 Total Due: $285.00 Total Payment: $0.00 Balance Due: $285.00 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 r I C� CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:3833 168th St NE Suite 8 Permit#:1223 Parcel#:31052800203700 Valuation: 1500.00 OWNER APPLICANT CONTRACTOR Name:AUSTIN FAMILY LLC Name:Austin Johnson Name:Austin Johnson Address: 1345 183RD AVE NE Address:15923 loth Ave NW Address: 15923 1Oth Ave NW City,State Zip:BELLVUE,WA 98008 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-512-5504 Phone:425-512-5504 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 1 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. IBC 110/IRC 110. SALES TAIL NOTICE,:Sales tax relating to construction and construction materials in the Ci ington ist be reported on your sales tax return form and coded City of Arlington#3101. /L 2 Y4 Signature Print Name Date Released Da CONDITIONS See red lined drawings. Adhere to approved plans. THIS PERMIT AUTHORIZS 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 12/1/2016 Gas Outlets Base Fee 1 to 5 $10.00 12/1/2016 Mechanical Fee(Enter Fixture Fee) $50 00 12/1/2016 Mechanical Permit Base Fee $25.00 12/1/2016 Mechanical Plan Review Fee $200.00 Total Due: $285.00 Total Payment: $0.00 Balance Due: $285.00 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 �� _ _ 1 � S �, FWA�C- 2 S oco FLKV-1 2!o0 .00 rVfdr 5- 5 b . o0 Permit Information Date 11/29/2016 Permit Number 1223 Project Name Johnson Applicant Name Austin Johnson Applicant Address 15923 10th Ave NW City,State,Zip Arlington,WA 98223 Contact Austin Johnson Phone 425-512-5504 Email threesixtycollision@gmail.com Permit Type Commercial Mechanical Site Address 3833 168th St NE Suite 8 Valuation 1500.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Installation of 2 gas heaters and gas piping Assigned To Kristin Foster Property Information Owner Information Parcel#:31052800203700 AUSTIN FAMILY LLC AUSTIN FAMILY LLC 1345 183RD AVE NE 3833 168TH ST NE BELLVUE,WA 98008 Review Date Type Description I Target Date I Completed Date I Assigned To Status 11/29/2016 1Commercial Mechanical 12/6/2016 Kevin Olander IIIn Review Uploaded Files Upload File Date File Uploaded B 11/29/2016 4:47:16 PM 11223 Application,pdf IFoster, Kristin .. Ay COMMERCIAL MECHANICAL • PERMIT APPLICATION ���1vG`�O Department of Community& Economic Development City of Arlington• 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS AND ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE. Type of Permit: 0 New Installation Replacement ❑ Alteration Project Address: 3833 168th St NE Suite 8 Parcel Natural Gas Heater Installation Project Description: Valuation:unknown Owner:Austin Johnson Phone#:425-512-5504 Address: 15923 loth Ave NW City:Arlington State:WA Zip:98223 Email Address: threesixtycollision@gmail.com Austin Johnson - Contact Person: Phone#: 425-512-5504 Address:Same as above City:same State: same Zip: same Email Address:same Contractor Name:Austin Johnson Phone#: 425-512-5504 Contractor Address:Same as above City:same State:same Zip:same Email:same Contact Person: Contractor License Number: same _ _ Expiration: same Please indicate type of number of appliances: FURNACE 2 CONDENSING UNIT GAS PIPING OUTLET BOILER HEAT PUMP(multi-split) UNIT HEATER CHILLER HEAT PUMP(mini-split) PAINT BOOTH COOLER HEAT PUMP(other) TYPE I HOOD AC(air cooled) HEAT REJECTION EQUIP TYPE II HOOD AC(water cooled) VENTILATION SYSTEM AST AC(evaporator) PACKAGED UNIT UST AC(VRF) DRYER OTHER I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in acc- =•=• `•'tie laws rules and regulation of the State of Washington (j`frcc2t�er, � a6cszdobr. Applicants Signature: Date 11/29/2016 Applicants Printed Name: Austin Johnson FQ�SSAFF USE ONLY Z� Received P!>rrnn rt ABy Amount Received Receipt# Da'M 17169 6116LP Page 1 of 1 COMMERCIAL MECHANICAL PRESSURE PIPING INFORMATION Department of Community& Economic Development City of Arlington •.18204 59th Ave NE•Arlington, WA 98223• Phone (360) 403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: Black Iron Pipe Inlet Pressure: 2 lb Pressure Drop: unknown Specific Gravity: unknown Pressure Piping Schematic Show Pipe Size(s) and Length(s) from meter to all appliances. ❑ Scale or © Not to Scale NOTE: any interior pressure regulators must be indicated NOTE: drip legs/sediment traps are required at all appliances unless integrated in the listed appliance hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- describedrr=eiiy Will-ue-Nyaccordance with the laws,rules and regulation of the State of Washington. udttst C'/o/ticvoy� ....."" 11/29/2016 Applicants Signature Date Austin Johnson Print Applicants Name w G� r i f �9 ��- cr° c yam Vim_ > oQ ,n -o cm"> ZC)c 0D rn mdi C X H �7 0 o0 0 R1 —I Z -i -<� O Omv m --1 O '� i Cl U-1 FC.J , i m CT rl r � e rI A VN L �� ]r S7 z N -1 a O� S � g 1 CP -J s O � �cJ� � 1 "v C; -d -t- .sue 0 3D- fky 703 QO CA N d 0 ra S ' .. I I M d q 1 D ` co z I I Date: 04/03/2026 Permit#: 1223 Perm Date: 11/29/2016 Review Date: 11/29/2016 Perm Type: COMM IRCIAL MECHANICAL Review Type: COMM IRCIAL MECHANICAL Target Date: 12/06/2016 Scheduled Time: 00:00 Com pleted Date: Description: See red-lined drawings Review Status: Assigned To: BUILDING Tim eln: 00:00 Time O it: 00:00 H curs: 0.0 Property Information Parcel#: 31052800203700 A USTIN FAMILY LLC AUSTIN FAMILY LLC 1 345 183RD AVE NE 3833 168TH ST NE B ELLVUE,WA98008 Zoning: 599 Other Retail Trade NECLot: Block: Permit#: 1223 Permit Date: 11/29/16 Permit Type: COMM HZCIAL M ECHANICAL Project Nam e Johnson Applicant Nam a Austin Johnson Applicant Address: 15923 10th Ave NW Applicant, City, State, Zip: Arlington,WA98223 Contact: Austin Johnson Phone: 425-512-5504 Em al: threesixtycollision@gm al.com Scope of Work: Installation of 2 gas heaters and gas piping Valuation: 1500.00 Square Feet: 0 Num ber of Stories: 0 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 12/05/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wner Nam e Cvner Phone Zoning 31052800203700 3 833 168TH ST NE AUSTIN FAMILY 599 Other Retail LLC Trade NEC Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License Austin Johnson Austin Johnson 4 25-512-5504 15923 1OthrAvee APPLICANT Inspections Date I nspection Type D escription S cheduled Date C om Ileted Date I nspector S tatus 12/05/2016 R09.GAS PIPING 12/05/2016 B UILDING C om Iieted ROUGH-IN Plan Reviews Date R eview Type D escription A ssigned To R eview Status 11/29/2016 COMMaCIAL See red-lined drawings B UILDING MECHANICAL Fees Fee D escription N otes A m aunt Gas Piping/Units E nter#of units $10.00 Mechanical Fee(Enter Fixture Fee) $50.00 Mechanical Base P erm i Fee $25.00 Mechanical Com m ecial Plan Review T able 4-1 $200.00 Total $285.00 Attached Letters Date Letter D escription 12/01/2016 Building Perm i Paym sits Date Paid By D escription P aym ait Type A ccepted By A m ount 12/02/2016 Austin Johnson 6 2534192 c c $285.00 O utstanding Balance $0.00 Uploaded Files Date File Nam e 12/05/2016 1980362-1223 Issued Perm i.jpg 11/29/2016 1971053-1223 Application.pdf