HomeMy WebLinkAbout18009 59th Ave NE BLDG 24_1699_2026 CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ® MECHANICAL [I PLUMBING El SIGN �0 16yy
PERMIT NO:
OWNER MAIL ADDRESS CITY ZIP PHONE
Timberline Forest Products Inc. PO Box 3128 Arlington, WA 98223 435-8855
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE FF
GEC Energy Systems 3926 High Street Everett 98201 259-5054 GECENS055DH
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
❑NEW ®ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI TION [:]BUILDING RELOCATION
VALUATION OF WORK
S
DESCRIBE WORK
Install Hot watpr Rnilpr
PRUPOSE D USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT-BLOCK-OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
PSIGNATU
STRUCTION. PERMIT EXPI R FROM DATE OF ISSUANCE.
RLOiCS OR A ATE
IOBADDRLSS
18009 59th Ave NE Bldg. #24 Ix
(OFFICE USE ONLY) MECHA AL
PLUMBING /
NO TYPE OF FIXTURE FEE NO_ TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND UNITS - H P EA
BAIHI UB REFRIGERATION UNITS - H P EA
LAVATORY (WASH BASIN) BOILERS - H P EA
SHOWLR GAS FIRED A C UNITS-TONNAGE EA
KI ICHLN SINK & DISP. FORCED AIR SYSTEMS - B T U MEA
DISHWASHER WALL HEATERS- B T U M
LAUNDRY TRAY UNI l HEATERS- B T U M
CLOT HLS WASHER EVAPORAT I`VE COOLERS
WAILRHEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUN IAIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR,ETC) WATER HEATER
l GAS PIPING
SUBTOTAL f SUBTOTAL f 25 50
PERMIT f PERMIT $1 15
TOTALFEE $1 TOTAL FEE f
SIUL YARD SE IBACK STREET SLTBACK REAR YARD SETBACK PLAN CHECK FEE
DATE RECEIVED FEE RECEIPT NO.
USE /ONt LOT AREA VACANT SITE VALUATION FEE
❑YES ❑NO FEES
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BUTDING f
SIZE OF BLDG NO.OF STORIES MAX OCC LOAD
PLUMBING
F IRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL 40 50
STATE BLDG.CODE
COMMENTS ` ENERGY CODE SURCHARGE
JA1D ), / PENALTY SECC303(a)
�fED WATER/SEWERFEES
�9 TOTAL 40
PERMIT V l ATION
i Y WHEN PR PERE VALI TfpJ1W THIS SPACEI IS IS Y UR PERMIT
Mechanical Only �-� ��=�:`-I��Ca �� _ `
PAID � CR# ` Y
I D
cc:ASSESSOR,APPLICANT, TREASURER, BLDG- DEPT- R t.ORDS COPY DATE
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
r
COMBINATION ❑ BUILDING ME ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER MAIL ADDRESS CITY ZIP PHONE
A (, Reo"1I Pt F to rt C- e A-1'jj:lort L";i-`/(I✓! n .2olp 'f35 fiBS3_
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M
ECHANICAL CONTRACTOR' MAIL ADDRESS � CITV ZIP PfIONE U��NSE 1
G�fES
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE If
CLASS OF WORK
o❑NEW ®AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLI TION ❑BUILDING RELOCATION
CC VALUATIONOF WORK
2 f
W RIBE WORK
Ile k I
jj�Pftj�)SNMSE Of BUILDING
T I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
' e TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
Z LL(.AL DESCRIPI ION 01 PWPE TY IS N BELOW D1t ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
r��� '°/ /fl✓ � � L� �K� `ty WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
BLULK or
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
�Ax ID NUMBER FROM PROPERTY TAX STAT ENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
a CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
ATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
U 7R_
E OF FIXTURE FEE :'s FIXTURESTYPH OF EQUIPMENT FEE a's FIXTURES
ILET) $7.00 ntCOND.UNITS—H.P. EA. uI f7 RIGERATION UNITS—H.P.EA tdASH HASIN $7.00 OILERS—H.P.EA. u$7.00 ASFIRED A.C.UNITS—TONNAGE EA.R DISPOSAL $7.00 ORCED AIR SYSTEMS—B.T.U. MEA $9.00
ISHWASHER $7.00 ALL HEATERS—B.T.U. M $9.00
UNDRY TRAY $7.00 NIT HEATERS—B.T.U. M $9.00
LOTHFS WASHER $7.00 VAPORATIVECOOLERS
ATER HEATFlt $7.00 JTR
HES DRYERS $6S0
RINAL $7.00 LATION FAN $4.50
RINRING FOUNTAM $7.00 EHOOD COMMERCIAL 36-50
LOOR DRAIN S7.00 ANDLING UNIT— CPMACUUM BREASERS 57.00 E t6.50
OOP DRAINS—RAINL.FADBRS $7.00 dETALFIREPLACE&CHIMNEY S630
IKE(SERVICE—BAR.ETC.) 7. WATER HEATER $630
AS PIPING 'up to 5=$3.00.addnl.=$3S
—Equipmerit list must be provided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTAL FEE TOTAL FEE
PLAN CHECK FEE
SIDE YARD SL IBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO,
USE ZONE LOT AREA VACANT SITE
FEES VALUATION FEE
❑YES ❑NO
TYPE OF CONSI OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BUTDING s
SIZE Of BLDG. NO.OF STORILS MAX.OCC,LOAD
PLUMBING
F IRE SPRINKLERS REQUIRED
[—]YES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
U.B.C.
PENALTY SEC.303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID CR# BY
BUILDING OFFICIAL DATE
cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEFT RECORDS COPY