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17708 49th Pl NE_014727_2026
INSPECTION REPORT t ¢ti1 TO Permit No.: D( q7) Lot#. `7'� -' Address: -7 Contractor: /1 n 93,E j N G,SO Owner: Date: 41., APPROVAL ❑ PARTIAL APPROVAL ❑ VrCtAMON ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. A Y�Jft) r f Inspector: Dat(X TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing l Gas Piping ❑ Footing ❑ Drywall, Nailing / a Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT SIN G? Permit No.: �� Lot #: l ¢ O n Address: ' ( - 9 O Owner: I N G� Date: �1 — a G C-) 1 ,.APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. i J Inspector: �YL0_ — Date: ` 36 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing onsultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in UrFinal ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION NG?�O Z I NSPECT—IO N�REPORT EPORT 4 4 r�� '�IPermit No.: 0 I Lot #: Address: 1-77C q C n Contractor: Owner: INGN Ls=5 Date: PPROVAL ElPARTIAL APPROVAL VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: iA Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in )A Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢tiZN G rO Permit No.: W L -tit: 01 Address: / —7 PL O Contractor: i 1 c� 17 Owner: IN O Date: l0 rdol 0l APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: 7nDate: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab _0 Wood Stove ❑ Rough-in ❑ Final Masonry ❑ Drainage ❑ Insulation Other: �� r1c�SCape- INSPECTION REPORT n¢1.1N G1'Q Permit No.: �- `�� Lot, 461 Q" Address: �-1^1 e4q NL-- Z Contractor: O Owner: ( At I?oa-v� pQ 9s�j N G� Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approveG ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ LL 36-0674 FOR RE-INSPECTION - 24 hour notice required A-I-Pilf r 1. ill i �2 i i �G CcL-1 -q ls-' Inspector: Date: TYPE OF 11461PECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in _�6�-nal ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT f� ti1N G?'O Permit No.: ��T��f Lot #: q / Q' Address: ZContractor: 0--(-Jl Dc L �S �O Owner: Ills — —Il q� IN O Date: APPROVAL ❑ PARTIAL APPROVAL ❑ IOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. VW r Inspector: I Date: - TYPE OF INSPECTION REQUESTED I ❑ Under-floor X Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 14ING Permit No.: d1-4`t�1 Lot #: ` 4©( Address: I.1-1 C') C ontractor: 1-✓l i Yt +pv\OOwner: Date: A APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: ;rYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢ti1N Gr0 Permit No.: 01-0691 Lot r Q' Address: Contractor: yu Hd l/iPv� �s �4 Owner: SIN O Date: 41-61-3-oi APPROVAL ❑ PARTIAL APPROVAL ❑ VI TION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. , .I Inspector: Date: i13 f=y TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ MasonryDraina ❑ Insulation ❑ Other: l✓l L �N INSPECTION REPORT ii Permit No.: �1—U��, Lot #:Address: / -7 7�Contractor: YI' �O Owner: G� Date: APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. v V Inspector: Date: PE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping �ooting ❑ Drywall, Nailing ❑ Consultation � Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: G I TY UF= ARIL I hICCTOIV COIhIST FRUCT I ON PE RM I T PE Ft I T h!O_ 10 1 —r+72-7 Ovner: ARLINGTON AIRPARK PARTNERS 6337 SEAVIEW AVE SEATTLE 98107 Value of Work: $8, 200. 00 Tax ID: 310515-004-012-00 Phone: 206 789-2783 Describe Work: INSTALL (4) REZNOR GAS UNIT HEATERS & GAS LINES Proposed Use: Legal Description: Job Address: 17708 49TH PL NE Contractor's Name Type Address License* ARLINGTON AIRPARK PARTNERS OWN P E R M I T F E E S Equipment and Fixtures NUiher Fee Total Charge -------------------------- - - ____ _ FURNACE/UNIT HEATER 4 $15. 00 - GAS PIPING 1-4 OUTLETS 1 $6. 00 S U B T O T A L. . . . . . $60'00 TOTALS Fee Equipment $66. 00 Mech Permit $24. 00ATUR TOTAL FEE. . . . . . . . . . . . . . . . . $90. 00 AND I REBYECER FY T AT I HAVE READ PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 K O THEISAME TO NED S PTRUEAAND NCOR- R C ALL PRDVISI F LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $90. 00 0 D ANCES GDVE I G THIS TYPE OF W R WILL E CO LIE WITH WHETHER DATE RECEIPT # r -- S C FIED OR OT. 9 "C71901cb1m, O ICI p ID $ - 5201 LLl d 7 ul� 7::r 40 c� LL ZE; o P cA 2 � �' • c� I-j � L C=) Lu �..- LJL o � -z r d �.. C ? �1 � -�' LL � � I `� coLL� cm i 'U'j W �-J N a %J ZE Ica a Bu i Y ,c-i j n g Dept Projec't T racking Form PeY-�it No. Contr:,+ctor Name & addre.� r OL Date Received: - More info required: Information received: date stint clue back called received Sent to: Comments: tracking DA ur-,- 4 1 , City of Arlington *IN - - . . Memo To: Arlington Airpark Partners From: Karen Latimer, Water Quality Specialist CC: Dave Anderson, Building Official Date: March 13, 2001 Re: Utility Review, Building Permit#01-4461 1 have reviewed the documents submitted with the above-referenced building permit.Following are comments,questions,and items that must be completed before the Water and Wastewater Departments will give approval for occupancy. 1. Complete and return the enclosed Cross Connection Survey and Industrial/Commercial Waste Discharge Permit application. 2. A Washington State approved Reduced Pressure Backflow Assembly (RPBA) must be installed on the downstream side of the water meter, per City standard W-16. The RPBA shall be installed immediately on the downstream side of the water meter, before the first point of use or branch connection. Alternatively, the RPBA may be installed inside the building in a mechanical/equipment room, where proper drainage and space can be provided. If the RPBA is installed indoors, it must be installed before the first point of use or branch connection. An RPBA has different requirements than the DCVA that has been required in the past; please read through the attached standard W-16 and familiarize yourself with the differences. 3. After the RPBA is installed, it must be tested by a Washington State certified Backflow Assembly Tester, at the owner's expense,then be inspected by the Water Department.Please provide a minimum 24-hour notice when calling for inspection. 4. It is recommended that you install an expansion tank on the water system to allow for thermal expansion. 5. What size of water meter is required? RECEIVED 6. Will you be installing a fire sprinkler system or a lawn/landscape irrigation sytelr�1 5 2001 7. Inspection of water system piping is required at the following times: N a. Before underground piping is covered. UTY OF AaLiiVG i ON b. Before interior piping is covered. 0 Page 1 8. A walk-through inspection of your facility is required priorto requesting final inspection from the Building Department. Please provide a minimum 24-hour notice when calling for inspection. I can be contacted at 360,403.3505 to answer any questions and arrange your inspections. s Page 2 RECEIVED City of Arlington Building Dept PUBLIC WORKS CHECKLIST FEB 2 2 20M PERMIT # I DATE z Z Z LEGAL 1 U`� - CX)c../ - G 1 D Plat Lot Tax ID# NAME A V' c► � Ulr, /�� �� fJG,v �� 1-)C�;�, �_ VL_ rS ADDRESS l U I L ,,,t G1 + � A BUILDING USE �� �,_ C � kta ✓ # of BUILDING UNITS Existing Required Signature Date Water Meter Fire Hydrant Side Sewer Permit Monitoring Manhole Cross-Connection Control Sewer: Off site On site Water: Off site On site Pretreatment Discharge / Permit ✓/ Water/Sewer Fees Date received PeV- 'b eve, • `S9 hajK3 Date Yellow returned " 4V?S- I D vc ji v� Date Pink returned --JR! w1 16 V_;,1&-i vl�C STD FORM Ff, A D m n QD m r ;a < D� r m z r-i *0 19-) '�- z m n � -G4 m (-1 z m z ~ Z m Do DWO mi = o Z 3)z c 00 = o � z D z D O C7 00 (D0 ti • D c°'n N D En (� W CD x (�J1 C O • z a z m v � 0 o [7 ru D O ra \ � � C En ro m zn m a cn D x I-- n O Cz O cn ° � 00 D m [En m � ~' D ro � m � z m n -I m cn -o rn z m 0 m z � I —4 W Lq m En TI rye mo W ) 6949.94L(9Z6)tlnn'3nA3113B CITY OF ARL I NOTON CONSTRUCTION PERMIT FEE RM I Y NO- e 0 1-44C5. 1 Owner: ARLINGTON AIRPARK PARTNERS 6337 SEAVIEW AVE SEATTLE 9BIC17 Value of Work: $205,286.00 Tax ID: 310515-004-012--00 Phone: 206 789-2783 Describe Work: CONSTRUCT NEW HANGER Proposed Use: AIRCRAFT HANGER Legal Description: Job Address: 17708 49TH PL NE Contractor' s Name Type Address License# ARLINGTON AIRPARK OWN 6337 TOTALS Fee Permit Fee $1,587. 35 Flan Fee $1,031. 78 State fee $4. 50 S I['NATU R TOTAL FEE. .. . . .. . .. .... . . . $2,623.63 I HEREBY ' R*I*T FY AND - AIIIN THIS I r.,>_ICRTION ND PAYMENTS. . . . . . . . . . . . . . . , . . $0.00 KNO HE SAIE TO BE AND C: )R- RE LL PR ISIONS U " L TOTAL DUE. . . . . . . . . . . . . . . . . $2,623.63 OREIN NOES ]VERN 1i IBIS Ty OF WgYfNb- MP iED ITH WHETHER ii R i DATE RECEIPT # 0 FIC. AL - ID DD 0 a V City of Arlington Fire Department 137 N. McLeod, Arlington,WA 98223 Fire & Life Safety inspection Notice Date r Grid Congratulations•A resaotable.degree of fire&life sdety exists Omipancy ID Q891f F&jmpom Praxes•During our inspection we moied boAae 00nditi0zle below that bring your business out of compliance.You are hereby notified to Business Name sign the condition i�a noediately. AQter the conditioue hstve been abated, sign and mail this lootiC9 cMjbring completion wltbaiu 30 delve. I HEREBY CERTIFY THAT THE VIOLATIONS SPECIFIED usiness A.ddrese BELOW HAVE BEEN CORRECTED. Date 1juamm P&w Number Signature X Tide Businese Licenee Number(Posted) QRe-imectio -During our inspocOon wo noted some condition®below that bring your business out of compliance.You arc hereby notified to remedy Re;meible Pearson 7 the condition immediately.We will return on or about the week of to ensure all correc*avn have been complewd. Name: ' I UNDEMTANI)THE DESIGNATED VIOLATIONS AND REQUIRED CORRECTIONS. Phone Date ....— Pager: Signature X _ Title Inspectors Shift poctign i?iu�i: Fig ftotection SXSt0MS_QRvr&dP—nA1 0 Type Of Fire Alarm (beat, smokes, dull) tagged Regal 0 Sprinklexe tagged Protecxi Spsterri L Hood extinguishing system tagged RvJ=12 .License O onitored • Company plaint Knox keys - checked for changes Re-Inspection Status ITEM VIOLATION LOCATION When completed Date&Initial 'ant to # let end Fire Max" CITY OF ARLINGTON & SEWER DEPARTMENT APPLICAT' 7 Application is hereby made by the undersigned property owner for all water and sewer services required or used for any purpose at: Service Address: 17618 49th Place NE Lot Number: 401 p A ID Plat Name: @SAY Property Tax Number: 310515-004-012-00 in or near Arlington, Washington, for which I agree to pay in advance and in accordance with existing ordinances and regulations of the City, the following estimated charges, the exact charges will be determined and payable immediately upon completion of the installation. Building Permit # 01-4461 allows for 1 ERUs. Water Tap-In Charge $ 2, 150.00 Water Service Connection Charge (Metering Charge) 5/81, $ 500. 00 Sewer Tap-In Charge $ 2,500. 00 Side Sewer Permit(s) $ 125. 00 Street Repairs $ 0. 00 Fire Hydrant Installation $ 0. 00 Other $ 0. 00 Total $ 5, 275. 00 Special Conditions: RPBA @ service. I further agree that all rates and charges for water and sewer service to the above property shall be paid in accordance with existing ordinances and regulations of the City, or any such ordinances and regulations passed hereafter. I hereby authorize the following tenant, Arlington Airpark Partners to have all accounts for water kept in his name under Account No. with the understanding that water bills mailed to said tenant shall not relieve the property from liability for water charges incurred. I understand that the City will use all reasonable effort to maintain uninterrupted service, but reserves the right to shut off the water at any time without notice for repairs, extensions, non-payment of rates or any other reason and assumes no liability for any damage as a result of interruption of service from any cause whatsoever. W/S Application Number: 2782 Owner: Date: 5 I Address: �c 191,4 Wasnogton State Nanresd«tdaa Energy ;xna arc'Fame JW.t99a ct Address I Date r0)BCt Info Prole For Buildng Cepartment use . II Applicant Name: 7� Applicant Address: ti Applicant Phone:` __G l ZZCll CA Project Description ew Buitcing ❑ Addtlon ❑ AJIteration Compliance Option Presctpave ❑ Lvpdng Power Allowance ❑ Sysaerns Analysis (Bee Cualificadon Che&Ist;over).Inci=a Presciotive&LPA spaces Ceany en plans.) Alteration Exceptions Q No changes are being made to the fighting (Gieck appropriate box) I ❑Liss titan E0-.of the foQures are new,and instilled 3ghting wattage is not being inceasad Maximum Allowed Lighting Wattage (Interior) Location v '°ubved (floodreom no.) I C=oanc/Descicden Watts per fe" Area in ft2 AJiewed x Area y Lr I G I444 rvt 1 CL tL 1 I _ I (a`l O C) I I I I I I I I From Tame 15-1 (aver)-acc:ment aA aaxptlons taken from fcatnotes Tarot Allowed'Nam Provosed Lighting Wattage (Interior) (May not exceed i otal Allowed Watts br Inagrior) I=ricn Number of Waitsf Watts (floodrocm no.) Fixture Descradon Fixtures Fxti:re Proposed I I I I •1ai I I I I I I I I I I I I I I Total Proposed Wa=may not exceed Total Allowed Watts for Interior Total Proposed Waasi Maximum Allowed Lighting Wattage (Exterior) Avowed watts Arty in f z Aacwed Watts Location Desatden tier f or per if (or K for perimeter) x fts(ar x M) Covered Parking I I 02'N/te Open Parldng I I 02 wRtz Cutdoor Areas 11' u r �� p�{V\ fir-, I 02 Me � �[✓`�..�� � ��c�G Bldg (by facade) I I 025 wle I Bldg.(try perim) I I 7.5 WAf I Note:for building exterior,rstocae etitter ate tacade area Gr ate perimeter meltood,but not beta) T otal Mowed WarsI Proposed Lighting Wattage (Exterior) (MW not exceed Total Allowed Watts for E%Mmr) Number of I WaZW I Watts Location Fxt<ue iescptfcn FixLues FL%Mm Proposed rf.filli 11 I >< 4c�rN I a, I Total Proposed We=may not exceed Total Mowed Watts for Eztencr Total Proposed Wars ', b � 1`J�4 'lV2StlIr1C�CUn J"IC lvutucawcuuai ---- ......... �.... 1994-Nalmnglcn State NOMMOsncal Eftl"W Cc i:OM a Wecn.1995 Project Address loam Use this form if you are Gaiming any ceiling height adjustments for your Ugnting Prover Aftwances far vmncr Ugnting. The Cccuptancy Cescription should agree with the'Use'Ilsed an Cade Table 15 G St -1. Use the drop-ccwn box to selee appropriate ceiling height on which the adjustment is based. Carry lie Adjusmd LPA M the Corresponding'Allawed Watts per' 'location an LTG-SUM. Adjusted Lighting, Power Allowances (Inferior) Location A&Nw I Ceiling Height I Ceiling Height limit I Adjusted L-A (floorlroom no.) I C=u=cl Cescripticn ( Watts per t2" for this icom for this excepdan"I Watts per fe I I I I I I I I I I I I I I I From Taoie 15-1 based an mcaptions lured h fcx=C es .—, ,• ...«� •.u,a...�wa:�.ya yy '.,WUC l--ii.Ildf7C2 r'Orfl1 •.� • • 19a wamngton�uta Nonre-asn al EnWW C*=cpmpp; On= -ah/tSSaI Lighting - General Requirements trr2er.prxmced.or a comoirarcn of arner and or =_.q,aL=r,.Imc one SwttCheS srarl also have program backr to cirandrtres.omen o event Tie 1513 Lighting Controls loss of prcgam and t me sea gs'Cr at;east 10 t- . .if power is p 1513.1 Local Control and acotssibdity:Each soap."'s red by,ndis irtterrtrpmd. or ceding-hegnt:arvticns,srad be provided 4mTh dgrrang=czrots rotated 1513.E Automatic Shut-Cff Controls,Inmrior.Cffcx bcnlairgs greater � wrthin that spaces i he Ifghdng cermols.wneiher one or mcm-shall be Tan 25.Oo0. arad all sc^xl Cassrocnss sratl be ecuinp�'„ setarte, natoie of turning off all fights within the soave The treats snail be te aummaw c zrmois to snut ore-e igrmrq cunN u Xx:CUctW hours. resaity accessible,at the.point of amrfiea:L Z persormef oco:zying or Automadc ocntmis may be an o=car-cf sensor.!me swrtcr,or ctiser usrrg see sca— device cacacle of atmamaoary sm=lg cif lignang. Exceptions:The following GghdrV mrmols may be cer---zi in Exception= renicte locatiorts: 1. Areas T=trust be condn=z y rlutranated,or iilunsnated in a 1. lighting controls for spaces wrath must be used as a whole. ring'eWnlr9 ma mal ocermxn at-�e tigttdrig. 2 E.-—gerrcf ligmng , 2 Autnmaac 3. Switching for inasatal or nvrwar. hng process facades as 3. Controls requiring trained operamm may be rewired tr prncuc^-m 4. Cantrols for safety hamrds and searrity. 1513.&1 Cc==Wry Sensor= Cca:oancj serscrs shaA be cacabte d 15132 Area Controls The nmdff t lighting powe rthm rrsay be at.=-=c..dy Ong off all to igrts n an area,no more start 30 rnr=es controlled from a single switch or ar=madc conud shall rnt steed that artef 7te area has been vacate d. wnlch is pied by a twertly ampere circuit loaded to not more than 1513.8.2 Automatic T=e S wrtcres Aumm.aic dyne switc es stroll trove eigmy percent.A master cormol may be installed provided the individual a my imum 7 clay cock arts be acacia cr swrtches retain arse capability m fur=on indeoer-4e nfy.Crr.,dt breakers en9 pdw- 7 -Crr :st,.ay types ter wWc arts irrcocrare an aumrrarssc;tdiaay'siwt�if`eaturE, may not be used as the sole means of switCartg. •&ft w ymq off ad loads for at least 24 hours and tt*n resumes norrnapy, Exception: scteduled coeradons.Aummoc time sw=-es shah also have progrdrrt Industrial or mantuacareng process areas,as may be required back-uo racaoluties,'AO='l prr%ent the loss of pnogram and ante serII for produc:ron. for at zast 10 hours,f paver is imernrpmd. Z. Areas less than free eery sett of tts building facmrirt<for ALvcm.-iiic drste switches snarl kxxw irate an over-ride switecing device 'CY-Viirrm over 1oO.000 te. ,K.M 1513.3 Daylight Zone Control:AG dayrigised=nes,as denned in & is rely act fe; Chacw 12,both under overhead gta=n and ac; . to ver ow gt=rrg, b. is located so t=a ter--cn using te cevics can see 7te Ggrns srad be provided•Neat individual c nctm rr c ay igrm-or oca:car-sensing argue areas corm 11ec by Ise s-mtch4 or so ass the 31 rnanc contras,wnics ccrrud the 6gtxs iroecendent a yererai area area being;ilurntrama is ar=rx=n!d. Ifgndng. c is atanually,ocerama: 1513.4 Display,Exhibition,and Specialty Lighting Carttrols:All d. ailcv s the lighting to remain arr for na mare than two no= >� oisntay, eutibrttart or specialty ligtrdrtg shall be Wiled itu�eoertdettty wnen an cver-ride is:x7 a of and t gererm area dgr=g. e. controls rtct ea-,trols an am 5.000 fti or 5 percent of f X=M-c`cr` Mnra aver imam te.-MV&ever fs 1513-5 Automatic Shut-off Controls,Exterior.Extmxxrsg=-.g not gremr irmeneed br 24-hcur commnuous use W-all be autorrsaboarty swrtned by 1 199a waaningtan State Nontesdeneal cnarrj ;4mown4e i=artns "Iy,199a Project Info FrnieGAddreSs �Da>P For Building Dept Use Acciicsnt Name: Acciicant Address~ Applicant Phone: Project Description Briefly descnbe mechanical system type and features. Compliance Option Simple system Cl. Compiex System Q systems Analysis (See Dec; ion Rowdta t(aver)for cuallficatcas) Equipment Schedules The following information is required to be incorporated with the mectanical equipment sctedules an the plans. For prclects without plans,fill in the required information below. Cooling_ Equipment Schedule Equip. I' I I I I OSA CFM I SE=R ID Brand Name' Model No. Canacty= Total CFM Ana or E R 1p���' location I I Heating Equipment Schedule IEquip. OSA wm ID Brand Name' Model No.' I CapaW total CFM I Ecano I Input 8ltltt I Cutout Btuh I ERidency` Fan Equipment Schedule Equip. ID Brand Name' I Model Na' CFM SP' I HP/BHP Flory Controls I l matlon of Service 'if available. :As tested according to Table 14-1,14-2 or 143. 3 tf required. a COP,HSPF,CAmtutsdcn Etlldencl,or AF1E,as applicable. a Flow control types:VAV,constant volume,orvanable speed. 171 ;199 ��ur.jrq:bn State NoorasWendai Energy Coca Camcuanc is - may,199A System Description If HeatingrCocling ❑ Constantvcl? ❑ alraccled? ❑ ?aged sls? ❑ < 4C00 gbh? See Szclon 1421 for full description of Ior Coaling Only: ❑ Salit system? ❑ E=ncmi mr included? 1 Simcle System qualifications. K Headn g Cn fY ❑ c000 cm? ❑ <70%aumde air? Decision Flowchart Use this flowchart to determine if project qualifies for Simple System COW. If not,either the Complex System or Systems,analysis Opdons must be used. start System Type eadnc/Coclin -nstant or Cooling Only ciume) no yes Healing Only i { Y it Cccled? <5000 cfm? no yes yes l no I Reference Y YSec. 1421 ac�cage I <70% CA yes stems no ' yes Y Yno =4,000 Stun Slit to.r 1900 c~m stems no �•� Yes Y yes Y Includes E no? Reference ,000 91z: no i yes Sec. 1423 1900 C&M no �► yes Y Simple System Allowed Reference S.C. 1420 Y Y Use Complex Reference System Sec. 1430 Complex Systems I Reform MECH-COMP Mechanical Camplm Systems for assistance in cemmuntng,vnlcz Complex Systems requirements are appikable to this project 1994 vyasnirtgton State 4artmoderMal Energy C -'VnCdanoe Fames Proiec address 'Cam The fc:lowing additicnai information is necasssary to dledc a mectanicai permit application for a complex mecitanical For Budding Ceoanment Use system for compliance with the mechanical requirements in the Wasningmn State Ncrimsidentlaf Energy Cade. Use the c eddist as a reference for notes added to the mechanical drawings(see the MECH-CHK Cteddist for additional system requirements). This information must be an the plans since this is the affiaal reprd of the.ermit Having this information m separate specifications alone is NOT an ac actahle alternative. AppiicaJoility Cade I Locadcn I Budding Cepanmem (circa) Section Component j Information Required an Plans Notes JADOITIONAL CHECKLIST rTEmS FOR COMPLEX SYSTEMS ONLY ye, a.a.i 1431.1 1 Feia assem.sys. I Provice calcltanens I I 14" lConuals I I I 14321 I SemaCK&snut-0rt !netcate separate systems or snow 5cianon cevu son clans I I 14322 I amp.reset txntror I yes ao a.a.; 143221 1Air systems I Inotc3te autoffmc reset I ! Iyea = a.a.l 1;� I l-mronic systems I Inctcam autemanc reset I I yea = a.a.+ 1433 1 Ew—omaers Incim econctr.uw en equipment scleawe ar prmcs calmfadons to justHy exemption .tee a a I 1434 I SeCarate air sys_ I Inc4mm secaraate sy:5mms an clans ! I I Iyea Z.A. 1435 Simul.htg.&twg. I Inarcate mat simultaneous neaung ano cooling is pMproea, unless use of e=cdon is justffied yea �o a.a.I 14W Heat rec3very f Inch neat txwery cn pans complete and attach heat recovery cafedadans yes =o a.a.l IA37 'ec.motor attic. IM ..:i�W i Of,-ulo.SC:eeute wim no.rcm,erncenc/ - I ye• a_a.l 1A38 Ivananie now sys. I Irelcme vanarae,cw on,an ana comp SCSegWes I i If "no" is circled for any quesucn, provide explanation: Decision Flowchart Use this flowchart to deterrttine haw the req Arernertts at the Complex Sysmms Colon apply to the project Refer a the indicated Cade secons for more complete information an the requirements. Start Here So:doa 141= ��1� Sarah Meet ra61a 14.L ttaaa�t L4-3 Sa:dm 1431.1 Fd& Yes r,L-,i.n..a of Asrm6ied Taal ou zW E=M Eq-&QaCP- i Pro, T Seadm 143Z: Yes C y a[HW Yo S Air '=a p*Air 1 Hoe 9Vam Sttepdr S7r�am it— SC-4 Caoteds Tcrar pie feet Gaeaas7b:m Cmada Hogn>sd 600M t3mh2 Zma NO ff tdrttred an 1\' ttir • • =� T' 1• . 4 7994'Nasnogton State Nonromdenoal Energy Caw Carmoum na .Say,5994 F,(�cmndntttom front) j -- 3 T sue_ Nomr S.5�dmq No meni Yo boa L437 fochdea is cquigmo Maw a kown Statu mm S. Table Peio'maom Ndri-mrsi -m Yci Yes Yea �y> Yes Heev Coolimoee °a®c F�g mnm rYyo•e, vfDe Yo "roo-r7a�v: 1 Sedon1411 J T Xm be Sloe 141216 .Seat Pamo >��..D00 Ya or Sm�d I Cambmaoa CE Camola 1 so LC1412.EaCQYS ZOLS SupW k> y0 I Sedoa 1436 CCU m%E5=M" OetadC AC> 34st Bey 1 ?aiogd Yo Caoeo; Yo Tow Bug (o Cmsmy> Stoottoe Cysety> C.W=y> 54MO ROW S10 d 34=BOW :1=gem? Na Yes I Ye I 1 Seelee 14M Acrrds Snoeoesi:Q I s.d..lca A4 � Yes As er Passp Yea 4smNe Vaoa61e F1owt >IO ED" 7agomd Yo No SsesLe LOS FzoPoaeIDd Ye VAV re®l4sm Syasmt2 Me I , I Sedm 14M �0 Sl000lmsos Cmist Ptmmind � - 1 1�1 • • 11 � I •.. 198+wasnmgian Stan Nonrasrasama!&%orgy Coae ;-;anon roans -WY 199r1 Project Address I Gate Camolete the fckwin for all des; A&B pennan�y polyp For Suiicing Department t,se g design squirrel age,i fame induc:tan wired hale motors from 1 ho b 200 hp having synchronous speeds of 3600,1800 or 1200 rpm(unless one of the exceptlons below applies). Manor Min.Norn- Nc.or t ype Sync!L 1U1 a Lacatlon HP (open or dosed) Oesciaden of Accuc--ticn or Use Sneed Effldencr I I I I I f I I I I I I I I I I I I I I I I I I Coen Motors I Cored Motors Excecdcrs. Syncnroncus I I 1. Motors in systems designed t7 use more than Sneed(RPM) 3.600 1,800 1200 3.600 1,800 1200 one speed of a mutt!-speed motor. HP Efticencv M) I E.,ffaenc,,(o) 2. Motors already included in the ef5eency 1.0 - I 825 1 80.0 755 I 825 80.0 1 requirements for HVAC equipment(Tables ta-1 or 1.5 I 82A 84.0 1 84.0 1 82 5 I 84.0 I 855 14-2). 2.0 I 84.0 I 84.0 I 855 1 84.0 I 84.0 I 865 3. Motors Thai are an integral part(La.not easily 3.0 84.0 865 I 865 1 855 1 87.5 875 removed and replaced of specallx:d procew 5.0 I 855 875 1 87.5 I 875 1 87.5 I 97.5 equipment 0.e.equipment which mardres a speclal 7.5 I 875 88.5 I a85 I 88.5 I 89.5 I 895 motor,suds as an explosion-croof motor). 10 I 885 89.5 I 902 ( 895 I 89.5 1 895 A. Motors integral to a listed piece of equipment 15 I 895 I 91.0 I 902 I 902 I 91.0 I 902 tr which no quaiHying mono has been approved 20 902 I 91.0 I 91.0 I 902 I 91.0 I 902 (Le.I the only UL 7stlng for Se equipment is with a 25 91.0 I 91.7 91.7 91.0 I 924 I 91.7 �ifceat motor and there is no energy=-rFcent 30 91.0 924 I 924 I 91.0 I 92.4 91.7 moron option). 40 I 91.7 93.0 I 93.0 ( 91.7 93.0 93.0 5o 9Z4 93.0 93.0 924 I no no For motors dafmtng an exception,art mtmu and 60 93.0 93.6 I 93.6 93.0 I 93.6 I 93.6 rate wtdch excecdcn applies. 75 93.0 94.1 93.6 I 93.0 94.1 93.6 100 I 93.0 94.1 94.1 I 93.6 94.5 9a.1 125 I 93.6 I 945 94.1 945 94.5 94.t 150 93.6 95.0 94.5 I 945 96.0 95 0 200 I 945 95.0 945 I 96.0 I 95.0 95� ' � I � � _•r:_ 11 t l ��1` o?j�=''��i��'1 S,�ki.�Gi►; i� ,�tci�n�.�a:�•,i.�1 I{l I=,+�A :1:+1 I'99+'Nxsn�!+gcan State vcrres�aeraat -vrGyG.- .:maiunce ronn3 �u+Y.is-u II Prnleci Address Date i ct he following information is necessary to Cieck a meanid permit application for=mpilancs wr&t the meGaniczl 2quirements in the Washington State Nonresidential Energy Cane. ACDllcajollity ode IC=pcnent Information aecuired Location Building Department (c Irde) SeCcknan Plans Notes HVAC REQUIREMENTS (Sections 1401-1424) t41' I pmt;.errcrMarce I ! aiec_nrg.4 cg. i t-:st neat cumos an salecute I I lyea as a,a_i 1411.; IMtrnm Urn an,Genc/ 1t,utcmentsanecuiewtm^fre. moacry,err-ar= I I 1412 I HVA gntrCIs I I ! yea an ,.3.1 1412.1 i t emeerature=nes 1 Incicate iccaacns an titans I I yea no 3.�-1 14122 1 Ceaeeana=rlr r't 11ncicare z:del; -ceaebara mtntmum I I ye. ao , j ; 1412.3 1 Numierty cantt>rl I Inalcate numicisiat i I lye. ao s.a.l 1412.4 IArrc tmaac semacc !Inaicam merresat Mtn nic:m semacc ono ..rrt aaY, s I i ye. s.a.) 1412.4.1 I dfriCers I Inetcate carr.cer:ocaacn and allmmdmc cznu= I i `yea yp a I 141!5 It-Qat^umD control I Ineicate micCOrCCL'sSCf On T.efmCSmI$Cr:ACL'le ye. a.a.t 1412n iCzmcuszcn mg. I Inacare mocutaarg or sm"geo=nu—ct I I yen as a.a.l 1412.7 1 Eaalanc:ng I Inatcate calancng teanlres on clans I I ye. = 3. .l 1422 ;i ermcsat imWCCC !indicate merrosml ultProcc on Mans I I Yea no =.�.i 1423 nomizers ! au'lcment salecue 1 1413 1Au eccrcm�rs I I I ye. _„ a.,.1 ;413.t IuCeraacn Ilnacate 1cd"'<cacactutyan sc,eeule I I yes too a.a.i 14132 I� I Ina ccrtrcts Dale m evaluate cum ce air I I yea :� a.a.i 1413.3 I Ir IPSMIed ooerdnan !IncicatE cat;acdrty tar parsal rcttng I I 1 1414 ! ueing systems I yea na a.a.1 1414.1 1 Na sealing 1 Incicam sealing necessary 1 ye. = ,.y.1 14142 I Cuc:insutaacn I Incicam -value or insutaacrl an cuct I I ,.a.; t415.1 IFietng insulancn I indicate P-value or insulaucn on cicirg I I yea 70 1...1 1424 IS ecarate air sys. I Inot C m seaarate sysmms cn Cans i ye. so I I Mec1.Sum.krn ^mptema ana ataclee. -_-uicmert sclec:::e-min, ,m lnout/oumut. afflcenci,dm.;to,economizer SERVICE WATER HEATING AND HEATED FOOLS (Secticns 1d-10-14) l I 1-wo I semce water nrg. I I I yea oe a.a.l 1441 Piec •rater neamr I indicate -;0 tnsutanon uncer mnx ! ! Ive. oo n.a.; t�a2 IS-hut-ort C.^.MUCIs 11noieateaummancsnLR-0rr ! t eaMa urocss I 1 1 yea 14s2 -a water nears I Ina sate not elecMc.vs .,rc I I yes ao a.a.t 1453 jPCO neHlPf cmum I Incicam s'm=ana 65 cegme control I I ye. no a.a.; 1454 covers I Inatcate tractor;etalCartt cover I I 1404 1 t3uuls So+aegrees I madam 12 accl aver I I If ,no" is circled for any question, provide explanation: . _ ! h 99A wawro iq,.cn Stacy Nonrsvdenaw Energy Carlo Como+ I harm - - •lydy.149a l mechanical - General Requirements 1413.3 IntegWed Cperatiorr sanding Heating Energy Air 1412 Cantrals econ0amr-M sty be ale d prcry rn4 Parcel c='^g even wt"n aourConai nI9C! IC31 cooing a reaureci to meet the rerttaunder or the 1412.1 Temperature CorttroLr.—E-Ct system shag be provided wd,at Cuing bra Camuts shall roc preduds the emnornz,opwanw K :east one Mm e oeraaa Control device.Each acne shag be ccc;trvded by rn�n'CW�x3 is requued s Ldaneousty 7rcividual re nrestaric controls—Word to temoeraturs within the rone. Emmptlon: Econorn=ers on rtdi Ki ual.dinar eamrmpn At a ��rntrnnurr each floor m a Wising shad be artsidesed as a seoaram systems,with cacax�es not gr ter?=-,,r f3arrh r C�3$lg ixAjde conmis V:at rwrd swnwzneous operation at lie 1.412-2 Deadhand Controls:When used to corxrol both comrort heating ac3nonxer and mec ranicai cooing fort-4 purpose of preuerffhV and coding,zone t*ffT%a aoC CMM313 shall be capable or a deecband or at ice formation on mofirq cis. 'east 5 degrees F wrthin which the supply at heeling and coaling erreryy,to 1414 Ducting System Ana zone is snut crf or reduced m a minimum. 1414.1 Sealing:Chret work which is designed to opera at prs=mes Exceptions: 1. Spec of oce=ncl,spec:d usage,or code ntr rc requiremerrm where with S ttarn and/2 rich—ter -18. Ezart toe shad be sealed axart not deacband cools a not appropriate. �^9re�raed b as follows 2. Stslkings complying with Sacion 1141.4,;t in Me Pad 1. St3dC pressure: 12 he h to 2 inchi M seal tansverse jairus, hW"--W Wysm heating and cooling 2. Static pr� 2 inches to 3 incties;seal al ttansvesa. ttnenTxxtat setparha are set to the sar temperature and temperatu and bngt idnal warns. 1� between 70 degrees F and 3 degrees F indL=v s, and assumed to be constant 7oougtcut the year. a Stax pn=Lm abQ"3 indvs:seal al Tarmeme l*j&. longludinaj 3 T}marrrmc ass that reGurua rttasztral chan�eCsver beivmn heating warns and cur wad penat-atitts- and cooling modes. 1414.2 Insuladom Oucm and pkrxans that are COWnic:ed as part of t ne 1412.3 Humidity Coft akc If a system is equipped with a meetrs for buddvng ftwelcpa shall R1an to dents d QIIWW 13. Omar duxes addng rnowt ere,a hLoudstad shag be provided, and Oen ens steal be rhr_nr ady x saaod per Table 14-5, 1412.4 Setback and Shut-Off.-WAC sysL shag be equipped with POr= autrxnatie controls capable of a=ffOishing a mduczon d energy use 1. Wi trirt the HVAC aq*.. nt rirougth certtrol sertxdc or equipment sttralovwi Cunng Periods or no n•usa 2 Estatst air*=not subiga to c nder��norr. or amtmate use of the spaces served Lynne system.The autonstc corntrots shall have a mirtimrm seven-day dock aid be c;rgie d beirrq set for duch%vrk wilttitt a space that set es ttsat seven different Cay types per week ° 1415 Piping Sysaerrts . _3oCCpdQ= 141K1 haukxdon: shay be 1. Systerm serving ar which require aomOrnroon cperddon at the Tabis 14-6. �� / d vu aCcorc�at with eas same tenneraaae setpoittt. 2- ,=apmert with fud toad demands of 2 kW(6,826 8turh)or less °ro PPM 7tsMkd wdh n unitary HVAC equipment. -ay be c narOed by madgy aconsbie mararal off- Water pipes outside the co neitia ed st ace shag be irm Aped in hour consols. 1412�t.1 Campers Outside air irral�s,�t outlets and relief outlets wilt Wastvrtgtorm Stain?Yarhbvnq Code(WAC 51-267 serving conc"tithed spaces sml be egLnpped wdh darters wn dl Casa a rtrnhamc Lay when the system is at or upon Power fakaa. Sta x strait and 1420 SIMPLE SYSTEMS(PACKAG»UNRAR1f E�IAPllE3VT) aevaoor shaft sffx4a relief openings shall be equipped wqh normally open 1421 Sy-'M-Type:TO gtel3y as a simple sysaerr4 systetra stray be an at mrners. These cbrtaters still rerrsnch dosed in ronnet operation tahtil tta fdycwirx.• 3C.'vated by the One alarm system or aMw approved srnda dewcdorr sysaln- a Air ctcied catstarrt volume Pardvged egtutmertt wfmich provica Exceptlheadn4.cC*ig rf bath,and mgxm only mtxerM °� cOnnscdon to duct work and energy service. 1. Systems ensuing colas which requite aonartumn operation 2. Carrbusaon air xr2ke s, b- Air cvoled constantvdume spit systnem whidt provide heating, a 1412.5 treat Pump Cahoots Unitaircooled heat cocks.°f txrtt w+t1��cap"°f'4�EGtrh Rants shall irntr•'trde or:ens,. rrx.-voroc essor==ols that rnirrattim w-ppfemsrtml heat usage dL=.,g =n-up,sat-up,and defrost c xubons. Thesa controls shad ar1o� a HsWZ4°^ly which have a cap"a less then 5 000 now for hem and use oomcression heating as to first stage d heat drn or wtic3h ham a mivnm artsde air supply or C rrtols shag indicarte whom supPlerrw=d tww3ng is tieing used Tm.,gh less tart 10 Perch d the t 3W ar aradmort venial means(e.g..LS)inoicamm). Al°turf systerre shin mmplywig7 Seeslaret 1430 through 1438. 1412.E Cambusdon Heating E:#Pl- Yet Ccntmfs:C:.mtxation heating 1422 CanuoI=In ar1r5'1- to tie c nu h Secx n 1412. eaacme-x with a caparc3y ter 225,000 Stwh shad have moduiadig or "rye secaraae heaing and m36ng equomrnc serve the saute tenperaarre sageri ccrnbustion control axna.tXmmstats shad be wMarloded to prevent stmu tumurs he=N and mdang. 1. Bctilers. 1423 Eaororniarx—r prangs meecrV TO of Secdon 2 Radiant Heaters 1413 shag be iruraied on Pa6caged roof by fa►--Eng urits hmvig a 1412-7 Balancing:Each air supply ou det or aw or water tenrirm{device SL of� tan cm r n 1,900 or a total coci g cup"gasser srtall have a means for balancing,wxkirtg but not 6rrrted to.dampers, braeraturs and passtue test connectts and br w=ig vavey The total cap"at ad urns vritftout emnormers steal not mcmd 1413 Air E ..w.nba 240'000 BbA Per g- 1413.1 Operaticwc Air etonwxmrs shay be at autornaticady,n ajdawn 1 AIr Olstnbud°n Syatws Znrm with sped process asscfe and ratum air darpers b provide too perceru at the design mxpty a W-W-2y requr-nenns era/be served try air 3s oLmids air to reduce or efvrmnate the rnmd for mecltwac3l c=j-1g. systerns from those serving alnes mqu firing only contort oari3i� 14132 Carntrol: Air ecano tasrs steal be corn oiled by a aortal system karate of datemnnvng if outside air can rnnew part or ad d the bu dd rqs cmting bads. 1994 Washinetin State Nonresidential Energy Code Corr,,- nce Form T he following is a list of the 1994 nonresidential compliance forms their use. Envelope ENV-SUM Envelope Summary- Use this form for all projects where envelope work is to be done; there are separate versions for Climate Zone 1 and Zone 2. Show basic project information, compliance options chosen, summary list of required insulation levels and U-factors. Back side has Decision Flowchart for Prescriptive Op- tion and calculation to determine area weighted Heat Capacity for the Masonry Option. ENV-CHK Building Permit Plans Checklist-Comprehensive list of all information required on plans for all options, including the Component Performance and Systems Analysis Options. Also includes space for building department notes. ENV-UA Envelope UA Calculations- Use this form if using the Component Performance Option; there are separate versions for Climate Zone 1 and Zone 2. Summary calculations of Target UA and Proposed UA. Back side has calculation of Target and Proposed SHGC, and calculation of glazing and opaque target area adjust- ments, if needed. Mechanical MECH-SUM Mechanical Summary- Use this form for all projects where mechanical work is to be done. Show basic project information, compliance approach chosen, list of basic equipment&efficiencies (else this infor- matien goes on equipment schedules on the plans). Back side has Decision Flowchart for Simple System op- tion. MECH-CHK Mechanical Permit Plans Checklist-Comprehensive list of all information required on plans for all options, including the Component Performance and Systems Analysis Options. Also includes space for building department notes. MECH-COMP Mechanical -Complex Systems- Use this form if using the Complex Systems Option. Com- plex Systems Checklist has additional information required on plans for this Option. Decision flowchart is pro- vided for determining which Complex Systems requirements apply to the project. MECH-MOT Electric Motors Checklist for electric motors compliance and schedule of installed motors, both for mechanical systems and other equipment. Lighting LTG-SUMM Lighting Summary-Use this form for all projects where lighting work is to be done. Basic project information, compliance approach chosen, alteration exceptions. Calculations of Allowed and Proposed Light- ing Power for both Interior and Exterior Lighting if using the Lighting Power Allowance Option. Back side has questions to determine if project qualifies for the Prescriptive Option. Also has Lighting Power Allowance ta- ble/footnotes. LTG-CHK Lighting Permit Plans Checklist-Comprehensive list of all information required on plans for all options, including Component Performance and Systems Analysis.Also includes space for building department notes. 1994 Yvasningion ti..e "MPllance Form, 7994 waanbVan State Nonre=antlat Energy Cade C, ance Forms .1uty,1994 Project Info i Project Address (Date I For Building Department Use Applicant Name: Applicant Address: (Applicant Phone: Project Description ❑ New Building ❑ Addition ❑ Alteration ❑ G`lange of Use ❑ Prescriptive ❑ Component Performance ENVSTD ❑ Systems Compliance Option (See Decision Flowchart(over)for qualifications) Analysis Space Heat Type ❑ r,ectric Resistance ❑ Ali other (see over for definitions) LTotW,lzing Area Glazing Area Calculation �'tng) Gress Exterior Note•Below grade walls may be included in the overhd) divided by Wall Area times 100 equals o Glazing Gross Exterior Wall Area it they are insulated to the level required for opaque walls. — X 100 = ❑Check here if using this option and if project meets all requirements for the Concrete/Masonry Option. See Concrete/Masonry Option 0eeision Flowchart(over)for qualifications.Enter requirements for each qualifying assembly,in the table below. Envelope Requirements(enter values as applicable) Opaque ConcretwMasonry Wall Requirements Fully/reatteWcacled space Insulation on interior-maximum U-factor is 0.19 Minimum Insubtan R-values insulation an exterior ar integral-maximum U-facer is 0-25 Roofs Over Attic I If project qualifies for CcncreteJMasonry Option,list walls All Other Roofs I with HC a 9.0 BttufF-°F below(other walls must meet Opaque Wall requirements). Use descriptions and values Opaque Walls I from Table 21-5b in the Cade. Below Grade Walls Wall Description IJ-factor Roars Over Unconditioned Space I (including insulation R-value&position) Slabs-an-Grade Radiant Floors Ma;dmum Lkactors Opaque Doors Vertical Glazing Overhead Glazing Max&n mr SHGC(or SC) Vertfcal/Overhead Glazing SemHteatfed space Minimum Insulation R-values Roofs Over SemWeated Spaces' 'Refer to Section 1310 for qualifications and requirements Notes: 1994 Washington State Nonresidential Energy Code Compliance Form �94 Wasnington State tionresicenaai Energy Cade Compliance rorms JWy,1994 Decision Flowchart Use this flowchart to determine if project qualifies for the Optional Prescriptive Option. for Prescriptive Option It not,either the Component Performance or Systems Analysis Options must be used. j 1302 Space Most Type:For the purpose of detanninirnq Wkibng envelope E3ecrfc fieaiatanct Space heating requirements.Yee following two categories comprise as space headng types p systems wnirh use NaGrie nnistanee Other:All other space heads "mend as the pnmary nsaonq system incaicing casaooara.racrart.and 9 ^g gas solid fuel,a7 and Start forced air unn3.mans the tctai exec=rassrurce nest acaaty arraec:1.0 propane space heating systems and those systems listed In the ercaptiort to Wlfe of Ire gross conctioned door area. £scxpdon:Heat prr<rr 117 anc sis=c raaisutnes. (continued at ngftQ to is Neeure rstutance heating in variahk airvohan•alsoiEutlon systems Electric Resatvtce no Heart yea PJI Masonry All watit R-11 flail Cnbwm CK7 all Cntena CK? wale R-19 an7 rid (below) Yea � (beiow) no on? yes no � I rn � Ym <40. r 45% QUx Y Q07 no no ° no no o y � Yea � I IYft All Instdatipn trwalled? I I A insulation installed? All Instdaodn Installed? I Al Instdatiorl vt=a3ed? Coacuo Ovals R-11 opaque wags R-11 opaque waft R-19 Opaque wads R-19 Below grade walls(cod) R-10 Masonry warts(irlh U-0.19 Mswny wwis(IM) U-0.19 Below grads wags(wO a-10 Below grade wells(cdhr)R-11 Masonry welt(caber) U-0m Masonry Valle,(Omer) U-025 Below W Roots aver attics R30 i Below grade wefa(wa) R-10 Belowgrad•wale(est) R-/0 Roofs grade over attilicses (cdhr)a-t9 a38 A l other toots a-21 Below grade waft(a"R-11 Below grade wells(adv)R-19 Aa other roofs R30 �Feors aver taheartdso. R-19 Roofs over=ails R30 Roott aver add= R38 Room cvsrtamrtd R30 ISlabecn•grade R-10 AD other roofs R-21 An other roots R30 Slabs-ort•grade R-10 Raoart tlddra R-10 Fgcrs over tscw sp. R-19 Foes overuuand R30 Rao=floors R110 Opaque doors U-0.60 S1atrs-orrgrtde R-10 Sla----Twe R-10 Ccacuo doors U-0.60 Nidar7 locrs R-10 Rada rt&xvs R-10 Glazing Criteria Merl I Opaque doors U-0.60 Opaque doors U-0.60 Glazing Crites Mehl Glaanq Vert OH Gl�rtg Criteria MW I Gtam ng C Oman Met? Glazig Vert. CH .area;. U U SHGC 00-15%090 1.45 im Glazig Vert CH Gl�ng Vert CH ' U U SHGC laze aao oeo 1aa lszax ors 1.40 1.00 Area r. u u SHGC sea x u u SHGC 2030%OZO 1.30 0.65 00-15% ago 1.45 1.00 00-20% a40 OJ30 100 YM no 30-10%OM 125 0.45 15-20% 0.75 1.40 140 20,10% Ob0 1.30 0.65 yes no no yes 30-4M OM 125 OAS ino Y. P res Pads Allowed L;r'..Perfoartance or Sysaarra Arrayae Required Concrete/Masonry Option* Wall Heat Capacity (HC) "r the area Assembly Description Assy.Tag I HC" Area(Sf) HC x Area weighted heat capaaty(HC)of the tefal above grade wall is a minimum of 9.0, the Concrete Masonry Option may be used. ^Pcrframed walls,assume HC=1.0 unless calcalaticris are Provided;for all other walls,use Totals Section 2009. Area weighed HQ divide total of(HC x area)by Total Area 1994 Washingtcn State Nonresidential Energy Code Compliance Form ENV- • • ► . ' July t994 1994 waanwgton state Nonrawdemw El"My Cone Cam"arf farms Date `Project Address I ❑ All other For Building Deoartment Use Electric resistance Space Heat Type G1 azina Area as%gross exterior wall E�EC3 Concrete/Nfasonry Option ❑ Yes ❑ No Notes:If gla27ng area exceeds maximum allowed in Table,then calculate adjusted areas on back(over). If Concrete/Masonry Option is used. Target U-factors,SHGC and Glazing%will be different than shown below. Refer to Table 13-1 for correct values. Target UA Building Component Proposed UA x Area(A) =UA(U x A) = List ccmccnents by assembry ID&cake* U-taelor xArea(A) UA(U x A) U-factor U= Plan ID: Glazing% Eectric Resist. Other Heating U-- Plan ID: *0-15% 0.40 0.90 'm U= Plan ID: >15-200/0 0.40 0.75 U= Plan ID: >20-30% not allowed 0.60_ > U= Plan ID: >3a40ye not allowed 0.50 .- U= Plan ID: (see Table 13-1 for ConcJMasonry values) U= Plan 10: U= Plan 10: Glazing% Electric Resist. Other Heating U= Plan ID: 0-15% 0.80 1.45 m c U= Plan ID: >15-20%4 -0.80 1.40 a U= Plan ID: >20-30% not allowed 1.30 a C7 U= Plan 10: >30-40. not allowed 125 U= Plan 10: (see Table 13-1 for ConclMasonry values) U= Plan ID: ? U= Plan ID: Electric Resist Other-Heating 07 m c U= Plan 10: 0.60 0.60 a 0.n U= Plan ID: R= Plan ID: Eectric Resist. Other Heating $ O R= Plan 10: 0.031 0.036 s R= Plan ID: R= Plan ID: Eectric Resist. Other Heating °0 c 0.050 R= Plan ID: 0.034 O a: R= Plan 10: R= Plan ID: R= Plan ID: m Plan ID: Other Heating R= 3 R= Plan ID: Ordinary 0.062 O.T4 Q R= Plan I0: Metal stud 0.11 0.14 c R= Plan ID: Conc(Int) 0_19 0.19 R= Plan ID: Conc(ath) 025 025 R= Plan ID: e, R= Plan ID: ©ectric Resist Other Heating c 3 R= Plan ID: Ordinary 0.062 :> 0:14 • . m R= Plan ID: Metal stud 0.11 - 0.14 o R= Plan 10: m 6- R= Plan ID: pectic Resist. Other Heating 0.050toQ l0 o R= Plan ID: E :c:, R= Plan ID: R= Plan ID: Electric Resist :Other Heating c R= Plan ID: F=(3.54 F=0.54 m R= Plan ID: (see Table 13-t for radiant floor values) in R= Plan ID: I *For CMU walls,in core insulation material. Totals Totals For compliance: et Total Area.and 2)Proposed Total UA shall not exceed Target Total UA. 1)Proposed Total Area shall equal Tang 1994 Washington State Nonresidential Energy Code Corr "\ nce Form ETM—i E=I, - • • , 1994 Wasntnglan Slats Nonresidendal Energy Cosa Campdance Farms171 dWy,1994 Vertical Glazing Proposed SHGC List cwmoonents by assembly ID&cace;* SHGC Target SHGC x Area(A) =SHGC x A SHGC Plan ID: x Area(A) =SHGC x A ,- Plan ID: Plan ID: Glazng% Electric Resist Other Heating j 0Plan ID: 0-209b 1.00 1.00 Plan ID: >20-300% not allowed -0.65 Plan ID: >3040% not allowed .0.45 '`tote:Manufacturers SC may be used in lieu of SHGC. (see Table 13-1 for C.:nc,Mascnry values) For compliance. Totals I Totals I 1)Proposed total area shall equal Target Total Area,and 2)Proposed Total SHGC shall not exceed Target Total SHGC. Overhead Glazing Proposed SHGC List mccnents c Target SHGC by assembly ID&cage� SHGC x Area(A) =SHGC x A SHGC x Area(A) =lSHGCx,A a Plan ID: m Plan ID: o Plan ID: Glazing%. Electric Resist Oth m Plan ID: 0.20% 1.00 Plan ID: >20-30% not allowed O Plan ID: >30-40a/a notallowed dote:Manufacturers SC may t1e used in tleu of ( Table 7�1 for ConvMasen SHGC. Totals I Totals I For compliance; 1)Proposed total area shall equalTarget Total Area,and 2)Proposed Total SHGC shall not exceed Target Total SHGC. i the total amount of LM -,Beds Fgfa=g area as a%or gross exterior w al area(calcuered on lyS then tits calculation must be done. Use the resubm areas in the Taroet UA and SHGC calculations above.struxuriumawwean Table 13.1, FYcposed Areas: Nrrrteredvalues are used in cabuladons below. Roofs werAtties Oar Roofs walls Glazing Area 1:OCp 2:OC. 13. /G. I =verfiaW Opaque Area 4: 5: I6: I Gross Exterior Mqx Glazing Area AAaxirrutn Target WelArea (Table13.1) ar9 Glazing Area X — 100 = Target OG Area in Roofs over Attics Target OG A rea it Other Roofs Max OG Reman"'g Target VG Area For Target OGs, lesser(circle) = circle and use the — a baser(ca+ela) _ lesser values both here and below. FYccosed Q1a=a Area Proposed OG AreaAocfs over Attics + — Tarries OG Area Target Qsacue Area Cther Poofs + — — Tctal Target OG Area(sum Nlo+s11) Roposed Opacuo Area Proposed VG Area Target VGAma T Wall ar4�C4ano Area rota: !there u rttJre than one type of w a4 the Target E== A rea mny be'.,' tod among then;and separate Target Opaque Areas found. Target values in shaded boxes are used in the applcable Target UA calcut ows on the frortt. Target VG Area and Taal Target OG Area are also used in fhe applicable Target SHGC eakulatlons above 1994 Wasnir,4-,cn State Nonresidential energy Code Compliance Form Building • 1994 WasniflgM State Nonresidential Enorgy C4de C— ,.sjrA FartnS AUy.19941 Project Address Daher The following information is necessary to check a building permit application for compliance with the building envelope requirements in the Washington State Nonresidential Energy Code. Applicability Code Location Building Ceparamem (circle) Section Component Information Required an Plans Notes GENERAL REQUIREMENTS (Sections 1301-1314) 1301 j SA---ce Unconditioned spaces idenunea on plans it allowed 1302 Space neat type I I IYea no a.a.i IElecrncresistance I I I yea no a.a.l I Otner Ina cate on plans that electric resistance neat is not allowed I yea ao a.a.1 13102 1 5emialeated Spaces Semi-heated spaces identifleci on plans it allowed I I 1311 1 Insulation I yes ao a.a.1 1311.1 I lnsur.installation I Inoicam densities and clearances I I yes no A.a. 13112 HOOT/calling insw. Indicate R-value an root sections for attics and other roots; Indicate clearances for attic insulation; Indicate baffles 4 eave vents installed; Indicate face stading of faced batts yes ao a.a. 1311.3 Wall insulation Indicate R-value an wall sections; Indicate face stapling of faced batts; Indicate above grade exterior insulation is protected; Indicate laose4ill core insulation for masonry walls as necess, Indicate head capacity of masonry walls If masonry option is used or if credo taken in ENVSTD; ye. no a.a. 1311.4 Roar insumon Indicate 8-value an floor sections; - Indicate substantial contact with surface; Indicate supports not more than 24'o.c.; Indicate that insulation does not blocs airflow,through foundation vents yes no a.a.i 13115 Siao•on-grade floor inacam A-value on wall section or foundation detail; Indicate stab insulation extends down vertically 24a from top; Indicate above grade exterior insulation is protected Yea ao a.a. 1311.d Radiantnoor Indicate -value an wall section orroundattan aetaii; Indicate stab insulation extends down vertically 36'from the tap; Indicate above grade exterior insulation is protected Indicate insulation also under entire stab where redo.by Official yea ao a.A. 1312 IGia=g and aoars Provide calculation of glazing area(including both veracal vertical and overhead)as percent of gross wail area yea no a.a. 1312.1 U-fa=rs Indicate glazing and door u4acrors an glazing and door schedule(provide area-weighted calculations as necessary); Indicate if values are NFRC or default,if values are default then specify frame type,glazing Layers,gapwidth,ldw-e coatings,gas fillings yea no a.a. 13122 SHGC&SC Indicate glazing soar neat gain coe alert or snadhng coefficient on glazing schedule(provide area-weighted calculations as necessary) 1313 Mom"control I yea ao a.a.) 1313.1 I Vapor retarders indicate vapor retarders on warm side yes ao a.a.l 13132 RooVtxlling vaplet Indicate vapor recorder on root section; Indicate vap.retard.with sealed seams for non-wood struc. yes no a.a.1 1313.3 Wad vapor retaroer I Indicate vapor retarder on wall section I 1 yea no zL.a.1 1313.4 Fbcrvaocr retarner I Indicate vapor retarder on floor section I I yes no M.A. 1313-5 Cram space vaD.ret I Inacam six and black polyernylene ovenapoed 12'on grcLna I 1314 Air leaxage I I Yea no a.a. 1314.1 Bldg.envel.sealing In cam sealing,caUking,gaskewhg,and weatlhersmpping yes no a.a. 13142 �Giazinq(doorseallmg Indicate weatherstripping yes no n.a.1 1314.3 Assemb.as ducts I Indicate sealing,caullang and gasketing I PRESCRIPTIVE/COMPONENT PERFORMANCE (Sections 1320-23 or 1330-34) Yes Envelope Sum.Form Completed and atraahea. Provide component performance wdrksheet If necessary Provide ENVSTD screen 1 output if necessary If "no" is cirri!xi for any question, provide explanation: -:.ate Nonresidential clergy Cie Ccmpiiance Form c • • - ,/�� 11994 Washington statra NonresWermal Enargy Co"CamoWt" q , JWy,199i Envelope- General Requirements Unlabeled gleam,and doors shall be assigned the default U-factor in 1311Insulation Se 2006. _ 13122 Solar Seat Gain Coefficient and Shadin f 1311.1 Installation Requirements: All insutabcn manners shall be Heal Cain (5 �,shall g Coefficient Sol, installed ar~o dng to the manutacauer's instrtrc dons to achieve raper n dem=*,,�certfied and labeled densities.maintain c.earan p acxdarce we h The Natfonal Fe-estraton Raring C-und(Nf=pq maxunum e>MM ces,and maintain e) end cv R values. it tlhe Standard by a CerW,ed,uhdepondent agency,kermed by the NFRC. possible,insulariar shall emend c�er the full competent area to the irroended R-vaa!ue. Exception: Sharing a0eff1dorm(SC)shall be an acceprm Ye 13112 RooVCerlin Insulation: attemate fa=mcdance with solar heat�coefticerrc 9 Ces wn own or poured fo a cetfi te4tdn>rr>e 9�c" ix insulatiat maybe used in attic spaces vvinre the 9lazng shall be taken from scope d the ceti'ing is Ctapter 2T d Standard RS•21 or from the manuiac�rees test not more than 3r12 and there is at l�f thirty inches d C.esr distance ctaa frarn the top d the bottom aKxd of the truss or ceiling joist to the underside of the sheathing at the roof ridge.When eave vents are 1313 Moisft"C-c&d installed,baffring of the vent openings shall be provided so as to deflect 1313.1 Vapor Retarders Vapor retarders snail be irmcal!ed on the warm the inoarnng air above the surface of the insuiadar>. side(in withal)cf Y=jabm as required by this sec:bw. Where Qghting foGures are recessed loth a suspended or exmed grid Exception:Vaxr retardOr irsalled with not more ttrarl 1/3 at the ceiling,the rccUceiling assembly shall be insulated in a location aher than directly on the suspended ceiling. nah�r�flue txeaveert d and the concitaned space 1313.2 RooffCaTN Assemblies:RcWceiling assemblies where the Ex�eptfon: Type IC rated recessed ilghdnq fndtaes wenrifadkim space aolove the insulation is less tart an average cf twelve Where installed in wood framing,faced haft insuladon shall be face inClhes shall be provided with a vapor retarder.Rod/ceding assemblies stapled, without a wertmd airs mce,where neither tt:e root deck nor Coe rod sr j=m are mace d wood,shall provide a axttSnuous vapor h order 1311.3 Wall Insulation:E>senor wall cavities isc�amd during ftar=g with taped seams shall be fully irsilaied to the levels of the sumo u king walls.Men installed in wood framing,faced bag Irsularion shall be face stapled. Exceptiort Vaoor retarders meal not be provided where ail ci Above grade exterior insulation shag be prctecmd i is installed between the(Oct me Crane and the strucura rod deck 1311.4 Floor lnsufailorr Floor Insulailon shad be installed in a 1313.3 Walls:'Nib serarating ccndt-coed space from LMcp tditianed permanent manner in subsarroal cor=with thesurface being nsulated. space shag be Pmv+arJ w1th a vapor retard. Insulation supports shall be installed so spacing is not rnae than twenty. four inches cn center. Installed insulation shall riot bock the airffcw 1313A Roots:Fars separating ccnditoned space limn unconditioned through fouundabon vents. space shall be Pmmoet wrth a vapor retarder. 13115 Slat;•-Cn�Roor. S 13i35 CMM Spaces q lab-on-grade insulation installed inside mid carer of sa tint(4006 iridt thick)black �. the foundation wall shall ex lend dowxtwerd from the tap d the stab a n or 4xrc equal shall be laid over the ground within c awl minimum distance of Menty4our�cthes or to the top d the booting, The ground mw shall be amdapped twelve inches minimum at whichever is less Insulation irstaLled outside the foundation shall emend- the joints and shal ecend to the foundation w-a downward a m inimurn of twenty-four incises or to Cie frnstlir>e,whiCnewer E=e;oort The grotrrxt cover tray be arntbed in Gaol spaces is greater:Abme grade insulation shall be promr wd if the Gem sacs has a C XrMB slab floor with a mnrinum Exception:For rnohcdtic stabs,the insulation shall extend 111`3daness d three and ate-half inchm dovvrnward from the top of the stab to the bottom of the fixating. 1314 Air Leakage 1311.6 Radiant Floors(on or below grade): Slab•at-grade insulation 1314.1 33Wk:ffng ET-kpec The regtDrarnents of this sewn shall apply shall extend damw-erd from the top of the stab a minima distance of Ti bLdding derneim separating ocrnUand from uno r1 coed spaces thirty-six inches or dcwrvwd to the top d the booting and haiaxnral for an Exm nor joints around windows and door ftww--,openings between walls aggregate of not less than th!rty-sbc inche—, and fotuhc=M between wails and roof and wall panel—,opwmgs at If required by the burkting offical where sal oordbahs warrant such penwatiaTs d MRY services through walls.floors,and roofs;and all insularierr,the enthe area d a radiant floor shag be Mermaity isolated from � n Cho MA'6g envelope shall be sealed,caulked, the sal. Where a sal gas cmtd system is provided below the radiant 93skBted,or w.s pped to find air leakage, 30cr,'nrhich nesutts in irncreased canecM ffow below the radian floc, 13142 Mmi ng and Doors Doors and cperjbie gtmwn9 separating tte radiant floor shall be tenmlly isolated Um the su -fieor gravel layer. conditioned from tr*> 13tianed space shall be weatherstnplood.F9aed 1312 Chiang and Doors windows shad be d7%'L"rV with glass remind by stops with sealant or 1312.1 Standards Procedure for cautlarng al w rthd Detvmrfnaiton of paring and Door U-Factors;U4actos for glazing and dons stall be deinimined,califted CPWkGs UW are MqiwW to be ffre resistant and labeled in accoridance with Standard RS,31 by a certified 1314.3 Btnlding Assemblies Used as Duns or Plenums Building 'ndependerit agency 11cei tsed by the National Faxstarian Rating Cauncl assemblies used as C=or plenums shall be sealed,catWaxt and (NFRq.Compliance shall be based on Model Sze AA or BE Product ¢stated to Gnit air bamge. samples used for U-factor deMM11110ti's shall be production Ilse units or represo ntative of runts as purchased by the miner or contactor. BUILDING PERMIT APPLICATION CHECKLIST RES & DUPLEX COMM & IND APPLICATION APPLICATION SITE PLAN SITE PLAN ARCH. DRAWINGS ARCH. DRAWINGS STRUCT DRAWINGS STRUCT DRAWINGS LEGAL DESCRIPTION LEGAL DESCRIPTION ENERGY CALCS ENERGY CALCS STORM DRAINAGE STORM DRAINAGE SEPTIC TANK DESIGN SEPA CHECKLIST UT LITY DRAWINGS STRUCT CALCS Three ( 3 ) copies of each are required Four ( 4 ) copies of each are required for application for application ZONING SETBACKS: FRONT USE REAR LOT COVERAGE SIDE PERMIT TRACKING Name: ;����Y1tr2�ar� Qa� 112 c Permit #: 6 L4(j2 l Project Type: O-k V Date Received z L t 6 DISTRIBUTED RETURNED DISTRIBUTED RETURNED 2 ZZ o Public Works Engineering Fire Dept John Farrens Date returned for corrections Date resubmitted with corrections Date ready to issue: Date issued: B u ild\formslchecldst City of Arlington Building Dept PUBLIC WORKS CHECKLIST PERMIT # �i' DATE Z ZZ D LEGAL S 1 01J/ 5 - Cx)(l Plat Lot I Tax ID# NAME -�l ►�Lu Ttm / R+�G`r 0,i_e -V�rs ADDRESS BUILDING USE ALL_ C.ya-Pt HYA-K-JAK # of BUILDING UNITS Existing Required Signature Date Water Meter Fire Hydrant Side Sewer Permit Monitoring Manhole Cross-Connection Control Sewer: Off site On site Water: Off site On site Pretreatment Discharge Permit Water/Sewer Fees Date received Date Yellow returned Date Pink returned CITY OF ARLINCTON �-7 CONSTRUCTION (�'��'�l PERMIT ❑ COMBINATION ❑ BUILDING Q MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. l DOWNER Pp 1 i CQn MAIL ADDRESS CIl Y 1110 PIIONE Al aAf- AKUDILCT OR DESIGNER MAIL ADDRESS CI I Y ZIP PHONE �3 � 5sAt11� Ay A)0 (5�) 1i I b-') (2-,j.) CIS-ZZ 9 g GENLRAL LONI RAC UR MAIL ADDRESS CI IY ZIP PHONE LIC NSE f i P U t` ' C i CI:✓ I iti1��k� i�5�t; 6 9���2� 4Z"�43 37?i MLCIIANICALC NIRACTOR MAIL ADDRESS CITY 11► PHONE LICENSEI BLv F P6*060 �l PLUMBING CONTRACTOR MAIL ADDRESS CITY 11P PHONE LICENSE f 3 CLASS OF WORK ❑NL.W ❑AUDITION ALTERATION ❑REPAIR ❑DEMOLI LION ❑BUILDING RELOCATION LL VALUAIION Of WORK z5 wUE 1118k MARK m PRUPUSI U USL OFF BUILDING w 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION LL6AL D1t('RIPI IUN UI PRUPLRIY StIUWN fILLOW UR AI TALll FUUR CUPII SI AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- J SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK 1.01 BLOCK Of WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OFA PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO CX y -GCS- �°C� VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATUREOFCnNTRACTOR Olt AUTHORIZED AGENT DATE V IUD AUURI.CS t I,)76? 4-11 PI✓ � 13 q8, �f N `rl� Z7i x I C�-- (OI'I'ICIT USIS ONLY) PLUMMNO MPCIIANICAL NO. TYPE OP PIXTURB PUTS :'s PIXTURIS NO. TYPE OP EQUIPMENT PBn %'+PIXTURC3 ATBIE CLOSUr I % IR COND.UNITS—H.P. PA. d .Iit•• IATIITUn t[TRIG[TAATION UNITS—II.P.HA. ui .Ilt•• AVATORY ASI1 nASIN IOILBRS—II.P.RA. Igtdp.Ilt•• 'II0W[7l )ASPIRBDA.C.UHMS—TONNAOBIIA. qulp.11t•• ITCI IBN SINK A DISPOSAL RORC13D AIR SYSTEMS—II T.V. M1IA ISIIWASIIBR NALLIIRATBRS—D.T.U. M JIUNDRYTRAY 4 )HIT)IITA'I�RS—D.T.U. I652 - M t.OTI I E S WAS H U R IVAPORATI V B COO LI9tS E ATBR IIBATM / v .LOTIIPS DRYMS JRINAL I y _ PNTILATION PAN )RINKINO POUNTA)L[ LANOB IIOOD COMMERCIAL FLOOR DRipf?f AIR IIANDLINO UNPr— CPM ACUdWinl(HAKL'RS / TOVB tOOLf'16RAIINS—RAIALF_A'0ZRS / ISTAL PIRRPLACP-&CIIIMNBY brik .RIM FT—n-AR,Inc. ATBR I IPATMt AS PIPING '(up to S-113.00 +ddnl. 3.75 • .1274ulpment Ilit mut be provided t SUB TOTAL SUB TOTAL Pl9IMIT PPJtMIT TOTAL PBB TOTAL PBB SIUL YARD A I IIACK $TRLI.1 SL I BACK RLAR YARD SE IBACK PLAN Cl ILCK NUMBER PLAN CKCK F EE FEE RECEIPT NO. UST /UNI LOI ARIA VACANT SITE ❑YES ONO FEES VALUATION FEE 1 YPL 01 CONS1, OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG SIZL UI DLUC.. NU.or STORIES MAX.000.LOAD GUIDING f PLUMBING rE�]YES INKLERS REQUIRED ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE U.B.C. PENALTY 4-7� SEC.JOJ(+) • ( WATERISEWER FEES TOTAL E PERMIT VALIDATION WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT J U L '4 2001 PAID CRM BY Ca C!nLOUd(�!! ,,� _ DATE r.r r,(7;_•AS 0n APPLICANT.TnEASIJnER,l)I nG DEPT _ ._ CITY OF ARLINGTON CONSTRUCTION PERMIT J 44& 91 COMBINATION BUILDING ❑ MECHANICAL PLUMBING ❑ SIGN PERMIT NO. j OWNER MAIL ADDRESS city ZIP PHONE S�(�►-- txlh-q t '� ARCHITECT OR DESIGNER MAIL ADDRESS City ZI► PHONE GENERAL CONT RAC FOR MAIL ADDRESS CITY ZIP Pf ION LICENSE MECHANICAL CONTRACTOR I MAIL ADDRESS CITY ZIP PIK)NE LICENSE IT -1&Lu f- nm Gig t!S krnAm nIn, s PLUMBING CUNT RAC70R MAIL ADDRESS CITY ZIP PRONE LICENSE V) Cn.a K. t j C L f' l�. t r4", ICLASS or W ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLIIION BUILDING RELOCATION ALUM ION OF WORK Q _ im 11 - ?5 O 6 0 DESCRIBE WUR Co PRUPUSI D USE OF BUILDING to (ZL�Zf �l ,i ,� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LL(.AL UL%t'RIP(I(fN UT PRUPE RIY SfIUwN RF.I,UW UR AI I ACII f OUR COPIES) SIGNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK J LUI RLOCK • OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO Lryr 4c 1 L.1 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER FROM PROPERTY TAX STATEM@HT LO AL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF `2 I p CO STRUCTION. PERMIT EXP ESAG 1 YEAR FROM DATE OF ISSUANCE. V,Jr08��RUR�SS SIG RE OF CONTRACTOR UT►TORT DATE t Q X � (000cii USH ONLY) PLUMBING BCI L CAL N0. TYPE OP PIXTURB PEB :'a PIXTURL+S NO. TYPII OF EQUIPME N PBB is FIXTURES ATPR CLOSBr(TOILBr) 1R COND.UNITS—IL dP. IA, r .list** AT111UD ETRIGERATION UNITS—II.P.EA. d .llt— VATORY ASII BASIN IOMERS—II.P.KA. 34%AP.Ilt— IIOWE'R 3AS FIRED A.C.UNITS—TONNAGS EA. .gdp.lit* _ ITCHEN SINK R DISPOSAL TORCBD AIR SYS173MS—B.T.U. ME>A ISHWASIIER NALL I)EATERS—D.T.U. M UNDRY PRAY JNIT IIRATERS—D.T.V. M LO'E11PS WASIIBR ,VAPORATIVECOOLPRS ATUR.IIEXr1R 'L011113S DRYMtS RINAL _ VENTILATION PAN _ )RINKINO POUNTAIN ANGD IIOOD COMMERCIAL ILOOR DRAIN UR HANDLING UNIT— CPM VACUUM BRM%KERS rrova LOOP DRAINS—RAINLPADERS LTTAL PIREPULCB&CI IIMNBY INK SERVICE—BAR.ITIV. ATER IIILATI9t IAS PIPING •(up to 5-$3.00.addnl.a 3.75 ul mert llsl mut He rovlded SUB TOTAL SUBTOTAL PERMIT PERMIT TOTAL PER 11 1 TOTAL PBB It SIDL YARD Si.IRACK SIRLLISLIBACK REAR YARD SETBACK PLAN CIIECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USt 100 Lot ARIA VACANT SIIE ❑YES ❑NO FEES VALUATION FEE TYPE Ot CONS1 (X:CUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING NG SIZE UI BLD(,. NO.Of STORIES MAX.000.LOAD BU'LDING f PLUMBING I IRE SPRINKLERS REQUIRE)) ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCI-IARGE PENALTY U.B.C. SEC.3031+) RECEIVED WATERISEWER FEES TOTAL FEB 21 2001 PERMIT VALIDATION WHEN PROPERLY VALIDATED FIN THIS SPACE)THIS 15 YOUR PERMIT&RECEIPT CITY OF ARLINGTON PAID CRq BY cc: ASSESSOR.APPLICANT.TREASURER. BLDG.OEPT. suRDINGOrFICIAL DATE RECORDS COPY _ 21'-0* E.H. 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