HomeMy WebLinkAbout18504 WOODBINE DR_26-0205_2026 :3 CITY OF ARLINGTON
238 N.OLYMPIC AVE-ARLINGTON,WA.98223
PI[ONE:(360)403-3551
RIGHT OF WAY PERMIT
Address: 18504 Woodbine Drive Permit#:466
Project#:0 Parcel#:00738500 10 1800
Location: Expires: 12/31/2015
OWNER APPLICANT CONTRACTOR
NEWSOM NORMAN H Full Bore, Inc. Full Bore,Inc.
18504 Woodbine Drive 1546 NW 56th Street 1546 NW 56th Street
Arlington,WA 98223 Seattle,WA 98107 Seattle,WA 98107
360-922-2622 360-922-2622
LICIT: EXP:
JOB DESCRIPTION
Right-of-Way
CONDITIONS
The Applicant is required to notify the City at least 24 hours before starting work,and 24 hours before each inspection.Failure to
give notice will result in an assessment of a 1-hour inspection time charge against the applicant.
Applicant must comply with all applicable City of Arlington,state and federal laws,ordinances,code and regulation in performing
the work authorized by this permit.
Traffic Control must comply with the current version of MUTCD.
Work Hours are 7 am to 7 pm Monday-Saturday(no work on Sundays or Federal Holidays)
Private property owners which may be affected by the proposed work must be notified in advance of potential disruptions in
access or utility services.
Two days before starting work,the applicant must have all utilities located.Call one,is a public utility locating service(#811 or
1-800-424-5555).Privately installed facilities must also be located using a private utility locating service.
PERMIT APPROVAL
Work to be performed as described and/or shown in the approved plans and/or application for the above named project is approved
for construction by the City of Arlington Pub'c Works Department. All work is subject to field inspection.
City Engineer or Designee Signature Print Name C. Date
The above named contractor/property owner is hereby authorized to perform the above work within City Right-Of-Way in
accordance with the terms of this permit and as shown on the attached drawing and subject to all applicable State,county and/or
municipal laws and/or codes.
All work shall be in accordance with the"standard Specifications for Road,Bridge and Municipal Construction,"exept where
modified by City of Arlington Public Works Standards or conditions herein. The contractor shall hold the City of Arlington
harmless from any loss or damage to any person or property in the performance of said work.
SALES TAX NOTICE:Sales tax relat' to construction and construction materials in the City of Arlington must be reported on
your sales lax return form and co Ci f Arlington 113 10 1.
Applicant Signa re Print Name Date
PERMIT FEES
Date Name Description Fee Amount
9/16/2015 Right of Way 322.40.00.01 $106.00
Total Due: $106.00
Total Payment: $0.00
Balance Due: $106.00
CALL.FOR INSPECTIONS
RIGHT OF WAY(425)754-7446 OR(360)403-3457
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
18204 59th Avenue NE
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' • 14 Arlington, Washington 98223
to tt Phone: 360-403-3551
jNG� WASHINGTON
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Residential - Mechanical Permit
Parcel:00738500101800 Permit#:26-0205
Permit Address:18504 WOODBINE DR Date Issued:March 10,2026
Description of Work:Installation of New Heat PERMIT EXPIRES 180 DAYS
Pump and Gas Furnace AFTER DATE OF ISSUANCE.
Valuation:$14558
Code Year:2021
OWNER APPLICANT CONTRACTOR
Norman Newsome Queen City Heating And Cooling
18504 WOODBINE DR ARLINGTON,WA,98223- Jerry Henderson
7438 5922 173rd Dr Se
360-965-5354 Jerry@queencityheatingandcooling.com
uskip@frontier.com JerryDale.22@Gmail.com registration_number:
PERMIT APPROVAL
The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this
Code or any other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance
advice or decision of the Governor of this State. To the extent the issuance or granting of this permit is interpreted to
allow construction activity during any period of time when such construction is prohibited or restricted by any state or
federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not
authorize such work and shall not be valid. The building official is authorized to prevent occupancy or use of a
structure where in violation of this Code, any other City ordinances of this jurisdiction or any other ordinance or
executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of
the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in
error or on the basis of incorrect, inaccurate or incomplete information, or in violation of any City ordinance, regulation
or order, state or federal law, or any order, proclamation, guidance or decision of the Governor.
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. This permit authorizes only the work noted and covers work to be done on
private property only. Any construction on public domain (curbs, sidewalks, driveways, marquees, etc.) will require a
separate permit. The property owner shall ensure that the construction project complies with all applicable zoning
codes and regulations.
The property owner shall also ensure that the construction project does not cause any adverse impact on the
surrounding environment or community. The property owner shall be responsible for obtaining all necessary permits
and approvals from the relevant authorities before commencing construction. The property owner shall ensure that the
construction project complies with all applicable design review requirements.
CONDITIONS
1.) Adhere to approved mechanical equipment
2.) Permit shall be onsite for inspection
3.) Call for inspection
INSPECTIONS
Inspection Line: 360-403-3417 Call for inspections by 3:30 pm for next day inspection. Please allow 48 hours for Fire
Inspections. Please provide the following information when leaving a message: Permit Number, Type of Inspection, and
provide preference of morning or afternoon inspection.
Inspection Portal: Please login to customer portal and submit for the desired inspection type for the permit.
r
Kevin Olander
Building Official
ASSOCIATED FEES
Date Description Paid Date Amount Paid Balance
March 9, 2026 Mechanical Base Fee(006.322.10.00.01) $25.00
March 9, 2026 Processing/Technology(320.341.43.00.02) $25.00
March 9, 2026 Water Heater(Tank) (006.322.10.00.01) $25.00
March 9, 2026 Inspection(006.322.10.00.01) $75.00
TOTAL: Permit Fees $150.00 $150.00
Credit/Debit Card 406 Payment Successful March 10, 2026 $150.00 $0.00
Residential Mechanical Application
For Instruction/Checklist,please click here
Site Address: 18504 Woodbine Dr,Arlingto
Project Name: I Newsome
Project Valuation:
Preferred Contact:
Owner
Contractor
Project Description:
Installation of New Heat Pump and Gas Furnace
Owner Details
Owner Name: Norman Newsome
Home No.: 18504
Email Address: uskip@frontier.com
Cell No.: 425-299-0115
Mailing Address: 18504 woodbine dr
City: Arlington
State: WA
Zip: 98223
Contractor Details
Contractor Name: Queen City Heating And Coc
Office No.:
Email Address: Jerry@queencityheatingandc
Cell No.: 360-965-5354
Mailing Address: 5922 173rd dr se
City: snohomish
State: I wa
Zip: 98290
L&I Contractor License Number: Queench761 d2
Expiration Date: 33/09/2029
Proposed Piping Material:
O CSST
O Brass
0 Black Steel
Galvanized Steel
Other
Proposed Piping Size:
1/2"
5/8"
3/4"
III
1 1/2"
2"
Distance from Meter to furthest Appliance:
Total BTU's of all Appliances:
Residential mechanical permits will be assessed a base fee, fee per unit, and inspection fee (plan review
per Table 4-8 may be required for certain permits)
Type of Fixture No. of Units
Additional Plan Review fees
Air Cond. Unit< or equal to 100Btu/h
Air Cond. Unit>100Btu/h
Air Cond. Unit>500Btu/h
Air Handling Units
Base Mechanical Fee
Boiler<100Btu/h>3hp
Boiler>1 million Btu/h<50hp
Boiler>1.5 million Btu/h<50hp
Boiler>100Btu/h 3-15hp
Boiler>500Btu/h 15-30hp
Commercial Hoods -Type I
Commercial Hoods -Type II
Diffusers
Dryer Ducting
Ductwork(drawings required)
Evaporative Coolers
ExhaustNentilation Fans
Fireplace/Insert/Stove
Forced Air Heat< or equal to 100 Btu/h 1
Forced Air Heat>100 Btu/h
Gas Clothes Dryer
Gas Fired Air Conditioning Unit<or equal to 100 Btu/h
Gas Fired Air Conditioning Unit>100 Btu/h
Gas Fired Air Conditioning Unit>500 Btu/h III
Gas Piping<or equal to 5 units
Gas Piping for each additional unit> 5
Heat Exchangers
Heat Pump-Condensing Unit 1
Hot Water Heat Coils
Miscellaneous Appliance - regulated by mechanical code, not otherwise
specified
Package Units< or equal to 100btu/> 100 Btu
Range/Cook top-Gas Fired
Refrigeration Unit < or equal to 100Btu/h
Refrigeration Unit>100Btu/h
Refrigeration Unit>500Btu/h
Re-inspection fee
Residential Range Hood
Unit Heaters < or equal to 100 Btu/h
Unit Heaters >100 Btu/h
Variable Air Volume Boxes (part of air conditioning system) 1
Wall Heaters - Gas Fired
Water Heater- Gas Fired
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 accordance with the laws, rules and regulation of the State of
Washington.
Print Name: I Jerry Henderson
Date: 03/09/2026