HomeMy WebLinkAbout16710 Smokey Point Blvd_BLD5554_2026 i
FIRE ALARM PERMIT APPLICATION
I
• Community and Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551
Type of Permit: New Installation 9System Modification [] Phased Installation
Property Address: I ( No.: Project Valuatio �/�1111
Lot#: _ Parcel ID No.: �}3 Preferred Contact: O Owner 4pplicant
O Contractor
Project Description: * TG -4 �A to qV-4 8 Ci
Owner Name: �I DYl Aa=Hihni lam/ Phone No.: �ps���
Email Address: VY►i IVY1 D:�'It 9Q `ma;I.CO m Cell No.:
Mailing Address: v�1 a �ft-)U4 �'�' Irk rt 46n State:�/l�� zip: rgp
AJ
Applicant Name: J_ " nn �, Phone No.: S S Z
Email Address: ! ..�n!_G_V v q A1�0 �%��. cor? 1 Cell No.: na
Mailin.-Address: C State: �" Zip:`7 OOO
Contractor Name: Phone No.:
Email Address: [��ti��(-I� r�•� Ire —i°h��-�. COr'YO Cell No.: p
Mailing Address: City: �` l�� State: _ Zip: O Q
L&I Contractor License Number: Expiration Date:
SUBMITTAL REQUIREMENTS: Provide Information on All Equipment to be Installed Prior to Installation
Submit electronic files of the follow:
❑ Complete and Scaled Plans
Specification Sheets 1 Approved NCRFA
❑ Wiring Diagrams (Point to Point Wiring)
❑ Electrical Plans, if applicable
NOTE: All Central Station Monitoring must be UL or FM listed.
sgoforth 08/18/2023
FIRE ALARM SYSTEMS (10S.7.3)
** DEVICES include separate individual portions of a Fire Alarm System such as: Initiating Devices,
Notification Appliances, Flow Switch, Supervisory Switches, Magnetic Door Hold-Open Devices, Remote
Annunciators, Pull Stations, Beam Detectors, and other such devices. (Each piece is one device)
PLAN REVIEW FEES -shall be paid at time of application submittal
Less than $5,000.00 = $100.00
$5,000.00 &over-based on project valuation
(Plan Review Fee is 65%of project valuation per Fee Calculation Table 4-1)
REV2022 Page 1 of 2
REINSPECTION / PHASED INSTALLATION INSPECTIONS
Submit Phasing Plan with Application - review and approval required
REINSPECTION FEES SHALL BE PAID PRIOR TO INSPECTION FEE
Reinspection/Phased Installation fee is charged per hour (1 hour minimum) $75.00
❑ TENANT IMPROVEMENT OR SYSTEM MODIFICATION (NFPA 72)
Number of Devices** Device Fee Subtotal
1to2 $ 75.00 = $
3 to 5 $125.00 = $
6 to 10 $175.00 = $
11 to 20 $225.00 = $
21 to 40 $300.00 = $
41 to 100 $375.00 = $
101 to 200 $475.00 = $
> 200 $500.00 plus$50.00 per 100 additional devices(round up)
Total Number of Devices = $500.00 + $ _ $
FACP/TRANSMITTER Modification $125.00 = $
PERMIT FEE SUBTOTAL $
—ate NEW COMMERCIAL SYSTEM (NFPA 72)
Number of Devices** Device Fee Subtotal
1 to 100 $350.00 = $
101 to 200 $475.00 = $
> 200 $500.00 plus$50.00 per 100 additional devices(round up)
Total Number of Devices = $500.00 + $ _ $
FACP/ TRANSMITTER New $200.00 = $
PERMIT FEE SUBTOTAL $
PERMIT FEE TOTAL $
PLAN REVIEW FEE $
Processing/Technology Fee $25.00
TOTAL $
I hereby certify that 1 am the ❑ Owner, ❑Applicant Contractor, and authorized to sign this application and that the above
information is correct and construction on, and the occupancy and the use of the above-described property will be in accordance
with the laws, rules and regulation of the State of Washington, and the City ofArlington.
_ �Qn�i mm� g�►� ��3
Si v ture Print Name Date
SAVE PRINT
REV2022 Page 2 of 2
1�1
TG - 7FP C. 0 M M U N I C A T 0 R
TELGILIARD O . COMMERCIAL FIRE
THE ALARM COMMUNICATION EXPERTS
d COMMERCIAL FIRE
Feature-rich, with updated technology, the Telguard TG-7FP
is all about saving time and money. It starts with a 5G (LTE-M)
communicator that powers off the alarm panel and costs less to
purchase and install than comparable models. Add to that the
savings your customers enjoy every month from replacing expensive
landlines with economical cellular service. Then, top it all off with
the RMR that goes to you, not the Telco.
PRODUCT FEATURES
F Powers directly from the fire panel's 12V/24V auxiliary power source.
F Operates on LTE-M networks, for lower power consumption and
better building penetration.
F Interfaces with fire panels using a single DACT connection for
universal compatibility.
F Backed by world-class Telguard support.
Reliable alarm signal communication is a critical element to a fire system's foundation. The TG-7FP delivers the
features and functionality needed most, and it's perfect for many applications where space, access to power, and
budget are considerations.
Everything about installation is a breeze. Since the TG-7FP powers directly from a 12 or 24VDC alarm panel, there's
no need for an electrician to install an outlet. Plus, there's no plug-in adapter or on-board battery to worry about.
It all means you're in, you're out, and you're off to the next jobsite.
Setting up the TG-7FP couldn't be easier. You can apply the settings you need from our website or with the
Telguard Tools app - you can even do it in advance from the office. Of course, you can configure it to work with the
central station of your choice.
DetailsUL Listings(AT&T and Verizon) Specifications Physical
64 Commercial Fire Power Consumption Size(without antenna)
1610
•• . • •6 x 14.61 x 5.0
ULC Listings(AT&T • 24VDC Shipping Weight
S559 Commercial Fire ••
•' Commercial Burglary Compatible Formats Compatible Accessories
Other Certifications CID,SIA, Pulse(4x2,3A), ACD-12,ACD-35, . • and ACD-100:
California State Fire Marshal Radionics(Ile/3a2,4), DMP 12/35/50/100 ft of low loss, high
NYC Fire Department
#2021-TMCOAP-000077-CERT 3 knockouts for 1/2"conduit connectors EXDL-0: External antenna
Package Contents Certificate of Approval Compact-size red plastic enclosure HGDL-0: High gain directional antenna
tamper
TG-7FP universal communicator External access to RSSI&Reset buttons rr/
Terminal blocks0 LiCFSA
..
LTE antenna KM
For the most current product specifications and UL Listings visit telguard,com/tg-7fp.In Canada,cellular data may be carried by Rogers,Bell,Telus or SaskTel-
800.229.2326 13225 Cumberland Blvd SE•Suite 300•Atlanta,GA 30339•USA I'telguard.com VIAETEK
-2021 Telguard I Telguard and the Telguard Logo are registered trademarks of Telular Corporation.I Telular is a business unit of AMETEK,Inc All Rights Reserved n
i
FIRE ALARM PERMIT APPLICATION
I
• Community and Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551
Type of Permit: New Installation 9System Modification [] Phased Installation
Property Address: I ( No.: Project Valuatio �/�1111
Lot#: _ Parcel ID No.: �}3 Preferred Contact: O Owner 4pplicant
O Contractor
Project Description: * TG -4 �A i0 qV-4 8 Ci
Owner Name: �I DYl Aa=Hihni lam/ Phone No.: �ps���
Email Address: VY►i IVY1 D:�'It 9Q `ma;I.CO m Cell No.:
Mailing Address: v�1 a �ft-)U4 �'�' Irk rt 46n State:�/l�� zip: rgp
AJ
Applicant Name: J_ " nn �, Phone No.: S S Z
Email Address: ! ..�n!_G_V v q A1�0 �%��. cor? 1 Cell No.: na
Mailin.-Address: C State: �" Zip:`7 OOO
Contractor Name: Phone No.:
Email Address: [��ti��(-I� r�•� Ire —i°h��-�. COr'YO Cell No.: p
Mailing Address: City: �` l�� State: _ Zip: O Q
L&I Contractor License Number: Expiration Date:
SUBMITTAL REQUIREMENTS: Provide Information on All Equipment to be Installed Prior to Installation
Submit electronic files of the follow:
❑ Complete and Scaled Plans
Specification Sheets 1
❑ Wiring Diagrams (Point to Point Wiring)
❑ Electrical Plans, if applicable
NOTE: All Central Station Monitoring must be UL or FM listed.
FIRE ALARM SYSTEMS (10S.7.3)
** DEVICES include separate individual portions of a Fire Alarm System such as: Initiating Devices,
Notification Appliances, Flow Switch, Supervisory Switches, Magnetic Door Hold-Open Devices, Remote
Annunciators, Pull Stations, Beam Detectors, and other such devices. (Each piece is one device)
PLAN REVIEW FEES -shall be paid at time of application submittal
Less than $5,000.00 = $100.00
$5,000.00 &over-based on project valuation
(Plan Review Fee is 65%of project valuation per Fee Calculation Table 4-1)
REV2022 Page 1 of 2
REINSPECTION / PHASED INSTALLATION INSPECTIONS
Submit Phasing Plan with Application - review and approval required
REINSPECTION FEES SHALL BE PAID PRIOR TO INSPECTION FEE
Reinspection/Phased Installation fee is charged per hour (1 hour minimum) $75.00
❑ TENANT IMPROVEMENT OR SYSTEM MODIFICATION (NFPA 72)
Number of Devices** Device Fee Subtotal
1to2 $ 75.00 = $
3 to 5 $125.00 = $
6 to 10 $175.00 = $
11 to 20 $225.00 = $
21 to 40 $300.00 = $
41 to 100 $375.00 = $
101 to 200 $475.00 = $
> 200 $500.00 plus$50.00 per 100 additional devices(round up)
Total Number of Devices = $500.00 + $ _ $
FACP/TRANSMITTER Modification $125.00 = $
PERMIT FEE SUBTOTAL $
—ate NEW COMMERCIAL SYSTEM (NFPA 72)
Number of Devices** Device Fee Subtotal
1 to 100 $350.00 = $
101 to 200 $475.00 = $
> 200 $500.00 plus$50.00 per 100 additional devices(round up)
Total Number of Devices = $500.00 + $ _ $
FACP/ TRANSMITTER New $200.00 = $
PERMIT FEE SUBTOTAL $
PERMIT FEE TOTAL $
PLAN REVIEW FEE $
Processing/Technology Fee $25.00
TOTAL $
I hereby certify that 1 am the ❑ Owner, ❑Applicant Contractor, and authorized to sign this application and that the above
information is correct and construction on, and the occupancy and the use of the above-described property will be in accordance
with the laws, rules and regulation of the State of Washington, and the City ofArlington.
_ �Qn�i mm� g�►� ��3
Si v ture Print Name Date
SAVE PRINT
REV2022 Page 2 of 2
1�1
TG - 7FP C. 0 M M U N I C A T 0 R
TELGILIARD O . COMMERCIAL FIRE
THE ALARM COMMUNICATION EXPERTS
d COMMERCIAL FIRE
Feature-rich, with updated technology, the Telguard TG-7FP
is all about saving time and money. It starts with a 5G (LTE-M)
communicator that powers off the alarm panel and costs less to
purchase and install than comparable models. Add to that the
savings your customers enjoy every month from replacing expensive
landlines with economical cellular service. Then, top it all off with
the RMR that goes to you, not the Telco.
PRODUCT FEATURES
F Powers directly from the fire panel's 12V/24V auxiliary power source.
F Operates on LTE-M networks, for lower power consumption and
better building penetration.
F Interfaces with fire panels using a single DACT connection for
universal compatibility.
F Backed by world-class Telguard support.
Reliable alarm signal communication is a critical element to a fire system's foundation. The TG-7FP delivers the
features and functionality needed most, and it's perfect for many applications where space, access to power, and
budget are considerations.
Everything about installation is a breeze. Since the TG-7FP powers directly from a 12 or 24VDC alarm panel, there's
no need for an electrician to install an outlet. Plus, there's no plug-in adapter or on-board battery to worry about.
It all means you're in, you're out, and you're off to the next jobsite.
Setting up the TG-7FP couldn't be easier. You can apply the settings you need from our website or with the
Telguard Tools app - you can even do it in advance from the office. Of course, you can configure it to work with the
central station of your choice.
DetailsUL Listings(AT&T and Verizon) Specifications Physical
64 Commercial Fire Power Consumption Size(without antenna)
1610
•• . • •6 x 14.61 x 5.0
ULC Listings(AT&T • 24VDC Shipping Weight
S559 Commercial Fire ••
•' Commercial Burglary Compatible Formats Compatible Accessories
Other Certifications CID,SIA, Pulse(4x2,3A), ACD-12,ACD-35, . • and ACD-100:
California State Fire Marshal Radionics(Ile/3a2,4), DMP 12/35/50/100 ft of low loss, high
NYC Fire Department
#2021-TMCOAP-000077-CERT 3 knockouts for 1/2"conduit connectors EXDL-0: External antenna
Package Contents Certificate of Approval Compact-size red plastic enclosure HGDL-0: High gain directional antenna
tamper
TG-7FP universal communicator External access to RSSI&Reset buttons rr/
Terminal blocks0 LiCFSA
..
LTE antenna KM
For the most current product specifications and UL Listings visit telguard,com/tg-7fp.In Canada,cellular data may be carried by Rogers,Bell,Telus or SaskTel-
800.229.2326 13225 Cumberland Blvd SE•Suite 300•Atlanta,GA 30339•USA I'telguard.com VIAETEK
-2021 Telguard I Telguard and the Telguard Logo are registered trademarks of Telular Corporation.I Telular is a business unit of AMETEK,Inc All Rights Reserved n
r /
FIRE ALARM PERMIT APPLICATION
Community and Economic Development
City of Arlington•18204 59th Ave NE•Arlington,WA 98223•Phone(360)403-3551
Type of Permit: ❑ New Installation System Modification Phased Installation
Property Address: No.: Project Valuation U/r
Lot#: Parcel ID No.: ��` �q Preferred Contact: O Owner 96pplicant
O Contractor
Project Description: -G u e cjy-a g v
Owner Name: �+r�i_ i D n t'l— YI'lt f Phone No.:
Email Address: _V111,YA i t�1�, _�_Z�q�A<<• m Cell No.:
Mailing Address: Ao'�'10 StY lO[Q P-W10 A I i n State.W)+- Zi :q
Applicant Name: Phone No.:
�. COm
Email Address: i V�-g �l Cell No.:
Mailing Address: C ` 4 , )rote State: Zip:�"1n
&66
Contractor Name: r A I e Phone No.: s _
Email Address: re -�h:�-�. C0r'Yl Cell No.: p
Mailing Address: � ;�(� /► a ?Sl City: �� �� State: Zip: O
L&I Contractor License Number: Expiration Date:
SUBMITTAL REQUIREMENTS: Provide Information on All Equipment to be Installed Prior to Installation
Submit electronic files of the follow:
❑ Complete and Scaled Plans
Specification Sheets 1 Approved NCRFA
❑ Wiring Diagrams (Point to Point Wiring)
❑ Electrical Plans,if applicable
NOTE: All Central Station Monitoring must be UL or FM listed. '
sgoforth 08/18/2023
FIRE ALARM SYSTEMS (105.7.3)
**DEVICES include separate individual portions of a Fire Alarm System such as: Initiating Devices,
Notification Appliances, Flow Switch, Supervisory Switches, Magnetic Door Hold-Open Devices, Remote
Annunciators, Pull Stations, Beam Detectors, and other such devices. (Each piece is one device)
PLAN REVIEW FEES-shall be paid at time of application submittal
Less than$5,000.00 =$100.00
$5,000.00&over-based on project valuation
(Plan Review Fee is 65%of project valuation per Fee Calculation Table 4-1)
Page 1 of 2
R£V2022
REINSPECTION /PHASED INSTALLATION INSPECTIONS
Submit Phasing Plan with Application -review and approval required
' REINSPECTION FEES SHALL BE PAID PRIOR TO INSPECTION J FEE
Reinspection/Phased Installation fee is charged per hour (1 hour minimum) $75.00
❑ TENANT IMPROVEMENT OR SYSTEM MODIFICATION (NFPA 72)
Number of Devices" 'Device Fee Subtotal
1 to 2 $ 75.00 = $
3 to 5 $125.00 = $
6 to 10 $175.00 = $
11 to 20 $225.00 _ $
21 to 40 $300.00 = $
41 to 100 $375.00 = $
101 to 200 $475.00 = $
> 200 $500.00 plus$50.00 per 100 additional devices(round up)
Total Number of Devices = $500.00 + $ Ll_ $
FACP/TRANSMITTER Modification $125.00 1 = $
PERMIT FEE SUBTOTAL $ _
❑ NEW COMMERCIAL SYSTEM (NFPA 72)
Number of Devices" Device Fee Subtotal —
1 to 100 $350.00 = $
101 to 200 $475.00 = $
> 200 $500.00 plus$50.00 per 100 additional devices(round up)
Total Number of Devices = $500.00 + $ _ $
FACP/TRANSMITTER New $200.00 = $
PERMIT FEE SUBTOTAL $
PERMIT FEE TOTAL $
PLAN REVIEW FEE $
Processing/Technology Fee $25.00
TOTAL $
1 hereby certify that I am the ❑Owner, ❑Applican Contractor,and authorized to sign this application and that the above
information is correct and construction on, and the occupancy and the use of the above-described property will be in accordance
with the laws, rules and regulation of the State of Washington,and the City ofArlington.
_ 4rinthi n�m� g 1 q ho
Si ture Name Date
SAVE PRINT
REV2022 P2oe 2 of 2
5G ( LTE- M ) SOLE PATH
TELGUARD FOR COMMERCIAL
THE ALARM COMMUNICATION EXPERTS
d COMMERCIAL FIRE
Feature-rich, with updated technology,
is all about saving time and money. ItCy�r� V,th l`�-"1 NNGT0N
communicator that powers off the alarm p ell�a�q� sU TMENT
purchase and install than comparat le mod I a�,/ M�
savings your customers enjoy ever month fror)"r�i 'c9f "�.:�"
landlines with economical cellular s rvice. Then, op Mal off wi
the RMR that goes to you, not the e6, BY
I
PRODUCT FEATURES NO CHANGES AUTHORIZED
� :01 N9FT ROVED ��R
THE
I- Powers directly from the fire panel' 12V/24 ' p
I- Operates on LTE-M networks, for
better building penetration.
F Interfaces with fire panels using a single DACT connection for
universal compatibility.
I- Backed by world-class Telguard support.
Reliable alarm signal communication is a critical element to a fire system's foundation.The TG-7FP delivers the
features and functionality needed most, and it's perfect for many applications where space, access to power, and
budget are considerations.
Everything about installation is a breeze. Since the TG-7FP powers directly from a 12 or 24VDC alarm panel, there's
no need for an electrician to install an outlet. Plus, there's no plug-in adapter or on-board battery to worry about.
It all means you're in, you're out, and you're off to the next jobsite.
Setting up the TG-7FP couldn't be easier. You can apply the settings you need from our website or with the
Telguard Tools app -you can even do it in advance from the office. Of course, you can configure it to work with the
central station of your choice.
UL Listings(AT&T and Verizon) Specifications Physical Details
864 Commercial
Power Consumption Size(without antenna)
• - in
,-� , • r • •C
mA
LILC Listings(AT&T • 110MA ,a 24VDC Shipping weight
S559 Commercial Fire 00 •
•' Commercial Burglary Compatible Formats Compatible Accessories
Other Certifications CID,SIA Pulse(4x2 3xl). ACD-12,ACD-35.ACD-30,and . •.
California State Fire Marshal Radionics(Ile/3a2,4), DMP 12/3S/50/100 ft of low loss, high
NYC Fire Department Enclosure performance antenna cable
Certificate of Approval Compact-size red plastic enclosure . • High gain directional antenna
. • External antenna
LEDs always visible on
Package Contents Built-in tamper switch
G-7FP universal communicator External access RSSI&Reset buttons
Terminal blocks M *CFSA
LTE antenna
For the most current product specifications and UL Listings visit telguard.com/tg-7fp.In Canada,cellular data may be carried by Rogers.Bell.Telus or SaskTel.
800.229.2326 13225 Cumberland Blvd SE•Suite 300•Atlanta,GA 30339•USA I'telguard.com WMK'
:2021 Telguard I Telguard and the Telguard Logo are registered trademarks of Telular Corporation I Telular is a business unit of AMETEK.Inc.All Rights Reserved
CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551
BUILDING PERMIT
16710 SMOKEY POINT BLVD Permit#: 5554
PERMIT EXPIRES 180 DAYS AFTER
Parcel#: 31052900101700 DATE OF ISSUANCE.
Scope of Work: Upgrade of fire alarm communicator TG-7FP Valuation: 6000.00
OWNER APPLICANT CONTRACTOR
CMJ66 CORP Fire Chief Equipment Fire Chief Equipment
16710 SMOKEY POINT BLVD 14214 NE 21st St 14214 NE 21 st ST.
ARLINGTON,WA 98223 Bellevue,WA 98007 Bellevue,WA 98007
425-522-1269 425-522-1269
LIC:FIRF-CCE9362Q EXP:05/18/2025
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: FIRE ALARM CODE YEAR: 2018
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
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.
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 I O/IRC110.
SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on
your sales tax return form and coded City of Arlington#3101.
Guy- 08/31/2023 f
Applicant Signature Date Building Official Date
CONDITIONS
APPROVED AS SUBMITTED.APPROVED JOB COPY SHALL BE ONSITE FOR INSPECTIONS.CALL FOR
INSPECTIONS.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE
PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS, SIDEWALKS,DRIVEWAYS,
MARQU; ETC.)WILL REQUIRE SEPARATE PERM ON
PERMIT FEES
Date Description Fee Amount
08/31/2023 Processing(Technology $25.00
08/31/2023 Fire System Plan Review $121.34
08/31/2023 FACP/Transmitter-Replace $125.00
Total Due: $271.34
Total Payment: $0.00
Balance Due: $271.34
CALL FOR INSPECTIONS
Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
INSPECTION INFORMATION I Pass/Fail
CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS:360-403-3417-Permit Center:360-403-3551
BUILDING PERMIT
16710 SMOKEY POINT BLVD Permit#:5554
PERMIT EXPIRES 180 DAYS AFTER
Parcel#:31052900101700 DATE OF ISSUANCE.
Scope of Work: Upgrade of fire alarm communicator TG-7FP Valuation: 6000.00
OWNER APPLICANT CONTRACTOR
CMJ66 CORP Fire Chief Equipment Fire Chief Equipment
16710 SMOKEY POINT BLVD 14214 NE 21 st St 14214 NE 21 st ST.
ARLINGTON,WA 98223 Bellevue,WA 98007 Bellevue,WA 98007
425-522-1269 425-522-1269
LIC:FIRECCE9362Q EXP:05/18/2025
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: FIRE ALARM CODE YEAR: 2018
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
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.
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 City of Arlington must be reported on
your sales r turn form and coded City of Arlington#3101.
/v / � 08/31/2023 02//0 1d3 ' ✓
pplic t i6alure V date Building Official Date
CONDITIONS
APPROVED AS SUBMITTED.APPROVED JOB COPY SHALL BE ONSITE FOR INSPECTIONS.CALL FOR
INSPECTIONS.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE
PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,
MARQU; ,ETC.)WILL REQUIRE SEPARATE PERM ON
PERMIT FEES
Date Description Fee Amount
08/31/2023 Processing/Technology $25.00
08/31/2023 Fire System Plan Review $121.34
08/31/2023 FACP/Transmitter-Replace $125.00
Total Due: $271.34
Total Payment: $0.00
Balance Due: $271.34
CALL FOR INSPECTIONS
Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
INSPECTION INFORMATION I Pass/Fail
Permit#: 5554
Permit Date: 08/15/23
Permit Type: FIRE ALARM
Project Name: Medallion Inn
Applicant Name: Fire Chief Equipment
Applicant Address: 14214 NE 21 st St
Applicant, City, State, Zip: Bellevue,WA 98007
Contact: Jennifer Remming
Phone: 425-522-1269
Email:jenniferr@fire-chief.com
Scope of Work: Upgrade of fire alarm communicator TG-7FP
Valuation: 6000.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 12/06/2023
Permit Expires: 06/03/2024
Form Permit Type: FIRE ALARM
Status: COMPLETE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
31052900101700 16710 SMOKEY POINT CMJ66 CORP 230 COMMERCIAL
BLVD /SERVICES
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
Fire Chief Equipment 425-522-1269 14214 NE 21st CONSTRUCTION L&I FIRECCE9362Q
ST. CONTRACTOR
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
FA00.FIRE ALARM Requested 12pm.
12/12/2023 FINAL onsite contact is Homer 12/14/2023 12/14/2023 BUILDING Approved
Harding 425-229-2038
Plan Reviews
Date Review Type Description Assigned To Review Status
08/15/2023 FIRE ALARM BUILDING Approved
08/16/2023 FIRE ALARM FIRE In Review
08/18/2023 FIRE ALARM Fire Alarm Communicator Upgrade FIRE Approved
Fees
Fee Description Notes Amount
Processing/Technology $25.00
Fire System Plan Review Table 4-2 $121.34
FACP/Transmitter-Replace $125.00
Credit Card Service $8.14
Total $279.48
Attached Letters
Date Letter Description
08/31/2023 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
09/01/2023 XBP Con£ $271.34
153003565
09/01/2023 153003565 Ameresia Lawlis $8.14
Outstanding Balance $0.00
Notes
Date Note Created By:
09/01/2023 Emailed the permit for signature. Kristin Foster
Uploaded Files
Date File Name
12/06/2023 17690790-20230814 BLD5554 ApprovedSubmittal.pdf
12/06/2023 17690789-20231206 BLD5554 IssuedPermit.pdf
08/15/2023 16521509-20230814 BLD5554 App&Specs.pdf