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HomeMy WebLinkAbout135 FRENCH AVE_PA25-0097_2026 COMMERCIAL TENANT IMPROVEMENT PERMIT APPLICATION Community and Economic Development City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 • Phone(360) 403-3551 The following information is required for Commercial, Multi-Family,and Mixed-Use Building Permit Applications. Mark each box to designate that the information has been provided. Please submit this checklist as part of the submittal documents.See ASSISTANCE BULLETIN#30 for detailed design requirements. EACH BUILDING OR STRUCTURE REQUIRES A SEPARATE SUBMITTAL. SUBMIT ELECTRONIC FILES FOR EACH OF THE FOLLOWING;Incomplete applications will not be accepted. REQUIRED DOCUMENTS City of Arlington Commercial Tenant Improvement Permit Application Site Plan Architectural Plans Structural Plans Structural Calculations Mechanical System Modifications, (if applicable) Plumbing System Modifications, (if applicable) Project Specification Manuals, (if applicable) WSEC Compliance Forms,(if applicable) https:[/waenergycodes.com/ Special Inspection and Testing Agreement Deferred Submittal Request Airport Property Lease (if building is located within the Arlington Airport Property Boundary) 1. Plan Review fee is due at time of submittal and remaining balance will be due at time of issuance. 2. The City of Arlington does not review or inspect electrical systems.Contact Labor and Industries at lni.wa.gov or 360-416-3000. A. DEFERRED SUBMITTALS If the project requires any of the following,a Deferred Submittal Request MUST be completed.Deferred submittals require separate applications,plans and plan review. 1. Mechanical Plans (if not included in the plan set) 2. Plumbing Plans (if not included in the plan set) 3. Fire Sprinkler 4. Fire Alarm 5. Signage B. SPECIAL INSPECTION AND TESTING AGREEMENT A Special Inspection Firm is required to perform special inspections for the following type of work. *The Special Inspection and Testing Agreement MUST be submitted with the Building Application. ❑ Reinforced Concrete ❑ Structural Steel and Welding 0 Bolting in Concrete ❑ High-Strength Bolting ❑ Pre-stressed Concrete ❑ Spray-Applied Fireproofing ❑ Shotcrete ❑ Smoke-Control Systems ❑ Structural Masonry ❑ Other-Specify: ❑ I acknowledge that all items designated as submittal requirements must accompany my Tenant Improvement Permit Application to be considered a complete submittal. COMMERCIAL TENANT IMPROVEMENT INSTALLATION,MODIFICATION OR REMOVAL MAY REQUIRE A SEPARATE PERMIT SUBMITAL *CHECKALL THAT APPLY ❑ Automatic fire extinguishing systems ❑ Compressed gas systems ❑ Fire pumps ❑ Flammable and combustible liquids (tanks,piping etc.) ❑ Standpipe systems ❑ Hazardous materials ❑ Private fire hydrants ❑ Industrial ovens/furnace ❑ Fire alarm and detection systems ❑ Spraying or dipping operations ❑ High piled/rack storage ❑ Temporary membrane structure,tents(>200 sq.ft.)or canopies(>400 sq.ft.) ❑ Provide details on any of the above checked items: Type of Permit: New Space ❑■ Addition Alteration Property Address: 135 S French Ave Arlington WA, 98223 Project Valuation: $3000 Lot#: B Parcel ID No.: 31051100102000 Subdivision: CITY OF ARL SP PLN #744 Project Scope of Work: Attachment of Awning structure to existing building. Description of New Tenant Business Operations: N/A IBC Construction Type: N/A IBC Occupancy Type: N/A Building/Space Square Footage: N/A Number of Stories: 3 Square Footage Per Floor: 1st N/A 2nd N/A 3rd N/A 4th N/A Sth N/A 6th N/A Primary Contact: ❑■ Owner ❑ Architect ❑ Engineer ❑ Contractor Owner Name: Arlington Public Schools office No.: 360.618.6213 Email Address: ed.aylesworth@asd 16.org Cell No.: N/A Mailing Address: 315 N French Ave City.Arlington state: WA Zip: 98223 Architect Name: N/A Office No.: N/A Email Address: N/A Cell No.: N/A Mailing Address: N/A City: N/A State: N/A zip: N/A Professional License Number: N/A Expiration Date: N/A Engineer Name: NSA Office No.: N/A Email Address: N/A Cell No.: N/A Mailing Address: N/A City: N/A State: N/A zip: N/A Professional License Number: N/A Expiration Date: N/A Primary Contractor: Isaac Emerson Office No.: NSA Email Address: ZoomPickle@outlook.com Cell No.: 425-293-2450 Mailing Address: 11404 138th ST NE City: Arlington State: WA zip: 98223 L&I Contractor License Number: N/A Expiration Date: N/A REV03.2022 Page 2 of 7 COMMERCIAL TENANT IMPROVEMENT MECHANICAL SYSTEM INFORMATION Type of Permit: O New Installation O Addition O Alteration O Replaced O Gas Piping Mechanical Contractor: N/A Office No.: N/A Email Address: N/A Cell No.: NSA Mailing Address: N/A City: N/A State: N/A Zip: N/A L&I Contractor License Number: NSA Expiration Date: NSA • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured per IFGS,Section 415 • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of each appliance Gas Piping Specification and complete Schematic PAGE 4 O Not Applicable Proposed Piping Material: O CSST O Brass O Black Steel O Galvanized Steel O Other Proposed Piping Size: 0 1/2" O S/s" 03/4 O 1" O 11/2 O 2" Inlet Pressure: N/A Pressure Drop: N/A Specific Gravity: N/A MECHANICAL PERMIT FEES (per unit) Type of Fixture No.of Units Cost per Unit Subtotal Additional Plan Review fees x $ 75.00 = $ Air Cond.Unit<_100Btu h x $ 15.00 = $ Air Cond.Unit>100Btu h x $ 25.00 = $ Air Cond.Unit>50OBtu/hp x $ 50.00 = $ Air Handling Units x $ 15.00 = $ Base Mechanical Fee $ 25.00 $ 25.00 Boiler<100Btu h>3h x $ 15.00 = $ Boiler>1 million Btu/h<50hp x $ 25.00 = $ Boiler>1.5 million Btu/h<50hp x $ 50.00 = $ Boiler>100Btu/h 3-15hp x $ 15.00 = $ Boiler>500Btu h 15-30hp x $ 25.00 = $ Commercial Hoods-Type I x 1 $ 25.00 = $ Commercial Hoods-Type II x $ 50.00 = $ Diffusers x $ 15.00 = $ Dryer Ducting x $ 15.00 = $ Ductwork(drawings required) x $ 25.00 = $ Evaporative Coolers x $ 15.00 = $ Exhaust Ventilation Fans x $ 15.00 = $ Fireplace/Insert/Stove x $ 15.00 = $ Forced Air Heat<_100 Btu h x $ 15.00 = $ Forced Air Heat>100 Btu/h x $ 25.00 = $ Gas Clothes Dryer x $ 15.00 = $ Gas Fired AC 15100 Btu h x $ 15.00 = $ REV03.2022 Page 3 of 7 COMMERCIAL TENANT IMPROVEMENT MECHANICAL PERMIT FEES (per unit) Gas Fired AC >100 Btu h x $ 25.00 = $ Gas Fired AC > 500 Btu h x $ 50.00 = $ Gas Pi in <_ 5 units x $ 15.00 = $ Gas Piping> 5 units (plus <5 units) x $ 2.00 = $ Heat Exchangers x $ 15.00 = $ Heat Pump-Condensing Unit x $ 25.00 = $ Hot Water Heat Coils x $ 15.00 = $ Miscellaneous Appliance-regulated by x $ 15.00 = $ mechanical code,not otherwise specified Pkg.Units <-100btu x $ 25.00 = $ Pkg.Units >100btu x $ 50.00 = $ Range/Cook top-Gas Fired x $ 15.00 = $ Refrigeration Unit 5100Btu h x $ 15.00 = $ Refrigeration Unit>100Btu/h x $ 25.00 = $ Refrigeration Unit>500Btu/h x $ 50.00 = $ Re-inspection fee all x $ 75.00 = $ Unit Heaters <_ 100 Btu h x $ 15.00 = $ Unit Heaters >100 Btu h x $ 25.00 = $ VAV Boxes (Variable Air Volume,part of air x $ 10.00 = $ conditioning system) Wall Heaters- Gas Fired x $ 25.00 = $ Water Heater- Gas Fired x $ 25.00 = $ Permit Fee $ Table 4-8; Plan Review Fee $ Processing/Technology Fee $25.00 Total $ PRESSURE PIPING SCHEMATIC COMPLETE FOR GAS PIPING ONLY— USE A SEPARATE SHEET, IF NECESSARY ❑ SCHEMATIC IS TO SCALE ❑ SCHEMATIC NOT TO SCALE Show Pipe Size(s) and Length(s) from meter to all appliances NOTE:Any interior pressure regulators must be indicated REV03.2022 Page 4 of 7 COMMERCIAL TENANT IMPROVEMENT PLUMBING SYSTEM INFORMATION Type of Permit: O New Installation O Addition O Alteration O Replaced O Industrial Plumbing Contractor: NSA Office No.: N/A Email Address: NSA Cell No.: NSA Mailing Address: NSA City: NSA State: N/A zip: NSA L&I Contractor License Number: NSA Expiration Date: NSA The following items need to be specified on the plans: O Fixture specifications and equipment with locations. O Location and type of all backflow assemblies for each fixture. O Calculations for Grease Interceptor. O Pipe size and location of sanitary and potable water systems. O Riser diagram of waste,vent,and rain water systems,including sizes. O Medical gas piping riser diagram,type of gas, storage room and size of piping. PLUMBING PERMIT FEES (per fixture) Commercial plumbing permits are required to submit line drawings.A plan review fee of 65%per Table 4-6 for plumbing permits will be assessed at time of submittal. Includes two (2) inspections with permit. Tvve of Fixture No. of Fixtures Cost per Fixture Subtotal Additional Plan Review fees x $ 75.00 = Alteration/repair piping x $ 15.00 = Backflow Assembly x $25.00 = Base Plumbing Fee $ 25.00 $25.00 Bath/Shower Combo x $ 15.00 = Building Main Waste x $ 25.00 = Clothes Washer x $ 15.00 = Dishwasher x $ 15.00 = Drinking Fountain x $ 15.00 = Floor Drains x $ 15.00 = REV03.2022 Page 5 of 7 COMMERCIAL TENANT IMPROVEMENT PLUMBING PERMIT FEES (per fixture) Grease Interceptor x $ 75.00 = Grease Trap x $ 25.00 = Hose Bibb x $ 15.00 = Icemaker Refri erator x $ 15.00 = Irrigation-per meter x $ 25.00 = Kitchen Sink&Disposal x $ 15.00 = Laundry Tray x $ 15.00 = Lavatory x $ 15.00 = Med Gas Pi in <- 5 inlets outlets x $ 60.00 = Med Gas Piping> 5 inlets/outlets (plus :5 5 x $ 5.00 = inlets outlets Miscellaneous -regulated by plumbing x $ 15.00 = code,not otherwise specified Pretreatment Interceptor x $ 15.00 = Re-inspection Fee all x $ 75.00 = Roof Drains x $ 15.00 = Shower (only) x $ 15.00 = Sink bar,service,etc. IXE $ 15.00 = Toilets $ 15.00 = Urinal $ 15.00 = Vacuum Breakers $ 25.00 = Water Heater x $ 25.00 = Water Heater-Tankless x $ 25.00 = Permit Fee Table 4-6; Plan Review Fee Processing/Technology Fee $25.00 Total PROPOSED BUILDING USE ❑ New 0 Addition/Alteration ❑ Medical ❑ Automotive Based ❑ Industrial ❑ Office ❑ Restaurant ❑ Machine Shop ❑ Other: CROSS CONNECTION Please check all appliances that are proposed or permanently connected to the water supply. ❑ Ice Machine ❑ Dialysis Equip. ❑ Air washers ❑ Coffee Urn/Espresso ❑ Hydrotherapy Equip. ❑ Steam Generators ❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Fume Hoods ❑ Laboratory Equip. ❑ Pressure Washers ❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers ❑ Hot Tub/Spa ❑ Decorative Fountain ❑ Fire Sprinkler ❑ Aquarium ❑ Swimming Pools ❑ Sprinkler w/chemicals ❑ Lawn Irrigation ❑ Well on property ❑ Other: WASTEWATER DISCHARGE Does the plumbing system currently have a grease interceptor? ❑ Yes ❑ No ❑ Don't Know Does the plumbing system currently have an oil/water ❑ Yes ❑ No ❑ Don't Know separator? REV03.2022 Page 6 of 7 COMMERCIAL TENANT IMPROVEMENT Is water used in the business process (washing,rinsing, ❑ Yes ❑ No ❑ Don't Know cooling)? Does your business require a NPDES permit? ❑ Yes ❑ No ❑ Don't Know 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. Signature Print Name Date REV03.2022 Page 7 of 7 City of Arlington • ' • 14 18204 59th Avenue NE, Arlington, to Washington 98223 Phone: 360-403-3551 W A S H I N G T O N CjNG� Building Permit Permit#:23-0097 PERMIT EXPIRES 180 DAYS Parcel:31051100102000 AFTER DATE OF ISSUANCE. Description of Work: Valuation:3000.00 Date Applied:December 10,2025 Permit Address: 135 FRENCH AVE OWNER APPLICANT CONTRACTOR ARLINGTON SCHL DIST 16 Isaac Emerson 315 N FRENCH AVE ARLINGTON,WA,98223 11404 138th St NE 425-293-2450 zoompickle@outlook.com registration_number: Permit Type:Commercial-Alteration Code Year:code_year Stories: 1 Const Type: Dwelling Units:0 Occupancy Group 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.) Inspections are required. 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. Kevin Olander Building Official ASSOCIATED FEES Date Description Paid Date Amount Paid Balance TOTAL: Permit Fees $0.00 $0.00 Re: Kids Kloset Awning Construction Plan Subject: Re: Kids Kloset Awning Construction Plan From: Ed Aylesworth <ed.aylesworth@asdl6.org> Date: 11/25/25, 08:45 To: Isaac Emerson <ZoomPickle@outlook.com>, Leonard Turner <leona rd.tu rner@asd 16.org> Great! You can contact Leonard Turner to coordinate. I have included Leonard on this email so you have his contact information. Thank you! Ed Aylesworth Director, Child Nutrition and Support Services Arlington Public Schools 360.618.6213 CONFIDENTIALITY NOTICE:The information contained in this ELECTRONIC MAIL transmission is confidential.This information is intended for the exclusive use of the addressee(s).If you are not the intended recipient,you are hereby notified that any use,disclosure,dissemination, distribution(other than to the addressee(s)),copying or taking of any action because of this information is strictly prohibited. If you received this in error,please contact the sender. On Tue, Nov 25, 2025 at 8:19AM Isaac Emerson <ZoomPickle@outlook.com> wrote: Yes I was planning to get the gutter system in addition to the awning On 11/25/25 08:04, Ed Aylesworth wrote: Hi, Isaac. This awning looks fine to us. Are you planning on getting the gutter system as well? If so, we believe we can help get that hooked into the downspout next to the door. Ed Aylesworth Director, Child Nutrition and Support Services Arlington Public Schools 360.618.6213 CONFIDENTIALITY NOTICE:The information contained in this ELECTRONIC MAIL transmission is confidential.This information is intended for the exclusive use of the addressee(s).If you are not the intended recipient,you are hereby notified that any use,disclosure, 1 of 3 12/9/25, 20:55 Re: Kids Kloset Awning Construction Plan dissemination,distribution(other than to the addressee(s)),copying or taking of any action because of this information is strictly prohibited. If you received this in error,please contact the sender. On Thu, Nov 20, 2025 at 11 :07 PM Isaac Emerson <ZoomPickle@outlook.com> wrote: Hey Mr. Aylesworth, I I've been having issues with the manufacturer I originally decided on, but I found a different company that I need to run by you: https://www.generalawnings.com/door-awnings-c-80/commercial-c-132/austin- standing-seam-door-awning-p-292 We'd still be using the same anchoring system that I sent to you in my last email. As for installation the Eagle Project guidelines dictate that I must be the "foreman" of an acting crew of volunteers, I have several people who have been working in the trades lined up as my volunteers so I'm confident in their abilities. -Isaac Emerson I On 10/29/25 09:39, Ed Aylesworth wrote: Isaac. The project plan and materials look good to us. Go ahead and move forward with acquisition. Who do you plan on having complete the installation? Thank you! Ed Aylesworth Director, Child Nutrition and Support Services Arlington Public Schools 360.618.6213 CONFIDENTIALITY NOTICE:The information contained in this ELECTRONIC MAIL transmission is confidential.This information is intended for the exclusive use of the addressee(s).If you are not the intended recipient,you are hereby notified that any use, disclosure,dissemination,distribution(other than to the addressee(s)),copying or taking of any action because of this information is strictly prohibited. If you received this in error,please contact the sender. On Sat, Oct 25, 2025 at 11 :22AM Isaac Emerson <ZoomPickle@outlook.com> 2 of 3 12/9/25, 20:55 Re: Kids Kloset Awning Construction Plan wrote: just as a follow up, do you need any further information on the project before I can continue to acquisition of the product. Also, would you happen to have information on the construction of the building like asbuilts or other material specifications. On 10/25/25 11:11, Isaac Emerson wrote: > Greetings Mr. Aylesworth, > Earlier this year I met with you to discuss an eagle project > pertaining to the installation of a awning above the rear entrance to > the school district building for Kids Kloset. You said you wanted a > construction plan before approving the project, so I've put that > together in the attached file including My work plan, the details from > the selected manufacturer, specification for means of attachment and a > very rough sketch of the finished product. I apologize for the delay, > I've been busy with school and some other matters came up as well. > Regardless I hope the plans are satisfactory. Best of wishes, > -Isaac Emerson 3 of 3 12/9/25, 20:55 COMMERCIAL TENANT IMPROVEMENT PERMIT APPLICATION Community and Economic Development City of Arlington • 18204 59th Ave NF. •Arlington,WA 9fi223 • Phone (360) 403-3551 The following information is required for Commercial, Multi-Family,and Mixed-Use Building Permit Applications. Mark each box to designate that the information has been provided. Please submit this checklist as part of the submittal documents.See ASSISTANCE BULLETIN #30 for detailed design requirements. EACH BUILDING OR STRUCTURE REQUIRES A SEPARATE SUBMITTAL. SUBMIT ELECTRONIC FILES FOR EACH OF THE FOLLOWING;Incomplete applications will not be accepted. REQUIRED DOCUMENTS City of Arlington Commercial Tenant Improvement Permit Application Site Plan Architectural Plans Structural Plans Structural Calculations Mechanical System Modifications,(if applicable) Plumbing System Modifications,(if applicable) Project Specification Manuals,(if applicable) WSEC Compliance Forms,(ifapplicable) hops://waenergycodes.comL Special Inspection and Testing Agreement Deferred Submittal Request Airport Property Lease(if building is located within the Arlington Airport Property Boundary) 1. Plan Review fee is due at time of submittal and remaining balance will be due at time of issuance. 2. The City of Arlington does not review or inspect electrical systems.Contact Labor and Industries at Ini.�o�-or 360-416-3000. A. DEFERRED SUBMITTALS If the project requires any of the following,a Deferred Submittal Request MUST be completed.Deferred submittals require separate applications,plans and plan review. 1. Mechanical Plans (if not included in the plan set) 2. Plumbing Plans(if not included in the plan set) 3. Fire Sprinkler 4. Fire Alarm S. Signage B. SPECIAL INSPECTION AND TESTING AGREEMENT A Special Inspection Firm is required to perform special inspections for the following type of work. 'The Special Inspection and Testing Agreement MUST be submitted with the Building Application. ❑ Reinforced Concrete ❑ Structural Steel and Welding Bolting in Concrete ❑ High-Strength Bolting ❑ Pre-stressed Concrete ❑ Spray-Applied Fireproofing ❑ Shotcrete ❑ Smoke-Control Systems ❑ Structural Masonry ❑ Other-Specify:--______ ❑ I acknowledge that all items designated as submittal requirements must accompany my Tenant improvement Permit Application to be considered a complete submittal. COMMERCIAL TENANT IMPROVEMENT INSTALLATION,MODIFICATION OR REMOVAL MAY REQUIRE A SEPARATE PERMIT SUBMITAL "CHECKALL THAT APPLY ❑ Automatic fire extinguishing systems ❑ Compressed gas systems ❑ Fire pumps ❑ Flammable and combustible liquids(tanks,piping etc.) ❑ Standpipe systems ❑ Hazardous materials ❑ Private fire hydrants ❑ Industrial ovens/furnace ❑ Fire alarm and detection systems ❑ Spraying or dipping operations ❑ High piled/rack storage ❑ Temporary membrane structure,tents(>200sq./t)orconoples(>400sq.1t) ❑ Provide details on any of the above checked Items: _ Type of Permit: New Space © Addition Alteration Property Address: 315 N French Ave Arlington WA, 98223 Project Valuation: $3(" Lot#: B Parcel ID No.: 31051100102000 Subdivision: CITY OF ARL SP PLN A744 Project scope of work: Attachment of Awning structure to existing building. Description of New Tenant Business Operations: N/A IBC Constriction Type: N/A IBC Occupancy Type: N/A Building/Space Square Footage: N/A Number of Stories: 3 Square Footage Per Floor: 1stwA 2nd N/A 3rd N/A 4th N/A 5th N/A 6th NA Primary Contact` ® Owner ❑ Architect ❑ Engineer ❑ Contractor Owner Name: Arlington Public Schools office No.: 360.618.6213 Email Address: ed.aylesworth@asdI 6.org Cell No.: N/A Mailin Address: 315 N French Ave city:Arlington State:WA zip: 98223 Architect Name: N/A Office No.: N/A Email Address: N/A Cell No.: N/A Mailing Address: N/A City. N/A State: N/A Zip: N/A Professional License Number: N/A Expiration Date: N/A Engineer Name: N/A Office No.: NSA Email Address: N/A Cell No.: N/A Mailing Address: N/A City: N/A state: N/A Zip: N/A Professional License Number: N/A Expiration Date: N/A Primary Contractor: Isaac Emerson Office No.: N/A Email Address: Zoom Pickle@outlook.com Cell No.: 425-293-2450 Mailing Address: 11404 138th ST NE City: Arlington State: WA zip: 98223 L&I Contractor License Number. N/A Expiration Date: N/A REV032022 Pop 2 of 7 COMMERCIAL TENANT IMPROVEMENT MECHANICAL SYSTEM INFORMATION Type of Permit: O New Installation O Addition C1 Alteration 0 Replaced 0 Gas Piping Mechanical Contractor: N/A Office No.: N/A - Email Address: N/A Cell No.: N/A Mailing Address: WA City: N/A State: N/A Zip: N/A L&I Contractor License Number: NSA Expiration Date: N/A • New gas piping requires a pressure test hooking to any appliance • Sediment traps(drips)are required on all gas lines • Gas lines are required to be supported/secured per IFGS,Section 415 • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of each appliance Gas Piping Specification and complete Schematic PAGE 4 IN Not Applicable Proposed Piping Material: 0 CSST 0 Brass 0 Black Steel 0 Galvanized Steel 0 Other Proposed Piping Size: Cl lh" 0 " ❑ 3/4" 0 1" 0 1'fz" O 2" Inlet Pressure: N/A Pressure Drop: N/A Specific Gravity: N/A MECHANICAL PERMIT FEES(per. . . . >, Ty]pe of Fixture No.of Units 4Cost per Unit Subtotal Additional Plan Review fees x $75.00 = $ Air Cond Unit s100Btu h x $15.00 = $ Air Cond Unit>10OBtulh x $25.00 = $ Air Cond. Unit>500Btujhp x $50.00 = $ Air Handling Units x $ 15.00 = $ Base Mechanical Fee $25.00 $ 25.00 Boiler<100Btu h >3h x $ 15.00 = $ Boiler>1 million Btu/h<50hp x $25.00 = $ Boiler>1.5 million Btu/h<50hp x $50.00 = $ Boiler>100Btu h 3-15h x $15.00 = $ Boiler>500Btu h 15-30hp x $25.00 = $ Commercial Hoods-Type I x $25.00 = $ Commercial Hoods-Type 11 x $ 50.00 = $ Diffusers x $ 15.00 = $ D er Ducting x $ 15.00 = $ Ductwork(drawings required) x $25.00 = $ Evaporative Coolers x $ 15.00 = $ Exhaust Ventilation Fans x $ 15.00 = $ Fire lace insert Stove x $ .15.00 = $ Forced Air Heat s100 Btu h x $ 15.00 = $ Forced Air Heat>100 Btu h x $25.00 = $ Gas Clothes Dryer x $ 15.00 = $ Gas Fired AC s100 Btu h x $ 15.00 = $ REV032022 Page 3 of 7 COMMERCIAL, TENANT IMPROVEMENT MECHANICAL. PERMIT FEES (per unit) Gas Fired AC -100 Htu h x $ 25.00 # Gas Fired AC - 500 BLUjh x $S0.00 5 Gas I'ipin&s 5 unite _ _ x $ 15.00 Gas PVing 5 uni"lus c5 units X _$ "2.00 $ Heat Exchangers ___ -_ x -- $ 15.00 Heat Pump Condensing Unit X. S 25.00 - $ Hot Water Heat Coils _ x $ 15.00 = $ Miscellaneous Appliance - regulated by x $ 15.00 = $ mechanical code, not otherwise specified PkA. Units s100btu x $25.00 = $ Pk . LIMB.>100btu _ x $50.00 = S Ran a Cook to_-Gas Fired x $ 15.00 = $ Refrigeration Unit s100Btu h x $ 15.00 _ $ Refri eration Unit>IOOBtu h x $ 2S.00 = $ Reftigeration Unit>50OBtu h x $50.00 _ $ Re-inspection fee all x $75.00 = $ Unit Heaters s 100 Btu h x $ 15.00 = $ Unit Heaters>100 Btu h x $ 25.00 = $ VAV Boxes(Variable Air Volume,part of air X $ 10.00 = $ conditioning stem Wall Heaters- Gas Fired x $25.00 = $ Water Heater- Gas Fired x $25.00 = $ Permit Fee $ Table 4-8; Plan Review Fee $ Processing/Technology Fee $2S-00 Total I $ PRESSURE PIPING SCHEMATIC COMPLETE FOR GAS PIPING ONLY-USE A SEPARATE SHEET, IF NECESSARY ❑ SCHEMATIC 1S TO SCALE ❑ SCHEMATIC NOT TO SCALE Show Pipe Size(s)and Length(s)from meter to all appliances NOTE:Any interior pressure regulators must be indicated RIV032022 Page 4 ul COMMERCIAL TENANT IMPROVEMENT PLUMBING SYSTEM INFORMATION Type of Permit O New Installation 0 Addition 0 Alteration 0 Replaced 13 Industrial Plumbing Contractor: N/A Office No.: N/A Email Address: NSA Cell No.: N/A Mailing Address: N/A city. N/A State: N/A Zip: NSA L&I Contractor License Number: N/A Expiration Date: N/A The following items need to be specified on the plans: 0 Fixture specifications and equipment with locations. 0 Location and type of all backflow assemblies for each fixture. 0 Calculations for Grease Interceptor. 0 Pipe size and location of sanitary and potable water systems. 0 Riser diagram of waste,vent,and rain water systems,including sizes. 0 Medical gas piping riser diagram,type of gas,storage room and size of piping. PLUMBING PERMIT FEES (per fixture) Commercial plumbing permits are required to submit line drawings.A plan review fee of 65%per Table 4-6 for plumbing permits will be assessed at time of submittal. Includes two 2 ins ctions with permit Type of Fixture No.of Fixtures Cost per Fixture Subtotal Additional Plan Review fees x $75.00 - Alteration re air pipingx $ 15.00 - Backflow Assembl x $25.00 = Base Plumbing Fee $25.00 $25.00 Bath Shower Combo x $ 5.00 = BuildingMain Waste _ x $ 2_5.00 - Clothes Washer x $ 15.00 - Dishwasher x $ 15.00 - Drinking Fountain x $ 15.00 - Floor Drains x $ 15.00 REV0S202"L I'rge5uf7 COMMERCIAL TENANT IMPROVEMENT PLUMBING PERMIT FEES (per fixture) Grease Interceptor x $ 75.00 = Grease Trap x $ 25.00 = Hose Bibb x $ 15,00 = Icemaker Refri erator x $ 15.00 = Irrigation - per meter x $ 25.00 = Kitchen Sink&Disposal x $ 15.00 = Laundry Tray x $ 15.00 = Lavatory x $ 15.00 = Med Gas Pi in :5 5 inlets outlets x $60.00 = Med Gas Piping>5 inlets/outlets(plus 15,5 x $5.00 = inlets outlets Miscellaneous- regulated by plumbing x $ 15.00 = code,not otherwise specified Pretreatment Interceptor x $ 15.00 = Re-inspection Fee all x $75.00 = _ Roof Drains x $ 15.00 = Shower(only) x $ 15.00 = Sink ar,service,etc. x $ 15.00 = Toilets x $ 15.00 = Urinal x $ 15.00 = Vacuum Breakers x $ 25.00 = Water Heater x $25.00 = Water Heater-Tankless x $ 25.00 = Permit Fee Table 4-6; Plan Review Fee Processing/Technology Processing/Technology Fee $25.00 Total PROPOSED BUILDING USE ❑ New © Addition/Alteration ❑ Medical ❑ Automotive Based ❑ Industrial ❑ Office ❑ Restaurant ❑ Machine Shop ❑ Other: CROSS CONNECTION Please check all appliances that are proposed or permanently connected to the water supply. ❑ Ice Machine ❑ Dialysis Equip. ❑ Air washers ❑ Coffee Urn/Espresso ❑ Hydrotherapy Equip. ❑ Steam Generators ❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Fume Hoods ❑ Laboratory Equip. ❑ Pressure Washers ❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers ❑ Hot Tub/Spa ❑ Decorative Fountain ❑ Fire Sprinkler ❑ Aquarium ❑ Swimming Pools ❑ Sprinkler w/chemicals ❑ Lawn Irrigation ❑ Well on property ❑ Other: WASTEWATER DISCHARGE Does the plumbing system currently have a grease interceptor? ❑ Yes ❑ No ❑ Don't Know Does the plumbing system currently have an oil/water ❑ Yes ❑ No ❑ Don't Know separator? REV032022 Page 6 of 7 COMMERCIAL TENANT IMPROVEMENT Is water used in the business process(washing, rinsing, ❑ Yes ❑ No ❑ Don't Know cooling)? Does your business require a NPDES permit? ❑ Yes ❑ No ❑ Don't Know 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. s M cb-" 0ev 2h Zo2.S Signature Print Name bate REV032022 Page 7 of 7 i / . PERMIT FEE WAIVER REQUEST • Community&Economic Development --- City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 • Phone(360) 403-3551 PER THE CURRENT FEE RESOLUTION Section 1. Fees and Charges—General. 1.1 Fees. Fees are intended to cover the normal, recurring costs associated with providing a given service. Fees are non-refundable. 1.2 Prices. In some instances, the City provides certain goods and merchandise for sale. Prices for these goods may be included in this resolution. 1.3 Payment Due. Fees are due at the time the action is requested (e.g., at time of application) or occurs (e.g., prior to a specific action). An applicant may pay all fees of a multi-phased project in advance; however, doing so does not vest applicable fees due. Fees due are those in effect at the time the specific action or phase of an action is requested or occurs. 1.4 Waivers. Upon petition by the applicant, the City Council may waive any of the fees, or portions thereof, for any non-profit organization or government agency. NOTE. State Surcharge Fees cannot be waived. Permit Number: 25-0097 Total Amount: $ 253.91 Staff Requesting Fee Waiver: Amy Rusko Staff Department: CED Staff Email: arusko@arlingtonwa.gov Staff Phone#: 360-403-3550 Reason for Waiver: Eagle Scout project for Kid's Kloset Council Workshop Date: Council Approval Date: 01/05/2026 Signatory Authority: — -- Print Name: Don E. Vanney CED STAFF USE ONLY FEE BREAKDOWN Plan Review Fee(s) $ 80.33 Permit Fee(s) $ 123.58 Processing Technology Fee $ 25.00 State Surcharge Fee $ 25.00 Other: $ Other: $ ACCEPTED BY DATE STAMP REV5.2021 Page 1 of 1