HomeMy WebLinkAbout16410 Smokey Point Blvd_BLD296_2026 (3) ' COMMERCIAL MECHANICAL
PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington -18204 59th Ave NE-Arlington, WA 98223- Phone(360)403-3551
THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS AND ALL
OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE.
Type of Permit: 1-1 New Installation ® Replacement Alteration
Valuation (cost of installation): 50,qan
Project Address: /�4410 5M01<E`, A/ti� 13LVO Parcel#:
Project Description: Remoo( i 1uPL FL0 N.W. Q.VAO RTL)
Owner: 6"t,6, �a►v`t yzofv5si&,,ac, O go Phone#:
Address: I S(OS (Z. T"' '51 City: AY1,t, rJ9ry4J State: WA Zip: '16M
Email Address: AA le- dUJkJA) 0A . COM
Contact Person: D016 AVtk-jit/ Phone#: 2S- Z39 So7`>'
Email Address:
Contractor Information:
Name: CVCA&0( QJ STATif 46at i Alt- Phone#: 252- 3//Y
Address: Z J 20 PitVt(- AUG City: lky ey"Tr State: wA Zip: $$2m1
Email: MAYV 9 Schmwa -tot-, License Number. EUI20-G9;5a Z2o 1
Please indicate type of number of appliances:
FURNACE CONDENSING UNIT GAS PIPING OUTLET
BOILER HEAT PUMP(multi-split) UNIT HEATER
CHILLER HEAT PUMP(mini-split) PAINT BOOTH
COOLER HEAT PUMP(other) TYPE I HOOD
AC(air cooled) HEAT REJECTION EQUIP _ TYPE II HOOD
AC(water cooled) VENTILATION SYSTEM AST
AC(evaporator) PACKAGED UNIT �_ UST
AC(VRF) DRYER _ OTHER
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.
Applicants Signature Date
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
CITY OF ARLINGTON
` 18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551
BUILDING PERMIT
16410 SMOKEY POINT BLVD Permit#:296
PERMIT EXPIRES 180 DAYS AFTER
Parcel#: 31052900100800 DATE OF ISSUANCE.
Scope of Work:Remove&Replace RTU's Valuation: 51000.00
OWNER APPLICANT CONTRACTOR
SMOKEY POINT PROFESSIONAL Evergreen State Heat&A/C EVERGREEN STATE HEAT&A/C
GROUP LLP
1505 E 5TH ST 2120 Pacific Ave 8431 Maltby Rd
ARLINGTON,WA 98223-1125 Everett,WA 98201 Snohomish,WA 98296
425-252-3114 425-252-3114
LIC:601-724-357 EXP:06/30/2027
LIC:EVERGSS0220T EXP: 10/10/2027
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Evergreen State Heat&A/C
2120 Pacific Ave
Everett,WA 98201
425-252-3114
LIC#:EVERGSS0220T EXP: 10/10/2015 LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: COMMERCIAL MECHANICAL CODE YEAR:
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 110/IRC 110.
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.
02/20/2014
Applicant Signature Date Building Official Date
CONDITIONS
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.
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,
MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
09/08/2026 Mechanical Fee(Enter Fixture Fee) $100.00
09/08/2026 Mechanical Commercial Plan Review $450.00
Total Due: $550.00
Total Payment: $550.00
Balance Due: $0.00
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 IPass/Fail
Permit#: 296
Permit Date: 02/18/14
Permit Type: COMMERCIAL MECHANICAL
Project Name: Smokey Point Professional Group
Applicant Name: Evergreen State Heat&A/C
Applicant Address: 2120 Pacific Ave
Applicant, City, State, Zip: Everett,WA 98201
Contact: Mark
Phone: 425-252-3114
Email: mark@essmwa.com
Scope of Work: Remove &Replace RTU's
Valuation: 51000.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 02/20/2014
Permit Expires:
Permit Form Type:
Civic Plus Number:
Status: COMPLETE
Assigned To:
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
16410 SMOKEY POINT SMOKEY POINT 651 Medical&Other
31052900100800 BLVD PROFESSIONAL Health Services
GROUP LLP
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
EVERGREEN STATE 425-252-3114 8431 Maltby Rd CONSTRUCTION COA 601-724-357
HEAT&A/C CONTRACTOR
EVERGREEN STATE 425-252-3114 8431 Maltby Rd CONSTRUCTION Labor&EVERGSS0220T
HEAT&A/C CONTRACTOR Industries
Plan Reviews
Date Review Type Description Assigned To Review Status
02/18/2014 COMMERCIAL No issues z.Christopher Young
MECHANICAL
Fees
Fee Description Notes Amount
Mechanical Fee(Enter Fixture Fee) $100.00
Mechanical Commercial Plan Review Table 4-1 $450.00
Total $550.00
Attached Letters
Date Letter Description
02/20/2014 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
02/20/2014 Evergreen State Heat&A/C 49284858 cc $550.00
Gloria
Outstanding Balance $0.00
Uploaded Files
Date File Name
02/18/2014 BLD 296 Application.pdf