HomeMy WebLinkAbout16821 41st Dr Ne Unit A_BLD6097_2025 Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551
Permit Number: BLD6097 Permit Type: Residential Mechanical
Address: 16821 41st Dr Ne Unit A Completed (Month/Year): November 2024
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Page 1 of 1
CITY OF ARLINGTON
18204 59th Avenue NE, Arlington, WA 98223
INSPECTIONS: 360-403-3417 - Permit Center: 360-403-3551
BUILDING PERMIT
16821 41ST DR NE UNIT A Permit #: 6097
PERMIT EXPIRES 180 DAYS AFTER
Parcel #: 00866700002700
DATE OF ISSUANCE.
Scope of Work: Water Heater Replacement Valuation: 2882.00
OWNER APPLICANT CONTRACTOR
FOGG CHARLES E & LORRAINE R Fast Water Heater FAST WATER HEATER
16821 41ST DR NE UNIT A 16120 Redmond-Woodinville Road NE 11715 N CREEK PKWY S, Ste C106
ARLINGTON, WA 98223-8431 Woodinville BOTHELL, WA 98011
425-216-0419 425.636.7054
LIC: 602 564 544 EXP: 05/31/2025
LIC: FASTWWH948BC EXP: 01/04/2026
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC #: EXP: LIC #: EXP:
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL MECHANICAL CODE YEAR: 2021
STORIES: 2 CONST. TYPE: VB
DWELLING UNITS: OCC GROUP: R-3; Residential
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 tax return form and coded City of Arlington #3101.
8/27/24 08/05/2024
Applicant Signature Date Building Official Date
CONDITIONS
Adhere to approved plans. Call for inspection.
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
08/23/2024 Processing/Technology $25.00
08/23/2024 Inspection $75.00
08/23/2024 Mechanical Base $25.00
08/23/2024 Water Heater - LPG $25.00
08/23/2024 Credit Card Service $4.50
Total Due: $154.50
Total Payment: $154.50
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 Pass/Fail
RESIDENTIAL MECHANICAL APPLICATION
Community and Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
This application is for new, addition, altered or replaced mechanical installation and new or altered gas piping.
Please fill out all pages of this application and include all information.
Type of Permit: ï² New Installation ï² Addition/Alteration/Repair ï² Gas Piping
Property Address: Project Valuation:
Lot #: Parcel ID No.: Preferred Contact: ï² Owner ï² Contractor
Project Description:
Owner Name: Home No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
Contractor Name: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
L&I Contractor License Number: Expiration Date:
• 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 every 6 to 8 feet
• Proper Combustion air and venting required for all appliances
• A shut-off valve is required within 6 feet of all appliances
Gas Piping Information ï² Not Applicable
ï² CSST ï²Brass ï²Other
Proposed Piping Material:
ï²Black Steel ï²Galvanized Steel _______________________________________
Proposed Piping Size: ï²Â½â€ ï² â…â€ ï² Â¾â€ ï² 1â€ ï² 1Â½â€ ï² 2â€
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 Cost per Unit Subtotal Model No.
Units
Additional Plan Review fees x $ 75.00 =
Air Conditioning Unit ≤ 100 Btu/h x $ 15.00 =
Air Conditioning Unit > 100 Btu/h x $ 25.00 =
Air Conditioning Unit > 500 Btu/hp x $ 50.00 =
Air Handling Units x $ 15.00 =
Base Mechanical Fee 1 x $ 25.00 = $ 25.00
Boiler <100Btu/h >3hp x $ 15.00 =
REV03.2022 Page 1 of 3
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)
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 $ 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 Air Conditioning Unit ≤ 100 Btu/h x $ 15.00 =
Gas Fired Air Conditioning Unit > 100 Btu/h x $ 25.00 =
Gas Fired Air Conditioning Unit > 500 Btu/hp x $ 50.00 =
Gas Piping ≤ 5 units x $ 15.00 =
Gas Piping for each additional unit > 5 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 $ 15.00
x =
mechanical code, not otherwise specified
Package Units ≤ 100 Btu / > 100 Btu x $ 25.00/$50.00 =
Range/Cook top-Gas Fired x $ 15.00 =
Refrigeration Unit ≤100Btu/h x $ 15.00 =
Refrigeration Unit >100Btu/h x $ 25.00 =
Refrigeration. Unit >500Btu/h x $ 50.00 =
Re-inspection fee x $ 75.00 =
Residential Range Hood x $ 15.00 =
Unit Heaters ≤ 100 Btu/h x $ 15.00 =
Unit Heaters >100 Btu/h x $ 25.00 =
Variable Air Volume Boxes (part of Air $ 10.00
x =
Conditioning System)
Wall Heaters - Gas Fired x $ 25.00 =
Water Heater - Gas Fired x $ 25.00 =
Permit Fee
Inspection Fee $75.00
Processing/Technology Fee $25.00
Total
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
REV2.2024 Page 2 of 3
PRESSURE PIPING SCHEMATIC
COMPLETE FOR GAS PIPING ONLY
ï² SCHEMATIC IS TO SCALE ï² SCHEMATIC NOT TO SCALE
Show Pipe Size(s) and Length(s) from meter to all appliances
NOTE: Any interior pressure regulators must be indicated
REV2.2024 Page 3 of 3
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