HomeMy WebLinkAbout4011 172nd St Ne_BLD5962_2025 Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551
Permit Number: BLD5962 Permit Type: Commercial Mechanical
Address: 4011 172nd St Ne Completed (Month/Year): Withdrawn October 2024
Land Use Bonding or Assignment of Funds
Issued Permit o Confidential Documents. Contact the
Application City to obtain.
Narrative As-Builts
Legal Description Letters and Project Documents
Vicinity Map Other:
Site Plan
Landscape Plan Civil
Complete Streets Checklist Issued Permit
Traffic Impact Analysis Application
Snohomish County Traffic Mitigation Offer Other Applications
WSDOT Traffic Offer Form Construction Calculation Worksheet
Tree Survey Approved Plans
Stormwater Drainage Report Review Comment Form
Geotech Report Letters and Project Documents
Critical Area Evaluation Form Other Agency Permits
SEPA Checklist Reports:
Public Notice Material o Drainage Report Pg:
Water / Sewer Availability Certificate o Stormwater Pg:
Unanticipated Discovery Plan Form o Geotech Pg:
Aerial Photo of Site o All Other Reports
Proposed Building Materials SEPA and Noticing Materials
Lighting Plans and Lighting Cut Sheets As-Builts
Color Elevations Other:
Plat Map
Title Report Building
Lot Closures ✔ Issued Permit
Preliminary Civil Plans ✔ Application
Archaeological Survey Additional Applications
o Confidential Documents. Contact the Approved Plans
City to obtain. ✔ Letters and Project Documents
Topography (Existing Conditions) Calculations
CC&R’s ✔ Project Specification Manuals
Deeds / Easements / Conveyances Reports
/Dedications Certificate of Occupancy
Letters and Project Documents Other:
Page 1 of 1
COMMERCIAL MECHANICAL APPLICATION
Community & 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 and
must be accompanied by ELECTRONIC CONSTRUCTION DRAWINGS and CUT SHEETS and/or information outlined
in the MECHANICAL SUBMITTAL REQUIREMENTS, if applicable.
Type of Permit: ï² New Installation ï² Addition ï² Alteration ï² Replaced ï² Gas Piping
Type I and Type II Hood Systems required submittal of the Commercial Mechanical Addenda
Property Address: Project Valuation:
Lot #: Parcel ID No.: Preferred Contact: ï² Owner ï² Contractor
Project Description:
Owner Name: Office 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 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 3 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€
Inlet Pressure: Pressure Drop: Specific Gravity:
REV03.2022 Page 1 of 3
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 >500Btu/hp x $ 50.00 = $
Air Handling Units x $ 15.00 = $
Base Mechanical Fee $ 25.00 $ 25.00
Boiler <100Btu/h >3hp 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 $ 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 ≤100 Btu/h x $ 15.00 = $
Gas Fired AC >100 Btu/h x $ 25.00 = $
Gas Fired AC > 500 Btu/h x $ 50.00 = $
Gas Piping ≤ 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 $ 15.00 $
x =
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 ≤100Btu/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 $ 10.00 $
x =
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 $
REV2.2020 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
I hereby certify that I 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 of Arlington. A final inspection and approval shall be obtained when complete.
Signature Print Name Date
REV2.2020 Page 3 of 3
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