HomeMy WebLinkAbout17215 Smokey Point Dr_BLD534_2026 CITY OF ARL . NGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address: 17215 Smokey Point Drive Permit#:534
Parcel#:00645300000101 Valuation:32590 00
OWNER APPLICANT CONTRACTOR
Name:FIRST AMERICAN TAX VALUATION Name:Allstar Heating Name:All Star Heating
Address:ATTN KEYCORP MGMT CO PO BOX Address:P.O.Box 70 Address:PO Box 70
560807
City,State Zip:DALLAS,TX 65367 City,State Zip:Fall City,WA 98028 City,State Zip:Fall City,WA 98024
Phone: Phone:425-766-1981 Phone:425-766-1941
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name:All Star Heating Name:
Address:PO Box 70 Address:
City,State,Zip:Fall City,WA 98024 City,State,Zip:
Phone:425-766-1941 Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Commercial Mechanical CODE YEAR: 2012
STORIES: CONST.TYPE:
DWELLING UNITS: 0 OCC GROUP:
BUILDINGS: 1 OCC LOAD:
' PERMIT APPROVAL
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 1S NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO IJSE R O 1P A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF O J A YHA. BEEN GRANTED. IBC I l0/IRC I l0.
SALES TAX NOT 'E:S s tax relati to construction and construction materials in the Cit, f, ingion must be reported on your sales tax return form
an coded City o'Arlin i#3101.
JZ/I F//4
Signature Print Name Date Roles By D&C
CONDITIONS
Adhere to approved plans.
THIS PERMIT AUTHORIZE 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
12/9/2014 Mechanical Fee(Enter Fixture Fee) $400.00
12/9/2014 Mechanical Permit Base Fee $25.00
12/9/2014 Mechanical Plan Review Fee $350.00
Total Due: S775.00
Total Payment: $0.00
Balance Due: $775.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
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: New Installation Replacement �Alteration
Valuation (cost of installation): �a, 590
Project Address: 17 � is J JM Ok(g� vi&4 !J�` Parcel#: o o C Y 3_3 U nor /0 0
Project Description. �C Jam-0 X 1 S 1"l, Lev Y iJ Wilk A,)E'_O /D oQ41@!tJNC°t,J b t,(-,b
Owner: CM)R Ud L Phone#:
Address. f }g � )o�j J 7 `(� City: lN(JpJ State: Zip: r
Email Address: /
Contact Person: (�; t C.k\ co\) • Phone#: :Yf�Z
Email Address:
Contractor Information:
Name: J(�� Phone#:
Address O� -7 0 City: �� C �� State: Zip:
Email ! C,t�l(� J) ` �, V R C, License Number: ALL T H A j y q ,X
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 C UST
AC(VRF) DRYEP, OTHER
I hereby certify that the above infor tion correct a that the construction on, and the occupancy and the use of the above-
described property will be in accord ce w the laws, r es and regulation of the State of Washington.
Applicants Signature L Date
v
FOR STAFF USE ONLY Received
rj��4 — — pFr. 082014
Permit# Accepte y Amount Received Receipt# Date Received
2012 Washin ton State Eneray Code Compliance Forms for Commercial Grou R1 and >3 sto—N R2 and R3
Mechanical Summary MECH-SUM
2012 Washington State Energy Code Compliance Forms for Commercial,Group R1,and>3 story R2&R3 Revived June 2013
Project Info Project Address _ i r L` J , Datel Voy
For Building inept./Use
Applicant Name: R 1 �C CJ J UCTS Q ll
Applicant Address: a 70 FA I (7,1) 60 O
Applicant Phn� 7(,7
Project Description Ki& Q�I�� �� isfy, Rea 510e-M 1A)A All AXJd
Briefly describe mechanical nn 1�1
system type and features. 3 N hp, i5 I�e AS 0A w►�1 \,W buci work
rk
Includes Plans Include documentation requiring compliance with commissioning provisions per Section C408.
Compliance Option ;86imple System complex System Oystems Analysis
E ui ment Schedules The following information is required to be incorporated with the mechanical equipment schedules on the
�l P plans. For projects without plans,fill in the required information below.
Cooling Equipment Schedule
Equip. Equip Capacity` OSA CFM SEER Econmizer Heat
ID Type Brand Name' Model No' Btu/h or Econo? EE-R- IPLV3 Option or Recovery
Exceptions Y/N
He 77kk)vL y ro-C ial C0.000 1
LIS:ill
4 e 00 a 0 n
aI AC ; N ► oo 0 �U
Heating Equipment Schedule
Equip. Equip Capacity` OSA cfm Heat
ID Type Brand Name' Model No.' Btu/h or Econo? Input Btuh Output Btuh Efficiency' Recovery
Y/N
Fan E ui ment Schedule
Equip Equip
ID Type Brand Name' Model No.' CFM Sp, HP/BHP Flow Controls Location of Service
Service Water Heating Equipment Schedule
Equip. Equip Input Sub-
ID Type Brand Name' Model No.' Capacity Category EF' Location of Service
1 If available. 2 As tested according to Table C403.2.3(1)A thru C403.2.3(8). 3 If required. 4 COP,HSPF,Combustion Efficiency,or AFUE,as
applicable. 5 Flow control types:variable air volume(VAV),constant volume(CV),or variable speed(VS). B Economizer exception number per Simple
Systems C403.3.1 or Complex Svstems C403.4.1. 7 Efficiencv Factor per Table C404.2.
Mechanical Permit Plans Checklist -
Page of
2012 Washington State Energy Code Compliance Forms(of Commercial,Group R1,and>3 story A21-113 Revised June 2013
Project Address Date
The following information is necessary to check a mechanical permit application for commercial provision compliance with the 2012 WSEC.
NOTE:Define print area In Excel prior to printing MECH-CHK pages.
Applicability Location on Building Department
Code Section Code Provision Information Required
(yes,no,na) Plans Notes
GENERAL PROVISIONS
Equipment Sizing&Performance
C403 2.1 Load calculations Load calculations performed per ASHRAE Sid 183 or equivalent per Chapter 3
N C403.2.2 Equipment and system sizing Output capacity of heating and cooling equipment and systems do not exceed
calculated loads,note exceptions taken
C403.2.5 Minimum ventilation Ventilation(natural or mechanical)provided per IMC;indicate mechanical t
ventilation is capable of being reduced to minimum requirement per IMC
C403.2-3& Provide equipment schedules or complete MECH-SUM tables with type,
C403.2.3.2& Equipment minimum efficiencl capacity,efficiency,test standard(or other efficiency source)for all mechanical
C403.2.12.1 equipment
C403.2.13 Electric motor efficiency Provide equipment schedule with hp,rpm,efficiency for all motors;note except /1
N Q C403 2.10 Fan power limitation Fan system motor hp or bhp does not exceed limits per Table C403.2.10A(1)
C403.2.10.3 Fractional h fan motors Indicate fan motors 1/12 to 1 h are ECM
WQ &C403.2-13 p p type or meet minimum efficiency req-
N 0 C403.2.3 Maximum air cooled chiller Indicate air-cooled chiller capacity does not exceed air-cooled chiller limit
capacity
C403.2A Non-standard water-cooled Full-load and NPLV values for water-cooled centrifugal chiller adjusted for non-
chillers standard operational conditions
C403.2.12.1.2 Centrifugal fan towers Large capacity cooling towers with centrifugal fan(s)meet efficiency
n coo requirements for axial fan open circuit cooling towers
C403.2.3 Forced air furnace and unit Indicate intermittent ignition or IID,flue/draft damper&jacket loss
heaters
C403 2 3.3 Packaged electric List equipment required to be heat pumps on schedule f t
heatin /cooling equipment
C403.2.3 4 Humidification Indicate method of humidification(note requirements for systems with
economizer
HVAC System Controls&Criteria
C403.2.4 1 Thermostatic controls Indicate locations of thermostatic control zones on plans,including perimeter
systems
T_ Heat at pump supplementary
00 C403.2,4.1.1 h Indicate staged heating
g(compression/supplemental)&outdoor lock-out temp
C403.2-4.2 Setpoint overlap(deadband) Indicate 5°F deadband minimum for systems controlling both heating&cooling
C403 2.4.3 Automatic setback and Indicate zone t-stat controls with required automatic setback&manual override
shutdown q
C403.2 4 3.3 Automatic(optimum)start Indicate system controls that adjust equip start time to match load conditions
C402.4.52& Indicate location of OSA,exhaust,relief and return air dampers;include AMCA /
C40324 4 Dampers rated leaks a and control type motorized or gravity:note exceptions taken)
o C4032.11 Heating outside a building Indicate radiant heat system and occupancy controls
C403.2.4,5 Snow melt systems 'Indicate shut-off controls based on outdoor conditions
® C403.2-4.6 equipment oustio n heating Indicate modulating or staged control
O C403.2.4.7 Group R1 hotel/motel systems Indicate method for guest room automatic setback&set-up of 5°F minimum
O C403.2.4.8/g Group R2/R3 dwelling unit Indicate 5-2 programmable thermostats in primary spaces with minimum of two
systems setbackperiods;note exceptions taken
Wo C403.2.5.1 Demand controlled ventilation Indicate high-occupancy spaces and systems requiring DCV
wo C403.2.5.2 Occupancy sensors Indicate spaces requiring occupancy-based system control and method;or
alternate means provided to automatically reduce OSA when partially occupied
Enclosed loading Indicate enclosed loadingdock and enclosed parking
r 1 O C403 2 5 3 dock/parking garage p g garage ventilation system
IV ventilation activation and control method
C403.2.5.4-1 Kitchen exhaust hoods Indicate kitchen hoods requiring make-up air;indicate make-up air source and
conditioning method
C4032.5,4.2 Laboratory exhaust systems Indicate lab exhaust systems requiring heat recovery,method&efficiency;or
alternative method taken(VAV,semi-conditioned makeup,or CERM calculation)
C403.2.6.1 Energy systems recovery- ventilation Indicate ventilation systems requiring ER,method&efficiency;note exceptions
C403.2.62 Energy systems recovery-condensate Indicate on-site steam heating systems requiring energy recovery
C403.2.6 3 Energy recovery-condenser Indicate remote refrig.condensers requiring ER and use of captured energy
b s stems
Mechanical Permit Plans Checklist - Page 2of
2012 Wastunglon Stale Energy Code ComplIance forms for Comnwclal,Group R1,and>3 story R2&R3 Revised June 2013
Project Address Date
The following information is necessary to check a mechanical permit application for commercial provision compliance with the 2012 WSEC
NOTE:Define print area in Excel prior to printing MECH-CHK pages.
Applicability Code Section Code Provision Information Required Location on Building Department
(yes,no,na)I I I I Plans Notes
GENERAL PROVISIONS,CONTINUED
HVAC System Controls&Criteria,Continued
C403.2.12 Variable Flow control- Indicate fan&pump motors requiring VF control&method(VSD or equiv
fans/pumps controls)
�} C403.2.12.1 Variable flow control-cooling IIndicate cooling tower fans requiring variable flow control and method
towers
C403.2.12.2 Large volume fan systems Indicate fan systems requiring airflow reduction based on heating and cooling demand;or exception taken
V QS C403,2,12 2 Single zone AC systems Indicate method of cooling demand-based fan control for sys.>110,000 btuh
1 0 C403.2.4,10 DDC system capabilities Identify all DDC system input/output control points and indicate capability for
trendin and demand response set point adiustment
Ducting Systems
C403 2.7.1$ Duct construction Indicate all ductwork constructed and sealed per IMC,C402 leakage I�
C403,2.7.3 requirements and IBC vapor retarder requirements
C403.2 7.3 14:Duct pressure classifications Identify location of low,medium and high pressure ductwork on plans
C403.2.7.3.3 (High pressure duct leakage Indicate high pressure duct leakage testing requirements on plans;provide test
test results to jurisdiction when completed
C403 2.7.1/2 Duct insulation Indicate R-value of insulation on ductwork 1
Piping Systems
C403.2.6 Piping insulation Indicate R-value of insulation on piping �l
C403.2.8.1 Piping insulation exposed to Indicate method of protection from damageldegredation
weather
SIMPLE SYSTEMS
Qualifying Systems
C403 3 Qualifying single zone Verify unitary or packaged equipment does not exceed capacity limits,does not
systems ]have active humidifcation or simultaneous heating/cooling
Q C403.3 Qualifying 2-pipe heating Verify 2-pipe heating-only system does not exceed capacity limits
systems
C403.3.2 Hydronic system controls Refer to Complex Systems Section C403.4.3
Simple System Economizers
P_J C403.3.1 Air economizer required Indicate cooling systems requiring economizer controls;note in equip sched.
C403.3.1.1.1 Air economizer capacity Indicate modulating OSA control capability up to 100%OSA,or exception I
C403.3.1,1.3 Air economizer high limit Indicate high limit shut-off control method per Table C403.3 1.1.3(2)
controls
C403.1.1.2 Integrated air economizer Indicate capability for partial air economizer operation for systems with capacity
operation >65,000 btuh
C403.3 1 1 Air economizer exceptions Indicate eligible exception(s)taken and provisions to comply with exception(s)
COMPLEX SYSTEMS
Complex System Economizers
C403-4 1 Air economizer required Indicate cooling systems requiring economizer controls;note in equip ached.
C403.4 1 4 Economizer heating system Verify control method of HVAC systems with economizers does not increase
impact building heating energy usage during normal operation
C403.4A 3 Integrated economizer Indicate capability for partial economizer operation for air or water econo
operation systems
Moved Water economizer capacity Indicate water econo capable of 100%cooling capacity at 50OF db/45°F wb
OSA
C403.4 1 2 Water economizer maximum Indicate precooling coils and heat exchangers do not exceed pressure drop limit
pressure drop
C403.3.1 Air economizer exceptions Indicate eligible exception(s)taken and provisions to comply with exception(s)
Mechanical Permit Plans Checklist - Page 3 of
2012 Washington Stale Energy Code Compliance Forms for Commercial,Group R1,and>3 story R2&R3 Revised June 2013
Project Address Date
The following information is necessary to check a mechanical permit application for commercial provision compliance with the 2012 WSEC.
NOTE:Define print area in Excel prior to printing MECH-CHK pages.
Applicability Location on Building Department
(yes,no,na) Code Section Code Provision Information Required Plans Notes
COMPLEX SYSTEMS,CONTINUED
Specific System Requirements
C403.4.2& Variable flow control-fans Indicate fans requiring variable flow control and method
C403.2.12
C403.4.2.1 VAV fan static pressure Indicate sensor locations on plans;include at least one sensor per major duct
sensors branch
C403.4.2.2 VAV fan static pressure Indicate fan system static pressure selpoint based on zone requiring most
setpoinl pressure
C403.4.5 VAV systems serving multi- Indicate supply air systems serving multiple zones that are required to be VAV,
zones method of primary air control,and zones served;note exceptions taken
C403.4.5.4 VAV system supply air reset Indicate controls that automatically reset supply air temp in response to loads
C403.4 Large capacity cooling Indicate method of multi-stage or variable control for building cooling system
systems capacity>300 tons
C403.4.7 Hot gas bypass limitation Indicate cooling equipment unloading or capacity modulation method
C403.4.3 Large capacity boiler systems Indicate multi-stage or modulating burner for single boilers>500,000 bluh
C403.4.3 Boiler sequencing Indicate automatic controls that sequence operation of multiple boilers
C403.4.3.5 Chiller/boiler plant pump Indicate capability to automatically reduce overall plant flow and shut-off flow
isolation through chillers&boilers when not in use
C403.4.2& Variable flow control-pumps Indicate pumps requiring variable flow control&method
C403.4.3.6
C403.2.12.1 Variable flow control-cooling Indicate cooling tower fans requiring variable flow control and method
&C403.4.4 towers
C403.4.3.4 Hydronic system part load Indicate healing&chilled water systems have the capability to automatically
controls reset supply water tamp AND reduce flow by>_50%for systems>300,000 btuh
C403.4.3.2 Two-pipe changeover Indicate deadband,heating/cooling mode scheduling and changeover
systems temperature range
C403.4,3.3.1 Water loop heal pump- Indicate capability of central equipment to provide min.20°F water supply temp
deadband deadband between heat rejection and heat addition modes
C403.4.3,3 Water loop heat pump-heal Provide heal exchanger that separates cooling lower and heal pump loop in
rejection Climate Zone 5
C403.4.3-3.3 Water loop heal pump- Indicate 2-way isolation valve on each heat pump and variable flow control for
isolation systems with total pump power>10 h
C403.4.6 Condenser water heal Indicate system provided to pre-heat service water and efficiency
recovery
C403.5 Cooler/freezer-anti-sweat Indicate w/sf&control method for walk-in cooler/freezer door anti-sweat healers
heaters
C403.5/6 Cooler/freezer-evaporator Indicate motor type for evaporator and condenser fans<1 hp
and condenser fans I
SERVICE WATER HEATING
Service Water Systems
�® C404.2 Water-healing equip min Provide equipment schedule or complete MACH-SUM table with type,capacity,
efficiency efficiency,test standard or other efficient source
C404.3 Temperature controls Indicate temperature controls have required selpoinl capability
C404.4 Heat traps Indicate piping connected to equipment have heal traps on supply&discharge
C404.5 Insulation under water healer Indicate R-10 insulation under lank
C404.6 Service water piping Indicate R-value of insulation on piping;note exceptions taken
insulalion
C404.7/8 Circulation systems and heal Indicate shut-off capability based on occupancy and periods of limited demand
[race shut-off
C404.9 Group R-2 service hot water Indicate method of usage metering for dwell.units served by central HW system
meters
Pools&In-Ground Permanently Installed Spas
N� C404.10.1 Pool healing equip min. Provide equipment schedule or complete MECH-SUM table with type,capacity,
efficiency efficiency,test standard(or other eff.source);heal pump healers>4 COP
C404.10.1/2 Pool heater on/off controls Indicate automatic on/off control based on scheduling&accessible on/off switch
on healer that operates independent of thermostat setting;or exception taken
C404.10.3 Pool covers Indicate vapor retardant cover and insulation rating as required
C404.10.3 Pool assembly insulation Indicate rating of insulation on sides and bollom of pools healed to>90°F
C404,10.4 Heat recovery Indicate method,exhaust air temperature reduction and recovered energy use
Permit#: 534
Permit Date: 12/08/14
Permit Type: COMMERCIAL MECHANICAL
Project Name: 8 to 8 Dental
Applicant Name: Allstar Heating
Applicant Address: P.O. Box 70
Applicant, City, State, Zip: Fall City,WA 98028
Contact: Patrick Converse
Phone: 425-766-1981
Email: patrick@allstar-hvac.com
Scope of Work: Replace existing units new and new duct work
Valuation: 32590.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 12/17/2014
Permit Expires:
Permit Form Type:
Civic Plus Number:
Status: COMPLETE
Assigned To: Launa Black
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
00645300000101 17215 SMOKEY POINT FIRST AMERICAN 611 Banking&Bank
DR TAX VALUATION Related Functions
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
All Star Heating Patrick Converse 425-766-1941 PO Box 70 CONSTRUCTION Labor&Industries ALLSTHA044JK
CONTRACTOR
Plan Reviews
Date Review Type Description Assigned To Review Status
12/08/2014 COMMERCIAL Ok to issue z.Christopher Young
MECHANICAL
Fees
Fee Description Notes Amount
Mechanical Fee(Enter Fixture Fee) $400.00
Mechanical Base Permit Fee $25.00
Mechanical Commercial Plan Review Table 4-1 $350.00
Total $775.00
Attached Letters
Date Letter Description
12/09/2014 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
12/17/2014 Patrick Converse 52861107 cc $775.00
Outstanding Balance $0.00
Uploaded Files
Date File Name
04/03/2015 1030828-17415 Smoke y Point Dr Permit.pdf
12/08/2014 876663-534 Application&Mechanical Summary_.pdf
CITY OF ARLINGTON
` 18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551
BUILDING PERMIT
17215 SMOKEY POINT DR Permit#: 534
PERMIT EXPIRES 180 DAYS AFTER
Parcel#: 00645300000101 DATE OF ISSUANCE.
Scope of Work:Replace existing units new and new duct work Valuation: 32590.00
OWNER APPLICANT CONTRACTOR
FIRST AMERICAN TAX VALUATION Allstar Heating All Star Heating
ATTN KEYCORP MGMT CO PO BOX P.O.Box 70 PO Box 70
560807
DALLAS,TX 65367 Fall City,WA 98028 Fall City,WA 98024
425-766-1981 425-766-1941
LIC:ALLSTHA044JK EXP:04/12/2021
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
All Star Heating
PO Box 70
Fall City,WA 98024
425-766-1941
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: COMMERCIAL MECHANICAL CODE YEAR: 2012
STORIES: CONST.TYPE:
DWELLING UNITS: 0 OCC GROUP:
BUILDINGS: 1 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.
12/09/2014
Applicant Signature Date Building Official Date
CONDITIONS
Adhere to approved plans.
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
09/17/2026 Mechanical Fee(Enter Fixture Fee) $400.00
09/17/2026 Mechanical Base $25.00
09/17/2026 Mechanical Commercial Plan Review $350.00
Total Due: $775.00
Total Payment: $775.00
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 I Pass/Fail