HomeMy WebLinkAbout19111 61st Ave Ne_BLD750_2026 r
r` 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: Tff New Installation Replacement ❑ Alteration
Project Address: q�2:Z3Parcel#:
Project Description%W&N- CSTN ��,�,2,E ,S�>EYa2 � 1 Valuation.
Owner: 0y\ A'->rna2&Ar' 1)30 Phone#: l( •?�"�� •�
Address: (�I Q(51r /� City: State:ti� Zip: 01
Email Address: I,��}y�Vh—(�� �_��(•Y�
Contact Person: l �.Q, L Phone#:
Address: City: State: Zip:
Email Address:
Contractor Name: f— QUA- Phone#: *D 7)7 .01 yQ
Contractor Address: 71tt fIE `2 City:S��E Stater Zip:
Email: Q,`� �GL�2l-hc • C ON1
Contractor License Number: Expiration:
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 t a in en-i correct and that the construction on, and the occupancy and the use of the above-
described propert will a in c c t r and re ulation of the State of Washington.
Applicants Signatur Date `1
Applicants Printed Name
FOR STAFF USE ONLY
Permit# AcceI51:1P E37 Amount Received Receipt# Date Received
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:19111 61st Avenue NE,#4 Permit#:750
Parcel#:3 105 150040 1200 Valuation:8299.00
OWNER APPLICANT CONTRACTOR
Name:City of Arlington Name:Un Amore,Inc. Name: R&T HOOD&DUCTS SERVICES INC
Address: 18204 59th Drive NE Address:19111 61st Avenue NE,#4 Address:6100 12TH AVE S
City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:SEATTLE,WA 98108
Phone: Phone:425-377-3080 Phone:206-726-0940
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name:R&T HOOD&DUCTS SERVICES INC Name:
Address:6100 12TH AVE S Address:
City,State,Zip:SEATTLE,WA 98108 City,State,Zip:
Phone:206-726-0940 Phone:
LIC#:RTHOOD*088QL EXP: 12/l/2015 LIC#: EXP
JOB DESCRIPTION
PERMIT TYPE: Commercial Mechanical CODE YEAR: 2012
STORIES: I CONST.TYPE:
DWELLING UNITS: 0 OCC GROUP:
BUILDINGS: I OCC LOAD:
PERMIT APPROVAL
1 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 CERTIFICA' OF OCCUPANCY HAS BEEN GRANTED. IBC l l0/IRC I l0.
LES NO Sad x relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form
nd cod f, ity� '�� �on#31
y 1�
ignatu Print Name a Date Released By to
CONDITIONS
Approved as submitted.
THIS PERMIT AUTHORIZS 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
8/4/2015 Mechanical Permit Base Fee $25.00
8/4/2015 Mechanical Plan Review Fee $200.00
Total Due: $225.00
Total Payment: $0.00
Balance Due: $225.00
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
From: Richard Smith
To: nick(cbun-amore.com
Cc: CED Main Line;Christopher Young; 'Bastian.Glenna"; "Kristol Heintz";"Michelle Duncan"
Subject: City of Arlington Permit#750
Date: Thursday,January 14,2016 5:21:21 PM
Attachments: imaae001.ioa
Nicole, the city would like you to call and give them the Contact info and Contractor license number
for the contractor you have chosen to finish the work. For liability purposes I need to have our
license number removed from the permit.
Thank you,
Richard Smith
R&T Hood & Duct Services
6100 12Th Ave S
Seattle WA 98108
PH 2O6-726-0940
FX 206-767-2607
CELL 206-510-0834
8
Permit#: 750
Permit Date: 07/29/15
Permit Type: COMMERCIAL MECHANICAL
Project Name: Un Amore, Inc.
Applicant Name: Un Amore, Inc.
Applicant Address: 19111 61 st Avenue NE, #4
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Nicole Laye
Phone: 425-377-3080
Email: info@un-amore.com
Scope of Work: Paint Booth and Fire Suppression Installation
Valuation: 8299.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 08/04/2015
Permit Expires:
Permit Form Type:
Civic Plus Number:
Status: COMPLETE
Assigned To: Launa Black
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
31051500401200 19111 61 st Avenue NE City of Arlington
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
R&THOOD&
6100 12TH AVE CONSTRUCTION Labor&
DUCTS SERVICES 206-726-0940 RTHOOD*088QL
INC S CONTRACTOR Industries
Plan Reviews
Date Review Type Description Assigned To Review Status
07/29/2015 COMMERCIAL BUILDING
MECHANICAL
Fees
Fee Description Notes Amount
Mechanical Base Permit Fee $25.00
Mechanical Commercial Plan Review Table 4-1 $200.00
Total $225.00
Attached Letters
Date Letter Description
08/04/2015 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
08/04/2015 Nicole Laye 55513496 cc $225.00
Outstanding Balance $0.00
Uploaded Files
Date File Name
O1/15/2016 1426908-City of Arlington Permit#750.msg
08/04/2015 1216414-750-Issued Permit.pdf
07/29/2015 1207936-750-Application.pdf