HomeMy WebLinkAbout01-22-24 Council WorkshopSPECIAL ACCOMMODATIONS: The City of Arlington strives to provide accessible meetings for people with disabilities. Please contact the
ADA coordinator at (360) 403-3441 or 711 (TDD only) prior to the meeting date if special accommodations are required.
CALL TO ORDER
Mayor Don Vanney
PLEDGE OF ALLEGIANCE
ROLL CALL
Mayor Don Vanney – Wendy
APPROVAL OF THE AGENDA
Mayor Pro Tem Michele Blythe
INTRODUCTION OF SPECIAL GUESTS AND PRESENTATIONS
WORKSHOP ITEMS – NO FINAL ACTION WILL BE TAKEN
1. Resolution Amending Fee Schedule ATTACHMENT A
Staff Presentation: Amy Rusko
Council Liaison: Mayor Pro Tem Michele Blythe
2. Acceptance of Right-of-Way and Temporary Construction ATTACHMENT B
Easements for the 74th Avenue Trail Project
Staff Presentation: Jim Kelly
Council Liaison: Jan Schuette
3. Procurement of Right-of-Way for the 188th St Roundabout Project ATTACHMENT C
Staff Presentation: Jim Kelly
Council Liaison: Rob Toyer
4. Award of 640 Zone Booster Pump System Bid to Pump Tech ATTACHMENT D
Staff Presentation: Jim Kelly
Council Liaison: Debora Nelson
ADMINISTRATOR & STAFF REPORTS
MAYOR’S REPORT
COMMENTS FROM COUNCILMEMBERS/COUNCILMEMBER REPORTS
Arlington City Council Workshop
Monday, January 22, 2024 at 6:00 pm
City Council Chambers – 110 E 3rd Street
SPECIAL ACCOMMODATIONS: The City of Arlington strives to provide accessible meetings for people with disabilities. Please contact the
ADA coordinator at (360) 403-3441 or 711 (TDD only) prior to the meeting date if special accommodations are required.
PUBLIC COMMENT
For members of the public who wish to speak to the Council. Please limit your remarks to three minutes.
REVIEW OF CONSENT AGENDA ITEMS FOR NEXT MEETING
EXECUTIVE SESSION
RECONVENE
ADJOURNMENT
Mayor Pro Tem Michele Blythe / Mayor Don Vanney
City of Arlington Council Agenda Bill WS #1 Attachment
COUNCIL MEETING DATE: January 22, 2024 SUBJECT: Amendment to Fee Resolution ATTACHMENTS: Amended Fee Resolution DEPARTMENT OF ORIGIN Community & Economic Development; Amy Rusko, Planning Manager 360-403-3550 EXPENDITURES REQUESTED: None BUDGET CATEGORY: N/A BUDGETED AMOUNT: N/A LEGAL REVIEW: DESCRIPTION: Staff is proposing changes to the Fee Resolution due to recent code updates, to provide clarification, update hourly wages, and provide general formatting corrections to the document. The proposed changes involve multiple departments and have been provided by the Community & Economic Development Department, Public Works Department, Police Department, and the Arlington Municipal Airport. HISTORY: The fee resolution sets the fees for city services and the proposed changes reflect updates to fees and services of multiple city departments. ALTERNATIVES: Remand to staff for additional information.
Workshop; discussion only. At the February 5, 2024, Council meeting, the recommended motion will be, “I move to approve the amendments proposed to the fee resolution as presented and authorize the Mayor to sign the resolution.”
Page 1
RESOLUTION NO. 2023–0122024-000
A RESOLUTION REPLACING RESOLUTION NO. 2023-001012,
AND ADOPTING A REVISED FEE SCHEDULE
WHEREAS, the City Council, through ordinance, has adopted regulations requiring certain
actions and services; and,
WHEREAS, these various ordinances set forth that fees shall be set by resolution; and,
WHEREAS, the cost of providing these various services consistent with applicable codes,
regulations, and policies periodically increase or decrease, or certain services or practices are
discontinued and fees are no longer needed; and,
WHEREAS, it is the intent of the City of Arlington to charge appropriate fees and charges that
are consistent with the services provided and to cover the public cost of providing these various
services so that the public is not subsidizing individual benefits derived therefrom; and
WHEREAS, the City Council held a public hearing concerning the establishment of the fees
for body-work camera footage redaction and determined the adoption of the fee was
reasonable;
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ARLINGTON AS
FOLLOWS:
The following rates, fees, and charges for various services provided, actions performed, or items
sold by the city and/or its contract service providers, and fines levied against code violators, are
hereby adopted:
Section 1. Fees and Charges—General.
1.1 Fees. Fees are intended to cover the normal, recurring costs associated with
providing a given service. Fees are non-refundable.
1.2 Prices. In some instances, the City provides certain goods and merchandise for
sale. Prices for these goods may be included in this resolution.
1.3 Payment Due. Fees are due at the time the action is requested (e.g., at time of
application) or occurs (e.g., prior to a specific action). An applicant may pay all fees
of a multi-phased project in advance; however, doing so does not vest applicable
fees due. Fees due are those in effect at the time the specific action or phase of
an action is requested or occurs.
1.4 Waivers. Upon petition by the applicant, the City Council may waive any of the
fees, or portions thereof, for any non-profit organization or government agency.
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CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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Section 2. Land Use Fees. Fees for various services, actions, and permits regarding land use,
as per AMC Title 20 Land Use Code, shall be as listed in Table 2: Land Use Fees
Table 2: Land Use Fees
Action Fee ($)
Land Use Permits
Temporary / Seasonal Event
Homeless Encampment
125.00180.00
500.00
Development Agreement
Preliminary Plats
≥ 10
≤ 9
Final Plats
≥ 10
≤ 9
Binding Site Plans
Conditional Use Permit for Binding Site Plans ≥ 10
Zoning Permit for Binding Site Plans ≤ 9 lots
Subarea Plan
Design Review
permit required): Residential Infill & Old Town 180.00
Mixed Use Development
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CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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Action Fee ($)
Fee
Special Use Permit 3,400.00 plus actual cost of Hearing Examiner
Fee, (if req’drequired)
Zoning Permit 2,300.00
Forest Practices Permits
Permit Review 450.00
Forest Practices Permit Application Fee 125.00 plus 125.00 per acre
Review Fee for Conversion Option Harvest Plan
Approval
125.00 plus 125.00 per acre
Review Fee To Lift Moratorium 300.00
Inspection Fee 150.00 per hour plus 125.00 per acre
Tree replacement mitigation in-lieu fee
Replacement Mitigation In-Lieu Fee with Permit:
Number of trees removed Trees Removed x 3 for
Hearing Examiner
Single Family Residence or Duplex (1 Structure):
Variances, Special Use Permits, or Conditional Use
Variances, Special Use Permits, or Conditional Use
Mixed-Use Development Permits / Binding Site Plans /
Enforcement Orders, Licensing Decisions, and SEPA
Threshold Determinations, as well as other
Regulatory, Enforcement, or Quasi-Judicial matters as
175.00 per hour
Appeals
Reconsideration of Decision by:
designee
Permit Extension
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CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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Action Fee ($)
Amendment to or Modification of Permit
Insignificant Design Deviations 60.00180.00
Minor Amendment 325.00360.00
Major Amendment 1,100.00 plus actual cost of
Hearing Examiner (if required)
Boundary Line Adjustment
Boundary Line Adjustment / Lot Line Elimination 1,700.00 plus actual cost of consultant
Land Use Zoning Code Ordinance Amendment
Amendment to Text of Land UseTitle 20 Zoning
Ordinance
750.00
Amendment to Zoning Map (rezoneRezone)
< 5 acres 1,200.00
> or = 5 acres 2,000.00
Comprehensive Plan Amendment
Minor Amendment (annual cycle) 1,500.00
Major Amendment (5-year cycle) 2,200.00
Annexations
Submission of 10% Petition 150.00180.00
Submission of 60% Petition 1,100.00
Boundary Review Board Application Filing Fee 50.00 paid directly to Snohomish County
If it goes to Boundary Review Board Hearing 800.00
Shoreline Development Permit (SDP)
Shoreline Development Exemption Letter 180.00
SDP Shoreline Substantial Development Permit or
Shoreline Variance in conjunction with a Land Use
Shoreline Variance not in conjunction with a Land
Use Permit
Significant Tree & Street Tree Removal
removed x 3Removal requires replacement at a rate
of 3:1 or pay mitigation in lieu fees per replacement
tree
tree removed
of 1:1 or pay mitigation in lieu fees per replacement
tree.
Variance
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CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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Action Fee ($)
If it goes to hearing (fee in addition to that paid for
Admin. Decision)Hearing Examiner: With Land Use
Permit or if Administrative Variance is
recommended to Hearing Examiner (in addition to
paid administrative fee).
Examiner
Miscellaneous Actions/Items
General Information Meeting
SEPA Review (note: review of checklist included
within Land Use Permit fee )
Outside Consultants
Change of Use of per AMC 20.40.070
Critical Area Review
Floodplain Development
Deferral of Impact Fee
Request of Utility Services Outside City Limits
Residence/Duplex
Property Tax Exemption Certificate
Public Notice / Publication
Recording
Snohomish County Auditor
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CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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Action Fee ($)
Administrative Staff 55.00 per Hour
Processing / Technology Fee
Added to all Land Use, Civil, Utility, & Building
Permits
Section 3. Public Works Fees. Fees for various services, actions and permits shall be as
listed in Tables 3-1: Review Fees, 3-2: Grading Plan Review Fees, 3-3: Grading Permit Fees,
and 3-4: Public Works Labor and Equipment Charges.
Table 3-1: Review Fees
Action Fee ($)
Civil Review
(Single Family Residence with maximum
Action Fee ($)
Right of Way
or maximum 1,100.00 with a minimum charge of 125.00
1E.E.C.C Engineer’s Estimated Cost of Construction-Includes labor, equipment, material, overhead and profit. Prices
shall be from RS Means (latest edition) data adjusted for the Snohomish County area or from local sources if not
included in the RS Means database.
* Simple Site Plan Review - No water or sewer extension - Single family residence with maximum of 2 lots.
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CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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Application feeFee $ 65.00
Lease rate or charge Charge per square foot (annual)
Commercial zones including, but not
limited to, GC, HC, NC
$.0.45
Business zones including, but not
limited to,OTBD-1, OTBD-2, OTBD-3
$.0.40
Appeals fee per AMC 12.50.130 $600.00 plus actual cost of hearing Hearing
examinerExaminer
Leasehold Tax 12.84%
Table 3-2: Grading Plan Review Fees
50 cubic yards or less 100.00
51 to 100 cubic yards 120.00
101 to 1,000 cubic yards 160.00
First 1,000 cubic yards
Plus - for each additional 10,000 yards or fraction thereof
200.00
20.00
10,001 to 100,000 cubic yards
For the first 10,000 cubic yards
Plus - for each additional 10,000 cubic yards or fraction thereof
300.00
40.00
100,001 to 200,000 cubic yards
For the first 100,00 cubic yards
Plus – for each additional 10,000 cubic yards or fraction thereof
400.00
60.00
200,001 cubic yards or more
For the first 200,000 cubic yards
Plus - for each additional 10,000 cubic yards or fraction thereof
500.00
100.00
* Additional plan review applies when there is a change, addition or revision to the plan.
* Additional plan review fees will be charged at any point in the project when more than 2 reviews are required.
* Inspection Fee - commercial and residential plats (storm drainage, landscape, right-of-way and bond
inspections).
* Outside Consultant Review Fee.
* Water & Sewer Availability Certificate Fee.
* Engineering Meetings (first 2 hours are no charge).
* Miscellaneous engineering fee - traffic and storm water report/design reviewed in-house.
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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Table 3-3: Grading Permit Fees
Base Permit Fee 100.00
50 cubic yards or less 120.00
51 to 100 cubic yards 160.00
First 100 cubic yards 200.00
Action Fee ($)
1,001 to 10,000 cubic yards
For the first 1,000 cubic yards
Plus - for each additional
1,000 cubic yards or fraction thereof
300.00
40.00
10,001 to 100,000 cubic yards
For the first 10,000 cubic yards
Plus - for each additional
500.00
100,001 or more cubic yards or more
For the first 100,000 cubic yards 600.00
Table 3-4: Public Works Labor and Equipment Charges
A. Services and work included in the below schedule will be charged a 15%
administrative/overhead fee for accounting, billing and general City administrative
costs.
B. All work or services not included in the below schedule must be mutually agreed upon
prior to the commencement of work.
C. Equipment and machinery that is not explicitly included in the below schedule will be
charged at the rate set forth in the most current Rental Rate Blue Book for Construction
Equipment ("Blue Book"). If the equipment or machinery rate is not available in the Blue
Book, the City will determine an appropriate fee or rate based on the original cost of the
asset plus operating and maintenance cost and/or comparable rates charged by other
organizations.
Item Fee ($)
Labor Rate Cost
Lead Maintenance Worker Hourly 60.0065.00
Sr. Maintenance Worker Hourly 55.0060.00
Maintenance Worker Hourly 50.0055.00
Administrative Staff Hourly 50.0055.00
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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Item Fee ($)
Equipment Rate Cost
Section 4. Building, Plumbing, Mechanical, Fire Permit and Plan Review Fees.
For determining the value of a structure, the most current Building Valuation Data as
published by the International Code Council, is adopted by reference. Fees shall be as listed
in Tables 4-1: Building Permit Fees, 4-2: Building Plan Fees, 4-3: Miscellaneous Building Permit
Fees and 4-4: Miscellaneous Building Inspection & Plan Review Fees.
Table 4-1: Building Permit Fees
1.00 – 500.00 34.0035.50 0.00 to 500.00
501.00 –
2,000.00 35.50 PLUS for each additional 100.00, or fraction thereof, to and
25,000.00 104.05 PLUS for each additional 1,000.00, or fraction thereof, to and
50,000.00 587.74 PLUS for each additional 1,000.00, or fraction thereof, to and
100,000.00
967.24
10.61 PLUS for each additional 1,000.00, or fraction thereof to and
497.74
7.19
5.49
Table 4-2: Building Plan Review Fees
All valuations 65% of Building Permit Fee based on valuation calculation per Table 4-1
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CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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Table 4-3: Miscellaneous Building Permit Fees
100.00 + plus Inspection fee
(portable and stand-alone)
250.00 + plus Inspection fee
Over (over 6 7 feet in height) 100.00 plan review + plus Inspection fee
500.00
500.00
100.00
Table 4.-1 & 4.-2
75.00
500.00
500.00
100.00
75.00
100.00 plan review; permit fee, Table 4.-1
(permit not required under four
(4) feet
100.00 or IBC valuation, whichever is greater
Permit Fee Only, Table 4.-1; & 4-2: minimum
100.00
Table 4-1 & 4-2
Fee per each pool or spa; private or public
Table 4.-1 & 4.-2
RCW 19.27.085
Commercial Building Permits 25.00
Residential Building Permits 6.50
Each Additional Residential Unit (This does not apply to the first unit) 2.00
Table 4-4: Miscellaneous Building Inspection & Plan Review Fees
Inspections outside of normal business hours 150.00 per hour2 (minimum charge 1 hour)
Re-inspection fees (includes two inspections) 75.00 per hour4
Inspection for which no fee is specifically indicated 75.00 per hour4 (minimum charge 1 hour)
For use of outside consultants for plan review and
inspections, or both.
Actual costs 3
Operating Permit Inspections 150.00 per hour
Stop work order (working without permit) 4 Double permit fees or 500.00, whichever is less
2 The total hourly cost to the City, whichever is greatest. This cost shall include supervision, overhead, equipment, hourly wages,
and benefits of the employees involved.
3 Actual costs include administrative and overhead costs.
4 Stop work order (SWO): failure to obtain a valid permit
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CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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Revise site plan after plan review completed 100.00
Permit Extension
4.2 Plumbing Permit and Plan Fees. Plumbing fees shall be as listed in Table 4-5:
Plumbing Permit Fees and Table 4-16: Plumbing Plan Review Fees.
Table 4-5: Plumbing Permit Fees
unit. A plan review fee of 65% per Table 4-6 for plumbing permits will be assessed at time of submittal.
Additional Plan Review fees $ 75.00
Alteration/repair piping $ 15.00
Backflow Assembly $25.00
Base Plumbing Fee $ 25.00
Bath/Shower Combo $ 15.00
Building Main Waste $ 25.00
Clothes Washer $ 15.00
Dishwasher $ 15.00
Drinking Fountain $ 15.00
Floor Drains $ 15.00
Grease Interceptor $ 75.00
Grease Trap $ 25.00
Hose Bibb $ 15.00
Icemaker/Refrigerator $ 15.00
Irrigation – per meter $ 25.00
Kitchen Sink & Disposal $ 15.00
Laundry Tray $ 15.00
Lavatory $ 15.00
Medical Gas Piping ≤ 5 inlets/outletsInlets / Outlet $ 60.00
Medical Gas Piping for each additional Inlet / Outlet > 5
inlets/outlets (plus ≤ 5 inlets/outlets)
$ 5.00
Miscellaneous – regulated by plumbing code, (not $ 15.00
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CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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PLUMBING PERMIT FEES (per unit)
otherwise specified)
Pretreatment Interceptor $ 15.00
Re-inspection Fee (all) $ 75.00
Roof Drains $ 15.00
Shower (only) $ 15.00
Sink (bar, service, etc.) $ 15.00
Toilets $ 15.00
Urinal $ 15.00
Vacuum Breakers $ 25.00
Water Heater $ 25.00
Water Heater - Tankless $ 25.00
Table 4-6: Plumbing Plan Review Fees
4.3 Mechanical Permit Fees. Mechanical permit fees shall be as listed in Table 4-7:
Mechanical Permit Fees and Table 4-8: Mechanical Plan Review Fees.
Table 4-7: Mechanical Permit Fees
per unit. A plan review fee of 65% per Table 4-8 for mechanical permits will be assessed at time of
Additional Plan Review fees $ 75.00
Air Cond. itioning Unit ≤100Btu/h $ 15.00
Air Cond. itioning Unit >100Btu/h $ 25.00
PLUMBING PLAN REVIEW FEES
All valuations 65% of Building Permit Fee based on valuation calculation per Table 4-1
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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MECHANICAL PERMIT FEES (per unit)
Commercial mechanical permits are required to submit line drawings. A permit fee shall be calculated
per unit. A plan review fee of 65% per Table 4-8 for mechanical permits will be assessed at time of
Air Cond. itioning Unit >500Btu/hp $ 50.00
Air Handling Units $ 15.00
Base Mechanical Fee $ 25.00
Boiler <100Btu/h >3hp $ 15.00
Boiler >1 million Btu/h<50hp $ 25.00
Boiler >1.5 million Btu/h<50hp $ 50.00
Boiler >100Btu/h 3-15hp $ 15.00
Boiler >500Btu/h 15-30hp $ 25.00
Commercial Hoods -Type I / II $ 25/50
Diffusers $ 15.00
Dryer Ducting $ 15.00
Ductwork (drawings required) $ 25.00
Evaporative Coolers $ 15.00
Exhaust/Ventilation Fans $ 15.00
Fireplace/Insert/Stove $ 15.00
Forced Air Heat ≤100 Btu/h $ 15.00
Forced Air Heat >100 Btu/h $ 25.00
Gas Clothes Dryer $ 15.00
Gas Fired AC Air Conditioning Units ≤100 Btu/h $ 15.00
Gas Fired AC Air Conditioning Units >100 Btu/h $ 25.00
Gas Fired AC Air Conditioning Units > 500 Btu/h $ 50.00
Gas Piping ≤ 5 units $ 15.00
Gas Piping for each additional unit > 5 units (plus <5
units)
$ 2.00
Heat Exchangers $ 15.00
Heat Pump-Condensing Unit $ 25.00
Hot Water Heat Coils $ 15.00
Miscellaneous Appliance - regulated by mechanical
code, not otherwise specified
$ 15.00
Pkg. Package Units ≤100btu/>100btu $ 25/50
Range/Cook top-Gas Fired $ 15.00
Refrigeration Unit ≤100Btu/h $ 15.00
Refrigeration Unit >100Btu/h $ 25.00
Refrigeration. Unit >500Btu/h $ 50.00
Re-inspection fee (all) $ 75.00
Residential Range Hood $ 15.00
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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MECHANICAL PERMIT FEES (per unit)
Commercial mechanical permits are required to submit line drawings. A permit fee shall be calculated
per unit. A plan review fee of 65% per Table 4-8 for mechanical permits will be assessed at time of
Unit Heaters ≤ 100 Btu/h $ 15.00
Unit Heaters >100 Btu/h $ 25.00
VAV Variable Air Volume Boxes (Variable Air Volume,
part of air conditioning system)
$ 10.00
Wall Heaters - Gas Fired $ 25.00
Water Heater-Gas Fired $ 25.00
Table 4-8: Mechanical Plan Review Fees
MECHANICAL PLAN REVIEW FEES
All valuations 65% of Building Permit Fee based on valuation calculation per Table 4-1
4.4 Fire Permit and Plan Review Fees. Fire Permit Fees shall be as listed in Table 4-9:
Fire Permit Fees Table 4-10: Fire Plan Review Fees.
Table 4-9: Fire Permit Fees
FIRE SPRINKLER SYSTEMS (105.7.1, 105.7.4, 105.7.11)
TENANT IMPROVEMENT OR SYSTEM MODIFICATION (NFPA 13/13R)
Number of Sprinklers or Devices** Fee ($)
1 to 2 $ 75.00
3 to 5 $125.00
6 to 10 $175.00
11 to 20 $225.00
21 to 40 $300.00
41 to 100 $375.00
101 to 200 $475.00
201 to 300 $575.00
>300 $600.00 plus $50.00 per 100 additional devices
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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For Hydraulically designed systems multiply the
fees above by 2.
NEW COMMERCIAL SYSTEM (NFPA 13/13R)
1 to 100 $375.00
101 to 200 $475.00
201 to 300 $600.00
>300 $625.00 plus $50.00 per 100 additional devices
RESIDENTIAL (NFPA 13D)
Number of Sprinklers or Devices**Fee ($)*
HOOD SUPPRESSION SYSTEM
Type of System Fee ($)
STANDPIPE SYSTEM
Type of Standpipe Fee ($)
PHASED INSTALLATION
Additional Fee ($)
(Each piece is one device)
SPRAY BOOTHS (105.7) & INDUSTRIAL OVENS (105.7.7)
Spray Booths Fee ($)
Industrial Oven
NOTE: SEPARATE SPRINKLER PERMIT REQUIRED
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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FIRE ALARM SYSTEM - NFPA 72 (105.7.3)
TENANT IMPROVEMENT OR SYSTEM MODIFICATION
Number of Devices* Fee ($)
NEW COMMERCIAL SYSTEM
Number of Devices* Fee ($)
NOTE:device*
FACP AND/OR TRANSMITTER
NOTE: All Central Station Monitoring must be UL or FM listed.
*Devices
Initiating Devices, Notification Appliances, Flow Switches, Supervisory Switches, Magnetic Door Hold-
Open Devices, Remote Annunciators, Pull Stations, Beam Detectors and other such devices.
(Each piece is one device)
Table 4-10: Fire Plan Review Fees
< $5,000.00 200.00
$5,000.00 and over 65% of Building Permit Fee based on valuation
calculation per Table 4-1
Section 5. Fire Department Life-Safety Inspection Fees. Fees for re-inspections for life-
safety issues conducted by the Fire Department shall be as listed in Table 5: Fire
Department Life-Safety Inspection Fees.
Table 5: Fire Department Life-Safety Inspection Fees
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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Initial Inspection 0.00
First re-inspection for corrections 0.00
Second re-inspection for corrections 100.00
Third re-inspection for corrections 150.00
Additional inspections to complete life/safety corrections
and attain compliance
250.00
Section 6. Fees for the Use of City Owned Facilities. Fees for various services, actions, and
permits regarding use of City owned facilities shall be as listed in Table 6: Fees for the Use of
City Owned Facilities.
Table 6: Fees for the Use of City Owned Facilities
One to three hours 15.0020.00 per hour
Over three hours 75.0090.00
One to four days $100.00 per rental
Field Use $10.00 per hour
Lighting $3.00 per 1.5 hours
4 X 20 foot bed $20.00 per season
4 X 8 foot bed $15.00 per season
2 X 8 foot bed $10.00 per season
One Dollar ($1.00) per day after the first
three (3) days
Section 7. Fees for Arlington Municipal Airport. Fees for various services and actions
regarding Arlington Municipal Airport shall be as listed in Table 7: Fees for Arlington
Municipal Airport.
Table 7: Fees for Arlington Municipal Airport
Tie-Down Aircraft 50.00 monthly
Transient Aircraft Parking 5.00 per night
Large Aircraft Parking 50.00 per night
Short Term Parking 5.00 per night
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CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
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Long Term Parking 50.00 monthly
Emergency Vehicle Operator Course (EVOC)
Daily Use Rate 178.14 plus sales tax
Section 78. Appeal Fees for Violations and Abatement. Fees for various services and actions
regarding violations and abatement as per Chapter 11.01 of the Arlington Municipal Code
shall be as listed in Table 78: Appeal Fees for Violations and Abatement.
Table 78: Appeal Fees for Violations and Abatement
To Hearing Examiner 582.00 plus actual cost of Hearing Examiner
Forest Practice Violation Fine 317.00
Section 89. Licensing Fees. Licensing fees for various licenses issued under various sections
of the Arlington Municipal Code shall be as listed in Table 89:- Licensing Fees.
Table 89: Licensing Fees
New application / renewal business licenseApplication / Renewal
Business License under AMC Chapter 5.28
60.00
Peddlers & Solicitors License under AMC Chapter 5.04 25.00
Vehicles for Hire License under AMC Chapter 5.12
- First vehicle
-
35.00
Section 10. Dog Licensing Fees.
10.1 Fees for dog licenses as called for in Arlington Municipal Code Chapter 8.09
shall be listed in Table 10: Dog Licensing Fees
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CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
Page 19
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10.2 Per RCW 49.60.380, the City of Arlington shall honor a request by a blind
person or hearing impaired person not to be charged a fee to license his or her guide
dog, or a request by a physically disabled person not to be charged a fee to license his
or her service animal.
10.3 All dogs require proof of current Rabies vaccination to be licensed.
Table 10: Dog Licensing Fees
Dog – unaltered (annual tag) 40.00
Dog – altered (lifetime tag) 20.00
Dog –altered (senior citizen owner – lifetime tag) 10.00
Replacement Tag feeFee 5.00
Section 11. Fees for Police Services. Fees for various services, actions, and permits for police
services shall be as listed in Table 11: Fees for Police Services.
Table 11: Fees for Police Services
Fingerprinting 20.00
Concealed Weapons Permits:
1. New permitPermit
2. Permit Renewal
3. Lost or stolen permitStolen Permit
All charges per RCW 9.41.070
1. Fine for parking as described in Arlington Municipal
Code 10.54.060160, Prohibited Parking
2. Fine if paid within 24 hours of issuance
3. Fine if not paid within 15 30 days of issuance, or if
notice of infraction is mailed, 33 days from the date the
50.00
25.00
100.00
Section 12. Fees for Duplication and Redaction of Public Records.
12.1 Fees for various services and actions for duplication and redaction of public
records shall be consistent with the provisions of RCW 42.56.120 and listed in Table 12:
Fees for Public Records Services.
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
Page 20
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12.2 The City of Arlington finds that calculating the actual costs of scanning per page
in order to fulfill a public records request would be unduly burdensome for the following
reasons:
(a) The City employs over 120 employees. Because all City employees contribute to
the production of public records requests and all employees earn different
salaries or rates of pay, the public records officer would have to be privy to
salaries of all employees in order to calculate the invoice;
(b) Employees supplying scanned records to the public records officer would be
required to track time spent, thereby creating a burden for those employees
without work stationsworkstations as well as additional work not assigned in
many employees’ job descriptions and or union contracts;
(c) The City’s public records officer would be required to maintain a record of all
employees who contribute to each part of a public record request and
potentially charge different amounts for multiple scanned pages;
(d) The City uses more than seven document scanning machines with different
costs and lease agreement fees which change from time to time. The cost of
supplies for the City’s various scanning machines is subject to change based on
current market rates. Calculating the portion of the machines and supplies used
toward scanning public records would require knowledge of the cost of supplies
and an in-depth analysis of timing and application multiplied by each
contributing employee’s hourly rate of pay; and
(e) The response time to a public records request may be delayed in order to
calculate scanning costs and create an invoice with different rates of scanning
charges.
Table 12: Fees for Public Records Services
In house copying of City documents for the public 0.15 per page
In house copying of City documents to PDF when original
document is not in electronic format
0.10 per page
Provision of files or attachments and provided by electronic
delivery
0.05 per 4 files or attachments
Electronic records transmission 0.10 per gigabyte (GB)
Storage media (USB, CD), container, envelope, and postage
delivery charge
Actual cost
Duplication of documents and other media printed by outside
party
Actual cost to reproduce
Staff redaction time for body-worn camera footage*
*The City will charge all requestors requesting body-worn camera footage
except those listed in RCW 42.56.240(e)(i) for the time it takes the City to
redact the footage, See RCW 42.56.240(14)(f)(1). These charges are based
on the average per-minute salaries of the City employees responsible for
by the duration in minutes of the
portion of the of video which is
redacted
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
Page 21
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Section 13. Fees for Franchise Applications. Pursuant to AMC Title 21, fees for various
services and actions for franchise applications shall be listed in Table 13: Fees for Franchise
Applications.
Table 13: Fees for Franchise Applications
Action / Service Fee ($)
Section 14. Fees for GIS Services. Fees for various services and actions for GIS shall be
listed in Table 14: Fees for GIS Products
Table 14: Fees for GIS Products
Zoning and Land Use Maps 10.0014.00
11x17 5.008.00
2x3 13.0015.00
3x3 19.0022.00
3x4 25.0028.00
Map CD 26.0029.00
Data CDs/FTP 26.0029.00 per client
Hourly Rate for Custom Work 127.00140.00 per hour, ½ hour
minimum
Laminating 3.004.00/sq ft
Shipping Actual Cost of container and
postage
Section 15. Finance Department Services. Fees for various services, actions, and permits
for finance services shall be as listed in Table 15: Fees for Finance Department Services.
Table 15: Fees for Finance Services
Non-Sufficient Funds – Dishonored or disallowed draft or check $35.00
Establishing a new utility account $18.0020.00
Reactivating an existing utility account $18.0020.00
Shut off processing fee $50.00
Meter Tampering Fee $200.00
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2023-0122024-000
Page 22
Formatted: Highlight
Section 16. Repeal of Previous Fee Resolution. Resolution 2023-001 012 is hereby
repealed.
Section 17. Effective Date. This resolution will become effective immediately upon
passage.
PASSED by the City Council and APPROVED by the Mayor this 2nd day of October, 2023.
CITY OF ARLINGTON
_________________________________
Barbara TolbertDon Vanney, Mayor
ATTEST:
_________________________________
Wendy Van Der Meersche, City Clerk
APPROVED AS TO FORM:
_______________________________
Steven J. Peiffle, City Attorney
Page 1
RESOLUTION NO. 2024-000
A RESOLUSTION REPLACING RESOLUTION NO. 2023-001,
AND ADOPTING A REVISED FEE SCHEDULE
WHEREAS, the City Council, through ordinance, has adopted regula�ons requiring certain
ac�ons and services; and,
WHEREAS, these various ordinances set forth that fees shall be set by resolu�on; and,
WHEREAS, the cost of providing these various services consistent with applicable codes,
regula�ons, and policies periodically increase and decrease, or certain services or prac�ces are
discon�nued and fees are no longer needed; and,
WHEREAS, it is the intent of the City of Arlington to charge appropriate fees and charges
that are consistent with the services provided and to cover the public cost of providing these
various services so that the public is not subsidizing individual benefits derived therefrom; and
WHEREAS, the City Council held a public hearing concerning the establishment of the fees;
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ARLINGTON AS
FOLLOWS:
The following rates, fees, and charges for various services provided, ac�ons performed, or items
sold by the city and/or its contract service providers, and fines levied against code violators, are
hereby adopted:
Sec�on 1. Fees and Charges – General
1.1 Fees. Fees are intended to cover the normal, recurring costs associated with
providing a given service. Fees are non-refundable.
1.2 Prices. In some instances, the City provides certain goods and merchandise for
sale. Prices for these goods may be included in this resolu�on.
1.3 Payment Due. Fees are due at the �me the ac�on is requested (e.g., at �me of
applica�on) or occurs (e.g., prior to a specific ac�on). An applicant may pay all fees
of a mul�-phased project in advance; however, doing so does not vest applicable
fees due. Fees due are those in effect at the �me the specific ac�on or phase of an
ac�on is requested or occurs.
1.4 Waivers. Upon pe��on by the applicant, the City Council may waive any of the
fees, or por�ons thereof, for any non-profit organiza�on or government agency.
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 2
Sec�on 2: Land Use Fees. Fees for various services, ac�ons, and permits regarding land
use, as per AMC Title 20 Land Use Code, shall be as listed in Table 2.1: Land Use Fees.
Table 2: Land Use Fees
Ac�on Fee ($)
Land Use Permits
Zoning Permit
Special Use Permit Hearing Examiner Fee
if required
Condi�onal Use Permit Hearing Examiner Fee
Administra�ve Condi�onal Use Permit
Temporary / Seasonal Event
Homeless Encampment
Mobile Sales and Deliveries
Development Agreement
Associated with Land Use Ac�ons 1,100.00 plus addi�onal costs if accrued
Not Associated with Land Use Ac�ons if
Preliminary Plat
Condi�onal Use Permit for a Major Plat or Unit Lot
Subdivision ≥ 10 7,000.00 plus Hearing Examiner Fee
Zoning Permit for a Minor Plat or Unit Lot
Subdivision ≤ 9 3,100.00
Final Plats
Major Plat or Unit Lot Subdivision ≥ 10 plus actual cost of consultant
Minor Plat or Unit Lot Subdivision ≤ 9 plus actual cost of consultant
Binding Site Plan
Condi�onal Use Permit for Binding Site Plan ≥ 10 Lots Examiner Fee
actual cost of consultant
Zoning Permit for Binding Site Plans ≤ 9 Lots plus actual cost of consultant
Text and/or Design Devia�on
Lot Line Adjustment or Changes to Number of Lots plus actual cost of consultant
Subarea Plan
Subarea Plan (rivately ni�ated)of
Design Review
Administra�ve with Building Permit (
permit required): Residen�al Infill & Old Town
180.00
Administra�ve
Design Review Board
Mixed-Use Development
of
Condi�onal Use Permit Examiner Fee
Special Use Permit Examiner
if required
Zoning Permit 2,300.00
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 3
Ac�on Fee ($)
Forest Prac�ce Permit
Permit Review 450.00
Forest Prac�ce Permit Applica�on 125.00 plus 125.00 per acre
Review Fee for Conversion Op�on Harvest Plan
Approval 125.00 plus 125.00 per acre
Review Fee To Li� Moratorium
Inspec�on Fee
Tree Replacement Mi�ga�on In Lieu Fee with
Permit: Number of Trees Removed x 3 for
32.50 per replacement tree
Hearing Examiner
Single Family Residence or Duplex (1 Structure)
Variance, Special Use Permits, or Condi�onal Use
1,400.00
Commercial / Industrial / Mul�Family / Public
Agency: Variances, Special Use Permits, or
2,800.00
Mul�Permit Applica�on / Subdivisions / Plats /
Mixed-Use Development Permits / Binding Site
Plans / Shoreline Permits
3,500.00
Appeals of Administra�ve Decisions,
Interpreta�ons, Enforcement Orders, Licensing
Decisions, and SEPA Threshold Determina�ons, as
well as other Regulatory, Enforcement, or Quasi-
Judicial maters as may be assigned by City
Council
175.00 per hour
Appeals
To Planning Commission
To Hearing Examiner plus actual cost of Hearing Examiner
Reconsidera�on of Decision By:
Community Development Director and/or 180.00
Planning Commission
Hearing Examiner 250.00 plus actual cost of Hearing Examiner
Permit Extension
Resubmital Extension
Amendment to or Modifica�on of Permit
Insignificant Design Devia�ons
Minor Amendment
Major Amendment actual cost of Hearing Examiner
Boundary Line Adjustment
Boundary Line Adjustment / Lot Line Elimina�on 1,700.00 plus actual cost of consultant
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 4
Ac�on Fee ($)
Land Use Zoning Code Ordinance Amendment
Amendment to Text of Title 20 Zoning Ordinance 750.00
Amendment to Zoning Map (Rezone)
< 5 acres 1,200.00
Comprehensive Plan Amendment
Minor Amendment (ycle)
Major Amendment (5 ycle)
Annexa�ons
Submission of 10% Pe��on
Submission of 60% Pe��on
Boundary Review Board Applica�on Filing Fee 50.00 paid directly to Snohomish County
If it goes to Boundary Review Board
Shoreline Development Permit
Shoreline Development Exemp�on Leter
Shoreline Substan�al Development Permit or
Shoreline Variance in conjunc�on with a Land Use
550.00
Shoreline Substan�al Development Permit or
Shoreline Variance not in conjunc�on with a Land
1,100.00
Shoreline Condi�onal Use Permit 4,000.00 plus Hearing Examiner Fee
Significant Tree & Street Tree Removal
Significant Tree Removal requires replacement
rate of 3:1 or pay mi�ga�on in lieu fees per
replacement tree
150.00 per replacement tree x 3 = 450.00
per tree removed
Street Tree Removal requires replacement
of 1:1 or pay mi�ga�on in lieu fees per replacement
tree
1,030.00 per tree removed
Variance
Administra�ve (in addi�on to land use permit)
Hearing Examiner:mit or if
Administra�ve Variance is recommended to Hearing
paid a
1,300.00 plus actual cost
of Hearing Examiner
General Informa�on Mee�ng
wo ee�ngs
Subsequent ee�ngs 350.00 per mee�ng
SEPA Review (note: review of checklist included with
Land Use Permit fee)
SEPA Only (ermit)
Environmental Impact Statement (EIS)1,100.00 plus actual cost of consultant
Outside Consultants
Review for Land Use Permits Actual Cost of Review and/or Writen Reports
Change of Use
Change of Use Land Use Site Plan Review
(ddi�onal Design Review ees may apply)180.00
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 5
Ac�on Fee ($)
Cri�cal Area Review
Cri�cal Area Site Plan Review
(no land use permit) 180.00
Floodplain Development
Flood Hazard Permit (in addi�on to permit)
Deferral of Impact Fee
Applica�on
Request of U�lity Services Outside City Limits
U�lity Extension Agreement Family
Residence / Duplex 225.00
U�lity Extension Agreement Other Development
Property Tax Exemp�on Cer�ficate
Public No�ce / Publica�on
Public No�ce Prepara�on and Pos�ng
Newspaper Publica�on Actual cost of publica�on per Herald fee
Postage for Mailings Actual cost of postage per USPS fee
Recording
Recording Fees / Conformed Copies Snohomish County Auditor
Miscellaneous Staff Time
Administra�ve Staff
Processing / Technology Fee
Added to all Land Use, Civil, U�lity, & Building
Permits 25.00
Processing Surcharge / Service Fee 3% of actual cost
Electronic Funds Transfer Fee 0.50 per transac�on
Sec�on 3: Public Works Fees. Fees for various services, ac�ons, and permits shall be
listed in Tables 3-1: Review Fees, 3-2: Grading Plan Review Fees, 3-3: Grading Plan Fees,
and 3-4: Public Works Labor and Equipment Charges.
Table 3-1: Review Fees
Ac�on Fee ($)
Civil Review 6% of Engineer’s Es�mated Cost of Construc�on
with a minimum charge of 1,600.00
Administra�ve Review Fee 250.00 each
Miscellaneous Engineering Fee 550.00 each
As-Built Review Fee Included in the Civil Review Fee
Final Plat Review Fee Included in the Civil Review Fee
Inspec�on Fee 150.00 per hour, ½ hour minimum
Outside Consultant Review Fee Actual Costs
Simple Site Plan Review:
(Single Family Residence with maximum 2 lots
275.00 per Lot
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 6
Ac�on Fee ($)
Right of Way
6% of Engineer ’s Es�mated Cost of Construc�on
or maximum 1,100.00 with a minimum charge of
125.00
1,100.00
Miscellaneous
–
200.00
1,100.00 plus actual cost
Permit for Non-Construc�on Use of Right of Way
per AMC Chapter 12.50
Applica�on
quare foot (nnual)
Commercial Zones including, but not limited 0.45
Business Zones including, but not limited to, 0.40
600.00 plus actual cost of Hearing Examiner
Table 3-2: Grading Plan Review Fees
50 cubic yards or Less 100.00
51 to 100 cubic yards 120.00
101 to 1,000 cubic yards 160.00
c
First 1,000 cubic yards
for each addi�onal ubic frac�on thereof
200.00
10,001 to 100,000 cubic yards
For the First 10,000 cubic yards
for each addi�onal ubic frac�on hereof
300.00
100,001 to 200,000 cubic yards
For the first 100,000 cubic yards
for each addi�onal 10,000 ubic frac�on hereof
400.00
200,001 cubic yards or More
For the first 200,000 cubic yards
for each addi�onal 10,000 ubic frac�on hereof
500.00
ddi�onal eview required by changes, addi�ons, or
revisions to approved plans.New Plan Review Fee
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 7
Table 3-3: Grading Permit Fees
Base Permit Fee 100.00
50 cubic yards or less 120.00
51 to 100 cubic yards 160.00
c
First 100 cubic yards
for each addi�onal 100 ubic frac�on hereof
200.00
1,001 to 10,00 cubic yards
First 1,000 cubic yards
for each addi�onal 1 ubic frac�on hereof
300.00
10,001 to 100,000 cubic yards
For the First 10,000 cubic yards
for each addi�onal 1 ubic frac�on hereof
500.00
100,001 cubic yards or more
For the first 100,000 Cubic Yards
for each addi�onal 10,000 ubic frac�on hereof
600.00
Table 3-4: Public Works Labor and Equipment Charges
A. Services and work included in the below schedule will be charged a 15%
administra�ve/overhead fee for accoun�ng, billing and general City administra�ve
costs.
B. All work or services not included in the below schedule must be mutually agreed
upon prior to the commencement of work.
C. Equipment and machinery that is not explicitly included in the below schedule will
be charged at the rate set forth in the most current Rental Rate Blue Book for
Construc�on Equipment (“Blue Book”). If the equipment or machinery rate is not
available in the Blue Book, the City will determine an appropriate fee or rate based
on the original cost of the asset plus opera�ng and maintenance cost and/or
comparable rates charged by other organiza�ons.
Item Fee ($)
Labor Rate Cost
Lead Maintenance Worker
Senior Maintenance Worker
Maintenance Worker
Administra�ve Staff
Equipment Rate Cost
Pick Up Truck
Dump Truck
Back
Jeter Truck
Snow Plow
Street Sweeper
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 8
Sec�on 4: Building, Plumbing, Mechanical, Fire Permit and Plan Review Fees.
For determining the value of a structure, the most current Building Valua�on Data as
published by the Interna�onal Code Council, is adopted by reference. Fees shall be as
listed in Tables 4-1: Building Permit Fees, 4-2: Building Plan Fees, 4-3: Miscellaneous
Building Permit Fees and 4-4: Miscellaneous Building Inspec�on & Plan Review Fees.
Table 4-1: Building Permit Fees
4
1.00 – 500.00 35.50 0.00 to 500.00
501.00 – 2,000.00 35.50
4.57
For the first 500.00
PLUS for each addi�onal 100.00, or frac�on thereof, to
and including 2,000.00
2,001.00 – 25,000.00 104.05
21.03
For the first 2,000
PLUS for each addi�onal 1,000.00, or frac�on thereof, to
and including 25,000.00
25,001.00 – 50,000.00 587.74
15.24
For the first 25,000.00
PLUS for each addi�onal 1,000.00, or frac�on thereof, to
50,001.00 – 100,000.00 967.24
10.61
For the first 50,000.00
PLUS for each addi�onal 1,000.00, of frac�on thereof, to
and including 100,000.00
100,001.00 – 500,000.00 1,497.74
8.41
For the first 100,000.00
PLUS for each addi�onal 1,000.00, or frac�on thereof, to
and including 500,000.00
500,001.00 – 1,000,000.00 4,861.74
7.19
For the first 500,000.00
PLUS for each addi�onal 1,000.00, or frac�on thereof, to
and including 1,000,000.00
1,000,001.00 and Up 8,456.74
5.49
For the first 1,000,000.00
PLUS for each addi�onal 1,000.00 or frac�on thereof
Table 4-2: Building Plan Review Fees
All Valua�ons 65% of Building Permit Fee Based on Valua�on Calcula�on per Table 4-1
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 9
Table 4-3: Miscellaneous Building Permit Fees
100.00 plus Inspec�on Fee
(portable and stand-alone)250.00 plus Inspec�on Fee
(over 7 Feet in Height)100.00 plan review plus Inspec�on Fee
500.00
500.00
100.00
Table 4-1 & 4-2
75.00
500.00
500.00
100.00
--75.00
-–100.00 plan review; permit fee, Table 4-1
(permit not required under 4 feet)100.00 or IBC Valua�on, whichever is greater
Sign Permit Table 4 & 4 ; minimum 100.00
Solar Permits Table 4 & 4
Swimming Pool or Spa
ee for each pool or spa; private or public Table 4-1 & 4-2
Washington State Surcharge (RCW 19.27.085)
Commercial Building Permit
Residen�al Building Permit
Each Addi�onal Residen�al Unit
Table 4-4: Building Permit Fees
Inspec�ons outside of normal business hours 150.00 per hour (minimum charge 1 hour)
Re-inspec�on fees (includes two inspec�ons) 75.00 per hour
Inspec�on of which no fee is specifically indicated 75.00 per hour (minimum charge 1 hour)
For use of outside consultants for plan review and
inspec�ons, or both Actual costs
Opera�ng Permit Inspec�ons
Stop Work Order (working without a valid permit) Double ermit f
whichever is less
Revise Site Plan a�er Plan Review is Completed
Permit Extension 2% of total building permit f ;
minimum 110.00 and maximum 500.00
Revise Building Plan During Plan Review
< 50% Review Comple�on
> 50% Review Comple�on New Plan Review Fee
Revised Building Plans a�er Issuance of Permit New Plan Review Fee
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 10
4.2 Plumbing Permit and Plan Fees. Plumbing fees shall be as listed in Table 4-5:
Plumbing Permit Fees and Table 4-6: Plumbing Plan Review Fees.
Table 4-5: Plumbing Permit Fees
per unit. A plan review fee of 65% per Table 4-6 for plumbing permits will be assessed at �me of
-
Addi�onal Plan Review Fees $ 75.00
Altera�on / Repair Piping $ 15.00
Backflow Assembly $ 25.00
Base Plumbing Fee $ 25.00
Bath / Shower Combo $ 15.00
Building Main Waste $ 25.00
Clothes Washer $ 15.00
Dishwasher $ 15.00
Drinking Foutain $ 15.00
Floor Drains $ 15.00
Grease Interceptor $ 75.00
Grease Trap $ 25.00
Hose Bibb $ 15.00
Icemaker / Refrigerator $ 15.00
Irriga�on – per meter $ 25.00
Kitchen Sink & Disposal $ 15.00
Laundry Tray $ 15.00
Lavatory $ 15.00
Medical Gas Piping ≤ 5 Inlets / Outlets $ 60.00
Medical Gas Piping for each addi�onal Inlet / Outlet > 5 $ 5.00
Miscellaneous – Regulated by Plumbing Code (not otherwise specified) $ 15.00
Pretreatment Interceptor $ 15.00
Re-Inspec�on Fee (all) $ 75.00
Roof Drains $ 15.00
Shower (only) $ 15.00
Sink (Bar, Service, etc.) $ 15.00
Toilets $ 15.00
Urinal $ 15.00
Vacuum Breakers $ 25.00
Water Heater $ 25.00
Water Heater - Tankless $ 25.00
Table 4-6: Plumbing Plan Review Fees
All Valua�ons 65% of Building Permit Fee Based on Valua�on Calcula�on per Table 4-1
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 11
4.3 Mechanical Permit Fees. Mechanical permit fees shall be as listed in Table 4-7:
Mechanical Permit Fees and Table 4-8: Mechanical Plan Review Fees.
Table 4-7: Mechanical Permit Fees
calculated per unit. A plan review fee of 65% per Table 4-8 for mechanical permits will be assessed
ee
-
Addi�onal Plan Review Fees $ 75.00
Air Condi�oning Unit ≤ 100 Btu/h $ 15.00
Air Condi�oning Unit > 100 Btu/h $ 25.00
Air Condi�oning Unit > 500 Btu/hp $ 50.00
Air Handling Units $ 15.00
Base Mechanical Fee $ 25.00
Boiler < 100 Btu/h > 3 hp $ 15.00
Boiler > 1 million Btu/h < 50 hp $ 25.00
Boiler > 1.5 million Btu/h < 50 hp $ 50.00
Boiler > 100 Btu/h 3-15 hp $ 15.00
Boiler > 500 Btu/h 15-30 hp $ 25.00
Commercial Hoods – Type I / II $ 25.00 / 50.00
Diffusers $ 15.00
Dryer Duc�ng $ 15.00
Ductwork (drawings required) $ 25.00
Evapora�ve Coolers $ 15.00
Exhaust / Ven�la�on Fans $ 15.00
Fireplace / Insert / Stove $ 15.00
Forced Air Heat ≤ 100 Btu/h $ 15.00
Forced Air Heat > 100 Btu/h $ 25.00
Gas Clothes Dryer $ 15.00
Gas Fired Air Condi�oning Unit ≤ 100 Btu/h $ 15.00
Gas Fired Air Condi�oning Unit > 100 Btu/h $ 25.00
Gas Fired Air Condi�oning Unit > 500 Btu/hp $ 50.00
Gas Piping ≤ 5 Units $ 15.00
Gas Piping for each addi�onal unit > 5 $ 2.00
Heat Exchangers $ 15.00
Heat Pump-Condensing Unit $ 25.00
Hot Water Heat Coils $ 15.00
Miscellaneous – Regulated by Mechanical Code (not otherwise specified) $ 15.00
Package Units ≤ 100 Btu / > 100 Btu $ 25.00 / 50.00
Range / Cook Top – Gas Fired $ 15.00
Refrigera�on Unit ≤ 100 Btu/h $ 15.00
Refrigera�on Unit > 100 Btu/h $ 25.00
Refrigera�on Unit > 500 Btu/h $ 50.00
Re-Inspec�on Fee (all) $ 75.00
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 12
MECHANICAL PERMIT FEES (Per Unit)
Commercial mechanical permits are required to submit line drawings. A permit fee shall be
calculated per unit. A plan review fee of 65% per Table 4-8 for mechanical permits will be assessed
ee
Residen�al Range Hood $ 15.00
Unit Heaters ≤ 100 Btu/h $ 15.00
Unit Heaters > 100 Btu/h $ 25.00
Variable Air Volume Boxes (part of Air Condi�oning System) $ 10.00
Wall Heaters – Gas Fired $ 25.00
Water Heater – Gas Fired $ 25.00
Table 4-8: Mechanical Plan Review Fees
All Valua�ons 65% of Building Permit Fee Based on Valua�on Calcula�on per Table 4-1
4.4 Fire Permits and Plan Review Fees. Fire permit fees shall be as listed in Table 4-9:
Fire Permit Fees and Table 4-10: Fire Plan Review Fees.
Table 4-9: Fire Permit Fees
FIRE SPRINKLER SYSTEMS (105.7.1, 105.7.4, 105.7.11)
**
1 to 2 75.00
3 to 5 125.00
6 to 10 175.00
11 to 20 225.00
21 to 40 300.00
41 to 100 375.00
101 to 200 475.00
201 to 300 575.00
> 300 600.00 plus 50.00 per 100 addi�onal devices
For Hydraulically designed systems mul�ply the fees above by 2
*
1 to 100 375.00
101 to 200 475.00
201 to 300 600.00
> 300 625.00 plus 50.00 per 100 addi�onal devices
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 13
FIRE SPRINKLER SYSTEMS (105.7.1, 105.7.4, 105.7.11)
***
1 to 10 175.00
11 to 25 225.00
26 + 275.00
* – NFPA 13D SYSTEM INSTALLED – NOT REQUIRED – FEE REDUCED 50%
Pre-Engineered 200.00
Custom Engineered 275.00
Class I – New or Exis�ng 150.00
Class II – New or Exis�ng 150.00
Fire Pump 300.00 each
Addi�onal Hydrosta�c Pressure Test
(1 test included per permit) 150.00
Addi�onal Cover Inspec�on
(1 cover inspec�on included per permit)75.00
SPRAY BOOTHS (105.7) & INDUSTRIAL OVENS (105.7.7)
Spray Booths Fee ($)
Engineered w/ Documents
Built or used w/o Documents
Industrial Oven
NOTE: SEPARATE SPRINKLER SYSTEM REQUIRED
** Devices include separate individual por�ons of a Fire Sprinkler System such as:
Sprinklers, Risers, Valves, Pull Sta�ons, Beam Detectors, and other such Devices
(Each piece is one device).
FIRE ALARM SYSTEM NFPA 72 (105.7.3)
1 to 2 75.00
3 to 5 125.00
6 to 10 175.00
11 to 20 225.00
21 to 40 300.00
41 to 100 375.00
101 to 200 475.00
> 200 500.00 plus 50.00 per 100 addi�onal devices
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 14
FIRE ALARM SYSTEM NFPA 72 (105.7.3)
NEW COMMERCIAL SYSTEM
Number of Sprinklers or Devices* Fee ($)
1 to 100 350.00
101 to 200 475.00
> 200 500.00 plus 50.00 per 100 addi�onal devices
NOTE: In addi�onal to device* fees shown, the following fees also apply.
FACP AND/OR TRANSMITTER
New 200.00
Replace 125.00
NOTE: All Central Sta�on Monitoring must be UL or FM Listed.
*Devices include separate individual por�ons of a Fire Alarm System such as:
Ini�a�ng Devices, No�fica�on Appliances, Flow Switches, Supervisory Switches, Magne�c Door
Hold-Open Devices, Remote Annunciators, Pull Sta�ons, Beam Detectors, and other such Devices
(Each piece is one device).
Table 4-10: Fire Plan Review Fees
< $5,000.00 200.00
$5,000.00 and Over 65% of Building Permit Fee Based on Valua�on Calcula�on per Table 4-1
Sec�on 5: Fire Department Life-Safety Inspec�on Fees. Fees for re-inspec�on for life-
safety issues conducted by the Fire Department shall be as listed in Table 5: Fire
Department Life-Safety Inspec�on Fees.
Table 5: Fire Department Life-Safety Inspec�on Fees
Life-Safety Inspec�ons of Businesses
Ini�al Inspec�on 0.00
First Re-Inspec�on for Correc�ons 0.00
Second Re-Inspec�on for Correc�ons 100.00
Third Re-Inspec�on for Correc�ons 150.00
Addi�onal Inspec�ons to Complete Life-Safety
Correc�ons and Atain Compliance 250.00
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 15
Sec�on 6: Fees for the Use of City Owned Facili�es. Fees for various services, ac�ons,
and permits regarding use of City owned facili�es shall be as listed in Table 6: Fees for
the Use of City Owned Facili�es.
Table 6: Fees for the Use of City Owned Facili�es
S�llaguamish Conference Room at Public Works Administra�on (154 W. Cox). Room usage fees for
community youth related ac�vi�es and Neighborhood Watch mee�ngs may be waived
One to Three Hours 20.00 per hour
Over Three Hours 90.00
-
One to Four Days 100.00 per rental
Field Use 10.00 per hour
Ligh�ng 3.00 per 1.5 hours
4 X 20 Foot Bed 20.00 per season
4 X 8 Foot Bed 15.00 per season
2 X 8 Foot Bed 10.00 per season
Sec�on 7: Fees for the Arlington Municipal Airport. Fees for various services and
ac�ons regarding the Arlington Municipal Airport shall be as listed in Table 7: Fees for
the Arlington Municipal Airport.
Table 7: Fees for the Arlington Municipal Airport
–
Tie-Down Aircra� 50.00 monthly
Transient Aircra� Parking 5.00 per night
Large Aircra� Parking 50.00 per night
Short Term Parking 5.00 per night
Long Term Parking 50.00 monthly
Daily Use Rate 178.14 plus sales tax
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 16
Sec�on 8: Appeal Fees for Viola�ons and Abatement. Fees for various services and
ac�ons regarding viola�ons and abatement as per Chapter 11.01 of the Arlington
Municipal Code shall be as listed in Table 8: Appeal Fees for Viola�ons and Abatement.
Table 8: Appeal Fees for Viola�ons and Abatement
To Hearing Examiner 582.00 plus actual cost of Hearing Examiner
Forest Prac�ce Viola�on Fine 317.00
Sec�on 9: Licensing Fees. Licensing fees for various licenses issued under various
sec�ons of the Arlington Municipal Code shall be as listed in Table 9: Licensing Fees.
Table 9: Licensing Fees
New Applica�on / Renewal Business License under AMC Chapter 5.28 60.00
Peddlers & Solicitors License under AMC Chapter 5.04 25.00
Vehicles for Hire License under AMC Chapter 5.12
- First Vehicle
Each Vehicle therea�er
35.00
Sexually Oriented Adult Entertainment under AMC 5.36
Annual License for License of Manager and Entertainers Required
Annual License for the Adult Entertainment Business is Required
Sec�on 10: Dog Licensing Fees.
10.1 Fees for dog licenses as called for in Arlington Municipal Code Chapter 8.09 shall
be listed in Table 10: Dog Licensing Fees.
10.2 Per RCW 40.60.380, the City of Arlington shall honor a request by a blind person
or hearing impaired person not to be charged a fee to license his or her guide
dog, or a request by a physically disabled person not to be charged a fee to
license his or her service animal.
10.3 All dogs require proof of current Rabies vaccina�on to be licensed.
Table 10: Dog Licensing Fees
Dog – unaltered (annual tag) 40.00
Dog – altered (life�me tag) 20.00
Dog – altered (senior ci�zen owner – life�me tag) 10.00
Replacement Tag Fee 5.00
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 17
Sec�on 11: Fees for Police Services. Fees for various services, ac�ons, and permits for
police services shall be as listed in Table 11: Fees for Police Services.
Table 11: Fees for Police Services
Fingerprin�ng 20.00
Concealed Weapons Permits:
1. New Permit
2. Permit Renewal
3. Lost or Stolen Permit
Late Renewal of Permit
All charges per RCW 9.41.070
Lamina�on of Concealed Weapons Permit
An�Harassment Order Service (Includes service, return of
service, mileage & fuel costs)80.00
Fine for Parking:
1. Fine for parking as described in Arlington Municipal
Code 10.54.160, Prohibited Parking
2. Fine if paid within 24 hours of issuance
3. Fine if not paid within 30 days of issuance, or if no�ce
of infrac�on is mailed, 33 days from the date the
50.00
25.00
100.00
Sec�on 12: Fees for Duplica�on and Redac�on of Public Records.
12.1 Fees for various services and ac�ons for duplica�on and redac�on of public
records shall be consistent with the provisions of RCW 42.56.120 and listed in Table
12: Fees for Public Records Services.
12.2 The City of Arlington finds that calcula�ng the actual costs of scanning per page
in order to fulfill a public records request would be unduly burdensome for the
following reasons:
(a) The City employs over 120 employees. Because all City employees contribute
to the produc�on of public records requests and all employees earn different
salaries or rate of pay, the public records officer would have to be privy to
salaries of all employees in order to calculate the invoice;
(b) Employees supplying scanned records to the public records officer would be
required to track �me spent, thereby crea�ng a burden for those employees
without worksta�ons as well as addi�onal work not assigned in many
employees’ job descrip�ons and or union contracts;
(c) The City’s public records officer would be required to maintain a record of all
employees who contribute to each part of a public record request and
poten�ally charge different amounts for mul�ple scanned pages;
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 18
(d) The City uses more than seven document scanning machines with different
costs and lease agreement fees which change from �me to �me. The cost of
supplies for the City’s various scanning machines is subject to change based
on current market rates. Calcula�ng the por�on of the machines and supplies
used toward scanning public records would require knowledge of the cost of
supplies and an in-depth analysis of �ming and applica�on mul�plied by each
contribu�ng employee’s hourly rate of pay; and
(e) The response �me to a public records request may be delayed in order to
calculate scanning costs and create an invoice with different rates of scanning
charges.
Table 12: Fees for Public Records Services
In house copying of City documents for the public 0.15 per page
In house copying of City documents to PDF when original
document is not in electronic format 0.10 per page
Provision of files or atachments and provide by electronic
delivery 0.05 per 4 files or atachments
Electronic records transmission 0.10 per gigabyte (GB)
Storage media (USB or CD), container, envelope, and postage
delivery charge Actual cost
Duplica�on of documents and other media printed by outside Actual cost to produce
Staff redac�on �me for body-worn camera footage*
* The City will charge all requestor’s reques�ng body-worn
camera footage except those listed in RCW 42.56.240(e)(i) for
the �me it takes the City to redact the footage, see RCW
42.56.240(14)(f)(1). These charges are based on the average
per minute salaries of the City employees responsible for
video redac�on
0.8266 (0.83) per minute mul�plied
by the dura�on in minutes of the
por�on of the video which is
redacted
Sec�on 13: Fees for Franchise Applica�ons. Pursuant to AMC Title 21, fees for various
services and ac�ons for franchise applica�ons shall be listed in Table 13: Fees for
Franchise Applica�ons.
Table 13: Fees for Franchise Applica�ons
Franchise Applica�on Fee 1,000.00
Legal Review of Franchise Applica�on Actual costs
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 19
Sec�on 14: Fees for GIS Products. Fees for various services and ac�ons for GIS shall be
listed in Table 14: Fees for GIS Products.
Table 14: Fees for GIS Products
Zoning and Land Use Maps 14.00
11 x 17 8.00
2 x 3 15.00
3 x 3 22.00
3 x 4 28.00
Map CD 29.00
Data CDs / FTP 29.00 per client
Hourly Rate for Custom Work 140.00 per hour, ½ hour minimum
Lamina�ng 4.00 per square foot
Shipping Actual Cost of container and postage
Sec�on 15: Finance Department Services. Fees for various services, ac�ons, and permits
for finance services shall be listed in Table 15: Fees for Finance Department Services.
Table 15: Fees for Finance Services
Non-Sufficient Funds – Dishonored or disallowed dra� or check 35.00
Establishing a new u�lity account 20.00
Reac�va�ng an exis�ng u�lity account 20.00
Shut off processing fee 50.00
Meter Tampering Fee 200.00
Sec�on 16: Repeal of Previous Fee Resolu�on. Resolu�on 2023-012 is hereby repealed.
Sec�on 17: Effec�ve Date. This resolu�on will become effec�ve immediately upon
passage.
PASSED by the City Council and Approved by the Mayor this 5th day of February, 2024.
CITY OF ARLINGTON FEE SCHEDULE RESOLUTION NO. 2024-000
Page 20
CITY OF ARLINGTON
__________________________________________
Don Vanney, Mayor
ATTEST:
__________________________________
Wendy Van Der Meersche, City Clerk
APPPROVED AS TO FORM:
__________________________________
Steven J. Peiffle, City Atorney
City of Arlington Council Agenda Bill WS #2 Attachment
January 22, 2024
Acceptance of right-of-way (ROW) and Temporary Construction Easements (TCE) for the 74th Avenue Trail Project
Puget Sound Kidney Center ROW and TCE Documents West Edge Development ROW and TCE Documents
Public Works; Jim Kelly, Director EXPENDITURES REQUESTED: None BUDGET CATEGORY: N/A BUDGETED AMOUNT: A/A LEGAL REVIEW: DESCRIPTION: ROW and TCE procurement and dedication for the 74th Ave Trail project HISTORY: The City of Arlington is working on providing the community with a comprehensive multiuse trail system, the 74th Ave Trail project completes a segment between 204th St and 191st St (approx. 4,000 ft). This trail alignment is also part of the City’s Complete Streets program. The City received a grant for the design and construction of this trail. During the design phase areas where ROW and TCE were required for the trail construction were identified. The City and the ROW consultant met with the property owners and either purchased the needed ROW and TCE or had the property owner dedicate the ROW and TCE as part of property development requirements. The documents attached to this CAB are for the acceptance of ROW and TCE. ALTERNATIVES: Remand to staff for additional information.
Workshop; discussion only. At the February 5, 2024 Council meeting, the recommended motion will be, “I move that the City of Arlington accept ROW dedication to the City of Arlington.”
STATUTORY WARRANTY DEED
Puget Sound Kidney Centers
By:�� Printedame:homas DeBord Title: President & CEO
Date I\ \ & / "2,)I
Accepted by the City of Arlington
By: ____________________________Printed Name: Don E. V anneyTitle: Mayor
Date: --------
Approved as to form:
By:�
Printed �le Title: City Attorney
Date: 12--/8'\-i-3-
Page 2 of 5
Department of�Revenue� Real Estate Excise Tax Affidavit <Rew s2_45 wAc 458-61A)
Washington State Only for sales in multiple location codes on or after March 1, 2023.
Form 840001 a This affidavit will not be accepted unless all areas on all pages are fully and accurately completed.
This form is your receipt when stamped by cashier. Please type or print.
D Check box if partial sale, indicate % ____ sold. List percentage of ownership acquired next to each name.
1 Seller/Grantor
Name Puget Sound Kidney Centers, a Washington non-profit
corporation
Mailing address 1019 Pacific Ave
City/state/zip Everett WA 9820 1
Phone (including area code) _.(4 ___ 2 ___ 5..._) ___ 2 ___ 5 9 .... -4 .... 8 .... 6 ... 0 ________ _
3 Send all property tax correspondence to: D Same as Buyer/Grantee
Name Puget Sound Kidney Centers, a Washington non-profit
corporation
Mailing address 1 019 Pacific Ave
City/state/zip Everett. WA 9820 1
2 Buyer/Grantee
Name City of Arlington, a Washington municipal corporation
Mailing address 238 N Olympic Ave
City/state/zip Arlington, WA 98223
Phone (including area code) ..,_(3::.:6:.::0ci..) ..:.40::..:3::....-34"'-"'2'-'1 _________ _
List all real and personal property tax
parcel account numbers
Ptn of 00 79330000 270 1
Ptn of 00 79330000 120 1
Personal
property? □ □ □
Assessed
value(s)
$392.400.00
$14 8,200.00
4 Street address of property ...:U:.:.n:.:..:k.:.:.no�wn=:.. ___________________________________ _ This property is located in Arlington (for unincorporated locations please select your county}
IZI Check box if any of the listed parcels are being segregated from another parcel, are part of a boundary line adjustment or parcels being merged.
le�al descriotion of orooertv (if you need more space, attach a separate sheet to each page of the affidavit).
see Exhibit "A"
5 91 -Undeveloped land (land only)
Enter any additional codes ______________ _
(see back of last page for instructions)
Was the seller receiving a property tax exemption or deferral under RCW 84.36, 84.37, or 84.38 (nonprofit org., senior citizen or disabled person, homeowner with limited income)?□ YeslZI No
Is this property predominately used for timber (as classified under RCW 84.34 and 84.33) or agriculture (as classified under RCW 84.34.020) and will continue in its current use? If yes and the entire transfer involves parcels with different classifications, complete the predominate use calculator (see instructions). □Yes IZI No
6 Is this property designated as forest land per RCW 84.33? □Yes Ill No
Is this property classified as current use (open space, farm and agricultural, or timber) land per RCW 84.34?
Is this property receiving special valuation as historical
property per RCW 84.26?
If any answers are yes, complete as instructed below.
0Yeslll No
□Yes Ill No
(1) NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE)
NEW OWNER(S): To continue the current designation as forest land
or classification as current use (open space, farm and agriculture, or
timber) land, you must sign on (3) below. The county assessor must then determine if the land transferred continues to qualify and will indicate by signing below. If the land no longer qualifies or you do not wish to
continue the designation or classification, it will be removed and the
compensating or additional taxes will be due and payable by the seller
or transferor at the time of sale (RCW 84.33.140 or 84.34.108). Prior to
signing (3) below, you may contact your local county assessor for more
information.
This land: □does D does not qualify for continuance.
Deputy assessor signature Date
(Z)NOTICE OF COMPLIANCE (HISTORIC PROPERTY)
NEW OWNER(S): To continue special valuation as historic property, sign
(3) below. If the new owner(s) doesn't wish to continue, all additional tax
calculated pursuant to RCW 84.26, shall be due and payable by the selleror transferor at the time of sale.
(3) NEW OWNER(S) SIGNATURE
Signature Signature
Print name Print name
7 List all personal property (tangible and intangible) included in selling
price. I None
If claiming an exemption, list WAC number and reason for exemption.
WAC number (section/subsection) .... 4 ... 5 8""-6..a.....1A .... -___ 20 ... 6_._(3'"") ______ _
Reason for exemption I Unde< lhreal of eminent domain
Type of document Statutory Warranty Deed
Date of document _________________ _
Gross selling price ------"-54"""""0 0""0 ... 0""0._
*Personal property (deduct) _______ ....;0:.:..0.a.aO._
Exemption claimed (deduct) ______ 5_4.,_.0""0_0.""0 ..... 0
Taxable selling price _________ 0:..:..0.a.aO._
Excise tax: state _______ ....;0 ... 0""0._
0.0050 Local _______ 0�.0�0
*Delinquent interest: state ________ 0 -.0-0_
Local _______ �0._0 __ 0
*Delinquent penalty _______ �0-_Q_O_
Subtotal ________ 0._00 .....
*State technology fee ________ 5"'_"""00,...
Affidavit processing fee ________ 5"'."""00,...
Total due 10.00
A MINIMUM OF $10.00 IS DUE IN FEE(S) AND70R TAX *SEE INSTRUCTIONS
OING IS TRUE AND CORRECT
Name (print)--.....jU::��YJ_�...£/.�J::!...!:...!:���--
Date & city of signing_.._+".,._.� _ ___._...;....-'-"'..._,.....:;._....;'-----
Signature of grantee or agent __________ -ill::'."
Name (print) _______________ __._
Date & city of signing _____________ .,.
---------------------,----------------------------,-,....,.-....,.......,........,....�..,.......7· Perjury in the second degree is a class C felony which is punishable by confinement in a state correctional institution for a maximum term of five yea'rs/or'by' • • • a fine in an amount fixed by the court of not more than $10,000, or by both such confinement a.nd fine (RCW 9A.72.030 and RCW 9A.20.021(1)(c)J.
To ask about the availability of this publication in an alternate format for the visuallY, impaired, please call 360-705-6705. Teletype (TTY) users may use the WA Relay Ser vice by calling 711.
REV 84 0001a (02/28/23) THIS SPACE TREASURER'S USE ONLY COUNTY TREASURER
Print on legal size paper.
Page 1 of 8
TEMPORARY CONSTRUCTION EASEMENT
shall be binding upon and the Granter and its respective successors, assigns,
mortgagees and sublessees and each and every person who shall at any time have a
fee, leasehold, mortgage or other interest in any part of the Easement Area.
6)Notification. Should the undersigned owner (Granter), sell the property
described herein, Granter shall promptly disclose and notify the buyer of this agreement.
Grantor:
Puget Sound Kidney Centers
By: ---4---"'--..........,�--.:..-----Printed ame: homas DeBord
Title: President & CEO
Date: \ \ -d' ---2.)••
Accepted By City of Arlington Approved as to form:
By:___________ By: �
Printed Name: Don E. Vanney
Title: City Attorney Title: Mayor
Date: ________ Date: '2--/,g { "tot..) '
Page 3 of 6
:c ffl 21
EASEMENT
Grantor:
West Edge Development -Two, LLC
::r�
Title: M OJ" "'6 in.� M� b(__,v
Date: 1 \/9 I 1.. 0'2..0
Accepted By City of Arlington
By: __________ Printed Name: Don E. V anney Title: Mayor
Date: ---------
Approved as to form:
By:-----------Printed Name: Steven J. Peiffle Title: City Attorney
Date: ---------
LPA-324
10/2014
Page 2 of (5) Pages Parcel No. 00793300002100
TEMPORARY CONSTRUCTION EASEMENT
6)Notification. Should the un dersigned owner (Grantor), sell the proper ty
described herein, Grantor shall promptly disclose and notify the buyer of this
agreement.
Grantor:
West Edge Development -Two, LLC
s@62==.
Printed Name: J.,«\d..J/...t.J..;.j �Y'I�
Title: tJl�� �
Date: l1/9./'L023
Accepted By City of Arlington
By: __________ Printed Name: Don E. Vanney Title: Mayor
Date: ________ _
-----
Approved as to form:
By:----------Printed Name: Steven J. Peiffle
Title: City Attor ney
Date: ---------
Page 3 of 6
WS City of Arlington Council Agenda Bill WS #3 Attachment
January 22, 2024
Procurement of Right-of-way (ROW) from a property for the 188th St Roundabout Project
Smokey Y’s ROW Procurement Documents
Public Works; Jim Kelly, Director EXPENDITURES REQUESTED: None BUDGET CATEGORY: N/A BUDGETED AMOUNT: A/A LEGAL REVIEW: DESCRIPTION: ROW procurement and dedication for the 188th St Roundabout Project.
The City received a grant for the design of improvements to the Smokey Point Blvd Corridor from 174th St to 200th St, the 188th St Roundabout will be the first part of the roadway improvement project that will be constructed. As part of the 188th Street Roundabout Project, the City needs to obtain ROW and TCE from nine parcels; this is the first parcel the City will be obtaining ROW and from. ALTERNATIVES: Remand to staff for additional information.
Workshop; discussion only. At the February 5, 2024 Council meeting, the recommended motion will be, “I move to approve the right-of-way dedication to the City of Arlington.”
Page 1 of 2
Real Property Voucher
City of Arlington
238 N Olympic Ave
Arlington, WA 98223
Claimant(s)
Smokey Y’s LLC
6409 Chennault Beach Dr
Mukilteo, WA 98275-4527
18706 Smokey Point Blvd
Smokey Pt Blvd & 188th St Roundabout
Project Parcel No. 31052000100700
A full, complete, and final payment for settlement for the title or interest conveyed or released as
fully set forth in the Statutory Warranty Deed, dated _____________________.
Land Fee: 616 SF $ 10,843.00
Native Vegetation: 616 SF $ 1,848.00
Total (rounded) $ 12,691.00
(Optional)
I/we have agreed to the compensation listed above as the full and final payment for the loss of or
cost to cure of my/our native vegetation, as stated above. The City of Arlington will not, at any
time in the future, be responsible for any additional costs above and beyond the amount listed
above, nor for the construction of such improvement (or repair).
I have been informed that if there is a mortgage or lien on my property, the mortgage company or
lienholder may require that all or a portion of the proceeds from this transaction be applied towards
principal reduction of the outstanding lien balance. If necessary, the City of Arlington will deposit
the funds from this transaction into escrow for the purpose of clearing title of the purchased land.
The escrow company will disburse the funds according to the requirements of the Mortgage
Company or lienholder. I/we hereby certify under penalty of perjury that the items and amounts listed herein are proper
charges against the City of Arlington , that the same or any part thereof has not been paid, and
that I/we am/are authorized to sign for the claimant.
By: _____________________________
Printed Name: ____________________
Title: ___________________________
Date: ____________________
By: _____________________________
Printed Name: ____________________
Title: ___________________________
Date: ____________________
Page 2 of 2
City of Arlington
Printed Name: Don E. Vanney, Mayor
Date:
Place Signed:
After recording return document to:
City of Arlington
238 N Olympic Ave
Arlington, WA 98223
Project No.
LPA-302 Page 1 of 5 Pages Parcel No. 31052000100700
10/2014
Document Title: Warranty Deed
Reference Number of Related Document:
Grantor(s): Smokey Y’s LLC
Grantee(s): City of Arlington
Legal Description: SEC 20 TWP 31 RGE 05 BAAP OF INT OF S LN CO RD ALG N
LN SD NE1/4 NE1/4 WITH W LN ST RD NO 1 TH S27
Additional Legal Description is on Page 4 of Document.
Assessor’s Tax Parcel Number: 31052000100700
WARRANTY DEED
Smokey Pt Blvd & 188th St Roundabout
The Grantor(s), Smokey Y’s LLC for and in consideration of the sum of TEN AND
NO/100 ($10.00) Dollars, and other valuable consideration, hereby convey(s) and warrant(s)
to the City of Arlington, Grantee, the following described real property situated in
Snohomish County, in the State of Washington, under the imminent threat of the Grantee’s
exercise of its rights of Eminent Domain:
For legal description and additional conditions
See Exhibit A & Exhibit B attached hereto and made a part hereof.
WARRANTY DEED
LPA-302 Page 2 of 5 Pages Parcel No. 31052000100700
10/2014
It is understood and agreed that delivery of this deed is hereby tendered and that the
terms and obligations hereof shall not become binding upon the City of Arlington unless and
until accepted and approved hereon in writing for the City of Arlington, by its authorized
agent.
Date: ,
________________________________
Smokey Y’s, LLC
By: ________________________________
Its: _________________________
Accepted and Approved
City of Arlington
By:
Don E. Vanney, Mayor
Date:
WARRANTY DEED
LPA-302 Page 3 of 5 Pages Parcel No. 31052000100700
10/2014
Acknowledgment
STATE OF WASHINGTON )
: ss
County of ________________)
On this _______ day of ______________ 20____, before me personally appeared
____________________ to me known to be the _________________ of the limited liability
company that executed the foregoing instrument, and acknowledged said instrument to be
the free and voluntary act and deed of said company, for the uses and purposes therein
mentioned, and on oath stated that he/she/they is/are authorized to execute said instrument.
GIVEN under my hand and official seal the day and year last above written.
____________________________________
Notary Public in and for the State of
Washington
My commission expires ________________
WARRANTY DEED
LPA-302 Page 4 of 5 Pages Parcel No. 31052000100700
10/2014
EXHIBIT A
City of Arlington 188th Street & Smokey Point Blvd. Round About
Grantor: Smokey YS LLC
Tax Parcel No. 31052000100700
Address: 18706 Smokey Point Blvd, Arlington, WA 98223
Parcel 9 Legal Description for Right of Way Parcel:
That portion of the Northeast quarter of the Northeast quarter of Section 20, Township 31
North, Range 5 East of the Willamette Meridian, described as follows:
Commencing at the Northeast corner of said Section 20; thence North 88° 59' 36" West,
along the North line of said Northeast quarter, a distance of 668.43 feet to the intersection of
the center line of Smokey Point Boulevard and said North line; thence North 88° 59' 36"
West, along said North line, a distance of 33.56 feet to the Westerly margin of State Highway
No. 1; thence South 25° 37' 56" East, along said Westerly margin, a distance of 22.38 feet to
the South margin of 188th Street NE; thence South 25° 37' 56" East, along said Westerly
margin, a distance of 200.00 feet to the True Point of Beginning; thence South 25°37’56”
East, along said westerly margin, a distance of 136.39 feet to the south line of Lot 1 of Short
Plat 191 (8-75) as recorded under Auditors File No. 2402025; thence North 88°59’36” West,
along said south line, a distance of 4.48 feet; thence North 25°37’56” West, parallel to
westerly margin of said State Highway No. 1, a distance 69.92 feet; thence along a curve to
the left, which center bears South 64°22’03” West, having a central angle of 5°24’26”, a
radius of 722.50 feet, an arc distance of 68.19 feet to the north line of Lot 1 of said short plat;
thence South 88°59’36” East, along said north line, a distance of 8.07 feet to the Point of
Beginning.
Situated in the County of Snohomish, State of Washington.
ROW
31052000100700 SMO
KEY
POINT B
L
V
D
188TH ST NE
186TH PL NE
Exhibit B
Right of Way±
City of Arlington
Date:
File:
Cartographer:
Scale: EasementsLayouts
188thSmokeyYSROW
10/13/2023 akc
Le
g
e
n
d
1:1,000
Smokey YS
Easement Type
RIGHT OF WAY
This data is provided ‘as is’ without warranty of any kind. The entire risk as to the results and performance of the
data is assumed by you. Should the data prove defective, you assume the entire cost of all necessary servicing,
repair, or correction. These data and corresponding attributes are not to be used for design purposes. Further, the
City of Arlington does not warrant, guarantee, or make any representations regarding the use of, or results from the
use of the data in terms of correctness, accuracy, reliability, currentness, or otherwise; and you rely on the data and
results solely at your own risk. There are known gaps and inaccuracies in the current data set and the provided
information should be considered a draft and in-progress work. Washington State Law, Ch. 42.56 RCW, prohibits
state and local agencies from providing access to lists of individuals intended for use for commercial purposes and
thus, no commercial use may be made of any Data comprising lists of individuals contained herein.
EXHIBIT B
Print on legal size paper.
Page 1 of 6
Real Estate Excise Tax Affidavit (RCW 82.45 WAC 458-61A)
Only for sales in a single location code on or after March 1, 2023.This affidavit will not be accepted unless all areas on all pages are fully and accurately completed. This form is your receipt when stamped by cashier. Please type or print.
Check box if partial sale, indicate % sold.List percentage of ownership acquired next to each name.
2 Buyer/Grantee
Name
Mailing address
City/state/zip
Phone (including area code)
1 Seller/Grantor
Name
Mailing address
City/state/zip
Phone (including area code)
3 Send all property tax correspondence to: Same as Buyer/Grantee
Name
Mailing address
City/state/zip
List all real and personal property tax
parcel account numbers
Personal
property?
Assessed
value(s)
4 Street address of property
This property is located in (for unincorporated locations please select your county)
Check box if any of the listed parcels are being segregated from another parcel, are part of a boundary line adjustment or parcels being merged.
Legal description of property (if you need more space, attach a separate sheet to each page of the affidavit).
5
Enter any additional codes
(see back of last page for instructions)
Was the seller receiving a property tax exemption or deferral under RCW 84.36, 84.37, or 84.38 (nonprofit org., senior
citizen or disabled person, homeowner with limited income)? Yes No
Is this property predominately used for timber (as classified under RCW 84.34 and 84.33) or agriculture (as classified under RCW 84.34.020) and will continue in it's current use? If yes and the transfer involves multiple parcels with different classifications, complete the predominate use calculator (see instructions) Yes No
6 Is this pr
operty designated as forest land per RCW 84.33?Yes No
Is this property classified as current use (open space, farm
and agricultural, or timber) land per RCW 84.34? Yes No
Is this property receiving special valuation as historical
property per RCW 84.26? Yes No
If any answers are yes, complete as instructed below.
(1) NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE)
NEW OWNER(S): To continue the current designation as forest land
or classification as current use (open space, farm and agriculture, or
timber) land, you must sign on (3) below. The county assessor must then
determine if the land transferred continues to qualify and will indicate
by signing below. If the land no longer qualifies or you do not wish to
continue the designation or classification, it will be removed and the
compensating or additional taxes will be due and payable by the seller
or transferor at the time of sale (RCW 84.33.140 or 84.34.108). Prior to
signing (3) below, you may contact your local county assessor for more
information.
This land: does does not qualify for
continuance.
____________________________________ ____________________
Deputy assessor signature Date
(2) NOTICE OF COMPLIANCE (HISTORIC PROPERTY)
NEW OWNER(S): To continue special valuation as historic property, sign
(3) below. If the new owner(s) doesn’t wish to continue, all additional tax
calculated pursuant to RCW 84.26, shall be due and payable by the seller
or transferor at the time of sale.
(3) NEW OWNER(S) SIGNATURE
____________________________ _________________________
Signature Signature
____________________________ _________________________
Print name Print name
8 I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT
Signature of grantor or agent _______________________________ Signature of grantee or agent __________________________
Name (print) Name (print)
Date & city of signing Date & city of signing
Perjury in the second degree is a class C felony which is punishable by confinement in a state correctional institution for a maximum term of five years, or by a fine in an amount fixed by the court of not more than $10,000, or by both such confinement and fine (RCW 9A.72.030 and RCW 9A.20.021(1)(c)).
REV 84 0001a (02/28/23)THIS SPACE TREASURER’S USE ONLY COUNTY TREASURER
7 List all personal property (tangible and intangible) included in selling
price.
If claiming an exemption, list WAC number and reason for exemption.
WAC number (section/subsection)
Reason for exemption
Type of document
Date of document
Gross selling price
*Personal property (deduct)
Exemption claimed (deduct)
Taxable selling price
Excise tax: state
Less than $525,000.01 at 1.1%
From $525,000.01 to $1,525,000 at 1.28%
From $1,525,000.01 to $3,025,000 at 2.75%
Above $3,025,000 at 3%
Agricultural and timberland at 1.28%
Total excise tax: state
Local
*Delinquent interest: state
Local
*Delinquent penalty
Subtotal
*State technology fee
Affidavit processing fee
Total due
A MINIMUM OF $10.00 IS DUE IN FEE(S) AND/OR TAX*SEE INSTRUCTIONS
To ask about the availability of this publication in an alternate format for the visually impaired, please call 360-705-6705. Teletype (TTY) users may use the WA Relay Service by calling 711.
Form 84 0001a
Print on legal size paper.
Page 2 of 6
Real Estate Excise Tax Affidavit (RCW 82.45 WAC 458-61A)
Only for sales in a single location code on or after March 1, 2023.This affidavit will not be accepted unless all areas on all pages are fully and accurately completed. This form is your receipt when stamped by cashier. Please type or print.
Check box if partial sale, indicate % sold.List percentage of ownership acquired next to each name.
2 Buyer/Grantee
Name
Mailing address
City/state/zip
Phone (including area code)
1 Seller/Grantor
Name
Mailing address
City/state/zip
Phone (including area code)
3 Send all property tax correspondence to: Same as Buyer/Grantee
Name
Mailing address
City/state/zip
List all real and personal property tax
parcel account numbers
Personal
property?
Assessed
value(s)
4 Street address of property
This property is located in (for unincorporated locations please select your county)
Check box if any of the listed parcels are being segregated from another parcel, are part of a boundary line adjustment or parcels being merged.
Legal description of property (if you need more space, attach a separate sheet to each page of the affidavit).
5
Enter any additional codes
(see back of last page for instructions)
Was the seller receiving a property tax exemption or deferral under RCW 84.36, 84.37, or 84.38 (nonprofit org., senior
citizen or disabled person, homeowner with limited income)? Yes No
Is this property predominately used for timber (as classified under RCW 84.34 and 84.33) or agriculture (as classified under RCW 84.34.020) and will continue in it's current use? If yes and the transfer involves multiple parcels with different classifications, complete the predominate use calculator (see instructions) Yes No
6 Is this pr
operty designated as forest land per RCW 84.33?Yes No
Is this property classified as current use (open space, farm
and agricultural, or timber) land per RCW 84.34? Yes No
Is this property receiving special valuation as historical
property per RCW 84.26? Yes No
If any answers are yes, complete as instructed below.
(1) NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE)
NEW OWNER(S): To continue the current designation as forest land
or classification as current use (open space, farm and agriculture, or
timber) land, you must sign on (3) below. The county assessor must then
determine if the land transferred continues to qualify and will indicate
by signing below. If the land no longer qualifies or you do not wish to
continue the designation or classification, it will be removed and the
compensating or additional taxes will be due and payable by the seller
or transferor at the time of sale (RCW 84.33.140 or 84.34.108). Prior to
signing (3) below, you may contact your local county assessor for more
information.
This land: does does not qualify for
continuance.
____________________________________ ____________________
Deputy assessor signature Date
(2) NOTICE OF COMPLIANCE (HISTORIC PROPERTY)
NEW OWNER(S): To continue special valuation as historic property, sign
(3) below. If the new owner(s) doesn’t wish to continue, all additional tax
calculated pursuant to RCW 84.26, shall be due and payable by the seller
or transferor at the time of sale.
(3) NEW OWNER(S) SIGNATURE
____________________________ _________________________
Signature Signature
____________________________ _________________________
Print name Print name
8 I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT
Signature of grantor or agent _______________________________ Signature of grantee or agent __________________________
Name (print) Name (print)
Date & city of signing Date & city of signing
REV 84 0001a THIS SPACE TREASURER’S USE ONLY COUNTY ASSESSOR
7 List all personal property (tangible and intangible) included in selling
price.
If claiming an exemption, list WAC number and reason for exemption.
WAC number (section/subsection)
Reason for exemption
Type of document
Date of document
Gross selling price
*Personal property (deduct)
Exemption claimed (deduct)
Taxable selling price
Excise tax: state
Less than $525,000.01 at 1.1%
From $525,000.01 to $1,525,000 at 1.28%
From $1,525,000.01 to $3,025,000 at 2.75%
Above $3,025,000 at 3%
Agricultural and timberland at 1.28%
Total excise tax: state
Local
*Delinquent interest: state
Local
*Delinquent penalty
Subtotal
*State technology fee
Affidavit processing fee
Total due
A MINIMUM OF $10.00 IS DUE IN FEE(S) AND/OR TAX*SEE INSTRUCTIONS
To ask about the availability of this publication in an alternate format for the visually impaired, please call 360-705-6705. Teletype (TTY) users may use the WA Relay Service by calling 711.
Form 84 0001a
Perjury in the second degree is a class C felony which is punishable by confinement in a state correctional institution for a maximum term of five years, or by a fine in an amount fixed by the court of not more than $10,000, or by both such confinement and fine (RCW 9A.72.030 and RCW 9A.20.021(1)(c)).
(02/28/23)
EXHIBIT A
City of Arlington 188th Street & Smokey Point Blvd. Round About
Grantor: Smokey YS LLC
Tax Parcel No. 31052000100700
Address: 18706 Smokey Point Blvd, Arlington, WA 98223
Parcel 9 Legal Description for Right of Way Parcel:
That portion of the Northeast quarter of the Northeast quarter of Section 20, Township 31 North,
Range 5 East of the Willamette Meridian, described as follows:
Commencing at the Northeast corner of said Section 20; thence North 88° 59' 36" West, along
the North line of said Northeast quarter, a distance of 668.43 feet to the intersection of the
center line of Smokey Point Boulevard and said North line; thence North 88° 59' 36" West,
along said North line, a distance of 33.56 feet to the Westerly margin of State Highway No. 1;
thence South 25° 37' 56" East, along said Westerly margin, a distance of 22.38 feet to the South
margin of 188th Street NE; thence South 25° 37' 56" East, along said Westerly margin, a
distance of 200.00 feet to the True Point of Beginning; thence South 25°37’56” East, along
said westerly margin, a distance of 136.39 feet to the south line of Lot 1 of Short Plat 191 (8-75)
as recorded under Auditors File No. 2402025; thence North 88°59’36” West, along said south
line, a distance of 4.48 feet; thence North 25°37’56” West, parallel to westerly margin of said
State Highway No. 1, a distance 69.92 feet; thence along a curve to the left, which center bears
South 64°22’03” West, having a central angle of 5°24’26”, a radius of 722.50 feet, an arc
distance of 68.19 feet to the north line of Lot 1 of said short plat; thence South 88°59’36” East,
along said north line, a distance of 8.07 feet to the Point of Beginning.
Situated in the County of Snohomish, State of Washington.
Page 1 of 1
ROW
31052000100700 SMO
KEY
POINT B
L
V
D
188TH ST NE
186TH PL NE
Exhibit B
Right of Way±
City of Arlington
Date:
File:
Cartographer:
Scale: EasementsLayouts
188thSmokeyYSROW
10/13/2023 akc
Le
g
e
n
d
1:1,000
Smokey YS
Easement Type
RIGHT OF WAY
This data is provided ‘as is’ without warranty of any kind. The entire risk as to the results and performance of the
data is assumed by you. Should the data prove defective, you assume the entire cost of all necessary servicing,
repair, or correction. These data and corresponding attributes are not to be used for design purposes. Further, the
City of Arlington does not warrant, guarantee, or make any representations regarding the use of, or results from the
use of the data in terms of correctness, accuracy, reliability, currentness, or otherwise; and you rely on the data and
results solely at your own risk. There are known gaps and inaccuracies in the current data set and the provided
information should be considered a draft and in-progress work. Washington State Law, Ch. 42.56 RCW, prohibits
state and local agencies from providing access to lists of individuals intended for use for commercial purposes and
thus, no commercial use may be made of any Data comprising lists of individuals contained herein.
EXHIBIT B
Version 3/2016
Date: ________________________
Snohomish County Assessor
Snohomish County Treasurer
3000 Rockefeller, M/S 510
Everett, WA 98201-4046
Re: Smokey Pt Blvd & 188th St Roundabout
Tax parcel number 31052000100700
To Whom It May Concern:
You are hereby requested to transfer to the remainder of our property the lien of any unpaid
taxes for the year 2023 assessed against the portion of our property required for right of way
within the above referenced project.
The lands owned under the above-referenced tax account number have an area of 28,128 SF
and are described as follows:
SEC 20 TWP 31 RGE 05 BAAP OF INT OF S LN CO RD ALG N LN SD NE1/4
NE1/4 WITH W LN ST RD NO 1 TH S27*11 15E ALG SD W LN ST RD 200FT TO
TPB TH S89*25 30W PLW N LN SD NE1/4 NE1/4 200FT TH S00*26
03E121.19FT TH N89*25 30E 261.02FT TO WLY MGN ST RD TH N27*11 15W
ALG SD MGN 135.55FT TO TPB AKA LOT 1 OF SP 191 (8-75) REC AF2402025
The portion sold to the City of Arlington has an area of 616 SF and is described as follows:
See Exhibit A & Exhibit B
Sincerely,
Smokey Y’s LLC
18706 Smokey Point Blvd
Arlington, WA 98223
Accepted and approved:
_______________________________
(Date)
By: _______________________________
Deputy County Assessor
By: _______________________________
Deputy County Treasurer
EXHIBIT A
City of Arlington 188th Street & Smokey Point Blvd. Round About
Grantor: Smokey YS LLC
Tax Parcel No. 31052000100700
Address: 18706 Smokey Point Blvd, Arlington, WA 98223
Parcel 9 Legal Description for Right of Way Parcel:
That portion of the Northeast quarter of the Northeast quarter of Section 20, Township 31 North,
Range 5 East of the Willamette Meridian, described as follows:
Commencing at the Northeast corner of said Section 20; thence North 88° 59' 36" West, along
the North line of said Northeast quarter, a distance of 668.43 feet to the intersection of the
center line of Smokey Point Boulevard and said North line; thence North 88° 59' 36" West,
along said North line, a distance of 33.56 feet to the Westerly margin of State Highway No. 1;
thence South 25° 37' 56" East, along said Westerly margin, a distance of 22.38 feet to the South
margin of 188th Street NE; thence South 25° 37' 56" East, along said Westerly margin, a
distance of 200.00 feet to the True Point of Beginning; thence South 25°37’56” East, along
said westerly margin, a distance of 136.39 feet to the south line of Lot 1 of Short Plat 191 (8-75)
as recorded under Auditors File No. 2402025; thence North 88°59’36” West, along said south
line, a distance of 4.48 feet; thence North 25°37’56” West, parallel to westerly margin of said
State Highway No. 1, a distance 69.92 feet; thence along a curve to the left, which center bears
South 64°22’03” West, having a central angle of 5°24’26”, a radius of 722.50 feet, an arc
distance of 68.19 feet to the north line of Lot 1 of said short plat; thence South 88°59’36” East,
along said north line, a distance of 8.07 feet to the Point of Beginning.
Situated in the County of Snohomish, State of Washington.
Page 1 of 1
ROW
31052000100700 SMO
KEY
POINT B
L
V
D
188TH ST NE
186TH PL NE
Exhibit B
Right of Way±
City of Arlington
Date:
File:
Cartographer:
Scale: EasementsLayouts
188thSmokeyYSROW
10/13/2023 akc
Le
g
e
n
d
1:1,000
Smokey YS
Easement Type
RIGHT OF WAY
This data is provided ‘as is’ without warranty of any kind. The entire risk as to the results and performance of the
data is assumed by you. Should the data prove defective, you assume the entire cost of all necessary servicing,
repair, or correction. These data and corresponding attributes are not to be used for design purposes. Further, the
City of Arlington does not warrant, guarantee, or make any representations regarding the use of, or results from the
use of the data in terms of correctness, accuracy, reliability, currentness, or otherwise; and you rely on the data and
results solely at your own risk. There are known gaps and inaccuracies in the current data set and the provided
information should be considered a draft and in-progress work. Washington State Law, Ch. 42.56 RCW, prohibits
state and local agencies from providing access to lists of individuals intended for use for commercial purposes and
thus, no commercial use may be made of any Data comprising lists of individuals contained herein.
EXHIBIT B
City of Arlington Council Agenda Bill WS #4 Attachment
January 22, 2024 Award of 640 Zone Booster Pump System Bid
Pump Tech Bid for Skid-Mounted 640 Zone Booster Pump System
Public Works; Jim Kelly, Director EXPENDITURES REQUESTED: $335,629.31 BUDGET CATEGORY: Water Capital Fund BUDGETED AMOUNT: $750,000.00 (2024) LEGAL REVIEW: DESCRIPTION: skid-mounted booster pump system.
The City of Arlington has been under contract with RH2 Engineering for the design of a booster pump station, this BPS will pump water from the 520 pressure zone to the 640 pressure zone. Staff issued a Request for Proposals (RFP Project PO2-493.1) for the fabrication, testing, certification, and delivery of a skid-mounted booster pump system on December 14, 2023. Only one proposal was received by Pump Tech LLC. Staff is recommending the city award this project to Pump Tech as the qualified bidder. ALTERNATIVES: Remand to staff for additional information.
Workshop; discussion only. At the February 5, 2024 Council meeting, the recommended motion will be “I move to award the 640 Zone Booster Pump System Project to Pump Tech as the qualified bidder, and authorize the Mayor to sign a contract, subject to final review by the City Attorney.”
640 Booster Pump System (Project P02-493.1) Attn: Linda Taylor
City of Arlington
Public Works Department
154 W. Cox
Arlington,
640 Zone Booster Pump System (P02-493.1) Request for Proposal
Rev. 9/17
REQUEST FOR PROPOSAL
City of Arlington
640 Zone Booster Pump System (P02-493.1)
Notice is hereby given that proposals will be received by the City of Arlington Public Works Department, 154
W. Cox, Arlington, Washington 98223 in person or via email to utilities@arlingtonwa.gov, until 2:00 PM, on
January 2, 2024, for furnishing the necessary labor, materials, equipment, tools, and guarantees thereof to
perform the project.
Work to Include: The furnishing, testing and start-up of a constant pressure potable water booster system
equipment package that conforms with the project specifications contained in this Request for Proposal and
shall include all hardware, integral piping and valves, controls, and appurtenances necessary for a complete
system.
Additional Requirements:
1. Prepare and submit mechanical engineering plans for City of Arlington approval.
2. Prepare and submit Operating & Maintenance documents at project end.
All bidding and construction are to be performed in compliance with the Contract Documents for this project
and any Addenda issued thereto, which are on file with the City of Arlington Public Works Department.
Proposals received after the date and time stated above will not be considered. Proposals must be submitted on
the forms provided with the contract documents. All proposals must be accompanied by a bid deposit in the form
of a certified or cashier’s check, or bid bond, for not less than five percent (5%) of the total amount bid, including
additives and alternates, if any. Refer to Instructions to Bidders for more information. Should the successful
Bidder fail to enter into such contract and furnish satisfactory payment and performance bonds within the time
stated in the specifications, the bid deposit shall be forfeited to the City of Arlington.
The City of Arlington expressly reserves the right to reject any and all bids, to waive minor irregularities or
informalities, and to further make award of the project to the lowest responsible Bidder as it best serves the
interest of the City of Arlington. No proposal may be withdrawn after the time stated above, or before Award of
Contract, unless said award is delayed for a period exceeding sixty (60) calendar days after opening of the
proposals, or Bidder withdraws proposal due to error in accordance with Section 1-03.1 of the WSDOT Standard
Specifications.
The City of Arlington in accordance with Title VI of the Civil Rights Act of 1964, 78 Stat. 252, 42 USC 2000d
to 2000d-4 and Title 49, Code of Federal Regulations, Department of Transportation, Subtitle A, Office of the
Secretary, Part 21, Nondiscrimination in Federally-Assisted Programs of the Department of Transportation
issued pursuant to such Act, hereby notifies all bidders that it will affirmatively ensure that in any contract
entered into pursuant to this advertisement, disadvantaged business enterprises as defined at 49 CFR Part 26 will
be afforded full opportunity to submit bids in response to this invitation and will not be discriminated against on
the grounds of race, color, national origin, or sex in consideration for an award.
The City encourages the participation of MWDBE firms. The bidder shall submit a voluntary DBE Participation
Plan prior to commencing work on the project.
The City of Arlington in accordance with Section 504 of the Rehabilitation Act and the Americans with
Disabilities Act (ADA), commits to nondiscrimination on the basis of disability, in all of its programs and
activities. This material can be made available in an alternate format by emailing Linda Taylor at
ltaylor@arlingtonwa.gov or by calling 360-403-3526.
------END OF REQUEST FOR PROPOSAL ------
640 ZONE PRESSURE BOOSTER PUMP SYSTEM SPECIFICATION Page 1 of 12
640 ZONE PRESSURE BOOSTER
PUMP SYSTEM SPECIFICATION
Part I – GENERAL
1.1 WORK INCLUDED
A.Variable Speed Packaged Pumping System, NSF-61 Certified
1.2 REFERENCE STANDARDS
The work in this section is subject to the requirements of applicable portions of the following
standards:
Hydraulic Institute
ANSI – American National Standards Institute
ASTM – American Society for Testing and Materials
IEEE – Institute of Electrical and Electronics Engineers
NEMA – National Electrical Manufacturers Association
NEC – National Electrical Code
NSF – National Sanitation Foundation
ISO – International Standards Organization
UL – Underwriters Laboratories, Inc.
Part 2 – PRODUCTS
2.1 VARIABLE SPEED PACKAGED PUMPING SYSTEM
A.Furnish and install a pre-fabricated and tested variable speed packaged pumping system to
maintain constant water delivery pressure.
B.The complete packaged water booster pump system shall be certified and listed by UL (Category
QCZJ – Packaged Pumping Systems) for conformance to U.S. and Canadian Standards, as well
as certified to NSF/ANSI Standard 61 and 372. Systems with NSF-61 certification for individual
components only will not be acceptable.
C.The booster package shall be a PumpTech, LLC 705 NSF packaged system, or pre-approved
equal.
D.The entire pump system shall be designed, built, and tested by a manufacturer with at least 20
years’ building to U.L. safety standards.
2.2 PUMPS
Pump Schedule Design Flow TDH Motor
Service Pumps (qty. 3) 480 GPM 160’ 25HP – 460V/3ph
Jockey Pump (qty. 1) 100 GPM 160’ 7.5HP – 460V3ph
Jockey Lag Pump (qty. 1) 100 GPM 160’ 7.5HP – 460V3ph *
* Later to be replaced with a 25HP duty pump.
640 ZONE PRESSURE BOOSTER PUMP SYSTEM SPECIFICATION Page 2 of 12
A.General Operating and Installation Characteristics
1.The pumps shall be of the in-line vertical multi-stage design.
2.The pumps shall be ANSI/NSF 61 approved for drinking water.
3.The head-capacity curve shall have a steady rise in head from maximum to minimum flow
within the preferred operating region. The shut-off head shall be a minimum of 20% higher
than the head at the best efficiency point.
4.Suction and discharge ports and pressure transducers for pressure measurement shall be
provided. Suction pressure range 5 to 25 psi. Discharge pressure range 50 to 100 psi.
5.All pump bearings shall be lubricated by the pumped liquid.
B.Small Vertical In-Line Multi-Stage Pumps (CR 15-4) shall have the following features:
1.Pump Size and Range of Operation
a.Nominal flow rate shall range from 4.5 to 110 gallons per minute based on model group.
b.Pump base shall require no more than 1.5 square feet of floor space (including motor).
c.The suction/discharge base shall have ANSI Class 250 raised face flange or internal pipe
thread (NPT) connections as indicated in the drawings or pump schedule.
d.Maximum working temperature shall be no less than 248 degrees F as standard and
available for water up to 356 degrees F and thermal oil up to 464 degree F with optional
air-cooled top arrangement.
2.The maximum working pressure shall be 362 psig and available up to 725 psig upon request.
3.Pump End Materials of Construction
a.Standard Pump Materials
•Suction/discharge base, pump head, motor stool: Cast iron, A 48-30 B
•Shaft:Stainless steel, AISI 316 or 431
•Impellers, diffuser chambers, outer sleeve:Stainless steel, AISI 304
•Impeller wear rings:Stainless steel, AISI 304
•Shaft journals and chamber bearings:Silicon carbide
•O-rings:EPDM or FKM
4.Pump Impeller Design
a.Impellers shall be of the enclosed type with resistance spot-welded curved profiled
blades and shall be secured directly to the pump shaft by means of a splined shaft
arrangement.
b.Impeller design characteristics shall be focused on achieving optimum pump hydraulic
efficiency.
c.The impeller stack shall have a modified design available for low NPSH inlet conditions.
640 ZONE PRESSURE BOOSTER PUMP SYSTEM SPECIFICATION Page 3 of 12
5.Pump Thrust Compensation
The axial thrust of the pump shaft during operation shall be compensated primarily by means
of the drive motor fitted with angular contact bearings designed to handle the axial thrust
load.
6.Pump Shaft Seal Design
a.The shaft seal shall be of the cartridge type design.
b.Standard shaft seal replacement shall be possible without removal of any pump
components other than the coupling guard, shaft coupling and motor. Pumps with motors
equal to or larger than 15 hp (fifteen horsepower) shall have adequate space within the
motor stool so that shaft seal replacement is possible without motor removal.
c.Pump shall be available with options for double mechanical shaft seal or air-cooled seal
chamber.
C.Large (CR 95-2-2) In-line Vertical Multi-Stage Pumps (Nominal flows from 130 to 1070 gallons
per minute) shall have the following features:
1.The pump impellers shall be secured directly to the smooth pump shaft by means of a split
cone and nut design.
2.The suction/discharge base shall have ANSI Class 125 or Class 250 flange connections in a
slip ring (rotating flange) design as indicated in the drawings or pump schedule.
3.Pump Construction.
a. Suction/discharge base, pump head:Ductile Iron (ASTM 70-50-05)
b. Shaft couplings, flange rings:Ductile Iron (ASTM 70-50-05)
c. Shaft:431 Stainless Steel
d. Motor Stool:Cast Iron (ASTM Class 30)
e. Impellers, diffuser chambers, outer sleeve: 304 Stainless Steel
f.Impeller wear rings:304 Stainless Steel
g. Intermediate Bearing Journals:Silicon Carbide
h. Intermediate Chamber Bearings:Leadless Tin Bronze
i.Chamber Bushings:Graphite Filled PTFE
j.O-rings:EPDM
Optional materials for the suction/discharge base and pump head shall be cast 316
stainless steel (ASTM CF-8M) resulting in all wetted parts of stainless steel.
4.The shaft seal shall be a balanced O-ring cartridge type with the following features
a. Collar, Drivers, Spring:316 Stainless Steel
b. Shaft Sleeve, Gland Plate:316 Stainless Steel
c. Stationary Ring:Graphite embedded Silicon Carbide
d. Rotating Ring:Graphite embedded Silicon Carbide
e. O-rings:EPDM
5.Shaft seal replacement shall be possible without removal of any pump components other than
the coupling guard, motor couplings, motor and seal cover. The entire cartridge shaft seal
shall be removable as a one-piece component.
640 ZONE PRESSURE BOOSTER PUMP SYSTEM SPECIFICATION Page 4 of 12
6.Pumps with motors equal to or larger than 15 hp (fifteen horsepower) shall have adequate
space within the motor stool so that shaft seal replacement is possible without motor removal.
2.3 MOTORS
A.Standard motors shall be provided with the following basic features:
1.Motors must be C or D-faced directly coupled to the pump.
2.Motors shall be designed for continuous duty operation, NEMA design A or B with a service
factor rating no less than 1.15.
3.Totally Enclosed Fan Cooled Motors are to be furnished with class “F” insulation. Open Drip
Proof Motors are to be furnished with class “B” insulation.
4.Motor nameplate shall be mounted on enclosure with stainless steel fastening pins.
Nameplate shall have, as a minimum, all information as described in NEMA Standard MG 1-
20.40.1.
5.Open Drip Proof (ODP) motors shall have drip covers.
6.Motors over 50 lbs shall have lifting provisions to enable motor to be lifted from the pump
end.
2.4 SYSTEM CONSTRUCTION
A.The suction and discharge manifolds shall be constructed of 316 stainless steel. Manifold
connection sizes shall be as follows:
Less than 2”: Male NPT threaded
2 inch and larger: ANSI Class 150 rotating flanges
B.Pump Isolation valves shall be provided on the suction and discharge of each pump. Isolation
valve sizes less than 2” shall be stainless steel, full port ball valves. Isolation valve sizes 2 inch
and larger shall be a full lug style butterfly valve. The valve disk shall be nylon coated ductile
iron. The valve seat material shall be EPDM and the body shall be ductile iron, coated internally
and externally with fusion-bonded epoxy.
C.Check valves greater than 2” shall be a wafer style silent check valve. The valve shall have
poppet design which ensures that the valve operates quietly and efficiently throughout the entire
stroke of the poppet due to varying flow rates. The valve design shall incorporate a center
guided, spring loaded poppet, guided by an oversized, one-piece bushing. The poppet shall have
a short linear stroke that generates a flow area equal to that of the pipe size in the full open
position. Valves shall be certified to NSF/ANSI 61 Drinking Water System Components - Health
Effects, and also certified to be lead free in accordance with NSF/ANSI 372. Valve body shall be
ductile iron with EPDM rubber seal.
D.For systems that require a diaphragm tank, a minimum diaphragm tank connection size of ¾”
shall be provided on the discharge manifold. Diaphragm tank shall be ASME rated and shall
include isolation and drain valves. Diaphragm tank shall be NSF-61 rated. Tank shall be equal to
Amtrol Well-X-Trol WX-458C with volume of 600 gallons, minimum.
640 ZONE PRESSURE BOOSTER PUMP SYSTEM SPECIFICATION Page 5 of 12
E.A pressure transducer shall be field installed on the discharge manifold. Pressure transducers
shall be made of 316 stainless steel. Transducer accuracy shall be +/- 1.0% full scale with
hysteresis and repeatability of no greater than 0.1% full scale. The output signal shall be 4-20
mA with a supply voltage range of 9-32 VDC.
F.A bourdon tube pressure gauge, 2.5 inch diameter, shall be placed on the suction and discharge
manifolds. The gauge shall be liquid filled and have stainless steel internal parts in a stainless-
steel case. Gauge accuracy shall be 2/1/2 %. The gauge shall be capable of a pressure of 30%
above its maximum span without requiring recalibration.
G.Systems with a flooded suction inlet or suction lift configuration shall have a factory installed
pressure transducer on the suction manifold.
H.The base frame shall be constructed of 1/2” steel plate with a minimum 5” riser and powder
coated with an industrial grade coating. Rubber vibration dampers shall be fitted between each
pump and base frame to minimize vibration
I.Control Panel to come installed on skid and fully wired
J.Flow meter shall be electromagnetic style, NSF-61 approved for potable water, hard rubber lined,
include transmitter with 4-20mA output, and SS grounding rings. Flow meter to be shipped loose
and installed in booster discharge piping per manufacturers recommendations. Meter shall be
Endress and Hauser ProMag 400 or pre-approved equal. Provide and install pipe and fittings as
required to meet clear pipe requirements of the meter.
PART 3 - CONTROL PANEL
3.1 SYSTEM OPERATION
A.The basis of operation for the water booster system is to maintain an adequate water pressure
in the distribution system while providing the required flow rates.
This shall be accomplished as follows:
1.The packaged booster system shall take suction supplied by either a municipal water
supply or distribution tank which shall be adequately sized to provide the proper
pressure and flow required by the system.
2.A jockey, main, and or high demand pumps will be staged on and off to maintain
constant discharge pressure regardless of flow conditions.
3.2 VARIABLE SPEED PACKAGED PUMPING SYSTEM
A.SEQUENCE OF OPERATION
The 7.5HP jockey pumps are used as a pressure maintenance pump. The 7.5HP jockey
pumps shall be the first pump to start, it operates to provide variable flows while maintaining the
discharge pressure setpoint in low demand conditions. If demand exceeds the capacity of the
7.5HP jockey pump, then the 7.5HP Jockey Lag Pump will start. If demand exceeds the capacity
of the 7.5HP jockey pump and the 7.5HP jockey lag pump, then a service lead pump will start,
operating in lead mode if equipped with multiple main pumps as needed to provide variable flows
while maintaining the discharge pressure setpoint. Depending on the flow requirements the
system may utilize the service lag, and the service lag-lag pumps to be equipped with a high
demand pump or pumps to meet system flow requirements in high demand situations while
maintaining system discharge pressure requirements.
640 ZONE PRESSURE BOOSTER PUMP SYSTEM SPECIFICATION Page 6 of 12
1.Jockey Pump shall start when the system pressure drops below the jockey start
differential setpoint. Its speed shall vary as needed to maintain the pressure setpoint. It
shall shut down when the system discharge is above the jockey stop differential setpoint,
and flow is below jockey stop GPM, and the jockey off delay time has expired. If flow
demand exceeds the capacity of the jockey pump a Service Lead pump will be started to
meet flow and pressure requirements.
2.Jockey Lag Pump shall start when the system pressure drops below the jockey lag start
differential setpoint. Its speed shall vary as needed to maintain the pressure setpoint. It
shall shut down when the system discharge is above the lag jockey stop differential
setpoint, and flow is below lag jockey stop GPM, and the lag jockey off delay time has
expired. If flow demand exceeds the capacity of the jockey lag pump a Service Lead
pump will be started to meet flow and pressure requirements.
3.Service Lead Pump shall start when system discharge pressure drops below Service
Lead start differential pressure setpoint, or flow has exceeded Service Lead start GPM
setpoint and time has expired in Service Lead start delay. Its speed shall vary as needed
to maintain the pressure setpoint. It shall shut down when the system discharge is above
the lead stop differential setpoint, flow is below Service Lead stop GPM, and the Service
Lead off delay time has expired. If the Service Lead pump flow is exceeded a second
Lead pump will be staged to meet flow requirements.
4.Service Lag Pump shall start when system discharge pressure drops below Lag start
differential setpoint, or flow has exceeded service lag start GPM setpoint and time has
expired in service lag start delay. Its speed shall vary as needed to maintain the pressure
setpoint. It shall shut down when the system discharge is above the service lag stop
differential setpoint, flow is below service lag stop GPM, and the service lag off delay time
has expired. If the service lag pump’s flow is exceeded, a third lag pump is started to
meet flow and pressure requirements.
5.Service Lag-Lag Pump shall start when system discharge pressure drops below Lag-Lag
start differential pressure setpoint, or flow has exceeded lag-Lag start GPM setpoint and
time has expired in Lag-Lag start delay. Its speed shall vary as needed to maintain the
pressure setpoint. It shall shut down when the system discharge is above the Lag-lag
stop differential setpoint, flow is below Lag-Lag Lead stop GPM, and the Lag-Lag off
delay time has expired.
B.The system shall alternate equal capacity pump lead-lag designations based on total operation
time and pump faults. Using the PLC touchscreen, an operator shall be able to adjust the
start/stop pressure set-points, alternation time, as well as to manually alternate Lead and Lag
designations for both main and high demand pumps. Alternation of equally sized pumps is used
to maximize life expectancy of each pump.
3.3 VARIABLE FREQUENCY DRIVES
A.Each pump motor shall be powered by a dedicated variable frequency drive (VFD)
mounted in the station motor control panel. VFDs integrated with motors shall not be
accepted due to serviceability and reliability
B.The VFD shall provide microprocessor-based control for three-phase induction motors. The
controller’s full load output current rating shall be based on 50 degree C ambient and no less than a
3.0 kHz switching frequency to reduce motor noise and avoid increased motor losses. Drive shall
have been tested to and UL listed as conforming to the requirements of UL508C at rated load
currents and ambient temperature per this specification. Drive shall have a UL listed interrupting
rating of 65kaIC.
640 ZONE PRESSURE BOOSTER PUMP SYSTEM SPECIFICATION Page 7 of 12
C.The VFD shall be of the Pulse Width Modulated (PWM) design converting the utility input voltage
and frequency to a variable voltage and frequency output. Adjustable Current Source VFD are not
acceptable. Insulated Gate Bipolar Transistors (IGBT’s) shall be used in the inverter section.
Bipolar Junction Transistors, Gate Turn-Off Thyristors (GTO’s) or Silicon-Controlled Rectifiers
(SCR’s) are not acceptable. The VFD shall run at the above listed switching frequency
D.The VFD shall have an efficiency at full load and speed that exceeds 95%. The efficiency shall
exceed 90% at 50% speed and load. The VFDs shall maintain the line side displacement power
factor at no less than 0.96, regardless of speed and load
E.The VFDs shall have a one (1) minute overload current rating of 110% for variable torque
applications.
F.The VFDs shall be capable of operating any NEMA design B squirrel cage induction motor having
a 1.15 service factor, regardless of manufacturer, with a horsepower and current rating within the
capacity of the VFD.
G.Standard operating conditions shall be:
a.Incoming Power: Three phase, 480 Vac (+10% to -10%) and 60 Hz (+/-5 Hz) power is
converted to a fixed potential DC bus level. Maximum input voltage unbalance shall be 0.5% as
defined in NEMA MG 1 section 14.35.2
b.Frequency stability of +/-0.05% for 24 hours with voltage regulation of +/-1% of maximum rated
output voltage.
c.Speed regulation of +/- 0.5% of base speed.
d.Load inertia dependent carry over (ride through) during utility loss.
e.Insensitive to input line rotation.
f.Humidity: 0 to 95% (non-condensing and non-corrosive).
g.Altitude: 0 to 3,300 feet (1000 meters) above sea level.
h.Ambient Temperature: 0 to 50 *C.
i.Storage Temperature: -40 to 60 *C.
H.The VFD shall convert incoming fixed frequency three-phase AC power into a variable frequency
and voltage for controlling the speed of motor. The motor current shall closely approximate a sine
wave.
I.VFD Status Indicator:
a.VFD keypad must be viewable without requiring the opening of the enclosure door for safety
J. The VFDs shall have built-in Ethernet/IP communication to communicate directly with the
programmable logic controller
a.The drive system shall be compliant with IEEE 519-2014 standards at the input VFD
terminals based upon the input power phase imbalance within 0.5 percent of nominal line
voltage and under full VFD output current ratings. Drive Input Line Reactor
i.Provide a drive input line reactor mounted within the drive system enclosure.
1.The line reactor shall meet the following specifications:
2.The construction shall be iron core with an impedance of 5 percent.
3.The winding shall be copper or aluminum wound.
4.The insulation shall be Class H with a 115 degrees Celsius rise over 50
degrees Celsius ambient.
5.The unit shall be rated for system voltage, ampacity, and frequency
K.The VFDs shall be Allen Bradley Powerflex 753 VFD or equal.
640 ZONE PRESSURE BOOSTER PUMP SYSTEM SPECIFICATION Page 8 of 12
3.4 PUMP SYSTEM CONTROLLER AND OPERATOR INTERFACE
A.The pump system controller shall be a COMPACTLOGIX 5380 CONTROLLER, no substitutes.
B.Programmable Logic Controller (PLC)
1.The PLC and modules shall be Allen-Bradley, no equal.
2.Required Hardware Features
a.Expansion I/O support
b.Up to six embedded High-Speed Counter inputs (HSC) (a)
c.100 kHz speed HSC available on 24V DC models
d.Up to three embedded Pulse Train Outputs (PTO) (b) for basic positioning
e. High-speed input interrupts
f.Modbus RTU protocol (serial port)
g.Modbus/TCP support
h. Ethernet/IP support
i.CIP Serial support
j.Embedded USB programming and serial port (RS-232/RS-485)
k.Embedded 10/100 Base-T Ethernet port (RJ45)
l. Support up to 8 Ethernet Nodes
3.The PLC shall contain expansion cards as required for pump station with a minimum of
15% spares on all digital and analog inputs and outputs. Additionally, the PLC shall
contain: (1) 16-point digital input card, (1) 16-point digital output card, (1) 4-channel
analog input card.
C.Operator Interface
1.The operator interface shall be a color LCD touchscreen, with a minimum diagonal
length of 5.7″. The touchscreen shall allow operator access to all system settings and
monitoring data. The touchscreen shall be mounted to the motor control panel door.
2.The operator interface shall be manufactured by Allen-Bradley
3.The interface shall be compatible with the Owner’s Wi-Fi service.
D.PLC Monitoring and Control Functions
1.The PLC and Operator Interface shall include, but are not limited to, the following
monitoring and control functions:
a.Monitoring Functions
1.Pump status, including lead pump designation, VFD frequency, and current
draw.
2.Alarm conditions, with the ability to manually reset alarms.
3.Current values of all system sensors, including pressure and flow.
4.Fault Logs
5.Trend Log
b.The PLC shall have a system fault log that displays the precise
times of fault occurrences and recoveries, as well as message indicating the fault type.
c.The fault log shall include a fault diagnosis utility that provides.
possible causes of and solutions to all system faults and warnings.
d.Trend graphing screen capable of detailing pressure, flow, and
current data. Graphing function shall give the option to graph and plot points.
at user adjustable intervals.
e.Pressure Settings
1.Pressure transmitter calibration, discharge pressure setpoint, and
high- and low-pressure alarm/fault conditions.
f.Flow Settings
1.A display of total gallons pumped with user reset button and
time/date stamp of last reset.
2.Low and high flow alarm conditions.
3.Flow meter sensor calibration settings.
640 ZONE PRESSURE BOOSTER PUMP SYSTEM SPECIFICATION Page 9 of 12
g.Suction Settings
1.A display of suction pressure.
2.Low and high suction alarm and fault conditions.
3.Level sensor calibration settings.
h.Pump Settings
1.Pump detail screens showing total run hours of each pump since
last reset and any modes, options, or functions specific to that pump.
2.The pump shall shut down mode via user adjustable settings based on either
of two thresholds: discharge pressure or system flow. The user shall also be able
to adjust the off-delay mode. The pump shall enter operating mode.
When the system pressure goes below a user adjustable set points or pump flow
requirements are exceeded.
i.Pump Alternation Settings
1.Lead/lag designations for the pumps shall be user adjustable, with both
automated and manual alternation settings.
j.Remote Start/Stop Signal Relay
1.The PLC shall be able to start and stop the system based on a remote signal
relay.
E.Pre-programmed Start-Up Routines
a.The PLC shall be programmed with various start-up routines that limit and/or delay the
starting and acceleration of the pump ensuring that excessive velocity and pressure do
not damage the distribution system.
b.The program shall include individual routines for initial start-up,
mainline fill, re-start after a power outage, and re-start after a system fault.
c.The operator shall be able to adjust the timing of the routines via the operator interface.
F.Password Protection
a.The system shall allow the operator to Load Factory Default PLC settings, Save New
Operator settings, and Load previously saved.
G.Operator PLC settings.
a.System Data and Time
i.The PLC shall allow the operator to change the system date and time.
b.System Protections
i.Controls shall shut down the pump station in the event of the alarm conditions
described in this section, as well as otherwise indicated. The system controls
shall attempt to restart the system after alarm shutdown or loss of power. After a
user-adjustable number of attempts to re-pressurize the system, the controls
shall go into hard shut down and remain so until manually reset.
c.The PLC shall have the following user adjustable system protections:
i.Low Flow Shutdown
1.The PLC shall automatically shut down the system if there is no, or too
little flow, based on signals received from a flow switch. The low flow
shutdown shall have a user adjustable time delay.
d.Low Suction Pressure Shutdown
i.The PLC shall automatically shut down the system if the suction pressure
reaches a user-adjustable pressure value. The low suction pressure shutdown
shall have a user adjustable time delay.
e.High Pressure Shutdown
i.The PLC shall automatically shut down the system if the suction pressure
exceeds a user-adjustable pressure value. The high suction pressure shutdown
shall have a user adjustable time delay.
640 ZONE PRESSURE BOOSTER PUMP SYSTEM SPECIFICATION Page 10 of 12
H.Electrical Fault Shutdowns
a.Incoming power high, low, and imbalance limits in addition to shut down and restart time
delays shall be user-adjustable.
b.Analog transmitter failure. Input levels of all connected transmitters and meters shall be
monitored for failures.
c.Motor starter failure. Circuit breaker and/or motor overload contacts shall be monitored to
indicate a motor failure.
d.VFD Faults
e.All PLC Monitoring and Controls functions shall be available via SCADA control and
monitoring as well.
f.Controller User Guide
i.The pump station manufacturer shall supply an owner’s manual in digital form
that includes graphic images of all touch screens with explanations of all settings
and modes.
3.5 MOTOR CONTROL PANEL (MCP)
A.Enclosure Rating
a.The VFDs, PLC, and all associated electrical equipment shall be mounted in a NEMA 4X
enclosure.
B.Electrical Connection
a.Electrical connection, by purchaser, shall consist of a single conduit from owners
disconnect to the pump station main disconnect.
C.Manufacturer Requirements
a.The pump control panel shall be manufactured and listed by a UL508A Panel Shop. The
panel shall be UL labeled as an "Enclosed Industrial Control Panel". The pump control
panel shall be completely manufactured, tested and programmed prior to delivery to the
job site.
D.Panel Documentation
a.A full-color wiring schematic, pump nameplate information, and factory calibrated
setpoints shall be permanently affixed to the inside of the control enclosure. All field
terminal connections shall be numbered and labeled.
E.External Operating Devices and Internal Components
a.All external operating devices shall be dustproof and weatherproof. All internal
components of the enclosure shall be mounted on a removable back panel. Mounting
screws for components shall not be tapped into the enclosure wall. No pressure gauges,
pressure switches, water activated devices, or water lines of any sort shall be installed in
any electrical control panel.
F.Pilot Devices
a.The control panel shall include following industrial grade, watertight/oil-tight pilot devices:
i.3-Position Selector (HOA) Switches
ii.Speed Potentiometer
iii.Pilot Lights: A red light shall indicate system faults; a green light shall indicate
pump is running. All pilot lights shall be push-to-test. All pilot lights shall be LED-
illuminated.
iv.Audible Alarm
v.Emergency Stop Button
G.Service Rated Main Disconnect
a.A three-pole, 25kAmps SCCR main station disconnect shall be contained within the
MCP. It shall be non-fused and isolate all power to the control enclosure.
640 ZONE PRESSURE BOOSTER PUMP SYSTEM SPECIFICATION Page 11 of 12
b.The main disconnect shall have an operating handle mounted in the enclosure door,
mechanically interlocked to prevent entry while disconnect is in the ON position.
c.The disconnect switch shall be mounted within sight of the pump motors on the Air Gap
System
H.MCP Temperature Regulation
a.Provide a NEMA 4X cooling fan unit, appropriately sized to the local maximum ambient
conditions, plus component cooling requirements within the panel. Cooling fan should be
sized such that internal panel temperature does not exceed 104F. Building interior
temperature range is 50 to 90 F. Fan shall be controlled by internal thermostat.
I.Voltage Monitor
a.The control panel shall include an industrial three phase line voltage monitor.
b.It shall protect the system against voltage unbalance, high/low voltage, phase loss, faulty
power, incorrect sequencing, and rapid short cycling.
J.Surge Protection
a.The control panel shall include an industrial surge protector with the following features:
i.Protector Type:
1.UL 1449 3rd Edition: SPD Type 4
2.IEC 61643-1: SPD Class II
ii.Current Ratings:
1.Nominal Discharge Current: 20kA
2.Maximum Discharge Current: 50kA
3.Maximum Surge Current: 60kA
4.Voltage Protection Rating: 1500V
K.Secondary Control Circuit Breakers
a.Single-pole secondary distribution breakers with appropriate ratings shall supply power to
each pump starter coil circuit, the control system, as well as the motor control panel and
pump station enclosure and ventilation circuits.
L.Lighting Panel Feeder Circuit Breaker
a.Two-pole, 60A, 480V, Thermal-Magnetic circuit breaker
M.Control Transformer
a.The control transformer shall provide 120-volt power to the pump station controls. The
primary side shall be protected with appropriately sized fuses; the secondary side shall
be protected by a group of supplementary miniature circuit breakers
N.Uninterruptable Power Supply (UPS) System
a.The control panel shall include a UPS system to automatically provide power to the
station control circuits in the event of a power failure It shall include the following
features:
i.Capacity: 850VA, 510 Watts
ii.Input/output Power: 120 VAC, 60 Hz
iii.A surge protection device shall provide point of use protection to the UPS
system. The device shall provide a minimum of 50,000 amps of surge protection.
3.6 WARRANTY
A.New equipment is warranted to be free from defects in material and workmanship for a period of
one (1) year from the date of final completion of the project. The supplier shall inspect the unit at
delivery, installation and during testing and startup.
640 ZONE PRESSURE BOOSTER PUMP SYSTEM SPECIFICATION Page 12 of 12
Part 4 – Execution
4.0 STORAGE, SHIPPING, AND DELIVERY
A.All equipment delivered and placed in storage shall be stored with protection from the weather,
humidity, and temperature variations dirt or dust, or other contaminants.
B.All parts shall be properly lubricated and protected so that no damage or deterioration will occur
even during a prolonged delay from the time of shipment until installation is completed and the
station is ready for operation.
C.Skid-mounted equipment shall be properly crated or covered to protect against damage during
shipment.
D.Contractor shall be responsible for offloading and installation.
4.1 FACTORY TESTING
A.Each pump shall be factory performance tested as a unit prior to shipment. Submit results to
the Owner for review and approval prior to shipment.
B.The system shall undergo a hydrostatic test of 1.5x design pressure for a minimum of 15
minutes and be leak free prior to shipment.
C.Panel control shall be factory tested. Submit results to the Owner for review and approval prior
to shipment.
4.2 START-UP AND TRAINING
A.After system is installed and installation is approved by the station manufacturer, the System
Integrator (Quality Controls Corporation or equal) shall provide one day of personnel to start-up
and test the complete packaged system. Manufacturer shall provide a written report to the
engineer with details the successful results of the testing.
B.On-site training shall be provided for owner’s personnel. This training shall fully cover design,
maintenance and operation of the supplied components including the pump system and
associated valves, controls and accessories and is incorporated in the one day start-up.
INSTRUCTIONS TO BIDDERS
640 Zone Booster Pump System (P02-493.1) Instructions to Bidders
Rev. 9/17Rev. 11/17
1.Form of Proposal and Signature. The proposal shall be submitted in person or via email by the City
of Arlington and shall be marked and addressed as hereinafter directed. The Bidder shall state in figures their
unit and lump sum bid prices for all bid items including additives and alternates. The City of Arlington
reserves the right to correct any arithmetic errors.
2.Preparation of the Proposal. Bidder shall only use forms provided in this Request for Proposal, and
not similar forms available on agency websites. Blank spaces in the proposal shall be properly filled; failure
to enter a value for each bid item will result in a $0 being recorded for the bid item. The written text of the
proposal must not be changed and no additions shall be made to the items mentioned therein. Conditions,
limitations or provisions attached to a proposal will cause its rejection. Alterations of Bidder fill-ins by erasure
or interlineations must be explained or noted in the proposal over the signature of the Bidder. Alternative
proposals will not be considered. Where bonds are required the Bidder shall name in its proposal package the
surety or sureties who have agreed to furnish said bonds. Bidder shall include applicable sales tax customarily
paid by Contractor within each unit price item or lump sum item, which may include but not limited to material
procurement and certain subcontracted services. If a separate line is provided on the Bid Form for sales tax,
this shall represent sales tax to be paid by the City to the Department of Revenue for contracted amount.
3.Wages. The Proposal shall be subject to all current Prevailing Wages at the time of Advertisement.
It is the Bidder’s responsibility to submit required Intents and Affidavits. The Intent is required before any
payment for work by that contractor or subcontractor. All Affidavits are required prior to release of retainage.
If this project has federal funding, both State and Davis-Bacon Prevailing Wages will be included and must
be paid on this project. If Davis-Bacon Prevailing Wage rates are not included, then Bidder shall assume
project does not have federal funding. For each work classification, the higher of the two rates will apply.
Certified payrolls will be required on a weekly basis from Contractor, subcontractors of all tiers, and certain
material manufacturers and deliverers, depending on the regulations.
4.Questions. Questions shall be submitted in writing to the Project Administrator, contact information
shown below, and be received at least one week prior to the specified bid opening date. Questions received
after this date may not be responded to. Responses to questions will be submitted in writing by the City
through addendum; verbal responses shall not be considered official.
5.Withdrawal of Bid. Withdrawal of the proposal shall be in accordance with Section 1-02.10 of the
2023 edition of the WSDOT standard specifications.
6.Lowest Responsible Bidder. The low Bidder shall be the responsive Bidder offering the lowest
amount for the Base Bid plus Add Alternates (if applicable) selected by the City.
In selecting the responsible Bidder, consideration will be given to the general competency of the Bidder for
the performance of the work covered by the proposal, and the Bidder’s financial standing, if requested. To
receive favorable consideration, a Bidder must present evidence satisfactory to the City of Arlington that the
Bidder and its associates are personally competent to manage the proposed undertaking and to carry it forward
to a successful conclusion. Professional integrity and honesty of purpose shall be essential requirements.
A showing of adequate financial resources may be requested by the City of Arlington, but will not alone
determine whether a Bidder is competent to undertake the proposed work. Each Bidder must furnish a record
of past performance and experience in the form required. To this end, each proposal, except as noted below,
shall be supported by a statement of the Bidder's experience on the form provided. This form, completely
filled out, must be submitted along with the proposal. Incomplete or false statements submitted in connection
with a proposal may, at the option of the City of Arlington, be sufficient cause for its rejection. The City of
Arlington shall be the final authority with regard to whether a bid is responsive to the Advertisement for Bid
and as to whether a Bidder is a responsible Bidder under the conditions of this bid.
INSTRUCTIONS TO BIDDERS (CON’D)
640 Zone Booster Pump System (P02-493.1) Instructions to Bidders
Rev. 9/17Rev. 11/17
7.Bid Deposit. As a guarantee of good faith, each Bidder shall submit with its proposal an unconditional
certified or cashier's check drawn on a solvent state or national bank, or the Bidder may furnish a bond with
a company acceptable to the City of Arlington in the sum stated in the Advertisement for Bid and these
contract documents, payable to the City of Arlington. Cash deposit will not be accepted. Said check or bond
to be held uncollected until it becomes subject to disposal as herein provided. Any condition or limitation
placed upon said check or bond may render it informal and may, at the option of the City of Arlington result
in the rejection of the proposal under which such check is submitted. If a Bidder to whom an award is made
fails or refuses to execute the contract and furnish the required bond, all within the time stated herein, said
check or bond and the monies represented thereby shall be and remain the property of the City of Arlington
and shall be subject to deposit. The amount thereof is agreed to by the Bidder as liquidated damages due the
City of Arlington on account of the delay in the execution of the contract and bond, and in the performance
of the work hereunder, resulting from such failure or refusal. The check or bond of a Bidder to whom contract
has been awarded will be returned to the Bidder after all of the acts, for the performance of which said check
is required, have been fully performed. As soon as the bid prices are compared, the City of Arlington will
return the deposits of all except the three lowest responsible Bidders. When the Contract is executed, the
deposits of the two remaining unsuccessful Bidders will be returned. The liability of the City of Arlington
in connection with the said deposits shall be limited to the return of the checks as herein provided.
8.Execution of Contract. A Bidder to whom the award is made shall be presented an official copy of
the written contract with the City of Arlington in the form of the Contract attached hereto. The Bidder shall
execute and return to the City of Arlington along with approved bonds as required in the following paragraph,
all in accordance with the provisions hereof within seven (7) calendar days of the Notice of Award or such
additional time as may be allowed by the City of Arlington. Upon receipt of the signed contract and subsequent
signature by the Mayor, the City of Arlington will return a copy of the fully executed contract to the Bidder.
If a Bidder to whom the award is made fails or refuses to enter into contract as herein provided, or to conform
to any of the stipulated requirements in connection therewith, its check, deposit, or Bid Bond shall become
the property of the City of Arlington as provided herein, the award will be annulled, and in the discretion of
the City of Arlington an award may be made to the Bidder whose proposal is next most acceptable to the City
of Arlington; and such Bidder shall fulfill every stipulation embraced herein as if the Bidder were the party
to whom the first award was made. A corporation to which an award is made will be required, before the
contract is finally executed, to furnish evidence of its corporate existence and of the authority of the officer
signing the contract and bond for the corporation to so sign.
9.Performance Bond and Payment Bond.
(a)A Bidder to whom contract is awarded shall within the time mentioned in the preceding
paragraph furnish performance and payment bonds on forms included in the Contract Documents with
a responsible corporate surety or corporate sureties conditioned upon the faithful performance by the
said Bidder of all covenants and stipulations in the contract. Said bond shall be in the amount of 100
percent of the Contract Amount.
(b)The surety or sureties on the bonds furnished must be satisfactory to the City of Arlington.
The required bonds shall be furnished by the Bidder to whom contract has been awarded at its own
cost and expense.
INSTRUCTIONS TO BIDDERS (CON’D)
640 Zone Booster Pump System (P02-493.1) Instructions to Bidders
Rev. 9/17Rev. 11/17
10.Address and Marking of Proposal. The envelope or email enclosing the proposal MUST be
addressed as follows:
640 Booster Pump System (Project P02-493.1)
Attn: Linda Taylor
City of Arlington
Public Works Department
154 W. Cox
Arlington, WA 98223
The proposal MUST be delivered to the address and department listed above by the time stated in the
Advertisement for Bid. The time clock located in the department listed above shall be the official time clock.
Submittals received after the stated deadline will not be accepted. Delivery by USPS, UPS, FedEx, or other
shipping carrier is accepted, however, it must be delivered to the stated department and signed in by the time
stated in the Advertisement for Bid.
Delivery to any other location or department will not be accepted. The proposal envelope MUST be plainly
marked in the upper left hand corner with the following, as listed in the Advertisement for Bid:
1. Bidder Name
2.Bidder Address
3.Project Name
4. Bid Date
5. Bid Time
6.Project Number
All bid submittal items shall be enclosed in the same envelope with the proposal. Refer to Bidder’s checklist
11.Corrections, Interpretations and Addenda. Any omissions, discrepancies or need for
interpretation should be submitted in writing to the attention of the Project Coordinator. Written addenda to
clarify questions which arise will then be issued.
All addenda to these specifications received by the Bidder must be listed on the space provided on the Proposal
Form.
All interpretation or explanations of the Contract Document shall be in the form of an addendum and no oral
statements by the City or other representative of the City shall, in any way modify the contracts Documents,
whether made before or after letting the Contract.
12.Project Administrator. Notices as required in the Contract Documents shall be transmitted to:
Linda Taylor
City of Arlington
154 W. Cox
Arlington, WA 98223
(360) 403-3526
ltaylor@arlingtonwa.gov
640 Zone Booster Pump System (P02-493.1) Proposal Form
Rev. 11/17
PROPOSAL FORM
This is the address to which all communications from the City concerned with this bid and contract should be sent:
____________________________________________ _______________________________________
Contractor Contractors Registration No. and Expiration Date
____________________________________________ _______________________________________
Street Address Federal Tax I.D. No. or Social Security No.
____________________________________________ _______________________________________
City, State and Zip Code L & I Account Number
____________________________________________ ______________________________________
Phone Fax Unified Business Identity Number
ATTN:
TO:
ADDRESS:
PROJECT:
Linda Taylor
City of Arlington Public Works
154 W. Cox
Arlington, Washington 98223
640 Zone Booster Pump System
City Project Number: P02-493.1
Pursuant to and in compliance with your Invitation for Bid and the Instructions to Bidders and other documents
relating thereto, the undersigned has carefully examined the drawings and specifications, as well as the premises and
conditions affecting the work, and hereby proposes to furnish all labor and materials and to perform all work as required
for construction of the improvements in strict accordance with the contract documents, specifications, and drawings
for the amount shown.
TOTAL: $ ________________________ (Includes Washington state sales tax 9.3%)
PROPOSAL FORM (CONTINUED)
640 Zone Booster Pump System (P02-493.1) Proposal Form
Rev. 11/17
Bidder’s Declaration and Understanding
If the undersigned is notified for the acceptance of this bid within sixty (60) calendar days of the time set for the
opening of bids, the undersigned agrees to execute a contract for the above work bid in the form of the contract bound
in these specifications and to provide a surety bond as required by the specifications.
The undersigned further agrees that the bid guaranty accompanying this bid is left in escrow with the City of Arlington;
that the liquidated damages which the City of Arlington will sustain by the failure of the undersigned to execute and
deliver the above-named contract and surety bond, for any or all units of this bid accepted by the City of Arlington,
will be not less than five percent (5%) of the total bid for such unit or units; and that if the undersigned defaults in
executing that contract and in furnishing the surety bond within time frame stated in Instructions to Bidders, then the
bid guaranty shall become the property of the City of Arlington who shall be obligated only to refund that portion in
excess of the liquidated damages. If, however, this bid or any part thereof is not accepted within sixty (60) calendar
days of the time set for the opening of bids or if the undersigned executes and delivers said contract and surety bond,
the bid guaranty shall be returned.
_______________________________________________ ______________________________________
Name of Bidder Date
_______________________________________________ ______________________________________
Signed By Title
ADDENDA
Receipt of Addenda numbered and dated below is hereby acknowledged.
No. Dated No. Dated No. Dated
PREVAILING WAGES
The prevailing wages shall be paid to all workers, laborers, or mechanics (See 2023 WSDOT / APWA Standard
Specifications and RCW 39.12)
BID DEPOSIT
A Bid Deposit in an amount not less than five percent (5%) of the Total Bid Amount(s) stated in the Proposal.
Cashier’s Check □ No.: ______________ $ __________________________ Payable to the Owner
Certified Check □ No.: ______________ $ __________________________ Payable to the Owner
Bid Bond □ No.: ______________ BY SURETY IN THE AMOUNT OF NOT LESS THAN 5% OF
THE TOTAL BID
PROPOSAL FORM (CONTINUED)
640 Zone Booster Pump System (P02-493.1) Proposal Form
Rev. 11/17
Failure to return this Declaration as part of the bid proposal
package will make the bid nonresponsive and ineligible for
award.
NON-COLLUSION
DECLARATION
I, by signing the proposal, hereby declare, under penalty
of perjury under the laws of the United States that the
following statements are true and correct:
1. That the undersigned person(s), firm, association or corporation
has (have) not, either directly or indirectly, entered into any
agreement, participated in any collusion, or otherwise taken any
action in restraint of free competitive bidding in connection with
the project for which this proposal is submitted.
2. That by signing the signature page of this proposal, I
am deemed to have signed and to have agreed to the
provisions of this declaration.
NOTICE TO ALL BIDDERS
To report rigging activities call:
1-800-424-9071
The U.S. Department of Transportation (USDOT) operates the above toll-
free “hotline” Monday through Friday, 8:00 a.m. to 5:00 p.m., eastern
time. Anyone with knowledge of possible bid rigging, bidder collusion, or
other fraudulent activities should use the “hotline” to report such activities.
The “hotline” is part of USDOT’s continuing effort to identify and
investigate highway construction contract fraud and abuse and is
operated under the direction of the USDOT Inspector General. All
information will be treated confidentially and caller anonymity will be
respected.
640 Zone Booster Pump System (P02-493.1) Statement of Bidders Qualifications
Rev. 11/17
STATEMENT OF BIDDER’S QUALIFICATIONS
Name of Bidder: _______________________________________ Email: _______________________________
Street Address: __________________________________________________________________________
City, State, Zip: __________________________________________________________________________
Contact Person: __________________________ Phone No.: ________________ Fax No.: _______________
___________ ______________________________________
Contractors Registration Number and Expiration Date Unified Business Identity Number
___________ ______________________________________
Federal Tax I.D. Number or Social Security Number L & I Account Number
____ ______________________________________
Employment Security Account Number M/WBE Number, if applicable
____ ______________________________________
State Excise Tax Registration Number DUNS Number
Please provide the names and addresses of the corporation officers, members, partners or principals:
Name/Title Address
___________________________________ ___________________________________________________
___________________________________ ___________________________________________________
___________________________________ ___________________________________________________
Please provide the name of the Equal Opportunity Officer: ____________________________________________
Is your company a member of any Union(s)? □No □Yes – Name(s) and Local(s): ___________________________
__________________________________________________________________________________________
Number of years the Company has been engaged in the construction business under the present name: __________
Type of work generally performed by Bidder: ____________________________________________________
Gross Dollar amount of work under contract: Current: Uncompleted:
_____________ ____________ _______________________
List five major projects, similar in scope to this project, including the gross dollar amount, owner, contact, and contact
phone number that has been completed by the Bidder within the last five years.
Contract Amt Project Name Owner Contact Phone No.
640 Zone Booster Pump System (P02-493.1) Statement of Bidders Qualifications
Rev. 11/17
STATEMENT OF BIDDER’S QUALIFICATIONS (continued)
This project is for a complete Packaged Pumping System, including pumps, motors, control equipment, tank,
valves, fittings and manifolds by a firm or company with Underwriter Laboratories (UL) listed under Category
QCZJ:
Firm UL Category QCZJ file number: ____________________________
(Include a copy of UL Certification letter with Statement Bidders Qualification)
Bank References:
Name Address Contact Phone No.
Have you changed your Bonding and/or Insurance within the last three (3) years? □No □Yes – If yes, please explain:
__________________________________________________________________________________________
Name, address and contact information for your Insurance and Surety companies who will provide insurance and
bonds for this project:
Name Address Contact Phone No.
Has your company ever been served with a lawsuit and/or had a judgment and/or a lien placed upon itself and/or
any corporation officers, members, partners or principals? □No □Yes – If yes, please explain:
__________________________________________________________________________________________
Has your company ever had a lawsuit served and/or placed a judgment and/or lien upon any public (i.e.: county, city,
state, municipality, special district, etc) or governmental entity? □No □Yes – If yes, please explain:
__________________________________________________________________________________________
__________________________________________________________________________________________
Please provide the disposition of the case(s): _______________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
The information contained within this Statement of Bidder’s Qualifications is true and accurate to the best of my
knowledge.
_______________________________________________ ______________________________________
Name of Bidder Date
_______________________________________________ ______________________________________
Signed By Title
C E R T I F I C A T E O F C O M P L I A N C E
Certificate Number UL-US-L212522-11-22101002-1
Report Reference E212522-20010122
Date 30-Nov-2022
Deborah Jennings-Conner, VP Regulatory Services
PUMPTECH LLCIssued to:
321 S Sequoia Pkwy Canby, OR 97013-7825
United States
QCZJ - Packaged Pumping SystemsThis is to certify that
representative samples of See Addendum Page for Product Designation(s).
UL-US-L212522-11-22101002-1 Have been evaluated by UL in accordance with the
Standard(s) indicated on this Certificate.
Standard(s) for Safety:ANSI/UL 1995, Heating and Cooling Equipment
Additional Information:See the UL Online Certifications Directory at
https://iq.ulprospector.com for additional information
E212522-20010122
This Certificate of Compliance indicates that representative samples of the product described in the certification
report have met the requirements for UL certification. It does not provide authorization to apply the UL Mark.
Only the Authorization Page that references the Follow-Up Services Procedure for ongoing surveillance
provides authorization to apply the UL Mark.
Only those products bearing the UL Mark should be considered as being UL Certified and covered under UL’s
Follow-Up Services.
Look for the UL Certification Mark on the product.
C E R T I F I C A T E O F C O M P L I A N C E
Certificate Number UL-US-L212522-11-22101002-1
Report Reference E212522-20010122
Date 30-Nov-2022
Deborah Jennings-Conner, VP Regulatory Services
This is to certify that representative samples of the product as specified on this certificate were tested according
to the current UL requirements
Model Category Description
Packaged Pumping Systems Packaged Pumping Systems
C E R T I F I C A T E O F C O M P L I A N C E
Certificate Number UL-CA-L212522-21-22101002-1
Report Reference E212522-20010122
Date 30-Nov-2022
Deborah Jennings-Conner, VP Regulatory Services
PUMPTECH LLCIssued to:
321 S Sequoia Pkwy Canby, OR 97013-7825
United States
QCZJ7 - Packaged Pumping Systems Certified for CanadaThis is to certify that
representative samples of See Addendum Page for Product Designation(s).
UL-CA-L212522-21-22101002-1 Have been evaluated by UL in accordance with the
Standard(s) indicated on this Certificate.
Standard(s) for Safety:CSA-C22.2 No. 236, Heating and Cooling Equipment
Additional Information:See the UL Online Certifications Directory at
https://iq.ulprospector.com for additional information
E212522-20010122
This Certificate of Compliance indicates that representative samples of the product described in the certification
report have met the requirements for UL certification. It does not provide authorization to apply the UL Mark.
Only the Authorization Page that references the Follow-Up Services Procedure for ongoing surveillance
provides authorization to apply the UL Mark.
Only those products bearing the UL Mark should be considered as being UL Certified and covered under UL’s
Follow-Up Services.
Look for the UL Certification Mark on the product.
C E R T I F I C A T E O F C O M P L I A N C E
Certificate Number UL-CA-L212522-21-22101002-1
Report Reference E212522-20010122
Date 30-Nov-2022
Deborah Jennings-Conner, VP Regulatory Services
This is to certify that representative samples of the product as specified on this certificate were tested according
to the current UL requirements
Model Category Description
Packaged Pumping Systems Packaged Pumping Systems