Fillable PERMIT APPLICATION BUILDING DEPARTMENT 24-Hour Notice Requested 833 (City of Burlington)

Fill Online, Printable, Fillable, Blank PERMIT APPLICATION BUILDING DEPARTMENT 24-Hour Notice Requested 833 (City of Burlington) Form

Use Fill to complete blank online CITY OF BURLINGTON (WA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

PERMIT APPLICATION BUILDING DEPARTMENT 24-Hour Notice Requested 833 (City of Burlington)

On average this form takes 66 minutes to complete

The PERMIT APPLICATION BUILDING DEPARTMENT 24-Hour Notice Requested 833 (City of Burlington) form is 2 pages long and contains:

  • 0 signatures
  • 27 check-boxes
  • 252 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Burlington

BROWSE CITY OF BURLINGTON (WA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
PERMIT APPLICATION
FOR INSPECTIONS CALL:
PHONE: (360) 755-0077
24-Hour Notice Requested
SITE ADDRESS
PARCEL #
OWNER
NAME (OR BUSINESS)
CONTACT NAME
MAILING ADDRESS
EMAIL
CITY, STATE, ZIP
PHONE #
ARCHITECT
NAME
CONTACT NAME
EMAIL
CITY, STATE, ZIP
PHONE #
CONTRACTOR
NAME
CONTACT NAME
EMAIL
CITY, STATE, ZIP
PHONE #
STATE LICENSE NUMBER
CITY LICENSE NUMBER
PLUMBING
Residential Non-Residential Grading
New Add Alter Repair
Building Plumbing Mechanical
Sign Demolition Other
No.
TYPE OF FIXTURE OR ITEM
FEE
Water Closet
Bathtub
Describe Work
_______
Lavatory
Shower
Kitchen Sink
Dishwasher
VALUATION: $
Laundry Tray
Clothes Washer
Occupancy Use
Single Family Residence Multi-Family Residence
Office Retail Storage Church
Restaurant Other
Water Heater
Urinal
Drinking Fountain
Floor Sink or Drain
NOTICE
This permit is issued by the Building Official and, under the
provisions of the International Building Code, shall expire by
limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from
the date of permit issuance, or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is
commenced for a period of 180 days.
By affixing my signature, I hereby certify that I am the owner of the
property for which this permit is issued or I am an authorized
representative of the owner.
All provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not, including
routine calls for inspections.
Slop Sink
Water Piping
MECHANICAL
GAS OIL ELECT. OTHER
No. TYPE OF EQUIPMENT FEE
Refrigeration Unit -- HP
Boiler -- HP
Forced Air System BTU/KW
Floor Furnace
Wall Heater
Unit Heater
Clothes Dryer
Ventilation Fan
Range Hood
Signature of Owner or Authorized Agent (Date) Air Handling Unit CFM
Street Setback
Side Yard Setback
Rear Yard Setback
Pre-manufactured Stove or Fireplace
Gas Piping
Use Zone
Occupancy Group
Type of Const.
Heat Pump
INSTRUCTIONS FOR SITE PLAN
Lot Area
Vacant Site
Yes No
Dwelling Units
DRAW A SKETCH OF THE PROPERTY ON A SEPARATE SHEET OF PAPER OR
PLOT PLAN SHOWING THE FOLLOWING:
1. Street and alleys abutting property.
2. North arrow and scale of property.
3. Size and shape of property.
4. Size of existing buildings or improvements.
5. Size of proposed buildings or improvements.
6. Distance of all structures from all property lines.
7. Parking and loading layout.
8. Size and placement of signs if applicable.
TWO (2) SETS OF STRUCTURAL PLANS REQUIRED. ONE SET TO BE
RETURNED AT TIME OF ISSUANCE. CROSS SECTION, FLOOR PLAN,
FOUNDATION PLAN, PLUMBING AND MECHANICAL DETAIL.
VERIFICATION OF SEWER CONNECTIONS REQUIRED.
Fire Sprinklers Required
Yes No
No. of Stories Bedrooms
Occupant Load
Size of Bldg. Plans Checked By:
ASBESTOS WARNING
Before starting a renovation or demolition project, property
owners must document in good faith that no asbestos-
containing materials will be disturbed. Contractors must
receive documentation from the building owner. NW Air
Pollution Authority must be notified prior to any asbestos
removal. Rules require penalties for non-compliance.
NWAPA Phone: 428-1617 – Mount Vernon
BUILDING DEPARTMENT
833 S. SPRUCE STREET
BURLINGTON WA 98233
Updated July 2015
PLUMBING AND
MECHANICAL FEES (PER UNIT)
Fees effective January 1, 2010
# Plumbing
Additional Plan Review fees
$ 50.00
Backflow Assembly
$ 10.00
Base Plumbing Fee
$ 25.00
Bath/Shower Combo
$ 10.00
Bathtub or soaking t
ub
$ 10.00
Building Main Waste
$ 25.00
Clothes Washer
$ 10.00
Dishwasher
$ 10.00
Drinking Fountain
$ 10.00
Floor Drains
$ 10.00
Floor Sink
$ 10.00
Grease In
terceptor
$100.00
Grease Trap
$ 25.00
Hose Bibb
$ 10.00
Icemaker or Refrigerator box
$ 10.00
Kitchen Sink & Disposal
$ 10.00
Laundry Tray
$ 10.00
Lavatory
$ 10.00
Med Gas Piping <5 inlets/outlets
$ 60.00
Med Gas Piping >5 inlets/outlets
$
5.00
Other/misc.
$ 10.00
Pretreatment Interceptor
$ 10.00
PW inspection fee for backflow
$ 34.13
Re
-
inspection Fee (all)
$ 50.00
Roof Drains
$ 10.00
Shower (only)
$ 10.00
Sink (bar, service, etc.)
$ 10.00
Supplemental Permit Fee
$ 10.00
Tankless Water Heater
$ 10.00
Toilets
$ 10.00
Urinal
$ 10.00
Water Heater
$ 10.00
TOTAL
# Mechanical
Air Cond. Unit <100Btu/h
$ 50.00
Air Cond. Unit >100Btu/h
$ 40.00
Air Cond. Unit >500Btu/h
$ 52.00
Air Handling Units
$
15.00
Base Mechanical Fee
$ 25.00
Boiler <100Btu/h >3hp
$ 25.00
Boiler>1 million Btu/h<50hp
$ 70.00
Boiler>1.5million Btu/h<50hp
$100.00
Boiler >100Btu/h 3
-
15hp
$ 40.00
Boiler >500Btu/h 15
-
30hp
$ 52.00
Comm. Hoods
-
Type I / II
$ 50/25
Dry
er Ducting
$ 10.00
Ductwork (drawings req.)
$ 20.00
Evaporative Coolers
$ 15.00
Exhaust/Ventilation Fans
$ 15.00
Fireplace/Insert/Stove
$ 15.00
Forced Air Heat <100 Btu/h
$ 25.00
Forced Air Heat >100 Btu/h
$ 40.00
Gas Clothes Dryer
$ 15.00
Gas Fired AC <100 Btu/h
$ 25.00
Gas Fired AC >100 Btu/h
$ 40.00
Gas Fired AC>500 Btu/h
$ 52.00
Gas Piping <5 units
$ 10.00
Gas Piping >5 units
$ 2.00
Heat Exchangers
$15.00
Heat Pump or Condensing Unit
$20.00
Hot Water Heat Coils
$15.00
O
ther/Misc.
$15.00
Pkg. Units<100btu/>100btu
$50/80
Range/Cook top
-
Gas Fired
$ 15.00
Refrigeration Unit <100Btu/h
$ 25.00
Refrigeration Unit >100Btu/h
$ 40.00
Refrigeration. Unit >500Btu/h
$ 52.00
Residential Range Hood
$ 10.00
Supplemental Pe
rmit Fee
$ 10.00
Unit Heaters < 100 Btu/h
$ 25.00
Unit Heaters > 100 Btu/h
$ 40.00
VAV Boxes
$ 10.00
Wall Heater
–
gas fired
$ 25.00
Water Heater
–
gas fired
$ 15.00
TOTAL
ALL OTHER FEES:
Contact the Building Department at
(360) 755-0077 or by email at
bbuilding@burlingtonwa.gov
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

PERMIT APPLICATION BUILDING DEPARTMENT 24-Hour Notice Requested 833 (City of Burlington)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 9 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document