HomeMy WebLinkAbout525 N Olympic Ave_BLD00048_2025 Tr-C,t-rT, ", �AN},,
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NOTICE and Inspection Report /
Address Sz� /�f ( �L��I�4)
Contractor r ( 4 ,iACt<
Owner ✓Gl A tl\/�
Requested by
TYPE OF INSPECTION REQUESTED
❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
❑ PLBG: Pmt.No.
❑ Footing ❑ Framing
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In
❑ Fireplace and Chimney ❑ Furnace ❑ Other
PPROVAL El PARTIAL APPROVAL
❑ VI ION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy.
a ork listed below has been inspected and approved.
LJ Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required.
OQ
wwa 1-0
Inspector ate
I was present during this inspection-
Ciftjof lItLINf:rr40N
NOTICE and Inspection eport
Address
G L
Contractor
Owner "/
Requested by
TYPE OF INSPECTION REQUESTED
BLDG: Pmt. No. ❑ MECH: Pmt. No.
G: Pmt. No.
C Footing ❑ Framing
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In
❑ Fireplace and Chimney ❑ Furnace ❑ Other
PPROVAL ❑ PARTIAL APPROVAL
L VIOLATION ❑ CORRECTION REQUIRED
❑ corrections listed below MUST BE MADE before work can be approved.
❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy.
VKkV_-,rk
listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required.
OF
Inspector Date
I was present during this inspection.
A IELINGTON
NOTICE and Inspection Report
Address
Contractor W141Y
7
Owner
Requested by", f&
TYP OF INSPECTION REQUESTED
BL : Pmt. No. ElMECH: Pmt. No.
"DG: Pmt. No.
❑ Footing ❑ Framing
❑ Foundation ❑ Drywall Nailing 4Final
❑ Concrete Slab ❑ Rough-In
❑ Fireplace and Chimney ❑ Furnace ❑ Other
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION CORRECTION REQUIRED
orrecIions listed below MUST BE MADE before work can be approved.
❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy.
❑ Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required.
T 1 AIK
Inspector ate
I was present during this inspection.
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UTILITIES CHECKLIST
PERMIT # DATE / �-Co,4
NAME ADDRESS
TYPE OF BLDG NUMBER OF UNITS
WATER METER REQ SIZE N/A
HEALTH DEPT. APPROVAL NJ/A (for septic systems only)
GARBAGE CONTAINER PAD N/A
HYDRANT LOCATION REQUIRED N/A
SPRINKLER SYSTEM (fire protection)
CURBS N/A
SIDEWALKS N/A
STORM DRAINAGE N/A A V
CROSS CONNECTION CONTROL N/A
BACKWATER VALVE N/A
SPECIAL DISCHARGE INTO WWTP (permit required) N/A
COMMENTS OR SPECIAL PROVISIONS:
UTILITIES DEPT. SUPERVISOR
DATE 1 GNU
BOTESCH, NASH [LETTER W UQQOSON DUML
& HALL ARCHITECTS, F.S.
4206 Hoyt Avenue
Everett, Washington 98203
DATE JOB NO.
(206) 259-0868 ATTEENTIONNTION s 809
Dave Anderson
RE:
TO City of Arlington Frontier Bank Renovation
Citv Hall
Arlington, X A 98993
WE ARE SENDING YOU N Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION
1 Construction Permit form
I
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
N For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED:
It enclosures are not as noted, kindly notify us at once.
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT NO.
OWNER MAIL.ADDRESS CITY ZIP PHONE
ARCHITECT OR DESIGNER ' MAIL ADDRESS •• CITY ZIP PHONE
GEN AL CONTRACTOR MAIL ADDRESS CITY 21P PHONE LIC NSE
-77
J.
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ` ZIP PHONE LICENSE#
PLU NNG}CONTRACTOR �i MAIL ADDRESS CITY ZIP PHONE LICENSE 0
CLASS OF WORK "'/YTYJO�z�iPB
❑NEW ❑AUU1710N ❑ALTERATION ❑REPAIR ❑DEMOLI FION ❑BUILDING RELOCATION
VALUAT ION OF WORK
DESCRIBE WORK
.r
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LlGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH F TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT-BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
VIOLATE Of, CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW.REGU LATING CONSTRUCTION OF TH E PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE.
SIGNATU RACT ItTHORIZEOAGENT DATE
106 AUURLSS A
(OFFICE USE ONLY)
PLUMBING MEC ANICAL?.
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR GOND.UNITS -H.P'. EA.
BATHTUB REFRIGERATION UNITS-H.P.EA.
LAVATORY(WASH BASIN) BOILERS-H.P. EA
SHOWER GAS FIRED A.C. UNITS-TONNAGE EA
KI ICHEN SINK& DISP. Ca).O FORC;ED AIR SYSTEMS'- B.T.0 MEA
DISHWASHER WALL,HEATERS-B.T.U. M
LAUNDRY 1 RAY UNIT HEATERS- B.T.U_ M
CLOI I ILS WASHER EVAPORAT IVE COOLERS
WATER HEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNTAIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUB TOTAL f SUBTOTAL $
PERMIT f PERMIT f
TOTAL FEE f TOTAL FEE f
SIUL YARD SE I BACK STRLET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
R FEE RECEIPT NO.
I_tiE /UNa LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONST, OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BUILDING f
SIZE OF BLDG. NO.OF STORIES MAX.000.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL ?'
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
U.B C.
i(m
PENALTY SEC.303(a)
WATER/SEWER FEES
TOTALPERMIT VALIDATION
WHEN PROPERLY (DATED(IN TH SPACE)THI R PERMIT&RECEIPT
�
PAID p BY
cc:ASSESSOR.APPLICANT,TREASURER. BLDG. DEPT. e I A DATE
CORD COPY
i i
CITY-OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL D PLUMBING ❑ SIGN PERMIT NO.00114
OWNER MAIL ADDRESS CITY ZIP PHONE
Frontier Bank 525 N Olympic Ave, Arlington RA 98223
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRAC iOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
Puget West Constructi"on P ,O , Box 669 Edmonds , WA 98020 774-2712
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
Right Clay Plumbing 5825 152nd NE Marysville , Wa 98270 653-9804 RTGHTWP121RB
CLASS OF WORK
❑NLW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
f 1 ,000
DESCRIBE WORK
Move existing plumbing to new location ,
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LL(.AL UESCRIPI ION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT-BLOCK-OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
108 ADDR!SS
525 N Olympic NE X See Application
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND.UNITS - H.P.EA.
BAIHIUB REFRIGERATION UNITS-H.P.EA.
3 LAVATORY (WASH BASIN) BOILERS-H.P. EA
SHOWER GAS FIRED A.C.UNITS-TONNAGE EA.
KI TCHEN SINK& DISP 2 Ofl IFORCED AIR SYSTEMS- B.T.U- MEA
DISHWASHER WALL HEATERS- B.T.U. M
LAUNDRY TRAY UNIT HEATERS- B.T.0 M
CLOTHESWASHER EVAPORATIVECOOLERS
WAILRHEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNTAIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUB TOTAL f SUB TOTAL $
PERMIT $1 PERMIT ;
TOTAL FEE ; TOTAL FEE $
SIDE.YARD SE[BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE ZONE LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
SIZE OF BLDG NO.OF STORIES MAX.000.LOAD BUILDING $
PLUMBING 23 00
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
� PENALTY U.B.C.
� 3(a)
PLUM6 �GVLV WATER/SEWER FEES 1 3 TOTAL 23100.
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
- PAID 12128 CR# `?tea BY_o
2a725
cc: ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT, BUILDING OFFICIAL DATE
RECORDS COPY
CITY OFARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00140
OWNER MAIL ADDRESS CITY LIP PHONE
Frontier Bank 525 N Olympic Ave,
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE it
F /FRGS1 1 K7
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
Evergreen Sheet Metal 3411 Hayes St , Everett , Wa . 98207 252-3114
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE d
CLASS OF WORK
❑NEW ❑ADDITION 91 ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
f 12 ,000
DESCRIBE WORK
Alterations , and addition to HVAC systems
PROPOSED USE OF BUILDING
Commeri ca 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DESCRIPI ION Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT-BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF ONTRACTOR OR AUTHORIZED AGENT DATE
jOB ADDRESS �lZ7—
525 Olympic X
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO TYPE OF FIXTURE FEE NO, TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILEI) ] AIR COND UNITS -H P. EA.
BA I II I UB REFRIGERATION UNITS-H.P_EA.
LAVATORY (WASH BASIN) BOILERS-H.P-EA
SHOWER GAS FIRED A.C.UNITS-TONNAGE EA
KI ICHEN SINK& DISP. 1 FORCED AIR SYSTEMS— B T.U. MEA
DISHWASHER WALL HEATERS— B T U M
LAUNDRY 1RAY UNI1 HEATERS— B.T U M
CLOIHLSWASHER EVAPORAIIVECOOLERS
WAIERHEATLR CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUN IAIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT— CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK (SERVICE — BAR,ErC) WATER HEATER
GAS PIPING
SUBTOTAL f SUBTOTAL f 18 00
PERMIT $I PERMIT f
TOTAL FEE $ TOTAL FEE $ 33 00
SIDE YARD SE IBACK STRELT SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO
USE ZONE LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
SIZE OF BLDG. NO.OF STORIES MAX OCC. LOAD BUILDING f
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL �Ma JD 33 00
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY S B
SEC._303(a)
WATER/SEWER FEES
ECH ONLY TOTAL 33 30
SF P 2 71989 PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)
THIS IS YOUR PERMIT&RECEIPT
CITY OF ARLINGTON PAID tJ� CR# ,IZ-�-BY
qr� r 1
cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. B ILDIN OFFICIAL DATE
RECORDS COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING MECHANICAL I ] PLUMBING ❑ SIGN PERMIT NO.
OWNER MAIL.ADDRESS CITY ZIP PHONE
hrl" me'FZ Antlny{oi.-->
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IT
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
—IN e� wtc��tL 3411 R•oyc 3/* L-G': -6.5 A?/Ae7
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
CLASS OF WORK❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUAI ION OF WORK
f 4
DESCRIBE WORK
5 1 r •`
PRUPOSE U USE Of BUILDIN
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LUI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING 6F A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE Og CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW.REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CQNTRACTOR OR AUTHORIZED AGENT DATE
100 ADURLSS q
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSE] (TOILLI) AIR COND.UNITS -H.R. EA, 3Tuo 17
BA I II I UB REFFUGERATION UNITS-H.P.EA.
LAVATORY (WASH BASIN) BOILERS-H.P.EA
SHOWLR GAS FIRED A.C.UNITS.-TONNAGE EA.
KI ICI ILN SINK& DISP. r FORCED AIR SYSTEMS-B.T.U. MEA o °"
DISHWASHER WALLMEATERS- B.T.U. M
LAUNDRY 1 RAY UNIT IJEATERS- B.T.U_ M
CLOI IILS WASIILR EVAPORAI IVE COOLERS
WA I LR HEATER CLOI.HES DRYERS
URINAL VENTI.LATICN FAN
DRINKING FOUN I AIN RANGE HOOD COMMERCIAL
FLUOR DRAIN AIR HANDLING UNIT- . CPM
VACUUM BREAKERS STOVI
ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
i•
SUB TOTAL f 5 SUBTOTAL
PERMIT f
PERMIT
TOTAL FEE 3 -'TOTAL FEE f 3�
SIDL YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE ZONE LOT AREA VACANT SITE
FEES VALUATION FEE
❑YES ONO
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
Al.
f
SILL OI BLDG. NO.Of STORIES MAX.000.LOAD BUILDING
4
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL !'
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
U.B C.
PENALTY +i SEC.303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPE4-Y VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID CR# BY
i�
T r
cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT. BUILDING OFFICIAL DATE
RECORDS COPY,;
CIIY or ARLING ION
CO NS1RUC-1 ION
PERM.
U CONI11NA110N I__1 91-0I1-DING tj MECIIANICAL U' PLUMPING CJ SIGN PF-nMIT NO.
Vwr+tR MAIL.AUfI i5
CIIY 2t1 fu(iuE
AR(III IECI OR Ul SIGNER `" M00
AIL ADORE SS CIIY 2R fItVNE
V??a5c- i YTAYE•
4!N RxICtN+1R CTU-IE MAIL AVURESS CIIY 21P f11UNE IICTNSE/
MLCIIANICAL CON I RACIOR MAIL ADDRESS CIIY LIP f11oNE UCE►SE f
fLUMeINGCONIRACtOR MAIL ADORE 55 CIIY 21P PIItN+E UCENSLI
CEASSUI WORK
1J fit 1V LJALIUIIIUN ' J LIERA110N UREPAIR C]UEMUL11ION UBUILUINGRELOCAIIUN
v LVAIIUNOF WORK
UNJiiE WORK
( ,1 N IN • � (zE�-cx.b�."j'13 tZFs'FINtS 'j'6 N6�
�D hl(3w G�L.U.t� S`iSTGNt E��II N-I'I I�iG
fRUI'VSI U USE OI SUIIUINC
I HEREBY CERIIFY]I IAT I I IAVE READ AND MkllNEI) 11115 AI'I'LICA-
IION AND KNOW 1I IE SAME 1013E ]RUE AND CORRECT ALI. I'ROVI-
ii�Ai uiii Rl�iiuN DirRu�L]iir snowN eELow oa AiiAc1l iiiIt cvritsl. SIONS OF LAWS AND ORDINANCES GOVERNING 11 IIS TYPE OF WORK
LOT eLtxK or WILL BE COMPLIED W1111 WIIEIIIER SPECIFIED IIERIN OR NOI. II IE
GRANTING OF A PERMIT DOES NOI PRESUME 10 GIVE AU I I IORI I Y 10
VIOLAIE OR CANCEL 111E PROVISIONS OF ANY OMER SIAIE OR
iAx 16 I4-umain LOCALLAW REGULAIINGCONSIRUCIIONOF 111E PERFORMANCE OF
CONSIRUCII N.PERMIF EXPIRES I YEAR FROM UAIE OF ISSUANCE.
SIGWIIURE ONI Q06RO&A1JIIIOPJZ1VArfNt DAIS
Ioe:�uLiiiiis 52 � Ol. {G
I ICE USE ONLY)
PLUMBING MECIIANICAL
NO. _ IYPEOFIIXIURE , FEE NO. __ IYPEOFE_V_UIPMENI FEE _
11AILRCLUSEI (IOILLI) _wRCOND.UNIIS -II.P.EA.
BA I I11 UB REf RIGERA I ION UNI IS-11.P.EA. _
LAVA IURY(WASII BASIN) BOILERS-II.P.EA
5110NLR GAS F IREU A.C.UNI IS- IUNNAGE EA. _
KI(CIILN SINK A DISP. FORCED AIR SYSTEMS-B.I.U. MEA
UISIIWA_SIILR_ _WALL_ IIEAIERS-_B.I.U. M
LAUNU_RY IRAY UNII IIEAIERS-B.I.U. M _
CLUINLS_WASIILR EVAPURAIIVE r-OULERS _
NAILR IIEAILR CLUIIIES DRYERS _
URINAL VENIILAI ION FAN
IIRINAIN(+I OUN I AIN _RANGE IIUUD COMMERCIAL _
1 LOUR DRAIN_ _ AIR IIANULING UNI I - CPM _
VACUUM BREAKERS STOVE
ROOF DRAINS- RAINLLADERS MEIAL I iREPLACE&CIIIMNEY _
SINK ISERVICE - BAR.EIC.) -WA IER IIEAIER _
GAS PIPING
I —
SUBIOIAL f SUB IOIAL I
PE_RMII 1 PE_RM11 f _
IUTALtEE 1 IUTALFEE I
SIDE V ARO St IBACK SIRMStISACK REARVARDSEISACK I' MTCIMCKIIUMBER PLAFIVIIECKfit
/ vn �/ r �� It[ so RECEIPT NO.
USI /UNI 101 AREA �ANl SITE • _�0,3!S
Lj vts U NO F EES VALUA I IUN I EE —
1�f[VI CUN$1. OCCUPANCY GROUP IIO.OI DWttLfNGUNIIS PLAN CIIECKING VO
Siii VI RUG. r10.01 SIORIts MAX.000.LOAD SUILOIMG I
I'LUNIRING
IRE SPRINKLERS REpUtREtt —
U YES U NO KIMIANICAL
COMMEN I$ SIAIE SLUG.CVUE
ENERGY CODE SURD IARGE
Al/ � 1O Q` PENALTY SES C• —
T [�G SEC.]O)(+)
I
Gr WA[ER/SEWER FEES —
�-/ � r1 y TOTAL
l PERh111 VAUDAIION
WI TEN PROPERLY VALIDATED pN 1I ITS SPAC[I 11115 IS YOUR PERA11t 6 RECEIft
PAID CRII BY
cc ASSESSOR APPLICANT.MEASUpEfT.9l1313,bEPT. iivnput(niICINL `DATE
nECOgbS COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION g] BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00048
OWNER P . O MBIbVD►2E2115 CITY ZIP PHONE
Frontier Bank 6623 Evergreen Way Everett 98203 252-4600
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
Sotesch ,Nash& Hall 4206 Hoyt Ave . Everett 98203 259-0868
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NS1-E#
i,icCaul v Const . P. O. Box 987 Lake Stevens , WA 355-2079 MCCAUC15010T
MECHANICAL CONT ACTOR MAIL ADDRESS CITY ZIP PHONE - LICENSE
RncLaers Electric 2609 Wetmore Ave Everett 252-2107
PLUMBING ONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
CLASS OF WORK
❑NLW ❑ADDITION ®ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
DESCRIBE WORK
New curbs and relocate Drive-Up window from South side of Bldg . to North
PRUPOSt U USE,Of BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
Bank AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT-BLOCK-OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
108 1DDRISS
525 N . Olympic Ave . X •T'd7,-,5j1
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND UNITS -H.P. EA
BAIHIUB REFRIGERATION UNITS -H P EA
LAVATORY (WASH BASIN) BOILERS-H.P. EA
SHOWER GAS FIRED A.C. UNITS-TONNAGE EA.
KI ICHEN SINK& DISP. FORCED AIR SYSTEMS- B.T.U. MEA
DISHWASHER WALL HEATERS- B T U M
LAUNDRY TRAY UNI1 HEATERS- B.T.U. M
CLOT HLS WASHER EVAPORAT IVE COOLERS
WATER HEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNIAIN RANGE FIOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR, ETC.) WATER HEATER
GAS PIPING
SUBTOTAL S SUBTOTAL S
PERMIT ; PERMIT ;
TOTALFEE ; TOTALFEE ;
SIDL YARD SE(BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE✓_ONE I LOT AREA VACANT SITE 4-18-89 989 . 50 20315
CD/ ❑YES ❑NO FEES VALUATION / FEE
TYPE OF C Si OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
SIZE OP BLDG. NO.O STORIES MAX.000.LOAD BUILDING $
�
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE 3 50
ENERGY CODE SURCHARGE
All Mech to be by Seperate Permit PENALTY SEC.303(a)
® ® WATER/SEWER FEES r/
® 'I D TOTAL .7 �! 9�J
MAY 1�70�7 PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
CITY OF ARLINGTON PAID CR# BY
cc:ASSESSOR, APPLICANT,TREASURER, BLDG. DEPT. io
VGOFFICIAL DATE
R CORDS COPY