Loading...
HomeMy WebLinkAbout18513 59th Ave Ne_BLD6441_2025 OPERATING PERMIT APPLICATION Community & Economic Development City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone -3551 Part I Property Address for which Operating Permit is requested: Parcel ID No.: Current Occupancy Project Description: Applicant Name: Home No.: Email Address: Cell No.: Mailing Address: City: State: Zip: Contact Person: Phone No.: Part II Type of Operating Permit An Operating Permit is required to conduct any activity or to use any class of building listed below. Please indicate the type(s) of Operating Permit(s) requested by checking each applicable box. (If you require assistance, or would like more information, contact the City of Arlington Building Department at 360-403-3551.) Manufacturing, storing or handling hazardous materials in quantities exceeding those listed in the Fire Code (see Appendix A.) Identify the materials and quantities and describe the manner in which the materials will be manufactured, stored or handled (attach additional sheets if necessary): _______________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Conducting a hazardous process or activity, including, but not limited to, any commercial or industrial operation which produces combustible dust as a byproduct, fruit and crop ripening, waste handling, spray operations, and high-piled storage (see Appendix B.) Describe the process(es) or activity(ies) to be conducted (attach additional sheets if necessary): _____________________________________________________________________________ __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ REV032021 Page 1 of 3 Use of pyrotechnic devices in assembly occupancies (see Appendix C.) Describe the devices to be used and type of event (attach additional sheets if necessary): ____________________________________________________________________ __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ Aboveground Storage Tank (AST) (see Appendix D) Removal Decommissioning Temporary tank closure Changes in service Permanent tank closure Brief description: ____________________________________________________________________________________________ _________________________________________________________________________________________________________________________ Underground Storage Tank (UST) (see Appendix D) Removal Decommissioning Temporary tank closure Changes in service Permanent tank closure Brief description: ___________________________________________________________________________________________ _________________________________________________________________________________________________________________________ Temporary Membrane Structures, including tents and canopies (see Appendix E.) Brief description of structure and use: _______________________________________________________________________________________________________________ ___________________________________________________________________________________ Special Event Operating Permit - An Operating Permit is required for any special event that takes place within an occupied building, or an outdoor mass gathering, which is outside the scope of the permitted use (see Appendix F.) Brief description of type of gathering proposed: _______________________________________________________________ __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ Mobile Vendor - (see Appendix G.) Brief description of vehicle and use: ____________________________________ ___________________________________________________________________________________ Part III Premises/Building Information 1. Date of last inspection of Premises: ______________________ 2. Has a Certificate of Occupancy been issued for the premises? Yes No Type: Permanent Temporary Date of Issuance: _____________________________________________________ REV032021 Page 2 of 3 3. Are there currently any open Building Permits associated with the premises? Yes No If yes, please describe (attach additional sheets if necessary): _______________________________________________ _____________________________________________________________________________________________________________________ ________________________________________________________________________________ 4. Additional Comments: ____________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ SIGNATURE OF APPLICANT I herby certify that the foregoing information (and all information in attached sheets, if any) is true and complete. __________________________________________________________________________________________________________________________ Signature of Applicant or Authorized Representatives Signature Date __________________________________________________________________________________________________________________________ Name and Title (if applicable) of person signing Application (Please print) Part IV To be completed by the City of Arlington Building Department Inspection Required: Yes No Inspections Performed: Yes No Date of Inspection: Tests or Reports required verifying compliance? Yes No If YES, have Tests or Reports been received? Yes No OPERATING PERMIT APPROVED Operating Permit Issued by: Date Operating Permit Issued: Date Operating Permit Expires: Type/Description of Operating Permit: Conditions of Operating Permit (list conditions here AND in the space provided in the Operating Permit: Additional Comments: (Attach additional pages if needed) REV032021 Page 3 of 3 Stilly Valley Little league Opening Day Plans Saturday, 4/19/25 Food Trucks Team Photo Tents Inflatable Games Emergency access will remain unobstructed Vendor booths Extra Trash Bin from Waste Management Concessions Open - No grill 2 Portable Potties            ! "# $%&'( "' ) *+,-. /012 345 67 ) 389:;<1=;> ?3 0+,,@ ) AB"'C DEFGH IGEJ@//* PQR S M8=a581h 3ff85cc O=8 j2:g2 `a58N1:;< M58b:1 :c 85de5c15f~ „ †‡„ †ˆ‰Š ‹Œ Ž ‹‘’“”•‰–” —‹ ˆ ˜˜™ MN8g59 ps 6=k~ qe885;1 `ggeaN;gh š›”“”• œž Ÿ ¡–‘ ‰ ¢£¤ ¥– ›’¦ M8=€5g1 s5cg8:a1:=;~ ¥‘ –”“§ ¨£” ©–” ¨––ª ”ª ›Š–‰–•‘›Šž ¨–‘ ’“‰‰’ ’•£ 3aa9:gN;1 6Nb5~ «‰“’’ž ¬’’ž ­“‰‰’ ­•£ =b5 6=k~ 7bN:9 3ff85cc~ ®‘§£‘‘¯§‰“’’žŒ’’ž’“‰‰’’•£°±– q599 6=k~ ™„‡² ³ˆ™²†³˜ˆ uN:9:;< 3ff85cc~ ´š µ–¦ ™³˜ q:1h~ ‹‘’“”•‰–” ‚1N15~ —‹ ƒ:a~ ˆ ˜˜™ q=;1Ng1 M58c=;~ ­£‘’ ­¶‘”±™M2=;5 6=k~ „‡²³ˆ™²†³˜ˆ PQR SS TUV WX UVYZ[\]^ VY_\[ 3; `a58N1:;< M58b:1 :c 85de:85f 1= g=;feg1 N;h Ng1:4:1h =8 1= ec5 N;h g9Ncc =O ie:9f:;< 9:c15f i59=jk M95Nc5 :;f:gN15 125 1ha5lcm =O `a58N1:;< M58b:1lcm 85de5c15f ih g25gn:;< 5Ng2 Naa9:gNi95 i=ok lpO h=e 85de:85 Ncc:c1N;g5> =8 j=e9f 9:n5 b=85 :;O=8bN1:=;> g=;1Ng1 125 q:1h =O 389:;<1=; re:9f:;< s5aN81b5;1 N1 @t-J.-@J@//*km uN;eONg1e8:;<> c1=8:;< =8 2N;f9:;< 2NvN8f=ec bN158:N9c :; deN;1:1:5c 5og55f:;< 12=c5 9:c15f :; 125 wxyz {|}z lc55 3aa5;f:o 3km pf5;1:Oh 125 bN158:N9c N;f deN;1:1:5c N;f f5cg8:i5 125 bN;;58 :; j2:g2 125 bN158:N9c j:99 i5 bN;eONg1e85f> c1=85f =8 2N;f95f lN11Ng2 Nff:1:=;N9 c2551c :O ;5g5ccN8hm~     q=;feg1:;< N 2NvN8f=ec a8=g5cc =8 Ng1:4:1h> :;g9ef:;<> ie1 ;=1 9:b:15f 1=> N;h g=bb58g:N9 =8 :;fec18:N9 =a58N1:=; j2:g2 a8=feg5c g=biec1:i95 fec1 Nc N iha8=feg1> O8e:1 N;f g8=a 8:a5;:;<> jNc15 2N;f9:;<> ca8Nh =a58N1:=;c> N;f 2:<2Ja:95f c1=8N<5 lc55 3aa5;f:o rkm s5cg8:i5 125 a8=g5ccl5cm =8 Ng1:4:1hl:5cm 1= i5 g=;feg15f lN11Ng2 Nff:1:=;N9 c2551c :O ;5g5ccN8hm~      K7L-@,-,* MN<5 * =O @                !"#$%                      $&'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''     (  ) * ()$   !%$     %     )    *   "         *   +   &'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''    (  ) *()$   !%$     %     )    *   "         *   +   &''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' )   ,   ( -         !#$+       &............................................................................................................... /////////////////////////////////////////////////////////////////////////////////// (   0    1 0     2         *   3    -        -3             ! 4#$+            &RS''''T''U''VU''W''X'''Y'Z''Y''[''['\'T''']^''''Y'_''T''`'V'T'a'b''c''d'eS'''''aT''f''d''U''g''h'i'j'hkl 'mT'''''n''V'aa''\'Y''o'T'''Y''`'T''n'''o'T''U'b''d''p'q''n''V'['\''i''r'f''i'r'''['T'U''['q''s''Z''['\'T'''c'd''U''c'T''q'q''Vd''U''q''q'['Y''U'b''t''u'\''T''p'T''n''V'a'a's''T''['\''p'T'T'''`d''d'b[p^c_qVU[\TSYp_VUW .u.\..T..p.T..n..V.aa..s..T..q.d..eT.....V.U.`.a.Y.[.[.Y..s.a.T..W..Y..eT....q..Y..U.b...`.Y.c..T..S..Y.V.U..[.V.U..[.\..T..a.Y..n..U..s..Z..[.\..T..q.._.Y..[T...S..Y.p._..t.mT.....\..Y..o.T...T.f.[pY[pYq\YUbpTq[pddeq ,    1   !5#$+        &.................................... ///////////////////////////////////////////////////////////////////////////////////  6789:::  ;<=>?@=@ABC?DE?FGHFIJ<>KL?JF #%          &'''''''''''''''''''''' #M  "    0       N O  P  ) &     )   %   Q  &'g'h'i''j'h'k''r'k''l'''''''''''''''''''''''''''''''''''''''''                        !  "  # $   % &         '())))))))))))))))))))))))))))))))))))))))))))))) ))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))) ******************************************************************************** +  ,           !" #$%&&'()&&*'+%$$&*+*),-*.*/%/,0)' 12!3" #$%&&'()&&*'+%$$&*+*),-* 12!314455 6789  12!3:;:<: >&%/,$7/?@)?AB9 = ;3! +)->*&+)C>*/D* E3 9 F A9F A G2 $>*)H->*>IH$%&&'J)&&*'&%$$&*&*),-*KD7L <!MNO 7.*/%/,P)'Q)LR7>**)$S-)T*U7L.&*8KU*>*L7/%*H?V-/W7/*?X77P?.Y7$7,>).Y' X7>&%$$&*&*),-* Z2[3 K <\[]  "[^M<5  ;35[!3 _!![3!`[ a ;4 a55[4    Gb5    ]  <[5 Uc+ 155d34 e)//)Ye)>PC%DT  )>D*&f PP>*HH+*,)&0*HD>%.$%7/C/*>)L* C/*>Y7/* g7/%/, #U@9  +Uh A  9  9         ! " #$%"& '()#%*)+%', '$%,*(-) ./01 0. 2-324) 5617 7  8$#()9: ./01 0. 16 .. 5617 7 ;<! => ?@ A  BC==D>! " E3F* ./01 0. GHIJKIILMGKGHKNOHPQRSTNNOPUVVWXYZ[\ZW]^_`V[a ./0.10. GHOTbGbTMGKGHKNKOPQRSTNNOPc^_Z\def`V[a ./0.10. ghijkgklmgnghnonipqrsjooiptuuvuwx @    V #Ui# 23jkl5 0)$* *J%*C'.*0*HD>%.$%7/HH%,/*P7*J%*C#$)$-H    6m+0 /*J%*C ]5 V**0*HD>%.$%7/7$*HL7-/$ >7D*HH%/,*DY/7&7,' nK /H.*D$%7/ n K