HomeMy WebLinkAbout210 E Burke Ave_BLD892_2025 ) ~
CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address: 210 E Burke Ave Permit#: 892
Parcel #: 00461801500600 Valuation: 1000.00
OWNER APPLICANT CONTRACTOR
Name: HALLER CITY INVESTMENTS Name: Trevor Gaskin Name: Coast Construction Group
Address: 210 E BURKE AVE Address: Address: 328 N Olympic Ave
City, State Zip: ARLINGTON, WA 98223-1007 City, State Zip: City, State Zip:Arlington, WA 98223
Phone: Phone: 425-923-0277 Phone: 360-474-0600
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City, State, Zip: City, State, Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Commercial Alteration CODE YEAR: 2012
STORIES: CONST. TYPE:
DWELLING UNITS: OCCGROUP:
BUILDINGS: OCCLOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULA TING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/IRCI 10.
Print Name Date
CONDITIONS
Call for appropriate inspections.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC) WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
1/27/2016 Building Permit Fee $53.10
1/27/2016 Building Plan Review Fee $34.52
1/27/2016 State Building Code Surcharge Fee $4.50
Total Due: $92.12
Total Payment: $0.00
Balance Due: $92.12
CALL FOR INSPECTIONS
BUILDING (360) 403-3417
When calling for an inspection please leave the following information:
Permit Number, Type of Inspection being requested, and whether you prefer morning or afternoon
~t\\,"L~ ~-53./C)
Pvtµ/ Fee # 6 ?/, 52
65.C. ~ II~ s-o
...:----
q~. LZ-
Permit Information
Date 1/26/2016
Permit Number 892
Project Name Windermere
Applicant Name Trevor Gaskin
Applicant Address
City, State, Zip
Contact Trevor Gaskin
Phone 425-923-0277
Email
Permit Type Commercial Alteration
Site Address 210 E Burke Ave
Valuation 1000.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load
Number of Stories 1
Proposed Use Repair header above window
Assigned To Kristin Foster
Property Information Owner Information
Parcel#: 00461801500600 HALLER CITY INVESTMENTS
HALLER CITY INVESTMENTS 210 E BURKE AVE
210 E BURKE AVE ARLINGTON, WA 98223-1007
Contractors
Contractor Name Primary Contact Phone Email Contractor Type License License#
Coast Construction Group [Irevor Gaskin 360-4 7 4-0600 revor@coastccg.com CONTRACTOR Labor & Industries COASTCG865CG
Review
Date I Tvpe I Description I Tarqet Date I Completed Date I Asslcned To I Status
1/26/2016 IBLD I 12/2/2016 I !Kevin Olander lln Review
Uploaded Files I Upload File I
Date I File I
1/26/2016 3:13:17 PM IAnnlication.odf IX
COMMERCIAL REMODEL
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403 3
Project Name/Tenant ---~W~~t ~fJ ... Q_.._.~-.c~R.~'-(VJ~P-'-'6?~E-- _
Site Address Ill (J Eft~ t . a va.k C Bldg/Unit/Suite ----------
1 BC Construction Type -~'<-G_Vn~o~O~L-L~- IBC Occupancy Type _
Description of Use a FFt c_ <-4 f==" 1 y
Building Square Footage frCJ6 o F ~~ Number of Stories _._ _
Square Footage Per Floor _
Will there be any installation, modification or removal of the following? (Check all that apply)
D Automatic fire extinguishing systems
D Compressed gas systems
D Fire alarm and detection systems
D Fire pumps
D Flammable and combustible liquids (tanks, piping etc .. )
D Hazardous materials
D High piled/rack storage
D Industrial ovens/furnace
D Private fire hydrants
D Spraying or dipping operations
D Standpipe systems
D Temporary membrane structure, tents (>200sq ft) or canopies (>400 sq ft)
Provide details on any of the above checked items:
Installation, changes, modifications or removal of any of the above may require additional submittals,
information, or permits during the plan review or construction process.
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance re ulation of the State of Washington.
Applicants Signature
.----; W--0 ,r
•
Print Applicants Name Date
FOR STAFF USE ONLY
Received
Permit# Accepted By Amount Received Receipt#
Page 7 of 7
COMMERCIAL REMODEL
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403 3551
THIS APPLICATION MUST BE ACCOMPANIED BY THREE (3) SETS OF CONSTRUCTION PLANS, THREE (3) SETS
OF SPECIFICATIONS, TWO (2) SETS OF STRUCTURAL CALCULATIONS, ONE (1) SETS OF NREC ENERGY CODE
APPLICATIONS AND ONE (1) OCCUPANTS'S STATEMENT OF INTENDED USE.
Type of Permit: ( ) Commercial Remodel ( ) Commercial Addition k) Tenant Improvement
Project Address: &•to c:"liS T ~uRK € Parcel ID#: -----------
Project Description: e fl R Q Rau G ) tJ ro & V ( LQ { ~Legal Description:
$
Project Valuation: ;:; 000 c,<:.>
Owner: C:eN u 13 (' V<° e.;v < Phone Number: Sb6 -lf3S-070u
Address: -s'° 14 tn <£ City: A-RL/Jvt:JOI...; State: tu It/ Zip Code: 98old,.,3
Contact Person: __ L..........,R"---"-=e.;==-a........,1£?, __ .... fb+.- ..... 4s ......... -K ........... l-t .... J: Phone Number: f/22- q;{.3-o?-..7 7
Cell Phone: _
Address: ------------
Address: City: State: ___ Zip Code: _
Contractor's License Number: Expiration: _
Plumbing Contractor: f'l./__,/.......,.r,, Phone Number: _
Address: City: State: _ Zip Code: _
Contractor's License Number: Expiration: _
Mechanical Contractor: ----~....c......,,_/_/r_·_• Phone Number: _
Address: City: State: Zip Code: _
Contractor's License Number: Expiration: _
Rece\\Jed
.\~~ 2 61~\u
Page 6 of 7
COMMERCIAL REMODEL
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE• Arlington, WA 98223 • Phone (360) 403 3551
The building permit does not include any mechanical, electrical, plumbing or fire sprinkler/alarm work. These permits are issued
separately. Mechanical, electrical, plumbing, or fire sprinkler/alarm permits require a separate permit application and may also require
separate plan review.
Please note that any tenant improvement work in a space that involves food handling or preparation requires Snohomish County Health
District approval before the permit can be issued. You must provide the Permit Center a copy of the approval letter or the approved
plans. Contact the Snohomish County Health District at (425) 339-5250 with any questions or for more information.
An intake appointment is required for all large Tenant Improvement Building Permit Applications. To determine if your project requires
an intake appointment, to schedule an appointment or to ensure that you have the most current information, please contact the City of
Arlington Permit Center at (360) 403-3551 or by email to ced@arlingtonwa.gov
Application by courier or mail will not be accepted.
Incomplete applications will not be accepted.
I acknowledge that all items designated as submittal requirements must accompany my Building Permit Application to be considered a
complete submittal.
Page 5 of 7
Permit #: 892
Permit Date: 01/26/16
Permit Type: COMMERCIAL ALTERATION
Project Name: Windermere
Applicant Name: Trevor Gaskin
Applicant Address:
Applicant, City, State, Zip:
Contact: Trevor Gaskin
Phone: 425-923-0277
Email:
Scope of Work: Repair header above window
Valuation: 1000.00
Square Feet: 0
Number of Stories: 1
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 01/27/2016
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Kristin Foster
Property
Parcel # Address Legal Description Owner Name Owner Phone Zoning
HALLER CITY 615 Real Estate &
00461801500600 210 E BURKE AVE
INVESTMENTS Related Services
Contractors
Contractor Primary Contact Phone Address Contractor Type License License #
COAST
TREVOR 328 N OLYMPIC CONSTRUCTION Labor &
CONSTRUCTION 360-474-0600 COASTCG865CG
GASKIN AVE CONTRACTOR Industries
GROUP
COAST
TREVOR 328 N OLYMPIC CONSTRUCTION
CONSTRUCTION 360-474-0600 UBI 602 626 922
GASKIN AVE CONTRACTOR
GROUP
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
Sidewall repair from vehicle
damage no structural
C20. BUILDING damage when inspected ok
02/02/2016 02/02/2016 BUILDING Approved
FINAL to cover and finish no
further inspections required.
KO
Plan Reviews
Date Review Type Description Assigned To Review Status
01/26/2016 BLD BUILDING
Fees
Fee Description Notes Amount
Building Permit Table 4-1 $53.10
Building Plan Review Table 4-2 $34.52
State Surcharge - 1st DU Residential - 1st Unit $4.50
Total $92.12
Attached Letters
Date Letter Description
01/27/2016 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
01/27/2016 Roger Woods 57986496 cc $92.12
Outstanding Balance $0.00
Uploaded Files
Date File Name
02/23/2016 1488416-BLD_892 Signed Permit.pdf
01/26/2016 1449287-Application.pdf