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Home My WebLink About330 S Stillaguamish Ave_00223_2026 019 CITY HALL ❑ 238 N. OLYMPIC AVENUE ARLINGTON,WA 98223 ❑ (206)435-5785 February 20, 1990 Cascade Surveying Inc. Mr. Fred Poyner P.O. Box 326 Arlington, Wa. 98223 Dear Fred: The submitted drawings have been examined for compliance with the City of Arlington Municipal Code and the Uniform Building Code. The following corrections or additional requirements should be corrected before the permit can be issued. 3 corrected sets of drawings- , and calculations should be submitted for review. If you have any questions you can contact me at 435-5785. S ' n erely,l� a i Anders City Building Official DA/bm cc:file G� MEMO FEBRUARY 26, 1990 TO: BOB LARSEN FROM: BARRY SIMMONS SUBJECT: Plan review for medical offices , Cascade Hospital I have reviewed the soils report for- the referenced project. The report, copy attached, clearly indicates a need for substantial excavation and backfill for structures and roadways on this site. I recommend that the soils report prepared by Cascade Geotechnical' be followed exactly. If not, we must stipulate that the roadway wiil never be allowed to serve as a public street until the requirements of the soils report are met. Also indicate in the response that no public utilities may be installed until the City has inspected the open trench to determine suitablity of the soils to support the installation. In lieu of this requirement they must over excavate to native soils and backfill/compact to the grades of the pipe location and then complete the backfill with engineered fill. cc: Terry Castle read file • A i CITY OVARLINGTON CONSTRUCTION P' R•MIT ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING owNLR ❑ SIGN PERMIT NO.a�MAII.AUURE3f IL 2 ' 4�RMoN 3 S CITY 2tr �rri, 111lCt 0 UppESIGNE MAIL ADDRESS �L 1 " O ' Cc"V /WoiT -� a►J JAY �� 1_�JG�VP /•, CITY 21r ...LINE Glnl A C AC U gkUsQN ( MAiIADURE3S �i CITY I2SID 1�0-`sl L•l41JIz 21� PIIONE 8 Z ulg�, MLuunteAleunl Ae1oR 1 LK 1'eV14uS MAIL ADURESf jg CIIY t��ivis1� 21r IItUt1E LILENSE/ rlUM61NGCUNIRACIOR MAIlAOURESt CITY . 2Ir /HONE —LICENSE If CLASS OF WURK •. jZ7 Nl W ❑AUUI IION ❑ALTERATION ❑REPAIR V / + VALUA11U1Y OF WURK ❑UEMULI I ION ❑B(ILUING RELOCAI ION j ) 2� E 0�2 �vMz� _ •1�.00 ULSCRIBL WURK ;oj ` enn Gem vGT N1S1.1 6vt�IN� 2411W PANKIN� Va1L1L•17It� UIC.DIN6 . t1.c. •/ rRutUSl0UJLUI /UILUING � I 44 �� ' I HEREBY CERTIFY THAT I NAVE READ AND EXAMINED TFIIS APPLICA- N ll`AL u!S(.R1r IUNUI IRUILRTY 311UW /EIUWUR AITA ►ouRconls 110N AND KNOW THE SAME TO BE TRUE AND CORRECT All PKOVI- LUI /IULK SIONS OF LAWS AND ORDINANCES GOVERNING If IIS TYPE OF WORK __uf WILL BE COWLIED WITH W11E1HER SPECIFIED IIF.RIN OR NOT, T11E ' '% GRANTING dF A PERMIT DOES NOT PRESUME 10 GIVE AU T I IORI FY 1 O TAX IDNUMt3ER VIOIAIE OI�'CANCEL THE PROVISIONS OF ANY OIFIER STAIE OR • LOCAL LAW REGULATING CONSTRUCTION OF TI fE PERFORMANCE OF CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. IUB AUURLSS I v`N Sr SIGNAIURl OF CQNIMC)OROKAUIIK)R12EUAGENT DAIS It.L&6LJAHISN AVI��,S•VF o;, ". �R.l•l Nf. W�.. 9 8 Z3 X �% t (OFFICE USE ONLY) PLUAIUING MECHANICAL% NO. TYPE OF FIXTURE WAILRCLUSEI ITUILLI) FEE NO. TYPE OF EQUIPMENT FEE BA1111UB A GUND.UNITS -ILP,EA. LAVAIU NK �� ASIN) REFF• SI1011LRBOILERS II.P.EA KIICIILN Sp, GAS FIREU A. UNITS,- TONNAGE EA. U15IiWASIIFORC'EU AIR SY EMS- B.T.U. MEA — LAUNURY WALL'•IIEATERS- B. 1. M — CLOIIILS W UNIT IEATERS- B.T.U. M %AILR IILEVAPURAIIVE COOLERS — URINALCEOIIIES DRYERS 1)RINKIN(, VLNIILAIION FAN i LOUR URRANGE IIUUU COMMERCIALVACUUM B AIR IIANULING UNIT CPMRUU11)RANLLAUEkS SIOVE SINK(SERVICE - BAN,EIC.) ME IAL FIREPLACE IS CIIIMNEY —�— T_ WATER IIEATER -- GAS PIPING SUB TOTAL ' { 1 — PERA1IT SUBTOTAL l — { PE R�111 { 101ALFFEE { SIUL YARUSL BACK SIRLlI SCIBACK ''TOTAL FEE { ^,7 � REAR YARD SEIBACX PIANCIIE K NIJAiBER PLAN CIIECK FEE US! ION ._ L01 AREA VACA�SI1� t /�j' > FEE RECEIPT NO c a' J ;7. 012 AMW YES []NO FEES VALUATION FEE IlllUl CONS(• OCCUFAKYGROUP NO.of D ELLINGUNIIS• PLAN CHECKING VG Slll UI lU(,, 73 — � bb l—a 4 NO,orsluRILS MAX.000,LOAD BUILDING PLUMBING F IRE SPRINKLERS REQUIRE U []YES [�No AIECI IANICAL !! COMMENTS �- R-� J �( pp STATE BLDG.CQUE j J !�'" T� ENERGY CODE AURCIIARGE n PENALTY U.B C. i SEC.30)1I) WATER/SEWERFEES — �I' _ so DEWC 1 41989 11A1 { fit I � TOTAL147 PEIIAiIT VALIDATION}rye �q p' - �I CITY L� p L�p;uTOiv WHEN PROPEK4Y VALIOAII0 ON THIS SrACEI 1111$11 YOUR/ERMIF i RfCUrT PAID ' CRII BY cc1 ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT. ''I•' /uROiNc;aFlua( IIECQRDS COPY.'' �I-� CITY OF ARLINGTON CONSTRUCTION PERMIT fR COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00223 OWNER MAIL ADDRESS CITY ZIP PHONE Dr. R. Lee Harmon 315 South Dunham Arlington, WA 98223 contact architect ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP Pill')NE Salmon Bay Design Croup 4501 Shilshoe Ave N.W. Seattle, WA 98107 783-8582 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N W.R. Hanson Inc. 12510 130th Lane N.B. Kirkland 98052 (Rick Kuhns) 821-6797 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# CLASS Of WORK ®NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION 6VBUILDING ELOCATION VALUATION OF WORK f , /CJ DESCRIBE WORK Construct new buildinq wi h patk1kng facil tie shell only- t a m rovement PROPOSED USE OF BUILDING Medical Office Bui ding +l I HER NY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LEGAL DESCRIPTION Of PROPERTY(SHOWN BE W OR ATTACH FOUR OPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOT-BLOCK-0 F WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE / GRANTING OFA PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO See drawing VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER I LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCEOF 11 CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE 108 ADURLSS 419 South Stillaguamish ve X (OFFICE USE ONLY) MECHANICAL PLUMBING NO TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND UNITS - EA. BAIHTUB REFRIGERATI UNITS- .P EA LAVATORY (WASH BASIN) BOILERS-UJA SHOWER GAS FIRED AC ITS-Td.NNAGE EA. KI ICHLN SINK& DISP FORCED AIR YS EMS- B .U- MEA DISHWASHER WALL HEATE S- T.0 M LAUNDRY TRAY UNIT HEATER - B T.0 M CLOT ILLS WASHER EVAPORATIVE COO ERS WATER HEATER LOTHES DRY RS URINAL j V NTILATICN FAN DRINKING FOUNTAIN R GE HOOD COMMERCIAL FLOOR DRAIN I A14 HANDLING UNIT- CPM VACUUM BREAKERS ST VE ROOF DRAINS - RAINLEADERS 4tTAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR, ETC.) ATER HEATER GAS PIPING SUB TOTAL f SUBTOTAL $ PERMIT $ PERMIT $ TOTAL FEE $ TOTALFEE $ SIUL YARD SL I BACK STREET SETBACK REAR YARD SETN K PLAN CHECK NUMBER PLAN CHECK FEE 179/126 40 25 12/14/89 FEE 2r124 . 2 RECEIPT NO. USE ZONE LOT AREA VACANT SITE 21454 RC2 , 5 2, 092 ac fRYES ❑NO FEES V TI FEE TYPE OF CONST - I OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING G B^2 P, BU D G SIZE OF BLDG NO.OF STORIES MAX.00C-LOAD 1 PLUMB) FIRE INKLERS REQUIRED ry 7Y ❑ £S , ❑NO MECHANI COMMENTS Permits requ*red for 1 ng STATE BLDq CODE / and mechanical, \ERGYCO ESURCHAR E/ PEItiVALTY U.B.C. SEC.303(a) WAT R/SEWER FEES 6107 5 O Contract # WRHAN#251Bf,, TO AL a ) , 83 - \, PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 15 YOUR PERMIT&RECEIPT PAID CR# BY cc:ASSESSOR,APPLICANT,TREASURER, BLDG.DEPT. BUILDING OFFICIAL DATE RECORDS COPY '��41�1�ra' '�°'"�""'��'•'►a�►i-cTP'F"T�',�/,i—ri�1�`:1',tiW;,-:�'�T''�'��«a.,.-T--�---r-.r-.•..-„- z �•t-. .._ .- - .. ,vim / 1 CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN 110 PERMIT N0. 2 C•1 OWNER MAIL ADDRESS CITY ZIP PHONE ur. R. uee aarmon 315 South Du;iilam Arlington, WA 9882:), cc)ntact architect ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE Design :._7 01 Shilshoe Ave N.W. Seattle, WA 98107 783-8582 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICIENSE# W.R. Manson Inc. 12510 130th Lane N.B. Kirkland 98052 (Ri.ck Kuhns) 822-6797 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# CLASS OF WORK NE W' ❑ADDITION ❑ALTERATION ❑IREPAIR ❑DEMOLI[ION ❑BUILDING RELOCATION VALUATION OF WORK f DESCRIBE WORK Construct new building wiL pa g facil tie shell only- t2-•a4 rovement PRUPOSI D L,>L OF BUILDING t i _ Medical Office Bui ding + I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLG,u DES(RIPI ION OF PROPS.RTY(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 1 GRANTING OFA PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO See drawing VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCEOF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE IOBADDRESS 1._ South Stil.laguamish _ :re X (OFFICE USE ONLY) PLUMBING MECHANICAL NO TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WA TER CLOSET (TOILET) AIR COND UNITS -WP EA BAIFI!UB REFRIGERATION UNITS - H.P EA LAVATORY (WASH BASIN) BOILERS - H,P EA SHOW LR GAS FIRED A C UNITS- TONNAGE EA KI ICHLN SINK & DISP FORCED AIR SYSTEMS - B T U MEA DISHWASHLR WALL HEATERS- B T U M LAUNDRY TRAY UNIT HEATERS- B T U_ M CLOIHLS WASHER EVAPORAI IVE COOLERS W'AILRHLATLR CLOT HESDRYERS URINAL VENTILATION FAN DRINKING F OUN I AIN RANGE HOOD COMMERCIAL I LOUR DRAIN AIR HANDLING UNIT - CPM VACUUM BREAKERS STOVE ROOF DRAINS RAINLEADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR, ETC,) WATER HEATER GAS PIPING SUB TOTAL S SUBTOTAL f PERMIT f PERMIT S TOTAL FEE $ TOTAL FEE $ SIUk-1 1RD SL I BACK STRLLT SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE :' 126 _- .. FEE 2 , 124 . 2 ECEIPT.NO, USF /ONE LOT AREA VACANT SITE RC2 .5 2. 092 a QYES NO FEES -��1, VALUATION FEE .} PLAN CHECKING VG ` 7YPL OF CONSI V- 111 ( OCCUPANCY GROUP NO OF DWELLING UNITS VT, Sp-_4-nk-j-ed_ S-2 �~ BUILDING f SIZE 01 BLDG. NO OF STORIES MAX OCC.LOAD �1lZQS-; 1 � .72 1l PLUMBING FIRE SPRINKLERS REQUIRED ❑YES .0 NO MECHANICAL COMMENTS Permits requ red for 'l ing STATE BLDG.CODE -..'vchanical. ENERGY CODE SURCHARGE." PENALTY U B C SEC 303(a) WATER/SEWER FEES 6107 50 Contract # WRH.AN#k251B1 14�-083 TOTAL \\ PERMIT VALIDATION - WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT PAID CR# BY t cc:ASSESSOR,APPLICANT,TREASURER, BLDG DEPT BUILDING OFFICIAL DATE TREASURER'S COPY • CITY OF ARLINGTON �' CONSTRUCTION PERMIT COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO OWN it R MAIL ADDRESS CITY ZIP PHONE �: . R. Lee Harmon 315 South Dune krlington, IPA 98923 ontact a• ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE Salmon Bay Design Group 4501 Shilshoe ,AVe W.W,. .Seattle, WA 981�,. 783-8 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N W.R. Hanson Inc. 12510 130th .Lane N.B. Xirkland -98052 (Rick Kuhns) 8211-679. MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1I PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# CLASS Of WORK L:.J Ni W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION []BUILDING RELOCATION VALUATION OF WORK _ s 1;E}T4,i62.-QQ '8har11-HutYdfn only:' r 1 II DESCRIBE WORK Construct new building with parking iacil tiei/1"ehell only- qW9g,JFWrovement PROPQSf SL OF UILI)tN 1 Medicaf Office Bui ding f \ I HERE Y CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- I + 111 TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL DESCRIPTION OF PROPERTY(SHOWN BE W OR ATTACH FOUR f OPIES) Ll I SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LDF BLOCK OF 1 ! WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVEAUTHORITYTO Sea drawing ; 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 IOB ADDRLSS 419 South Stillaguamish X (OFFICE USE ONLY) PLUMBING ( MECHANICAL NO_ TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND. UNITS -H P. EA. BAIFITUB REFRIGERATION UNITS- H P.EA LAVATORY (WASfi BASIN) BOILERS- HP EA SHOWER GAS FIRED A.0 UNITS- TONNAGE EA. KI ICHLN SINK & DISP FORCED AIR SYSTEMS- B T U MEA DISHWASHER WALL HEATERS- B T.0 M LAUNDRY 1 RAY t UNI1 HEATERS. - BA U,-' M CLOTHES WASHER { EVAPORAIIVECOOLERS WA LR HEATER �'! CLOTHES DRYERS URINAL VENTILATION FAN DRINKING FOUN I AIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS RAINLLADIrRS METAL FIREPLACE&CHIMNEY SINK (SERVICE - BAR,ETC) WATER HEATER GAS PIPING SUBTOTAL $ SUBTOTAL $ PERMIT S PERMIT f TOTAL FEE $ TOTAL FEE $ SIDE YARD SE I BACK STRLL I SL TBACK REAR YARD SETBKK PLAN CHECK NUMBER PLAN CHECK FEE 179/126 aJ FEE 2,124.VIRECEIPA454 USF/ONI LOT AREA VACANT SITE RC2.5 2.092 aC UYES ❑NO FEES VALUATION F FEE TYPE OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING VG 9 'VN-SL-rinkled B-2 4 SILL OF BLDG. NO,OF STORILS MAX OCC,LOAD BUILDING s 3689 51 21,2 Q 5-• I ; /L PLUMBING FIRE 5PRINKLERS REQUIRED ❑YES ❑NO 1 MECHANICAL COMMENTS Permits rQ rid Oz r rmhdr. STATE BLDG.CODE 12 '550 w. mechanical. ` ENERGY CODE SURCHARGE/ PENALTY SEC 303(a) WATEPJSEWER FEES 6107 50 Contract It WRHAN4251B1\\ TOTAL 3_+] r C133 dui PERMIT VALIDATION _ WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT PAID CR# BY cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT BUILDINGOFFIGAL DATE APPLICANT'S COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNLR MAIL ADDRESS CITY TIP PHONE ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE- GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE 0 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS OF WORK ❑NE W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK S .00 Shall Suildincg -only:- DESCRIBE WORK Construct now :_ ilding with paarki.nc f cilitiq = sh,011 Only- PROPOSED L OF BU11611�. �JII Ce Bui.'�:di ng I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAt_DtS(RIPT ION OI PROPERTY(SHOWN BELOW OR ATTACH LOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE IOB ADDRI SS X (OFFICE USE ONLY) MECHANICAL PLUMBING NO TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATLRCLOSET (TOILET) AIR COND UNITS - HP EA BAIHIUB REFRIGERATION UNITS - H P EA LAVATORY (WASH BASIN) BOILERS H.P. EA SHOWLR GAS FIRED A C UNITS - TONNAGE EA KI ICHLN SINK & DISP FORCED AIR SYSTEMS- B T U MEA DISHWASHER WALL HEATERS- B.T U M LAUNDRY TRAY UNIT HEATERS- B-T U M CLOTHES WASHER EVAPORAI IVE COOLERS ",ATLRHEAILR CLOTHES DRYERS URINAL VENTILATION FAN DRINKING F OUN I AIN RANGE HOOD COMMERCIAL I LOOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS RAINLLADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE BAR, ETC ) WATER HEATER GAS PIPING SUB TOTAL f SUBTOTAL f PERMIT S PERMIT f TOTALFEE f TOTAL FEE f SIDL YARD SL 1 BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO USE/ONE LOT AREA VACANT SITE 11 ❑)YES ❑NO FEES VALUATION FEE 1YPL OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG -- - BUILDING f SIZL Of BLDG. NO OF STORILS MAX OCC,LOAD 21 v 205- PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL M T c -.—1 STATE BLDG.CODE CO TIC WQt�h�niC'v!1 ENERGY CODE SURCHARGE PENALTY SECC303(a) WATEP/SEWER FEES �;G:►'t.r3Et � WRfl-'�Pi�t51:J1 '> TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS 15 YOUR PERMIT&RECEIPT PAID CR# BY cc ASSESSOR,APPLICANT,TREASURER, BLDG DEPT BUILDING OFFICIAL DATE ASSESSOR'S COPY CITY OF ARLINGTON CONSTRUCTION PERMIT f2 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT OWNER MAIL ADDRESS CITY ZIP PHONE Or. R. Lee Harmon 315 South Dlmham Arlington, WA 963923 contact architect: ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE Salnon Bay Design Group 45''.0 Shilshoe Ave N.W. Seattle, WA 981-07 783--3302 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE,y .R.. Hanson Inc. 12510 130th Lane N.B. K_i.rklanc? 93052 (:nick_ Kuhns) 82-1-6797 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS Of WORK ❑NEW' ADDITION ❑ALTERATION ❑ REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF,WORK f DESCRIBE WORK Construct new building with arming facil .ties hell Only- t , rovemenc PROPOSE of BUILDING z4edical Office Bui dinr3 5 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLt,AI Ut 1(KIPI ION UI PROPERTY!SH(7M4 BF L')W OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK Lail BLCXK Of ! WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO See drawling VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER , LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE. IL SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE JOB ADDRISS 419 South Stillaguamish ve X (OFFICE USE ONLY) - � r' MECHANICAL PLUMBING NO TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE WATLRCLOSET (TOILEI) AIR COND UNITS,H-P-EA BA I FI1 UB REFRIGERATION UNITS -H P EA LAVATORY (WASH BASIN) BOILERS H P E,A SHOW LR GAS FIRED A'.G UNITS - IONNAGE EA KI ICHLN SINK & DISP. FORCED AIR SYSTEMS - B T U MEA DISHWASHLR WALL HEATERS- B T U M LAUNDRY 1RAY p UNI1 HEATERS BTU." M CLOI HLS WASHLR EVAPORAI IVOCOOLLRS WAILRHLATLR -- LO1HESDRYE S URINAL , VENTILATION FAN DRINKING FOUNIAIN RANGE HOOD COMMERCIAL FLOOR DRAIN �., AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS RAINLEADERS I METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR, ETC.) kiNATER HEATER GAS PIPING 1 SUB TOTAL f �_ I SUBTOTAL f PERMIT f ; PERMIT f TOTAL FEE $1 TOTAL FEE f SIDL t.\RD SE I BACK STREET SETBACK REAR YARD SETBAgk PLAN CHECK NUMBER PLAN CHECK FEE 179/126 25 1 /14/'89 2,.iww �. RECEIPy 0 USE/ONE LOT AREA VACANT SITE T C1 2�5 2. 092 ac XjYES ❑NO FEES-. VALUATION FEE TYPL OF CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG ' V'N—Spr: 40,_.{ B•-2 4, i SIZL OF BLDG. NO OF STORIES MAX.000.LOAD BUILDING F" 5 i_.f PLUMBING j FIRE SPRINKLERS REQUIRED - -- ❑YES ❑NO MECHANICAL COMMENTS Permits required' .for T''?umbing `' - STATE BLDG:CODE ;r2 'TT and mechanical. j ENERGY CODE SURCHARGE" 1 PENALTY U.B.C. SEC 303(a) WATER/SEWER FEES 6 3 / 3 0 Contract TOVAL PERMIT VALIDATION \�- WHEN PROPERLY VALIDATED (IN THIS SPACE) THI5 IS YOUR PERMIT&RECEIPT PAID_ --CR# BY cc:ASSESSOR,APPLICANT, TREASURER, BLDG DEPT BUILDING OFFICIAL DATE TREASURER'S COPY