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Home My WebLink About5200 172nd St Ne Lot C Ste E_BLD5823_2025 i Permit Packet Coversheet Community and Economic Development City of Arlington • 18204 591h Avenue NE • Arlington,WA 98223 • Phone (360)403-3551 Permit Number: BLD5823 Permit Type: Demolition Address/Parcel: 5200 172nd St Ne Lot C Ste E Completed (Month/Year): EXPIRED December 2024 Land Use ❑ Notice of Decision ❑ Bonding or Assignment of Funds ❑ Staff Report o Confidential Documents. Contact the ❑ Application City to obtain. ❑ Narrative ❑ Letters and Project Documents ❑ Legal Description ❑ Other: ❑ Vicinity Map ❑ Site Plan Civil ❑ Landscape Plan ❑ Issued Permit ❑ Complete Streets Checklist ❑ Application ❑ Traffic Impact Analysis ❑ Other Applications ❑ Snohomish County Traffic Mitigation Offer ❑ Construction Calculation Worksheet ❑ WSDOT Traffic Offer Form ❑ Approved Plans ❑ Tree Survey ❑ Review Comment Form ❑ Stormwater Drainage Report ❑ Letters and Project Documents ❑ Geotech Report ❑ Other Agency Permits ❑ Critical Area Evaluation Form ❑ Reports: ❑ SEPA Checklist o Drainage Report Pg: ❑ Public Notice Material o Stormwater Pg: ❑ Noticing and Related Documents o Geotech Pg: ❑ Water/Sewer Availability Certificate o All Other Reports ❑ Unanticipated Discovery Plan Form ❑ SEPA and Noticing Materials ❑ Aerial Photo of Site ❑ Inspections ❑ Proposed Building Materials ❑ As-Builts ❑ Lighting Plans and Lighting Cut Sheets ❑ Other: ❑ Color Elevations ❑ Design Matrix Building ❑ Plat Map ❑✓ Issued Permit ❑ Title Report ❑✓ Application ❑ Lot Closures ❑ Additional Applications ❑ Preliminary Civil Plans ❑ Approved Plans ❑ Archaeological Survey ❑ Site Plan o Confidential Documents. Contact the ❑ Letters and Project Documents City to obtain. ❑ Calculations ❑ Topography(Existing Conditions) ❑ Project Specification Manuals ❑ CC&R's ❑ Reports ❑ Deeds/Easements/Conveyances ❑ Certificate of Occupancy /Dedications ❑ Inspections ❑ Developer's Agreement ❑ Other: ❑ Recorded Copies Page 1 of 1 CITY OF ARLINGTON 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS:360.403-3417-Permit Center:360-403-3551 BUILDING PERMIT 5200172ND ST NE LOT C STE.E Permit#:5823 Parcel#:31052700200203 PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Scope of Work:partial demoltion of the Quality Inn Valt ation:.00 OWNER. A ' GANT +CONTRACTOR J AND B HOTEL PARTNERS,LLC William Smith Expert Environmental Services 17303 34TH PL W 10812 2nd Ave Sw 10812 2nd Ave Sw LYNNWOOD,WA 98037 Seattle,Wa,98148 Seattle,WA 98146 2068493341 2068493341 1I0604 524 724 OT:02/ZRf1p25 LTC:EXPERES817PA EXP.-10/ IM5 MECHANICAL CONTRACTOR PLUMRIN.G CONTRACTOR LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: DEMOLITION CODE YEAR: 2018 STORIES: 2 CONST.TYPE: VB DWELLINGUNiTS: OCC GROUP: R-2;Residential BUILDINGS: OCC LOAD: PERMIT=APPROVAh The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING 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 UNLAIATUI,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/I11C]10. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. --�'� 7 2 02/21/2024 Applicant S ture Date Building Official Date CONDITIONS, APPROVED AS SUBMITTED.APPROVED JOB COPY SHALL BE ONSITE FOR INSPECTION.CALL FOR INSPECTION. The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations. The property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or community.The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant authorities before commencing construction.The property owner shaIl ensure that the construction project complies with all applicable design review requirements. THIS PERMIT AUTHORIZES 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. Pl"IT FED Date Description Fee Amount 02/21/2024 ProcessinglTechnology $25.00 02/21/2024 Demolition $1 MOO 02/21/2024 Inspection $75.00 02/21/2024 Credit Card Service $6.00 Total Due: $206.00 Total Payment: $206.00 Balance Due: $0.00 CALL FOR INSPECTIONS': CaU by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon INSPECTION INFORMATION. Pass/FA �r BUILDING DEMOLITION APPLICATION Community and Economic Development --- City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 •Phone(360)403-3551 QTy REQUIRED DOCUMENTS 1 City of Arlington Building Demolition Application 2 Site Plan showing the location of all structure(s); identify which one will be removed ❑ 1 A copy of the Asbestos/Demolition Notification from the Puget Sound Clean Air Agency ❑ 1 Asbestos Survey Report ❑ 1 Abatement Report,completed by an approved agency; if applicable Type of Permit: ® Commercial ❑ Residential ❑ Industrial Property Address: c� 17.2 of , 6VX-,�W Nz� Project Valuation: Lot#: Parcel ID No.: Subdivision: Primary Contact: ❑ Owner ❑ Applicant ❑ Contractor Owner Name: C�4si� ni / Office No.: Email Address: t J A J4('& 4>L,-+ D P )<:,, P () Cell No.: Mailin Address: .S 0-0 17a.-v 6',31' (V E Ci : /i /bry State: ZVA Zip: 9Z2-? Applicant Name: )3 J Office No.: Email Address: tv Zc.t �,��1 / C Cell No.:�d4 MailingAddress: U 2—^JJ J w Ci State: Z(1AZi Contractor Name: ��/1/Zd�Nvh Z lUZC�S"Office No.: I Email Address: �c Sl.✓ L �jm�d L� ✓�" Cell No.: � Mailing Address: City: � State: W,4 Zip: L&I Contractor License Number: -? Ex iration Date: /t) — Zil Building Area(Sq.Ft.): No.of Floors: No.of Buildings: Scope of Work: I hereby certify that I am the ❑ Owner, ❑Applicant 91 Contractor, and authorized to sign this application and that the above information is correct and construction on, and the occupancy and the use of the above-described property will be in accordance with the laws,rules and regulation of the State of Washington,and the City of Arlington. 12— Signature Print Name Date SAVE PRINT REV03.2022