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Home My WebLink About5906 Cemetery Rd_BLD6155_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: BLD6155 Permit Type: Operating Address/Parcel: 5906 Cemetery Rd Completed (Month/Year): Decmeber 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 OPERATING PERMIT APPLICATION Community&Economic Development City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 •Phone(360)403-3551 Part I Property Address for which Operating Permit is requested: 5906 Cemetery Road, Arlington WA 98223 Parcel ID No.: Current Occupancy Project Description: Haunted House Applicant Name: Jacquelyn Murray Home No.. N/A Email Address: jacgmurray2@outlook.com Cell No.: 425-478-2335 Mailing Address: 5906 Cemetery Road City: Arlington State: WA zip: 98223 Contact Person: Jacquelyn Murray Phone No.: 425-478-2335 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): Reeeiyed REV032021 OCT U 5 2023 Pagel 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: We will use 2 1Ox2O canopies to have 2 covered areas in the haunted house An outdoor maze will be built for guests to do a scary walkthrough. ❑✓ 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: The event will generate larger amounts of traffic. We will use our parking lot and satelite lots to keep traffic off the road. There will be long lines. ❑ Mobile Vendor- (see Appendix G.) Brief description of vehicle and use: Part III Premises/Building Information 1. Date of last inspection of Premises: 10/12/2023 2. Has a Certificate of Occupancy been issued for the premises? ❑Yes ✓0 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:Please let me know if I am missing any other information that you need provided. The event is very simple. SIGNATURE OF APPLICANT��1 I herby certify thzt the fo e�bi" n infgt'mation (and all information in attached sheets,if any) is true and complete. 10/5/2023 Signature of App icant or Authorizfi6 Representatives Signature Date Jacquelyn Mai Murray 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: ZYes ❑No Inspections Performed: ❑Yes DdNoM 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: --�� `6 �— Date Operating Permit Expires: Type/Description of Operating Permit: 6 A ), IEV-EX�L 4kMjr1aQ Conditions of Operating Permit(list conditions here AND in the space provided in the Operating Permit: I�LI•.l- TP.EQl1-Ll?-�= — �SP�.G�Io►•�Srf �0 t�eTlk G� �l1ZE Additional Comments: (Attach additional pages if needed) REV032021 Page 3 of 3 '� 1 • � � 1 � � i �' . � - � , - �: section a 5erllon 3 1 I _ CHUCKLE'S I — TENT/WALLS I SGENEI I OF FACES 1III1 OIl Onlms i WOW IN~ Car,mef rT1 loom I `�rNtiA 1 SIIEO ROOM _1� OPEN STORAGE AREA SHED LLINE/RULESI GUEST PREP ZONE PARKING AREA Recei ed OCT 0 5 2023 ?LIU �LZq OPERATING PERMIT APPLICATION ` Community&Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 •Phone(360)403-3551 Part I Property Address for which Operating Permit is requested: 5906 Cemetery Road, Arlington WA 98223 Parcel ID No.: Current Occupancy Project Description: Haunted House Applicant Name: Jacquelyn Murray Home No.: N/A Email Address: jacgmurray2@outlook.com Cell No.: 425-478-2335 Mailing Address: 5906 Cemetery Road City: Arlington State: WA zip: 98223 Contact Person: Jacquelyn Murray Phone No.: 425-478-2335 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 Pagel 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: We will use 2 1Ox2O canopies to have 2 covered areas in the haunted house. An outdoor maze will be built for guests to do a scary walkthrough. ❑✓ 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: The event will generate larger amounts of traffic. We will use our parking lot and satelite lots to keep traffic off the road. There will be long lines. ❑ Mobile Vendor- (see Appendix G.) Brief description of vehicle and use: Part III Premises/Building Information 1. Date of last inspection of Premises: 10/12/2023 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 El No If yes,please describe (attach additional sheets if necessary): 4. Additional Comments:Please let me know if I am missing any other information that you need provided. The event is very simple. SIGNATURE OF APPLICANT I herby certify th t the fo a in inf mation (and all information in attached sheets,if any) is true and complete. 10/5/2023 Signature of App icant or Authoriz d Representatives Signature Date Jacquelyn Mai Murray 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 ❑No0 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 Actor Area/Hallway ............................................... AUor Areal Hallway FAKE BUILDINGS! SHOOTER HALLWAY gctor Neal Hallway Ferris Wheel Scene Section 3 Section 4 Section 3 SCENES Gradual Slope Actor Food Prep Station Actor Areal Hallway Prize Tent a 8 or Areal Hallway gctor Ne Hellwa CHUCKLE'S SCENE/ TENT/WALLS Oil Drums OF FACES (1ox2o) p O O to C toZ Motor Home Carousel N Q cmr Areal Hallway "W's Actor Ar, l Hsllwa Intr Tent 10x20 AIXor Areal Hallway Actor Area/Hallway / BOOM AMor Area/Hallway III7 SHED OPEN STORAGE AREA SHED LINE/RULES/GUEST PREP ZONE PARKING AREA