HomeMy WebLinkAbout720 N West Ave_BLD5740_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: BLD5740 Permit Type: Commercial Plumbing
Address/Parcel: 720 N West Ave 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,WA98223
INSPECTIONS: 360-403-3417-Perm i Center: 360-403-3551
BUILDING PERMIT
720 N WEST AVE Perm #: 5740
PERMIT EXPIRES 180 DAYS AFTER
Parcel#: 00461801700300 DATE O FSSUANCE.
Scope of Wcrk:plum hng for new addition V aluation: 16000.00
O W PER APPLICANT C O NIRACTO R
BOOKCLIFF RESOURCES LLC M rysville lAum hng Inc M RYSVILLE PLUMBING INC.
720 WEST AVE 1 3318 SR530 NE 1 3318 SR 530 NE
ARLINGTON,WA98223 A rlington,Wa,98223 A RLINGTON,WA98223
4258704132 3 60-435-5555
LIC:MARYSPI780KC E XP:05/02/2024
LIC:601 087 455 E XP:03/31/2024
MECH ANICAL CO NIRACTO R LUMBING CO NTRACTO R
LIC#: EXP: L IC#: E XP:
JO BDESCRIPTIO N
PERM 1T TYPE: C OM M IRCIAL PLUM BING C ODE YEAR: 2 018
STORIES: 3 C ONST.TYPE: V B
DWELLING UNITS: O CC GROUP: B ;Business
BUILDINGS: O CC LOAD:
PERMIT APPRO VAL
The issuance or granting of this perm i shall not be construed to be a perm i 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,proclam Jion,guidance advice or decision of the
Governor of this State.To the extent the issuance or granting of this perm i is interpreted to allow construction activity during any
period of tim ewhen such construction is prohibited or restricted by any state or federal law,or order,proclam Jion,guidance
advice or decision of the Governor of this State,this perm i 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,proclam Jion,
guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this perm i if it is
determ ned to be issued in error or on the basis of incorrect,inaccurate or incom liete inform Jion,or in violation of any City
ordinance,regulation or order,state or federal law,or any order,proclam Jion,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 UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN
M ADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.IBC 110/IRC 110.
SALES TAX NO TICE: Sales tax relating to construction and construction m Jerials in the City of Arlington m ist be reported on
your sales tax return form and coded City of Arlington#3101.
eGr� 12/18/2023
Applicant Signature D ate B uilding Official D ate
CO MITIO 1%
Approved job copy shall be onsite for inspections.Adhere to approved plans. Call for inspections.
The property owner shall ensure that the construction project com hies with all applicable zoning codes and regulations.The
property owner shall also ensure that the construction project does not cause any adverse im pact on the surrounding environm ait
or com m nity.The property owner shall be responsible for obtaining all necessary perm is and approvals from the relevant
authorities before com m acing construction.The property owner shall ensure that the construction project com Hies with all
applicable design review requirem acts.
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.
PERMIT FEES
Date Description Fee Am aunt
12/17/2024 P lum ling Corn m ecial Plan Review $258.03
12/17/2024 P rocessing/Technology $25.00
12/17/2024 C lothes Washer $15.00
12/17/2024 H ose Bib $30.00
12/17/2024 L aundry Tray $15.00
12/17/2024 L avatory $15.00
12/17/2024 P lum king Base $25.00
12/17/2024 S ink(bar,service,etc.) $45.00
12/17/2024 T oilets $15.00
12/17/2024 C redit Card Service $7.74
12/17/2024 C redit Card Service $5.55
Total Due: $456.32
Total Paym ait: $456.32
Balance Due: $0.00
CALL FO RINSPECTIO INS
Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections
When calling for an inspection please leave the following inform anon:
Perm it Num ber,Type of Inspection being requested,and whether you prefer m arning or afternoon
INSPECTIO NINFO IMATIO N Pass/Fail
C08.PLUMBING ROUGH-IN Corn lieted
C08.PLUMBING ROUGH-IN Approved
COMMERCIAL PLUMBING APPLICATION
Community&Economic Development
City of Arlington • 18204 59th Ave NE•Arlington,\VA 98223 • Phone(360)403-3551
WHEN is a PLUMBING PERMIT REQUIRED?
The City of Arlington requires a plumbing permit before a plumbing system or fixture is installed, altered, or
remodeled. This includes commercial, tenant improvements, multi-family buildings, roof drains, and overflows,
medical gas systems, commercial kitchens, grease traps and interceptors, sumps and cross connection backflow
devices.
The City of Arlington does not require a permit to stop leaks or clear stoppages,unless the piping is repaired,altered
or replaced.
SUBMIT THE FOLLOWING ELECTRONICALLY:
❑ Plumbing plans or drawings.(Minimum plan size is 18"X 24"scale,'/4"scale for details.)
❑ Fixture specifications and equipment(cut sheets) with locations.
❑ Location and type of all backflow assemblies for each fixture.
IN ADDITION TO ABOVE,SUBMIT THE FOLLOWING,IF APPLICABLE TO YOUR PROJECT:
❑ Calculations for Grease Interceptor.
❑ Pipe size and location of sanitary and potable water systems.
❑ Riser diagram of waste,vent,and rain water systems,including sizes.
❑ Medical gas piping riser diagram,type of gas,storage room and size of piping.
Type of Permit: ❑ New Installation U Addition/Alteration/Repair ❑ Industrial
Property Address: `Z2n l,�JgS� �i U e Project Valuation: 6 OOv
.11
Lot#: Parcel ID No.: Preferred Contact: O Owner O Contractor
Project Description: lit, p f t 101,
Owner Name: tyv., �V�,, � Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
Contractor Name: Office No.: �(� S .
Email Address: fhG,rG{SJiUP,D�LLML 11�04"t� o Gp Cell No.: S �570 l
Mailing Address: 1331$ Jr R. 5,36 o� City: ��l Stater. Zip: S'S'J
L&I Contractor License Number: '5Zd5iy ^�� Expiration Date: Z
12-0 2-
REV1.2020 Page 1 of 3
PLUMBING PERMIT FEES(per fixture
Commercial plumbing permits are required to submit line drawings.A plan review fee of 65%per
Table 4-6 for plumbing permits will be assessed at time of submittal.Includes two(2)inspections with
permit.
Type of Fixture No.of Fixtures Cost per Fixture Subtotal
Additional Plan Review fees x $75.00 =
Alteration/repair piping x $ 15.00 =
Backflow Assembly x $25.00 =
Base Plumbing Fee $25.00 $25.00
Bath Shower Combo x $ 15.00 =
Building Main Waste x $25.00 =
Clothes Washer x $15.00 =
Dishwasher x $15.00 =
Drinking Fountain x $ 15.00 =
Floor Drains x $ 15.00 =
Grease Interceptor x $75.00 =
Grease Trap x $25.00 =
Hose Bibb x $ 15.00 =
Icemaker Refri erator x $ 15.00 =
Irrigation-per meter x $25.00 =
Kitchen Sink&Disposal x $ 15.00 =
Laundry Tray x $ 15.00 =
Lavatory x $ 15.00 =
Med Gas Pi in <-5 inlets outlets x $60.00 =
Med Gas Piping>5 inlets/outlets(plus<_5 x $5.00 =
inlets outlets
Miscellaneous-regulated by plumbing x $ 15.00 =
code,not otherwise specified
Pretreatment Interceptor x $ 15.00 =
Re-inspection Fee all x $75.00 =
Roof Drains x $ 15.00 =
Shower(only) x $ 15.00 =
Sink bar,service,etc. x $ 15.00 =
Toilets / x $ 15.00 =
Urinal x $ 15.00 =
Vacuum Breakers x $25.00 =
Water Heater x $25.00 =
Water Heater-Tankless x $25.00 =
Permit Fee
Table 4-6;Plan Review Fee
Processing/Technology Fee $25.00
Total
REV1.2020 Page 2 of 3
PROPOSED BUILDING USE
❑ New ❑ Restaurant ❑ Auto►notive Based
Addition/Alteration ❑ Office ❑ Machine Shop
❑ Industrial ❑ Medical ❑ Other:
CROSS CONNECTION
Please check all appliances that are proposed or permanently connected to the water supply.
Ice Machine ❑ Dialysis Equip. ❑ Airwashers
❑ Coffee Urn/Espresso ❑ Hydrotherapy Equip. ❑ Steam Generators
❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats
Fume Hoods ❑ Laboratory Equip. ❑ Pressure Washers
❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers
❑ Hot Tub/Spa ❑ Decorative Fountain ❑ Fire Sprinkler
Aquarium ❑ Swimming Pools Sprinkler w/chemicals
❑ Lawn Irrigation ❑ Well on property ❑ Other:
WASTEWATER DISCHARGE
Does the plumbing system currently have a grease
interceptor? ❑ Yes No ❑ Don't Know
Does the plumbing system currently have an oil/water ❑ Yes No ❑ Don't Know
separator?
Is water used in the business process (washing,rinsing, ❑ Yes Ef No ElDon't Know
cooling)?
Does your business require a NPDES permit? ❑ Yes ❑ No [� Don't Know
1 hereby certify that I am the ❑Owner, Applicant, Contractor, and uuthorized to sign this application and that the ubove
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.A final inspection and approval shall be obtained when
complete.
0I, l3 20?_3
Signature Print Name Date
SAVE BRINY
RLV1.2020 Page 3 of 3
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