HomeMy WebLinkAbout5200 172nd St Ne Lot C Ste E_BLD5951_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: BLD5951 Permit Type: Fire Sprinkler
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: Damage Photo
❑ Recorded Copies
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CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS:360-403-3417-Permit Center:360-403-3551
- BUILDING PERMIT Er
5200 172ND ST NE LOT C STE.E Permit#:5951
Parcel#:31052700200203 PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Scope of Work:Repair the fire sprinkler system that froze in January. Valuation:2800.00
APPLICANT W CONTRACTOR
J AND B HOTEL PARTNERS,LLC Western States Fire Protection Western States Fire Protection
17303 34TH PL W 14690 NE 95th Street,Unit 101 14690 NE 95th Street,Unit 101
LYNNWOOD,WA 98037 Redmond,WA,USA Redmond,WA 98052
425.881.0100 425 8810100
LIC:WFSFESF785LH EXP:06/16/2024
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: FIRE SPRINKLER CODE YEAR: 2021
STORIES: 2 CONST.TYPE: llIA
DWELLING UNITS: OCC GROUP: R-1;Residential
BUILDINGS: OCC LOAD:
PERMIT APPROVAL i
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 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.IBC110/IRC110.
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.
06.05.2024 -�� 05/16/2024
Applicant Signature Date Building Official Date
CONDITIONS
APPROVED JOB COPY SHALL BE ONSITE FOR INSPECTIONS.CALL FOR INSPECTIONS.
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 shall 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.
MR 0% PERMIT FEES '
Date Description Fee Amount
06/05/2024 Web Only-Fire System Plan Review $200.00
06/05/2024 Credit Card Service $6.00
06/05/2024 Processing/Technology $25.00
06/05/2024 Phase Install-Hydrostatic Pressure Test $150.00
06/05/2024 Inspection $75.00
06/05/2024 Inspection $75.00
06/05/2024 Credit Card Service $9.75
Total Due: $540.75
Total Payment: $540.75
Balance Due: $0.00
CALL FOR INSPECTIONS
Call 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 I Pass/Fail
i
FIRE SPRINKLER PERMIT APPLICATION
• Community and Economic Development
City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 • Phone(360) 403-3551
Type of Permit: ❑ New Installation ✓❑ System Modification ❑ Phased Installation
Property Address. 5200 172nd St NE Suite No.: Project Valuation: $2,800.00
Lot#: C Parcel ID No.: 31052700200203 Preferred Contact: ❑ Owner ❑Applicant
❑ Contractor
Project Description:
Repair the fire sprinkler system that froze in January.
Owner Name: J&B HOTEL PARTNERS LLC Phone No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
Applicant Name: Western States Fire Protection Phone No.: 425.881.0100
Email Address: jim.stewart@wsfp.us Cell No.:
Mailing Address: 14690 NE 95th St, Suite 101 City: Redmond State: WA Zip: 98052
Contractor Name: Western States Fire Protection office No.: 425.881.0100
Email Address: jim.stewart@wsfp.us Cell No.:
Mailing Address: 14690 NE 95th St, Suite 101 City: Redmond State: WA Zip: 98052
L&I Contractor License Number: WESTESF785LH Expiration Date: 12/31/2024
SUBMITTAL REQUIREMENTS: Provide Information on All Equipment to be Installed Prior to Installation
ELECTRONIC FILES OF THE FOLLOW:
❑ Complete and Scaled Plans
❑ Hydraulic Calculations
Q Equipment Specifications for Each Fire Sprinkler Permit Application
❑ Specification Sheets
❑ Wiring Diagrams (Point to Point Wiring)
❑ Electrical Plans,if applicable
FIRE SPRINKLER SYSTEMS (105.7.1, 105.7.4, 105.7.11)
** DEVICES include separate individual portions of a Fire Sprinkler System such as: Sprinklers Heads,
Risers, Valves, Pull Stations, and other such devices. (Each piece is one device)
PLAN REVIEW FEES
Less than $5,000.00 = $100.00
$5,000.00 &over-based on project valuation
(Plan Review Fee is 65%of project valuation as calculated per Table 4-1)
REV11.2020 Page 1 of 3
REINSPECTION / PHASED INSTALLATION INSPECTIONS
Submit Phasing Plan with Application - review and approval required
REINSPECTION FEES SHALL BE PAID PRIOR TO INSPECTION FEE
Reinspection/Phased Installation fee is charged per hour (1 hour minimum) $75.00
Hydrostatic Pressure Test(1 test included per permit) $150.00
Cover Inspection (1 cover inspection included per permit) $75.00
Fire Pump (1 fire pump inspection per permit) inspection requires 2 hours $150.00
✓❑ TENANT IMPROVEMENT OR SYSTEM MODIFICATION (NFPA 13/13R)
Number of Devices" Device Fee Subtotal
1 to 2 $ 75.00 = $ 75.00
3 to 5 $125.00 = $
6 to 10 $175.00 = $
11 to 20 $225.00 = $
21 to 40 $300.00 = $
41 to 100 $375.00 = $
101 to 200 $475.00 = $
201 to 300 $575.00 = $
> 300 $600.00 plus$50.00 per 100 additional devices(round up)
Total Number of Devices = 2 $600.00 + $ 75.00 = $ 675.00
Hydraulically Designed Systems Yes ❑ No 0 Yes = Permit Fee x 2 $
PERMIT FEE SUBTOTAL $ 675.00
NEW COMMERCIAL SYSTEM (NFPA 13/13R)
Number of Devices" Device Fee Subtotal
1 to 100 $375.00 = $
101 to 200 $475.00 = $
201 to 300 $600.00 = $
> 300 $625.00 plus$50.00 per 100 additional devices(round up)
Total Number of Devices = $625.00 + 1 $ _ $
Hydraulically Designed Systems Yes ❑ No ❑ Yes = Permit Fee x 2 $
PERMIT FEE SUBTOTAL $
RESIDENTIAL (NFPA 13D)
Number of Devices" Device Fee Subtotal
1 to 10 $175.00 = $
11 to 25 $225.00 = $
26 + $275.00 = $
*NFPA 13D SYSTEM INSTALLED(NOT REQUIRED)Permit Fee Reduced 50% = $
PERMIT FEE SUBTOTAL $
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❑ HOOD SUPPRESSION SYSTEM
Type of System No. of Units Cost per Unit Subtotal
Pre-Engineered x $200.00 = $
Custom Engineered x $275.00 = $
PERMIT FEE SUBTOTAL $
❑ STANDPIPE SYSTEM
Type of Standpipe No. of Units Cost per Unit Subtotal
Class I - new or existing x $150.00 = $
Class II - new or existing x $150.00 = $
PERMIT FEE SUBTOTAL $
❑ FIRE PUMP
Fire Pump x $300.00 each = $
PERMIT FEE SUBTOTAL $
❑ SPRAY BOOTHS (105.7) &INDUSTRIAL OVENS (105.7.7)
NOTE.SEPARATE SPRINKLER PERMIT REQUIRED
Type of Booth No. of Units Cost per Unit Subtotal
Pre-Engineered w/documents x $150.00 = $
Site-built or used w/o documents x $250.00 = $
Industrial Oven x $250.00 = $
PERMIT FEE SUBTOTAL $
Plan review fee due at time of submittal
TOTAL PERMIT FEE $ 675.00
PLAN REVIEW FEE $ 100.00
Processing/Technology Fee $25.00
TOTAL $ 800.00
I hereby certify that I am the ❑ Owner, ❑Applicant, ❑■ 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.
J i m Stewart 04.22.2024
Signature Print Name Date
SAVE PRINT
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