HomeMy WebLinkAbout111 OLYMPIC AVE_BLD1135_2026 COMMERCIAL PLUMBING
PERMIT APPLICATION
Department of Community&Economic Development
City of Arlington • 18204 59th Ave NE•Arlington, WA 98223 •Phone (360)403-3551
THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS, AND TWO (2)
SETS OF FIXTURE SPECIFICATIONS (CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE
INTERCEPTOR IF APPLICABLE.
Type of Permit: ❑ New Installation Addition/Alteration ❑ Industrial
Project Address: 'I I �� 01Y MDt L 4 a e- Parcel ID#:
Lot#: Subdivision:
tt� � '
Project Description: 1� , T.0 n i /I S� `) � akrnNaluation:
Owner: Lt Phone Number:
Address: p City: State: Zip Code:
Contact Person:,J -' 4, Do H 1-, 6 e1 Phone Number: -366- 7 2G
Cell Phone: E-mail:
Address: City: State: Zip Code:
Contractor: .',J 14 (� Phone Number:
Cell Phone: Email:
Address: City State: Zip Code:
Contractor License Number: Expiration Date:
Please indicate number of fixtures:
Water Closet Floor Sink Sump Hose Bibb Miscellaneous
Lavatory Laundry Tub Washer Water Heater Grease Trap
Urinal Interceptor Sink a+ _ Med Gas Drinking Fountain
Floor Drain Dishwasher Backflow Shower Other
6/16LP Page 2 of 3
COMMERCIAL PLUMBING
PERMIT APPLICATION
Department of Community&Economic Development
City of Arlington• 18204 59th Ave NE •Arlington, WA 98223 •Phone (360)403-3551
PROPOSED BUILDING USE
❑ New Commercial ❑ Restaurant ❑ Automotive Based
❑ Commercial Addition/Alteration ❑ Office ❑ Machine Shop
❑ Industrial ❑ Medical ❑ Other:
CROSS CONNECTION
Please check all appliances that are proposed or are permanently connected to the water supply.
❑ Ice Machine ❑ Dialysis Equip. ❑ Air washers ❑ Swimming ❑ Fire Sprinkler
Pools
91 Coffee Steam Sprinkler
Urn/Espresso ❑ Hydrotherapy Equip. ❑ Generators ❑ Hot Tub/Spa ❑ w/chemicals
❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Aquarium ❑ Lawn Irrigation
❑ Fume Hoods ❑ Laboratory Equip. ❑ Pressure ❑ Decorative ❑ Well on
Washers Fountain property
❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers
❑ Other:
WASTEWATER DISCHARGE ��II
1. Does the plumbing system currently have a grease interceptor? ❑ Yes No El Don't Know
Date grease trap/interceptor was last cleaned (provide service record):
2. Does the plumbing system currently have an oil/water separator? ❑ Yes No ❑ Don't Know
3. Date oil/water separator was last cleaned (provide service record): �-79
4. Is water used in the business process(washing, rinsing, cooling)? 10 Yes ❑ No ❑ Don't Know
5. Does your business require a NPDES permit? ❑ Yes Ea No ❑ Don't Know
I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above-described
propert ill be in accordance with the laws rule and regulation of the State of Washington.
' pplicants ignature Date
Print Applicants Name
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
6/16LP Page 3 of 3
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:III N Olympic Ave Permit#:1135
Parcel#:00378800601401 Valuation:3000.00
OWNER APPLICANT CONTRACTOR
Name:INTERNATIONAL CHURCH OF THE Name:Frank R Herbert Jr. Name:Lifeway Foursquare Church
FOURSQUARE
Address: 1910 W SUNSET BLVD#200 Address:I I I N olympic Ave Address: l I l N Olympic Ave
City,State Zip:LOS ANGELES,CA 90026 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:360-770-3576 Phone:360-770-3576
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Lifeway Foursquare Church
Address: Address: I I I N Olympic Ave
City,State,Zip: City,State,Zip:Arlington,WA 98223
Phone: Phone:360-770-3576
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: 1 OCC LOAD:
PERMIT APPROVAL
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. IBC1l0/IRCI 10.
SA LES TA i OTICE:Sales tax relating to co truction and construction materials in the City of Arlington must be reported on your sales tax return form
=odc
a i I.
Signature Print Name Date Released By Atc
CONDITIONS
The installation of a Reduced Pressure Backflow Assembly is required for the cold water supply to the
espresso machine. A grease interceptor is required to be installed to the drain line of the three compartment
sink.
THIS PERMIT AUTHORIZS 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 Amount
9/1/2016 Plumbing Permit Base Fee $25.00
9/1/2016 Plumbing Permit Fee(Enter Fixture Fee) $36.00
9/1/2016 Plumbing Plan Review Fees $200.00
Total Due: $261.00
Total Payment: $0.00
Balance Due: $261.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Lifeway Fours qureChurch
Cafe Floor Plan �k��s�� �r►n��s
105North Olympic Ave
t 47'-9"
23'-10" 23'-1 1 "
c
m
11'
13'
s i s
32'-4"
do�
r
Counter&Sink O 02,
10
�t-�n,� r�v� c�►rr,�l�..lti.
o
Cou nte r&Cabi nets
14'-6"
co
N 90
1
�" �' • cn
COMQ�'�t�►t�.lT sla��,
ExistingOven
22'-5"
49'-5"
BUILDING INSPECTION REPORT - Commercial
Permit No. BLD-1135
Address: 111 N Olympic Avenue
Contractor: Lifeway— Frank Herbert—425-231-8731
Owner: Lifeway Foursquare Church
Date: 11/7/2016
i
❑ / APPROVAL ❑ PARTIAL APPROVAL
❑ CORRECTION ❑ OTHER
INSPECTION: Plumbing Rough-In
FOOTING: ❑ „ GROUNDWORK: ❑
FOUNDATION: ❑ HYDRO: ❑
SLAB: ❑ SPRINKLER: ❑
FRAMING: ❑ FIRE ALARM: ❑
SHEAR WALL: ❑ ACCESS: ❑
CEILING GRID: ❑ ADA: ❑
RATED ASSEMBLY: ❑ FIRE FINAL: ❑
INSULATION: ❑ BLDG FINAL: ❑
Date: 11/8/2016 Inspector: Christopher Young
I
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
-�_ PHONE; (360) 403-3551
BUILDING PERMIT
Address:111 N Olympic Ave Permit#: 1135
Parcel#:00378800601401 Valuation:3000.00
OWNER APPLICANT CONTRACTOR
Name:INTERNATIONAL CHURCH OF THE Name:Frank R Herbert Jr. Name:Lifeway Foursquare Church
FOURSQUARE
Address: 1910 W SUNSET BLVD#200 Address:I I I N olympic Ave Address: 1 I 1 N Olympic Ave
City,State Zip:LOS ANGELES,CA 90026 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:360-770-3576 Phone:360-770-3576
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Lifeway Foursquare Church
Address: Address: I I I N Olympic Ave
City,State,Zip: City,State,Zip:Arlington,WA 98223
Phone: Phone:360-770-3576
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: 1 OCC LOAD:
PERMIT APPROVAL
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. IBC IOARCI 10.
SALES T OTICE:Sales tax relating to co ruction and construction materials in the City of Arlington must be reported on your sales tax return form
and odc i of ingt I I.
oak e ����� �� �i��/G
Signature Print Name Date Released By 15ate
CONDITIONS
The installation of a Reduced Pressure Backflow Assembly is required for the cold water supply to the
espresso machine. A grease interceptor is required to be installed to the drain line of the three compartment
sink.
THIS PERMIT AUTHORIZS 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 Amount
9/1/2016 Plumbing Permit Base Fee $25.00
9/1/2016 Plumbing Permit Fee(Enter Fixture Fee) $36.00
9/1/2016 Plumbing Plan Review Fees $200.00
Total Due: $261.00
Total Payment: $0.00
Balance Due: $261.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
pm,C/
Permit Information
Date 8/30/2016
Permit Number 1135
Project Name Lifeway Foursquare Church
Applicant Name Frank R Herbert Jr.
Applicant Address 111 N olympic Ave
City,State,Zip Arlington,WA 98223
Contact Jim Donaldson
Phone 360-770-3576
Email
Permit Type Commercial Plumbing
Site Address 111 N Olympic Ave
Valuation 3000.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Constriction/Occupancy Load
Number of Stories 0
Proposed Use Installation of new handwash sink,three compartment sink and plumbing for
espresso machine
Assigned To Kristin Foster
Property Information Owner Information
Parcel#:00378800601401 INTERNATIONAL CHURCH OF THE FOURSQUARE
INTERNATIONAL CHURCH OF THE FOURSQUARE 1910 W SUNSET BLVD#200
111 OLYMPIC AVE LOS ANGELES,CA 90026
Contractors
Contractor Name Primary Contact Phone Email Contractor Type License TLi�n *�
Lifeway Foursquare Church Pim Donaldson 360-770-3576 1 JOWNER
Review
Date Type Description Target Date Completed Date Assigned To Status
8/30/2016 Commercial Plumbina 3/6/2016 Kevin Olander In Review
8/30/2016 Commercial Plumbing 3/6/2016 13W Admin Rev In Review
3/30/2016 Commercial Plumbing 3/6/2016 PW-Sew-Rev In Review
9/30/2016 Commercial Plumbing 3/6/2016 PW-Wat-Rev In Review
Notes
Date Note
8/31/2016 Site visit has been completed to inspect proposed work to be done.
Uploaded Files I Upload File
Date File Uploaded B
8/31/2016 8:31,46 AM 11135 Application.pcif IFoster, Kristin
8/31/2016 8:31:46 AM 11135 Plans. df IFoster,Kristin
Lifeway Foursquare Church
Lifeway Cafe
105 North Olympic Ave
Arlington WA 98223
August 19,2016
Cafe Floor Plan Breakout,
%Az --Framing-$6500.00
Yj -- Drywall-$9000.00
Insulation- $3000.00
Plumbing$3000.00
-Z
Contacts,
Frank R. Herbert Jr.
425-231-8731
Jim Donaldson
360-770-3576
Lifeway Foursquare Church
107 North Olympic Ave
Arlington,WA 98223
i
I
i
Y °�' COMMERCIAL PLUMBING
PERMIT APPLICATION
tf'YC'� Department of Community&Economic Development
City of Arlington • 18204 59th Ave NE•Arlington,WA 98223 • Phone(360)403-3551
THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS, AND TWO (2)
SETS OF FIXTURE SPECIFICATIONS (CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE
INTERCEPTOR/F APPLICABLE.
Type of Permit: ❑ New Installation ® Addition/Alteration ❑ Industrial
Project Address: .—f-� �` t �L'} ���� �? '�c_ ,. - Parcel ID#:
Lot#: LL Subdivision:
J p 1� T�C A e Y% � � / ��Project Description: � r /J S} 11 g 1fevt1r;�tValuation:
Owner: 6i r-e Phone Number:
Address: {� p City' State: Zip Code:
r,Contact Person:/�� •►� \ Jo K (�i� A 64 Phone Number:__
Cell Phone: E-mail:
Address: City: State: Zip Code:
Contractor: 14 Phone Number:
Cell Phone: Email:
Address: City: State: Zip Code:
Contractor License Number: Expiration Date
Please indicate number of fixtures:
Water Closet Floor Sink Sump Hose Bibb Miscellaneous
Lavatory Laundry Tub Washer Water Heater Grease Trap
Urinal Interceptor Sink C;.� Med Gas Drinking Fountain
Floor Drain Dishwasher Backflow Shower Other
6/16LP Page 2 of 3
' COMMERCIAL PLUMBING
PERMIT APPLICATION
Department of Community&Economic Development
City of Arlington • 18204 59th Ave NE•Arlington,WA 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 also includes replacement of a Hot Water Tank.
The City of Arlington does not require a permit to stop leaks or clear stoppages, unless the piping being repaired
is altered or replaced.
PLUMBING PLAN REVIEW IS REQUIRED FOR THE FOLLOWING PROJECTS
1. New Commercial Buildings
2. New Multi-Family Buildings
3. Roof Drains and Overflow Systems
4. Tenant Improvements
5. Installation of Medical Gas Systems
6. Installation of Commercial Kitchen's and Deli's
7. Installation of Grease Traps
8. Installation of Grease Interceptors
9. Installation of Sumps
10. Installation of Cross Connection Backflow Devices
SUBMIT TWO (2) COPIES OF THE FOLLOWING FOR PLUMBING PLAN REVIEW:
❑ Plumbing plans or drawings. (Minimum plan size is 18" X 24" scale, %" scale for details.)
❑ Provide one set of plumbing drawings maximum size 11" X 17"
❑ Size of sanitary and potable water systems.
❑ Location, type and specifications (cut sheets) of proposed fixtures and equipment.
❑ Riser diagram of waste and vent, potable water and rain water systems, including sizes.
❑ Medical gas piping riser diagram indicating type of gas, storage room and size of piping.
❑ Location and type of all backflow assemblies for each fixture.
I hereby certify that I have read and examined this application and know the same to be true and
correct and I am authorized to apply for this permit.
6/16LP Page 7 of 3
" °�' COMMERCIAL PLUMBING
�� oz PERMIT APPLICATION
LINC`� Department of Community&Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
PROPOSED BUILDING USE
❑ New Commercial ❑ Restaurant ❑ Automotive Based
❑ Commercial Addition/Alteration ❑ Office ❑ Machine Shop
❑ Industrial ❑ Medical ❑ Other:
CROSS CONNECTION
Please check all appliances that are proposed or are permanently connected to the water supply.
❑ Ice Machine ❑ Dialysis Equip. ❑ Air washers ❑ Swimming ❑ Fire Sprinkler
Pools
59 Coffee Steam Sprinkler
Urn/Espresso ❑ Hydrotherapy Equip. ❑ Generators ❑ Hot Tub/Spa ❑ w/chemicals
❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Aquarium ❑ Lawn Irrigation
❑ Fume Hoods ❑ Laboratory Equip. ❑ Pressure ❑ Decorative ❑ Well on
Washers Fountain property
❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers
❑ Other:
WASTEWATER DISCHARGE
1. Does the plumbing system currently have a grease interceptor? ❑ Yes No ❑ Don't Know
Date grease trap/interceptor was last cleaned (provide service record): _
2. Does the plumbing system currently have an oil/water separator? ❑ Yes ❑ No ❑ Don't Know
3. Date oil/water separator was last cleaned (provide service record):
4. Is water used in the business process(washing, rinsing,cooling)? G] Yes ❑ No ❑ Don't Know
5. Does your business require a NPDES permit? ❑ Yes �a No ❑ Don't Know
I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above-described
propert ill be in ccordance with the laws rule and regulation of the State of Washington.
licants ignature Date
cl'4_ � le e &,6e
Print Applicants Name
Rec
II FOR STAFF USE ONLY AUG 2 2 2016
Permit# Accepted By Amount Received Receipt# Date Received
6/16LP Page 3 of 3
:,
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•ti
I
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'� ;,
I
LifewayFoursqureCilurch
Cafe Floor Plan
105North OlympicAve
- — 47'-9"
23'-10" 23'-1 1"
17
c
CD
11'
13'
sss
32'-4"
00
Counter&Sink
f
° �1
Counter&Cabinets 14 6„
CD
iJF,kl H¢E,>G PYCO
COMQ "`�'►�t�lf Slab
ExistingOven RLINGTON
it It EPARTMENT
22'-5 OVED
"
DA
R e e I V@ d 4 9'-5" NO CHANGES AV FMMZED
A U G 2 2 01 UNLESS APPROVED BY THE
BUILDING INSPECTOR
I�til� 113�
Date: 03/11/2026
Permit#: 1135
Permit Date: 08/30/2016
Review Date: 08/30/2016
Permit Type: COMMERCIAL PLUMBING
Review Type: COMMERCIAL PLUMBING
Target Date: 09/06/2016
Scheduled Time: 00:00
Completed Date: 09/06/2016
Description: Requires grease trap. - SB
Review Status:
Assigned To: PW-SEW-REV
Time In: 00:00
Time Out: 00:00
Hours: 0.0
Property Information
Parcel#: 00378800601401 INTERNATIONAL CHURCH OF THE
FOURSQUARE
INTERNATIONAL CHURCH OF THE 1910 W SUNSET BLVD #200
FOURSQUARE
111 OLYMPIC AVE LOS ANGELES, CA 90026
Zoning: 691 Religious Activities (Churches
Synagogues Etc.Lot: Block:
Date: 03/11/2026
Permit#: 1135
Permit Date: 08/30/2016
Review Date: 08/30/2016
Permit Type: COMMERCIAL PLUMBING
Review Type: COMMERCIAL PLUMBING
Target Date: 09/06/2016
Scheduled Time: 00:00
Completed 09/01/2016
Date:
Description: espresso machine cold water supply needs to have an RPBA installed. Sink requires grease
trap
Review Status:
Assigned To: BUILDING
Time In: 00:00
Time Out: 00:00
Hours: 0.0
Property Information
Parcel#: 00378800601401 INTERNATIONAL CHURCH OF THE
FOURSQUARE
INTERNATIONAL CHURCH OF THE 1910 W SUNSET BLVD #200
FOURSQUARE
111 OLYMPIC AVE LOS ANGELES, CA 90026
Zoning: 691 Religious Activities (Churches
Synagogues Etc.Lot: Block:
Permit#: 1135
Permit Date: 08/30/16
Permit Type: COMMERCIAL PLUMBING
Project Name: Lifeway Foursquare Church
Applicant Name: Frank R Herbert Jr.
Applicant Address: I I I N olympic Ave
Applicant, City, State,Arlington,WA 98223
Zip:
Contact: Jim Donaldson
Phone: 360-770-3576
Email:
Scope of Work: Installation of new handwash sink, three compartment sink and plumbing for
espresso machine
Valuation: 3000.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 11/07/2016
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
INTERNATIONAL 691 Religious
00378800601401 111 OLYMPIC AVE CHURCH OF THE Activities(Churches
FOURSQUARE Synagogues Etc.
Contractors
Contractor Primary Contact Phone Address Contractor Type License License
Lifeway Foursquare
Church Jim Donaldson 360-770-3576 111 N Olympic Ave OWNER
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
Above ground DWV and
domestic on test.Work
11/08/2016 C04.PLUMBING approved for kitchen area. 11/08/2016 11/08/2016 z.Christopher Young Approved
GROUNDWORK RPBA will be required to
isolate the water line to the
espresso machine.
10/10/2016 C19.PLUMBING Kitchen area only approved 10/10/2016 BUILDING Approved
FINAL 10/10/16 KO.
Plan Reviews
Date Review Type Description Assigned To Review Status
COMMERCIAL espresso machine cold water supply needs to have an
08/30/2016 PLUMBING RPBA installed.Sink requires grease trap BUILDING
08/30/2016 COMMERCIAL No comments,LT PW-ADMIN-GIS
PLUMBING
08/30/2016 COMMERCIAL Requires grease trap.-SB PW-SEW-REV
PLUMBING
COMMERCIAL The espresso machine cold water supply needs to have an
08/30/2016 PLUMBING RPBA installed. PW-WAT-REV
Gus
Fees
Fee Description Notes Amount
Plumbing Base Permit Fee $25.00
Mechanical Commercial Permit Table 4-7;Per Unit $36.00
Plumbing Plan Review Fees $200.00
Total $261.00
Attached Letters
Date Letter Description
09/01/2016 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
11/07/2016 Christina White 62190564 cc $261.00
Outstanding Balance $0.00
Notes
Date Note Created By:
08/31/2016 Site visit has been completed to inspect proposed work to be done. Kristin Foster
Uploaded Files
Date File Name
11/07/2016 1935341-1135 Issued Permit.pdf
08/31/2016 1819703-1135 Plans.pdf
08/31/2016 1819704-1135 Application.pdf
Date: 03/11/2026
Permit#: 1135
Permit Date: 08/30/2016
Review Date: 08/30/2016
Permit Type: COMMERCIAL PLUMBING
Review Type: COMMERCIAL PLUMBING
Target Date: 09/06/2016
Scheduled Time: 00:00
Completed Date: 09/01/2016
Description: The espresso machine cold water supply needs to have an RPBA installed. Gus
Review Status:
Assigned To: PW-WAT REV
Time In: 00:00
Time Out: 00:00
Hours: 0.0
Property Information
Parcel#: 00378800601401 INTERNATIONAL CHURCH OF THE
FOURSQUARE
INTERNATIONAL CHURCH OF THE 1910 W SUNSET BLVD #200
FOURSQUARE
111 OLYMPIC AVE LOS ANGELES, CA 90026
Zoning: 691 Religious Activities (Churches
Synagogues Etc.Lot: Block: