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Permit Information
Date 1/12/2016
Permit Number 880
Project Name 4 T Development Tenant Improvements
Applicant Name Premier Pacific Properties
Applicant Address
City,State,Zip
Contact Edmund Thomas
Phone 425-377-9130
Email edthomas@thomco us
Permit Type Commercial Alteration
Site Address 16910 59th Ave NE
Valuation 0.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load
Number of Stories 1
Proposed
Use Adding two walls and doors
Assigned To Kristin Foster
Property Information Owner Information
Parcel#:31052700202000 Premier Pacific Properties,LLC
Premier Pacific Properties, LLC 13700 44th Street NE
16910 59th Avenue NE Lake Stevens,WA 98258
Contractors
Contractor Name Primary Contact Phone Email Contractor Type License License#
THOMCO CONSTRUCTION, INC 113ob Ber le 25-377-9130 1 11CONTPiCTOR OMCCI121 R2
Review
Date Type I Description Target Date Completed Date Assigned To Status
1/12/2016 131-1) 1 1-1/1912016 JKevin Olander lin Review
Uploaded Files Upload File
Date File
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:16910 59th Ave NE Permit#:880
Parcel#:31052700202000 Valuation:2000.00
OWNER APPLICANT CONTRACTOR
Name:Premier Pacific Properties,LLC Name:Premier Pacific Properties Name:THOMCO CONSTRUCTION,INC
Address: 13700 44th Street NE Address: Address: 13700 44TH ST SE
City,State Zip:Lake Stevens,WA 98258 City,State Zip: City,State Zip:LAKE STEVENS,WA 98258
Phone: Phone:425-377-9130 Phone:425-377-9130
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Commercial Alteration CODE YEAR: 2012
STORIES: I CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: 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. IBC110/IRCI10.
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 eodcd Cit of Arlington 43101.
Signalu a Print NaNa Date / Released By Date
CO iTIONS
Adhere to approved plans.
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
1/14/2016 Building Permit Fee $95.30
1/14/2016 Building Plan Review Fee $61.95
1/14/2016 State Building Code Surcharge Fee $4.50
Total Due: $161.75
Total Payment: $0.00
Balance Due: $161.75
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
�1
11
COMMERCIAL REMODEL
i PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403 3551
The building permit does not include any mechanical, electrical, plumbing or fire sprinkler/alarrn work. These permits are issued
separately. Mechanical, electrical, plumbing, or fire sprinkler/alarm permits require a separate permit application and may also require
separate plan review.
Please note that any tenant improvement work in a space that involves food handling or preparation requires Snohomish County Health
District approval before the permit can be issued. You must provide the Permit Center a copy of the approval letter or the approved
plans. Contact the Snohomish County Health District at(425)339-5250 with any questions or for more information.
An intake appointment is required for all large Tenant Improvement Building Permit Applications.To determine if your project requires
an intake appointment, to schedule an appointment or to ensure that you have the most current information, please contact the City of
Arlington Permit Center at(360)403-3551 or by email to ced c arlingtgnWg-9ov
Application by courier or mail will not be accepted.
Incomplete applications will not be accepted.
I acknowledge that all items designated as submittal requirements must accompany my Building Permit Application to be considered a
complete submittal.
Page 5 of 7
COMMERCIAL REMO DELReceived
JAN
J PER
MIT APPLICATION T14N
Department of Community & Economic Development NV
City of Arlington- 18204 59th Ave NE - Arlington, WA 98223 • Phone (360)403 3551
THIS APPLICATION MUST BE ACCOMPANIED BY THREE(3)SETS OF CONSTRUCTION PLANS, THREE(3)SETS
OF SPECIFICATIONS, TWO(2) SETS OF STRUCTURAL CALCULATIONS, ONE(1)SETS OF NREC ENERGY CODE
APPLICATIONS AND ONE(1) OCCUPANTS'S STATEMENT OF INTENDED USE.
Type of Permit: ( ) Commercial Remodel ( ) Commercial Addition ( ) Tenant Improvement
Project Address:
_ Parcel ID#:
Project Description:—
_- Legal Description:
Project Valuation:
Owner: 09,V _ Phone Number:
Address City: State: Zip Code _
Contact Person: Y S
Phone Number:
Cell Phone: 425- 40 E-mail:
Address:
City: State: Zip Code:
Contractor: � � ��
Phone Number: 'i2� > :3 92- �j/
Address: _ City: State:
Zip Code:
Contractor's License Number:
Expiration:
Plumbing Contractor:
Phone Number:
Address: City: State:
- _ _ Zip Code:
Contractor's License Number: —`
Expiration:_
Mechanical Contractor:
Phone Number:
Address: City State: Zip Code:
Contractor's License Number:
Expiration:
Page 6 of 7
.�
•�
-. �s�
�114 COM
l MERC14L RE Received
PERM M��EL JAN 11 2016
Department ofCOAPPLICAT.
Pro' City of Arlington • 18204 59th Ave NE unity g Economic D �o�
Project Name/Tena Arlington, WA eve%
nt 9822 pent
Site Address ;ram 3 Phone (360)403 3
Unit/suite
Construction Type Bldg/
_
Description of Use '
IBC Occupancy Type
Building Square Footage
i�jy ?may 1
Square Footage Nu
Per Floor mberof Stories
Will there be any installation ►nodific
Automatic n or rern°Vai of the folio
❑ atic fire extinguishing systems wing' (Chec
Compressed y k all that apPIY)
gas systems
Fire alarm and detection systems
Fire pumps
EJ Flammable and combustible mbustible liquids(tanks, Piping Hazardous materials
� g etc...)
High pileci/rack storage
Industrial ovens/furnace
EJ Private fire hydrants
El Spraying or dippin
� 9 operations
Standpipe systems
EJ remporary membrane structure,rovide details on an tents (>200s
v f the above checked items: q ft)or canopies(>400 sq ft
allation, changet
s,modifications or re�g the plan review moval of any of the above
or construction process.
?by certify may require additional sub
,bed roe that the above Of is mittals, information,or perm �s
Property wd�e in accordan correct
with the laws and that the
rules and regulation
on,
� �� L gulation of the and the r.
-�' / State of Washington.Occupancy and the use of the ab�v�—
p pi,
cants si ture
Print Applicants
Nam "`
FOR STAFF USE ONLY Date
Accepted By
Amount Received
Page 7 of 7 Receipt#
Date Received
3/4" 4N001� 1�ALL PER
PLAN
OAS I NO
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A. F. F. Fl, TRIM
1 /4" 5AFETY ` 5/4" 1N00P
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1 /4" SAFETY I 5/411 N0012
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OA5I N6 T� i j PLAN
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11 _ 9 1 /,Iwo 11
Permit#: 880
Permit Date: 01/12/16
Permit Type: COMMERCIAL ALTERATION
Project Name: 4 T Development Tenant Improvements
Applicant Name: Premier Pacific Properties
Applicant Address:
Applicant, City, State, Zip:
Contact: Edmund Thomas
Phone: 425-377-9130
Email: edthomas@thomco.us
Scope of Work: Adding two walls and doors
Valuation: 2000.00
Square Feet: 0
Number of Stories: 1
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 01/21/2016
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
31052700202000 16910 59th Avenue NE Premier Pacific
Properties,LLC
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
THOMCO 13700 44TH ST CONSTRUCTION
CONSTRUCTION,INC Bob Bergley 425-377-9130 SE CONTRACTOR TOMCCI121R2
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
02/16/2016 C20.BUILDING 02/16/2016 Approved
FINAL
Plan Reviews
Date Review Type Description Assigned To Review Status
01/12/2016 COMMERCIAL BUILDING
ALTERATION
Fees
Fee Description Notes Amount
Building Permit Table 4-1 $95.30
Building Plan Review Table 4-2 $61.95
State Surcharge- 1 st DU Residential- 1 st Unit $4.50
Total $161.75
Attached Letters
Date Letter Description
O1/14/2016 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
O1/21/2016 Premier Pacific PropeLLC Check#010297 Kristin Foster $161.75
Outstanding Balance $0.00
Uploaded Files
Date File Name
01/21/2016 1434494-Permit.pdf
01/21/2016 1434490-Application.pdf
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