HomeMy WebLinkAbout20932 67TH AVE NE_BLD1365_2026 -0�MyBuildingPermit.com CONSTRUCTION TIP SHEET 8
a service of KityGov.net Accessible Restrooms
October 2015
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Y, COMMERCIAL PLUMBING
0 PERMIT APPLICATION
i�NO�O 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 1� Office ❑ Machine Shop
Industrial Medical Other:
❑ ❑ ❑ Ot e
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
❑ Coffee Steam Sprinkler
❑ Hydrotherapy Equip. ❑ ❑ Hot Tub/spa ❑
Urn/Espresso Generators 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 CT 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 13 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)? ❑ Yes No ❑ Don't Know
5. Does your business require a NPDES permit? ❑ Yes 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
property will be in accordance with the laws, rules and regulation of the State of Washington.
7 3 - 6,
Appl" ants Signature Date
G S c V t'-t ru J4 S
Print App icants Name
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
6/16LP Page 3 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
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
+h
Project Address: 005 3 Z 6 -7 Parcel ID#:
Lot#: Subdivision: ,,��77
Project Description: �/1t S k u/a y o rvi,x�s MI6 .'c-C Valuation: a Z Z yu
Owner: L A s-t y Phone Number: yz> - ? `j - 9 G
Address: S 1,2 /t/!3 rl, s r 41IeCity: fir I'" 411 State: w� Zip Code: ��z 2 3
Contact Person: �`'`"" Phone Number:
Cell Phone: E-mail:
Address: City: State: Zip Code:
Contractor: 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 Z Miscellaneous
Lavatory 3 Laundry Tub Washer Water Heater 1 Grease Trap
Urinal Interceptor Sink Med Gas - Drinking Fountain
Floor Drain Dishwasher Backflow Shower Other
6/16LP Page 2 of 3
Y ° 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, '/4" 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 1 of 3
Axis Roofing- General Information Meeting Minutes
April 20, 2016
City of Arlington Staff:
Launa Peterson Peterson@arlingtonwa.gov 360-403-3527
Kevin Olander kolander@arlingtonwa.gov 360-403-3433
Gary Schlagel gschlagel@arlingtonwa.gov 360-403-3529
Fred Rapelyea f_raraelvea@arlingtonwa.gov 360-403-3540
Amy Rusko arusko@arlingtonwa.gov 360-403-3550
Casey Groves cases@axisroofandgutter.com 425-299-9196
The proposal includes removal of the existing 80'x 30' building and construct a new 80'x 30'
addition to the existing 2 story structure.
Land Use
• An office with storage would be allowed. Office and restrooms would need to be built
within proposed the building
• Design Review will be required if the new addition is 2 story-$423.00
• SEPA is required -$529.00
• Maximum building height is 45'
• Parking—1 space per 400 square feet of gross floor area and a minimum of 1 ADA stall is
required.
• 20% parking lot stall shading is required.
• Pole or monument sign cannot be placed in shared drive aisle into the property or on the
storage unit/gas stations property.The sign could be located west of the gas stations 6
parking stalls. If planning a 2 story building,then the sign could be placed on the wall,
below the second story window sill. Regulations will be supplied at the meeting
Civil
• Drainage shall comply with the 2012 DOE Stormwater Manual for Western Washington.
• Paving the site is required.
• Civil fees are 6%of the estimated cost of construction.
• Construction Permit Application with the Construction Calculation Worksheet is
required.
Utilities
• The current septic system was designed for a 3 bedroom residence. If more than 2
restroom facilities are installed the septic system will need re-approval from the
Snohomish Health District.
Pagel 1
CITY OF ARLINGTON INSPECTION CARD
IAISPECT10�`I RLEC0RD KEEP INSPECTION CARD POSTED AT JOB SITE
COMMERCIAL MAKE SURE INSPECTIONS ARE SCHEDULED PER THE PROCEDURE
BY CALLING THE AUTOMATED INSPECTION LINE ON JOB CARD!
OANNER: 4AtACONTRACTOR:
JOB ADDRESS: LOT NUMBER TYPE GROUP
NATURE of WORK:
USE of BUILDING:
PERMIT No: s: DATE ISSUED:
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
DEPARTMENT INSPECTION DATE(S) PASS FAIL INITIALS
FOOTING
BUILDING FOUNDATION
(360)403-3417 UNDERFLOOR
SHEARWALL
PLUMBING(groundwork)
ROUGH PLUMBING
GAS PIPING
ROUGH HEATING&VENTILATION
FRAMING
INSULATION
WALLBOARD(SHEAR/RATED WALLS)
CEILING GRID
STRUCTURAL SLAB
CROSS CONNECTION CONTROL IN PREMISE
FIRE INSPECTIONS UNDERGROUND HYDRO
(360)403-3417 UNDERGROUND**INCL FDC
FLOW/FLUSF/AUTOMATIC SPRINKLER
ABOVEGROUND HYDRO
ABOVEGROUND PIPING
SPRINKLER ACCEPTANCE TEST
FIRE ALARM ACCEPATNCE TEST
HOOD SUPPRESSION SYSTEM
FINAL INSPECTIONS FINAL BUILDING
FINAL FIRE&LIFE SAFETY
FINAL UTILITIES
FINAL SITE WORK
CERTIFICATE OF OCCUPANCY
OTHER
CORRECTIONS
CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:20932 67th Ave NE Permit#:1365
Parcel#:3 1051100301300 Valuation:2200.00
OWNER APPLICANT CONTRACTOR
Name:CASEY&CHERI GROVES Name:Casey Groves Name:Casey Groves
Address:518 148TH ST NE Address:20932 67th Ave NE Address:20932 67th Ave NE
j City.State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-299-9196 Phone.-425-299-9196
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMITTYPE: Commercial Plumbing CODEYEAR: 2015
STORIES: I CONST.TYPE:
DWELLING UNITS: 0 OCC GROUP:
BUILDINGS: I 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[I0/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of. ington must be reported on your sales tax return form
and
c:9ded City rlington#310 -
ignature Print Name Date \Rife—ased By Datc
CONDITIONS
See red lined drawings and attached Accessible Restroom detail sheet. Adhere to approved plans.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO BF.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
3/15/2017 Plumbing Permit Fee(Enter Fixture Fee) $60.00
3/15/2017 Plumbing Plan Review Fees $200.00
311 512 01 7 Processing/Technology Fee $25.00
3/15/2017 Water Heater $25.00
Total Due: $310.00
Total Payment: $200.00
Balance Due: $110.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
InAr)-MAS-11F,R 66-77 700 SHEM
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JOB COPY
CITY OF ARLINGTON
BUILDING DEPARTMENT
A PROVED
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NO CHANGES AUTHORIZED
UNLESS APPROVED BY THE
BUILDING INSPECTOR Received
MAR 0 4 Z017
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° CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:20932 67th Ave NE Permit#: 1365
Parcel#:31051100301300 Valuation:2200.00
OWNER APPLICANT CONTRACTOR
Name:CASEY&CHERI GROVES Name:Casey Groves Name:Casey Groves
Address:518 148TH ST NE Address:20932 67th Ave NE Address:20932 67th Ave NE
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-299-9196 Phone:425-299-9196
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 Plumbing CODE YEAR: 2015
STORIES: 1 CONST.TYPE:
DWELLING UNITS: 0 OCC GROUP:
BUILDINGS: I 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 RC W 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 OfAxLtngton must be reported on your sales tax return form
and coded City of Arlington#3101.
1!i 9
Signature Print Name Date \Rii—eased By Date
CONDITIONS
See red lined drawings and attached Accessible Restroom detail sheet. 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
3/15/2017 Plumbing Permit Fee(Enter Fixture Fee) $60.00
3/15/2017 Plumbing Plan Review Fees $200 00
3/15/2017 Processing/Technology Fee $25.00
3/15/2017 Water Heater $25.00
Total Due: $310.00
Total Payment: $200-00
Balance Due: $110.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
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CITY OF ARLINGTON
238 N, OLYMPIC AVE-ARLINGTON, WA. 98223
\ _ PHONE; (360)403-3551
_ BUILDING PERMIT
Address:20932 67th Ave NE Permit#:1365
Parcel#:31051100301300 Valuation:2200,00
OWNER APPLICANT CONTRACTOR
Name:CASEY&CHERI GROVES Name:Casey Groves Name:Casey Groves
Address:518 148TH ST NE Address:20932 67th Ave NE Address:20932 67th Ave NE
City_Slate Zip:ARLINGTON,WA 98223 City,Stale Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-299-9196 Phone:425-299-9196
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address;
City,State,Zip- City,State,Zip-,
Phone: Phone:
LIC#: FAP: LIC#: EXP:
JOB DESCRLPTION
PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015
STORIES: I CONST_TYPE:
DWELLING UNITS: 0 OCC GROUP:
BUILDINGS: I OCC LOAD:
PERMIT APPROVAL
I AGREE T(_)COMPLY WITH CITY AND STATE"LAWS REGULAI ING CONSI RUC HON AND IN DOING I'I IIIWORK.AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27,
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISA IF.R DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE'OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIPICA'TE OF OCCUPANCY IIAS BEEN GRANTED. IBC 1 I0ARC I l0.
SALES TAX Nh710E:Sales tax relating to construction and construction materials in the City of, Inglett must be mpuned on your sales tax return form
and r gdcd City lington#31tl
i$nalure Print Name Dale Release f By [Attu
CONDITIONS
See red lined drawings and attached Accessible Restroom detail sheet. Adhp, proved plans.
PHIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE 01' •TY ONLY ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQIJEES,C:Tf- VIT PERMISSION,
PERMIT FEES
Date Description p Fee Amount
11512017 Plumbing Permit Fee(Enter Fixture Fee) 1� $60.00
3/1 512 0 1 7 Plumbing Plan Review Fees $200 00
3/1 512 01 7 ProcessinglTechnology Fee $25.00
3/15/2017 Water Heater $25.00
$310.00
,200.00
S 110.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
I
I
CITY OF ARLINGTON
l\� 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:20932 67th Ave NE Permit#:1365
Parcel#:31051100301300 Valuation:2200.00
OWNER APPLICANT CONTRACTOR
Name:CASEY&CHERI GROVES Name:Casey Groves Name:Casey Groves
Address:518 148TH ST NE Address:20932 67th Ave NE Address:20932 67th Ave NE
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-299-9196 Phone:425-299-9196
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 Plumbing CODE YEAR: 2015
STORIES: I CONST.TYPE:
DWELLING UNITS: 0 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. IBC110/IRCI 10.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of ington must be reported on your sales tax return form
and coded City of Arlington#3101.
Signature Print Name Date Jc—&se By Datc
CONDITIONS
See red lined drawings and attached Accessible Restroom detail sheet. 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
3/15/2017 Plumbing Permit Fee(Enter Fixture Fee) $60.00
3/15/2017 Plumbing Plan Review Fees $200 00
3/15/2017 ProcessingrFechnology Fee $25 00
3/15/2017 Water Heater $25.00
Total Due: $310.00
Total Payment: $200.00
Balance Due: S110.00
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
COMMERCIAL PLUMBING
PERMIT APPLICATION
�lf'vC' 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: Z DS 3 Z 6 7 Parcel ID#:
Lot#: Subdivision: //yy
Project Description: �/1W � >h v Q Y`iv�.� 01W,c t Valuation: Z Z ov
Owner: L a�-t h-,w 5 Phone Number:
Address: S I v, �y� rr 4! City �r("^ti�n State: Zip Code: 9 y t 2 3
Contact Person: Su p"` Phone Number:
Cell Phone: E-mail: r � sft1V___y -A�_ L Qom,eom
Address: City: State: Zip Code:
Contractor: Q41� Phone Number:
Cell Phone: Email:
Address: City:____ State: Zip Code:
Contractor License Number: _T Expiration Date:
Please indicate number of fixtures:
Water Closet - Floor Sink Sump Hose Bibb Z Miscellaneous
Lavatory 3 Laundry Tub Washer Water Heater Grease Trap
Urinal Interceptor Sink Med Gas Drinking Fountain-
Floor Drain Dishwasher Backflow Shower Other _
�tC) 17.7
6116LP Page 2 of 3
COMMERCIAL PLUMBING
' PERMIT APPLICATION
Department of Community B 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 0 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
❑ Coffee Steam Sprinkler
❑ Hydrotherapy Equip. ❑ ❑ Hot Tub/Spa ❑
Urn/Espresso Generators w/chemicals
❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Aquarium ❑ Lawn Irrigation
Pressure Decorative Well on
❑ Fume Hoods ❑ Laboratory Equip.. ❑ ❑
' '—+;;Washers Fountain property
Ai
L 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): T
2. Does the plumbing system currently have an oil/water separator? ❑ Yes 13 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)? ❑ Yes Iq No ❑ Don't Know
5. Does your business require a NPDES permit? ❑ Yes M 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
property' will be in accordance with the laws,rules and regulation of the State of Washington.
Applidints Signature Date
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FOR STAFF USE ONLY
Pem-jt# Accepted By Amount Received Receipt# Date Received
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'MyBuildingPermit.com
CONSTRUCTION TIP SHEET 8
a service of e0ty6ov.net Accessible Restrooms
October 2015
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Page 3 of 3
CityGov.net
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Axis Roofing- General Information Meeting Minutes
April 20, 2016
City of Arlington Staff:
Launa Peterson Ipeterson(cDarlingtonwa.gov 360-403-3527
Kevin Olander kolander@arlingtonwa.gov 360-403-3433
Gary Schlagel gschiagel@arlingtonwa.gov 360-403-3529
Fred Rapelyea Rapelyea@arlingtonwa.gov 360-403-3540
Amy Rusko aruskoParlingtonwa.gov 360-403-3550
Casey Groves casey@axisroor'andgutter.com 425-299-9196
The proposal includes removal of the existing 80'x 30' building and construct a new 80' x 30'
addition to the existing 2 story structure.
Land Use
• An office with storage would be allowed. Office and restrooms would need to be built
within proposed the building
• Design Review will be required if the new addition is 2 story-$423.00
• SEPA is required -$529.00
• Maximum building height is 45'
• Parking—1 space per 400 square feet of gross floor area and a minimum of 1 ADA stall is
required.
• 20% parking lot stall shading is required.
• Pole or monument sign cannot be placed in shared drive aisle into the property or on the
storage unit/gas stations property.The sign could be located west of the gas stations 6
parking stalls. If planning a 2 story building,then the sign could be placed on the wall,
below the second story window sill. Regulations will be supplied at the meeting
Civil
• Drainage shall comply with the 2012 DOE Stormwater Manual for Western Washington.
• Paving the site is required.
• Civil fees are 6%of the estimated cost of construction.
• Construction Permit Application with the Construction Calculation Worksheet is
required.
Utilities
• The current septic system was designed for a 3 bedroom residence. If more than 2
restroom facilities are installed the septic system will need re-approval from the
Snohomish Health District.
Pagel 1 �l r
Airport
• Sub-district C of the Airport District- Avigation Easement with vicinity map required
Additional Discussion & Information
• The temporary office will need to be stabilized with cinderblocks, needs to be tied down
and be ADA compliant for accessibility
• The ADA parking will need to be located at the main entrance to the building
• New restrooms will need to be ADA Compliant
• Sprinkler system is not required
• Attachment walls between the 2 buildings will need to be fire rated
Page 12
66-77 100
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CITY OF ARLINGTON
BUILDING DEPARTMENT
APPROVED
DATE
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UNLESS APPROVED BY THIS
BUILDING INSPECTOR 4 Received
MAR 0 4 2017
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Permit#: 1365
Permit Date: 03/07/17
Permit Type: COMMERCIAL PLUMBING
Project Name: Axis Roofing
Applicant Name: Casey Groves
Applicant Address: 20932 67th Ave NE
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Casey Groves
Phone: 425-299-9196
Email: casey@axisroofandgutter.com
Scope of Work: Plumbing for new office/storage building
Valuation: 2200.00
Square Feet: 0
Number of Stories: 1
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 03/15/2017
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
31051100301300 20932 67TH AVE NE CASEY&CHERI
GROVES
Contractors
Contractor Primary Contact Phone Address Contractor Type License License
Casey Groves Casey Groves 425-299-9196 20932 67th Ave NE OWNER
Plan Reviews
Date Review Type Description Assigned To Review Status
COMMERCIAL
03/10/2017 PLUMBING Approved with lots of red lines. z.Rick Karns
03/10/2017 COMMERCIAL No comments,LT PW-ADMIN-GIS
PLUMBING
03/10/2017 COMMERCIALPLUMBING Currently on septic.No comments.FR PW-SEW-REV
COMMERCIAL No comments for this review.
03/10/2017 PW-WAT-REV
PLUMBING Gus
Fees
Fee Description Notes Amount
Plumbing Plan Review Fees $200.00
Mechanical Commercial Permit Table 4-7;Per Unit $60.00
Processing/Technology $25.00
Water Heater(Tank) $25.00
Total $310.00
Attached Letters
Date Letter Description
03/15/2017 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
03/08/2017 Casey Groves 63794620 cc $200.00
03/15/2017 Casey Groves 63885982 cc $110.00
Outstanding Balance $0.00
Notes
Date Note Created By:
02/27/2019 Final not requested.Expired Raelynn Jones
03/07/2017 Contractor TBD. Kristin Foster
Uploaded Files
Date File Name
03/16/2017 2158975-1365 Issued Permit.pdf
03/10/2017 2150177-1365 Plans.pdf
03/10/2017 2150178-1365 Red Lined Plans.pdf
03/10/2017 2150179-1365 Application.pdf
Date: 03/13/2026
Permit#: 1365
Permit Date: 03/07/2017
Review Date: 03/10/2017
Permit Type: COMMERCIAL PLUMBING
Review Type: COMMERCIAL PLUMBING
Target Date: 03/14/2017
Scheduled Time: 00:00
Completed Date: 03/10/2017
Description: Approved with lots of red lines.
Review Status:
Assigned To: z.Rick Karns
Time In: 00:00
Time Out: 00:00
Hours: 0.0
Property Information
Parcel#: 31051100301300 CASEY& CHERI GROVES
CASEY& CHERI GROVES 518 148TH ST NE
20932 67TH AVE NE ARLINGTON, WA 98223
Zoning: Lot: Block:
Date: 03/13/2026
Permit#: 1365
Permit Date: 03/07/2017
Review Date: 03/10/2017
Permit Type: COMMERCIAL PLUMBING
Review Type: COMMERCIAL PLUMBING
Target Date: 03/14/2017
Scheduled Time: 00:00
Completed Date: 03/17/2017
Description: Currently on septic. No comments. FR
Review Status:
Assigned To: PW-SEW-REV
Time In: 00:00
Time Out: 00:00
Hours: 0.0
Property Information
Parcel#: 31051100301300 CASEY& CHERI GROVES
CASEY& CHERI GROVES 518 148TH ST NE
20932 67TH AVE NE ARLINGTON, WA 98223
Zoning: Lot: Block: