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Home My WebLink About111 OLYMPIC AVE_BLD1376_2026 L:SY o� COMMERCIAL MECHANICAL • 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 ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE. Type of Permit: New Installation Replacement Alteration Project Address: /// /vr~, ,,��_ N o f �%rj,'„t 90A z. Parcel#: Project Description:1 P -KQ-re.,`-cf-e_ (ram 7 ',f i h Valuation: Owner: .J-ef:?dc fi'afi�x / �I 4l fe`y S �� cks..r�'C3ur�rL Phone#: Address: _Z!2Z1') k), �u,ns+�t ��✓r� �y�l� City:h O s � � State: �� Zip: Email Address: Contact Person: IF my% rlv e►- Phone#: Address: City: ' I' Stater.) Zip: Email Address: Y'r'a, h o// "nu tcei L P ,-�'_'n/Jl Contractor Name: ()O z y /`kh'.'f'in s %� r. Phone#: Contractor Address: _%M°�I 9 2:6 11I e- I_V City: State: Zip: Email: tip � UZV�I ��:ti!�./r° , C-161/% Contact Person: V% / y/,I i Contractor License Number: Expiration: Please indicate type of number of appliances: FURNACE r _ CONDENSING UNIT GAS PIPING OUTLET BOILER HEAT PUMP(multi-split) UNIT HEATER CHILLER HEAT PUMP(mini-split) PAINT BOOTH COOLER HEAT PUMP(other) TYPE I HOOD AC(air cooled) HEAT REJECTION EQUIP TYPE 11 HOOD AC(water cooled) VENTILATION SYSTEM AST AC(evaporator) PACKAGED UNIT UST AC(VRF) DRYER OTHER 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 cordance with the laws, les and regylation of the State of Washington Applicants Signature: f �"�=� r Date r"=?11Gy1vol Applicants Printed Name: FOR STAFF USE ONLY Reeeiveci MAR 10 2017 Permit# 3�fgdWy Amount Received Receipt# Date Received 6/16LP Page 1 of 1 = COMMERCIAL MECHANICAL PRESSURE PIPING INFORMATION Department of Community&Economic Development City of Arlington•.18204 59th Ave NE •Arlington, WA 98223• Phone(360)403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: Inlet Pressure: Pressure Drop: Specific Gravity: Pressure Piping Schematic Show Pipe Size(s)and Length(s)from meter to all appliances. ❑ Scale or Not to Scale NOTE: any interior pressure regulators must be _---_- -- indicated Cam' NOTE: drip I, legs/sediment 4 traps are required at all appliances unless integrated in the listed appliance I hereby_certffy that the above information is correct and that the construction on, and the occupancy and the use of the above- descri ed property will be in acc rdance with the laws, rules and regulation of the State of Washington. Applicants Signature ate Print Applicants Name CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 ` PHONE; (360) 403-3551 BUILDING PERMIT Address: 111 Olympic Ave Permit#:1376 Parcel#:00378800601401 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:INTERNATIONAL CHURCH OF THE Name:Frank Herbert Name:COZY HEATING FOURSQUARE Address: 1910 W SUNSET BLVD#200 Address:15622 Forty Five Road Address:20221 67th Avenue NE City,State Zip:LOS ANGELES,CA 90026 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:425-231-8731 Phone:360-435-4904 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:COZY HEATING Name: Address:20221 67th Avenue NE Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:360-435-4904 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES: 2 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/IRC1 l0. SALESTAX NOTLCE.Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form an Wed City ot;Arl" gton 3l0 . n Signature ( Print Name Date Released By Dat CONDITIONS Approved as submitted. 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 3/10/2017 Gas Outlets Base Fee 1 to 5 $10.00 3/10/2017 Mechanical Permit Base Fee $25 00 3/10/2017 Processing/Technology Fee $25 00 Total Due: $60.00 Total Payment: $0 00 Balance Due: $60.00 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 _- PHONE; (360)403-3551 BUILDING PERMIT Address:I I I Olympic Ave Permit#:1376 Parcel#:00378800601401 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:INTERNATIONAL CHURCH OF THE FOURSQUARE Name:Frank Herber[ Name:COZY HEATING Address: 1910 W SUNSET BLVD#200 Address:15622 Forty Five Road Address:20221 67th Avenue NE City,State Zip:LOS ANGELES,CA 90026 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:425-231-8731 Phone:360-435-4904 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:COZY HEATING Name: Address:20221 67th Avenue NE Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:360-435-4904 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES: 2 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 110/IRC 110. SALES TAX NOTlCL.Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and oded City ol�Arl"tgton f 310 `^ Signature I, Print Name Date Released By Dat CONDITIONS Approved as submitted. 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 3/10/2017 Gas Outlets Base Fee 1 to 5 $10.00 3/10/2017 Mechanical Permit Base Fee $25.00 3/10/2017 Process inglfechnology Fee $25.00 Total Due: $60.00 Total Payment: $0.00 Balance Due: $60.00 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 i I Permit Information Date 3/10/2017 Permit Number 1376 Project Name Lifeway Church Applicant Name Frank Herbert Applicant Address 15622 Forty Five Road City,State,Zip Arlington,WA 98223 Contact Frank Herbert Phone 425-231-8731 Email frankh@wavecable.com Permit Type Commercial Mechanical Site Address 111 Olympic Ave Valuation 0.00 Status Issued Permit Issued 3/10/2017 Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Move gas piping 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 Primary Phone Email Contractor Type License License# Name Contact COZY 360-435- MECHANICAL (Labor& HEATING Vince Willett 1904 iinfo@cozyheatinginc.corn,CONTRACTOR Industries COZYHI*122MM Review Date Type Description I Target Date I Completed Date I Assigned To Status 3/10/2017 Commercial Mechanical :3/17/2017 1 JKevin Olander 111n Review Fees Fee Descri tion Notes Amount Gas Outlets Base Fee 1 to 61 322.10.00.001 1 $10.0 Mechanical Permit Base Fe 322.10.00.01 $25.00 Processin frechnolo Fee 341.43.0&02 $25.00 Totall $60.0 Payments Date Paid By Amount Description Payment Type Accepted B 3/10/2017 lFrank Herbert $60.00 3826360 c Tot a $60,Oq Amount Outstanding $0.0 Uploaded Files Upload File Date File Uploaded B 3/10/2017 12:39:06 PM 1376_Application._df Foster. Kristin 3/1 01201 7 12:39:06 PM 11376 Issued Permit.pdf IFoster, Kristin Ax COMMERCIAL MECHANICAL • PERMIT APPLICATION 1 NC"W/ 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 ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE. Type of Permit: New Installation/ ❑ Replacement rA Alteration Project Address: /// /y,.,,�,� ff LJ f A-4%, im 1A)b Parcel#: d Project Description: - re,wft e- ��5 �i,H t_ Valuation: Owner: l-: :�� 9 a Yr.17 A �cxkq!S-4 i Phone#: Address: _11, 60, 54A'50'�' 61Vd *01707 City:40-5 State: Cl/ Zip: Email Address: , J J_ Contact Person: �M'r1 Il tf r�J '►^1 Phone#: Address: v City:e rf, d P! Stater) l Zip: j J Email Address: Y'r el rr L1 11 "r.�u(='u k'l p Contractor Name: C110 f�C°a'I'�n e, h c Phone#: Contractor Address: 0'Dr22/ A 2 City: State: Zip:. Email: 1119hp Contact Person: C �- Contractor License Number: Expiration: Please indicate type of number of appliances: FURNACE CONDENSING UNIT GAS PIPING OUTLET BOILER HEAT PUMP(multi-split) UNIT HEATER CHILLER HEAT PUMP(mini-split) PAINT BOOTH COOLER HEAT PUMP(other) TYPE I HOOD AC(air cooled) HEAT REJECTION EQUIP TYPE II HOOD AC(water cooled) VENTILATION SYSTEM AST AC(evaporator) PACKAGED UNIT UST AC(VRF) DRYER OTHER 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 Icordance with the I ws, les and regulation of the State of Washington. Applicants Signature: _ - ll -+�� r Date _ oz Applicants Printed Name: Receive FOR STAFF USE ONLY Permit# d y Amount Received Receipt# Date Received 6/16LP Page 1 of 1 a '_ � i � � � � � � 1 COMMERCIAL MECHANICAL - PRESSURE PIPING INFORMATION Department of Community& Economic Development City of Arlington•.18204 59th Ave NE•Arlington, WA 98223• Phone(360)403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: Inlet Pressure: Pressure Drop: Specific Gravity: Pressure Piping Schematic Show Pipe Size(s)and Length(s)from meter to all appliances ❑ Scale or Not to Scale NOTE: any interior pressure 'a regulators must be - -- - j- indicated NOTE: drip legs/sediment -� traps are required at all appliances unless integrated in the listed appliance c (U I hereb ,certify that the above information is correct and that the construction on, and the occupancy and the use of the above- desch d property will be/in a rdance with the I ws, rules and regulation of the State of Washington. b o^ r Applicants Signature // ate Print Applicants Name 1 '� I I I Permit#: 1376 Permit Date: 03/10/17 Permit Type: COMMERCIAL MECHANICAL Project Name: Lifeway Church Applicant Name: Frank Herbert Applicant Address: 15622 Forty Five Road Applicant, City, State, Zip: Arlington,WA 98223 Contact: Frank Herbert Phone: 425-231-8731 Email: frankh@wavecable.com Scope of Work: Move gas piping Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 03/10/2017 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# COZY HEATING Vince Willett 360-435-4904 20221 67TH AVE CONSTRUCTIONNE CONTRACTOR City of Arlington 601 088 561 COZY HEATING Vince Willett 360-435-4904 20221 67TH AVE CONSTRUCTION LABOR&COZYHI*122MM NE CONTRACTOR INDUSTRIES Plan Reviews Date Review Type Description Assigned To Review Status 03/10/2017 COMMERCIAL BUILDING MECHANICAL Fees Fee Description Notes Amount Gas Piping/Units Enter#of units $10.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Total $60.00 Attached Letters Date Letter Description 03/10/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 03/10/2017 Frank Herbert 63826360 cc $60.00 Outstanding Balance $0.00 Uploaded Files Date File Name 03/10/2017 2149668-1376 Issued Permit.pdf 03/10/2017 2149669-1376 Application.pdf