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Home My WebLink About111 OLYMPIC AVE_BLD1379_2026 COMMERCIAL REMODEL 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 PLANS, TWO(2)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: �� (�� //Jj�,�� / �� • Nw�i��Lf; A})J Parcel ID#: Project Description: i AN.,r Y, �7��r t/•'.t�y Legal Description: Project Valuation: Owner: r -�', p�a,( fi N f h c�'r rl h f� roil o q1tdi Phone Number: Address: LJ City C State: taP Zip Code: 4::IQ Phone Number: Contact Person: GiY Cell Phone: E-mail: Address: � r �•``�? � rev ��'�," l.�)-ti• City: 1 State: t-,()# zip Code: Contractor: Phone Number: 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: REV 2015 Page 6 of 7 Y_ O COMMERCIAL REMODEL IN PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223• Phone (360)403-3551 Project Name/Tenant 13c c-k '-t Site Address %ll A#d�f D/yrrs> i e- Bldg./Unit/Suite IBC Construction Type IBC Occupancy Type Description of Use Building Square Footage Number of Stories �- Square Footage per Floor Will there be any installation, modification or removal of the following? (Check all that apply) ❑ Automatic fire extinguishing systems ❑ Compressed gas systems ❑ Fire alarm and detection systems ❑ Fire pumps ❑ Flammable and combustible liquids(tanks, piping etc...) ❑ Hazardous materials ❑ High piled/rack storage ❑ Industrial ovens/furnace ❑ Private fire hydrants ❑ Spraying or dipping operations ❑ Standpipe systems ❑ Temporary membrane structure,tents(>200sq ft)or canopies(>400 sq ft) Provide details on any of the above checked items Installation,changes,modifications or removal of any of the above may require additional submittals,information,or permits during the plan review or construction process. 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 b8,in accordance with the laws, rules and regulation of the State of Washington. Applicants Signature L / r 4 ►'ten_ GC .S Print Applicants Name Date FOR STAFF USE ONLY Receive MAR 15 2017 Permit# Accepted By Amount Received Receipt# Date Received REV 2015 Page 7 of 7 MEN m �N� OEM OMEN m mommmmullmom III on OE=M ISO I mommimmmm m �mmmmmmllmmm NONE JOE MEMO NEI Elm 0 1 VA 0 0 0100 c JFA0 M'ml ilil 00, ME u.'rlm 11 OEM's 0 WHO mom IgoROSE ilil�I�� i CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:III Olympic Ave Permit#:1379 Parcel#:00378800601401 Valuation:2500.00 OWNER APPLICANT CONTRACTOR Name:INTERNATIONAL CHURCH OF THE Name:Frank Herbert Name:Lifeway Foursquare Church FOURSQUARE Address: 1910 W SUNSET BLVD#200 Address:15622 Forty Five Road Address: I I I N Olympic Ave 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:360-770-3576 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: 2015 STORIES: 2 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. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materialsi t 'ty rlington must be reported on your sales tax return form jan oded ityot;A h gton#31 1. / 1/ L •fZj�' r Signature Print Name Date Released By Date CONDITIONS See red lined drawings and attached commercial stairways, handrails, guardrails and spacing detail sheet. Adhere to approved plans. THIS PERMIT AUTHORIZE 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 3/14/2017 Building Plan Review Fee $76.02 3/14/2017 Miscellaneous $100 00 3/14/2017 Processing/Technology Fee $25.00 3/14/2017 State Building Code Surcharge Fee $4.50 Total Due: $205.52 Total Payment: $0.00 Balance Due: $205.52 CALL FOR INSPECTIONS BUILDING(360)403-3417 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 Go PHONE; (360)403-3551 BUILDING PERMIT Address:I I I Olympic Ave Permit#: 1379 Parcel#:00378800601401 Valuation:2500.00 OWNER APPLICANT CONTRACTOR Name:INTERNATIONAL CHURCH OF THE Name:Frank Herbert Name:Lifeway Foursquare Church FOURSQUARE Address: 1910 W SUNSET BLVD#200 Address:15622 Forty Five Road Address: I I I N Olympic Ave 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:360-770-3576 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: DTI _ PERMIT TYPE: Commercial Alteration CODE YEAR: 2015 STORIES: 2 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. IBCI10/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials' t t:y' ..o rlington must be reported on your sales tax return form an oded ity oi; h &ton#31 / 2,j. r rw� C Signature Print Name Date Released By Date CONDITIONS See red lined drawings and attached commercial stairways, handrails, guardrails and spacing detail sheet. Adhere to approved plans. THIS PERMIT AUTHORIZE 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 3/14/2017 Building Plan Review Fee $76 02 3/14/2017 Miscellaneous $100.00 3/14/2017 Processing/Technology Fee $25 00 3/14/2017 State Building Code Surcharge Fee $4.50 Total Due: $205.52 Total Payment: $0 00 Balance Due: $205.52 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 LN. • o COMMERCIAL REMODEL 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 PLANS, TWO(2)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 ProiectAddress: /// AJ# Parcel ID#: Project Description: '7lda�r }t, ��r Y�`�A� Legal Description: Project Valuation: Owner: �� t -) ,G T,ca, t fi 1" A e�• -I he r Dl c Phone Number: Address: f' City c State: I-r Zip /Code: Contact Person: V I Y. bN jj Phone Number: Cell Phone: �zg5 J E-mail: Address: A'*Ai 0_9 �z�P�v � ,',Jf' /�tt:�y( City: State: L,C� Zip Code: 9S Contractor: Phone Number: Address: City: State: Zip Code: Contractors 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: REV 2015 Page 6 of 7 • •r �. �� I • s COMMERCIAL REMODEL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551 Project Name/Tenant /3e,Ic :5 _s 2 Site Address %11`g*'"iL Q 1 y PY;j�,J c' Bldg./Unit/Suite IBC Construction Type IBC Occupancy Type Description of Use Building Square Footage Number of Stories Square Footage per Floor Will there be any installation, modification or removal of the following? (Check all that apply) ❑ Automatic fire extinguishing systems ❑ Compressed gas systems ❑ Fire alarm and detection systems ❑ Fire pumps ❑ Flammable and combustible liquids(tanks, piping etc. .) ❑ Hazardous materials ❑ High piled/rack storage ❑ Industrial ovens/furnace ❑ Private fire hydrants ❑ Spraying or dipping operations ❑ Standpipe systems ❑ Temporary membrane structure,tents(>200sq ft)or canopies(>400 sq ft) Provide details on any of the above checked items Installation,changes,modifications or removal of any of the above may require additional submittals,information,or permits during the plan review or construction process. 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 %in accordance with the laws, rules and regulation of the State of Washington Applicants Signature Print Applicants Name Date FOR STAFF USE ONLY Received �It? I MAR 15 Z017 Permit# Accepted Dy Amount Received Receipt# Date Received REV 2015 Page 7 of 7 i . . , A ,o ■ NM�iI �INONE 0 m U Customer: TUFF INDUSTRIES —Z Site Address: ECONODEK Date: Estimator: I � I I I n 1 I � - - -j -- -- - - -{-- - - { I JI I. i ! ; I www.tufdek.com I www.econodek.com I www.tuff-shield.com 11.877.860.9333 ;' �I ,� Permit#: 1379 Permit Date: 03/14/17 Permit Type: COMMERCIAL ALTERATION Project Name: Lifeway Foursquare 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: New deck off the exterior of the building for egress Valuation: 2500.00 Square Feet: 0 Number of Stories: 2 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 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 Fees Fee Description Notes Amount Building Plan Review Table 4-2 $76.02 Mechanical Misc. Not otherwise specified 2 inspection @$50 each $100.00 Processing/Technology $25.00 State Surcharge-1st DU Residential-1st Unit $4.50 Total $205.52 Attached Letters Date Letter Description 03/14/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 03/15/2017 Frank Herbert 63886083 cc $205.52 Outstanding Balance $0.00 Notes Date Note Created By: 03/14/2017 Please have Frank complete page 7 of the application. Kristin Foster Uploaded Files Date File Name 03/15/2017 2156598-1379 Issued Permit.pdf 03/15/2017 2156599-1379 Approved Plans.pdf 03/15/2017 2156600-1379 Application.pdf