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Home My WebLink About16422 51st Ave Ne_BLD1531_2026 COMMERCIAL PLUMBING �� oz 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: Parcel ID#: Lot#: Subdivision: Project Descripti n: Valuation: 1�71/0/ O6 Owner: �- ek 1' Phone Number:_ 5-09' 284 7 Address. fy�0 City: late fir// State: �" J� Zip Code: C) ; Contact Person: y I "t f1 �� 9J-- Phone Number: Y?-15- Sv 81 2 cf'�o -17 Cell Phone: E-mail: (ea. es Address: City: State: Zip Code: Contractor: h C Phone Number: Cell Phone: y2,r Email: ///cLhr, e X 0 k/Pi$I r:O J-;'A Address: 00 / / S Z `f 7 T City: Ala- State: h/Jlfl? Zip Code: 9,-F' Contractor License Number: D h Expiration Date: Please indicate number of fixtures: Water Closet Floor Sink _ Sump Hose Bibb Miscellaneous Lavatory Laundry Tub _ .. Washer Water Heaters Grease Trap Urinal Interceptor _ Sink Med Gas Drinking Fountain r 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 EY-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 ❑ 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.E ui ❑ 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 EfNo ❑ 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 [a 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 ENo ❑ 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 grope y will be in accord9nce with the laws, rules and regulation of the State of Washington. L'.--- ,7 A)"�/�q 7 Applicants S nature Date �a e.r C klt ( /-,- Print Applicants Name Received FOR STAFF USE ONLY JUN 3 0 2017 Permit# Accotf 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:16422 51st Avenue NE Permit#:1531 Parcel#:31052800101200 Valuation: 10000.00 OWNER APPLICANT CONTRACTOR Name:KLEIN FAMILY PROPERTIES,LLC Name:Jim Klein Name:Klein Family Properties,LLC Address: 16408 51 ST AVENUE NE Address:6101 152nd Street NE Address:6101 152nd Street NE City,State Zip:Arlington,WA 98223 City,State Zip:Marysville City,State Zip:Marysville,WA 98270 Phone: Phone:425-508-2807 Phone:425-508-2807 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Klein Family Properties,LLC Address: Address:6101 152nd Street NE City,State,Zip: City,State,Zip:Marysville,WA 98270 Phone: Phone:425-508-2807 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015 STORIES: I CONST.TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: 3 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. ALES TAX NOTICE:Sales tam relating to construction and construction materials in the City of, Ii igt n st be reported on your sales tax return form and co d City of Arlitlgton#3 1-I G Signature Print Name Date V eleased By Date CONDITIONS Call for inspections 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 6/30/2017 Plumbing Permit Base Fee $25.00 6/30/2017 Plumbing Permit Fee(Enter Fixture Fee) $216.00 6/30/2017 Plumbing Plan Review Fees $250.00 6/30/2017 Water Heater $75.00 Total Due: $566.00 Total Payment: $566.00 Balance Due: $0.00 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 FIXTURE INVENTORY: Hot Water Tank(50gal.120'w/limit stop @ 110a) lea w LL ADA Shower Stall 2ea Lavatory 2ea o. N Floor Drain 3ea N cc ' ADA Toilet 2ea a � W Washer lea 3 o a a . Hose Bib lea _r WH i 11/2"Vent t FD 3" 2"VENT 3"VENT TO ROOF-,, - ,� Locations are approximate �2• 2•UPS actual locations may vary LI!WATEF' UP FD JOB COPY .2"UP/ 3"CO `. CITY OF ARLINGTON BUILDING DEPARTMENT APPROVED PLUMBING LAYOUT DA -?k- Scale: 1/4"=1'-0" �r NO CHANGES AU"40RE" Received UNLESS APMOWD BY THS BUILDING INSPECTOR JUN 3 0 2017 NU�[[ /CA D Drawn By: Date: Project Title: ® Revision: Date: Pace No: DRAFTIN€#G�a&DESIGN Douglas Almond 1 06/29/2017 Emarld Springs RV Park Q 'AutoCAD drafting and design specialist' Drawing Title(s): 16422-51st Avenue N.E. Q 6300139th AVE SE Arlington,Washington P 1 Snohomish,WA.98290 Plumbing Layout Plan Q Ph:206.225.0068 Fx:360-S68.5747 - SUBMITTED BY OWNER 01 of 10 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:16422 51st Avenue NE Permit#:1531 Parcel#:31052800101200 Valuation: 10000.00 OWNER APPLICANT CONTRACTOR Name:KLEIN FAMILY PROPERTIES,LLC Name:Jim Klein Name:Klein Family Properties,LLC Address: 16408 51 ST AVENUE NE Address:6101 152nd Street NE Address:6101 152nd Street NE City,State Zip:Arlington,WA 98223 City,State Zip:Marysville City,State Zip:Marysville,WA 98270 Phone: Phone:425-508-2807 Phone:425-508-2807 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Klein Family Properties,LLC Address: Address:6101 152nd Street NE City,State,Zip: City,State,Zip:Marysville,WA 98270 Phone: Phone:425-508-2807 LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015 STORIES: 1 CONST.TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: 3 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. R N '' Sales t relating to construction and construction materials in the City of Arl gt st be reported on your sales tax return form d and co City of Arli ton#3pa —7 Signature Print Name Date V �elcased By Date CONDITIONS Call for inspections 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 6/30/2017 Plumbing Permit Base Fee $25.00 6/30/2017 Plumbing Permit Fee(Enter Fixture Fee) $216.00 6/30/2017 Plumbing Plan Review Fees $250.00 6/30/2017 Water Heater $75.00 Total Due: $566.00 Total Payment: $566.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon r . COMMERCIAL PLUMBING PERMIT APPLICATION Department of Community&Economic Development City of Arlington • 18204 59th Ave NE•Arlington,WA 98223 •Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS, AND TWO (2) SETS OF FIXTURE SPECIFICATIONS (CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. Type of Permit: ❑ New Installation ❑ Addition/Alteration ❑ Industrial Project Address: Parcel ID#: Lot#: Subdivision: Project Descripti n: Valuation: /0/ 06 Owner: ✓t-- Phone Number: ��$ �® Address. C-/0 j City: it State: �� Zip Code: g ; Contact Person: y l ff-! �s 9�- Phone Number: Cell Phone: 15" E-mail: 4/4'.' s i � L�-/�.� Address: City: State: Zip Code: Contractor: b- yi Phone Number: Cell Phone: `/2-t >�� 2e�d : ' Email: � ik�Pin L/t✓� C'O/� Address: 6-10 C 1.S `f J�✓r• City: Ha- r " L"40 State: �s� Zip Code: 9--P 2 -71 Contractor License Number: D h�-h le 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 v Med Gas Drinking Fountain Floor Drain Dishwasher Backflow Shower Other 6/16LP Page 2 of 3 COMMERCIAL PLUMBING PERMIT APPLICATION IN Department of Community&Economic Development City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 •Phone(360)403-3551 PROPOSED BUILDING USE 00"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. Swimming ❑ Fire Sprinkler ❑ Ice Machine ❑ Dialysis Equip. ❑ Air washers ❑ Pools Hot Tub/Spa Steam ❑ Sprinkler ❑ Coffee Urn/Espresso ❑ Hydrotherapy Equip. ❑ Generators ❑ w/chemicals Dye Vats ❑ Aquarium ❑ Lawn Irrigation El Carbonated Bev. El Dental Equip. ❑ y Decorative Well on Pressure ❑ Fume Hoods ❑ Laboratory Equip. ❑ 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)? ❑ Yes ❑ No ❑ Don't Know 5. Does your business require a NPDES permit? ❑ Yes ErNo ❑ Don't Know I hereby certify that the above information is correct a nd that the construction on,and the occupancy and the use of the above-described prope will be in accord poe with the laws, rules a n d regulation of the State of Washington. �— n/ 7 Applicants Siginature Date �a-`,xx `J- C k/e' � Received Print Applicants Name FOR STAFF USE ONLY JUN 3 0 2017 _7 Is 2z Permit# AccotgO By Amount Received Receipt# Date Received Page 3 of 3 6/16LP FIXTURE INVENTORY: Hot Water Tank(50gal.120°w/limit stop @ 110") lea ADA Shower Stall 2ea wm Lavatory tea N Floor Drain Sea 0 3 J ADA Toilet 2ea Washer lea —•.� ° < a Hose Bib lea m in zn •,� WH 11/2"Vent FD 2 2" FD VQ — 3" `��--CYI� 2"VENT 3"VENT TO ROOF Locations are approximate r'UP I actual locations may vary 11'WATE111 / UP 3' 2' FO OFFICE COPY r 3"CO ` CITY OF ARLINGTON BUILDING DEPARTMENT APPROVED PLUMBING LAYOUT Scale: 1/4"=1'-0" Mo cHAWM AUTMOR2ED Received UNLESS APPROVED BY THR BUILDING INSPECTOR JUN 3 0 2017 .�{ N uTTYCA D Drawn By: Date: Protect Title: ® Revision: Date: Pace No r1�j DRAFTING& DESIGN Douglas Almond 06/29/2017 Emarld Springs RV Park Q 'Au 16422-51st Avenue N.E. Q I toCAD drafting and design specialist' Drawing Title(s): Arlington,Washington 6300139th AVE SE Plumbing Layout Plan 0 Snohomish,WA.98290 SUBMITTED BY OWNER or 01 Ph:206.225.0068 Fx:360.568.5747 A. Permit#: 1531 Permit Date: 06/30/17 Permit Type: COMMERCIAL PLUMBING Project Name: Emerald Springs (Shoultes) RV Park Applicant Name: Jim Klein Applicant Address: 6101 152nd Street NE Applicant, City, State, Zip: Marysville,WA 98271 Contact: Jim Klein Phone: 425-508-2807 Email:james.klein@live.com Scope of Work: Commercial New Valuation: 10000.00 Square Feet: 0 Number of Stories: 1 Construction Type: Occupancy Group: ID Code: Permit Issued: 06/30/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31052800101200 16422 51 ST AVENUE NE KLEIN FAMILY 111 Single Family PROPERTIES,LLC Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License Klein Family Properties, 6101 152nd Street LLC Jim Klein 425-508-2807 NE OWNER Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Mechanical Commercial Permit Table 4-7;Per Unit 18 $216.00 Plumbing Plan Review Fees $250.00 Water Heater(Tank) $75.00 Total $566.00 Attached Letters Date Letter Description 06/30/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 06/30/2017 James Klein 65348225 cc $566.00 Outstanding Balance $0.00 Uploaded Files Date File Name 06/30/2017 2414132-1531 Issued Permit.pdf 06/30/2017 2414112-1531 Application.pdf