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Home My WebLink About509 N West Ave_BLD1540_2026 �"Ay 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 AM Addition/Alteration 0 Industrial Project Address: SD�� e r"• Parcel ID#: Lot#: Subdivision: I Project Description: p�aa �(ia..��, � rV.►J) t)-I;1;4u 416—Valuation: Owner: ( Phone Number: Address: ` ,1Z 5L-4 5+4 t-SLy City:_ sla+rJ (xa-` State: LL"JI Zip Code: Contact Person: 'e'_411� �D Phone Number: Cell Phone: &70-- 7'cY(� ) E-mail: Address: City: State: Zip Code: Contractor: Phone Number: -(00 Cell Phone: mail: Address: City: State: Zip Code: Contractor License Number: 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 _!� Med Gas Drinking Fountain Floor Drain Dishwasher Backflow Shower 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 PROPOSED BUILDING USE ❑ New Commercial ❑ Restaurant ❑ Automotive Based ❑ Commercial Addition/Alteration ❑ Office ❑ Machine Shop ❑ Industrial ❑ Medical Other: �4,6_r9n_oe 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. ❑ Pressure ❑ Decorative ❑ Well on Washers Fountain property ❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers Other: Yc,- ✓»S it0 kj kvv,)� L)14-1Kt--. r s LCu-+ 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)? 77J Yes ❑ No El Don't Know 5. Does your business require a NPDES permit? ❑ Yes J.��No ❑ Don't Know I hereby certify that th ov in rmation is correct and that the construction on, and the occupancy and the use of the above-described property will be in a a th the laws, rules and regulation of the State of Washington. -7 - Applicants Si atufe Date Print Applicants Name FOR STAFF USE ONLY Received .10 OR Permit# Accepted 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:509 N West Ave,#B Permit#:1540 Parcel#:00618100100900 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:HUTTON ARTHUR J&JACKLYN A Name:Sheryl Floe Name:Sheryl Floe Address:25416 MOUNTAIN DRIVE NE Address:5220 182nd Street NW Address:5220 182nd Street NW City,State Zip:ARLINGTON,WA 98223 City,State Zip:Stanwood,WA 98292 City,State Zip:Stanwood,WA 98292 Phone: Phone:360-474-1659 Phone:360-474-1659 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: 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 UNLAWTYL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFIC O OCCUPANCY HAS BEEN GRANTED. IBC 110/IRC 110. SALES TA. T ;F::Sales tax relating to construction and construction materials in the City of Arlin t must be reported on your sales tax return form and coded C f ington#3101, '31 I �- Imo- Zo� r VI7 gnature Pr hit Name Date y Date CONDITIONS Approved as submitted. All work to be site verified. 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 7/18/2017 Building Permit-Other $100.00 7/18/2017 Plumbing Permit Fee(Enter Fixture Fee) $24.00 7/18/2017 Processing/Technology Fee $25.00 Total Due: $149.00 Total Payment: $0.00 Balance Due: $149.00 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 1613 J1 Iv, --A4Av- Z Neeeived tia ��— � � (�- Z (0"IA A owe- 0,L\ 4� CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:509 N West Ave,#B Permit#:1540 Parcel#:00618100100900 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:HUTTON ARTHUR J&JACKLYN A Name:Sheryl Floe Name:Sheryl Floe Address:25416 MOUNTAIN DRIVE NE Address:5220 182nd Street NW Address:5220 182nd Street NW City,State Zip:ARLINGTON,WA 98223 City,State Zip:Stanwood,WA 98292 City,State Zip:Stanwood,WA 98292 Phone: Phone:360-474-1659 Phone:360-474-1659 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: 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 UNLAWF TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFIC O OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110. SALE TA. T 'F.:Sales tax relating to construction and construction materials in the City ofArlingtviLmust be reported on your sales tax return form and coded C f ington#3101. I � -7- I2L2o gnalure Pr1ht Name Date y Date CONDITIONS Approved as submitted. All work to be site verified. 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 7/18/2017 Building Permit-Other $100.00 7/18/2017 Plumbing Permit Fee(Enter Fixture Fee) $24.00 7/18/2017 Processing/Technology Fee $25.00 Total Due: $149.00 Total Payment: $0.00 Balance Due: S149.00 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 it Permit Information Date 7/10/2017 Permit Number 1540 Project Name West Ave Barber Applicant Name Sheryl Floe Applicant Address 5220 182nd Street NW City, State,Zip Stanwood,WA 98292 Contact Sheryl Floe Phone 360-474-1659 Email Permit Type Commercial New Site Address 509 N West Ave,#B Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use Adding utility sink and shampoo bowl for barber shop Assigned To Kristin Foster Property Information Owner Information Parcel#:00618100100900 HUTTON ARTHUR J&JACKLYN A HUTTON ARTHUR J&JACKLYN A 25416 MOUNTAIN DRIVE NE 509 N WEST AVENUE ARLINGTON,WA 98223 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Sheryl Floe 15heryl Floe 360-474-1659 1 PNPPLICANT Review Date Type Description Target Date Completed Date Assigned To Status 7/10/2017 Commercial Plumbing 7/17/2017 IPWAdmin Rev In Review 7/10/2017 'ommercial Plumbing 7/17/2017 PW-Sew-Rev In Review 7/10/2017 Commercial Plumbing 7/17/2017 PW-Wat-Rev In Review 7/10/2017 Commercial Plumbing 1/17/2017 PW-Wat-Rev In Review 7/10/2017 Commercial Plumbing 7/17/2017 (Kevin Olander In Review Fees Fee Description Notes Amount Building Permit-othet 322.10,00.00 2 inspections @ 50 easch $100.0 Plumbing Permit Fee(Enter Fixture Fee) 322.10.00.00 2 @$1 $24.0 Processing/Technology ProcessingfTechnology Fe 341 43.00.02 $25.0 Total $149.0 Uploaded Files Upload File Date File Uploaded B 7/10/2017 9:48:07 AM 1540 Pians.Ddf Foster, Kristin X 7/10/2017 9:48:07 AM 1540 Application.adf Foster,Kristin X 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: S NCA . Parcel ID#: Lot#: Subdivision: ll C f Project Description: 0'1a ��Ld�r� 4,�t,I n_,,Jd i .JJJ Jt fty Valuation: Owner: Phone Number: - Wt( - I(0S9 Address: S?Z� ��' 5 LU-) City:�7�Fi�Julncr� State:Cs)A- Zip Code: Contact Person:4a kx ,D Phone Number: _36)0—(n'c7 Z- ({Z,y S Cell Phone: L-IZS — 7D �� E-mail: /yTti c Address: City: State: Zip Code: Contractor: Phone Number: Cell Phone: mail: Address: City: State: Zip Code: Contractor License Number: Expiration Date Please indicate number of fixtures: Water Closet Floor Sink Sump Hose Bibb Miscellaneous Lavatory Laundry Tub Washer II Water Heater Grease Trap Urinal Interceptor Sink 4 Med Gas Drinking Fountain Floor Drain Dishwasher Backflow v _. Shower 8fher 1 l _— _ 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 ❑ New Commercial ❑ Restaurant ❑ Automotive Based ❑ Commercial Addition/Alteration ❑ Office ® Machine Shop ❑ Industrial ❑ Medical 4 Other: �Xzlxrque 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 H Steam Sprinkler Urn/Espresso ❑ ydrotherapy Equip. ❑ Generators ❑ Hot Tub/Spa ❑ 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 ❑ 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 P—bon'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 allo ❑ Don't Know I hereby certify that th ov i rmation is correct and that the construction on, and the occupancy and the use of the above-described property will be in acc a th the laws, rules and regulation of the State of Washington. 2Z) Applicants Si atu Date Print Applicants Name FOR STAFF USE ONLY Received ls� .101 06 zcll7 Permit# WeeptYd By Amount Received Receipt# Date Received 6/16LP Page 3 of 3 -�� l ADA _. ,... ------ III,.I�.._.ra- •ww., w.w.•n..rl+.••...._+•,• - •.-,.., ___..- 00 ��,J/�►O'J - I//V � : wl�►_ ire � � �' _ ... •.•wriwn+�srrrv+r..e.•ae.+.•tra.+... COP \ C.:r OFFIC ON CITY OF ARL ME T ! NO CHANOE3 A RED t _i1DILl"SS�.ApPR9�E TOR BUILDING INSP Rkceived � ' 1 , I Tw',A I mQ3q of -nUS (3v3VOFIgc A o��,.,�,,s�+�►++�cans 314T Y5 :1T- w.:q44A r-a3.wJ t C-O\ bo-G Y c ,Lc �owS Ca- z (01 A MCA-d It O3C�OC7 Permit#: 1540 Permit Date: 07/10/17 Permit Type: COMMERCIAL PLUMBING Project Name: West Ave Barber Applicant Name: Sheryl Floe Applicant Address: 5220 182nd Street NW Applicant, City, State, Zip: Stanwood,WA 98292 Contact: Sheryl Floe Phone: 360-474-1659 Email: Scope of Work: Adding utility sink and shampoo bowl for barber shop Valuation: 0.00 Square Feet: 0 Number of Stories: 1 Construction Type: Occupancy Group: ID Code: Permit Issued: 07/18/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00618100100900 509 N WEST AVENUE HUTTON ARTHUR 539 Other Retail J&JACKLYN A Trade NEC Contractors Contractor Primary Contact Phone Address Contractor Type License License Sheryl Floe Sheryl Floe 360-474-1659 5220 182nd Street APPLICANT Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status C04.PLUMBING work completed at time of 08/O1/2017 GROUNDWORK site visit and space occupied. 08/O1/2017 Approved Plan Reviews Date Review Type Description Assigned To Review Status 07/10/2017 COMMERCIAL z.Rick Karns PLUMBING Fees Fee Description Notes Amount Mechanical Commercial Permit Table 4-7;Per Unit 2 @$12 $24.00 Processing/Technology $25.00 Building Permit-Other 2 Inspections @ 50 easch $100.00 Total $149.00 Attached Letters Date Letter Description 07/18/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 07/18/2017 Sheryl Floe Cash Kristin Foster $149.00 Outstanding Balance $0.00 Uploaded Files Date File Name 07/18/2017 2454280-1540 Issued Permit.pdf 07/10/2017 2432160-1540 Application.pdf 07/10/2017 2432161-1540 Plans.pdf