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Home My WebLink About509 N WEST AVENUE_BLD1678_2026 I °jY-°� COMMERCIAL PLUMBING o0 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 In stallation ❑ Addition/Alteration ❑ Industrial Project Address: Parcel ID#: Lot#: Subdivision: Project Desc ptio Valuation: n Owner: '� Phone Number:'- Address: City: State: Zip Code: Contact Person: Phone Number: Cell Phone: E-mail: Address: ++ City: State: Zip Code: �f7 Contractor: Y Phone Number: 107 C t1 Cell Phone: 3 Email: Address: C :r r ` Stater Zip Code: i . � 70 Contractor License Number: 1 � QP( ' 1 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 Other Received OCT 05 2017 6/16LP _ab �_7 � Page 2 of 3 4v4 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 to ' 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. ❑ Swimming Air washers ❑ Pools ❑ Fire Sprinkler ❑ 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.E ❑ 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 14 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 tA 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)? 19 Yes ❑ No ❑ Don't Know 5. Does your business require a NPDES permit? ❑ Yes ;t_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 pro /y will tie-in accorjawith the laws, rules and regulation of the Staje of Wash' gton. � .a 7,0 Applicants n a Date ci s �k,A'sc)�1 Print Applicants 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 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 1o. 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, W 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:509 West Avenue Permit#:1678 Parcel#:00618100100900 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:HUTTON ARTHUR J&JACKLYN A Name:Campbell's Plumbing Name:Campbell's Plumbing Address:25416 MOUNTAIN DRIVE NE Address:6716 49th Street Address:6716 49th Street City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:Marysville,WA 98270 Phone: Phone:425-876-0070 Phone: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Campbell's Plumbing Address: Address:6716 49th Street City,State,Zip: City,State,Zip:Marysville,WA 98270 Phone: Phone:425-876-0070 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 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. AdA= TIC Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form an cod C y of Arli ton#3101. Si i urc Print Name Date Released By D6te CONDITIONS Call for final inspection, keep pedestrian walkway clear. 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 10/5/2017 Building Permit Fee $50.00 10/5/2017 Plumbing Permit Base Fee $25.00 10/5/2017 Processing/Technology Fee $25.00 Total Due: $100.00 Total Payment: $0.00 Balance Due: $100.00 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 GITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 go PHONE; (360)403-3551 BUILDING PERMIT Address:509 West Avenue Permit#:1678 Parcel#:00618100100900 Valuation:0.00 OWNER APPLICANT CONTRAC R Name:HUTTON ARTHUR J&JACKLYN A Name:Campbell's Plumbing ame: ampbell's Plumbing Address:25416 MOUNTAIN DRIVE NE Address:6716 49th Street Address:6716 49th Street City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:Marysville,WA 98270 Phone: Phone:425-876-0070 Phone: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Campbell's Plumbing Address: Address:6716 49th Street City,State,Zip: City,State,Zip:Marysville,WA 98270 Phone: Phone:425-876-0070 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 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 l 10. T Salcs tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form an cod C'y of Arli ton#3101. Si c Print Name Date Released By Dite CONDITIONS Call for final inspection, keep pedestrian walkway clear. 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 10/5/2017 Building Permit Fee $50.00 10/5/2017 Plumbing Permit Base Fee $25.00 10/5/2017 Processing/Technology Fee $25.00 Total Due: $100.00 Total Payment: $0.00 Balance Due: $100.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When c for an inspection please leave the followi information: Permit Number,Type o Inspection being requested,and whether, prefer morning or afternoon I 4 10/5/2017 ARCHER CONSTRUCTION INC Search L&I Sar iy e.I-epith C681uis d Insimaoce W(,rkplace 1 rades Licensrnq Washington State Department of Labor & Industries ARCHER CONSTRUCTION INC Owner or tradesperson 7855 S 206TH ST Principals KENT,WA 98032 253-872-7222 ARCHER,ROBERT W,PRESIDENT KING County GREGERSEN,ALLYSON D,VICE PRESIDENT ARCHER,SANDRA (End:02/28/2011) Doing business as ARCHER CONSTRUCTION INC WA UBI No. Business type 600 214 020 Corporation Governing persons ROBERT WADE ARCHER ALLYSON DEAN GREGERSEN; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. ARCHEI"219DR Effective—expiration 03/19/1979—04/01/2019 Bond North American Spec Ins Co $12,000.00 Bond account no. 2161673 Received by L&I Effective date 11/30/2012 01/08/2013 Expiration date Until Canceled Bond history Insurance Valley Forge Ins Co $1,000,000.00 Policy no. 6046248998 Received by L&I Effective date 03/28/2017 04/01/2017 Expiration date H eip Us improvo https://secure.Ini.wa.gov/verify/Detaii.aspx?UBI=600214020&LIC=ARCHEI*219DR&SAW= 1/2 i � 10/5/2017 ARCHER CONSTRUCTION INC 04/01/2018 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 375,169-00 Doing business as ARCHER CONSTRUCTION INC Estimated workers reported Quarter 2 of Year 2017"51 to 75 Workers" L&I account contact TO/KRISTI LINN(360)9024620-Email:LINB235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 01/24/2014 Violations Inspection no. 316958875 Location 4216 Terrace Street Everett,WA 98203 https://secure.ini.wa.gov/verify/Detail.aspx?UBI=600214020&LIC=ARCHEI*219DR&SAW= 2/2 COMMERCIAL PLUMBING PERMIT APPLICATION lJ C 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 Desc ptio Valuation: Owner: Phone Number: ` 3 Address: City: State: Zip Code: Contact Person: Phone Number: Cell Phone: E-mail: Address: City: State: Zip Code: �f7 _ �� Phone Number: Q `00 L Contractor: - Cell Phone: � Email: Address: Cj :r' < \ Stater Zip Code: � 0 i I� Contractor License Number: l ` � 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 Other Received OCT 0 5 2017 6/16LP —ab IV] B Page 2 of 3 i . . -s , , . 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: 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: 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 �i 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)? i_ Yes ❑ No Don't Know 5. Does your business require a NPDES permit? ❑ Yes ;�JJNo 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 pro y will lie-in acco�d5- with the laws, rules and regulation of the State Of ash* gton. Applicants S at a Date al� � _ r,�r,1�C,�,Sovl Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received 6/16LP Page 3 of 3 I I I 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 lo. 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, %" 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 7 of 3 ��1 �� S"� \iI_� Permit#: 1678 Permit Date: 10/05/17 Permit Type: COMMERCIAL PLUMBING Project Name: Hutton-Pizza Factory Applicant Name: Campbell's Plumbing Applicant Address: 6716 49th Street Applicant, City, State, Zip: Marysville,WA 98270 Contact: Chris Dankinson Phone: 425-876-0070 Email: support@campbells-plumbing.com Scope of Work: Replace exterior water line Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 10/05/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Launa Black 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# Campbell's Plumbing Chris Dankinson 6716 49th Street CONSTRUCTION Labor&CAMPBQP837D2 CONTRACTOR Industries Fees Fee Description Notes Amount Building Permit Table 4-1 $50.00 Plumbing Base Permit Fee $25.00 Processing/Technology $25.00 Total $100.00 Attached Letters Date Letter Description 10/05/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/05/2017 Chris Dankinson 66750450 cc $100.00 Outstanding Balance $0.00 Uploaded Files Date File Name 10/05/2017 2678401-1678 Issued Permit.pdf 10/05/2017 2678368-1678 Apnlication.pdf