HomeMy WebLinkAbout116 E Fifth Street_BLD1814_2026 CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:116 E Fifth Street Permit#:1814
Parcel#:portion of00529900800102 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:Widmark Family Trust Name:Jim Proffitt Name:Jim Proffitt
Address:3206 82nd Drive NE Address:29623 3rd Avenue NE Address:29623 Third Ave NE
City,State Zip:Marysville,WA 98270 City,State Zip:Stanwood,WA 98292 City,State Zip:Stanwood,WA 98292
Phone: Phone:206-295-9292 Phone:206-295-9292
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Jim Proffitt Name:
Address:29623 Third Ave NE Address:
City,State,Zip:Stanwood,WA 98292 City,State,Zip:
Phone:206-295-9292 Phone:
LIC#:JJHOMI*171DQ EXP: 11/20/2019 LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Commercial Mechanical CODE YEAR:
STORIES: 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. IBCI 10/IRC110.
SALE$TAX NOTICE:Sales tax relating to construction and construction materials in the City *in �brt on your sales tax return form
and coded City of Arli 0911 101. ,
S nalur Print Name Date Released By Date
CONDITIONS
All work to be site verified and inspected.
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
1/29/2018 Building Permit-Other $50.00
1/29/2018 Mechanical Permit Base Fee $25.00
1/29/2018 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
��'� s � r
.j►.� .
Permit Information
Date 1/29/2018
Permit Number 1814
Project Name Glory Bucha
Applicant Name Jim Proffitt
Applicant Address 29623 3rd Avenue NE
City,State,Zip Stanwood,WA 98292
Contact Jim Proffitt
Phone 206-295-9292
Email jimproffitt@gmail.com
Permit Type Commercial Mechanical
Site Address 116 E Fifth Street
Valuation 0.00
Status Issued
Permit Issued 1/2/2018
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load
Number of Stories 0
Proposed Use Cold Room For Micro Brewery
Assigned To Kristin Foster
Property
Parcel Address Legal Owner Owner Phone Zoning
portion of 00529900800102 116 E Fifth Street Widmark Family Trust
Contractors
Contractor Name Primary Contact Phone Email Contractor Type License License#
Jim Proffitt Jim Proffitt 206-295-9292 (CONTRACTOR (Labor and Isdustries JJHOMI"171 DQ
Fees
Fee Description Notes Amount
Building Permit-Othei 322.10.00.00 Inspection Fee $50.0
Mechanical Permit Base Fee 322.10.00.00 $25.00
Process ing/Technology Fee 341.43.00.02 $25.00
Total $100.0
Payments
Date Paid By Amount Description Payment Type Accepted B
1/29/2018 slim Proffitt I $100.00P8308950
Total $100.001 Amount Outstanding:$0.0
Uploaded Files Upload File
Date File Uploaded By I
�•�Y �� COMMERCIAL MECHANICAL
PERMIT APPLICATION
!J 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: FX New Installation Replacement Alteration
Project Address: /�(� _ �'SZ— Parcel#:
Project Description: Valuation: y,tapo
Owner: Phone#:
Address: City: State: Zip:
Email Address:
Contact Person: Phone#: 2_a6 —7,2 S'-g 252—
Address: Z7G Z 3 3P'a ,r, A,1.ry_ City: V f�Wf State: K,64 Zip:
Email Address: (01 �A, t. L.. eolyL
Contractor Name: Phone#:
Contractor Address: Z,">G 03 3�d A-vP� Al City: �" I State:Ig44-Zip:g �
Email: 2Z62 q "[.• 111ln Contact Person:
Contractor License Number: 7/It aCQ 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 _K 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
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 accordance with the laws, rules and regulation of the State of Washington
Applicants Signature. 16 Date /;
Applicants Printed Name: ram-E�d
FOR STAFF USE ONLY 1�eceivea
n I )ni
Permit# Acc ted B Amount Received Receipt# Date eceive
6/16LP Page 1 of 1
• •'-
5'
- � ��
_ � , _
I
!ar:
� 1
_ �
1/29/2018 J&J HOME IMPROVEMENTS
(Search L&Iiiii
Washington State Department of
" Labor & Industries
J &J HOME IMPROVEMENTS
Owner or tradesperson 29623-3RD AVE NE
PROFFITT,JIM J STANWOOD,WA 98292
360-629-2849
Principals SNOHOMISH County
PROFFITT,JIM J,OWNER
WA UBI No. Business type
601 104 502 Individual
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.
JJHOMI"171 DQ
Effective—expiration
03/18/1983-11/20/2019
Bond
CBIC $12,000.00
Bond account no.
617655
Received by L&I Effective date
09/11/2001 11/12/2001
Expiration date
Until Canceled
Insurance
Contractors Bonding&Insuranc $1,000,000.00
Policy no.
C11617655
Received by L&I Effective date
10/30/2017 11/12/2017
Expiration date
11/12/2018
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.
https://secure.Ini.wa.gov/verify/Detaii.aspx?UBI=601104502&LIC=JJHOMI"171 DQ&SAW= 1/2
1/29/2018 J&J HOME IMPROVEMENTS
Workers' comp
No active workers'comp accounts during the previous 6 year period.
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
No inspections during the previous 6 year period.
J Washington State Dept.of Labor&Industnes.Use of this site is subject to the laws of the stale of Washington.
'a�al�7 Uti �tltt�f�>•,
hftps:Hsecure.ini.wa.gov/verify/Detail.aspx?UBI=601104502&LIC=JJHOMI"171 DQ&SAW= 2/2
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address: 116 E Fifth Street Permit#:1814
Parcel#:portion of 00529900800102 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:Widmark Family Trust Name:Jim Proffitt Name:Jim Proffitt
Address:3206 82nd Drive NE Address:29623 3rd Avenue NE Address:29623 Third Ave NE
City,State Zip:Marysville,WA 98270 City,State Zip:Stanwood,WA 98292 City,State Zip:Stanwood,WA 98292
Phone: Phone:206-295-9292 Phone:206-295-9292
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Jim Proffitt Name:
Address:29623 Third Ave NE Address:
City,State,Zip:Stanwood,WA 98292 City,State,Zip:
Phone:206-295-9292 Phone:
LIC#:JJHOMI*I71DQ EXP: 11/20/2019 LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Commercial Mechanical CODE YEAR:
STORIES: 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/IRCI l0.
SALES TAX NOTWE:Sales tax relating to construction and construction materials in the City f A i t He on your sales tax return form
and coded City ofArli 09n 10L 20-WV
Slfnaiup Print Name Date Released By Date
CONDITIONS
All work to be site verified and inspected.
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
1/29/2018 Building Permit-Other $50.00
1/29/2018 Mechanical Permit Base Fee $25.00
1/29/2018 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
�:VY COMMERCIAL MECHANICAL
• PERMIT APPLICATION
�Lr�G10 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: N New Installation ❑ Replacement Alteration
Project Address: /14- /5. 6?�' S� Parcel#:
Project Description: M91'e\6UcAA Valuation: Al QJZD
Owner: Phone#:
Address: City: State: Zip:
Email Address:
Contact Person: 'V%, ��'y��t r; Phone#: 2-0(o —22!E�'-7 VTZ_
Address: 0�4 2'3 -7.>P4b AV,--3 A.J.a- City: V310Vl State:�Zip: -/S;�?Z
Email Address: ��.�-��2�FF�'TI 22@� n'\. ; C_. <fmAJI-t
Contractor Name: Phone#: _Z� - 2-? -92 7Z
Contractor Address: Z`JG Z� 3"" +(/0- /Il.& City: riuJ Z State: Zip:9a '?.
Email: Px060G l 27-42 4Azqr'L- &Oen Contact Person:
Contractor License Number: .,Jar//-14,007r/%/+e aCQ Expiration "/4—Z0/a
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 accordance with the laws, rules and regulation of the State of Washington
Applicants Signature: ~� Date / ' .2 cr' '
Applicants Printed Name: ,
FOR STAFF USE ONLY Received
B AN 9 Q ')niQ
Permit# Acc led B Amount Received Receipt# Date Received `
6/16LP Page 1 of 1
Permit#: 1814
Permit Date: 01/29/18
Permit Type: COMMERCIAL MECHANICAL
Project Name: Glory Bucha
Applicant Name: Jim Proffitt
Applicant Address: 29623 3rd Avenue NE
Applicant, City, State, Zip: Stanwood, WA 98292
Contact: Jim Proffitt
Phone: 206-295-9292
Email:jimproffitt@gmail.com
Scope of Work: Cold Room For Micro Brewery
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 01/02/2018
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
portion of 116 E Fifth Street Widmark Family
00529900800102 Trust
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
29623 Third Ave CONSTRUCTION Labor d
Jim Proffitt Jim Proffitt 206-295-9292 NE CONTRACTOR Isdustri anes JJHOMI*171DQ
Fees
Fee Description Notes Amount
Mechanical Base Permit Fee $25.00
Processing/Technology $25.00
Building Permit-Other Inspection Fee $50.00
Total $100.00
Attached Letters
Date Letter Description
O1/29/2018 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
O1/29/2018 Jim Proffitt 68308950 cc $100.00
Outstanding Balance $0.00
Uploaded Files
Date File Name
O1/31/2018 2998992-BLD-1814 Application.pdf
O1/31/2018 2998993-BLD 1814 Issued Permit.pdf
Permit#: 1814
Permit Date: 01/29/18
Permit Type: COMMERCIAL MECHANICAL
Project Name: Glory Bucha
Applicant Name: Jim Proffitt
Applicant Address: 29623 3rd Avenue NE
Applicant, City, State, Zip: Stanwood, WA 98292
Contact: Jim Proffitt
Phone: 206-295-9292
Email:jimproffitt@gmail.com
Scope of Work: Cold Room For Micro Brewery
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 01/02/2018
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
portion of 116 E Fifth Street Widmark Family
00529900800102 Trust
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
29623 Third Ave CONSTRUCTION Labor d
Jim Proffitt Jim Proffitt 206-295-9292 NE CONTRACTOR Isdustri anes JJHOMI*171DQ
Fees
Fee Description Notes Amount
Mechanical Base Permit Fee $25.00
Processing/Technology $25.00
Building Permit-Other Inspection Fee $50.00
Total $100.00
Attached Letters
Date Letter Description
O1/29/2018 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
O1/29/2018 Jim Proffitt 68308950 cc $100.00
Outstanding Balance $0.00
Uploaded Files
Date File Name
O1/31/2018 2998992-BLD-1814 Application.pdf
O1/31/2018 2998993-BLD 1814 Issued Permit.pdf