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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