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HomeMy WebLinkAbout404 West Ave_BLD2103_2026 I � GITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:404 N West Avenue Permit#:2103 Parcel#:31050200301600 Valuation:22750.00 OWNER APPLICANT CONTRACTOR Name:COLUMBIA BANK Name:Axiom Division 7 Name:AXIOM CONSTRUCTION Address:PO BOX 550 Address-1220 75th Street SW Address:P.O.BOX 71 City,State Zip:SNOHOMISH,WA 98290 City,State Zip:Everett,WA 98203 City,State Zip:LYNDEN,WA 98264 Phone: Phone:425463-6877 Phone:360-354-1184 MECIRANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Re-Roof CODE YEAR: 2015 STORIES: 1 CONST.TYPE: VB DWELLING UNITS: 0 OCC GROUP: B BUILDINGS: I OCC LOAD: PERNUT 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 INSPE HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/IRCI l0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of A in to m be ep ed on your sales tax return form 3!q_cosied City of Arlington#310I. Signature Print Name Date V F4A91 By Date CONDITIONS Approved as submitted.Inspections required. 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 8/9/2018 Processing/Technology Fee $25.00 8/9/2018 Re-Roof $523.26 Total Due: $548.26 Total Payment: $0.00 Balance Due: $548.26 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 1 I I 1 I CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 v PHONE; (360) 403-3551 BUILDING PERMIT Address:404 N West Avenue Permit#:2103 Parcel#:31050200301600 Valuation:22750.00 OWNER APPLICANT CONTRACTOR Name:COLUMBIA BANK Name:Axiom Division 7 Name:AXIOM CONSTRUCTION Address:PO BOX 550 Address:1220 75th Street SW Address:P.O.BOX 71 City,State Zip:SNOHOMISH,WA 98290 City,State Zip:Everett,WA 98203 City,State Zip:LYNDEN,WA 98264 Phone: Phone:425-463-6877 Phone:360-354-1184 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 Re-Roof CODE YEAR: 2015 STORIES: I CONST.TYPE: VB DWELLING UNITS: 0 OCC GROUP: B 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 INSPECT10tj HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 110/IRC110. SALES TAX NOTICE;Sales tax relating to construction and construction materials in the City of A in o m be c d on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date V RWaVd By Date CONDITIONS Approved as submitted. Inspections required. 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 8/9/2018 Processing/Technology Fee $25.00 8/9/2018 Re-Roof $523.26 Total Due: $548.26 Total Payment: $0.00 Balance Due: $548.26 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 Permit Information Date 8/9/2018 Permit Number 2103 Project Name Columbia Bank Applicant Name Axiom Division 7 Applicant Address 1220 75th Street SW City,State,Zip Everett,WA 98203 Contact Dylan Whittaker Phone 425-463-6877 Email dylan@axiomd7.net Permit Type Commercial Re-Roof Site Address 404 N West Avenue Valuation 22750.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use Commercial Re-Roof Assigned To Kristin Foster Property Parcel Address Legal Owner Owner Phone Zoning 31050200301600 404 WEST AVE COLUMBIA BANK 1611 Banking&Bank Related Functions Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# 4XIOM CONSTRUCTION `160-354-1184 CONTRACTOR Fees Fee Description Notes Amount Processing/Technology Feel 341.43.00.02 $25.00 Re-Roo 322.10.00.001 $523.26 Total $548.26 Uploaded Files Upload File Date File Uploaded B 8/9/2018 4:30:31 PM 12103 Application.pdf Foster,Kristin } i i I 1 ) ,. �.; RE-ROOF PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE•Arlington, WA 98223 • Phone (360) 403-3551 Type of permit: (check one) ( ) Residential Commercial Valuation:$22,750 404 N. West Avenue Arlington, WA 98223 Project Address: Parcel ID#: Owner: Columbia Bank Address: 404 NW Ave City:Arlington State: WA Zip Code:98223 Phone Number: 3604355545 Email:Facilties@Columbiabank.com Applicant:Dylan Whittaker Address: 1220 75th Street SW City:Everett State: WA Zip Code:98203 4254636877 dylan@axiomd7.net Phone Number: Email: Axiom Division 7 Contractor: 1220 75th Street SW Everett WA 98203 Address: City: State: Zip Code: 4255354608 Service@axiomd7.net Phone Number: Email: AxiomD7920CF 02/09/2020 Contractor's License Number: Expiration: Type of Roofing Material: Comp Shingles 1 Number of Existing Layers: Class of Roofing: A ✓❑ B ❑ C ❑ Replacing existing sheathing: Yes ❑ No Roof tear off: © Application over existing material: ❑ The following is required for NON-Residential Buildings: • Existing roof structure and material: Comp Shingles over Plywood Sheathing • Two copies of the installation specifications and U.L.listed roof assembly. • Occupancy of Building Bank Office Retail Church Restaurant School I hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will be responsible for providing a method of safely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is complete. . _..,U...,. n�ylac CJ1Jlrcttr.�eh 08/09/2018 Applicants Signature Date Dylan Whittaker Print Applicants Name FOR STAFF USE ONLY Geived D� AUG 0 9 2018 Permit# Accepted By Amount Received Receipt# Date Received Home Espafiol Contact Safety&Health 12 Claims&Insurance G Workplace Rights Tracles&Licensing G ^ Washington State Department of "Labor & Industries AXIOM DIVISION 7 Owner or tradesperson PO BOX 71 LYNDEN,WA 98264 Principals 360-354-3100 PARRIERA,JEREMY WILLIAM,PRESIDENT WHATCOM County KOETJE,TIMOTHY MICHAEL,VICE PRESIDENT ■ MAAS,MARK LEIGHTON,TREASURER PALMER,JEFF RANDALL,CHIEF FINANCIAL OFFICER (End:01/21/2014) KOETJE,TIMOTHY MICHAEL,PRESIDENT (End:02/03/2014) MAAS,MARK LEIGHTON,VICE PRESIDENT (End:02/03/2014) PARRIERA,JEREMY W,VICE PRESIDENT (End:02/03/2014) Doing business as AXIOM DIVISION 7 WA UBI No Business type 602 776181 Corporation Governing persons TIMOTHY M KOETJE MARK MAAS; JEREMY PARRIERA; 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. AXIOMD7920CF Effective—expiration 02/06/2008—02/09/2020 Bond Merchants Bonding Co(Mutual) $12,000.00 Bond account no. WA100036 Received by L&I Effective date 02/09/2016 02/07/2016 Expiration date Until Canceled ti l Bond history Insurance Lloyds of London(underwriter) $1,000,000.00 Policy no. GLL-10043-02 Received by L&I Effective date 09/28/2017 09/30/2017 Expiration date 09/30/2018 Lloyds of London(underwriter) $1,000,000.00 Policy no. GLL-10043-01 Received by L&I Effective date 08/16/2017 09/30/2016 Expiration date 09/30/2018 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. 030,299-02 Doing business as AXIOM DIVISION 7 INC Estimated workers reported Quarter 2 of Year 2018"Greater than 100 Workers" L&I account contact T2/KATHY ULRICH(360)902-4829-Email:WITE235@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 01/21/2015 Violations Inspection no. 317612133 Location 403 Woodcreeck Dr Lynden,WA 98264-1526 i Inspection results date No violations 12/11/2013 Inspection no. 316895614 Location 11831 120th Ave NE Kirkland,WA 98034 Access AIMLtYashingtonry I I I RE-ROOF PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360) 403-3551 Type of permit: (check one) ( ) Residential (V) Commercial Valuation:$22,750 404 N. West Avenue Arlington, WA 98223 Project Address: Parcel ID#: Owner: Columbia Bank Address: 404 N W Ave City:Arlington State: WA Zip Code:98223 Phone Number: 3604355545 Email:Facilties@Columbiabank.com Applicant: Dylan Whittaker Address: 1220 75th Street SW City:Everett State: WA Zip Code:98203 4254636877 dylan@axiomd7.net Phone Number: Email: Axiom Division 7 Contractor: 1220 75th Street SW Everett WA 98203 Address: City: State: Zip Code: 4255354608 Service@axiomd7.net Phone Number: Email: Axiom D7920CF 02/09/2020 Contractor's License Number: Expiration: Type of Roofing Material: Comp Shingles Number of Existing Layers: 1 Class of Roofing: A ✓❑ B ❑ C ❑ Replacing existing sheathing: Yes ❑ No ✓❑ Roof tear off: © Application over existing material: ❑ The following is required for NON-Residential Buildings: • Existing roof structure and material: Comp Shingles over Plywood Sheathing • Two copies of the installation specifications and U.L. listed roof assembly. • Occupancy of Building: Bank Office Retai I Church Restaurant School I hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will be responsible for providing a method of safely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is complete. °may 08/09/2018 Applicants Signature Date Dylan Whittaker Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received CITY OF ARLINGTON INSPECTION CARD No building construction shall be commenced until permit holder INSPECTION RECORD SHALL or his agent has posted this Inspection Record Card in a REMAIN AT JOB SITE conspicuous place on the premises. OWNER: COLUMBIA BANK CONTRACTOR: AXIOM DIVISION 7 JOB ADDRESS: 404 WEST AVENUE LOT NUMBER TYPE GROUP NATURE of WORK: COMMERCIAL RE-ROOF USE of BUILDING: BANK VB B PERMIT No: BLD-2103 DATE ISSUED: 8/10/2018 INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB DEPARTMENT INSPECTION DATE(S) PASS FAIL INITIALS FOOTING BUILDING FOUNDATION (360)403-3417 UNDERFLOOR SHEARWALL PLUMBING(groundwork) ROUGH PLUMBING GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD(SHEAR/RATED WALLS) CEILING GRID STRUCTURALSLAB CROSS CONNECTION CONTROL IN PREMISE PUBLIC WORKS GRADING (360)403-3457 TEMPORARY TECSP ASBUILTS APPROVED MAINTENANCE BOND STORM DRAINAGE SYSTEM PAVING,SIGNAGE&MARKINGS LANDSCAPING PLANNING CONDITIONS ONSITE UTILITIES WATER ONSITE UTILITIES SEWER Sewer OFFSITE UTILITIES WATER (360)403-3508 OFFSITE UTILITIES SEWER SEWER PRETREATMENT Water CROSS CONNECTION CONTROL PREMISE (360)403-3526 SIDE SEWER/CLEANOUT/FINAL WATER SERVICE INSTALLATION WATER SERVICE FINAL FIRE DEPARTMENT (360)403-3526 HYDRO/FLUSH (360)403-3607 UNDERGROUND""INCL FDC (360)403-3607 FIRE ALARM /AUTOMATIC SPRINKLER (360)403-3417 HOOD SUPPRESSION SYSTEM (360)403-3607 FINAL FIRE WALK-THROUGH (360)403-3417 FINAL INSPECTION ALL SIGNATURE BLOCKS MUST BE COMPLETE CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 Go PHONE; (360) 403-3551 BUILDING PERMIT Address:404 N West Avenue Permit#:2103 Parcel#:31050200301600 Valuation:22750.00 OWNER APPLICANT CONTRACTOR Name:COLUMBIA BANK Name:Axiom Division 7 Name:AXIOM CONSTRUCTION Address:PO BOX 550 Address:1220 75th Street SW Address:P.O.BOX 71 City,State Zip:SNOHOMISH,WA 98290 City,State Zip:Everett,WA 98203 City,State Zip:LYNDEN,WA 98264 Phone: Phone:425463-6877 Phone:360-354-1184 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 Re-Roof CODE YEAR: 2015 STORIES: I CONST.TYPE: VB DWELLING UNITS: 0 OCC GROUP: B 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 INSPECJ4eqj HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/IRCI10. 1 SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of A in to m be ep fled on your sales tax return form and coded City of Arlington#3J 01 y 1_/.I_ /ice "L/, .. , 1 10 11 W Y'\;�•i r,�,(r�'�' 0�7'(1�l � Signature Print Name Date V R• a, d By Date CONDITIONS Approved as submitted. Inspections required. 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 8/9/2018 Processing/Technology Fee $25.00 8/9/2018 Re-Roof $523.26 Total Due: $548.26 Total Payment: $0.00 Balance Due: $548.26 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 4P PHONE; (360) 403-3551 BUILDING PERMIT Address:404 N West Avenue Permit#:2103 Parcel#:31050200301600 Valuation:22750.00 OWNER APPLICANT CONTRACTOR Name:COLUMBIA BANK Name:Axiom Division 7 Name:AXIOM CONSTRUCTION Address:PO BOX 550 Address:1220 75th Street SW Address:P.O.BOX 71 City,State Zip:SNOHOMISH,WA 98290 City,State Zip:Everett,WA 98203 City,State Zip:LYNDEN,WA 98264 Phone: Phone:425-463-6877 Phone:360-354-1184 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 Re-Roof CODE YEAR: 2015 STORIES: I CONST.TYPE: VB DWELLING UNITS: 0 OCC GROUP: B 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 INSPECT"HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 10/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of A in*mbep d on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date d By Date CONDITIONS Approved as submitted. Inspections required. 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 8/9/2018 Processing/Technology Fee $25.00 8/9/2018 Re-Roof $523.26 Total Due: $548.26 Total Payment: $0.00 Balance Due: $548.26 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 Permit#: 2103 Permit Date: 08/09/18 Permit Type: COMMERCIAL RE-ROOF Project Name: Columbia Bank Applicant Name: Axiom Division 7 Applicant Address: 1220 75th Street SW Applicant, City, State, Zip: Everett,WA 98203 Contact: Dylan Whittaker Phone: 425-463-6877 Email: dylan@axiomd7.net Scope of Work: Commercial Re-Roof Valuation: 22750.00 Square Feet: 0 Number of Stories: 1 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/13/2018 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31050200301600 404 WEST AVE COLUMBIA BANK 611 Banking&Bank Related Functions Contractors Contractor Primary Contact Phone Address Contractor Type License License# AXIOM 3603541184 PO Box 71 CONSTRUCTION UBI 602 170 572 CONSTRUCTION CONTRACTOR AXIOM 3603541184 PO Box 71 CONSTRUCTION L&I AXIOMCC921KR CONSTRUCTION CONTRACTOR Fees Fee Description Notes Amount Processing/Technology $25.00 Re-Roof Residential Residential $523.26 Total $548.26 Attached Letters Date Letter Description 08/09/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/10/2018 Nick Silcock 71228821 cc $548.26 Outstanding Balance $0.00 Notes Date Note Created By: 08/13/2018 Emailed permit for signature. Kristin Foster Uploaded Files Date File Name 08/13/2018 3815515-2103 Issued Permit.pdf 08/09/2018 3805888-2103 Application.pdf