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Home My WebLink About115 N STILLAGUAMISH AVE_BLD2240_2026 Aww%ot� NOTICE 01-0 p- TO PERMITEE AND/OR OWNER ❑IMPARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY APPROVED PERMIT#: 7-1-Li #: DATE: Sj ZD �9 JOB ADDRESS: 111j (Q. TYPE OF INSPECTION: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK: MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION litA THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 K,-, 3�24 INSPECTOR DATE O BUILDING DEPT. 0 PLANNING DEPT. CITY OF ARLINGTON • • NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ❑ APPROVED PERMIT#: 7.�A o PM DATE: JOB ADDRESS: 16 LOT#: PROJECT: S'SfAM TYPE OF INSPECTOO lvt5u OTHER: I 1 r ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION: $50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION I VIA 2r2 —(c Sf) THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. R INSPECTION CALL: 360-403-3417 1 _77V!L �NOECTUKATE ,S Y � 0 PLANNING 0 CIVIL Cl BUILDING CITY OF ARLINGTON � ^ °' NOTICE b TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY APPROVED I oc. PERMIT#: AM' PM DATE: JOB ADDRESS: L T#; r PROJECT: TYPE OF INSPECTION: OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION )v LI I THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE' J O PLANNING O CIVIL /BUILDING CITY OF ARLINGTON 5 r YNOTICE TO PERMITEE AND/OR OWNER ( O PARTIAL APPROVAL CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ❑ APPROVED PERMIT#:13ip-22-11(D LOT#: DATE: LO•ZP 119 JOB ADDRESS: JIS A 1 . C-, TYPE OF INSPECTION: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK:MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 Cl CALL FOR REINSPECTION f STL-. p'l Rust 7T j-- O F W Et i tlZ ��l? S Pc Trc�� THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE• 1-1 cat o UILDING DEPT. - 0 PLANNING DEPT. CITY OF ARLINGTON ,�G NOTICE TO PERMITEE AND/OR OWNER R ❑ PARTIAL APPROVAL ❑ CORRECTIgNS REQUIRED ❑ DO NOT OCCUPY qFrAPPROVED PERMIT#: ' ? LOT#: DATE: JOB ADDRESS: TYPE OF INSPECTION: , ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK:MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE I1 ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION L V THEACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE 1S t p Cl BUILDING DEPT. o PLANNING DEPT. CITY OF ARLINGTON ' „r S �- o � NOTICE r r;A TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY APPROVED PERMIT#: ` i i : LOT#: DATE: JOB ADDRESS: TYPE OF INSPECTION: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK:MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION THEACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DAT i` --LL []'BUILDING DEPT. o PLANNING DEPT. CITY OF ARLINGTON CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:115 N.Stillaguamish Ave Permit#:2240 Parcel#:31051200201300 Valuation:50000.00 OWNER APPLICANT CONTRACTOR Name:ASSEMBLY OF GOD-ARLINGTON Name:Ed Claybaugh Name:Acacia Construction Address:PO BOX 218 Address:201 N.Stillaguamish Address: 19304 BURNS RD City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:717-649-5348 Phone:360.435.7433/360-320-0239 LIC:ACACIC*054BC EXP:01/21/2021 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 New CODE YEAR: 2015 STORIES: I CONST.TYPE: ` 13 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. IBC110/IRCl l0. SALMS TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington m tst be reported on your sales tax return form and code y of Arlingto 1. Signatuiv Print Name Date Released By Dat CONDITIONS See red lined drawings. Adhere to approved plans. Roof drainage shall be infiltrated, splash blocks are not allowed- see attached Standard Detail SD-140. All new power supply shall be ran underground. 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 2/26/2019 Building Permit Fee $929.93 2/26/2019 Building Plan Review Fee $604.45 2/26/2019 Processing/Technology Fee $25.00 2/26/2019 State Surcharge-Commercial $25.00 Total Due: $1,584.38 Total Payment: $1,584.38 Balance Due: $0.00 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 n n n D v n O K oo cn r O n vo zzz �_ v 0 r) X � A0r)o Z � c D D D z 7C c p n � �n m m m y Z r c () m � O r � x Z n O j Z cn c T � Z * 0 C Gl m � 7o W m r _ _ 0 m_ m n mmO mO D Z Tr O c < DzmzD > n z Ln0cnm rO O cn x < D Om - 70 Z Z O -' m G) v' m Z O a 2 ;)v m 7° m ��-' m O v z O W m Z v c) Z Z c w D Z D D cn r. Ln 0 �• �• 4�, � aoo D � I Z Na nm lu N � cn � c� = .- 0 O On] r-r r-r rT-r I-, _ 0 O W m fD O cn ' NN N 3 N � �prq C) N N N F� O in N p� w fD n fD Z — 0 cr — cr 3 M �' � cr ° D ° V h Q1 C f<D G) O 3 T ��+ G� D f�D Ull fD - w cu c 5' � crQ A (n o D oa � m 00 (n N � N fD w L 1 1 Permit Information Date 10/24/2018 Permit Number 2240 Project Name Maintenance/Storage Facility Applicant Name Ed Claybaugh Applicant Address 201 N.Stillaguamish City,State,Zip Arlington,WA 98223 Contact Ed Claybaugh Phone 717-649-5348 Email ed@adingtonassembly.com Permit Type Commercial New Site Address 115 N.Stillaguamish Ave Valuation 50000.00 Status Issued Permit Issued 2/26/2019 Permit Expires Square Feet 1354 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use Maintenance Facility/Storage Building Assigned To Raelynn Jones Property Owner Parcel Address Legal Owner Phone Zoning 31051200201300 115 N STILLAGLIAMISH ASSEMBLY OF GOD- 111 Single Family Residence- AVE ARLINGTON Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Acacia Construction -r)oug Bartle 360.435.7433/360-320-0239 OONTRACTOR 1_abor&Industries ACACIC*05413C Review Date Type Description Tar et Date I Completed Date I Assi ned To Status 10/29/2018 lCommercial Buildin See red lined drawings 11/6/2018 �/6/2019 Ouilding Approved with Conditions Fees Fee Description Notes Amount Buildina Permit Fee 322.10.00.00 $929.93 Building Plan Review Fee 345.83.00.00 $604.45 Processin /Technolo Fee 341.43.00.02 $25.00 State Surcharge-Commercial 386.00.01.00 $25.00 Total $1,584.38 Payments Date I Paid B Amount I Description P 3nt Type 1 Accepted B 10/24/2018 !Assemblyof God $1,584.38 heck Raelynn Jones Total g 1,584.38 Amount Outstandin :$0.00 Notes Date Note ,3/11/2019 , Received revised footing/foundation plans. i°'�N/2019 ZoNOO Oermit and Design Review have been issued. 2/25/2019 Received contractor information. 2/11/2019 Need contractor info.' • 1'"' 10/29/2018 Zoning permit and DR required prior to issuance.See attached email. 10/24/2018 Contractor TBD Uploaded Files j Upload File Date File Uploaded By 2/26/2019 1:03:16 PM 2240 Si ned permit.pdf Jones,Raelynn x 10/29/2018 2:42:40 PM Assembly of God Accessory Building.msg Foster,Kristin x 10/24/2018 10:47:05 AM 2240 Application.pdf Jones,Raelynn : --1 — — Ljp�o04��v Y r P vvl � y-on-1 L.1eD T)- e �C Irn-TtncoT Permit Information Date 10/24/2018 Permit Number 2240 TaU Project Name Maintenance/Storage Facility Applicant Name Ed Claybaugh Applicant Address 201 N.Stillaguamish City,State,Zip Arlington,WA 98223 Contact Ed Claybaugh Phone 717-649-5348 Email ed@arlingtonassembly.com Permit Type Commercial New Site Address 115 N.Stillaguamish Ave Valuation 50000.00 Status Applied Permit Issued Permit Expires Square Feet 1354 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use Maintenance Facility/Storage Building Assigned To Raelynn Jones Property Owner Parcel Address Legal Owner Phone Zoning 31051200201300 115 N STILLAGUAMISH ASSEMBLY OF GOD- 111 Single Family Residence- AVE ARLINGTON Detached Fees Fee Description Notes Amount Building Permit Fee 322.10.00.00 $929.93 Building Plan Review Fee 345.83.00.00 $604.45 Processing/Technology Fee 341.43.00.02 $25.00 State Surcharge-Commercial 386.00.01.00 $25.00 Total $1584.38 Notes Date Note 10/24/2018 Contractor TB Uploaded Files Upload File Date File Uploaded B 10/24/2018 10747705 AM 12240 Application.pdf Jones,Raelynn ,. � m _ � - GAT Y COMMERCIAL APPLICATION PERMIT SUBMITTAL ING Department of Community& Economic Development City of Arlington • 18204 59th Ave NE•Arlington,WA 98223 • Phone (360)403-3551 THIS APPLICATION TO BE USED FOR NEW COMMERCIAL STRUCTURES AND RESIDENTIAL DWELLINGS NOT REGULATED UNDER THE IRC. THIS APPLICATION MUST BE ACCOMPANIED BY A COMMERCIAL APPLICATION SUBMITTAL CHECKLIST AND AN OCCUPANT'S STATEMENT OF INTENDED USE. v� Name of Project: Valuation: Project Address: !I N f7i I�I vaA-�S� Parcel ID#: Legal Description Owner: Ae( +., (4-Oa Phone Number: eq 7S Address: ep( vL,4 0 City: State: �J a Zip Code: ap z2,)' Engineer: Phone Number: Cell Phone E-mail: Address City State: Zip Code: General Contractor: Phone Number: Cell Phone: E-mail: Address: City: State: Zip Code: Contractor's License Number: Expiration: Contact Person: k-p CLAYMU115-11`4 Phone Number: ,ZtoQ 4l3r 61-sl Cell Phone: 71> (.519 S31) E-mail: A/1 *,. A Ss lX , ed.,4_ Address: 2.D I N• S'r1 (169vaA--•�� City: 441(t5+°"- tate: 9A Zip Code: 1,12-Z 3 Proposed Scope of Work: /tt W G 3�✓v t+id-- d 1� /�a « —�^-�,� /ffa 15v.,O�/ REV 2015 Page 6 of 9 Lt*� rJj, COMMERCIAL APPLICATION PERMIT SUBMITTAL Department of Community& Economic Development City of Arlington • 18204 59th Ave NE•Arlington, WA 98223 • Phone (360)403-3551 The building permit does not include any mechanical, electrical, plumbing or fire sprinkler/alarm work. These permits are issued separately. Mechanical, electrical, plumbing, or fire sprinkler/alarm permits require a separate permit application and may also require separate plan review. Please note that any tenant improvement work in a space that involves food handling or preparation requires Snohomish County Health District approval before the permit can be issued. You must provide the Permit C:pnter a copy of the approval letter or the approved plans. Contact the Snohomish County Health District at(425) 339-5250 with any questions or for more information. An intake appointment is required for all large Tenant Improvement Building Permit Applications. To determine if your project requires an intake appointment, to schedule an appointment or to ensure that you have the most current information, please contact the City of Arlington Permit Center at(360)403-3551 or by email to ced@arlingtonwa.gov. Incomplete applications will not be accepted. I acknowledge that all items designated as submittal requirements must accompany my Building Permit Application to be considered a complete submittal. REV 2015 Page 5 of 9 Y O✓, COMMERCIAL APPLICATION PERMIT SUBMITTAL ING Department of Community&Economic Development City of Arlington • 18204 59th Ave NE•Arlington, WA 98223 • Phone(360)403-3551 Name of Project: r,l1""V A-cc F*C, 1 f A5 Project Address: IlS �, str��aua-`.eJ� A✓e7 AxIt1yf-0-- Special Inspection Firm: ?06t3 e O Address: Contact Person: _ Cp CLAZ414V&-f Phone: 717 6-fl r7t) Email: Ar cu.x Special Inspection Firm Special Inspectors: The Special inspection Firm of will perform special inspection for the following types of work(separate forms must be submitted if more than one firm is to be employed). ( ) Reinforced Concrete ( ) Bolting in Concrete ( ) Pre-stressed Concrete ( ) Shotcrete ( ) Structural Masonry ( ) Structural Steel and Welding ( ) High-Strength Bolting ( ) Spray-Applied Fireproofing ( ) Smoke-Control Systems ( ) Other Specify: All individual inspectors to be employed on this project will be WABO certified for the type of inspection they are to perform. If inspection is for work that is not covered by the WABO categories, a detailed resume of the inspector and firm must be submitted.The resume must show the inspector and firm are qualified to perform the work and testing required by the project design and specifications. The work shall be inspected for conformance with the plans and specifications approved by the City. Revisions and addenda sheets will not be used for inspection unless approved by the City The special inspector shall report to the City revisions that are not approved. A daily record will be maintained on site itemizing the inspections performed,for the review of all parties.Any nonconforming items shall be brought to the immediate attention of the contractor for resolution.A weekly shall be submitted to the City; detailing the inspections and testing performed, listing any nonconforming items and resolution of nonconforming items. Unresolved nonconforming items will be detailed on a discrepancy report and presented to the building department. A final report shall be submitted to the Building Division prior to the Certificate of Occupancy being issued.This report will indicate that inspection and testing was completed in conformance with the approved plans, specifications and approved revisions and addenda. Any unresolved discrepancies must be detailed in the final report. The special inspector and special inspection firm serve in the role as"deputy"City of Arlington inspectors and as such are responsible to the City of Arlington Building Division in the performance of the required work. Contractor: The contractor shall provide the special inspector or agency adequate notification of work requiring inspection The City approved plans and specifications must be made available,at the job site for the use of the special inspector an¢. Cit . Inspector.The contractor shall maintain all daily inspections reports, on site, for review. _%ecgIved REV 2015 Page 8 of 9 OCT 2 2 2018 COMMERCIAL APPLICATION PERMIT SUBMITTAL Department of Community& Economic Development City of Arlington • 18204 59th Ave NE•Arlington, WA 98223 • Phone(360)403-3551 Project Name/Tenant i'-I n z fJ TFkJAL(k, rAcr LJ-f (7',N e A -y- V')O PUNa Site Address S �'J S T i L 14 r'-XJ,1,"- ,f 14 AtIc Bldg/Unit/Suite IBC Construction Type IBC Occupancy Type Description of Use MA , i rtl tj 0' 'Ce-117 Building Square Footage 1(9 SY _ Number of Stories t Square Footage Per Floor 11 Sy Will there be any installation, modification or removal of the following? (Check all that apply) ❑ Automatic fire extinguishing systems ❑ Compressed gas systems ❑ Fire alarm and detection systems ❑ Fire pumps ❑ Flammable and combustible liquids(tanks, piping etc...) ❑ Hazardous materials ❑ High piled/rack storage ❑ Industrial ovens/furnace ❑ Private fire hydrants ❑ Spraying or dipping operations ❑ Standpipe systems ❑ Temporary membrane structure,tents(>200sq ft)or canopies(>400 sq ft) Provide details on any of the above checked items Installation, changes, modifications or removal of any of the above may require additional submittals, information, or permits during the plan review or construction process. Statement of Special Inspection REV 2015 Page 7 of 9 COMMERCIAL APPLICATION PERMIT SUBMITTAL !I Department of Community& Economic Development City of Arlington - 18204 59th Ave NE-Arlington, WA 98223 - Phone (360)403-3551 The special inspection functions are considered to be in addition to the normal inspections performed by the City and the contractor is responsible for contacting the City to schedule regular inspections No concrete shall be poured or other work covered until approved by the City Inspector. Building Division: The Building Division shall review any revisions and addenda.Approved copies will be given to the contractor to maintain as part of the approved plan set. The City Inspector will monitor the special inspection functions for compliance with the agreement and the approved plans. The City Inspector shall be responsible for approving various stages of construction to be covered and work to proceed. Design Professionals: The architect and engineer will clearly indicate on the plans and specifications for the specific types of special inspection required, and shall include a schedule for inspection and testing. The architect and engineer will coordinate their revisions and addenda process in such a way as to insure all required City approvals are obtained, prior to work shown on the revisions being performed Owner: The project owner,or the architect or engineer acting as the owners agent, shall employ the special inspector or agency ENFORCEMENT: A failure of the special inspector or firm to perform in keeping the requirements of the IBC,the approved plans and this document may void this agreement and the Building Officials approval of the special inspector. In such case a new special inspector and/or firm would need to be proposed for approval.A failure of the design and/or construction parties to perform in accordance with this agreement may result in a STOP WORK notice being posted on the project, until nonconforming items have been resolved. ACKNOWLEDGEMENTS I have read and agrQe to comply with the terms and conditions of this agreement. D Owner: / Date: 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 Signd ure CD CL.AYQA-UCKtt Print Applicants Name Date Q, FOR STAFF USE ONLY Permit# Acce'Oted By Amount Received Receipt# Date Receije�eeeiwd OCT 2 2 2013 REV 2015 Page 9 of 9 77A C) ;' - I n � y ' • _ • N �F I COMMERCIAL APPLICATION y PERMIT SUBMITTAL �ll�G Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 DETAILED SUBMITTAL REQUIREMENTS Mark each box to designate that the information has been provided. Please submit this checklist as part of your submittal documents A. [l' SITE PLAN—REQUIRED WITH ALL SUBMITTALS (May be included as part of the Architectural Drawing cover Sheet) 1. Drawing shall be prepared at scale not to exceed 1"=20 feet. 2. Show building outline and all exterior improvements. 3. Provide property legal description and show property lines. 4. Provide dimensions from the property lines to a minimum of two building corners(or two identifiable locations for irregular plan shapes). 5. Show building setbacks,easements and street access locations. 6. Indicate North direction. 7. Indicate finish floor elevation for the first level. 8. Provide topographical map of the existing grades and the proposed finished grades with maximum five feet elevation contour lines. 9 Show the location of all existing underground utilities, including water, sewer, gas and electrical. 10. Flood hazard areas, floodways, and design flood elevations as applicable. B. ARCHITECTURAL DRAWINGS 1 Cover Sheet a) Building Information 1 Specify model code information. 2. Construction Type 3. Number of stories and total height in feet. 4 Building square footage(per floor and total) 5 IBC Occupancy Type(show all types by floor and total). 6. Mixed-use ratio(if applicable) 7. Occupant load calculation(show by occupancy type and total) 8. List work to be performed under this permit b) Design Team Information 1. Design Professional in Responsible Charge 2. Architects 3. Structural Engineers 4. Owner 5. Developer 6. Any other Design Team Members 2 [] Floor Plan a) Plan view 1/8"minimum scale. Details a minimum %-inch scale. b) Plans must show the entire tenant space. c) Specify the use of each room/area. d) Provide an occupant load calculation on the floor plan. (on every floor, in all rooms and spaces) e) Show ALL exits on the plans; include new, existing or eliminated. f) Show Barrier-Free information on the drawings g) Show the location of all permanent rooms,walls and shafts h) Note the uses in the adjacent tenant spaces, if applicable. i) Provide a door and door hardware schedule. REV 2015 Page 3 of 9 COMMERCIAL APPLICATION PERMIT SUBMITTAL Department of Community& Economic Development City of Arlington • 18204 59th Ave NE•Arlington,WA 98223 • Phone (360)403-3551 j) Show the location of all new walls, doors,windows, etc k) Provide details and assembly numbers for any fire resistive assemblies. 1) Indicate on the plans all rated walls, doors,windows and penetrations. m) Provide a legend that distinguishes existing walls,walls to be removed and new walls. 3 ❑� Reflected Ceiling Plan a) Plan view 1/8"minimum scale. Details a minimum'/4-inch scale. b) Provide ceiling construction details. c) Provide suspended ceiling details complying with IBC 803.9.1 1. Show seismic bracing details. d) Show the location of all emergency lighting and exit signage. e) Detail the seismic bracing of the fixtures. 0 Include a lighting fixture schedule. 4. ❑/1 Framing Plan a) Specify the size,spacing, span and wood species or metal gage for all stud walls. b) Indicate all wall, beam and floor connections. c) Detail the seismic bracing for all walls. d) Include a stair section showing rise, run, landings, headroom, handrail and guardrail dimensions. 5. ❑ Storage Racks(if applicable) a) Structural calculations are required for seismic bracing of storage racks eight feet or greater in height. b) Eight feet or less,show a positive connection to floor or walls. NOTE: High pile storage shall meet the requirements of current International Building and Fire Codes C. ❑ SPECIAL INSPECTION 1. Where special inspection is required by IBC 1704,the registered design professional in responsible charge shall prepare a special inspection program that will be submitted to the City of Arlington and approved prior to issuance of the building permit to comply with IBC 106.1. D. �� WASHINGTON STATE ENERGY CODE 1. One(1)completed Washington State Non-Residential Energy Code Envelope Summary forms E. OCCUPANT'S STATEMENT OF INTENDED USE 1 The Occupant's Statement of Intended Use form shall be completely filled out and may require the submittal of a Hazardous Materials inventory Statement(HMIS). Contact the Arlington REV 2015 Page 4 of 9 Home ' Fspafiol Contact illwV11I s Labor i Industries Safety&Health o Claims&Insurance W Workplace Rights 0 Trades& "Washington State Department of Labor & Industries ACACIA CONSTRUCTION Owner or tradesperson 19304 BURN RD ARLINGTON,WA 98223 Principals 360-435-7433 BARTLEY,HAL D,OWNER SNOHOMISH County Doing business as ACACIA CONSTRUCTION WA UBI No. Business type 600 467 691 Individual Governing persons DEBBRA J BARTLEY HAL DOUGLAS BARTLEY; 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. ACACIC•054BC Effective—expiration 01/03/1995—01/21/2021 Bond Western Surety Co $12,000.00 Bond account no. 644653" Received by L&I Effective date 12/28/2018 01/01/2019 Expiration date Until Canceled Bond history Insurance Security National Insurance $1,000,000.00 Policy no. NA114450703 Received by L&I Effective date 01/02/2019 01/23/2019 Expiration date 01/23/2020 Insurance history Savings ............... .... No savings accounts during the previous 6 year period. Lawsuits against the bond or savings go= �'�+ �1 r �; No lawsuits against the bond or savings acr'—its during the previous 6 year period. L&I Tax debts f ' 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 closed. 975,364-00 Doing business as ACACIA CONSTRUCTION Estimated workers reported N/A L&I account contact T4/STEPHEN TASSONI(360)902-4819-Email:TASS235@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 No inspections during the previous 6 year period. Hel Yus improve - � - .�. i a I Kristin Foster From: Kristin Foster Sent: Thursday, February 21, 2019 3:44 PM To: Hal Douglas Bartley; ryan@arlingtonassembly.com Subject: Assembly of God Accessory Building Permit Hello, The Zoning Permit and Design Review are approved and can be picked up at our office.We just need the contractor information to add to the building permit and then it is ready for issuance. Can you please provide the contractor information? Thanks, Kristin Foster Permit Technician City of Arlington 18204 59th Ave NE 360-403-3549 kfoster@a rlinstonwa.gov i i Kristin Foster From: Kristin Foster Sent: Monday, October 29, 2018 2:41 PM To: ed@arlingtonassembly.com' Cc: Raelynn Jones; Launa Peterson Subject: Assembly of God Accessory Building Attachments: 00 Zoning Permit.pdf;08 Site Plan Review-Auxiliary Sheet.pdf; Design Review.pdf Ed, With the addition of the proposed accessory building located at 115 N Stillaguamish Ave a zoning permit and design review will be required. Design review will be administrative and not have to go before the Design Review Board. Attached is the application and checklist for both submittals. Let me know if you have any questions or would like to discuss the process. Thank you, Kristin Foster Permit Technician City of Arlington 18204 59th Ave NE 360-403-3549 kfoster@arlinp-tonwa.gov_ i I I I as o a � r • - r n �• O 12"MAX.TOTAL WALL HEIGHT—, N II =0 N m 10"MAX. HEIGHT I�G) s C o 0 0 0 0 0-- 0-0' o k7or e N - '- -fin o 0 oiii ii d0 o e oqq 0 Q 10 -- - -- -- ---y -------( ..m z ----- - ego 0 odd I I ' I �p �JQ N Z i X -� OK i Tm� �w<w 0mm Day D z } $Z Z r n? �� Y ?m? r cvrn�==Z p^�'v �� 0::-, N 0 �� z D _ m o" cnjm %Om �� om m Z 0z cn� pI zm Cc)°vw z �zv�a =i�� zzz �nz 0w Os zm �Z �O vmT vmo = �O�r° c)AO >O= C-{ v,T m� z RI r wD =con C 0� �x Z,W ° mKON mzD =G�� vm czi� �m p m o�m �m �z �� D �Or- 00? 0CZ �m mm v� _ O C me Y Go O� z ZO�m cn=� ZZG) nX �v om D m m D c cn v 0 —� D vv oA Tn� n� r oOn� mov mO I mOm voo Dcn �m 2z mm i Om �� -u cp>,2 D cn m m m rZ 0 �� o m-v m �r-co mmm co- om zr c= r ,n Z x �0 �C"� OZ mm 0DDn Z0� ODv Dm m-n Dm 2 n)� �m Z0 DT D �?i-0 o-n� Xm 0> Z-V i 0D zr W Nmm 0-0 Z� TK0 -u0 m0 v CD mvz vv m arom>m -0m D I cnm °-0 �x O r- D� ' 0 �O zo x 0 mm z� r- v� �z D oco O -6-j �l 1 .�. �Z DO rn n ro = m� �Z O �m 0- Q DZ vZ j Z°=� 0rca Z0 ' TO0 O T —1 C m� ON �m cn o G)Zm� m " _ v 8 I m �zcn U jom v 0zD > m0T cn n m m Z --- K nm m cC m ZZOTKmZOWTC cnO- =�;Dm 800K ti-uZ—K Dz0- >o u m-Doz �0 cZZ Pm-1OPcrm �OmZ . mW mDomco DOmn mA oo- = r- �` o =comcxm zixz m r � z , <vvG mDmo xz 0 w M-P0O ) 0(n 0 _� L)- c vO �mizr mo z; *om m x mb)� ZDoo- Dm > wmm7jow> � 0 z - ° �� nZO pC°�=Z3pr oapoX 2 C C � n Aymv m vv zc mp - rloO m z mz0 m0z — Z O cn D cn N T _ o0 m 0 o e o 0 0 0 0 0 0 0 00 0 0 o a o O Z n 'O DmZOZX-JMTMn �m_�0m oDD� zDZc cx*O � mmr ,c ADOO O �0 OOFFICECOp mmnmmm v �v c�- D G)v I I 't 7 WALL CONSTRUCTION TABLE R602.10.5 MINIMUM LENGTH OF BRACED WALL PANELS MINIMUM LENGTH' (inches) METHOD CONTRIBUTING LENGTH (See Table R602.10.4) Wall Height (inches) 6 feet 9 feet 10 feet 11 feet 12 feet DWB,WSP,SFB,PBS,PCP,HPS,BV-WSP 48 48 48 53 58 Actual' GB 48 48 48 53 58 Double sided=Actual Single sided=0.5 x Actual LIB 55 62 69 NP NP Actual' SDC A,B and C,ultimate design 28 32 34 38 42 ABW wind speed<140 mph SDC Do,D,and D21 ultimate 48 design 32 32 34 NP NP I wind speed<140 mph PFH Supporting roof only 16 16 16 180 20° 48 Supporting one story and roof 24 24 24 27` 29' 48 PFG 24 27 30 33" 36' 1.5 x Actual' CS-G 24 27 30 33 36 Actual' CS-PF SDC A,B and C 16 18 20 22' 24' 1.5 x Actual' SDC Do,D,and DZ 16 18 20 220 24` Actual' , Adjacent clear opening height (inches) <_64 24 27 30 33 36 68 26 27 30 33 36 72 27 27 30 33 36 76 30 29 30 33 36 80 32 30 30 33 36 84 35 32 32 33 36 88 38 35 33 33 36 92 43 37 35 35 36 96 48 41 38 36 36 CS-WSP,CS-SFB 100 — 44 40 38 38 104 — 49 43 40 39 Actual' 108 — 54 46 43 41 112 — — 50 45 43 116 — — 55 48 45 120 — — 60 52 48 124 — — — 56 51 128 — — — 61 54 132 — — — 66 58 136 — — — — 62 140 — — — — 66 144 — — — — 72 For SI: 1 inch=25.4 mm,1 foot=304.8 mm,1 mile per hour=0.447 m/s. NP=Not Permitted. a. Linear interpolation shall be permitted. b. Use the actual length where it is greater than or equal to the minimum length. c. Maximum header height for PFH is 10 feet in accordance with Figure R602.10.6.2,but wall height shall be permitted to be increased to 12 feet with pony wall. d.Maximum opening height for PFG is 10 feet in accordance with Figure R602.10.6.3,but wall height shall be permitted to be increased to 12 feet with pony wall. e. Maximum opening height for CS-PF is 10 feet in accordance with Figure R602.10.6.4,but wall height shall be permitted to be increased to 12 feet with pony wall. 2015 INTERNATIONAL RESIDENTIAL CODE® 187 ti I PLUMBING ELEMENTS AND FACILITIES 67 IN.71) (1700 TURNING CIRCLE py.ly 1Mt>1 60 X 58 IN,(1525%1425 mm) 1r CLEARANCE AT WATER CLOSET 1 \ t ,\ 30X521N It 1 1 , 1 (760 X 1320 mm) I1 CLEARANCE FOR LAVATORY 1 i'li 30X521N(780X 1320 mm) 30 IN,(760 mm) CLEAR FLOOR SPACE IF ALCOVE IS>29 IN.(610 mm) MANEUVERING CLEARANCE PAST DOOR S W ING DEEP AT DOOR 36 M.IF 30 X 521N.PNXI X 1320 mm) 60 x 56 IN,(1525 X 1425 r1an) Option T ALCOVE IS CLEARANCE FOR LAVATORY 30 X 52 IN CLEARANCE AT WATER CLOSET •24 1N.DE (760 X CLEARANCE FOR FOR � I LAVATORY 1 1 60 X56 IN. (1525%1425 mm) j t CLEARANCE I 30X521N fi7 ATWATER I,-I\1 (760 X 1320 mm) TURNING CIRCLE CLOSET Ito CLEAR FLOOR SPACE PAST DOOR SWING 30 X 52 1N.(760 X 1320 mm) CLEAR FLOOR SPACE rl:_l - -.) _ j,�- PASTDOORSWING 1 tv�i7 tl t 1 1 \1 1 it 67 IN(1700 mm) I TURNINGCIRCLE MANEUVERING CLEARANCE MANEUVERING CLEARANCE AT DOOR Option 2 Figure C603.2(a) AT DOOR Option 3 EXAMPLE OF TOILET ROOM PLANS(NEW) 60 X 56 IN.(1525 X 1425 mm) I y w CLEARANCE AT WATER CLOSET 60 IN,(1525 mm) �> -- TURNING CIRCLE 30X 4BIN. 11 (760 X 1220 CLEARANCE FOR I 30 X 40 IN.(760 X 1220 mm) M1INEWEIt640 t —'j'' MANEUVERING SPACE CLEARANCE AT PAST DOOR SWING 30 IN(760 mm) 60■56 W(1526 X 1426 mm) DOOR Option IF ALCOVE IS>24 IN,(610 mm)DEEP 30 X 481N, /CLEARANCE AT WATER CLOSET (760 X 1720 mm) F ALC IOVE IS 30 X 48 IN.(MO X 1220 mm) CI EARANCE FOR •' >24 IN.PEEP CLEARANCE FOR LAVATORY LAVATORY r. I 1 I I I (1625 80%561(I525 mm) (1525 X 1425 mm) 11 7� ♦ ��' TURIr746 CIRCLE CLEARANCE I nl I 30 X 481N ATWATER ___ CLOSET I MANEUVERING tc_F z_ - (760X 1220 mm) 1\ 1 \ 30%461N.(760X 1220 mm) 1 y t �` MANEUVERING SPACE 1 A SPACE PAST PAST DOOR SWING I N x `�� DOOR SWING \ I1 1 1 60 IN.(1525 mm) TURNING CIRCLE MANEUVERING CLEARANCE MANEUVERING NOTES AT DOOR Option 2 1 MANEUVERING SPACES CAN OVERLAP. CLEARANCE 2 A PLUMBING FIXTURE CANNOT BE IN THE MANEUVERING AT DOOR Option 3 SPACE OF ANOTHER FIXTURE. Figure C603.2(b) EXAMPLE OF TOILET ROOM PLANS(EXISTING) 603.2.1 Turning space. A turning space shall be provided under the lavatory or toe clearance at the water within the room.The required taming space shall not be pro- closet as indicated in Section 304.3. New construc- vided within a toilet compartment. tion has larger dimensions for the turning spaces and •SA turning circle or T-turn space is required within the reduced allowances for knee and toe overlaps [see bathing room or toilet room. This assures that per- Commentary Figure C603.2(a), (b)and (c)]. sons using the room can turn to address each fixture In multi-stall bathrooms,the only turning space pro- or operable part they may need to access. These vided within the room should not be within the acces- turning spaces can use knee and toe clearances sible stall. If someone enters the room and the ICC A117.1-2017 ACCESSIBLE AND USABLE BUILDINGS AND FACILITIES COMMENTARY 6-7 6 LI ( f ( I ' ' Copyright 0 2010 ICC.ALL RIGHTS RESERVED.Accessed by Kristin Foster on May 9,2018 11:17:15 AM pursuant to License Agreement with ICC.No further reproduction or distribution authorized.ANY UNAUTHORIZED REPRODUCTION OR DISTRIBUTION IS A VIOLATION OF THE FEDERAL COPYRIGHT ACT AND THE LICENSE AGREEMENT,AND SUBJECT TO CIVIL AND CRIMINAL PENALTIES-THEREUNDER. ii �� PLUMBING ELEMENTS AND FACILITIES 42 min 1065 6 max 150 36 min 915 Loa) cM � CO I I C O co O U O0p N U) Note: For children's dimensions see Fig. 609.4.2 FIGURE 604.5.2 REAR-WALL GRAB BAR FOR WATER CLOSET 1 54 min 1370 12 max 42 min 305 1065 39 - 41 ' 990 - 1040 LO 00 "t o � LOrn � � � rn� I I : O p CM 00 M O CM U a)CO N Note: For children's dimensions see Fig. 609.4.2 FIGURE 604.5.1 SIDE-WALL GRAB BAR FOR WATER CLOSET I I 1 1 I MIN. 4" PERFORATED PIPE ROOF INFILTRATION TRENCH DRAIN -- -------------- -----t 1 YARD DRAIN PLAN VIEW SOLID PIPE ORR"T D DON ELBOW ROOF DRAIN GEOTEXTILE ON A TOP AND SIDES 4" PERFORATED PIPE 6" MIN ' 4" TEE 0.00%.. . . . . 2' MIN 0`11 PLUG WITH 1/2" WASHED ROCK 1' MIN / � / � N CENTERED HOLE 3 4'-1 1 2' ------------ YARD DRAIN OR CB FINE MESH SUMP W/SOLID LID SCREEN 3' MIN MAX 100' 10' MIN A HIGH GROUNDWATER TABLE SECTION VIEW NOTES: GEOTEXTILE COMPACTED 1. TRENCHES SHALL BE A MINIMUM OF 10' FROM BACKFILL BUILDING, PROPERTY LINES, AND EASEMENTS. 2. THE FOLLOWING MINIMUM LENGTH (LINEAR FEET) 6" MIN PER 1,000 SQUARE FEET OF ROOF AREA BASED MIN. 4" ON SOIL TYPE MAY BE USED FOR SIZING PERFORATED DOWNSPOUT INFILTRATION TRENCHES. PIPE COURSE SAND & COBBLES 20 LF 2' MIN WASHED ROCK MEDIUM SAND 30 LF 1' MIN 3/4"-1 1/2" FINE SAND, LOAMY SAND 75 LF SANDY LOAM 125 LF LOAM 190 LF ' 3. MINIMUM SPACING BETWEEN ADJACENT TRENCH 2' WALLS MUST BE 6 FEET. 4. INFILTRATION TRENCHES SHALL NOT BE BUILT ON SECTION A A SLOPES GREATER THAN 25 PERCENT. 5. SLOPES GREATER THAN 25 PERCENT HAVE A MINIMUM SETBACK OF 50' FOR INFILTRATION TRENCHES. G`'t y �� APPROVED BY L OM DEPARTMENT OF PUBLIC VORKS STANDARD DETAIL UTE 07n1/2- STANDARD DETAIL NUMBER • • REF SUN SPEC RESIDENTIAL ROOF DRAIN INFILTRATION SD-140 IVIN G t0 TRENCH 1 f i W Z 00 O I r4 z J z a w o z 0-4 U4 di" a a s H z 0 w a� , p Vxoa -s F 3 F � oz ❑ ` � � o � LM 0 •• wF o Fa zL2Lp F o r cL Z Q F un w a a �f' o un Q u a O vi ` a F_ V vFi O A F Z y �o O ❑ O w 0. Z g � F O U > Zu' z a A w w ZA d O Q w w Cw O as 0 Z z a A w a F Z v a vFi Q Ov y a ❑ ❑ a. a. F O ❑ ❑ ❑ ❑ ❑ ❑ z ❑ NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ❑ APPROVED PERMIT#: 7. -Ao rialpm DATE: P- 00 IGl JOB ADDRESS: 15 LOT#: PROJECT: 5 di+��tNU4 TYPE OF INSPECTIO vl5U OTHER: + , - ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION THE ACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. R.INSPECTION CALL: 360-403-3417 Z WOECTOR KATF �`T Y Oar 0 PLANNING Cl CIVIL Cl BUILDING CITY OF ARLINGTON \ry.,��,�, �55ev+nbl� N 0 T I C E �. r�p� TO PERMITEE AND/OR OWNER Cl MPARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY > APPROVED PERMIT#: 22y LOT#: DATE: 3 JOB ADDRESS: 1195 (� C�7f1 1lnatijcunn�sln TYPE OF INSPECTION: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK: MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$SO REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION I'm tp-lo__�p THE ACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE Cl BUILDING DEPT. 0 PLANNING DEPT. CITY OF ARLINGTON a yyt NOTICE �4- rv,, PA TO PERMITEE AND/OR OWNER Cl PA'RTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY 'APPROVED PERMIT#: ,2'!'--1 Cl LOT#: I DATE: L11 J JOB ADDRESS: 11 t: I VtA l` ,l TYPE OF INSPECTION: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK:MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION THE ACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DAT P`SUILDING DEPT. °PLANNING DEPT. CITY OF ARLINGTON G a z A w z w O+ w F. W rii Q wn a o ono w a a °m � M c d � w F Vk z uj Ln ❑ z � M H A ❑� as zzg � O F z a z " z � acn F `� oa n 1 cz d Q xk g o � k w w w o = = Q w H w F o Q a G F a y oZ Qx rx O a >< z Z a - ►- Z a � w z d w w •• F as z C] cn a "a O A. Fa m a � A Fa z �" L; w m ZW F z ❑ ❑ a U z z p E" F A w w x vFi a' a. C4 CC x F F c z Co. G � z z � a � vFi OOw ¢ � � OU ° m a v ❑ ❑ °" F ❑ ❑ ❑ ❑ ❑ ❑ z �� V� 0 a, d x a O x a o z z w CF7 Z 0 O O w \ z Z J Zvi � a Z W W H Ca 00. Ow0 vai a e M v Q a o a � z � � W z � oz ❑ " � z O cn F V w � v �7p O wc� Ln Q � G ❑ ❑ G. -a Zz O F Zwu -4 in > > a V QWF' cG � WA E- a O �+ 3a zc4Q Q w wc4 x ow O ry a C a, � � 3 � vFi AO 41 z w Q V w � z ooa o z zotAo WA z z Zcz O 9%P. � � z ¢ 0 � z ^" O WAM. 0 0 l( m U �" A❑ a O F 0 c� 17 F z I rl Y fJ� COMMERCIAL APPLICATION 1NG PERMIT SUBMITTAL Department of Community& Economic Development City of Arlington • 18204 59th Ave NE•Arlington, WA 98223 • Phone (360)403-3551 Project Name/Tenant M A- r Q TFs0ALuJ( �� r L+ / f S7oc✓► - n,,, P►N� Site Address_ 5- N Sir 1 < 4 -y-uA,c-, ,f 1-4 A V e Bldg/Unit/Suite IBC Construction Type IBC Occupancy Type Description of Use 9x , ti,)fi ti#4 vv<_o-/�S7 Building Square Footage /9 S y Number of Stories Square Footage Per Floor r 3 5"y Will there be any installation, modification or removal of the following? (Check all that apply) ❑ Automatic fire extinguishing systems ❑ Compressed gas systems ❑ Fire alarm and detection systems ❑ Fire pumps ❑ Flammable and combustible liquids(tanks, piping etc. ) ❑ Hazardous materials ❑ High piled/rack storage ❑ Industrial ovens/furnace ❑ Private fire hydrants ❑ Spraying or dipping operations ❑ Standpipe systems ❑ Temporary membrane structure,tents(>200sq ft)or canopies(>400 sq ft) Provide details on any of the above checked items Installation, changes, modifications or removal of any of the above may require additional submittals, information, or permits during the plan review or construction process. Statement of Special Inspection REV 2015 Page 7 of 9 Y„ U� COMMERCIAL APPLICATION PERMIT SUBMITTAL 7�i,YG1�Z Department of Community& Economic Development City of Arlington • 18204 59th Ave NE•Arlington, WA 98223• Phone(360)403-3551 Name of Project: 'A ri C'QA+C€ FAC, (,f y /AotiA9E _F(1)5; 1 41 Project Address: _I ✓cs l4rcic`--t�a� Special Inspection Firm: _)13dtJ`e Address: Contact Person: GL/i Yi3A d�Eh Phone: 717 Email: C,) Q- Ar Special Inspection Firm Special Inspectors: The Special inspection Firm of will perform special inspection for the following types of work(separate forms must be submitted if more than one firm is to be employed). ( ) Reinforced Concrete ( ) Bolting in Concrete ( ) Pre-stressed Concrete ( ) Shotcrete ( ) Structural Masonry ( ) Structural Steel and Welding ( ) High-Strength Bolting ( ) Spray-Applied Fireproofing ( ) Smoke-Control Systems ( ) Other Specify All individual inspectors to be employed on this project will be WABO certified for the type of inspection they are to perform. If inspection is for work that is not covered by the WABO categories, a detailed resume of the inspector and firm must be submitted.The resume must show the inspector and firm are qualified to perform the work and testing required by the project design and specifications. The work shall be inspected for conformance with the plans and specifications approved by the City. Revisions and addenda sheets will not he used for inener4inn i,nlaac annrnvpH hV the rity ThP Snpnial mSnfar:tnr Shall report to the City revisions that are not approved. A daily record will be maintained on site itemizing the inspections performed,for the review of all parties.Any nonconforming items shall be brought to the immediate attention of the contractor for resolution.A weekly shall be submitted to the City;detailing the inspections and testing performed, listing any nonconforming items and resolution of nonconforming items. Unresolved nonconforming items will be detailed on a discrepancy report and presented to the building department. A final report shall be submitted to the Building Division prior to the Certificate of Occupancy being issued.This report will indicate that inspection and testing was completed in conformance with the approved plans, specifications and approved revisions and addenda. Any unresolved discrepancies must be detailed in the final report. The special inspector and special inspection firm serve in the role as"deputy"City of Arlington inspectors and as such are responsible to the City of Arlington Building Division in the performance of the required work. Contractor: The contractor shall provide the special inspector or agency adequate notification of work requiring inspection The City approved plans and specifications must be made available,at the job site for the use of the special inspector and the City Inspector.The contractor shall maintain all daily inspections reports, on site, for review. REV 2015 Page 8 of 9 COMMERCIAL APPLICATION PERMIT SUBMITTAL Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 The special inspection functions are considered to be in addition to the normal inspections performed by the City and the contractor is responsible for contacting the City to schedule regular inspections. No concrete shall be poured or other work covered until approved by the City Inspector. Building Division: The Building Division shall review any revisions and addenda.Approved copies will be given to the contractor to maintain as part of the approved plan set. The City Inspector will monitor the special inspection functions for compliance with the agreement and the approved plans. The City Inspector shall be responsible for approving various stages of construction to be covered and work to proceed. Design Professionals: The architect and engineer will clearly indicate on the plans and specifications for the specific types of special inspection required, and shall include a schedule for inspection and testing. The architect and engineer will coordinate their revisions and addenda process in such a way as to insure all required City approvals are obtained, prior to work shown on the revisions being performed Owner: The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or agency. ENFORCEMENT: A failure of the special inspector or firm to perform in keeping the requirements of the IBC,the approved plans and this document may void this agreement and the Building Officials approval of the special inspector. In such case a new special inspector and/or firm would need to be proposed for approval.A failure of the design and/or construction parties to perform in accordance with this agreement may result in a STOP WORK notice being posted on the project, until nonconforming items have been resolved. ACKNOWLEDGEMENTS I have read and agree to comply with the terms and conditions of this agreement. Owner: Date: 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 Signd ure CD CLAY6ALi&tk Print Applicants Name Date FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received REV 2015 Page 9 of 9 i ,�, Ltd Y U� COMMERCIAL APPLICATION z PERMIT SUBMITTAL �lIN Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 DETAILED SUBMITTAL REQUIREMENTS Mark each box to designate that the information has been provided. Please submit this checklist as part of your submittal documents A. SITE PLAN-REQUIRED WITH ALL SUBMITTALS (May be included as part of the Architectural Drawing cover Sheet) 1 Drawing shall be prepared at scale not to exceed 1"=20 feet. 2. Show building outline and all exterior improvements. 3 Provide property legal description and show property lines. 4. Provide dimensions from the property lines to a minimum of two building corners(or two identifiable locations for irregular plan shapes). 5. Show building setbacks,easements and street access locations. 6. Indicate North direction. 7 Indicate finish floor elevation for the first level. 8. Provide topographical map of the existing grades and the proposed finished grades with maximum five feet elevation contour lines. 9. Show the location of all existing underground utilities, including water, sewer,gas and electrical 10. Flood hazard areas, floodways, and design flood elevations as applicable. B. ARCHITECTURAL DRAWINGS 1 '15__ Cover Sheet a) Building Information 1. Specify model code information. 2. Construction Type. 3. Number of stories and total height in feet. 4. Building square footage(per floor and total) 5 IBC Occupancy Type(show all types by floor and total). 6. Mixed-use ratio(if applicable) 7. Occupant load calculation(show by occupancy type and total) 8. List work to be performed under this permit b) Design Team Information 1. Design Professional in Responsible Charge 2. Architects 3. Structural Engineers 4. Owner 5. Developer 6. Any other Design Team Members 2. Floor Plan a) Plan view 1/8"minimum scale. Details a minimum%-inch scale. b) Plans must show the entire tenant space. c) Specify the use of each room/area. d) Provide an occupant load calculation on the floor plan. (on every floor, in all rooms and spaces) e) Show ALL exits on the plans; include new, existing or eliminated. f) Show Barrier-Free information on the drawings. g) Show the location of all permanent rooms,walls and shafts h) Note the uses in the adjacent tenant spaces, if applicable. i) Provide a door and door hardware schedule. REV 2015 Page 3 of 9 COMMERCIAL APPLICATION PERMIT SUBMITTAL y�lING Department of Community& Economic Development P Y City of Arlington • 18204 59th Ave NE•Arlington, WA 98223 • Phone (360)403-3551 j) Show the location of all new walls, doors,windows, etc. k) Provide details and assembly numbers for any fire resistive assemblies. 1) Indicate on the plans all rated walls, doors,windows and penetrations. m) Provide a legend that distinguishes existing walls,walls to be removed and new walls. 3 ❑� Reflected Ceiling Plan a) Plan view 1/8"minimum scale. Details a minimum%-inch scale. b) Provide ceiling construction details. c) Provide suspended ceiling details complying with IBC 803.9.1.1. Show seismic bracing details. d) Show the location of all emergency lighting and exit signage. e) Detail the seismic bracing of the fixtures. f) Include a lighting fixture schedule. 4 LT Framing Plan a) Specify the size,spacing, span and wood species or metal gage for all stud walls. b) Indicate all wall, beam and floor connections. c) Detail the seismic bracing for all walls. d) Include a stair section showing rise, run, landings, headroom, handrail and guardrail dimensions. 5 ❑ Storage Racks(if applicable) a) Structural calculations are required for seismic bracing of storage racks eight feet or greater in height. b) Eight feet or less,show a positive connection to floor or walls. NOTE: High pile storage shall meet the requirements of current International Building and Fire Codes. C. ❑ SPECIAL INSPECTION 1 Where special inspection is required by IBC 1704,the registered design professional in responsible charge shall prepare a special inspection program that will be submitted to the City of Arlington and approved prior to issuance of the building permit to comply with IBC 106.1. D. ❑� WASHINGTON STATE ENERGY CODE 1.One(1)completed Washington State Non-Residential Energy Code Envelope Summary forms. E. OCC 1DANT'C RTATFMFNT n1= INTFNnl=n I IRF 1. The Occupant's Statement of Intended Use form shall be completely filled out and may require the submittal of a Hazardous Materials inventory Statement(HMIS).Contact the Arlington REV 2015 Page 4 of 9 COMMERCIAL APPLICATION �. � . PERMIT SUBMITTAL Department of Community&Economic Development City of Arlington • 18204 59th Ave NE•Arlington, WA 98223 • Phone(360)403-3551 THIS APPLICATION TO BE USED FOR NEW COMMERCIAL STRUCTURES AND RESIDENTIAL DWELLINGS NOT REGULATED UNDER THE IRC. THIS APPLICATION MUST BE ACCOMPANIED BY A COMMERCIAL APPLICATION SUBMITTAL CHECKLIST AND AN OCCUPANT'S STATEMENT OF INTENDED USE. NameofProject: At ,Jr Valuation: �d UO0 . Project Address: /1 l`I ST !��q vati•,s� ��r✓ � �w��— if i Parcel ID#: 3405' 4"d"l 3 00 Legal Description Owner: Ae( , Phone Number: 6 e-1 7S S t; Address: �( �.1 f�.11 ,dv��`-,� ADZ- City: State: I Zip Code: ay z;3 Engineer: Phone Number: Cell Phone: E-mail: Address: City: State: Zip Code: General Contractor: Phone Number: Cell Phone: E-mail: Address: City: State: Zip Code: Contractor's License Number: Expiration Contact Person: o.AYy (J&rN Phone Number: a 4�jr .3M Cell Phone: 7/7 E-mail: ��QL_ Address: 2-0 f S?-i (10t9va--, City: 9tate: QA Zip Code: 4J�ZZ 3 Proposed Scope of Work: /f'oW Gwl "t+id" d!� I"`A'� "�^-t►� /ffa L,J��r}"'�/ REV 2015 Page 6 of 9 COMMERCIAL APPLICATION PERMIT SUBMITTAL Department of Community& Economic Development City of Arlington • 18204 59th Ave NE•Arlington, WA 98223 • Phone (360)403-3551 The building permit does not include any mechanical, electrical, plumbing or fire sprinkler/alarm work. These permits are issued separately. Mechanical, electrical, plumbing, or fire sprinkler/alarm permits require a separate permit application and may also require separate plan review. Please note that any tenant improvement work in a space that involves food handling or preparation requires Snohomish County Health District approval before the permit can be issued. You must provide the Permit Center a copy of the approval letter or the approved plans. Contact the Snohomish County Health District at(425) 339-5250 with any questions or for more information. An intake appointment is required for all large Tenant Improvement Building Permit Applications. To determine if your project requires an intake appointment,to schedule an appointment or to ensure that you have the most current information, please contact the City of Arlington Permit Center at(360)403-3551 or by email to ced@arlingtonwa.gov. Incomplete applications will not be accepted. I acknowledge that all items designated as submittal requirements must accompany my Building Permit Application to be considered a complete submittal. REV 2015 Page 5 of 9 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY APPROVED ► PERMIT#: AM PM DATE: ��1 17z, JOB ADDRESS: ; `;'t ',��\ LOT#: PROJECT: (-J TYPE OF INSPECTION: OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION: $50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION l r I � _ THEACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE 0 PLANNING 0 CIVIL /BUILDING CITY OF ARLINGTON • , ., • NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ,d�ORRECTIONS REQUIRED ❑ DO NOT OCCUPY O APPROVED PERMIT#: ZZq O I LOT#: DATE: l0-2-b 111 JOB ADDRESS: J RS *. �, . C T! TYPE OF INSPECTION: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK:MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. Q CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE / APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION oT WA-I Foy THEACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 AD � 2 s / INSPECTOR DATE BUILDING DEPT. /70 PLANNING DEPT CITY OF ARLINGTON NOTICE Out TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL Cl CORRECTIgNS REQUIRED ❑ DO NOT OCCUPY ►7rAPPROVED PERMIT#: JLOT#: I DATE: . JOB ADDRESS: ( L V (,d TYPE OF INSPECTION: ` r 4 hCgj,[L--, ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK: MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION v THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE Y Cl BUILDING DEPT. Cl PLANNING DEPT. CITY OF ARLINGTON • CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:115 N.Stillaguamish Ave Permit#:2240 Parcel#:31051200201300 Valuation:50000.00 OWNER APPLICANT CONTRACTOR Name:ASSEMBLY OF GOD-ARLINGTON Name:Ed Claybaugh Name:Acacia Construction Address:PO BOX 218 Address:201 N.Stillaguamish Address: 19304 BURNS RD City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:717-649-5348 Phone:360.435.7433/360-320-0239 LIC:ACACIC*054BC EXP:01/21/2021 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 New CODE YEAR: 2015 STORIES: 1 CONST.TYPE: ` B 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. IBC1 l0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington n Est be reported on your sales tax return form and code -Ay of Arlingto ?y 11. SignatLIV Print Name Date Released By Date/ CONDITIONS See red lined drawings. Adhere to approved plans. Roof drainage shall be infiltrated, splash blocks are not allowed- see attached Standard Detail SD-140. All new power supply shall be ran underground. 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 2/26/2019 Building Permit Fee $929.93 2/26/2019 Building Plan Review Fee $604.45 2/26/2019 Processing/Technology Fee $25.00 2/26/2019 State Surcharge-Commercial $25.00 Total Due: $1,584.38 Total Payment: $1,584.38 Balance Due: $0.00 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 Date: 03/26/2026 Permit#: 2240 Permit Date: 10/24/2018 Review Date: 10/29/2018 Permit Type: COMMERCIAL BUILDING Review Type: COMMERCIAL BUILDING Target Date: 11/06/2018 Scheduled Time: 00:00 Completed Date: 02/06/2019 Description: See red lined drawings Review Status: Assigned To: BUILDING Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 31051200201300 ASSEMBLY OF GOD-ARLINGTON ASSEMBLY OF GOD-ARLINGTON PO BOX 218 115 N STILLAGUAMISH AVE ARLINGTON, WA 98223 Zoning: 111 Single Family Residence - DetachedLot: Block: Permit#: 2240 Permit Date: 10/24/18 Permit Type: COMMERCIAL BUILDING Project Name: Assembly of God- Maintenance Applicant Name: Ed Claybaugh Applicant Address: 201 N. Stillaguamish Applicant, City, State, Zip: Arlington,WA 98223 Contact: Ed Claybaugh Phone: 717-649-5348 Email: ed@arlingtonassembly.com Scope of Work: Maintenance Facility/Storage Building Valuation: 50000.00 Square Feet: 1354 Number of Stories: 1 Construction Type: Occupancy Group: ID Code: Permit Issued: 02/26/2019 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31051200201300 115 N STILLAGUAMISH ASSEMBLY OF 111 Single Family AVE GOD-ARLINGTON Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# 360.435.7433/360- 19304 BURNS CONSTRUCTION Labor&ACACIC*054BC Acacia Construction Doug Bartley 320-0239 RD CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 09/17/2019 C05.SHEARWALL Shear wa 09/17/2019 BUILDING Completed 09/17/2019 C19.PLUMBING PM 09/17/2019 BUILDING Completed FINAL 06/25/2019 R20.ACCESSORY Underground Plumbing 06/25/2019 BUILDING Completed STRUCTURE FINAL 04/11/2019 R03. AM FOUNDATION/SLAB OK to pour 04/11/2019 BUILDING Approved 12/10/2019 Inspection Insulation SafeBuilt Approved 03/21/2019 R02.FOOTING Inspected by Frank K.from 03/21/2019 BUILDING Approved Safebuilt Plan Reviews Date Review Type Description Assigned To Review Status 10/29/2018 COMMERCIAL See red lined drawings BUILDING BUILDING Fees Fee Description Notes Amount Building Permit Table 4-1 $929.93 Building Plan Review Table 4-2 $604.45 State Surcharge-Commercial Commercial Only $25.00 Processing/Technology $25.00 Total $1,584.38 Attached Letters Date Letter Description 02/11/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/24/2018 Assembly of God Check Raelynn Jones $1,584.38 Outstanding Balance $0.00 Notes Date Note Created By: 03/12/2019 Revised footing and foundation plans are approved with red lines. Kristin Foster 03/11/2019 Received revised footing/foundation plans. Kristin Foster 02/26/2019 Zoning permit and Design Review have been issued. Kristin Foster 02/25/2019 Received contractor information. Kristin Foster 02/11/2019 Need contractor info. Kristin Foster 10/29/2018 Zoning permit and DR required prior to issuance.See attached email. Kristin Foster 10/24/2018 Contractor TBD Raelynn Jones Uploaded Files Date File Name 09/24/2021 9758369-2240 IC 6.25.2019 underground.pdf 09/24/2021 9758370-2240 IC 3.17.2020 Final building and parking lot.pdf 09/24/2021 9758371-2240 IC 6.5.2019 roof and footing,pdf 01/06/2020 6055144-2240 9-17-19IC.pdf 01/06/2020 6055143-2240 9-17-19(2)IC.pdf 01/02/2020 6047225-2240 11-4-19 IC.pdf 02/26/2019 4556788-2240 Signed pgrmit.pdf 10/29/2018 4131490-Assembly of God Accessory Building.msg 10/24/2018 4079190-2240 Application.pdf ® M w^ `V 1 <\e CD r ti a>� a o Q, U i 0 { - Cl ii ' - -- 10 a o�� o a i - .,� jolt P,iD6 0 7N C` N 0 s Q CA N AF Z D Z G3 n � m � � - C)l 0=4 � m �7 ch to pVQ �. p� I 1 1 � 11 { I 1{1 r I P N W J N N _ I ! 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