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Home My WebLink About104 S OLYMPIC AVE_BLD2213_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 is PHONE; (360) 403-3551 BUILDING PERMIT Address:104 S Olympic Avenue Permit#:2213 Parcel#:31051100104300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:OLYMPIC PROPERTY HOLDINGS LLC Name:Grandview North,LLC Name:GRANDVIEW INC. Address:7421 284TH ST NE Address:P.O.Box 159 Address:P O BOX 159 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:360-435-7171 Phone:360-435-7171 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: 3 CONST.TYPE: VB DWELLING UNITS: 40 OCC GROUP: R2 BUILDINGS: 1 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/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tux return form and coded City of Arlington 43 101. _ David Spencer CBO 10/29/18 Signature Print Name Date Released By Date CONDITIONS Permit is for foundation only. Adhere to approved plans. Inspection 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 SEPARNI E PERMISSION. PERMIT FEES Date Description Fee Amount 10/29/2018 Building Permit Fee $5,631.25 10/29/2018 Processing/Technology Fee $25.00 10/29/2018 State Surcharge-Commercial $25.00 Total Due: $5,681.25 Total Payment: $0.00 Balance Due: $5,681.25 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 /7:7"'t S C�jj-!n/1i9f1/t^A 6 C- ij I I I Kristin Foster From: Kristin Foster Sent: Monday, October 29, 2018 2:20 PM To: SAFEbuilt BellevueWA General Mailbox;gv@grandviewinc.net Cc: Lou Whitford; David Spencer; Launa Peterson; Raelynn Jones Subject: RE: [External] - BID 1993 EMORY LOFTS- CITY OF ARLINGTON - FOUNDATION ONLY Attachments: Permit for Signature.pdf Dave, Attached is the permit for you to sign for the foundation only. Let me know if you need additional information,the applicant would like to move forward ASAP. Thanks, Kristin Foster Permit Technician City of Arlington 18204 59t"Ave NE 360-403-3549 kfoster@arlingtonwa.gov From: Launa Peterson Sent: Monday,October 29, 2018 11:45 AM To:SAFEbuilt BellevueWA General Mailbox<Safebuiltbellevue@safebuilt.com>;gv@grandviewinc.net; Kristin Foster <kfoster@arlingtonwa.gov> Cc: Lou Whitford <Ihitford@safebuilt.com>; David Spencer<dspencer@safebuilt.com> Subject: RE: [External] - BID 1993 EMORY LOFTS-CITY OF ARLINGTON - FOUNDATION ONLY The completed forms were emailed on 10/17/2018. Launa Peterson Permit Technician II City of Arlington 18204 591h Avenue NE Arlington, WA 98223 (located inside the Airport Office Building) 360-403-3551 ced@arlingtonwa.gov From:SAFEbuilt BellevueWA General Mailbox<Safebuiltbellevue@safebuilt.com> Sent: Monday, October 22, 2018 11:59 AM To:gv@grandviewinc.net; Launa Peterson<Ieterson@arlingtonwa.gov>; Kristin Foster<kfoster@arlinetonwa.goy> Cc: Lou Whitford <Ihitford@safebui It.com>; David Spencer<ds ep ncer@safebuilt.com> Subject: [External] - BID 1993 EMORY LOFTS-CITY OF ARLINGTON - FOUNDATION ONLY Hello, i SAFEbuilt has provide review ser,..;es for the City of Arlington for the FouAation Only of the Emory Lofts application. Please see the attached approval letter and the two forms that need to completed for issuance of the Foundation Only. The plans should be returned to the City of Arlington by Thursday morning. Please have your forms completed at the time of issuance. Please feel free to reach out to us with any questions you may have. We're happy to help you through this process if needed. Sincerely, Lou Sr. Plans Examiner Phone: 206-503-5948 1621 114th Ave SE, Ste 219 Bellevue WA 98004 Iwhitford@safebuilt.com AFEbuilt 2 l r Permit Information Date 10/16/2018 Permit Number 2213 Project Name Emory Lofts Applicant Name Grandview North,LLC Applicant Address P.O.Box 159 City,State,Zip Arlington,WA 98223 Contact Scott Wammack Phone 360-435-7171 Email gv@grandviewinc.net Permit Type Commercial New Site Address 104 S Olympic Avenue Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 3 Proposed Use Commercial/Multifamily Assigned To Kristin Foster Property Parcel Address Legal Owner Owner Phone Zoning 31051100104300 1104 S OLYMPIC AVE JOLYMPIC PROPERTY HOLDINGS LLC 1519 Other Wholesale Trade,NEC Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# GRANDVIEW INC. 60-435-7171 CONTRACTOR Labor and Industries GRANDHL848M7 Fees Fee Description Notes Amount Building Permit Fee 322.10.00.00 $5.631.25 Processing/Technology Fee 341.43.00.02 $25.00 State Surcharge-Commercial 386.00.01.00 $25.00 Total $5.681.25 Notes Date Note 10/29/2018 Foundation only. Foundation permit only. Plan review fee for the foundation is included in the main building permit#1993.20%of the overall 10/16/2018 building permit fee will be charged for the foundation only.The remaining building permit fee of 80%is charged under permit#1993. I I Uploaded Files Upload File Date File Uploaded By 77-77 .. i S A F Ebu'flt FOUNDATION ONLY APPROVAL DATE: 10/22/2018 TO: GRANDVIEW NORTH LLC FROM: Lou Whitford PHONE: 360-435-7171 PHONE: 206-503-5948 EMAIL: gv@grandviewinc.net EMAIL: Iwhitford@safebuilt.com PERMITS#: BID 1993 OCCUPANCY GROUP: B, A-3, R-2 PROJECT: EMORY LOFTS TYPE OF CONSTRUCTION: V-B ADDRESS: 104 S OLYMPIC AVE NUMBER OF STORIES: 3 SAFEbuilt Inc. has reviewed the above project documents for conformance to the provisions of the 2015 International Building Code, as adopted and amended by the City of Arlington. The permit referenced above is recommended for release of the reviewed construction documents for this Foundation Only. NOTES: SAFEbuilt needs the following items for issuance; 1. An approved site plan showing all setbacks must be compliant with Table 602 of the 2015 International Building Code and approved by the City for construction to begin. 2. An approved copy of the Geotech report to be on site. 3. Complete and return SAFEbuilt Form 009-Foundation Only Agreement form. 4. Complete and return SAFEbuilt Form 001-Special Inspections Agreement form Please submit the requested information to the City of Arlington. Please do not hesitate to contact me if any assistance is needed with this process. For questions about the required information needed please contact the reviewer listed below at 206-503-5948 or by email: Iwhicruru�: >sil ��.un_ :_vn . Sincerely, Senior Plans Examiner 1621 11411 Ave SE, Ste 219 Bellevue, WA 98004 206-503-5948 Iwhitford@safebuilt.com 11Page 71 r' CITY OF ARLINGTON % 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 104 S Olympic Avenue Permit#:2213 Parcel#:3 105 1 100 104300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Naive:OLYMPIC PROPERTY HOLDINGS LLC Name:Grandview North,LLC Name:GRANDVIEW INC. Address:7421 284TH ST NE Address:P.O.Box 159 Address: P O BOX 159 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:360-435-7171 Phone:360-435-7171 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: 3 CON ST.TYPE: ` 13 DWELLING UNITS: 40 OCC GROUP: R2 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 19.27. 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/[RC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington 43 10 1. - -- David Spencer CBO 10/29/18 Signature Print Name Date Released By Date CONDITIONS Permit is for foundation only. Adhere to approved plans. Inspection 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 10/29/2018 Building Permit Fee $5,631.25 10/29/2018 Processing/Technology Fee $25.00 10/29/2018 State Surcharge-Commercial $25.00 Total Due: $5,681.25 Total Payment: 50.00 Balance Due: $5,681.25 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 �' W"1—^ ra�a f 15 SAFEbuilt , FOUNDATION ONLY APPROVAL DATE: 10/22/2018 TO: GRANDVIEW NORTH LLC FROM: Lou Whitford PHONE: 360-435-7171 PHONE: 206-503-5948 EMAIL: gv@grandviewinc.net EMAIL: Iwhitford@safebuilt.com PERMITS#: BID 1993 OCCUPANCY GROUP: B, A-3, R-2 PROJECT: EMORY LOFTS TYPE OF CONSTRUCTION: V-B ADDRESS: 104 S OLYMPIC AVE NUMBER OF STORIES: 3 SAFEbuilt Inc. has reviewed the above project documents for conformance to the provisions of the 2015 International Building Code, as adopted and amended by the City of Arlington. The permit referenced above is recommended for release of the reviewed construction documents for this Foundation Only. NOTES: SAFEbuilt needs the following items for issuance; 1. An approved site plan showing all setbacks must be compliant with Table 602 of the 2015 International Building Code and approved by the City for construction to begin. 2. An approved copy of the Geotech report to be on site. 3. Complete and return SAFEbuilt Form 009-Foundation Only Agreement form. 4. Complete and return SAFEbuilt Form 001-Special Inspections Agreement form Please submit the requested information to the City of Arlington. Please do not hesitate to contact me if any assistance is needed with this process. For questions about the required information needed please contact the reviewer listed below at 206-503-5948 or by email: Iwhitford@safebuilt.com Sincerely, Lo-w W liff&r0lL Senior Plans Examiner 1621 114t" Ave SE, Ste 219 Bellevue, WA 98004 206-503-5948 Iwhitford@safebuilt.com 11Page SAFEbuilt PLAN REVIEW COMMENTS DATE: 10/2/2018 TO: GRANDVIEW NORTH LLC FROM: Lou Whitford PHONE: 360-435-7171 PHONE: 206-503-5948 EMAIL: gv@grandviewinc.net EMAIL: Whitford@safebuilt.com PERMITS#: BID 1993 OCCUPANCY GROUP: B, A-3, R-2 PROJECT: EMORY LOFTS TYPE OF CONSTRUCTION: V-B ADDRESS: 104 S OLYMPIC AVE NUMBER OF STORIES: 3 FOUNDATION ONLY REQUEST Dear Applicant, A request has been made for a Foundation Only permit to be issued for the Emory Lofts project. Conceptually, this Foundation Only will be a stand-alone permit in the field for the builders and inspectors alike to use for construction and inspections. Documentation is still needed to support the four pages of the structural plans that were forwarded to SAFEbuilt for review. SAFEbuilt needs the following items to begin a Foundation Only review; 1. (2)Copies of an approved site plan showing setbacks and all items approved by the City necessary to begin construction. 2. (2) Copies of the Geotech report. 3. (2)Revised set of calculations accommodating all foundation calculations to include the original design and any revisions made in the calculations that effects the new foundation plan. 4. Complete and return SAFEbuilt Form 009-Foundation Only Agreement form. 5. Complete and return SAFEbuilt Form 001-Special Inspections Agreement form • Please be sure to include on the resubmittal the engineer's or architect's "wet" stamp, signature, registration number and date on the cover page of any structural calculations, all structural details and structural sheets of the plans. • Please submit the requested information to the City of Arlington 11Page SAFEbuilt, In order to keep your permit in an"active" status,please respond within 60 days. For questions about the required information needed please contact the reviewer listed below at 206-503-5948 or by email: lwhitfordksafebuilt.com Sincerely, Lou Law W ki- f oroa Senior Plans Examiner 1621 114th Ave SE, Ste 219 Bellevue, WA 98004 206-503-5948 Iwhitford@safebuilt.com 2 1 P a g e SAFEbuilt/Washington 1621 1141h Ave SE.Ste 219 Bellevue,WA 98004 www.SAFEbuilt.com uilt , FORM 009 SAFEb ] FOUNDATION ONLY REQUEST AGREEMENT Initials The Owner and/or Owner's Agent/Representative understands that the request for a foundation onl ermit is a separate review under the application for the full structure reviewsf All deadlines still apply to the original building permit application for the structure. Initials The Owner and/or Owner's Agent/Representative understands that the approved site plan with the required setbacks must be on site. Property lines must be strung prior to pour. Initials The Owner and/or Owner's Agent/Representative understands that all applicable inspections shall be performed prior to placing any concrete or covering of any reinforcing steel of structural embedment. Any special inspections and reports must be submitted for review and/or approval. Initials The Owner and/or Owner's Agent/Representative understands that once a full plan review is completed and if changes are deemed necessary, alterations or corrections to the foundation may be required. This could mean unanticipated excavating, drilling, and retrofitting of additional hardware, cutting and removing of all parts of the foundation etc. Any additional, reviews, costs, and any time delays are the sole responsibility of the Property Owner. Back filling prior to completion of a full plan review is therefore not recommended. Initials The Owner and/or Owner's Agent/Representative understands that if changes are required, all alterations must be completed and inspected before construction beyond the foundation begins. Additional inspections may be required. Initials The Owner and/or Owner's Agent/Representative agree not to proceed with construction beyond the foundation without receiving a complete set of approved plans and permits. UNCONDITIONALLY no wood or any other type of construction material may be placed or installed as this would constitute proceeding without a permit. Initials The Owner and/or Owner's Agent/Representative may request that this Foundation Only Permit Approval includes the ability to install underslab I I P a g e plumbing and/or radiant heat tubing, or slab insulation. Such requests must be in writing. All relevant inspections will be performed and successfully completed prior to slab cover. Initials The Owner and/or Owner's Agent/Representative understands that construction beyond the foundation prior to full plan review that has been approved and issued, a' stop work order" and code compliance actions maybe imposed by the jurisdiction. The Engineer of Record has required Special Inspections for this structure ❑ YES ❑ NO If YES,please refer to SAFEbuilt Form 001 for the Special Inspection Agreement information for that must accompany this project. I,the undersigned,have read,understood and hereby agree to abide by the above stated conditions. SIGN HERE. DATE. 2 1 P a g e SAFEbuilt/Washington 1621 114"'Ave SE.Ste 219 VM Bellevue,WA 98004 wwwr.SAFEbuilt.com SAFEbuilt , FORM 009 FOUNDATION ONLY REQUEST AGREEMENT Ini*IN, The Owner and/or Owner's Agent/Representative understands that the request for a foundation onI ermit is a separate review under the application for the full structure reviews All deadlines still apply to the original building permit application for the structure. Init' s The Owner and/or Owner's Agent/Representative understands that the approved site plan with the required setbacks must be on site.Property lines must be strung prior to pour. Initia The Owner and/or Owner's Agent/Representative understands that all applicable inspections shall be performed prior to placing any concrete or covering of any reinforcing steel of structural embedment.Any special inspections and reports must be submitted for review and/or approval. is The Owner and/or Owner's Agent/Representative understands that once a full plan review is completed and if changes are deemed necessary, alterations or corrections to the foundation may be required.This could mean unanticipated excavating, drilling, and retrofitting of additional hardware, cutting and removing of all parts of the foundation etc. Any additional, reviews, costs, and any time delays are the sole responsibility of the Property Owner. Back filling prior to completion of a full plan review is therefore not recommended. In"—' Is The Owner and/or Owner's Agent/Representative understands that if changes are required, all alterations must be completed and inspected before construction beyond the foundation begins. Additional inspections may be required. In s The Owner and/or Owner's Agent/Representative agree not to proceed with construction beyond the foundation without receiving a complete set of approved plans and permits.UNCONDITIONALLY no wood or any other type of construction material may be placed or installed as this would constitute proceeding without a permit. Initials The Owner and/or Owner's Agent/Representative may request that this Foundation Only Permit Approval includes the ability to install underslab 11Page plumbing and/or radiant heat tubing, or slab insulation. Such requests must be in writing. All relevant inspections will be performed and successfully completed prior to slab cover. Initials The Owner and/or Owner's Agent/Representative understands that construction beyond the foundation prior to full plan review that has been approved and issued, a'stop work order"and code compliance actions may be imposed by the jurisdiction. The Engineer of Record has required Special Inspections for this structure YES ❑ NO If YES, please refer to SAFEbuilt Form 001 for the Special Inspection Agreement information for that must accompany this project. I,the undersigned,have read,understood and hereby agree to abide by the above stated conditions. SIGN HERE. DATE. 2 1 P a g e JARNOT ENGINEERING INC.October 31, 2018 Mr. Scott Wammack GRANDVIEW NORTH, LLC P.O. Box 159 Arlington, WA 98223 Re: `Emory Lofts', Arlington, WA Site Observations on 10/30/2018 JEI Job#: 18-01-100 Dear Mr. Wammack: At your request Jarnot Engineering visited the subject site on October 30, 2018, to observe the condition of the soils, and foundation reinforcement prior to pouring concrete. The weather was dry, sunny with clouds. There was no standing water on the site. Our observations are given below, with no non-conforming items noted. Soil Condition The site soils are generally silty sand. The soils at the perimeter footings and slab-on- grade areas were found to be very firm and unyielding. The soils in the elevator pit and large shear-wall excavations were found to be firm and unyielding with minor surface disturbance. Reinforcement at Perimeter Footings and Elevator Pit Reinforcement at the perimeter footings, including spread footing at the perimeter, and elevator pit appeared to be in accordance with the approved plans. Simpson WSW Shear-wall Footings There are six large shear-wall footings at the front of the building facing Olympic Avenue. The dimensions of the excavations for these footings are in accordance with the approved plans. The reinforcement cages for the footings and embedded anchor-bolts all appeared to be in accordance with the approved plans and meet the engineering requirements. If you have any questions,please call Frank;Jarnot atT f425 2791. C Sincerely, J Frank T. Jarnot, P.E. ' ' - s JARNOT ENGINEERING, INC. IJ P.O. Box 704, Monroe, WA 98272 (425) 387 2791 Jarnotengineering@outlook.com Permit#: 2213 Permit Date: 10/16/18 Permit Type: COMMERCIAL BUILDING Project Name: Emory Lofts Applicant Name: Grandview North, LLC Applicant Address: P.O. Box 159 Applicant, City, State, Zip: Arlington,WA 98223 Contact: Scott Wammack Phone: 360-435-7171 Email: gv@grandviewinc.net Scope of Work: Foundation Only Valuation: 0.00 Square Feet: 0 Number of Stories: 3 Construction Type: Occupancy Group: ID Code: Permit Issued: 10/29/2018 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31051100104300 104 S OLYMPIC AVE GRANDVIEW 140 MIXED-USE NORTH LLC Contractors Contractor Primary Contact Phone Address Contractor Type License License# GRANDVIEW INC. 360-435-7171 P O BOX 159 CONSTRUCTION Labor and GRANDHL848M7 CONTRACTOR Industries Fees Fee Description Notes Amount Building Permit Table 4-1 $5,631.25 Processing/Technology $25.00 State Surcharge-Commercial Commercial Only $25.00 Total $5,681.25 Attached Letters Date Letter Description 10/29/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/29/2018 Grandview North,LLC Check#7206 Kristin Foster $5,681.25 Outstanding Balance $0.00 Notes Date Note Created By: 10/29/2018 Foundation only. Kristin Foster Foundation permit only.Plan review fee for the foundation is included in the main building 10/16/2018 permit#1993.20%of the overall building permit fee will be charged for the foundation only. Kristin Foster The remaining building permit fee of 80%is charged under permit#1993. Uploaded Files Date File Name 10/29/2018 4131852-2213 Issued Permit.pdf CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 = BUILDING PERMIT - Address:104 S Olympic Avenue Permit#:2213 Parcel#:31051100104300 Valuation:0.00 OWNER APPLICANT CONTRACTOR J Name:OLYMPIC PROPERTY HOLDINGS LLC Name:Grandview North,LLC Name:GRANDVIEW INC. Address:7421 284TH ST NE Address:P.O.Box 159 Address:P O BOX 159 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:360-435-7171 Phone:360-435-7171 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: 3 CONST.TYPE: VB DWELLING UNITS: 40 OCC GROUP: R2 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/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Permit is for foundation only. Adhere to approved plans. Inspection 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 10/29/2018 Building Permit Fee $5,631.25 10/29/2018 Processing/Technology Fee $25.00 10/29/2018 State Surcharge-Commercial $25.00 Total Due: $5,681.25 Total Payment: $0.00 Balance Due: $5,681.25 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 SAFEbuilt/Washington 1621 1141"Ave SE.Ste 219 Bellevue,WA 98004 www.SAFEbuilt.corn SAFEbuilt , FORM 001 SPECIAL INSPECTION AND TESTING AGREEMENT In accordance with International Building Code Chapter 17,where application is made for construction as described in this section,the owner or the registered design professional in responsible charge acting as the owner's agent shall employ one or more Special Inspectors to provide inspections during construction. APPLICANTS NAME Grandview North,LLC Last name PHONE 360-435-7171 EMAIL gv@grandviewinc.net PRIMARY CONTACT Scott Wammack I ast name PHONE 360-435-7171 EMAIL gv@grandviewinc.net TAX I.D.NUMBER 91-1897240 PROJECT NAME Emory Lofts PROJECT 3-story mixed-use building DESCRIPTION SITE ADDRESS 104 S. Olympic Ave.,Arlington, WA Before A permit can be issued: The owner,Architect or Engineer of record acting as the owner's agent, shall complete(2)copies of this agreement,including the required acknowledgements,and attach structural tests and inspections schedules. A pre-construction conference with the parties involved may be required to review the special inspection requirements and procedures. Approval of special inspectors: Special inspectors shall be approved by the Building Official prior to performing any duties. SPECIAL INSPECTION AND TESTING SHALL MEET THE MINIMUM REQUIREMENTS OF 2015 IBC. THE FOLLOWING CONDITIONS ARE ALSO APPLICABLE. 1) Duties and Responsibilities of Special Inspector 1IPage a) Observe work: The Special Inspector shall observe the work for conformance with SAFEbuilt approved(stamped)design drawings and specifications and applicable workmanship provisions of the IBC the Architect/ Engineer-reviewed shop drawings and/ or placing drawings may be used only as an aid to inspection. b) Report Non-Conforming Items: The Special Inspector shall bring non-conforming items to the attention of the Contractor and note all such items in the daily report.If any item is not resolved in a timely manner or is about to be incorporated in the work,the Special Inspector shall immediately notify the SAFEbuilt by telephone or in person, and notify the project Architect or Engineer. Inspector Materials Testing & Phone 360-755-1990 Consulting, Inc., Ross Bichel, WABO Technical Director c) Furnish Daily Reports: Each Special Inspector shall complete and sign an inspection report for each day's inspections to remain at the job site with the contractor for review by the Building Official. d) Furnish Weekly Reports: The Special Inspector or agency shall furnish weekly reports of tests and inspections directly to the SAFEbuilt,project Architect/Engineer, and others as designated. These reports must include the following: i) Description of daily inspections and test made, with applicable locations. ii) Listing of all non-conforming items. iii) Report on how non-conforming items were resolved or unresolved, as applicable. iv) Itemize all changes authorized by the Architect/ Engineer of Record and Building Official if not included in non-conformance items. e) Furnish Final Report: The Special Inspector or inspection agency shall submit a final signed report to SAFEbuilt stating that all items requiring special inspection and testing were fulfilled and reported, and to the best of his/her knowledge, in conformance with the approved design drawings, specifications, approved change orders and the applicable workmanship provisions of the IBC. Items not in conformance, unresolved items or any discrepancies in inspection coverage (i.e., missed inspections, periodic inspections when continuous was required, etc.) shall be specifically itemized in this report. 2) Contractor Responsibilities a) Notify the Special Inspector: The Contractor is responsible for notifying the Special Inspector or agency regarding individual inspection items on the summary schedule and as noted on the SAFEbuilt approved plan as specified by the Architect and or Engineer of record. b) Provide Access to Approved Plans: The Contractor is responsible for providing the Special Inspector access to approved plans at the job site. c) Retain Special Inspection Records: The Contractor is also responsible for retaining at the job site all Special Inspection records submitted by the Special Inspector and providing these records for review by SAFEbuilt upon request. 3) SAFEbuilt 2 1 P a g e a) Approve Special Inspector: SAFEbuilt shall approve all Special Inspectors and inspection requirements. b) Monitor Special Inspection: Work requiring special inspection and the performance of Special Inspectors shall be monitored by the SAFEbuilt. His/ Her approval must be obtained prior to placement of concrete or similar activities in addition to that of the Special Inspector. c) Issue Certificate of Occupancy: SAFEbuilt may forward approval confirmation to the jurisdiction having authority that a Certificate of Occupancy can be issued after all Special Inspection reports and the final report have been submitted and accepted. 4) Owner Responsibilities a) Funding: The project owner or the Architect or Engineer of record acting as the owner's agent shall fund the Special Inspection Services. 5) Architect or Engineer of Record Responsibilities a) Drawings: The Architect or Engineer of record shall include special inspection requirements on the design drawings and specifications. b) Schedule Inspections: Provide a summary schedule of required inspections which would outline frequency of inspections for items which may require multiple inspections which may include but are not limited to concrete and grout testing, compaction,testing of backfill and or road beds as recommended by the geo-tech engineer,and structural welding as work progresses. SPECIAL INSPECTION & STRUCTURAL OBSERVATION ITEMS REQUIRED BY CHAPTER 17 OF THE 2015 IBC Indicate items requiring special inspection, structural testing, or structural observations by checking the appropriate box. M STRUCTURAL STEEL (IBC 1705.2.1 & 1705.12.1) El STEEL CONSTRUCTION OTHER THAN STRUCTURAL STEEL (IBC1705.2.2) MCONCRETE CONSTRUCTION(IBC 1705.3) [--I MASONRY CONSTRUCTION(IBC 1705.4) M WOOD CONSTRUCTION (IBC 1705.5, 1705.11.1 & 1705.12.2) 3 1 P a g e ❑SOILS CONSTRUCTION(IBC 1705.6) ❑DRIVEN DEEP FOUNDATIONS (IBC 1705.7) ❑CAST-IN-PLACE DEEP FOUNDATIONS (IBC 1705.8) ❑HELICAL PILE FOUNDATIONS (IBC 1705.9) ❑SPRAYED FIRE-RESISTANT MATERIALS (IBC 1705.14) ❑MASTIC AND INTUMESCENT FIRE-RESISTANT COATINGS (IBC 1705.15) ❑EXTERIOR INSULATION AND FINISH SYSTEMS (EIFS) (IBC 1705.16) ❑FIRE-RESISTANT PENETRATIONS AND JOINTS (IBC 1705.17) ➢ Only required for high-rise buildings or those assigned to Risk Category III or IV per IBC Table 1604.5. ❑SMOKE CONTROL (IBC 1705.18) ❑ARCHITECTURAL COMPONENTS (IBC 1705.12.5) ➢ Only required for buildings located within Seismic Design Category D, E, or F ❑PLUMBING,MECHANICAL & ELECTRICAL COMPONENTS (IBC 1705.12.6) ➢ Only required for buildings located within Seismic Design Category C, D, E, or F ❑SEISMICALLY ISOLATED SYSTEMS (IBC 1705.12.8) ❑SPECIAL CASES (IBC 1705.1.1)—material alternatives or unusual design applications El MISCELLANEOUS AREAS --These inspections may be recommended by the Architect/Engineer and are to be approved by the Building department. 4 1 P a g e SA F Eru 11}® SAFEbuilt 1 Washington 1621 114t''Ave SE.Ste 279 Bellevue,WA 98004 Lvww.SAFEbuilt.com FORM 001 SPECIAL INSPECTION AND TESTING AGREEMENT Acknowled=,,ements I HAVE READ AND AGREE TO COMPLY WITH THE TERMS AND CONDITIONS OF THIS AGREEMENT. (Attach more sheets for signatures if necessary) Owner Grandview North, LLC Last name Date ®ate Signature Sign. -J 7/24/2018 Contractor Grandview North, LLC Last name Date Date Signature Sign % 7/24/2018 ❑ Submit written statement of responsibility in accordance with IBC Section 1704.4. Special Inspector Materials Testing & Consulting, Inc. Date 7/24/2018 Signature Sign ❑ Submit WABO certification for special inspection agency and inspectors, (or) ® Submit Special Inspection agency documentation for Building Official approval. Names of Special Inspectors Scope of Work. Submit copies of inspector certifications provided for each discipline. Inspector name First name Last name Scope of Work Work Inspector name First name First name Scope of Work Work Inspector name First name First name Scope of Work Worn( Inspector name First name First name Scope of Work Work Inspector name First name First name Scope of Work Work Inspector name First name First name Scope of Work Work 5 Page D Architect/Engineer of Record Frank Jarnot at e 7/ 27 /2 01 8 Signature Structural Observer First name Last name Date Date Signature sign. ❑ Statement of Special Inspections completed and submitted in accordance with IBC Section 1704.3. ❑ Structural Observations required in accordance with IBC Section 1704.5. ACCEPTED BY SAFEBUILT SAFEbuilt First name Last name Date Date Signature sign. 6 1 P a g e