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HomeMy WebLinkAbout3721 169th St Ne_BLD2151_2026 C TY OF ARLI 'AGTON 238 N. OLYMPIC AVE- ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:3721 169th Street NE Permit#:2150 Parcel#:31052800200500 Valuation: 132501.50 OWNER APPLICANT CONTRACTOR Name:Affinity at Arlington,LLC Name:Inland Washington,LLC Name:Inland Washington,LLC Address: 120 W Cataldo Avenue,#100 Address:120 W Cataldo Avenue,#100 Address: 120 W.Cataldo Ave.Suite 100 City,State Zip:Spokane,WA 99201 City,State Zip:Spokane,WA 99201 City,State Zip:Spokane,WA 99201 Phone:5097149026 Phone:509-714-9026 Phone: LIC:INLANWL962OZ EXP:9/9/2020 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: VB DWELLING UNITS: O OCC GROUP: U 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. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin ton must be reporled on your sales tax return form and codedkilyof Arlington#3101. al e,r tG �ntccz 17 r `�' Signature Print Name Date ReYcaseYby Date CONDITIONS Adhere to approved plans. Call for inspections. Approved documents shall remain on-site for inspections. 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 4/15/2019 Building Permit Fee $1,706.07 4/15/2019 Building Plan Review Fee $1,108.95 4/15/2019 Processing/Technology Fee $25.00 4/15/2019 State Surcharge-Commercial $25.00 Total Due: $2,865.02 Total Payment: $2,865.02 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon C ITY OF ARLI"k,IGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:3721 169th Street NE Permit#:2151 Parcel#:31052800200500 Valuation: 128084.88 OWNER APPLICANT CONTRACTOR Name:Affinity at Arlington,LLC Name:Inland Washington,LLC Name:Inland Washington,LLC Address: 120 W Cataldo Avenue,#100 Address:120 W Cataldo Avenue,#100 Address:120 W.Cataldo Ave.Suite 100 City,State Zip:Spokane,WA 99201 City,State Zip:Spokane,WA 99201 City,State Zip:Spokane,WA 99201 Phone:5097149026 Phone:509-714-9026 Phone: LIC:INLANWL962OZ EXP:9/9/2020 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Naive: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial New CODE YEAR: 2015 STORIES: I CONST.TYPE: V$ DWELLING UNITS: 0 OCC GROUP: U 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. IBC I0/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Ar ington ust be reported on your sales tax return form oded 0 y Arlington#3101. ``-- r�ld iG/4l1 5e11 17 11 Signature Print Name Date eleased By Date CONDITIONS Adhere to approved plans. Call for inspections. Approved documents shall remain on-site for inspections. 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 4/15/2019 Building Permit Fee $1,673.75 4/15/2019 Building Plan Review Fee $1,087.94 4/15/2019 Processing/Technology Fee $25.00 4/15/2019 State Surcharge-Commercial $25.00 Total Due: $2,811.69 Total Payment: $2,811.69 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 C-.', TY OF ARLI "'IGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:3721 169th Street NE Permit#:2152 Parcel#:31052800200500 Valuation: 132501.50 OWNER APPLICANT CONTRACTOR Name:Affinity at Arlington,LLC Name:Inland Washington,LLC Name:Inland Washington,LLC Address: 120 W Cataldo Avenue,#100 Address:120 W Cataldo Avenue,#100 Address: 120 W.Cataldo Ave.Suite 100 City,State Zip:Spokane,WA 99201 City,State Zip:Spokane,WA 99201 City,State Zip:Spokane,WA 99201 Phone:5097149026 Phone:509-714-9026 Phone: LIC:INLANWL962OZ EXP:9/9/2020 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: V13 DWELLING UNITS: 0 OCC GROUP: U 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. IBC110/IRCI10. SALES TAX NOTIC Sales tax relating to construction and construction materials in the City of Arlin ust a re ed on your sales tax return form oded ty f rlington 93101. 1 d� I q Ord ,,t-Sc g on m ;4 �/ l7�!�j I I Signature Print Name Date keYased By Date CONDITIONS Adhere to approved plans. Call for inspections. Approved documents shall remain on-site for inspections. THIS PERMIT AUTHORIZE 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 4/15/2019 Building Permit Fee $1,706.07 4/15/2019 Building Plan Review Fee $1,108.95 4/15/2019 Processing/Technology Fee $25.00 4/15/2019 State Surcharge-Commercial $25.00 Total Due: $2,865.02 Total Payment: $2,865.02 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 V E iI AF �u t. PLAN REVIEW COMMENTS DATE: 11/26/2018 TO: Affinity at Arlington LLC FROM: Amber Green PHONE: PHONE: 206-718-7659 EMAIL: reidd@inlandconstruction.com EMAIL: agreen@safebuilt.com PERMIT#: BLD2150 : Garage 1 OCCUPANCY GROUP: U BLD2151 : Garage 2 BLD2152 : Garage 3 PROJECT: Affinity at Arlington TYPE OF CONSTRUCTION: V-B ADDRESS: 3721 169th Street NE NUMBER OF STORIES: 1 SAFEbuilt Inc. has reviewed the above project documents for conformance to the provisions of the 2015 International Building Code, Uniform Plumbing Code, International Fuel Gas Code, International Mechanical Code and International r-nergy Conservation Code as adopted and amended by the State of Washington and the City of Arlington. The permit referenced above is recommended for release of the reviewed construction documents for this project. All outstanding comments have been addressed in an adequate fashion and no comments remain. Please reference the approved Deferred Submittal Agreement for outstanding requirements. Please do not hesitate to contact me if any assistance is needed with this process. Sincerely, Plans Examiner 1621 114th Ave SE, Ste 219 Bellevue, WA 98004 agreen@safebuilt.com v� NOTICEnH TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ;],-APPROVED PERMIT#: LOT#: f DATE: - JOB ADDRESS: I ` -I� TYPE OF INSPECTION: VA- (1 - 1 ❑ 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 wwrVd ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DA E BUILDING DEPT. PLANNING DEPT. CITY OF ARLINGTON CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:18418 Champions Drive Permit 0:2157 Parcel q:008744U0010400 Valuation;0.00 OWNER APPLICANT CONTRACTOR Name:VENTURA D MICHAEL&ZUDIE Name;Brennan Heating Name:Brennan Heating Address: 18416 CI IAMPIONS DR Address:4601 S 1341h Place Address:4601 S 1341h Place City,State Zip:ARLINGTON,WA 98223-5075 City,State Zip:Seattle,%VA 98168 City,State Zip:Scattle,WA 98169 Phone: Phone:206-248-7900 Phone:206-248.7900 MECHAMCAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Brennen Heating Address: Address: 4601 S 134th Place City,State,Zip: City,State,Zip:Seattle,WA 98168 Phone: Phone:206-248-7900 LTC H: EXP: LIC ft:BRENN"A971R9 EXP: 12/29/2018 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: 2 CONST.TYPE: VB DWELLING UNITS: 1 OCC GROUP: R3 BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE,WORK AUTHORIZED THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASI IINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR I-IIS/IIER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING Olt STRUCTURE UNTIL A FINAL INSPEC O HAS BEEN MADE AND APPROVAL OR + TIFICATE OF OCCUPANCY HAS BEEN GRANTED, IBC 110/IRCI 10. I A ES TAX NO sales tax relating to construction and construction mated Is in t c City ot'A i 1 e ncd on your sales tax return rorm /anIq of ArI n ton It3101. nature Print Name D:uc cased By • Date CONDITIONS Approved as submitted, Inspection required. THIS PERMIT AOTHORIZS ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO nE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THB PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION, PERMIT FEES Date Description Foe Amount 9/19/2018 Mechanical Permit Base Fee $25.00 911 912 01 8 Processing/Technology Fee $25.00 9/19/2018 Water Heater $25.00 Total Due: $75.00 Total Payment: S0,00 Balance Due: S75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an Inspection please leave the following Information: Permit Number,Type or Inspection being requested,and whether you prefer morning or afternoon Agftk Community and Economic Development qw Building Division INSPECTION RECORD SHALL REMAIN AT JOB Building construction shall not commence until permit SITE holder or agent has posted this Inspection Record Card in a conspicuous place on the premises. OWNER:MICHAEL AND ZUDIE VENTURA CONTRACTOR:BREANNAN HEATING 06 ADDRESS:18418 CHAMPIONS DRIVE OWNER ADDRESS:18418 HAMPIONS DRIVE USE ofnU1LD1NG: SFR PLAT NAME: VB R3 Description of Work:REPLACE GAS HWT LOT# PERMIT NO:BLD-2157 Sprinklered:NO CONDITIONS:SEE PERMIT DATE ISSUED:9119/2018 TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION INSPECTIONLINE UNDERFLOOR (360)403-3417 SHEARWALL PLUMBING (groundwork) GAS PI PI NG(groundworlc) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD (SHEAR/RATING) ROOF DRAINAGC DEVELOPMENT STORMINFILTRATION SERVICES GRADING INSPECTIONLINE CURB GUTTER&SIDEWAI,K (360)403-3417 LANDSCAPE DRIVEWAY UTILITIES SIDESEWIR INSPECTIONLINE SEWER CLEANOUT/FINAI, (360)403-3500 WA'1'ERSERVICI.INSPIiC'I'ION WATER SERVIC:EFINAI, CROSS CONNECTIONFINAI. (360)403-3417 FINAL INSPECTION All sections must be signed off prior to final inspection Electrical must be signed off prior to final inspection COMMENTS: GiTY OF ARLINGTON j 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:18418 Champions Dr Permit#:2251 Parcel#:00874400010400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:VENTURA D MICHAEL&ZUDIE Name:Brennan Heating Name:Brennan Heating Address: 18416 CHAMPIONS DR Address:4601 S 134th PL Address:4601 S 134th Place City,State Zip:ARLINGTON,WA 98223-5075 City,State Zip:Seattle,WA 98168 City,State Zip:Seattle,WA 98168 Phone: Phone:206-248-7900 Phone:206-248-7900 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Brennan Heating Name: Address:4601 S 134th PL Address: City,State,Zip:Seattle,WA 98168 City,State,Zip: Phone:206-248-7900 Phone: LIC#:BRENNHA971R9 EXP: 12/29/2019 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC1 IO/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington l be reported on yo r sales tax return f and coded City of Arlington#3101. zue) ,I I Signature Print Name Date Releas d y Date CONDITIONS J 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 11/1/2018 Furnace $25.00 11/1/2018 Mechanical Permit Base Fee $25.00 11/1/2018 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $75.00 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 Permit Information Date 11/1/2018 Permit Number 2251 Project Name Brennan Heating-Champions Dr Applicant Name Brennan Heating Applicant Address 4601 S 134th PL City,State,Zip Seattle,WA 98168 Contact Jaimie Howe Phone 206-248-7900 Email jaimie@brennanheating.com Permit Type Residential Mechanical Site Address 18418 Champions Dr Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Residential Mechanical Number of Stories 0 Proposed Use Assigned To Raelynn Jones Property Parcel Address Legal Owner lOwnerPhone Zoning 00874400010400 118418 CHAMPIONS DR VENTURA D MICHAEL&ZUDIE 1116 Common Wall Single Family Residence Contractors Contractor Primary Phone Email Contractor Type License License# Name Contact 206-248- MECHANICAL Labor and Brennan Heating Jaimie How /900 aimie@brennanheating.com"ONTRACTOR Industries BRENNHA971R9 Fees Fee Descri tion Notes Amount Furnace 322.10.00.00 $25.00 Mechanical Permit Base Fee 322.10.00.00 $25.00 Processin /Technolo v Fee 341.43.00.02 $25.00 Total $75.00 Uploaded Files Upload File Date ! File Uploaded B 11/1/2018 9:26:45 AM IL251 Specs.pdf Jones,Raelynn x 11/1/2018 9:24:44AM IL251 Application.pdf Jones,Raelynn �[ RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community & Economic Development City of Arlington • 18204 59th Ave NE • Arlington,WA 98223 • Phone(360)403.3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION, Project Address: �`1 l .1 Q�s_ Dr Ar l t� ` �� ---• Project Description- ( _ CIL C- S Address -- -- _ - - -- - - Phone: O 3 - q �- Email - Applicant: Brennan Heating Address: 4601 S 134th,P Battle 98168 Phone: 206-248-79 0 Email: Jaimie@brennanheating.com Applicant Signatur _ — Electronic Signature if submitting on-line I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. CONTRACTOR INFORMATION Contractor Name:Brennan Heating Company: Brennan Heating -T -�-_ T-DTIF--License Number:BRENNHA971 R9 Expiration: 12129 Phone:206-248-7900 Email:Jai rnie@brennanheating.corn Received STAFF USE ON NOV 01 2018 Permit#: '�,2�j Accepted by: Date. RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community & Economic Development City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone(360) 403 3551 SELECT ALL PROPOSED APPLIANCES Furnace (80+) ❑ Fireplace Insert [] Outdoor BBQ ❑ Heat Pump ❑ Freestanding Stove ❑ Hydronic Piping ❑ Type II Hood ❑ Commercial Cooking Appliance ❑ PV System ❑ Boiler ❑ Gas Piping ❑ Storage Tank ❑ AC Unit ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: [� Pipe Material: Pipe Size Distance From Meter to Furthest Appliance: Total BTU's of all Appliances • New gas piping requires a pressure test to hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances SPECIFICATIONS .4 Gas Model No. MLISOOF045P24A ML180OF04SP36A ML184DF07OP36A Heating Model No.- Low NO --- --- MLIBODF070XP36A Performance AHRI Ref. No. Non")("Models 5338816 5202436 5202437 "X"Models --- ... 5338848 'AFUE 80% 80% 80% Input-Btuh 44,000 44,000 66,000 Output-Btuh 35,000 36,000 53,000 Temperature rise range-OF 25-55 15-45 25-55 Gas Manifold Pressure(in.w.g.) 3.5/10.0 3.5/10.0 3.5/10.0 Nat.Gas/LPG/Propane High Static-in.w.g. 0.50 0.50 0.50 Connections Flue connection-in.round 4 4 4 In. Gas pipe size IPS 1/2 112 1/2 Indoor Wheel nom.dia.x width-in. 10 x 7 10 x 8 10 x 8 Blower Motor output-hp 115 113 113 Tons of add-on cooling 1.5-2 2-3 1 2-3 Air Volume Range-cfm 401 - 1157 739-1524 1 717-1562 Electrical Voltage 120 volts-60 hertz-1 phase Data Blower motor full load amps 3.1 6.1 6.1 Maximum overcurrent protection 15 15 15 Shipping Data lbs.-1 package 105 113 128 NOTE-Fillers and provisions for mounting are not furnished and must be field provided. 'Annual Fuel Utfiizatlon EffthaeM based on DOE test procedures and a000rding to FTC labeling regulations.Isolated combustion system roUng for non-weatherized furnaces. SPECIFICATIONS Gas Model No. ML180DF09OP365 ML18ODF09OP48B ML18ODF11OP60C Heating Model No.- Low NO ... ML18ODF090XP48B ML18ODFIICXP60C Performahce AHRI Ref. No. Non°X"Models 5338849 5338852 5202439 "X"Models ... 5338853 5338854 'AFUE 80% 80% 80% Input-Btuh 88.000 88.000 110.000 Output-Btuh 71.000 71.000 89.000 Temperature rise range-OF 35-65 25-55 30-60 Gas Manifold Pressure(in.w.g.) 3.5110.0 3.5110.0 3.5/ 10.0 Nat. Gas/LPG/Propane High Static-in.w.g. 0.50 0.50 0.50 Connections Flue connection-in.round 4 4 4 In. Gas pipe size IPS 1/2 1/2 112 Indoor Wheel nom.die.x width-in. 10 x 9 10 x 10 11-1/2 x 10 Blower Motor output-hp 1/3 1/2 1 Tons of add-on cooling 2-3 3-4 4-5 Air Volume Range-cfm 743-1695 917-1929 1517-2760 Electrical Voltage 120 volts-60 hertz-1 phase Data Blower motor full load amps 6.1 8.2 10.0 Maximum overcurrent protection 15 15 15 Shipping Data lbs.- 1 package 131 140 160 NOTE-Filters and provisions for mounting are not furnished and must be field provided. 'Annual Fuel Utilization Efficiency based on DOE lest procedures end according to FTC labeling regulations.Isolated corif�uqjjrMtni 1pg for non-weatherized furnaces. NOV 01 2018 ML760DF!Paae 5 Search L&I La'bo,r,F& IndUstries Safety&Health 0 Claims&Insurance 0- Workplace Rightso Trades&Licensing 10 Washington State Department of " labor & Industries BRENNAN HEATING &A/C LLC Owner or tradesperson 4601 S 134TH PL SEATTLE,WA 98168 Principals 206-248-7900 ERDAHL,DARRIN PAUL,PARTNER/MEMBER KING County Doing business as BRENNAN HEATING&A/C LLC WA UBI No. Business type 602 346 866 Limited Liability Company Governing persons DARRIN 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. BRENNHA971R9 Effective—expiration 12/29/2003-12129/2019 Bond FEDERATED MUTUAL INS CO $12,000.00 Bond account no. 9127230 Received by L&I Effective date 11/04/2004 12/22/2004 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9820726 Received by L&I Effective date 05/31/2018 07/13/2015 Expiration date 0 711 3/2 0 1 9 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. Help us Improve License Violations Infraction no. PDOVE00515 Satisfied Issue date RCWNVAC 01/26/2018 18.106.020 Violation city Violation amount SEATTLE $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts Account no. Account is current. 803,761-08 Doing business as BRENNAN HEATING&AIR CONDIT Certificate of Workers'Comp Coverage Track this contractor Account no. Recently opened account. 803,761-18 No premiums due yet. Doing business as PUYALLUP HEATING&AIR CONDITI Certificate of Workers'Comp Coverage v Track this contractor 0 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. HelpusImprove Am," �Wr�hingtom° Help us improve m 2, COMMERCIAL APPLICATION PERMIT SUBMITTAL lr Department of Community & Economic Development City of Arlington• 18204 59th Ave NE• Arlington,WA 98223• Phone(360) 403-3551 THIIRCS COMMERCIALAPPLICATION TO BE USED FOR NEW THIS APPLICATION M ST 8 A CCOMPANIED MI BY A COMMERCIAL APPLICA DWELLINGS REGULATED APPLICATION SUBMITTAL CHECKLIST AND AN OCCUPANTS E STATEMENT OF INTENDED USE. Name of Project: Affinity at Arlington Valuation: $317,786 Project Address: 3721 169th Street NE, Arlington, WA Parcel ID#: 31052800200500 Legal Description Lot 1 Owner: Affinity at Arlington, LLC Phone Number: 509-321-3219 — Address: 120 W. Cataldo Ave., Suite 100 City:Spokane State:WA Zip Code:99201 Engineer: Cushing Terrell Architects Engineers Phone Number: 720-598-9258 Cell Phone: 720-598-9255 E-mail:kyle'(actagroup com 80203 Address: 303 E. 17th Ave., Suite 105 City:Denver State:CO Zip Code: General Contractor: Inland Washington, LLC Phone Number:509-321-3214 Cell Phone: 509-710-9137 E-mail: scottsteiner@inlandconstruction.com Address: 120 W. Cataldo Ave., Suite 100 City:Spokane State: WA Zip Code: 99201 Contractor's License Number: INLANWL962OZ Expiration:10/9/2018 - Contact Person: Reid Dickinson Phone Number: 509-321-3219 Cell Phone: 509-714-9026 E-mail:reidd@inlandconstruction.com Address: 120 W. Cataldo Ave., Suite 100 City:Spokane State: WA Zip Code: 99201 Proposed Scope of Work:Construct an 18 bay parking garage. Received �Lrr v 0 ZU16 2- REV 2015 Page 6 of 9 COMMERCIAL APPLICATION y PERMIT SUBMITTAL Department of Community & Economic Development City of Arlington• 18204 59th Ave NE• Arlington,WA 98223• Phone(360) 403-3551 Project Name/Tenant Affinity at Arlington Site Address3721 169th Street NE, Arlington, WA Bldg/Unit/Suite Garage G-2 IBC Construction Type 2015 IBC IBC Occupancy Type U Description of Use 18 space parking Garage Building Square Footage 5,148 SF Number of Stories 1 Square Footage Per Floor5,148 SF 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 Department of Community & Economic Development City of Arlington• 18204 59th Ave NE" Arlington,WA 98223• Phone(360) 403-3551 Affinity at Arlington Name of Project: Project Address: 3721 169th Street NE, Arlington, WA _ Special Inspection Firm: PSI Address: 20508 56th Avenue West, Lynwood, WA 98003 Dan Kuhn 425-409-2504 Contact Person: Phone: Email: daniel.kuhn@psiusa.com Special Inspection Firm Special Inspectors: The Special inspection Firm of PSI _ 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:Fasteninq at elements related to seismic force- 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 and the City Inspector.The contractor shall maintain all daily inspections reports,on site,for review. REV 2015 Page 8 of 9 COMMERCIAL APPLICATION D 'Ie PERMIT SUBMITTAL Irv($ Department of Communit & Economic Development y p 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. Affinity at Arlington, LLC September 06, Owner: Y g_ September I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-described property will be in accordance with the laws,rules and regulation of the State of Washington. Applicants Signature Reid Dickinson September 06, 2018 Print Applicants Name Date FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received REV 2015 Page 9 of 9 CITY OF ARLINGTON s /r 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:3721 169th Street NE Permit#:2151 Parcel#:31052800200500 Valuation: 128084.88 OWNER APPLICANT CONTRACTOR Name:Affinity at Arlington,LLC Name:Inland Washington,LLC Name:Inland Washington,LLC Address: 120 W Cataldo Avenue,#100 Address:120 W Cataldo Avenue,#100 Address: 120 W.Cataldo Ave.Suite 100 City,State Zip:Spokane,WA 99201 City,State Zip:Spokane,WA 99201 City,State Zip:Spokane,WA 99201 Phone:5097149026 Phone:509-714-9026 Phone: LIC:INLANWL9620Z EXP:9/9/2020 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: VB DWELLING UNITS; 0 OCC GROUP: U 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. IBC 110/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Ar ington$.�Icascd t be r orted on your sales tax return form odcd C y Arlington#3101. ``-- I^ [�!� IGKiN y ei 1 l 1 I I Signature Print Name Date By Date CONDITIONS Adhere to approved plans. Call for inspections. Approved documents shall remain on-site for inspections. 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 4/15/2019 Building Permit Fee $1,673.75 4/15/2019 Building Plan Review Fee $1,087.94 4/15/2019 Processing/Technology Fee $25.00 4/15/2019 State Surcharge-Commercial $25.00 Total Due: $2,811.69 Total Payment: $2,811.69 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 APPLICATION STATUS zQ, Z 0 Revisions Required — Hold YE;A:RS q a 0 Initial Review ❑ 211 Review ❑ 3rd Review ❑ Approved With Conditions SAFEbuilt® ❑ APPROVED APPLICANT: Affinity at Arlington LLC DATE: 9/16/2018 EMAIL: reidd@inlandconstruction.com FROM: Amber Green PERMIT#: BLD2151 EMAIL: agreen@safebuilt.com PROJECT: Affinity at Arlington : Garage G2 ADDRESS: 3721 1691h Street NE CODES REVIEWED: OCCUPANCY GROUP: R-2 ❑ 2015 IRC 0 2015 IBC ❑ 2015 IMC TYPE OF CONSTRUCTION: V-A ❑ 2015 UPC ❑ 2015 IFGC ❑ 2015 WSEC NUMBER OF STORIES: 4 The design documents submitted for this project have been reviewed for compliance with the locally adopted codes and amendments. The following comments must be addressed before a building permit is issued: For processing: Please submit revised construction documents containing the requested information or plan revisions with all revisions clouded or otherwise identified. Please respond in writing to each comment by markina the attached list or creating a response letter. Indicate which plan sheet, detail, specification, or calculation shows the requested information. Please send revisions to the attention of the plans examiner with the building permit application number noted. 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 via email or hard copy to: City of Arlington In order to keep your permit in an "active" status, please respond within 60 days. For questions about the required information please contact the reviewer listed below at 206-718-7659 or by email: agreen(@safebuilt.com Please understand that other review agencies/divisions may have revision comments, which are not contained within this Revision Letter. Please contact the local jurisdiction for a list of these agencies. Sincerely, A wLb-er Building Plans Examiner SAFEbuilt 1621 114th Ave SE, Ste 219 Bellevue WA 98004 SAFEbuilt Washington Bellevue Office ✓ 1. The ADA accessible stalls do not meet the minimum door width requirements per Section 404 of the ICC A117.1-2009 Accessible and Usable Buildings and Facilities National Standard. 2. The ADA accessible stalls do not meet the minimum maneuvering clearances required per Section 404 of the ICC A117.1-2009 Accessible and Usable Buildings and Facilities National Standard. Please referecence Table 404.2.3.2 and Figure 404.2.3.2. 3. Please provide an approved, to-scale site plan. SAFEbuilt Washington Bellevue Office ✓ hte ek Professional Service Industries,Inc. Report No: CTR:07121903-38-C1 • 16750 Woodinville Redmond Rd NE Ste 0t:R?linville,WA 98072 Issue No: 2 i This report replaces all previous issues of this report signed on 09/23/2019 Phone:(425)409-2504 These test results apply only to the specific locations and materials noted and may not represent any other locations or elevations.This report may not be reproduced, except in full,without written permission by Professional Service Industries,Inc.If a non-compliance appears on this report,to the extent that the reported ConcreteTest Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: AFFINITY AT ARLINGTON, LLC CC: AMBER GREEN CHRISTINA HUMPHREY 120 W CATALDO AVE, SUITE 100 GENERAL MAILBOX SPOKANE, WA 99201 JEFF HALL JUSTIN BOWAN KEVIN OLANDER LAUNA PETERSETERSON Project: AFFINITY AT ARLINGTON NOVA HEATONSCOTTSTEINER ARLINGTON,WA Approved Signatory:Almokhtar Tantoush(Staff Engineer) Date of Issue: 9/30/2019 Mix Data Mix Submitted By: Miles Sand and Gravel Material Source Amount Moisture Supplier: Miles Sand and Gravel Cement(lb) Cement 6230 N/A Plant: Miles Sand and Gravel Coarse Agg 1 (Ib) ASTM C-33#57 12640 Mix Identification: 15LCD1 Coarse Agg 2(lb) ASTM C-33#8 7820 Specified Design Strength(psi): 4500 at age 28 days Admix 1 (oz) MBAE 18 N/A Design Unit Weight(pcf): 147.8 Admix 2(oz) GLENIUM 172 N/A Water Cement Ratio(lb/lb): 0.39 Admix 3(oz) MB Poly-997 288 N/A Water(gal) Municipal 192.3 N/A Sample Details Date Sampled: 09/19/19 Date Received: Specification: Mix Design General Location: Continuous footing for garage 1 and 2,steam wall for garage 3 Measured Specified Sample Location: At the pump end Slump(in): ASTM C 143 5 6.00 Curing Method: Slump w/plasticizer(in): N/A Field Sample No.: 1903-38 Field Cure Temp ff)High: Air Temp(°F): 63 Low: Concrete Temp ff): ASTM C 1064 70 Contractor: Inland Air Content(%) ASTM C 231 N/A Ticket no.: 72418 Truck No.: C116 Unit Weight(pcf): ASTM C 138 N/A 147.8 Sampled By: Asteway Kidane Volume of Density Measure(ft'): N/A Submitted By: Batch Size(yd'): 10.3 Time Batched: 10:54 Weather: Overcast 60's Yd'Placed: 20.8 Time Sampled: 11:40 Est.Wind(mph): Est.Rh(%): Water Added(gal)Before: Time Placed: 11:30 After: Time in Truck(mins): 36 Compressive Strength of Concrete Cylinders ASTM C 39 Specimen ID Date Tested Age Diameter Length Area Type of Maximum Load Fracture Compressive (Days) (in) (in) (in') Cap (Ibf) Type/Remarks Strength(psi) 07121903-38-C1\1 09/26/19 7 3.99 8.00 12.50 U 65005 2 5200 07121903-38-C1\2 10/17/19 28 07121903-38-C1\3 10/17/19 28 07121903-38-C1\4 10/17/19 28 07121903-38-C1\5 Hold Average 28 Day Compressive Strength(psi) Required Strength(psi) 4500 Notes Remarks 1.Sampling to ASTM C 172 Fracture Type:2=C39:Vert crack/cone opposite end;C1314:Cone&Shear 2.Specimen(s)prepared to ASTM C 31 3.Capping B=Bonded ASTM C 617,U=Unbonded ASTM C 1231,C=Combined,G=Ground Sampled from Other Type of Open Top Container(ASTM C 172,5.2.4) Form No:18947,Report No:CTR:07121903-38-C1 ©2000-2018 QESTLab by SpectraQEST.com Page 1 of 1 hte ek Professional Service Industries,Inc. Report No: CTR:07121903-38-C1 • 16750 Woodinville Redmond Rd NE Ste OA92inville,WA 98072 Issue No: 3 i This report replaces all previous issues of this report signed on 09/30/2019 Phone:(425)409-2504 These test results apply only to the specific locations and materials noted and may not represent any other locations or elevations.This report may not be reproduced, except in full,without written permission by Professional Service Industries,Inc.If a non-compliance appears on this report,to the extent that the reported ConcreteTest Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: AFFINITY AT ARLINGTON, LLC CC: AMBER GREEN CHRISTINA HUMPHREY 120 W CATALDO AVE, SUITE 100 GENERAL MAILBOX SPOKANE, WA 99201 JEFF HALL JUSTIN BOWAN KEVIN OLANDER LAUNA PETERSETERSON Project: AFFINITY AT ARLINGTON NOVA HEATONSCOTTSTEINER ARLINGTON,WA Approved Signatory:Almokhtar Tantoush(Staff Engineer) Date of Issue: 10/18/2019 Mix Data Mix Submitted By: Miles Sand and Gravel Material Source Amount Moisture Supplier: Miles Sand and Gravel Cement(lb) Cement 6230 N/A Plant: Miles Sand and Gravel Coarse Agg 1 (Ib) ASTM C-33#57 12640 Mix Identification: 15LCD1 Coarse Agg 2(lb) ASTM C-33#8 7820 Specified Design Strength(psi): 4500 at age 28 days Admix 1 (oz) MBAE 18 N/A Design Unit Weight(pcf): 147.8 Admix 2(oz) GLENIUM 172 N/A Water Cement Ratio(lb/lb): 0.39 Admix 3(oz) MB Poly-997 288 N/A Water(gal) Municipal 192.3 N/A Sample Details Date Sampled: 09/19/19 Date Received: Specification: Mix Design General Location: Continuous footing for garage 1 and 2,steam wall for garage 3 Measured Specified Sample Location: At the pump end Slump(in): ASTM C 143 5 6.00 Curing Method: Slump w/plasticizer(in): N/A Field Sample No.: 1903-38 Field Cure Temp ff)High: Air Temp(°F): 63 Low: Concrete Temp ff): ASTM C 1064 70 Contractor: Inland Air Content(%) ASTM C 231 N/A Ticket no.: 72418 Truck No.: C116 Unit Weight(pcf): ASTM C 138 N/A 147.8 Sampled By: Asteway Kidane Volume of Density Measure(ft'): N/A Submitted By: Batch Size(yd'): 10.3 Time Batched: 10:54 Weather: Overcast 60's Yd'Placed: 20.8 Time Sampled: 11:40 Est.Wind(mph): Est.Rh(%): Water Added(gal)Before: Time Placed: 11:30 After: Time in Truck(mins): 36 Compressive Strength of Concrete Cylinders ASTM C 39 Specimen ID Date Tested Age Diameter Length Area Type of Maximum Load Fracture Compressive (Days) (in) (in) (in') Cap (Ibf) Type/Remarks Strength(psi) 07121903-38-C1\1 09/26/19 7 3.99 8.00 12.50 U 65005 2 5200 07121903-38-C1\2 10/17/19 28 3.98 8.00 12.44 U 76653 2 6160 07121903-38-C1\3 10/17/19 28 4.00 8.00 12.57 U 76825 2 6110 07121903-38-C1\4 10/17/19 28 4.00 8.00 12.57 U 77904 2 6200 07121903-38-C1\5 Hold Average 28 Day Compressive Strength(psi) 6160 Required Strength(psi) 4500 Notes Remarks 1.Sampling to ASTM C 172 Fracture Type:2=C39:Vert crack/cone opposite end;C1314:Cone&Shear 2.Specimen(s)prepared to ASTM C 31 3.Capping B=Bonded ASTM C 617,U=Unbonded ASTM C 1231,C=Combined,G=Ground Sampled from Other Type of Open Top Container(ASTM C 172,5.2.4) Form No:18947,Report No:CTR:07121903-38-C1 ©2000-2018 QESTLab by SpectraQEST.com Page 1 of 1 IfltC'rtt'k Professional Service Industries,Inc. Report No: FC:07121903-38 16750 Woodinville Redmond Rd NE Ste WtUinville,WA 98072 Issue No: 1 Phone:(425)409-2504 These test results apply only to the specific locations and materials noted and may not represent any other locations or elevations.This report may not be reproduced, except in full,without written permission by Professional Service Industries,Inc.If a non-compliance appears on this report,to the extent that the reported ConcreteField Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: AFFINITY AT ARLINGTON, LLC CC:AMBER GREEN CHRISTINA HUMPHREY 120 W CATALDO AVE, SUITE 100 GENERAL MAILBOX SPOKANE, WA 99201 JEFF HALL JUSTIN BOWAN KEVIN OLANDER LAUNA PETERSON NOVA HEATON Project: AFFINITY AT ARLINGTON SCOTTSTEINER ARLINGTON,WA Approved Signatory:Deborah Priest(Project Engineer) Date of Issue: 9/23/2019 General Field Data Technician: Asteway Kidane Test Date: 9/19/2019 Weather: Overcast 60's Test Results Set No. #Spec. Ticket Batch Time Unload Time Cubic Yards Slump(in) Air Content Air Temp.(°F) Concrete Placed M Temp.(°F) 07121903-38-C1 5 72418 10:54 11:30 20.8 5.00 1 1 63 1 70 Location & Remarks General Location: Continuous footing for garage 1 and 2,steam wall for garage 3 Set No. Location Remarks 07121903-38-C1 I At the pump end Mix Data Set No. Supplier Mix Design Strength(psi) 07121903-38-C1 Miles Sand and Gravel 115LCD1 14500 Remarks 1.Applicable ASTM standards unless otherwise indicated:Sampling:C31(except sec.10.1.2); Slump:C143;Air Content:C231;Temperature:C1064;Sampling:C172;Unit Weight:C138; Sampled from Other Type of Open Top Container(ASTM C 172,5.2.4) Form No:18971,Report No:FC:07121903-38 ©2000-2018 QESTLab by SpectraQEST.com Page 1 Of 1 IfltC'rtt'k Professional Service Industries,Inc. Report No: FC:07121903-41 16750 Woodinville Redmond Rd NE Ste I WtUinville,WA 98072 Issue No: 1 Phone:(425)409-2504 These test results apply only to the specific locations and materials noted and may not represent any other locations or elevations.This report may not be reproduced, except in full,without written permission by Professional Service Industries,Inc.If a non-compliance appears on this report,to the extent that the reported ConcreteField Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: AFFINITY AT ARLINGTON, LLC CC:AMBER GREEN CHRISTINA HUMPHREY 120 W CATALDO AVE, SUITE 100 GENERAL MAILBOX SPOKANE, WA 99201 JEFF HALL JUSTIN BOWAN KEVIN OLANDER LAUNA PETERSON NOVA HEATON Project: AFFINITY AT ARLINGTON SCOTTSTEINER ARLINGTON,WA Approved Signatory:Eric Allen(Branch Manager) Date of Issue: 9/30/2019 General Field Data Technician: Kimberly Swanson Test Date: 9/26/2019 Weather: Rain,57' Test Results Set No. #Spec. Ticket Batch Time Unload Time Cubic Yards Slump(in) Air Content Air Temp.(°F) Concrete Placed M Temp.(°F) 07121903-41-C1 5 648356 07:22 09:00 4.00 1 1 57 1 70 Location & Remarks General Location: Garages 1&2,stem walls Set No. Location Remarks 07121903 41-C1 A-J/1-3 Approximately 21 cubic yards of concrete was placed by pump and thoroughly consolidated. Mix Dat Set No. Supplier Mix Design Strength(psi) 07121903-41-C1 I Miles Sand and Gravel 115LCD1 14500 Remarks 1.Applicable ASTM standards unless otherwise indicated:Sampling:C31(except sec.10.1.2); Slump:C143;Air Content:C231;Temperature:C1064;Sampling:C172;Unit Weight:C138; Sampled from Revolving Drum Truck Mixer(ASTM C 172,5.2.3) Form No:18971,Report No:FC:07121903-41 ©2000-2018 QESTLab by SpectraQEST.com Page 1 Of 1 Permit#: 2151 Permit Date: 09/07/18 Permit Type: COMMERCIAL BUILDING Project Name: Affinity at Arlington- Garage G2 Applicant Name: Inland Washington, LLC Applicant Address: 120 W Cataldo Avenue, #100 Applicant, City, State, Zip: Spokane,WA 99201 Contact: Reid Dickinson Phone: 509-714-9026 Email: reidd@inlandconstruction.com Scope of Work: New 170 unit senior living complex Valuation: 128084.88 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 04/17/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31052800200500 3721 169th Street NE L ffinity at Arlington, 5097149026 Contractors Contractor Primary Contact Phone Address Contractor Type License License# 120 W.Cataldo CONSTRUCTION Labor and Inland Washington,LLC Ave.Suite 100 CONTRACTOR Industries INLANWL962OZ Fees Fee Description Notes Amount Building Plan Review Table 4-2 $1,087.94 Processing/Technology $25.00 Building Permit Table 4-1 $1,673.75 State Surcharge-Commercial Commercial Only $25.00 Total $2,811.69 Attached Letters Date Letter Description 04/15/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/02/2018 Inland Washington,LLC check#88797 Launa Black $1,087.94 04/12/2019 Inland Washington,LLC #090412 Check Raelynn Jones $1,723.75 Outstanding Balance $0.00 Uploaded Files Date File Name 01/28/2020 6165321-2151 Issued Permit.pdf 09/07/2018 3909801-2151 Application.pdf lntertek Professional Service Industries,Inc. Report No: RCI:07121903-41 16750 Woodinville Redmond Rd NE Ste C1 Issue No: 1 Woodinville,WA 98072 pso Phone:(425)409-2504 These test results apply only to the specific locations and materials noted and may not represent any other locations or elevations.This report may not be reproduced,except in full,without written permission by Professional Service Industries, Inc.If a non- compliance appears on this report,to the extent that the reported Reinforced Concrete Observation Report non-compliance impacts the project,the resolution is outside the PSI scope of e t. Client: AFFINITY AT ARLINGTON, LLC CC: 120 W CATALDO AVE AMBER GREEN, SUITE 100 CHRISTINA HUMPHREY, SPOKANE,WA 99201 GENERAL MAILBOX, JEFF HALL,JUSTIN BOWAN, KEVIN Project: AFFINITY AT ARLINGTON OLANDER, LAUNA ARLINGTON,WA 98223 PETERSON, NOVA Approved Signatory: Deborah Priest Project Engineer HEATON, SCOTT Date of Issue: 9/30/2019 General Details Date: 9/26/2019 Technician:Kimberly Swanson Weather: Rain, 57o Location: Garages 1&2, stem walls, A-J/1-3 Plans Used: Contract Drawings Title: Date: Revision No: Submittal/Revision Date: 9/12/2018 Detail Page No(s): SG2.1, SG3.1 Formwork Forms appear to be plumb. YES Dimensions appear to be correct. YES Orientation appears to be correct YES Debris appears to have been removed from formed areas. YES Forms appear to be lubricated for removal. YES Forms do not appear to be excessively deformed or damaged. YES Forms appear to be properly constructed. YES Top of column elevation indicated in form. N/A Field Observations &Comments Vertical reinforcement appears to be correct size and number of bars. YES Vertical reinforcement appears to have correct length of laps. N/A Ties appear to be correct size, number and spacing. YES Ties appear to be concentrated at top of column as detailed. N/A Hooks provided appear to be as detailed. YES Rebar cage appears to be tied to form as detailed. YES Rebar cage appear to be centered in form as specified. YES Reinforcing appears to have proper concrete cover. YES Embedment plates appear to be correct size and have proper stud count and size. N/A Embedment plates appear to be located per contract documents. N/A "R/1"indicates Re-Inspection is needed. Comments PERMIT#'s 2150/2151 Reinforcing steel appear to comply with the contract drawings. Miles delivered approximately 21 cubic yards of mixed number 15LC01, place by pump and through the consolidated. One set of five (4X8") cylinders was made for compressive strength testing. ©2000-2019 QESTLab by SpectraQEST.com Page 1 of 1 lntertek Professional Service Industries,Inc. Report No: SIDF:07121903-38 16750 Woodinville Redmond Rd NE Issue No: 1 Woodinville,WA 98072 Phone:(425)409-2504 These test results apply only to the specific locations and materials noted and may not represent any other locations or elevations.This report may not be reproduced,except in full,without written permission by Professional Service Industries, Inc.If a non- compliance appears on this report,to the extent that the reported Special Inspection Dail Field Report non-compliance impacts the project,the resolution is outside the PSI scope of Client: AFFINITY AT ARLINGTON, LLC CC: 120 W CATALDO AVE AMBER GREEN,CHRISTINA SUITE 100 HUMPHREY,GENERAL SPOKANE,WA 99201 MAILBOX,JEFF HALL, JUSTIN BOWAN, KEVIN OLANDER, LAUNA Project: AFFINITY AT ARLINGTON PETERSON, NOVA ARLINGTON,WA 98223 HEATON,SCOTT STEINER Approved Signatory: Deborah Priest(Project Engineer) Date of Issue: 9/23/2019 General Details Date: 9/19/2019 General Contractor: Inland Permits: Weather: Overcast 60's Type of Inspection Performed ❑ Reinforced Concrete ❑ Structural Masonry ❑ High Strength Bolting ❑ Fireproofing ❑� Reinforcing Steel ❑ Soils ❑ Welding ❑ Other ❑ New Inspection ❑ Re-Inspection Standby Time: Field Observations $Comments 0 Special Inspection Q Continuous ❑ Periodic Location(s)/Item(s): Continuous footing for garage 1 and 2 and steam wall for garage 3 Reference Details/Drawings: Approved plan and general notes dated on 03/08/19 Remarks: On site to observe the concrete placement of the continuous footing for garage 1 and 2 and steam wall for garage 3 for the entire building. The reinforcement bar has been checked for size, grade, spacing and clearance and confirms to the specification before placement of concrete. A Miles concrete of mix number 15LCD1 was delivered and placed by pump and consolidated mechanically. A representative sample of 5(4x8) cylinders were made for compressive strength test. To the best of PSI's knowledge, the work inspected to the approved construction documents are: 0 Conforming ❑ Non-Conforming Inspector: Asteway Kidane Inspector Cert No.: SI 02221 Jobsite Representative: Justin ©2000-2019 QESTLab by SpectraQEST.com Page 1 of 1 lntertek Professional Service Industries,Inc. Report No: SIDF:07121903-44 16750 Woodinville Redmond Rd NE Issue No: 1 Woodinville,WA 98072 Phone:(425)409-2504 These test results apply only to the specific locations and materials noted and may not represent any other locations or elevations.This report may not be reproduced,except in full,without written permission by Professional Service Industries, Inc.If a non- compliance appears on this report,to the extent that the reported Special Inspection Dail Field Report non-compliance impacts the project,the resolution is outside the PSI scope of Client: AFFINITY AT ARLINGTON, LLC CC: 120 W CATALDO AVE AMBER GREEN,CHRISTINA SUITE 100 HUMPHREY,GENERAL SPOKANE,WA 99201 MAILBOX,JEFF HALL, JUSTIN BOWAN, KEVIN OLANDER, LAUNA Project: AFFINITY AT ARLINGTON PETERSON, NOVA ARLINGTON,WA 98223 HEATON,SCOTT STEINER Approved Signatory: Deborah Priest(Project Engineer) Date of Issue: 10/8/2019 General Details Date: 10/1/2019 General Contractor: Inland Permits: BLD 2148,2152,2151 Weather: clear Type of Inspection Performed ❑ Reinforced Concrete ❑ Structural Masonry ❑ High Strength Bolting ❑ Fireproofing ❑ Reinforcing Steel ❑ Soils ❑ Welding ❑ Other 0 New Inspection ❑ Re-Inspection Standby Time: Field Observations $Comments 0 Special Inspection ❑ Continuous ❑ Periodic Location(s)/Item(s): Interior shear sheathing at main structure SW grids K-R/2-7 levels 1-3, Deepened footing reinforcing at garage 2+3 Reference Details/Drawings: Approved Plans + Notes 8/16/2019 Remarks: Observed the nailing of interior shear sheathing at main structure at above location as well as deepened footing reinforcing at garages 2+3 -work completed appears to conform to approved plans and notes to the best of my knowledge To the best of PSI's knowledge, the work inspected to the approved construction documents are: 0 Conforming ❑ Non-Conforming Inspector: Philip McMorrow Inspector Cert No.: S102311 Jobsite Representative: Red ©2000-2019 QESTLab by SpectraQEST.com Page 1 of 1