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HomeMy WebLinkAbout140 S Olympic Ave_BLD2567_2026 NOTICE TO PERMITEE AND OR OWNER Cl PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY 0 APPROVED PERMIT#: LOT#: DATE: "] JOB ADDRESS: TYPE OF INSPECTION: 1 ❑ NO PERMIT-STOP WORK-OBTAIN PER IT: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. Cl STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. Cl 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 ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 -711"� c INSPECTOR ❑'BUILDING DEPT. O P4ANNING DEPT. � CITY OF ARLINGTON CITY OF ARLONGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 ` PHONE; (360)403-3551 BUILDING PERMIT Address:140 S.Olympic Ave Permit#:2567 Parcel#:31051100100800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:ARLINGTON STATION CORP Name:Pacific Environmental Services Company Name:Pacific Environmental Services Company Address: 140 S OLYMPIC ST Address:PO Box 2049 Address:8585 Hwy 20 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Port Townsend City,State Zip:Port Townsend,WA 98368 Phone: Phone:360-385-4221 Phone:360-3854221 LIC:PACIFES103BR EXP:09/16/2019 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Demolition 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. IBCI10/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 Arlin#3101. Signature Print Name Date Released By atc CONDITIONS Call for final inspection. 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 5/31/2019 Credit Card Surcharge $4.50 5/31/2019 Demolition Fee $100.00 5/31/2019 Processing/Technology Fee $25.00 5/31/2019 State Surcharge-Commercial $25.00 Total Due: $154.50 Total Payment: $154.50 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 1let Permit Information Date 5/21/2019 Permit Number 2567 Project Name 140 S.Olympic Ave Fuel Canopy Demo Applicant Name Pacific Environmental Services Company Applicant Address PO Box 2049 City,State,Zip Port Townsend Contact Tom Carroll Phone 360-385-4221 Email tcarroll@pacenviro.net Permit Type Demolition Site Address 140 S.Olympic Ave Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Demolition Number of Stories 0 Proposed Use Demo existing 24'x24'steel fuel canopy MIC/Opportunity Zone Assigned To Raelynn Jones Property Parcel Address Legal Owner Owner Phone Zoning 31051100100800 1140 S OLYMPIC AVE I JARLINGTON STATION CORP 1553 Gasoline Service Stations Contractors Contractor Name : primary Contact Phone Email Contractor Type License License# Pacific Environmental Services Company rom Carroll 60-385-4221 :carroll@pacenviro.net 1CONTRACTOR Fees Fee Description Notes Amount Demolition Fee 322.10.00.00 $100.00 Processing/Technology Fee 341.43.00.02 $25.00 State Surcharge-Commercial 386.00.01.00 $25.00 Total $150.00 Uploaded Files Upload File Date File Uploaded By 5/21/2019 11:12:34 AM IZ567 Application.pdf liones, Raelynn :l 1 DEMOLITION PERMIT APPLICATION Department of Community$ Economic Development City of Arlington-.18204 59th Ave NE•Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS/DEMOLITION NOTIFICATION FROM PUGET SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT (if applicable)COMPLETED BYAN APPROVED AGENCY. Type of Permit:(check one) ❑ Residential 2 Commercial ❑ Industrial Project Address: f Ya C7 4 YXCAc 1461e Parcel ID#: '31 DSlI oc>1 CND Lot#: — Subdivision: Valuation Building Area Sb Of(Sq Ft) /1 No of floors: Number of Buildings: Owner: �-4271 WAM�IfLK Phone Number: 4&A` - Address: 141 J%/. L1 PLC-���'� �C 4��T City:���-I ��YState: Zip Code: L��2 Contact Person: Phone Number: _7 ZZ Cell Phone: .3LO 30d �`12.3 E-mail: �CQ1TIlp�l��r ei1L�/z'it-�7 . net Address: J?tV 13�f- 1`4`�ate/ Zip Code ��4;9 tt Contractor: iL�i/ �f Ao Ct�1'�htiw►Number: 3C.G Address: Ae� ;1P q49 Cis r�� dtate: Zip Code: 5 Contractor's License Number: f ACX 076t.S 10 9 19 Expiration: Scope of Work: �Z e7 g;�Ti�L �t Zee" -V7771 C F449t e. CI?E 0.4 I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above- described proper; will be in accordance with the laws, rules and regulations of the Stat of Washington. cllf-2 Applicants Signature Date Print Applicants Name Received FOR STAFF USE ONLY MAY i 12019 Permit# Ac led v Amount Received Receipt# Date Received rSr:�i r',I Home Espanol Coniact lk hLabo'r & Industries Safety&Health o Claims&Insurance 0 Workplace • c Trades&Licensing c Washington State Department of " Labor & Industries PACIFIC ENVIRONMENTAL SRVCS CO Owner or tradesperson PO BOX 2049 Principals PORT TOWNSEND,WA 98368-0239 SATHER,DAVID ARNOLD,PRESIDENT 360-385-4221 JEFFERSON County CARROLL,TOM WAYNE,VICE PRESIDENT CUSICK,WILLIAM STANLEY,VICE PRESIDENT • SATHER,JEAN MICHELLE,SECRETARY • EVANGER,THERESA DENNIEL,TREASURER Doing business as PACIFIC ENVIRONMENTAL SRVCS CO WA UBI No. Business type 601 213 975 Corporation Governing persons DAVID A SATHER TOM W CARROLL; WILLIAM CUSICK; THERESA DENNIEL EVANGER; JEAN M SATHER; Certifications &Endorsements OMWBE Certifications Apprentice Training Agent 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. PACIFES103BR Effective—expiration 01/19/1990—09/16/2019 Bond Lexon Ins Co $12,000.00 Bond account no. 9817189 Received by L&I Effective date 10/15/2013 11/15/2013 Expiration date Until Canceled Bond history Insurance Westchester Surp Lines Ins Co $1,000,000.00 Policy no. G46812773001 Received by L&I Effective date 05/28/2018 09/17/2017 Expiration date 09/17/2019 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 dobts aro r000rdod for thio oontrootor lioonsc 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. This company has multiple workers'comp accounts. Active accounts L&I Account ID Account is current. 948,195-00 Doing business as PACIFIC ENVIRONMENTAL SERVICES Estimated workers reported Quarter 1 of Year 2019"31 to 50 Workers" L&I account contact TO/KARLA BOWMAN(360)902-5535-Email:BOWK235@lni.wa.gov Track this contractor A Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 02/27/2017 Violations Inspection no. 317943681 Location Morrison's North Star Marine Seattle,WA 98109 1ca-ss �R`ash�n�lnn` Help us improve DEMOLITION PERMIT APPLICATION Department of Community& Economic Development City of Arlington•.18204 59th Ave NE•Arlington,WA 98223 •Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASSESTOS/DEMOLITION NOTIFICATION FROM PUGET SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT (If applicable)COMPLETED BYAN APPROVED AGENCY. Type of Permit:(check one)c ❑ Residential Commercial ❑ industrial Project Address: J d Parcel ID#: -310r Lot#: Subdivision: Valuation: Building Area(Sq Ft) J No. of floors: Number of Buildings: Owner:-"7T &4/AAA t&'K Phone NumNumber: 4"ZS Address: i Z 1 JX l- 4—t,-C City:AA;?UkA--d41!7tY'State: PLC Zip Code- Contact Person: /d 1�i/f�> C 7c4X-L ,Phone Number: A4,C, � 'Y2-2- Cell Phone: 2 �1 Z3 E-mail fL�Qfrzro glar le yi'e-o .pn el- Address: ��E?pf" zc> q!2 Cit.- !- -' �atee. Zip Code: Contractor: &Th6esNumber: -21 lez2 f' Address: aG� e-t'>ge9 Ci t r�'�` ate: Zip Code: daa549 Contractor's License Number: 04cxizis Expiration: Scope of Work: Z)��o c:- -z,,Ti�r� �e ZY! S'��G Fu�c 4 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 regulations of the Stat of Washington. Applicants Signature Date Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED Cl DO NOT OCCUPY Q APPROVED PERMIT#: OT#: DATE: '7 Zd (11 (71 JOB ADDRESS: 1 J, �' f to c-- TYPE OF INSPECTION: t# I ❑ 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 ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 zo -7A71;`�/�`�� INSPECTOIR DAT9 ` UILDING DEPT. O PLANNING DEPT. r r CITY OF ARLINGTON N; CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address: 140 S.Olympic Ave Permit#:2567 Parcel#:31051100100900 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:ARLINGTON STATION CORP Name:Pacific Environmental Services Company Name:Pacific Environmental Services Company Address: 140 S OLYMPIC ST Address:PO Box 2049 Address:8585 Hwy 20 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Port Townsend City,State Zip:Port Townsend,WA 98368 Phone: Phone:360-385-4221 Phone:360-385-4221 LIC:PACIFES103BR EXP:09/16/2019 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Demolition 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. IBC IO/IRCI10. 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 wand code City of Arltgte' n#3101. Signature Print Name Date Released By Date CONDITIONS Call for final inspection. 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 5/31/2019 Credit Card Surcharge $4.50 5/31/2019 Demolition Fee $100.00 5/31/2019 Processing/Technology Fee $25.00 5/31/2019 State Surcharge-Commercial $25.00 Total Due: $154.50 Total Payment: $154.50 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#: 2567 Permit Date: 05/21/19 Permit Type: DEMOLITION Project Name: Emory Lofts II Applicant Name: Pacific Environmental Services Company Applicant Address: PO Box 2049 Applicant, City, State, Zip: Port Townsend Contact: Tom Carroll Phone: 360-385-4221 Email: tcarroll@pacenviro.net Scope of Work: Demo existing 24x24' steel fuel canopy Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 06/11/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31051100100800 140 S OLYMPIC AVE GRANDVIEW 553 Gasoline Service NORTH LLC Stations Contractors Contractor Primary Contact Phone Address Contractor Type License License Pacific Environmental Tom Carroll 360-385-4221 8585 Hwy 20 CONSTRUCTION Services Company CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 07/24/2019 DEMOLITION Emory Lofts 07/24/2019 BUILDING Completed Plan Reviews Date Review Type Description Assigned To Review Status 05/21/2019 DEMOLITION BUILDING 05/21/2019 OPERATING No comments,LT PW-ADMIN-GIS 05/21/2019 DEMOLITION PW-SEW-REV 05/21/2019 OPERATING PW-WAT-REV Fees Fee Description Notes Amount Demolition $100.00 Processing/Technology $25.00 State Surcharge-Commercial Commercial Only $25.00 Credit Card Service $4.50 Total $154.50 Attached Letters Date Letter Description 05/31/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 05/21/2019 Tom Carroll 75434999 iTransact CC $150.00 05/21/2019 CC Surcharge CC Surcharge Raelynn Jones $4.50 75434999 Outstanding Balance $0.00 Uploaded Files Date File Name 09/23/2021 9748578-2567 IC 7.24.2019.pdf 06/11/2019 5180059-2567 Signed Permit.pdf 05/21/2019 5095303-2567 Application.pdf