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`
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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