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HomeMy WebLinkAbout18215 59th Ave Ne_BLD3008_2026 B NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY O APPROVED PERMIT#: AM/F�M DATE: z-, OB ADDRESS: LOT#: PROJECT: TYPE OF INSPECTION: IL Ttt Oi -- OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION G� THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE O PLANNING 0 CIVIL -1 BUILDING CITY OF ARLINGTON • i CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:18215 59th Ave NE Permit#:3008 Parcel#:31052200101200 Valuation:2500.00 OWNER APPLICANT CONTRACTOR Name:SWIRE PACIFIC HOLDINGS Name: [Company Name] Name:AmeriGas Address: 12634 S 265 WEST Address:[Company Address] Address: 19244 East Valley Hwy City,State Zip:DRAPER,UT 84020 City,State Zip:Marysville,WA 98271 City,State Zip:Kent,WA 98032 Phone: Phone:253-395-3001 Phone:253-395-3001 LIC:AMERIPLO55LL EXP:08/02/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP; LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial 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. 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 an coded C' of Arlington#3101. �- o -7 :4LW O y Sig'natu'revv Vk Print Name ba4 Released By I atc CONDITIONS Add guard posts at locations shown on plans. Adhere to approved plans and red lines. Approved job copy shall be onsite for inspections. Call for inspections. THIS PERMIT AUTHORIZES 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 02/29/2020 Fuel/LPG $100.00 02/29/2020 Processing/Technology Fee $25.00 02/29/2020 Building Plan Review Fee $80.33 Total Due: $205.33 Total Payment: $0.00 Balance Due: $205.33 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 ' , t .- ti. Permit#: 3008 Permit Date: 02/03/20 Project Name: Swire Coca-Cola- AST Site Address: 18215 59th Ave NE Company/Applicant Name: Amerigas Company/Applicant Address: 4509 152nd St NE City, State, Zip: Marysville, WA 98271 Contact: Dale Culbertson Phone: 253-395-3001 Email: dale.culbertson@amerigas.com Permit Type: Commercial Mechanical Valuation: 2500.00 Square Feet: 0 Number of Stories: 0 Type of Construction: Occupancy Type: Proposed Use: Install 1000 gal LP AST dispenser MIC/Opportunity Zone: Permit Issued: Permit Expires: DNU: Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning SEC 22 TWP 31 RGE 05RT- SWIRE PACIFIC 31052200101200 18215 59TH AVENUE NE 6A)S1/2 N1/2 SW1/4 HOLDINGS NE 1/4 EXC RDS Contractors Contractor Primary Contact Phone Address Contractor Type License License AmeriGas Dale Culbertson 253-395-3001 19244 East Valley CONTRACTOR Y Plan Reviews Date Review Type Description Assigned To Review Status 02/03/2020 Commercial Mechanical Combo Operating Permit Building In Review 02/03/2020 Commercial MechanicE Combo Operating 1 it Fire In Review Fees Fee Description Notes Amount Fuel/LPG Installation/Removal $100.00 Processing/Technology Fee $25.00 Building Plan Review Fee Table 4-2 $80.33 Total $205,33 Uploaded riles Date File Name 02/03/2020 6191629-3008 PlgUi,pdf 02/03/2020 6191628-3008 Anplieat pdf Signature: Date: Part II (cont'd) ❑ Special Event Operating Permit-An Operating Permit is required for any special event that takes place within an occupied building, or an outdoor mass gathering,which is outside the scope of the permitted use(see Appendix F.)Brief description of type of gathering proposed: Part III Premises/Building Information 1. Date of last inspection of Premises: 2. Has a Certificate of Occupancy been issued for the premises?VfYes ❑No Type: ❑Permanent FZrTemporary Date of Issuance: 3. Are there currently any open Building Permits associated with the premises? FZrYes ❑No If yes, please describe (attach additional sheets if necessary): 1/WAL r3z-04-. flee- 44we 4. Additional Comments: SIGNATURE OF APPLICANT I herby certify that the foregoing information(and all information in attached sheets, if any) is true and complete. z7� Signature of Applicant or Authorized Representatives Signature Date 1 �- /�e2�- o 0 su4-S ✓gyp Name and Title (il applicable)of person signing Application (Please print) Cc: Fire Department Page 3 of 4 Part IV To be completed by the City of Arlington Building Department Inspection Required: fZ Yes ❑No Inspections Performed: ❑ Yes ONo Date of Inspection: Tests or Reports required verifying compliance? ❑ Yes P No If YES, have Tests or Reports been received? ❑ Yes ❑No Application(s) Approved: Yes ❑ No Operating Permit Issued by: 449. ' Date Operating Permit Issued: 2 Date Operating Permit,Expires: Type/Description of Operating Permit: Conditions of Operating Permit(list conditions here AND in the space provided in the Operating Permit): Additional Comments: (Attach additional pages if needed)_ o lZ >zCfl--L 1 Q Et? V DELI Is l o►eLS Cc: Fire Department Page 4 of 4 OPERATING PERMIT APPLICATION ` Appendix D Removal of Aboveground and Underground Storage Tanks Department of Community&Economic Development City of Arlington•18204 59th Ave NE•Arlington,WA 98223•Phone(360)403-3551 ■ An Operating Permit is required prior to the removal and/or decommissioning of any aboveground storage tank(AST) or underground storage tank(UST), unless specifically exempted per the WAC 173. • An Operating Permit is required for any temporary tank closure, change in service,and permanent tank closure for all AST's or UST's. The following is required prior to the issuance of any AST Operating Permit: o Site Check/Site Assessment Checklist, DOE form ECY 010-158. o Removal plan for all hazardous materials. o Appropriate certifications and insurances of contractor(s). ■ The following is required prior to the issuance of any UST Operating Permit: o Appropriate DOE forms. o Closure and Site Assessment Notice. 0 30-Day Notice. o Site Check/Site Assessment Checklist, DOE form ECY 010-158. Revised 5/12/2008 �; l ,: Q Some online services are currentry_unavailable, See a list of service outages.(httpsWlni.wa.goou geen ccyLsystem-status). wasn��gi e oepamm-i or LabOr-1-&Industries(https://Ini.wa.gov). AMERIGAS PROPANE L P Owner or tradesperson ATTN:Denice Frasu Principals 4261 Hwy 97 A Amerigas Propane Inc,PARTNER/MEMBER WENATCHEE,WA 98801 425-219-9972 Gaudiosi,Monica Marie,MANAGER CHELAN County Prentice Hall Corp,AGENT Samuel,Steven Alan,PARTNER/MEMBER (End:07/20/2017) MAUCH,ROBERT C,PARTNER (End:07/27/2011) GOMEZ,LUIS A,PARTNER (End:07/27/2011) KNAUSS, ROBERT H,PARTNER (End:07/27/2011) Doing business as AMERIGAS PROPANE L P WA UBI No Business type 601 619 800 Partnership Governing persons B P BOVAIRD E A COMPTON; EV N BISSEL; HOLDING AMERIGAS EAGLE; HOLDINGS AMERIGAS EAGLE; M B LINDSAY; N NEW AMERIGAS PROPANE; P G GRADY; PARTNERS LAMERIGAS; PROPANE NEW AMERIGAS; PROPANE N NEW AMERIGAS; R R EYNON; R H KNAUSS; R W KRICK; W D KATZ; 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. AMERIPLO55LL Effective—expiration 06/13/1995—08/02/2021 Bond RLI Ins Co $12,000.00 Bond account no. CMS222261 Received by L&I Effective date 06/14/2004 06/09/2004 Expiration date Until Canceled SAFECO INS CO OF AM $12,000.00 Bond account no. 5799215 Received by L&I Effective date 06/27/2002 06/08/2002 Expiration date Until Canceled Insurance Ace American Insurance Company $2,500,000.00 Policy no. HDOG71568167 Received by L&I Effective date 07101/2019 07/01/2019 Expiration date 07/01/2020 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. License Violations No license violations during the previous 6 year period. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor &Industry to verify if this business has apprentices. Workers' Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is closed. 537,607-02 Doing business as AMERIGAS PROPANE LP Estimated workers reported N/A L&I account contact T5/LINDSAY BARLOW(360)902-4735-Email:BLIN235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Exempt from this requirement. 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 & Health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. 1 COMMERCIAL MECHANICAL 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 BY TWO (2) SETS OF CONSTRUCTION DRAWINGS AND ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE. Type of Permit: Q New Installation E] Replacement 0 Alteration Project Address: ��/� �? /���' /y >� Parcel#: 10-5-Z7-01)10 Project Description: /DDo �ia�lo�/�J P 1��5/✓�'�'' s�'� Valuation: ZOO Owner: S �� +�� ��c�t ( � Phone#: /7J 3 ��/ �3 Address: l/Sb �2� �� �� City: y� -`( �� State:i� Zip: T Email Address: Gz-- 5 "4_0 GIJ/-rb G� G�w1 �j� Contact Person: /aCC- ���f9�y�3d,l� Phone#: 7- Address: -71 City: �Ru''''G State: Zip:,�6 Email Address: Aa,(e Contractor Name: e r1 one#: Contractor Address: ��Gl l S2 `' `7� �l City: N s /� State Zip: ���� Email: Contact Person: / Contractor License Number: � Y R I Expiration 7 IX) R; `lIS. GAS PIPING OUTLET IT Driving every day- UNIT HEATER PAINT BOOTH Dale Culbertson TYPE I HOOD Account Manager P TYPE II HOOD 879 West Valley Hwy S,Pacific,WA 98047 Mobile:206-708-3599 Fax:253-891-6952 Tel:253-395-3001 AST Office:253-872-7613 UST Email:Dale.culbertson@amerigas.com www.amerigas.com OTHER 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 ccor an t1 la rules and regulation of the State of Washington. Applicants Signature: Date / /Z7 Applicants Printed Name: .. `` FOR STAFF USE ONLY JAN 2 8 2020 �Vl� ��� Permit# c-c'&p t ed By Amount Received Receipt# Date Received 6116LP Page 1 of 1 it i �' _ � 1' I �I� :, r r OPERATING PERMIT APPLICATION Department of Community&Economic Development City of Arlington•18204 59th Ave NE•Arlington,WA 98223•Phone(360)403-3551 Part I Applicant/Building Information Applicant's Name: 2:1le- u 1&e�s0,v �.�e.- (I Applicant's Address:T� /SZ S f * `/ �s�/c�!?� �' <87 7J Contact Person: �a Le ��l��y-�3v-(J Telephone: Z,S-g -991S -eca?i Address of Premises for which Operating Permit is requested: JJ ❑ Same as above ElOther(specify): /5� `T 4? A,,- A, Tax Parcel ID#: Current Occupancy Class: Part II Type of Operating Permit An Operating Permit is required to conduct any activity or to use any class of building listed below. Please indicate the type(s)of Operating Permit(s)requested by checking each applicable box. (If you require assistance, or would like more information, contact the City of Arlington Building Department at 360-403- 3551.) © Manufacturing, storing or handling hazardous materials in quantities exceeding those listed in the Fire Code (see Appendix A.) Identify the materials and quantities and describe the manner in which the materials will be manufactured, stored or handled(attach additional sheets if necessary): / Revised 4/l/08 Page 1 of 4 goo Part H(cont'd) ❑Conducting a hazardous process or activity, including, but not limited to, any commercial or industrial operation which produces combustible dust as a byproduct, fruit and crop ripening, waste handling, spray operations, and high-piled storage (see Appendix B.)Describe the process(es) or activity(ies)to be conducted(attach additional sheets if necessary): ❑ Use of pyrotechnic devices in assembly occupancies (see Appendix C.)Describe the devices to be used and type of event(attach additional sheets if necessary): ❑Aboveground Storage Tank(AST) (see Appendix D) ❑ Removal ❑ Decommissioning ❑ Temporary tank closure ❑ Changes in service ❑ Permanent tank closure Brief description: ❑Underground Storage Tank(UST)(see Appendix D) ❑ Removal ❑ Decommissioning ❑ Temporary tank closure ❑ Changes in service ❑ Permanent tank closure Brief description: ❑ Temporary Membrane Structures, including tents and canopies(see Appendix E.)Brief description of structure and use: Cc: Fire Department Page 2 of 4 1 PARGEL#51052200101000 rMA1 r----------------------- ------ARL-- --1R LW ----------------------------------- 2' _ 2 lo3'2d3- �C 07'Sq W —%� --�-- -� 1 ---------1 - -- -- 1 ' I �\ rImLAK ------- — \ Awl 1 AREA N•2 ` I , 1 1 k j y0 0 PARCEL A#51052200101200 I N ARLINGTON AIR LLG I I I 2d WATER T 1 I 59TH AVE NE I I 4 1 1 y ARLIN&TON,WA.48223 I I I I 1 R 1 I ♦� I I � I I i I I i PARCEL B#31052200101500 l I I I g 1 ; ARLIN&TON AIR LLG , -0. III a I I 59TH AVE NE ARLINSTON,WA,98223 SHIRE COCA-GOLA,USA I I _ D D15TRIBUTION WAREHOUSE 1 9r'I�� I d �8 I 135209 S.F. I L_ I I R e c a'i �"°" Lu I F.F.E.138.15' I w I ► I Q • P�T CE I oll �y llJ I 'g IB i / I 'S i ; �1 I A N 1. 2020 o �. FF C C 0 PYg d � . I I � 1 1 I 2I I D 2 I I >i To r-I TSI 4 r - '� CITY OF ARLINGTON 1 ® a I I I I BUILDING DEPARTMENT A I APPROVED I r it�lr�t I , I I I I DATE ! 20 BY O n • `��.� > I I ; ; NO CHANGES AUTHORIZED I ' ®„ UNLESS A PROVED BY THE I I s —A J L___ BUILDIN INSPECTOR W 'Hi- V IJ 1 —19 L •� — ' OIPFILTRATlp1 — - ® ' 1 I I I l5 1 � BIOFILTRATION 12&q5, , GATE r I I ® PARCEL#51052200102100 e08' � —X � � U „ NYLANDER PROPERTY LLG Ib021 59TH AVE NE fV o ARLINeTON,WA,V1223 `� oZ PROPOSED SITE PLANa h r� r�� ! v W: N TFi �ALe. l .+u o �M�✓ l/,�-' �Y PC/-->I J .�� — ACIEHT COLOR KEYNOTES O VICINITY MAP p STRIGTwR OR"TO NATCN RAIN BODY COLOR I PRECAST CONCRER CAP EPYNOTES Il 8F8F0 r -SEE DETAIL IVAl00 O O C '� HEGTRICAL 5fiLT10N fed•SEEa•'J'{i1I< OI LP6 015PENSER I <. SAID=L INIHtOEPWR-SEE F UIBINS 9, 6AS METER W LOCAL IIrILIr•/-SEE Pl1RBI15 O.- O O CONGRER AAO 6 9'HIGH SCR@l1 NHL-5BE ATOO 1. 0 NON 6CftEW WLL-WE ATOO Aegisle,etl ArhMxt in: O9 CONCRETE AR MPmcw- ° IRAU.,S'AONID AREA ALmILNI,u<rmsaKo0.ntiR,wA SEE CHILL V+65 OR COWAMIE \lqlO•b -' CT. f(1 I. t 1_ ®olxL aAw .olK+:m wLw• O'� �" Fc' ) --o O` SEE MIA& FOR IGOMCNAL MO. a 11pp77 ;� • N"WY TO THE" a) �IA.�CO1KI T T a. alwvsr vAI.'VHNfE,dr SITE ¢ m 3 - -- o ! I I( I c •a, I - N.LArasr.+ev Are.<.Oft AM OOOF1e _ HIAL LOCATION 4•U LP6 VEIDOR C/MD OR nscom . vAMola P4NrErt•5SE WAVO afr +. • O" BASE POLE pO� Oce"b N.(3)OOOLLA�WSW MOMT ELECTTWc 6FM.PNAL LOCATIM TO ¢ 9 g -SEE Iw• Q rEM'rm NIIKITf W. IOOnI Or K O ' °m,w,,, 20,IPo Drxeraoe rAIN aN talvAeeR vw aEe DErAa Trvao ^ 3 Rl p S$AFY Ode, p �Fap Or Sl•N��;SIM ewAW ro FRO q[Are €30 y.OIR LwaIN-see U. ,.KN l pTRVLTIRK Ida LR < Poll MIAIAN.WE 9,WW FOR AVOlrIOM IFORIO.IDII F 1------------------ 7 R°M2LE LOW rrAtsl• CALIONAT°'O"10WaALwoewTKr 8 SITE PLAN — ----------------- TIWTK.OETEOIKN LOOP rL.fl-SI.LCABJ'w ` ----------------- a:awlAALowmoe OAR CONtROlO FOOTING FQ2 NALL 5TEPPED FOOT! //LLS2O•-w"m c wAmm! g �_ "`ST.r tOE CONGER Scorat 3 AT TRAf61TION 3A 2�9:5TWALLL CA 516W.6'� YE ON LIEU UOOF POSH-vMPY W nTYPICAL SCR£ENWALL TRANSITION® 2 GAS TANK PLAN® u LK)HT POLE BASE ® CURB® OOEkZE E I"w�v�o N BOB S NAu-•�RnDE oR S P 10 0 � . I+O• CARD READER a LONCRETE 15LAND-Sff DETAIL 2/A10 S COMMERCIAL MECHANICAL • 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 BY TWO (2) SETS OF CONSTRUCTION DRAWINGS AND ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE. Type of Permit: Q New Installation Replacement Alteration f��1� _ SI � 1 ` 1 ZDv Project Address: elNi /U>� Parcel#: 3 [N ZZDo n > // sib Project Description: AQDD $14.pI, L P P"s Se'� Valuation: � d� Owner: i�U +�� GOB � Gt_ Phone#: Address:T j J b �2�t ��� V 15— City: l���(G�u1 State:U-')I�- Zip:e-;S-?77tF"' Email Address: //JGyrr� CL Gmw! Contact Person: 7ldL ��llrjO 7 W,) Phone#:12 Address: 7-7r W �ll City: /�1G�� State:�� Zip: Email Address: �1�Y'I C 2 ue>' -� 4 � G�N C' Contractor Name: ri �S �'E�R � �Gs+ one#: Contractor Address: c�B�D�j / S2 '� rlj City: G s StateAA Zip: Email: Contact Person: n Contractor License Number: 1"� Fit o r L Z__ Expiration: 7 ��/�-Z Please indicate type of number of appliances: FURNACE CONDENSING UNIT GAS PIPING OUTLET BOILER HEAT PUMP(multi-split) UNIT HEATER CHILLER HEAT PUMP(mini-split) PAINT BOOTH COOLER HEAT PUMP(other) TYPE I HOOD AC(air cooled) HEAT REJECTION EQUIP TYPE II HOOD AC(water cooled) VENTILATION SYSTEM AST AC(evaporator) PACKAGED UNIT UST AC(VRF) DRYER OTHER 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�in4ccor nc la , rules and regulation of the State of Washington / Applicants Signature. Date Applicants Printed Name: FOR STAFF USE ONLY JAN 2 8 2020 Permit# Accepted By Amount Received Receipt# Date Received 6/16LP Page 1 of 1 .� F :� - •; OPERATING PERMIT APPLICATION Department of Community&Economic Development City of Arlington•18204 59th Ave NE•Arlington,WA 98223•Phone(360)403-3551 Part I Applicant/Building Information Applicant's Name: le_- 1&e-�iv (J � m Applicant's Address: ��� �J�Z 5 f N�_ �'" 15d�1/�/ �t� <87 7J � V Contact Person: �al/e J�e l4e-y-71se V Telephone: Address of Premises for which Operating Permit is requested: J� ❑ Same as above ❑ Other(specify): Tax Parcel ID#: Current Occupancy Class: Part II Type of Operating Permit An Operating Permit is required to conduct any activity or to use any class of building listed below. Please indicate the type(s)of Operating Permit(s)requested by checking each applicable box. (If you require assistance, or would like more information, contact the City of Arlington Building Department at 360-403- 3551.) ® Manufacturing, storing or handling hazardous materials in quantities exceeding those listed in the Fire Code (see Appendix A.) Identify the materials and quantities and describe the manner in which the materials will be manufactured, stored or handled(attach additional sheets if necessary): / DO q G`4n '�,S �✓�5�� ��`l i � c',Gt-� G Revised 4/1/08 Page 1 of 4 Part II(cont'd) ❑ Conducting a hazardous process or activity, including, but not limited to, any commercial or industrial operation which produces combustible dust as a byproduct, fruit and crop ripening,waste handling, spray operations, and high-piled storage (see Appendix B.)Describe the process(es)or activity(ies)to be conducted (attach additional sheets if necessary): ❑ Use of pyrotechnic devices in assembly occupancies (see Appendix C.)Describe the devices to be used and type of event(attach additional sheets if necessary): ❑Aboveground Storage Tank(AST) (see Appendix D) ❑ Removal ❑ Decommissioning ❑ Temporary tank closure ❑ Changes in service ❑ Permanent tank closure Brief description: ❑ Underground Storage Tank(UST)(see Appendix D) ❑ Removal ❑ Decommissioning ❑ Temporary tank closure ❑ Changes in service ❑ Permanent tank closure Brief description: ❑ Temporary Membrane Structures, including tents and canopies (see Appendix E.)Brief description of structure and use: Cc: Fire Department Page 2 of 4 Part II(cont'd) ❑ Special Event Operating Permit-An Operating Permit is required for any special event that takes place within an occupied building, or an outdoor mass gathering,which is outside the scope of the permitted use(see Appendix F.)Brief description of type of gathering proposed: Part III Premises/Building Information 1. Date of last inspection of Premises: A)ect) �- 2. Has a Certificate of Occupancy been issued for the premises?❑ Yes ❑No Type: ❑Permanent ❑ Temporary Date of Issuance: 3. Are there currently any open Building Permits associated with the premises? ❑ Yes ❑No If yes, please describe (attach additional sheets if necessary): 4. Additional Comments: SIGNATURE OF APPLICANT 1 herby certify that the foregoing informntion(and all information m attached sheets, 'if any) is true and complete. Zjj� -7/ tt;4 Z Signature of Applicant or Authorized Representatives Signature Date Name and Title (it applicable) of person signing Application (Please print) Cc: Fire Department Page 3 of 4 Part IV To be completed by the City ofAr!inl-ton Bui dhig Department Inspection Required: ❑ Yes ❑No Inspections Performed: ❑ Yes ❑No Date of Inspection: Tests or Reports required verifying compliance? ❑ Yes ❑No If YES, have Tests or Reports been received? ❑ Yes ❑No Application(s) Approved: ❑ Yes ❑ No Operating Permit Issued by: Date Operating Permit Issued: Date Operating Permit Expires: Type/Description of Operating Permit: Conditions of Operating Permit(list conditions here AND in the space provided in the Operating Permit): Additional Comments: (Attach additional pages if needed) Cc: Fire Department Page 4 of 4 OPERATING PERMIT APPLICATION Appendix D Removal of Aboveground and Underground Storage Tanks Department of Community& Economic Development City of Arlington•18204 59th Ave NE•Arlington,WA 98223•Phone(360)403-3551 • An Operating Permit is required prior to the removal and/or decommissioning of any aboveground storage tank(AST) or underground storage tank(UST), unless specifically exempted per the WAC 173. ■ An Operating Permit is required for any temporary tank closure, change in service, and permanent tank closure for all AST's or UST's. • The following is required prior to the issuance of any AST Operating Permit: o Site Check/Site Assessment Checklist, DOE form ECY 010-158. o Removal plan for all hazardous materials. o Appropriate certifications and insurances of contractor(s). • The following is required prior to the issuance of any UST Operating Permit: o Appropriate DOE forms. o Closure and Site Assessment Notice. 0 30-Day Notice. o Site Check/Site Assessment Checklist, DOE form ECY 010-158. Revised 5/12/2008 c� i I NOTICE ® ser-_ TO PERMITEE AND/OR OWNER Cl PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑. DO NOT OCCUPY APPROVED PERMIT#: ~ ' U AM PM DATE: JOB ADDRESS: I�% I�� <{n( f� F LOT#: PROJECT: e�i_�I - TYPE OF INSPECTION: t� i- OTHER: Cl NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION: $50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION 1 u► i�� �Eli,, "75��..'� l.2�` � -� THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE / 0 PLANNING 0 CIVIL BUILDING CITY OF ARLINGTON '9 ` CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 V • PHONE; (360) 403-3551 BUILDING PERMIT Address:18215 59th Ave NE Permit#:3008 Parcel#:31052200101200 Valuation:2500.00 OWNER APPLICANT CONTRACTOR Name:SWIRE PACIFIC HOLDINGS Name:[Company Name] Name:AmeriGas Address: 12634 S 265 WEST Address:[Company Address] Address: 19244 East Valley Hwy City,State Zip:DRAPER,UT 84020 City,State Zip:Marysville,WA 98271 City,State Zip:Kent,WA 98032 Phone: Phone:253-395-3001 Phone:253-395-3001 LIC:AMERIPLO55LL EXP:08/02/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial 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. IBCl l0/IRCll0. 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 an coded C' of Arlington#3101. �ignatur'cvv Vk Print Name bW Released By ate CONDITIONS Add guard posts at locations shown on plans. Adhere to approved plans and red lines. Approved job copy shall be onsite for inspections. Call for inspections. THIS PERMIT AUTHORIZES 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 02/29/2020 Fuel/LPG $100.00 02/29/2020 Processing/Technology Fee $25.00 02/29/2020 Building Plan Review Fee $80.33 Total Due: $205.33 Total Payment: $0.00 Balance Due: $205.33 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 I II I 1 I T14000r1N•tl101 1 PARCEL 03PO52200101000 T----------------------I-_-_- ARLINOTON AIR LLG ravN _ _____________________ \ AS Ls -x—X—xlx s ��^-----P- t"--- ---------- ---- ---- n I I FIRE LANE • I ` ® 1 -- ^--------- — I vCFODIB _\��E I ; IL a ' � I I ams• 1 i I I � gpg 1 4 PARCEL A#31052200101200 I I i I 1 20'HUTER Prsasrt , I Y ARLIN&TON AIR LLC pI 54TH AVE NE I I 4 I 1 ARLIN&TON,WA.96223 I I 1 g I I 11 I I PARCEL B 1131052200101300 pg , ARLIN&TON AIR U-C I 1 d u, •� III ! I , 55TH AVE 1E 10 I 1 ARLIN6TON,WA.98223 I y •� � I I I 1 1 i SWIRE COCA COLA,USA i J P15TRIaTTION WAREHOUSE I I 135,2011 S.F. I L_ 1 Z I �II¢ i ` F.F.E.13H.15' \-oD I V • *4. Eli P 1 1 1 I F - , A = B I 1 -t -- --- -- - ----.m I I I 1 - 1 i � �, ` „�„• I I I 1 } -- y----- pp ' I l aQ BIOFILTRAT�IDEI- •� 1 I ( I � !rW+l - x��.� 1 ] BIOFIxL�T-R�A�T,I�ON H•�� " U PARCEL 1T31052200102100 X O , NrLANDER PROPLRTr LLG 1H021 51TH AVE NE ARLI1,16TON,WA.9H223 PROPOSED SITE PLAN,& U SCALE. I-•40'-0• `� o 50.DIER COI.REE BRICK- ®A ACCENT`DLL KEYNOTES O VICINITY MAP MATCH MAIN TRAL BRICK TO g M I� tl■ y ATGN BODY COLOR a PRECAST CONCRETE GAP 'SPARE �` -SEE DETAIL IVATOO 2, MILDIN6 SITE 1-I6HTIN6-SEE ELECTRWA 0 O O 3. EL Al-SERVICE BDMIY.E SECTION MW-SEE - OI -Pr,DISPENSER TANG ELECTRICAL • 4 a. 9ANJ Ala OIL RrERc�raR-9EE PI1F61x5 O M 6A O O CONCRETE laU5EKEEPIN5 BLAB s. 5 METER LOCAL LIIY-S BYOCA VTSEEPWCYG 6. 3'5 I SCR®1 -SEE AIOD T. 4 HIGH SCREEN WALL-SEE MOO n.FNereeNNltxtin; - 0 TN.1xER 41A0•L,AREA O9 CONCRETE AWPOACK NCIt1- NZc0.14•.tr.Nv.Rv.ac,oRT;inwn o SEE CIVIL 01145fg1 l.ORCR£1E `�rY�� F DETAILINS. L:•JM7blf]i60R:tlM4AJJ L' '.� STEAL AIL FOR AM I N AL 1 L. - SEE DETAN FOR ATITHIE C IENT. 7 y • (VPRIFY ILM0BR5 TO TIC CLIENT) j I 16 ASPNLT AIIIIEPAVEMENT 51TE yy • •VEPFr rr tIG M1 IPGAI w trl MOM CURB Ri B.LANDSCAPED AREA-M ANDBGAFI! Q E^$ < SCIREEW WALL_AA. PARKINS PLA111Bt-4@lAla4CAPE O O 4 O 4 O LIGHT POLE 80dAS OCCW5 OAN� a 6'CIWIILRK PBICE•46 4/A100 u OT1CY1lRAL I W• 14. OE YEWW" �tOp4 Wt lLEO1Rr 6ENt rNA1(CLA11011 TO MOT m p •t' 1I LPODTirCINrA MA ONC nM 4 I ESI 4@W SIMP PATE ®I FaN1OA 4tlR CE IO I IMP510N Tfa01 RYANAR Y N 3 3 ftall Or 4101I TdTANr.Na"!•BN CaFFANT W rRDwle p €6 w SITE L"I(AI.R S ft d T. a -__ /7' �,POLE PETAILINB..Sff 96MW FOR Al?MONAL INFORMATION ------------------ _ / 27 NYE LI61RIN6-SEE ELECTRIG T W=16TRiAL FOR LI _ ------ L/ ]a.TPOLE RAFFwTDAEi�iaNE�owA,SPIOD FON ADOR101IAL INOIDa,1011 SITE PLAN ----------- 25.FWOAL aMOWE•ATL•4MRMS E/It 011r No koE % roovm MR WILL !tlPPEp 1'OO1F10 `2i:4'wE C4WATIE 4adMLK At wwalnm 20.I]'W M CONCREIB NATEIWY TIRT ORB g 3A p SQL ADA SIC+NABE ON WALL IN LIEU OF POSTS-VERIFY IV :1TYPICAL BCREENWAU TRANSITION A GAS TANK PLAN® UGW POLE BASE @ CURBA A 10'LAVE"'W vOID IN F HALL-.6RAOE OR \'ll • •O 2 •t u K.I/]'.1'•O'JG'I.C 0 QA"1 c01KMTE l4lAMD-SEE DETAIL 2/AW 1-K-7�M✓,M- 0 o g G'. S Permit#: 3008 Permit Date: 02/03/20 Permit Type: COMMERCIAL MECHANICAL Project Name: Swire Coca-Cola-AST Applicant Name: Amerigas Applicant Address: 4509 152nd St NE Applicant, City, State, Zip: Marysville,WA 98271 Contact: Dale Culbertson Phone: 253-395-3001 Email: dale.culbertson@amerigas.com Scope of Work: Install 1000 gal LP AST dispenser Valuation: 2500.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 03/06/2020 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning SEC 22 TWP 31 RGE 05RT- SWIRE PACIFIC 31052200101200 18215 59TH AVENUE NE 6A)S1/2N1/2 SW1/4 HOLDINGS NE1/4 EXC RDS Contractors Contractor Primary Contact Phone Address Contractor Type License License# Americas Dale Culbertson 253-395-3001 19244 East Valley CONSTRUCTIONHwy CONTRACTOR L&I AMERIPLOSSLL Plan Reviews Date Review Type Description Assigned To Review Status 02/03/2020 COMMERCIAL Combo Operating Permit BUILDING MECHANICAL 02/03/2020 COMMERCIAL Combo Operating Permit FIRE MECHANICAL Fees Fee Description Notes Amount Fuel/LPG histallation/Removal $100.00 Processing/Technology $25.00 Building Plan Review Table 4-2 $80.33 Credit Card Service $6.16 Total $211.49 Attached Letters Date Letter Description 02/28/2020 Building Permit 02/03/2020 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 03/02/2020 Dale Culbertson 79302989 $205.33 03/02/2020 79302989 CC Surcharge Raelynn Jones $6.16 Outstanding Balance $0.00 Notes Date Note Created By: 02/28/2020 Operating Permit included in Mechanical Raelynn Jones Uploaded Files Date File Name 10/04/2021 9819971-3008 IC 3.23.2020.pdf 02/03/2020 6191628-3008 Apnlication.pdf 02/03/2020 6191629-3008 Plans.pdf