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PLAN CHECK BY DATE Last Saved By: spwctn Apr 18, 2016 — 350pm p�p REVIEWED AND APPROVED (j u o ' REFERENCE
R GION STATE FED. AID PROD. NO. SURVEY NO. PRELIMINARY FOR CONSTRUCTION SNOHOMISH COUNTY SNOHOMISH COUNTY SHEET NO.
10 WASH 4593 DEPARTMENT OF PUBLIC WORKS S7
DESIGNED BY: DRAWN BY: OWEN B. CARTER, P.E. PUBLIC WORKS ARLINGTON SHOP SHEETCTN SNOHOMISH COUNTY ENGINEER
OF
FIELD BOOK(S): UPI( EXISTING SITE CONDITIONS 2
DATE iNO.1 REVISION I BY 1 1796 15-0800 DATE APPROVED: FUNDING NO. SHEETS
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
` PHONE; (360)403-3551
BUILDING PERMIT
Address:19700 67th Ave Permit#:1006
Parcel#:31051500101500 Valuation:3611.00
OWNER APPLICANT CONTRACTOR
Name:SNOHOMISH CO PROP MGMT Name:Tom Moff Name:
Address:3000 ROCKEFELLER AVE M/S 404 Address:19700 67th Ave NE Address:
City,State Zip:EVERETT,WA 98201 City,State Zip:Arlington,WA 98223 City,State Zip:,
Phone: Phone:425-231-1213 Phone:
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 Alteration CODE YEAR: 2012
STORIES: I CONST.TYPE:
DWELLING UNITS: OCC GROUP:
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 1S NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/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 C' f Arlington#3
3
Signature Print Name Date Released By to
CONDITIONS
See redlined drawings. Adhere to approved plans.
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
5/12/2016 Building Permit Fee $114.73
5/12/2016 Building Plan Review Fee $74.57
5/12/2016 State Building Code Surcharge Fee $4.50
Total Due: $193.80
Total Payment: $0-00
Balance Due: $193.80
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
so
Permit Information
Date 5/6/2016
Permit Number 1006
Project Name Snohomish County
Applicant Name Tom Moff
Applicant Address 19700 67th Ave NE
City, State,Zip Arlington,WA 98223
Contact Tom Moff
Phone 425-231-1213
Email
Permit Type Commercial Alteration
Site Address 19700 67th Ave
Valuation 3611.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load
Number of Stories 1
Proposed Use
Assigned To Kristin Foster
Property Information Owner Information
Parcel#:31051500101500 SNOHOMISH CO PROP MGMT
SNOHOMISH CO PROP MGMT 3000 ROCKEFELLER AVE M/S 404
19700 67TH AVE NE EVERETT,WA 98201
Review
Date Type Description Target Date Completed Date I Assigned To T Status
5/12/2016 commercial Addition JlKevin Olander In Review
Uploaded Files F Upload File
Date File
5/6/2016 4:21:46 PM 11006 Site.pdf
5/6/2016 4:21:46 PM 11006 Plans.pdf I x
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COMMERCIAL REMODEL
PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403 3
Project Name/Tenant
Site Address j� 4ZIZ- Bldg/Unit/Suite 61dg
IBC Construction Type IBC Occupancy Type 0
Description of Use -.toAZae -9kh
Building Square Footage _ Number of Stories l
Square Footage Per Floor 7041461
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.
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.
!I
AppliTcants Signatu
Print Applicants Name Date
C�
FOR STAFF USE ONLY
168(0 MAY 0 Z01'
Permit Accepted By Amount Received Receipt# Date Received
Page 7 of 7
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COMMERCIAL REMODEL
PERMIT APPLICATION
fe Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
The following minimum information is required for your Commercial/Multi-Family Building Permit
Application.
Mark each box to designate that the information has been provided. Please submit this checklist as
part of your submittal documents. Incomplete applications will not be accepted.
❑ One (1) City of Arlington Commercial/Multi-Family Permit Application
(One permit application per building or structure is required)
❑ One (1) City of Arlington Commercial/Multi-Family Submittal Requirements Form
2
❑ TtMree (-X) Architectural Drawings
❑ Three (2) Structural Drawings
❑ Three(2) Structural Calculations
❑ One (1) Project Specification Manuals(if applicable)
❑ One (1) NREC Code Compliance Forms
❑ One (1) Special Inspection Requirements Forms
❑ One (1) Occupant's Statement of Intended Use Form
Drawings shall be BOUND SEPARATELY BY TYPE, architectural, structural and landscape, and then
ROLLED TOGETHER/N COMPLETE SETS>
An intake appointment is required for all new Commercial or Multi-Family Building Permit Applications.
To schedule an appointment please contact the City of Arlington Permit Center at(360) 403 3551 or by
email to Pre App Appointment Request.
I acknowledge that all items designated above are included as part of this application.
Page 1 of 7
1
COMMERCIAL REMODEL
t PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
A. FEES DUE AT TIME OF PERMIT APPLICATION
The following non-refundable fees will be collected at the time of application for all tenant improvements projects.
1. Building Plan Check Fee
B. CODES
The City of Arlington currently enforces the following
International Codes
1. 2012 International Building Code(IBC)
2. 2012 International Residential Code (IRC)
3. 2012 International Mechanical Code(IMC)
4. 2012 International Fuel Gas Code(IFGC)
5. 2012 International Fire Code(IFC)
6. 2012 Uniform Plumbing Code(UPC)
7. 2012 International Property Maintenance Code(IPMC)
8. 2009 Accessible& Usable Buildings and Facilities(ICC/ANSI 1417.1)
Washington State Amendments
1. WAC 51-50 Washington State Building Code
2. WAC 51-51 Washington State Residential Code
3. WAC 51-52 Washington State Mechanical Code
4. WAC 51-54 Washington State Fire Code
5. WAC 51-56&51-57 Washington State Plumbing Code and Standards
6. WAC 51-11 Washington State Energy Code
7. WAC 296-46B Electrical Safety Standards,Administration, and Installation
C. CITY OF ARLINGTON DESIGN REQUIREMENTS
Design Wind Speed: 85 miles per hour(Exposure C)
Ground Snow Load: 25 pounds per square foot
Seismic Zone: D2
Rainfall: 2 inches per hour for roof drainage design.
Frost Line Depth: 12 inches
Soil Bearing Capacity: 1,500psf unless a Geo-Technical Report is provided. (IBC Table 1804.2& IRC R401.4.1)
D. PLANS AND DRAWINGS
Submit three(3)complete sets of drawings and plans. Drawings and plans must be submitted on minimum 18"X 24",or
maximum 30"X 42" paper.All sheets are to be the same size and sequentially labeled. Plans are required to be clearly legible,
with scaled dimensions, in indelible ink, blue line,or other professional media. Plans will not be accepted that are marked
preliminary or not for construction, that have red lines, cut and paste details or those that have been altered after the design
professional has signed the plans.
Please Note:A separate submittal of plans is required for each building or structure.
Page 2 of 7
-- ' COMMERCIAL REMODEL
PERMIT APPLICATION
_ Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403 3551
DETAILED SUBMITTAL REQUIREMENTS
Mark each box to designate that the information has been provided.
Please submit this checklist as part of your submittal documents
A. ❑ SITE PLAN - REQUIRED WITH ALL SUBMITTALS
(May be included as part of the Architectural Drawing cover Sheet)
1. Drawing shall be prepared at scale not to exceed 1"=20 feet.
2. Show building outline and all exterior improvements.
3. Provide property legal description and show property lines.
4. Provide dimensions from the property lines to a minimum of two building corners(or two identifiable locations for
irregular plan shapes).
5. Show building setbacks, easements and street access locations.
6. Indicate North direction.
7. Indicate finish floor elevation for the first level.
8. Provide topographical map of the existing grades and the proposed finished grades with maximum five feet elevation
contour lines.
9. Show the location of all existing underground utilities, including water, sewer, gas and electrical.
10. Flood hazard areas,floodways,and design flood elevations as applicable.
B. ❑ ARCHITECTURAL DRAWINGS
1. ❑ Cover Sheet
a) Building Information
1. Specify model code information.
2. Construction Type.
3. Number of stories and total height in feet.
4. Building square footage(per floor and total)
5. IBC Occupancy Type(show all types by floor and total).
6. Mixed-use ratio(if applicable)
7. Occupant load calculation (show by occupancy type and total)
8. List work to be performed under this permit
b) Design Team Information
1. Design Professional in Responsible Charge
2. Architects
3. Structural Engineers
4. Owner
5. Developer
6. Any other Design Team Members
2. ❑ Floor Plan
a) Plan view 1/8"minimum scale. Details a minimum%-inch scale.
b) Plans must show the entire tenant space.
c) Specify the use of each room/area.
d) Provide an occupant load calculation on the floor plan. (on every floor, in all rooms and spaces)
e) Show ALL exits on the plans; include new, existing or eliminated.
f) Show Barrier-Free information on the drawings.
g) Show the location of all permanent rooms,walls and shafts.
h) Note the uses in the adjacent tenant spaces, if applicable.
Page 3 of 7
i) Provide a door and door hardware schedule.
j) Show the location of all new walls, doors,windows, ect.
k) Provide details and assembly numbers for any fire resistive assemblies.
1) Indicate on the plans all rated walls,doors,windows and penetrations.
m) Provide a legend that distinguishes existing walls,walls to be removed and new walls.
3, f-1 Reflected Ceiling Plan
a) Plan view 1/8"minimum scale. Details a minimum %-inch scale.
b) Provide ceiling construction details.
c) Provide suspended ceiling details complying with IBC 803.9.1.1. Show seismic bracing details.
d) Show the location of all emergency lighting and exit signage.
e) Detail [lie seismic bracing ur[he rixtures.
f) Include a lighting fixture schedule.
4. [ J Framing Plan
a) Specify the size, spacing, span and wood species or metal gage for all stud walls.
b) Indicate all wall, beam and floor connections.
c) Detail the seismic bracing for all walls.
d) Include a stair section showing rise, run, landings,and headroom, handrail and guardrail dimensions.
5. ❑ Storage Racks (if applicable)
a) Structural calculations are required for seismic bracing of storage racks eight feet or greater in height.
b) Eight feet or less, show a positive connection to floor or walls.
NOTE: High pile storage shall meet the requirements of current International Building and Fire Codes.
C. [ [ SPECIAL INSPECTION
1. Where special inspection is required by IBC 1704,the registered design professional in responsible charge shall prepare
a special inspection program that will be submitted to the City of Arlington and approved prior to issuance of the building
permit to comply with 1BC 106.1.
D. ❑ WASHINGTON STATE ENERGY CODE
1 Two completed Washington State Non-Residential Energy Code Envelope Summary forms.
E. ❑ OCCUPANT'S STATEMENT OF INTENDED USE
1. The Occupant's Statement of Intended Use form shall be completely filled out and may require the submittal of a
Hazardous Materials inventory Statement(HMIS). Contact the Arlington
Page 4 of 7
COMMERCIAL REMODEL
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 THREE(3) SETS OF CONSTRUCTION PLANS, THREE(3) SETS
OF SPECIFICATIONS, TWO(2) SETS OF STRUCTURAL CALCULATIONS, ONE(1) SETS OF NREC ENERGY CODE
APPLICATIONS AND ONE(1) OCCUPANTS'S STATEMENT OF INTENDED USE.
Type of Permit: ( ) Commercial Remodel ( ) Commercial Addition ( ) Tenant Improvement
Project Address: Parcel ID#:
Project Description. Legal Description:
Project Valuation:
Owner: Phone Number:
Address: City: State: Zip Code:
Contact Person: Phone Number:
Cell Phone: E-mail
Address: City: State: Zip Code:
I
Contractor: Phone Number:
Address City: State: Zip Code:
Contractor's License Number: Expiration:_
Plumbing Contractor: Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
Mechanical Contractor: Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
Page 6 of 7
COMMERCIAL REMODEL
PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington• 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403 3551
The building permit does not include any mechanical,electrical, plumbing or fire sprinkler/alarm work.These permits are issued
separately. Mechanical,electrical, plumbing, or fire sprinkler/alarm permits require a separate permit application and may also require
separate plan review.
Please note that any tenant improvement work in a space that involves food handling or preparation requires Snohomish County Health
District approval before the permit can be issued.You must provide the Permit Center a copy of the approval letter or the approved
plans. Contact the Snohomish County Health District at(425)339-5250 with any questions or for more information.
An intake appointment is required for all large Tenant Improvement Building Permit Applications. To determine if your project requires
an intake appointment,to schedule an appointment or to ensure that you have the most current information, please contact the City of
Arlington Permit Center at(360)403-3551 or by email to cedwarlingtonwa.gov
Application by courier or mail will not be accepted.
Incomplete applications will not be accepted.
I acknowledge that all items designated as submittal requirements must accompany my Building Permit Application to be considered a
complete submittal.
Page 5 of 7
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SECTION 15, T. 31 N., R. 05 E., W.M.
CITY OF ARLINGTON
BUILDING DEPARTMENT
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PLAN CHECK BY DATE Last Saved By: spwctn Apr 18, 2016 — 3:50pm REVIEWED AND APPROVED REFERENCE
REGION ISTATE FED. AID PROJ. NO. SURVEY N0. IFPRELIMINARY FOR CONSTRUCTION SNOHOMISH COUNTY SNOHOMISH COUNTY SHEET N0.
,o WASH 4593 DEPARTMENT OF PUBLIC WORKS S1
DESIGNED BY: DRAWN BY: B. GARTER, P.E.
CTN SNOHOMI PUBLIC WORKS ARLINGTON SHOP SHE
Efl IHOMISH COUNTY ENGINEER
FIELD BOOK(S): UPI{ EXISTING SITE CONDITIONS OF
z
DATE NO. REVISION BY 1796 15-0800 DATE APPROVED: FUNDING NO.
SHEETS
Permit#: 1006
Permit Date: 05/06/16
Permit Type: COMMERCIAL ALTERATION
Project Name: Snohomish County
Applicant Name: Tom Moff
Applicant Address: 19700 67th Ave NE
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Tom Moff
Phone: 425-231-1213
Email:
Scope of Work: Addition to storage building
Valuation: 3611.00
Square Feet: 0
Number of Stories: 1
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 05/13/2016
Permit Expires: 11/13/2016
Form Permit Type:
Status: LASERFICHE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
SNOHOMISH CO 672 Protective
31051500101500 19700 67TH AVE NE PROP MGMT Functions&Related
Activities
Contractors
Contractor Primary Contact Phone Address Contractor Type License License
Snohomish County Tom Moff 425-231-1213 19700 67th Ave NE APPLICANT
Plan Reviews
Date Review Type Description Assigned To Review Status
05/12/2016 COMMERCIAL BUILDING
ADDITION
Fees
Fee Description Notes Amount
Building Permit Table 4-1 $114.73
Building Plan Review Table 4-2 $74.57
State Surcharge- 1st DU Residential- 1st Unit $4.50
Total $193.80
Attached Letters
Date Letter Description
05/12/2016 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
05/18/2016 Roads Admin Snohomish 59676785 cc $193.80
County PWKS
Outstanding Balance $0.00
Uploaded Files
Date File Name
05/06/2016 1608762-1006 Plans.pdf
05/06/2016 1608763-1006 Site.pdf