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HomeMy WebLinkAbout20227 77th Avenue NE_BLD1235_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20227 77th Avenue NE,#5 Permit#: 1235 Parcel#:00829100000103 Valuation:936027.40 OWNER APPLICANT CONTRACTOR Name:WD ARLINGTON INVESTMENT LLC Name:Dykeman Architects Name:EXXEL PACIFIC INC Address: 1020 WEST CASINO RD Address:1716 W Marine View Drive Address:323A TELEGRAPH RD City,State Zip:EVERETT,WA 98204 City,State Zip:Everett,WA 98201 City,State Zip:BELLINGHAM,WA 98226 Phone: Phone:425-259-3161 Phone:360-734-2872 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: 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 APPLICATIOIST A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFULR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORACERTIFICAUPANCY HAS BEEN GRANTED. IBC110/IRC110. 5ALES TAX NO x relating to construction and constructio materials in the City of t ton must b reported on your sales tax return form and codedto 3101. �✓'�k� /Gc�f ature Print Name Date Release y 1. Date CONDITIONS See plans for additional requirements. 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 1/5/2017 Building Permit Fee $7,387.23 1/5/2017 Building Plan Review Fee $4,801.70 1/5/2017 Park-Community MF $13,473.00 1/5/2017 Photocopies $100.00 1/5/2017 State Building Code Surcharge Fee $4.50 1/5/2017 State Surcharge per Dwelling $16.00 1/5/2017 Traffic Mitigation $11,779.38 Total Due: $37,561.81 Total Payment: $37,561.81 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 Go PHONE; (360)403-3551 BUILDING PERMIT Address:20227 77th Avenue NE,#5 Permit#: 1235 Parcel#:00829100000103 Valuation:936027.40 OWNER APPLICANT CONTRACTOR Name:WD ARLINGTON INVESTMENT LLC Name:Dykeman Architects Name:EXXEL PACIFIC INC Address: 1020 WEST CASINO RD Address:1716 W Marine View Drive Address:323A TELEGRAPH RD City,State Zip:EVERETT,WA 98204 City,State Zip:Everett,WA 98201 City,State Zip:BELLINGHAM,WA 98226 Phone: Phone:425-259-3161 Phone:360-734-2872 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: 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 T A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL T S OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICAT' F UPANCY HAS BEEN GRANTED. IBC110/IRC110. SALES TAX NO s t x relating to construction and eonstrueho materials in the City of i gton must b reported on your sales tax return form and coded f rli 9jtp43101. ature Print Name Date Release y Date CONDITIONS See plans for additional requirements. 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 1/5/2017 Building Permit Fee $7,387.23 1/5/2017 Building Plan Review Fee $4,801.70 1/5/2017 Park-Community MF $13,473.00 1/5/2017 Photocopies $100.00 1/5/2017 State Building Code Surcharge Fee $4.50 1/5/2017 State Surcharge per Dwelling $16.00 1/5/2017 Traffic Mitigation $11,779.38 Total Due: $37,561.81 Total Payment: $37,561.81 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 a 0 z C) a M � 0-4 N v z LO a N z O o z C:) 3 W fx N O N a 04 m V w 8 CA � ►—� V F ¢ ct o Act Oz � ; A o 0 � tea. OTC a ;, Qa o c� O ~ G �T. [-•� z H Ln z z p� aEn zc w � � W d � m Z V zcu z 3 o 'I - r rn m a w � F cV rq ;ALO U ¢ V, v W z ¢ i °= ci w 04 o O w z ¢ z ^ 2 A F w r I CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 20227 77th Avenue NE,#5 , Permit#: 1235 Parcel#:00829100000103 Valuation:936027.40 OWNER APPLICANT CONTRACTOR Name:WD ARLINGTON INVESTMENT LLC Name:Dykeman Architects Name:EXXEL PACIFIC INC Address: 1020 WEST CASINO RD Address:1716 W Marine View Drive Address:323A TELEGRAPH RD City,State Zip:EVERETT,WA 98204 City,State Zip:Everett,WA 98201 City,State Zip:BELLINGHAM,WA 98226 Phone: Phone:425-259-3161 Phone:360-734-2872 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: 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 T A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL T US .OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICAT- F UPANCY HAS BEEN GRANTED. IBC110/IRC110. SALES X N s t relating to construction and constructio materials in the City of i ton must b reported on your sales tax return formnd coded ' to 3101. ature Print Name Date Release y k Date CONDITIONS See plans for additional requirements. 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 1/5/2017 Building Permit Fee $7,387.23 1/5/2017 Building Plan Review Fee $4,801.70 1/5/2017 Park-Community MF $13,473.00 1/5/2017 Photocopies $100.00 1/5/2017 State Building Code Surcharge Fee $4.50 1/5/2017 State Surcharge per Dwelling $16.00 1/5/2017 Traffic Mitigation $11,779.38 Total Due: $37,561.81 Total Payment: $37,561.91 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 .3.;: �i Permit Information Date 12/8/2016 Permit Number 1235 Project Name Park 77-Bldg 5 Applicant Name Dykeman Architects Applicant Address 1716 W Marine View Drive City,State,Zip Everett,WA 98201 Contact Doug Hofius Phone 425-259-3161 Email dough@dykeman.net Permit Type Commercial New Site Address 20227 77th Avenue NE,#5 Valuation 936027.40 Status Issued Permit Issued 1/5/2017 Permit Expires Square Feet 182510 Type of Construction/Occupancy Load V-B/R-2 Number of Stories 3 Proposed Use Type A-Residential Apartments Assigned To Kristin Foster Property Information Owner Information Parcel#:00829100000103 WD ARLINGTON INVESTMENT LLC WD ARLINGTON INVESTMENT LLC 1020 WEST CASINO RD 20227 77th Avenue NE EVERETT,WA 98204 Contractors Contractor Name Primary Contact Phone Email Contractor Type License =Ucense# EXXEL PACIFIC INC :360-734-2872 1 CONTRACTOR 1-abor and Industries FJCJCELP1073KN Fees Fee Description Notes Amount Building Permit Fee 322.10.00.0 $7,387.2 Building Plan Review Fee 345.83.00.00 $4,801.7 Park-Community M 345.85.00.00 $1,497.00 per unit $13,473.0 Photocopies 341.81.00.00 24 x 36 50 $2.00 $100.0 State Building Code Surcharge Fee 386.00.01.00 1 unit, $4.5 State Surcharge per Dwellin 38&00.01.001 8 unit $16.0 Traffic Mitigation] 345.85.00.02 $11,779,3 Total $37 561.811 Payments Date Paid By mount Description Payment Type Accepted B 1/5/2017 IPark 77 5J LLC $37.561.811 Pheck#5097 jKristin Foster Totall $37,561.811 Amount Outstanding:$0.0 Notes Date Note 12/8/2016 See Master File#1070 for attachments and fee breakdown Uploaded Files Upload File Date I File Uploaded B 1/5/2017 4:06A0 PM 11235 A plication pdf Foster,Kristin FIRE PROTECTION BUREAU—PLAN REVIEW J A PO Box 42600 �: ■ �: . • ror+srm ran+u+ Olympia WA 98504-2600 � (360)596-3911 FAX: (360)596-3934 = �1! NFPA 13 SPRINKLER INSTALLATION CERTIFICATION Permit#: 1428-Building#5 aka J Date: 12/22/2017 Property Protected System Installer System Supplier Business Name: Park 77 Apartments lUnlimited Mechanical, Inc. HD Supply Address: 20227 77th Ave NE PO Box 1457 PO Box 1419 Ailiriglurt,WA. 98223 Marysville,WA. 98270 Thomasville GA. 31799 Representative: Wayne Williams Telephone: 360-657-2182 Location of Plans: GC Office 4 Location of Owner's Manual: Riser Room 1. Certification of System Installation: Complete this section after the system is installed, but prior to conducting operational acceptance tests. This s,.stem installation was inspected and found to comply with the installation requirements of: NFPA 13 IFC and IBC Manufacturer's Instructions Other(specify: FM, UL, etc.) Print Name: Wayne Williams Signed: , 0..i_c Date: 12/22/2017 Organization: Unlimited Mechanical, Inc. 2. Certification of System Operation: All operational features and functions of this system were tested and found to be onerating properly in accordance with the requirements of: NFPA 13 IFC and IBC Manufacturer's Instructions Other(specify) Print Name: Wayne Williams Signed: _ .,«. .�l r`!�R.�a�t Date: 12/22/2017 Organization: Unlimited Mechanical, Inc. Sprinkler Information for Storage in 2002 NFPA 13, Chapter 12 and IFC Chapter 23 3000-420-105 7/07 OAutomatic Sprinkler Systems FORM 2-1 Contractor's Material and Test Certificate for Aboveground Piping Date: )z/Z2!11 7 Property Name: Park 77 Apartments Property Address: 20227 77th Ave NE-Arlington, WA. 98223 Procedure Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and the system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authori- ties, owners, and contractors. It is understood that the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. Plans Accepted by[approving authority's name(s)] City of Arlington Address 238 N Olympic Ave-Arlington,WA. 98223 Installation conforms to accepted plans? 0 Yes ❑ No Equipment used is approved? 0 Yes ❑ No If no, explain deviations. Instructions Has person in charge of fire equipment been instructed as to location of control valves and care and maintenance of this new equipment? ❑� Yes ❑ No If no, explain. Have copies of appropriate instructions and care and maintenance charts and NFPA 13 been left on premises? 0 Yes ❑ No If no, explain. Location of System Supplies building(s) Sprinklers Year of Orifice Temperature Make Model Manufacture Size Quantity Rating Tyco: TY2234 LF I Res Rec Pend-White 3/8 44 155* Tyco: TY2335Rea White1/2 12 155* Tvco: TY2234 ILFII Res Rec Pend-White 1 1 3/8 112 1 175* Tvco: TY2334 I_.FII Res R 3/8 132 175* Pipe and Fittings Pipe conforms to NFPA 13 standard. 0 Yes ❑ No Fittings conform to NFPA 13 standard. ❑� Yes ❑ No If no, explain. PAGE 1 of 3 Copyright©2000 National Fire Protection Association Automatic Sprinkler Systems FORM 2-J Contractor's Material and Test 0 Certificate for Aboveground Piping (coast.) Alarm Valve or Flow Indicator Alarm Device Maximum Time to Operate Through Test Pipe Type Make Model Min. Sec. Water Flow Potter VSR 30-45 Dry Pipe Operating Test Dry Valve Q.O.D. Make Model Serial No. Make Model Serial No. Time to Trip Trip Point Time Water Alarm Through Water Air Air Reached Operated Test Pipe* Pressure Pressure Pressure Test Outlet* Properly Min. Sec. Psi (Bar) Psi (Bar) Psi (Bar) Min. Sec. Yes No Without Q.O.D. With Q.O.D. If no, explain. Deluge and Preaction Valves Operation ❑ Pneumatic ❑ Electric ❑ Hydraulic Piping supervised? ❑ Yes ❑ No Detecting media supervised? ❑ Yes ❑ No Is there an accessible facility in each circuit for testing? ❑ Yes ❑ No If no, explain. Does each circuit operate Does each circuit Maximum Time to supervision loss alarm? operate valve release? Operate Release Make Model Yes No Yes No Min. Sec. Test Description HYDROSTATIC. Hydrostatic tests shall be made at not less than 200 psi (13.6 bar)for two hours or 50 psi (3.4 bar) above static pressure in excess of 150 psi (10.2 bar)for two hours. Differential dry pipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shall be stopped. FLUSHING: Flow the required rate until water is clear as indicated by no collection of foreign material in burlap bags at outlets such as hydrants and blow-offs. Flush at flows not less than 400 gpm (1514 L/min)for 4-in. (102-mm) pipe, 600 gpm (2271 L/min)for 5-in. (127-mm) pipe, 750 gpm (2839 L/min)for 6-in. (152-mm) pipe, 1000 gpm (3785 L/min)for 8-in. (203-mm) pipe, 1500 gpm (5678 L/min)for 10-in. (254-mm) pipe and 2000 gpm (7570 L/min)for 12-in. (305-mm) pipe. When supply cannot produce stipulated flow rates, obtain maximum available. *Measured from time inspector's test pipe is opened. PAGE 2 of 3 Copyright©2000 National Fire Protection Association . l • Automatic Sprinkler Systems FORM 2-1 0 Contractor's Material and Test la Certificate for Aboveground Piping (coat.) Test Description (cont.) PNEUMATIC: Establish 40 psi (2.7 bar) air pressure and measure drop, which shall not exceed 1112 psi (0.1 bar) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1112 psi (0.1 bar) in 24 hours. Tests All piping hydrostatically tested at 200+ psi (bar)for _ 2 hrs. Dry piping pneumatically tested? ❑ Yes ❑ No Equipment operates properly? ❑ Yes ❑ No If no, state reason. Drain test—Reading of gauge located near water supply test pipe: Static pressure: 060 psi (bar) Drain test—Residual pressure with valve in test pipe open wide: �Z!Z psi (bar) Underground mains and lead-in connections to system risers flushed before connections made to sprinkler piping Verified by copy of the U Form No. 85B R] Yes ❑ No ❑ Other Flushed by installer of underground sprinkler piping Yes ❑ No ❑ Other If other, explain. Blank Testing Gaskets Number used _. _ Locations NIA _ Number removed Welding Welded piping? ❑ Yes ❑ No If yes, Do you certify as the sprinkler contractor that welding procedures comply with the requirements of at least AWS D10.9, Level AR-3? ❑ Yes ❑ No Do you certify that the welding was performed by welders qualified in com- pliance with the requirements of at least AWS D10.9, Level AR-3? ❑ Yes ❑ No Do you certify that welding was carried out in compliance with a documented quality control procedure to insure that all discs are retrieved, that openings in piping are smooth, that slag and other welding residue are removed, and that the internal diameters of piping are not penetrated? ❑ Yes ❑ No Hydraulic Data Nameplate Nameplate provided? ZI Yes ❑ No If no, explain. Remarks Date left in service with all control valves open: Sprinkler Contractor: Unlimited Mechanical, Inc. Signatures of Test Witnesses For property owner(signed) Title _ Date For sprinkler contractor(signed)_%.glow 39. �1'rr.C ��•.�' Title President Date 1 Z�zz,// PAGE3of3 Copyright 0 2000 National Fire Protection Association .: • :, a, ''t ti. tr lw 1 � _ � .��, 7L#A 2628 Delta Rtnp Road,Sulte 1 Ferndale,WA 982U N S U T 10 Ph:(360)3664472 Fax:(360)3864473 EmalUnfoocoaStinsulation.net INSULATION CERTIFICATE This Is to certify that in conformance with the current"Thermal Performance Standards Washington Energy Code",chapter 51.11 WAC,Revised 2015 and approved plans,I have reviewed the energy package and certify that it has been Installed In accordance with those standards in the building located at: Exxel Pacific Arlington Parts 77 Building#5 DESCRIPTION OF INSTALLATION Exterior Walls 20 Type of Materiel Fiberglass Manufacturer Knauf Thickness 8.8" R-vakra Rr21 Square Feet Covered 8313 Exterior Walla Type of Material Spray Foam Manufacturer BASF Thickness �2"�R-value R-14 Square Fast Covered 0 Sloped Callings Batted Typo of Material Fiberglass Manufacturer Knauf Thickness 12 110 26" R-value R.38 Square Feet Covered 288 Flat Callings Batted Typo of Material Fiberglas Manufacturer Knauf Thickness 18" R-value R49 Square Feet Covered 5000 Flat Collings Blown Typo of Material Fiborglasa Manufacturer Knauf Thickness 18" R-value R49 Square Feet Covered 0 Su bfloor TypoofMaterial �Flborglass Mnnufacturer Knauf Thickness 10" R-value X30 Square Feet Covered 0 X Infiltration-Ail openings in exterior wells caulked or sealed X Slab thermal break created Vapor barriers Installed per code 1 CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FORGOING IS TRUE AND CORRECT. General Contractor Contractors Registration No. By: TRW: Sub-Contractor. Coast Insulation LLC Contractors Registration No. COASTIL956K7 By: - Cr GLUPQCGa�n2 Title: ofneeMansger Date: 11/30117 sp .� 4 ti Park 77 20227 77th Ave NE See Master File BLD-1070 for complete submittal. ei� 1 I A 91 g d Od � M M � N M Nto 'o mot! l� d� [� O d� M M M O O� A O� d� � O� d� � ri O� O� d� 00 W O N O N N O A �A N O\ O N O N O O N O � N ID N \D O N cf MN�D N O N �O N N N 4 N er o0 N " eN pp N 00 N 4 N N e-I eti r-4 r f r~ r-a " H r~ EA r-1 r-i rl " " r-I r-i 01 t7 fA ff} d3 ff! ff} d3 ff3 d4 d4 &3 Vf l f!4 ell Uf l V5- V5- ff3 N pr io O O O O O O O O O O p O o O O O O O O O �+ mcOr� O O BCD O O CR O O O O O O MO O O mO O O O 5~ l� I n s ONO ON ON " qt �O T 'o Xi cf tl C7 tl M cf tl t, tl ra r-i N r-1 r~ r-1 If) rM-4 N "4 N N rM-7 r 4 V-4 L� �7 ff! ff! if) H? fff H3 ff} V) Qf- ff3 fff is ff3 ER V33 H3 " Nfl3 U � 00 00 N 00 �y+ �O N 00 N 00 N 00 00 c 0p p OJ cM a� M ao rl cM o; 00 4 d! " M r-� M l� M co t� O O ky D\ Il') O� IA rti In In In �O In m d\ 5 O In O O V � O� ed e-i lfj r- lf) O rr Ilj L!) 117 Cn pppp r i O �-d 11) r� N lfj F" 04 rti r-� r� � N r� H N rti fb 3 c'r) r♦ N r-� � r-i H 0 d4 H4 ff3 ff3 ffr ff? ff3 ff3 H4 ri ff3 tfr ff3 fFt W'. ff3 ff3. 05. �i rN-4 r�-i rN-1 N N M O� O� rN� O� T rN co rl O NIn N 11) O N In lA IA M N �O N In N N In N R!i CO N r♦ A N '" 00 M M M M %D co co co M M M M -0 M co M M M w m b O v In c� cry co QO O V-4 L �--1 ez r- r-1 rz GorCD CD CD �-I a� r~-i r lA r~r�- T r~ O� .--i o� .n 96 M PO o0 0 Lo R a in O� rr.+ � � U a a rr N M d+ �c n oO pr U' �F FIRE PROTECTION BUREAU—PLAN REVIEW PO Box 42600 J Olympia WA 98504-2600 (360)596-3911 FAX: (360)596-3934 NFPA 13 SPRINKLER INSTALLATION CERTIFICATION Permit#: 1428-Building#5 aka J Date: 12/22/2017 Property Protected System Installer System Supplier Business Name: Park 77 Apartments lUnlimited Mechanical, Inc. HD Supply Address: 20227 77th Ave NE PO Box 1457 PO Box 1419 At iiNt ;WA: 98223 Marysville,WA. 98270 Thomasville, GA. 31799 Representative: Wayne Williams Telephone: 360-657-2182 Location of Plans: GC Office Location of Owner's Manual: Riser Room 1. Certification of System Installation: Complete this section after the system is installed, but prior to conducting operational acceptance tests. This 6Ystem installation was inspected and found to comply with the installation requirements of: �/ NFPA 13 IFC and IBC Manufacturer's Instructions Other(specify: FM, UL, etc.) Print Name: Wayne Williams Signed: _ . g �•��.;. Date: 12/22/2017 Organization: Unlimited Mechanical, Inc. 2. Certification of System Operation: All operational features and functions of this system were tested and found to be o rating properly in accordance with the requirements of: NFPA 13 IFC and IBC Manufacturer's Instructions Other(specify) Print Name: Wayne Williams Signed: _ . n , 9.. �f�..s•vr% Date: 12/22/2017 Organization: Unlimited Mechanical, Inc. Sprinkler Information for Storage in 2002 NFPA 13, Chapter 12 and IFC Chapter 23 3000-420-105 7/07 FORM 2-i 0 Automatic Sprinkler Systems Contractor's Material and Test Certificate for Aboveground Piping Date: O ZG/1 7 Property Name: Park 77 Apartments Property Address: 20227 77th Ave NE-Arlington,WA. 98223 Procedure Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and the system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authori- ties, owners, and contractors. It is understood that the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. Plans Accepted by[approving authority's name(s)] City of Arlington Address 238 N Olympic Ave-Arlington, WA. 98223 Installation conforms to accepted plans? 1%I Yes ❑ No Equipment used is approved? I I Yes ❑ No If no, explain deviations. Instructions Has person in charge of fire equipment been instructed as to location of control valves and care and maintenance of this new equipment? F1 Yes ❑ No If no, explain. Have copies of appropriate instructions and care and maintenance charts and NFPA 13 been left on premises? RI Yes ❑ No If no, explain. Location of System Supplies building(s) Sprinklers Year of Orifice Temperature Make Model Manufacture Size Quantity Rating Tyco: TY2234 LFII Res Rec Pend-White 318 44 155* Tvco: TY2335 1/2 12 155* Tvco: TY2234 3/8 12 175* Tvco: TY2334 3/8 32 175* Pipe and Fittings Pipe conforms to NFPA 13 standard. i ; Yes ❑ No Fittings conform to _NFPA 13 standard. 0 Yes ❑ No If no, explain. PAGE 1 of 3 Copyright 0 2000 National Fire Protection Association FORM 2-I O Automatic Sprft-dder Systems Contractor's Material and Test Certificate for Aboveground Piping (cont.) Alarm Valve or Flow Indicator Alarm Device Maximum Time to Operate Through Test Pipe Type Make Model Min. Sec. Water Flow Potter VSR 30-45 Dry Pipe Operating Test Dry Valve Q.O.D. Make Model Serial No. Make Model Serial No. Time to Trip Trip Point Time Water Alarm Through Water Air Air Reached Operated Test Pipe* Pressure Pressure Pressure Test Outlet* Properly Min. Sec. Psi (Bar) Psi (Bar) Psi (Bar) Min. Sec. Yes No Without Q.O.D. With Q.O.D. If no, explain. Deluge and Preaction Valves Operation ❑ Pneumatic ❑ Electric ❑ Hydraulic Piping supervised? ❑ Yes ❑ No Detecting media supervised? ❑ Yes ❑ No Is there an accessible facility in each circuit for testing? ❑ Yes ❑ No If no, explain. Does each circuit operate Does each circuit Maximum Time to supervision loss alarm? operate valve release? Operate Release Make Model Yes No Yes No Min. Sec. Test Description HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi (13.6 bar)for two hours or 50 psi (3.4 bar) above static pressure in excess of 150 psi (10.2 bar)for two hours. Differential dry pipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shall be stopped. FLUSHING: Flow the required rate until water is clear as indicated by no collection of foreign material in burlap bags at outlets such as hydrants and blow-offs. Flush at flows not less than 400 gpm (1514 L/min)for 4-in. (102-mm) pipe, 600 gpm (2271 L/min) for 5-in. (127-mm) pipe, 750 gpm (2839 L/min) for 6-in. (152-mm) pipe, 1000 gpm (3785 L/min) for 8-in. (203-mm) pipe, 1500 gpm (5678 L/min) for 10-in. (254-mm) pipe and 2000 gpm (7570 L/min) for 12-in. (305-rnm) pipe. When supply cannot produce stipulated flow rates, obtain maximum available. *Measured from time inspector's test pipe is opened. PAGE 2 of 3 Copyright©2000 National Fire Protection Association OAutomatic Sprinkler Systems FORM 2-1 Contractor's Material and Test Certificate for Aboveground Piping (coast.) Test Description (cont.) PNEUMATIC: Establish 40 psi (2.7 bar) air pressure and measure drop, which shall not exceed 1112 psi (0.1 bar) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1112 psi (0.1 bar) in 24 hours. Tests All piping hydrostatically tested at 200+ psi (bar)for 2 hrs. Dry piping pneumatically tested? ❑ Yes ❑ No Equipment operates properly? ❑ Yes ❑ No If no, state reason. Drain test—Reading of gauge located near water supply test pipe: Static pressure: psi (bar) Drain test—Residual pressure with valve in test pipe open wide: 77�Z psi (bar) Underground mains and lead-in connections to system risers flushed before connections made to sprinkler piping Verified by copy of the U Form No. 85B ❑r Yes ❑ No ❑ Other Flushed by installer of underground sprinkler piping E� Yes ❑ No ❑ Other If other, explain. Blank Testing Gaskets Number used Locations NIA Number removed Welding Welded piping? ❑ Yes ❑ No If yes, Do you certify as the sprinkler contractor that welding procedures comply with the requirements of at least AWS D10.9, Level AR-3? ❑ Yes ❑ No Do you certify that the welding was performed by welders qualified in com- pliance with the requirements of at least AWS D10.9, Level AR-3? ❑ Yes ❑ No Do you certify that welding was carried out in compliance with a documented quality control procedure to insure that all discs are retrieved, that openings in piping are smooth, that slag and other welding residue are removed, and that the internal diameters of piping are not penetrated? ❑ Yes ❑ No Hydraulic Data Nameplate Nameplate provided? R3 Yes ❑ No If no, explain. Remarks Date left in service with all control valves open: Sprinkler Contractor: Unlimited Mechanical, Inc. Signatures of Test Witnesses For property owner(signed) _ Title Date For sprinkler contractor(signed) e .4-f`a�»�s'_ Title President Date PAGE3of3 Copyright 0 2000 National Fire Protection Association /rr 2625 Doke Ring Road,Suite 1 Ferndale,WA$6248 S:U L.A'T 10 Ph:(060)366-3472 Fax:(860)366-3476 EmeiLlnfo oastinsulatlon.not INSULATION CERTIFICATE This Is to certify that in conformance with the current"Thermal Performance Standards Washington Energy Code",chapter 51.11 WAC, Revised 2015 and approved plans,I have reviewed the energy package and certify that it has been installed in accordance with those standards in the building located at: Exxel Pacific Arlington Park 77 Building g6 DESCRIPTION OF INSTALLATION Exterior Walls 2x6 Type of Material Fiberglass Manufacturer KnauT Thickness 6.6" R-valus R-21 Square Feet Covered 671� Exterior Wells Type of Material I Spray Foam Imanutacturer BASF Thickness R•valuo R-14 Square Feet Covered 0 Sloped Callings Batted Type of Material Fiborglass Manufacturer Knauf Thickness 12"/10.2b" R-value R48 Square Feet Covered 286 Flat Collings Batted Type of Material Fiberglass Manufacturer Knauf Thickness iti' R-value R-49 Square Feet Covered 3000 Flat Collings Blown Type of Material Fiberglass Manufacturer Knauf Thickness 16" R-value R49 Square Feel Covered 0 Su biloor Typo of Material I Flborgtass Manufacturer Knauf Thickness 10" R-value RJO Square Feet Covered 0 x Infiltration-All openings In exterior Walls caulked or sealed x Slab thermal break created Vapor barriers Installed per code 1 CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FORGOING IS TRUE AND CORRECT. General Contractor Contractors Registration No. By: Title: Sub-Contractor. Coast Insulation /LLC Contractors Registration No. COASTIL066K7 By: CV ram-('� /t C C.�UPX/L� yl� Tide: Office Manager Date: 11130117 CITY OF ARLINGTON CERTIFICATE OF OCCUPANCY INTERNATIONAL BUILDING CODE SEC. 110 NOTE: THIS CERTIFICATE DOES NOT CERTIFY ELECTRICAL WORK At 20227 77th Avenue NE, Bldg. J Building Permit Number 1235/9140 SF Name &Address of Owner Sprinkler System Number of Stories Park 77 5J, LLC Yes 3 1020 West Casino Rd Type of Construction/Occupant Load Use Everett,WA 98204 V-B 1:200 T1004.1.2 Apartments THE Structure HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE 2015 EDITION OF THE INTERNATIONAL BUILDING CODE FOR GROUP R-2 OCCUPANCY ISSUED January 3, 2018 BY COMBINATION INSPECTOR Permit#: 1235 Permit Date: 12/08/16 Permit Type: COMM HZCIAL BUILDING Project Nam e Park 77 Applicant Nam a Dykem al Architects Applicant Address: 1716 W Marine View Drive Applicant, City, State, Zip: Everett,WA98201 Contact: Doug Hofius Phone: 425-259-3161 Email: dough@ dykem ai.net Scope of Work: Type A- Residential Apartm ants Valuation: 936027.40 Square Feet: 9140 Num ber of Stories: 3 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 01/05/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wrier Nam e Cvner Phone Zoning 00829100000103 2 0227 77thAvenue NE WDARLINGTON 910 Undeveloped INVESTMINT LLC (Vacant)Land Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# EXXEL PACIFIC INC 3 60-734-2872 323A CONSTRUCTION UBI 601 175 198 TELEGRAPH RD CONTRACTOR EXXEL PACIFIC INC 3 60-734-2872 323A CONSTRUCTION Labor a TELEGRAPH RD CONTRACTOR Industri nd EXXELPI073KN es Inspections Date I nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus 10/10/2017 FS07.FIRE Fire line flush com Bete 10/10/2017 B UILDING A pproved SPRINKLER FINAL 10/10/17,KO. 03/09/2017 C20.BUILDING Approved FINAL Fees Fee D escription N otes A m mnt Building Perm i T able 4-1 $7,387.23 Building Plan Review T able 4-2 $4,801.70 Park-Com m nity MF Multi-fam iy $ 1,497.00 per unit $13,473.00 State Surcharge- 1 st DU R esidential- 1 st Unit 1 unit $4.50 State Surcharge-add'1 DU R esidential Additional Units 8 units $16.00 Traffic Mitigation-C/MF Gbm m ccial/Multi-fam iy $11,779.38 Photocopies 24 x 36 50@$2.00 $100.00 Total $37,561.81 Attached Letters Date Letter D escription 01/05/2017 Building Perm i Paym ants Date Paid By D escription P aym art Type A ccepted By A m omt 01/05/2017 Park 77 5J LLC C heck#5097 K ristin Foster $37,561.81 O itstanding Balance $0.00 Notes Date Note C reated By: 09/01/2017 Bldg.#5 Kristin Foster 12/08/2016 See Master File#1070 for attachm arts and fee breakdown L auna Black Uploaded Files Date File Nam e 12/27/2017 2911780-Bldg J Fire Sprinkler Installation Certification.pdf 12/04/2017 2815687-Bldg J Insulation Certificate.pdf 08/04/2017 2502870-1235 Issued Perm i.pdf 01/05/2017 2037286-1235 Application.pdf