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HomeMy WebLinkAbout20227 77th Avenue NE_BLD1241_2026 °^ COMMERCIAL PLUMBING 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 TWO (2) SETS OF FIXTURE SPECIFICATIONS (CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. TYPO Of Permit: [M Now Installation AdditioNAtteration �I Industrial Project Address. 1_Z2.7 71 r u A q- N f.. Bu•D(n# 3 Parcel ID Lot#: Subdivision: Project Description: M-v&) h ehg:r mio r -61m- J,, ____—_Valuation Owner: Phone Number,­­— Address:- City- State:—Zip Code: Contact Person:`. +,►� _. Phone Number:---.. Cell Phone: zuOD.mte. E-mail: Address: _ _,._._ . City: State: Zip Code: Contractor:-m T• R r4 fLf�2 1'V1 GF�4N)G,4-t, Phone Number: 3&-0-3$4--4F0 o D Cell Phone:. (00 -Z )& 9412 Email:_y'L©N5 T�9N T'!�IYlX�r�G/NG GOrVt Address:_51 fV IN PV STtQd,= R «- Ci1y-ft&A'P4t„-. Stater_ Zip Code: ff 2 q!b 5uir-E. 1tz Contractor License Number:-MT',64KAJg7 9 2 Z K*/ Expiration mate: s-/r5-/2n15 Please Indicate number of fixtures: Water Closet Floor Sink Sump Hose Bibb Miscellaneous Lavatory � LaundryTub Washer Water Weater.._._..._...... Grease Trap Urinal Interceptor Sink ,.�,.�i...._.. Mod Gas Drinking Fountain---, Floor Drain Dishwasher BacktIow., ,w.,,...,, Shower / Other 6/leLP Page 2 of 3 COMMERCIAL PLUMBING PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE•Arlington;WA 98223 • Phone(360)403-3651 PROPOSED BUILDING USE I New Commercial ❑ Restaurant rat ❑ Automotive Based ❑ Commercial Addition/Alteration ❑ Office ❑ Machine Shop Industrial U Medical ❑ Other; CROSS CONNECTION Please check all appliances that are proposed or are permanently connected to the water supply. ® ice Machine ® Dialysis Equip. ❑ Air washers ® Swimming ® Fire Sprinkler Pools ❑ Coffee ❑ Hydrotherapy Equip, ❑ Steam ❑ Hot Tub/Spa ❑ Sprinkler Um/Espresso Generators w/chemicals ❑ Carbonated Bev, ® Dental Equip. ❑ Dye Vats ❑ Aquarium ❑ Lawn Irrigation ❑ Fume Hoods ❑ Laboratory Equip. ❑ Pressure ❑ decorative ❑ Well on Washers Fountain property ❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers ❑ Other:__. -- WASTEWATER DISCHARGE 1. Does the plumbing system currently have a grease Interceptor? ❑ Yes No Don't Know Date grease trap/Interceptor was last cleaned(provide service record): 2. Does the plumbing system currently have an oil/water separator? ❑ Yes No ❑ Don't Know 3. Date oil/water separator was last cleaned(provide service record): _ 4. Is water used in the business process(washing,rinsing,cooling)? ❑ Yes Ur No ❑ Don't Known S. Does your business require a NPDES permit? ❑ Yes 0 No ❑ Don't Know hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-described property in accordance with the laws, rules and regulation of the State of Washington. ic/ Applicants Signature ate Kq_4"V el Nta-ite�T Print Applicants Name FOR STAFF USE ONLY ��At __ - FEB 2 3 2017 Permit f! c e Amounl Received Receipt ii Date Recelvad 6116LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT _ Address:20227 77th Ave NE,#3 Permit#:1341 Parcel#:00829100000103 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WD ARLINGTON INVESTMENT LLC Name:Mt Baker Mechanical Name:Andgar Corporation Address: 1020 WEST CASINO RD Address:5160 Industrial Place,Suite 102 Address:6920 Salashan Parkway City,State Zip:EVERETT,WA 98204 City,State Zip:Ferndale,WA 98248 City,State Zip:Ferdale,WA 98248 Phone: Phone:360-384-4800 Phone:360-366-9900 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Andgar Corporation Address: Address:6920 Salashan Parkway City,State,Zip: City,State,Zip:Ferdale,WA 98248 Phone: Phone:360-366-9900 LIC#: EXP: LIC#:ANDGAC*19102 EXP:7/11/2019 JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015 STORIES: 3 CONST.TYPE: `/-$ DWELLING UNITS: OCC GROUP: R-2 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 IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLA)CRUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIF A E OF OCCUPANCY HAS BEEN GRANTED. IBCI10/IRCI 10. AL TAX OTI E:Sales tax lating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and dcd C'�y of Arli ton#3 Y, 3Z/ Sign urc Print Name Datf Released By e DaTte CONDITIONS See Redlined Drawings. Adhere to approved plans. Additional requirements: Assure drain piping exiting all buildings lines up with the site civil placement of the connection points. There is some areas where there are no alternatives for connection. A DVAC is required for each domestic line for each building.A DVAC is required fore each fire system line for each building. 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 Total Due: $0.00 Total Payment: $0.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: ' COMMERCIAL PLUMBING ® PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 WHEN is a PLUMBING PERMIT REQUIRED? The City of Arlington requires a plumbing permit before a plumbing system or fixture is installed, altered, or remodeled. This also includes replacement of a Hot Water Tank. The City of Arlington does not require a permit to stop leaks or clear stoppages, unless the piping being repaired is altered or replaced. PLUMBING PLAN REVIEW IS REQUIRED FOR THE FOLLOWING PROJECTS 1. New Commercial Buildings 2. New Multi-Family Buildings 3. Roof Drains and Overflow Systems 4. Tenant Improvements 5. Installation of Medical Gas Systems 6. Installation of Commercial Kitchen's and Deli's 7. Installation of Grease Traps 8. Installation of Grease Interceptors 9. Installation of Sumps 10. Installation of Cross Connection Backflow Devices SUBMIT TWO (2) COPIES OF THE FOLLOWING FOR PLUMBING PLAN REVIEW: ❑ Plumbing plans or drawings. (Minimum plan size is 18" X 24" scale, '/4" scale for details.) ❑ Provide one set of plumbing drawings maximum size 11" X 17" ❑ Size of sanitary and potable water systems. ❑ Location, type and specifications (cut sheets) of proposed fixtures and equipment. ❑ Riser diagram of waste and vent, potable water and rain water systems, including sizes. ❑ Medical gas piping riser diagram indicating type of gas, storage room and size of piping. ❑ Location and type of all back-flow assemblies for each fixture. I hereby certify that I have read and examined this application and know the same to be true and correct and I am authorized to apply for this permit. 6/16LP Page 1 of 3 COMMERCIAL PLUMBING PERMIT APPLICATION I G4 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 TWO (2) SETS OF FIXTURE SPECIFICATIONS (CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. Type of Permit: New Installation ❑ Addition/Alteration ❑ Industrial Project Address: 20201 77th Ave NE Parcel ID#: Lot#: Subdivision: Project Description: Apartment Buildings #3, #6, #7, #8 Valuation: Owner: WD Arlington Investments LLC Phone Number: Address: 1020 W Casino Rd. City: Everett State: WA Zip Code: 98204 Ryan Kilby 425-750-7926 Contact Person: Phone Number: Cell Phone: E-mail: Address City: State: Zip Code: Contractor: Andgar Corporation Phone Number: 360-366-9900 Cell Phone: Email: corporate@andgar.com Address:6920 Salashan Parkway city: Ferndale state: WA zip Code: 98248 Contractor License Number: ANDGAC*19102 Expiration Date: 7/11/19 Please indicate number of fixtures: Water Closet Floor Sink Sump Hose Bibb Miscellaneous Lavatory Laundry Tub Washer Water Heater Grease Trap Urinal Interceptor Sink Med Gas Drinking Fountain Floor Drain Dishwasher Backflow— a Shower Other 6/16LP Page 2 of 3 COMMERCIAL PLUMBING �Al�N o PERMIT APPLICATION Department of Community&Economic Development City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone (360)403-3551 PROPOSED BUILDING USE El New Commercial Restaurant ❑ Automotive Based Commercial Addition/Alteration ® Office ❑ Machine Shop Industrial Medical ❑ Other: CROSS CONNECTION Please check all appliances that are proposed or are permanently connected to the water supply. Ice Machine Equip.Dialysis Eq p' MFU Air washers ❑ Swimming Fire Sprinkler Pools f—y Coffee ❑ Steam Sprinkler L ! Urn/Espresso Hydrotherapy Equip. ❑ Generators ❑ Hot Tub/Spa �� w/chemicals r Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Aquarium ❑ Lawn Irrigation r Fume Hoods LaboratoryEquip. 1 Pressure Decorative Well on E q p' -! Washers Fountain ❑ property ❑ Degreasers Autoclave/Sterilizers ❑ Cooling Towers ❑ Other: — WASTEWATER DISCHARGE 1. Does the plumbing system currently have a grease interceptor? ❑ Yes ❑ No ❑ Don't Know Date grease trap/interceptor was last cleaned (provide service record): 2. Does the plumbing system currently have an oil/water separator? ❑ Yes [.J No Don't Know 3. Date oil/water separator was last cleaned (provide service record): 4. Is water used in the business process (washing, rinsing, cooling)? ❑ Yes ❑ No Don't Know 5. Does your business require a NPDES permit? Yes No Don't Know 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. 8/3/17 Applicants Signature Date Eric Van Beek Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received 6/16LP Page 3 of 3 y •� C U Ln H Ln 0. 0 O cn E U C W V W 0-0 V Z_ Q >4 N Qa a A w � rj > A O r; O o �� V G� � a a� •o a � � as cn QC1 C A W O r•a Q y � U C W T pA, N z U U F 0-4 z o w uo Z A �""� � � pa •a pwq � �,+ V w E- o o F U z oC) oZG o a o 0c) W N � LOU � z � F a o w Z � z o w � A F W C� CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 20227 77th Avenue NE,#11 y — Permit#: 1241 Parcel#:00829100000103 P''AamNP,tl Valuation: 1202805.40 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 NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. ;OR IS UNLA O SE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL A CERT CUPANCY HAS BEEN GRANTED. IBC110/IRC110. C ales tax relating to construction and onstruction materials in the City rlington m st be reported on your sales tax return and a Cit ' f Arlington#3101. I Lheg Signature Print Name Date Rel sed By 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 $8,847.41 1/5/2017 Building Plan Review Fee $5,750.82 1/5/2017 Park-Community MF $17,964.00 1/5/2017 State Building Code Surcharge Fee $4.50 1/5/2017 State Surcharge per Dwelling $22.00 1/5/2017 Traffic Mitigation-City $15,705.84 Total Due: $48,294.57 Total Payment: $48,294.57 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 Information Date 12/8/2016 Permit Number 1241 Project Name Park 77-Bldg 11 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,#11 Valuation 1202805.40 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 B-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 License# EXXEL PACIFIC INC :360-734-2872 1 1CONTRACTOR Labor and Industries EXXELPI073KN Inspection Date Type Description Scheduled Date I Time I Completed Date Assi ned To I Status I/1712017 Commericial 00:00 4pproved Fees Fee Description Notes Amount Building Permit Fee 322.10.00.00 $8,847.41 Building Plan Review Fee 345.83.00.0 $5.750.82 Park-Community MFi 345.85.00,00 $1,497.00 per unit $17,964.0 State Building Code Surcharge Feel 386.00 01,00 1 unit $4.50 State Surcharge er Dwellin 386.00.01,00 11 units $22.0 ffic Mitigation-Cityl 345.85.00.02 $15,705.8 Total $48,294.5 Payrnents Date Paid By Amount Description Payment T e Acce ted B 1/5/2017 Park 77 5J LLC $48.294.51 lCheck#5097 jKristin Foster Totall $48,294.571 Amount Outstandin :$0.0 Notes Date Note 12/8/2016 See Master File#1070 for attachments and fee breakdown Uploaded Files ! Upload File Date File Uploaded B 1/5/2017 3:59 02 PM 1241 Issued Permit. df IFoster,Kristin fs741 Marine Drive, Bellingham, WA 98225 www.geotest-inc.com IRk .9, C7e0Te5T 20611 67f"Ave. NE, Unit A,Arlington, WA 98223 phone: (360) 733.7318 toll free: (888)251.5276 fax. (360) 733.7418 SPECIAL INSPECTION SUMMARY PROJECT: Park 77—Building 11 JOB#: 17-0009 ADDRESS: 20211 77th Avenue NE,Arlington,WA 98223 DATE: 08-07-2017 CLIENT: WD Arlington Investments, LLC PERMIT#: 1241 CONTRACTOR: Exxel Pacific PAGE: 1 of 1 This letter summarizes our testing and inspection efforts for the Park 77 — Building 11 project located in Arlington WA, Washington. GeoTest's services took place from January 17, 2017 through May 20, 2017. Our testing and inspections included the following scope of work: TESTIINSPECTION ITEM REFERENCE 1 • Reinforced Concrete Concrete Break Reports C6001, CB006& CB013 and Inspection Reports IR001 & IR003 Lateral Framing Inspection Reports LF001, • Lateral Framing LF002, LF005, LF010, LF011, LF013, LF015, LF016 & LF020 • Proprietary Anchors Adhesive Anchor Inspection Report AA003 All work requiring special inspection for the project to date has been completed. To the best of our knowledge the inspected work is in conformance with the approved project plans and specifications and the applicable workmanship provisions of the International Building Code. All laboratory tests performed by GeoTest have met or exceeded the minimum test requirements. This is GeoTest's final testing and inspection submittal for the Park 77 — Building 11 project. If we can be of further assistance, please contact the undersigned. Klacelvea AUG 00 7 2017 Copies: IND Arlington Investments,LLC DCI Engineers Dykeman City of Arlington !— Exxel Pacific Logan Senrud Technical Director 'this report shall not be reproduced except in full,without the vrntten approval of GeoTest Services.Inc. i i j ,�, i Burlington,WA Corprnale Wbaralory(a) 16203 Walnut St Burlinglen,WA 96273 600.755,9295•Jfi07571400 A [ /���" , 1P ry 7, Bellingham,WA mo-bofogy(b) 005 Orchard D,Sle 4 Bellingham,WA9B225 360.7151212 1/j�\i V 1 IM Portland,OR MicroCbonGrmisby(c)9150 SW Pioneer Cl Sle W Wilsonville,OR 97070 5036827802 ANALYTICAL Corvallis,OR 44irmbowl,A 540 SW Third Street Corvallis,OR 97333 5417534946 Page 1 of 1 Washington State Department of Health WATER BACTERIOLOGICAL ANALYSIS Client Name: Arlington City, Water Reference Number: 17-16692 154 W Cox Avenue Project: Park 77 Arlington, WA 98223 System Name: ARLINGTON WATER DEPT Repeat Sample Number: System ID Number: 02950K Lab Number: 164-37920 DOH Source Number: 00-Distribution Sample(Bacteria) Field ID: Bacteria Sample Type: D-Drinking Water Date Collected: 7/12/17 11:00 Sample Purpose: Investigative or Other Date Received: 7/12/17 Sample Location: Building#11 Domestic Date Set: 7/12/17 18:15 County: Snohomish Date Analyzed: 7/13/17 13:08 Sampled By: Schlagel Report Date: 7/13/17 Sampler Phone: 360-403-3507 Comment: Approved By: clh Authorized by: Cynthia L Hansen - -----. Lab Manager DOH# PARAMETER RESULT UNITS Analyst METHOD Batch COMMENT 1 TOTAL COLIFORM Satisfactory,Coliforms Absent per 100ml- sms SM9223 B m 170712b 3 E.COLI Absent per 100mL SM9223 B m_170712b I I � I i r I I i � I 1 If the sample is unsatisfactory you can get information at the following health department websites or phone numbers: Island Co:htto://www.islandcounly neYhealth/Envh/DrinkingWaterriindex htm San Juan Co:htti)://www.san'uanco.corTVhealth/ehswater.asl)x Skagit Co:http://www.skagitcotinly.net/drinkingwater or 360-336-9380 Snohomish Co:425-339-5250 Whatcom Co:htto://vAvw.Co.whatcom-wa.us/healttVenvironmentalldrinking waterfindex iso WSDOH:httg://www.doh.wa.gov/eho/dw/Programs/coliform.htm NOTES: M..cull la Unsatisfaclory a repeal sample is requlmd for Public Water Systems.Private individuals should investigate the cause of the unsatisfactory result and resample Colt or Fecal Colilorm are present In sample do not drink the water until it is properly treated. FORM:cl3act email: Itaylor@arlingtonwa.gov; kwallace@arling- i i Park 77 20227 77th Ave NE See Master File BLD-1070 for complete submittal. 9 A 91 dMI O d! Ni iD M ram+ O O �! !P F2 N N b0 d g r.� m 4 OC W CDN O N N O �A �A �A N O� CDN CD N O O N O N \O N \O CD N M rri M �o Lrt N CD �O N N �o er tp � C N 4 N 4 00 N - " d, ppppM 12 N 00 N d� N N d� � i-1 �^ q r~ r 4 r-I " r-4 r-4 r-4 rti r-I if} r-I ri r-I r-4 t-I r-I r-4 � d4 d4 ER ifi iR if3 if3 d4 d4 � ff3 d4 if3 d4 iR ER ifl if3 !V a � O O O O O O O O Co O p O O O O O O O O p �+ rCD dOI cOn dOI O M�Oj dO��I ��O11 �O�11 O O O O c�+Or]] �O�11 O O dO� O W L� [� 11� C� �D �O �O ONO n IN ON dI IO d (3 "4 M ri �j cM N N N �1 00 M �mj M L� M cr7 C\ rf r4 r� r-i r-i N " r-I r~ r-I d3 LO rN N N r-4 r-4 r-4 r-4 r•1 L\ fA V in E!4 d3 ib f if} &3 if3 H4 if) H3 ifi V3- H4 W3- Ef? 00 00 N 00 �I �I \-O N 00 N 00 N 00 co N 00 p M cri r-� M 00 00 dI CT cM rl en L� t+] m a+ n n I k n n n V n n n N eVd r-i L r- LO O r-I le LO t!, M o0pp r-i O r- L r- r- L(j 01� 0p ti � if? M a r-I rq r-♦ r-I N r-I r r-4 r--I N r-I ra "4 r-i r-I 071 eq F" EF} H4 Vl- 6f3 H? Wt- t!? iR U5- ri EF} ifi ifi d4 6ek Uf l eR if! eV L rN-I r-4 r�-I rN-I N r-4 Cl) O O� O� r-4C\ m � N go r r-I 0 F a as re N ro rD N M M M M %O co M co M co M M \o M M m M M00 N r-d � r•1 w m v ll��j O O g O 0 LO een M O O n p 0 0 0 0 �I lLO o� o� � r a� � � � SolLO V o� r a� 4 � 0C � ao a .a v 4 90 eo ao __ cn ao o .yc O LL Qr lA 0\ r� CJ N M dI OD Qr V .� it i i Permit#: 1241 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 B -Residential Apartm acts Valuation: 1202805.40 Square Feet: 11745 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 07/20/2017 FS07.FIRE Fire line flush approved. 0 7/20/2017 B UILDING A pproved SPRINKLER FINAL FS07.FIRE Both Entry areas/stairwells 05/19/2017 SPRINKLER FINAL DensGlass and fire caulk BUILDING A pproved approved.5/19/17 KO. 01/17/2017 C20.BUILDING Com lieted FINAL Fees Fee D escription N otes A m Cant Building Perm i T able 4-1 $8,847.41 Building Plan Review T able 4-2 $5,750.82 Park-Com m nity MF Mdti-fam iy $ 1,497.00 per unit $17,964.00 State Surcharge- 1 st DU R esidential- 1 st Unit 1 unit $4.50 State Surcharge-add'1 DU R esidential Additional Units 1 1 units $22.00 Traffic M itigation-SF S ingle Fam iy $15,705.84 Total $48,294.57 Attached Letters Date Letter D escription 01/05/2017 Building Perm i Paym acts Date Paid By D escription P aym art Type A ccepted By A m Cant 01/05/2017 Park 77 5J LLC C heck#5097 K ristin Foster $48,294.57 O atstanding Balance $0.00 Notes Date Note C reated By: 09/01/2017 Bldg.#11 Kristin Foster 12/08/2016 See Master File#1070 for attachm sits and fee breakdown L auna Black Uploaded Files Date File Nam e 08/30/2017 2570889-20227 77th Ave NE Bldg.C Cert of Occupancy..pdf 08/08/2017 2509586-1241 Special Inspection Report.pdf 07/14/2017 2447630-Bldg.#11 Dept.of Health Water Anal ysis.pdf 01/05/2017 2037278-1241 Issued Perm i.pdf