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Home My WebLink About20227 77th Avenue NE_BLD1242_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:20227 77th Avenue NE,#12 Permit#: 1242 Parcel#:00829100000103 Valuation: 1607837.00 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: 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. 00R=ERTIFIC WFU USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL U CUPANCY HAS BEEN GRANTED. IBC110/IRC110. :' ales tax relating to construction and c struction materials in the City of Arlington must be reported on your sales tax return yArlington#3101ignature Print Name Date Rele sed Bf 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 $10,900.92 1/5/2017 Building Plan Review Fee $7,085.60 1/5/2017 Park-Community MF $23,952.00 1/5/2017 State Building Code Surcharge Fee $4.50 1/5/2017 State Surcharge per Dwelling $30.00 1/5/2017 Traffic Mitigation-City $20,941.12 Total Due: $62,914.14 Total Payment: $62,914.14 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 741 Marine Drive, Bellingham, WA 98225 www.geotest-inc.com CGO OTe ST 20611 67°r 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 12 JOB#: 17-0009 ADDRESS: 20211 77th Avenue NE,Arlington,WA 98223 DATE: 08-07-2017 CLIENT: WD Arlington Investments, LLC PERMIT#: 1242 CONTRACTOR: Exxel Pacific PAGE: 1 of 1 This letter summarizes our testing and inspection efforts for the Park 77 — Building 12 project located in Arlington WA, Washington. GeoTest's services took place from January 24, 2017 through June 22, 2017. Our testing and inspections included the following scope of work: TESTRNSPECTION ITEM REFERENCE ' Concrete Break Reports CB002, CB004, • Reinforced Concrete CB016 &CB017 and Inspection Report IR003 Lateral Framing Inspection Reports LF003, • Lateral Framing LF004, LF009, IF010, LF011, LF013, LF016— LF018, LF020, IF024& LF026 • Proprietary Anchors Adhesive Anchor Inspection Reports AA001 & AA002 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 12 project. If we can be of further assistance, please contact the undersigned. Copies: WD Arlington Investments,LLC DCI Engineers Dykeman City of Arlington Excel Pacific Logan Senrud Technical Director This report shall not be reproduced except in full,without the written approval of GeoTest Services,Inc. H •� 'V)' Z [l� ci cu Lm C14 O 4.4 c LO R" n ¢ N y . d; z o x z z Z V v a o v0 b z `� z �, a� w O O W H CL a G.7 tn � z � H zzUn V U P" P.4 bD Z A M-4 �"� F �C •� W iar C—' Z a w o �--r V � o ¢ 3 a 44 H U z � rq a � c a 0 w N CN � Ln z N =CD UN � z � U x �' F ¢ a)" (A W \ oCU O W41 z F W i 4-1 N Q \ a O C M EC F 0 l� cri W V W LO O N Z = F z O 3 � z Q C C l"I � N "C V !� a z O U y U a ctCL Q QI W a Z O O A z > O O O N 4.1 OAz coo Qo 4-; w O O j w EW., W cn �1 +r Vz � F zz �+ o ~ l zA p� ar4 y x ¢ V z W F Q 3 � Q U o Eao z z E o N a O v 00 W N CD ON ° F N z N b ° ° 4 F ci w O �+ mow 0-0 O z � c F W O Ci rY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 oz_0 PHONE; (360) 403-3551 BUILDING PERMIT Address:20227 77th Avenue NE,#12 Permit#: 1242 Parcel#:00829100000103 �,�� Valuation: 1607837.00 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: 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. OORACERTIFOICO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL CUPANCY HAS BEEN GRANTED. IBC110/IRC110. aIeto construction and c struction materials in the City of Arlington must be reported on your sales tax return Arlington#310117 ignature Print Name Date Rele sed B§ 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 $10,900.92 1/5/2017 Building Plan Review Fee $7,085.60 1/5/2017 Park-Community MF $23,952.00 1/5/2017 State Building Code Surcharge Fee $4.50 1/5/2017 State Surcharge per Dwelling $30.00 1/5/2017 Traffic Mitigation-City $20,941.12 Total Due: $62,914.14 Total Payment: $62,914.14 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 1242 Project Name Park 77-Bldg 12 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,#12 Valuation 1607837.00 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 C-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# IEXXEL PACIFIC INC 360-734-2872 ICONTRACTOR IlLabor and Industries IIEXXELP1073KN Inspection Date Type Description Scheduled Date I Time I Completed Date Assigned To I Status 1/24/2017 C;ommericial 100:00 4p roved Fees Fee Description Notes Amount Building Permit Fee 322.10.00.00 $10,900.92 Building Plan Review Fee 345.83.00.0 $7,085.60 Park-Community MF 345.85-00-01 $1,497.00 per unit $23,952 0 State Building Code Surcharge Fee 386.00.01.0 1 unit $4.501 State Surcharge per Dwelling 386.00.01-01 15 units $30.0 Traffic Mitigation-City 345.85,00,02 $20.941.12 Total $62,914.14 Payments Date Paid By Amount Description Payment Type Accepted B 1/5/2017 11 14 Pheck#5097 jKristin Foster Totaq $62,914 141 Amount Outstanding:$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 3:58:06 PM 11242 Issued Permit.pdf IFoster,Kristin 2626 Deft Ring Road,Suite 1 Femdals,WAfi M Ph:(300)346-3472 Fax:(300)>i663473 Emalkin oastlnsulabon.net INSULATION CERTIFICATE This Is to certify that In conformance with the current"Thermal Performance Standards Washington Energy Code",chapter 51.11 WAC, Revised 2012 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 BUILDER/DEVELOPMENT 2020177th Ave.NE Building 12 ADDRESS OF PROPERTY DESCRIPTION OF INSTALLATION Exterlor wills Type of Material Fiberglass Manufacturer Knauf Thickness 6.6" R-value R-21 Square Feet Covered Sloped Ceiling Type of Material Fiberglass Manufacturer Knauf Thickness 12" R-value Square Feet Covered Flat Collings Blown Type of Material Fibwglaea Manufacturer Knauf Thicknesa 14.26" R-value R49 Square Feet Covered 4472 Fiat Calling Type of Material Fi lass Manufacturer Knauf TNcknsas 15" R-valua R�9 Square Feet Covered Subfloor TypeofMaterlal Fiberglass Manufacturer L Knaui Thickness 9.5" R-value R-00 Square Feet Covered X Infiltration-All openings in exterior walla caulked or sealed Slab tharrnal break creatod 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. COASTIL956K7 Y �b I r, � �� _Title: Office Administrator fo� �� - -I - � Date: 09/11117 F. i 741 Marine Drive, Bellingham, WA 98225 www.geotest-inc.com G e GTG 5T 20611 67"'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 12 JOB#: 17-0009 ADDRESS: 20211 77th Avenue NE,Arlington,WA 98223 DATE: 08-07-2017 CLIENT: WD Arlington Investments, LLC PERMIT#: 1242 CONTRACTOR: Exxel Pacific PAGE: 1 of 1 This letter summarizes our testing and inspection efforts for the Park 77 — Building 12 project located in Arlington WA, Washington. GeoTest's services took place from January 24, 2017 through June 22, 2017. Our testing and inspections included the following scope of work: TESTIINSPECTION ITEM REFERENCE • Reinforced Concrete Concrete Break Reports C13002, CB004, CB016 &CB017 and Inspection Report IR003 Lateral Framing Inspection Reports LF003, • Lateral Framing LF004, LF009, IF010, LF011, LF013, LF016— LF018, LF020, IF024& LF026 • Proprietary Anchors Adhesive Anchor Inspection Reports AA001 & AA002 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 12 project. If we can be of further assistance, please contact the undersigned. Received AUG 0 7 2017 Copies: WD Arlington Investments,LLC DCI Engineers Dykeman City of Arlington Exxel Pacific Logan Senrud Technical Director This report shall not be reproduced except In full,wdhout the written approval of GeoTest Services,Inc. ,ti, ;� r Burlington,WA Cvporale LaboMI&y(a) 1620SWeInuISI Burlington,WA 98233 800,755,9295.360,7571400 AVOCET ` t V/ �TL1• , FrVT= 1 Bellingham,WA Microbaiogy(b) 805 Orchard Or Ste 4 Bellingham,WA 90225 360,7151212 K fth Portland,OR MicrobWOWChemift(c)9150 SW Pioneer Cl Ste W Wdsonvi4e,OR97070 5036827802 ANALYTICAL Corvallis,OR 4svoWgy(d) 540 SW Third Sheal Corvallis,OR 9733 55417534946 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: 164-37921 DOH Source Number: 00-Distribution Sample(Bacteria) Field ID: Bacteria Sample Type: D-Drinking Water Date Collected: 7/12/17 10:45 Sample Purpose: Investigative or Other Date Received: 7/12/17 Sample Location: Building#12 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 I DOH# PARAMETER RESULT — —_—_ UNITS Analyst METHOD Batch COMMENT I 1 TOTAL COLIFORM Satisfactory,Coliforms Absent _ per 100ml- sms SM9223 B m_170712b 1 3 E.COLI Absent i per 100ml- SM9223 B m_170712b j i i l If the sa mple Is unsatisfactory you can get information at the following health department websites or phone numbers: Island Co:htto://www.islandcounty net/health/Envh/DrinkingWater/index.htm San Juan Co:httg)://www.sanjuanco-corrVhealthtehswater.asox Skagit Co:MID:/www.skagitcounty neUdrinkinawater or 360-336-9380 Snohomish Co:425-339-5250 Whatcom Co:htti)://www.co.wh@Lc_gm-wa.us/health/enviro mental/drinking water/index isp WSDOH:btjp://www.doh.wg_cjovLlehp/dw/ProgLrims/Coliform.htm NOTES: If Ihs rmult is Unsatbf"clory a repeal sample is required for Public Water Systems.Private individuals should investigate the cause of the unsatisfactory result and resample If E.Cog or F.Cosfurm are present in sample do not drink the water until It is propedy treated. FORM:cBact email: Itaylor@arlingtonwa.gov; kwallace@arling- I Park 77 20227 77th Ave NE See Master File BLD-1070 for complete submittal. (T A CR 0 cs Q iq e i M � n n O cD e°n M r-I O O n N totu C� W O N O N N N O O N O N O O N O cil M M \0 U N O N \0 N N 10 ry N 4 N 4 a0 N dt 4 4 00 1f) N 00 N eN N N 4 �e ri r-I r-4 . H . H H r-I " V). N r-I " r-I r-I r-I r-4 m [rJ d3 !A ER ER ER E!3 4!? d4 d4 d3 to V3 ER Q-5- Ef} H3 4A eV Pr �+ O O O o O O O O O O p O O O O O O O O p O O O O O O O O O O O O 0 0 0 0 0 0 C q O Lc pNp n u C� C� C� rn Xi cri r, m K p c'M K K Kd� ap M M � ` r� r� rr r-I r q " r-I r-4 Ef3 IA ti nl r 4 r�-� ri r-+ r-q r4 [� U a � fin � � V5 � tn � t � V) � rq 00 m N 00 d+ �o N 00 N 00 N 00 00 N o0 pp as M M c+� a0 eM O� M r-� Cri l� cl ky m Lf) C� LO r� C� LO In LO \C C� d4 C. O m m C 0 ld I 1n T lA O lCj ll] In 00, r- Q z lL r- r L MM° H d�4 f.S I. � � � � � fA W)- � � fA VB- � � � � � N ►� fA �i rN. rNI rNi rN- rNi M O d\ C� rNd C� d\ co ri O F M a M �i N 11 f N If) %0 N lly In 11) M �c N m N N lA N a as N �C NC m M M M M \O M M Co M M M co \D co co m M M00 N N a 4 pC1 w m n kv 1f� Ln In CD M O LL') 0 0 0 0 OJ n n n M cr'` m [� [� n . m CT O� CT n a w lr go CC pp AO A N m W O N N F+ IND 0. a in rn r ti r ° U Per Rai ,� M d� �o t� 00 0.i C7 _r I Burlington,WA Corporalelahorelory(a) 1620SWa1aulS[ Burlington,WA96233 600755.9295.3607571400 FrV7= Bellingham,WA fateowagy(b) 805 Orchard Or Ste 4 Bellingham,WA 96225 3607151212 ��T , K V L1 1 Wft Portland,OR Mic1o1Vo1ogy7Chemislry(c)9150 SW Pioneer Cl Ste W WAsonville,OR 97070 5036627602 ANALYTICAL Corvallis,OR Microbiology(a) 540 SWThird Sheol 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: 164-37921 DOH Source Number: 00-Distribution Sample(Bacteria) Field ID: Bacteria Sample Type: D-Drinking Water Date Collected: 7/12/17 10:45 Sample Purpose: Investigative or Other Date Received: 7/12/17 Sample Location: Building#12 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: cih 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 If the sample is unsatisfactory you can get information at the following health department websites or phone numbers: Island Co:htto://www.islandcounty netthealth/Envh/DrinkinoWater/index htm San Juan Co:hht i):/Avww.sanivanco.comfhealth/ehswater asox Skagit Co:htlo://www.skagitcounty.neVdrinkingwater or 360-336-9380 Snohomish Co:425-339-5250 Whatcom Co:htto;//www,co.whatcom.wa US/healltVenvironmental/drinking water/ /drinking water/inde�so WSDOH:htlp:Llw—ww.doh.wa.gov/ehp/dw/Programs/coliform.htm htmwa gov/ehp/dw/Pr�rams/coliform htm NOTES: If d1111tlu1t is Unsalisl�alary a repeat simple is re"Cal for Public Water Systems.Private individuals should investigate the cause of the unsatisfactory result and resample. If E.CW or Fecal Cold..are present In ample do not drink the water until it is properly treated. FORM:cBad email: Itaylor@arlingtonwa.gov; kwallace@arling- ♦ C GO Py r � CITY OF ARLIN CERTIFICATE OF OCCUPANCY INTERNATIONAL BUILDING CODE SEC. 110 NOTE: THIS CERTIFICATE DOES NOT CERTIFY ELECTRICAL WORK At 20227 771h Avenue NE, Bldg. B Building Permit Number 1242/ 15700SF Name &Address of Owner Sprinkler System Number of Stories Park 77 5J, LLC Yes l 3 1020 West Casino Rd Type of Construction/Occupant Load Use Everett, WA 98204 V-B 1:200 T-1004.1.2 I 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 November 6, 2017 BY COMBINATION INSPECTOR Permit#: 1242 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 C -Residential Apartm acts Valuation: 160783 7.00 Square Feet: 15700 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 North tower insulation 06/29/2017 1 nspection com Bete,m an level tubs 06/29/2017 B UILDING A pproved not sealed in concrete at drains 06/29/2017 Inspection Top floor ventilation fans 06/29/2017 B UILDING Approved com Bete floor"3"only. 06/14/2017 Inspection H old downs approved. 0 6/14/2017 B UILDING Approved Stair tower entry North& 06/08/2017 C09.FRAMING South Densglass approved 06/08/2017 B UILDING Approved 6/8/16 KO. 02/07/2017 C20.BUILDING Approved FINAL C20.BUILDING Stem wall&footing 02/07/2017 FINAL insulation Approved 2/7/17 02/07/2017 B UILDING Approved KO. Fees Fee D escription N otes A in Omt Building Perm i T able 4-1 $10,900.92 Building Plan Review T able 4-2 $7,085.60 Park-Com in nity MF M ilti-fam ly $ 1,497.00 per unit $23,952.00 State Surcharge- 1st DU R esidential- 1st Unit 1 unit $4.50 State Surcharge-add'1 DU R esidential Additional Units 1 5 units $30.00 Traffic M itigation-SF S ingle Fam ly $20,941.12 Total $62,914.14 Attached Letters Date Letter D escription 01/05/2017 Building Permt Paym arts Date Paid By D escription P aym art Type A cccptcd By A m amt O1/05/2017 Park 77 5J LLC C heck#5097 K ristin Foster $62,914.14 O dstanding Balance $0.00 Notes Date Note C reated By: 09/01/2017 Bldg.#12 Kristin Foster 12/08/2016 See Master File#1070 for attachm acts and fee breakdown L auna Black Uploaded Files Date File Nam e O1/03/2018 2921505-Bldg.B Cert of Occupancy..pdf 09/22/2017 2644747-#12 Insul Cert.pdf 08/08/2017 2509592-1242 Special Inspection Report.pdf 07/14/2017 2447635-Bldg.#12 Dept.of Health WierAnalysis.pdf O1/05/2017 2037276-1242 Issued Perm i.pdf