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Home My WebLink About20227 77th Avenue NE_BLD1243_2026 / me_ NOTICE �lm TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY XAPPROVED PERMIT#: LOT#: DATE: 6 JOB ADDRESS: TYPE OF INSPECTION: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK: MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. Cl CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE o � J34UILDING DEPT. 0 PLANNING DEPT. CITY OF ARLINGTON Burlington,WA Corporate Laboratory(a) 1620 S Walnut Sl Burlinglan,WA 98233 1100.755 9295-360 757 1400 ��V/�� Bellingham,WA Microhiofogym 805 Orchard Or Ste 4 Bellingham,WA 96225 360 715 1212 EDGra Portland,OR Micro6iWogy7Chemistry(q 9150 SW Pioneer Cl St.W Wdsonville,OR 97070 5036827802 Corvallis,OR Mi abshow(d) 540 SW Third Street Corvallis,OR 97333 5417634946 ANALYTICAL Page 1 of 1 Washington State Department of Health WATER BACTERIOLOGICAL ANALYSIS Client Name: Arlington City, Water Reference Number: 17-16803 154 W Cox Avenue Project: Park 77 Domestic Arlington, WA 98223 System Name: ARLINGTON WATER DEPT Repeat Sample Number: System ID Number: 02950K Lab Number: 164-38126 DOH Source Number: 00-Distribution Sample(Bacteria) Field ID: Bacteria Sample Type: D- Drinking Water Date Collected: 7/13/17 12:41 Sample Purpose: Investigative or Other Date Received: 7/13/17 Sample Location: Building 13A Date Set: 7/13/17 17:59 County: Snohomish Date Analyzed: 7/14/17 12:32 Sampled By: Gus Report Date: 7/15/17 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- clh SM9223 B m_170713b 3 E.COLI Absent per 100ml- SM9223 B m 170713b L If the sample is unsatisfactory you can get information at the following health department websites or phone numbers: Island Co:htto://www.islandcounty.nellhealth/Envh/DrinkingWater/index.htm San Juan Co:htti)://www.san'uanco.conVhealth/ehswater.aspx Skagit Co:htto://www.skagilcounty.net/drinkinciwater or 360-336-9380 Snohomish Co:425-339-5250 Whatcom Co:htto://www.co whatcom wa us/health/environmental/drinking watertndex iso WSDOH:http://www.doh.wa.cLoy/ehp/dw/Programsicoliform.him himwa cLov/ehp/dw/Programsicoliform him NOTES: II Ena•ult is Unsatisfactory a repeat sample is required for Public Water Systems.Private individuals should investigate the cause of the unsatisfactory result and resample or Fecal Coliform are present at sample do not drink the water until it is properly treated. FORM:c6act email: Itaylor@arlingtonwa.gov; kwallace@arling- ' CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 20227 77th Avenue NE,#13 Permit#• 1243 Parcel#:00829100000103 Valuation:935515.35 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 NO A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFU TO U$F OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERT[FI ' CCUPANCY HAS BEEN GRANTED. IBC110/IRCI 10. Sales tax relating to construction and�onstruetion materials in the City of Arlington must be r ported on your sales tax return form ad' ry of Arlington#3101. / _ Signature Print Name Date Released Q 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 State Building Code Surcharge Fee $4.50 1/5/2017 State Surcharge per Dwelling $16.00 1/5/2017 Traffic Mitigation-City $11,779.38 Total Due: $37,461.81 Total Payment: $37,461.81 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,1)7pe of Inspection being requested,and whether you prefer morning or afternoon 741 Marine Drive, Bellingham, WA 98225 www.geotest-inc.com GeOTO ST 20611 67f'Ave. NE, Unit A,Arlington, WA 98223 r phone: (360) 733.7318 toll free: (888)251.5276 fax: (360) 733.7418 SPECIAL INSPECTION SUMMARY PROJECT: Park 77—Building 13 JOB#: 17-0009 ADDRESS: 20211 77th Avenue NE,Arlington,WA 98223 DATE: 08-07-2017 CLIENT: WD Arlington Investments, LLC PERMIT#: 1243 CONTRACTOR: Exxel Pacific PAGE: 1 of 1 This letter summarizes our testing and inspection efforts for the Park 77 — Building 13 project located in Arlington WA, Washington. GeoTest's services took place from January 19, 2017 through May 30, 2017. Our testing and inspections included the following scope of work: TESTIINSPECTION ITEM REFERENCE Concrete Break Reports CB001 —CB003, • Reinforced Concrete CB008&CB009 and Inspection Reports IR001 & IR003 • Lateral Framing Lateral Framing Inspection Reports LF002, LF003, LF006—LF009, IF013, LF014 & LF019 • Proprietary Anchors Adhesive Anchor Inspection Report 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 13 project. If we can be of further assistance, please contact the undersigned. Copies: WD Arlington Investments,LLC DCI Engineers Dykeman City of Abington Exxel Pacific Logan Senrud Technical Director This report shall not oe reproduced except in full,without the written approval of GeoTest Services.Inc. CITY OF ARLINGTON CERTIFICATE OF OCCUPANCY INTERNATIONAL BUILDING CODE SEC. 110 NOTE: THIS CERTIFICATE DOES NOT CERTIFY ELECTRICAL WORK At 20227 77th Ave NE, Bldg.A Building Permit Number 124319135 SF Name &Address of Owner Sprinkler System Number of Stories Park 77 Sj LLC Yes 1020 W Casino Road [Type of Construction/Sprinkler system required Use Everett, WA 98204 V-B 1:200 T-1004.1.2 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 August 30, 2017 BY _ l BUILDING OFFICIAL CITY OF ARLINGTON 238 N. OLYMPIC AVE- ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20227 77th Avenue NE,#13r•y„ Permit#: 1243 Parcel#:00829100000103 1✓✓vv�� Valuation:935515.35 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. THILUNLAWFU LICATION IS NO A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT I TO U OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR TIFI CUPANCY HAS BEEN GRANTED. IBCI 10/IRC110. SAL Sales tax relating to construction and onstntetiotl materials in the City of Arlington must be r ported on your sales tax return form d ad' of Arlington#3101. C. -� Signature Print Name Date Released 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 $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 State Building Code Surcharge Fee $4.50 1/5/2017 State Surcharge per Dwelling $16.00 1/5/2017 Traffic Mitigation-City $11,779.38 Total Due: $37,461.81 Total Payment: $37,461.81 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 �4. Permit Information Date 12/8/2016 Permit Number 1243 Project Name Park 77-Bldg 13 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,#13 Valuation 935515.35 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 E-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 CONTRACTOR 1-abor and Industries �=XXELP1073KN Inspection Date Type Description Scheduled Date Time Completed Date Ass To I Status 1/17/2017 lCommericial 100:00 kNpproved Fees Fee Description Notes Amount Building Permit Fee 322.10.00.01 $7.387.2 Building Plan Review Feel 345-83.00.001 $4.801.7 Park-Community MF 345.85.00.00 $1,497.00 $13,473.0 State Building Code Surcharge Fee 386.00,01,00 1 unit $4.5 State Surcharge per Dwelling 386,00.01.00 8 units $16.0 Traffic Mitigation-City 345.85.00-02 $11.779.38 Total $37,461.81 Payments Date Paid By Amount Description Payment Type Accepted B 1/5/2017 IPark 77 5J LLC $37,461 811 Pheck#5097 Kristin Foster Totall $37,461.811 Amount Outstanding:$0.0 Notes Date Note 12/8/2016 See Master File#1070 for attachments and fee breakdown Uploaded Files Upload File Date File Uploaded B 1/5/2017 3:56:56 PM 11243_Issued Permit.pdf IFoster, Kristin 741 Marine Drive, Bellingham, WA 98225 www.geotest-inc.com C;e OTO 5T 20611 &h 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 13 JOB M 17-0009 ADDRESS: 20211 77th Avenue NE,Arlington,WA 98223 DATE: 08-07-2017 CLIENT: WD Arlington Investments, LLC PERMIT#: 1243 CONTRACTOR: Exxel Pacific PAGE: 1 of 1 This letter summarizes our testing and inspection efforts for the Park 77 — Building 13 project located in Arlington WA, Washington. GeoTest's services took place from January 19, 2017 through May 30, 2017. Our testing and inspections included the following scope of work: TEST/INSPECTION ITEM REFERENCE Concrete Break Reports CB001 —CB003, • Reinforced Concrete CB008 &CB009 and Inspection Reports IR001 & IR003 • Lateral Framing Lateral Framing Inspection Reports LF002, LF003, LF006—LF009, IF013, LF014& LF019 • Proprietary Anchors Adhesive Anchor Inspection Report 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 13 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 oe reproduced except in full,without the written approval of GeoTest Services Inc. :� I i�r :1 .� 'i H � x c� z Ln CD f(D w00 N Z CD n C O.p it7 3 n z x � ax Co y Z z z H y z n N y oZ '� d C ° Go `n oz � `� ~' zrQ x o a z Q tz rn N o O r � � N � N 0-4 > S x C � CDLn � cn Cn �:j ° On o n y �• y n I Burlington,WA CorpoaleLaboraley(a) 1620SWalnulSl Budinglon,WA98233 NO.7559295-360 757 1400 r / T� Bellingham,WA Microblikw(b) 805 Orchard Dr Sle 4 Bellingham,WA9B225 360.715.1212 V Lf EDGE Portland,OR Ii nEAbpRCMrasry(c)9150 SW Pioneer Ct Ste W W4somille,OR 97070 5036827802 ANALYTICAL Corvallis,OR Microbiology(d) 540 SW Third Sheet Corvallis,OR 97333 5417534946 Page 1 of 1 Washington State Department of Health WATER BACTERIOLOGICAL ANALYSIS Client Name: Arlington City, Water Reference Number: 17-16803 154 W Cox Avenue Project: Park 77 Domestic Arlington, WA 98223 System Name: ARLINGTON WATER DEPT Repeat Sample Number: System ID Number: 02950K Lab Number: 164-38126 DOH Source Number: 00-Distribution Sample(Bacteria) Field ID: Bacteria Sample Type: D-Drinking Water Date Collected: 7/13/17 12:41 Sample Purpose: Investigative or Other Date Received: 7/13/17 Sample Location: Building 13A Date Set: 7/13/17 17:59 County: Snohomish Date Analyzed: 7/14/17 12:32 Sampled By: Gus Report Date: 7/15/17 Sampler Phone: 360-403-3507 Comment: Approved By: clh Authorized by: Cynthia L Hansen l Lab Manager DOH# PARAMETER RESULT UNITS Analyst METHOD Batch COMMENT 1 I TOTAL COLIFORM Satisfactory,Coliforms Absent per 1 DomL clh SM9223 B m 170713b 1 3 E.COLT Absent per 100mL SM9223 B m_170713b 1 1 1 i l l I I If the sample is unsatisfactory you can get information at the following health department websites or phone numbers: Island Co:http://www,islandcountv.neUhealth/Envh/DrinkingWaterAndex.htm San Juan Co:htto://www.sanivanco.com/health/ehswater aspx Skagit Co:htto://www.skaaitcounly,neYdrinkingwater or 360-336-9380 Snohomish Co:425-339-5250 Whatcom Co:httn:/Avww.c0.whatcom wa us/health/environmental/drinking water/index isD WSDOH:htto,-//www.doh.wa.gov/ehi)/dw/Programs/coliform.htm htm/www.doh wa�ov/eho/dw/Programs/coliform htm NOTES: If tho rul ull Is Unsatisfactory a repeat sample is(ertuuod for PubliC Water Syslema.Pdvate individuals should investigate the cause of the unsatisfactory result and resample IF E Cob or Fecal Cotif lmn are present in sample do not drink Ne water until it is properly treated. FORM:caacl email: Itaylor@arlingtonwa.gov; kwallace@arling- I Park 77 20227 77th Ave NE See Master File BLD-1070 for complete submittal. 9 A CR o n eM N M CO CO CO C\ N i O n N N O d� Cl CO M r-IO 7�i O, It O� d� r1 O� O� N N O N N COD" rO1 4 N A N A O N N 4 N' a0 N' w CV Cr N 4 �O r-i rti N r-I r-4 " r-4 r-4 r-4 rti H? ['O r-i " r-q r-i r~ r-I r-i m [O ;s H4 d4 ER ER ER H3 d3 H4 ER tf? Wt FR H3 d4 ffl ER fA N Pr ift O O O O O O O O O O O O O O O O O O O oo O O O O O O O O O O O O O O O O O O O O F2 I F2 7 tN cn 1 2 (31 w M cV c� d� rM tM dD eel Lrw d� O� O� O� O� O� O� y " T " " m r Xi M l� M N (7 c7 l� d� IA a0 C cr C l� M C tl M r-4 r-i r-� r-IcV r-i N r� r� Ef3 r-4 N r-4r� r-� r� r� r-I Vd9 H4 H3 Eft ER V? EE? W3- Gf3 fA EA &4 H3 ER HT Vi. 00 00 N 00 00 N 00 N 00 00 cN ap O M M r-1 M d� cM r-! m L� M Cri V .i w ch O O ~ O O O N M r-4O O In b r� L6 r-i L6 O r- L6 L6 In C+7 00 O r-i In r~ ti In Op r~ r-4 r-q r-4 N r-t r-4 r~ r4 EE} en ra N r-I r-+ r-I r-I r-4 01 e'q H H? d4 ER tM- fR 6? Wf w3- Vfl EA fA ff3 to} H3 K? Ef3 fA lV b? N-i rN-I r�-� eN-i N r r1 M 0 O� O� rNy O� rN n aNp ri O H A �i FC erg �5 a N In N m 10 N Lo In LO M N �D N m N N m N Qa N CD M co M M t0 co M M M co M Go N a ry wi 1f� 1n O O g O O Lo cM cM cO� O l" Ln 0 0 0 0Rp n ~ l r d� dk d� `O� rMy e�-1 r�-q ram+ 1�tf A v M bD p 'O to b0Im N cw cam _ c�1 CA FO V�j O CIA F-4 w tf rn eInO U 9! P.i r N m �F i Permit#: 1243 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 E - Residential Apartm acts Valuation: 935515.35 Square Feet: 9135 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 07/14/2017 FS07.FIRE Fire line flush com Bete 0 7/13/2017 B UILDING C om lieted SPRINKLER FINAL 04/28/2017 I nspection Tub surround insulation& 04/28/2017 B UILDING A pproved double layer floor. 04/26/2017 Inspection Tension hold-downs in 04/26/2017 B UILDING Approved concealed tub areas 04/26/2017 Inspection Stair tower entry Densglass 04/26/2017 B UILDING Approved approved 4/26/17 KO. Exterior slabs no re-bar or C20.BUILDING Fire m csh in place asked 02/27/2017 FINAL contractor to place therm d 02/24/2017 B UILDING Approved barrier at walls abutting living space 01/17/2017 C20.BUILDING Approved FINAL Fees Fee D escription N otes A m amt 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 Miki-fam iy $ 1,497.00 $13,473.00 State Surcharge- 1st DU R esidential- 1st Unit 1 unit $4.50 State Surcharge-add'1 DU R esidential Additional Units 8 units $16.00 Traffic Mitigation-SF S ingle Fam iy $11,779.38 Total $37,461.81 Attached Letters Date Letter D escription 01/05/2017 Building Perm i Paym arts Date Paid By D escription P aym ait Type A ccepted By A m amt 01/05/2017 Park 77 5J LLC C heck#5097 K ristin Foster $37,461.81 O itstanding Balance $0.00 Notes Date Note C reated By: 09/01/2017 Bldg.#13 Kristin Foster 12/08/2016 See Master File#1070 for attachm sits and fee breakdown L auna Black Uploaded Files Date File Nam e 01/15/2020 6113656-1243 8-29-19IC.pdf 08/30/2017 2570892-20227 77th Ave NE Bldg.A Cert of Occupancy..pdf 08/08/2017 2509596-1243 Special Inspection Report.pdf 07/17/2017 2451905-1243 Dent.of Health WaterAnalysis.pdf 01/05/2017 2037273-1243 Issued Perm i.pdf