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HomeMy WebLinkAbout20227 77th Avenue NE_BLD1244_2026 i CITY OF ARLINGTON o 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20227 77th Avenue NE,#14 Permit#: 1244 Parcel#:00829100000103 Valuation: 1170546.30 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. IT IS UNLAWF L O SE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIF CA OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110. T Sales tax relating to construction and onstruction materials in the City of Arlington must be reported on your sales tax return form ty of Arlington#3101. zo l7 Signature Print Name Date Released 13y 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 $8,683.86 1/5/2017 Building Plan Review Fee $5,644.00 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: $48,024.20 Total Payment: $48,024.20 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 OC O y F • � Lm V W ) W M Z � N U z py U O r-4 Q F O z x LO a� p o "l' z H pa C) wa 00 N N rx o N ,r4 cYi O � cu po cS a z o A O z � � uN > o w c >� 4-1 d .� w Q O 4 Z 4-1 W o w 0 Emmo V y co zo V z z � � o -5 � C) z I oU 0 � C9 o ,� . 00 w N L CZQ �� z o ,o � � 1 w U c�a v) w IA O a o w z O d Z E x A U CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20227 77th Avenue NE,#14 y�.�--� Permit#: 1244 Parcel#:00829100000103 Mel Valuation: 1170546.30 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. IT IS UNJFC O SE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CE OCCUPANCY HAS BEEN GRANTED. IBC1 I0/IRCI 10. SALEST :Sales tax relating to construction and onstruction materials in the City of Arlington m t be reported on your sales tax return form ty of Arlington#3101. zo17 Signature Print Name Date Released 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 $8,683.86 1/5/2017 Building Plan Review Fee $5,644.00 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: $48,024.20 Total Payment: $48,024.20 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 , : = z . Permit Information Date 12/8/2016 Permit Number 1244 Project Name Park 77-Bldg 14 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.#14 Valuation 1170546.30 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 D-Residential Apartments Assigned To Kristin Foster Property Information Owner Information Parcelk 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 -IONTRACTOR (Labor and Industries F_XXELP1073KN Fees Fee Description Notes Amount Building Permit Fee 322.10.00.00 $8,683.8 Building Plan Review Fee 345.83.00.00 $5,644.00 Park-Community MF 345.85.00.00 $1,497.00 per uni $17.964.0 State Building Code Surcharge Fee 386.00.01.00 1 unit $4.5 State Surcharge per Dwelling, 386.00.01.00 11 units, $22.00 Traffic Mitigation-Cityl 345.85.00.02 1 $15.705.84 Totaq $48,024.2 Payments Date Paid By Amount Description Payment Ty cce ted B 1/5/2017 Park 77 5J LLC $48,024.2 Check#5097 Kristin Foster Totall $48.024,201 Amount Outstanding:$0.0 Notes Date Note 12l8J2016 See Master File#1070 for attachments and fee breakdown Uploaded Files Upload File Date File Uploaded B 1/5/2017 3,55 17 PM 11244 Issued Permit. df IFoster.Kristin ,f 2625 Delta Ring Road,Suite 1 Ferndale,WA 98248 Ph:1360)366-3472 Fax:(360)366.3473 I Email:info@coaetinsulation.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 20201 77th Ave.Bldg 14 ADDRESS OF PROPERTY DESCRIPTION OF INSTALLATION Exterior walls Type of Materlal Fiberglass Manufacturer Knauf Thickness 5.5 R-value R-21 Square Feet Covered 8040 Sloped Calling Type of Material 1 iborglass Imanufacturer I Knauf Thickness 12" R-valuo R-38 Square Feet Covered 1197 Flat Callings Blown Type of Material Fiberglass Manufacturer Knauf Thickness 14 25" R-value R-49 Square Feet Covered 2339 Flat Calling Type of Material I Fiberglaas Manufacturer Knauf IThicknoss 15" R-value PtW 9 Square Feet Covered Flat Ceiling Type of Material Spra Foam Manufacturer 13ASF�Thickness R-value R-14 Square Feet Covered 182 Flat Ceiling Type of Material Fiberglass Manufacturer Knauf 7hiekness 8.25" R-value R�OHD Square Feet Covered 408 Subfloor Typo of Material Fiberglass Manufacturer Knauf IThickness 9.5" R-value Rol'0 Square Feet Covered L 0 I X Infiltration-All openings in exterior walls caulked or sealed Slab thermal break created Vapor barriers installed per code I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FORGOING IS TRUE AND CORRECT. General Contractor Contractor's Registration No. By. Title: Sub-Contractor: Coast Insulation LLC Contractors Registration No. COASTIL956KT By: Title: Office Administrator Date: 11lD3/1 T F FIRE PROTECTION BUREAU—PLAN REVIEW PO Box 42600 Y/ \':101 !ilAll F'Alfi:ll. Olympia WA 98504-2600 � I „A (360)596-3911 FAX: (360)596-3934 NFPA 13 SPRINKLER INSTALLATION CERTIFICATION Permit#: 1428-Building# 14 Date: 10/27/2017 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 Arlington,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 system 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: Date:Date: 10/27/2017 Organization: Unlimited Mechanical, Inc. 2. Certification of System Operation: All operational features and functions of this system were tested and found to be operating properly in accordance with the requirements of: NFPA 13 IFC and IBC Manufacturer's Instructions Other(specify) Print Name: Wayne Williams Signed: _�; ,�, cc.a,.w Date: 10/27/2017 Organization: Unlimited Mechanical, Inc. Sprinkler Information for Storage in 2002 NFPA 13, Chapter 12 and IFC Chapter 23 3000420-105 7/07 )] Automatic Sprinkler Systems FORM 2-71 O Contractor's Material and Test Certificate for Aboveground Piping Date: 10/27/17 Property Name: Park 77 Apartments BLDG F 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? Yes ❑ No Equipment used is approved? 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? E Yes ❑ No If no, explain. Have copies of appropriate instructions and care and maintenance charts and NFPA 13 been left on premises? 21 Yes ❑ No If no, explain. Location of System Supplies building(s) Sprinklers Year of Orifice Temperature Make Model Manufacture Size Quantity Rating Tyco: TY2234 LF11 Res Rec Pend-White 1118 77 155* Tvco: TY2335 1/2 18 155* TVCo: TY2234 F 3/8 10 175* Tvco: TY2334 LFII Res Rec S/W-White 3/8 38 175* Tvco: Pipe and Fittings Pipe conforms to NFPA 13 standard. 1,1 Yes ❑ No Fittings conform to_ NFPA 13 standard. 1/1 Yes ❑ No If no, explain. PAGE 1 of 3 Copyright©2000 National Fire Protection Association i Automatic Sprinkler Systems FORM 2-1 191 Contractor's Material and Test Certificate for Aboveground Piping (coat.) 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 0 2000 National Fire Protection Association � i � i � � i i Y f FORM 2-1 O Automatic Sprinkler Systems 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 11/2 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 11/2 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? C-Yes ❑ No If no, state reason. Drain test—Reading of gauge located near water supply test pipe: Static pressure: Gt _ psi (bar) Drain test—Residual pressure with valve in test pipe open wide: _-75 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 Z Yes ❑ No ❑ Other Flushed by installer of underground sprinkler piping 0 Yes ❑ No ❑ Other If other, explain. Blank Testing Gaskets Number used Locations N/A 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? El 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) %';, _ric- %a — <-£�t > Title President Date 10/27/2017 PAGE 3 of 3 Copyright 0 2000 National Fire Protection Association I Burlington,WA Coryorafet-aboralcry(a) 1620SWalnulSl Burlinglon,WA98233 800.755.9295 360 757 1400 /� `('7��1C�� Bellingham,WA Miuoboa+gy(b) 005 Orchard Or Ste 4 Bellirgham,VIA 98225 360.715.1212 K V EDGE Portland,OR Maol:pogyrMnu y(c)9150SWPion.,Cl Ste IN W6aanvipe,OR97070 5036827802 ANALYTICAL Corvallis,OR MicrWafogy(c) 540 SW Third Streel Corvallis,OR 97333 541,7534946 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: 164-37922 DOH Source Number: 00-Distribution Sample(Bacteria) Field ID: Bacteria Sample Type: D-Drinking Water Date Collected: 7/12/17 11:40 Sample Purpose: Investigative or Other Date Received: 7/12/17 Sample Location: Building#14 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 1oomL sms SM9223 B m 17o71zb 3 E.COLI Absent per 100ml- SM9223 B m_170712b I I 1 i If the sample is unsatisfactory you can get information at the following health department websites or phone numbers: Island Co:http://www.islandpounty.neVhealth/Envh/DrinkingWater/index.htm San Juan Co:htto://www.san'uanco.com/`health/ehswater.aspx Skagit Co:hLttp://www.skagitcounty-net/drinkingwater or 360-336-9380 Snohomish Co:425-339-5250 Whatcom Co:htto://ww v.co.whatcom wa us/health/environmental/drinking water/index iso WSDOH:http://www.doh.wa.gov/ehi)/dw/Programslcoliform,htm NOTES If MO raault is Un"ft-etory a repeat sample is required for Public Water Systems Private individuals should investigate the cause of the unsatisfactory result and resample If E-Cal or Fecal Coliform are present in sample do not chink the water until It is properly treated. FORM:cBact email: Itaylor@arlingtonwa.gov; kwallace@arling- Park 77 20227 77t"Ave NE See Master File BLD-1070 for complete submittal. I A 91 g O 06 M M EA M M N M 'D 'D 'D L, N cN M �j M d� L� , O M M M r-4 O O �D d OD d4 CD N N 0 AN'N CD O4'N .1 W m m m L O N O O N O T a., N \O N �D CD M M M �D If� NO CNDN N IO N N 10 N 4 N 4 00 N 4 4 4 00 N o0 N 4 N N r-I r-I e-i r-I r~ r-+ r-I r~ d) e'7 T-4 H ti �4 N ti H) H) UR W5- W5- Ef? W5- d) E/4 T-4 ff) Ef? W5- d9 Vf} W)- Vj- V) W V3 O� CD O O CDO O O CDp O O O CDO CDO O po+ O CD O CD CD CD CD CDO CD CDO O O O O O O N d� N cV cri cM !V v 00 00 cN oo �D N 00 N w N 0o ao N ao pp as M M -� M 00 e}! O\ cM r cl l� M M LO r�-1i O� LO 11) If) I'D ti m m m m C 1n yy MU r-I� L ` LO O6 r-zr- L6 L6 lA Cn F" r-4 r-4 "4 r-I N r-I r-4 r-I r-4 d3 m r- N r-i r4 r-4 r-4 H [r� H d) Ef3 d) Efl W3 Ef} Ef) EF? Ef) d4 W3- W)- H4 Ef} H) H) 03- cV ►r ER tp N N ti ti rN-� eNi rN-4 M O O� r O\ � m mH 00 O F+ a � M � N lA N lA ID N 1O In 117 M N �D N lA N N l!') N a ao N �D N M co M M 110 M M M M co M m "D M M M M M N a go r-I r-I w Gi CD 1��p O O LO m M mO L� LO O O O LO Nd� d� d� �p� en N ti rd-i l� n N+ a .o v 0► bD r. m FC p0 0 CA G m uvi doV 'D ,� Gr PC1 C. in to O� �-+ r-� r� r� r� Ln rD U Cr Rr r� N M d� DD n 00 t! (7 _r i 1 7 2625 Delta Ring Road,Suite 1 N V Fn Ferndale,WA U248 A � �'� Ph:(360)366-3472 Fax:(360)366-3473 Emall:lnfo@_coastinsulation.net INSULATION CERTIFICATE This Is to certify that in conformance with the current"Thermal Performance Standards Washington Energy Code", chapter 61.11 WAC, Revised 2012 and approved iplans, 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 20201 77th Ave.Bldg 14 ADDRESS OF PROPERTY DESCRIPTION OF INSTALLATION Exterlor walls Type of Material Ffberglass Manufacturer Knauf Thickness 5.5" R-value R-21 Square Feet Covered 8040 Sloped Ceiling Type of Material Fiborglass Manufacturer Knauf Thickness 72" R-value R38 Square Feet Covered 1197 Flat Ceilings Blown Type of Material Fiberglass; Manufacturer Knauf -]Thickness 14.25" R-value R39 Square Feet Covered 2339 Flat Calling Type of Material Fiberglass Manufacturer Knauf Thickness 75 R-value R39 Square Feet Covered 200 Flat Ceiling Typo of Material Spray Foam Imanufacturer I BASF Thickness R-value R-14 Square Feet Covered 182 Flat Ceiling Type of Material Fiberglass Manufacturer Knauf Thickness 8.25" Rvalue R30HD Square Feet Covered 408 Subfloor Type of Material Fiberglass 'Manufacturer F Knauf Thickness 9.5" R value R30 Square Feet Covered 0 X Infiltration-All openings in exterior walls caulked or sealed Slab thermal break created Vapor barriers installed per code I 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. COASTIL956KT By: �r�,�i l(J n I Tittle: Office Administrator Date: 11/03/17 Burlington,WA Corporate Laboralory(a) M208Welnul Sl Burlington,WA 98233 8007559295.360 757 1400 A t V/ ��' i Bellingham,WA ulo wotogy(b) 805 Orchard Dr Ste 4 Bellinghem,WA98225 360 715 1212 H 1 I Er)GE Portland,OR Microhtology7Chemisky(c)9150 SW Pioneer CI Sle W Wilsonville,OR 97070 503.682.7802 ANALYTICAL Corvallis,OR Micmhiology(0) 540 SW Third Sbeal 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: 164-37922 DOH Source Number: 00-Distribution Sample(Bacteria) Field ID: Bacteria Sample Type: D-Drinking Water Date Collected: 7/12/17 11:40 Sample Purpose: Investigative or Other Date Received: 7/12/17 Sample Location: Building#14 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_17o712b 3 E.COLI Absent per 100mL SM9223 B rr 170712b I i If the sample is unsatisfactory you can get information at the following health department websites or phone numbers Island Co:htto://www.islandcounty.net/health/Envh/DrinkinaWater/ind x htm San Juan Co:htto://www.san*uanco.corn/health/ehswater.asox Skagit Co:htto://www.skagitcouiity.net/drinkingwater or 360-336-9380 Snohomish Co:425-339.5250 Whatcom Co:httv:L/www.co,whatcom,wa.usthealth/environmental/drinking water/index iso WSDOH:httgJ//www.doh.wa.gov/eho/dw/Programs/coliform him NOTES: II the result Is Unsaitsfaclory a repeal sample is required for Public Willer Systems.Private individuals should investigate the cause of the unsatisfactory result and resa minis If E.Call or Fecal Coliform are present in sample do not drink the water unfit it is properly treated. FORM:cBaci email: Itaylor@arlingtonwa.gov; kwallace@arling- FIRE PROTECTION BUREAU—PLAN REVIEW PO Box 42600 fir; ■:i•: , Olympia WA 98504-2600 'j'I"' I�`;<`.. �"r'V' (360)596 3911 FAX: (360)596-3934 W'a NFPA 13 SPRINKLER INSTALLATION CERTIFICATION Permit#: 1428-Building# 14 Date: 1n/27/2n17 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 Arlington,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�rstem 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: �+�H,u, .. tf�t..,.�t� Date: 10/27/2017 Organization: Unlimited Mechanical, Inc. 2. Certification of System Operation: All operational features and functions of this system were tested and found to be operating properly in accordance with the requirements of: NFPA 13 IFC and IBC Manufacturer's Instructions Other(specify) Print Name: Wayne Williams Signed: 0. .�Lpc.,.� Date: 10/27/2017 Organization: Unlimited Mechanical, Inc. Sprinkler Information for Storage in 2002 NFPA 13, Chapter 12 and IFC Chapter 23 3000-420-105 7/07 Automatic Sp rir&der Systems FORM 2-J a Contractor's Material and Test Certificate for Aboveground Piping Date: 10/27/17 Property Name: Park 77 Apartments BLDG F 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? Yes ❑ No Equipment used is approved? 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? 2 Yes ❑ No If no, explain. Location of System Supplies building(s) Sprinklers Year of Orifice Temperature Make Model Manufacture Size Quantity Rating Tvco: TY2234 LF11 Res Rec Pend-White 318 77 155* Tvco: TY2335 1/2 18 155* Tvco: TY2234 LF11 ERes Rec p 3/8 10 175* Tvco: TY2334 LFII Res Rec S/W-White 3/8 38 175* Tvco: Pipe and Fittings Pipe conforms to NFPA 13 standard. Yes ❑ No Fittings conform to NFPA 13 standard. Yes ❑ No If no, explain. PAGE 1 of 3 Copyright 0 2000 National Fire Protection Association OAutomatic Sprinkler Systems FORM 2-J Contractor's Material and Test 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 I 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 Automatic Sp rinkler Systems FORM 2-1 a Contractor's Material and Test Certificate for Aboveground Piping (coat.) Test Description (cont.) PNEUMATIC: Establish 40 psi (2.7 bar) air pressure and measure drop, which shall not exceed 11/2 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 11/2 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? K—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: _ 76 _ 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 0 Yes ❑ No ❑ Other Flushed by installer of underground sprinkler piping 0 Yes ❑ No ❑ Other If other, explain. Blank Testing Gaskets Number used _ Locations N/A 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? 0 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)_ .�w �'�,e�i s►+�' Title President Date 10/27/2017 PAGE 3 of 3 Copyright 0 2000 National Fire Protection Association 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. F Building Permit Number 1245/11430 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#: 1244 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 D - Residential Apartm ants Valuation: 1170546.30 Square Feet: 11430 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 09/25/2017 FS07.FIRE Fire Line Flush Approved 0 9/25/2017 B UILDING A pproved SPRINKLER FINAL 09/21/2017 I nspection Venting South tower 09/20/2017 B UILDING A pproved approved 08/23/2017 Inspection Insulation north tower 08/23/2017 B UILDING Approved approved 08/22/2017 Inspection V enting north tower. 0 8/22/2017 z Rick Karns Approved 08/14/2017 Inspection Insulation South tower 08/09/2017 B UILDING Approved approved 08/04/2017 Inspection North end EXT GYP 08/04/2017 B UILDING Approved approved. C20 BUILDING South end EXT GYP only, . 06/26/2017 FINAL Windows&utility openings 06/23/2017 B UILDING Approved in rated wall? 02/22/2017 C20.BUILDING Approved FINAL Fees Fee D escription N otes A in cant Building Perm i T able 4-1 $8,683.86 Building Plan Review T able 4-2 $5,644.00 Park-Com in nity MF Miki-fam iy $ 1,497.00 per unit $17,964.00 State Surcharge- 1st DU R esidential- 1st Unit 1 unit $4.50 State Surcharge-add'1 DU R esidential Additional Units 1 1 units $22.00 Traffic Mitigation-SF S ingle Fam iy $15,705.84 Total $48,024.20 Attached Letters Date Letter D escription O1/05/2017 Building Perm i Paym Bits Date Paid By D escription P aym art Type A ccepted By A in cunt O1/05/2017 Park 77 5J LLC C heck#5097 K ristin Foster $48,024.20 O ttstanding Balance $0.00 Notes Date Note C reated By: 09/01/2017 Bldg.#14 Kristin Foster 12/08/2016 See Master File#1070 for attachm sits and fee breakdown L auna Black Uploaded Files Date File Nam e 12/04/2017 2815730-Bldg F Insulation Certificate.pdf 07/14/2017 2447637-Bldg.#14 Dept.of Health WaterAnalysis.pdf O1/05/2017 2037269-1244 Issued Perm i.pdf