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20227 77th Avenue NE_BLD1247_2026
F CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:20227 77th Avenue NE,#17 Permit#: 1247 Parcel#:00829100000103 Valuation:601146.70 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 UNLAWFUL TO USE OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFIC OF UPANCY HAS BEEN GRANTED. IBC110/IRC110. SALES T / ales tax relating to construction and co struction materials in the City of Arlington must be reported on your sales tax return form c ded Arlington#3101. Signature Print Name Date Role;sed Ely 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 $5,162.83 1/5/2017 Building Plan Review Fee $3,355.84 1/5/2017 Park-Community MF $4,491.00 1/5/2017 State Building Code Surcharge Fee $4.50 1/5/2017 State Surcharge per Dwelling $6.00 1/5/2017 Traffic Mitigation-City $3,926.46 Total Due: $16,946.63 Total Payment: $16,946.63 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon a Ec O o G >" GF.7 ' ' ° Z y y = R r z O N ° Q N U z � o LO O c� a w C O c N z = � W H a M z � � � � z O c. N CIO w w E. a ° z A F O a a O J � z w n as Q a 0 vz � ww O _0.4 94-1 U z x z 4 O 0 o z y 'aV) rn H N 0) Loj ¢ z ,, w N a—+ U 4-1 F , aoWCD cnz Q O F W Q V ' CiTY ARLINGTON OF 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20227 77th Avenue NE,#17 Permit#: 1247 Parcel#:00829100000103 Valuation:601146.70 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 UNLAWFUL TO USE OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI ' OF UPANCY HAS BEEN GRANTED. IBCI 10/IRC110. LI TA les tax relating to construction and co struction materials in the City of Arlington m st be reported on your sales tax return form d c ded C' Arlington#3101. -- Signature Print Name Date Rele d gy 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 $5,162.83 1/5/2017 Building Plan Review Fee $3,355.84 1/5/2017 Park-Community MF $4,491.00 1/5/2017 State Building Code Surcharge Fee $4.50 1/5/2017 State Surcharge per Dwelling $6.00 1/5/2017 Traffic Mitigation-City $3,926.46 Total Due: $16,946.63 Total Payment: $16,946.63 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 �. -; s Permit Information Date 12/8/2016 Permit Number 1247 Project Name Park 77-Bldg 17 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,#17 Valuation 601146.70 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 Community Building-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 1 ACTOR Labor and Industries EXXELP1073KN Inspection Date Type Description Scheduled Date Time Completed Date Assigned To I Status 2/1/2017 lCommericial I J()0:00 I PNpproved Fees Fee Description Notes Amount Building Permit Fee 322.10.00.00 $5,162.83 Building Plan Review Fee 345.83.00.0 $3.355.84 Park-Community MFj 345.85.00.01 $1,497.00 per unit $4,491.0 State Building Code Surcharge Fe 386.00.01.Oq 1 unit $4.5 State Surcharge per Dwellin 1 386.00.01.0q 2 units $6.0 Traffic Mitigation-Ci 345.85.00.021 $3.926.4 Total $16,946.6 Payments Date Paid By Amount Description Payment Type Accepted B 1/5/2017 jPark 77 5J LLC $16.946.63 Check#5097 11Kristin Foster Totaq $16,946.6N Amount Outstanding: $0.00 Notes Date Note 12/8/2016 See Master File#1070 for attachments and fee breakdown Uploaded Files Upload File—'I Date File Uploaded B 1/5/2017 3:50:57 PM 11247 Issued Permit.Ddf JIFoster. 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N V W W V W N W N V OWE ON W W N W it GS W V o �� gW ONo Np V N N .: I I I I ' CITY OF ARLINGTON copy CERTIFICATE OF OCCUPANCY INTERNATIONAL BUILDING CODE SEC. 110 NOTE: THIS CERTIFICATE DOES NOT CERTIFY ELECTRICAL WORK At 20227 77th Avenue NE, Bldg. E Building Permit Number 1247/5870 SF Name&Address of Owner Sprinkler System Number of Stories Park 77 5J, LLC Yes 2 1020 West Casino Rd Type of Construction/Occupant Load Use Everett,WA 98204 V-B Residential 13 Office,Community Room, Community Room 91,Exercise room 14, Exercise room,Restrooms, Office 2,Restrooms to,Storage 1,lobby 23 Lobby,Apartments THE Structure HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE 2015 EDITION OF THE INTERNATIONAL BUILDING CODE FOR GROUP R-2,A-2, B OCCUPANCY ISSUED November 20, 2017 BY ` COMBINATION INSPECTOR ;, 44 Affordable Washington Backflow Testing s�!✓f.w'T-' (360)863-3784 BACKFLOW PREVENTION ASSEMBLY TEST REPORT WATER PURVEYOR Arlington ACCOUNT# ASSEMBLY ID/FILE#/UTILITY DEVICE# Meter# NAME OF PREMISE Park 77 Commercial ❑ Residential W SERVICE ADDRESS 20201 77th Ave NE Arlington 'ZIP 98223 CONTACT PERSON Yancy Constant PHONE (360) 384-4800 LOCATION OF ASSEMBLY Bldg 17-Leasing Office Pool Boiler Rm DOWNSTREAM PROCESS Domestic DCVA ❑ RPBA W PVBA ❑ OTHER NEW INSTALL ❑d EXISTING ❑ REPLACEMENT ❑ REMOVED ❑ OLD SER.# APPROVED ASSEMBLY? YES W NO❑ PROPER INSTALLATION?YES [—V1 NO ❑ MAKE OF ASSEMBLY Conbraco/Apollo MODEL RPLF4A SERIAL NO. 8 16188 SIZE Z INITIAL DCVA/RPBA DCVA/RPBA RPBA PVBA/SVBA HECK VALVE NOA CHECK VALVE NO.2 AIR INLET TEST C OPENED AT 2.6 PSID CLOSED TIGHT W CLOSED TIGHT W OPENED AT PSID PASSED LEAKED ❑ LEAKED ❑ #1 CHECK 7.3 PSID FAILED ❑ TIGHT PSID TIGHT PSID AIR GAP OK? yes DID NOT OPEN El CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW ❑ ❑ ❑ ❑ ❑ ❑ HELD AT PSID PARTS ❑ ❑ ❑ ❑ ❑ ❑ LEAKED ❑ AND ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ El CLEANED ❑ REPAIRS REPAIRED ❑ TEST AFTER CLOSED TIGHT ❑ CLOSED TIGHT ❑ RV EXERCISED ❑ AIR INLET PSID REPAIRS LEAKED El LEAKED ❑ OPENED AT PASSED ❑ PSID FAILED ❑ PSID PSID #I CHECK PSID CHK VALVE PSID AIR GAP INSPECTION: Required minimum air gap separation provided? YES ❑ NO ❑ Detector Meter Reading LEFT SERVICE AS FOUND Isolation valve: Open ❑d Closed ❑ SOV#I: Open Closed ❑ SOV#2: Open ❑4 Closed ❑ REMARKS: LINE PRESSURE 80 PSI CONFINED SPACE? NO TESTERS SIGNATURE: CERT.NO. B6450 DATE 10/27/2017 TESTERS NAME PRINTED Jeff Hansen TESTERS PHONE# 1360)333-2057 REPAIRED BY: LIC NO. DATE FINAL TEST BY: CERT. NO. DATE CALIBRATION DATE 04-25-2017 GAUGE# 04172217 MODEL Midwest 835 SERVICE RESTORED YES ❑V- NO ❑ FIRE PROTECTION BUREAU—PLAN REVIEW c PO Box 42600 i■i ■i i•:•.�` L w ,1 a r� -11 i-V— L�j ,. Olympia WA 98504-2600 - l (360)596-3911 FAX: (360)596-3934 ,szor' NFPA 13 SPRINKLER INSTALLATION CERTIFICATION Permit#: 1428-Buildinq 4 17 Date: 10/10/2017 Property Protected System Installer System Supplier Business Name: Park 77 Apartments lUnlimited Mechanical Inc. HD Supply Address: 20227 7 7 th 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: ao„u, • � •r�r� Date: 10/10/2017 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: „L u, 39 ,, .,,..d Date: 10/10/2017 Organization: Unlimited Mechanical, Inc. Sprinkler Information for Storage in 2002 NFPA 13, Chapter 12 and IFC Chapter 23 3000-020-105 7/07 FORM 2-J o Automatic Sprinkler Systems Contractor's Material and Test Certificate for Aboveground Piping Date: 10/10/17 Property Name: Park 77 Apartments BLDG#17-Rec Property Address: 20227 77th Ave NE-Arlington,WA. 98223 Procedure Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and the system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authori- ties, owners, and contractors. It is understood that the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. Plans Accepted by[approving authority's name(s)] City of Arlington Address 238 N Olympic Ave-Arlington, WA. 98223 Installation conforms to accepted plans? 0 Yes ❑ No Equipment used is approved? R1 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? Z Yes ❑ No If no, explain. Have copies of appropriate instructions and care and maintenance charts and NFPA 13 been left on premises? 0 Yes ❑ No If no, explain. Location of System Supplies building(s) Sprinklers Year of Orifice Temperature Make Model Manufacture Size Quantity Rating Tvco: TY3131 TY-FRB R /W- r 4 200* Tvco: TY3231 1/2 25 155" Tvco: TY5339 DS-3 SR Dry S/W CHR 1 1/3 1 13 1 200' Tvco: TY2334 I _ 1/2 38 155- Tvco: Pipe and Fittings Pipe conforms to NFPA 13 standard. 0 Yes ❑ No Fittings conform to NFPA 13 standard. R1 Yes ❑ No If no, explain. PAGE 1 of 3 Copyright©2000 National Fire Protection Association Automatic Sprinkler Systems FORM 2-J Contractor's Material and Test O 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 I./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 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? ❑ Yes ❑ No If no, state reason. Drain test—Reading of gauge located near water supply test pipe: Static pressure: 65 psi (bar) Drain test—Residual pressure with valve in test pipe open wide: 55 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 I] Yes ❑ No ❑ Other Flushed by installer of underground sprinkler piping 2 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 � H � I For sprinkler contractor(signed) _ cff A'. , Title President Date 10/10/2017 PAGE 3 of 3 Copyright 0 2000 National Fire Protection Association Permit#: 1247 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: Com m uity Building-Residential Apartm ants Valuation: 601146.70 Square Feet: 5870 Num ber of Stories: 2 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 77th Avenue NE P ARK 77 5J LLC 910 Undeveloped (Vacant)Land Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# EXXEL PACIFIC INC 3 60-734-2872 323A CONSTRUCTION UBI 601 175 198 TELEGRAPH RD CONTRACTOR EXXEL PACIFIC INC 3 60-734-2872 323A CONSTRUCTION Labor a TELEGRAPH RD CONTRACTOR Industri nd EXXELPI073KN es Inspections Date I nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus 10/11/2017 FA00.FIRE ALARM Flow test com liete 1 0/10/2017 B UILDING A pproved FINAL 10/11/2017 FS07.FIRE Flow test com liete 904 10/10/2017 B UILDING A pproved SPRINKLER FINAL static pressure,704 flow. 09/12/2017 FS07.FIRE Fire line flush com Bete 0 9/11/2017 B UILDING Approved SPRINKLER FINAL 02/01/2017 C20.BUILDING Approved FINAL Fees Fee D escription N otes A m cant Building Perm i T able 4-1 $5,162.83 Building Plan Review T able 4-2 $3,355.84 Park-Com m nity MF Miki-fam iy $ 1,497.00 per unit $4,491.00 State Surcharge- 1st DU R esidential- 1st Unit 1 unit $4.50 State Surcharge-add'1 DU R esidential Additional Units 2 units $6.00 Traffic Mitigation-SF S ingle Fam iy $3,926.46 Total $16,946.63 Attached Letters Date Letter D escription 01/05/2017 Building Perm i Paym Bits Date Paid By D escription P aym sit Type A ccepted By A m aunt 01/05/2017 Park 77 5J LLC C heck#5097 K ristin Foster $16,946.63 O ttstanding Balance $0.00 Notes Date Note C reated By: 09/01/2017 Bldg.#17 Kristin Foster 12/08/2016 See Master File#1070 for attachm sits and fee breakdown L auna Black Uploaded Files Date File Nam e 01/03/2018 2921520-Bldg E Cert of Occunancy..pdf 10/31/2017 2743934-Bldg E Pool Boiler Room Backflow Test.pdf 10/30/2017 2740029-Bldg.EESSprinkler Installation Certification.pd 01/05/2017 2037257-1247 Issued Perm t.pdf