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HomeMy WebLinkAbout20227 77th Avenue NE_BLD1343_2026 COMMERCIAL PLUMBING PERMIT APPLICATION Department of Community A Economic Development City of Arlington• '18204 59th Ave NE-Arlington,WA 98223- Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED 13Y TWO(2) SETS OF CONSTRUCTION DRAWINGS, AND TWO(2) SETS OF FIXTURE SPECIFICATIONS (CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. Type Of Petmnit: EJ New Installation ® Addition(Alteiration C) Industrial Project Address: ZD 220 7 7 T" A vi- N Parcel ID Lot#: Subdivision: Project Description: NEW FkeAW_,fmiLir gi)lc L)1A1L Valuation. Owner: Phone Number: Address: City: State: .-__ Zip Code: Contact Person:. Phone Number: T Cell Phone:_ 0• 24W. que?"i E-mail: Address: CitY: State:— Zip Code: Contractor: MT. R IGf�+2�¢4�n��c>Q-4. Phone Number: 3(�Q-3 f y-'4 8 o b Cell Phone: �D Z`� �42� Email: 57-4N7"aM&4C_INVe_ cotvl Address: 5 I fv9 /N bU' 'rkI>4- PCdi(= City:-Ff_4tqM-G4- State: WAI Zip Code: Jj2gb suirf, )a?- Contractor License Number: M7"a4X,6M 9 2-Z.K N Expiration Date:S1 sly�P> Please Indicate number of fixtures: Water Closet S Floor Sink Sump Hose Bibb Miscellaneous Lavatory r Laundry Tubes Washer Water Heater,_w,-_rr Grease Trap Urinal Interceptor Sink , ..L-_-_ Med Gas .,,•„ wu Drinking Fountain Floor Drain Dishwasher Backflow,.„_ v, Shower /�.-..,. Other 6/16LP Page 2 of 3 COMMERCIAL PLUMBING PERMIT APPLICATION '��' Department of p Community&Economic Development City of Arlington• 18204 59th Ave NE• Arlington,WA 08223• Phone(360)403-3551 PROPOSED BUILDING USE New Commercial ❑ Restaurant ❑ Automotive Based ❑ Commercial Addition/Alteration 0 Office ❑ Machine Shop ❑ Industrial ❑ Medical ❑ Other; CROSS CONNECTION Please check all appliances that are proposed or are permanently connected to the water supply. ❑ Ice Machine ❑ Dialysis!_quip. ❑ Air washers ❑ Swimming ❑ Fire Sprinkler Pools ❑ Coffee ❑ p Hydrotherapy Equip, St"' 0 Hot Tub/spa Sprinkler Um/Espresso ' ® Generators ❑ ❑ w/chemicals ❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye vats ❑ Aquarium ❑ Lawn Irrigation ❑ Fume Hoods ❑ Laboratory Equip. ® Pressure Decorative Well on Washers ❑ Fountain ❑ property ❑ Degreasers ® Autoclave/Sterilizers ❑ cooling Towers Other:_T—_— WASTEWATER DISCHARGE ��II 1. Does the plumbing system currently have a grease interceptor? ❑ Yes No 13 Don't Know Date grease trap/interceptor was last cleaned(provide service record). 2. Does the plumbing system currently have an oil/water separator? ❑ Yes No ❑ Don't Know 3. Date oil/water separator was last cleaned(provide service record): 4. Is water used in the business process(washing, rinsing,cooling)? ❑ Yes tW No ❑ Don't Know S. Does your business require a NPDES permit? ❑ Yes 10J No ❑ Don't Know I hereby certify that the above Information is correct and that the construction on, and the occupancy and the use of the above-described property 'll in accordance with the laws,rules and regulation of the State of Washington. Applicants Signature ate l N�r-��yv7� _ Print Applicants Name FOR STAFF USE 0IA-Y deceived ri ArrP, ? ^nip Permitwptbd EW V Amount Received Reeeipt ft Dato Received 6/16LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:20227 77th Ave NE,#6 Permit#:1343 Parcel#:00829100000103 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WD ARLINGTON INVESTMENT LLC Name:Mt Baker Mechanical Name:Andgar Corporation Address: 1020 WEST CASINO RD Address:5160 Industrial Place,Suite 102 Address:6920 Salashan Parkway City,State Zip:EVERETT,WA 98204 City,State Zip:Femdale,WA 98248 City,State Zip:Ferdale,WA 98248 Phone: Phone:360-384-4800 Phone:360-366-9900 MECE ANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Andgar Corporation Address: Address:6920 Salashan Parkway City,State,Zip: City,State,Zip:Ferdale,WA 98248 Phone: Phone:360-366-9900 LIC#: EXP: LIC#:ANDGAC*19102 EXP:07/11/2019 JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015 STORIES: 3 CONST.TYPE: `I-13 DWELLING UNITS: OCC GROUP: R-2 BUILDINGS: 1 OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFU_.TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CER"fI F=4011'CEO:CsCaUleps E ANCY HAS BEEN GRANTED. IBC110/IRC110. SALES T tax rely iing to construction and construction materials in the City of Arlington must be reported on your sales tax return forth and cod City Arlingto 3101. -Hey- 3 1 Signature Print Name Date Released By e Dafe CONDITIONS See Redlined Drawings. Adhere to approved plans. Additional requirements: Assure drain piping exiting all buildings lines up with the site civil placement of the connection points. There is some areas where there are no alternatives for connection.A DVAC is required for each domestic line for each building. A DVAC is required fore each fire system line for each building. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount Total Due: $0.00 Total Payment: $0.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: ' COMMERCIAL PLUMBING ® PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 WHEN is a PLUMBING PERMIT REQUIRED? The City of Arlington requires a plumbing permit before a plumbing system or fixture is installed, altered, or remodeled. This also includes replacement of a Hot Water Tank. The City of Arlington does not require a permit to stop leaks or clear stoppages, unless the piping being repaired is altered or replaced. PLUMBING PLAN REVIEW IS REQUIRED FOR THE FOLLOWING PROJECTS 1. New Commercial Buildings 2. New Multi-Family Buildings 3. Roof Drains and Overflow Systems 4. Tenant Improvements 5. Installation of Medical Gas Systems 6. Installation of Commercial Kitchen's and Deli's 7. Installation of Grease Traps 8. Installation of Grease Interceptors 9. Installation of Sumps 10. Installation of Cross Connection Backflow Devices SUBMIT TWO (2) COPIES OF THE FOLLOWING FOR PLUMBING PLAN REVIEW: ❑ Plumbing plans or drawings. (Minimum plan size is 18" X 24" scale, '/4" scale for details.) ❑ Provide one set of plumbing drawings maximum size 11" X 17" ❑ Size of sanitary and potable water systems. ❑ Location, type and specifications (cut sheets) of proposed fixtures and equipment. ❑ Riser diagram of waste and vent, potable water and rain water systems, including sizes. ❑ Medical gas piping riser diagram indicating type of gas, storage room and size of piping. ❑ Location and type of all back-flow assemblies for each fixture. I hereby certify that I have read and examined this application and know the same to be true and correct and I am authorized to apply for this permit. 6/16LP Page 1 of 3 COMMERCIAL PLUMBING PERMIT APPLICATION I G4 Department of Community&Economic Development City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone (360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS, AND TWO (2) SETS OF FIXTURE SPECIFICATIONS (CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. Type of Permit: New Installation ❑ Addition/Alteration ❑ Industrial Project Address: 20201 77th Ave NE Parcel ID#: Lot#: Subdivision: Project Description: Apartment Buildings #3, #6, #7, #8 Valuation: Owner: WD Arlington Investments LLC Phone Number: Address: 1020 W Casino Rd. City: Everett State: WA Zip Code: 98204 Ryan Kilby 425-750-7926 Contact Person: Phone Number: Cell Phone: E-mail: Address City: State: Zip Code: Contractor: Andgar Corporation Phone Number: 360-366-9900 Cell Phone: Email: corporate@andgar.com Address:6920 Salashan Parkway city: Ferndale state: WA zip Code: 98248 Contractor License Number: ANDGAC*19102 Expiration Date: 7/11/19 Please indicate number of fixtures: Water Closet Floor Sink Sump Hose Bibb Miscellaneous Lavatory Laundry Tub Washer Water Heater Grease Trap Urinal Interceptor Sink Med Gas Drinking Fountain Floor Drain Dishwasher Backflow— a Shower Other 6/16LP Page 2 of 3 COMMERCIAL PLUMBING �Al�N o PERMIT APPLICATION Department of Community&Economic Development City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone (360)403-3551 PROPOSED BUILDING USE El New Commercial Restaurant ❑ Automotive Based Commercial Addition/Alteration ® Office ❑ Machine Shop Industrial Medical ❑ Other: CROSS CONNECTION Please check all appliances that are proposed or are permanently connected to the water supply. Ice Machine Equip.Dialysis Eq p' MFU Air washers ❑ Swimming Fire Sprinkler Pools f—y Coffee ❑ Steam Sprinkler L ! Urn/Espresso Hydrotherapy Equip. ❑ Generators ❑ Hot Tub/Spa �� w/chemicals r Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Aquarium ❑ Lawn Irrigation r Fume Hoods LaboratoryEquip. 1 Pressure Decorative Well on E q p' -! Washers Fountain ❑ property ❑ Degreasers Autoclave/Sterilizers ❑ Cooling Towers ❑ Other: — WASTEWATER DISCHARGE 1. Does the plumbing system currently have a grease interceptor? ❑ Yes ❑ No ❑ Don't Know Date grease trap/interceptor was last cleaned (provide service record): 2. Does the plumbing system currently have an oil/water separator? ❑ Yes [.J No Don't Know 3. Date oil/water separator was last cleaned (provide service record): 4. Is water used in the business process (washing, rinsing, cooling)? ❑ Yes ❑ No Don't Know 5. Does your business require a NPDES permit? Yes No Don't Know I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above-described property will be in accordance with the laws, rules and regulation of the State of Washington. 8/3/17 Applicants Signature Date Eric Van Beek Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received 6/16LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:20227 77th Ave NE,4' W* Permit#:1343 Parcel#:00829100000103 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WD ARLINGTON INVESTMENT LLC Name:Mt Baker Mechanical Name:Andgar Corporation Address: 1020 WEST CASINO RD Address:5160 Industrial Place,Suite 102 Address:6920 Salashan Parkway City,State Zip:EVERETT,WA 98204 City,State Zip:Ferndale,WA 98248 City,State Zip:Ferdale,WA 98248 Phone: Phone:360-384-4800 Phone:360-366-9900 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Andgar Corporation Address: Address:6920 Salashan Parkway City,State,Zip: City,State,Zip:Ferdale,WA 98248 Phone: Phone:360-366-9900 LIC#: EXP: LIC#:ANDGAC*19102 EXP:07/11/2019 JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015 STORIES: 3 CONST.TYPE: V-$ DWELLING UNITS: OCC GROUP: R-2 BUILDINGS: 1 OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIF E F OCCUPANCY HAS BEEN GRANTED. IBCH0/IRC110. ALES T IC IVO ICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and cod City Arlingto 3101. 0'nln¢1 CkJe4,y- 317 Signature Print Name Date Released By Da e CONDITIONS See Redlined Drawings. Adhere to approved plans.Additional requirements:Assure drain piping exiting all buildings lines up with the site civil placement of the connection points. There is some areas where there are no alternatives for connection. A DVAC is required for each domestic line for each building. A DVAC is required fore each fire system line for each building. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount Total Due: $0.00 Total Payment: $0.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Permit Information Date 2/23/2017 Permit Number 1343 Project Name park 77 Applicant Name Mt Baker Mechanical Applicant Address 5160 Industrial Place,Suite 102 City, State,Zip Ferndale,WA 98248 Contact Yancey Constant Phone 360-384-4800 Email yconstant@mbmcinc.com Permit Type Commercial Plumbing Site Address 20227 77th Ave NE,#6 Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 3 Proposed Use Mulit-Family New Installation 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 Phone Email Contractor Type License License# Contact Mt Baker Mechanical Yancey 360-384- PLUMBING Labor& Contractors Inc. Constant 4800 ✓constant@mbmcinacom�CONTRACTOR Industries NITBAKBM922KN Review Date Type Description Target Date Completed Date Assigned To Status :2/23/2017 Commercial Plumbing :3/2/2017 IKevin Olander In Review :2/23/2017 Commercial Plumbing :3/2/2017 Rick Karns In Review 2/23/2017 Commercial Plumbing :3/2/2017 PW Admin Rev In Review 2/23/2017 Commercial Plumbing 3/2/2017 PW-Sew-Rev In Review 2/23/2017 Commercial Plumbing 3/2/2017 PW-Wat-Rev In Review Notes Date Notc 2/23/2017 Plans are available for review in the CED plan review room. 2/23/2017 Building Type-A Uploaded Files Upload File Date File Uploaded B 2/23/2017 1:41:23 PM 11343 AEglication. df IFoster, Kristin 8/3/2017 ANDGAR CORPORATION r� Search L&I I QI CJaims&irst_ir-(m 'l inrxplac3e r Washington State Department of „ Labor & Industries ANDGAR CORPORATION Owner or tradesperson PO BOX 2708 Principals FERNDALE,WA 98248 360-366-9900 VAN LOO,GARY J,PRESIDENT WHATCOM County VanLoo,Bryan Jay,VICE PRESIDENT Smith,Aaron Jay,VICE PRESIDENT Kunzman,Todd Andrew,VICE PRESIDENT MELLEMA,ANDREW,SECRETARY Doing business as ANDGAR CORPORATION WA UBI No. Business type 600 100 192 Corporation Governing persons ANDY MELLEMA GARY VAN LOO; TODD KUNZMAN; AARON SMITH; BRYAN VAN LOO; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. ANDGAC"19102 Effective—expiration 09/22/1981—07/11/2019 Bond Employers Mutual Casualty Co $12,000.00 Bond account no. S416980 Received by L&I Effective date 05/13/2014 07/1112014 Expiration date Until Canceled Bond history Insurance American Guarantee&Liability $1,000,000.00 Policy no. GLA378496003 Received by L&I Effective date ±r )p _i: https://secure.Ini.wa.gov/verify/Detaii.aspx?UBI=600100192&LIC=ANDGAC"19102&SAW= 1/3 8/3/2017 ANDGAR CORPORATION 03/30/2017 04/01/2017 Expiration date 04/01/2018 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations Infraction no. PBATIO1051 Satisfied Issue date RCWM/AC 05/29/2014 18.106.020 Violation city Violation amount FERNDALE $250.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.Plumber trainee, Jared Smith,performed plumbing installation work when not supervised by a journeyman plumber as required,at the above commercial project. Infraction no. PBATI01050 Satisfied Issue date RCW/WAC 05/29/2014 18.106.020 Violation city Violation amount FERNDALE $250.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.Plumber trainee, Matthew Hager,performed plumbing Installation work when not supervised by a journeyman plumber as required,at the above commercial project Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 336,680-00 Doing business as ANDGAR CORPORATION Estimated workers reported Quarter 2 of Year 2017"Greater than 100 Workers" L&I account contact T5/MELISSA VEST(360)902-5613-Email:VESM235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. hftps:/Isecure.Ini.wa.gov/verify/Detail.aspx?UBI=600100192&LIC=ANDGAC*l9102&SAW= 2/3 .�i ,TM .� 8/3/2017 ANDGAR CORPORATION Contractors not allowed to bid No debarments have been issued against contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 05/06/2015 Violations Inspection no. 317936002 Location 4051 Meridian St Bellingham,WA 98226 D Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Help ;�-i I`;f rove https://secure.Ini.wa.govlverify/Detail.aspx?UBI=600100192&LIC=ANDGAC*19102&SAW= 3/3 �``Y '� COMMERCIAL PLUMBING } PERMIT APPLICATION Department of Community&Economic Development City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 - Phone(360)403-3551 WHEN is a PLUMBING PERMIT REQUIRED? The City of Arlington requires a plumbing permit before a plumbing system or fixture is installed, altered, or remodeled. This also includes replacement of a Hot Water Tank. The City of Arlington does not require a permit to stop leaks or clear stoppages, unless the piping being repaired is altered or replaced. PLUMBING PLAN REVIEW IS REQUIRED FOR THE FOLLOWING PROJECTS 1. New Commercial Buildings 2. New Multi-Family Buildings 3. Roof Drains and Overflow Systems 4. Tenant Improvements 5. Installation of Medical Gas Systems 6. Installation of Commercial Kitchen's and Deli's 7. Installation of Grease Traps 8. Installation of Grease Interceptors 9. Installation of Sumps 10. Installation of Cross Connection Backflow Devices SUBMIT TWO (2) COPIES OF THE FOLLOWING FOR PLUMBING PLAN REVIEW: ❑ Plumbing plans or drawings. (Minimum plan size is 18" X 24" scale, 1/" scale for details.) ❑ Provide one set of plumbing drawings maximum size 11" X 17" ❑ Size of sanitary and potable water systems. ❑ Location, type and specifications (cut sheets) of proposed fixtures and equipment. ❑ Riser diagram of waste and vent, potable water and rain water systems, including sizes. ❑ Medical gas piping riser diagram indicating type of gas, storage room and size of piping. ❑ Location and type of all backflow assemblies for each fixture. I hereby certify that I have read and examined this application and know the same to be true and correct and I am authorized to apply for this permit. 6/16LP Page 1 of 3 t ���Y °� COMMERCIAL PLUMBING �? o� PERMIT APPLICATION It G� Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS, AND TWO (2) SETS OF FIXTURE SPECIFICATIONS (CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. Type of Permit: VNew Installation ❑ Addition/Alteration ® Industrial Project Address: 20201 77th Ave NE 1 Parcel ID#: Lot#: Subdivision: Project Description: Apartment Buildings #3, #6, #7, #8 Valuation: Owner: WD Arlington Investments LLC Phone Number: Address: 1020 W Casino Rd. City: Everett State: WA Zip Code: 98204 Ryan Kilby 425-750-7926 Contact Person: Phone Number: Cell Phone: E-mail: Address: City: State: Zip Code: Contractor: Andgar Corporation Phone Number: 360-366-9900 Cell Phone: Email: corporate@andgar.com Address:6920 Salashan Parkway City: Ferndale State: WA Zip Code: 98248 Contractor License Number: ANDGAC*19102 Expiration Date: 7/11/19 Please indicate number of fixtures: Water Closet Floor Sink Sump Hose Bibb Miscellaneous Lavatory Laundry Tub Washer Water Heater Grease Trap Urinal Interceptor Sink Med Gas Drinking Fountain Floor Drain Dishwasher Backflow Shower Other 6/16LP Page 2 of 3 r: y COMMERCIAL PLUMBING PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE•Arlington,WA 98223 - Phone(360)403-3551 PROPOSED BUILDING USE ❑ New Commercial Restaurant ❑ Automotive Based ❑ Commercial Addition/Alteration Office ❑ Machine Shop ❑ Industrial Medical ❑ Other: CROSS CONNECTION Please check all appliances that are proposed or are permanently connected to the water supply. Ice Machine 1:1 Swimming Dialysis Equip. '�� Air washers �L.!� pools ❑ Fire Sprinkler Coffee Steam 1 Sprinkler ❑ Hydrotherapy Equip. �� ..9 Hot Tub/Spa Urn/Espresso Generators - w/chemicals Carbonated Bev. Dental Equip. ❑ Dye Vats Aquarium ® Lawn Irrigation Fume Hoods ❑ Laboratory Equip. _ J Pressure ❑ Decorative ® Well on Washers Fountain property ❑ Degreasers ❑ Autoclave/Sterilizers r :i Cooling Towers Ej Other: WASTEWATER DISCHARGE plumbing Y Y g interceptor? ❑ Yes No ? Don't Know 1. Does the lumbin system current) have a grease interce tor. Date grease trap/interceptor was last cleaned (provide service record): 2. Does the plumbing system currently have an oil/water separator? ❑ Yes ❑ No ❑ Don't Know 3. Date oil/water separator was last cleaned (provide service record): 4. Is water used in the business process (washing, rinsing, cooling)? Yes ❑ No ❑ Don't Know 5. Does your business require a NPDES permit? Yes ❑ No ❑ Don't Know hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-described property will be in accordance with the laws, rules and regulation of the State of Washington. 8/3/17 Applicants Signature Date Eric Van Beek Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received 6/16LP Page 3 of 3 t COMMERCIAL PLUMBING o PERMIT APPLICATION Department of Community S I«oonomlc Development City of Arlington• 18204 59th Ave NE•Arlington, WA 98223• Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS, AND TWO (2) SETS OF FIXTURE SPECIFICATIONS (CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. Type of Permit: M New Installation 0 AdditiorVAlterafiion UJ Industrial Project Address: 2-0 2-7 7 21214 A VS. N�. 64D 6,#` _ Parcel ID Lot M. Subdivision: Project Description: _1JI-mJ APA+2-'reKjtjT 1?>Ulz,D/AIL Valuation: Owner:— Phone Number:_w___,__._ —___ Address: City: State: .Zip Code: Contact Person: \� T4�T ____ ___ Phone Number: �. __ __ Cell Phone: _ 0• z4w. gftl E-mail: Address:- -- -- __ City: State:-. _ Zip Code: Contractor:MT• Fzk1 -&W- Phone Number: 3W-313 y'` 500 Cell Phone: 414 Email: _ /Gc>xiT/�N7'�/�X3h'1G/NG ,GorYl Address:_5](at) INPu51`1Z1?-R- 19Cr`t-C.1. Cily-F-2N Stale: WA Zip Code: g$ly$ Contractor license Number:M7-5 iKflff7 4 2 Z K PY Expiration Date: s�� Please Indicate number of fixtures: Water Closet Sw�. Floor Sink Sump Hose Bibb Miscellaneous Lavatory � w Laundry Tubes Washer „-r`� Water Heater....,:j_.,h Grease Trap Urinal Interceptor Sink .- _L_ , Mod Gas Drinking Fountain Floor Drain Dishwasher _�` � Backflow_.. Shower .. Other 6/16LP Page 2 of 3 .4- �' COMMERCIAL PLUMBING PERMIT APPLICATION VG Department of Community& Economic Development City of Arlington- 18204 59th Ave NE• Arlington, WA 98223 - Phone(360)403-3551 PROPOSED BUILDING USE 0 New Commercial ❑ Restaurant ❑ Automotive Based ❑ Commercial Addition/Alteration ❑ Office ❑ Machine Shop ❑ Industrial ❑ Medical ❑ Other; CROSS CONNECTION Please check all appliances that are proposed or are permanently connected to the water supply. ❑ Ice Machine ❑ Dialysis Equip. ❑ Air washers ❑ Swimming ❑ Fire Sprinkler Pools ❑ Coffee Steam Sprinkler Urn/Espresso ❑ Hydrotherapy Equip, ❑ ❑ Hot7ub/spa ❑ Generators w/chemicals ❑ Carbonated Bev, ❑ Dental Equip. ❑ Dye Vats ❑ Aquarium ❑ Lawn Irrigation ❑ Fume Hoods ❑ Laboratory Equip. ❑ Pressure Decorative well on Washers ❑ fountain ❑ property ❑ Degreasers ❑ Autoclave/Sterilizers ❑ cooling Towers ❑ Other: WASTEWATER DISCHARGE 1. Does the plumbing system currently have a grease Interceptor? ❑ Yes No ❑ Don't Know Date grease trap/interceptor was last cleaned(provide service record): ..__ 2. Does the plumbing system currently have an oil/water separator? ❑ Yes No ❑ Don't Know 3. Date oil/water separator was last cleaned(provide service record): 4. Is water used in the business process(washing, rinsing,cooling)? ❑ Yes E No ❑ Don't Know S. Does your business require a NPDES permit? ❑ Yes M No ❑ Don't Know 1 hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-described property 'II t in accordance with the laws, rules and regulation of the State of Washington. Applicants Signature Yale �0y 4�y l N>r-jW% - Print Applicants Name FOR STAFF USE ONLY Received f Permit ��_- _ _- EPR 9, 3 2 n 17 &PIt Amount Received Receipt# Date Recelveci 6/16LP Page 3 of 3 „ _ .. 1� � � 6/9/2017 MT BAKER MECH CONTRACTORS INC Z I11d,x 11F:!p My I Lrl Safety&He'aith Claims&Insurance Workplace nights Trades& Licensing Washington State Department of " Labor & Industries MT BAKER MECH CONTRACTORS INC Owner or tradesperson 5160 Industrial PI,Ste 102 Principals FERNDALE,WA 98248-7819 360-384-4800 CONSTANT,YANCEY EDWARD,PRESIDENT WHATCOM County HOLTROP,JOSEPH ALBERT,VICE PRESIDENT LAW OFFICES OF GENE R MOSES PS,AGENT Doing business as MT BAKER MECH CONTRACTORS INC WA UBI No. Business type 602 831 793 Corporation Governing persons JOSEPH A HOLTROP YANCEY E CONSTANT: License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. MTBAKBM922KN Effective—expiration 05115/2008—04/23/2018 Bond CBIC $12,000.00 Bond account no. SH8705 Received by L&I Effective date 05/15/2008 05/14/2008 Expiration date Until Canceled Insurance Ohio Security Ins Co $1,000,000.00 Policy no. BKS54751101 Received by L&I Effective date 05/03/2017 05/14/2017 Expiration date 05/14/2018 Help us improve https://secure.ini.wa.gov/verify/Detaii.aspx?UBI=602831793&LIC=MTBAKBM922KN&SAW= 1/2 6/9/2017 MT BAKER MECH CONTRACTORS INC Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations Infraction no. PBATIO1237 Satisfied Issue date RCW/WAC 10/13/2016 18.106.020 Violation city Violation amount BELLINGHAM $500.00 Type of violation PLUMBER INFRACTION Description Improper supervision while engaged in the trade of plumbing.Company had two trainees,one residential plumber and two journey level plumbers working on a four story building.The proper supervision would be three Journey level plumbers required. Infraction no. PBUJD00567 Satisfied Issue date RCW/WAC 01/13/2016 18.106.020 Violation city Violation amount BELLINGHAM $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required. Mt Baker Mechanical employed Jose Rodriguez to install plumbing trim without a valid plumber certification. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 157,671-00 Doing business as MT BAKER MECHANICAL CONTRACTO Estimated workers reported Quarter 1 of Year 2017"11 to 20 Workers" L&I account contact Employer Services Help Line—360-902-4817 Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. ©Washington Stale Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Help Us improve https://secure.ini.wa.govtverify/Detail.aspx?UBI=602831793&LIC=MTBAKBM922KN&SAW= 212 �r Date: 04/06/2026 Permit#: 1343 Perm Date: 02/23/2017 Review Date: 02/23/2017 Perm Type: COMM IRCIAL PLUMBING Review Type: COMM 1RCIAL PLUMBING Target Date: 03/02/2017 Scheduled Time 00:00 Com pleted Date: 03/06/2017 Description: approved with red lines. Review Status: Assigned To: z.Rick Karns Tim eln: 00:00 Time O it: 00:00 H curs: 0.0 Property Information PDrcel#: 00829100000103 W ARLINGTON INVESTMENT LLC WDARLINGTON INVESTMENT LLC 1 020 WEST CASINO RD 20227 77th Avenue NE E VERETT,WA98204 Zoning: 910 Undeveloped (Vacant) LandLot: Block: jari@william anvest.com Date: 04/06/2026 Permit#: 1343 Perm I Date: 02/23/2017 Review Date: 02/23/2017 Perm Type: COMM IRCIAL PLUMBING Review Type: COMM aCIAL PLUMBING Target Date: 03/02/2017 Scheduled 00:00 Tim e Com pleted 02/24/2017 Date: Description: Assure building drains are located to exit the building to connect to the sewer line as designed on the site civil. FR Review Status: Assigned To: PW-SEW REV Tim eIn: 00:00 Time O tt: 00:00 H aurs: 0.0 Property Information PUrcel#: 00829100000103 W ARLINGTON INVESTMENT LLC WDARLINGTON INVESTMENT LLC 1 020 WEST CASINO RD 20227 77th Avenue NE E VERETT, WA98204 Zoning: 910 Undeveloped (Vacant) LandLot: Block: jari@williamsnvest.com Date: 04/06/2026 Permit#: 1343 Permit Date: 02/23/2017 Review Date: 02/23/2017 Perm it Type: COMMIRCIAL PLUMBING Review Type: COMM IRCIAL PLUMBING Target Date: 03/02/2017 Scheduled 00:00 Tim e Com pleted 02/27/2017 Date: Description: A DCVA for dom cstic is required for each of building and a additional DCVA for each of the building for the fire system is required Also. Gus Review Status: Assigned To: PW WAT-REV Tim eIn: 00:00 Time O tt: 00:00 H aars: 0.0 Property Information PUrcel#: 00829100000103 W ARLINGTON INVESTMENT LLC WDARLINGTON INVESTMENT LLC 1 020 WEST CASINO RD 20227 77th Avenue NE E VERETT, WA98204 Zoning: 910 Undeveloped (Vacant) LandLot: Block: jari@williamsnvest.com Permit#: 1343 Permit Date: 02/23/17 Permit Type: COMM HZCIAL PLUMBING Project Nam e park 77 Applicant Nam a M t Baker Mechanical Applicant Address: 5160 Industrial Place, Suite 102 Applicant, City, State, Zip: Ferndale, WA98248 Contact: Yancey Constant Phone: 360-384-4800 Em al: yconstant@mlxn dnc.com Scope of Work: Mi lit-Faro iy New Installation Valuation: 0.00 Square Feet: 0 Num ber of Stories: 3 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 08/03/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wrier Nam e Caner 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# Andgar Mechanical Dale Vanrooyen 3 60-366-9900 6920 Salashan MECHANICAL COA 604 255 353 LLC Parkway CONTRACTOR Andgar Mechanical Dale Vanrooyen 3 60-366-9900 6920 Salashan MECHANICAL Labor& ANDGAML825N3 LLC Parkway CONTRACTOR Industries MtBaker Mechanical Yancey Constant 3 60-384-4800 5160 Industrial PLUMBING Labor&MTBAKBM922KN Contractors Inc. Place,Suite 102 CONTRACTOR Industries Plan Reviews Date R eview Type D escription A ssigned To R eview Status 02/23/2017 COMMIRCIAL BUILDING PLUMBING 02/23/2017 COMMIRCIAL approved with red lines. z .Rick Karns PLUMBING 02/23/2017 COMMIRCIAL No com m ets,LT P W ADMIN-GIS PLUMBING COMMIRCIAL Assure building drains are located to exit the building to 02/23/2017 PLUMBING connect to the sewer line as designed on the site civil.FR PW�EW REV COMMIRCIAL A DCVA for dom a tic is required for each of building and 02/23/2017 a additional DCVA for each of the building for the fire PW WAT-REV PLUMBING system is required Also.Gus Attached Letters Date Letter D escription 06/09/2017 Building Perm i Notes Date Note C reated By: 09/01/2017 Bldg.#6 Kristin Foster 02/23/2017 Plans are available for review in the CED plan review room. Ifistin Foster 02/23/2017 Building Type-A K ristin Foster Uploaded Files Date File Nam e 08/03/2017 2501087-1343 Revised Application.pdf 08/03/2017 2501088-1343 Issued Permt.pdf 02/23/2017 2121178-1343 Application.pdf I II I1 , 11 I I =0 O F, y A z 0 ui To � -L . + c z oc c m z o m m m Jnc L < A O m m A Z O O Jc F zZ§ Fj A -i!A'1 lA•1 a rri Yz C� Zm �m cNco S i "� Q "5 z S S 'zg o g g z K"Z— A A A g �zgy N `n M m O y D D A A F m p AF a A V D A W N>Z OZsy m y - GG Av zr7.c r�-2 H. o . 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