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HomeMy WebLinkAbout20227 77th Avenue NE_BLD1345_2026 COMMERCIAL PLUMBING PERMIT APPLICATION Department of Community& Economic Development City of Arlington- 18204 59th Ave NE -Arlington, WA 98223- Phone(350) 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 4-1 AdditionfAiteration EJ Industrial Project Address: Zb 2271 11"14 A y y- N 64D 6,# `� Parcel ID#: .-�.-------------------------- Lot M. Subdivision: Project Description: Iy4 A Q�+a T►M4�T P�I�I D/A�(� Vatuation: __ _ _ _ Owner: Phone Number:_. Address: City:----State. Zip Code, Contact Person:�� Phone Number:__ Cell Phone: Z,4.oO• ?AW• 14421 E-mail: Address:_ __. City: State:, Zip Code: Contractor: M`I". $144S 2 YYlSL41r41�11��4-c Phone Number: 3Lp-Xt y,Iba D Cell Phone: �isD -2`l� ' +1 Email: _'A ON S T`/4N 7'a/Y)13r C Me- -60*1 Address: J t 60 /N Du STrLl"- PL-Lf, City-FiQuP4f-5-- State: W k) Zip Code: 246 $uirt. ►a2. - Contractor License Number: M7-8#9J<& ) It z Z K N Expiration Date: S/I�LZn tg Please Indicate number of fixtures: Water Closet .?-». Floor Sink Sump Hose Bibb Miscellaneous Lavatory LaundryTub. Washer Water Heater. I Z Grease Trap Urinal Interceptor Sink 2. Med Gas Drinking Fountain Floor Drain Dishwasher _ J7!�7_ Backtiow Shower Other 6116LP Page 2 of 3 V COMMERCIAL PLUMBING PERMIT APPLICATION Department of Community&Economic Development City of Arlington• 18204 59th.Ave NE•Arlington,WA 96223 • Phone (360)403-3551 PROPOSED BUILDING USE 0 New commercial ❑ Restaurant ❑ Automotive Based ❑ Commercial Addition/Alteration C3 Office ❑ Machine Shop ® Industrial ❑ Medical 1.3 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 Foots ® Coffee Hydrotherapy Equip, Stearn ❑ Sprinkler urri/Espresso ❑ p' ❑ Generators ❑ Hotfiub/spa w/chemicals ❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Aquarium ® Lawn Irrigation ❑ Fume Hoods ® Laboratory Equip. ® Pressure n Decorative g� Well on Washers LJ Fountain 13 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). ._�� _ Z. Does the plumbing system currently have an oil/water separator? ul 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 S. Does your business require a NPDES permit? ❑ Yes No ❑ Don't Know I hereby certify that fie above information is correct and that the construction on, and the occupancy and the use of the above-described property will ba i accordance with the laws,rules and regulation of the State of Washington. A pllCanls Signature �" /Jo_-- ��--�— t3we �Wef -.-,9Al2jqyr Print Applicants Name FORSTAFF USEON Y Received FF , 9, 2 2017 Permit# c Amount Recaived Receipt# Date Received 6/16LP Page 3 of 3 CITY OF ARLINGTON e 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:20227 77th Ave NE,#9 Permit#:1345 Parcel#:00829100000103 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WD ARLINGTON INVESTMENT LLC Name:Mt Baker Mechanical Name:Mt Baker Mechanical Contractors Inc. Address: 1020 WEST CASINO RD Address:5160 Industrial Place,Suite 102 Address:5160 Industrial Place,Suite 102 City,State Zip:EVERETT,WA 98204 City,State Zip:Femdale,WA 98248 City,State Zip:Femdale,WA 98248 Phone: Phone:360-384-4800 Phone:360-384-4800 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Mt Baker Mechanical Contractors Inc. Address: Address:5160 Industrial Place,Suite 102 City,State,Zip: City,State,Zip:Ferndale,WA 98248 Phone: Phone:360-3844800 LIC#: EXP: LIC#:MTBAKBM922KN EXP:04/23/2018 JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015 STORIES: 3 CONST.TYPE: `I-B DWELLING UNITS: 12 OCC GROUP: R-2 BUILDINGS: I 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 CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of I n must be reported on your sales tax return form and co Ci ington#3101. ►gnature Print Name Date Released By Date CONDITIONS See red lined drawings.Adhere to approved plans. Additional requirements: Building drains are to be located to exit the building to connect to the sewer line as designed on the site civil plans; a DCVA for domestic supply is required for each building; a DCVA for each fire system supply is required 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: CITY OF ARLINGTON % 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:20227 771h Ave NE,#9 FAV"IP Permit#:1345 Parcel#:00829100000103 �����VV`"'�� Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WD ARLINGTON INVESTMENT LLC Name:Mt Baker Mechanical Name:Mt Baker Mechanical Contractors Inc. Address: 1020 WEST CASINO RD Address:5160 Industrial Place,Suite 102 Address:5160 Industrial Place,Suite 102 City,State Zip:EVERETT,WA 98204 City,State Zip:Ferndale,WA 98248 City,State Zip:Ferndale,WA 98248 Phone: Phone:360-384-4800 Phone:360-384-4800 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Mt Baker Mechanical Contractors Inc. Address: Address:5160 Industrial Place,Suite 102 City,State,Zip: City,State,Zip:Femdale,WA 98248 Phone: Phone:360-384-4800 LIC#: EXP: LIC#:MTBAKBM922KN EXP:04/23/2018 JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015 STORIES: 3 CONST.TYPE: `I-B DWELLING UNITS: 12 OCC GROUP: R-2 BUILDINGS: I 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 RC W 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 CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City or ling n must be reported on your sales tax return form and C Ci ington#3101, r ignature Print Name Date Released By Date CONDITIONS See red lined drawings. Adhere to approved plans. Additional requirements: Building drains are to be located to exit the building to connect to the sewer line as designed on the site civil plans; a DCVA for domestic supply is required for each building; a DCVA for each fire system supply is required 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 1 Permit Information Date 2/23/2017 Permit Number 1345 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,#9 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 10t Baker Mechanical Yancey 360-384- PLUMBING Labor& Contractors Inc. constant 4800 Vonstant@mbmcinc.co CONTRACTOR Industries 11ATBAKBM922KN Review Date Type Description Tar et Date Completed Date Assigned To Status /23/2017 Commercial Plumbing /2/2017 (Kevin Olander In Review /23/2017 commercial Plumbing 3/2/2017 (Rick Karns In Review /23/2017 commercial Plumbing 3/2/2017 IPW Admin Rev In Review /23/2017 Commercial Plumbing 3/2/2017 PW-Sew-Rev In Review 2/23/2017 Commercial Plumbing 3/2/2017 IPW-Wat-Rev In Review Notes Date Note 2/23/2017 Plans are available for review in the CED plan review room. 2/23/2017 Building Type-B Uploaded Files Upload File Date File Uploaded B 2/23/2017 3:28:49 PM 11345 A Iication. df IFoster,Kristin V COMMERCIAL PLUMBING PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 58th Ave NE•Arlington,WA 98223 • Phone(360) 403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2) BETS 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 [� Addition/Alteration 0 Industrial Project Address: 2-07-70 771�1-4 Ali- N 6L.D6,#` cl ___ Parcel ID#: .._....___�_------.___ Lot#: Subdivision: Project Description: heAitTM1,Nr gam! lz_pZ&1 Owner: Phone Number:_..._.__._____._ Address: City, State: Zip Code: Contact Person: �� Phone Number: __ ^ Cell Phone: Z • ��• y`tZ'1 E-mail: Address: _. City: State:- Zip Code: Contractor:M T • R61-41 i2. Phone Number: 3(4-38 H-` b0 t) Cell Phone:�3,0o - 10 L121"1 Email:_yGDN S T`�4N 7 eV AJ 8MC_1A1 G , G044 Address: 516010 1NDu5T:7.L4.,C-- PWC City RRNA-t-•L Stater_ Zip Code: 9g2y� Su,rt. joz. Contractor License Number:MT,[3H1<&Y7 9 2 Z K N Expiration Date: .5�13�Zd -- Please Indicate number of fixtures: Water Closet .wZ,�. Floor Sink Sump Hose Bibb Miscellaneous Lavatory . Laundry Tube, Washer Water Heater.,,,lwZ ... Grease"trap Urinal Interceptor Sink u l?", Med Gas Drinking Fountain Floor Drain , Dishwasher -.1!f7 ,K Backfiow •,� Shower _7-.� .,,_, Other 6/16LP Page 2 of 3 .��. � :_ � . fgr • .. . ��. 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 [3Automotive Based ��3 ❑ Commercial Addition/Alteration 1. Office ❑ Machine Shop ❑ Industrial ❑ Medical ❑ Other, CROSS CONNECTION Please check all appliances that are proposed or are permanently connected to the water supply. ❑ Ice Machlne ❑ Olalysis Equip. ❑ Air washers ❑ swlr frig ❑ tare Sprinkler Pools ❑ Coffee �y Stearn ❑ Um/Espresso I...i Hydrotherapy Equip, ® Generators ❑ HotTub/Spa chemi/wchemicals ❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Aquarium ❑ Lawn Irrigation ❑ Fume Hoods ❑ Laboratory Equip. ® Pressure � Decorative o Well on Washers Fountain LJ property ❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers ❑ Other: WASTEWATER DISCHARGE 1. Does the plumbing system currently have a grease Interceptor? ❑ Yes 0 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 0 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 Pf No ❑ Don't Know 5. Does your business require a NPDES permit? ❑ Yes 14 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 it accordance with the laws,rules and regulation of the State of Washington, - 1(i A plicants Signature to —IrA--N4fq 4�042Tgy7- Print Applicants Name FOR STAFF USE ONLY Received Permit AU) Amount ReCetv9d Receipt# DateiReceived U r' 6/16LP Page 3 of 3 �y P a, Affordable Washington Backflow Testing BACKFLOW PREVENTION ASSEMBLY TEST REPORT (360)863-3784 WATER PURVEYOR Arlington ACCOUNT# ASSEMBLY ID/FILE#/UTILITY DEVICE# Meter# NAME OF PREMISE Park 77 Commercial ❑ Residential (] SERVICE ADDRESS 20201 77th Ave NE Arlington ZIP 98223 CONTACT PERSON Yancy Constant PHONE (360)384-4800 LOCATION OF ASSEMBLY_ Bldg D Right Side Fire Room DOWNSTREAM PROCESS Domestic DCVA ❑ RPBA 0 PVBA ❑ OTHER NEW INSTALL 0 EXISTING ❑ REPLACEMENT ❑ REMOVED ❑ OLD SER.# APPROVED ASSEMBLY? YES ❑d NO ❑ PROPER INSTALLATION?YES ❑� NO ❑ MAKE OF ASSEMBLY Conbraco/Apollo MODEL RPI.I�4A SERIAL NO. 18 16112 SIZE 21 INITIAL DCVA/RPBA DCVA/RPBA RPBA PVBA/SVBA TEST CHECK VALVE NO.1 CHECK VALVE NO.2 AIR INLET OPENED AT 2.2 PSID CLOSED TIGHT CLOSED TIGHT V OPENED AT PSID PASSED W LEAKED ❑ LEAKED ❑ #1 CHECK 7.7 PSID FAILED ❑ TIGHT PSID TIGHT PSID AIR GAP OK? yes DID NOT OPEN ❑� CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW ❑ ❑ ❑ ❑ HELD AT PSID PARTS ❑ ❑ ❑ ❑ LEAKED ❑ AND L ❑ ❑ ❑ ❑ ❑ ❑ ❑ El ❑ ❑ CLEANED ElREPAIRS REPAIRED ❑ TEST AFTER CLOSED TIGHT ❑ CLOSED TIGHT ❑ RV EXERCISED ❑ AIR INLET PSID REPAIRS LEAKED El LEAKED El 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#1: Open ❑d Closed ❑ SOV#2: Open ❑d Closed ❑ REMARKS: LINE PRESSURE 75 PSI CONFINED SPACE? No TESTERS SIGNATURE: / e x, CERT.NO. B6450 DATE 10/27/2017 TESTERS NAME PRINTED Jeff Hansen TESTERS PHONE# (360)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 ❑� NO ❑ Date: 04/06/2026 Permit#: 1345 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: 02/27/2017 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#: 1345 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#: 1345 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#: 1345 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: 03/01/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wner 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# MtBaker Mechanical 5160 Industrial PLUMBING Labor&MTBAKBM922KN Contractors Inc. Yancey Constant 3 60 384-4800 Place,Suite 102 CONTRACTOR Industries Inspections Date I nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus 07/27/2017 C04.PLUMBING 07/26/2017 B UILDING A pproved GROUNDWORK 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 02/28/2017 Building Perm 1 Notes Date Note C reated By: 09/01/2017 Bldg.#9 Kristin Foster 02/23/2017 Building Type-B K ristin Foster 02/23/2017 Plans are available for review in the CED plan review room. 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