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HomeMy WebLinkAbout20227 77th Avenue NE_BLD1347_2026 COMMERCIAL PLUMBING PERMIT APPLICATION 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: E] New Installation ® Addition/Alteration Uj Industrial Project Address: ZD 22`1 117 N A df- f!^D(n Parcel ID#: . Lot It: Subdivision: Project Description: A LA9--f 0AJN r P>u►z.p[&1 k --Valuation'. Owner: Phone Number:___.____ Address: �./.., City: State: Zip Code: Contact Person: inN1_ _�f�►S�[ Phone Number:_ Cell Phone: . ZA10. *Z) E-mail: Address: City: State:_ - Zip Code: Contractor: MI'. B141Gf_W2 Phone Number: 3W-,%D`!'4'B a 0 Cell Phone: 2,02 - 2911 - L{4�1 Email:�YG�NS TqN 7"��►'1 BrY1G/^JG -GaM Address: 51(019 /NDu0T1L14-t_ City:n-e1JP4t,4- Stater— zip Coda: gf 2qb Contractor License Number:l'hTBRKf$m 9 z z K N Expiration Date: 5-115-Lzo 15 Please Indicate number of fixtures: Water Closet _1 5 ... Floor Sink T Sump Hose Bibb Miscellaneous Lavatory 15 Laundry Tub. Washer � Water Heater_,61 Grease Trap , Urinal Interceptor Sink _,,...I.__... Mod Gas Drinking Fountain,„ Floor Drain Dishwasher Backflow Shower �� Other , , 6/16LP Page 2 of 3 COMMERCIAL PLUMBING PERMIT APPLICATION j�N Department of Community&Economic Development City of Arlington• 18204 59th Ave NE•Arlington, WA 98223 • Phone (360) 403-3551 PROPOSED.BUILDING USE New commercial 0 Restaurant Automotive Based 0 Commercial Addition/Alteration 0 Office 0 Machine Shop 0 Industrial [1 Medical 0 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 Hydrotherapy Equip, ® Hat Tub/Spa Urn/Espresso Generators wJchemicals Carbonated Bev. ® Dental Equip. [3 Dye Vats Aquarium Q Lawn irrigation ® Fume Hoods 11 Laboratory Equip_ Pressure ❑ Decorative ci Well on Washers Fountain property ® Degreasers ® Autoclave/Sterilizers ® Cooling Towers 0 Other: WASTEWATER DISCHARGE nn 1. Does the plumbing system currently have a grease Interceptor? [3 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? 0 Yes No ® Don't Know 3. Date oil/water separator was last cleaned(provide service record): _ n 4. Is water used in the business process(washing,rinsing,cooling)? ❑ Yes No LJ Don't Know 5, Does your business require a NPDI_S permit? 0 Yes No Cl 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 -_--- Print Appiicants Name FOR STAFF USE OILY �— Received Permit# c P Amount Received--- Receipt# Date alv�d° 6/16LP Page 3 of 3 r . CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 _ PHONE; (360)403-3551 BUILDING PERMIT Address:20227 77th Ave NE,917 Permit#:1347 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:Ferndale,WA 98248 City,State Zip:Femdale,WA 98248 Phone: Phone:360-348-4800 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:5160 Industrial Place,Suite 102 Phone: Phone:360-384-4800 LIC#: EXP: LIC#:MTBAKBM922KN EXP:04/23/2018 JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015 STORIES: 2 CONST.TYPE: DWELLING UNITS: OCC GROUP: 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 CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCI10. ALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City ngton#3101. 4 Z NSTo1'N i 3 t � �:� � � ��`1,7 S' nature I 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:20227 77th Ave NE,#17 Permit#:1347 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:360-348-4800 Phone:360-384-4800 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Mt Baker Mechanical Contractors Inc. Address: Address:5160Industrial Place,Suite 102 City,State,Zip: City,State,Zip:5160Industrial Place,Suite 102 Phone: Phone:360-384-4800 LIC#: EXP: LIC#:MTBAKBM922KN EXP:04/23/2018 JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015 STORIES: 2 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 OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110. SALES TAX NOTI 'E:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City t3ngton#3101. its/ N ST�r�►i 3 t :f 2 ` S' nature 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 Permit Information Date 2/23/2017 Permit Number 1347 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 360-348-4800 Email yconstant@mbmcinc.com Permit Type Commercial Plumbing Site Address 20227 77th Ave NE,#17 Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 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@mbmcinc.com,CONTRACTOR Industries IVITBAKBM922KN Review Date Type Description Target Date Completed Date Assigned To Status 2/23/2017 Commercial Plumbing 3/2/2017 Kevin 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 On Review Notes Date Note 2/23/2017 Plans are available for review in the CED plan review room Uploaded Files Upload File Date Fite Uploaded B 2/23/2017 3.59:44 PM 11 7 Aggliggti2nof IFoster, Kristin y COMMERCIAL PLUMBING �.� PERMIT APPLICATION 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) BETS 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 [J Addition/Alteration ® Industrial Project Address: Zb22��T—'4 Ad£. ML BE-D(m* 17 - Parcel ID#: Lot#: Subdivision: Project Description: A eA! rM a4 r F�U1L D�AI _ Valuation Owner: Phone Number: Address: ,,✓ City* State:__r____._Zip Code: Contact Person: LC; �_ Phone Number: Cell Phone:--- 7 . Vita. 4421 E-mail: Address: _ -. City:_ State: Zip Code: Contractor:"I f. Ft614f_Q. i'N4_G1fr4Ni cr4-c. Phone Number. �fi0-3 S` '` b o 0 Cell Phone: 3(00 -29( `f`127 Email:_`/GonlST /4N 7''1M8n1C_/NG .C-o v1 Address: 5_16o,0 /N Du 5TrQ 4.(_ PCo (A City-nanrP,94t -L Stater— Zip Code: 9g220' suirL Ia2. Contractor License Number:M7796KOff?12 Z/e tY Expiration Date: 5_1 SLZdh l f� Please Indicate number of fixtures: Water Closet Floor Sink _ Sump Hose Bibb Miscellaneous Lavatory .,.��. .. Laundry Tub,.....-., Washer ^_3_. WaterHeater_..tf Grease Trap Urinal _._. Interceptor Sink Mod Gas _- Drinking Fountain.,._Z-...._. Floor Drain ,y._. Dishwasher _...3 Backflow,.,,, Shower ,;� Other 6/16LP Page 2 of 3 �.�i. ��• F � � . �� •:,. COMMERCIAL PLUMBING 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 r� New Commercial ❑ Restaurant 0 Automotive Based Commercial Addition/Alteration ft+3 Office ❑ Machine Shop Industrial 0 Medical ❑ Other-, CROSS CONNECTION Please check all appliances than are proposed or are permanently connected to the water supply. fee Machine ❑ Dialysis Equip. ® Air washers ® Swlmmfng ❑ Fire Sprinkler Pools ® Coffee Hydrotherapy Equip, Stearn ® Sprinkler Urn/Espresso p' Generators ® Hot Tub/Spa w/chemicals ❑ Carbonated Bev. ❑ Dental Equip. oye vats ❑ Aquarium Lawn irrigation Fume Hoods Laboratory Equip. 0 Pressure ® Decorative r—y Well on Washers Fountain L•i property Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers Other: WASTEWATER DISCHARGE 1. Does the plumbing system currently have a grease interceptor? u Yes 10 No ❑ Don't Know Date grease trap/Interceptor was last cleaned(provide service record): 2. Does the plumbing system currently have an all/water separator? ❑ Yes No ❑ Don't Knout 3. Date oil/water separator was last cleaned(provide service record): --�� 4. Is water used in the business process(washing,rinsing,cooling)? 1:1 Yes 1 No ❑ Don't Know S. Does your business require a NPDES permit? ❑ Yes a No ❑ Don't Know I hereby certify that the above information is correct and that tha oonstruction on,and the occupancy and the use of the above-described properly will be�ip a orcianco with the laws,rules and regulation of the State of Washington. 2 Applicants Signature D to Print Applicants Name FOR STAFF USE OM-Y tleceivOd �_ FEB 2 2 2017 _ Permits► ed y Amount Received~� Heoeipt# Date received 6/16LP Page 3 of 3 ;, 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 ❑ Date: 04/06/2026 Permit#: 1347 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#: 1347 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#: 1347 Permit Date: 02/23/2017 Review Date: 02/23/2017 Permit Type: COMM IRCIAL 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 on the dom cstic service is required for of building also a RPBA m tst be installed on the cold water supply for the pool.An 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 curs: 0.0 Property Information F9rcel#: 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@williamgnvest.com Permit#: 1347 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: 360-348-4800 Em al: yconstant@mlxn dnc.com Scope of Work: Mi lit-Fam iy New Installation Valuation: 0.00 Square Feet: 0 Num ber of Stories: 0 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 07/03/2017 C20.BUILDING Approved FINAL 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 A DCVA on the dom e;tic service is required for of 02/23/2017 COMMIRCIAL building also a RPBA m tEt be installed on the cold water PW WAT.-REV PLUMBING supply for the pool.An additional DCVA for each of the building for the fire system is required Also.Gus Attached Letters Date Letter D escription 02/28/2017 Building Perm i Notes Date Note C reated By: 09/01/2017 Bldg.#17 Kristin Foster 02/23/2017 Plans are available for review in the CED plan review room. 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