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Home My WebLink About3525 168TH ST NE_BLD1425_2026 u08(; YCOMMERCIAL REMODEL 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 PLANS, TWO(2)SETS OF SPECIFICATIONS, TWO(2)SETS OF STRUCTURAL CALCULATIONS, ONE(1)SETS OF NREC ENERGY CODE APPLICATIONS AND ONE(1) OCCUPANTS'S STATEMENT OF INTENDED USE. Type of Permit: Commercial Remodel ( ) Commercial Addition ( ) Tenant Improvement Project Address: tarn"` IV F- Parcel ID#: Project Description- C"A nn Legal Description: Project Valuation: �SV Owner: Vl A V Phone Number: 70(oD (p3 —C/'l 2 Address: P.O. 6O ( '' ++ ,, City: CA"K LULL/ State: \• A Zip Code: 2� Contact Person: J COe K t ,P E-#'� WI S Phone ber: Cell Phone: �10U' Q�11�� 2 E-mail: ad0.t��' [104 wta�l.&ejw Address: City: State: Zip Code: Z �/ Contractor: /� I! �,, Phone Number: (10—� Address: V - ()` f2� v 1 City: �`� � State: /� Zip Code Contractor's License Number: Expiration: Plumbing Contractor: i� Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: Mechanical Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: REV 2015 Page 6 of 7 C��Y �� COMMERCIAL REMODEL 7�l�NG'Co PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551 Project Name/Tenant Site Address 313 Z S 1 (Dq) �r Bldg./Unit/Suite IBC Construction Type IBC Occupancy Type Description of Use <:�O( (0 yl Building Square Footage ( ( OD Number of Stories Square Footage per Floor Will there be any installation, modification or removal of the following? (Check all that apply) ❑ Automatic fire extinguishing systems ❑ Compressed gas systems ❑ Fire alarm and detection systems ❑ Fire pumps ❑ Flammable and combustible liquids(tanks, piping etc...) ❑ Hazardous materials ❑ High piled/rack storage ❑ Industrial ovens/furnace ❑ Private fire hydrants ❑ Spraying or dipping operations ❑ Standpipe systems ❑ Temporary membrane structure,tents(>200sq ft)or canopies(>400 sq ft) Provide details on any of the above checked items: Installation,changes,modifications or removal of any of the above may require additional submittals,information,or permits during the plan review or construction process. 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 i ccordance the laws, rules and regulation of the State of Washington. Applicants gnature � V 1J UnU LO Print Applicants Name Date FOR STAFF USE ONLY Received APR T 7 2017 Permit# Accepted By Amount Received Receipt# Date Received REV 2015 Page 7 of 7 - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Fa�d I Psi r�i1� I ` - ------------------ ---- - I 's I I II�� l ----- ------------------- ---------- ----; I I �,�,� d�,u✓ ,C�- I I � I � 1�rFa'�u6A� � ,a� o f , t01, t M #,A _ f I I � H Qxts W1 in J I rs P�""' `� -- -'� ------- ------------------- 3'-1IB" V-3' 3'-lIA" I O IL NRDUL WJ OIII R W4 _ I p Received FLOOR PLAN I x Or."LW . ►. APR ,17J017, I - - -•-- - - - - - - - - - - - - CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 \ , PHONE; (360)403-3551 BUILDING PERMIT Address:3525 168th Street NE Permit#:1425 Parcel#:31052800202800 Valuation:2500.00 OWNER APPLICANT CONTRACTOR Name:JENNIFER HELMS Name:Jennifer Helms Name:Jeff Helms Address:PO BOX 807 Address:3525 168th Street NE Address:3525 168th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-631-9712 Phone:360-333-8971 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 Alteration CODE YEAR: 2015 STORIES: 1 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/IRC110. SALE' X NOTICE:Sales tax relating to construction and construction materials in the City o on must be reported on your sales tax return form and c ded C o Arl' gto #3101. I f7 i' . C V1 V1 ��t; OASq I 21 - S gnature Print Name Date Releged By Date CONDITIONS All construction is to be site verified. See red lined drawings. 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 4/20/2017 Building Permit Fee $116.96 4/20/2017 Building Plan Review Fee $76.02 4/20/2017 Processing/Technology Fee $25.00 4/20/2017 State Building Code Surcharge Fee $4.50 Total Due: $222.48 Total Payment: $76.02 Balance Due: $146.46 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:3525 168th Street NE Permit#:1425 Parcel#:31052800202800 Valuation:2500.00 OWNER APPLICANT CONTRACTOR Name:JENNIFER HELMS Name:Jennifer Helms Name:Jeff Helms Address:PO BOX 807 Address:3525 168th Street NE Address:3525 168th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-631-9712 Phone:360-333-8971 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 Alteration CODE YEAR: 2015 STORIES: I 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/IRC110. SALE X NOTICE:Sales tax relating to construction and construction materials in the ty of-Aritington must be reported on your sales tax return form and c ed C o Arl'igto #3101. JCH S,nature Print Name Date Rel ced By Date CONDITIONS All construction is to be site verified. See red lined drawings. 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 4/20/2017 Building Permit Fee $116.96 4/20/2017 Building Plan Review Fee $76.02 4/20/2017 Processing/Technology Fee $25.00 4/20/2017 State Building Code Surcharge Fee $4.50 Total Due: $222.48 Total Payment: $76.02 Balance Due: $146.46 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 4/17/2017 Permit Number 1425 Project Name Sugar Pine Salon and Spa Applicant Name Jennifer Helms Applicant Address 3525 168th Street NE City, State,Zip Arlington,WA 98223 Contact Jennifer Helms Phone 360-631-9712 Email pabadam@hotmail.com Permit Type Commercial Alteration Site Address 3525 168th Street NE Valuation 2500.00 Status Applied Permit Issued Permit Expires Square Feet 1100 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use Salan and Spa Assigned To Kristin Foster Property Information Owner Information Parcel#:31052800202800 JENNIFER HELMS JENNIFER HELMS PO BOX 807 3525 168TH ST NE ARLINGTON,WA 98223 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Jeff Helms Jeff Helms 360-333-8971 pabadam- hotmail.com 7WNER Review Date Type Description Target Date Completed Date Assigned To Status 4/19/2017 JIBLD 4/26/2017 Rick Karns 111n Review Fees Fee Description Notes Amount Building Plan Review Feel 345.83.00.00 $76.02 Total $76.02 Payments Date Paid By Amount Description Payment Type Accepted B 4/17/2017 Pennifer Helms $76.02 4314420 c Tota $76.02 Amount Outstanding $0.0 Uploaded Files Upload File 1 Date File Uploaded B 4/19/2017 4:15-00 PM 1425 Application.pdt Foster, Kristin X 4/19/2017 4115:00 PM 1425 Floor Plan.pdf Foster, Kristin X( `r*Y _DI, COMMERCIAL REMODEL I'Vr. 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 PLANS, TWO(2)SETS OF SPECIFICATIONS, TWO(2)SETS OF STRUCTURAL CALCULATIONS, ONE(1)SETS OF NREC ENERGY CODE APPLICATIONS AND ONE(1) OCCUPANTS'S STATEMENT OF INTENDED USE. Type of Permit: Commercial Remodel ( ) Commercial Addition ( ) Tenant Improvement Project Address Ci - NF Parcel ID# Project Description: Legal Description: Project Valuation: ��® Owner: Phone Number 3logy rcl-7 t'2 Address: // City: h State: v�_ Zip Code: 7 Zh Contact Person: (kW K( f k-I VVI S Phone ber: Cell Phone: '�t_o'U )7I E-mail: kb4 VVLG<< .UW Address: ' I City: State: Zip Code: off; Contractor: �_��//��,,� F�-^/_( VVVI C /! ,,, Phone Number: ��j Address: V ' ()` I/c)X C/v 1 City: c ►�`u��/ State:\� Zip Code:( t Contractor's License Number: Expiration Plumbing Contractor: 1 / Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: Mechanical Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: REV 2015 Page 6 of 7 ® o COMMERCIAL REMODEL PERMIT APPLICATION Department of Community&Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223• Phone(360)403-3551 The building permit does not include any mechanical, electrical, plumbing or fire sprinkler/alarm work. These permits are issued separately. Mechanical, electrical, plumbing, or fire sprinkler/alarm permits require a separate permit application and may also require separate plan review. Please note that any tenant improvement work in a space that involves food handling or preparation requires Snohomish County Health District approval before the permit can be issued. You must provide the Permit Center a copy of the approval letter or the approved plans. Contact the Snohomish County Health District at(425) 339-5250 with any questions or for more information. An intake appointment is required for all large Tenant Improvement Building Permit Applications.To determine if your project requires an intake appointment,to schedule an appointment or to ensure that you have the most current information, please contact the City of Arlington Permit Center at(360)403-3551 or by email to ced arlingtonwa.gov Application by courier or mail will not be accepted. Incomplete applications will not be accepted. I acknowledge that all items designated as submittal requirements must accompany my Building Permit Application to be considered a complete submittal. REV 2015 Page 5 of 7 `'J y COMMERCIAL REMODEL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223• Phone (360)403-3551 Project Name/Tenant ltial Ct.L' OI �'Lt Site Address_ 315 2 5 ) LDS Bldg./Unit/Suite IBC Construction Type IBC Occupancy Type Description of Use C:ZA(llyl Building Square Footage L`o Number of Stories Square Footage per Floor Will there be any installation, modification or removal of the following?(Check all that apply) ❑ Automatic fire extinguishing systems ❑ Compressed gas systems ❑ Fire alarm and detection systems ❑ Fire pumps ❑ Flammable and combustible liquids(tanks, piping etc...) ❑ Hazardous materials ❑ High piled/rack storage ❑ Industrial ovens/furnace ❑ Private fire hydrants ❑ Spraying or dipping operations ❑ Standpipe systems ❑ Temporary membrane structure,tents(>200sq ft)or canopies(>400 sq ft) Provide details on any of the above checked items: Installation,changes,modifications or removal of any of the above may require additional submittals,information,or permits during the plan review or construction process. 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 ccordance the laws, rules and regulation of the State of Washington. Applicants gnature Print Applicants Name Date FOR STAFF USE ONLY Received 14Z� fi& - ' y2017 Permit# pt B Amount Received Receipt# Date Received REV 2015 Page 7 of 7 .; � t^.1 'I I •0-,1=•1/I (31B5NM)M.IOM CZ IO6B[BCKZIO6BCBS1CLI0 :ILON 3185NM aN uaous�� nswcr a NOIDNIHBVM UNIOd A3X0Nl a3711d s vunvi moms imvu lrlS3d Smmi 11"M Nv(E-A N4-II NYIL m I -------------------------- ----------- ---- ----i 0 ,26 - - " I O a '� a- I Z I I z I T z I I O a I !� x fR_j m 1 z I I I 17 1 1• I ��' � Ur1 I IIL L LQ LL �M mo s' t x V .� COMMERCIAL CHANGE-OF-USE 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 THREE(3)SETS OF CONSTRUCTION PLANS. A FLOOR PLAN SHOWING ALL EXISTING AND PROPOSED SPACES/USES,INCLUDING SQUARE FOOTAGES, TWO(2)SETS OF STRUCTURAL CALCULATIONS,IF APPLICABLE, ONE(1)SET OF NREC ENERGY CODE COMPLIANCE FORMS,AND ONE(1) OCCUPANT'S STATEMENT OF INTENDED USE FORM. Existing Use(s): RCShPLLCi,Gt L4 Proposed Use(s): So( S 2 c�- Project Address: "Y5 2 S (O S4 N E Parcel ID#: Project Description: Legal Description: Project Valuation: _ ff II (cost of proposed renovation) Owner: nn� I e w o t�,U- F tKj yi/( S Phone Number: Address: C' jbc)X City: CeY1�� State: �'� Zip Code: � s�v�-2,Contact Person: Phone Number: Cell Phone: ,31.140•- 40 E-mail: �J a C4 `t C')_ 1w-fwvtQ . G6YK Address: City: State: Zip Code: Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: Plumbing Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number:. Expiration: Mechanical Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: Page 2 of 3 1 COMMERCIAL CHANGE-OF-USE PERMIT PACKET Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 The following minimum information is required for your Commercial Change-of-Use Permit Application. Mark each box to designate that the information has been provided. Please submit this checklist as part of your submittal documents. Incomplete applications will not be accepted. A Change-of-Use in occupancy is any proposed use that is not consistent with the current permitted use of the building or portion thereof. Occupancy classification is based on the uses outlined in the State adopted Codes. Existing Use(s): Check all that apply Proposed Use(s): Check all that apply (I Assembly ❑Institutional ❑ Assembly ❑Institutional ❑ Business ❑Mercantile N Business ❑Mercantile ❑ Educational ❑Residential ❑ Educational ❑Residential ❑ Factory ❑Storage ❑ Factory ❑Storage Submittal Requirements Checklist ❑ One (1) City of Arlington Commercial Change-of-Use Permit Application (One permit application per building or structure is required) ❑ One (1) City of Arlington Commercial Change-of-Use Submittal Requirements Form ❑ Two (2) Site Plans ❑ Two (2)Architectural Drawings ❑ Two (2) Structural Drawings (if applicable) ❑ Two (2) Structural Calculations (if applicable) ❑ One (1) NREC Code Compliance Forms ❑ One (1) Occupant's Statement of Intended Use Form ❑ One (1) Letter of Verification of Water and Sewer Availability from City of Marysville (if applicable) A Change-of-Use of an existing occupancy may trigger impact fees and/or additional requirement per AMC Title 20. The City of Arlington recommends a General Information Meeting(GIM) for any proposed Change-of-Use. GIM meetings are held every Wednesday on a first come-first serve basis. Please call(360) 403 3551 to schedule an appointment. Page 1 of 3 COMMERCIAL CHANGE-OF-USE PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 Project Name/Tenant Gw �71 VA'& Gt(2d LLb Site Address 3 57 SS 1 ld$f' Si Nf- Bldg/Unit/Suite IBC Construction Type IBC Occupancy Type Description of Use SGI ( 6V I Building Square Footage 1200 S� f f Number of Stories Square Footage Per Floor Will there be any installation, modification or removal of the following? (Check all that apply) ❑ Automatic fire extinguishing systems ❑ Compressed gas systems ❑ Fire alarm and detection systems ❑ Fire pumps ❑ Flammable and combustible liquids(tanks, piping etc...) ❑ Hazardous materials ❑ High piled/rack storage ❑ Industrial ovens/furnace ❑ Private fire hydrants ❑ Spraying or dipping operations ❑ Standpipe systems ❑ Temporary membrane structure,tents(>200sq ft)or canopies(>400 sq ft) Provide details on any of the above checked items. Installation,changes,modifications or removal of any of the above may require additional submittals, information, or permits during the plan review or construction process. 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 ip a cordance the laws, rules and regulation of the State of Washington Applicants Signature L Print Applicants Name 'J �(4V kC W S Date 3� j FOR STAFF USE ONLY I JA Permit# Accepted By Amount Received Receipt# Date Received � J 1, 1_f IL l Y •�• Y '•1. 1 y wc'� • a ti .M r 7 � t IL M I I e ' tires I �i T �1 4 I k � (A � � � 0 CITY OF MARYSVILLE PUBLIC WORKS DEPARTMENT 80 Columbia Ave. Marysville,WA 98270 360-363-81I00 CITY OF ARLINGTON REQUEST FOR REVIEW The City of Marysville Public Works is reviewing this application for the City of Arlington. Your comments -*N711 assist the City's evaluation and are sincerely appreciated. Please review and respond with either an APPROVED, APPROVED W/CONDITIONS, DISAPPROVED or NO COMMENT status in the subject line of your Review Memo via email to Contact listed below. Responding Agency: CITY OF MARYSVILLE Project No, AU17-0008 Review Staff:': Jeff Cobb, Shane Freeman, Karen Latimer Kim Daggett Tim King, rad Zahnow Julie Davis and Kari Chennault, Deryl Taylor Project Name, SUGAR PINE SALON& SPA Applicant: CITY OF ARLINGTON Proposal: CHANGE OFT USE Location: 3525 16&Ttl ST NE Tax #: Date Sent: 316117 Please return this request by: 319/1 7 Aro response by return date will result as "No cornmenfslrecommendations" For further questions contact: Katrina Newport or Bianca Kork��koski Please return this form and your comments. Attachments tngy be discarded Responding Agency's Signature: Date: Comments/Recommendation: �v 1r_ � f -C q) ANkL COMMERCIAL CHANGE-OF-USE PERMIT PACKET Department of Community& Economic Development City of Arlington - 18204 59th Ave NE -Arlington, WA 98223 - Phone (360)403-3551 The following minimum Information Is required for your Commercial Change-of-Use Permit Application. Mark each box to dliesignate that the inlbrmation has been provided. Please submit this checklist as part of your submittal documents.Incomplete applications will not be accepted A Change-of-Use in occupancy is any proposed use that is not consistent with the current permitted use of the building or portion thereof. Occupancy classification is based on the uses outlined in the State adopted Codes. Existing Use(s): Check all that apply Proposed Use(s). Check all that apply W,Assembly ❑institutional Assembly ❑Institutional ❑Business E]Mercantile ($ Business [J Mercantile ❑Educational ❑Residential [] Educational ❑Residential ❑Factory ❑storage Factory Storage Submittal Requirements Checklist ❑ One(1)City of Arlington Commercial Change-of-Use Permit Application (One permit application per building or structure is required) ❑ One(1) City of Arlington Commercial Change-of-Use Submittal Requirements Form ❑ Two(2) Site Plans ❑ Two(2) Architectural Drawings Two (2) Structural Drawings(If applicable) ❑ Two (2)Structural Calleulations(It applicable) ❑ One (1) NREG Code Compliance Forms ❑ One(1) Occupant's Statement of Intended Use Form ❑ One (1) Letter of Verification of Water and Sewer Availability from City of Marysville(if applicable) A Change-of-Use of an existing occupancy may trigger impact fees and/or additional requirement per AMC Title 20. The City of Arlington recommends a General Information Meeting(GIM) for any proposed Change-of-Use. GIM meetings are held every Wednesday on a first come Mrst serve basis. Please call(380) 403 3551 to schedule an appointment Page 1 of 3 COMMERCIAL CHANGE-OF-USE 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 BY THREE(3)SETS OF CONSTRUCTION PLANS. A FLOOR PLAN SHOWING ALL EXISTING AND PROPOSED SPACES/USES,INCLUDING SQUARE FOOTAGES, TWO(2)SETS OF STRUCTURAL CALCULATIONS,IF APPLICABLE,ONE(f)SET OF NREC ENERGY CODE COMPLIANCE FORMS,AND ONE(1)OCCUPANT'S STATEMENT OF INTENDED USE FORM. Existing Use(s): Proposer!Use(s): S a(a l S f2 fS Project Address: 'bS 2 S + (.5 0.1 S+ N l Parcel ID* Project Deseripflon: Legal Description: Project Velluatiorl: /�- (cost of proposed renovation) Owner: �Irl Yi%� L u° I Wl S Phone Number: -S 7d)r (A�I!9-71 2 / Address, P,Q �QX �� -- City. State: " "Oi _ Zip Code; Contact Person; 5A-?-V 'e Phone Number: Cell Phone.,3VO-4/31-17`I(Z E-mail: 9_ A i Address, City: State: Zip Code: Contractor: Phone Number; Address; City: State: Zip Code: Contractor's License Number: Expiration:.- Plumbing Contractor' Phone Number: i Address: City; State: Zip Code; Contractors License Number: Expiration: Mechanical Contractor: Phone Number: Address: _ City: _ State: Zip Code; Contractur s License Numt)er Fxpiration: Page 2 of 3 COMMERCIAL CHANGE-OF-USE PERMIT APPLICATION Department of Community&Economic Development City of Arlington• 18204 59th Ave NE Arlington,WA 98223 • Phone(300:1 403-3661 Protect NamelrertantIk.L S a- wt a kA Sj7 flLf-f l'yl"IiLQ Site Address 2 S lob tH S' BldgfUnit/Suite IBC Constt ion Type IBC Occupancy Type Description of Use Sot I Uli l Building Square Footage ZIDO S'Si Number of Stories Square Footage Per Floor 1, Will there be any Installation,modification or removal of the following?(Check all that apply) ❑ Automatic fire extinguishing systems ❑ Compreesed gas systems ❑ Fire alarm and detection systems ❑ Fire pumps ❑ Flammable and combustible liquids(tanks,piping etc—) ❑ Hazardous materials ❑ High piledirack storage ❑ Industrial ovensAmace ❑ Private fire hydrants ❑ Spraying or dipping operations ❑ Standpipe systems ❑ Temporary membrane structure,tents(�-200sq ft)or canopies(>400 sq ft) Provide details on any of the stove chocked jrML Installation,changes,modifications or removal of any of the above may require additionol submittals, Information,or permits during the plan review or construction process.. I hereby certify that the above Information Is correct and 11tat the construction on, and the occupancy and the use of the above- described property Will ba/ip-e ordanc the laws, rules and regulation of the State of Washington. Applicants Signature v Print Applicants Name S Date 3 C FOR STAFF USE ONLY ReceiVed MAR Q 12017 Permit# Accepted By Amount Received Recelpt# Oats Received Ir IY7�,�'��Rl-Tyr i •+ J4 •• ~ t(t r t it .M sin i CITY OF MARYSVILLE PUBLIC WORKS DEPARTMENT 80 Columbia Ave. Marysville,WA 98270 360-363-8100 CITY OF ARLINGTON � REQUEST FOR REVIEW The City of Marysville Public Works is reviewing this application for the City of Arlington. Your comments will assist the City's evaluation and are sincerely appreciated. Please review and respond with either an APPROVED, APPROVED W/CONDMONS, DISAPPROVED or NO COMMENT status in the subject line of your Review Meniu via email to Contact listed below. Responding Agency: CITY OF MARYSVILLE Project No. AU17-0008 I Review Staff: Jeff Cobb Shane Freeman Karen Latimer.Kim Daggett Tim King,Brad Zahnow,Julie Davis and Kari ChcnnaulL Dervl Taylor Project Name: SUGAR PINE SALON &SPA Applicant: CITY OF ARLINGTON Proposal: CHANGE OF i TSE Location: 3525 14M ST NE Tax#: Date Sent: 3/6/17 Please return this request by: 3/9/17 No response by return Mate widl resall as "No commenalrecomrmendaldons" For farther questions contact: Katrina Newport or Bianca Korkeakoski Please return this form and your comments. Attachments may be discarded. Responding Agency's Signature, Date: 3 ' t Comments/Recommendation: City of Marysville Public Works Operations Memo To: Christopher Young, Director/Building Official From: Kim Bryant,,Water Maintenance Lead If Data: March 8,2017 Rea Sugar Pine Salon &Spa,AU17-0008 Public Works Operations has reviewed the Sugar Pine Salon & Spa submittal and has the fQllcWng comments. 1. No comment If the applicant has any questions about these comments i can be contacted at (360) 363-8163 or kbryant .marysvillewa.gov. l l Ma rysfvi l le Memorandum To: Christopher Young, City Of Arlington From: Julie Davis,Crass Connection Control Specialist Subject: AU L 17-0008 Date: 03/06/17 In response to your request for review of the above project,please note the following items. • Plumbing system is subject to applicable requirements of NINIC Chapter 14,10 "Water Supply Cross-Connections" and WAC 246-290-490. • Upon physical examination of this property it does not appear to have cross connection protection for premise isolation. There are no records of this facility having a sprinkler system or irrigation system. • A RPBA (reduced pressure backflow assembly) is required to be installed directly downstream of the domestic water meter. The RPBA may be installed inside the facility on the domestic water service prior to any other plumbing configurations. The assembly shall pass an installation and performance test by a Washington State Certified Backtlow assembly tester prior to occupancy. • Providing,this facility does have cross-connection controls in place, all backflow protection assemblies must be tested by a Washington State Certified Backflow Assembly Tester and completed test reports shall be Forwarded to the City of Marysville's Water Quality Division. Any questions regarding these comments should be directed to Julie Davis at 360-363-8141 or jdavis{ramarysvillevva.gov or -rMarysviiN� cnlle 5f� Memorandum TO,. Christopher Young- DirectorBuilding Official Marc tlayes-Permit Center FROM; 'Shane Freeman Pretreatment Tech `SVI'JECT: Project No,AU17-0008 Sugar Pine Salon,&Spa DATE: March 6 2OI7 Ira tospotme,te,review tithe above project: 1. i will need to inspect the existing grease interceptor to determine if it has been or need's or needs to be cleaned before decommissioning. Z, I will need to see some plumbing-details in order to make_ sure that no wastewater is plumbed to the interceptor. Any question regarding these comments should be directed$6,-Shane)Freeman 4t 360-363- 8128 st'reeman�4marysvillcwa.gov Date: 04/07/2026 Permit#: 1425 Perm Date: 04/17/2017 Review Date: 04/19/2017 Perm Type: COM M IRCIAL ALTERATION Review Type: BLD Target Date: 04/26/2017 Scheduled Time: 00:00 Com pleted Date: 04/20/2017 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 Parcel#: 31052800202800 J ENNIFER HELM S JENNIFER HELMS P O BOX 807 3525 168TH ST NE A RLINGTON, WA98223 Zoning: 581 Eating Places (Restaurants)Lot: Block: Date: 04/07/2026 Permit#: 1425 Perm Date: 04/17/2017 Review Date: 04/19/2017 Perm Type: COM M IRCIAL ALTERATION Review Type: BLD Target Date: 04/26/2017 Scheduled Time: 00:00 Com pleted Date: 04/20/2017 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 Parcel#: 31052800202800 J ENNIFER HELM S JENNIFER HELMS P O BOX 807 3525 168TH ST NE A RLINGTON, WA98223 Zoning: 581 Eating Places (Restaurants)Lot: Block: Permit#: 1425 Permit Date: 04/17/17 Permit Type: COMM HZCIAL ALTERATION Project Nam e Sugar Pine Salon and Spa Applicant Nam a Jennifer Helm s Applicant Address: 3525 168th Street NE Applicant, City, State, Zip: Arlington,WA98223 Contact: Jennifer Helm s Phone: 360-631-9712 Em41: pabadam@btmdl.com Scope of Work: Salon and Spa Valuation: 2500.00 Square Feet: 1100 Num ber of Stories: 1 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 04/21/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wner Nam e Caner Phone Zoning 31052800202800 3 525 168TH ST NE J ENNIFER HELM S 581 Eating Places (Restaurants) Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License Jeff Helm s Jeff Helm s 50-333-8971 3525 168th Street OWNER NE Inspections Date I nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus 04/28/2017 C20.BUILDING Approved FINAL Plan Reviews Date R eview Type D escription A ssigned To R eview Status 04/19/2017 B LD a pproved with red lines. z Rick Karns Fees Fee D escription N otes A m cunt Building Plan Review T able 4-2 $76.02 Building Perm i T able 4-1 $116.96 Processing/Technology $25.00 State Surcharge-1st DU R esidential-1 st Unit $4.50 Total $222.48 Attached Letters Date Letter D escription 04/20/2017 Building Perm i Paym acts Date Paid By D escription P aym ait Type A ccepted By A m aunt 04/17/2017 Jennifer Helm s 4314420 c c $76.02 04/21/2017 Jennifer Helm s 4372223 c c $146.46 O itstanding Balance $0.00 Notes Date Note C reated By: 04/20/2017 Em tiled that perm i is ready to be issued.KF K ristin Foster Uploaded Files Date File Nam e 04/21/2017 2235128-1425 Issued Perm i.pdf 04/19/2017 2229523-1425 Floor Plan.pdf 04/19/2017 2229524-1425 Application.pdf