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Home My WebLink About6021 199th St Ne Unit 1_BLD146_2026 BUILDING INSPECTION REPORT — Commercial Final Permit No. 13-0146 Address: 6021 199th St. NE BLDG. #A Contractor: Shelby Hendrickson Owner: Shelby Hendrickson Date: 8/12/2013 lal APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER INSPECTION: Final inspection for office T.I. ADDRESS NUMBERS: ❑ ACCESS: ❑ ADA EXTERIOR: ❑ ADA INTERIOR: ❑ FIRE EXTINGUISHERS: ❑ SPRINKLER: FINAL ELECTRICAL: ® FIRE ALARM: ❑ LIFE SAFETY: ❑ LANDSCAPING: ❑ OCCUPANCY LOAD SIGN: ❑ SIGNAGE: ❑ RATED ASSEMBLY: ❑ FIRE FINAL: ELEVATOR FINAL: ❑ BLDG FINAL: Date: 8/12/2013 4 ,_ _ _ a CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 go PHONE; (360) 403-3551 BUILDING PERMIT Address:6021 199th Street NE,#A Permit#: 146 Parcel#:01108700000100 Valuation: OWNER APPLICANT CONTRACTOR Name:UNION BANK NA Name:Shelby Hendrickson Name:Shelby Hendrickson Address:PO BOX 2215 Address:6021 199th Street NE,#A Address:6021 199th Street NE,#A City,State Zip:EVERETT,WA 98203 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:206-714-5534V Phone:206-714-5534� 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 CODE YEAR: 2012 STORIES: 1 CONST.TYPE: II-B DWELLING UNITS: 0 OCC GROUP: BUILDINGS: I OCC LOAD: N/A 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 HISMER 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 NO CE:Sales tax relating to construction and construction materials in the Cit VArlingtgn must be reporte on your sales;1�3'UXT and coded Cit lington#3101. nature Prin ame Date Relcasc y Date CONDITIONS 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 7/25/2013 Building Permit Fee $88.20 7/25/2013 Building Plan Review Fee $56.13 7/25/2013 State Building Code Surcharge Fee $4.50 Total Due: $148.83 Total Payment: $148.83 Balance Due: S0.00 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 4� Ln 7) (n ) 0 z 0 Frl < > co 0 rn-4 N 7: M z rn rl Coo> m Coal> C) V, IW RECEIVED R � 0 NOV 13 2012 ro \ o COA Engineering Dept. ��, i fk Li >< JZr- <73 VIN t4 c� 1 `� COMMERCIAL REMODEL PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418 THIS APPLICATION MUST BE ACCOMPANIED BY THREE(3)SETS OF CONSTRUCTION PLANS, THREE(3) 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 2ten ant Improvement Project Address: cl'-T T"I Parcel ID#: Project Description:- L Legal Description: Project Valuation: +,2 UVV Owner: 3 I lQ j U 'f"t ndo cy- Phone Number: 71 S �� Address: (00d L/ City: State: /1 { Zip Code: 1%2AT Contact Person: I Phone Number: Cell Phone: Fax: (I E-mail: Address: City. State: Zip Code: Contractor: i Phone Number: Address City: State: Zip Code: Contractor's License Number: Expiration: Plumbing Contractor: sit-0 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 hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described pr be i he-Ia-Ws, rules and regulation of the State of W shin n. 7110-1 /Applicants SignatyJre Date Print Applicants Name RECEIVED FOR STAFF USE ONLY JUL 18 2013 CO,P�ITCENTER Permit# Accepted By Amount Received Receipt# t NWd Web Forms—146 Page 6 of 7 7/1 oCJY i � �_ _r ; k: ,r, COMMERCIAL REMODEL PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418 Project Name/Tenant S rlk,l'��f eV,o(VI(eJo I Site Address b 0 d] 14 q41 &I c1 A Bldg/Unit/Suite IBC Construction Type IBC Occupancy Type Description of Use "m)h(AL- Building Square Footage a,OUD Number of Stories f Square Footage Per Floor Will there be any installation, modification or removal of the following? (Check all that apply) JA 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. Printed Name of Occupant/Agent Signature of Occupant/Agent Date Web Forms—146 Page 7 of 7 7/10CJY i v Permit Information _ Date 7/18/2013 Permit Number 146 Project Name Shelby Hendrickson Permit Type Commercial Site Address 6021 199th St#A Description Tenant improvement Valuation 2000.00 Square Feet 0 Status Applied Permit Issued Permit Expires Phone 206-714-5534 Email Occupancy Load Type of Construction Proposed Use Number of Stories 0 Assigned To Amy Rusko Property Information Owner Information Parcel#:01108700000100 UNION BANK NA UNION BANK NA PO BOX 2215 6021 199TH ST NE UNIT 1 EVERETT,WA 98203 Review Date Type Description Target Date Completed Date Assigned To Status 7/18/2013 Commercial T.I. 7/25/2013 Chris Young In Review 7/18/2013 Commercial T.I. Permit Tracking 7/25/2013 Amy Rusko In Review Fees Fee Description Notes Amount Building Permit Fee 322.10.00.00 $88.20 Building Plan Review Fee 345.83.00.00 $56.13 State Building Code Surcharge Fee 386.00.01.001 $4.50 Total $148.83 Payments Date Paid By Amount Descri lion Payment Type Accepted B 7/19/2013 IS J Hendrickson Holdings, LLC $148.83 'Tenant Improvement Permit ICheck#6200 jArny Rusko Total $148.831 Amount Outstanding:$0.00 r Uploaded Files Upload File I Date File COMMERCIAL REMODEL f PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223 • Phone (360)403 3551 - FAX (360)403 3418 The following minimum information is required for your Commercial/Multi-Family Building 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. ❑ One(1) City of Arlington Commercial/Multi-Family Permit Application (One permit application per building or structure is required) One(1) City of Arlington Commercial/Multi-Family Submittal Requirements Form ❑ Three (3) Site Plans ❑ One(1) 11"x 17" Site Plan ❑ Three (3)Architectural Drawings ❑ One(1) 11 " x 17" Set of Building Elevations ❑ Three (3) Structural Drawings ❑ Three (3) Structural Calculations ❑ One(1) Geotechnical Engineering Reports (if applicable) ❑ One(1) Project Specification Manuals (if applicable) ❑ One(1) NREC Code Compliance Forms ❑ One(1) Special Inspection Requirements 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) Drawings shall be BOUND SEPARATELY BY TYPE, architectural, structural and landscape, and then ROLLED TOGETHER IN COMPLETE SETS> An intake appointment is required for all new Commercial or Multi-Family Building Permit Applications. To schedule an appointment please contact the City of Arlington Permit Center at(360) 403 3551 or by email to Pre App Appointment Request. I acknowledge that all items designated above are included as part of this application. App lcant's Signature Date Web Forms—146 Page 1 of 7 7/1 OCJY Permit#: 146 Permit Date: 07/18/13 Permit Type: COMMERCIAL ALTERATION Project Name: Shelby Hendrickson Applicant Name: Applicant Address: Applicant, City, State, Zip: Contact: Phone: 206-714-5534 Email: Scope of Work: Business Valuation: 2000.00 Square Feet: 0 Number of Stories: 1 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 01108700000100 6021 199TH ST NE UNIT 1 UNION BANK NA 502 Coral Condo- Manufacturing Contractors Contractor Primary Contact Phone Address Contractor Type License License Shelby Hendrickson Shelby Hendrickson 206-714-5534 6021 199th Street APPLICANT NE,#A Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 08/12/2013 C20.BUILDING Office T.I.completed.L&I 08/12/2013 08/12/2013 z.Christopher Young Approved FINAL approved on 8/7/13.3 sprinkelr heads dropped into space.Fire extinguishers, exit sign with emergency lights added.Ok to occupy Framing for office build out 08/12/2013 C09.FRAMING installed per approved plan. 07/19/2013 07/19/2013 z.Christopher Young Approved Rough electrical approved for cover. Plan Reviews Date Review Type Description Assigned To Review Status 07/18/2013 COMMERCIALALTERATION Interior office space per identical plan of Bldg.A. z.Christopher Young 07/18/2013 COMMERCIAL Permit Tracking ALTERATION Fees Fee Description Notes Amount Building Permit Table 4-1 $88.20 Building Plan Review Table 4-2 $56.13 State Surcharge- 1st DU Residential- 1st Unit $4.50 Total $148.83 Attached Letters Date Letter Description 07/25/2013 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount S J Hendrickson Holdings, Tenant Improvement 07/19/2013 Check#6200 $148.83 LLC Permit Outstanding Balance $0.00