HomeMy WebLinkAbout4008 172ND STREET NE_BLD1632_2026 COMMERCIAL 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: yDOo /-721),0 67 /�/_ 17_ Parcel ID
Project Description:_j�E 1AVjef Yze ineWr- Legal Description: 4lT It
Prolect Valuation: 0Uiod
Owner: _ i G Phone Number: Z060- 3617-505V
Address: ft1` City:E4227£LL State:_AML Zip Code: 91302/
io3
Contact Person: CA&14r L ef2V51 Phone Number: ('4125)
Cell Phone:6-,6 - 2-50- -4 E-mail: &
Address: a?///-7 City: %16 &// State: Zip Code: fn
Contractor. TOE vELECTED Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
� .. rr
Plumbing Contractor: -T6 PG Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
Mechanical Contractor: �tG-T�� �r Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
Received
SEP 06 2017
REV 2015 Page 6 of 7 Lb l)0 J 7
�Av
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-_ '_
Site Address g008 IF,-V �. AIR Bldg./Unit/Suite G- 2-
IBC Construction Type /// IBC Occupancy Type
Description of Use
Building Square Footage 9M Number of Stories /
Square Footage per Floor___
Will there be any Installation,modification or removal of the following? (Check all that apply)
R 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:
— i) �y -ra z)
�odr Af 41tT-7 //e/f� -Zj:�, ou s
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 accordance with the laws, rules and regulation of the State of Washington.
Applicants Signature
Print Applicants Name Date
FOR STAFF USE ONLY
Permit# Xcce61A By Amount Received Receipt# Date Received
REV 2015 Page 7 of 7
COMMERCIAL REMODEL
PERMIT APPLICATION
/Nt, 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/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 (1)permit application per building or structure is required)
lid One (1) City of Arlington Commercial/Multi-Family Submittal Requirements Form
Two (2) Architectural Drawings
❑ Two (2) Structural Drawings
❑ Two (2) Structural Calculations
❑ 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
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.
REV 2015 Page 1 of 7
COMMERCIAL REMODEL
PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington• 18204 59th Ave NE•Arlington, WA 98223 • Phone(360)403-3551
A. FEES DUE AT TIME OF PERMIT ISSUANCE
B. CODES
The City of Arlington currently enforces the following:
International Codes
1. 2015 International Building Code(IBC)
2. 2015 International Residential Code(IRC)
3. 2015 International Mechanical Code(IMC)
4. 2015 International Fuel Gas Code(IFGC)
5. 2015 International Fire Code(IFC)
6. 2015 International Plumbing Code(IPC)
7. 2015 International Property Maintenance Code(IPMC)
8. 2015 International Existing Property Code(IEBC)
9. 2015 Washington State Energy Code(WESC)
10 2009 Accessible&Usable Buildings and Facilities(ICC/ANSI 1417.1)
Washington State Amendments
1. WAC 51-50 Washington State Building Code
2. WAC 51-51 Washington State Residential Code
3. WAC 51-52 Washington State Mechanical Code
4. WAC 51-54 Washington State Fire Code
5. WAC 51-56&51-57 Washington State Plumbing Code and Standards
6. WAC 51-11 Washington State Energy Cade
7. WAC 296-46B Electrical Safety Standards,Administration,and Installation
C. CITY OF ARLINGTON DESIGN REQUIREMENTS
Design Wind Speed: 85 miles per hour(Exposure C)
Ground Snow Load: 25 pounds per square foot
Seismic Zone: D2
Rainfall: 2 inches per hour for roof drainage design.
Frost Line Depth: 12 inches
Soil Bearing Capacity: 1,500 psf unless a Geo-Technical Report is provided. (IBC Table 1804.2&IRC R401.4.1)
D. PLANS AND DRAWINGS
Submit two(2)complete sets of drawings and plans. Drawings and plans must be submitted on minimum 18"X 24", or maximum
30"X 42"paper.All sheets are to be the same size and sequentially labeled. Plans are required to be clearly legible,with scaled
dimensions, in indelible ink, blue line,or other professional media. Plans will not be accepted that are marked preliminary or not
for construction,that have red lines,cut and paste details or those that have been altered after the design professional has
signed the plans.
Please Note:A separate submittal of plans is required for each building or structure.
REV 2015 Page 2 of 7
C. Y
COMMERCIAL REMODEL
o PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington• 18204 59th Ave NE •Arlington, WA 98223• Phone(360)403-3551
DETAILED SUBMITTAL REQUIREMENTS
Mark each box to designate that the information has been provided. Please submit this checklist as part of your submittal documents
A. E" SITE PLAN—REQUIRED WITH ALL SUBMITTALS
(May be included as part of the Architectural Drawing cover Sheet)
1. Drawing shall be prepared at scale not to exceed 1"=20 feet,
2. Show building outline and all exterior improvements.
3. Provide property legal description and show property lines.
4. Provide dimensions from the property lines to a minimum of two building corners(or two identifiable locations for
irregular plan shapes).
5. Show building setbacks, easements and street access locations.
6. Indicate North direction.
7. Indicate finish floor elevation for the first level.
8. Provide topographical map of the existing grades and the proposed finished grades with maximum five feet elevation
contour lines,
9. Show the location of all existing underground utilities, including water,sewer,gas and electrical.
10, Flood hazard areas,floodways,and design flood elevations as applicable.
B. ❑ ARCHITECTURAL DRAWINGS
i. 12 Cover Sheet
a) Building Information
1. Specify model code information.
2. Construction Type.
3. Number of stories and total height in feet.
4. Building square footage(per floor and total)
5. IBC Occupancy Type(show all types by floor and total).
6. Mixed-use ratio(if applicable)
7. Occupant load calculation (show by occupancy type and total)
8. List work to be performed under this permit
b) Design Team Information
1. Design Professional in Responsible Charge
2. Architects
3. Structural Engineers
4. Owner
5. Developer
6. Any other Design Team Members
2. [s� Floor Plan
a) Plan view 1/8"minimum scale.Details a minimum %-inch scale.
b) Plans must show the entire tenant space.
c) Specify the use of each room/area.
d) Provide an occupant load calculation on the floor plan.(on every floor,in all rooms and spaces)
e) Show ALL exits on the plans;include new,existing or eliminated.
f) Show Barrier-Free information on the drawings.
g) Show the location of all permanent rooms,walls and shafts.
h) Note the uses in the adjacent tenant spaces,if applicable,
i) Provide a door and door hardware schedule.
j) Show the location of all new walls,doors,windows,etc.
REV 2015 Page 3 of 7
COMMERCIAL REMODEL
PERMIT APPLICATION
Department of Community i& Economic Development
City of Arlington- 18204 59th Ave NE- Arlington, WA 98223 - Phone(360)403-3551
k) Provide details and assembly numbers for any fire resistive assemblies.
1) Indicate on the plans all rated walls,doors,windows and penetrations.
m) Provide a legend that distinguishes existing walls,walls to be removed and new walls.
3 L-1� Reflected Ceiling Plan
a) Plan view 118"minimum scale.Details a minimum K-inch scale.
b) Provide ceiling construction details.
c) Provide suspended ceiling details complying with IBC 803.9.1.1.Show seismic bracing details.
d) Show the location of all emergency lighting and exit signage.
e) Detail the seismic bracing of the fixtures.
f) Include a lighting fixture schedule.
4. [� Framing Plan
a) Specify the size,spacing,span and wood species or metal gage for all stud walls.
b) Indicate all wall,beam and floor connections.
c) Detail the seismic bracing for all walls,
d) Include a stair section showing rise,run,landings, headroom,handrail and guardrail dimensions,
5. ❑ Storage Racks(if applicable)
NIA a) Structural calculations are required for seismic bracing of storage racks eight feet or greater in height.
b) Eight feet or less,show a positive connection to floor or walls.
NOTE:High pile storage shall meet the requirements of current International Building and Fire Codes.
C. ❑ SPECIAL INSPECTION
1. Where special inspection is required by IBC 1704, the registered design professional in responsible charge shall prepare
a special inspection program that will be submitted to the City of Arlington and approved prior to issuance of the building
permit to comply with IBC 106.1.
D. ❑ WASHINGTON STATE ENERGY CODE
N'r1.One(1)completed Washington State Non-Residential Energy Code Envelope Summary forms. EAej( ja'p,cMu�,
E. OCCUPANTS STATEMENT OF INTENDED USE
1. The Occupant's Statement of Intended Use form shall be completely filled out and may require the submittal of a
Hazardous Materials inventory Statement(HMIS). Contact the Arlington
REV 2015 Page 4 of 7
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 u)arlincrtonwa:gw
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 6 of 7
SNOHOMISH MAR 19 2018
HEALTH DISTRICT �)�7 NI52-
WWW.SNOHD.ORG Environmental Health Division
March 15, 2018
Hasan Zeer
725 Pike Street
Seattle, WA 98101
Subject: Proposed Gyro Stop, 4008— 172"d Street NE#C2, Arlington
Dear Mr. Zeer:
Your plans have been reviewed with the Rules and Regulations of the State Board of Health, and with the policies
of the Snohomish Health District.With the addition of the following conditions,the plans are approved.
1. The conditional approval of the plans for Gyro Stop was based upon the plans, menu and HACCP
submitted January 10, 2018. Any changes to these items will void this approval.
2. The Health District operating permit application process must be completed prior to opening for business.
This facility will be classified as a high risk food establishment with 0-12 seats.
3. Three-compartment sinks must be NSF or equivalent listed with rounded corners and integral drainboards at
both ends. The basins of the three-compartment sink must be large enough to fit the largest item needing to
be washed.
4. An indirect waste drain (an air gap) is required for the food preparation sinks, sanitizer basin of the three-
compartment sink, pop dispenser, walk-in refrigeration, and any equipment in which food is placed. Please
note that a direct drain to a grease trap is not considered an indirect drain even if the grease trap is indirectly
drained.
5. A reduced pressure backflow prevention device is required at the end of the copper water pipe serving the
pop dispensing system prior to the carbonation device. No copper or brass pipe/fittings or other potentially
corrodible material is allowed after the reduced pressure backflow prevention device.
6. Each food preparation sink must be NSF or equivalent listed with at least one integral drainboard.
7. A horizontal separation of at least 16 inches or a pony wall, from the floor to at least 16 inches above the sink
basin, is required between the raw meat/poultry/seafood preparation sink and the adjacent stainless steel
table. Use of splash guards in this situation is not allowed. The only acceptable option to the pony wall, other
than the 16 inch horizontal separation, is the use of a partition of at least 1 %inch in thickness (similar to the
partitions in restroom stalls) from the floor to at least 16 inches above the sink basin of a material that is
waterproof.
8. A horizontal separation of at least 16 inches or a vertical partition 16 inches in height is required between the
handwash sink and all food preparation areas.
9. A vertical partition 16 inches in height is required on both sides of the front handwash sink, item#6.
10. A horizontal separation of at least 16 inches or a vertical partition 16 inches in height is required between the
handwash sink, item#3, and the adjacent shelving, item#32.
11. When splashguards(partitions and/or walls) are provided on both sides of a handwash sink the distance
between the splashguards must be at least 18 inches apart(shoulder width)to allow proper access to the
handwash sink.
12. Water heaters must be of sufficient size to provide hot water to dishwasher and/or scullery sinks and at the
same time provide hot water to all handwash sinks.
13. Hot water must be available to all handwash sinks within 15 seconds. The hot water for the facility must not
be used, at any plumbing fixture, for a minimum of 6 hours prior to the preoperational inspection. This is
required so that proper testing of the 15-second time requirement for hot water availability can be completed.
3020 Rucker Avenue, Suite 104 ■ Everett, WA 98201-3900 ■ tel: 425.339.5250 ■ fax: 425.339.5254
'14.'All handwash sink basins must beat least 10" long by 10"wide and 5"deep. Ensure that all handwash sink
basins are at least 10"x10"x5".
15. All food service equipment, both new and used, must be listed by the National Sanitation Foundation(NSF) or
equivalent for its intended use. Used and new refrigeration must be capable of holding food at temperature of
41°F or below.
16. Used equipment is subject to onsite inspection to determine acceptability for use in the proposed food service
establishment. Used equipment must be clean, in proper operating condition, and in good repair. Used
refrigeration must be capable of holding at a temperature of 41 OF or below.
17. All food service equipment must be listed by the National Sanitation Foundation (NSF) or equivalent for its
intended use. The Duke Manufacturing hot well, model#E302M, was not found in the current NSF or
equivalent listings. This equipment must be replaced with NSF or equivalent listed equipment or
documentation must be submitted which demonstrates NSF equivalency. Manufacturer names and
model numbers for replacement equipment or equipment documentation must be submitted prior to the
request for a preoperational inspection. Originally submitted manufacturer names and model numbers should
be rechecked to assure the information submitted is accurate. Please note that subsidiary manufacturers are
often not found in the NSF and equivalent listings. The manufacturer name should be verified and submit the
parent company name if one is found.
18. No model number was submitted for Duke Manufacturing three compartment sink(item#2), the Duke
Manufacturing handwash sink (item#3), the Duke Manufacturing prep sink(item#4), the Duke Manufacturing
front counter cold unit (item#10), and the True refrigerator(item#16). All food service equipment, both new
and used, must be listed by the National Sanitation Foundation (NSF) or equivalent for its intended use. The
manufacturer name and model number for this equipment must be submitted prior to the request for a
preoperational inspection.
19. A proper and adequate hood ventilation system must be provided for all cooking equipment. No manufacturer
information was submitted for the Type I custom hood. Specifications for the hood system must be submitted
prior to installation.
20. Extra wall protection is required on walls behind all sinks, including restroom handwash sinks, and food
preparation counters and tables. Sinks in corners must also have wall protection on the side walls. A 16-inch
high backsplash of plastic laminate, fiberglass-reinforced plastic or equal is acceptable. A backsplash higher
than 16 inches is required on the wall behind counter top equipment taller than 16 inches.Wall protection
behind mop sinks must cover the entire splash zone. Plastic coated hardboard is not acceptable.
21. All floors in the kitchen, food preparation, food service, food storage, and dishwashing areas must be
surfaced with a durable, nonabsorbent, easily cleanable material. Expansion joints, seams, saw cuts and the
like in concrete floors in all areas, including customer seating areas, must be filled and sealed so as to
provide a smooth and cleanable surface.
22. The ceiling above the food preparation areas must be non-perforated, nonabsorbent, smooth and easily
cleanable.
23. Cabinet shelving must be nonabsorbent, smooth and easily cleanable. (Self stick vinyl or other type surfaces
are not acceptable)
24. All light fixtures in food preparation and storage areas must be provided with covers and shatterproof bulbs.
Hot hold unit heat lamps must be provided with shatterproof bulbs.
25. Plumbing must meet state and local codes.
26. It cannot be determined from the floor plan or information submitted whether or not a chemical dispensing
system will be installed at the mop sink. Please note that the use of screw-on type 'wye' adaptors at the mop
sink faucet for use with chemical dispensing systems is prohibited. Additionally chemical dispensers cannot
be connected to the mop sink faucet. The chemical dispenser must have a separate water connection. A
'sidekick' adaptor at the mop sink faucet is acceptable.
27. The ventilation system shall be installed and operated to meet applicable building, mechanical, and fire
codes.
28. Proper and adequate sneeze protection must be provided at the front service counter. The sneeze guard
must comply with NSF or equivalent standards. The sneeze protection must intercept the direct line between
Gyro Stop
March 15, 2018
Page 2
the customer's mouth and the food prep area. The average vertical distance from the customer's mouth to
the floor is 4 feet six inches to 5 feet. Additional details are included on the enclosed information sheets.
29. It is unclear as to the amount of dry storage area that will be provided. A dry storage area of sufficient size
must be provided. The amount of dry storage area must be determined by one of the following methods and
will be verified for amount at the preoperational inspection; a.) a floor space (and wall shelf) area equivalent to
25%of all the kitchen space, or b.) one square foot of space per customer seat.
A preoperational inspection is required prior to operating permit issuance and approval to open for
business.At the time of inspection the construction of the food service establishment must be complete and all
equipment must be in place and in proper operating condition. Incomplete construction or equipment operation
will result in a$185.00 re-inspection fee. Contact the Food Program office a minimum of one week in
advance to schedule an appointment for the preoperational inspection.The preoperational inspection will
ensure compliance with the Rules and Regulations of the State Board of Health for Food Service Sanitation.
Changes or additions to the approved plans or equipment require pre-approval from the Snohomish Health
District prior to implementation of the changes.
Please contact me if you have any questions. My office number is 425.339.8742 and my email address is
ehagedornna.snohd.org.
Sinecely,
Elai jHagedorn, RS
Environmental Health Specialist
Food Establishment Plan Review
EH/kdc
Enclosure: Annual Food Establishment Permit Application, Fee Schedule—Food Safety, Facilities to Protect Food
cc: City of Arlington Building Department
Brent French RS, Environmental Health Specialist
SNOHOMISH MAP 19 UIM
HEALTH DISTRICT �?%�7 j1P�7?
WWW.SNOHD.ORG Environmental Health Division
March 15, 2018
Hasan Zeer
725 Pike Street
Seattle,WA 98101
Subject: Proposed Gyro Stop, 4008— 172"d Street NE#C2, Arlington
Dear Mr. Zeer:
Your plans have been reviewed with the Rules and Regulations of the State Board of Health, and with the policies
of the Snohomish Health District.With the addition of the following conditions,the plans are approved.
1. The conditional approval of the plans for Gyro Stop was based upon the plans, menu and HACCP
submitted January 10, 2018. Any changes to these items will void this approval.
2. The Health District operating permit application process must be completed prior to opening for business.
This facility will be classified as a high risk food establishment with 0-12 seats.
3. Three-compartment sinks must be NSF or equivalent listed with rounded corners and integral drainboards at
both ends. The basins of the three-compartment sink must be large enough to fit the largest item needing to
be washed.
4. An indirect waste drain (an air gap) is required for the food preparation sinks, sanitizer basin of the three-
compartment sink, pop dispenser, walk-in refrigeration, and any equipment in which food is placed. Please
note that a direct drain to a grease trap is not considered an indirect drain even if the grease trap is indirectly
drained.
5. A reduced pressure backflow prevention device is required at the end of the copper water pipe serving the
pop dispensing system prior to the carbonation device. No copper or brass pipe/fittings or other potentially
corrodible material is allowed after the reduced pressure backflow prevention device.
6. Each food preparation sink must be NSF or equivalent listed with at least one integral drainboard.
7. A horizontal separation of at least 16 inches or a pony wall, from the floor to at least 16 inches above the sink
basin, is required between the raw meat/poultry/seafood preparation sink and the adjacent stainless steel
table. Use of splash guards in this situation is not allowed. The only acceptable option to the pony wall, other
than the 16 inch horizontal separation, is the use of a partition of at least 1 %inch in thickness (similar to the
partitions in restroom stalls) from the floor to at least 16 inches above the sink basin of a material that is
waterproof.
8. A horizontal separation of at least 16 inches or a vertical partition 16 inches in height is required between the
handwash sink and all food preparation areas.
9. A vertical partition 16 inches in height is required on both sides of the front handwash sink, item#6.
10. A horizontal separation of at least 16 inches or a vertical partition 16 inches in height is required between the
handwash sink, item#3, and the adjacent shelving, item#32.
11. When splashguards (partitions and/or walls) are provided on both sides of a handwash sink the distance
between the splashguards must be at least 18 inches apart(shoulder width)to allow proper access to the
handwash sink.
12. Water heaters must be of sufficient size to provide hot water to dishwasher and/or scullery sinks and at the
same time provide hot water to all handwash sinks.
13. Hot water must be available to all handwash sinks within 15 seconds. The hot water for the facility must not
be used, at any plumbing fixture, for a minimum of 6 hours prior to the preoperational inspection. This is
required so that proper testing of the 15-second time requirement for hot water availability can be completed.
3020 Rucker Avenue, Suite 104 ■ Everett, WA 98201-3900 ■ tel: 425.339.5250 ■ fax: 425.339.5254
14.rAll handwash sink basins must be at least 10" long by 10"wide and 5"deep. Ensure that all handwash sink
basins are at least 10"x10"x5".
15. All food service equipment, both new and used, must be listed by the National Sanitation Foundation(NSF) or
equivalent for its intended use. Used and new refrigeration must be capable of holding food at temperature of
41°F or below.
16. Used equipment is subject to onsite inspection to determine acceptability for use in the proposed food service
establishment. Used equipment must be clean, in proper operating condition, and in good repair. Used
refrigeration must be capable of holding at a temperature of 41 OF or below.
17. All food service equipment must be listed by the National Sanitation Foundation (NSF) or equivalent for its
intended use. The Duke Manufacturing hot well, model#E302M, was not found in the current NSF or
equivalent listings. This equipment must be replaced with NSF or equivalent listed equipment or
documentation must be submitted which demonstrates NSF equivalency. Manufacturer names and
model numbers for replacement equipment or equipment documentation must be submitted prior to the
request for a preoperational inspection. Originally submitted manufacturer names and model numbers should
be rechecked to assure the information submitted is accurate. Please note that subsidiary manufacturers are
often not frni u! it the NSF and equivalent listings, The manufacturer nameshould,_ be verified and submit the
parent company name if one is found.
18. No model number was submitted for Duke Manufacturing three compartment sink(item#2), the Duke
Manufacturing handwash sink (item#3), the Duke Manufacturing prep sink(item#4), the Duke Manufacturing
front counter cold unit(item#10), and the True refrigerator(item#16). All food service equipment, both new
and used, must be listed by the National Sanitation Foundation (NSF) or equivalent for its intended use. The
manufacturer name and model number for this equipment must be submitted prior to the request for a
preoperational inspection.
19. A proper and adequate hood ventilation system must be provided for all cooking equipment. No manufacturer
information was submitted for the Type I custom hood. Specifications for the hood system must be submitted
prior to installation.
20. Extra wall protection is required on walls behind all sinks, including rostroom handwash sinks, and food
preparation counters and tables. Sinks in corners must also have wall protection on the side walls. A 16-inch
high backsplash of plastic laminate, fiberglass-reinforced plastic or equal is acceptable. A backsplash higher
than 16 inches is required on the wall behind counter top equipment taller than 16 inches. Wall protection
behind mop sinks must cover the entire splash zone. Plastic coated hardboard is not acceptable.
21. All floors in the kitchen, food preparation, food service, food storage, and dishwashing areas must be
surfaced with a durable, nonabsorbent, easily cleanable material. Expansion joints, seams, saw cuts and the
like in concrete floors in all areas, including customer seating areas, must be filled and sealed so as to
provide a smooth and cleanable surface.
22. The ceiling above the food preparation areas must be non-perforated, nonabsorbent, smooth and easily
cleanable.
23. Cabinet shelving must be nonabsorbent, smooth and easily cleanable. (Self stick vinyl or other type surfaces
are not acceptable)
24. All light fixtures in food preparation and storage areas must be provided with covers and shatterproof bulbs.
Hot hold unit heat lamps must be provided with shatterproof bulbs.
25. Plumbing must meet state and local codes.
26. It cannot be determined from the floor plan or information submitted whether or not a chemical dispensing
system will be installed at the mop sink. Please note that the use of screw-on type'wye' adaptors at the mop
sink faucet for use with chemical dispensing systems is prohibited. Additionally chemical dispensers cannot
be connected to the mop sink faucet. The chemical dispenser must have a separate water connection. A
'sidekick' adaptor at the mop sink faucet is acceptable.
27. The ventilation system shall be installed and operated to meet applicable building, mechanical, and fire
codes.
28. Proper and adequate sneeze protection must be provided at the front service counter. The sneeze guard
must comply with NSF or equivalent standards. The sneeze protection must intercept the direct line between
Gyro Stop
March 15, 2018
Page 2
the customer's mouth and the food prep area. The average vertical distance from the customer's mouth to
the floor is 4 feet six inches to 5 feet. Additional details are included on the enclosed information sheets.
29. It is unclear as to the amount of dry storage area that will be provided. A dry storage area of sufficient size
must be provided. The amount of dry storage area must be determined by one of the following methods and
will be verified for amount at the preoperational inspection; a.) a floor space (and wall shelf) area equivalent to
25% of all the kitchen space, or b.) one square foot of space per customer seat.
A preoperational inspection is required prior to operating permit issuance and approval to open for
business. At the time of inspection the construction of the food service establishment must be complete and all
equipment must be in place and in proper operating condition. Incomplete construction or equipment operation
will result in a $185.00 re-inspection fee. Contact the Food Program office a minimum of one week in
advance to schedule an appointment for the preoperational inspection.The preoperational inspection will
ensure compliance with the Rules and Regulations of the State Board of Health for Food Service Sanitation.
Changes or additions to the approved plans or equipment require pre-approval from the Snohomish Health
District prior to implementation of the changes.
Please contact me if you have any questions. My office number is 425.339.8742 and my email address is
ehagedorn(o).snohd.org.
Sincely,
C
Elam Hagedorn, RS
Environmental Health Specialist
Food Establishment Plan Review
EH/kdc
Enclosure: Annual Food Establishment Permit Application, Fee Schedule—Food Safety, Facilities to Protect Food
cc: City of Arlington Building Department
Brent French IRS, Environmental Health Specialist
...
- -
I
�. CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:4008 172nd Street NE,C2 Permit#: 1632
Parcel#:00930300000302 Valuation:67000.00
OWNER APPLICANT CONTRACTOR
Name:CFT DEVELOPMENTS LLC Name:BCCI,LTD Name:SPH Construction,Inc.
Address: 1683 WALNUT GROVE AVE Address:21117 5th Avenue W Address:2505 92nd Place SE
City,State Zip:ROSEMEAD,CA 91770 City,State Zip:Bothell,WA 98021 City,State Zip:Everett,WA 98208
Phone: Phone:425-750-3927 Phone:425-905-9544
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: 0 OCC GROUP:
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. 1BC110/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City=41-5-gbnastrW on your sales tax return form
a A�odedty of Arlington#3101.
CC '1- k%-1 +
Signature Print Name Date Releas By Date
CONDITIONS
SEE REDLINED PLANS FOR ADDITIONAL REQUIREMENTS. ADHERE TO REDLINED 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
9/19/2017 Building Permit Fee $1,081.61
9/19/2017 Building Plan Review Fee $703.05
9/19/2017 Processing/Technology Fee $25.00
9/19/2017 State Building Code Surcharge Fee $4.50
Total Due: '$1,814.16
Total Payment: $703.05
Balance Due: $1,111.11
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
✓� `� NL
Permit Information
Date '9/6/2017
Permit Number 1632
Project Name Gyro Stop
Applicant Name BCCI,LTD
Applicant Address 21117 5th Avenue W
City,State,Zip Bothell,WA 98021
Contact Chuck Cross
Phone 425-750-3927
Email chuckcross@bcciltd.com
Permit Type Commercial Alteration
Site Address 4008 172nd Street NE,C2
Valuation 67000.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load
Number of Stories 1
Proposed Use Restaurant
Assigned To Launa Peterson
Property Information Owner Information
Parcel#:00930300000302 CFT DEVELOPMENTS LLC
CFT DEVELOPMENTS LLC 1683 WALNUT GROVE AVE
4008 172ND STREET NE ROSEMEAD,CA 91770
Review
Date Type Description Tar et Date Completed Date Assigned To Status
3/6/2017ommercial T.I. a/20/2017 Rick Karns In Review
a/6/2017 ommercial T.I. a/20/2017 'W Admin Rev In Review
D/6/2017 ommercial T.I. )/20/2017 PW-Sew-Rev In Review
3/6/2017 ommercial T.I 3/20/2017 I3W-Wat-Rev In Review
Fees
Fee Description Notes Amount
Building Plan Review Feel 345.83.00.001 $703.05
Total $703.05
Payments
Date Paid By Amount Description Payment T e Accepted B
9/6/2017 shuck Cross $703.05 36248171 ;c
Totall $703.051 Amount Outstanding:$0.00
Notes
Date INote
9/6/2017 Plumbing and Mechanical contractors deferred.
Uploaded Files Upload File
Date File Uploaded B
916/2017 12:10:20 PM 11632 At)olicot,on.pdt IPeterson,Launa I x
9/19/2017 SPH CONSTRUCTION INC
Search L&I
1-Its
'y�l2l'f f i-�e%iill? iaifliC'i a1'45tffCa(iC5 tihl«(�t(7idC@ r?,1� `r rt3 YrL-1C-='a% !icE',flsir�`)
Washington State Department of
Labor & Industries
SPH CONSTRUCTION INC
Owner or tradesperson 2505 92ND PL SE
Principals EVERETT,WA 98208
425-905-9544
STEPANENKO,YURY,PRESIDENT SNOHOMISH County
Doing business as
SPH CONSTRUCTION INC
WA UBI No. Business type
604 091 520 Corporation
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.
SPHCOC183ODG
Effective—expiration
03/0712017—0310712019
Bond
Wesco Insurance Co $12,000.00
Bond account no.
46WBO83805
Received by L&I Effective date
03/07/2017 02/24/2017
Expiration date
Until Canceled
Insurance
United Specialty Insurance Com $1,000,000.00
Policy no.
S114803B207886
Received by L&I Effective date
03/07/2017 02/24/2017
Expiration date
02/24/2018
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
No license violations during the previous 6 year period.
1IraI us innProve
hftps://secure.ini.wa.gov/verify/Detail.aspx?UBI=60409152O&LIC=SPHCOC183ODG&SAW= 1/2
9/19/2017 SPH CONSTRUCTION INC
Workers' comp 1
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 Call L&I account representative for account
641,609-00 status.
Doing business as
SPH CONSTRUCTION INC
Estimated workers reported
Incomplete premium report received.
L&I account contact
Collections Dialer Unit,800-301-1826-Email:dialercollections@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.
Contractors not allowed to bid
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
P Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the slate of Washington.
Help us improve
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=604091520&LIC=SPHCOC183ODG&SAW= 2/2
COMMERCIAL REMODEL
PERMIT APPLICATION
Department of Community& Economic Development
City of Arfington• 18204 59th Ave NE •Arlington, WA 98223 •Phone(360)403.3551
Project Name/Tenant ,av maw ---
Site
Address_�620& /Z;?,VA° _Z ,Vg Bldg,/Unit/Suite G— 2-
IBC Construction Type_ /// IBC Occupancy Type 23
Description of Use /ZF 9,9�0rl
Building Square Footage _ Number of Stories f
Square Footage per Floor
Will there be any installation,modification or removal of the following? (Check all that apply)
53", 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:
_ !a/�Pin/,�i��'l5— �� /�'1✓.SiG�/�1Qir! fv,�/�o� Z� ir�odr y/
Lf'�DttT 6` ZFrZX1 hAfhZ " —,41- /LGCdej L� NG<-J yiPi2?�i e�v
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 accordance with the laws, rules and regulation of the State of Washington.
Applicants Signature
Print Applicants Name pale
FOR STAFF USE ONLY
Permit# mo6tefl By Amount Received Receipt# Date Received
REV 2015 Page 7 of 7
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COMMERCIAL 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: S7 &-E-_ a 6,7- _ Parcel ID#: pOS3� Q n Z
Project Description: Legal Description: z �
Project Valuation: 07,40,d
Owner: i/ G Phone Number: Z060- 36�t-sD
Address: v City: State: 1AA Zip Code: 9802/
AC io3
Contact Person: efA4 04/ _- G2D505 Phone Number: 6412!�-)
Cell Phone:(yLs)212)-39-2-4 E-mail: _C�✓c�crasS L� �cG i eta,�z,yr
Address: a?/ u/ City: z:2 z// State: 4u Zip Code:!0y/
Contractor: TD FEE ✓E4e4c-�,o Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
Plumbing Contractor:__ Nk-7n p.r-- _—,F1ZGr-c Phone Number:
Address: City: State: Zip Code:
Contractor's License Number:_ _Expiration:
�t v
Mechanical Contractor. !2 E4e Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
Received
SEP 06 2017
REV 2015 Page 6 of 7Lb l,)o 2
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COMMERCIAL REMODEL
PERMIT APPLICATION
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/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.
d One (1) City of Arlington Commercial/Multi-Family Permit Application
(One (1)permit application per building or structure is required)
❑ One (1) City of Arlington Commercial/Multi-Family Submittal Requirements Form
0 Two (2) Architectural Drawings
❑ Two (2) Structural Drawings
❑ Two (2) Structural Calculations
❑ 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
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.
REV 2015 Page 1 of 7
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COMMERCIAL REMODEL
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE•Arlington, WA 98223 • Phone(360)403-3551
A. FEES DUE AT TIME OF PERMIT ISSUANCE
S. CODES
The City of Arlington currently enforces the following:
International Codes
1, 2015 International Building Code(IBC)
2. 2015 International Residential Code(IRC)
3. 2015 International Mechanical Code(1MC)
4, 2015 International Fuel Gas Code(IFGC)
5. 2015 International Fire Code(IFC)
6. 2015 International Plumbing Code(IPC)
7, 2015 International Property Maintenance Code(IPMC)
8. 2015 International Existing Property Code (IEBC)
9. 2015 Washington State Energy Code(WESC)
10 2009 Accessible& Usable Buildings and Facilities(ICC/ANSI 1417,1)
Washinaton State Amendments
1. WAC 51-50 Washington State Building Code
2. WAC 51-51 Washington State Residential Code
3. WAC 51-52 Washington State Mechanical Code
4. WAC 51-54 Washington State Fire Code
5. WAG 51-56&51-57 Washington State Plumbing Code and Standards
6. WAC 51-11 Washington State Energy Code
7. WAC 296-46B Electrical Safety Standards,Administration,and Installation
C. CITY OF ARLINGTON DESIGN REQUIREMENTS
Design Wind Speed: 85 miles per hour(Exposure C)
Ground Snow Load: 25 pounds per square foot
Seismic Zone: D2
Rainfall: 2 inches per hour for roof drainage design.
Frost Line Depth: 12 inches
Soil Bearing Capacity: 1,500 psf unless a Geo-Technical Report is provided (IBC Table 1804.2&IRC R401.4.1)
D. PLANS AND DRAWINGS
Submit two(2)complete sets of drawings and plans, Drawings and plans must be submitted on minimum 18"X 24", or maximum
30"X 42"paper.All sheets are to be the same size and sequentially labeled. Plans are required to be clearly legible,with scaled
dimensions,in indelible ink, blue line,or other professional media.Plans will not be accepted that are marked preliminary or not
for construction,that have red lines,cut and paste details or those that have been altered after the design professional has
signed the plans.
Please Note:A separate submittal of plans is required for each building or structure.
REV 2015 Page 2 of 7
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COMMERCIAL REMODEL
o PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington• 18204 59th Ave NE•Arlington, WA 98223 • Phone(360)403-3551
DETAILED SUBMITTAL REQUIREMENTS
Mark each box to designate that the information has been provided. Please submit this checklist as part of your submittal documents
A. 0 SITE PLAN—REQUIRED WITH ALL SUBMITTALS
(May be included as part of the Architectural Drawing cover Sheet)
1, Drawing shall be prepared at scale not to exceed 1"=20 feet.
2. Show building outline and all exterior improvements.
3. Provide property legal description and show property lines.
4. Provide dimensions from the property lines to a minimum of two building corners(or two identifiable locations for
irregular plan shapes).
5. Show building setbacks, easements and street access locations.
6. Indicate North direction.
7. Indicate finish floor elevation for the first level.
S. Provide topographical map of the existing grades and the proposed finished grades with maximum five feet elevation
contour lines.
9. Show the location of all existing underground utilities, including water,sewer,gas and electrical.
10, Flood hazard areas,floodways,and design flood elevations as applicable,
B. ❑ ARCHITECTURAL DRAWINGS
1. L2 Cover Sheet
a) Building Information
1. Specify model code information.
2. Construction Type.
3. Number of stories and total height in feet.
4. Building square footage(per floor and total)
5. IBC Occupancy Type(show all types by floor and total).
6. Mixed-use ratio(if applicable)
7. Occupant load calculation (show by occupancy type and total)
8. List work to be performed under this permit
b) Design Team Information
1. Design Professional in Responsible Charge
2. Architects
3. Structural Engineers
4, Owner
5, Developer
6. Any other Design Team Members
2. Floor Plan
a) Plan view 1/8"minimum scale.Details a minimum %-inch scale.
b) Plans must show the entire tenant space.
c) Specify the use of each room/area.
d) Provide an occupant load calculation on the floor plan.(on every floor,in all rooms and spaces)
e) Show ALL exits on the plans;include new,existing or eliminated.
f) Show Barrier-Free information on the drawings.
g) Show the location of all permanent rooms,walls and shafts.
h) Note the uses in the adjacent tenant Spaces,if applicable.
i) Provide a door and door hardware schedule.
j) Show the location of all new walls,doors,windows,etc.
REV 2015 Page 3 of 7
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COMMERCIAL REMODEL
�?i , , 0 PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE•Arlington, WA 98223 • Phone(360)403-3551
k) Provide details and assembly numbers for any fire resistive assemblies.
1) Indicate on the plans all rated walls,doors,windows and penetrations.
m) Provide a legend that distinguishes existing walls,walls to be removed and new walls.
3, Reflected Ceiling Plan
a) Plan view 1/8"minimum scale. Details a minimum %,-inch scale.
b) Provide ceiling construction details.
c) Provide suspended ceiling details complying with IBC 803 9.1.1.Show seismic bracing details.
d) Show the location of all emergency lighting and exit signade
e) Detail the seismic bracing of [tie fixtures.
f) Include a lighting fixture schedule.
4. Framing Plan
a) Specify the size,spacing,span and wood species or metal gage for all stud walls.
b) Indicate all wall,beam and floor connections.
c) Detail the seismic bracing for all walls.
d) Include a stair section showing rise,run,landings, headroom,handrail and guardrail dimensions,
5. ❑ Storage Racks(if applicable)
NIA a) Structural calculations are required for seismic bracing of storage racks eight feet or greater in height.
b) Eight feet or less,show a positive connection to floor or walls.
NOTE:High pile storage shall meet the requirements of current International Building and Fire Codes.
C. ❑ SPECIAL INSPECTION
1, Where special inspection is required by IBC 1704,the registered design professional in responsible charge shall prepare
a special inspection program that will be submitted to the City of Arlington and approved prior to issuance of the building
permit to comply with IBC 106.1.
D. ❑ WASHINGTON STATE ENERGY CODE
N'ff1.One(1)completed Washington State Non-Residential Energy Code Envelope Summary forms. ONVSjoPg MCA--,
E. OCCUPANT'S STATEMENT OF INTENDED USE
N/if' I. The Occupant's Statement of Intended Use form shall be completely filled out and may require the submittal of a
Hazardous Materials inventory Statement(HMIS).Contact the Arlington
REV 2015 Page 4 of 7
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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 cedParlingtonwa.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
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1:
CITY OF ARLINGTON INSPECTION CARD
No building construction shall be commenced until permit holder
INSPECTION RECORD SHALL or his agent has posted this Inspection Record Card in a
REMAIN AT JOB SITE conspicuous place on the premises.
OWNER: CFT DEVELOPMENT/GYRO STOP CONTRACTOR:
JOB ADDRESS: 4008 172ND STREET NE,#C2 LOT NUMBER TYPE GROUP
NATURE of WORK: COMMERCIAL ALTERATION
USE of BUILDING: RESTAURANT
PERMIT No: BLD-1632 DATE ISSUED:
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
DEPARTMENT INSPECTION DATE(S) PASS FAIL INITIALS
FOOTING
BUILDING FOUNDATION
(360)403-3417 UNDERFLOOR
SHEARWALL
PLUMBING(groundwork)
ROUGH PLUMBING
GAS PIPING
ROUGH HEATING&VENTILATION
FRAMING
INSULATION
WALLBOARD(SHEAR/RATED WALLS)
CEILING GRID
STRUCTURALSLAB
CROSS CONNECTION CONTROL IN PREMISE
PUBLIC WORKS GRADING
(360)403-3457 TEMPORARY TECSP
ASBUILTS APPROVED
MAINTENANCE BOND
STORM DRAINAGE SYSTEM
PAVING,SIGNAGE&MARKINGS
LANDSCAPING
PLANNING CONDITIONS
ONSITE UTILITIES WATER
ONSITE UTILITIES SEWER
Sewer OFFSITE UTILITIES WATER
(360)403-3508 OFFSITE UTILITIES SEWER
SEWER PRETREATMENT
Water CROSS CONNECTION CONTROL PREMISE
(360)403-3526 SIDE SEWER/CLEANOUT/FINAL
WATER SERVICE INSTALLATION
WATER SERVICE FINAL
FIRE DEPARTMENT
(360)403-3526 HYDRO/FLUSH
(360)403-3607 UNDERGROUND""INCL FDC
(360)403-3607 FIRE ALARM /AUTOMATIC SPRINKLER
(360)403-3417 HOOD SUPPRESSION SYSTEM
(360)403-3607 FINAL FIRE WALK-THROUGH
(360)403-3417 FINAL INSPECTION
ALL SIGNATURE BLOCKS MUST BE COMPLETE
Date: 04/10/2026
Perm t#: 1632
Permit Date: 09/06/2017
Review Date: 09/06/2017
Perm it Type: COM M IRCIAL ALTERATION
Review Type: COMM IRCIAL ALTERATION
Target Date: 09/20/2017
Scheduled Time 00:00
Com pleted Date: 09/12/2017
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#: 00930300000302 C FT DEVELOPMENTS LLC
CFT DEVELOPMENTS LLC 1 683 WALNUT GROVE AVE
4008 172ND STREET NE R OSEMEAD, CA 91770
Zoning: 910 Undeveloped (Vacant) LandLot: Block:
Date: 04/10/2026
Perm t#: 1632
Permit Date: 09/06/2017
Review Date: 09/06/2017
Perm it Type: COM M IRCIAL ALTERATION
Review Type: COMM IRCIAL ALTERATION
Target Date: 09/20/2017
Scheduled Time 00:00
Com pleted Date: 09/12/2017
Description: Marysville water
Review Status:
Assigned To: PW WAT-REV
Tim eln: 00:00
Time O it: 00:00
H curs: 0.0
Property Information
Parcel#: 00930300000302 C FT DEVELOPMENTS LLC
CFT DEVELOPMENTS LLC 1 683 WALNUT GROVE AVE
4008 172ND STREET NE R OSEMEAD, CA 91770
Zoning: 910 Undeveloped (Vacant) LandLot: Block:
Date: 04/10/2026
Perm t#: 1632
Permit Date: 09/06/2017
Review Date: 09/06/2017
Perm it Type: COM M IRCIAL ALTERATION
Review Type: COMM IRCIAL ALTERATION
Target Date: 09/20/2017
Scheduled Time 00:00
Com pleted Date: 09/07/2017
Description: No issues. FR
Review Status:
Assigned To: PW-SEW REV
Tim eln: 00:00
Time O it: 00:00
H curs: 0.0
Property Information
Parcel#: 00930300000302 C FT DEVELOPMENTS LLC
CFT DEVELOPMENTS LLC 1 683 WALNUT GROVE AVE
4008 172ND STREET NE R OSEMEAD, CA 91770
Zoning: 910 Undeveloped (Vacant) LandLot: Block:
Permit#: 1632
Permit Date: 09/06/17
Permit Type: COMM HZCIAL ALTERATION
Project Nam e Gyro Stop
Applicant Nam a BCCI, LTD
Applicant Address: 21117 5th Avenue W
Applicant, City, State, Zip: Bothell,WA98021
Contact: Chuck Cross
Phone: 425-750-3927
Em al: chuckcross@bcciltd.com
Scope of Work: Restaurant
Valuation: 67000.00
Square Feet: 0
Num ber of Stories: 1
Construction Type:
O xupancy G ioup:
ID Code:
Permit Issued: 09/19/2017
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Launa Black
Property
Parcel# Address L egal Description O wrier Nam e Caner Phone Zoning
CFT 9 1000930300000302 4 008 172ND STREET NE DEVELOPMENTS (Vacant)
Undeveloped
cant)Land
LLC (Va
Contractors
Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License#
SPH Construction,Inc. Y ury Stepanenko 4 25-905-9544 2505 92nd Place SE CONSULTANT Industries Labor and SPHCOCI830DG
Inspections
Date I nspection Type D escription S cheduled Date C om Iieted Date I nspector S tatus
01/31/2018 C20.BUILDING Approved
FINAL
Plan Reviews
Date R eview Type D escription A ssigned To R eview Status
09/06/2017 COMMaCIAL approved with red lines z .Rick Karns
ALTERATION
09/06/2017 COMMHtCIAL No com m ats,LT P W ADMIN-GIS
ALTERATION
09/06/2017 COMMHtCIAL No issues.FR P W-SEW REV
ALTERATION
09/06/2017 COMMaCIAL Marysville water P W WAT-REV
ALTERATION
Fees
Fee D escription N otes A m aunt
Building Plan Review T able 4-2 $703.05
Building Perm i T able 4-1 $1,081.61
Processing/Technology $25.00
State Surcharge- 1 st DU R esidential- 1 st Unit $4.50
Total $1,814.16
Attached Letters
Date Letter D escription
09/13/2017 Building Perm i
Paym arts
Date Paid By D escription P aym art Type A ccepted By A m aunt
09/06/2017 Chuck Cross 6 6248171 c c $703.05
09/19/2017 Gyro Stop,LLC C heck#9788 K ristin Foster $1,111.11
O ttstanding Balance $0.00
Notes
Date Note C reated By:
09/13/2017 Need contractor L auna Black
09/06/2017 Plum hng and Mechanical contractors deferred. L auna Black
Uploaded Files
Date File Nam e
03/21/2018 3176615-1632 Health District Approval Letter.pdf
09/19/2017 2616234-1607 Issued Perm t.pdf
09/06/2017 2584071-1632 Application.pdf
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