HomeMy WebLinkAbout6021 199th St Ne Unit 1_BLD374_2026 CITY OF ARUNGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address: 6021 199th St Permit#:374
Parcel#:01 108700000100 Valuation: 1600.00
OWNER APPLICANT CONTRACTOR
Name: SJ HENDRICKSON HOLDINGS LLC Name:Day&Nite Plumbing& Heating Name:Day&Nite Plumbing&Heating,Inc
Address:6021 199TH ST NE Address:]6614 13th Ave W Address: 16614 13th Ave W
City, State Zip:ARLINGTON,WA 98223 City,State Zip:Lynnwood, WA 98037 City, State Zip:Lynnwood,WA 98037
Phone: Phone:425-508-2714 Phone:425-775-6464
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Day&Nite Plumbing&Heating Name:
Address: 16614 13th Ave W Address:
City,State,Zip:Lynnwood, WA 98037 City,State,Zip:
Phone:425-508-2714 Phone:
LIC#:DAYNIPH944RQ EXP: 1/l/2015 LIC#: EXP:
JOB DESCRIPTION `
PERMIT TYPE: Commercial Mechanical CODE YEAR:
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL
OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC1 I0.
SALES TAX NOTICE: Sales tax relating to construction and construction materials in the CiLy o A lingtop must be reported on your sales tax ctum
form att oded QtX of Arlington#3101. Z
ature Print Name bate Released y Date
CONDITIONS
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
11/18/2014 Gas Outlets Base Fee 1 to 5 $10.00
11/18/2014 Mechanical Permit Base Fee $25.00
Total Due: $35.00
Total Payment: $0.00
Balance Due: $35.00
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
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Permit Information
Date 5/19/2014
Permit Number 374
Project Name Shelby Hendrickson
Applicant Name Day&Nite Plumbing&Heating
Applicant Address 16614 13th Ave W
City, State, Zip Lynnwood,WA 98037
Contact Ken Loff
Phone 425-508-2714
Email ken@dayandnite.net
Permit Type Commercial Mechanical
Site Address 6021 199th St
Valuation 1600.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load
Number of Stories 0
Proposed Use New Gas Piping to Existing Heater
Assigned To Amy Rusko
Property Information Owner Information
Parcel#: 01108700000100 SJ HENDRICKSON HOLDINGS LLC
SJ HENDRICKSON HOLDINGS LLC 6021 199TH ST NE
6021 199TH ST NE UNIT 1 ARLINGTON,WA 98223
Review
Date Type Description I Target Date Completed Date I Assicined To Status
11/14/2014 lCommercial Mechanical 11/20/2014 lChris Young In Review
Notes
Date Note
11/14/2014 Revised application and plans have been submitted.Tenant Improvement permit has been completed.AR
6/11/2014 Permit is on hold because the current building did not receive a permit to split the building into two tenant spaces.
Uploaded Files Upload File
Date File
11/14/2014 Revised Plans 1'1-13-14. df 1.1 1 ie
10:02:47 AM
11/14/2014 _ev td Application 11-13- df Delete
10:02:40 AM
5/18/2014 11:00:00 PM US 374. df Delete
COMMERCIAL MECHANICAL PERMIT APPLICATION Department of Community ... Page 1 of 2
COMMERCIAL MECHANICAL
PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223
Phone (360) 403-3551
THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION
DRAWINGS AND ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT
SUBMITTAL REQUIREMENTS, IF APPLICABLE.
Type of Permit: O New Installation O Replacement
)e Alteration
Project Valuation: U .G a Parcel ID#
Project Address:*
Project G nAlron
Description:
Owner:
Address:*
City: State:* 0 ZIP: 0
*
Contact Person:* f�Yt rQ l Phone:*
Cell Phone: 4025-50i=Z"7 1-/ Fax Number:
E-mail: ems.
Address:
City: State: �_� ZIP:
*
Contractor Information
Contractor:* 11)0V M -r Phone:*qZIC _7 S6N�
Address:* l /3 n xyle
City: State: ZIP:* c�3
*
License Number /�JQj4q'4q Expiration: _� ►�
Received
:
t
NOV 13 2014
https://adobefonnscentral.com/?f=BiOtBomoJeLTZCfcmM2CAw 11/11/2014
i
COMMERCIAL MECHANICAI, PRESSURE PIPING INFORMATION Department of... Page 1 of 1
s COMMERCIAL MECHANICAL
PRESSURE PIPING INFORMATION
Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223
Phone(360)403-3551
If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit
Application
Business Name: r.,V A)1 1-4,:, Heal 54
Contact Person PG, 4
Phone Number:* C4 a5-- - 7n
Email:
Pipe Material: 1.,
Inlet Pressure: /c{ ps 1
Pressure Drop: iv.e-.
Specific Gravity: L_
NOTE:any interior pressure regulators must be indicated
NOTE: drip legstsediment traps are required to all appliances unless integrated in the listed appliance
Please Attach Pressure Piping Schematic(PDF Onlq
Show Pipe Size(s)and Length(s)from meter to all appliances. Please indicate%nether it is to scale or
not to scale.
Select File
Submit
Report Abuse Terms of Use Powered by Adobe FormSCentral
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i
COMMERCIAL MECHANICAL PERMIT APPLICATION Department of Community ... Page 2 of 2
Please indicate type of number of appliances:
CONDENSING AC (VRF) GAS PIPING
UNIT OUTLET
HEAT PUMP FURNACE UNIT HEATER
(multi-split)
HEAT PUMP BOILER PAINT
(mini-split) BOOTH
Furnace I CHILLER � DRYER
HEAT REJECTION F COOLER TYPE I
EQUIPMENT HOOD
AC (air cooled) [_ TYPE II AST
HOOD
AC (water cooled) VENTILATIO UST
N
SYSTEM
AC (evaporator) 1 PACKAGE OTHER
UNIT
Please Attach Plans and Supporting Documents (PDF Only)*
Select File
STAFF USE ONLY:
Permit Number: Accepted Receipt#
By:
Date Received Amount Received:
By submission of this form, 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.
Submit 1
Report Abuse I Terms of Use Powered by Adobe FormsCentral
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CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address: 6021 199th St Permit#: 374
Parcel#:01 108700000100 Valuation: 1600.00
OWNER APPLICANT CONTRACTOR
Name:SJ HENDRICKSON HOLDINGS LLC Name:Day&Nite Plumbing& Heating Name:Day&Nite Plumbing&Heating,Inc
Address:6021 199TH ST NE Address:16614 13th Ave W Address: 16614 13th Ave W
City, State Zip:ARLINGTON,WA 98223 City, State Zip:Lynnwood,WA 98037 City, State Zip:Lynnwood,WA 98037
Phone: Phone:425-508-2714 Phone:425-775-6464
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name:Day&Nite Plumbing&Heating Name:
Address: 16614 13th Ave W Address:
City, State,Zip:Lynnwood, WA 98037 City, State,Zip:
Phone:425-508-2714 Phone:
LIC#:DAYNIPH944RQ EXP: 1/l/2015 LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Commercial Mechanical CODE YEAR:
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL
OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110.
SALES TAX NOTICE: Sales tax relating to construction and construction materials in the Cit o Arlingto must be reported on your sales tax eturn
form an oded 'it of Arlington#3101.
Leh �0 '
azure Print Name bate Released yt Date
CONDITIONS
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
11/18/2014 Gas Outlets Base Fee 1 to 5 $10.00
11/18/2014 Mechanical Permit Base Fee $25.00
Total Due: $35.00
Total Payment: S0.00
Balance Due: $35.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
Permit#: 374
Permit Date: 05/19/14
Permit Type: COMMERCIAL MECHANICAL
Project Name: Shelby Hendrickson
Applicant Name: Day &Nite Plumbing &Heating
Applicant Address: 16614 13th Ave W
Applicant, City, State, Zip: Lynnwood, WA 98037
Contact: Ken Loff
Phone: 425-508-2714
Email: ken@dayandnite.net
Scope of Work: New Gas Piping to Existing Heater
Valuation: 1600.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 11/18/2014
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 SJ HENDRICKSON 502 Coral Condo-
HOLDINGS LLC Manufacturing
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
Day&Nite Plumbing& 16614 13th Ave CONSTRUCTION Construction DAYNINP789D5
Heating,Inc Bryan Radcliff 425-775-6464 w CONTRACTOR Contractor
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
12/08/2014 R09.GAS PIPING Gas piping on 15psi and 12/08/2014 12/08/2014 z.Christopher Young Approved
ROUGH-IN holding
Plan Reviews
Date Review Type Description Assigned To Review Status
11/14/2014 COMMERCIAL Oktoissue z.Christopher Young
MECHANICAL
Fees
Fee Description Notes Amount
Gas Piping/Units Enter#of units $10.00
Mechanical Base Permit Fee $25.00
Total $35.00
Attached Letters
Date Letter Description
11/18/2014 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
11/18/2014 Day&Nite Plumbing& Mechanical Permit Check#20040 $35.00
Heating,Inc
Outstanding Balance $0.00
Notes
Date Note Created By:
11/14/2014 Revised application and plans have been submitted.Tenant Improvement permit has been Amy Rusko
completed.AR
06/11/2014 Permit is on hold because the current building did not receive a permit to split the building into Amy Rusko
two tenant spaces.
Uploaded Files
Date File Name
11/14/2014 852357-Revised Plans ll-13-14.pdf
11/14/2014 852356-Revised Application 11-13-14.pdf
05/19/2014 BUS 374.pdf
COMMERCIAL MECHANICAL PERMIT APPLICATION Department of Community ... Page 1 of 2
COMMERCIAL MECHANICAL
PERMIT APPLICATION
Department of Community&Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223
4p, Phone (360)403-3551
THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION
DRAWINGS AND ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT
SUBMITTAL REQUIREMENTS, IF APPLICABLE.
Type of Permit: 0 New Installation 0 Replacement
X Alteration
Project Valuation:* I IkQ0 ,00"I Parcel ID#
*
Project Address:* 1rg6t
Project I G aS A Fr_ �✓
Description:
Owner:
Address:
City: State:* ZIP:
*
Contact Person:* Phone:
Cell Phone: Fax Number:
E-mail:
Address:
City: �_ State:* ZIP: [ ]
*
Contractor Information
Contractor:* 100V e AT;;� __1 Phone:* 7 S6i&Q
Address:
City: ywlm wgn,-,/I State: ZIP:* 4
*
License Number:* N' c Expiration: - ti Received
* NOV 15-2014
https:Hadobeformscentral.com/?f=BiOtBomoJeLTZCfcmM2CAw 11/11/2014
COMMERCIAL MECHANICAL PRESSURE PIPING INFORMATION Department of... Page 1 of 1
DCOMMERCIAL MECHANICAL
PRESSURE PIPING INFORMATION
Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223
Phone (360) 403-3551
If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit
Application
Business Name: r riV ( A)i4,, Plc,mll*
Contact Person I eA L r,
Phone Number: I q.25-- D
Email: J i
Pipe Material: t.,
Inlet Pressure: /,l Or I
Pressure Drop:
Specific Gravity:' l
NOTE:any interior pressure regulators must be indicated
NOTE: drip legs/sediment traps are required to all appliances unless integrated in the listed appliance
Please Attach Pressure Piping Schematic(PDF Only]
Show Pipe Size(s)and Length(s)from meter to all appliances. Please indicate%hether it is to scale or
not to scale.
Select File
Fsubrlt
Report Abuse Terms of Use Powered by Adobe FormsCentral
https://adobefonnscentral.com/?f=6Fpp5BXkTTOni4XRq-WeDQ 11/11/2014
COMMERCIAL MECHANICAL PERMIT APPLICATION Department of Community ... Page 2 of 2
Please indicate type of number of appliances:
CONDENSING AC (VRF) GAS PIPING
UNIT OUTLET
HEAT PUMP FURNACE _� UNIT HEATER I
(multi-split)
HEAT PUMP BOILER PAINT C]
(mini-split) BOOTH
Furnace CHILLER DRYER
HEAT REJECTION COOLER TYPE I
EQUIPMENT HOOD
AC (air cooled) TYPE II AST 0
HOOD
AC (water cooled) VENTILATIO UST
N
SYSTEM
AC (evaporator) PACKAGE OTHER
UNIT
Please Attach Plans and Supporting Documents (PDF Only)*
Select File
STAFF USE ONLY:
Permit Number: J Accepted Receipt#
By:
Date Received. Amount Received
By submission of this form, 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.
Submit
Report Abuse Terms of Use Powered by Adobe FormsCentral
https://adobefonnscentral.com/?f=BiOtBomoJeLTZCfcmM2CAw 11411/2014
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