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HomeMy WebLinkAbout7728 204th St Ne Ste A_BLD408_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 ` PHONE; (360) 403-3551 BUILDING PERMIT Address:7728 204th Street NE,#A Permit#:408 Parcel#:00829100000102 Valuation:500.00 OWNER APPLICANT CONTRACTOR Name:OT HOLDINGS LLC Name: RollingB Construction Name:RollingB Construction Address: 1519 132ND ST SE#A Address:8025 Maple Lane Address:8025 Maple Lane City,State Zip:EVERETT,WA 98208 City,State Zip:Lake Stevens,WA 98258 City,State Zip:Lake Stevens,WA 98258 Phone: Phone:425-879-3278 Phone:425-879-3278 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LTC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Sign CODE YEAR: 2012 STORIES: 1 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. IBCI 10/IRCI 10, SALES TA. i OTICE:Sales tax relating to construction and construction materials in the City oPAr i ' n must be reported on your sales tax return form an •odcd of 1i �n I O 1. Signature Print Name Date Released By Date CONDITIONS Adhere to approved size of 24 square feet. 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 6/18/2014 Sign Permit Fee $31.00 Total Due: S31.00 Total Payment: $0.00 Balance Due: $31.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon �� � t I SIGN PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE•Arlington, WA 98223 • Phone (360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF COMPLETE PLANS,INCLUDING STRUCTURAL CALCULATIONS WHERE APPLICABLE, TWO(2)FULLY DIMENSIONED PLOT PLANS SHOWING ALL SIGNS ON SITE. (EXISTING&PROPOSSED) Project Address: / j � �' �� �-- Parcel ID# ax- Lot#: Subdivision Valuations cx-> Owner: /� �� 2/���5 c Phone Number: ` ��s��6-8'V q Address ` �3�v/� S%-S City: GK q State: 10A Zip Code: / eOl�Z— Contractor:R04.4-/AA(&6 Phone Number: Cell Phone: Fax: E-mail PC)(6.17 c b eeD/vt ram,$ Address: Sb2_5 City: kk 51 DVS State: kl* Zip C_ode�:,/��ZS Contractors License Number: I -041_1 ✓L 223 H 2. Expiration:_T / WALL SIGN CALCULATIONS MONUMENT SIGN CALCULATIONS Wall height Wall length 3 Total street frontage in feet ! '2 Area of wall ��U .07 Height of proposed sign Sign length Sign height 1 /0 Width of proposed sign Z Total sign area 2-2, 6 � k-f Total sign print area 2 First floor sq. ft. 3 S©o Total sign structure area 2 First floor sq. ft. X .025 = $7, Is there other wall signage on the building? No Q Yes If yes, provide location and sq.ft. of each sign. I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the bove-described property will be in accordance with the laws, rules and regulations of the State of Washing Applicants Signature Date A, �30 ,,a,,.;r Print Applicants Name FOR STAFF USE ONLY Permit# Acceptdd y Amount Received Receipt# Date Received Z The sign is located above the West entrance to the clinic.Sign is constructed of 2"x 4"tight knot cedar with a%"thick acrylic sign backed by%" outdoor plywood.The sign weighs approximately 75lbs and is 96"W x 34" H x 1%"thick.The frame has been coated with 2 coats of stain and 1 coat of polyurethane. The backer panel has been painted with 2 coats of primer on the inside and on the outside 1 coat of stain.The sign is mounted using 5—6" lags similar to Simpson Strong Tie SDWH fasteners.The picture below shows the location of the fasteners marked with red dots. Behind each fastener is a 2"x4"x block to raise the sign above the existing bolt heads. `e.:y Ifl. F( AI IAIN M +II ' Arlington Physical Therapy 360-401-8250 ;I Simpson referance site: http://www.strongtie.com/products/connectors/5DWShttp:/ /products/connectors SDWH.asp?source=fastenh?source=fastenhp#tables � � , ', . . .; i �i �� i _ i i 2, *. r - - Y � - � - � r I 00847300000500 00847300000400 00847300000300 00847300000200 00847300000TOO Arlington I RG 20•tTH gT %E lo c gj p j new sign^ 0082590000 f 700 UOt 90929100000101 00829100000102 City of Arlington 0082910000030r, 00825900001600 00 00829100000703 00825900001500 051400101000 x OG L 11v, 00825900001400 " Oc Jk 00829100000104 ,? �^ Ol 00825900001300 I CITY OF ARLINGTON I 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 _! PHONE; (360) 403-3551 BUILDING PERMIT Address:7728 204th Street NE,#A Permit#:408 Parcel#:00829t00000102 Valuation:500.00 OWNER APPLICANT CONTRACTOR Name:OT HOLDINGS LLC Name: RollingB Construction Name: RollingB Construction Address: 1519 132ND ST SE#A Address:8025 Maple Lane Address:8025 Maple Lane City,State Zip:EVERETT,WA 98208 City,State Zip:Lake Stevens,WA 98258 City,State Zip:Lake Stevens,WA 98258 Phone: Phone:425-879-3278 Phone:425-879-3278 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: L1C#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Sign CODE YEAR: 2012 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. IBCI IO/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the C41,or n must be reported on your sales tax return to and coded City of Arlington#310I. / A Signature Print Name Date Released By Date CONDITIONS Adhere to approved size of 24 square feet. 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 6/18/2014 Sign Permit Fee $31.00 Total Due: $31.00 Total Payment: $0 00 Balance Due: $31.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon CITY OF ARLINGTON o; 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:7728 204th Street NE,#A Permit#:408 Parcel#:00829100000102 Valuation:500-00 OWNER APPLICANT CONTRACTOR Name:OT HOLDINGS LLC Name:RollingB Constriction Name:RollingB Construction Address: 1519 132ND ST SE#A Address:8025 Maple Lane Address:8025 Maple Lane City,State Zip:EVERETT,WA 98208 City,State Zip:Lake Stevens,WA 98258 City,State Zip:Lake Stevens,WA 98258 Phone: Phone:425-879-3278 Phone:425-879-3278 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip; Phone: Phone: LIC#: EXP LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Sign CODE YEAR: 2012 STORIES: I CONST.TYPE: DWELLING UNITS: 0 OCC GROUP: BUILDINGS: I 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. IBCI 10/IRC110. SALES TA. TICE:Sales tax relating to construction and construction materials in the�Cityo Ar I n must be reported on your sales tax return firm an •odcd �20funnl . v" CEO/ /�• t✓ ZS'/ �L/ C r I Signature Print Name Date Released By Date CONDITIONS Adhere to approved size of 24 square feet. 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 6/18/2014 Sign Permit Fee $31.00 Total Due: $31.00 Total Payment: $0,00 Balance Due: $31.00 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 ;-row • ', SIGN 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 COMPLETE PLANS,INCLUDING STRUCTURAL CALCULATIONS WHERE APPLICABLE, TWO(2)FULLY DIMENSIONED PLOT PLANS SHOWING ALL SIGNS ON SITE. (EXISTING&PROPOSED) Project Address: � Parcel ID#: Lot#: Subdivision: Valuation. l ' Owner: �!/ �L6 IA/�S c Phone Number: ` ����`6—ga�6 Address: r 4zo A32V� s�j City: 6K State: 4L)t Zip Code: ��Of Contractor: R0Z_L-1 J(r6 n1,J;,-t_W_'17p,J Phone Number: Cell Phone: �Z5—F-7 9 33.E 7 S Fax: E-mail: PC)(/I/1 eOM e u; Address: 902-5 4-/t/ City: State: k-'I* Zip C'ode�:,/9�zS� Contractor's License Number: /`ULLI eL 223 /'/Z Expiration: WALL SIGN CALCULATIONS2 MONUMENT SIGN CALCULATIONS Wall height /® ( Wall length 3 Total street frontage in feet Area of wall 536 ,.rT 2 Height of proposed sign Sign length a- Sign height 2 /O Width of proposed sign 2 Total sign area ZZ, � � 1�t Total sign print area First floor sq. ft. 3 SO 0 47 Total sign structure area / 2 First floor sq. ft. X .025 = e'7,5 t-f Is there other wall signage on the building? No Yes If yes, provide location and sq.ft. of each sign. I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the, bove-described property will be in accordance with the laws, rules and regulations of the State of Washing Applicants Signature Date S4d7-7-- A, �30&-V/_5,1Z_ Print Applicants Name FOR STAFF USE ONLY Permit# Accepted y Amount Received Receipt# Date Received The sign is located above the West entrance to the clinic.Sign is constructed of 2"x 4"tight knot cedar with a%"thick acrylic sign backed by%"outdoor plywood.The sign weighs approximately 75lbs and is 96"W x 34" H x 1%"thick.The frame has been coated with 2 coats of stain and 1 coat of polyurethane. The backer panel has been painted with 2 coats of primer on the inside and on the outside 1 coat of stain.The sign is mounted using 5—6" lags similar to Simpson Strong Tie SDWH fasteners.The picture below shows the location of the fasteners marked with red dots. Behind each fastener is a 2"x4"x block to raise the sign above the existing bolt heads. t • .u. �•.'i:.R Al F[1 ni•iAB it In'%V Arlington Physical Therapy ` 3 .403-8250 Simpson referance site: http:Hwww.strongtie.com/products/connectors/SDWS-SDWH.asp?source=fastenhp#tables/products/connectors/SDWS-SDWH.asp?source=fastenhp#tables 00847300000500 00847300000400 00847300000300 00847300000200 00847300000TOO Arl i ngto n I RG 7.0,:TH S' .,1- 0 Lo c a lijp,TO,qf n e w sign 00825900001700 001 00829100000101 00829100000102 City Of Arlington 00829100000300 00825900001600 - 00 OD829100000103 00825900001500 x UG 051400101000 z 00825900001400 01 00629100000104 P 1� 00825900001300 at Permit#: 408 Permit Date: 06/18/14 Permit Type: SIGN INSTALLATION Project Name: Arlington Physical Therapy Applicant Name: RollingB Construction Applicant Address: 8025 Maple Lane Applicant, City, State, Zip: Lake Stevens, WA 98258 Contact: Scott Bower Phone: 425-879-3278 Email: rollingb@comcast.net Scope of Work: Valuation: 500.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 06/25/2014 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00829100000102 7728 204th Street NE,#A OT HOLDINGS 651 Medical&Other LLC Health Services Contractors Contractor Primary Contact Phone Address Contractor Type License License# RollingB Construction Scott Bower 425-879-3278 8025 Maple Lane CONSTRUCTION Labor&Industries ROLLICL923M2 CONTRACTOR Fees Fee Description Notes Amount Signs Valuation Permit Fee Only $31.00 Total $31.00 Attached Letters Date Letter Description 06/18/2014 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 06/25/2014 Scott Bower 50742360 cc $31.00 Outstanding Balance $0.00 Uploaded Files Date File Name 06/30/2014 7728 204th.docx 06/25/2014 408-signed permit.pdf 06/18/2014 408 Application.pdf