HomeMy WebLinkAbout16404 SMOKEY POINT BLVD_004370_2026 1:: INSPECTION REPORT 8 _�
¢ti1'v G 1'O Permit No.:W ' 't� Lot #:
Address: P T
Z Contractor:
9s, ,SO Owner: ►�.
�I N Date:
AAPPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
i
Inspector: Date:()/�
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
AOther:
INSPECTION REPORT 2D01
¢ti1N G T Permit No.: �J Lot #:
0
Address: �)Mt c
1Pw �g � Contractor: A- _
~9s, �4 Owner: 1) 6n 0 - Co S -7-10/ 6
IN C' Date: 0,j ' y1
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION _-T.,-�(CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
i
t
Inspector: Date!
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
Memorandum
City of Arlington
Department of Community Development
Building Department
Date: December 4, 2000
To: Planning - Yvonne
From: Building Dept
Subject: Mountain View Family Medicine - 1 wall sign
Building Permit #00-4370
Please review the attached sign application for planning & zoning approval.
Thank you.
PERMIT auk) DATE
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CITY OF ARL I MO-rON
CONSTRUCTION PERMIT
PERMIT NO- _ 00-4370
Owner: MONTY, RALPH 17215 SMOKEY PT. BLVD ARLINGTON 98223
Value of Work: $3,500.00 Tax ID: 310559-001-015-00 Phone; 659- 8551
Describe Work: INSTALL WALL SIGN
Proposed Use: MEDICAL CENTER
Legal Description:
v Job Address: 16404 SMKY FAT BLVD
Contractor's Nave Type Address License#
DOUGS LIGHTING [BEN E9410 W. SCOUTEN LP RD DOUGSLM11 )'o
TOTALS Fee
Permit Fee $48.00
5IGNATUR
TOTAL FEE.. . .. ...... . . . . .. $48.00 1 HEREBY CER. _F AT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS.. . ........... . . . . $0.0 KNOW THE SAME 'TO BE 'TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE.. . . . . . . . . . . . . . . . $48.00 ORDINANCES GOVERNING THI', TYPE OF
WORK WILL B M,'I 1ED W WHETHER
DATE RECEIPT # SPEC_' 1 ED N OR NOT
I �� BUILDING OFFICIAL
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Memorandum
City of Arlington
Department of Community Development
Building Department
Date: December 4, 2000
To: Planning - Yvonne
From: Building Dept
Subject: Mountain View Family Medicine - 1 wall sign
Building Permit #00-4370
Please review the attached sign application for planning & zoning approval.
Thank you.
P" MIT RR (",K) 7 0 DATE
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FROM Pa.na.son i 4 FRX SYSTr— PHOt E NO. 360 757 7237 Nov. 29 2000 05:4BPM P3
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Addendum "A" ,
Addendum Lease dated 15 July 2000 Between Ralph an MaryAnn Monty lessor and Dr. Stacey
O'Kinsella lessee for suite 301 of the RAMO Professional Building.
Term: the term is five years with two five year options to renew.
Notice for renewal: Written request for renewal must be received by the lessors office 90 days prior to the
expiration of the lease.
Occupancy: Approximately December 1,2000 lease payment will start on occupancy.
Lease Hold Improvements:The lessee shall pay$35,000.00 toward the lease hold improvements the lessor
will complete the lease hold improvement according to the attached drawing sc a addendum "B"The lease
hold improvements do not include any equipment or office furniture. The$35,000.00 will be due and
payable at the commencement of construction of the lease hold improvements approximately October
V 2000.
Tenant improvements similar to TLC subject to input from lessee and lessor
Sign at WJe*End of Marquis to be same size as Cascade Rehab space at tenant'.s,expense. Tenant to have
Reader Board Space reserved for two months when clinic opens.
f '
Lessor toe Dale/ �7 �v Lessor Dale U
Lessee Date��_�
20000 Y7 240411
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SIGNS AND DESIGN 'WE DO THEM ALL"TO YOUR SATISFACTION!
RECE�VE�
NOV 3 0 2000
CITY OF pR�INGTON
1948 SO. BURLINGTON BLVD. • BURLINGTON, WA 98233 • (360)-757-7237
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Addendum "A"
Addendum Lease dated 15 July 2000 Between Ralph an MaryAnn Monty lessor and Dr. Stacey
O'Kinsella lessee for suite 301 of the RAMO Professional Building.
Term: the term is five years with two five year options to renew.
Notice for renewal: Written request for renewal must be received by the lessors office 90 days prior to the
expiration of the lease.
Occupancy: Approximately December 1,2000 lease payment will start on occupancy.
Lease Hold Improvements:The lessee shall pay$35,000.00 toward the lease hold improvements the lessor
will complete the lease hold improvement according to tl:e attached drawing see addendum "B"The lease
hold improvements do not include any equipment or office furniture. The$35,000.00 will be due and
payable at the commencement of construction of the lease hold improvements approximately October
13'2000.
Tenant improvements similar to TLC subject to input from lessee and lessor
Sign at We*End of Marquis to be same size as Cascade Rehab space at tenant's.expense. Tenant to have I
Reader Board Space reserved for two months when clinic opens.
Lessor
Date Lessor .t Date/ U
Lessce Date����/(,o
RECENF-D
NO 3 0 2000
CITY OF ARLINGTON
200007240411
Must submit: 4 __pies of drawings & 4 copies or �stallation directions
RECEIVED " ���% (V.
CITY OF ARLINGTON �2cL SQ �c��� \
NOV 3 0 2000 SIGN
PERMIT PAI A�,
I TAT Orf A16INGTON 3 b o - b a IQ a
❑ COM 1 BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN PERMIT NO.
sic' ,.::1-o
j OWNER MAIL ADDRESS ft C Y ZIP PHONE
1 i� ���� nv� n�� �� �� a' -
ARCIIITLCT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE I
Of
CIIANICALL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
3 CLASS Of WORK
CC NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
Q VALUAT ION OF WORK
Z S
IWiI iiLSCRIBE WORK
F- MCU I-)r otic= 1 3 X-0 J au 2516()<r^0/ter q f?ASlic o'� lD vil'-Ary-/&A57-SIB
� FRUPUSI U USE Of BUILDING Y'�s1yM��y
i. `"�„-- � 1�/ �l�I 1� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
Vl r(`17 TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
J lLGnl utSCRIP I ION UI PROPERTY ISrEOWN BELO UR AT TACH POUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LUI BLOL K • OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
Q GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
F- VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
J TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
M aC` _ 0 5 _ CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
0 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
00
V4U • D SS
t D - Sm u � 6" STD 3o I I x �� � ����-"�' 1/o?"A -00
AN)LICA'I'lON IS 111363DY MA])- U 11011 1113RMISSION '1'0 C4 131 C'1' [ ] AI.'1'Llt [ ] ItLI'AIIt [ J
11I10JECTING [ ] 'I'13M1'Ol1AltY [ ] GROUND [ ] ItO011 ( ] WALL [ ] O'1'111111, DF-SClt113i11) AS
FOLLOWS:
SIGN of a type similar to that checked and described below, fastened and
secured by approved supports, and It Is hereby agreed Ihat If Ilds application Is approved the Sign will
conform In every dclall Willi the rerildremenis of the Building Code, Sign Code, Zoning Ordinance and all
City Ordinances and Slate Law,
Sign will be: Pq Illuminated ( ] non-111uminaled [ ] plain wood [ ] electric
Size: Wgt. �D Ibs lel>tgtic 8 wlclll>, 31 face '9 scI ft
Pace area., Sq. ft. Sign is faccci: distance from N S
properly line: 13 W
Lower edge will be /0 feet Inches above grade, liner edge will be Inches from the building.
Outer edge will be h►clfes from the building, lower edge will be feet Inches above Ills
alley, sidewalk or private property grade. Sign will extend -0— feel inches above the building.
Of wlial material will [Ile sign be conslrucled7 I?ace: p(kxc�ss /�-y
ITranle: MOM(-- Wording of sign h WtJ(-A!P UIEW V W16JAe
Put Office U..Only—4f
1'0'1'AL PLIE I u t AI.Puts
SIUL YARD SL I BACK 5TRLL1 SL IBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USk /ONI LOT AREA VACANT SITE
❑YES NO FEES VALUATION FEE
TYPE OF CONS1 OCCUPANCY GROUP NO.OF DWELLING UNITS PUN CHECKING VG
SIZE.UI BLUG, NO.OF STORILS MAX.OCC.LOAD BU'LDING f
PLUMBING
F IRE SPRINKLERS REQUIRE
U
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.3031a)
WATE91SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT 6 RECEIPT
PAID CRM BY
Cc:ASSESSOR,APPLICANT,TREASURER,BLDG. DEPT [it) GOFFICIAL DATE
RECORDS COPY
Must submit: 4 copies of drawings & 4 copies of installation directions
CITY OF ARLINGTON �2c�Se CCk� S t�V
SIGN Pei-�f� �s
PERMIT
❑ COMHIQON M NBUION IL BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN PERMIT NO
OWN MAIL 1 V�r �h� DI\4Q ! <RESS ZIP PII
ARCHITE OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
CONTRACTORhL'�-1 (1N6 !/`!T1O OVA ' ESc�ciiL% �(E `� UrLG� !'��! flf� 2123 e
GE LICENSE If
NERAL
CHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/fy
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
3 CLASS OF WORK
� NLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
a VALUAl ION OF WQRK
Zf 3
W DESCRIBE WV
�(au�r our 3 x8�
fa PRUPUSI U USE OF BUILDING /}�t!L(
ca ucq -_ ` I -,• I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
w y"� 1�1Ct4,,C TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
J LLGAL DES(RIPI ION UI PROPERTY(SHOWN BELOWOR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOI RLOCK - OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
w VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
d TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
IL OL _ a 0 5 _ CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
r ID .D sso 13LU D 5T6�30 4 x/ai��*a� wt
A 'LICA 10N IS IIER13BY MADU 110I1 11I3RMISSION TO BRI?CT [ ] ALTLIt [ ] ItLI'AIR [ J
PROJI3C1'ING [ ] 'I'I3MPORARY [ ] GROUND [ ] I100I7 [ ] WALL [ ] 0"I'111311, DF-SCIIIDf3l) AS
170I.,LOWS:
SIGN of a lyre similar to that checked and described below, fastened and
secured by Approved supports, and it Is hereby agreed 11iRt if tills application Is approved Ilse sign will
conform in every detail With the requlrements of (lie Bididing Code, Sign Code, Zoning Ordinance and all
City Ordinances and Stale Law,
Sign will be: Pq iiluminaled [ ] non-Illuminated [ ] plain wood [ ] electric
Size: Wgt. �0 Ibs length 8 i &9�width � face _ sq fl
Pace area: _ Sq. It. Sign is raced: distance from N S
properly line: 11 W
.ower edge will be � feet inches above grade. Inner edge will be Inches from the bullcling.
later edge will be Inches from the building, 1_ower edge will be feel Inches above the
'ley, sidewalk or private properly grade. Sign will extend $ feel Inches above tite building,
f what material will the sign be construcled7 face: PiXj (a�s
ranter M&_RL- Wording of sign kAou'0jewou (1/EW IiL1t=. lclke
Put Office Use only —4.
TOTAL,I'LL' ivinL,ran
UL YARU SE 1 BALK STRLLI SL IBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
F LONI LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
PL UI CONS I, OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
OI BLDG. NO.Of STORILS MAX.OCC.LOAD BUTDING
PLUMBING
FIRE SPRINKLERSREQUIREIT
0 YES ❑NO MECHANICAL
N M E NTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.3031a)
WATEFUSEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT 6 RECEIPT
PAID CRM BY
c:ASSESSOR.APPLICANT.TREASURER. BLDG DEPT BUILDING OFFICIAL DATE
RECORDS COPY