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HomeMy WebLinkAbout19009 61st Ave NE Ste 5_067263_2026 C I T1r UF= AFRL I 1VGTQI4 CQhISTRUCT I QIV PEFRM I T PE Ft I T h10 _ = 06 —726 3 Owner: WESTAR PROPERTIES 18933 59TH AVE ARLINGTON 98223 Value of Work: $500. 00 Tax ID: Phone: 360-435-8581 Describe Work: INSTALLATION OF NEW DOOR Proposed Use: DOOR FOR COMMERCIAL SUITE Legal Description: Job Address: 19009 61ST AVENUE NE STE 5 Contractor's Name Type Address License* WESTAR PROPERTIES GEN P. O. BOX 3339 WESTAPN080CF TOTALS Fee Permit Fee $27. 00 Plan Fee $17. 55 State fee $4. 50 - 1 J .� SIGNATURF�s--��l�- TOTAL FEE. . . . . . . . . . . . . . . . . $49. 05 I HEREBY ERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $O.0 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $49. 05 ORDINANCES GOVERNIN THIS TYPE OF WORK WILL BE COMP D WITH WHETHER SPECILLW I R N T. DATE RECEIPT # BUIL Il+l OFFICIA k i 1 City of Arlington PEc 1006 Community Development ING,�O Permit Center 0!1 REQUEST FOR REVIEW ne NAME: We-5 tag /�ov-P.r tL-1, �1�v� /`Y��v�. BP #: oe7 7z(o.: DATE: RETURN THIS FORM BY: PROJECT SUMMARY: �- RESPONDING DEPARTMENTS TOM C., FIRE DAVE A., BUILDING UTILITIES KERRY W., BUILDING BILL B., NATURAL RESOURCES � �. _ , SCOTT B., BUILDING ENGINEERING YVONNE P., PLANNING SHERRI PHELPS, BUS LIC CWA., CONSULTANT DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments in memo form to the Permit Center. If you have no comments, please return the form with the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER. ❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY ,' DATE 1 I ` Y ° COMMERCIAL REMODEL PERMIT APPLICATION �ttvc,'� Department of Community Development City of Arlington• 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3431 • FAX (360)403 3447 THIS APPLICATION MUST BE ACCOMPANIED BY EIGHT(8) SETS OF CONSTRUCTION PLANS, EIGHTS(8) SETS OF SPECIFICATIONS, EIGHT(8) SETS OF STRUCTURAL CALCULATIONS AND THREE(3) SETS OF ENERGY CODE APPLICATIONS(IF APPLICABLE). Type of Permit: ( ) Commercial Remodel ( ) Commercial Addition ( enant Improvement Project Address: ' ©" C�l ' " e Parcel ID#: Project Description: i�� ---botn� I egal nescriplinn Project Valuation: Construction Type: WCO�i) Occupancy Group: Building Area(Sq Ft): 15t Floor: 2"d Floor: 3`d floor: 4ch Floor: Number IoAf'Units (Multi-family) Number of Buildings: c� Owner: W e--7�aVz Q-- (�1 0 SA,,,�� r Phone Number: �19 -4-P3, ��U Address: ICI✓33 `�-/ At/, (4•6 city: A C-c.,ll/�lllUN State: _ A Zip Code:'/) 2` Zl._,� Contact Person: ✓ t�2 Phone Number: o � " s z4z, Cell Phone:A!!'l 12'� l /0 Fax: �(o(� ��(/ >: 7�. E-mail: 1 . 11(a 2a ckc--U . CM-1— Address: City: State: Zip ,ode: Contractor: 0wkv-if Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration.. -- Plumbing Contractor, -Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: I Mechanical Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: I hereby certify that the above information is correct and that the construction on, and the occupancl s .,t above- described property will be in accordance with the laws, rules and regulation of the State of Washington. -. Applicants 'gnature ate e(a--72(o - 3 '/V � BOA DETAIT Print Applicants Name FOR STAFF USE ONLY 06- -7Z (,,3 (7 4q-7.uu 173 /y 12, -)1- -0b Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-09 Page 1 of 1 5/05 dwa OCCUPANT'S STATEMENT OF INTENDED USE LNG Development Project# Permit# Project Name/Tenant _ , 1 Site Address��b� ���'� /�,`�(f Bldg/U It/Suite IBC Construction Type / IBC Occupancy Type Description of Use drF t Wit✓ / L-�Qy(���( )T t,.41gI I Building Square Footage Area of Construction 1 Will there be any installation, modification or removal of the following? (Check all that apply) ❑ Automatic fire extinguishing systems ❑ Compressed gas systems ❑ Fire alarm and detection systems ❑ Fire pumps ❑ Flammable and combustible liquids(tanks, piping ect...) ❑ Hazardous materials ❑ High piled/rack storage ❑ Industrial ovens/furnace ❑ Private fire hydrants ❑ Spraying or dipping operations ❑ Standpipe systems ❑ Temporary membrane structure,tents(>200sq ft)or canopies(>400 sq ft) Provide details on any of the above checked items: Installation, changes,modifications or removal of any of the above may require additional Y submittals information or permits during the plan review or construction process. Printed Name of Occupant/Agent _tzh.4, lo Signature of Occupan / gent Date WEB Forms-31 Page 1 of 1 5/05 dwa �1 nNG'�, TENANTIMPROVEMENT SUBMITTAL REQUIREMENTS Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3431 • FAX (360)403 3447 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)403-3431 or by email to permittech&ci.arlinoton.wa.us. 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. Signature: �VLX +. Date: Z /.`•'�p ner/Owner's Represent e Company: Phone "j azltz, 061 - WEB Forms—51 Page 4 of 4 50/05 dwa FFIC ( i Contractor/Owner: Westar Properties Permit: 06-7263 Date: 12-15-06 Project Address: 19009-61"Ave. N.E. 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