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HomeMy WebLinkAbout18222 SMOKEY POINT BLVD Bldg G_077537_2026 INSPECTION REPORT' • Permit No.: n1 753 7 Lot#: _ Address: /f-L- --%- S-,y, Contractor: f-kA w./-kne jg f• Owner: .Sri !:d= < Q� Date: O-APPROVAL ❑ 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. 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 K-4ir Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: �3 y �hr� IN PECTION REPORT • Permit No.: o? -7 s 3-7 Address: I'Yr— Contractor: N, A-L- .a et • ♦ Owner: Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION •CORRECTION REQUESTED 16-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 y tArn`lc- ► ,-P T 51 4 K c-73 2.cs t4 l y-r f Y1 P [)w.)ST lT+LS r, Ly'1`�T-: c� v G.L:v`'7 L. � mil''�:`i� 2^Z •'l/ :i �Lf�.�� AMA- 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 0-Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: -7 909 ,►� INSPECTION REPORT Permit No.: o--i -z 5 3 7 Lot#: L) Address: [F z- S,,t L , P — Contractor: �h P" 1 k-%- h=4 tA Owner: S rn Date: 8-1 o —on APPROVAL ❑ 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. Inspector: Date: 8 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing W,Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: 67 - -7 s 3 7 Lot#: Address: Contractor: t4l • ♦ Owner: S `� S.- Date: -APPROVAL ❑ 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. ns 7t-_ _r�..t �S?r-►-',fi-rL -�')°✓�4�/L-Jo Inspector: , "� Date: 8 -C--dq TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing > ,Drywall, Nailing ❑ Consultation ❑ Foundation hear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: 07 75g7 Lot#: C� Address: 1 7- Contractor: Hl,"k4 w0 7 P9 Owner: 51--1 5 Date: ?—5—o 9 APPROVAL ❑ 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. Inspector: ' a � Date: 0—S—vim 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: INSPECTION REPORT • Permit No.: Q-7 7 S 3 7 Lot#: _ Address: t P P°r- Contractor: N, ,«� ✓-� Owner: 5;n Date: S-4-d9 ❑ APPROVAL ❑ 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. 41;�M11h-,N 17 C e a rL<-tors a iJ &Af G 6,4&12L ZD► SeA-t- �M4-F+S,�? Pcr^rJL— .w'S1�J.1 E,,, GQn/Ik`Z.. Z l.j Inspector: �z.o-T Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ►e-0-Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove 0 Rough-in ❑ Final ❑ Masonry ❑ Drainage C. Insulation ❑ Other: 25� VSPECTION REPORT • Permit No.: 0 7 - 7 s S 7 Lot#: Address: i k: z Contractor: fh Owner: S-11 L Date: 7- 31 --_' ❑ APPROVAL jd PARTIAL APPROVAL ❑ VIOLATION Z-CORRECTION REQUESTED ea-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. Inspector: Date: '7:V—C)5 TYPE OF INSPECTION REQUESTED ❑ Under-floor leZ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork /-,a Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT Permit No.: al '75 37 Lot#: Address: f P Zz.z 9 T Contractor: Al." •• �, Owner: Date: 1 -2-9-vg ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION W-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. S�ArL P .r�srt�4t�U,J i rJ {AMA-��T�T�]P Rerwrr�A V.n ftJN r5 A A ° N l �v► l c.� n 2 wY/b 'S Q ceyt. P r ky-L.t S/4-C. M 12° r�YCc rti �n l�t c t /N o C.LoS�r� T7 t Inspector: . Date: 7 'Zg'og TYPE OF INSPECTION REQUESTED ❑ Under-floor U Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork if Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: /02-7 INSPECTION REPORT • Permit No.: o-7 i s 3 Lot#: Address: I g to r Contractor: H, Owner: Date: 7- 2L—09 APPROVAL ❑ 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. PLt.," ell Ar_eP^1%NA5W Inspector: 1't .ram Date: *7'• —`�t1 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: z-3 N PECTION REPORT • Permit No.: a-7 7 5 3? Lot#: en Address: /s Z 2,z s , i`=, P Contractor: 1-h ft2:2,2= ^ • Owner: z Date: 7 - —o APPROVAL ❑ 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. 0 CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: 1#- Date: —9—09 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation tKShear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: o-7 -753-7 Lot#: Address: Contractor: f-6 • ♦ Owner: Date: 3 APPROVAL ❑ 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. / "M g i'V `l /ZN U L ti•i iW�� Inspector: — Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing J -Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: 0-1 -753-7 Lot#: C? Address: Contractor: Al �Anj /k • • Owner: Date: 3—1 -1—o 1) AK,APPROVAL ❑ 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. .AA J-/CT TU we)o 31l S Inspector: ��7G Date: 3-19 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: -7 37 INSPECTION REPORT • Permit No.: e,�.-7 '753 7 Lot#: C7 Address: f9-2-2, Contractor: 8==n6aa Owner: Date: 3 -- 16 —0 9 4;2-APPROVAL ❑ 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. Inspector: - Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing Cl Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid -flab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry WInsulation ❑ Other: Zzs INSPECTION REPORT Permit No.: o, -7 5 3-7 Lot #: l Address: (e2..i� s,�► w., pr gL„ Contractor: Kvvt • Owner: 5 -,-i ti C-r'YL Date: 3 -l 3—o g QY APPROVAL ❑ 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. rZ- Z_9k /f44VL Inspector: Date: 3"J �� TYPE OF SPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation Al-Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 3 Z3 INSPECTION REPORT • Permit No.: om 7597 Lot #: _ Address: t e-1 �✓a1 PT Contractor: a Owner: Date: L l t o f7 !,APPROVAL ❑ 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. j "2_ Inspector: S z Date: 3-1 7 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ZIL Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: CITY OF ARLINGTON 238 N-OLYMPIC AVE.-ARLINGTON,WA,98223 PHONE:(360)403-3421 STATUS: READY TO ISSUE Permit#: 07-7537 BUILDINGPERMIT Project Address: 18222 SMOKEY POINT BLVD BLDG G, ARLINGTON Parcel No: 00472500000501 PROPERTY OWNER APPLICANT CONTRACTOR -0-STILLAGUAMISH SENIOR CENTER HIMALAYA HOMES 18308 SMOKEY POINT BLVD 9633 MARKET PL#201 ARLINGTON,WA 98223 -0- LAKE STEVENS,WA 98258 LICENSE#:HIMALHI161DE EXP: PLUMBING CONTRACTOR MECHANICAL CONTRACTOR SOUNDVIEW PLUMBING T&D HEATING 15000 40TH AVE NE 8420 41 ST DR NE MARYSVILLE,WA 98271 MARYSVILLE,WA 98270 JOB DESCRIPTION DUPLEX 832 SQ FT PER UNIT, BLDG G Description Fee Amount Paid Balance Due Permit Fee $1,200.00 ($1,200.00) $0.00 C-Building Permit Fee $1,580.25 $0.00 $1,580.25 C-Plumbing Permit Fee $185.00 $0.00 $185.00 C-Mechanical Permit Fee $66.00 $0.00 $66.00 C-Building Plan Review Fee ($172.84) $0.00 ($172.84) C-State Building Code Surcharge $6.50 $0.00 $6.50 C-Parks Mitigation $4,657.34 $0.00 $4,657.34 C-Traffic Mitigation $1,118.34 $0.00 $1,118.34 Total Due: $8,640.59 ($1,200.00) $7,440.59 PERMITAPPROVAL 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 Signature Print Name Dift f Rel ased By Date ATTENTION 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,UBC109/IBC110/IRC110. ARCHIVE APPLICANT =ASSESSOR OTHER I SrNGLE FAMILY REF DENCE BUILDING PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3447 THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS AND TWO (2) ACCURATE, FULLY DIMENSIONED PLOT PLANS. TYPE OF PERMIT: ( ) Sfr ( ) Duplex ( ) Duplex to be Condominimized Project Address: I O 22- Si'Ylplaj,I P4 P 1Ud Parcel ID Subdivision: Project Description: l f�,IrYI l!�Y ( RJ1,a)/(.Q,q Wy Project Valuation: V Owner: m�•�-� (.( �fSY��PS h i c-, Phone Number: Address,-1�0'✓'� ` �_T �� 50—ZOI city:(Ad U S State: Zip Code: Contact Person.—au IC Phone Number: 97-ci'3-7 !— toM Cell Phone: ZrJ - Fax: '3 1 / E-mail: flA�.11�_7_6Ltt 4OdlO S.-1 011 Address: `�� (IS tC City: State: Zip Code: Contractor: Ct"l 1 ► I l(' 4 L / S� In b Phone Number: t a 2:� Address: City: .-State: Zip Code: Contractor's License Number: �m&�+r �� �� Expiration: Plumbing Contractor �- Phone��Number: (� 2-� Address: 1 5MC) q&1 NE�_rl City: XState: W;� Zip Code: l � Contractor's License Number.,-%l NNV (/) 'ZIV F Expiration: (0 1 1:3 1 20D9 Mechanical Contractor: T Phone Number: 41,45— 7 Address: L� �5� �� City:l� jj]ll�State: �'� Zip Code: cN /0 Contractor's License Number�hKA +91(of N Expiration: - 1 l 4I ZCOCI FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-46 Page 1 of 2 02/08 sb __ _a. / �� r 1 �� .. C&lO �' City of ArlingPublic Works Utilities Division Water Department ph. 360.403.3526 G,� CROSS CONNECTION SURVEY Residential FOR OFFICE USE ONLY Date Received: Survey reviewed by: Survey accepted by: Assembly Required: ❑ No ❑Yes DCVA RPBA Inspection Type of Residence: ❑ Single Family ❑ Duplex 0 Triplex ❑ Apartment #of Units Other Project Site Address: 1(5 2- rt01C,e,�.+ "0-L j IVcl �{ VqA I�i�� ,�A" q�ZZ� Property Tax ID#: �� I J 5(�� 50;z) , j L-6 Lot#: Pau,Ief C Building Permit#: J Subdivision: - Building size: #of stories Project description: 0 U Si M Property Owner: aloaAa- Pam-a 1 J/)C� Property Owner's mailing address:q b3?; rM V1U-+ S�Z D I Property Owner's Phone# 025--j-7-7—StDOO Fax# Occupant/Contact's name: Occupant/Contact's mailing Address: SO—M-Q (A�s O:JO�)y-R-� Occupant/Contact's Phone # (�{'n� �'�P S ��� Fax 4 ,� VY1 Q;�.e S am-cj The Rules and Regulations of the State of Washington Department of Health require that certain premises install backflow prevention assemblies.(WAC 246.290.490). Backflow prevention assemblies shall be installed at any premise where,in the judgement of the City of Arlington Cross Connection Control Specialist,the nature of activities on the premise may present a hazard to the public water system,should a cross connection exist. CCS Residential pg 1 2006 City of. a4ton Utilities Division Cross Conn, _ion Survey Property Site Address: i�22-2 Srn�lt -Nv , C�vi{ nc�c; Lo A- 9UKS Name of person fillings out survev (please Drint): 1•-P) Fl1ga_� Place a check mark next to all equipment/fixtures listed below that are, or will be,permanently or occasionally connected to water for use at your residence (single family, multi-family, mobile, etc.) i Toilets ❑ Shampoo Basin Sinks (kitchen, bathroom,'etc.) ❑ Drinking Fountains ❑ Janitor sink ❑ Film Processors Hose Bib (outside faucet) ❑ Photo Developing Sinks/Tanks etc. Bathtub ❑ Solar Heating system Shower ❑ Heating system using water Dishwasher v Heating Boilers Garbage disposal ❑ Boiler Feed Lines AIce maker ❑ Bidets Clothes Washer ❑ Dialysis Equipment ❑ Air Conditioner ❑ Medical Equipment Fire Sprinkler system ❑ Water Treatment/Filtration System ❑ Lawn Sprinkler system ❑ Decorative pond/fountain ❑ Private Well on property ❑ Hot tub. ❑ Swimming pool The above information is complete and accurate to the best my 'knowledge. I understand that any changes in equipment connected to the domestic water systeiii .must Ue reported immediate iy to ui�. City of Arlington Utilities Division as'a condition of continuq4 service. Si t ore i amu"av_., Print name Date - r: CC Residential pg2 2006 City of Arhi=iton Utilities Division Cross Connee. Survey Property Site Address: IlOK722- srnul4(�Q�1 Name of person fillin,- out survey (please print): 11,E�.��Yl 1-�� QJ < tVAL - Place a check mark next to all equipment/fixtures listed below that are, or will be,permanently or occasionally connected to water for use at your residence (single family, multi-family, mobile, etc.) Toilets ❑ Shampoo Basin Sinks (kitchen,bathroom,'etc.) ❑ Drinking Fountains ❑ Janitor sink ❑ Film Processors .Hose Bib (outside faucet) ❑ Photo Developing Sinks/Tanks etc. Bathtub " ❑ Solar Heating system Shower ❑ Heating system using water Dishwasher ❑ Heating Boilers ; XGarbage disposal ❑ Boiler Feed Lines , Ice maker o Bidets -A Clothes Washer ❑ Dialysis Equipment ❑ Air Conditioner o Medical Equipment Fire Sprinkler system ❑ Water Treatment/Filtration System ❑ Lawn Sprinkler system ❑ Decorative pond/fountain ❑ Private Well on property. ❑ Hot tub, ❑ Swimming pool The above information is complete and accurate to the best my knowledge. •I understand that any changes in equipment connected to the domestic water'systei-n rwast e repol«u it rneu�aLeLy �o City of Arlington Utilities Division as a condition of eontinu service. Sitam ore Print.na_rne j• Date CC Residential pg2 2006 V ' a RESIDENTIAL APPL. CATION { - SUBMITTAL CHECKLIST Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223 • Phone (360) 403 3551 • FAX(360)403 3447 Please use this checklist to ensure that all necessary information is provided for review of your project. ��M/�(eK_e_-1 One (1) completed ShTgle-Rar- Ily-Res-de. tial Building Permits Application Two (2) accurate fully dimensioned plot plans Two (2) sets of construction drawings Two (2) sets of engineered drawings and calculations (If required) Health Department ap*val of septic system Verification of ter and Sewer Availability from City of Marysville (if ap li able) f Cross-Connection Control survey application APPLICATIONS ARE ONLY CONSIDERED COMPLETE IF ALL INFORMATION REQUESTED ON FORMS IS FILLED IN. -Pam'( 5 37-7 �t S au c-, uA-,,n K" w a_9PxV-e_d WEB Forms—40 Page 1 of 1 02/08 sb f. JRR Engineering, Inc. 18609 76th Ave. W., Suite B Lynnwood, WA 98037-4149 (425) 697-5108 Client: D. B. Johnson Construction Project Location: IVaries, Building 9- Plan C 1801 Grove Street, Unit B Design calculations are for 85 mph wind exposure B Marysville, WA 98270 and 25 psf snow load. Do not use or depend upon these (360)659-1579 calculations for more severe wind exposure or snow loading. Scope: Lateral &Vertical Design Code: ASCE 7-05/ IBC 2006 Lat. Des. Parameters: Seis. Class. D, (SS): 1.25 Dead Loads: Roof& Ceiling load 15 psf Exposure: B Floor load 10 psf Windspeed (mph): 85 Exterior wall load 8 psf(surface area) Live Loads: Snow Load (psf): 25 Interior wall load 10 psf(floor area) Floor Load (psf): 40 Assumed Soil Values per IBC 2006: Soil Bearing: 2000 psf(Contractor shall notify Engineer if testing indicates bearing capacity is lower than 2000 psf) Wind Design: Ps=1,*IW*P530*Kzt (Simplified Wind Load Method, Sec. 6.4, Eq. 6-1) Where; X , Adjustment Factor varies over height & exposure (Fig. 6-2) IW= 1 j (Table 6-1) P530,Varies with roof pitch and building zone (Figure 6-2) i Kzt= 1 Topog. Factor(6.5.7, Fig. 6-4), equal to 1.0 for flat terrain I I I Roof rise in 12" : 6 Roof rise in 12" :I 0 " Horizontal Pressures Horizontal Pressures A B C D A B C D Ps30 14.4 2.3 10.4 1 2.4 Ps30 11.5 -5.9 7.6 -3.5 0-15' PS 14.4 2.3 10.4 2.4 0-15' PS 11.5 -5.9 7.6 -3.5 15'-20' PS 14.4 2.3 10.4 2.4 15'-20' Ps 11.5 -5.9 7.6 -3.5 20'-25' P5= 14.4 2.3 10.4 2.4 20'-25' P5= 11.5 -5.9 7.6 -3.5 25'-30' P5= 14.4 2.3 10.4 2.4 25'-30' P5= 11.5 -5.9 7.6 -3.5 30'-35' PS 15.1 2.4 10.9 2.5 30'-35' P5= 12.1 -6.2 8 -3.7 35'-40' PS 15.7 2.5 11.3 2.6 35'-40' P.= 12.5 -6.4 8.3 -3.8 I � Seismic Design: V= Cs*W (Equiv. Lat. Force Des. per ASCE 7-05, Sec 12.8) Fa = 1 ((Table 11.4-1) ISDS = Des. Spectral Resp. Accel. Parameters (Sec. 11.4.4) _ SpS = 0.833 I(Eq. 11.4-3) D = Site Classification (Section 11.4.2) IE = 1 (Table 11.5-1) Fa & Fv = Site Coeff. (Table 11.4-1 &11.4-2)_ ,,�D _•� q R = 6.5 (Table 12.2-1) V= Seismic Base Shear (Eq. 12.8-1) Cs=IIE*SDS/R (Eq. 12.8-2) 1W= Effective Seismic Weight (Sec. 12.7 p = Redundancy Factor(1.0<p<1.3) (Sec. 12.3.4.2) 1 I Therefore;I V- 0.128 ,W U S SS/OIVAL�`'� Y Prepared b : RAF F1 � � N Checked by: RKR Project Name: Building 9 - Plan C ExPIRES I" /ZS Z�J� Project No.: 07-02009 6/25/2007 Page 1 of ENGINEERING & PLANNING SERVICES Project Name: RLTLDI I\G. ! ,' A � _ No.: 07-OZ� a9 Z 21-3 c' z N � ® _ l J O o rn M O Q �z QZ z ; \ � z o� Designed'1 F Checked Rk R Date �- Sheet Z of 1 \ I �� � r c"-E?Ar? fxic. f� I G� ENGINEERING & PLANNING SERVICES Project Name: B UT L D.T_ G I No.: 07-04 U I r1c LAT\ UVTI�D CND ZONE Zu, W) wl No LOADS ! E 1 Z VZ1, G V= o[Zfz7) (7)] 4 I0.y[�7� )7 ,-SC--T5 TG M6S ARE C ZoO3-Cf1 I��C i;l.�Ns . L AT\ S EI S I UL ,O T.8c 2CO6 '�,✓I= 15 54�x36 -+ IR44 ] + 3(1)rz( sq +36 )+ 8 41 011$ 45.1 S7ge' RLQ UNU ANC''/ RNO (W—OKST cAS� E.A<N 1 12CcT�o,N� DTI Y; w* M-PW ->2- 9AYs It 0 TAROLAM DFSTG N VALUES I NE CM C-KVARVE VALVES US6I; �615MTY, VyTND 6Z/0 (--) ` 3l05, > 16001, A,8 v=6zio1, ) ` 1so' > 11( e C ; bZ(D g�z b� RESPONSE moo. FACTOR 1 01404> 2.w DesignedRAF Checked RKR Date ,l l -_ Sheet 3 of =. ENGINEERING & PLANNING SERVICES Project N.-,,me: 11(<D_ N(z _ -- - - — No.: 07-�ZQ09 LSNF I , — Asp LW V/ 3IK /I,y = ZZIB -1,T=7-70 z ( 3,Sx21 , _ I S g P F <D 0 PL F H$ f W/w= ZDI PLF , ISS RF -00 Wacrm DNA :�S NOT CPU IS AL (D,TADT Lkl:T) Ag:- VOM oN 2y, JIUDWL L LlNEI V- 51Os* PLF< 230 PLF A6= 4B 0,7 NOT tk-�T ENE A X V A4woRs LOIWENTIO AL MYL-M NJAEL---ENG a Ll NE C V= 10100 ��. 7zi4� � 0P,sl tA4 -r 72(4/(z( 9,S*4) = I q I PLF< F ©� AB- CO�� m,L Oif N Off' G UT, Designed ��F Checked W Date - Sheet 4 of 4-r-F�r JE711giri ENGINEERING & PLANNING SERVICES Project Name: _ ULLDZNG g AL/1N G No.: 07-02007 V EPT,f CAL TK I/S S 1�k G p b 9 S L S'' w= 1.s�`z ( g)= 160-11 10(1) :7 90 t4z� I bO( 00'4 < 700"' w= Ib0'/► R-U- tb O f�_) - 760 .P 2 S-ql)o E� Designed R AF Checked RKR Date Z��! Sheet S of SINGLE FAMILY RESIDENCE Rudd,' 4tIN o BUILDING PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360) 403 3447 THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS, SIX(6)ACCURATE, FULLY DIMENSIONED PLOT PLANS AND TWO (2) SETS OF ENERGY CODE APPLICATIONS. TYPE OF PERMIT: ( ) Building ( ) Mechanical ( ) Plumbing Combination �1 �kk 00` I'L50O�O 501 SoZ Project Address: I$ZZ�- cJ'M`�k p`� y Parcel ID#: 505 S Lot#: Subdivision. Sete- Le l on S; �I� 0S Project Description: �tX or Project Valuation: —_ Owner: S t A e t,.a,N�s(" '3eV%0f CeAltr Phone Number. (yZS) 32'1 -ZA 10 Address- Lss 5/0 City: "� State: Zip Code: t4\ yzS ato-5Z.-Z 3 Contact Person:�e �ay'er Phone Number: Cell Phone: Fax: 36D 65"T-3M E-mail: d 01 amd (2 yer(zm,me-f Address 120 Gr0� 5�. ��'T City: A�Sv't1L State: �_ Zip Code: 9g2.7o Lending Agency: NIA Phone Number: Address: City: State: Zip Code: Contractor: �� SoVNnWl (f0A3_4r&1d1'(3^ �-��• —Phone Number: 36D 659-3394( Address: 1 � 'rD VC Sr. W4 8 City: 0&f Xrv'I'C- State: tt.)A Zip Code: 1/ 27o Contractor's License Number: _QT�S0 H CT 0yY13 A Expiration: -7 d9\\ Plumbing Contractor; Phone Number: ��� �'bZO " J Address: /5000 410 1 A.t` A/C, City: N4tk"sv, 1l,State: k/A Zip Code: OZ7 Contractor's License Number: S ot-, ve O 3-)> F Expiration: Mechanical Contractor: �Q S �"I .�I d", Phone Number: C3(,ic)—) -1-) 7 3 ' Address: Sao & h k'" ��. City: M 6ntrot State: �24 — Zip Code: $Z72 Contractor's License Number: -H Ca CT 00.7C Expiration: FOR STAFF USE ONLY °D' JUL 9 7 2007 Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-46 Page 1 of 2 3/07 dwa C, SINGLE FAMILY RESIDENCE BUILDING PERMIT APPLICATION ��4 1 N c;"�C Department of Community Development City of Arlington • 238 N Olympic Ave, •Arlington, WA 98223 • Phone (360) 403 3551 • FAX (360) 403 3447 Number of Plumbing Fixtures (Including Rough-Ins) Plumbing Fixtures Accessory Main Unit#X Total Fixture Total Number Fixtures Dwelling Unit Residence Multiplier Units Bar Sink X 1.0 = Bathtub or Combination Bath/Shower Z X 4.0 = 8 Clotheswasher "L X 4.0 = Dishwasher L X 1.5 = 3 Hose Bibb X 2.5 = Kitchen Sink Z X 1.5 = 'S Laundry Sink X 2.0 = Lavatory(Bathroom Sink) X 1.0 = Z Shower(Stand Alone)Each Head X 2.0 = Water Closet(Toilet) 2 X 2.5 = s Whirlpool Bath or Combination X 4.0 = Bath/Shower Water Heater Other Total Fixture 7 Units J Traps(other than above Items) _ Column Totals �F Estimated Project Valuation �Y, D I a�,f 0 Building Square Footage l0 (`I I"' Floor 2"d Floor 3`d Floor Basement Deck Garage Water Supply Piping A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units B. Distance from meter to most remote outlet: feet. C. Difference in elevation between meter and highest fixture: feet above meter or feet below meter. D. Pressure in street main: psi. (Measure with gauge or check with Water Department) 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 b in accordance with the laws, rules and regulation of the State of Washington. 7z A pl ants Signature ate FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-46 Page 2 of 2 3/07 dwa `� " �,, REr 1DENTIAL APPLIFATION o SUBMITTAL CHECKLIST �f N G't 1 Department of Community Development City of Arlington • 238 N Olympic Ave. • Arlington,WA 98223 • Phone (360) 403 3431 • FAX (360)403 3447 — Please use this checklist to ensure that all necessary information is provided for review of your project. A completed building permit application Six (6) accurate fully dimensioned plot plans Two (2) sets of construction drawings Two (2) sets of engineered drawings and calculations (if required) CD�C � A completed Energy Code application A photocopy of current Washington State Contractor License Verification of Water and Sewer Availability from City of Marysville (if applicable) Health Department Approval of septic system at time of submittal Caro s s Co n n e C:Uco� APPLICATIONS ARE ONLY CONSIDERED COMPLETE IF ALL INFORMATION REQUESTED ON FORMS IS FILLED IN. /Z4. 91316 7 jpe't- 4111 _ Forms/MISC-1 x N > rD [ (D tt � � � _ z +n tTl A tt rh Q °lj C:) dUl H oo M--I tt x C n z o z y cn d x y H °z z r) Z O y n d � w C ny d rl It a CD � � > r � � r W z — c� C z o O n ' V d y z `° FLOOR PLAN NCB (ES: ` ALL LOWER FLOOR BEDROOM AND BATHROOM DOORS ARE TO BE 2-10" DOOR 5CHEDUI F PER UNIT NUMBER SIZE DE5CRIPTION COMMENT5 D01 21068 HINGED BDR-1 D02 21068 HINGED BDR-1/BATH DOB 21065 HINGED BATH PO4 3068 POCKET W/D D05 4065 BI PA55 BDR-1 CL05ET D06 4068 BI FOLD GOATS DOS 6068 BI PA55 BDR-2 CLOSET DOS 21065 HINGED BDR-2 DOQ 13065 EX I EXT. 6 PANEL I ENTRY CHANGES: 1. DOOR $ CLOSET ELIMINATED AT BEDROOM-1 2. DOOR 8 OL05ET ELIMINATED AT FURNACE CLOSET. 3. FURNACE REPLACED BY ROOM AREA ELEC. HEATERS 4. WATER HEATER MOVED TO BEDROOM-2 OL05ET 5. BDR 2 BIPA55 DOOR SHIFTED AWAY FROM W.H.A FEW INCHES 6. BDR DOORS CHANGE TO 2-10 6-5 yI CA) W40 O 4 GONG. PORC 6068 O itl © K BEDROOM-1 C ; i I 1 •1 4068 - �, GREAT ROOM CLOSET r � s I I � BOO O I n A — — 3066 I T VT is 4 CL05E T KITCHEN - - O 606E O JUL 1 J ?0�ip A I ;a OA PERMIT CENTE13 !.. 3036 BEDROOM 2 C Cc)J"3068 1 CONC. PORCH 7 .y OO 5040 OO MAIN FLOOR PLAN FTTMAT,AYA HOMES Building q,10,12,1-1 CHANGES/ MISO SUPPORT SHEET t I I t .; 4 ROOF VENTILATION PER UNIT IX \ \ROOF AREA: . \ `911 sa ft ROOF AREA VENTILATION PER UNIT 911 1 50 FT/300= 3.04 1 S.F. VENTILATION REQUIRED @ UPPER ROOF 50% SHALL O_G_ GUR @ EAVES PROVIDE MIN. �lq I VENTED BIRD @ EAVE5 PROVIDE MIN 4 ROOF VENT5 NEAR RIDGE PROVIDE MIN 11 12x1F5" GABLE VENTS 0.0,51 S.F. N.F.A. PER VENTED BIRD BLOCK 0.547 5.F. N.F.A. PER ROOF VENT 0.319 5.F. N.F.A. PER METAL EAVE VENT 12" x 15" = .219 S.F.N.F.A. HIl�iLUAYA HOMES Building 9,10,12,1-1 CHANGES/ MISO SUPPORT SHEET City of'Arlington UNG'. Community Development Permit Center ''JC) C7 Uut REQUEST FOR REVIEW NAME: BP #: —a?- 7S 3 DATE: RETURN THIS FORM BY: PROJECT SUhIMARY: T�.f..1 C., PRE L;A,'E B ;LD UTILITIES KERRY 1"J., BUILDNG 51LL B., NATURAL RESOURCES SCOTT B., BUILDING ENGINEERING YVONNE P., PLANNING, SHERRI F!- ELrS, BUS !-IC C A . CCNSULTrI;T RYL T., P'.RYSVILL E UT•L SUBMITTAL INFORMATION IS ATTACHED. Re2se review the inform2lion 2nJ return this fcrmzgd your comments in memo form to the Permit Censer. If you have no comments, ple2z-e return the forrn;;Ih the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PER4,11T CEIJTER. ❑ COMMENTS FOR THIS REVIEW ARE 114 THE ATTACHED MEMO ❑ NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT COMMENTS S cFr4 i C M fh e.. -�-o Sra r�' REVIEWED BY tr DATE c;�`'Y SINGLE �iJ . C �Z� FAMILY RESIDENCE , BUILDING PERMIT APPLICATION LICATICIN City of Arlin ton • Department of Community Development g 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360 03 3551 • FAX THIS APPLICATION TO BE USED FOR ONE AND (360)403 3447 APPL/CATION MUST BE ACCOMPAI�//ED BY I1Np O DWELLING UNITS RESIDENTIAL STRUCTURES. FULL Y DIMENSIONED PLOT PLANS AND 7 Y r O SETS OF ENERGY C THIS (2J SETS OF CONSTRUCTION ORAW/I�/GS, SIX(6)ACCURATE, ODE APPLICATIONS. TYPE OF PERMIT; ( ) Building TWO ( ) Plumbing l Combination Project Address: ($ZZZ Smoke t 00c.1 72SoioOW 501 ��� Lot Parcel ID#; so Subdivision: Ste_ Lee So3 Project Description: I 4r Owner: Project Valuation: lwc .J� SCHidr CeA�t' Address: g3�� S+�o�t�. Phone Number: CyZS) 32,-7 -e l o city: Ar 1%n)joA VA 9 Contact Person: State; Zip Code: SZ Z3 e I-F� �{� .Qr Phone Number: y�S Z, -0-SZZ Cell Phone: 3 p Fax: _ .36D �oS`j ��9 y I Address: 1201 GrJvL S� E-mail: Ub . I pNJ CJ yev r`z�,hit City:�hyySv,7 I Lending Agency: /(/ �State: �d 970 Zip Code: Address: Phone Number.- City: - State: Zip Code: Contractor: _b, rut�l c�.. .t`n Address: ip I (I // Phone Number; ��D �59-33gY �n City: ke rv,`!l /� ��� Contractor's License Number: ��Tn State: = L Zip Code: V Z 7 N CT pyy��^ o Plumbing Contractor- %4 ��y �I , Expiration: a9 Address: f.SODo q Phone Number: 3(a) !�59- ( 6z-o City: i�� Sv.( Contractor's License Number: V State;�U/4 Zip Code: 9$Z 0 33 ,vr- Mechanlcal Contractor: Expiration: Address: $Oo E-. k;^ 5 Phone Number: 3(oD� -79 4- 73o� City: ao ry c Contractor's License Number. $ 1444 EA CZ OD.,C Stater Zip9SZ7'Z Code: Expiration: FOR STAFF USE ONLY ©0 Permit# O Accepted By Amount Received gD� JUL NEB Forms-46 Receipt# Page t of 2 Dale Received 3/07 dwa i ,. .;: `, 1 c,`�Y41 °� SINGLE FAMILY RESIDENCE BUILDING PERMIT APPLICATION 9�'.ING�� Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360) 403 3551 • FAX (360)403 3447 Number of Plumbing Fixtures (Including Rough-Ins) Accessory Main Total Fixture Total Number Fixtures Plumbing Fixtures Dwelling Unit Residence Unit#X Units Multi ller Bar Sink X 1.0 = Bathtub or Combination Bath/Shower 2 X 4.0 = 8 Clotheswasher 'Z X 4.0 = Dishwasher L X 1.5 = 3 Hose Bibb Z X 2.5 = S Kitchen Sink Z X 1.5 = 3 Laundry Sink X 2.0 = Lavatory(Bathroom Sink) Z X 1.0 = Z Shower(Stand Alone)Each Head X 2.0 = Water Closet(Toilet) 2 X 2.5 = s Whirlpool Bath or Combination X 4.0 = Bath/Shower Water Heater Other Total Fixture ` Units Traps other than above Items Column Totals Estimated Project Valuation /I qr, ?o O LP D Building Square Footage (� /`T 15t Floor i �� _ 2nd Floor _3`d Floor Basement Deck Garage Water Supply Piping A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units B. Distance from meter to most remote outlet: feet. C. Difference in elevation between meter and highest fixture: feet above meter or feet below meter. D. Pressure in street main: _ psi. (Measure with gauge or check with Water Department) 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 L�,? in accordance with the laws, rules and regulation of the State of Washington. �-S 7&4Z Abplrcants Signature Uate FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-46 Page 2 of 2 3/07 dwa Y t ( Y City of'Arlington UIN Community Development0Permit Center REQUEST FOR REVIEW NAM E: 3S-4/�- BP #: _�_l - 5-3 DATE' - 67 RETURN THIS FORM BY: - - 0 PROJECT SUI,4MARY: UTILITIES RECEIVED KERRY ���., -0UILD!H;G 311-�_ L3 , NATURAL RESOURCES SCOTT B., BUILDING ENGINEERING YVONNE P., PLANNNIG SHEFRI PHEI FS, 3US !lC CV" A., CCNSL'LT/kNT C"ERYL T., NIPRYSVI!L E UT!L _!II,� T•, rCrici 1LT.=NT SUE3!,1ITTP-.L IWORMATION IS ATTACh'ED. Pease review the information ?nd re!urn this fcrnagd your comments in memo form to the Permit Cen.er. If you have no comments, plea_e return the forrn,tii;h 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 IIJ THE ATTACHED MEMO t- NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY �� « — '' � i ,. oY' Iin City of Ar gton IF OF Ow ELD AUG00 2 2o�i Community Development UtIIIt18SDIV, NG,1O Permit Center REQUEST FOR REVIEW NAME: 3td- & blvu BP #: -ol 75 3 ? DATE: I - D -7 RETURN THIS FORM BY. _ �' _ 7— PROJECT SUP,IMARY: r :D r:=s;7 Z UTILITIES KERRY 1"V., BUILUIlIG - - BILL B., NATURAL RESOURCES SCOTT B., BUILDIIIG ENGINEERING YVONNE P., PLANN11\1G SHERRI FI-1EL PS, SUS !'C ��^�'A . CONSULTr"NT rDcRYL T., N:1�,RYSVILL E UT'L JI.f0 T , CCr^SULT.�NT SUBMITTAL INFORkIATION IS ATTACHED. Please review the information and re!um this fcrmzgd your comments in memo form to the Permit Cea:er. If you have no comments. please return the forrnailh the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERI%,lIT CENTER. ❑ COMMENTS FOR THIS REVIEW ARE 114 THE ATTACHED MEMO ❑ NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT COMMENTS REVIEWED BY DATE S- (a, �ul'�1 0 0 08/06/2007 10:42 13606F '94 DB-JOHNSON CON'--NJCT PAGE 08/11 City of Arlington Public~ Works Utilities Division Water Department pli.360.403.3526 CROSS CONNICiCTTON SURVEY Residential. F'O)k OFFICE USE ONLY Date Received: Survey reviewed by: Survey accepted by: Assembly Rcquired: 0 No Yes DCVA RPBA Inspection Type of Residence: C] Single Family © 1(Duplcx. ] Triplex Apartment 4 of Units 1� other Project Site.Address: zz Zlo `? Property Tax JD#: ('� ���Q�- Lot#: Building Permit H: r�7 � � StXlitlrvrsian:�� �c Building sitze, J #of stories Project description: Property Owner: Property Owner's mailing address:� LZ--�►z � � Property Owner's Phone# # _ name: Occupant/Contact's _ Occuparlt/ContaCt's mailing Address:^ Occupant/Contact's Phone# Fax# The Rules and Regulations of the State of WZshington Aepartment of 14eawl require that certain premises install baokflow prevention assemblies.(WAC 246-290.490). Backflow prevention assemblies shall be installcd at any premise where,ill the judgement of the City of Arlington Cross Connection Control Specialist,the nature of activities on the premise may present a hazard to the public water system,should a cross connection exist. CCS Residential ps 1 2006 _ ,� I 08/06/2007 10:42 13606T 94 DB JOHNSON COh"')UCT PAGE 09/11 City of Arlington Utilities Division Cross Connection SurV cy Pt a er Site Addres I� Nnme of person filling out sure ey (please print) Place a check mark next to all equipment/fixtures listed below that are,or will be,permanently or Occasionally connected to water for lase at your reside-nee(single family, multifamily,mobile,elc-) Toilets to Shampoo Basin Sinks (kit;cben,bathroom,etc.) ❑ Drinking Fountains fl Janitor sink o Filaa Processors auk Hose Bib(outside faucet) ❑ Pbc)to Developing Sinks/Tanks cto. M/ Bath tub o Solar Heating system 0/ Shower a Heating system using water t Dishwaslier i i o Ieating Boilers d/ Garbage disposal a Boiler Peed Lines tt Ice maker ❑ Bidets t� Clothes Washcr o Dialysis Equipment o Air Conditioner a Medical Egtlipment t3 Fire Sprinkler systemo Water Treatment/Filtration System la Z.awxx Sprinkler system , o Decorative pond/fountain, Private Well on property o Hot tub o Swimming pool The above inforrnaticm is complete and accurate to the best my knowledge. I understar)d that any changes in. equipment connected to the domestic water system must be reported immediately to the City of Arlington U ilitie:l Division as a coxidition of continued service. ,�3ign&t4Ce / Print name Date .. CC Resldendal pZ2 2006 Y lKr7 City of'Arlington 7 Community Development &6�,q LIN G0 Permit Center REQUEST FOR REVIEW NAME: 3;C7� T,6� BP #: �-917— 7Y 3 q p- d-o--) j?-- DATE: RETURN THIS FORM BY-.— PROJECT SUMMARY. _. - UTILITIES KERRY W., BUILUNG BILL B., NATURAL RESOURCES RECEIVED SCOTT B., BUILDING ENGINEERING "- t VVONNE P., PLANNING SHERRI PHELPS, SUS !-IC C%,%A., CCNSULT�I�T �C:RYL T., P:1ARYSVII L E UT'L _!IM T , CC�NSI-LT-'NT SUBMITTAL INFORkIATION IS ATTACHED. Please review the information and return this fcrmand your comments in memo form to the Permit Censer. If you have no comments, please return the form,%•ith the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERIV11T CEIJTER. ❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO ❑ NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT /� COMMENTS A7I �t���� �-�-n �I1 /�,(,'✓Ol�� ' ?(00� c.2s- 'pi ,yKAJLAV 0\1'r mo aJ, 5 JA,.ee REVIEWED B DATE i. y� o� ,013/25/2007 08: 07 13606597/ DB JOHHSON C0NSTR)'-} PAGE 02/02 D.B. Johnson Construction, INC. 1801. Grove St. Unit B Marysville, OVA. 98270 (360)659-1579 9/25/07 Laura Brown [BY: AC TJI V j �D City of Arlington Community Development UL 1 n 1 200) 238 N. Olympic Ave Arlington; WA 98223 Dear Tuts. Bro xn. The application for the engineering and building permits for our Stilliguamisl, Senior Center project is now the property of the Senior Center. Please let me know if you have any questions. Please send us any reserve amount we may have over paid for the reviews. Sincerely, Keith Ho r Pre-Construction Mana£cr Page t of I Brenda Fecht From: Brenda Fecht Sent: Friday, August 31, 2007 3:54 PM To: Laura Brown Cc: Scott Black; Kerry Wentz; Sonya Blacker; Kelli Hale; Menglou Wang Subject: FW: Stilly Senior Center Project Laura, Keith asked me to forward this email to engineering. Brenda From: Keith Hoyer [mailto:dbj.land@verizon.net) Sent: Friday, August 31, 2007 3:22 PM To: Brenda Fecht Subject: Stilly Senior Center Project Brenda, Can you have Scott and anyone involved on the Civil side of the Stilly Senior Center project stop work on it for the time being? Thanks, Keith Hoyer D.B. Johnson Construction, INC. (360) 659-1579 Fax: (360) 659-3394 8/3 1/2007 I Staff Analysis for Conditional Use Permit September 8, 2006 Stillaguamish Senior Center Expansion C-06-018 2. Prior to any construction activities, the developer shall file and receive approval of site civil construction plans which comply with all requirements of the Land Use Code, International Building Code, International Fire Code, and Public Works Construction Standards and Specifications. Said plans shall address all site improvements, either required or voluntarily provided. 3. The developer shall meet all local, state, or federal code requirements. Attached is a list of code requirements that are specifically called to the developer's attention. It is in no way intended to be a complete list of code requirements, but a general checklist of major steps and issues. Please refer to the AMC for a complete list of code requirements for your particular project type. 4. Prior to approval of the site civil construction drawings, the landscape plan shall be revised to show the required minimum 3-foot solid fence or wall on the entire south property line and a minimum of 5 feet of "intermittent visual obstruction" type of landscaping on the entire west property line to provide a Semi-Opaque Screen, Type B. In addition, the landscape plan shall show all proposed trees, including the mitigation for the significant trees that are going to be removed from the site. Any significant trees removed because their retention would unreasonably burden a development shall be replaced with 5-gallon-sized native species at a ratio of 3:1. 5. Prior to issuance of any building certificate of occupancy, the developer shall install 2 additional recreational facilities pursuant to AMC §20.52.020(a) that are best suited for the age bracket of seniors that will reside in this development. 6. The developer shall install frontage improvements along all the remaining uncontrolled areas owned by the Senior Center on Smokey Point Boulevard. Improvements shall be done in accordance with the Public Works construction standards. Improvements satisfying this requirement shall be shown on the site civil construction drawings. 7. Prior to issuance of any building permit, the developer shall submit payment of the following City of Arlington impact fees (estimated based on 56 new multi- family dwelling units [12 existing] and/or 6 new p.m.-peak-hour trips): (NOTE: No WSDOT and Snohomish County Traffic mitigation fees are required.) Impact/Mitigation Fee Units/p.m.- Current Estimated Peak-Hour $/Unit Amount ($) 1 Trips City Traffic 6 3,355 20,130 City Community Parks 56 1,497 83,832 Schools 56 0* 0* TOTAL 1 103,962 \\coaadminl\Plannino\Shared\Current PlanninMARCHIVED PROJECTS\Site Plans Zonino Conditional BSpecial\Stillaguamish Sr Ctr Expansion C-06-018\Stilly Sr HE staff analysis.loc"C-oaadmin442lagAfflglypag"hilaguamis"r-Ctr-cx as ' ly Sr44E-slaffanalysis:dm 09/08/06 Page 7 of 9 Staff Analysis for Conditional Use Permit September 8, 2006 Stillaguamish Senior Center Expansion C-06-018 NOTE: Actual impact fees due are those as set by resolution at the time the fees are paid. These amounts are provided here as an estimate. They may either increase or decrease by the time they are paid. "Attached is a letter from the Lakewood School District dated July 18, 2006, granting a waiver from the school mitigation fees (Exhibit 2). 8. If any archaeological materials are discovered on the site, the State Historical Preservation Officer, the Stillaguamish Tribe, and the City of Arlington shall be contacted and measures taken to preserve the materials and the site. 9. Prior to issuance of any building permit, an avigation easement shall be dedicated to the Arlington Airport that reads: "A perpetual easement and right-of- way is hereby granted to the City of Arlington, State of Washington, its successors and assigns ("Grantee"), for use and benefit of the public, over the plat starting at 287' Mean Sea Level (MSL), for the purpose of the passage of all aircraft ("aircraft" being defined for the purpose of this instrument as any device now known or hereafter invented, used or designated for navigation of, or flight in the air) by whomsoever owned and operated in the air space to an infinite height above the surface of the Grantor's property, together with the right to cause in said air space noise, vibration and all other effects that may be caused by the operation of aircraft landing at or taking off from, or operated at, or on Arlington Municipal Airport, located in Snohomish County, State of Washington. Upon said property, no development or construction shall be permitted which will interfere in any way with the safe operation of aircraft in the air space over the land described herein or at or on the Arlington Municipal Airport." 10. Prior to issuance of any building permit, the proposed boundary line adjustment shall be submitted, approved, and recorded with Snohomish County. 11. The developer shall clear all outstanding Planning Division permit-processing accounts with the City within 60 days of issuance of this permit. 12. Per AMC §20.16.220, this conditional use permit shall expire automatically one year of the below date of approval if the use is not commenced or if less than 10 percent of the total construction cost has been completed. G. HEARING EXAMINER DECISION On September 13, 2006, the Hearing Examiner held the public hearing for the Stillaguamish Senior Center Expansion Conditional Use Permit (C-06-018). He approved/denied the conditional use permit based on the findings or fact, conditions, and recommendation of the staff analysis dated September 8, 2006. His decision is dated XX. H. APPEALS Per AMC §20.20.010 and AMC §20.98.210, to appeal this decision or the SEPA threshold determination, an appeal application must be filed, with all required fees, within 14 working days of the date of issuance of this permit. The City Council would hear the appeal of the permit and \\coaadminl\Planning\Shared\Current Planninq\ARCHIVED PROJECTS\Site Plans Zoning Conditional&Special\Stillaquamish Sr Ctr Expansion C-06-018\Stilly Sr HE staff analysis docllGoaadrniniaPlanning\ypage4stillaguamish-Sf-Gtr-Eixpaflsion-GOfr0181Stilly Sr-HE-staff-analysis:doc 09/08/06 Page 8 of 9 I Staff Analysis for Conditional Use Permit September 8, 2006 Stillaguamish Senior Center Expansion C-06-018 2. Prior to any construction activities, the developer shall file and receive approval of site civil construction plans which comply with all requirements of the Land Use Code, International Building Code, International Fire Code, and Public Works Construction Standards and Specifications. Said plans shall address all site improvements, either required or voluntarily provided. 3. The developer shall meet all local, state, or federal code requirements. Attached is a list of code requirements that are specifically called to the developer's attention. It is in no way intended to be a complete list of code requirements, but a general checklist of major steps and issues. Please refer to the AMC for a complete list of code requirements for your particular project type. 4. Prior to approval of the site civil construction drawings, the landscape plan shall be revised to show the required minimum 3-foot solid fence or wall on the entire south property line and a minimum of 5 feet of "intermittent visual obstruction" type of landscaping on the entire west property line to provide a Semi-Opaque Screen, Type B. In addition, the landscape plan shall show all proposed trees, including the mitigation for the significant trees that are going to be removed from the site. Any significant trees removed because their retention would unreasonably burden a development shall be replaced with 5-gallon-sized native species at a ratio of 3:1. 5. Prior to issuance of any building certificate of occupancy, the developer shall install 2 additional recreational facilities pursuant to AMC §20.52.020(a) that are best suited for the age bracket of seniors that will reside in this development. 6. The developer shall install frontage improvements along all the remaining uncontrolled areas owned by the Senior Center on Smokey Point Boulevard. Improvements shall be done in accordance with the Public Works construction standards. Improvements satisfying this requirement shall be shown on the site civil construction drawings. 7. Prior to issuance of any building permit, the developer shall submit payment of the following City of Arlington impact fees (estimated based on 56 new multi- family dwelling units [12 existing] and/or 6 new p.m.-peak-hour trips): (NOTE: No WSDOT and Snohomish County Traffic mitigation fees are required.) Impact/Mitigation Fee Units/p.m.- Current Estimated Peak-Hour $/Unit Amount ($) Trips City Traffic 6 3,355 20,130 City Community Parks 56 1,497 83,832 Schools 56 1 0* 0* TOTAL 1 103,962 \lcoaadminl\Planning\Shared\Current Planning\ARCHIVED PROJECTS\Site Plans,Zonina.Conditional&Special\Stillaguamish Sr Ctr Expansion C-06-018\Stilly Sr HE staff analysis.doc%lcoaadfnin-\W8agiag\ypage\Stil4gUaMiSh4F-GIF Expaasien-6.06.0-18\Stilly Sr- i&slaFf-analysis:des 09/08/06 Page 7 of 9 Staff Analysis for Conditional Use Permit September 8, 2006 Stillaguamish Senior Center Expansion C-06-018 NOTE: Actual impact fees due are those as set by resolution at the time the fees are paid. These amounts are provided here as an estimate. They may either increase or decrease by the time they are paid. *Attached is a letter from the Lakewood School District dated July 18, 2006, granting a waiver from the school mitigation fees (Exhibit 2). 8. If any archaeological materials are discovered on the site, the State Historical Preservation Officer, the Stillaguamish Tribe, and the City of Arlington shall be contacted and measures taken to preserve the materials and the site. 9. Prior to issuance of any building permit, an avigation easement shall be dedicated to the Arlington Airport that reads: "A perpetual easement and right-of- way is hereby granted to the City of Arlington, State of Washington, its successors and assigns ("Grantee"), for use and benefit of the public, over the plat starting at 287' Mean Sea Level (MSL), for the purpose of the passage of all aircraft ("aircraft" being defined for the purpose of this instrument as any device now known or hereafter invented, used or designated for navigation of, or flight in the air) by whomsoever owned and operated in the air space to an infinite height above the surface of the Grantor's property, together with the right to cause in said air space noise, vibration and all other effects that may be caused by the operation of aircraft landing at or taking off from, or operated at, or on Arlington Municipal Airport, located in Snohomish County, State of Washington. Upon said property, no development or construction shall be permitted which will interfere in any way with the safe operation of aircraft in the air space over the land described herein or at or on the Arlington Municipal Airport." 10. Prior to issuance of any building permit, the proposed boundary line adjustment shall be submitted, approved, and recorded with Snohomish County. 11. The developer shall clear all outstanding Planning Division permit-processing accounts with the City within 60 days of issuance of this permit. 12. Per AMC §20.16.220, this conditional use permit shall expire automatically one year of the below date of approval if the use is not commenced or if less than 10 percent of the total construction cost has been completed. G. HEARING EXAMINER DECISION On September 13, 2006, the Hearing Examiner held the public hearing for the Stillaguamish Senior Center Expansion Conditional Use Permit (C-06-018). He approved/denied the conditional use permit based on the findings or fact, conditions, and recommendation of the staff analysis dated September 8, 2006. His decision is dated XX. H. APPEALS Per AMC §20.20.010 and AMC §20.98.210, to appeal this decision or the SEPA threshold determination, an appeal application must be filed, with all required fees, within 14 working days of the date of issuance of this permit. The City Council would hear the appeal of the permit and \\coaadmint\Planninq\Shared\_Current Planning\ARCHIVED PROJECTS\Site Plans,Zoning Conditional&Special\Stillaguamish Sr Ctr Expansion C-06-018\Stilly Sr HE staff analysis.doc\\Goaadmlni�Rlanning\ypage\Stillaguamish-Sr-QP E-cpansion 8\Stilly Su-HF-staff-a nalysis,doc 09/08/06 Page 8 of 9 (DCCity of'Arlington "� Community Developrnent Permit Center REQUEST FOR REVIEW NAME: 3td- & BIP DATE: I— -J) — D 7 RETURN THIS FORM BY: PROJECT SUMMARY: V—J.j C., =;=�� 1 . �1 L L•r, 'i UTILITIES KERRY W., BUILDING -L B., NATURAL RESOURCES SCOTT B., BUILDIIJG ENGINEERING _J� `_ f PLANNING SHERRI PHiELPS, BUS LlC C%^,'A., C 0 N S U L T T mac:RYL T., r:�?,RYSVILLE UT!L _'!t-0 T , C0NSIJLT'NT SUBMITTAL INFOR!OATION IS ATTACHED. Plerse review the infcrmation and return this fcrmand your comments in memo form to the Permit Center. If you have no comments, pleac_e return the forrna•ilh 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 Y O G f. City of'Arlington Community Development �lrN G�co Permit Center REQUEST FOR REVIEW BP #: ��— 3 NAME: — DATE: I ^ U -7 RETURN THIS FORM PROJECT SUP,1MARY: i i C., UTILITIES KERRY \"J., SUILUNIG BILL B., NATURAL RESOURCES SCOTT B., BUILDING ENGINEERING � r n ':'VONNE P., PLArlh111\'G SHERRI FHELPS, SUS L!C C%--`'A . CCNSL'LTr1;T nc r.�� LL T.L �M I T., rCr,ct_�LT�'T _RYL T., . �RYSV I E U . ' SLIB!%IITTA.L INFOR!0ATION IS ATTAC!-ic-D. Rease review the infcrmation and ret,.,m this Icrmail your comments in memo form to the Permit Cen:er. If you have no comments, ple?=_e return the forrn-,;i!h 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 114 THE ATTACHED MEMO ❑ NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY DATE. 1 0�, City of'Arlington Community Development ING�O Permit Center REQUEST FOR REVIEW NAME: b4l,L BP #: _ _O_�7 75 3 'l DATE lb)) - D - _ RETURN THIS FORM BY: -�- PROJECT SUI0MARY: - R E CEIV f.I C., ;lam l;r..'- ` UTILITIES KERRY W., cUILDIHG BILL B., NATURAL RESOURCES SCOTT B., BUILDI!JG ENGINEERING f YVONNE P., PLAt,HMlG SHERRI PHELPS, 3US !tC C%Y;A , CCNSULTr!,T nERYL T., N-lf--,RYSVI!L E UT•L _!110 T., C0NlSI_'LT.='NT SUBMITTAL INFORMATION IS ATTAC!-IED. P!e2se review the information 2nJ return ;his fcrmzgd your comments in memo form to the Permit Censer. If you have no comments, ple2_e return the form,%ilh the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PER10IT CENTER. 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