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Home My WebLink About17716 48TH DR NE_BLD20090033_2026 CITY OF ARLINGTON 238 N OLYMPIC AVE.-ARLINGTON,WA.98223 PHONE:(360)403-3421 Permit#: BLD20090033 BUILDING Project Address: 17716 48TH DR NE, ARLINGTON Parcel No: PROP O. ABBATARE ABBATARE ABBATARE 17617 49TH DR 17617 49TH DR 17617 49TH DR ARLINGTON,WA 98223 ARLINGTON,WA 98223 ARLINGTON,WA 98223 Phone:206.915.2299 Phone:206.915.2299 LICENSE#: EXP: Email: Email: PLUMBING CONTRACTOR VIECIIANICAL CONTRACTOR Lic#: Ex Lic#: Ex 1 DESCRIPTION T.I.WORK FOR THE INSTALLATION OF RESTROOMS AND MECHANICAL VALUATION: $0 PERMIT TYPE:Commercial PERMIT GROUP:Tenant Improvement/Non Structural NUMBER OF STORIES:0 TYPE OF CONSTRUCTION: NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP: CODE:2006 OCCUPANT LOAD: BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0 BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:O OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 FRONT SETBACK SIDE SETBACKSETBACK RE UIRED: PROPOSED: REQUIRED: PROPOSED: ]REQUIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED: SETBACK NOTES: 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 Z ignature Pt (dame Date Re ea d gy 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/IBCI 10/IRC110. ARCHIVE APPLICANT = ASSESSOR OTHER BLD20090033 CONDITIONS • FYI Install a RPBA on the domestic water service for each of the units as premise isolation. Date Description Fee Amount Paid Milance Due 3/9/2009 C-Plumbing Permit Fee $165.00 $0.00 $165.00 3/9/2009 C-Mechanical Permit Fee $102.00 $0.00 $102.00 Total Due: $267.00 $0.00 $267.00 INSPECTIONS THIS PERMIT AUTHORIZES 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. CALL FOR INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed and whether you prefer morning or afternoon. None BLD20090033 (arusko/PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 BLD - Building Permit Ver: 2009B Priority: I Normal_:j #BLD20090033 �-; owner: ABBATARE -VANDERHOFFEN, HANS status: JAPPLIED address: 17716 48TH DR NE, ARLINGTON post date: 3/4/2009 data screens: I Select Screen... - functions: Select Permit Function... Tenant Iniprovenien.tiNon Structural Reviews Add Review 71 Remove Review Print 711 Close Review ID Description Assigned To Due Date (/#) Req? ' Done? ASSIGN 1026 P-Utilities Fees RSHEPARD 3/18/2009 0 Y I N ASSIGN 1032 P-Utilities I LTAYLOR 3/18/2009 0 Y N ASSIGN 2000 C-Building I CYOUNG 3/18/2009 0 Y N ASSIGN 2008 C-Community Development I ARUSKO 3/18/2009 0 Y N ASSIGN http://coaweb2.arlington.local/permittrax/PermitTraxMain/wfPermitConsoleReviews.aspx?... 3/5/2009 1 --- : ' :OMMERCIAL REC"ODEL 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 MUST BE ACCOMPANIED BY FIVE(5) SETS OF CONSTRUCTION PLANS, FIVE(5) SETS OF SPECIFICATIONS, THREE(3) SETS OF STRUCTURAL CALCULATIONS, ONE(1) SETS OF NREC ENERGY CODE APPLICATIONS AND ONE(1) OCCUPANTS'S STATEMENT OF INTENDED USE. Type of Permit: C) Commercial Remodel Q Commercial Addition if Tenant Improvement Project Address: r 1-1 1 LO bp— N GC Parcel ID#: Project Description K-ahuwt "E' {Methe�- C C11-4 Legal Description: Project Valuation: Owner: 60 b&420e--`A�� \16Wq Yh Ck� �Phone Number: d-�� - F� �q Address: 111 n 1--11,L,q I mp n 1' city:�L Yt State:� Zip Code: Contact Person:'[IU�W,S W 't t-b Phone Number: d-C(c Cell Phone: tiY - Fax: E-mail: �� Address: �� 1� �f`` �r City: (State: ALL— Zip Code: Contractor: 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: 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 occupancy and the use of the above- described property will be in accordance with the laws, rules and regulation of the State of Washington. Applicants Signature Date Va ri P)�K4rAj(el�,_ Print Applicants Name RECEIVED MAR 0 5 2009 FOR STAFF USE ONLY COA PERMIT CENTER Permit# Accepted By Amount Received Receipt# Date Received WEB Forms—188 Page 1 of 1 04/08 sb � � `,I I u I i � i - � �+ . _ r - '- G,"" �.� City of Arlington • Public Works Utilities Division �� -60 Water Department ph. 360.403.3526 CROSS CONNECTION SURVEY For Building Permits FOR OFFICE USE ONLY Date Received: Survey reviewed by: Survey accepted by: Assembly Required: ❑ No ❑Yes DCVA RPBA Inspection Project Site Address: (.r? � Property Tax ID#: Lot#: Building Permit#: E)a-) 'a-C)ol 0 o-3 Subdivision: Property Owner: bl-'A of --{y U A(E)n -K)r Gyl- Height of Building: feet I # of stories Description of activity to be performed at project/business site: OI,U i&-h 6 A b It n 444-- an e( 6f--7& S Oei 6c Property Owner's Name: Lfr 0 Property Owner's mailing address: 2--?D5 Property Owner's Phone# 3(00— 4403— 3 q-70 Fax# Occupant/Contact's name: a r/ fit 1 Occupant/Contact's mailing Address: j"� (p �"� q 67 Occupant/Contact's Phone# I O LP 9/6--05-1 29 Fax# 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. RECEIVED MAR 0 5 2000 CCS BP pg 1 2006 COA PERMIT CENTER i City of Arungton Utilities Division Cross Connection Survey Business or Pro'ect Name & Address: Name of person filling out survey lease rint : 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 project/business. Toilets ❑ High Pressure washers w/o chemical injection Sinks(kitchen, bathroom, etc.) ❑ High Pressure washers with chemical injection ❑ Janitor sink ❑ Chemical Feeder for Cleaners ❑ Shampoo Basin ® Dye Vats ® Hose Bib(outside faucet) ® Industrial Fluid Systems ❑ Hot tub ® Chlorinators ❑ Swimming pool ❑ Computer Cooling Lines ® Spa/Sauna ❑ Brine Tank ❑ Dishwashers ❑ Condensate Tanks ❑ Ice maker ❑ Cooling Towers ❑ Laundry Machines ❑ Etching Tanks ® Air Conditioner ❑ Fermenting Tanks ❑ Beverage(pop)Machine using CO2 ❑ Livestock Drinking Tanks ❑ Coffee Urn,Espresso Machine,etc. ❑ Make-up Tanks ❑ Water Treatment/Filtration System ❑ Fertilizer Injection ❑ Decorative pond/fountain ❑ Intertied(looped) services ® Drinking Fountains ❑ Aspirators, weedicide, herbicide, pesticide ® Lawn/Landscape Irrigation w/o chemicals ❑ Pesticide Applicator Trucks ❑ Lawn/Landscape Irrigation with chemicals ❑ Pump Prime Lines ❑ Film Processors ❑ RV dump Station ❑ Photo Developing Sinks/Tanks etc. Sewer Connected Equipment ❑ Mobile carpet cleaner ❑ Sewer Flushing ❑ Air Washers ® Stills ❑ Solar heating system ❑ Sumps ❑ Heating Exchangers w/o double wall with leak path ❑ Laboratory Equipment ❑ Heat Pumps ❑ Bottle washing equipment Heating System using water ❑ Autoclave ❑ Heating Boilers, commercial ❑ Autopsy Tables ® Boiler Feed Lines ❑ Sterilizers Floor Drains ❑ Bed Pan washers ❑ Kitchen Equipment ❑ Bidets RECEIVED ❑ Commercial Cooking Kettles ® Dialysis Equipment ❑ Fume Hoods ® Hydrotherapy Baths MAR 0 5 2009 ❑ Degreasing Equipment ❑ Dental Equipment/Cuspidors ❑ Trap Primers ® X-Ray Equipment COA PERMIT CENTER ® Used or Gray Water Systems ® Private Well on property ❑ Steam Generating Equipment ❑ Garbage Can washers The above information is complete and accurate to ❑ Fire Sprinkler System w/o chemicals the best of my knowledge. I understand that any ❑ Fire Sprinkler System with chemicals changes in equipment connected to the domestic ❑ Fire Dept Connection water system must be reported immediately to the ❑ Private Fire Hydrants City of Arlington Utilities Division as a condition of ® Aquarium make-up Water B continued service. Baptismal Fountain Air Compressor ® Car washing equipment ❑ Radiator Flushing Equipment Signature Date CCS BP pg2 2006 T .. �� .� ._ i 1 ' I N L JSTRIAL and COIL M ERCIAL 0 WASTE DISCHARGE Public Works Utilities Division City of Arlington • 154 W Cox •Arlington, WA 98223 • Phone (360) 403 3526 • FAX (360)435 7944 Wastewater Discharge Screening Form This is not a wastewater discharge application; it is only a wastewater discharge screening form. The information provided in this from will be reviewed and the appropriate Discharge Agreement Application sent to you, if necessary. Please fill out all questions. FOR OFFICE USE ONLY Date Received: Application Reviewed By: Business ID.: Application Accepted By: FILL OUT ALL SECTIONS OF THIS FORM. Is your business on city sewer? Yes hNo n Do not know 13 Company Name4(100'0 � Type of business: (description of activity to be performed at business site): E3Medical/Dental ®Restaurant OOffice/Retail OCommercial 0Industrial Other: Mailing Address: 1-1 U 11 LACHI'- � . City: �►Y�n� �,� _ S State: ;I Zip Code: Business Address: e,%L-v-e- City: State: Zip Code: Phone Number: 2-0 .X -"I 15 "�`� Extension: Fax Number: E-mail Address: Contact Person: t L��1�-, �',:'��1(( _✓ f Lj(w) Contact Title: Emergency Phone Number: FOR QUESTIONS CALL WASTEWATER PRETREATEMENT AT 360-403-3526 RECEIVED WEB Form Page 1 of 2 MAR 0 5 2009 5/08 sb COA PERMIT CENTER INL JSTRIAL and COr,.'MERCIAL WASTE DISCHARGE Public Works Utilities Division City of Arlington • 154 W Cox •Arlington, WA 98223 • Phone (360)403 3526 • FAX (360)435 7944 1. Will the facility need to be remodeled to accommodate your business? Yes No 2. Does your business require an NPDES permit? Yes ED No 0 Not sure 3. Does your business require any other permits or licenses? Yes 13 No - 3 If yes please list. 4. Is this a home based business? Yes El No - 5. Is the facility rented or leased? Own Rent Lease If yes, the owner or leasing agents name: r�- Phone number: 6. Is your business a food based industry? (restaurant, bakery, food packaging, catering, etc.) Yes No :�- 7. Is your business utomotive based? (automotive, aviation, small engine repair, motorcycles, etc.) Yes business ❑ 8. Is water used in the process of your business? (washing, rinsing, cooling, as an ingredient, etc.) Yes No The information I have given on this application is complete and accurate to the best of my knowledge. Signature of Responsible Person: Printed Name:-&(y, �fm hY{{L, Title: Date: RECEIVED MAR 0 5 20 WEB Form Page 2 of 2 COA PERMIT CENTER 5/08 sb t ► �1 No 1 I (iOMMERCIAL MtIHANICAL 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 MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS,AND ONE(1) SET OF WASHINGTON STATE ENERGY CODE APPLICATIONS. Type of Permit: -(7 ) Residential Apartment .(Commercial Valuation: Project Address: ) / I 'Le '-/9 -tl- b r r Parcel ID#: Lot#: Subdivision: / Project Description: j l `►'�L r{'Ianr rf�IC S hlE '�5� �n✓)G at f$b;OtSo�TLC� �eS�tt6i(f IKG �� Owner: \�'��'+6 r� 11 S Via aie Y h W-41 Phone Number: Address: I�,CpI,7 "1 br f" KA State: Zip Code: q$r)-ea.t �y, City- _ Contact Person:lizu'1 S Van der ��E�-� � Phone Number: 36(v ?/S - A;L91 Cell Phone: �/t� Fax: E-mail: Address: r 7tP 1 /^7 " ! t by- City: b f\ State: Wd Zip Code: 99 �03 Please List Quantity of Fixtures Below: CLOTHES DRYER FURNACE UP TO 100K BTU GAS OUTLETS FURNACE OVER 100K FLR FURN INSTALL/RELOCATE SUSPENDED HTR/UNIT HTR\ APPL VENT/OTHER APPLIANCE REPAIR BOILER UP TO 3 HP BOILER UP TO 4-15 HP BOLIER UP TO 16-30 HP BOILER UP TO 31-50 HP BOILER 51 HP AND UP AIR AHNDLING UP TO 10K CFM AIRHANDLING OVER 10K CFM EVAL COOLER VENTILATION FANS OTHER VENTILATION SYSTEM VENT HOOD DOMESTIC INCINERATOR COM/IND INCINERATOR ALL OTHER UNITS FREESTANDING STOVE FIREPLACE INSERT 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 occupancy and the use of the above- described property will be in accordance with the laws, rules and regulation of the State of Washington. Applicants ignature el Date 4 f�►1 S Le!M l�v #y7C/e/k__ Print Applicants Name RECEIVED MAR 0 5 2F.tl FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-133 Page 1 of 1 04/08 sb 5 ..: . V } ` i . -�_ i' C JMMERCIAL MECIL _ANICAL PRESSURE PIPING INFORMATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360) 403 3551 • FAX(360)403 3447 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: Inlet Pressure: Pressure Drop: Specific Gravity: Pressure Piping Schematic Show Pipe Size(s) and Length(s) from meter to all appliances. ❑ Scale or ❑ Not to Scale NOTE: any interior pressure regulators must be indicated NOTE: drip legs/sediment traps are required at all appliances unless integrated in the listed appliance RE&IVED MAR 0 5 2009 FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Form—284 Page 1 of 1 4/08 sb ir ,� t I },, 1 �« �� J f ' _