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17432 35TH AVE NE_BLD20090240_2026
INSPECTION REPORT • Permit No.: Lot#: 3 Address: / Contractor: k llt� Owner: X-11L1 Date: /D 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 6F INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ §truct. Slab ❑ Wood Stove ❑ Rough-in I/Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: !�'2WQ Lot #: /44( Address: 1752Z Contractor: k6we • Owner: Z",,Ie Date: 3 2 !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. 1414C1606c.d zz 3 e'--s2- ��,4-t(S "3® Inspector: D Date: TYP OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ F' al ❑ Masonry ❑ Drainage ly' Insulation ❑ Other: AM, BUILDING INSPECTION REPORT to v o� Permit No. Df_ OZ Yd zl Address: /7S-?Z s� 54 PT d L%W. Contractor: �Ll� 9�1IfN G i0 Owner: KLIAle Date: _ 3 f-F1M_-- ------ --- @'APPROVAL Ep PARTIAL APPROVAL ® VIOLATION Ep CORRECTION REQUEST Corrections listed below MUST BE MADE before work can be approved Please contact inspector _—Was not able to perform inspection Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before /�r��liiLY/J T Inspector: o444�I; Date: 3 = !o ® Under-floor 9-<aming ® Gas Piping ® Footing ® D all, nailing Ell Consultation ® Foundation hear Nailing ® Groundwork ® Mechanical ®Grid ® Struct. Slab ® Wood Stove ® Rough-in ® Final ® Masonry ® Drainage ® Insulation ® Other: BUILDING INSPECTION REPORT Gt�Y' f Permit No. Address: _ 7.5 y111�Es/ /, Contractor: _- kL,/fib ��L�NC" � Owner: Date: - APPROVAL ® PARTIAL APPROVAL ® VIOLATION ® CORRECTION REQUEST Corrections listed below MUST BE MADE before work can be approved Please contact inspector __Was not able to perform inspection Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before Inspector: Date: 12-5-11c. ® Under-floor ® Framing ® Gas Piping mooting ® Drywall, nailing ® Consultation np -oundation ®Shear Nailing ® Groundwork ® Mechanical ®Grid ® Struct. Slab ® Wood Stove ® Rough-in ® Final ® Masonry ® Drainage ® Insulation ® Other: BUILDING INSPECTION REPORT G1z Y o� Permit No. l0 00// Address: f 7�1 Contractor: NG"� Owner: Date: APPROVAL EP PARTIAL APPROVAL ® VIOLATION E3 CORRECTION REQUEST Corrections listed below MUST BE MADE before work can be approved Please contact inspector Was not able to perform inspection Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before Inspector: D Date: ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork ® Mechanical ® Grid ® Struct. Slab ® Wood Stove tough-in ® Final ® Masonry ® Drainage ® Insulation ® Other: BUILDING INSPECTION REPORT _1Y o� Permit No. 09162- VO Address: 7S3Z Yaua,�% Contractor: 9itfNG'LO Owner: C llNe Date: ® APPROVAL ® PARTIAL APPROVAL ® VIOLATION ® CORRECTION REQUEST Corrections listed below MUST BE MADE before work can be approved Please contact inspector __Was not able to perform inspection Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before Inspector: Date: z3 1v ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation ®Shear Nailing 5-(51roundwork ® 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 Permit#: BLD20090240 BUILDING PERMIT Project Address: 17432 35TH AVE, ARLINGTON Parcel No: 31052000400700 PROPERTY OWNER APPLICANT CONTRACTOR J&B SMOKEY POINT PARK LLC J&B SMOKEY POINT PARK,LLC J&B SMOKEY POINT PARK LLC 6101 152ND ST NE - 6101 152ND ST NE MARYSVILLE,WA 98271- MARYSVILLE,WA 98271- Phone:(360)435-6611 Ext Phone:(425)345-2213 Ext. LICENSE#: EXP: Email: Email:mark-kiein live corn PLUM RING CONTRACTOR MEC"ANICAL CONTRACTOR Lic#: Exp Lic#: Ex : I DESCRIPTION Building a new utility room for mobile home complex VALUATION: $0 PERMIT TYPE:Commercial PERMIT GROUP:Miscellaneous NUMBER OF STORIES: 1 TYPE OF CONSTRUCTION:V-B NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP:U _ CODE:2006 OCCUPANT LOAD: EXISTING AREA PROPOSED ARLA BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0 I BASEMENT:0 1 ST FLOOR:408 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 SETBACKFRONT SETBACK SIDE RE UIRED: PROPOSED: REQUIKED: PROPOSED: RE UIRED: PROPOSED: HEIGHT ALLOWED:0 PROPOSED:O ]REQUIRED: PROPOSED: SETBACK NOTES: 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, / zD/o Signature Print Name D.Ye I Rel6afed 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/IBC110/1RCI10. ARCHIVE APPLICANT F-] ASSESSOR OTHER 1 _ BLD20090240 • None PERNIFFFEES Date Description Fee Autount Paid Balance Due 12/21/2009 C-Building Permit Fee(QTY: 1.00) $322.50 $0.00 $322.50 12/21/2009 C-Building Plan Review Fee(QTY: 1.00) $209.63 $0.00 $209.63 12/21/2009 C-State Building Code Surcharge(QTY: 1.00) $4.50 $0.00 $4.50 Total Due: $536.63 $0.00 $536.63 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 F011 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 (4-2) City of Arlington Community Development Building Division 238 N. Olympic Ave. Arlington, WA 98223 360-403-3551 Certificate of Compliance Permit Type/Address: 17432 35t" Ave NE Permit #: 09-0240 Issued: 1/10 This Certificate issued to: AB Smokey Point Park LLC This certifies that work at the premises indicated above conforms substantially to the approved plans and specifications heretofore filed in this office as it pertains to the application submitted, pursuant to which the permit was issued and appears to conform to all of the requirements of the applicable provisions of the law. This Certificate of Compliance is issued for: New Utility Room Dated this 29t" day of A ril 2010 Building Offi 'al r+ 1 ) I �� Brenda Fecht From: Deryl Taylor[DTaylor@marysvillewa.gov] Sent: Wednesday, February 03, 2010 3:15 PM To: Brenda Fecht Subject: RE: Smokey Point RV Park on Smokey Point Blvd. 17432 35TH AVE NE Arlington Thanks Brenda. Mr. Klein will need to buy a side sewer permit for the 4" outside connection-$120. Deryl Taylor, Development Services Technician City of Marysville,Community Development Dept 80 Columbia Ave, Marysville,WA 98270 Direct 360-363-8220, Fax 360-651-5099 dtaylor@marysvillewa.gov From: Brenda Fecht [mailto:bfecht@arlingtonwa.gov] Sent: Wednesday, February 03, 2010 2:21 PM To: Deryl Taylor Subject: Smokey Point RV Park on Smokey Point Blvd. 17432 35TH AVE NE Arlington Deryl, The above drawing is a copy of a shed plumbing permit that is being permitted for the Smokey Point RV Park. Chris asked us to send it to you for your records if needed. Let us know if you have any comments. Brenda Fecht City gfArlington Permit Technician 360 403-3431 or 360 403-35S1 t -. f' I ' CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 PHONE:(360)403-3421 Permit#: BLD20100011 BUILDING PERMIT Project Address: 17432 35TH AVE, ARLMGTON Parcel No: 31052000400700 PROPERTY OWNER APPLICANT CONTRACTOR J&B SMOKEY POINT PARK LLC SMOKEY POINT RV PARK,LLC J&B SMOKEY POINT PARK LLC 6101 152ND ST NE 17432 35TH AVE NE 6101 152ND ST NE MARYSVILLE,WA 98271- ARLINGTON,WA 98223- MARYSVILLE,WA 98271- Phone:(360)435-6611 Ext. Phone:(425)345-2213 Ext. LICENSE#: EXP: Lnwil Email:mark-klei live com PLI-JMBING CONTRACTOR MECHANICAL CONTRACTOR Lic#: f2W. Lic#: FM: i DESCRIPTION PLUMBING a new utility room for mobile home complex VALUATION: $0 PERMIT TYPE:Commercial PERMIT GROUP:Plumbing NUMBER OF STORIES: 1 TYPE OF CONSTRUCTION:V-B NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP:U CODE:2006 OCCUPANT LOAD: BASEMENT:0 I ST FLOOR:0 2ND FLOOR:0 BASEMENT:0 1 ST FLOOR:408 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 FRONTSETBACK SIDE SETBACK REAR SETBACK REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED: SETBACK NOTES: 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. .�„ 2 Y /0 Signature Print Name Date Released Vy Dale 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 BLD20100011 • None Date Description Fee_Amount Paid Balance Due 2/4/2010 C-Plumbing Permit Fee $217.00 $0.00 $217.00 Total Due: $217.00 $0.00 $217.00 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 f being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. • None I I e co z o > C z ° n �7 -o �r -u m ; n coo ,..� z w O -+ m z -i O 1IW4 A 4 N W �.rn rrl Co 0 m o m r A b1 �.��� Z. 1 .. � R v U3 l PERMIT APPLICATION Department of Community Development l �� City of Arlington • 23B N Olympic Ave. •Arlington, WA 98223 - Phone (360) 403 311, THIS APPLICATION MUST BE A COMPANIED BY THREE(3)SETS OF CONSTRUCTION DRAWINGS,AND THREE (31) SETS OF FIXTURE SPECIFICATIONS(CUT sHEErs). cALcUl,.ATIONS ARE REQUIRED FOR GREASE INTERCEPTOR IF APPLICABLE. GeG , ( Irld , "? Type of Permit: ( Cammercial ( ) Commercial Addition/Alteration P,Qject Address: / / Y J 2, f'/�t c!<C'�/rY 1 /J/ Parcel!D#: f p �Z G O a ,r 00 �D Q Lot#: $ubdivision: Project Description: / t V Iuatinr /?�< . c Owner" t/ tf e AL Phone Numb r: Address: l? �,t' 2 City:A4a y/ State: �t Zip Gods; f Contact Person; a-r-+ e C C! Phone Number. o CIL 4:kd(_- Cell Phorie: 6,1)_65 �'0 y Fax: E-mail- Address,Address: wv C-A City: State: Zip Code: Please List quantity of fixturras BBlovv: WATER CLOSET 15ATH TUB - SHOWERS _ LAVATORIES CLOTHES WASHER LAUNDRY TUBS �- FLOOR DRAWS FLOOR SINKS T SINKS URINALS SUMPS DISHWASHERS WATER HEATERS ROOF DRAINS WATER PIPING DWV ALTER/REPAIR LAWN SPRINKLERS DRINKING FOUNTAINS �\ MISC PLUMB FIXTURE GREASE INTERCEPTOR GREASE TRAP G Contractor: / _� / Phone Number- f Address: - City: r� ' �State: zip Code: - z ' Contractor's License Number. Expiration:- ) 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. Applic nts S,ii , t c Date t A Print Applicants Name FOR STAFF USE ONLY KIM-��t)# JlP Accepted By Amount Received Receipt# Dete Received WEB Forms—112 Page 1 of 1 04108 sb ra I City of Arlington (440 Community Development Building Inspection Division Submitter: James Klein - J & B Smokey Point Park LLC Street Address: 17432 35th Ave NE City, State, Zip Arlington, WA 98223 Permit Review Corrections/Comments Date Mailed: \— Co 1 D The plans for the project referenced below have been reviewed and were found to be incomplete and/or to contain violations of the Code(s). As a result, your plans cannot be approved at this time. Part I of this notice serves as a Correction Letter to inform you of the information needed for plan approval. Part II of this notice provides FYI's, comments, and/or conditions that are required upon completion of the project. PART I: Building & Fire The plans affected by this notice are known or described as: Project Title: J & B Smokey Point Park LLC Project Address: 17432 35th Ave NE Your plans cannot be approved until all of the information specified below is submitted, reviewed, and approved: BLDG. & FIRE NON-COMPLIANCE ISSUE BLDG. 1. Need seismic bracing details (shear walls) 2. Restrooms need to be ADA compliant not ADAAG. Must change the floor pla i to accommodate 60-inch x 56-inch minimum floor space. 3. Indicate heat source (appliance details) 4. Provide drainage details for footer and roof 5. Provide lighting details In order to minimize the time it takes to review revised plans, circle the area or areas of revision on resubmitted drawings with a red pencil. Mark the item number referenced above adjacent to the circled area. This needs to be done on one set of the revised plans only. Two identical sets of revised plans must be submitted. If there are any questions, you may call your Plan Examiner or make an appointment by telephone to meet with your Plan Examiner. PART II: Other Comments, FYI's and Conditions The list of conditions will be listed on the building permit and the conditions must be met prior to the issuance of a Certificate of Occupancy. BLDG FYI's 1. 3 x 3 landings required at each door 2. Provide exterior light 3. Provide f4gRtinguisher in laundry room 4. Walls and floors must be non-absorbent materials 5. Provide positive connections at all beam/columns 6. Provide H-clips at rafter connections 7. Bathroom windows must be a minimum of 12 square feet 8. Plumbing and mechanical plans needed. Can be deferred sumbittals Sincerely, A s II i i I k; 6-G F a cam, o Q f (� LA m I ;� ._f .� a co cl o MOI OTI .L , w rt oom 13 � r t E s { s� fl o � s r i C cuu.; �t TN i 1 � r1 i I �� I - -- - - . weoa �o°Jl � I� h fir; 7-7�j�— af7jj 9xz1W owo� Swp-"s S-1aI1,2va/7 a lidd- i �41S X Z/I I1 1 I U , I ::� --� Ilb I x � o vs ` N n si 1 I � X U IF, Vr n (�pv ri 0 0 I T i �J � rin , x ICIN LN a ' 1 I � e � w J 1 I�I 1 U ��'01�1, �/A�����i�TOf� ,-�o���J! ;N� DEPARTMENT CITY OF ARC.; __.�. No building construction shall be commenced until permit holder INSPECTION RECORD SHALL or his agent has posted this Inspection Record Card in a REMAIN AT JOB SITE conspicuous place on the premises. OWNER: i Er1AZ _ CONTRACTOR: JOB ADDRESS: S3 Z lk4 E- / 7-7 ?W LOT NUMBER TYPE GROUP NATURE of WORK: &euj 84--b USE of BUILDING: PERMIT No: 0 —©2�/� DATE ISSUED: INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB DE13ARTMENT INSPECTION DATE INSPECTOR'S SIGNATURE FOOTING r BUILDING FOUNDAi iON (360)435-0674 UNDERFLOOR Press#1 SHEARWALL PLUMBING(groundwork) ROUGH PLUMBING 7 7 [! GAS PIPING 4 ROUGH HEATING&VENTILATION AIIA FRAMING $' /a e INSULATION x, 7 !D WALLBOARD W Of VEILING GRID AjA STORM DRAINAGE N A CROSS CONNECTION CONTROL IN PREMISE ENGINEERING GRADING -.. -..,......r....__..�..._ .� — (360)435-0674 TEMPORARY TECSP Press#2 ASBUILTS APPROVED MAINTENANCE BOND Press#3 STORM DRAINAGE SYSTEM PAVING,SIGNAGE&MARKINGS •� PARKS LANDSCAPING Press#4 IRRIGATION NATURAL RESOURCES ENVIRONMENTAL _ .,.- ONSITE UTILITIES WATER ONSITE UTILITIES SEWER UTILITIES OFFSITE UTILITIES WATER Iva (360)435-0674 OFFSITE UTILITIES SEWER Sewer Press#5 SEWER PRETREATMENT Water Press#6 CROSS CONNECTION CONTROL PREMISE SIDE SDAIER INSPECTION WATER SERVICE INSTALLATION yr FIRE DEPARTMENT (206) 940-9622 UNDERGROUND—INCL FDC (360) 403-3526 UNDERGROUND—INCL FDC (206) 940-9622 FIRE ALARM /AUTOMATIC SPRINKLER (206) 940-9622 HOOD SUPPRESSION SYSTEM - (360) 403••3607 FINAL FIRE WALK-THROUGH -(360) 435-0674 *FINAL INSPEC7E07N C Press#1 ALL SIGNATURE BLOCKS MUST BE COMPLETE �.. � ���� o- D l � � I 1 NEW C E CIIAL I'MULT10F FAMILY 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 NEW COMMERCIAL STRUCTURES AND RESIDENTIAL DWELLINGS UNITS CONTAINING TOWNHOUSES OR THREE OR MORE UNITS. THIS APPLICATION MUST BE ACCOMPANIED BYA COMMERCIAL APPLICATION SUBMITTAL CHECKLIST AND AN OCCUPANT'S STATEMENT OF INTENDED USE. Name of Project: ��tee, j, � ror Valuation: Project Address:_OG31Z s.�.o6ccy P�. � �� � RcQRZ_Z Parcel ID#: 'S ©S zC CDC2'4 02- pK2 Legal Description Owner: Phone Number. _3f�c�• k3s- �G l Address: _G k )1 City: are v.� e State: i J K Zip Code: ��z Engineer; Y-ru! %Q_c Phone Number: Cell Phone: Fax: E-mail: Address: City: State: Zip Code: General Contractor: e—V, --4" Phone Number:_--;10 ZS Cell Phone: 'tZ Fax: ►'13S (-(v 1" E-mail* Address: City: State: Zip Code: Contractor's License Number: Expiration: Contact Person: - lV\c�k/— VA C_� Phone Number: Cell Phone: 42 2Zt3 Fax: __S6c> 43 S ('6 0 E-mail-- Address: City: State: Zip Code: Proposed Scope of Work: kek J^4c-- I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- describe ro,i ert will be in;accordance kn/ith the laws, rules and regulation of the State of�Washington. 15 ICE pp icants Signature Date Print Applicants Name RECEIVED FOR STAFF USE ONLY CQA PERMIT CENTER Permit# Accepted By A,mount Recei Receipt Recei t# Date Received WEB Forms—121 Page 1 of 1 04/08 sb i i COMMERCIAL & TENANT IMPROVEMENT Y SUBMITTAL. REQUIREMENTS Department of Community Development City of Arlington •238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3551 - FAX(360)403 3447 E. .00CUPANT'S STATEMENT OF INTENDED USE 1. The Occupant's Statement of Intended Use form shall be completely filled out and may require the submittal of a Hazardous Materials inventory Statement(HMIS). Contact the Arlington 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)403-3551 or by email to permitcenterOci.arlinaton 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 sub it al. Signature: Date: �( w er wner's Representative —' Company:�� S 1�. - ��i,n( -P-s4e LL(_ Phone: 360. S?gcYA RECEIVED DEC 16 2009 COA PERMIT CENTER WEB Forms—147 Page 4 of 4 4/08 sb l � OCCUPANT'S STATEMENT a "IF 15"TENDED USE Development Project# Permit# Project Name/Tenant C 1'Ac.e f1 1-k Site Address I-7 SSZ -(1w4ck-c p { .JAyA ��\""��0"E Idg/Unit/Su to_ 9'31 IBC Construction Type lBC Occupancy Type Description of Use � Building Square Footage X,,.t 360 Number of Stories_ on Square Footage Per Floor `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 anv of the above checked items: —�-�►.o� ��-teG�OcS � ��rt- C�.1i+�i�4U��.t�+� Installation, changes, modifications or removal of any of the above may require additional submittals, information, or permits during the plan review or construction process. Ma,-L 1Lle-:v, RECE VET,. Printed Name of Occupant I Agent DEC 16 2009 1 0_� COA PERMIT CENTER Signature of Occupant/Agent Date 'b`D bbq o,-),q D WEB Forms-117 Page 1 of 1 04/08 sb NV Y "• City of Arlington • Public Works Utilities Division � ��Zc� � �`�� L,)/ t/NGSoz Water Department p12. 36Q.403.3526 CROSS CONNECTION SURVEY For Building Permits FOR OFFICE IC'E USE ®PILE' Date Received: Survey reviewed by: Survey accepted by: Assembly Required: [] No ❑Yes DCVA RPBA ' Inspection Pi oject Site Address: 1-q53'Z - "' Property Tax ID#:-3,Q 5Z 000 4�0� Building Permit #: Subdivision: Property Owner: -- 3 Qw►c� _ ���; n -- Height of Building: Y IN feet pDe #of stories Description of activity to be performed at project/business site: 1`?�st�Poce o �6vn try Property Owner's Dame:- 7Taw---, Property Owner's mailing address:_ 6tU( fSZ''�°� SI J0 W Z-y-( Property Owner's Phone # L(3c, ��!I Fax# �6a Lf3S bb l4 Occupant/Contact's name:_ 4e;V1 Occupant/Contact's mailing Address:S, Occupant/Contact's Phone# L(2 S. 34 S , z l3 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 aAN19U) re �i,� 1 the judgement of the City of Arlington Cross Connection Control Specialist, the nature of activities 5 `• ,�,present a hazard to the public water system, should a cross connection exist. -DEC �y166 2009 CCS BP pg 1 2006 �(w-0 PERMIT CENTER / City of Arlington Utilities Division Cross Connection Survey Business or Project Name& Address: SwYolcer ���, rfic�� — ��3? Sri o key C W lk 4$Z71 Name of person filling out survey (please print): a k I(A<< n AX Z�n, Place a check mark next to all equipment/fixt"res listed below that are,or will be, permanently or occasionally connected to water for use at your project/business. )4 Toilets ❑ High Pressure washers w/o chemical injection Y Sinks (kitchen, bathroom, etc.) o High Pressure washers with chemical injection `Jdl Janitor sink ❑ Chemical Peeder'ror 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 CCZ ❑ 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 ❑ Commercial Cooking Kettles ❑ Dialysis Equipment ❑ Fume Hoods ❑ Hydrotherapy Baths ❑ Degreasing Equipment ❑ Dental Equipment/Cuspidors ❑ Trap Primers ❑ X-Ray Equipment ❑ 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 ❑ Private Fire Hydrants water system must be reported immediately to the ❑ Aquarium make-up Water 61 X IVED City of Arlington Utilities Division as a condition of ❑ Baptismal Fountain ItinUed service. ❑ Air Compressor DEC 16 ZUQ9 ❑ Car washing equipment ❑ Radiator Flushing Equipment COA PERMIT � CENTER Signature Date 94 r CCS BP pg2 2006 IV%, f 'i V I I INDUSTRIAL and MMEE CIAL f. `• I WASTE DISCHARGE c Public Works Utilities Division City of Arlington • 154 W Cox •Arlington, WA 98223 • Phone (360)403 3526 - FAX(360)435 7944 I.ilastewater Discharge See eenze g Form T his 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 - D�3 e Received: Application Reviewed By: Business ID_: Application Accepted By: FILL OUT ALL SECTIONS OF THIS FORIA. Is your business on city sewer? Yes No f< Do not know Company Name:-L;CiS�i Type of business: (description of activity to be performed at business site): Medical/Dental_Restaurant Office/Retail Commercial Industrial Other.- Mailing Address: . (�101 ar su :I (< Ljj� Z f City: a��lSv;1�P State: Lip Code: gZ Business Address: 17 S3Z Sw.�kcy � + 6WA City.- (19 soh f_;ate• Zip Code�Q �zz'3 Phone Number: 3�,p, 65-"3. 290HExtension: Fax Number: R60, y S Cob 1 LA E-mail Address: _ s , Contact Person: - �tvL `{� ;�� _-Contact Title:_/�0,�4o Q� Emergency Phone Number: y2 S - 3q S FOR QUESTIONS CALL WASTEWATER PRETREATEMENT AT 360-403-3526 WEB Form Page 1 of DEC 16 2009 5/08 sb CQi� PERMIT VENTER i :1•): i- ,� o :1 i./s w't Ntl is f."i';11i M a L'.1 S T ®ayeL end CCI)ICIKriER" Ab" L 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 N Ivor sure 3. Does your business require any other permits or licenses? Yes No �jy� �e If yes please li-A. 4. Is this a home based business? Yes No 5. Is the facility rented or leased? Qwnj,�__ Rent Lease if yes, the owner or leasing agents name:+ Phone number: 6. Is your business a food based industry? (restaurant, bakery, food packaging, catering, etc.) Yes No 7. Is your business automotive based? (automotive, aviation, small engine repair, motorcycles, etc.) Yes No—1— 8. Is water used in the process of your business? (washing, rinsing, cooling, as an ingredient, etc.) Yes No I F . (5ammi 5 A Z ��� �S The information I have given on this application is complete and accurate to the best of my knowledge. Signats:re of Re porisible Person. i Printed Name: rk Title: l a.a,a % Date: t Z r s /v1 RECEIVED DEC 16 2009 ' WEB Form Page 2 of 2 BOA PERMIT CENTER 5/08 sb bLDD-CJT1r)d'V() i I Plan Review— 17432 Smokey point Dr (351" Ave) Required submittals: Need seismic bracing details (shear walls) Restrooms need to be ADA compliant not ADAAG. Must change the floor plan to accommodate 60-inch x 56-inch minimum floor space. Indicate heat source (appliance details) Provide drainage details for footer and roof Provide lighting details FYI's 3 x 3 landings required at each door. Provide exterior light Provide fire extinguisher in laundry rm. Walls and floors must be non-absorbent materials Provide positive connections at all beam/columns Provide H-clips at rafter connections Bathroom windows must be 12sf min. Plumbing and mechanical plans needed. Can be deferred submittals. City of Arlington (400 Community Development Building Inspection Division Submitter: James Klein - J & B Smokey Point Park LLC Street Address: 17432 35" Ave NE City, State, Zip Arlington, WA 98223 Permit Review Corrections/Comments Date Mailed: 1 - ( P - 10 The plans for the project referenced below have been reviewed and were found to be incomplete and/or to contain violations of the Code(s). As a result, your plans cannot be approved at this time. Part I of this notice serves as a Correction Letter to inform you of the information needed for plan approval. Part II of this notice provides FYI's, comments, and/or conditions that are required upon completion of the project. PART I: Building & Fire The plans affected by this notice are known or described as: Project Title: J & B Smokey Point Park LLC Project Address: 17432 35t"Ave NE Your plans cannot be approved until all of the information specified below is submitted, reviewed, and approved: BLDG. & FIRE NON-COMPLIANCE ISSUE BLDG. 1. Need seismic bracing details (shear walls) 2. Restrooms need to be ADA compliant not ADAAG. Must change the floor pla to accommodate 60-inch x 56-inch minimum floor space. 3. Indicate heat source (appliance details) 4. Provide drainage details for footer and roof 5. Provide lighting details I In order to minimize the time it takes to review revised plans, circle the area or areas of revision on resubmitted drawings with a red pencil. Mark the item number referenced above adjacent to the circled area. This needs to be done on one set of the revised plans only. Two identical sets of revised plans must be submitted. If there are any questions, you may call your Plan Examiner or make an appointment by telephone to meet with your Plan Examiner. PART II: Other Comments, FYI's and Conditions The list of conditions will be listed on the building permit and the conditions must be met prior to the issuance of a Certificate of Occupancy. BLDG FYI's 1. 3 x 3 landings required at each door 2. Provide exterior light 3. Provide 495dinguisher in laundry room 4. Walls and floors must be non-absorbent materials 5. Provide positive connections at all beam/columns 6. Provide H-clips at rafter connections 7. Bathroom windows must be a minimum of 12 square feet 8. Plumbing and mechanical plans needed. Can be deferred sumbittals Sincerely, I I Plan Review — 17432 Smokey point Dr (351" Ave) Required submittals: OF* FICF COPY Need seismic bracing details (shear walls) Restrooms need to be ADA compliant not ADAAG. Must change the floor plan to accommodate 60-inch x 56-inch minimum floor space. Indicate heat source (appliance details) L�cL Provide drainage details for footer and roof CITY OF ARLINGTON Provide lighting details I BUILDING DEPARTMENT a... R� FYI'S DATE Zd w BYIW/ 1 0 CHAN( I_S AUTHORIZED UNLESS APPROVED BY THE BUILDING INSPECTOR 3 x 3 landings required at each door. Provide exterior light Provide fire extinguisher in laundry rm. Walls and floors must be non-absorbent materials Provide positive connections at all beam/columns Provide H-clips at rafter connections Bathroom windows must be 12sf min. Plumbing and mechanical plans needed. Can be deferred submittals. i� I 3 I v fie` �Q, �,� a/ Department of Justice 01-� p Pt. 36,App. A 4.17 Toilet Stalls f� 36 min O1s 18 361»in 18 min 'IS 18 455 ,SS 18 mm 42 min 18 +SS +SS 1665 /SS 1_7 IQV 7 ;_ ' � clear =� w '1 :;Oar �L, clear to floor floor J (� Ilaor apace 7pace VV VV spats 48 min48 min L 0 min 1220 1 1525 1220 Fig. 28 Clear Floor Space at Water Closets 36 min 915 54 min 36 min 1370 12 min 12 min 12 42 min sos 705 yes —� 1065 (allot paper M l E r- (a) N Back Wall Slde Wall Flg, 29 Crab Bars at Water Closets 4.17.3* Size and Arrangement. The size and is technically infeasible or where plumbing arrangement of the standard toilet stall shall ; cocle requirements prevent combining existing comply with Fig. 30(a), Standard Stall. Stan- i stalls to provide space, either alternate stall dard toilet stalls with a minimurn depth of 56 (Fig. 30(U)) nrav be provided in lieu of the in (1420 mm) (see Fig. 30(a)) shall have standard stall. wall-mounted water closets, If the depth of a standard toilet stall is increased at least 3 in 1 4,17.4 Toe Clearances. In standard stalls,the (75 mm), then a floor-mounted water closet front partition and at least one side partition may be used, Arrangements .shown for star shall provide a toe clearance of at least 9 in dard toilet stalls may be reversed to allow (230 mm) above Lhe floor, If the depth of the either a left-or right-hand approach. Additional stall is greater than 60 in (1525 mm), then the stalls shall be provided in conformance with toe clearance is not required. 4.22.4. 4.17.5` Doors. -toilet stall doors, including EXCEPTION:In instances ofalteraIhm v ork door hardware, shall comply with 4.13. if toilet where provision of standard stall (Fig. 30(a)) ; stall approach is from the latch side of the stall door: clearrince between the door side of the 533 JAN t� . 009 COA PER""V'f'CENTER �t,D oQ- I it i } (co co (((��� , �-� = _ -� 13 �" + � '\ } � ?' Try. `�` 67 zd SW L SX)2, 1 t q•-.. }i 7 I - a-- � n i UIN �-, s , , S �- ����`� • � bSb �vl e c+�� /6�� yell" y Rr L - -Fop ��e�vl 5/�iS ��/�t% r • n Z I p 11 ecJ r /C 2 FocipmT,s I()m it f-.�I � xe � os 5Hcc�1't�C 3��^ut, U•hlesltew- - 'Sp e �AGSC Rf�7 x 3 X3 �✓4S e' 6X6X/0I7)PSII J �%�ebCl `\� I�i9'00��� `�i✓ �411 n t Wet `�� � oNUfo0�� 1 q C } r re i': � •� I S CS i IIi 5- 1 t i ` II � 1 �y 9So. CA 2 �l 7z- I YX AMA socl (0 11 A' flv y T(A ,2A Q- P .......... P 0 ..��- - � _. � '' i 6=,a�; JI `j1 ,�, `-� ��, 1 �_ �- �� �--� +- ,: �' _!�- y J �' �`I ..� c � �. _ �n J 6 4 a 1 i .; � i �" ��� y. i ._ _. � < < o� ��-��' '' f ��; 9 � .� _____ � o-� -�a.;__ . _.� � ���A __ �, • � i I t. Cr I i � J 1 17 M w S7 I ! CI -L -I, ` r A. ` � ++, I I - - I C}.� .. � BLD20090238 (ARUSKO/PT-�E) - PermitTrax by Bitco Software Page 1 of 1 BUILDING PERMIT PERMIT #: BLD20090238 OWNER: J&B SMOKEY POINT PARK LLC-KL... STATUS:APPLIED ` ADDRESS: 17432 35TH AVE,ARLINGTON BALANCE: $0.00 ISSUED: CREATED: 12/16/2009 SCREENS: Select Screen .. - FUNCTIONS Select Permit Function... DEMOLITION Reviews ADD REVIEW REMOVE REVIEW PRINT CLQSE Review ID I Description I Assigned To Due Date (#} Req? Done? ASSIGN 1014 I P-Public Works I LTAYLOR 12/23/2009 0 Y N ASSIGN 1026 P-Utilities Fees RSHEPARD 12/23/2009 0 Y N ASSIGN 2. C-Building I CYOUNG 12/23/2009 0 Y N 2008 C-Community Development I ARUSKO 12/23/2009 0 Y N ASSIGN 4004 iO-Marysville Marysville PW 12/16/2009 0 1 Y I N ASSIGN�- Lb 04?-OZ�O http://coaweb2.arlington.local/permittrax/PermitTraxMain/wfPermitConsoleReviews.asp... 12/16/2009 -- ,,� . . �.L 1 - .,� 1 i{, .' ' I . DEMOLITION PERMIT APPLICATION a 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 TWO(2)SETS OF FULLY DIMENISIONED PLOT PLANS AND SITE CLEAN-UP PLAN, TWO(2) COPIES OFAN ASBESTOS ABATEMENT REPORT COMPLETED BYAN APPROVED AGENCY. Type of Permit: (check one) ( ) Residential \ `` Commercials) /� ,�"� `�� � S�Z �Mc�1�t �.,� �LV l� /yr��nQ.ddn, L.)I� l�zLj J ✓SZ ` /��_7C .V Project Address: Parcel ID#: Lot#: WSubdivision: — Valuation: Building Area(Sci Ft) ��r ay L\00 No. of floors: - Number of Buildings: Owner: ` e- C° �`�e'`'�''`` Phone Nurnber: Address: oO I 6 �� �� N City: ar <o 1 State: Zip Code: z Contact Person:^ uc VAe-,'n - Phone Number: BIZ Z Z l '�s Cell Phone: Fax: (6I L( E-mail: M csC 1 c — Y-ke,'yx C�,v e- , C cwv1 Address: City: State: Zip Code: Scope of Work: Contractor: �O1f"' �� k�e`'n Phone Number: 36 0 43 S C.t�l 1 Address: 6 io i C S� �E City: 4f\- Sv'1L4 State: vA Zip Code: qk- 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- describ d JpI Ley,,fill be in accordance with the laws, rules and regulations of the Stat of Washington. I� /Is/07 Applicants Signature Date Vle_ v'\, Print Applicants Name E I V E _r. 16 Zoo FOR STAFF USE ONLY COA PERMIT CENTER Permit# Accepted By Amount Received Receipt# Date Received WEB Forms—125 Page 1 of 1 4/08 sb I . 1 DEMOLITION SUBMITTAL CHECKLIST Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3447 Use this checklist to ensure that all necessary information is provided for review of your project. eguirements for Submittal Al ,� A ompleted Demolition Permit Application J Two (2) sets of accurate fully dimensioned plot plans Two—�� 2 sets of asbestos survey/abatement`t�\ ( ) reports Pre-reguisites to Permit Issuance Contact City of Arlington Utilities prior to decommissioning or disconnecting the utility service at 360-403-3526 Provide verification of decommissioning of wells and septic system, including city inspection. (if applicable) Provide verification of termination of water and sewer service, including city inspection. (if applicable) seauired lnsoections Provide documentation of demolition/hazard disposal at final inspection Final site inspection when demolition is completed. t 24-hour Notice of R equest for Ins, ection Call the 24-hour inspection line (360) 403 0674 RECEIVED DEC 16 2009 COA PERMIT CENTER WEB Forms—275 Page 1 of 1 4/08 sb Snohomish County, WA Assess' '°arcel Data Page 1 of 2 SnohomishOnline Government Information &Services County4O Washington * R E A L * Property Information Counjy Home Assessor Home Treasurer Home Information on which Department to contact Please view Disclaimer If you have questions,comments or suggestions,please Contact Us. Date/Time:12/16/2009 2:43:54 PM Answers to Frequently uently Asked Questions about Parcel Data(opens as new window) Return to Proge_y Information Entry page Parcel Number 31052000400700 Prev Parcel Reference 20310540070009 View Man of this parcel (opens as new window) General Information Taxpayer Name 11 Address (contact the Treasurer if you have questions) J& B SMOKEY POINT PARK LLC 11 6101 152ND ST NE - - - MARYSVILLE,WA 98271 If the above mailing address is incorrect and you want to make a change, see the information on Name and ........................._................. Address Changes Owner Name 11 Address (contact the Assessor if you have questions) J& B SMOKEY POINT PARK LLC 11 6101 152ND ST NE - - - MARYSVILLE,WA 98271 If the above name and address is incorrect due to a recent sale,please see the information on Name and Address Changes Aftera Sale Street(Situs)Address (contact the Assessor if you have questions) 17432 35TH AVE NE - - - ARLINGTON,WA 98223 Parcel Legal Description SEC 20 TWP 31 RGE 05 RT-25A)BEG SE COR NE1/4 SE1/4 TPB TH N 89*56 30W 878.7FT TH SOO*19 OOE 41.2FT TO S LN NEIA SE1/4 TH CONT S 256.3FT TH S89*56 30E 88OFT M/L TO E LN SEC TH N TPB LESS ELY 30FT FOR RD PER AF NO 192522 Go to top of page Treasurer's Tax Information Taxes For answers to questions about Taxes, please contact the Treasurer's_office (opens as new window) 2009 Taxes for this $28,676.02 parcel Payments:Receipt No. 5068262 4/28/2009 $14,338.01 Receipt No. 5250555 10/28/2009 $14,338.01 (Taxes may include Surface Water Management and/or State Forest Fire Patrol fees and any fees related to late payments. LID charges,if any,are not included.) To obtain a duplicate tax statement,either download our TaX Statement Request form or call 425-388-3366 to request it by phone. Go.to top of.page Assessor's Property :Data Characteristics and Value Data below are for 2009 tax year. Please contact the Treasurer's office for answers to questions about Taxes (opens as new window) For questions ONLY about property characteristics or property values (NOT taxes), please contact the A.s...sessor's_Offi.ce. http://web5.co.snohomish.wa.us/propsys/asr-tr-propinq/PrpIngO2-ParcelData.asp?PN=31... 12/16/2009 Snohomish County, WA Assess Tarcel Data Page 2 of 2 Property Values do not reflect adjustments made due to an exemption,such as a senior or disabled persons Values exemption. Reductions for exemptions are made on the property tax bill. Tax Year 2009 Market Land $1,768,500 Market Improvement $1,810,500 Market Total $3,579,000 Tax Year 2010 Market Land $1,894,900 Market Improvement $1,810,1001 Market Total $3,705,000 Go to tQp of page Valuation, Payment, and Property Tax History View History(opens as new window) Go to top of paae Property Characteristics Tax Code Area(TCA) 00116 View Taxing Districts for this Parcel(opens as new window) Use Code 153 Mobile Home Park 61 -100 Units Size Basis ACRE Size 5.80 (Size may include undivided interest in common tracts and road parcels) Go to top of page Property Structures Type Yr.Built Structure Description Mobile Home 2000 DoubleWide View StrUCtUre Data(opens as new window) Go-to t—of page Property Sales since 7/31/1999 Explanation of Sales Information (opens as new window) Sales data is based solely upon excise affidavits processed by the Assessor. Transfer Receipt Sales Excise Deed Grantor(Seller) Grantee(Buyer) Other Date Date Price Number Type Parcels 2/2/2006 3/10/2006 $0 103069 QC KLEIN JIM&BEVERLY J&B SMOKEY POINT PARK No A LLC Go._to..top_of.ppge. Property Maps Township/Range/Section/Quarter,links to maps Neighborhood 5204000 Explanation of Neighborhood Code(opens as new window) Township 31 Range 05 Section 20 Quarter SE Find_parcel__maps fo.r.this Tow....nshi_p/Ra_nge/Section. View Map of this parcel (opens as new window) http://web5.co.snohomish.wa.us/propsys/asr-tr-propinq/PrpIngO2-ParcelData.asp?PN=31... 12/16/2009 r i 1 • � 1 City of Arlington Community Development Building Division 238 N. Olympic Ave. Arlington, WA 98223 360-403-3551 Certificate of Compliance Permit Type/Address: 17432 35th Ave NE Permit #: 09-0240 Issued: 1/10 This Certificate issued to: J&B Smokey Point Park LLC This certifies that work at the premises indicated above conforms substantially to the approved plans and specifications heretofore filed in this office as it pertains to the application submitted, pursuant to which the permit was issued and appears to conform to all of the requirements of the applicable provisions of the law. This Certificate of Compliance is issued for: New Utility Room Dated this 291" day of April 2010 Building Official BLD20090240 (ARUSKO/PT-LTYE) - PermitTrax by Bitco Software Page I of I BUILDING PERMIT PERMIT #: BLD20090240 OWNER: J& B SMOKEY POINT PARK LLC-KL... STATUS: APPLIED ✓ ADDRESS: 17432 35TH AVE, ARLINGTON BALANCE: $0,00 ISSUED: CREATED: 12/16/2009 SCREENS:I Select Screen... :j, FUNCTIONS: Select Permit Function... - MISCELLANEOUS Reviews I ADD REVIEWL]I REMOVE REVIEW1 I PRINT FLOSE Review ID Description Assigned To Due Date (#) Req? Done? 1ASSIGN 1002 P-Engineering I KHALE 12/30/2009 0 Y N ASSIGN 1014 P-Public Works I LTAYLOR 12/30/2009 0 Y N ASSIGN 1016 P-Public Works II LRUPERT 12/30/2009 0 Y N ASSIGN 1026 P-Utilities Fees RSHEPARD 12/30/2009 0 Y N ASSIGN 2060 C-Building I in CYOUNG 12/30/2009 0 Y N ASSIGN 2006 C-Code Enforcement MHAYES 12/30/2009 0 Y N ASSIGN 2008 C-Community Development I ARLISKO 12/30/2009 0 Y N ASSIGN 2012 C-Natural Resources BBLAKE 12/30/2009 0 Y N ASSIGN 2014 C-Planning I SBLACKER 12/30/2009 0 Y N ASSIGN 3004 X-Fire TCOOPER 12/30/2009 0 Y N ASSIGN 4004 0-Marysville Marysville PW 12/30/2009 0 Y N ASSIGN (,SOP http://coaweb2.arlington.local/permittrax/PermitTraxMain/wfPermitConsoleReviews.asp... 12/16/2009 y. .� r BLD20090240 (BFECHT/PT-LT- 7) - PermitTrax by Bitco Software Page 1 of 1 BUILDING PERMIT PERMIT #: BLD20090240 OWNER: J& B SMOKEY POINT PARK LLC-KL... STATUS:APPLIED ADDRESS: 17432 35TH AVE, ARLINGTON BALAN �'. $536.63_) ISSUED: CREATED: 12/16/2009 SCREENS:I Select Screen... - FUNCTIONS I Select Permit Function... MISCELLANEOUS Reviews ADD REVIEW REMOVE REVIEW I PRINT CLOSE Review ID Description Assigned To Due Date (#) Req? I Done? I ASSIGN 1002 P-Engineering I KHALE 12/30/2009 1 Y Y ASSIGN 1014 P-Public Works I LTAYLOR 12/30/2009 1 Y Y ASSIGN 1016 P-Public Works II LRUPERT 12/30/2009 1 Y Y ASSIGN 1026 P-Utilities Fees RSHEPARD 12/30/2009 1 Y Y ASSIGN 2000 C-Building I CYOUNG 1/2212010 2 Y N ASSIGN 2006 C-Code Enforcement MHAYES 12/30/2009 1 Y Y ASSIGN 2008 C-Community Development I ARUSKO 1/29/2010 4 Y N ASSIGN 2012 C-Natural Resources BBLAKE 12/30/2009 1 Y Y ASSIGN 2014 C-Planning I SBLACKER 12/30/2009 1 Y Y ASSIGN 3004 IX-Fire TCOOPER 12/30/2009 1 Y Y ASSIGN http://coaweb2/pennittrax/PermitTraxMain/wfPermitConsoleReviews.aspx?COMMENT=... 1/20/2010 �:•�5 I I 4 1�Y City of Arlington Community Development y 238 N. Olympic Avenue • Arlington, WA 98223 +PLtNG October 26,2009 Mr.James Klein 6010152"d Street NE Marysville,WA 98270 Re:The Smokey Point Mobile RV Park Assessors Tax Account Number:310520-004-007-00 Address: 17432 Smokey Point Blvd.Arlington,WA 98223 Dear Mr. Klein, The City has reviewed your proposal to change the use of the subject property from a mixture of both mobile homes and recreational vehicles,to recreational vehicles only being sited upon the property. In doing so,the removal of each existing mobile home would create one(1)additional space for an RV to be sited upon.As depicted on the attached survey(exhibit"A& B")showing existing/proposed space configuration,you are proposing an increase of eleven (11)additional spaces,from one hundred and two(102)to one hundred and thirteen (113). Based on the information provided,the following items were reviewed for this proposal pursuant to Arlington Municipal Code Title 20-Land Use Code,Chapter 20.44-Supplemental Use Regulations, Section 20.44.046-RV/Travel Trailer Parks. 1. Traffic mitigation-N/A 2. School mitigation- N/A 3. Park mitigation-N/A 4. Utilities-Water&Sewer connections for additional spaces are depicted on proposal. Marysville water/sewer. S. Minimum square feet for RV spaces-One thousand(1000)square feet is required for each RV. All newly created spaces meet this requirement. 6. Location of spaces-A minimum of eight(8)feet is required,Ten (10)feet was agreed upon for separation between each RV. Building Division 360.403.3431 • Planning Division 360.403.3434 • Natural Resources 360.403.3440 • Code Entorccmemt 360.403.3457 7. Required open space-Twenty(20)percent of the total area of the park is required for common open space.This requirement will be calculated only on the newly created lots.The open space area shall provide benches, picnic tables or'other such amenities and be located adjacent to the service building.This requirement reduces the requested number of spaces by one(1),from one hundred thirteen(113)to one hundred twelve(112)total. 8. Layout of access roads-NIA(legal non-.conforming condition). 9. Service buildings-A newly constructed service building meeting the requirements of AMC Section 20.44.046(d)(1-6)shall be required prior to any change in configuration or increase in spaces on subject property. Plans for the new construction would be required to be submitted . and reviewed by the City. 10. Refuse disposal.The Park shall accommodate service based on increase of spaces. 11. Fire protection-All access roads and hydrant access locations shall remain clear of vehicles or any other obstructions at all times. 12. Duration of stay-R\Ps are prohibited from exceeding more than Six(6)months of occupation within a One (1)year period.This requirement is applicable to the Ten (10)newly created spaces only.The remainder of the park is a legal non-conforming condition. I,James Klein acknowledge and accept the conditions contained herein and as such voluntarily agree to fulfill the conditions set forth prior to any increase in density of dwelling units or reconfiguration of existing spaces Upon the subject property. This Agreement shall be filed as a matter of public record in the office of the Snohomish County Auditor and shall be in the nature of a covenant running with the property. It is the intent to have this Agreement,so long as it is in force,to be considered, interpreted,and regarded as a covenant running with the land as to Applicant's Property based on the current use.This agreement does not prohibit the owner from rezoning the subject property,for another use. Owner Owner / 2-.0 b Date Date I 6WNERSHIP CERTIFICATION I do hereby certify that I am the major property owner or an officer of the corporation owning the subject property,and that I will abide by any requirements and conditions that may be part of the approval of this request. l.. P rty owner/officer's signature(must be notarized) STATE OF WASHINGTON J )SS COUNTY OF SNOHOMISH ) On this,the day of &+b\9APN 2a�° before me personally appeared oi(y!Q-S �Pi1++� known tome to be the same person whose name is subscribed to the within instrument and acknowledged that0he voluntarily executed the same for the purpose therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. . m Notary Public in and for the State of \\\�11U41II r I U grl�l�I/ US'. ''�o Washington residing at :; P 1SS10�;�•.i.O':, r My appointment expires N�TA ft r = ; y i�� WA /1111101111 ?: ti "`' , NEW COMMERCIAL/MULTIFAMILY 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 NEW COMMERCIAL STRUCTURES AND RESIDENTIAL DWELLINGS UNITS CONTAINING TOWNHOUSES OR THREE OR MORE UNITS. THIS APPLICATION MUST BE ACCOMPANIED BYA COMMERCIAL APPLICATION SUBMITTAL_ CHECKLIST AND AN OCCUPANT'S STATEMENT OF INTENDED USE. Name of Project: Valuation: Project Address: 11G-3z Parcel ID#: _310 52UL7C�c{ py�O� Legal Description Owner: V k r1 Phone Number: 3(20• Address: __G%01 t SZ�`n� S� �� City: 9V• State: o& Zip Code: 98 z 7 k Engineer: 1 �1> �NQ� ' ti Phone Number: 360 �31 S1 t S Cell Phone: Fax: E-mail: _ Address: City: State: Zip Coder General Contractor: v, Phone Number: H-VS CG Cell Phone: ZRD--7 Fax: I'13S C61,L E-mail- Address: City: State: Zip Code: Contractor's License Number: Expiration: Contact Person: Jy,cr- Phone Number: Cell Phone: 42S '144 S 2013 Fax: 'SV' 43 L( E-maiP Address: City: State: Zip Code: Proposed Scope of Work: c,+^ �Cw�nd>r-� rpm. e c lS o &A'f_a °�q L V .�v. o�n ���� SfbaL_t_ I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- describe tnkILA o ert will be in accordance with the laws, rules and regulation of the State of Washington. l zl l s 1c)' pp'cants Signature Date Print Applicants Name RECEIVED FOR STAFF USE ONLY �vttJ�y� COA PERMIT CENTER Permit# Accepted By Amount Received Receipt# Date Received 1 WEB Forms—121 Page 1 of 1 04/08 sb _J � : _:�' ir`�� i�r 1 � _ _ r,, ' COMMERCIAL & TENANT } IMPROVEMENT SUBMITTAL REQUIREMENTS Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3447 E. A OCCUPANT'S STATEMENT OF INTENDED USE 1. The Occupant's Statement of Intended Use form shall be completely filled out and may require the submittal of a Hazardous Materials inventory Statement(HMIS). Contact the Arlington 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)403-3551 or by email to permitcenter(o),ci.art I ng ton.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 s"wnerwneres Signature: Date: presentative Company: ��� Sr,��_, _, }�,tn( pa LLC. Phone: 3617. RECEIVED DEC 16 2009 COA PERMIT CENTER WEB Forms—147 Page 4 of 4 4/08 sb . ' �. e • - I. — — 1 ■ i I� � � � � h�fT_ � I� OCCUPANT'S STATEMENT OF INTENDED USE Development _ Project# Permit# Project Name/Tenant S,r. o� 4e4 J%,,rA fa,� W X�z3 Site Address 1-7 SIZ S"cAec,( P,,{ 1,6A Ac\,'4�0hdg/Unit/Suite !BC Construction Type IBC Occupancy Type Description of Use roo„__ 4_4 C-c6.4 S Building Square Footage Xp,=A 360 Number of Stories an Square Footage Per Floor `I✓ Will there be any installation, modification or removal of the following? (Check all that apply) ❑ Automatic fire extinguishing systems ❑ Compressed gas systems VFire 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: 1 —�..w,ode b�tCG�cS 4 Oct- 'L1Lt Au:Z��r� Installation,changes, modifications or removal of any of the above may require additional submittals, information, or permits during the plan review or construction process. M,,,L k6e_�v1 RECEIVED Printed Name of Occupant/Agent DEC 16 2009 _Izl► © COA PERMIT CENTER ASignature of Occupant/Agent Date DLAD9b bq 09Jq D WEB Forms-117 Page 1 of 1 04/08 sb � ' ' -1 _� City of Arlington Public Works Utilities Division 02 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: /7537- Property Tax][D#: 31 O SZOOo q ppZCntjj •J Lot Building Permit#: Subdivision: Property Owner: Height of Building: feet (!)ne- #of stories Description of activity to be performed at project/business site: Property Owner's Name: 71ow---- Property Owner's mailing address: (,oIC)l W A pzT Property Owner's Phone# Fax# 360 43S 66IC( Occupant/Contact's name:.. (Qe, Occupant/Contact's mailing Address: Occupant/Contact's Phone # L12 S. 34 S . z Z 13 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 an a 1i 1 the judgement of the City of Arlington Cross Connection Control Specialist, the nature of activities w present a hazard to the public water system, should a cross connection exist. ,DEC 16 2009 CCS BP pg 1 2006 COA PERMIT CENTER �1 I .j .l 1► I 1 City of Arlington Utilities Division Cross Connection Survey Business or Project Name & Address: SwYokeg %.4y Tab rk- — 1f 5�0 kcy plm t 61„d � A Name of person filling out survey please print): Ala � 1��e,in �X 31on, WA Q$271 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 10 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 ❑ Commercial Cooking Kettles u Dialysis Equipment ❑ Fume Hoods ❑ Hydrotherapy Baths ❑ Degreasing Equipment ❑ Dental Equipment/Cuspidors Li Trap Primers ❑ X-Ray Equipment ❑ 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 RECEIVED ❑ Baptismal Fountain c timed service. ❑ Air Compressor DEC 16 2009 ❑ Car washing equipment I L—/ S ❑ Radiator Flushing Equipment COA PERMIT CENTER Signature Date � �/y CCS BP pg2 2006 9019Ll C) Y I 16-9 D 1� ' INDUSTRIAL and C®MMEL.Mi4 L WASTE DISCHARGE t 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 NO 1< Do not know_ Company Name:_Ex C s�i nq'_�y Type of business: (description of activity to be performed at business site): Medical/Dental Restaurant Office/Retail Commercial Industrial Other: Mailing Address: (�10( Ir z!r) ' S�. ar su :1(c W ilk qRZ'j: k City: WC-ug'UMC. State: Zip Code: gg Z7l Business Address: 1-7 S3Z Sr..a4cv per+ blvol. City: t-or) State: Zip Code: Q�Z23 Phone Number: 3(ep, 65�73. 890H Extension: Fax Number: R(60. LMS. G611" E-mail Address: --:Sa,.�5 c0r,� ,Contact Person: LL,141- �-1 ;, Contact Title: )Vk4ti40 2� Emergency Phone Number: y2 S - 3y S - ZZ \-3 FOR QUESTIONS CALL WASTEWATER PRETREATEMENT AT 360-403-3526 RECEIVED WEB Form Page 1 of DEC 16 2009 5/08 sb COA PERMIT CENTER i �V i ti AIr1J1 i it 131 '1_ 1 INDUS"URIAL WASTE DISC 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_ No-�- Not sure 3. Does your business require any other permits or licenses? Yes No ,,I If yes please list. 4. Is this a home based business? Yes No 5. Is the facility rented or leased? Own Rent Lease if yes, the owner or leasing agents name:+ Phone number: 6. Is your business a food based industry? (restaurant, bakery, food packaging, catering, etc.) Yes No 7. Is your business automotive based? (automotive, aviation, small engine repair, motorcycles, etc.) Yes No-A-- 8. Is water used in the process of your business? (washing, rinsing, cooling, as an ingredient, etc.) Yes No �JaS 5 Z r� r s The information I have given on this application is complete and accurate to the best of my knowledge. r Signature of Re 17 -risible Prson: Printed Name: rk Title: -- } Date: I Z/i s l02 RECEIVED DEC 16 Zoos WEB Form Page 2 of 2 COA PERMIT CENTER 5/08 sb eLDa-E;T1b'�'g0 :, I I :� _ . ��: �� '� a - --- - ----- ---- ----- - - ---------- - - � ---- ,--- --- I I � , I I � . I , ,1 � k I I I , I I I f I I ,* --' I � � . I I , I I I I I � I . I I � I I . I I I I � I . 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