HomeMy WebLinkAbout17825 59TH AVE NE_BLD20130022_2026 BLD20130022 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1
LL - BUILDING PERMI'm PERMIT#: BLD20130022
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OWNER:ARLINGTON ADVANCED MANUFACTUR... STATUS:APPLIED
ADDRESS: 17825 59TH AVE NE,ARLINGTON BALANCE: $0.00
11 ISSUED: CREATED: 2/7/2013
SCREENS: Select Screen... Fl FUNCTIONS: Select Permit Function... [-1
COMMERCIAL-FACTORY-ALTERATION
REVIEWS PRINT ADD NEW SUMMARY
COMME... ID DESCRIPTION ASSIGNED.. DUE DA... LAST (#) REQ?;DON... ASSIGN REMOVE
1020 P-Sewer FRAPELYEA 2/13/20... 0 Y N (d
1028 P-Water EANDERS... 2/13/20... 0 Y N
1032 P-Utilities I LTAYLOR 2/13/20... 0 Y N
�., 2000 C-Building I CYOUNG 2/13/20... 0 Y N
2008 C-Community Developme... ARUSKO 2/13/20... 0 Y N (�
https:Hcoapermits.arlington.local/PermitTrax/Module_Permits/Permits Permit/Permit—Reviews.asp... 2/7/2013
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COMMERCIAL PLUMBING
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418
THIS APPLICATION MUST BE ACCOMPANIED BY THREE(3) SETS OF CONSTRUCTION DRAWINGS, AND THREE
(3) SETS OF FIXTURE SPECIFICATIONS(CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE
INTERCEPTOR IF APPLICABLE.
Type of Permit: ® Commercial 0 Commercial Addition/Alteration (❑) Industrial
isles 31,1)52- 205-4-07i�f
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Project Address: &W�i K'E — Parcel ID#: -77 ior52u'd'+-v t, �G✓J
Lot#: Subdivision:
Project Description: Goes GV{EGT fpo�0 Valuation:.
Owner: A LA �WA1,11/1WI OIK16f PA<P—k' Phone Number:
Address: 17121.0 FWA J� t�L A0 6 City: SWiT l t I"� State: 'vL Zip Code:6(e2 L021
Contact Person: ( 13, 1 *1�61" Phone Number: 2t'�(D'%3(O�'��✓�
Cell Phone: Fax: _2=&'3(tl4"' E-mail:
��W671 �1Y�t1Z� Cam►'►')
Address: u3m 14 rN I�/k, PJ� City: o State: Y-41A Zip Code:g0,r
Please List quantity of fixtures Below:
WATER CLOSET _ BATH TUB SHOWERS
LAVATORIES CLOTHES WASHER LAUNDRY TUBS
_ FLOOR DRAINS FLOOR SINKS SINKS
URINALS SUMPS DISHWASHERS
� WATER HEATERS ROOF DRAINS WATER PIPING
DWV ALTER/REPAIR LAWN SPRINKLERS DRINKING FOUNTAINS
MISC PLUMB FIXTURE GREASE INTERCEPTOR GREASE TRAP
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 gighature Date
Print Applicants fame RECEIVED
FOR STAFF USE ONLY FEB 0 6 2013
b ft/3 Off- _ r+n
Permit# Accepted By Amount Received Receipt# Uaie Receive
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e :- COMMERCIAL PLUMBING
- ' PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223• Phone (360)403 3551 • FAX (360)403 3418
CROSS-CONNECTION SURVEY FORM
(Please complete form and submit to Permit Center)
NOTE: 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 judgment 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.
Type of Permit: ® Commercial OCommercial Addition/Alteration (❑) Industrial
Proposed Building Use: ® Restaurant ® Medical `� Industrial
® Residential ® Commercial C)Other:
Contact Person: R-0 b&W-7' IP-0015"%!W Phone Number: _2-o6/ . 36,`/ ' 3.ry;S
Cell Phone: Fax: Phi ' 3Lq - 3 3 t 3 E-mail:
Please check all appliances and/or applications that are permanently to the water supply
and apply to your proposed USE and OPERATION.
O Ice Maker ® Dialysis Equip. ® Air washers 0 Swimming Pools O Fire Sprinkler
Espresso Mach. ® Hydrotherapy O Steam Generators 0 Hot Tub/Spa O Sprinkler w/chemicals
Equip.
O Carbonated Bev. ® Dental Equip. O Dye Vats 0 Ice Machine O Lawn Irrigation
® Fume Hoods 0 Laboratory Equip. ® Pressure Washers O Coffee Urn/Espress ® Well on property
® Degreasers ® Autoclave/Sterilizers ® Cooling Towers ® Aquarium ® Decorative Fountain
40 Other: 1?1 r1 G I,:�>UCLI ,SHOW E/LS / AV E W 6NOW6il -
Authorized Signature: ���L Date: G Ach 2,013
Office Use Only
Comments:
Date Received: Survey Received By: _
Assembly Required: ❑ DCVA ❑ RPBA ❑ AVB ❑ Other
Inspection Required: ❑ YES ❑ NO RECEIVED
FEB 0 6 2013
COA PERMIT CENTER
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COMMERCIAL PLUMBING
PERMIT APPLICATION
Q_ _ _� Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418
WASTEWATER DISCHARGE SURVEY FORM
(Please complete form and submit to Permit Center)
NOTE: Arlington Municipal Code 13.08.590 requires that any and all commercial or industrial dischargers will not
discharge to the City of Arlington Sanitary Sewer System without a negotiated discharge agreement. This survey will help
us determine whether your business will require an agreement.
1. Type of Permit: ® Commercial (❑) Industrial Commercial Addition/Alteration
2. Proposed Building Use: a Restaurant (3 Medical Industrial
❑) Residential Commercial Automotive Based
C) Machine Shop C)Other:
3. Does the plumbing system currently have a grease interceptor? 0 Yes No ® Don't Know
4. Date grease trap/interceptor was last cleaned (provide service record): Don't Know
5. Does the plumbing system currently have a oil/water separator? 0 Yes 0 No Don't Know
6. Date oil/water separator was last cleaned (provide service record): ,1cat Don't Know
7. Is water used in the business process(washing, rinsing, cooling)? 0 Yes No 0 Don't Know
8. Does your business require a NPDESIpermit? 0 Yes 0 No /116 Don't Know
Contact Person: � t ��� 1217�ixX�._. jPhone Number: 2-0(,0 ')(1)4- -,53 3
Cell Phone: Fax: y E-mail: UIS�I�j� iiJ -t c.1F� c�v t
The above information is complete and accurate to the best of my knowledge. I understand that any changes in the sewage
discharge from the site must be reported to the City of Arlington Public Works Utilities Division / Wastewater
Department immediately by contacting 360-403-3526.
Authorized Signature: Date: 2 U I Is
Office Use Only
Comments.
Date Received: _ _. Survey Received By: �/r �1
Assembly Required: ❑ DCVA ❑ RPBA ❑ AVB ❑ Other RECEIVED_
Inspection Required. ❑ YES ❑ NO FEB 0 6 2013
COA PERMIT CENTER
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COMMERCIAL PLUMBING
SUBMITTAL CHECKLIST
Department of Community Development
City of Arlington• 238 N Olympic Ave. •Arlington,WA 98223 • Phone (360)403 3551 • FAX(360)403 3418
WHEN is a PLUMBING PERMIT REQUIRED?
The City of Arlington requires a plumbing permit before a plumbing system or fixture is installed, altered, or
remodeled. This also includes replacement of a Hot Water Tank.
The City of Arlington does not require a permit to stop leaks or clear stoppages, unless the piping being
repaired is altered or replaced.
PLUMBING PLAN REVIEW IS REQUIRED FOR THE FOLLOWING PROJECTS
1. New Commercial Buildings
2. New Multi-Family Buildings
3. Roof Drains and Overflow Systems
4. Tenant Improvements
5. Installation of Medical Gas Systems
6. Installation of Commercial Kitchen's and Deli's
7. Installation of Grease Traps
8. Installation of Grease Interceptors
9. Installation of Sumps
1o. Installation of Cross Connection Backflow Devices
SUBMIT THREE (3) COPIES OF THE FOLLOWING FOR PLUMBING PLAN REVIEW:
Plumbing plans or drawings. (Minimum plan size is 18" X 24" scale, '/4" scale for details.)
Provide one set of plumbing drawings maximum size 11" X 17"
Size of sanitary and potable water systems.
ocation, type and specifications (cut sheets) of proposed fixtures and equipment.
Riser diagram of waste and vent, potable water and rain water systems, including sizes.
/❑ Medical gas piping riser diagram indicating type of gas, storage room and size of piping.
❑ Location and type of all backflow assemblies for each fixture.
I hereby certify that I have read and examined this application and know the same to
be true and correct and I am authorized to apply for this permit.
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