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16410 SMOKEY POINT BLVD STE 300_BLD20110234_2026
,Alq BUILDING INSPECTION REPORT Y O� Permit No. ///' V ��p Address: - Contractor: 9��jN G`t0 Owner: Jr-1 /- ,OR- �_ 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: vu Date: ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork ® Mechanical ,JLR,Grid ® Struct. Slab ® Wood Stove ® Rough-in Final ® Masonry 01 Drainage ® nsulation 0 Other: BUILDING INSPECTION REPORT G�TY O� Permit No. Address: Contractor: 7�ltN G1 Owner: �- Date: XAPPROVAL ® 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: 11d 7— ® 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 1 Other:, P � �li,� BUILDINGi INSPECTION REPORT GtiT Y �� Permit No. I' C)� '-- k Address: _�_Le LA`Q Snoo eA 91- byd-' J ���jN��o oContractor: ��4e' OwnerJC`1"}C � Date: GL APPROVAL Ep PARTIAL APPROVAL VIOLATION fj 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 �Jyvv � i Inspector: Date: i as ® Under-floor ® Framing ® Gas Piping ® Footing 11 Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork ® Mechanical ® Grid ® Struct. Slab ® Wood Stove ® Rough-in ® Final ® Masonry ®Drainage ® Insulation Other: e BUILDING INSPECTION REPORT C-N-1 Y ��� Permit No. Address: _� LA l C) �1y1Uk( P� ud '� 0 Contractor: R6 haw�_ &, (D l y �jr,NG" Owner: C4_L YIIMWkjS Date: 19- — I°1 -1 1 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: ® Under-floor ® Framing ® Gas Piping ® Footing Drywall, nailing Ell Consultation ® Foundation hear Nailing ® Groundwork ® Mechanical ®Grid ® Struct. Slab ® Wood Stove ® Rough-in ® Final ® Masonry ® Drainage ® Insulation 0 Other: BUILDING INSPECTION REPORT G1T Y �� Permit No. ftb �I k C)�'3� Address: LO O Jfflo 7. Contractor: ged,haA.PV G�l�-P 4ING� Owner: Nbr+w 'o'_tr6 De ► )aC 'bi c r� Date: L- ) ff'APPROVAL Ep 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: ® Under-floor )RIFraming G Gas Piping G Footing G Drywall, nailing G Consultation G Foundation G Shear Nailing G Groundwork G Mechanical G Grid G Struct. Slab G Wood Stove ® Rough-in G Final G Masonry G Drainage G Insulation G Other: BUILD NG INSPECTION REPORT G1T Y �� Permit No. ��� 1l 0 �37 Address: Contractor: c— t�-2 t IN G"S Owner: _(,�o L,71/6 DeR a' Date: ® APPROVAL Ep 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: L"'O't_ Date: /-2 g- tl ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation P Shear Nailing ® Groundwork ® Mechanical grid ' — ® Struct. Slab ® Wood Stove ® Rough-in ® Final ® Masonry ® Drainage ® Insulation1 0 Other: - CITY OF ARLINGTON 238 N. OLYMPIC AVE.-ARLINGTON,WA. 98223 PHONE: (360)403-3421 BUILDING PERMIT Address: 16410 SMOKEY POINT BLVD#300,ARLINGTON Permit#:BLD20110234 Parcel#:31052900100800 Valuation:$0.00 OWNER« APPLICANT _-CONTRACTOR_..-.,. �- CUMULAS HEALTH CARE CENTER NORTHSOUND DERMATOLOGY REDHAWK GROUP POINT PROFESSIONAL GROUP SMOKEY DIETER SCHMIDT SCOTT RICHARDSON 1505 E 5TH ST 15906 MILL CREEK BLVD STE105 950 N 72ND ST ARLINGTON,WA 98223-1125 MILL CREEK,WA 98102 SEATTLE,WA 98103 Lie#:REDHAGL940KP Exp:5/1/2013 'NOWYNG CONTRACTOR MECHANICAL CONTRACTOR Lie#: Exp: Lie#: Exp: JOB.DESCRIPTION TENANT IMPROVEMENT-3rd floor,in existing medical facility PERMIT TYPE: Commercial PERMIT GROUP: Alteration/Remodel Interior STORIES: 0 CONST TYPE: DWELLING UNITS: 0 OCC GROUP: CODE: OCC LOAD: 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 WORKMENS 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. 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,113C110/IRC110. SALES TAX NOTICE: Sales tax relating to construction and construction materials 4they of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released Dry Daee ARCHIVE = APPLICANT ASSESSOR OTHER Property Summary Page 1 of 2 Sn o h o m i s h Oalrta OovernmerA Intwrnation a Services CountyW Washington Printable Version Home Other Property Data Help Property Search>Search Results>Property Summary Property Account Summary Parcel Number 131052900100800 1 Property Address 116410 SMOKEY POINT BLVD,ARLINGTON.WA 98223-8415 Parties-For changes use'Other Property Data'menu Role PercentName iMailing Address Taxpayer 1001SMOKEY POINT PROFESSIONAL GRP 11505 E 5TH ST,ARLINGTON,WA 98223 _ Owner I 100SMOKEY POINT PROFESSIONAL GROUP LLP 11505 E 5TH ST,ARLINGTON,WA 98223-1125 United States General Information Property SEC 29 TWP 31 RGE 05 E 490.18FT OF S1/3 OF SI/2 OF SE1/4 NE1/4 EXC E 50FT THOF CONVYD TO SNO CO AKA LOT 1 OF RALPH&MARY Description MONTY'S BSP REC VOL 1 OF BSP'S PG 208 AF NO 9009125003 Property Land and Improvements Category Status Active,Host Other Property,Locally Assessed Tax Code Area 00116 Property Characteristics Use Code 651 Medical&Other Health Services Unit of Measure Acr s Size(gross) 12.23 Related Properties 21132296 is Located On this property 2743000 is Located On this property 0001040 is Located On this property 0002527 is Located On this property 0254961 is Located On this property dive Exemptions No Exemptions Found No Taxes Owed at this Time. No Charges are currently due. No Charge Amounts can be reported because no taxes are due for the year this application is processing. No Charge Amounts are due for this property.If you believe this is incorrect,please contact a Property Support Specialist. Statement of Payable/Paid For Tax Year: 2011 Distribution of Current Taxes District I Rate Amoun CITY OF ARLINGTON 1.634011 7,305.66 LAKEWOOD SCHOOL DIST NO 306 4.99231S 22,320.64 SNO-ISLE INTERCOUNTY RURAL LIBRARY 0.450643 2,014.83 SNOHOMISH COUNTY-CNT 0.868378 3,882.52 STATE 2.206383 9,864.74. 5NOHOMISH CONSERVATION DISTRICT 15.11 TOTALS 10.151731 45 393.50 111"andina Propertv Values jPending Tax Yea Market Land Value Market Improvement Value Market Total Valueturrent Use Land ValuelCurrent Use Improvement Current Use Total Value 20121 947,1001 3, 76,9001 4,024,0001 01 0 0 Property Values Tax Year Tax Year Tax Year Tax Year Tax Year Value Type 2011 2010 2009 2008 2007 Taxable Value Regular 4,471,000 5,030,0001 5,310,000 4,337,000 3,912,000, Exemption Amount Regular Market Total 4,471 000 5,030,000 5,310,000 4,337 000 3,912,000 Assessed Value 4,471,000 5 030,000 5,310,000 4,337,000 3,912,000 Market Land 995,700 1,117,100 1,117,100 1,068,500 922 800 Market Improvement 3 475,300 3,912,900 4 192,900 3,268,500 2,989,200 Personal Property Law Rate History Tax Year Total Levy Rate 2010 8.856244 2009 8.012301 https://www.snoco.org/proptax/(ti lakd3kwxe2fw45 fgwhx4mw)/search.aspx?parcel_numb... 11/23/2011 Property Summary Page 2 of 2 20081 7.440602 Real Pro a Structures Description ype Year BuiltlMore Information CUMULUS HEATH CARE CENTER lCommercial 1991 View Detailed Structure Information Property Sales since 7 31 1999 Transfer Date Recei t Date Sales Price Excise Number Deed T e Grantor(Seller) Grantee(Buyer) Other Parcels: 3/14/2006 3/21/2006 $0!202808 SMOKEY POINT PROFESSIONAL SMOKEY POINT PROFESSIONAL GROUP IQC GRP LLP No Property Maps Neighborhood Code Township Range Section Quarter Parcel Map 5204000 131 05 129 INE lView parcel maps for this Township/Range/Section Receipts Date Receipt No. Amount Applied 11/01/2011 00:00 6404472 22 696.75 04/29/2011 00:00 6124169 22,696.75 11/02/2010 00:00 5876187 22,276.01 05/05/2010 00:00 5644779 22,276.01 11/02/2009 00:00 5349568 21,272.66 05/04/2009 10:59 5107683 21,272.65 11/04/2008 14:24 4849773 16,134.95 05/05/2008 00:00 4604112 16 134.94 10/31/2007 00:00 4310323 16,898.65 05/07/2007 00:00 4088634 16,898.65 11/02/2006 00:00 3806479 18,730.18 05/O1/2006 00:00 3534652 18,730.17 Events Effective Date jEntry Date-Time Type Remarks 03/14/2006 04/04/2006 12:34 jOwner Added Property Transfer Filing No.: 202808 03/14/2206 by sasklg 03/14/2006 04/04/2006 12:34 !Owner Terminated 1Property Transfer Filing No.:202808 03/14/2006 by sasklg 03/14/2006 03/21/2006 14,55 1Excise Processed jProperty Transfer Filing No.: 202808,Quit Claim Deed 03/14/2006 by strbjp 12/26/2000 12/26/2000 13:40 ]Annexation Completed For Property ICTYARL ORD 1198 SMOKEY POINT for 2001-Revise District Membership 12/26/2000 12/26/2000 13:19 JAnnexation Completed For Property ICTYARL ORD 1198 SMOKEY POINT for 2001-Revise District Membership 12/26/2000 12/26/2000 10:14 lAnnexation Completed For Property ICTYARL ORD 1198 SMOKEY POINT for 2001-Revise District Membership 11/27/2000 11/27/2000 12:05 Annexation Completed For Property JCTYARL ORD 1198 SMOKEY POINT for 2001-Revise District Membership Printable Version Developed by Manatron,Inc. @2005-2010 All rights reserved. Version 1.0.4043.25450 https://www.snoco.org/proptax/(tilakd3kwxe2fw45fgwhx4mw)/search.aspx?parcel numb... 11/23/2011 Page 1 of 2 SnohomishOnlkto 0avornment Information Services County W Washington Structure Information Close Window General Description Parcel Number 31052900100800 (C01) Structure Class Commercial Structure Use Medical Office Structure Type CUMULUS HEATH CARE CENTER Year Built 1991 Features Roof Cover BuiltUp Units 0 Floor Area Floor 1 Base SF 9,315 Sprinkler SF 0 Heated SF 9,315 Air Cond SF 9,315 Floor 2 Base SF 9,315 Sprinkler SF 0 Heated SF 9,315 Air Cond SF 9,315 Floor 3 Base SF 9,315 Sprinkler SF 0 Heated SF 9,315 Air Cond SF 9,315 Garage(s) & Carport(s) None http://www.snoco.org/app2/propsys/PropInfo05-StructData.asp?parcel=31052900100800... 11/23/2011 Page 2 of 2 r of r.,� I ►1 � It t ,1 yI Close Window http://www.snoco.org/app2/propsys/PropinfoO5-StructData.asp?parcel=31052900100800... 11/23/2011 4 D COMMERCIAL REMODEL 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 PLANS, THREE(3) SETS OF SPECIFICATIONS, TWO(2) 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 0 Commercial Addition Tenant Improvement ADD Dj+' vvr Project Address: 16410 Smokey Point Boulevard, Arlington, WA 98223 Parcel ID#: 0254961 Project Description: Remodel existing space for dermatology facility Legal Description Project Valuation„ $102,558 Owner: Northsound Dermatology Phone Number: (425) 385-2009 Address: 15906 Mill Creek Blvd,Suite 105 City: Mill Creek State: WA Zip Code: 98102 Contact Person:Dr. Dieter Schmidt Phone Number: (425) 385-2009 Cell Phone: Fax: E-mail: Address. 15906 Mill Creek Blvd, Suite 105 City: Mill Creek State: WA Zip Code: 98102 i Contractor: Redhawk Group — r0 I Sews Phon Number. (206)282-3000 5c aff Tc lGf SmA, n*RC �l�rii Address: 950 N 72nd St. City: Seattle State: WA Zip Code: 98103 Contractor's License Number: REDHAGL940KP Expiration: 5/1/2013 Plumbing Contractor:By Separate Permit Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: Mechanical Contractor: Phone Number: Address City: State: Zip Code Contractor's License Number: Expiration: hereby ceilkPat the above .nformation is correct and that the construction on, and the occupancy and the use of the above- fdescrib rty w' b in orda a with the laws, rules and regulation of the State of Washington. icants Signature Date RECEIVED J /� y Print Applicants Name NOV 2$ 2011 COA PERMIT CENTER �,/ II,,�JJ��JJ (f FOR STAFF USE ONLY 440,2( 11023 / (3 J Permit# Accepted By Amount Received Receipt# Date Received Web Farms—146 Page 6 of 7 7/10CJY COMMERCIAL REMODEL PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418 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( ci.arlington.wa.us. Application by courier or mail will not be accepted. Incomplete applications will not be accepted. I acknowledge that all items designated as submittal requirements must accompany my Building Permit Application to be considered a complete submittal.Signature: G Date: J _ Owner/Owr epresentative Company: Phone: Web Forms—146 Page 5 of 7 7/10CJY COMMERCIAL REMODEL PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360) 403 3418 Project Name/Tenant Arlington Dermatology Site Address 16410 Smokey Point Boulevard Bldg/Unit/Suite IBC Construction Type IBC Occupancy Type Description of Use Medical Office Building Square Footage Number of Stories Square Footage Per Floor 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 etc...) ❑ Hazardous materials ❑ High piled/rack storage ❑ Industrial ovens/furnace ❑ Private fire hydrants ❑ Spraying or dipping operations ❑ Standpipe systems ❑ Temporary membrane structure,tents(>200sq ft)or canopies (>400 sq ft) Provide details on any of the above checked items: Installation,changes, modifications or removal of any of the above may require additional submittals, information,or permits during the plan review or construction process. Printed Name of Occupant/Agent Signature of Occupant/Agent Date Web Forms—146 Page 7 of 7 7/10CJY EXIST.ROOF 17 EXISTING SUSP, KI CKER-KRACE TO DECK AT CQRNERS AND ATk=U* oo INTERVALS.ALT;-: tiATING 5/8,'TYP;:GYP FM EACH SIDE OF 2 518.ME"AL STUM 0 16,O.C' CONT TRACK 0 5070M OF WALL.SHOT ANCHOR ZA'0'C' Tc--DQS7r,CONC.FLUOR EXISTING CONC. $LAS ON GRADE ,..SECTION @ FULL HEIGHT PARTITION BLD2.011023. 4 CONDITIONS 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. • None PERMIT FEES Date .. .___„Description., _ Fee Amount __ _ Paid Balance-Due 11/28/2011 Building Permit Fee(QTY: 1) $1,268.08 $0.00 $1,268.08 11/28/2011 Building Plan Check Fee(QTY: 1) $824.25 $0.00 $824.25 11/28/2011 State Building Code Surcharge(QTY: 1) $4.50 $0.00 $4.50 Total Due: $2,096.83 $0.00 $2,096.83 CALL FOR INSPECTIONS . 'qW BUILDING/ENGINEERING/PARKS/UTILTTIES/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 BLD20110234 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 BUILDING PERMIT PERMIT#: BLD20110234 OWNER: CUMULAS HEALTH CARE CENTER-... STATUS:APPLIED ADDRESS: 16410 SMOKEY POINT BLVD#300... BALANCE: $0.00 ISSUED: CREATED: 11/23/2011 SCREENS: Select Screen... FUNCTIONS: Select Permit Function... i ALTERATION/REMODEL INTERIOR REVIEWS PRINT ADD NEW SUMMARY REVI.. DESCRIPTION ASSIGNE... DUE DATE LAST (#) REQ?DO... ASSIGN REMOVE 1026 P-Utilities Fees RSHEPA... 12/2/2011 0 Y N Assign Remove 2000 C-Building I CYOUNG 12/2/2011 0 Y N Assign Remove 2008 C-Community Development I BFECHT 12/2/2011 0 Y N Assign Remove - 3002 X-Executive SPHELPS 12/2/2011 0 Y N Assign Remove -4 7 o � lp ` � http://coaweb2.arlington.local/PermitTrax/Module_Permits[Permits_PennitJPermit_Revie... 11/23/2011 • Page 1 of 1 taszavotorsa tos2eoomrzoo 3fOb?000lO1400 f05280020TQ00 31032D0020t300 r-'---0 T- 3io32noornJsoo 3f051D00tO0D00 1052D00 7 970b?DOO20TD00 3f09TD0020T400 3J052D0030l400 31032AOOIOTDfq fOS2800301300 3JOE2000401D00 ' p• http://gis.snoco.org/output/Assessor_pmz-arcims36645416790.jpg 11/23/2011 ' COMMERCIAL REMODEL PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3418 A. FEES DUE AT TIME OF PERMIT APPLICATION The following non-refundable fees will be collected at the time of application for all tenant improvements projects. 1. Building Plan Check Fee B. CODES The City of Arlington currently enforces the following: International Codes 1. 2009 International Building Code(IBC) 2. 2009 International Residential Code(IRC) 3. 2009 International Mechanical Code(IMC) 4. 2009 International Fuel Gas Code(IFGC) 5. 2009 International Fire Code(IFC) 6. 2009 Uniform Plumbing Code(UPC) 7. 2009 International Property Maintenance Code(IPMC) 8. 2003 Accessible&Usable Buildings and Facilities(ICC/ANSI 1417.1) Washington State Amendments 1. WAC 51-50 Washington State Building Code 2. WAC 51-51 Washington State Residential Code 3. WAC 51-52 Washington State Mechanical Code 4. WAC 51-54 Washington State Fire Code 5. WAC 51-56&51-57 Washington State Plumbing Code and Standards 6. WAC 51-11 Washington State Energy Code 7. WAC 51-13 Washington State Ventilation and Indoor Air Quality Code 8. WAC 296-46B Electrical Safety Standards, Administration, and Installation C. CITY OF ARLINGTON DESIGN REQUIREMENTS Design Wind Speed: 85 miles per hour(Exposure C) Ground Snow Load: 25 pounds per square foot Seismic Zone: D2 Rainfall: 2 inches per hour for roof drainage design. Frost Line Depth: 12 inches Soil Bearing Capacity: 1,500psf unless a Geo-Technical Report is provided. (IBC Table 1804.2&IRC R401.4.1) D. PLANS AND DRAWINGS Submit three(3)complete sets of drawings and plans. Drawings and plans must be submitted on minimum 18"X 24", or maximum 30"X 42"paper.All sheets are to be the same size and sequentially labeled. Plans are required to be clearly legible, with scaled dimensions, in indelible ink, blue line, or other professional media. Plans will not be accepted that are marked preliminary or not for construction, that have red lines, cut and paste details or those that have been altered after the design professional has signed the plans. Please Note:A separate submittal of plans is required for each building or structure. Web Forms—146 Page 2 of 7 7/10CJY 4' COMMERCIAL REMODEL PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3418 DETAILED SUBMITTAL REQUIREMENTS Mark each box to designate that the information has been provided. Please submit this checklist as part of your submittal documents A. ❑ SITE PLAN— REQUIRED WITH ALL SUBMITTALS (May be included as part of the Architectural Drawing cover Sheet) 1. Drawing shall be prepared at scale not to exceed 1"=20 feet. 2. Show building outline and all exterior improvements. 3. Provide property legal description and show property lines. 4. Provide dimensions from the property lines to a minimum of two building corners(or two identifiable locations for irregular plan shapes). 5. Show building set backs, easements and street access locations. 6. Indicate North direction. 7. Indicate finish floor elevation for the first level. 8. Provide topographical map of the existing grades and the proposed finished grades with maximum five feet elevation contour lines. 9. Show the location of all existing underground utilities, including water, sewer, gas and electrical. 10. Flood hazard areas,floodways, and design flood elevations as applicable. B. ❑ ARCHITECTURAL DRAWINGS 1. ❑ Cover Sheet a) Building Information 1. Specify model code information. 2. Construction Type. 3. Number of stories and total height in feet. 4. Building square footage(per floor and total) 5. IBC Occupancy Type(show all types by floor and total). 6. Mixed-use ratio(if applicable) 7. Occupant load calculation (show by occupancy type and total) 8. List work to be performed under this permit b) Design Team Information 1. Design Professional in Responsible Charge 2. Architects 3. Structural Engineers 4. Owner 5. Developer 6. Any other Design Team Members 2. ❑ Floor Plan a) Plan view 1/8"minimum scale. Details a minimum %-inch scale. b) Plans must show the entire tenant space. c) Specify the use of each room/area. d) Provide an occupant load calculation on the floor plan.(on every floor, in all rooms and spaces) e) Show ALL exits on the plans; include new, existing or eliminated. f) Show Barrier-Free information on the drawings. Web Forms—146 Page 3 of 7 7/10CJY g) Show the location of all permanent rooms,walls and shafts. h) Note the uses in the adjacent tenant spaces, if applicable. i) Provide a door and door hardware schedule. j) Show the location of all new walls, doors,windows,ect. k) Provide details and assembly numbers for any fire resistive assemblies. 1) Indicate on the plans all rated walls,doors,windows and penetrations. m) Provide a legend that distinguishes existing walls,walls to be removed and new walls. 3. ❑ Reflected Ceiling Plan a) Plan view 1/8"minimum scale. Details a minimum %-inch scale. b) Provide ceiling construction details. c) Provide suspended ceiling details complying with IBC 803.9.1.1. Show seismic bracing details. d) Show the location of all emergency lighting and exit signage. e) Detail the seismic bracing of the fixtures. f) Include a lighting fixture schedule. 4. ❑ Framing Plan a) Specify the size, spacing, span and wood species or metal gage for all stud walls. b) Indicate all wall, beam and floor connections. c) Detail the seismic bracing for all walls. d) Include a stair section showing rise, run, landings, headroom, handrail and guardrail dimensions. 5. 0 Storage Racks(if applicable) a) Structural calculations are required for seismic bracing of storage racks eight feet or greater in height. b) Eight feet or less,show a positive connection to floor or walls. NOTE: High pile storage shall meet the requirements of current International Building and Fire Codes. C. ❑ SPECIAL INSPECTION 1. Where special inspection is required by IBC 1704,the registered design professional in responsible charge shall prepare a special inspection program that will be submitted to the City of Arlington and approved prior to issuance of the building permit to comply with IBC 106.1. D. ❑ WASHINGTON STATE ENERGY CODE 1. Two completed Washington State Non-Residential Energy Code Envelope Summary forms. E. ❑ 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 Web Forms—146 Page 4 of 7 7/10CJY CITY • • , , OF ARLINGTON % 238 N.OLYMPIC AVE.-ARLINGTON,WA. 98223 PHONE: (360)403-3421 BUILDING PERIVIIT Address. 16410 SMOKEY POINT BLVD#300,ARLINGTON Permit#:BLD20110251 Parcel#:31052900100800 Valuation:$8,800.00 APPLICANT CONTRACTOR SMOKEY POINT PROFESSIONAL GROUP STATE MECHANICAL STATE MECHANICAL. 1505 E 5TH ST BUD KLOSTERMAN BUD KLOSTERMAN ARLINGTON,WA 98223-1125 8706 S 222ND ST 8706 S 222ND ST KENT,WA 98223 KENT,WA 98223 Lic#:STATEMC14IC7 Exp:9/1/2013 CI�ANICAL CONTRACTOR STATE MECHANICAL BUD KLOSTERMAN 8706 S 222ND ST KENT,WA 98223 Lic#:STATEMC141C7 Exp:9/1/2013 Lic#: Exp: JOB DESCRIPTI Exam Room Sinks PERMIT TYPE: Commercial PERMIT GROUP: Plumbing STORIES: 0 CONST TYPE: DWELLING UNITS: 0 OCC GROUP: CODE: OCC LOAD: ; -- �- I AGREE TO COMPLY WIT-I 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. 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.IBC 110/IRC 110. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be repo on your sales tax return form and coded City of Arlington#3101. Signature Print Name date sed By Date ARCHIVE F--1 APPLICANT ASSESSOR OTHER BLD20110251 CONDITIONS — - - -'M 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. • None PERMIT FEES � Pate Description Fec Amount --- - ----- Paid_--_-Balance 12/14/2011 Building Plan Check Fee(QTY: 1) $880.00 $0.00 $880.00 12/14/2011 Plumbing Permit Fee(QTY: 1) $61.00 $0.00 $61.00 Total Due: $941.00 $0.00 $941.00 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 SUBMITTAL LITERATURE For ARLINGTON DERMATOLOGY SUBMITTED BY: STATE MECHANICAL CO. INC. 8607 S 222nd ST Kent,WA 98031 CITY OF ARLINGN ON BUILDING DEPARTME DATE Ja UN!ESS APPROVED BY THE BUILD11,40 INSPECTOR RECEIVED 'DEC 13 2011 COA PERMIT C-NTER abgvf t);�-51 DAVTO N® Kingsford® Single Bowl Sink SPECIFICATIONS Models K12521, K12522 and KJ12522 Series GENERAL Sink is formed of#23 gauge, 300 series, nickel bearing stain- II less steel.Self-rimming. DESIGN FEATURES Bowl Depth:6" (K12521 series), 6-1/16" (K12522 and KJ12522 / series). Faucet Deck: Raised. Coved Corners: 3" vertical and 2-3/4" horizontal radius. Bowl Finish: Exposed surfaces are polished to a buffed finish. Underside: Undercoated on bottom of sink only. OTHER Drain Opening:3-1/2". Note:Unless otherwise specified,sink is furnished with 4 faucet Model K125224 holes as shown. These sinks comply with ASME A112.19.3. Ne These sinks are listed by the International Association of Plumbing and Mechanical Officials as meeting the requirements of the Uniform Plumbing Code. SINK DIMENSIONS (INCHES)* Cutout in Countertop No.of U-Channel J-Channel (11/2"Radius 11/z Dia. Minimum Model Model Overall Inside Bowl Comers) Faucet Cabinet Number Number L W L W D L W Hales Size K12521 — 25 21i/4 21 153/4 6 243/s 205/s 3 or 4 30 K12522 I KA2522 25 22 1 21 153/4 61h6 243/e 213/8 3 or 4 30 K5012522 I KJ5012522 25 22 1 21 153/4 61hs 1 243/s 213/e 1 3or4 30 'Length is left to right.Width is front to back. K—Prefix sinks are packed one per shipping carton. K50 and KJ50—Prefix sinks are nested 50 per skidded shipping carton. �4+4+4"� HOLE DRILLING U-Channel Type Mounting System 4)1 CONFIGURATIONS i — �4- 4� FW 22" -I- F/ 15-3/4" I' 3' I f 3"R I 1 4'I`_I4 _I_4� _I J-Channel Type Mounting System Imo---21" —►I 25"---+� 4 Bowl Depth is 6" Model K125224 Illustrated rim ALL DIMENSIONS IN INCHES.TO CONVERT TO MILLIMETERS MULTIPLY BY 25.4. In keeping with our policy of continuing product improvement,Elkay reserves the fight to change This specification describes an Elkay product with design,quality and functional benefits to the product specifications without notice. user When making a comparison of other producers'offerings,be certain these features are not overlooked. Elkay 2222 Camden Court - Printed in U.S.A. elkayusa.com Oak Brook, IL 60523 02007 Elkay (Rev.7/07) 2-23E r ;IE -', KITCHEN FAUCETS ■ Classic Series ■ Single Handle Deck Mount 100 400 ■3 and 4 Hole Sink Applications 100-WF 400-10STANDARD SPECIFICATIONS: 100-WF10 110-WF10 400-ELT ■Solid brass fabricated body. •Standard 8"(203 mm)long spout swings 360°. Submitted Model No.: a 10"(254mm)long spout swings 360°. Standard Specific Features: on models 100-WF10, 1 10-WF10 and 400-10. •Lever handle.Control mechanism shall be of the rotating stainless steel ball type with replaceable non-metallic seats operating in stainless steel lined sockets. 4'(102 mm)-V(152 mm)-8(203 mm) a Control handle shall return to neutral position I�--10'(254 mm)-12(305 mm)360 Swing Spout when valve is turned off. •Model 400 series with spray attachment has anti- siphon device as integral part of valve body. ��`� •Model 100, 110 and 400 series without ` dispenser can be field converted from 8" (203 I, mm)to 6" (152 mm)centers. 1 1 7/16" `s`,CL 21/16' (108/mm) •Quick Snap®vegetable sprayer hose with white (37 mm): _r - (52 mm) sprayhead on model 400 series-45-(1 143mm) A 4112' long hose. (114 mm) 2" •3/8"O.D.copper tube inlets- 10"(854mm)long. +(51 mm) ■ Models with suffix"WF"supplied with 1/2"-14 Dia. NPSM adapters. 1 3/16' t ■Model 400-ELT has 18'"(457mm)extra long (3o mm) supply tubes. 1' Dia. Max Deck32 mm)� •Model 1 I O-WF 10 ships with 360'swivel Max Deck Thickness (7/8' ) spray aerator(RP2189). 3/8' 22 mm Thickness ( ) Dia. WARRANTY 10 mm (221/mm) Dia. ■Lifetime Faucet and Finish Limited Warranty to the Max 3/8'(10 mm)Dia. original consumer purchaser to be free from Tubes 10'(254 mm)Lang defects in material and workmanship. 18"(305 mm)Long on ■5 Year Limited Warranty for e in all industrial, 100-ELT&400-ELT ty usage commercial and business applications. 1/2'-14 NPSM-Adapter L8'(203 mm)Centers Suffix WF Models Only ® uPC /❑ Dimension A �� V 1 7/8"(48mm) -4" (102mm)Spout(RP5881) 31/2"(89mm) -6" (152mm)Spout(RP9633) COMPLIES WITH: 5" (127mm)-8" (203mm)Spout(Standard) 51/4"(133mm)-10"(254mm)Spout(RP5653) •ASME A112.18.1/CSA B 125.1 61/4"(159mm)-12"(305mm)Spout(RP6042) Indicates compliance to ® ICC/ANSI A 1 17.1 Pressure(kPa) 0 69 136 207 276 345 414 483 552 621 m 4.50 17.0 5'3.75 14.2 F a 3.00 11.4? m a O"5 8.5 v 1.50 5.7 rA � .75 2f 00se 2.8 3 p 0 LL 0 10 20 30 40 50 67 70 80 90 Pressure(PSO D E LTA. FAUCET COMPANY Delta reserves the right(1)to make chenr in specifications and materials,and(2)to change or discontinue models,both without notice or Obli�auon.Dimensions are for relerence only. See current full-line price book or 55 E 1 1 1 Lh Street,Indianapolis,Indiana 46230 www.specselecLcom for finish optfonsand product avai"I ty. 350 South Edgeware Road,St Thomas,ON N5P 411 DSP-K-100 Rev.F ©201 1 Masco Corporation of Indiana J DNib- - _ 7Y� �`i).�J�• .mow tj- -�,=.� :.. Product Features • Stainless single bowl sink • Overall size 17"x 19" • • • Self-rimming • Bowl size 14"x 14" • • Sink clips included • Bowl depth 6-1/8" • Available with 2 or 3 faucet holes • Drain diameter 3-1/2" • 22 gauge ,_ Model Numbers PFT171962 17X19 2H 6-1/8"22 GA 1 B SS SINK ADA compliant PFT171963 17X19 3H 6-1/8"22 GA 1 B SS SINK ADA compliant PFT171963 Product Specifications CL BOWL 8-1/2" 1-1/2 DIA 2 HOLES �WL 1-1/2 DIA 3 HOLES 6-1/2' R 1-1/2' 8-1/2' R 1-1/2' 4-1/2" 2-1/8" 3- r 3-1/2' 2-1/8" 3" 3-1/2" FAUCET r_- _ FAUCET HOLE - HOLE CE - — -- 7" r" 19• 19" 14" � 14' 0 3-1/2 HOLE 0 3-1/2 HOLE 0 4-1/2 FLANGE 0 4-1/2 FLANGE R 2-1/2' R 2-1/2' 7" REF— 7- — 1-112" 14' 1-1/2" 1-1/2" 14' 1-1/2' 17" 17' PFT171962 I T PFT171963 41 P 6-1/8" Warranty and Codes- -MEASURED FROM INSIDE PROFLO stainless steel sinks carry a 2-year limited warranty.In an effort to continually improve our products,we will make design changes from time to time.We reserve the right to ship newly designed product to fill any order unless it is agreed in writing to do otherwise. These products meet or exceed ASME/ANSI A112.19.3m. Pc c o Distributed Exclusively by Ferguson and Wotsetey Canada 0 2010 Ferguson Enterprises,Inc.All Rights Reserved 6118 09/10 i • r r Product Features General Specifications •10"spout •4" Centerset •Washerless design •2.0 GPM water saving aerator • Polished chrome finish •NSF/ANSI Std. 61 compliant •Metal blade handles •UPC/IAPMO listed •Solid brass waterways •CSA certified •Acrylic handles or ADA and UFAS ; compliant metal handle Model Numbers PFLL336M 10" spout and ADA compliant metal wing handles PFLL336M Product Specifications Available Parts - PF141191 PK....Seat and spring set(2 each) PF141192PK... -Hot cartridge 39116 90 93 mm) PF141199PK....Cold cartridge Jai PF141381 PK....Hot lever handle ;nix PF141382PK.. ..Cold lever handle PF143128PK....Chrome 2.0 GPM female aerator PF143129PK..._Chrome 1.5 GPM female aerator 5,42 -- 15055 mm • .__ il0ifimml- q114 5 i152 mm; 4 3/4 , fi54_ Warranty and Codes P,. This product comes complete with installation, operating, care and maintenance instructions. S� This PROFLO faucet carries a limited lifetime warranty.This product meets ANSI:All 2-18-1 M. o CJ 2007 Wolseley Distributed Exclusively by Ferguson,Stock Building Supply and Wolseley Canada 0332 10/07 A 0 s m 61 t ® Electric Water Heaters prunwilax1v SPECIALTY ELECTRIC,, PROMAX®SPECIALTY ELECTRIC FEATURES TABLE TOP ELECTRIC WATER HEATERS _ Models feature convenient flat porcelain surface at 36" height,providing extra"counter space"wherever installed.All plumbing and electrical connections are made through back of water heater.Models are available in 27 and 40-gallon capacities and are equipped with PEX cross-linked polymer dip tubes. COMPACT ELECTRIC WATER HEATERS Compact design,side-mounted plumbing and electrical connections (optional top-mounted connections).Designed for installation under Table Top a counter, in a crawl space or in other tight spaces.Tank capacities range from 6 through 20-gallons and offer single heating element and durable tamper-resistance brass drain valve. POINT-OF-USE ELECTRIC WATER HEATER —, Designed for low-demand,point-of-use applications,such as office lavatories •" Tsm'tn w or buildings with remote restrooms.Models have 2 1/z-gallon tank capacity and are equipped with a single heating element.Includes a standard 110/120V cord set with 3-prong plug and wall-mounting brackets for easy installation. CSA CERTIFIED AND ASME RATED T&P RELIEF VALVE • ENVIRONMENTALLY-FRIENDLY NON-CFC FOAM INSULATION MINIMIZES Compact HEAT LOSS CODE COMPLIANCE —i Meets the Federal energy efficiency standards effective January 20,2004,according to the National Appliance Energy Conservation Act(NAECA)of 1992 and meets the standby loss requirements of the U.S.Department of Energy and current edition of ASHRAEIIESNA 90.1. T:sm,m CERTIFIED TO UL 174 FOR HOUSEHOLD ELECTRIC WATER HEATERS 6-YEAR LIMITED TANK AND PARTS WARRANTY For complete information,consult written warranty or A.O.Smith Water Products Company. Point-Of-Use CU 'z�� Page 1 of 2 AOSRE50400 August 2011 R CCm , th, Electric Water Heaters rolwo"JE1.1 SPECIALTY ELECTRIC FIRST ELEMENT WATTAGE DIMENSIONS IN INCHES APPROX. MODEL HOUR ENERGY GALLON RECOVERY R SHIPPING NUMBER RATING FACTOR CAPACITY STANDARD MAXIMUM 90'F RISE VALUE A B C WEIGHT GALLONS 240V 240V (LBS.) TABLE TOP MODELS ESTT--30 42 .89 1 27 4500 6000 21 12 I 36 25 21 I 141 ESTT-40 52 .88 40 4500 6000 21 12 36 25 24 174 COMPACT MODELS STANDARD MAXIMUM 120V 240V EJC-6 N/A N/A 6 1650 3000 8 S 15-1/4 10-3/4t 14-1/4 31 EJC-10 N/A N/A I 10 1650 6000 8 I 8 18-1/4 12-1/4t I 16 45 EJCS-20 N/A N/A ! 19 2500 6000 11 I 8 I 24-3/4 18-5/8t 18 65 EJCT-20 I N/A I N/A I 19.9 I 2500 6000 11 I 8 I 31-5/8 25-3/4t 16 62 LOWBOY SIDE-CONNECT MODELS STANDARD MAXIMUM 240V 240V ECJ-30 37 .93 29 4500 6000 21 16 30 22-3/4t 22 100 ECJN-40 43 .92 1 38 4500 6000 21 12 31-1/4 24-5/8t 23 131 POINT-OF-USE MODEL EJC-2 I N/A I N/A 1 2.5 1500@120V 7 8 13-3/4 11 13-3/4 18 t"8"dimension is floor to T&P Valve and floor to hot water outlet. Dimension from floor to cold water inlet on all lowboy side-connect models is 3-112". Point-of-Use models have 112"inlet and outlet connections. COMPACT MODELS o A p• I C 0 0 o ri oo A O' 1. O Oo � o0 o T 00 A o ® 1 T I p o B � O o o I Q O p I L EJC-6 O O o EJC-10 ECJ-30 and 0 p EJCS-20 ECJN-40 I Inlet D Drain 1' Plugged Inlet TABLE TOP EJCT-20 0 Outlet T UP 0` Plugged Outlet J 27&40-gallon Models POINT OF-USE C B— _ Pr A A F B C -_1 I _.: Li I For Technical Information and Automated Fax Service,call 800-527-1953,A.0.Smith Corporation reserves the right to make product changes or improvements without prior notice. August 2011 R Page 2 of 2 www.hotwater.com AOSRES0400 COPPER TUBE uw crosos eftc*-AUQUO%2909 (-%*wv*Mwuwcm1" The irsu�iae ofois prfw rs notai aabrb s9I e.paooa bow ra ni,of rr,e prf ,--wla7. WATER TUBE/PRICE PER FOOT Diaaxitsr HFswd ;.Dolt !FOIE tilt! so 90R Hwd t19rd Two K TVs L Lseg0m CORs LsrgMs L-91116 Crib LwF9ts Log" Lmota V t82 t85 227 t50 1.59 2.02 - - 7-M t7i 3v 8.12 3 32 4.09 2.30 2.41 3.13 i82 - 3.54 7-74 1w M73 3M 4.76 Me 3.21 3A4 160 - 4.03 3.32 sw 4.66 5A2 m.15 4A9 4AO 5 41 3A6 - 5.17 4.71 3M' am 718 SAS 4.09 5.13 5.86 297 - 736 5.22 1. 9A6 9.37 T1.23 sm 7.36 8.38 5A1 - 9.74 7-56 }1/4 1t23 119D 13.81 9.17 l0.53 ri7M 2w 7.93 11.68 10.13 1_1f• 14.70 iS82 18.51 1183 13A7 1M6 f0.17 9.97 15.97 1298 2 22.82 M16 2&74 M47 2177 2985 16.04 1321 24.70 MA4 2-Vr 33M - 42.74 27A5 - 34M 23.46 - 3s 94 30.44 3. 4&31 - 59.74 39 - 45 s! 3t04 2t87 50.38 40.95 3-11r 59.90 - - 47.97 - - 42A1 - 65AG 58.53 4' 7L55 - B0 86 - - 54 5B 3738 6&BB smog 12734 - - 12134 110 98 191LOO 175.S5 6r 24260 - - 17O.8g - - 170 3B 159 89 29'L47 214.30 8' 454M _ _ 3:p-w _ 1 32290 - 529M 3M07 REFRIGERATION SERVICE TUBE!PRICE PER CM 46_yl s6.93 9S 63 1 1 7B 22791 513.90 1 7 1 1 377. 1 ! TEMPERATURE CONTROL TUBE/PRICE PER FOOT NOT R OM MR 8B0iC OR F'OF&gM p FVCW&OFWM OUAWM'15 M 2DW Fffr FIRD OICFIBRNM HAM lIOFC HARD ngn PLASM COATED WATER TUBE/PRICE PER FOOT f17 PkrrrCBAisid'smMbio In bWe Cass Cabs K L for cdd.Fed�hot end PFFrpre tar 206 1.75 redeitFsd rraFa applicallom &71 277 GssS?rkid°mmi iAG to ysiow for 2 4A8 3.16 338 4A2 S 80 round and LP go 5 Lffi 4 7 5_7B S97 5A9 4 L12 8.17 aA7 625 0951Ma1d'araisble 1n aar4p1br 7 8.17 9A0 IIA5 6.0 ludcmapp6colionFsS 14,34 11.54 12A0 14.31 12-i0 AGRaM 159Q119MrokkoTstknap*mdm17 WHO ifNG"AOMABE W M AND CCLS A6NiABLE N W NO M V013E A FLCAME 50 Foot Coil 77.55 111A8 154 9r7 190A0 2BDAB 1 41020 100 Foot Cai "'w-M 290.19 319.44 1 $99.1m 576 20 86251 250 Fast COB 415.70 576.48 798.6g - - - Mw rr. atoll* f�pries W is oot m dMr to w611M 9ua'4s SWtr�tln a 7ti pritws d Oii�U101iS O F TtE SOLD61•T7tf FifiMO• wbW,vmd 7Fawrcd Mudw kWu0 rks B7D6r0urMrwtt OrF�MaR .7M�128- Pagel REFERENCE INFORMATION COPPER TUBE STAlIDARD' w►Rn ar w UFO* m tom. 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MANUFACTURER'S NAME AND ADDRESS: KESTER DIVISION OF LITTON SYSTEMS, INC. 515 E. TOUHY AVENUE DES PLAINES, IL 60018 USA TELEPHONE NUMBER FOR INFORMATION: (847) 297-1600 CHEMTREC 24-HOUR EMERGENCY TELEPHONE NUMBER: (800) 424-9300 SUPPLIER'S NAME AND ADDRESS (IF DIFFERENT FROM MANUFACTURER): NA = NOT APPLICABLE NE- NOT ESTABLISHED UN = UNKNOWN TLV: THRESHOLD LIMIT VALUES STEL: SHORT-TERM EXPOSURE LIMIT TWA: TIME WEIGHTED AVERAGE C.A.S.: CHEMICAL ABSTRACT SERVICE NOTES: * SEE SECTION 15 FOR U.S.A. REGULATORY INFORMATION ** COMPOSITION AND WEIGHT%OF SOLDER ALLOYS VARIES WIDELY AND CAN BE DETERMINED BY PRODUCT LABEL. SECTION 3 - HAZARDS IDENTIFICATION EMERGENCY OVERVIEW: HOT SOLDER CAN BURN EYES AND SKIN. FUMES DURING SOLDERING ARE IRRITATING TO EYES AND RESPIRATORY SYSTEM. ECC (EUROPE) DANGEROUS SUBSTANCES: HAZARD DESIGNATION: T:TOXIC R-PHRASES (RISKS TO HUMANS OR THE ENVIRONMENT): R 20/22: HARMFUL BY INHALATION AND IF SWALLOWED. R 33: DANGER OF CUMULATIVE EFFECTS. R 61: MAY CAUSE HARM TO THE UNBORN CHILD. R 62: POSSIBLE RISK OF IMPAIRED FERTILITY. PRIMARY EXPOSURE: FLUX FUMES DURING SOLDERING. SEE APPROPRIATE MATERIAL SAFETY DATA SHEET- PRIMARY ROUTES OF ENTRY: () SKIN {) EYES () INHALATION (X) INGESTION TARGET ORGANS: NA POTENTIAL HEALTH EFFECTS OF ACUTE(SEVERE SHORT-TERM) EXPOSURE: INHALATION: FLUX FUMES DURING SOLDERING MAY CAUSE IRRITATION AND DAMAGE OF MUCOUS Am p�� SUBMITTAL givw J NO-HUB® CAST IRON SOIL PIPE & FITTINGS J B T NO-HUB PIPE,TEN-FOOT LAYING LENGTH DIMENSIONS AND TOLERANCES wt. Per dm�die Hubless Pipe Barrels Ship peIb..r P• C_ - tAlt. B Inside J Outside T Thickness Code Diu s. Saxe Diameter Diameter Norm. Min. S 1'/2 25 54 1350 S 2 36 54 1955 11h 1.50±.09 1.90±.06 .16 1.13 S 3 52 36 1855 2 1.96±.09 2.35±.09 .16 1.13 S 4 74 27 2013 3 2.96±.09 3.35±.09 .16 1.13 S 5 94 24 2256 4 3.94±.09 4.38+.09-.05 .19 .15 S 6 110 18 2256 5 4.94±.09 5.30+.09-.05 .19 15 6 5.94±.09 - 6.30+.09-.05 .19 .15 S 8 180 15 2718 8 7.94±.13 8.38+13-.09 .23 .17 S 10 258 8 2084 10' 10.00±.13 10.56±.09 .28 22 S 12 355 6 2130 12s 11.94±.13 12.50±.13 .28 .22 S 15 515 4 2060 15' 15.11±.13 15.83*.13 .36 .30 'Note:Weights approximate,for shipping purposes only. •O.D.Barrel out of round tolerance of:t.04 is permitted. `Tyler Pipe Company strongly recommends that its hubless cast iron pipe and fittings be joined with shielded couplings manufactured in accordance with CISPI 310.The use of unshielded couplings or any coupling not meeting the above specifications will void the product wat mnV STANDARDS SPECIFICATIONS I CHUB®Cast Iron Soa Pipe and Fes= ALL 1 'h,diameter and larger cost iron soil pipe and C1SPI 301: Hubless Cast Iron Soil Pipe and Fittings. fittings For above geode soil,waste,vent lines,rain water ASTM A 888 Hubless Cost Iron Soil Pipe and Fittings. conductors and stom droinoge lines shall bear the ASTM C 564:Rubber Gaskets For Cast Iron Soil Pipe and Fittings. registered insignia'i or q NO HUB indicating that these items used in the sanitary system comply with the Cast Iron Soil Pipe Institute Standards 301 or ASTM A 888. j / Quarter now I X P-Trap Short Sweep IAPM0 Figrse One ,YY w/IM Priner Top w/No4fub Top i+ I IAPMO ftw Shr ihreoded Vertiad Q�� \• I f I t>Ot La t&Double Staler �LL *} 1 (Fal 5aWb) ILJJ-y Son Gars lid Piny Short Wye Fagw1h amw Son Tee Reducer 02/01/07 Tyler Pipe/Soil Pipe Division• Box 2027•Tyler,Texas 75710•(800)527-8478 67 IDEAL �. SUBMITTAL STANDARD NO-HUB CouPUNGs Date AmhNllect Projea Conbactor Engineer IDEAL® patented No-flub Cov~ Standard No-Nub Couplings am engineered to conned no4wb cyst roan pipe in applications replacing the less- efficient hub & spigot matrial_ The couplings consists of an elaSUNTIO is compound gasket (ASTM C 564) housed 1-112" 1 60 2 inside a 301 stainless steel corrugated 2„ 1 60 2 -- - - - - shield. Depending on the size of the 1 60 2 shield. (2) or (4) 301 stainless steel 3 2 damps surround the shield and provide de 60 the sea" force. The 5116' hex4xN3d IF 1 60 4 screws are made from 305 stainless steel. tr M 60 4 The IDEAL® standard No -kib CoupiWgss 117 3M 60 4 are available in sizes ranging from 1 1/2'- 4 101. The couplings are designed for 1(r 60 instalkation torque of 60 in-lbs. The entire 2'X 14W 2 coupling is corrosion resistant T x 2' 19tiG 60 E2 ] 4'x 3' R'Z 60 The Design superior The IDF1�!L.�Standard No-Hub cam. Conforms e s ASTM C12�� performance at a very competitive The Gasket Made from high-qualitY elastOrneric compound (ASTM C-564), the IDEAL®No- Hub gasket features multiple sealing beads under the damp bands-The sealing beads on the gasket impede the movement of the gasket and pipe, providing a positive, reliable seat. The Shield less band bad to transfer 0.007'thick type 301 stainless steel shield requiresload in rtasenr6�c�nptr�s the pressure to the gasket, leaving more damping cxez3��� ling pressure geeL The patented, bi-directional cofrugatio taring avoiding in troth parallel and transverse patterns on the gasket aril pipe, y pull-out failures, and providing a positive, reliable seal. The Clamps and 5l16" hex4wed 305 screws provide the Standard 301 stainless steed clamps ' seating force_ 1-W through 4' couplings use two (2) clamps, 5 ftwough 10' couplings use four(4)damps-The entire assembly is corrosion resistant o4AWN 80 z m Q Z _ W Q U Y = Q / 0 O Q W OO Z W O W J W OQ Q U � \ Z� Z W W W U) 4t O zQ ~C7 LJJ z W > n z w - Q az X - W U) � ry } F- < z � � U) W X Q I— W cn U U) _ Z w U �• U 2 - U — U H U Y Q z I w N J LLJ F-- D ~ Q O Q _ U LLI O U It QY LL Z uJ W cn _ U O Q U = F J Z N Z # l C� Q Z Q W cn Of >- � Ir CD Of O J O U W O X z L u X Lu W Q Z U O U Z _Z Q J I— Of O Q = BLD20110251 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 ( BUILDING PERMIT PERMIT#: BLD20110251 OWNER: SMOKEY POINT PROFESSIONAL G... STATUS:APPLIED P ADDRESS: 16410 SMOKEY POINT BLVD#300... BALANCE: $0.00 ISSUED: CREATED: 12/14/2011 `,► ; --, SCREENS. Select Screen... �- I FUNCTIONS: Select Permit Function... L PLUMBING REVIEWS PRINT ADD NEW SUMMARY REVIE... DESCRIPTION JASSIGNE... DUE DATE LAST (#) REQ?DO.. ASSIGN REMOVE 2000 C-Building I CYOUNG 12/16/2011 0 Y N Assign Remove 2008 :C-Community Development I ARUSKO 12/16/2011 0 Y N Assign Remove http://coaweb2.arlington.local/PennitTrax/Module_Perinits/Perrnits Permit/Permit_Revie... 12/14/2011 ' 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 Q Commercial Addition/Alteration (ED Industrial Project Address: Sl` 0 V,6 Y �b,N T PM D Parcel ID#: U 5 2 9 O 0 100600 Lot#: Subdivision: 2 JI'I�SL S i�1KS, ( irA��1�-►'L.Y c✓ t1 - Project Description: �M.S-1 A 1..1_t\,J Lz Ern Pwo r>t SlN1L Valuation: $,erg Do Owner: !!2M V-0y 61 AXJUf Phone Number: Address: City: eT�-ll�C��IJI� State: 1�1 Zip Code: �-�7 Z�^ Contact Person- i ►-t.c:�E��E}� Phone Number: �- 5-/6 M /5Z-7 Cell Phone: y- zy Fax: 1 "5 7S 7.5Z q E-mail: �J��,St��-eC-h• 4� Address: COO City: ���� State: Zip Code: (7 703 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: 2066- 5-7 5 ` f� 2 -7 Address: S-70 (o .5 222, City: State: C&LPL Zip Code go 3 Contractor's License Number: ITE MGI ! I G""T 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. b Applicants Signature Date Print Applicants Name RECEIVED FOR STAFF USE ONLY DEC 13 2011 a 1 zor- Permit# Accepted By Amount Received Receipt# a i' e 1 COMMERCIAL PLUMBING PERMIT APPLICATION f 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 a Commercial Addition/Alteration (❑) Industrial Proposed Building Use: ® Restaurant ® Medical C) Industrial C) Residential ® Commercial C) Other: Contact Person: Phone Number: Cell Phone: Fax: 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 ® Swimming Pools ® Fire Sprinkler Espresso Mach. Hydrotherapy Steam Generators Hot Tub/Spa a ® P ® Equip. ® P ® Sprinkler w/chemicals ® Carbonated Bev. ® Dental Equip. ® Dye Vats ® Ice Machine ® Lawn Irrigation ® Fume Hoods ® Laboratory Equip. 0 Pressure Washers O Coffee Um/Espress. (:0 Well on property O Degreasers ® Autoclave/Sterilizers O Cooling Towers ® Aquarium Decorative Fountain ® Other: Authorized Signature: Date: Office Use Only Comments: Date Received: Survey Received By: Assembly Required: ❑ DCVA ❑ RPBA ❑ AVB ❑ Other RECEIVED Inspection Required: ❑ YES ❑ NO COA PERMIT CENTER ' 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 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: C) Restaurant ® Medical Industrial ® Residential Commercial Automotive Based Q Machine Shop Q Other: 4-1 3. Does the plumbing system currently have a grease interceptor? o 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 oilfwater separator? ® Yes ® No ® Don't Know 6. Date oiltwater separator was last cleaned (provide service record): ® Don't Know 7. Is water used in the business process (washing, rinsing, cooling)? ® Yes O No O Don't Know S. Does your business require a NPDES permit? O Yes ® No O Don't Know Contact Person: Phone Number: Cell Phone: Fax: E-mail: 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: Office Use Only Comments:Date Received: Survey Received By: RECEIVED Assembly Required: ❑ DCVA ❑ RPBA ❑ AVB ❑ Other DEC 13 2G Inspection Required: ❑ YES ❑ NO CQA PERMIT CENTER 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 lo. 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, 1/4" scale for details.) ❑ Provide one set of plumbing drawings maximum size 11" X 17" ❑ Size of sanitary and potable water systems. ❑ Location, 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. CITY OF ARLINGTON BUILDING DEPARTMENT. OFFICE COPY APPROVE 3P-3° DATE I gY NO CH NGES AUTHORI ED UNLESS APPROVED BY THE 1r o" 7-r EXIST BUILDING INSPECTOR .WALL TO REMAIN i STORAGE j SHELVES rm , I I I I 1 Y MANEUVERING SPACE } I I PER 404.2.3.1 1 I 1 EXAM FRIDGE EXAM EXAM ROOM #1 I I I ___ROOM #2 ROOM #3 ------- I KI CHEN 1 Lu 1 e 67 RELOCATED DOOR INFlLL OPENING 6t " ` Z RELOCATED r" I ` DOOR I ----*rr ------- z ----T-- POCKET r-+ r-a r-r r-o^ I' r-r 3w Q 1 I 2'-6° L__-_ SPACE PLAN MANEUVERING SPACE POCKET DOOR WAITING POCKET - - `-- -- POCKET DOOR ' — DEMO WALL DOORKHA t r i I / AND DOOR b KI L_LAB ' I i POCKET I ��, DOOR WALL TERMINATES AT ' NURSE D CTOR'S 0 EXTERIOR WINDOW WALL U ILI J I ___.I / NOV 15,2011 p. STACKE `------- `---' � EXIST.COL MANEUVERING SPACE if�HER _ L ___ (— I L-- / REQUIRED ADA DRYER —fir -� j ------ ---- = 1 'I I TURNING SPACE RELOCATED For Fir ADA TOE SPACE ENTRY DOOR TURNING SPACE TURNING SPA 6'DEEP,9'TALL EXIST.CABS T REMAIN PER 304.3.2 PER 304.3.2 CLEAR SPACE DEMO PROVIDE WASH/DRYER T-SHAPED SPACE T-SHAPED SPACE 1'-6`.' BELOW COUNTER °O" l' SIDE LITE RE ROUT PLUMBING AS NEEDED y._0., 16, „ 2011-57 '1 I 2'-0" 2'4" 2'0" DRYER VENTING REQUIRED - -- iL »scar noun � b ^ I ADA EXCEPTION PRE-EXISTING SPACE cr ' 1104.3.1 EMPLOYEE WORK AREA r EXCEPTION 1 UNDER 300 SF o EXIST. 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