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HomeMy WebLinkAbout19405 68TH DR NE_PA26-0117_2026 RESIDENTIAL PLUMBING APPLICATION Community and Economic Development City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 •Phone(360)403-3551 This application is for new,repaired,altered or replaced plumbing installation for existing residences. Please fill out all pages of this application and include all information. The City of Arlington does not require a permit to stop leaks or clear stoppages,unless the piping is repaired,altered or replaced. Type of Permit: ❑ New Installation IM Addition ❑ Alteration ❑ Repair Property Address: e!5-67ff Dg A) Project Valuation: Lot#: Parcel ID No.: Preferred Contact: ❑ Owner WContractor Project Description: D TkJ TQot��S �� �11 Owner Name: ;,t)6 SS 1W—L1IJQla tJ Home No.: Email Address: Cell No.: MailinR Address: City: State: Zip: Contractor Name: 44 Al 111tJ G Office No.: Email Address: OF'jr/rr� gaORLG 'C'Xi3w ,1J i;'T Cell No.: Mailing Address: 2-:� 36771,4V# LJ, City: 1.-y,�.� 012 State: Zip: L&I Contractor License Number: Expiration Date: • All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019 • All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) • Cross-Connection-Control may be required Proposed Interior Water Piping Size: ❑ Y2" ❑ S/a" ❑ 3/4" 1" Proposed Interior Piping Material: ❑CPVC ❑ Brass Copper ❑ PEX-AL-PEX Pf PEX ❑ Galvanized Steel ❑ Other Proposed Exterior Water Piping Size: ❑ Y2" ❑ 5/e" ❑ 3/4" ❑ 1" ❑ 1Y2" M 2" Proposed Exterior Piping Material: Q PVC ❑PE ❑ Copper ❑ PEX-AL-PEX ❑ PEX-AL-PE ❑ PEX ❑ Other Proposed Drain-Waste-Vent(DWV) ❑ Schedule 40 ABS DWV ❑ Copper ❑ Galvanized Steel ❑ Cast Iron Material: Schedule 40 PVC DWV ❑ Brass ❑ Other Proposed Drain-Waste-Vent(DWV) ❑ Y2" ❑ s/s„ ❑ 3/4" ❑ 1" ❑ 1Ih" 9 2" 0 3" 134" Piping Size: Residential plumbing permits will be assessed a base fee,fee per unit,and inspection fee (plan review fee per Table 4-6 may be required for certain permits) Type of Fixture No.of Fixtures Cost per Fixture Subtotal Additional Plan Review fees j x $75.00 Alteration/repair piping x $15.00 = Backflow Assembly x $25.00 Base Plumbing Fee 1 x $25.00 = $25.00 Bath Shower Combo x $15.00 = Building Main Waste x $25.00 = Clothes Washer x $15.00 = Dishwasher x $15.00 = REV03.2022 Pagel of 2 Residential plumbing permits will be assessed a base fee,fee per unit,and inspection fee (plan review fee per Table 4-6 may be required for certain permits) Drinkin Fountain / x $15.00 = Floor Drains / x $15.00 = Grease Interceptor x $75.00 = Grease Trap x $25.00 = Hose Bibb l x $ 15.00 = Icemaker Refri erator x $ 15.00 = Irrigation-per meter x $25.00 = Kitchen Sink&Disposal x $15.00 = Laundry Tray x $15.00 = Lavatory Z x $15.00 = Medical Gas Pi in <-5 Inlets Outlets x $60.00 = Medical Gas Piping for each additional Inlet/ x $5.00 = Outlet >5 Miscellaneous-regulated by plumbing code,not x $15.00 = otherwise specified Pretreatment Interceptor x $ 15.00 = Re-inspection Fee x $75.00 = Roof Drains x $15.00 = Shower(only) x $15.00 Sink bar,service,etc.) x $15.00 = Toilets Z x $15.00 = Urinal x $15.00 = Vacuum Breakers x $25.00 = Water Heater x $25.00 = MODEL NO.: fV Water Heater-Tankless x $25.00 = MODEL NO.: Permit Fee Inspection Fee $75.00 Processing/Technology Fee $25.00 Total 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. Signature Print Name Date FOR STAFF USE ONLY PERMIT# ACCEPTED BY: DATE STAMP REV02.2024 Page 2 of 2 I I I I - I - i I I - I 1 I I I I � _ —I Al t !7 nl i I MA 6 1--f- f III I � L L AW, twos I 9 I - o -- l I II ABBREVIATIONS VICINITY MAP PROJECT INFORMATION PROJECT TEAM SHEET INDEX lop 4 Number FRP Fiberglass Reinforced Plastic PARA Parallel I LEGAL DESCRIPTION(ENTIRE PROPERTY) CLIENT RED , @ At FT Foot/Feet PEMB Pre-Engineered Metal Building AK Degree FTG Footing PERP Perpendicular APN:31051400302400 Weiss Company XI GENERAL r...ITIE.TURIE - Plus or Minus FURR Furring PL Plate 3023 80th Ave.SE,Ste.201,Mercer Island,WA 98040 COVER GENERAL NOTES&ABBREVIATIONS PLAM Plastic Laminate SEC 14 TWP 31 RGE 05TH PTN SW1/4 DAF-COM SELY CDR LOT ABV Above GA Gauge PREFAB Prefabricated 21 OF SURVEY REC AF 7905290175 VOL 9 OF SURV PG 275(SO Eric Weiss PT BEING S10`0413W 1057.SFT&S79'55 47E 400FT FIR INT OF (206)292-9700 AC Acre GALV Galvanized PREFIN Prefnished N LN SW1/4&E LNBNRR R/W)TH 579-55 47E ALG N LN LOT 3 eric@weissco0ccom ADD Addendum GC General Contractor PT Pressure Treated 530 SO SURV 60FT SO PT BEING MOST SELY CDR OF SURV REC AF AFF Above Finish Floor GL Glass or Glazing PWD Plywood 8710135003 VOL 25 OF SURV PG 227&ALSO TPB TH N46.01 CONTRACTOR AHJ Authority Having Jurisdiction GSM Galvanized Sheet Metal 15E212.92FT TH N10'0413E 916.51FT TAP ON N LN LOT 4OF ALT Alternate GWB Gypsum Watt Board QTY Quantity SURV REC AF 7905290175 SO PT BEING MOST NELY CDR OF Coast Construction Group DEFERRED SUBMITTALS 324 North Olympic ALUM Aluminum GYP G SURV REC AF 8710135003 TH 588'52 32E ALG N LN SO LOT OF 328 N.Olympic Ave.,Arlington,WA 98223Washington Gypsum SURV 597.77FT TH S10`0413W930.95FT TH N79'55 47W DEFERRED SUBMITTALS,TO BE SUBMITTED AS DESIGN/BUILD BY SUBCONTRACTORS:: ANOD Anodized 360.502.7200 R Radius 530.SFT TH S10'0413W 97.97FT TH S46'0115W 315.12FT TAP Trevor Gaskin MECHANICAL ANSI American National Standards Institute HE Hose Bibb RCP Reflected Ceiling Plan '° TH BEARS S10.0413W FR TPB TH N10.0413E 102.2FT TO TPB 425.599.0288 ELECTRICAL —recoakarchitecture.com APPROX Approximate/Approximately HC Handicap REO Required or Requirement $. F AKAA PTN OF LOTS 4,5,6,11&12 OF SURV REC AF 7905290175 tevor@coast-group.com PLUMBING F ARCH Architectural HOW Hardware RFI Request For Information 57 �a �� 9 JURISDICTION ARCHITECT FIRE SPRINKLER ASTM American Society for Testing Materials HIM Hollow Metal RM Room HORZ Horizontal RO Rough Opening City of Arlington Red Oak Architecture r�totaz B/0 Bottom Of... HR Hour s 324 N.Olympic Ave.,Arlington,WA 98223 CODE LEGEND 1\ REGISTERED BD Board HVAC Heating Ventilation&Air Conditioning S South l/ ARCHITECT BLOG Building SCHD Schedule Aaron MacDonald PROJECT DESCRIPTION 3:0.502.720o ROOM Room name BLK Block or Blocking ID Inside Diameter SF Square Feet/Foot �- BOD Basis of Design INSUL Insulation SHT Sheet aaronm@redoakarch.com 150 SF Net square footage Scope is limited to a portion of the existing tenant space,Suite J. 300/1 Occupant Load Factor/Occupant Load BOT Bottom INT Interior SHTG Sheathing 531 Scope is the installation oftwo(2)single-occupant restrooms BTW Between SIM Similar with electric heat and exhaust;drinking fountain;hose bibb and (-- 110 Occupants exiting JAN Janitor SPEC Specification floor drain;and fire alarm&sprinkler modifications as needed. APPLICABLE CODES 34"/170 Exit width/maximum occupants exiting CF Cubic Feet 1T Joint SQ Square The scope does not modify the existing building envelope. ANSI A317.1-2017 �•••••••. Path oftravel w/point of farthest distance CIP Cast In Place SS Stainless Steel Building Code CI Control loin[ LAM Laminate STD Sound Transmission Class PROJECT LOCATION: 2021 WS'1 No new high-bay storage.Any new high-bay storage will be 2021 WS Existing Building Code --_ Wall mounted fire extinguisher(F.E.)or CLG Ceiling LB Pound STD Standard NORTH 19405 68th Dr NE,Arlington,WA 98223 required to be permitted by the Tenant No modifications to 2021 WS Fire Code recessed fire extinguisher cabinet(F.E.C.)- CLR Clear LF Lineal Feet STL Steel existing high-bay storage. 2021 WS Mechanical Code r 0• refer to plans for exact locations. CMU Concrete Masonry Unit LT Light STOR Storage 2021 WS Plumbing Code COL Column STRUCT Structural 2021 WS Energy Code NOTE:Per NFPA 10:75'minimum travel distance between fire extinguishers,all CONC Concrete MAX Maximum SV Square Yard portable fire extinguishers to meet NFPA 10 CONT Continuous MDF Medium Density Fiberboard CORR Corridor MDO Medium Density Overlay T&G Tonuge&Groove CU Cubic MECH Mechanical T/O Top Of... MEZZ Mezzanine TEMP Temporary DEL Double MFR Manufacturer THK Thick OVERALL PLAN(NOT TO SCALE) DET Detail MIN Minimum TRTD Treated DIA Diameter MTD Mounted TS Tube Steel ON Down MTL Metal TVP Typical DS Down Spout 1 2 3 n 5 B 7 n T 10 ll 12 13 14 DWG Drawing (N) New UL Underwriters Laboratories Y �/ N North UON Unless Otherwise Noted 288'-0" 96'-0' 240'-0' (E) Existing NA Not Applicable 48'-0" 48'-0' 48'-0' 48'-0' 48'-0" 48'-0" 48'-0" 48'-0' 48'-0' 48'-0" E East NIC Not In Contract VB Vapor Barrier EA Each NO Number VERT Vertical FE EJ Expansion Joint NOM Nominal VEST Vestibule ELEC ElectricaL NTS Not To Scale VIF Verify in Field Q ELEV Elevation VR Vapor Retarder EQ Equal 0/ Over ;� \ EQUIP'M Equipment OC On Center W West __ EXT Exterior OCC Occupants/Occupancy W/ With OD Outside Diameter W/O Without ,�a FD Floor Drain OFCI Owner Furnished,Contractor Installed WD Wood S, IT�+E �,STORAGE FE Fire Extnguisher(Bracket Mounted) OFF Office WRB Weather Resistant Barrier SUITE I EST J 6242 SF FEC Fire Extinguisher(in)Cabinet OFOI Owner Furnished,Owner Installed WWM Welded Wire Mesh 1 ,500/13 i FF Floor Finished Floor OPP Opposite SUITE D E SUITE G — FLR Floor 05B Oriented Strand Board YD Yard = --' FO Face Of - SUITE J SUITE C O FE DRAWING LEGEND ��5 '1 North Arrow ROOM Room Name Existing Construction P9� NORTH STORAGE'ems6114 SF Grid Line ROOM Room Name To Be Demolished SUI E I 500/13 00 w/Area 150 SF — — — — — — H — — NORTH B4 — Match Line ROOM Room Name& New Construction Al .1 00 101 Room Number 0 FE I LO Level Datum Q Roof Tag Furring or Cladding } / CD RA A-Roof Type N Exterior Elevation XB 12 WaLtTag / I A3.11 1 X-Wall Category -------------------------- Acoustical Wall O 0 E-Existing X-Exterior SUITE , Interior Elevation N-Interior _ T� �••� v I ICL A3.21 1 C-Cladding — — — — . — Fire Rated Wall SUITE E E SUI E F-Fencing 1Dnt-1-HR I WEST S ITE Q Z B-WaU Type 2 Dats-2-HR '^ Building Section 12-Nominal Structure Size 3Dots-3-HR O W 1 SIM N ASOS CA Ceiling Tag DN Stairs or Steps Ca Bout 0 A-Ceiling Type V N Enlarged(Wall) pgg Floor Tag 1 SIM Section B-Floor Type DN Ramp CaOout A101 6-Nominal Structure Size 222A Door Tag r^ 1 SIM CaOout / Drawing Break Line yyNA Window Tag A101 WN-Window SF-Storefront Revision Cloud&Tag DW-DurtainWall � City of Arlington I Q H 1 SIM Detail GWB Building Department �/� N O Material Tag APPROVED rn A101 ,-07.01 Keynote Note Markups BUILDING AREA:224,640 SF a) Drawing Reference CONSTRUCTION TYPE:V-B,SPRINKLERED Kevin Olander-02/27/2026 CC OCCUPANCY TYPE:S-2&B,CONTINUING No changes authorized unless approved by W cn L the Building Official _NORTH W SUITE J:12,750 SF,AREA OF WORK:250 SF IZ r T T T T 1/2'MIN or see plan 39'-41" FLOOR PLAN GENERAL NOTES 12'MAX Grab bars 1. Dimensions are to grid line or face of stud,UON. ' OAK 2 x Wood studs @ 16'OC: 2 x Wood studs @ 16'OC: • NA.4:2x4 studs • NB.4:2x4 studs See B3/A1 for more information Toilet paper dispenser 2. Provide blocking as mainsary,grab all rwallework,mounted pors,et. • ng rTI-IffECTURE NA.6:2x6 studs N6.6:2x6 studs 18, H fixtures,drinking fountains,grab bars,casework,mirrors,etc. � v 3. Patch and repair(E)surfaces to remain where(N)work interfaces. z_ 5/8"Gypsum wallboard 5/8"Gypsum wallboard - _ 4. Notify Architect of any conflicts between(E)conditions and - ' drawings prior to demolishing items. 4"MIN 01.06- 5. No known hazardous materials exist.Notify Architect if any are Batt insulation Batt insulation 42 MAX 81-0" discovered. 324 North Olympic Avenue STORAGE Arlington, Toilet seat cover dispenser J102 6. Floors to be sealed concrete. •t t t t Washington NA.b Soap dispenser - _ 7. Provide wait MTD electric heat @each toilet. PLAN PLAN Mirror 6"MAX 01.02 8. Provide insta-hat water heating @ each toilet. r- INTERIOR WALL ASSEMBLY NB r� INTERIOR WALL ASSEMBLY NB Grab bar 11/2'=1'0' 11/2"=1'0' "12 a 22.08 CEILING PLAN GENERAL NOTES lI�\'/° ARGCXTTECo r s TOILET 3/4'Plywood '" $ ` 1304 I� 1. See electrical drawings for additional information about Lighting 10'-0" AFF - - --- H� 1.04 components,switching,and wiring(deferred submittal). AA NOR wauAM MacDGNALD 2 x 12 WD Joists @ 16"OC 16-11" 11"MIN ----- 2210 STATE OF wASNiNGroN 30.01 2. See mechanical submittaLfor additional information about grilles 0 and other ceiling mounted devices(deferred submittal). / Fill w/Batt insulation Paper towel dispenser - -i+- -- NA.6 3. See fire submittal for additional information about sprinklers and Insulating protection at drain NB.4 NA.61 T 09.03 alarms(deferred submittal). TOILET I 22.07 4. Provide GWB ceiling at 9'-0"AFF in both restrooms.See Ceiling Pis and hot water supply g 9 1103 Assembly CAA. __ _ 01.04 _ 1103 Hard,easily cleanable surface 26.01 _ 5/8"GWB 5. Provide exhaust in each restroom. f Z , � a a Coved base Walltype per plan DOOR SCHEDULE&NOTES NOTES MARK WIDTH HEIGHT NOTES SECTION $'MIN z 1. Mount all accessories@ Ngq f 48"AFF MAX to controls. 1"MIN J103 3'-0' 7'-0" See note 2. 2. See plans for other ELEVATIONS dimensions and clearances. J104 3'-0' 7'-0' See note 2. f-1 CEILING ASSEMBLY CA �pa TYP TOLIET ROOM ENLARGED TOILET ROOM STE J Norgs 11/2"-1'- �y 1/4'=1'-0" U 1/4"-1'- WEISS ARLINGTON SUITE J i- 1. Doors and frames to be painted HM,UON.(N)Hardware style and J C finish tomatch(E),UON. CI PLUMBING CALCULATIONS 2. Provide Level passage set,butt hinges,and door stop. REQUIRED PROPOSED 3. Sizes are nominal and not rough openings. S-1 26 Occupants 1 per 100 Toilets: 1 Toilets: 2 Lavatories: 1 Lavatories 2 Drinking Fountain: 1 Drinking Fountain: 1 SIGN LEGEND&NOTES [T TOILET See note 2. - 19405 68th DR NE NOTES ARLINGTON,WA 98223 PROJECT NUMBER: 26501 1.ADA compliant signage to have background and Lettering as contrasting colors;tactile Letters,graphics,and braille top Layer. , 2. IncLude International Accessibility Symbol and appropriate AA International Gender/Person Symbol. PERMIT SET 3. Signage lettering to be 3/8'MIN height on a contrasting '1 '1 C background. 01.0 7(�.L 0 L U ID ACCESSIBLE SIGN LOCATION -Di REV. DATE ISSUE 9"MIN @ Braille b m F O O o>` Sign to be adjacent to latch side of door or right side of double doors;18"MIN clear floor space where braille is present. KEYNOTES ©2026 RED OAK ARCHITECTURE: For use on this project only 01.02 67'Accessible turning radius;10'allowed to overlap PRINCIPAL IN CHARGE: AM adjacent accessible knee space. PROJECT ARCH,/MGR. AM PROJECT SUPPORT: DM IE 01.04 30'x 48'ADA Clear space EI REFERENCE: 01.06 (E)High bay storage racks _NORTH 0" 1/z 1" ------------- 09.03 Hard,easily cleaned surface to+48"AFF MIN where shown dashed. City of Arlington 10.01 Grab bars. Building Department APPROVED 2207 Lavatory,wall mounted. Kevin Olander- 02/27/2026 22.06 Toilet - No changes authorized unless approved by 22.10 Single drinking fountain w/spout mounted @34"-36'. the Building Official 26.01 Wall mounted 48'LED light @ 7'AFF. PLANS, M NOTES AND DETAILS L 2 1 1 13 1 L J 18204 59th Avenue NE • ' • 14 op Arlington, Washington 98223 to tt Phone: 360-403-3551 jNG� WASHINGTON C Commercial - Alteration Permit Parcel:31051400302400 Permit#:26-0117 Permit Address:19405 68TH DR NE Date Issued:February 27,2026 Description of Work:Suite J Two new single PERMIT EXPIRES 180 DAYS occupant restrooms and drinking fountains AFTER DATE OF ISSUANCE. Valuation:$85000 Code Year:2021 OWNER APPLICANT CONTRACTOR Eric Weiss WEISS COMPANY XI LLC Coast Construction 3023 80TH AVE SE STE 201 MERCER ISLAND,WA, 3023 80TH AVE SE STE 201 MERCER ISLAND WA 98040 98040 425 599 0288 206 999 0684 trevor@coast-group.com eric@weisscollc.com eric@weisscollc.com registration_number:COASTCG865CG PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or decision of the Governor. 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. This permit authorizes only the work noted and covers work to be done on private property only. Any construction on public domain (curbs, sidewalks, driveways, marquees, etc.) will require a separate permit. The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations. The property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or community. The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant authorities before commencing construction. The property owner shall ensure that the construction project complies with all applicable design review requirements. CONDITIONS 1.) Approved job copy shall be onsite for inspections 2.) Adhere to approved plans 3.) Call for inspections INSPECTIONS Inspection Line: 360-403-3417 Call for inspections by 3:30 pm for next day inspection. Please allow 48 hours for Fire Inspections. Please provide the following information when leaving a message: Permit Number, Type of Inspection, and provide preference of morning or afternoon inspection. Inspection Portal: Please login to customer portal and submit for the desired inspection type for the permit. r Kevin Olander Building Official ASSOCIATED FEES Date Description Paid Date Amount Paid Balance January 27, State Surcharge-Commercial Fee (633.386.00.01.00) $25.00 2026 January 27, Processing/Technology(320.341.43.00.02) $25.00 2026 January 27, Building Permit(006.322.10.00.01) $1,338.59 2026 January 27, Building Plan Review(006.345.83.00.02) $870.08 2026 January 30, Hose Bib (006.322.10.00.01) $15.00 2026 January 30, Toilets(006.322.10.00.01) $15.00 2026 January 30, Lavatory(006.322.10.00.01) $15.00 2026 January 30, Toilets(006.322.10.00.01) $15.00 2026 January 30, Lavatory(006.322.10.00.01) $15.00 2026 January 30, Drinking Fountain(006.322.10.00.01) $15.00 2026 TOTAL: Permit Fees $2,348.67 $2,348.67 Credit/Debit Card 279 Payment Successful February 6, 2026 $2,348.67 $0.00 - ' COMMERCIAL TENANT IMPROVEMENT PERMIT APPLICATION • Community and Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone (360)403-3551 The following information is required for Commercial, Multi-Family,and Mixed-Use Building Permit Applications. Mark each box to designate that the information has been provided.Please submit this checklist as part of the submittal documents.See ASSISTANCE BULLETIN#30 for detailed design requirements. EACH BUILDING OR STRUCTURE REQUIRES A SEPARATE SUBMITTAL. SUBMIT ELECTRONIC FILES FOR EACH OF THE FOLLOWING;Incomplete applications will not be accepted. REQUIRED DOCUMENTS ✓ City of Arlington Commercial Tenant Improvement Permit Application ✓ Site Plan ✓ Architectural Plans Structural Plans Structural Calculations Mechanical System Modifications, (if applicable) Plumbing System Modifications, (if applicable) Project Specification Manuals, (if applicable) WSEC Compliance Forms,(if applicable) https:[/waenergycodes.com/ Special Inspection and Testing Agreement ✓ Deferred Submittal Request Airport Property Lease (if building is located within the Arlington Airport Property Boundary) 1. Plan Review fee is due at time of submittal and remaining balance will be due at time of issuance. 2. The City of Arlington does not review or inspect electrical systems.Contact Labor and Industries at lni.wa.gov or 360-416-3000. A. DEFERRED SUBMITTALS If the project requires any of the following,a Deferred Submittal Request MUST be completed.Deferred submittals require separate applications,plans and plan review. 1. Mechanical Plans (if not included in the plan set) 2. Plumbing Plans (if not included in the plan set) 3. Fire Sprinkler 4. Fire Alarm 5. Signage B. SPECIAL INSPECTION AND TESTING AGREEMENT A Special Inspection Firm is required to perform special inspections for the following type of work. *The Special Inspection and Testing Agreement MUST be submitted with the Building Application. ❑ Reinforced Concrete ❑ Structural Steel and Welding ❑ Bolting in Concrete ❑ High-Strength Bolting ❑ Pre-stressed Concrete ❑ Spray-Applied Fireproofing ❑ Shotcrete ❑ Smoke-Control Systems ❑ Structural Masonry ❑ Other-Specify: ■❑ I acknowledge that all items designated as submittal requirements must accompany my Tenant Improvement Permit Application to be considered a complete submittal. COMMERCIAL TENANT IMPROVEMENT INSTALLATION,MODIFICATION OR REMOVAL MAY REQUIRE A SEPARATE PERMIT SUBMITAL *CHECKALL THAT APPLY Al Automatic fire extinguishing systems ❑ Compressed gas systems ❑ Fire pumps ❑ Flammable and combustible liquids (tanks,piping etc.) ❑ Standpipe systems ❑ Hazardous materials ❑ Private fire hydrants ❑ Industrial ovens/furnace ❑ Fire alarm and detection systems ❑ Spraying or dipping operations ❑ High piled/rack storage ❑ Temporary membrane structure,tents(>200 sq.ft.)or canopies(>400 sq.ft.) ❑ Provide details on any of the above checked items: Type of Permit: New Space ❑ Addition ✓ Alteration Property Address: 19405 68th Dr NE Project Valuation: $85,000 Lot#: Parcel ID No.: 31051400302400 Subdivision: Project Scope of Work: Suite J: Two new single-occupant restrooms and drinking fountain. Description of New Tenant Business Operations: Unchanged - Warehousing IBC Construction Type: v-B IBC Occupancy Type: s-2 Building/Space Square Footage: 224,640 Bldg/250 Area of Work Number of Stories: 1 Square Footage Per Floor: 1st250 2nd 3rd 4th 5th 6th Primary Contact: ❑ Owner ❑■ Architect ❑ Engineer ❑ Contractor Owner Name: Eric Weiss/Weiss Company XI Office No.: 206-292-9700 Email Address: eric@weisscollc.com Cell No.: 206-999-0684 Mailing Address: 3023 80th Ave SE, #201 City: Mercer Island State:WA Zip: 98040 Architect Name: Aaron MacDonald/Red Oak Architecture Office No.: 360-502-7200 Email Address: aaronm@redoakarch.com Cell No.: 425-900-5899 Mailing Address: 324 N Olympic Ave City: Arlington State: WA Zip: 98223 Professional License Number: 10182 Expiration Date: 8/29/2026 Engineer Name: N/A Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: Professional License Number: Expiration Date: Primary Contractor: Trevor Gaskin/Coast Construction Group Office No.: 360-474-0600 Email Address: trevor@coast-group.com Cell No.: 425-599-0288 Mailing Address: 328 N Olympic Ave City: Arlington State: WA Zip: 98223 L&I Contractor License Number: COASTCG865CG Expiration Date: 2/18/2026 REV03.2022 Page 2 of 7 COMMERCIAL TENANT IMPROVEMENT MECHANICAL SYSTEM INFORMATION Type of Permit: O New Installation O Addition O Alteration O Replaced O Gas Piping Mechanical Contractor: Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: L&I Contractor License Number: Expiration Date: • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured per IFGS, Section 415 • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of each appliance Gas Piping Specification and complete Schematic PAGE 4 ❑ Not Applicable Proposed Piping Material: ❑ CSST ❑ Brass ❑ Black Steel ❑ Galvanized Steel ❑ Other Proposed Piping Size: ❑ Y2" ❑ 5/8" ❑ 3/4" ❑ 1" ❑ 1Y2" ❑ 2" Inlet Pressure: Pressure Drop: Specific Gravity: MECHANICAL PERMIT FEES (per unit) Type of Fixture No.of Units Cost per Unit Subtotal Additional Plan Review fees x $ 75.00 = $ Air Cond. Unit<_100Btu h x $ 15.00 = $ Air Cond.Unit>100Btu h x $ 25.00 = $ Air Cond.Unit>50OBtu/hp x $ 50.00 = $ Air Handling Units x $ 15.00 = $ Base Mechanical Fee $ 25.00 $ 25.00 Boiler<100Btu h>3h x $ 15.00 = $ Boiler>1 million Btu/h<50hp x $25.00 = $ Boiler>1.5 million Btu/h<50hp x $ 50.00 = $ Boiler>100Btu h 3-15h x $ 15.00 = $ Boiler>500Btu h 15-30hp x $ 25.00 = $ Commercial Hoods-Type I x $ 25.00 = $ Commercial Hoods-Type II x $ 50.00 = $ Diffusers x $ 15.00 = $ Dryer Ducting x $ 15.00 = $ Ductwork(drawings required) x $ 25.00 = $ Evaporative Coolers x $ 15.00 = $ Exhaust Ventilation Fans x $ 15.00 = $ Fireplace/Insert/Stove x 1 $ 15.00 = $ Forced Air Heat<_100 Btu h x $ 15.00 = $ Forced Air Heat>100 Btu h x $ 25.00 = $ Gas Clothes Dryer x $ 15.00 = $ Gas Fired AC <_100 Btu h x $ 15.00 = $ REV03.2022 Page 3 of 7 COMMERCIAL TENANT IMPROVEMENT MECHANICAL PERMIT FEES (per unit) Gas Fired AC >100 Btu h x $25.00 = $ Gas Fired AC > 500 Btu h x $ 50.00 = $ Gas Pi in <_ 5 units x $ 15.00 = $ Gas Piping> 5 units (plus <5 units x $ 2.00 = $ Heat Exchangers x $ 15.00 = $ Heat Pump-Condensing Unit x $ 25.00 = $ Hot Water Heat Coils x $ 15.00 = $ Miscellaneous Appliance-regulated by $ 15.00 _ $ mechanical code,not otherwise specified x Pkg.Units <-100btu x $ 25.00 = $ Pkg.Units >100btu x $ 50.00 = $ Range/Cook top-Gas Fired x $ 15.00 = $ Refrigeration Unit<_100Btu h x $ 15.00 = $ Refrigeration Unit>100Btu h x $ 25.00 = $ Refrigeration Unit>500Btu h x $ 50.00 = $ Re-inspection fee all x $ 75.00 = $ Unit Heaters :5 100 Btu h x $ 15.00 = $ Unit Heaters >100 Btu h x $25.00 = $ VAV Boxes (Variable Air Volume,part of air x $ 10.00 — $ conditioning system) Wall Heaters- Gas Fired x $ 25.00 = $ Water Heater- Gas Fired x $ 25.00 = $ Permit Fee $ Table 4-8; Plan Review Fee $ Processing/Technology Fee $25.00 Total $ PRESSURE PIPING SCHEMATIC COMPLETE FOR GAS PIPING ONLY— USE A SEPARATE SHEET, IF NECESSARY ❑ SCHEMATIC IS TO SCALE ❑ SCHEMATIC NOT TO SCALE Show Pipe Size(s) and Length(s) from meter to all appliances NOTE:Any interior pressure regulators must be indicated REV03.2022 Page 4 of 7 COMMERCIAL TENANT IMPROVEMENT PLUMBING SYSTEM INFORMATION Type of Permit: O New Installation O Addition O Alteration O Replaced O Industrial Plumbing Contractor: Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: L&I Contractor License Number: Expiration Date: The following items need to be specified on the plans: O Fixture specifications and equipment with locations. O Location and type of all backflow assemblies for each fixture. O Calculations for Grease Interceptor. O Pipe size and location of sanitary and potable water systems. O Riser diagram of waste,vent,and rain water systems,including sizes. O Medical gas piping riser diagram,type of gas,storage room and size of piping. PLUMBING PERMIT FEES (per fixture) Commercial plumbing permits are required to submit line drawings.A plan review fee of 65%per Table 4-6 for plumbing permits will be assessed at time of submittal. Includes two 2 inspections with permit. Type of Fixture No.of Fixtures Cost per Fixture Subtotal Additional Plan Review fees x $ 75.00 = Alteration/repair piping x $ 15.00 = Backflow Assembly x $25.00 = Base Plumbing Fee $ 25.00 $25.00 Bath Shower Combo x $ 15.00 = Building Main Waste x $ 25.00 = Clothes Washer x $ 15.00 = Dishwasher x $ 15.00 = Drinking Fountain x 1 $ 15.00 = Floor Drains x $ 15.00 = REV03.2022 Page 5 of 7 COMMERCIAL TENANT IMPROVEMENT PLUMBING PERMIT FEES (per fixture) Grease Interceptor x $ 75.00 = Grease Trap x $ 25.00 = Hose Bibb x $ 15.00 = Icemaker Refri erator x $ 15.00 = Irrigation-per meter x $25.00 = Kitchen Sink&Disposal x 1 $ 15.00 = Laundry Tray x $ 15.00 = Lavatory x $ 15.00 = Med Gas Piping<- 5 inlets outlets x $ 60.00 = Med Gas Piping> 5 inlets/outlets (plus :5 5 x $ 5.00 = inlets outlets Miscellaneous -regulated by plumbing x $ 15.00 = code,not otherwise specified Pretreatment Interceptor x $ 15.00 = Re-inspection Fee all x $ 75.00 = Roof Drains x $ 15.00 = Shower (only) x $ 15.00 = Sink bar,service, etc. x $ 15.00 = Toilets x $ 15.00 = Urinal x $ 15.00 = Vacuum Breakers x $25.00 = Water Heater x $25.00 = Water Heater-Tankless x $ 25.00 = Permit Fee Table 4-6; Plan Review Fee Processing/Technology Fee 1 $25.00 Total PROPOSED BUILDING USE ❑ New ❑ Addition/Alteration ❑ Medical ❑ Automotive Based ❑ Industrial ❑ Office ❑ Restaurant ❑ Machine Shop ❑ Other: CROSS CONNECTION Please check all appliances that are proposed or permanently connected to the water supply. ❑ Ice Machine ❑ Dialysis Equip. ❑ Air washers ❑ Coffee Urn/Espresso ❑ Hydrotherapy Equip. ❑ Steam Generators ❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Fume Hoods ❑ Laboratory Equip. ❑ Pressure Washers ❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers ❑ Hot Tub/Spa ❑ Decorative Fountain ❑ Fire Sprinkler ❑ Aquarium ❑ Swimming Pools ❑ Sprinkler w/chemicals ❑ Lawn Irrigation ❑ Well on property ❑ Other: WASTEWATER DISCHARGE Does the plumbing system currently have a grease interceptor? ❑ Yes ❑ No ❑ Don't Know Does the plumbing system currently have an oil/water ❑ Yes ❑ No ❑ Don't Know separator? REV03.2022 Page 6 of 7 COMMERCIAL TENANT IMPROVEMENT Is water used in the business process (washing,rinsing, ❑ Yes ❑ No ❑ Don't Know cooling)? Does your business require a NPDES permit? ❑ Yes ❑ No ❑ Don't Know 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. Aaron MacDonald 1/22/2026 SigF_ature Print Name Date REV03.2022 Page 7 of 7 i DEFERRED SUBMITTAL REQUEST , Community and Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 The undersigned has been issued a permit for construction prior to final approval of the following. The following items shall be considered deferred submittals and shall be submitted AND approved prior to installation. Property Address. 19405 68th Dr NE Parcel ID No.: 31051400302400 Project Name: Weiss - Suite J Project Description: Suite J: Two new single-occupant restrooms and drinking fountain. Primary Contact: ❑ Owner ❑✓ Owner's Agent Owner Name: Weiss Company XI Office No.: 206.292.9700 Email Address: eric@weisscollc.com Cell No.: 206.999.0684 Mailing Address: 3023 80th Ave SE Ste 201 City: Mercer Island State: WA Zip: 98040 Owner's Agent: Coast Construction Office No.: 360.474.0600 Email Address: trevorCa coast-group.com and kathy@coast-group.com Cell No.: 425.599.0288 Mailing Address: 328 N Olympic Ave City:Arlington State: WA Zip: 98223 LIST ALL ITEMS PROPOSED TO BE DEFERRED ESTIMATED DATE OF SUBMITTAL ITEM: Mechanical DATE: 2/6/2026 ITEM: Fire Alarm DATE: 2/6/2026 ITEM: Fire Sprinkler DATE: 2/6/2026 ITEM: Plumbing DATE: 2/6/2026 ITEM: DATE: ITEM: DATE: I, ❑ Owner/21 Owner's Agent, hereby assumes all risk,financially and otherwise,for any construction performed that may need to be removed if the deferred submittals listed above are not appropriate. I understand that certain inspections will NOT be performed until the submissions are accepted,reviewed and issued.I understand additional fees will be required based on the additional time spent for plan review. All deferred submittals must be submitted to the City of Arlington Community and Economic Development Department for review. Trevor Gaskin 1/22/2026 Signature Print Name Date SAVE PRINT REV03.2022