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Home My WebLink About17816 59th Dr Ne_BLD229_2026 (3) 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). CAL CU ATIONS ARE REQUIRED FOR GREASE l INTERCEPTOR IF APPLICABLE. �1 44rals, Jl Type of Permit: ® Commercial ® Commercial Addition/Alteration (❑) Industrial Project Address: I7$(. 5 1 A y-e— Parcel ID#: Lot#: vA Subdivision: /� Project Description: Re „ o J11 r„ 8.1 11�e,•.ov 5 Valuation: Owner: �' �Y ��^<<�^�'+ — /{ ��o Phone Number: � Address City: 4dong' , State: kV, _ Zip Code: I o Contact Person: _1 1rv1 S J.f Phone Number: Cell Phone: Fax: E-mail: Address: City: State: Zip Code: Please List quantity of fixtures Below: WATER CLOSET BATH TUB SHOWERS �a _ 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 hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in accordance with the laws, rules and regulation of the State of Washington. Applicants Signature Date Print Applicants Name RECEIVED FOR STAFF USE ONLY OCT 31 2013 r9A W COA Enyineadag Dept Permit# Accepted Amount Received Receipt# Date Received COMMERCIAL PLUMBING PERMIT APPLICATION (2 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 commercial Addition/Alteration (❑) Industrial Proposed Building Use: ® Restaurant ® Medical ® Industrial ® Residential ®"Commercial (E) Other: Contact Person: •.+C`c� : Phone Number: Cf 7 C 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 0 Swimming Pools O Fire Sprinkler Mach.Espresso Hydrotherapy p ® Equip. ® Steam Generators ® Hot Tub/Spa ® Sprinkler w/chemicals O Carbonated Bev. O Dental Equip. O Dye Vats O Ice Machine O Lawn Irrigation O Fume Hoods ® Laboratory Equip. ® Pressure Washers O Coffee Urn/Espress. ® Well on property O Degreasers ® Autoclave/Sterilizers O Cooling Towers O Aquarium O Decorative Fountain O Other: Authorized Signature: Date: lol'3, Office Use Only Comments: Date Received. Survey Received By: Assembly Required: ❑ DCVA ❑ RPBA ❑ AVB ❑ Other Inspection Required. ❑ YES ❑ NO 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 atommercial Addition/Alteration 2. Proposed Building Use: ® Restaurant ® Medical ® Industrial ® Residential O Commercial (E:D Automotive Based O Machine Shop C) Other: 3. Does the plumbing system currently have a grease interceptor? ® Yes erl�o ® 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? ® Yes of-140 ® Don't Know 6. Date oil/water separator was last cleaned (provide service record): ® Don't Know 7. Is water used in the business process (washing, rinsing, cooling)? ® Yes �'"" ® Don't Know 8. Does your business require a NPDES permit? ® Yes Flo ® Don't Know Contact Person: Phone Number: 0 - 1-(a '-5 3Y7 1 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: � �s �L� Date: Office Use Only Comments: Date Received. Survey Received By: Assembly Required: ❑ DCVA ❑ RPBA ❑ AVB ❑ Other Inspection Required: ❑ YES ❑ NO CITY OF ARLINGTON ` 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT 17816 59th Drive NE Permit#:229 PERMIT EXPIRES 180 DAYS AFTER Parcel#: 31052200300100 DATE OF ISSUANCE. Scope of Work:Restroom Remodel Valuation: .00 OWNER APPLICANT CONTRACTOR City of Arlington Arlington Airport City of Arlington 18204 59th Avenue NE 18204 59th Avenue NE 18204 59th Avenue NE Arlington,WA 98223 Arlington,WA 98223 Arlington,WA 98223 36-403-3470 360-403-3471 360-403-3551 /360-403-3470 LIC: EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: COMMERCIAL PLUMBING CODE YEAR: 2012 STORIES: 1 CONST.TYPE: DWELLING UNITS: J Hangar OCC GROUP: BUILDINGS: 1 OCC LOAD: 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. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. 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 reported on your sales tax return form and coded City of Arlington#3101. 11/05/2013 Applicant Signature Date Building Official Date CONDITIONS Adhere to approved plans. 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. 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. PERMIT FEES Date Description Fee Amount 09/01/2026 Mechanical Commercial Permit $73.00 09/01/2026 Plumbing Plan Review Fees $150.00 Total Due: $223.00 Total Payment: $223.00 Balance Due: $0.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon INSPECTION INFORMATION Pass/Fail C20.BUILDING FINAL Approved Permit#: 229 Permit Date: 10/31/13 Permit Type: COMMERCIAL PLUMBING Project Name: J Hangar Applicant Name: Arlington Airport Applicant Address: 18204 59th Avenue NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Tim Mendonides Phone: 360-403-3471 Email: tendonides@arlingtonwa.gov Scope of Work: Restroom Remodel Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 11/06/2013 Permit Expires: Form Permit Type: Civic Plus Number: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31052200300100 17816 59th Drive NE City of Arlington 36-403-3470 Contractors Contractor Primary Contact Phone Address Contractor Type License License City of Arlington 360-403-3551/ 18204 59thAvenue OWNER 360-403-3470 NE Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 11/14/2013 C20.BUILDING Restroom remodel 11/14/2013 01/29/2014 z.Christopher Young Approved FINAL Plan Reviews Date Review Type Description Assigned To Review Status 10/31/2013 COMMERCIAL Ok to issue z.Christopher Young PLUMBING 10/31/2013 COMMERCIAL Launa Black PLUMBING Fees Fee Description Notes Amount Mechanical Commercial Permit Table 4-7;Per Unit $73.00 Plumbing Plan Review Fees $150.00 Total $223.00 Attached Letters Date Letter Description 11/05/2013 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/08/2013 Airport Interfund Xfer Launa Black $223.00 Outstanding Balance $0.00 Uploaded Files Date File Name 10/31/2013 BLD-229.pdf