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HomeMy WebLinkAbout18222 Smokey Point Blvd_BLD197_2026 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 B y 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: 0 Commercial CD Commercial Addition/Alteration (p) Industrial Project Address: k D1 CC cam'`l�'`i �ti `)C)\ N � t Pakel ID#: Lot#: Subdivision: Project f]escription:L Valuatron: Owner: A 11` ,Phone Number. Address: `Gi�1Cle1�(l� '�'� te:L)10 Zip Code � 1, Contact Person:y��LOU1 t� `�►(�, ��.�( t7 Phone Number; t I, � Cell Phone:�t��-IV _"rni�_l4ax:��QQ..t 1y j %�LQ Lq-mai. C;u�l Z �, ' I✓ 1 t1 1 `� Address,`' 4 `1 ' `1 ? 1 �_ 2 I�'�-��� �� City: � tate:w Zip Code:�� �' �> 1 4+ 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 DWVALTERIREPAIR LAWN SPRINKLERS DRINKING FOUNTAINS MISC PLUMB FIXTURE GREASE INTERCEPTOR GREASE TRAP Contractor: �GCi1 J� t o Phone Number3�0 m L,V U �-I St 1 " v� ct Address: Ccitty. State. Zip Code: Contractor's License Number: Expiration: I `a 0 I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described pro a will be in accordance with the laws, rules and regulation of the State of Washington. App6 6nts Signature Date 1�)I/W �`1� �n Print Applicants Name ®® RECEIVED FOR STAFF USE ONLY SAP 2 6 2013 Permit# Accepted By Amount Received Receipt# O D COMMERCIAL PLUMBING PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 •FAX(360)403 3418 CROSS-CONNECTION SURVEY FORM (Please complete form and submit to Permit Center) NOTE: The Rules and Regulations of the State of Washington Department of Health require that certain premises install backflow prevention assemblies(WAC 246.290.490). Backflow prevention assemblies shall be installed at any premise where, in the judgment of the City of Arlington Cross Connection Control Specialist, the nature of activities on the premise may present a hazard to the public water system. Type of Permit: I"Commercial 0 Commercial Addition/Alteration Industrial Proposed Building Use: ® Restaurant 0 Medical Industrial Residential ,Commercial 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. 0 Ice Maker Dialysis Equip, O Air washers C) Swimming Pools 0 Fire Sprinkler (� Espresso Mach. ® Hydrotherapy Equip.- 0 Steam Generators 0 Hot Tub/Spa - 0 Sprinklerw/chemicals ® Carbonated Bev. ® Dental Equip. 0 Dye Vats Y 0 ice Machine (:) Lawn irrigation O Fume Hoods O Laboratory Equip, Cyr Pressure Washers O Coffee Urn/Express. (:D Well on property C) Degreasers 0 Autoclave/Sterilizers O CoolingTowers 0 Aquarium ® Decorative Fountain © Other: ' t'r Authorized Signature: l� Date. � Office Use Only Comments: Date Received: Survey Received By: Assembly Required: ❑ DCVA ❑ RPBA ® AVB ❑ Other Inspection Required: ❑ YES 0 NO 4 COMMERCIAL PLUMBING PERMIT APPLICATION Department of Community Development City of Arlington-238 N Olympic Ave. -Arlington, WA 98223-Phone(360)403 3651 -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 (py Industrial Commercial Addition/Alteration 2. Proposed Building Use: C) Restaurant 0 Medical ® Industrial 0 Residential ® Commercial (®Automotive Based 0 Machine Shop Q(?that: 3. Does the plumbing system currently have a grease interceptor? o Yes r No 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? 0 Yes jo. No ® Don't Know 6. Date oillwater separator was last cleaned (provide service record): ® Don't Know 7. Is water used in the business process(washing, rinsing cooling)? (0 Yes ja.No ® Don't Know $: Does your business require a NPDES permit? Yes o�p -t� 0 Don't Know Contact Person: 3�,s ` g' -,� --�1 Phone Number: Cell Phone: q 5`7 14-L Fax: E-mail:_jagt-6X C.-'stc-r..5f �C.,,•5.a�� 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 60-403-3526. Authorized Signature: Date: f� ` hI Office Use Only Comments: Date Received: Survey Received By: Assembly Required: © DCVA '] RPBA AVB Other Inspection Required: [] YES Q NO I q UI �I l � 1 o W W > w LU' W V r --------------------------------- ZZ ou �I - I �I Date: 09/03/2026 Permit#: 197 Permit Date: 09/26/2013 Review Date: 09/26/2013 Permit Type: COMMERCIAL PLUMBING Review Type: COMMERCIAL PLUMBING Target Date: 10/03/2013 Scheduled Time: Completed 09/26/2013 Date: Description: Plumbing Review A separate water tap,meter and box will be required.Apply for water service.The service location shall be determined by the City Utilities inspector.All service work will need inspection call 360-403-3526 Review Status: Assigned To: PW-WAT-REV Time In: Time Out: Hours: Property Information Parcel#: 00472500000501 RAZO LLC RAZO LLC 9633 MARKET PL#201 18222 SMOKEY POINT BLVD LAKE STEVENS,WA 98258 Zoning: 136 Multiple Family 51 - 100 UnitsLot: Block: Date: 09/03/2026 Permit#: 197 Permit Date: 09/26/2013 Review Date: 09/26/2013 Permit Type: COMMERCIAL PLUMBING Review Type: COMMERCIAL PLUMBING Target Date: 10/03/2013 Scheduled Time: Completed Date: 09/30/2013 Description: Plumbing Review Review Status: Assigned To: PW-ADMIN-GIS Time In: Time Out: Hours: Notes 09/30/2013 Information is conflicting on whether or not water& sewer will be needed for this gargage conversion. Please supply updated information so an accurate review can be made. LT Property Information Parcel#: 00472500000501 RAZO LLC RAZO LLC 9633 MARKET PL#201 18222 SMOKEY POINT BLVD LAKE STEVENS,WA 98258 Zoning: 136 Multiple Family 51 - 100 UnitsLot: Block: Permit#: 197 Permit Date: 09/26/13 Permit Type: COMMERCIAL PLUMBING Project Name: Himalaya Homes Applicant Name: Applicant Address: Applicant, City, State, Zip: Contact: Phone: Email: Scope of Work: Garage Conversion Valuation: 2875.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: Form Permit Type: Civic Plus Number: Status: COMPLETE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00472500000501 18222 SMOKEY POINT RAZO LLC 136 Multiple Family BLVD 51 -100 Units Contractors Contractor Primary Contact Phone Address Contractor Type License License# West Coast Plumbing Josh Tremmel 360-403-1000 7419 204th St PLUMBING COA 569 CONTRACTOR West Coast Plumbing Josh Tremmel 360-403-1000 7419 204th St PLUMBING Labor&Industries WESTCCP87IJ6 CONTRACTOR Plan Reviews Date Review Type Description Assigned To Review Status COMMERCIAL Ok to issue once the water/sewer connection fees have 09/26/2013 PLUMBING been applied for and paid. z.Christopher Young 09/26/2013 COMMERCIAL Plumbing Review PW-ADMIN-GIS PLUMBING 09/26/2013 COMMERCIAL no comments for this review PLUMBING 09/26/2013 COMMERCIAL Plumbing Review PW-SEW-REV PLUMBING Plumbing Review COMMERCIAL A separate water tap,meter and box will be required. 09/26/2013 Apply for water service.The service location shall be PW-WAT-REV PLUMBING determined by the City Utilities inspector.All service work will need inspection call 360-403-3526 09/26/2013 COMMERCIAL Plumbing Review PLUMBING Uploaded Files Date File Name 09/26/2013 18222 Smoke y Pt Blvd Application.pdf Date: 09/03/2026 Permit#: 197 Permit Date: 09/26/2013 Review Date: 09/26/2013 Permit Type: COMMERCIAL PLUMBING Review Type: COMMERCIAL PLUMBING Target Date: 10/03/2013 Scheduled Time: Completed Date: 09/27/2013 Description: Plumbing Review Review Status: Assigned To: PW-SEW-REV Time In: Time Out: Hours: Notes 09/27/2013 I have recieved an email from Himalaya Homes referring to the project as they will not be adding a restroom for this office. FR I talked to Kami Albright of Himalaya Homes (Chelsea Village) and she informed me that they 09/30/2013 are going to move forward with the bathroom and that Josh Tremmel from West Coast Plumbing will be contacting me to discuss the sewer install. JL Property Information Parcel#: 00472500000501 RAZO LLC RAZO LLC 9633 MARKET PL#201 18222 SMOKEY POINT BLVD LAKE STEVENS,WA 98258 Zoning: 136 Multiple Family 51 - 100 UnitsLot: Block: Date: 09/03/2026 Permit#: 197 Permit Date: 09/26/2013 Review Date: 09/26/2013 Permit Type: COMMERCIAL PLUMBING Review Type: COMMERCIAL PLUMBING Target Date: 10/03/2013 Scheduled Time: Completed Date: 09/26/2013 Description: Ok to issue once the water/sewer connection fees have been applied for and paid. Review Status: Assigned To: z.Christopher Young Time In: Time Out: Hours: Property Information Parcel#: 00472500000501 RAZO LLC RAZO LLC 9633 MARKET PL#201 18222 SMOKEY POINT BLVD LAKE STEVENS,WA 98258 Zoning: 136 Multiple Family 51 - 100 UnitsLot: Block: