The URL can be used to link to this page

Home My WebLink About17323 Smokey Point Blvd_BLD331_2026 (3) ,l •e COMMERCIAL REMODEL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 591h Ave NE •Arlington, WA 98223 • Phone (360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY THREE(3) SETS OF CONSTRUCTION PLANS, TWO(2) SETS OF STRUCTURAL CALCULATIONS, ONE(1) SET OF NREC ENERGY CODE APPLICATIONS AND ONE(1) OCCUPANTS STATEMENT OF INTENDED USE. Type of Permit Change of Use/Remodel Commercial Addition Tenant Improvement t 7 � Project Address: 3 t 1Harcel ID#: Project Description nT_��e��? C r -A C �Legal Description: Project V"'alu�a io � d�Zj Owner: �J :S 57 �'�1� �1�� Phone Nu ber. Address: - L— City: "' State Zip Code: Contact Person: c/ �l�-� Phone Number: Cell Phone: ZX5L -'L - Fax: E-mail: �- �---�� Address: t Z_-Z__ �/�. City: ( �� State: Zip Code: � 1 Zs ) / Contractor: U molo V one Number: zo(�. Address: i e�ZZ l� �✓�s tl y: I 1�State: W Zip Code: l O Contractor's License Number: V d 15Zt:� 1111�7 1 Expiration Plumbing Contractor: li f Phone Number: Address: �"'Ja��I (`� C� City: i State: LQL Zip Code: Contractor's License Number: ( Expiration: Mechanical Contractor: �� a>�S �'� i(l��s 1 Phone Number: Address: City: U 4 U-W State: �A Zip Code: Contractor's License Number: Expiration: I hereby certify that the above informat• is corre an that the construction on, and the occupancy and the use of the above- described property will be in accordan w t e la rul and regulation of the State of Washington. Applicants Signature Date Print Applicants Name r- 7Pg- Z/e1-" wa Received FOR STAFF USE ONLY LIAR 2 6 2014 &b 3 3 I 196s 4=9- Permit# Accepted By Amount Received Receipt# Date Received --' COMMERCIAL REMODEL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE•Arlington, WA 98223 • Phone (360)403-3551 Project Name/TenantSite Address 7 3Z5 ��l`�1�fO-'11T �� Bldg/Unit/Suite IBC Construction Typed IBC Occupancy Type Description of Use -1'1 Z2J Cc-S i Building Square Footage Number of Stories Square Footage Per Floor on- 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 X 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 gppve 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. COMMERCIAL REMODEL PERMIT APPLICATION Department of Community&Economic Development City of Arlington • 18204 591h Ave NE •Arlington,WA 98223 • Phone (360)403-3551 Building Division: The Building Division shall review any revisions and addenda.Approved copies will be given to the contractor to maintain as part of the approved plan set. The City Inspector will monitor the special inspection functions for compliance with the agreement and the approved plans. The City Inspector shall be responsible for approving various stages of construction to be covered and work to proceed. Design Professionals: The architect and engineer will clearly indicate on the plans and specifications for the specific types of special inspection required, and shall include a schedule for inspection and testing. The architect and engineer will coordinate their revisions and addenda process in such a way as to insure all required City approvals are obtained, prior to work shown on the revisions being performed. Owner: The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or agency. ENFORCEMENT: A failure of the special inspector or firm to perform in keeping the requirements of the IBC,the approved plans and this document may void this agreement and the Building Officials approval of the special inspector. In such case a new special inspector and/or firm would need to be proposed for approval.A failure of the design and/or construction parties to perform in accordance with this agreement may result in a STOP WORK notice being posted on the project, until nonconforming items have been resolved. ACKNOWLEDGEMENTS: 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 appointment99r to ensure that you have the most current information, please contact the City of Arlington Permit Center at(360)403-3551 or by erMail t permitcenter(a-.ci.arlington.wa.us. have read and agree to compl th t e ter nd nditions of this agreement. Owner: ti Date: - Applicant: Date: 1 SNOHOMISH HEALTH DISTRICT WWW.SNOHD.ORG Environmental Health Division March 14, 2014 1 Charles Tomyn 4227 — 175" Place NE Arlington, WA 98223 Subject: Proposed Re-Model Little Caesar's, 17323 Smokey Point Blvd., Arlington Dear Mr. Tomyn: Your plans have been reviewed with the Rules and Regulations of the State Board of Health, and with the policies of the Snohomish Health District. With the addition of the following conditions, the plans are approved. I. The conditional approval of the plans for Little Caesar's was based upon the plans, menu and HACCP submitted February 26, 2014. 2. The Health District operating permit application process must be completed prior to opening for business. This facility will be classified as a medium risk food establishment with 0-12 seats. 3. Three-compartment sinks must be NSF or equivalent listed with integral drainboards at both ends. The basins of the three-compartment sink must be large enough to fit the largest item needing to be washed. 4. An indirect waste drain (an air gap) is required for the three-compartment sink, walk-in refrigeration, and any equipment in which food is placed. Please note that a direct drain to a grease trap is not considered an indirect drain even if the grease trap is indirectly drained. 5. No food preparation sinks are indicated on the floor plan. Because of this, no food preparation requiring food preparation sinks will be allowed in this establishment. Per information submitted during plan review, all products and ingredients are prepackaged (including pre-washed and pre-cut vegetables) from Blue Lone Food Distribution and Food Service of America. No vegetable/fruit chopping, rinsing/washing, rehydrating and or draining of canned fruit/vegetables will be allowed unless a vegetable preparation sink is installed. No washing, rinsing; and or thawing under running water of raw meat, poultry and or seafood is allowed without the installation of a separate raw meat preparation sink for raw meat, poultry and or seafood preparation. Approval of food preparation processes and preparation sink(s) location(s) is required prior to installation and use of any food preparation sink. 6. Water heaters must be of sufficient size to provide hot water to dishwasher and/or scullery sinks and at the same time provide hot water to all handwash sinks. 7. Hot water must be available to all handwash sinks within 15 seconds. The hot water for the facility must not be used, at any plumbing fixture, for a minimum of 6 hours prior to the preoperational inspection. This is required so that proper testing of the 15-second time requirement for hot water availability can be completed. 8. All food service equipment, both new and used, must be listed by the National Sanitation Foundation (NSF) or equivalent for its intended use. Used and new refrigeration must be capable of holding food at temperature of 41°F or below. 3020 Rucker Avenue, Suite_1_04 s Everett,-VVA_9-820.1_-3900-e--tel:-425:339.5250-m-fax:-425-339-.5254 — - — Subject: Proposed Re-Model Little Caesar's, 17323 Smokey Point Blvd., Arlington March 14, 2014 Page 2 9. Used equipment is subject to onsite inspection to determine acceptability for use in the proposed food service establishment. Used equipment must be clean, in proper operating condition, and in good repair. Used refrigeration must be capable of holding at a temperature of 41OF or below. 10.All food service equipment must be listed by the National Sanitation Foundation (NSF) for its intended use. The BOFI gas conveyer oven, Model #XLT-3270-TS3; the Kelvinator freezer, Model #KFS22; the Lockwood hot & ready double rack, Model #RA65-RR42-LC; and the Cres Cor heated holding cabinet and heated holding — merchandiser cabinet; Model #H138NPS30CLCM were not found in the current NSF or equivalent listings. This equipment must be replaced with NSF or equivalent listed equipment or documentation must be submitted which demonstrates NSF equivalency. Manufacturer names and model numbers for replacement equipment or equipment documentation must be submitted prior to the request for a preoperational inspection Originally submitted manufacturer names and model numbers should be rechecked to assure the information submitted is accurate. Please note that subsidiary manufacturers are often not found in the NSF and equivalent listings. The manufacturer name should be verified and submit the parent company name if one is found. 11. Extra wall protection is required on walls behind all sinks, including restroom handwash sinks and food preparation tables. A 16-inch high backsplash of plastic laminate, fiberglass-reinforced plastic or equal is acceptable. A backsplash higher than 16 inches is required on the wall behind counter top equipment taller than 16 inches. Floor to ceiling protection is required on the wall behind dishwashers. Wall protection behind mop sinks must cover the entire splash zone. Plastic coated hardboard is not acceptable. 12.All floors in the kitchen, food preparation, food service, food storage, and dishwashing areas must be surfaced with a durable, nonabsorbent, easily cleanable material. Expansion joints, seams, saw cuts and the like in concrete floors in all areas, including customer seating areas, must be filled and sealed so as to provide a smooth and cleanable surface. 13. The ceiling above the food preparation areas must be non-perforated, nonabsorbent, smooth and easily cleanable. 14. All light fixtures in food preparation and storage areas must be provided with covers and shatterproof bulbs. Hot hold unit heat lamps must be provided with shatterproof bulbs. 15. Plumbing must meet state and local codes. 16. The use of screw-on type 'y' adaptors at the mop sink faucet for use with chemical dispensing systems Is prohibited. 17. The ventilation system shall be installed and operated to meet applicable building, mechanical, and fire codes. A preoperational inspection is required prior to operating permit issuance and approval to open for business. At the time of inspection the construction of the food service establishment must be complete and all equipment must be in place and in proper operating condition. Incomplete construction or equipment operation will result in a $168.00 re-inspection fee. Contact the Food Progrzrn office a minimum of one week in advance to schedule an appointment for the preoperational inspection. The preoperational inspection will ensure compliance with the Rules and Regulations of the State Board of Health for Food Service Sanitation. Subject: Proposed Re-Model Little Caesar's, 17323 Smokey Point Blvd., Arlington March 14, 2014 Page 3 Changes or additions to the approved plans or equipment require pre-approval from the Snohomish Health District prior to implementation of the changes. Please contact me if you have any questions. My office number is 425.339.8742 and my email address is ehagedorn(a-)_shohd.org. Sincerely, Elaine Hagedorn, RS Environmental Health Specialist Food Establishment Plan Review EH/mem Enclosure: Application for Annual Food Establishment Permit, Fee Schedule cc: City of Arlington Building Department Mike Shumway, Environmental Health Specialist CITY OF ARLINGTON ` 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT 17323 SMOKEY POINT BLVD Permit#:331 PERMIT EXPIRES 180 DAYS AFTER Parcel#: 31052100305300 DATE OF ISSUANCE. Scope of Work:Pizza Restaurant Valuation: 80000.00 OWNER APPLICANT CONTRACTOR J&J Group,LLC VM Horn&Son Construction VM&Son Construction 7630 116th CT SE 14022 144th Ave SE 14022 144th Ave SE Newcastle,WA 98056 Renton,WA 98059 Renton,WA 98059 425-647-0130 206-818-4676 206-818-4676 LIC:VMHORMH914CZ EXP:09/13/2014 LIC:JAREDSP933KH EXP:05/01/2014 LIC:LYONSHA944JJ EXP:04/19/2014 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Lyons Heating&Air LLC 5608 96th St E Puyallup,WA 98371 253-864-9104 LIC#:LYONSHA944JJ EXP: 4/19/2014 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: COMMERCIAL ALTERATION CODE YEAR: STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 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. �G 03/27/2014 Applicant Signature Date Building Official Date CONDITIONS Snohomish Health District approval required.Plumbing is deferred. 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 09/09/2026 Building Permit $1,119.98 09/09/2026 State Surcharge-1st DU $4.50 09/09/2026 Building Plan Review $727.99 Total Due: $1,852.47 Total Payment: $1,852.47 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 Completed Permit#: 331 Permit Date: 03/26/14 Permit Type: COMMERCIAL ALTERATION Project Name: Little Caesars Applicant Name: VM Horn& Son Construction Applicant Address: 14022 144th Ave SE Applicant, City, State, Zip: Renton,WA 98059 Contact: Gerry Horn Phone: 206-818-4676 Email: Scope of Work: Pizza Restaurant Valuation: 80000.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 03/27/2014 Permit Expires: Permit Form Type: Civic Plus Number: Status: COMPLETE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31052100305300 17323 SMOKEY POINT J&J Group,LLC 425-647-0130 581 Eating Places BLVD (Restaurants) Contractors Contractor Primary Contact Phone Address Contractor Type License License# VM&Son Construction Gerry Horn 206-818-4676 14022 144th Ave CONSTRUCTION VMHORMH914CZ SE CONTRACTOR Jared Simchuck Roger Hascall 425-361-3488 1242 State Ave PLUMBING JAREDSP933KH Plumbing 4200 CONTRACTOR Lyons Heating&Air Craig Lyons 253-864-9104 5608 96th St E MECHANICAL LYONSHA944JJ LLC CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 04/11/2014 C20.BUILDING 04/11/2014 05/01/2014 z.Christopher Young Completed FINAL Plan Reviews Date Review Type Description Assigned To Review Status 03/26/2014 COMMERCIAL Dept.of Health Approval Req'd z.Christopher Young ALTERATION Plumbing submittal is deferred 03/26/2014 COMMERCIAL PW-ADMIN-GIS ALTERATION 03/26/2014 COMMERCIAL No COA sewer concerns PW-SEW-REV ALTERATION 03/26/2014 COMMERCIAL Water served by Marysville PW-WAT-REV ALTERATION 03/26/2014 COMMERCIAL no issues z.Tom Cooper ALTERATION Fees Fee Description Notes Amount Building Permit Table 4-1 $1,119.98 State Surcharge- 1 st DU Residential- 1 st Unit $4.50 Building Plan Review Table 4-2 $727.99 Total $1,852.47 Attached Letters Date Letter Description 03/27/2014 Building Permit Payments Date Paid By Description Payment Type Acccptcd By Amount 03/27/2014 Charles Tomyn 49716070 cc $1,852.47 Outstanding Balance $0.00 Notes Date Note Created By: 03/26/2014 I have emailed the application to Deryl Taylor at the City of Marysville. Amy Rusko 03/26/2014 Tom-Plans are in the Review Room Amy Rusko Uploaded Files Date File Name 03/27/2014 Marysville Comments.docx 03/27/2014 BLD 331 Health Department.pdf 03/26/2014 LLD 331 Application.pdf Date: 09/09/2026 Permit#: 331 Permit Date: 03/26/2014 Review Date: 03/26/2014 Permit Type: COMMERCIAL ALTERATION Review Type: COMMERCIAL ALTERATION Target Date: 04/02/2014 Scheduled Time: Completed Date: 03/27/2014 Description: Dept. of Health Approval Req'd Plumbing submittal is deferred Review Status: Assigned To: z.Christopher Young Time In: Time Out: Hours: Property Information Parcel#: 31052100305300 J&J Group, LLC J&J Group, LLC 7630 116th CT SE 17323 SMOKEY POINT BLVD Newcastle,WA 98056 Zoning: 581 Eating Places (Restaurants)Lot: Block: 425-647-0130 Hi Amy, No need for plans. Since there is no additional square footage to the building, no additional fees are required. Thanks, Deryl Taylor, Development Services Technician City of Marysville,Community Development Dept 80 Columbia Ave, Marysville,WA 98270 Direct 360-363-8220, Fax 360-651-5099 dtaylor@marvsvillewa.gov From: Amy Rusko [mailto:arusko@arlingtonwa.gov] Sent: Wednesday, March 26, 2014 2:44 PM To: Deryl Taylor Subject: Permit at 17323 Smokey Point Blvd Deryl, We have a Tenant Improvement in for the Little Caesars going in at 17323 Smokey Point Blvd. I have attached the application but if you need plans I can send them down in the mail. Thank you, .filmy Rusko City of Arlington Permit Technician 360-403-3550 arusko@arlincitonwa.gov In J20ISO