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HomeMy WebLinkAbout238 S Olympic Ave_BLD6201_2025 Permit Packet Coversheet Community and Economic Development City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551 Permit Number: BLD6201 Permit Type: Operating Address: 238 S Olympic Ave Completed (Month/Year): November 2024 Land Use Bonding or Assignment of Funds Issued Permit o Confidential Documents. Contact the Application City to obtain. Narrative As-Builts Legal Description Letters and Project Documents Vicinity Map Other: Site Plan Landscape Plan Civil Complete Streets Checklist Issued Permit Traffic Impact Analysis Application Snohomish County Traffic Mitigation Offer Other Applications WSDOT Traffic Offer Form Construction Calculation Worksheet Tree Survey Approved Plans Stormwater Drainage Report Review Comment Form Geotech Report Letters and Project Documents Critical Area Evaluation Form Other Agency Permits SEPA Checklist Reports: Public Notice Material o Drainage Report Pg: Water / Sewer Availability Certificate o Stormwater Pg: Unanticipated Discovery Plan Form o Geotech Pg: Aerial Photo of Site o All Other Reports Proposed Building Materials SEPA and Noticing Materials Lighting Plans and Lighting Cut Sheets As-Builts Color Elevations Other: Plat Map Title Report Building Lot Closures ✔ Issued Permit Preliminary Civil Plans ✔ Application Archaeological Survey Additional Applications o Confidential Documents. Contact the ✔ Approved Plans City to obtain. Letters and Project Documents Topography (Existing Conditions) Calculations CC&R’s Project Specification Manuals Deeds / Easements / Conveyances Reports /Dedications Certificate of Occupancy Letters and Project Documents Other: Page 1 of 1 OPERATING PERMIT APPLICATION Community & Economic Development City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551 Part I Property Address for which Operating Permit is requested: 238 S Olympic Ave Arlington, WA 98258 Parcel ID No.: 00411701000100 Current Occupancy Single-family residential Pump contents, triple-rinse and decommission in place (1) 500 gallon UST. Slurry fill. Project Description: Applicant Name: Tanks By Dallas/Aleesa Browning Home No.: 206-365-0291 Email Address: tanksbydallas@tanksbydallas.net Cell No.: 206-365-0291 Mailing Address: 17552 Ballinger Way NECity: Lk. Forest Park State: WA Zip: 98155 Contact Person: Aleesa Browning Phone No.: 206-365-0291 Part II Type of Operating Permit An Operating Permit is required to conduct any activity or to use any class of building listed below. Please indicate the type(s) of Operating Permit(s) requested by checking each applicable box. (If you require assistance, or would like more information, contact the City of Arlington Building Department at 360-403-3551.) Manufacturing, storing or handling hazardous materials in quantities exceeding those listed in the Fire Code (see Appendix A.) Identify the materials and quantities and describe the manner in which the materials will be manufactured, stored or handled (attach additional sheets if necessary): _______________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Conducting a hazardous process or activity, including, but not limited to, any commercial or industrial operation which produces combustible dust as a byproduct, fruit and crop ripening, waste handling, spray operations, and high-piled storage (see Appendix B.) Describe the process(es) or activity(ies) to be conducted (attach additional sheets if necessary): _____________________________________________________________________________ __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ REV032021 Page 1 of 3 Use of pyrotechnic devices in assembly occupancies (see Appendix C.) Describe the devices to be used and type of event (attach additional sheets if necessary): ____________________________________________________________________ __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ Aboveground Storage Tank (AST) (see Appendix D) Removal Decommissioning Temporary tank closure Changes in service Permanent tank closure Brief description: ____________________________________________________________________________________________ _________________________________________________________________________________________________________________________ ✔ Underground Storage Tank (UST) (see Appendix D) Removal ✔ Decommissioning Temporary tank closure Changes in service Permanent tank closure Brief description: ________________________________Pump contents, triple-rinse and decommission in place (1) 500 gallon UST. Slurry fill.___________________________________________________________ _________________________________________________________________________________________________________________________ Temporary Membrane Structures, including tents and canopies (see Appendix E.) Brief description of structure and use: _______________________________________________________________________________________________________________ ___________________________________________________________________________________ Special Event Operating Permit - An Operating Permit is required for any special event that takes place within an occupied building, or an outdoor mass gathering, which is outside the scope of the permitted use (see Appendix F.) Brief description of type of gathering proposed: _______________________________________________________________ __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ Mobile Vendor - (see Appendix G.) Brief description of vehicle and use: ____________________________________ ___________________________________________________________________________________ Part III Premises/Building Information 1. Date of last inspection of Premises: ______________________ 2. Has a Certificate of Occupancy been issued for the premises? Yes No Type: Permanent Temporary Date of Issuance: _____________________________________________________ REV032021 Page 2 of 3 3. Are there currently any open Building Permits associated with the premises? Yes No If yes, please describe (attach additional sheets if necessary): _______________________________________________ _____________________________________________________________________________________________________________________ ________________________________________________________________________________ 4. Additional Comments: ____________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ SIGNATURE OF APPLICANT I herby certify that the foregoing information (and all information in attached sheets, if any) is true and complete. __________________________________________________________________________________________________________________________10/15/24 Signature of Applicant or Authorized Representatives Signature Date ________________________________Aleesa Browning / Tanks By Dallas__________________________________________________________________________________________ Name and Title (if applicable) of person signing Application (Please print) Part IV To be completed by the City of Arlington Building Department Inspection Required: Yes No Inspections Performed: Yes No Date of Inspection: Tests or Reports required verifying compliance? Yes No If YES, have Tests or Reports been received? 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