HomeMy WebLinkAbout19321 63rd Ave Ne_BLD622_2026 • COMMERCIAL REMODEL
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington • 18204 59th 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: 0 Change of Use/Remodel 0 Commercial Addition
0 Tenant Improvement
Project Address: 19321 63rd Ave NE
Project Valuation: 10,000
Project Description: HVAC Enclosure
Owner: Vardy Diversified
Address: PO Box 129
City: North Lakewood State: WA ZIP: 98259
Contact Person: Scott McCutchan Phone: 206-949-9645
Cell Phone: 206-949-9645
E-mail: [Scott.mccutchan@hotmail.com
Address: 19321 63rd Ave
City: Arlington State: WA ZIP: 98223
Contractor Information
Contractor Same as Yes 0 No
Applicant:
Contractor: Phone:
Address:
City: State: ZIP:
License Number: XXXXXXX Expiration: XXXXXX
Project Name/Tenant: G&S Greenery
Site Address: 19321 63rd Ave Bldg/Suite/Unit
IBC Construction V-g IBC Occupancy Type: F-1
Type:
Description of Use: 1502 Producer-Processor
Building Square 200 Number of Stories: 1
Footage:
Square Footage Per N/A
Floor:
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
❑ 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 above checked items:
Filter enclosure for HVAC equipment
Installation, changes, modifications or removal of any of the above may require additional
submittals,information, or permits during the plan review or construction process.
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 appointment or to ensure
that you have the most current information, please contact the City of Arlington Permit Center at
(360) 403-3551 or by email to permitcenter&arlingtonwa.gov.
I have read and agree to comply with the terms and conditions of this agreement.
0
Please Attach Plans and Supporting Documents (PDF Only)
STAFF USE ONLY:
Permit Number: Accepted Receipt #
By:
Date Received: Amount Received:
By submission of this form, 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.
Permit#: 622
Permit Date: 03/27/15
Permit Type: COMMERCIAL ADDITION
Project Name: G& S Greenery
Applicant Name: Scott McCutchan
Applicant Address: 19321 63rd Ave
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Scott McCutchan
Phone: 206-949-9645
Email: scott.mccutchan@hotmail.com
Scope of Work: HVAC Enclosure
Valuation: 10000.00
Square Feet: 200
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued:
Permit Expires:
Permit Form Type:
Civic Plus Number:
Status: EXPIRED
Assigned To:
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
0104471 19321 63RD AVE NE Vardy Diversified 425-218-8182
Contractors
Contractor Primary Contact Phone Address Contractor Type License License
G&S Greenery Scott McCutchan 206-949-9645 19321 63rd Ave APPLICANT
Plan Reviews
Date Review Type Description Assigned To Review Status
03/27/2015 COMMERCIAL BUILDING
ADDITION
Fees
Fee Description Notes Amount
Building Permit Table 4-1 $166.32
State Surcharge-1st DU Residential-1st Unit $4.50
Building Plan Review Table 4-2 $108.11
Total $278.93
Attached Letters
Date Letter Description
03/31/2015 Building Permit
Notes
Date Note Created By:
12/12/2019 Marked expired.In expired box for records retention recording Raelynn Jones
Uploaded Files
Date File Name
03/27/2015 1020138-19321 Commercial Remodel Permit Application response.pdf
Perm I Information
D ate 3/27/2015
Permit N umber 622
Project N ame G&S G ieenery
Applicant Name Scott M cCutchan
Applicant A ddress 19321 63rd Ave
C illy, State,Zip Arlington,WA98223
C ontact Scott M cCutchan
Phone 206-949-9645
Email scott.m mutchan@hotm al.com
Permit Type Com m ecial Addition
Site A ddress 19321 63rd Ave
Valuation 10000.00
Status Ready to Issue
Permit Issued
Permit Expires
Square Feet 200
Type of C onstruction/O ccupancy Load
N umber of Stories 0
Proposed U se HVAC Enclosure
Assigned To
Property
Parcel A ddress S ubdivision L of Ower
0104471 119321 63RD AVE NE V ardy Diversified
Contractors
Contractor Name Rim ay Contact hone E mail C ontractor Type L icense icense#
&S G ieenery S cott M cCutchan 2 06-949-9645 s cott.mmutchanC@_hotm2il.com A PPLICANT
Review
Date Type D escri tion T ar et Date C om Oeted Date A ssi ned To S tatus
/27/2015 om m ecial Addition 4 /2/2015 3 /30/2015 B uilding A pproved
Fees
Fee D escri tion N otes A m cunt
Building Perm I Fee 3 22.10.00.00 $166.32
Building Plan Review Fee 3 45.83.00.00 $108.11
State Building Code Surcharge Fee 3 86.00.01.00 $4.50
Total $ 278.93
Uploaded Files Upload File
Date F He U Ploaded B
3/27/2015 9:37.18 AM 119321 Com m ffcial Rem oriel Perm t Application response.pdf Rusko,Am y