HomeMy WebLinkAbout17624 W Country Club Dr_BLD793_2025 CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
4;2 PHONE; (360) 403-3551
BUILDING PERMIT
Address: 17624 W Country Club Drive Permit#: 793
Parcel#: 00816000001600 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name: MORTH ANTHONY S Name:C&J Enterprises Naive:C&J Enterprises
Address: 17624 W COUNTRY CLUB DR Address:29011 104th Place SE Address:29011 104th Place SE
City, State Zip: ARLINGTON,WA 98223-5960 City,State Zip: Monroe,WA 98272 City, State Zip:Monroe,WA 98272
Phone: Phone:425-971-9336 Phone:425-971-9363
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City, State,Zip: City, State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Re-Roof CODE YEAR:
STORIES: CONST. TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
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. IBC110/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingl n must be reported
on your sales tax return
form and coded City of Arlington#3101. C,^"'— V'2
�'6
Signature Print Name Date 0leased By Date
CONDITIONS
THIS PERMIT AUTHORIZS 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
Total Due: $0.00
Total Payment: $0.00
Balance Due: $0.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
---' RE-ROOF
PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360) 403-3551
Type of permit: (check one) (,/) Residential ( ) Commercial Valuation:na
Project Address: 17624 west country club dr Parcel ID#:
Owner: Anthony Morth Phone Number: 425 750 2387
Address: 17624 west country club dr City: arlington State: WA Zip Code: 98223
Contractor: c&j enterprises Phone Number: 4259719336
Address: 29011 104th PI se City:monroe State: wa Zip Code:98272
Contractor's License Number:clentme900ne Expiration: 9/5/2016
Type of Roofing Material: 30 yr arcitectual asphalt shingle Number of Existing Layers: 1
Class of Roofing: A ❑✓ B ❑ C Replacing existing sheathing: Yes No
Roof tear off: 0 Application over existing material: ❑
The following is required for NON-Residential Buildings:
• Existing roof structure and material:
• Two copies of the installation specifications and U.L.listed roof assembly
• Occupancy of Building Office
Retai I
Church
Restaurant
School
I hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described
property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will be responsible for
providing a method of safely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is
complete.
1 I 09/23/2015
Applicants Signature Date
Chad Joseph eppig
Print Applicants Name
FOR STAFF USE ONLY
5EP 2 4 2015
Permit# Accepted By Amount Received Receipt 0 Date Received