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HomeMy WebLinkAbout17902 Country Club Dr_BLD3218_2025 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY (APPROVED �`G AM PM I. PERMIT#: ,Ik-' DATE: c� LOT#: OB ADDRESS: Ja4 L)Z-- PROJECT: k iU 1 TYPE OF INSPECTION: j A OTHER: ❑ NO PERMIT-STOP WORK OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION: $5INSPECTION. FEE(PER IBC) MUST BE PAID PRIG 0 NEXT ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION /i 01 7 _ THE ACTIONS OR CORRECTIONS ABOVE Y �WI THIN DAYS OR PENALTIES IMPOSED BYLAW MAAPPL FOR INSPECTION CALL: 360-403-3417 DATE INSPECTOR Y Q PLANNING O CIVIL /BUILDING CITY OF ARLINGTON Arp a a 13 -77 B.S.g,L. lb ! t :'rR��=J SUMfkOoM s Wlrl4 ( a - 101 AIct Ir0� 4-.1- 7.- � � t 27,`l�� L v G.AN C p-E,m •.D14i v�WA`f 1J � W - l/► � 4 (1 a Recei\,Pd r �. U� Y MAY � 2 2020 w Z JFFICE COP' o. Q� DATt�. F'RA-JlrGT. CON 1 E PIRA HOMES I rats S r.. DRA"M Wrt 67LE F-A(SLIE LOT :2 t-lFm al -;T ' I 'i iil n1, �?: C'F. ` h IVp- Cl T .��?�:S?Rg0?' OH -1-1 1 CITY OF ARLINGTON1820459th 1NSpECl70N Avenue NE,Arlington Bi4 98223 S350-403-3417 Petmit Center 360-4 17402 Country Clab Driv,, � � BtiR.Dt'�C PE 03-355i #= 00816 800 Permit*3219 AZUCEI�q Penuft 402tion Data: 12/07/2020 r RFYNALDp N 500.00 17902 COON I RY Reynaldo and Enulita Aye CLUB DR �I 'C'TON, WA 98223 17902 Country Club Drive Northwest Concrete Cutting LIC - 425-5O l-0908 Arlington,WA 98223 PO Box 5851 425_S01l#B Kent,WA 98064 'PLUMBING COtiTRA 40 RCC840DN EXP:04roa2022 LIC -- LIC#: EXP: p �i TYPE: - -- _= OBDESCRiPTION PE: Residential Alteration STORIES: 2 CODE YEAR _} DWELI.iNG CONST TYPE: E CI1+lfI5 I BUILDINGS: I OCC GROUP: R3 OCC LOAD: ;PERMIT APPROV The issuance or granting of this permit steal'not be construed to be a permit for,or approval of,any ViOWonOf this Code or any ddW ordirnawe or older of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the GOVemor of this State.To the extent the issuance or granting of this permit is interpreted to allow constriction 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 o'lficial is audumizxd to prevent occupancy or use of a structure where in violation of this Code,any other Citv:)rdinances of this ,urMietion or any other ordinance or executive order of the City,or of any state or federal lau,or of anv ordcr,proclamation guidance advice or decision of the Governor.The building official is authorized to suspend or revoke th;s hermit if it is deoermined to be issued in error or on the basis of incorrect,inaccurate or incomplete informa:ior,or in v io(atien of am-C7ty ordnance,regulation or order,state or federal law,or any order,proclamation,guidance or de.ciston of ti,e(joverrw- i AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND I\DOING THE�ti'ORK AUTHORIZED THEREBY,NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODF OF rHE sTATF OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW IS_27 THIS APPLICATION iS NOT A PERMIT LNTiL SIGNED BY THE BUILDING OFFICIAL OR HIS H , GEPL7N' \XD ALL FEES ARE PAiD. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL F1 sAL fNSPEc"f10�NAS ?FI MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED rBC110 iRC 11 n .. cc TeX tiOTICE:Sales tax relating to construction and construction materials in the Pity of Arlingtoi mint be r.�po trd nc and coded City of Arlington#3101 your sales tea return furm . Released / Za Signature Print Name Date B} Dune CONDITIONS ADHERE TO APPRO`ED PLANS CALL FOR INSPECTIONS THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DON ON PRIG Al i. CITY of ARLINGTON ` 18204 59th Avenue NE,Arlington,WA 98223 _ INSPECTIONS: 360-403-3417-Permit Center:360-403-3551 BUILDING PERMIT 17902 Country Club Drive NE Permit#:3218 Permit Expiration Date: 12/07/2020 Parcel#: 00816000002800 Valuation: 500.00 OWNER APPLICANT CONTRACTOR AZUCENA REYNALDO N Reynaldo and Enulita Azucena Northwest Concrete Cutting LLC 17902 COUNTRY CLUB DR 17902 Country Club Drive PO Box 5851 ARLINGTON,WA 98223 Arlington,WA 98223 Kent,WA 98064 425-501-0908 425-501-0908 LIC:NORTHCC84ODN EXP:04/04/2022 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR, - - LIC#: EXP: LIC#: EXP: JOB DESCRIPTION - PERMIT TYPE: Residential Alteration CODE YEAR: 2015 STORIES: 2 CONST.TYPE: VB DWELLING UNITS: 1 OCC GROUP: R3 BUILDINGS: 1 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. IBC110/IRC110. 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. Signature Print Name Date Released By l Date CONDITIONS ADHERE TO APPROVED PLANS.CALL FOR INSPECTIONS. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONS' ICTION ON THE PUBLIC DOMAIN(CUR`' SIDEWALKS,DRIVEWAYS, MARQU=S,ETC.)WILL REQUIRE SEPARATE PERMr;;SION. PERMIT FEES Date Description Fee Amount 06/19/2020 Building Permit Fee $34.00 06/19/2020 Processing/Technology Fee $25.00 06/19/2020 Building Plan Review Fee $22.10 06/19/2020 State Building Code Surcharge Fee $6.50 06/19/2020 Inspection Fee $75.00 Total Due: $162.60 Total Payment: $0.00 Balance Due: $162.60 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 L&I regional offices are closed to public visits until further notice. Offices can still help you by phone from 8 a.m.to 5 p.m. weekdays (except state holidays). Use the phone number for your closest regional office .(https:#Ini.wa.gov/agengy.tcontactl#office-location ),or you can call the Office of Information and Assistance at 360-902-5800. A vsA:�sbrcaa?mmead U labor&Industries }t s://Ini.wa.gov). NORTHWEST CONCRETE CUTTING LLC Owner or tradesperson PO BOX 5851 Principals KENT,WA 98064 CONWELL,VINCENT RAYMOND,MANAGER KING 2 62 31 KING County Doing business as NORTHWEST CONCRETE CUTTING LLC VIA UBI No Business type 603 572 428 Limited Liability Company Governing persons VINCENT RAYMOND CONWELL VINCENT CONWELL; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contracto_r Active Meets current requirements. License specialties CONCRETE License no. NORTHCC84ODN Effective—expiration 03115/2016—04/0412022 Bond Western Surety Co S6,000.00 Bond account no. 62704335 Received by L&I Effective date 03115/2016 03/10/2016 Expiration date Until Canceled I_nsuranc_e Ohio Security Ins Co $1,000,000.00 Policy no. BKS52956614 Received by L&I Effective date 04/28/2020 05/17/2015 Expiration date 0 511 7/2 02 1 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No 19I iax'debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 yw—riod. Certifications & Endorsements 1 OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor &Industry to verify if this business has apprentices. Workers' Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current 476,735-03 Doing business as NORTHWEST CONCRETE CUTTING LLC Estimated workers reported Quarter 1 of Year 2020"4 to 6 Workers" L&I account contact T3/KEITH CURTISS(360)902-6641-Email,CURQ235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. equlred Training—Effective July 1,2019 Exemkfkom this requirement. Contractor Strikes No stHkea'have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety & Health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. i Permit#: 3218 Permit Date: 06/10/20 Project Name: Azucena Site Address: 17902 Country Club Drive NE Company/Applicant Name: Reynaldo and Enulita Azucena Company/Applicant Address: 17902 Country Club Drive City,State, Zip: Arlington, WA 98223 Contact. Reynaldo Azucena Phone: 425-501-0908 Email: rnazucena@yahoo.com Permit Type: Residential Alteration Valuation: 500.00 Square Feet: 2386 Number of Stories: 2 Type of Construction: VB Occupancy Type: R-3; Residential Scope of Work:New exterior egress door in unfinished basement MIC/Opportunity Zone: Permit Issued: Permit Expires: 12/07/2020 DNU: Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning AZUCENA I I 1 Single Family 00816000002800 D7R902 COUNTRY CLUB REYNALDO N 425-501-0908 Residence- Detached Plan Reviews Date Review Type Description Assigned To Review Status 06,10/2020 Residential Renovation Building In Review Fees Fee Description Notes Amount Building Permit Fee Table 4-1 S34.00 Processing/Technology Fee S25.00 Building Plan Review Fee Table 4-2 S22.10 ►8tate Building Code Surcharge Fee Residential- 1st Unit $6.50 Inspection Fee $75.00 Total $162.60 Notes Dare vote Created By: 06/10/2020 Need contractor information-entailed applicant. Kristin Foster Uploaded Files Date File Name 06/10/2020 6796573-3218 Plans.pdf 06/10/2020 6796574-3218 Site Plan.pdf 06/10/2020 6796575-3218 Application.pdf 1 °f RESIDENTIAL 1-ERMIT SUBMITTAL INSTRUCTIO S lING� Department of Community&Economic Development City of Arlington • 18204 59th Ave NE,-Arlington, WA 98223 • Phoge(360)403-3551 The submittal instructions contain the information -applicable for residential construction, which codes are in effect, what the design criteria is, the number of plans to be submitted, etc. Please be aware that the Plot Plan submittal is part of the Zoning Verification process and does not have to be duplicated. Refer to the Flow Chart document, choose which permit you need, hit Ctrl — click on the link and the appropriate permits will be uploaded for you. Y One (1) completed application Two (2) accurate fully dimensioned plot plans (Zoning Verification) — t/ Two (2) sets of construction drawings RAN J Two (2) sets of engineered drawings and calculations (If required) Health Department approval of septic system, if applicable Verification of Water and Sewer Availability from City of Marysville, if applicable APPLICATIONS ARE ONLY CONSIDERED COMPLETE IF ALL INFORMATION REQUESTED ON FORMS IS SUBMITTED WITH THE PERMIT APPLICATION. THE REVIEW TIME IS DICTATED BY THE COMPLETENESS OF THE SUBMITTAL AND COMPLEXITY OF THE PROJECT. The Zoning Verification can be submitted as part of your submittal or prior. We always recommend that you submit the Zoning Verify first to ensure that your proposed project meets all Land Use requirements. The review process for Zoning Verification is guaranteed within 72-hours. ��►'�: � P�i`sl`� DNS ,1 1 • - S-/2 Z (Wy A.a cunt Klc'p-� (5-(Ty Received 6/16LP MAY 2 2 2020 Page 1 of 5 `A. °^ RESIDENTIAL PERMIT APPLICATION • • Department of Community& Economic Development �0 p� City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phpne(360)403-3551 jYG`S THIS APPLICATION IS TO BE USED WHEN APPLYING FORA NEW SINGLE-FAMILY, DUPLEX, TOWNHOUSE, ADDITION, DECK,OR ACCESSORY STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS AND TWO(2)SETS OF STRUCTURAL CALCULATIONS. THE APPLICATION MUST ALSO INCLUDE THE PLUMBING SUBMITTAL AND THE MECHANICAL SUBMITTAL FORMS. THE ZONING VERIFICATION MAY BE SUBMITTED PRIOR. n Project Address:Qw 2 UIL Plat: — Single-family ❑ Duplex ❑ Townhouse Addition Q: Accessory structure Proposed Area: 1st Floor: 211 Floor: Garage: Total SF: Describe Proposal (include cross street): 7 1111,11111p d > o� -�. 3 '' 7h� IUD s s `'' rc�w%4M zi p Valuation: 2 -J , Owner: f_Dll + L I -A A-�1A Cam' ��� � L �c Address: 17�4 2 I� P ��� �� � City: �� � State: �'�'� Zip Code: �2�3 Phone: Z.�^I 9 Email. r-h1 � -.L lA f• k YAW., a Applicant: Address: City: State: Zip Code: Phone: A� A.WY I� _ Email: Contractor: Address: City: State:- Zip Code: EQ 2 Received Phone: Email: MAY 2 2 2020 Contact Person: License Number: Expiration: 115e- 4 r � Is'.� X� 1+I -fit®( -2 Page 1 of 3 6116LP` 1 1 I iW m 7-717 xN._-- - '•/1 S A s X 24 1-4 t� f4 �� ' 1 ' \N-j m ell CJ 40� vv 1� t ice- t ��t � -•-----, - ---- --- � Z fi ra m I I 1 C o, z o rm c� m c . C �, F o •p r � � . 1 1 , cncn-M Z Z �. m Z D 0v -r N