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
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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 • -
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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�
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