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Home My WebLink About17924 67th Ave Ne_BLD6341_2025 MANUFACTURED HOME APPLICATION Community and Economic Development City of Arlington â€¢ 18204 59th Ave NE â€¢ Arlington, WA 98223 â€¢ Phone (360) 403-3551 The City may not issue final approval for the installation of a manufactured home unless the certified installer or the installer's agent has posted installer's certification number and has identified the work being performed on the installation site. 43.22A RCW REQUIRED DOCUMENTS City of Arlington Manufactured Home Application Approved plans reviewed by Washington State Labor and Industries (L&I) Manufacturerâ€™s Specifications Site Plan â€“ show lot size, setbacks to property/lease lines and tie down locations Type of Permit: New Installation Relocation Property Address: Lot #: Parcel ID No.: Subdivision: Primary Contact: Owner Applicant Contractor Owner Name: Home No.: Email Address: Cell No.: Mailing Address: City: State: Zip: Applicant Name: Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: Certified Installer Name: Office No.: Company Name: Email Address: Cell No.: Mailing Address: City: State: Zip: L&I Certification Number: Expiration Date: The support system and stabilizing devises for any unit must be designed and installed in accordance with the manufacturerâ€™s specifications. The support system may have to be specially designed and installed in the following instances: â€¢ The land for the unit is identified as a flood hazard area. â€¢ The manufacturerâ€™s specifications are not available. â€¢ The construction of your unit must be approved by L&I and have the appropriate insignia with identification number affixed to the unit. Those units not bearing the appropriate insignias must meet additional requirements set forth below. â€¢ Units without the L&I insignia and identification label: Units manufactured prior to June 15, 1976 will need an L&I alteration/fire/safety inspection, unless the unit has the appropriate L&I insignia. â€¢ Verification of this inspection and approval from L&I is required prior to issuance of the Manufactured/Mobile Home permit by City of Arlington. I hereby certify that I am the Owner, Applicant, Certified Installer and authorized to sign this application and that 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 and the City of Arlington. Signature Print Name Date REV03.2022 RENEWS: 09/30/2024 MOBILE OFFICE FOUNDATION PACIFIC MOBILE STRUCTURES, INC ANCHOR PER NOTES RENEWS: 09/30/2024 MODULE MODULE BEAM STRAP CLAMP PER ANCHOR MANUF. 2x SHIM ANCHOR PER NOTES MOBILE OFFICE FOUNDATION PACIFIC MOBILE STRUCTURES, INC RENEWS: 09/30/2024 MOBILE OFFICE FOUNDATION PACIFIC MOBILE STRUCTURES, INC FLOOR PLAN COPYRIGHT 2006, BLAZER INDUSTRIES, INC. MOBILE Approved for Const: Job No: THIS MATERIAL IS THE EXCLUSIVE PROPERTY OF BLAZER INDUSTRIES, INC. AND SHALL File Copy: 24 X 60 NOT BE REPRODUCED, USED, OR DISCLOSED LEASE UNIT TO OTHERS EXCEPT AS AUTHORIZED BY THE INDUSTRIES, INC. Drawn By: DATE REVISION BY WRITTEN PERMISSION OF BLAZER INDUSTRIES. p.o. box 489 aumsville, or 97325-0489 OR., WA., ID. Pacific Mobile 05 BLMP-03 A2 Start Date: FASTENING SCHEDULE MATERIAL LIST SECTION - A A COPYRIGHT 2006, BLAZER INDUSTRIES, INC. MOBILE Approved for Const: Job No: THIS MATERIAL IS THE EXCLUSIVE PROPERTY OF BLAZER INDUSTRIES, INC. AND SHALL File Copy: 24 X 60 NOT BE REPRODUCED, USED, OR DISCLOSED LEASE UNIT TO OTHERS EXCEPT AS AUTHORIZED BY THE INDUSTRIES, INC. Drawn By: DATE REVISION BY WRITTEN PERMISSION OF BLAZER INDUSTRIES. p.o. box 489 aumsville, or 97325-0489 OR., WA., ID. Pacific Mobile 05 BLMP-03 A2 Start Date: WALL "C" ELEVATION WALL "A" ELEVATION WALL "2" ELEVATION WALL "1" ELEVATION COPYRIGHT 2006, BLAZER INDUSTRIES, INC. MOBILE Approved for Const: Job No: THIS MATERIAL IS THE EXCLUSIVE PROPERTY OF BLAZER INDUSTRIES, INC. AND SHALL File Copy: 24 X 60 NOT BE REPRODUCED, USED, OR DISCLOSED LEASE UNIT TO OTHERS EXCEPT AS AUTHORIZED BY THE INDUSTRIES, INC. Drawn By: DATE REVISION BY WRITTEN PERMISSION OF BLAZER INDUSTRIES. p.o. box 489 aumsville, or 97325-0489 OR., WA., ID. Pacific Mobile 05 BLMP-03 A2 Start Date: RESTROOM ELEVATION RESTROOM ELEVATION REFLECTED CEILING PLAN MECHANICAL PLAN COPYRIGHT 2006, BLAZER INDUSTRIES, INC. MOBILE Approved for Const: Job No: THIS MATERIAL IS THE EXCLUSIVE PROPERTY OF BLAZER INDUSTRIES, INC. AND SHALL File Copy: 24 X 60 NOT BE REPRODUCED, USED, OR DISCLOSED LEASE UNIT TO OTHERS EXCEPT AS AUTHORIZED BY THE INDUSTRIES, INC. Drawn By: DATE REVISION BY WRITTEN PERMISSION OF BLAZER INDUSTRIES. p.o. box 489 aumsville, or 97325-0489 OR., WA., ID. Pacific Mobile 05 BLMP-03 A2 Start Date: ELECTRICAL PLAN COPYRIGHT 2006, BLAZER INDUSTRIES, INC. MOBILE Approved for Const: Job No: THIS MATERIAL IS THE EXCLUSIVE PROPERTY OF BLAZER INDUSTRIES, INC. AND SHALL File Copy: 24 X 60 NOT BE REPRODUCED, USED, OR DISCLOSED LEASE UNIT TO OTHERS EXCEPT AS AUTHORIZED BY THE INDUSTRIES, INC. Drawn By: DATE REVISION BY WRITTEN PERMISSION OF BLAZER INDUSTRIES. p.o. box 489 aumsville, or 97325-0489 OR., WA., ID. Pacific Mobile 05 BLMP-03 A2 Start Date: Permit #: 6341 Permit Date: 02/03/25 Permit Type: MANUFACTURED HOME Project Name: Earthworks Solutions Temp Office Applicant Name: Earthworks Solutions Applicant Address: 8629 156th St Ne Applicant, City, State, Zip: Arlington, Wa, 98223 Contact: Pavel Nikolin Phone: 425-215-8884 Email: pavel@earthworksolutions.com Scope of Work: Temporary manufactured home for office while new office building is being built Valuation: 0.00 Square Feet: 0 Number of Stories: 1 Construction Type: VB Occupancy Group: B; Business ID Code: CIC Permit Issued: Permit Expires: Form Permit Type: MANUFACTURED HOME Status: EXPIRED Assigned To: Hannah Hardwick Property Parcel # Address Legal Description Owner Name Owner Phone Zoning SUMMERS TROY F & 637 Warehousing & 31052200400300 17924 67TH AVE NE LOIS E Storage Services Contractors Contractor Primary Contact Phone Address Contractor Type License License # CONSTRUCTION EarthWork Solutions Pavel Nikolin 4252158884 17924 67th Ave Ne UBI 604 131 773 CONTRACTOR CONSTRUCTION Construction EarthWork Solutions Pavel Nikolin 4252158884 17924 67th Ave Ne EARTHSL830OK CONTRACTOR Contractor Plan Reviews Date Review Type Description Assigned To Review Status Must provide drawing's and engineering for un-permitted entry Approved with 02/03/2025 MANUFACTURED HOME BUILDING deck's and cover's Conditions New permanent building to be constructed within 2 years. Temp. Development Services Approved with 02/03/2025 MANUFACTURED HOME Office permitted for 2-years from date of issuance. Manager Conditions 02/03/2025 MANUFACTURED HOME Marc Hayes In Review 02/03/2025 MANUFACTURED HOME See note PLANNING Approved residential billing will be changed to commercial billing based on 02/03/2025 MANUFACTURED HOME PW-ADMIN-GIS Approved use effective when meter in reinstalled, LT & KSS Existing septic to be used for temp building. the duration of this temporary permit to use the septic system will be consistent with 02/03/2025 MANUFACTURED HOME PW-SEW-REV Approved the building dept. temporary permit for the building. -JK See Earthworks Septic Inspection uploaded- KDS residential water service is already present, they will need to upgrade to a commercial water service when new building is 02/03/2025 MANUFACTURED HOME PW-WAT-REV Approved permitted. Gus Fees Fee Description Notes Amount Processing/Technology $25.00 Mobile Home/Modular Office Permit fee $500.00 Total $525.00 Attached Letters Date Letter Description 03/14/2025 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 03/14/2025 XBP Conf: 225797632 $525.00 Outstanding Balance $0.00 Uploaded Files Date File Name 03/14/2025 24917187-2025_BLD6341_ForSignature.pdf 02/10/2025 24177196-Earthworks inspection report.pdf 02/03/2025 24082068-20250203_BLD6341_App.pdf 02/03/2025 24082067-20250203_BLD6341_Foundation and Tie Down.pdf 02/03/2025 24082066-20250203_BLD6341_Site Plan.png 02/03/2025 24082065-20250203_BLD6341_Plans.pdf Date: 10/07/2025 Permit #: 6341 Permit Date: 02/03/2025 Review Date: 02/03/2025 Permit Type: MANUFACTURED HOME Review Type: MANUFACTURED HOME Target Date: 03/03/2025 Scheduled Time: 00:00 Completed Date: 03/04/2025 Description: Must provide drawing's and engineering for un-permitted entry deck's and cover's Review Status: Approved with Conditions Assigned To: BUILDING Time In: 00:00 Time Out: 00:00 Hours: 0.5 Notes 03/04/2025 Must provide drawing's and engineering for un-permitted entry deck's and cover's Property Information Parcel#: 31052200400300 SUMMERS TROY F & LOIS E SUMMERS TROY F & LOIS E 14215 101ST AVE NE 17924 67TH AVE NE ARLINGTON, WA 98223 Zoning: 637 Warehousing & Storage ServicesLot: Block: Date: 10/07/2025 Permit #: 6341 Permit Date: 02/03/2025 Review Date: 02/03/2025 Permit Type: MANUFACTURED HOME Review Type: MANUFACTURED HOME Target Date: 03/03/2025 Scheduled 00:00 Time: Completed 02/18/2025 Date: Description: New permanent building to be constructed within 2 years. Temp. Office permitted for 2-years from date of issuance. Review Status: Approved with Conditions Assigned To: Development Services Manager Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 31052200400300 SUMMERS TROY F & LOIS E SUMMERS TROY F & LOIS E 14215 101ST AVE NE 17924 67TH AVE NE ARLINGTON, WA 98223 Zoning: 637 Warehousing & Storage ServicesLot: Block: