HomeMy WebLinkAbout20224 67th Ave Ne_BLD20077574_2026 pry
INSPECTION REPORT
• Permit No.: V7- 7 Y 7 y Lot #:
Address: zz-t
Contractor: O�13 P-,L�
• Owner:
Date: - Z-0 7
�PPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
57?t�t�ur�n.K,r� /L-�-rove
Inspector: Date: // -Z-0-7
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in 3-Final De-),wa
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
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" CITY OF ARLINGTON
238 N.OLYMPIC AVE.•ARLINGTON,WA.98223
PHONE:(360)403-3421
Permit#: BLD20077574
Project Address: 20224 67TII AVE NE, ARLINGTON
Parcel No: 31051500100300
1 1
ROBERT M CREDIT TRUST WILLIAMS Sharon O'Brien 1 1
4930 268TH ST NW ROBERT M CREDIT TRUST WILLIAMS
STANWOOD,WA 98292 4930 268TH ST NW
STANWOOD,WA 98292
1 LICENSE 4: EXP:
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1 1 1
Demolition permit for existing garage/shed,down to the foundation.
VALUATION: $0
PERMIT TYPE:Residential PERMIT GROUP:Demolition
NUMBER OF STORIES:0 EEE AIRUCTIOYPE OF CONSN:
NUMBER OF DWELLING UNITS:0 CCUPANT GROUP:
CODE:2006 CCUPANT LOAD:
BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0 BASEMENT:0 1 ST FLOOR 0 2ND FLOOR:0
3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:O 3RD FLOOR:0 GARAGE:0 DECK:0
OTHER:O
1
RE UIRED: PROPOSED: REQU IKI-',I PROPOSED: ,
HEIGHTALLOWED:o PROPOSED:O REQUIRED: PROPOSED: REQUIRED: PROPOSED:
SETBACK NOTES:
• 1 .
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULA ING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18:27.
TI I IS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR WI$/PIER DEPUTY AND ALL FEES ARE PAID.
ign Print Name Date R ased By 6 �
at
AT ENTION
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.UBC109/IBCI10/IRCI 10.
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ARCHIVE = APPLICANT ASSESSOR OTHER
BLD20077574
CONDITIONS
• None
INSPECTIONS
THIS PERMIT AUTHORIZES 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.
CALL FOR INSPECTIONS
BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674
FIRE(360)403-3607
When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection
being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon.
• None
CITY OF ARLINGTON
238 N.OLYMPIC AVE.-ARLINGTON,WA.98223
PHONE:(360)403-3421
PERMIT FEES/ RECEIPT
DATE: Monday,October 08,2007
PERMIT#: BLD20077574
PROJECT ADDRESS: 20224 67TH AVE NE, ARLINGTON
LOCATION:
OWNER: ROBERT M CREDIT TRUST WILLIAMS
4930 268TH ST NW
STANWOOD,WA 98292
360 435-3850
*FEE SUMMARY:
Fee Amount Paid Balance Due•
Demo $104.50 ($104.50) $0.00
C-Plumbing Permit Fee $0.00 $0.00 $0.00
C-Mechanical Permit Fee $0.00 $0.00 $0.00
Total Due: $104.50 ($104.50) $0.00
*FEES ARE ESTIMATED BASED ON INFORMATION PROVIDED AT SUBMITTAL-SUBJECT TO CHANGE
PAYMENT TRANSACTIONS:
.., Receipt# Method/Payee Paid
9/24/2007 REC000043 Check 2003/ ($104.50)
C-Building Permit Fee ($104.50)
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DEMOLITIOL PERMIT APPLICATION
Department of Community Development
City of Arlington• 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360) 403 3551 • FAX (360) 403 3447
THIS APPLICATION MUST BE ACCOMPANIED TWO(2)SETS OFFULLY DIMENISIONED PLOT PLANS AND SITE CLEAN-UP
PLAN, TWO(2)COPIES OF AN ASBESTOS ABATEMENT REPORT COMPLETED BY AN APPROVED AGENCY.
Type of Permit: (check one) (residential ( )Commercial ^
Project Address: /_ A)E Parcel ID#: 3105(IS-6 0 16 U 6b
Lot#: Subdivision: Valuation:
Building Area(Sq Ft) ! � No. of floors: Number of Buildings: p
Owner: fdZJ4S Phone Number:
Addres v City: State: Zip Code:
Contact Person: f Phone Number: 3(do
Cell Phone: ( — �03(-7�iS Fax: E-mail: d E)ri'C' fir S'/C, �d VGt Lc oO • �'pJ�
Address: tc 04 g as Ck State: Zip Code:
Scope of Work:
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Contractor: Phone Number:
Address City: State: Zip Code:
Contractor's License Number: Expiration:
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 ordance with the laws, rules and regulations of the Stat of Washington.
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Print Applicants Name p? -7 5 Z 0
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31 STAFF USE ONLY
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Perniff# Accepted By Amount Received Receipt# Date Received
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SEATTLE ASBESTOS TEST, LLC NVLAPAccreditation
19711 Scriber Lake Road,Suite D,Lynnwood,WA 98036;Tel:425.673.9850,F=425.673.9810 Lab Code;20076H
Websitc:http://www.scatUcasbmiestcstcorn, E-mail:admin@seattteasbesoostest.com
ANALYTICAL LABORATORY REPORT
PLM by Method EPA/600/R-93/116
Client:Lucus Building Inspection Client Job* N/A
Address:5417 141st PI. NW Laboratory Batch#: 200791378
Stanwood,WA 98292 Date Received: 8/8/2007
Samples Received: 6
Date Analyzed: 8/9/2007
Attention:Mr. Chuck Lucus Samples Analyzed: 6
Project:20224 67th Ave. NE
Client Sample . Asbestos Non-Fibrous ,� Non-asbestos
Lab ID Layer Description /o
ID Fibers Components Fibers
2007208340 827 1 an brittle material None Binder/filler, Paint 3 Cellulose
with paint detected
2007208341 828 1 iBlack asphaltic None Asphalt/binder, Sand :25 Cellulose�material with sand detected
2007208342 829 1 Black asphaltic 'None Asphalt/binder, Sand :27 Cellulose
material with sand detected
2007208343 830 1 Black asphaltic 15 Chrysotile Asphalt/binder 20 Cellulose
material
2007208344 831 1 Black asphaltic 'None Asphalt/binder, Sand 25 Cellulose
material with sand detected
2007208345 832 1 Silver paint 2 Chrysotile Paint 3 Cellulose
2 !material
asphaltic 5 NoneAsphalt/binder 7 Cellulose
material detected
, r it:iil�ci�'t
�. CAIED
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Analyzed by: Weilong Tai S E'r' �,� / V ed by Steve(Fanyao)Zhang, President
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`������ RECYCLING CO.!BA NCO ' '---- . .~~~..~�� `�~�
A DIVISION OF RABAmCO COMPANIES
27333rd Avenue South
Seattle, Washington 98134
' TIME: 11 :32
TRUCK #: 1 PICK UP PLACE: A SEATTLE
WVE J8HT TTi VIE.
--'_--_ '
/ROSS: 5480 LBS
IN
TARE: 5220 LBS 11 : 32 09/20/07 OUT L}UAMTITYo 1
NET.- 260 LBS' RATE: $ 81. 50
MIN AMOUNT; $ 81. 50
Paid fly Cpedit Card REFUSE TAX 3. 60%: 2. 93
TOTAL AMUUN7: $ 84. 43
* MINIMUM CHARGE ^ ==========
' Weighmaster - FEE
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|HAVE RECUSTOMERZ AND AGREE TQ THE CONDITIONS ON THE REVERSE SIDE.
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