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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: i 1 ~1 1 i ' � - I � 1 1 - i 1 1 _ - I I ' I .� I 1 I r �. " 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: 1 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. � �1AW—.u&e,') -;�juzlw,,( w. /0-5--07 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) i I 4IN0 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: 47tK-6 chat-,�v� �t���i h� j J�-U SS--sI G( n cUa��s bco kori 0 V-fj IM 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. �Z 3 O s na re Dat Sh .2�cl �� .ems Print Applicants Name p? -7 5 Z 0 �� c JUL 2 � � �5 7 q R*Ylf — �m, �Q I% Raw I c N-r.F/2 31 STAFF USE ONLY LZ Perniff# Accepted By Amount Received Receipt# Date Received WEB Forms—14 Page 1 of 1 3107 dwa r � I - . , E ��'� -. �I I ,� 14 , �� J Page 1 of 1 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 i+ Analyzed by: Weilong Tai S E'r' �,� / V ed by Steve(Fanyao)Zhang, President pY: � /'C r� `������ 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 " :led '- |HAVE RECUSTOMERZ AND AGREE TQ THE CONDITIONS ON THE REVERSE SIDE. RECEIV r-n� - /\ ���y(�� �� 7 / ~ i 7� �1 _ y L 'aw 1 'ht i i 1 • i C7 -N NNI� F X O z� m 91ezo N 'Oc:l9 tOn Oy CA p`0 K. LOIUr 'A** J N I x 6 Ul x w r p, I ,M „ZI91.L0 N wIM I JUL 2 3 2007 a clu w I- C7 r p M17 ccIV � 2 1 � f, '1 1