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Home My WebLink About20211 67th Ave Ne Spc4_BLD20120216_2026 BUILDING INSPECTION REPORT �.V�v Y � Permit No. 12 15)2.✓h Address: ;->D Z1,1 6 7A Aw At Contractor: eo wepco Owner: O Date: _ -APPROVAL PARTIAL PARTIAL APPROVAL VIOLATION ® CORRECTION REQUEST Corrections listed below MUST BE MADE before work can be approved Please contact inspector Was not able to perform inspection Call 360-43"674 FOR RE-INSPECTION by 5:00 pm the day before Inspector: Date: Lz o73 ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork ® Mechanical ®Grid ® Struct. Slab ® Wood Stove ® Rough-in ® Final ® Masonry ® Drainage ® Insulation Other: `?20,8 � r• {�j - I �7 CITY OF ARLINGTON 238 N. OLYMPIC AVE.-ARLINGTON,WA 98223 PHONE:(360)403-3551 BUILDING PERMIT Address:20211 67TH AVE#4,ARLINGTON Permit#:BLD20120216 Parcel#:31051400201000 Valuation:$0.00 OWNM APPLICANT CONTRACTOR LUIS& MICHELLE ROMERO LUIS&MICHELLE ROMERO LUIS& MICHELLE ROMERO 5622 124th Place NE 5622 124th Place NE 5622 124th Place NE MARYSVILLE,WA 98271-6233 MARYSVILLE,WA 98271-6233 MARYSVILLE,WA 98271-6233 Lie#: Exp: PLUMB ING CONTRACTOR MECHANICAL CONTRACTOR — Lie#: Exp Lie#: Exp: JOB DESCRIPTION Install Mobile Home PERMIT TYPE: Residential PERMIT GROUP: Mobile Home STORIES: 1 CONST TYPE: V-B DWELLINGUNITS: 1 OCCGROUP: R-3 CODE: ANSI A225.1 OCC LOAD: N/A PERMIT APPROVAL 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.IBCI 10/IRC1 10. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return ror d coded City of Arlington 43101. Signature Print Name Date ReleaseT By 61 Date ARCHIVE = APPLICANT ASSESSOR E-1 OTHII2 BLD20120216 CONDITIONS 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. • Mobile needs to be put on a foundation and anchored per the attached details of ANSI A225.1 since it pre-dates the manufacturer specifications:Data plate indicates that it is a Pre-approved model by State L&I. PERMIT I-as Date Description Fee Amount Paid Balance l)uc 8/30/2012 Building Permit Fee(QTY.1) $500.00 $0.00 $500.00 8/30/2012 State Building Code Surcharge(QTY.- 1) $4.50 $0.00 $4.50 Tolal Due: $504.50 $0.00 $504.50 CALL FOR INS PEMONS BULDING/ENGMMINC.fPARKS/LII'I MES/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. • C-Building Final Ci.ristopher Young From: McMillan, John L (LNI) <MCMJ235@LNI.WA.GOV> Sent: Wednesday, August 29, 2012 7:23 AM To: Christopher Young Subject: RE: Existing Mobile Home Attachments: 20120829035435000.pdf Hi Chris, John IIarvcy forward your e-mail to me concerning the installation of a MII that does not have the original manual for installation. We allow ANSI A225.1 1994 edition to be used. If the home is pre 6/15/76 it will require a fire safety inspection but if it is a HU.D labeled home should be fine. i have enclosed a copy of the ANSI Standards for you. If you have any questions please let me know. John McMillan Factory Assembled StruCtUrOs Technical Specialist Manufactured Home installer Certification& SAA PO Box 44420,Tumwater WA. 98504-4420 Office(360)902-5225 FAX(360)902-5229 From: Harvey, John Preston (LNI) Sent: Wednesday, August 29, 2012 5:32 AM To: McMillan, John L(LNI) Subject: FW: Existing Mobile Home John, looks like set up info needed Washingtcm State Uepartrwnt of € abor ,& Industries John Harvey IPIA Administrator,Plan Review Supervisor Factory Assembled Structures (360)902-5218 FAX(360)902-5229 e-mail:haio235elni.wa.Qov From: Christopher Young [mailto:cyoung@arlingtonwa.gov] Sent: Tuesday, August 28, 2012 4:33 PM To: Harvey, John Preston (LNI) Subject: FW: Existing Mobile Home The owner called with the data plate infortnation and provided the following; MH# 11922 S3984U Plan Approval #W-03538 1 '1 Thanks, Christopher Young Building Official City of Arlington 360-403-3432 cyoung@arlingtonwa.gov ® J® "The importance of a strong building code is most evident after a disaster." From: Christopher Young Sent: Tuesday, August 28, 2012 3:52 PM To: 'hajo235@lni.wa.gov' Subject: Existing Mobile Home I have a customer who wishes to relocate an existing mobile home into my jurisdiction. The mobile home was gifted to the new owner and the new owner is asking how to support and secure the home. Unfortunately the manufacturer specifications were not obtainable and I am wondering if State L & I would have the installation specifications if the information from the Data Plate can be obtained? I do have the title information if the requested information can be obtained from that; License#18012 Year: 1974 Make: Came] Ser/Body: 24/36 Serial #3984 Res-Co: 31 Please let me know if you can assist. Thank You, Christopher Young Building Official City of Arlington 360-403-3432 cyoung@arlingtonwa.gov ® *--i® "The importance of a strong building code is most evident after a disaster." 2 3 STATE OF WASHINGTON DEPARTMENT OF LICENSING • + PO Box 9038 • Olympia, Washington 98507-9038 i VEHICLE TITLE APPLICATION/REGISTRATION CERTIFICATE 05/11/2010 1013131010271266 @18012 Lic/Plt Issue-Date Tab-No Reg-Exp Value-Code/Yr Depre Mo-Reg Mo-Gwt @18012 00/00/0000 1000/2010 Power Use Mod-Yr Make Ser/Body Model/BT VIN or Serial No Res-Co Prev-Plt MOB 1974 CAMEL 24/36 / 3984 1 31 @18012 Sclwt Seats Gwt Gwt-Strt Gwt-Exp Fleet Equip Prev Title Prev St 8946115004 WA RANDS: � { W-- 0353F ' r DOMMENT: TITLE PURPOSE ONLY -USE TAX WAIVED (H) MILEAGE E REGISTERED OWNER LEGAL OWNER LAMM,DEBRA JO 747 I a 11322 38TH DR NE / MARYSVILLE WA 98271 I certify that the information contained hereon is accurate and complete. X X Signature of Wgistered Owner(s) Signature of Registered Owner(s) Subscribed and sworn to before This Day of , FILING $ 4.00 TBD FEE 3111 $ CHECK $ 24.00 SUBAGENT $ RTA EXCISE $ CASH $ LOCAL FEE $ USE TAX $ TOTAL FEES $ 24.00 2(� LICENSE SRVC $ OTHER $ 20.00 C' GWT/VWT FEE $ DONOR AWARENESS$ STATE PARKS $ VALIDATION CODE 44310102101310511100037027126 TRANSFER RPT ID: ATITPR-1 THIS DOCUMENT IS NOT PROOF OF OWNERSHIP FPD: ATITPR:2008/10/12.00003(2) TD-420-801 M/P LONG FORM(R/9/07)OR Page 1 of 2 �; ti � . , � . . , ' } 5 . di u '• .. � � I. .� � i � . �; l '� � • ' � � �. .. f • I ....... ...... T STATE OF WASHINGTON Vehic, Certificate of Ownership k Me) Certificate Number 1013143609 -License number Vehicle identifidatio,n number-(VIN.) Year Make Made! Style Series/Body @18012 3984 1974 CAMEL :24136 Date issued Odometer miles Odometer status Fleet number Equipment number Fuel type 05/11/2010 0000000 E Use class Scale weight Gross weight Vehicle color Prior'title state Prior title number MOB 00000 WA 8946115004 Comments 1000-2010 Brands. Sale price $ Date of sale Legal owner:To release your interest;,sign below, then give this title to the registered owner/transferee or send it to,a vehicle licensing office with the proper fee.You may be liable to1he registered'owner/transfe,ree for penalties if you do not release Il interest within 10 days after proper demand. Legal owner Registered owner Gg LAMM,DEBRA JO -SAME AS LEGAL OWNER �q I q 11322 38TH DR NE MARYSVILLE,WA 98271 Signature of gal owner releases Date Signature-of registered owner.releases Date all interest in the vehicle described above all interest in.the vehicle::describe I d above Signature of legal owner releases Date Signature of registered owner releases Date all interest in the vehicle described above all interest in the vehicle described above: 1 certify that the records of the Department of Licensing show-the-persons named hereon as.registered::owners and 94��A'Ca A�Ie_ lepl owners of the vehicle described. Direct Department of Licensing > 09 0 (U 43 Federal regulation and state law requires you to state the mileage in connection with the transfer of ownership. is Failure to complete this odometer statement or providing a false statement may result in fines and/or imprisonment. 0 certify, to the best of my knowledge; the odometer reading is:*i (no tenths) Transfer datQ /__J .2 _ 6d�m__1.r,.dig in U., W This reading is(check one): ]the actual mileage of the,vehicle Pin excess of its mechanic limits ]not the mile):ige Signature of transferee/buyer Signature of transfororiselter PRINTED name of transtefeelbuyer PRINTED name of translator/sailor Address of transferee/buyer Address of transferor/seller CU or 77'nt'" 22 I � _ �_� - --� , � � � III 11L�I Li T ii i H �i � it - ij � LL9 __j � i 1 LI 1_II I A _ I- BLD20120216 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 BUILDING PERMIT PERMIT#: BLD20120216 OWNER: ROMERO, LUIS&MICHELLE STATUS:APPLIED r 1 ADDRESS: 20211 67TH AVE#4,ARLINGTON BALANCE: $0.00 I� �\ ISSUED: CREATED: 8/30/2012 SCREENS: Select Screen... [ FUNCTIONS: Select Permit Function... w MOBILE HOME REVIEWS PRINT ADD NEW SUMMARY REVIE...; ` DESCRIPTION 1ASSIGNE... DUE DATE LAST (#) REQ?DO...I ASSIGN � REMOVE 1002 P-Engineering I LPETER... 9/7/2012 0 Y N Assign Remove 2000 C-Building I CYOUNG 9/7/2012 0 Y N Assign Remove https://coapermits.arlington.local/PermitTrax/Module Permits/Permits Permit/Permit Rev... 8/30/2012 i t � . � i MAWUFACTURED /MOiwILE HOME ' PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3418 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) ACCURATE, FULLY DIMENSIONED PLOT PLANS, TIEDOWN LOCATIONS, SPECIFICATIONS FOR TIEDOVIINS AND BLOCKING, PORCHES, DECKS AND ENTRY STAIRS. Location of Installation: � `� /� Client's Name -`l ` r �es((e, -t L1 ( ef ( S T� t)m 0 Phone Number: ` Z,S' _,j?b q U q 4:) Address: n(Q oZ — D AZ^� �kv. State: Zip Code: 1- Lot number: Valuation: When acting as the general contractor for installing Manufactured Homes/Mobile Homes, the following requirements must be met per the Washington Administrative Codes. WAC 296-15OM-0630—Who may install a manufactured home? 1. A manufactured home may be installed by: • Homeowner • A certified installer • An individual who is supervised by an on-site certified installer; or • A specialty trades person, for certain aspects of installation. 2. A certified installer must be a registered contractor or his or her employee, or an employee of a registered dealership. "XeaGr/.UG�_ Contractor's Name: _ Phone# Address: L&I Number: City Business License#: I hereby certify 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. The applicant will be responsible for firoviding a method of safely accessing roof for inspection. Contractor's Signature Date i c Installer's Name: m�L.l(.JI de- LtAl S ��L PiI";�_ Phone#: Address: l 6 _ L&I Number: City Business Li nse#: RECEIVEET- AUG 3 0 2(11? II FOR STAFF USE ONLY COA Engineeringep l. t)Lb Permit# AccePtLyd Bf Amount Received Receipt# Date Received WEB Forn—286 Page 1 of 1 7/10CJY �t . , ,� . -• �