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8208 Vista Dr_BLD5142_2025
i Permit Packet Coversheet Community and Economic Development City of Arlington • 18204 591h Avenue NE • Arlington,WA 98223 • Phone (360)403-3551 Permit Number: BLD5142 Permit Type: Residential Re-Roof Address/Parcel: 8208 Vista Dr Completed (Month/Year): February 2023 Land Use ❑ Notice of Decision ❑ Bonding or Assignment of Funds ❑ Staff Report o Confidential Documents. Contact the ❑ Application City to obtain. ❑ Narrative ❑ Letters and Project Documents ❑ Legal Description ❑ Other: ❑ Vicinity Map ❑ Site Plan Civil ❑ Landscape Plan ❑ Issued Permit ❑ Complete Streets Checklist ❑ Application ❑ Traffic Impact Analysis ❑ Other Applications ❑ Snohomish County Traffic Mitigation Offer ❑ Construction Calculation Worksheet ❑ WSDOT Traffic Offer Form ❑ Approved Plans ❑ Tree Survey ❑ Review Comment Form ❑ Stormwater Drainage Report ❑ Letters and Project Documents ❑ Geotech Report ❑ Other Agency Permits ❑ Critical Area Evaluation Form ❑ Reports: ❑ SEPA Checklist o Drainage Report Pg: ❑ Public Notice Material o Stormwater Pg: ❑ Noticing and Related Documents o Geotech Pg: ❑ Water/Sewer Availability Certificate o All Other Reports ❑ Unanticipated Discovery Plan Form ❑ SEPA and Noticing Materials ❑ Aerial Photo of Site ❑ Inspections ❑ Proposed Building Materials ❑ As-Builts ❑ Lighting Plans and Lighting Cut Sheets ❑ Other: ❑ Color Elevations ❑ Design Matrix Building ❑ Plat Map ❑✓ Issued Permit ❑ Title Report ❑✓ Application ❑ Lot Closures ❑ Additional Applications ❑ Preliminary Civil Plans ❑ Approved Plans ❑ Archaeological Survey ❑ Site Plan o Confidential Documents. Contact the ❑ Letters and Project Documents City to obtain. ❑ Calculations ❑ Topography(Existing Conditions) ❑ Project Specification Manuals ❑ CC&R's ❑ Reports ❑ Deeds/Easements/Conveyances ❑ Certificate of Occupancy /Dedications ❑ Inspections ❑ Developer's Agreement ❑ Other: ❑ Recorded Copies Page 1 of 1 CITY OF ARLINGTON 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT - 8208 VISTA DR Permit#: 5142 Parcel#: 00910700007700 PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Scope of Work:Replace 19 squares w/asphalt shingles Valuation: 11440.00 OWNER APPLICANT CONTRACTOR DIX ANDREW J High Performance Homes High Performance Homes LLC 8208 VISTA DR 4200 SE Columbia Way C 4200 SE Columbia Way, Suite C ARLINGTON,WA 98223-4005 Vancouver,WA 98661 Vancouver,WA 98661 360-335-5055 LIC:HIGHPPH876DN EXP:04/08/2023 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: RESIDENTIAL RE-ROOF CODE YEAR: 2018 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 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.IBC I OARCI10. 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. 2/14/2023 01/27/2023 App ica gnature Date Building Official Date CONDITIONS Adhere to approved plans. Call for inspection. 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. PERMIT FEES Date Description Fee Amount 01/27/2023 Processing/Technology $25.00 01/27/2023 Re-Roof Residential $75.00 01/27/2023 State Surcharge-1st DU $6.50 01/27/2023 Credit Card Service $3.20 Total Due: $109.70 Total Payment: $109.70 Balance Due: $0.00 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 INSPECTION INFORMATION Pass/Fail RE-ROOF PERMIT APPLICATION I Community and Economic Development City of Arlington•18204 59th Ave NE•Arlington,WA 98223• Phone(360)403-3551 Type of Permit: ❑ Commercial © Residential Property Address: 8208 Vista Dr Suite/Unit Number: Lot#: Parcel ID No.: Project Valuation: 11440 Project Scope of Work: Replacing 19 squares with asphalt shingles Primary Contact: ❑ Owner ❑ Applicant © Contractor Owner Name: Andrew Dix Office No.: 425.280.4535 Email Address: missjules1987@gmail.com Cell No.: Mailing Address: 8208 Vista DrCity: Arlington State: WA Zip: 98223 Applicant Name: Duffy Brody Office No.: 3603355055 Email Address: duffy@hphemail.com Cell No.: 3606355375 Mailing Address: 4200 SE Columbia Way C City:Vancouver State: WA Zip: 98661 Contractor Name: High Performance Homes Office No.: 3603355055 Email Address: duffy@hphemail.com Cell No.: 3606355375 Mailing Address: 4200 SE Columbia Way C Cjty: Vancouver State: WA Zip: 98661 L&I Contractor License Number: H I G H P P H 876D N Expiration Date: 4/8/23 Type of Roofing Material: Asphalt Replacing existing sheathing: ❑Yes FI No Number of Existing Layers: 1 Installation over existing material: ❑Yes 6Z No Roof .tear off: Z Yes ❑No Class of Roofing: �a A-Highest Fire Rating ❑ B- Moderate Fire Rating ❑C- Light Fire Rating --------------------------- ----------------------------------------------------------- ------------------------------------------------- -------------------------------------------- Class Examples: Concrete,Clay,Roof Tiles,Fiberglass Pressured Treated Shakes and Untreated Wood Shakes and Asphalt Composition Shingles,Metal Roofs Shingles Shingles,Plywood,Particleboard The following is required for NON-RESIDENTIAL BUILDINGS Provide 2 copies of the installation specifications and U.L.listed roof assembly. Existing Roof Structure: Existing Roof Material: Building Occupancy: ❑Office/Professional Services ❑Industrial ❑Restaurant ❑Other: ❑Educational Facility ❑Retail ❑Religious Facility 1 hereby certify that 1 am the ❑ Owner, ❑Applicant, [;R Contractor, and authorized to sign this application and that the above information is correct and construction on, and the occupancy and the use of the above-described property will be in accordance with the laws, rules and regulation of the State of Washington, and the City of Arlington. The applicant will be responsible for providing a method of safely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is complete. e5ignetl via Seamless Docs.com Y Y Duff Brody 01-25-2023 ou�`y � Sign..................................ture Print Name Date FOR STAFF USE ONLY PERMIT# ACCEPTED BY: DATE STAMP kF%oi.zozz