HomeMy WebLinkAbout20406 81st Dr Ne_BLD5730_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: BLD5730 Permit Type: Residential Re-Roof
Address/Parcel: 20406 81 st Dr Ne Completed (Month/Year): December 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
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CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS: 360403-3417-Permit Center: 360-403-3551
BUILDING PERMIT
20406 81ST DR NE� Permit#:5730
PERMIT EXPIRES 180 DAYS AFTER
Parcel#/:00825100002100 DATE OF ISSUANCE.
Scope of Work: Remove and replace existing roof Valuation: 15917.91
OWNER APPLICANT CONTRACTOR ':
KNUDSON BRIAN J Riverside Roofing LLC Riverside Roofing LLC
20406 81 ST DR N E 1242 State Ave STE I PMB228 1242 State Ave STE I PMB228
ARLINGTON,WA 98223 Marysville,WA 98270 Marysville,WA 98270
4254224480 4254224480
LIC:603559195 EXP:12/31/2024
1_IC:RIVFRRL842BS EXP:05/07/2024
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
t1C: EXP: LIC#: EXP:
_ JOB DESCRIPTION ...... . : .:.
PERMIT TYPE: RESIDENTIAL RE-ROOF CODE YEAR: 201 h
STORIES: 1 CONST.TYPE: VB
DWELLING UNITS: OCC GROUP: R-3;Residential
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 1,�S OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN
MADE AND APPRO A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.IBC IO/IRCI 10.
SALES TAX NO ICE es tax relating to construction and construction materials in the City of Arlington must be reported on
your sales tax re im fo and c ed City ofArl' #3101.
:'5'� 12/08/2023
pplicant Signature Date Ruildine Official Date
CONDITIONS
Adhere to approved plans.Call for inspection.
The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations.The
property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment
or community.The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant
authorities before commencing construction.The property owner shall ensure that the construction project complies with all
applicable design review requirements.
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 `' x ;
Date Description Fee Amount
12/09/2023 Processing/Technology $25.00
12/09/2023 Re-Roof Residential $75.00
12/09/2023 State Surcharge-1 st DU S6.50
Total Due: S106.50
Total Payment: $106.50
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
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RESIDENTIAL RE-ROOF PERMIT APPLICATION
Community and Economic Development
City of Arlington - 18204 59th Ave NE Arlington, WA 98223 • Phone (360) 403-3551
Property Address:
20406 81 st Dr NE
00825100002100 15917.91
Lot #: Parcel ID No.: Project Valuation:
Project Scope of Work: Remove and replace of existing roofing
Primary Contact: ❑ Owner ❑ Applicant ❑✓ Contractor
Owner Name: Brian J Knudson Office No.:
Email Address: julie@julieknudson.com Cell No.: 425-422-4480
Mailing Address: 20406 81 st Dr NE city: Arlington State: WA Zip: 98223
Applicant Name: Office No.:
Email Address: Cell No.:
Mailing Address: city: State: Zip:
Contractor Name: Riverside Roofing LLC Office No.. 425-949-8252
Email Address: ap@riversideroofingllc.com Cell No.:
Mailing Address:
1242 State Ave Ste I PMB 228 City: Marysville State: WA Zip: 98270
L&I Contractor License Number: RIVERRL842135 Expiration Date: 05/07/2024
RE-ROOF INFORMATION
Type of Roofing Material: Shingles Replacing existing sheathing: ❑Yes Q No
Number of Existing Layers: 2 Installation over existing material: ❑Yes 0 No
Roof tear off: ✓ Yes No
Class of
Class ElA - Highest Fire Rating 121 B - Moderate Fire Rating ElC - Light Fire Rating
Class Concrete, Clay, Roof Tiles, Fiberglass Pressured Treated Shakes and Untreated Wood Shakes and Shingles,
Examples: Asphalt Composition Shingles, Metal Shingles Plywood, Particleboard
Roofs
Provide additional information, as necessary:
l hereby certify that I am the ❑ Owner, ❑ Applicant, ❑✓ Contractor, and authorized to sign this application and that the
above information is c rect and construction on, and the occupancy and the use of the above-described property will be in
accordance with the 1 s, rules and regulation of the State of Washington, and the City of Arlington. The applicant will be
responsible for pro r g a method of safely accessing roof for inspection. A final inspection and approval shall be obtained when
the re-roofing is c m te.
Don Hafenscher 12/04/23
Signature Print Name Date