HomeMy WebLinkAbout6223 209th St Ne_BLD5611_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: BLD5611 Permit Type: Residential Re-Roof
Address/Parcel: 6223 209th St Ne Completed (Month/Year): February 2024
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
DwCITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551
BUILDING PERMIT
6223 209TH ST NE Permit#: 5611
PERMIT EXPIRES 180 DAYS AFTER
Parcel#: 01065400001100 DATE OF ISSUANCE.
Scope of Work:Remove and replace asphalt shingles"30.9SQ/3090SQFT Valuation:20500.00
OWNER APPLICANT CONTRACTOR
MARK VALLEY J Wales Home Solutions J Wales Home Solutions
6223 209TH ST NE 11470 112th Ave SE STE 100 6223 209th St NE
ARLINGTON,WA 98223 Bellevue,WA 98004 Bellevue,WA 98004
817-201-6907 8172016907
LIC:604 935 194 EXP:09/26/2024
LIC:JWALEWH782N2 EXP:08/29/2024
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL RE-ROOF CODE YEAR: 2018
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 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 110/IRC110.
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.
9/28/2023 �- � 09/27/2023
Applicant Signature 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
09/27/2023 Processing/Technology $25.00
09/27/2023 Re-Roof Residential $75.00
09/27/2023 State Surcharge-1st DU $6.50
Total Due: $106.50
Total Payment: $0.00
Balance Due: $106.50
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 I Pass/Fail
i
RE-ROOF PERMIT APPLICATION
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: 6223 209th Street Northeast Suite/Unit Number:
Lot#: 11 Parcel ID No.: 01065400001100 Project Valuation: 20 500.00
Project Scope of Work: Remove and replace asphalt shingles "30.9SQ/3090SQFT"
Primary Contact: ❑ Owner ❑ Applicant ® Contractor
Owner Name: Mark Valley Office No.:
Email Address: photomel224@gmail.com Cell No.: 4259031555
Mailing Address: 6223 209th Street Northeast City: Arlington State: WA Zip: 98223
Applicant Name: Brittany Sanders Office No.:
Email Address: PermitsOroofix.io Cell No.: 817-201-6907
Mailing Address: 1140 112th Ave. SE Suite 100 City: Bellevue State: WA Zip: 98004
Contractor Name: J Wales Home Solutions Office No.:
Email Address: Perm its(a)roofix.io Cell No.: 817-201-6907
Mailing Address: 6223 209th Street Northeast City: Bellevue State: WA Zip: 98004
L&I Contractor License Number: 604 935 194 Expiration Date:
Type of Roofing Material: Asphalt shingle Replacing existing sheathing: ❑Yes ®No
Number of Existing Layers: 1 Installation over existing material: ❑Yes ®No
Roof tear off: ®Yes ❑No
Class of Roofing: ®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, ❑ 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.
8r" S&Kl)er;- Brittany Sanders 9/26/2023
Signature Print Name Date
FOR STAFF USE ONLY
PERMIT# ACCEPTED BY: DATE STAMP
REV01.2022