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HomeMy WebLinkAbout19016 Crown Ridge Blvd_BLD4970_2022 Permit Packet Coversheet Community and Economic Development City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551 Page 1 of 1 Permit Number: Permit Type: Address/Parcel: Completed (Month/Year): Land Use ˆ Notice of Decision ˆ Staff Report ˆ Application ˆ Narrative ˆ Legal Description ˆ Vicinity Map ˆ Site Plan ˆ Landscape Plan ˆ Complete Streets Checklist ˆ Traffic Impact Analysis ˆ Snohomish County Traffic Mitigation Offer ˆ WSDOT Traffic Offer Form ˆ Tree Survey ˆ Stormwater Drainage Report ˆ Geotech Report ˆ Critical Area Evaluation Form ˆ SEPA Checklist ˆ Public Notice Material ˆ Noticing and Related Documents ˆ Water / Sewer Availability Certificate ˆ Unanticipated Discovery Plan Form ˆ Aerial Photo of Site ˆ Proposed Building Materials ˆ Lighting Plans and Lighting Cut Sheets ˆ Color Elevations ˆ Design Matrix ˆ Plat Map ˆ Title Report ˆ Lot Closures ˆ Preliminary Civil Plans ˆ Archaeological Survey o Confidential Documents. Contact the City to obtain. ˆ Topography (Existing Conditions) ˆ CC&R’s ˆ Deeds / Easements / Conveyances /Dedications ˆ Developer’s Agreement ˆ Recorded Copies ˆ Bonding or Assignment of Funds o Confidential Documents. Contact the City to obtain. ˆ Letters and Project Documents ˆ Other: Civil ˆ Issued Permit ˆ Application ˆ Other Applications ˆ Construction Calculation Worksheet ˆ Approved Plans ˆ Review Comment Form ˆ Letters and Project Documents ˆ Other Agency Permits ˆ Reports: o Drainage Report Pg: o Stormwater Pg: o Geotech Pg: o All Other Reports ˆ SEPA and Noticing Materials ˆ Inspections ˆ As-Builts ˆ Other: Building ˆ Issued Permit ˆ Application ˆ Additional Applications ˆ Approved Plans ˆ Site Plan ˆ Letters and Project Documents ˆ Calculations ˆ Project Specification Manuals ˆ Reports ˆ Certificate of Occupancy ˆ Inspections ˆ Other: BLD4970 Residential Re-Roof 19016 Crown Ridge Blvd October 2022 ✔ ✔ ✔ CITY OF ARLINGTON 18204 59th Avenue NE, Arlington, WA 98223 INSPECTIONS: 360-403-3417 - Permit Center: 360-403-3551 BUILDING PERMIT 19016 CROWN RIDGE BLVD Parcel #: 00898100009300 Permit #: 4970 PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Scope of Work: replacing 23 squares with asphalt shingles Valuation: 11106.00 OWNER APPLICANT CONTRACTOR BAKER PAUL A High Performance Homes High Performance Homes LLC 19016 CROWN RIDGE BLVD 4200 SE Columbia Way C 4200 SE Columbia Way, Suite C ARLINGTON, WA 98223-4008 Vancouver, WA 98661 Vancouver, WA 98661 3603355055 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: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. IBC110/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. Signature Print Name Date Released By 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 09/20/2022 Processing/Technology $25.00 09/20/2022Patricia Brody 9/21/2022 09/20/2022 Re-Roof Residential $75.00 09/20/2022 State Surcharge - 1st DU $6.50 Total Due:$106.50 Total Payment:$0.00 Balance Due:$106.50 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection, allow 48 hours for Fire Inspections When calling for an inspection please leave the following information: Permit Number, Type of Inspection being requested, and whether you prefer morning or afternoon INSPECTION INFORMATION Pass/Fail 19016 C rown Ridge Blvd Arlington WA 98223 replacing 23 squares with asphalt shingles 3603919121 11106 P aul Baker WA19016 C rown Ridge Blvd Arlilngton 98223 3603919121paul.a.baker@ gm ail.com asphalt ✔ ✔ duf f y@ hphemail.com 3603355055 4200 S E C olumbia Way C H igh P erf ormance H om es 3603355055 3603355055 WA duf f y@ hphemail.com 4200 S E C olumbia Way C H IGH P P H 876dn 04/08/23 98661Vancouver Vancouver WA 98661 D uf f y Brody 3603355055 ✔ 1 ✔ ✔ ✔ ✔ Patricia Brody 09/19/2022      #$ %&'(),$ -./01()23)4&56(-34(7*8899  :3;<4=.&>&?:B@C D&563<E()F> GHHIA!,# 1&J).6.&%)3K?L!, MH MMNN NNO+ K<22?P0Q0(4&.;R634!ST!U )(Q;&6.5/M7V<&)(7W.J0&7Q0&;J70.5/;(7X+Y!, III HR Y[ II !SB!9 I!, D%#^!Y M_(7.K(5J.&;`A!8 `99Y8 I Oa9 MI  M BY9 :b19c,8! 4()(7.&&W;.7KK)(77 (/&;(76).QJ.35 W5()&4( W5()1035( I IH:>f%D%g1hI  bJ3) 1).4&)?:35J&6J 1035( KK)(77 :35J)&6J3)?Q( .6(57(56(  :3;<4=.&>&?F<.J(::h::::357J)<6J.35:35J)&6J3)-f           !   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