HomeMy WebLinkAbout20506 LOIS LN_BLD1153_2026 �``' RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
lING�
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR A NEW SINGLE-FAMILY, DUPLEX, TOWNHOUSE,
ADDITION, DECK,OR ACCESSORY STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS
OF CONSTRUCTION DRAWINGS AND TWO(2)SETS OF STRUCTURAL CALCULATIONS. THE APPLICATION MUST
ALSO INCLUDE THE PLUMBING SUBMITTAL AND THE MECHANICAL SUBMITTAL FORMS. THE ZONING
VERIFICATION MAY BE SUBMITTED PRIOR.
Project Address: Ly Plat:
Single-family Duplex ❑ Townhouse Addition Ij Accessory structure
Proposed Area: 1 st Floor: 2"d Floor: Garage: Total SF:
Describe Proposal (include cross street):
Valuation:
Owner: arj� ; lrl'Y jy'R
Address: City: r "W �k - Stater Zip Code: d a-�
art _
Phone: `, .,� _ �� , " ����.{ Email: y0Y'��-�r �1 6 ,�,y� . �� �„ 1yru t�rI
Applicant:
Address: City: State: Zip Code:
Phone: Email.-
Contractor: l�
Address: City: State: Zip Code:
Phone: Email:
Contact Person: License Number: Expiration:
6/16LP Page 1 of 3
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
1 _ PHONE; (360) 403-3551
BUILDING PERMIT
Address:20506 Lois Lane Permit#:1153
Parcel#:00875500000700 Valuation:5000 00
OWNER APPLICANT CONTRACTOR
Name:ENGSTROM HARRY L Name:Harry L.Engstrom Name:Harry L.Engstrom
Address:20506 LOIS LANE Address:20506 Lois Lane Address:20506 Lois Lane
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-312-4005 Phone:425-312-4005
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Addition CODE YEAR: 2015
STORIES: 1 CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: OCC LOAD:
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 14AS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF CUPAN BEEN GRANTED. IBC110/IRC1l0.
ALES TAX GE:S 1 a ating to con tion and constr ma4crials in the City of Arlington must be reported on your sales tax return form
and code r in /,//
z t�
Sign Print ame Date Released By tc
CONDITIONS
See red-lined drawings. Adhere to approved plans.
HIS PERMIT AUTHORIZS 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
10/14/2016 Building Permit Fee $153.59
10/14/2016 Building Plan Review Fee $99,g3
10/14/2016 State Building Code Surcharge Fee $4.50
Total Due: S257.92
Total Payment: $0.00
Balance Due: $257.92
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
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CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:20506 Lois Lane Permit#:1153
Parcel#:00875500000700 Valuation:5000.00
OWNER APPLICANT CONTRACTOR
Name:ENGSTROM HARRY L Name:Harry L.Engstrom Name:Harry L.Engstrom
Address:20506 LOIS LANE Address:20506 Lois Lane Address:20506 Lois Lane
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-312-4005 Phone:425-312-4005
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB-DESCRIPTION
PERMIT TYPE: Residential Addition CODE YEAR: 2015
STORIES: 1 CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: OCC LOAD:
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 CUPAN' t�BEEN GRANTED. IBC 110/IRC 110.
SALES TAX CE•S ating to con •tion and cowqxfti ma erials in the City of Arlington must be reported on your sales tax return form
and code r in �n/�7/
Sign Print ame Date Released By 06te
CONDITIONS
See red-lined drawings. Adhere to approved plans.
HIS PERMIT AUTHORIZS 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
10/14/2016 Building Permit Fee $153.59
10/14/2016 Building Plan Review Fee $99.83
10/14/2016 State Building Code Surcharge Fee $4.50
Total Due: $257.92
Total Payment: $0.00
Balance Due: $257.92
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
i
i
,,.
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Permit Information
Date 9/19/2016
Permit Number 1153
Project Name Harry L.Engstrom
Applicant Name Harry L Engstrom
Applicant Address 20506 Lois Lane
City, State,Zip Arlington,WA 98223
Contact Harry L.Engstrom
Phone 425-312-4005
Email north lightmurals@gmail.com
Permit Type Residential Addition
Site Address 20506 Lois Lane
Valuation 5000.00
Status Applied
Permit Issued
Permit Expires
Square Feet 600
Type of Construction/Occupancy Load
Number of Stories 1
Proposed Use Carport addition
Assigned To Kristin Foster
Property Information Owner Information
Parcel#:00875500000700 ENGSTROM HARRY L
ENGSTROM HARRY L 20506 LOIS LANE
20506 LOIS LN ARLINGTON,WA 98223
Contractors
Contractor Name Primary Contact Phone Email Contractor Type License License#
Harry L. Engstrom Barry L. Engstrom 425-312-4005 lilorthlightmurals@gmail.com APPLICANT
Review
Date Type Description Target Date Completed Date I Assigned To I Status
19/19/2016 IlResidential Addition JKevin Olander 111n Review
Uploaded Files Upload File
Date File Uploaded B
9/19/2016 2:34733 PM 1153 Application pdf Foster,Kristin
9/19/2016 2:34732 PM 1153 Plans.pdf Foster,Kristin
9/1 91201 6 2:34:32 PM 11153 Site Plan.odf IFoster,Kristin �(
c' Y RES.DENTIAL PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR A NEW SINGLE-FAMILY, DUPLEX, TOWNHOUSE,
ADDITION, DECK,OR ACCESSORY STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS
OF CONSTRUCTION DRAWINGS AND TWO(2)SETS OF STRUCTURAL CALCULATIONS. THE APPLICATION MUST
ALSO INCLUDE THE PLUMBING SUBMITTAL AND THE MECHANICAL SUBMITTAL FORMS. THE ZONING
VERIFICATION MAY BE SUBMITTED PRIOR.
Project Address: Plat:
.❑ Single-family Duplex ❑ Townhouse Addition Accessory structure
Proposed Area: 111 Floor: 2"d Floor: Garage: Total SF:
Describe Pro osaI (include cross street):
veA rc r-e -- R V r w L�
Valuation:
Owner: "! A> !1
Address: f r" LDlI City: ' -�� ��`� - State: ! � Zip Code:
Phone: i���~ Email
Applicant:
Address: City: State: Zip Code:
Phone: Email:
Contractor:
Address: City: State: Zip Code:
Phone: Email:
Contact Person: License Number: Expiration:
1$L0 �153
6/16LP Page 1 of 3
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Mr. Richard Prouty
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f' Arlington,WA 98223
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RESIDENTIAL ZONING
+ VERIFICATION APPLICATION
Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
(Please allow 72 hours for review)
Project Address: Plat:
Owner/Applicant: hr P26-
Address: e'jw L..ly City: ArIl State:L'.v; Zip Code:
Phone: L1 � / Gbh Email:Ylortil �i,' � '':- i.. Y
Describe Proposal (include cro/s�s street):
cr /
Please check one: ❑ Single-family dwelling ❑ Duplex ❑ Addition Accessory structure
1. Proposed Dimensions: W) 1 L) I-I) Total SF) 4Ke 0 t
2. Allowed Lot Coverage: Total Lot Size SF x 35% = q5MO SF
3. Actual Lot Coverage: (SF of all structures') ?t-1�a = I (lot size) =0 %
4. Septic Tank? ❑Yes allo Private Well on Site? ❑Yes U No
If so,please provide Snohomish County Health Department approval and indicate on site plan.
5. How many trees greater than 12" diameter will be removed? if any, please indicate on site
plan.
6. Appliances permanently connected to water service may require Cross-Connection-Control.
(Check all that apply)
Fire Sprinkler System Li Medical Equipment
Lawn Sprinkler System �I Livestock Drinking Tanks
Decorative Pond/Fountain �I Hot Tub
Re-circulating Heating System - — I Swimming Pool
Other
Applicant Sig t re___�2: Date:
This square footag should incl de thIfootpi ea o 11 structures on the property including:house, arages, sheds, covered
patios, and decks ermitted the b
Rev 04/2013
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Permit#: 1153
Permit Date: 09/19/16
Permit Type: RESIDENTIAL ADDITION
Project Name: Harry L. Engstrom
Applicant Name: Harry L. Engstrom
Applicant Address: 20506 Lois Lane
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Harry L. Engstrom
Phone: 425-312-4005
Email: northlightmurals@gmail.com
Scope of Work: Carport addition
Valuation: 5000.00
Square Feet: 600
Number of Stories: 1
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 10/14/2016
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
00875500000700 20506 LOIS LN ENGSTROM 111 Single Family
HARRY L Residence-Detached
Contractors
Contractor Primary Contact Phone Address Contractor Type License License
Harry L.Engstrom Harry L.Engstrom 425-312-4005 20506 Lois Lane APPLICANT
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
R20.ACCESSORY
01/30/2017 STRUCTURE Approved
FINAL
Plan Reviews
Date Review Type Description Assigned To Review Status
09/19/2016 RESIDENTIAL ADDITION See red-lined drawings BUILDING
Fees
Fee Description Notes Amount
Building Permit Table 4-1 $153.59
Building Plan Review Table 4-2 $99.83
State Surcharge- 1st DU Residential- 1st Unit $4.50
Total $257.92
Attached Letters
Date Letter Description
10/14/2016 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
10/17/2016 Harry Engstrom Cash Kristin Foster $257.92
Outstanding Balance $0.00
Uploaded Files
Date File Name
10/17/2016 1896463-1153 Issued Permit.pdf
10/12/2016 1889816-1153 Revised Plans.pdf
09/19/2016 1849678-1153 Application.pdf
09/19/2016 1849676-1153 Site Plan.pdf
09/19/2016 1849677-1153 Plans.pdf