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Home My WebLink About17706 31ST DR NE_BLD1103_2026 CITY OF Marysville / NASHINGTON Memorandum TO: Christopher Young-Director/Building Official Marc Hayes-Permit Center FROM: Shane Freeman Pretreatment Tech SUBJECT: Project No. AU16-0026 House Demolition DATE: August 2nd, 2016 In response to review of the above project: 1. No comment Any question regarding these comments should be directed to Shane Freeman at 360-363- 8128 sfreeman&marysvillewa.gov DEMOLITION PERMIT APPLICATION Department of Community& Economic Development City of Arlington •.18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS/DEMOLITION NOTIFICATION FROM PUGET SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT (if applicable)COMPLETED BY AN APPROVED AGENCY. Type of Permit:(check one) f Residential ❑ Commercial ❑ Industrial Project Address: �r `�' �ti I4 ��' �� Parcel ID#: Lot#: Subdivision: Valuation Building Area(Sq Ft) ,-�� No of floors: J Number of Buildings: Owner: Q �J��S �� Phone Number:�� J 11 = Address: City: State: Zip Code: Contact Person: Phone Number: Cell Phone: E-mail: Address: ' 1 City: State: Zip Code: Contractor: ✓��(D(�_,[7 T � Phone Number l �Z 1-0 Address: ) Q 13 I ��Q � �� City: �' State: yA'24- Zip Code: Contractor's License Number: Expiration: Scope of Work: I hereby ify that in is correct and that the construction on,and the occupancy and the use of the above- ccdescrib pro i I i ordance with the laws, rules and regulations of the St at f Washington. Applicants Si nature ate Print Applicants Name FOR STAFF USE ONLY Recelvea AUG 01 2016 Permit# Accepted By Amount Received Receipt# Date Received ' CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:17706 31st Drive NE Permit#:1103 Parcel#:00621300002500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:RICHARDS DEAN J Name:Hansen and Hansen Construction Name:HANSEN&HANSEN CONSTRUCTION Address:UNKNOWN Address:10 131 Moran Road Address: 10131 MORAN RD City,State Zip:UNKNOWN,WA City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:425-210-5792 Phone:360-435-5405 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Demolition CODE YEAR: STORIES: CONST.TYPE: DWELLING UNITS: ] 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 CO _ T'INSURANCE AND RCW 18.27. THIS APPLI ' ON IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. I ?A ' LAWFUL TO USE OR OC U A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR LA OF OCCUPAN S BEEN GRANTED. IBC 110/IRC 110. S' N TI . ,: s t ting to coast construction materials in the City of Arlington must be reported on your sales tax return form and c lingt # g"3 Signature Print Name Date Released By Date CONDITIONS Disconnection of water service is required prior to excavation. Approved per Submittal. THIS 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 8/3/2016 Demolition Fee $100.00 8/3/2016 State Building Code Surcharge Fee $4.50 Total Due: $104.50 Total Payment: $0 00 Balance Due: $104.50 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 CITY OF MARYSVILLE PUBLIC WORKS DEPARTMENT 80 Columbia Ave. Marysville,WA 98270 360-363-8100 CITY OF ARLINGTON REQUEST FOR REVIEW The City of Marysville Public Works is reviewing this application for the City of Arlington. Your comments will assist the City's evaluation and are sincerely appreciated. Please review and respond with either an APPROVED, APPROVED W/CONDITIONS, DISAPPROVED or NO COMMENT status in the subject line of your Review Memo via email to Contact listed below. Responding Agency: CITY OF MARYSVILLE Project No. AU16-0026 Review Staff: Jeff Cobb, Shane Freeman, Karen Latimer, Kim Daggett, Tim King_Brad Zahnow, Julie Davis and Kari Chennault, Derr l Taylor Project Name: SFR FIRE DAMAGE DEMOLITION Applicant: CITY OF ARLINGTON Proposal: TOTAL LOSS HOME DEMOLITION Location: 17706 31 ST DR NE Tax#: Date Sent: 8/2/16 Please return this request by: 8/2/16 No response by return date will result as "No comments/recommendations" For further questions contact: Katrina Newport or Bianca Korkeakowski Please return this form and your comments. Attachments may be discarded. Responding Agency's Signature: Date: Comments/Recommendation: DEMOLITION PERMIT APPLICATION Department of Community& Economic Development City of Arlington •.18204 59th Ave NE•Arlington,WA 98223• Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS/DEMOLITION NOTIFICATION FROM PUGET SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT (if applicable)COMPLETED BY AN APPROVED AGENCY. Type of Permit:(check one)f pI "-Residential ❑ commercial ❑ Industrial Project Address: `�' 12 4 , , " " Vim~ Parcel ID#: Lot P Subdivision: Valuation: Building Area(Sci FQ Z No of floors: Number of Buildings: rBAOwner: Phone Number: Address: City: State: Zip Code: Contact Person: Phone Number: Cell Phone: E-mail: Address: City: State: Zip Code: h Contractor: 1)5�✓ > � �_ h`�C , Phone Number. I Address: ) � f I � 1 � � City:��' .�.,-State: Zip code:J�.s�..__._....� Contractor's License Number: Expiration: Scope of Work: I hereby ftifytt that 'Q information is correct and that the construction on,and the occupancy and the use of the above- describ Zro Tt wl I `i 'accordance with the laws, rules and regulations of the Stat Of Washington. A Z Applicants Si nature ate Print Applicants Name FOR STAFF USE ONLY Mi e lve AUG 01 70116 Permit# Accepted By Amount Received Receipt# Date Received Katrina Newport From: Arlington <wo@iworq.net> Sent: Monday, August 01, 2016 4:09 PM To: Katrina Newport; Bianca Korkeakoski Subject: Arlington Permit# 1103 Click Here to open the permit. Permit Information Date 8/1/2016 Permit Number 1103 Project Name Page and Dennis Richardson Applicant Name Hansen and Hansen Construction Applicant Address 10131 Moran Road City,State,Zip Arlington,WA 98223 Contact Ron Hansen Phone 425-210-5792 Email Permit Type Demolition Site Address 17706 31st Drive NE Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Demo/clean up fire damaged home Assigned To Kristin Foster Contractors Contractor Type Primary Contact Phone HANSEN&HANSEN CONSTRUCTION CONTRACTOR RON HANSEN 360-435-5405 Property Information Owner Information Parcel#:00621300002500 RICHARDS DEAN J RICHARDS DEAN J UNKNOWN 17706 31ST DR NE UNKNOWN,WA Fees Fee Description Amount Demolition Fee 322.10.00.00 $100.00 State Building Code Surcharge Fee 386.00.01.00 $4.50 Total $104.50 Uploaded files [Upload File] Date File 8/1/2016 4:04:41 PM 1103 Application.pdf 1 City of Public • Operations Memo To: Christopher Young, Director/Building Official From: Kim Bryant, Utility Maintenance Lead II Tim King, Utility Construction Lead II Date: August 2, 2016 Re: SRF Fire Damage Demo, AU16-0026 Public Works Operations has reviewed the SRF Fire damage demo submittal and has the following comments. 1. No comment If the applicant has any questions about these comments I can be contacted at (360) 363-8163 or kbryant(a-)_marysvillewa.gov. CITY OF MARYSVILLE PUBLIC WORKS DEPARTMENT 80 Columbia Ave. Marysville,WA 98270 360-363-8100 CITY OF ARLINGTON REQUEST FOR REVIEW The City of Marysville Public Works is reviewing this application for the City of Arlington. Your comments will assist the City's evaluation and are sincerely appreciated. Please review and respond with either an APPROVED, APPROVED W/CONDITIONS, DISAPPROVED or NO COMMENT status in the subject line of your Review Memo via email to Contact listed below. Responding Agency: CITY OF MARYSVILLE Project No. AU16-0026 Review Staff: Jeff Cobb Shane Freeman Karen Latimer, Kim Daggett, Tim King Brad Zahnow, Julie Davis and Kari Chennault, Deryl Taylor Project Name: SFR FIRE DAMAGE DEMOLITION Applicant: CITY OF ARLINGTON Proposal: TOTAL TOSS HOME DEMOLITION Location: 17706 31 sT DR NE Tax#: Date Sent: 8/2/16 Please return this request by: 8/2/16 No response by return date will result as "No comments/recommendations" For further questions contact: Katrina Newport or Bianca Korkeakowski Please return this form and your comments. Attachments may be discarded. Responding Agency's Signature: Date: Comments/Recommendation: PL&_ 01V 5dT4 6 Page 1 of 1 I 1 �~ 17727 �� 3132 17730 17721 3200 `• 17726 r/" 3214 ff �\ ■ 17717 f r f� 17718 i' 17722 ` 17711 17714 ■ 3207 17706 ■ 17703 \ 3203 � p io 17628 ■ 17621 3133 17620 3127 17612 ■ a7 t 17603 3132 3204 17604 August 2,2016 1:1,613 0 0.0125 0.025 0.05 mi Sewer Clean outs 0 UNKNOWN Water Storage Facilities i I i� Sewer LiftStatians A Water Sampling Sites ■ Water tAkers 0 0.02 0.04 0.08 km Se•wer Msnhcliss A Water Hydrants Water Lines-Main Sewer Lines ♦ WaterAirvacs — NO Water Valims-Main ♦ Water 8lowofts — YES OPEN . 'Piste<FRVs -- '.Water Lines-4:thar CLOSED ■ t^istw Pump Stations Site addresses TrE CITY OF)Ak-.f3V*LE 05V-A1.1S ANY'A'A RRAWY OF OR'A'A=ANTYOFFT�ESS OFTr.:s DATA FOR&%Y PAT:CLL4R PLRPOa=.ErrIEREX-R—MEDOR'A`_-"i;D. http://mvgis2/arcgis/rest/directories/arcgisoutput/Utilities/PrintingTools_GPServer/ ags_3a... 8/2/2016 Property Scan Page 1 of 1 PTAN u m ber: 00621300002500 Note: Dia rams ma not be drawn to scale - Is' weds F�xw•rT 31 ,�,�r�S' Via ` OW,QB http://dave.snohd.org/PropertyScan.aspx?path=/006213/&id=O0621300002500-1.png 8/2/2016 Katrina Newport From: Julie Davis Sent: Tuesday, August 02, 2016 4:16 PM To: Katrina Newport Subject: RE: AU16-0026 - IMMEDIATE REVIEW NECESSARY Approved with no comments. Julie Davis City of Marysville C.C.S. Jdavis@marysvillewa.gov 360-363-8141 From: Katrina Newport Sent:Tuesday, August 02, 2016 8:24 AM To: Bianca Korkeakoski<BKorl<eal<osl<i@marysvillewa.gov>; Brad Zahnow<BZahnow@marysvillewa.gov>; Deryl Taylor <DTaylor@marysvillewa.gov>;Jeff Cobb<JCobb@marysvillewa.gov>; John Dorcas<JDorcas@marysvillewa.gov>; Julie Davis<jdavis@marysvillewa.gov>; Karen Latimer<I<latimer@marysvillewa.gov>; Kari Chennault <I<chennault@marysvillewa.gov>; Kim Bryant<KBryant@marysvillewa.gov>; Liz Kehler<Ikehler@marysvillewa.gov>; Shane Freeman <SFreeman@marysvillewa.gov>; Tim King <timking@marysvillewa.gov> Subject:AU16-0026- IMMEDIATE REVIEW NECESSARY Importance: High All, This is a total loss fire damage of a Single Family Home. The site is hazardous and Arlington needs their review ASAP. Please have your comments to me today. Thank you! Katrina Newport Program Specialist 80 Columbia Avenue Marysville, WA 98270 (360) 363-8201 Office (360) 651-5099 Fax knew.port(iD,Mg ysvillewa.gov r Kristin Foster From: Katrina Newport <knewport@marysvillewa.gov> Sent: Wednesday, August 03, 2016 10:16 AM To: Kristin Foster Subject: RE: Arlington Permit# 1103 Attachments: AU16-0026-WWTP MEMO.docx Kristin, Actually, since we received the other application to rebuild the home Deryl just commented to leave the meter in place to use with the new home. Also, we had a late no comment memo that I've attached. Katrina Newport Program Specialist 80 Columbia Avenue Marysville, WA 98270 (360) 363-8201 Office (360) 651-5099 Fax knewport@marysvillewa.gov From: Kristin Foster [mailto:kfoster@arlingtonwa.gov] Sent:Wednesday, August 03, 2016 10:12 AM To: Katrina Newport<knewport@marysvillewa.gov> Subject: RE: Arlington Permit# 1103 Thank you so much for the quick response. Does the contractor need to contact the water department to have the meter pulled? Thanks Kristin Fo ste r PermitTechnician Community &Economic Development 360 403 3549 kfoster(d�irlinatonwa.aov 1 FINALIST The Arlington/Darrington community has been selected as a finalist in the nationwide America's Best Communities competition. Read more here,and like our ABC Facebook page From: Katrina Newport [mailto:knewport@marysvillewa.gov] Sent:Wednesday, August 03, 2016 9:10 AM To: Kristin Foster<kfoster@arlingtonwa.gov>; Bianca Korkeakoski <BKorkeakoski@marysvillewa.gov> Subject: RE: Arlington Permit# 1103 We have completed our review for this demolition. Attached are our review comments. Katrina Newport Program Specialist 80 Columbia Avenue Marysville, WA 98270 (360) 363-8201 Office (360) 651-5099 Fax knewportkmarysvillewa.gov From:Arlington [mailto:wo@iworg.net] Sent: Monday, August 01, 2016 4:09 PM To: Katrina Newport<knewport@marysvillewa.gov>; Bianca Korkeakoski <BKorkeakoski@marysvillewa.gov> Subject:Arlington Permit# 1103 Click Here to open the permit. Permit Information Date 8/1/2016 Permit Number 1103 Project Name Page and Dennis Richardson Applicant Name Hansen and Hansen Construction Applicant Address 10131 Moran Road City,State,Zip Arlington,WA 98223 Contact Ron Hansen Phone 425-210-5792 Email Permit Type Demolition Site Address 17706 31st Drive NE Valuation 0.00 Status Applied 2 Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Demo/clean up fire damaged home Assigned To Kristin Foster Contractors Contractor Type Primary Contact Phone HANSEN&HANSEN CONSTRUCTION CONTRACTOR RON HANSEN 360-435-5405 Property Information Owner Information Parcel#:00621300002500 RICHARDS DEAN J RICHARDS DEAN J UNKNOWN 17706 31ST DR NE UNKNOWN,WA Fees Fee Description Amount Demolition Fee 322.10.00.00 $100.00 State Building Code Surcharge Fee 386.00.01.00 $4.50 Total $104.50 Uploaded Files [Upload File] Date File 8/1/2016 4:04:41 PM 1103 Application.pdf 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 12 PHONE; (360) 403-3551 BUILDING PERMIT Address:17706 31st Drive NE Permit#•1103 Parcel#:00621300002500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:RICHARDS DEAN J Name:Hansen and Hansen Construction Name:HANSEN&HANSEN CONSTRUCTION Address:UNKNOWN Address:10131 Moran Road Address: 10131 MORAN RD City,State Zip:UNKNOWN,WA City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:425-210-5792 Phone:360-435-5405 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Demolition CODE YEAR: STORIES: CONST.TYPE: DWELLING UNITS: I 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 CON4PENS7MON INSURANCE AND RCW 18.27. THIS APPLI fON IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. i IT IS LAWFUL TO USE OR O ''Uf A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A TIFICATE OF OCCUPAN S BEEN GRANTED. IBC 110/IRC 110. ALES N TI . , s t ting to cons tnd construction materials in the City of Arlington must be ed on your sales tax return form and c lingt # fi?14v1& Signature Print Name Date Rcleascd By f fDate CONDITIONS Disconnection of water service is required prior to excavation. Approved per Submittal. THIS 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 8/3/2016 Demolition Fee $100.00 8/3/2016 State Building Code Surcharge Fee $4.50 Total Due: $104.50 Total Payment: $0.00 Balance Due: $104.50 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following informati, Permit Number,Type of Inspection being requested,and whether you prefer mor r 1 r Permit Information Date 8/1/2016 Permit Number 1103 Project Name Page and Dennis Richardson Applicant Name Hansen and Hansen Construction Applicant Address 10131 Moran Road City,State,Zip Arlington,WA 98223 Contact Ron Hansen Phone 425-210-5792 Email Permit Type Demolition Site Address 17706 31 st Drive NE Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Demo/clean up fire damaged home Assigned To Kristin Foster Property Information Owner Information Parcel#:00621300002500 RICHARDS DEAN J RICHARDS DEAN J UNKNOWN 17706 31 ST DR NE UNKNOWN,WA Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# (HANSEN&HANSEN CONSTRUCTION IRON HANSEN 360-435-5405 -,ONTRACTOR (Labor&Industries IHANSEHCI89KM Review Date Type Description I Target Date Completed Date Assigned To Status 3/1/2016 Demolition 8/8/2016 1(evin Olander Iln Review Fees Fee Description Notes Amount Demolition Feel 322.10.00.Oq 1$100.0 State Building Code Surcharge Feel 386.00.01.0 $4 5 Totall $104.51 Uploaded Files up 10ad File Date File 8/3/2016 10:20:05 AM 1103 Marysville Comments pdf 8/3/2016 10:20:05 AM 1033 Ma sville Additonal Comments.pdf 8/3/2016 10:20 04 AM 1103 Marysville Email pdf 8/1/2016 4:04:41 PM 1103 Application.pdf DEMOLITION v PERMIT APPLICATION Department of Community&Economic Development City of Arlington •.18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS/DEMOLITION NOTIFICATION FROM PUGET SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT (if applicable)COMPLETED BYAN APPROVED AGENCY. Type of Permit:(check one)(, Residential I❑ commercial ❑ Industrial Project Address: I J �' ` `� = Parcel ID#: Lot#: Subdivision: Valuation: Building Area(Sq Ft) , ZC o No of floors: Number of Buildings: 1 Owner: �C`(11r1�S \�'( � Phone Number:�� Address: City: State: Zip Code: Contact Person: Phone Number: Cell Phone: E-mail: Address: City: State: Zip Code: Contractor: ` Q1J5�1 non ^ ;nnr�''�}r; Phone Number: Z� Address: ) 013 1 wb" Q� P, ��' JA4 9 �S City: State: Zip Code: Contractor's License Number: Expiration: Scope of Work: I hereby ify that information is correct and that the construction on,and the occupancy and the use of the above- describ pro r I i ' ccordance with the laws, rules and regulations of the St at f Washington Applicants Si nature ate Print Applicants Name FOR STAFF USE ONLY Recelvea AUG 01 2016 Permit# Accepted By Amount Received Receipt# Date Received _ ` x L � � � :�� Y ti :� i� i ��t: 8/1/2016 HANSEN&HANSEN CONST INC Search L&I Safloy K Health Cl=a;w, rkplace Rid«is Tr�AGes Licensing Washington State Department of " Labor & Industries HANSEN & HANSEN CONST INC Owner or tradesperson 10131 MORAN RD Principals ARLINGTON,WA 98223 HANSEN, RONALD A 360-435-5405 SNOHOMISH County HANSEN, HERBERT B HANSEN,TAMARA L HANSEN,JENNIFER J Doing business as HANSEN&HANSEN CONST INC WA UBI No. Business type 600 435 389 Corporation Governing persons HERBERT B HANSEN JENNIFER HANSEN; RONALD A HANSEN; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. HANSEHC189KM Effective—expiration 05/14/1982—05/03/2018 Bond CBIC $12,000.00 Bond account no. SC4341 Received by L&I Effective date 05/01/2002 05/01/2002 Expiration date Until Canceled Insurance Western Pacific Mutual Ins Co $2,000,000.00 Policy no. WPGL4600013215 Received by L&I Effective date 11/12/2015 12/13/2015 Expiration date 12/13/2016 https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=600435389&LIC=HANSEHC 189KM&SAW= 1/2 i 8/1/2016 HANSEN&HANSEN CONST INC Insurance history Savings .................... (in lieu of bond) $6,000.00 Received by L&I Effective date 04/20/1993 Release date Impaired date N/A N/A Savings account ID 08630001487 Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 879,009-00 Doing business as HANSEN&HANSEN CONSTRUCTION I Estimated workers reported Quarter 1 of Year 2016"1 to 3 Workers" L&I account representative TO I KRISTI LINN(360)902-0620-Email:LINB235@ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Washington State Dept,of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://secure.ini.wa.govtverify/Detail.aspx?UBI=600435389&LIC=HANSEHC189KM&SAW= 2/2 CITY OF MARYSVILLE PUBLIC WORKS DEPARTMENT 80 Columbia Ave, Marysville,WA 98270 360-363-8100 CITY OF ARLINGTON REQUEST FOR REVIEW The City of Marysville Public Works is reviewing this application for the City of Arlington. Your comments will assist the City's evaluation and are sincerely appreciated. Please review and respond with either an APPROVED, APPROVED W/CONDITIONS, DISAPPROVED or NO COMMENT status in the subject line of your Review Memo via email to Contact listed below. Responding Agency: CITY OF MARYSVILLE Project No. AU16-0026 I� Review Staff. Jeff Cobb, Shane Freeman, Karen Latimer, Kim Daggett,Tim King, Brad Zahnow, Julie Davis and Kari Chennault,Deryl Taylor Project Name: SFR FIRE DAMAGE DEMOLITION Applicant: CITY OF ARLINGTON Proposal: TOTAL LOSS HOME DEMOLITION Location: 17706 31 ST DR NE Tax#: Date Sent: 8/2/16 Please return this request by: 8/2/16 No response by return date will result as "No comments/recommendations" For further questions contact: Katrina Newport or Bianca Korkeakowski Please return this form and,your comments. Attachments may be discarded. Responding Agency's Signature: Date: Comments/Recommendation: DEMOLITION PERMIT APPLICATION Department of Community&Economic Development City of Arlington e.18204 59th Ave NE•Arlington,WA 98223• Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS/DEMOLITION NOTIFICATION FROM PUGET SOUND CLEAN AIR AGENCY,TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT (if applicable)COMPLETED BY AN APPROVED AGENCY. Type of Penult:(check one) Residential ❑ Commercial ❑ Industrial Project Address: l `lh�' i v Parcel ID#: Lot#: — Subdivision: Valuation: Building Area(Sq Ft) � Z�(�)0 . No -of Floors: Number of Buildings: —� Owner: -��t'\�S \` VIZ �12 � Phone Number:-4� -' _22.2� Address: City: _ State: Zip Code: Contact Person: Phone Number: Cell Phone: E-mail: Address: City: State:. Zip Code: T 7 Contractor; �,�5�✓7 (�>,zS4✓� Cn l"TZ� IC.- Phone Number: ( ,2 � S 1 9 . Address: d I �D �� city:��)r ' State: SJ,� Zip Code: )�/. 2 -�� Contractors License Number: Expiration: Scope of Work: I hereby i(t fy that v.'mfomiatron is correct and that the construction on and the occupancy and the use of the above- p Y describ pro .v41 I i 'accordance with the laws,rules and regulations of the 817 f Washington. Applicants S nature ate Print Applicants Name FOR STAFF USE ONLY 1 • •'IVea 6 __ AUG Ol 2,16 Permit Accepted By Amount Received Receipt# Date Received Katrina Newport From: Arlington <wo@iworq.net> Sent: Monday, August 01, 2016 4:09 PM To: Katrina Newport; Bianca Korkeakoski Subject: Arlington Permit#1103 Click Here to open the permit. Permluhformation Date 8/1/2016 Permit Number 1103 Project Name Page and Dennis Richardson Applicant Name Hansen and Hansen Construction Applicant Address 10131 Moran Road City,State,Zip Arlington,WA 98223 Contact Ron Hansen Phone 425-210-5792 Email Permit Type Demolltion Site Address 17706 31st Drive NE Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Demo/clean up fire damaged home Assigned To Kristin Foster Contt'actors .,,Con.tractor Type Primary Contact Phone HANSEN&HANSEN CONSTRUCTION CONTRACTOR RON HANSEN 360-435-5405 Property 111formation Owner Information Parcel#:00621300002500 RICHARDS DEAN J RICHARDS DEAN J UNKNOWN 17706 31 ST DR NE UNKNOWN,WA Fees Fee Description Amount Demolition Fee 322.10.00.00 $1 0(7.°JO State Building Code Surcharge Fee 386.00.01.00 $4.50 Total $104.60 Uploaded Files [Upload File] File —8/1/2016 4:04:41 PM 1103 Aplira?on�<I 3 1 i OperationsCity of Marysville Public Works Memo To: Christopher Young, Director/Building Official From: Kim Bryant, Utility Maintenance Lead II Tim King, Utility Construction Lead II Date: August 2, 2016 Re: SRF Fire Damage Demo, AU16-0026 Public Works Operations has reviewed the SRF Fire damage demo submittal and has the following comments. 1. No comment If the applicant has any questions about these comments I can be contacted at (360) 363-8163 or kbryant(c�marysvillewa.gov. CITY OF MARYSVILLE PUBLIC WORKS DEPARTMENT 80 Columbia Ave. Marysville,WA 98270 360-363-8100 CITY OF ARLINGTON REQUEST FOR REVIEW The City of Marysville Public Works is reviewing this application for the City of Arlington. Your comments will assist the City's evaluation and are sincerely appreciated. Please review and respond with either an APPROVED, APPROVED W/CONDITIONS, DISAPPROVED or NO COMMENT status in the subject line of your Review Memo via email to Contact listed below. Responding Agency: CITY OF MARYSVILLE Project No. AU16-0026 Review Staff: Jeff Cobb, Shane Freeman, Karen Latimer,Kim Daggett,Tim King, Brad Zahnow, Julie Davis and Kari Chennault, Deryl Taylor Project Name: SFR FIRE DAMAGE DEMOLITION Applicant: CITY OF ARLINGTON Proposal: TOTAL LOSS HOME DEMOLITION Location: 17706 31sT DRNE Tax#: Date Sent: 8/2/16 Please return this request by: 8/2/16 No response by return date will result as "No comments/recommendations" For further questions contact: Katrina Newport or Bianca Korkeakowski Please return this form and your comments. Attachments may be discarded. Responding Agency's Signature: n Date: Comments/Recommendation: 6) Mts\' l w& f L1l l a,&tev.. 0 o t\� s U Page 1 of 1 17727 3132 17730 i ■ i■ � 17721 3200 17726 r-, 3214 �l 17717 /J 17718 ■ 17722 17711 17714 � 9207 I 17706 ■ 17703 3203 y� A eD 17628 17621 3133 17820 G 3127 17612 ■ r 17603 3132 3204 17604 ♦ co 1_ T August 2,2016 1:1,613 _ 0 0.0125 0025 0.05 mi Sewer Cleanatds • UNKNOWN Water Storage Fad ides 1-1 1 1 11 i 0, Sewn Litt stations A Water Sampling Saes ■ Water Meters 0 0.02 0.04 0.08 km Seaver Manholes ♦ 'Plater Hydrants Water Lines-Main Sewer Lines ♦ Water Akvats — NO Water Valves-Main ♦ Water Blowofft —' YES • OPEN ■ Water PRVs Water Lines-Other CLOSED Water Pump Stations Site addresses 7F•E CrrY0FJA4RYSVa.LE DSMAILS ANY WAMANrY OFMMClANrAnILrrY 0RVM1RAtM0PWr4ES3 OPTMS DATA FORAWPARr7M"R?UnPWE.EM-ERFJ FWMEDORaNRLED. http://mvgis2/arcgis/rest/directories/arcgisoutput/Utilities/PrintingTools_GPServer/ ags_3a... 8/2/2016 CITY OF Marysville WASHING70N Memorandum TO: Christopher Young-Director/Building Official Marc Hayes-Permit Center FROM: Shane Freeman Pretreatment Tech SUBJECT: Project No. AU16-0026 House Demolition DATE: August 2°d, 2016 In response to review of the above project: 1. No comment Any question regarding these comments should be directed to Shane Freeman at 360-363- 8128 sfreeman,c narvsvillewa.gov i I Kristin Foster From: Katrina Newport <knewport@marysvillewa.gov> Sent: Wednesday, August 03, 2016 10:16 AM To: Kristin Foster Subject: RE:Arlington Permit# 1103 Attachments: AU16-0026-WWTP MEMO.docx Kristin, Actually, since we received the other application to rebuild the home Deryl just commented to leave the meter in place to use with the new home. Also, we had a late no comment memo that I've attached. Katrina Newport Program Specialist 80 Columbia Avenue Marysville, WA 98270 (360) 363-8201 Office (360) 651-5099 Fax knewport@marysvillewa.gov From: Kristin Foster [mailto:kfoster@arlingtonwa.gov] Sent:Wednesday,August 03, 2016 10:12 AM To: Katrina Newport<knewport@marysvillewa.gov> Subject: RE:Arlington Permit# 1103 Thank you so much for the quick response. Does the contractor need to contact the water department to have the meter pulled? Thanks Kristin Foster Permit Technician Community& Economic Development 360 403 3549 kfoster@arlinatonwa.gov onwa.gov 1 FINALIST The Arlington/Darrington community has been selected as a finalist in the nationwide America's Best Communities competition. Read more here,and like our ABC.Facebookpa,ge From: Katrina Newport [mailto:knewport ma svillewa.Rov] Sent:Wednesday,August 03,2016 9:10 AM To: Kristin Foster<kfoster@arlingtonwa.gov>; Bianca Korkeakoski<BKorkeakoski@marysville_w_a__.gov> Subject: RE: Arlington Permit# 1103 We have completed our review for this demolition. Attached are our review comments. Katrina Newport Program Specialist 80 Columbia Avenue Marysville, WA 98270 (360) 363-8201 Office (360) 651-5099 Fax knewport@marysvi l lewa.gov From:Arlington [mailto:wo@iworcl.net] Sent: Monday,August 01, 2016 4:09 PM To: Katrina Newport<knewport@marysvillewa.gov>; Bianca Korkeakoski<BKorkeakoski@marysvillewa.gov> Subject:Arlington Permit# 1103 Click Here to open the permit. Permit Information Date 8/1/2016 Permit Number 1103 Project Name Page and Dennis Richardson Applicant Name Hansen and Hansen Construction Applicant Address 10131 Moran Road City,State,Zip Arlington,WA 98223 Contact Ron Hansen Phone 425-210-5792 Email Permit Type Demolition Site Address 17706 31 st Drive NE Valuation 0.00 Status Applied 2 Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Demo/clean up fire damaged home Assigned To Kristin Foster Contractors Contractor Type Primary Contact Phone HANSEN&HANSEN CONSTRUCTION CONTRACTOR RON HANSEN 360-435-5405 Property Information Owner Information Parcel;00621300002500 RICHARDS DEAN J RICHARDS DEAN J UNKNOWN 17706 31ST DR NE UNKNOWN,WA Fees Fee Description Amount Demolition Fee 322,10.00.00 $100.00 State Building Code Surcharge Fee 386.00.01.00 $4.50 Total $104.50 Uploaded Files [Upload File] Date File 8/1/2016 4:04:41 PM 1103 Apolica on. df 3 I Property Scan Page 1 of 1 PTANumber: 00621300002500 Note:: Diagrams may not be drawn to scale II wide F,�xw•>T ,f/f7�1� ♦�rv Yz WAIAI;i zz �,g/,� • �- - - - - a p1w ii/ - 90 8 ago 9� http://dave.snohd.org/PropertyScan,aspx?path=/006213/&id=00621300002500-1.png 8/2/2016 Katrina Newport From: Julie Davis Sent: Tuesday, August 02, 2016 4:16 PM To: Katrina Newport Subject: RE: AU16-0026- IMMEDIATE REVIEW NECESSARY Approved with no comments. Julie Davis City of Marysville C.C.S. Jdavis@marysvillewa.gov 360-363-8141 From: Katrina Newport Sent:Tuesday, August 02, 2016 8:24 AM To: Bianca Korkeakoski<BKorkealcoski@marysvillewa.gov>; Brad Zahnow<BZahnow@marysvillewa.gov>; Deryl Taylor <DTaylor@marysvillewa.gov>;Jeff Cobb<JCobb@marysvillewa.gov>;John Dorcas <JDorcas@marysvillewa.gov>;Julie Davis<jdavis@marysvillewa.gov>; Karen Latimer<klatimer@marysvillewa.gov>; Kari Chennault <kchennault@marysvillewa.gov>; Kim Bryant<KBryant@marysvillewa.gov>; Liz Kehler<Ikehler@marysvillewa,gov>; Shane Freeman<SFreeman@marysvillewa.gov>;Tim King<timking@marysvillewa.gov> Subject:AU16-0026- IMMEDIATE REVIEW NECESSARY Importance: High All, i This is a total loss fire damage of a Single Family Home. The site is hazardous and Arlington needs their review ASAP. Please have your comments to me today. Thank you! Katrina Newport Program Specialist 80 Columbia Avenue Marysville, WA 98270 (360) 363-8201 Office (360) 651-5099 Fax knew oit marysvillewa.goy L Date: 03/11/2026 Permit#: 1103 Permit Date: 08/01/2016 Review Date: 08/01/2016 Permit Type: DEMOLITION Review Type: DEMOLITION Target Date: 08/08/2016 Scheduled Time: 00:00 Completed Date: 08/03/2016 Description: Disconnect water service prior to excavation. Review Status: Assigned To: BUILDING Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 00621300002500 RICHARDS DEAN J RICHARDS DEAN J UNKNOWN 17706 31 ST DR NE UNKNOWN, WA Zoning: I I I Single Family Residence - DetachedLot: Block: Permit#: 1103 Permit Date: 08/01/16 Permit Type: DEMOLITION Project Name: Page and Dennis Richardson Applicant Name: Hansen and Hansen Construction Applicant Address: 10131 Moran Road Applicant, City, State, Zip: Arlington,WA 98223 Contact: Ron Hansen Phone: 425-210-5792 Email: Scope of Work: Demo/clean up fire damaged home Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/03/2016 Permit Expires: 02/03/2017 Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00621300002500 17706 31 ST DR NE RICHARDS DEAN 111 Single Family J Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# HANSEN&HANSEN RON HANSEN 360-435-5405 10131 MORAN CONSTRUCTION COA 600 435 389 CONSTRUCTION RD CONTRACTOR HANSEN&HANSEN RON HANSEN 360-435-5405 10131 MORAN CONSTRUCTION Labor&HANSEHC189KM CONSTRUCTION RD CONTRACTOR Industries Plan Reviews Date Review Type Description Assigned To Review Status 08/01/2016 DEMOLITION Disconnect water service prior to excavation. BUILDING Fees Fee Description Notes Amount Demolition $100.00 State Surcharge- 1st DU Residential- 1st Unit $4.50 Total $l 04.50 Attached Letters Date Letter Description 08/03/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/03/2016 Ron Hansen 60712647 cc $104.50 Outstanding Balance $0.00 Notes Date Note Created By: 02/20/2019 Expired.Filed in address files. Raelynn Jones Uploaded Files Date File Name 08/03/2016 1767509-1103 Issued Permit.pdf 08/03/2016 1767203-1033 Marysville Additonal Comments.pdf 08/03/2016 1767204-1103 Marysville Comments.pdf 08/03/2016 1767202-1103 Marysville Email.pdf 08/01/2016 1762961-1103 Application.pdf