HomeMy WebLinkAbout4832 Cemetery Rd_BLD5014_2024_Expired
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
Notice of Decision
Staff Report
Application
Narrative
Legal Description
Vicinity Map
Site Plan
Landscape Plan
Complete Streets Checklist
Traffic Impact Analysis
Snohomish County Traffic Mitigation Offer
WSDOT Traffic Offer Form
Tree Survey
Stormwater Drainage Report
Geotech Report
Critical Area Evaluation Form
SEPA Checklist
Public Notice Material
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Water / Sewer Availability Certificate
Unanticipated Discovery Plan Form
Aerial Photo of Site
Proposed Building Materials
Lighting Plans and Lighting Cut Sheets
Color Elevations
Design Matrix
Plat Map
Title Report
Lot Closures
Preliminary Civil Plans
Archaeological Survey
o Confidential Documents. Contact the
City to obtain.
Topography (Existing Conditions)
CC&R’s
Deeds / Easements / Conveyances
/Dedications
Developer’s Agreement
Recorded Copies
Bonding or Assignment of Funds
o Confidential Documents. Contact the
City to obtain.
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Other:
Civil
Issued Permit
Application
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Construction Calculation Worksheet
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Review Comment Form
Letters and Project Documents
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o Stormwater Pg:
o Geotech Pg:
o All Other Reports
SEPA and Noticing Materials
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Other:
Building
Issued Permit
Application
Additional Applications
Approved Plans
Site Plan
Letters and Project Documents
Calculations
Project Specification Manuals
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Certificate of Occupancy
Inspections
Other:
BLD5014 Residential Mechanical
4832 Cemetery Rd EXPIRED January 2024
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CIT Y O F ARLINGTO N
H u i a d i r /i i 18204 59th Avenue NE , ArHngton, W A 98223
INSPECTIONS : 360-403-3417 - Permit Center: 360-403-3551
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BUILDIN G PERMI T
4832 CEMETER Y RD
Parcel #: 00564600001100
Scope of Work: RELOCAT E EXTERIO R GA S LIN E T O INTERTOR/UNDE R
Permit #: 5014
PERMI T EXPIRE S 180 DAY S AFTE R
DAT E O F ISSUANCE .
Valuation: 1000.00 •'P ^^r ^
HOUS E
OWNE R APPUCAN T CONiRACtO R
TUER K SARAH/BRANDO N
4832 CEMETER Y RD
ANYTYP E CONSTRUCTIO N
16824 W LAK E GOODWI N
ANYTYP E CONSTRUCTIO N
16824 W LAK E GOODWI N RD
ARLINGTON , W A 98223-4760 STANWOOD W A 98292 STANWOOD , W A 98292 ^
425-754-5185 - ^ ^ A c -425-754-5185
Lie-ANYTYCL796C Q EXP : 02/10/2023
MECHANICA L CONTRACTO R PLUMBIN G CONTRACTO R
ANYTYP E CONSTRUCTIO N
16824 W LAK E GOODWI N RD
STANWOOD , W A 98292
425-754-5185
LIC#: ANYTYCL796C Q EXP : 02/10/2023 LIC#: EXP :
JO B DESCRIPTIO N
PERMI T TYPE : RESIDENTIA L MECHANICA L COD E YEAR : 2018
STORIES : CONS T TYPE : V B
DWELLIN G UNITS : 1 OC C GROUP : R-3
BUILDINGS : 1 OC C LOAD :
PERMI T APPROVA L
Th e issuance or gianting 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 an y state or federal law, or of an y 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 restiicted by any state or federal law, or order, proclamation, guidance
advice or decision of the Governor of diis State, this permit shall not authorize such work and shall not be valid. Th e 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 th e City, or of an y state or federal law, or of an y order, proclamation,
guidance advice or decision of the Governor. Th e 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 an y City
ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or decision of the Governor.
I AGRE E T O COMPL Y WIT H CIT Y AND STAT E LAW S REGULATIN G CONSTRUCTIO N AND I N DOIN G TH E WOR K
AUTHORIZE D THEREBY ; NO PERSO N WIL L B E EMPLOYE D I N VIOLATIO N O F TH E LABO R COD E O F TH E STAT E
O F WASHINGTO N RELATIN G T O WORKMEN'S COMPENSATIO N INSURANC E AND RC W 18.27.
THI S APPLICATIO N I S NO T A PERMI T UNTI L SIGNE D B Y TH E BUILDIN G OFFICLV L O R HIS/HE R DEPUT Y AND
AL L FEE S AR E PAID .
I T I S UNLAWFU L T O US E O R OCCUP Y A BUILDIN G O R STRUCTUR E UNTI L A FINA L INSPECTIO N HA S BEE N
MAD E AN D APPROVA L O R A CERTIFICAT E O F OCCUPANC Y HA S BEE N GRANTED . IBC l 10/IRCllO .
SALE S TA X NOTICE : Sales tax relating to construction and construction materials in the City of Arlington must be reported on
yoursales tax return form and coded City of Arlington #3101.
Signature Print Name Date
4832 C emetery RD 1000
11 00564600001100
Move exterior gas lines to interior/under house location
Brandon & S arah Tuerk 4252804499
sarahtuerk@ ym ail.com
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4252804499
16824 W L ake Goodwin
RD
S tanwood WA 98292
Anytype C onstruction
anytypeconstruction@ gmail.com 4257545185
16824 W L ake G oodwin
RD
S tanwood WA 98292
C C AN Y TYC L 796C Q 02/10/2023
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