Loading...
HomeMy WebLinkAbout16408 51st Ave Ne_BLD873_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 16408/16422 51st Avenue Permit#:873 Parcel#:31052800101100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:Americanwest Bank Name:Jim Klein Name:James Klein Address: 110 S Ferrall Street Address:6101 152nd Street Address:6101 152nd Street City,State Zip:Spokane,WA 99202 City,State Zip:Marysville,WA 98271 City,State Zip:Marysville,WA 98271 Phone: Phone:425-508-2807 Phone:425-508-2807 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: 2012 STORIES: I CONST.TYPE: DWELLING UNITS: 2 OCC GROUP: BUILDINGS: 2 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 OCCUPANCY HAS BEEN GRANTED, IBC110/IRCl10. SALES TAX NOTICE:Sales tax relating to constriction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. 1 44 Signature Print Name Date Released By Oate CONDITIONS Notification to City of Marysville sewer and water for disconnection required before demolition. 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 1/4/2016 Demolition Fee $100.00 1/4/2016 State Building Code Surcharge Fee $4.50 Total Due: $104.50 Total Payment: $104.50 Balance Due: $0.00 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 �s I IWORQ Systems Inc. Page 1 of 2 1 Permit Information Date 12/30/2015 Permit Number 873 Project Namel Shoultes RV Applicant Namel Jim Klein Applicant Addressl6101 152nd Street City, State,Zipl Marysville,WA 98271 Contact)Jim Klein Phone 1425-508-2807 Email I james klein@live.com Permit Typel Demolition Site Address 1 16408/16422 51 st Avenue Valuation 10.00 Status I Applied Permit Issued Permit Expires) Square Feetl 0 Type of Construction/Occupancy Loadl Number of Stories)0 Proposed Usel Demolition of Buildings Assigned To Amy Rusko Property Information Owner Information Parcel#:31052800101100 Americanwest Bank Americanwest Bank 110 S Ferrall Street 16408 51 STAVE NE Spokane,WA 99202 Review Date Type Description Target Date Completed Date Assigned To Status 12/30/2015 Demolition 1/6/2016 Kevin Olander In Review Fees Fee Description Notes Amount Demolition Fee 322.10.00.00 $100 00 State Building Code Surcharge Fee 386 00 01.00 $4.50 Total $104 50 Payments Date Paid By Amount Description Payment Type Accepted By 12/30/2015 Nathan Klein $104 5057577369 cc http://www.iworq.net/iworq/Permit/popupPermitEditPrint.asp?sid=AHHEBKHFCAAHQ... 12/30/2015 IWORQ Systems Inc. Page 2 of 2 Total $104.50 Amount Outstanding:$0.00 Notes Date Note 12/30/2015 Sent to Marysville Utilities.AR Uploaded Files Upload File Date File 12/30/2015 11:14:47 AM Klein Demolition Aaplication_pdf x http://www.iworq.net/iworq/Permit/popupPermitEditPrint.asp?sid=AHHEBKHFCAAHQ... 12/30/2015 DEMOLITIO1�� f 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 SURVEYREPORT AND ABATEMENT REPORT (if applicable)COMPLETED BYAN APPROVED AGENCY. Type of Permit:(check one) © Residential ❑ Commercial ❑ Industrial Project Address: 16408/16422 51 st Ave. NE. Arlington Wa 98223 Parcel ID#: 31 0528001 01 1 200,1100 Lot#: Subdivision: Valuation: 350000 Building Area (Sq Ft) 936/1858 No. of floors: 2 Number of Buildings:2 Owner: Klein Family Properties LLC Phone Number: 425-508-2807 6101 152nd St. NE Marysville Wa 98271 Address: City: State: Zip Code: Contact Person:Jim Klein Phone Number: 425-508-2807 Cell Phone: 425-508-2807 E-mail:james.klein@live.com Address: 6101 152nd St. NE City:Mar sville y Y State: �_ Zip Code: 98271 Contractor:Jim Klein Phone Number: 425-508-2807 Address: 6101 152nd St. NE City: Marysville State: Wa Zip Code: 98271 Contractor's License Number:Owner Expiration:n/a Scope of Work: u-t l Completely demolish moNOigi buildings and removal. 1 hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in a ordance with the laws, rules and regulations of the Stat of Washington. C 9 2- Applicants Signature Date (_J(kVl,L > r_ - Print Applicants Name FOR STAFF USE ONLY fo 8-73 Af__ Mpggsb Permit# Accepted By Amount Received Receipt# Date Aeceived '� . � � ' t t ' 1 pscieanair.org Puget Sound Dean Air Agency Single-Family Notification Case #: 201505416 This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site(Reg III, 4.03(a)(6)). Fee Amount Paid $65.00 Credit Card Transaction # AUOFDEA3F41D Transaction Date 12/30/15 Owner's Name Klein Family properties LLC Phone (425) 508-2807 Project Street Address 16408 Slat Ave NE City Arlington Zip 98270 Contact Person Bobbie page Phone (206) 557-0369 Mailing Address 6101 152nd ST NE Marysville, WA 98271 This project includes asbestos removal. Project Size linear feet / 3200 square feet Project Start Date 01/25/16 Completion Date 06/01/16 Asbestos will be removed by a licensed asbestos abatement contractor This project includes a demolition. Demolition Start Date 03/01/16 Completion Date 08/01/16 Demolition will be completed by the home owner I certify that: (1) This is a single-family residence project. The structure is used by one family who owns the property as their domicile. (2) The information I have provided is to the best of my knowledge accurate and complete. (3) I understand the fee for this Notification is nonrefundable. Create Another Notification View History Loa Out If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. aut 8?3 Dept. of Labor & Industries, Division of Occupational Safety & Health Asbestos Project Notification Form Form ID: 110069#1#1585Seatt602738 Notice Date: 12/30/2015 Start Date: 1/25/2016 Completion Date: 1/28/2016 Status: Amended Site Work Hours: 9:30 - 4:30 Site Work Days: Monday Tuesday Wednesday Thursday Contractor: Seattle Asbestos Envrionmental LLC Job Site C.A.S.: Francisco Carreno Your email address: seattleasbestos@hotmail.com Contractor Phone Number: 206-557-0369 Property Owner Name: Klein Family Properties, LLC Owner's Agent: Company: Address: 16408 51 st ave NE City: Arlington State: WA Zip+4: 98223 Phone: 425-508-2807 Job Site Address: 18408/1642 51 st Ave NE �• '7" t Building Name: Room: City: Arlington Zip + 4: 98223 County: Snohomish Facility Type: Residential Age: 1945 Size: 3416 Type of activity: Demolition Quantity of Asbestos to Be Removed Indoors Quantity: 3200 square feet VAT Other:drywall Quantity: linear feet Control Measures Neg. pres. enclosure Wet methods HEPA vacuum Critical barriers Respiratory Protection 1/2 mask APR Type C continuous flow Full face APR Comments: Date/Time Submitted f =f Permit#: 873 Permit Date: 12/30/15 Permit Type: DEMOLITION Project Name: Shoultes RV Applicant Name: Jim Klein Applicant Address: 6101 152nd Street Applicant, City, State, Zip: Marysville,WA 98271 Contact: Jim Klein Phone: 425-508-2807 Email:james.klein@live.com Scope of Work: Demolition of Buildings Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31052800101100 16408 51 STAVE NE Americanwest Bank 111 Single Family Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License James Klein James Klein 425-508-2807 6101 152nd Street OWNER Plan Reviews Date Review Type Description Assigned To Review Status 12/30/2015 DEMOLITION Notification to City of Marysville sewer and water BUILDING required. Fees Fee Description Notes Amount Demolition $100.00 State Surcharge- 1st DU Residential- 1st Unit $4.50 Total $104.50 Attached Letters Date Letter Description 01/04/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 12/30/2015 Nathan Klein 57577369 cc $104.50 Outstanding Balance $0.00 Notes Date Note Created By: 12/12/2019 Permit not signed.Filed under address Raelynn Jones 12/30/2015 Notification to City of Marysville sewer and water for disconnection required before Kevin Olander demolition. 12/30/2015 Sent to Marysville Utilities.AR Amy Rusko Uploaded Files Date File Name 12/30/2015 1409066-Klein Demolition Application.pdf DEMOLITION PERMIT APPLICATION Department of Community& Economic Development City of Arlington-A 8204 59th Ave NE• Arlington,WA 98223• Phone(360) 403-3551 THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS/DEMOLMON NOTIFICATION FROM PUGET SOUND CLEANA/R AGENCY, TWO(2)COPIES OF ANASBESTOS SURVEYREPORT AND ABATEMENT REPORT (if applicable)COMPLETED BY AN APPROVED AGENCY. Type of Permit:(check one) © Residential ❑ Commercial ❑ industrial Project Address: 16408/16422 51 st Ave. N _ Arlington Wa 98223 Parcel ID#: am528001011200,1100 Lot#: Subdivision: Valuation: 350000 Building Area (Sq Ft) 936/1858 No. of floors: Number of Buildings:2 - -- Owner: Klein Family Properties LLC Phone Number: 425-508-2807 Zip p Code: 6101 152nd St. NE City:Marysville State: Wa 98271 Contact Person:Jim Klein Phone Number: 425-508-2807 Cell Phone: 425-508-2807 E-mail: james.klein@live.com Address: 6101 152nd St. NE City:Marysville 98271 y � State:�— Zip Code: Contractor:Jim Klein Phone Number: 425-508-2807 Address: 6101 152nd St. NE City: Marysville State: Wa Zip Code: 98271 Contractor's License Number:Owner Expiration:n/a Scope of Work: u,l( Completely demolish momiftWbuildings and removal. I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in a 'ordance with the laws, rules and regulations of the Stat of Washington. C 2- z�- I'S"�L Applicants Signature Date jayyw. C �telyl Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Aeceived pscIeanair.org Puget Sound Clean Ayr Agency Single-Family Notification Case *: 201505416 This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site (Reg III, 4.03(a)(6)). Fee Amount Paid $65.00 Credit Card Transaction # AUOFDEA3F41D Transaction Date 12/30/15 Owner's Name Klein Family Properties LLC Phone (425) 508-2807 Project Street Address 16408 51st Ave NE City Arlington Zip 98270 Contact Person Bobbie Page Phone (206) 557-0369 Mailing Address 6101 152nd ST NE Marysville, WA 98271 This project Includes asbestos removal. Project Size linear feet / 3200 square feet Project Start Date 01/25/16 Completion Date 06/01/16 Asbestos will be removed by a licensed asbestos abatement contractor This project includes a demolition. Demolition Start Date 03/01/16 Completion Date 08/01/16 Demolition will be completed by the home owner I certify that: (1) This is a single-family residence project. The structure is used by one family who owns the property as their domicile. (2) The information I have provided is to the best of my knowledge accurate and complete. (3) I understand the fee for this Notification is nonrefundable. Create Another Notification View History Loa Out If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. C) I Dept. of Labor & Industries, Division of Occupational Safety & Health Asbestos Project Notification Form Form ID: 110069##1585Seatt6O2738 Notice Date: 12/30/2015 Start Date: 1/25/2016 Completion Date: 1/28/2016 Status: Amended Site Work Hours: 9:30 -4:30 Site Work Days: Monday Tuesday Wednesday Thursday Contractor: Seattle Asbestos Envrionmental LLC Job Site C.A.S.: Francisco Carreno Your email address: seattleasbestos@hotmail.com Contractor Phone Number: 206-557-0369 Property Owner Name: Klein Family Properties, LLC Owner's Agent: Company: Address: 16408 51 st ave NE City: Arlington State: WA Zip+4: 98223 Phone: 425-508-2807 Job Site Address: 18408/1642 51 st Ave NE Building Name: Room: City: Arlington Zip+4: 98223 County: Snohomish Facility Type: Residential Age: 1945 Size: 3416 Type of activity: Demolition Quantity of Asbestos to Be Removed Indoors Quantity: 3200 square feet VAT Other.-drywall Quantity: linear feet Control Measures Neg. pres. enclosure Wet methods HEPA vacuum Critical barriers Respiratory Protection 1/2 mask APR Type C continuous flow Full face APR Comments: Date/Time Submitted