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HomeMy WebLinkAbout19027 44TH AVE NE_BLD1281_2026 V RESIDENTIAL PERMIT APPLICATION ® Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone 360 403-3551 l Ida ti� � ) 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: I�rt:Z,-1 ` 4k " i`ti L. Plat: ❑ Single-family ❑ Duplex ❑ Townhouse - Addition ❑ Accessory structure Proposed Area: 1 st Floor: 2"d Floor: Garage: Total SF: Describe Proposal (include cross street): Valuation: ­101 U(x� Owner: ,�C- � Address: `I�"��>(,� �`t '" lk 1�4& City: State: Zip Code:' �2 Phone: d 0-1 - i `- 2_7 7 Email: Applicant: ��'1 C� ��Z) ��"? L V�-4, Address: 1�L�� ��L � &AC_ t-V-- City: {State: Zip Code: z Phone: _ r 71 , (` - Email: Contractor: ll-.L Address: �� ' Cit i state: �jd& Zip Code: Phone: 5W-[,:65 —�LzZA Email: IylWI4Ano(>�15 ,C__D VA Contact Person: ASLNCAt_V License Number: Expiration: Received ,JAN 0 9 2017 6/16LP Page 1 of 3 Y RESIDENTIAL PERMIT APPLICATION • • Department of Community& Economic Development y l City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 Plumbing Section (continue filling out if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) ❑ Bath/Shower Combo (4.0) x Sink (1.5) x j Shower(2.0) x ❑ Lavatory (1.0) x ❑ Clothes Washer(4.0) x ❑ Water Closet (2.5) x ❑ Dishwasher (1.5) x ❑ Water Heater x ❑ Hose Bibb (2.5) x Water Heater Model # Q. Other (list) x II Plumbing Section Continued Proposed Water Piping Size: Proposed DWV Material: Proposed Piping Material: Proposed DWV Size: • All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019 • All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) 6/16LP Page 2 of 3 cgtY °�' RESIDENTIAL PERMIT APPLICATION 0 Department of Community& Economic Development rrV City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: ❑ Furnace (80+) Model# AFUE ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑ Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping ❑ Boiler ❑ Solid-Fuel Appliance ❑ PV System ❑ Fireplace Insert ❑ Outdoor BBQ ❑ Storage Tank ❑ Freestanding Stove ❑ Gas Piping ❑ Other Gas Piping Information Not Applicable: 'G Pipe Material: Pipe Size: Total BTU's of all Appliances: Distance from Meter to Furthest Appliance: • New gas piping requires a pressure test to hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper combustion air and venting required for all appliances • A shut-off is required within 6 feet of all appliances Applicant Signature: Date: V— Print Applicants Name: AEEE"IZ\c-- L1A•r 6/16LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:19027 44th Ave NE Permit#:1281 Parcel#:00952200001800 Valuation:70000.00 OWNER APAi:iC,AlV1' CONTRACTOR Name:STOCKHOLM KARI C Name:Eric Stockholm Name:Belmark LLC Address: 19027 44TH AVE NE Address:19027 44th Ave NE Address:4229 76th St NE City,State Zip:ARLINGTON,WA 98223-4780 City,State Zip:Arlington,WA 98223 City,State Zip:Marysville,WA 98270 Phone: Phone:425-359-2771 Phone:360-653-3634 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: 2 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 OCCUPANCY HAS BEEN GRANTED. IBC110/IRC1 I0. 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 codcd Cit of rlington#3101. Sin ure Print Name Date Released By Dat CONDITIONS See red lined drawings. Adhere to approved plans. With 336sf addition the lot coverage for impervious surface is at the maximum. 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 1/19/2017 Building Permit Fee $1,090.19 1/19/2017 Building Plan Review Fee $708.62 1/19/2017 Processing/Technology Fee $25.00 1/19/2017 State Building Code Surcharge Fee $4.50 Total Due: $1,828.31 Total Payment: $0.00 Balance Due: $1,828.31 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 `���r� •_H fl n I I I, � ! 1 �✓I S I �I� VIc; n� N - IaAGt� f vX � I e-Y P lip P � Proposed Addition & Remodel For: Kari & Eric Stockholm 19027 44th Ave. NE Arlington, WA 98223 : I CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 42 PHONE; (360) 403-3551 BUILDING PERMIT Address:19027 44th Ave NE Permit#:1281 Parcel#:00952200001800 Valuation:70000.00 OWNER APPLICANT CONTRACTOR Name:STOCKHOLM KARI C Name:Eric Stockholm Name:Belmark LLC Address: 19027 44TH AVE NE Address:19027 44th Ave NE Address:4229 76th St NE City,State Zip:ARLINGTON,WA 98223-4780 City,State Zip:Arlington,WA 98223 City,State Zip:Marysville,WA 98270 Phone: Phone:425-359-2771 Phone:360-653-3634 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: 2 CONST.TYPE: DWELLING UNITS. I OCC GROUP: BUILDINGS: OCC LOAD: E+ rT 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. IBC110/1RC110. 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 Cit f lingion#3101. Sin ure Print Name Date Released By Dal CONDITIONS See red lined drawings. Adhere to approved plans. With 336- .ge for impervious surface is at the THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT CM �(Q 'ERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEW `{ Y `` ARATE PERMISSION. PERMIT Fl 1(�a,`�' Date Description Fee Amount 1/19/2017 Building Permit Fee N Q $1,090,19 1/19/2017 Building Plan Review Fee $708.62 1/19/2017 Processing/Technology Fee $25.00 1/19/2017 State Building Code Surcharge Fee $4.50 Total Due: $1,828.31 Total Payment: $0.00 Balance Due: $1,828.31 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 SSL- 1/" s co 828 3 Permit Information Date 1/11/2017 Permit Number 1281 Project Name Stockholm Applicant Name Eric Stockholm Applicant Address 19027 44th Ave NE City,State,Zip Arlington,WA 98223 Contact Eric Stockholm Phone 425-359-2771 Email kcollettel965@gmail.com Permit Type Residential Addition Site Address 19027 44th Ave NE Valuation 70000.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 2 Proposed Use 336sf master bed&bath addition Assigned To Kristin Foster Property Information Owner Information Parcel#:00952200001800 STOCKHOLM KARI C STOCKHOLM KARI C 19027 44TH AVE NE 19027 44TH AVE NE ARLINGTON,WA 98223-4780 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Belmark LLC PNaron Metcalf 360-653-3634�aaron belmarkhomes.com CONTRACTOR (Labor and Industries BELMAL'877PP Review Date I Type I Description I Target Date Completed Date I Assigned To F Status 1/11/2017 lResidential Addition 1/18/2017 licevin Olander In Review Fees Fee Description Notes Amount Processing/Technology Fe 341.43.00.021 1 $25.0 Total $25.0 Notes Date Note 1/11/2017 Contractor's out of city expires Feb.of 2017 Uploaded Files Upload File Date File Uploaded By 1111/201710:05:43 AM 11281 Site Plan.ggff Foster,Kristin 1/11/2017 10:05:43 AM 11281 Agglication,2df IFoster,Kristin 1/11/2017 w BELMARK LLC [fnir)+ h;�p�uiui Corfla, Search L&I n-iIMIL'< 1101) N,t,,r&I Safety&Health Claims&Insurance Workplare Rights Trades& Licensing 400*4 Washington State Department of Labor & Industries BELMARK LLC Owner or tradesperson 4229 76TH ST NE STE 105 Principals MARYSVILLE,WA 98270 360-653-3634 METCALF,AARON SNOHOMIS ROBERT,PARTNER/MEMBER NOHOH County METCALF,SHELLEY TERESA, PARTNER/MEMBER METCALF,AARON ROBERT,AGENT Doing business as BELMARK LLC WA UBI No. Business type 603 331 442 Limited Liability Company Governing persons AARON METCALF SHELLEY METCALF; License Verity the contractor's active registration/license/certification(depending on trade)and any past violations. Constructlon Contractor Active. Meets current requirements. License specialties GENERAL License no. BELMAL"877PP Effective—expiration 10/17/2013—10117/2017 Bond Merchants Bonding Co(Mutual) $12,000.00 Bond account no. WA28639 Received by L&I Effective date 10/17/2013 09/23/2013 Expiration date Until Canceled Insurance Knight Specialty Insurance Com $1,000,000.00 Policy no. KSVENS151143501 Received by L&I Effective date 08/23/2016 09/27/2015 Expiration date 09/27/2017 Help us improve https://secure.Ini.wa.govtverify/Detail.aspx?UBI=603331442&LIC=BELMAL*877PP&SAW= 1/2 1/11/2017 BELMARK LLC Insurance history Savings No savings accounts during the previous 6 year period. 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. 368,353-10 Doing business as BELMARK LLC Estimated workers reported Quarter 3 of Year 2016"11 to 20 Workers" L&I account representative T5/STEPHANIE HENDERSON(360)902-6266-Email:HSTE235&ni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. ©Washington Stale Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Helps i.m,improve https://secure.ini.wa.govtverify/Detail.aspx?UBI=603331442&LIC=BELMAL"877PP&SAW= 2/2 i N f I 4- 61W.0 � pQ r la • �i qa e-y I� 10 f5 ,15 AN 0 9 2011 Proposed Addition & Remodel For: Kari & Eric Stockholm 19027 44t" Ave. NE Arlington, WA 98223 A° RESIDENTIAL 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: �` (�`:Z.� L� 1-\ tI Plat: ❑ Single-family Duplex ❑ Townhouse �4_ Addition ❑ Accessory structure Proposed Area: 1 sc Floor: 211 Floor: Garage: Total SF: Describe Proposal (include cross street): Valuation: ­10( ----- Owner: IZFF_kL I Address: 'I� C�,;�,� `t ' i-�C—_ City: State: _ Zip Code. Phone: _ G�_ ;Z7 71 Email: Applicant: - �1 L� Address: l �� 41'k t City: Aeu State: Zip Code: Phone: ��.t�r 7�Gi� ,�_ I Email Contractor: �.�1u . �� Address: -7 "!; ' Cit \Ill.�-State: �*JA, Zip Code: R��D Phone: _5(.c0 r[C65 Email: 'M M Contact Person: gr�T(A[_V License Number: Expiration: Received JAN 0 9 2017 12*( 6/16LP Page 7 of 3 �' � t � R � .. •,s 1� ��: ,' � _ Y RESWENTIAL PERMIT APP ICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 Plumbing Section (continue filling out if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) ❑ Bath/Shower Combo (4.0) x Sink (1.5) x j: Shower(2.0) x i ❑ Lavatory (1.0) x ❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x ❑ Dishwasher (1.5) x ❑ Water Heater x ❑ Hose Bibb (2.5) x Water Heater Model# ]._ Other(list) x Plumbing Section Continued Proposed Water Piping Size: Proposed DWV Material: Proposed Piping Material: Proposed DWV Size: • All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019 • All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) 6/16LP Page 2 of 3 4 � � � RES OENTIA►L PERMIT APPLICATION Department of Community& Economic Development 'tIN C, City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: Furnace (80+) Model# AFUE ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑ Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping ❑ Boiler ❑ Solid-Fuel Appliance ❑ PV System ❑ Fireplace Insert ❑ Outdoor BBQ ❑ Storage Tank ❑ Freestanding Stove ❑ Gas Piping ❑ Other Gas Piping Information Not Applicable: Pipe Material: Pipe Size: Total BTU's of all Appliances: Distance from Meter to Furthest Appliance: • New gas piping requires a pressure test to hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper combustion air and venting required for all appliances • A shut-off is required within 6 feet of all appliances Applicant Signature: Date: 1��r Print Applicants Name: ��� 6/16LP Page 3 of 3 Permit Information Date 1/11/2017 Permit Number 1280 Project Name Stockholm Applicant Name Eric Stockholm Applicant Address 19027 44th Ave NE City, State,Zip Arlington,WA 98223 Contact Eric Stockholm Phone 425-359-2771 Email kcollette1965@gmail.com Permit Type ZON Site Address 19027 44th Ave NE Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 2 Proposed Use 336sf master bed&bath addition Assigned To Kristin Foster Property Information Owner Information Parcel#:00952200001800 STOCKHOLM KARI C STOCKHOLM KARI C 19027 44TH AVE NE 19027 44TH AVE NE ARLINGTON,WA 98223-4780 Review Date Type Description Target Date Completed Date Assigned To Status 1/11/2017 ZON 1/16/2017 Amy Rusko lin Review 1/11/2017 ZON 1/16/2017 Kevin Olander Iln Review 1111/2017 ZON 1/16/2017 Marc Hayes In Review 1/11/2017 ZON 1/16/2017 PW Admin Rev lin Review 1/11/2017 ZON 1/16/2017 PW-Sew-Rev lin Review 1/11/2017 ZON 1/16/2017 1 PW-Wat-Rev lin Review Uploaded Files l Upload File i Date File Uploaded B 1/11/2017 9:52752 AM 11280 Site Plan.Ddf IlFoster.Kristin 1/11/2017 9:52:51 AM 11280 Applicationpdf JIFoster,Kristin 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: I�t0?�7 ������ t%`l� Plat: Owner/Applicant: L-- Address: City:tAou t_c State:WIL, Zip Codeltt _ J Phone: Email: 11(' l��►T 1� 'J C �C'3�1 �`-•�IJJ��( Describe Proposal (include cross street): 1 Please check one: ❑ Single-family dwelling ❑ Duplex 15_Addition ❑ Accessory structure 1. Proposed Dimensions: W) L) _ -, H) Total SF) >>(L f ' 2. Allowed Lot Coverage: Total Lot Size SF x 35% _ , SF 3. Actual Lot Coverage: (SF of all structures') '"1Lk�,� (lot size) = 2jz) % 4. Septic Tank? U Yes W No Private Well on Site? U Yes ;FGL 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) U Fire Sprinkler System ❑,I Medical Equipment Lawn Sprinkler System �� Livestock Drinking Tanks Decorative Pond/Fountain ❑ Hot Tub f Re-circulating Heating System 01 Swimming Pool ❑i Other Applicant Signature: Date: \• 15t— This square footage should include the footprint area of all structures on the property including:house, garages, sheds, covered patios, and decks permitted by the building code. Rev 04/2013 1 �a � f V\ � i I tR ey 2� elY Proposed Addition & Remodel For: Kari & Eric Stockholm 19027 44th Ave. NE Arlington, WA 98223 , i Permit#: 1281 Permit Date: 01/1l/17 Permit Type: RESIDENTIAL ADDITION Project Name: Stockholm Applicant Name: Eric Stockholm Applicant Address: 19027 44th Ave NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Eric Stockholm Phone: 425-359-2771 Email: kcollette1965@gmail.com Scope of Work: 336sf master bed&bath addition Valuation: 70000.00 Square Feet: 0 Number of Stories: 2 Construction Type: Occupancy Group: ID Code: Permit Issued: 01/20/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00952200001800 19027 44TH AVE NE STOCKHOLM 111 Single Family KARI C Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# Belmark LLC Aaron Metcalf 360-653-3634 12409 State Ave CONSTRUCTION Labor and BELMAL*877PP CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status R20. 02/22/2017 ADDITION/ALTERATION Approved FINAL Plan Reviews Date Review Type Description Assigned To Review Status O1/11/2017 RESIDENTIAL ADDITION See red-lined drawings BUILDING Fees Fee Description Notes Amount Processing/Technology $25.00 Building Permit Table 4-1 $1,090.19 Building Plan Review Table 4-2 $708.62 State Surcharge- 1st DU Residential- 1st Unit $4.50 Total $1,828.31 Attached Letters Date Letter Description O1/19/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount O1/20/2017 Kari Stockholm Check#330009379 Kristin Foster $1,828.31 Outstanding Balance $0.00 Notes Date Note Created By: 02/20/2019 Expired.Filed in address files.No final was done. 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