The URL can be used to link to this page

Home My WebLink About127 W Cox_BLD1415_2026 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) ❑ Residential ] Commercial ❑ Industrial Project Address: 1100 N West AVE Parcel ID#: Lot#: Subdivision: Valuation: $43,128 Building Area(Sq Ft) 508 No. of floors: one Number of Buildings:one Owner: City of Arlington Phone Number: 360-403-4642 Zip Code: Address: 238 N Olympic AVE City:Arlington State: WA 98223 Contact Person)ay Downing Phone Number. 360-403-4642 Cell Phone: 360-913-7104 E-mail:Jdowning@yahoo.com Address: 238 N Olympic AVE Arlington City: n y _-1ton.j-� State: WA — Zip Code: 98223 Contractor:City of Arlington - Maintenance & Operations Phone Number: 360-403-4642 Address: 238 N Olympic AVE City:Arlington State: WA Zip Code: 98223 Contractor's License Number:N/A Expiration:N/A Scope of Work: Demo existing Haller Park restrooms, play area, and asphalt. Grade area and sod. 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 accordance with the laws, rules and regulations of the Stat of Washington. 7 7 Applicants Signature Date Print Applicants l4ame FOR STAFF USE ONLY Received APR 0 7 7017 Permit# c e Amount Received Receipt# Date Received CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 _ PHONE; (360)403-3551 BUILDING PERMIT Address:127 W Cox Permit#:1415 Parcel#:00461802900100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:City of Arlington Name:City of Arlington Name:City of Arlington Address:238 N Olympic Ave Address:6205 188th Place NE Address:6205 188th Place NE City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-403-4642 Phone:360403-4642 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: 2015 STORIES: 1 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 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/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the Ci Itn'gm must be repotted on your sales tax return form and coded Arlington#3101. 7 / , 2w_IIw �I Signature Print Name Date Released By Date CONDITIONS Approved as submitted. Coordinate with the utility department to disconnect. 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 4/7/2017 Demolition Fee $100.00 4/7/2017 Processing/Technology Fee $25.00 4/7/2017 State Building Code Surcharge Fee $4.50 Total Due: $129.50 Total Payment: $0.00 Balance Due: $129.50 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 ARLINGTON -ARLINGTON, WA. 98223 238 N. OLYMPIC AVE PHONE; (360)403-3551 BUILDING PERMIT Address:127 W Cox JMP Permit#:1415 Parcel#:00461802900100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:City of Arlington Name:City of Arlington Name:City of Arlington Address:238 N Olympic Ave Address:6205 188th Place NE Address:6205 188th Place NE City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-403-4642 Phone:3604034642 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: 2015 STORIES: 1 CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 1 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. IBC 1 IO/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the Ci ust be reported on your sales tax return form and coded Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Approved as submitted. Coordinate with the utility department to disconnect. 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 4/7/2017 Demolition Fee $100.00 4/7/2017 Processing/Technology Fee $25.00 4/7/2017 State Building Code Surcharge Fee $4.50 Total Due: $129.50 Total Payment: $0.00 Balance Due: $129.50 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 <:-a Permit Information Date 4/7/2017 Permit Number 1415 Project Name Haller Park Restroom Applicant Name City of Arlington Applicant Address 6205 188th Place NE City,State,Zip Arlington,WA 98223 Contact Jay Downing Phone 360-403-4642 Email jdowning@arlingtonwa.gov Permit Type Demolition Site Address 127 W Cox Avenue Valuation 0.00 Status Issued Permit Issued 4/7/2017 Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use Demo park restrooms,play area and asphalt.Grade are Assigned To Kristin Foster Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# City of Arlington [Jay Downing :360-403-4642 idowning@arlingtonwa.gov APPLICANT Review Date Type Description I Target Date Completed Date Assigned To Status 3/7/2017 10emolition W4/2017 11Rick Karns In Review Fees Fee Description Notes Amount Demolition Fee 322.10.00.00 $100.0 Processing/Technology Fee 341.43.00.02 $25.0 State Building Code Surcharge Fee 386.00.01.00 $4.5 Total $129.5 Uploaded Files Upload File Date File Uploaded By 77777 4!7/2017 9:24:04 AM 1415 Application.pdf Foster,Kristin �( 4/7/2017 9:24:04 AM 11415 Issued Permit.pdf Foster,Kristin DEMOLITION ' PERMIT APPLICATION ` tCr �`Q 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) ❑ Residential Commercial ❑ Industrial Project Address: 1100 N West AVE Parcel ID#: Lot#. Subdivision: Valuation: $43,128 Building Area(Sq Ft) 508 No. of floors: one Number of Buildings.one Owner: City of Arlington Phone Number: 360-403-4642 238 N Olympic AVE Arlington WA 98223 Address: City: State: Zip Code: Contact Person)ay Downing Phone Number: 360-403-4642 Cell Phone: 360-913-7104 E-mail:jdowning@yahoo.com Address: 238 N Olympic AVE City:Arlington State: WA Zip Code: 98223 Contractor:City of Arlington - Maintenance & Operations Phone Number: 360-403-4642 Address: 238 N Olympic AVE City: Arlington State: WA Zip Code: 98223 Contractor's License Number:N/A Expiration:N/A Scope of Work: Demo existing Haller Park restrooms, play area, and asphalt. Grade area and sod. 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 accordance with the laws, rules and regulations of the Stat of Washington. 7-17 Applicants Signature Date Jul Dow -7 11,11 Print Applicants Pdame 1 FOR STAFF USE OWY Received � s APR A 7 2017 Permit# c Amount Received Receipt# Date Received Permit#: 1415 Permit Date: 04/07/17 Permit Type: DEMOLITION Project Name: Haller Park Restroom Applicant Name: City of Arlington Applicant Address: 6205 188th Place NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Jay Downing Phone: 360-403-4642 Email:jdowning@arlingtonwa.gov Scope of Work: Demo park restrooms,play area and asphalt. Valuation: 43128.00 Square Feet: 0 Number of Stories: 1 Construction Type: Occupancy Group: ID Code: Permit Issued: 04/07/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00461802900100 154 W Cox Ave City of Arlington Contractors Contractor Primary Contact Phone Address Contractor Type License License City of Arlington Dan Foster 360-913-2315 6205 188th PINE APPLICANT Plan Reviews Date Review Type Description Assigned To Review Status 04/07/2017 DEMOLITION z.Rick Karns Fees Fee Description Notes Amount Demolition $100.00 Processing/Technology $25.00 State Surcharge-1 st DU Residential-1 st Unit $4.50 Total $129.50 Attached Letters Date Letter Description 04/07/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 05/04/2017 COA Haller Park Interfund#4617 Launa Black $129.50 Outstanding Balance $0.00 Uploaded Files Date File Name 04/07/2017 2204231-1415 Issued Permit.pdf 04/07/2017 2204232-1415 Application.pdf