HomeMy WebLinkAbout19703 Knoll Dr_BLD1420_2026 RESIDENTIAL MISCELLANEOUS
{ ' 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 INTERIOR ALTERATIONS, FENCES,
RETAINING WALLS, STORAGE TANKS, PLAYGROUND EQUIPMENT, POOLS, HOT TUBS, ETC.
Project Address:19703 Knoll Dr.
Project Description: Removing a non-weight bearing wall for a kitchen remodel.
Valuation. 40000
Owner:Dan Kern
Address: 19703 Knoll Dr. City:Arlington State: WA Zip Code: 98223
Phone. 425-301-3660 Email: mangga@linkmail.org
Contractor Name-N/A
Address: N/A City:N/q State: N/A Zip Code: N/A
Phone-N/A Email. N/A
License Number: N/A Expiration Date: N/A
1 hereby certify that the above information is correct and that the construction. installation for the
above mentioned property will be in accordance with the applicable laws of the City of Arlington and
the State of Washington.
Lzoa�cz�oaP�Lc c�
04/10/2017
Applicants Signature D ;te
Dan Joseph Kern
Print Applicants Name
FOR STAFF USE ONLY
Permit 4 Accepted By Amount Received Receipt# Date Received
- ' CITY OF ARLINGTON
`\ 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:19703 Knoll Drive Permit#:1420
Parcel#:00898100004200 Valuation:40000.00
OWNER APPLICANT CONTRACTOR
Name:KERN DAN J&NAOMI R Name:Dan Kern Name:Dan Kern
Address: 19703 KNOLL DR Address:19703 Knoll Drive Address: 19703 Knoll Drive
City,State Zip:ARLINGTON,WA 98223-4006 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-301-3660 Phone:425-301-3660
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 Alteration 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/IRCI10.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the�i fAdi on must be ded on your sales tax return form
and cpAcd City of Arlin oo#3101.
z-111 d1l-7 1n
Signature Print Name Date Keleased By Date
CONDITIONS
Site visit is required prior to the start of construction.
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
4/13/2017 Miscellaneous $150.00
4/13/2017 Plumbing Permit Base Fee $25.00
4/13/2017 Plumbing Permit Fee(Enter Fixture Fee) $26.00
4/13/2017 State Building Code Surcharge Fee $4.50
Total Due: $205.50
Total Payment: $0.00
Balance Due: $205.50
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
1
1
O
s '
-------------
---------------
------------
--------------
------------- -
-------------
i
Ir
---------------------
---------------------
--------------
-----------------------------
-------------
------------------
+r, s
! [I'III'II'III!I �
I� I i I
i
i
' I
i
i
islip
CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:19703 Knoll Drive Permit#:1420
Parcel#:00898100004200 Valuation:40000.00
OWNER APPLICANT CONTRACTOR
Name:KERN DAN J&NAOMI R Name:Dan Kern Name:Dan Kern
Address: 19703 KNOLL DR Address:19703 Knoll Drive Address:19703 Knoll Drive
City,State Zip:ARLINGTON,WA 98223-4006 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-301-3660 Phone:425-301-3660
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 Alteration 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/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the t f AAingn must be re rted on your sales tax return form
and 5po#d City of Arlin on#3101.
a, kw 9//�/i7 /t,-Pt,-,7 -�.�
Signature Print Name Date KCIencd By Date
CONDITIONS
Site visit is required prior to the start of construction.
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
4/13/2017 Miscellaneous $150.00
4/13/2017 Plumbing Permit Base Fee $25.00
4/13/2017 Plumbing Permit Fee(Enter Fixture Fee) $26.00
4/13/2017 State Building Code Surcharge Fee $4 50
Total Due: $205.50
Total Payment: $0.00
Balance Due: $205.50
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
r
Permit Information
Date 4/13/2017
Permit Number 1420
Project Name Kern
Applicant Name Dan Kern
Applicant Address 19703 Knoll Drive
City,State,Zip Arlington,WA 98223
Contact Dan Kern
Phone 425-301-3660
Email mangga@linkmail.org
Permit Type Residential Alteration
Site Address 19703 Knoll Drive
Valuation 40000.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load
Number of Stories 2
Proposed Use Remove non-bearing wall for kitchen remodel, replace plumbing fixtures
Assigned To Kristin Foster
Property Information Owner Information
Parcel#:00898100004200 KERN DAN J&NAOMI R
KERN DAN J&NAOMI R 19703 KNOLL DR
19703 KNOLL DR ARLINGTON,WA 98223-4006
Contractors
Contractor Name Primary Contact Phone Email Contractor Type License L�n *
Dan Kern JDan Kern 25-301-3660 Imangga@linkmail.org OWNER
Review
Date Type I Description I Target Date I com feted Date Assigned To Status
4/13/2017 lResidential Renovation 4/20/2017 lRick Karns lin Review
Fees
Fee Description Notes Amount
Miscellaneou A322.10.00.00 3 site visits/inpsections $150.00
Plumbing Permit Base Feel 322.10.00.00 $25.00
Plumbing Permit Fee(Enter Fixture Fee)j 322.10.00,0 2@ 12 $26.0
State Building Code Surcharge Fe 386.00.01.0 $4.50
Total $205.5
Uploaded Files i I 1pInari FIIP.
Date file Uploaded D
4/13/2017 9:21:33 AM 1420 Plan.pdf Foster, Kristin x
4/13/2017 9:21:33 AM 1420 Application pdf Foster, Kristin x
4/13/2017 9 21:32 AM 1420 Renderinp.pdf Foster,Kristin x
RESIDENTIAL MISCELLANEOUS
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 INTERIOR ALTERATIONS FENCES,
RETAINING WALLS, STORAGE TANKS, PLAYGROUND EQUIPMENT, POOLS, HOT TUBS, ETC.
Project Address:19703 Knoll Dr.
Project Description: Removing a non-Weight bearing wall for a kitchen remodel.
Valuation: 40000
Owner:Dan Kern
Address: 19703 Knoll Dr. City:Arlington State: WA Zip Code: 98223
Phone: 425-301-3660 Email: mangga@linkmail.org
Contractor Name:N/A
Address: N/A City:N/A State: N/A Zip Code: N/A
Phone:N/A Email: N/A
License Number:N/A Expiration Date: N/A
l hereby certify that the above information is correct and that the construction, installation for the
above mentioned property will be in accordance with the applicable laws of the City of Arlington and
the State of Washington.
02/Qi!'(i 7 OQ1,111 CX-,Al
-. •••... 04/10/2017
Applicants Signature Date
Dan Joseph Kern
Print Applicants Name
FOR STAFF USE ONLY
�r-ZDLU _ APR 112017
Permit# cce y Amount Received Receipt# Date Received
. �_ •t
-•ti
or
'MEN NONE M JLvMM
MINNINGEMIN
M ME Nip on mans ON MEN ___MEN
00 SEEN ON 0 x4m,
MI ON
MMMM mommoom EMEMEN No MOM
mommism MEN M No mom M
M M No MMrMM ON ME No 0
on ME
ON M NONNI OMEN m No mill III
m ME MEMO nomimom MOEN m 02,
0110 E ONO n mom No ONE MOM
MENEM 0 A 0 MOEN mom M M 0 mm RE
M 11 M 0 MEN MURIEN
A mom M mom No
■ M■ ■M1■■ RI ! ■ N ■0 f s��err■ �i■
0 mommom R, ism I No MEN Nil
M No
in MEN
M 's, IMONO MEN SM 0 M 0
ME: ESKIMO 16
mom
�i iiNi � " , � l�ii■�ii" �■i�� �i�ii ►�=ii■i�
0 0 oil NO
ME Imm NONE No OMEN
MEMMME ME M 0 M No
'n■�M■CiME ON
iii�ii'■i■C■■i=iiiii '�iii■CiO�'
0 MEN 0 No
mom No ME m
00 C� 1ONES MMEMMME ME - so
G'.. mom.. _....tee ■�
---------- --
I
. I
�-
i r
N � �
I •�
I �
��i
r'�"
•n
II
Date: 03/16/2026
Permit#: 1420
Permit Date: 04/13/2017
Review Date: 04/13/2017
Permit Type: RESIDENTIAL ALTERATION
Review Type: RESIDENTIAL ALTERATION
Target Date: 04/20/2017
Scheduled Time: 00:00
Completed Date: 04/13/2017
Description: site visit required to verify "bearing wall".
Review Status:
Assigned To: z.Rick Karns
Time In: 00:00
Time Out: 00:00
Hours: 0.0
Property Information
Parcel#: 00898100004200 KERN DAN J&NAOMI R
KERN DAN J &NAOMI R 19703 KNOLL DR
19703 KNOLL DR ARLINGTON, WA 98223-4006
Zoning: 111 Single Family Residence -
DetachedLot: Block:
Permit#: 1420
Permit Date: 04/13/17
Permit Type: RESIDENTIAL ALTERATION
Project Name: Kern
Applicant Name: Dan Kern
Applicant Address: 19703 Knoll Drive
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Dan Kern
Phone: 425-301-3660
Email: mangga@linkmail.org
Scope of Work: Remove non-bearing wall for kitchen remodel, replace plumbing fixtures
Valuation: 40000.00
Square Feet: 0
Number of Stories: 2
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 04/14/2017
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
00898100004200 19703 KNOLL DR KERN DAN J& 111 Single Family
NAOMI R Residence-Detached
Contractors
Contractor Primary Contact Phone Address Contractor Type License License
Dan Kern Dan Kern 425-301-3660 19703 Knoll Drive OWNER
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
R20.
05/04/2017 ADDITION/ALTERATION Approved
FINAL
Site visit this date.Could
04/17/2017 R20.SFR/DUPLEX not verify if proposed wall 04/17/2017 Approved
FINAL to be removed is bearing.
Owner will verify at demo.
Plan Reviews
Date Review Type Description Assigned To Review Status
RESIDENTIAL
04/13/2017 ALTERATION site visit required to verify"bearing wall". z.lZick Karns
Fees
Fee Description Notes Amount
Mechanical Misc. Not otherwise specified 3 site visits/inpsections $150.00
Plumbing Base Permit Fee $25.00
Mechanical Commercial Permit Table 4-7;Per Unit 2 @ 12 $26.00
State Surcharge- 1st DU Residential- 1st Unit $4.50
Total $205.50
Attached Letters
Date Letter Description
04/13/2017 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
04/14/2017 Dan Kern 64277064 cc $205.50
Outstanding Balance $0.00
Uploaded Files
Date File Name
04/14/2017 2218480-1420 Issued Permit.pdf
04/13/2017 2215268-1420 Application.pdf
04/13/2017 2215269-1420 Plan.pdf
04/13/2017 2215267-1420 Rendering:pdf