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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