The URL can be used to link to this page

Home My WebLink About20220 Old Burn Rd_BLD1494_2026 RESIDENTIAL PERMIT APPLICATION �wNni 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. 1�>QS 0 Plat: 'Z] Single-family ❑ Duplex Q Townhouse ❑ Addition ❑! Accessory structure Proposed Area: 1 st Floor: 2"d Floor: Garage: _ Total SF: Describe Proposal (include cross street): A n% )+� i� i 6A-RCA6F Able 66 `7b FI S T!!L14 r Valuation (�P, 1717L� Owner: Address: 7_0 2 Zo C _i-) R 20 City: AQu t-)6_WyJState: CJA Zip Code: 1y2_z_S Phone: 20b-�)?` W 7 L Email: CA MAy 5M (Z� AOJ M AI L, CAM Applicant: 5AA AS ®w ►.�&PZ Address: City: State: Zip Code: Phone: !T/n� Email: Contractor: _��IT r!r- <.� C\i,v'AL Address: City: State: Zip Code: Phone: Email: Contact Person. License Number: Expiration: 6116LP Page 7 of 3 Y RESIDENTIAL PERMIT APPLICATION � 2 Department of Community& Economic Development 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: Print Applicants Name: �rlf ✓ L�/� 6/16LP Page 3 of 3 05 Of N n��cs►Jc�1 - �� {Qcc 111 �b��N 31 o51y -obl - oa® > 0\ L,o-t-2 o J�? R'VI/(A"J 70 CAR . h , � n DZ O �V 57� I llo r oS �a ls' Sep i c i?ss wry A T x3' 3T'yp, �t o � - If f� f ck rnvWOMArahTl- PLR-115PCG7 PLriYp k PLYWD P"V7`l r V ffi R a6 ION lfrriK DR/P MP�ONI12�3 CLIP IXWDPA�5UA 2X NNLP-R' RC - ` CONrVCNr P^ _ MPR TaPU�G� rl-Ar 4rN-)z P�CfC o 2 X g --5rUDWAU- �[lf ( ��F h� ./6"oc, vz'"NucnoR 8WO- Sal � l�c �r 1 n�5 r dour 4"CONS gl,ABOVGR v� 4"RMONROGK Sl{ N A L. I. rNDNWit!L - Z gAki�- 5' �L 12/?/GCcb Pre ro rxrr&v AT GONT,PIG, -- — ------ -- .. Dr!_OW rRo�ruNc 5E'r A a inc-- I � r ----� NANv� e,Q LO� w ° CITY OF ARLINGTON ' 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:20220 Old Burn Road Permit#:1494 Parcel#:31051400102000 Valuation: 16000.00 OWNER APPLICANT CONTRACTOR Name:ELLIOTT DONNA L/ELLIOTT SHAWN Name:Shawn Elliott Name:Shawn Elliott L Address:20220 OLD BURN RD Address:20220 Old Burn Road Address:20220 Old Burn Road City,State Zip:ARLINGTON,WA 98223-5904 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:206-817-2576 Phone: 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: 1 CONST.TYPE: `I-13 DWELLING UNITS: 1 OCC GROUP: R-3 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. IBCI10/IRC110. SALE X NOTICE:Sales tax relating to construction and construction materials in the City o�inglouslrled on your sales tax return form a wde i f rlington#3101. �11-1411-7 Sib,ture Print Name Date Released By Date CONDITIONS See redlined Drawings. Adhere to approved plans. 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 6/12/2017 Building Permit Fee $374.49 6/12/2017 Building Plan Review Fee $243.42 6/12/2017 Processing/Technology Fee $25.00 6/12/2017 State Building Code Surcharge Fee $4.50 Total Due: $647.41 Total Payment: $0.00 Balance Due: $647.41 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:20220 Old Burn Road Permit#:1494 Parcel#:31051400102000 Valuation:16000.00 OWNER APPLICANT CONTRACTOR Name:ELLIOTT DONNA L/ELLIOTT SHAWN Name:Shawn Elliott Name:Shawn Elliott L Address:20220 OLD BURN RD Address:20220 Old Burn Road Address:20220 Old Burn Road City,State Zip:ARLINGTON,WA 98223-5904 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:206-817-2576 Phone: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Addition CODE YEAR: 2015 STORIES: ] CONST.TYPE: V-$ DWELLING UNITS: 1 OCC GROUP: R-3 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. ALE X N T :Sales tax relating to construction and construction materials in the City u ington ust be reported on your sales tax return form a ode i f rlington#3101. ture Print Name Date Released By Date CONDITIONS See redlined Drawings. Adhere to approved plans. 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 6/12/2017 Building Permit Fee $374.49 6/12/2017 Building Plan Review Fee $243.42 6/12/2017 Processing/Technology Fee $25.00 6/12/2017 State Building Code Surcharge Fee $4.50 Total Due: $647.41 Total Payment: $0.00 Balance Due: $647.41 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 Permit Information Date 6/8/2017 Permit Number 1494 Project Name Elliott Applicant Name Shawn Elliott Applicant Address 20220 Old Burn Road City, State, Zip Arlington,WA 98223 Contact Shawn Elliott Phone 206-817-2576 Email camayshawn@hotmail.com Permit Type Residential Addition Site Address 20220 Old Burn Road Valuation 16000.00 Status Applied Permit Issued Permit Expires Square Feet 312 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use Addition to garage and deck Assigned To Kristin Foster Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Shawn Elliott IShawn Elliott I,c:amayshawn@hotmail.com JOWNER Review Date I Type Description I Target Date I Completed Date I Assigned To Status 3/8/2017 lResidential Addition 3/15/2017 `dick Karns in Review Fees Fee Description Notes Amount Building Permit Fee 322.10.00.00 $374.49 Building Plan Review Fee 345.83.00.00 $243.42 Processing/Technology Fe 341.43.00.02 $25.0 State Building Code Surcharge Fee 386.00.01.00 $4.5 Total $647.41 Uploaded Files Upload File Date IFile Uploaded B 6/8/2017 5:08:40 PM 1494 Application Site Plan and Plans.pdf Foster,Kristin �( �``Y °�' 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 0220 60) &,?_0 IC o+� Plat: fI: Single-family ❑ Duplex ❑ Townhouse ❑ Addition ❑ Accessory structure Proposed Area: 1st Floor: 2nd Floor: Garage: Total SF: Describe Proposal (include cross street): Valuation: (�lP, 1717L� Owner: Address: 7o Z Zn ni RWO city: State: CA Zip Coder Phone: 0(a-�0- F0 to Email: PmAy 50 (*c) A01/✓)Al Applicant: � � 1�5 w 0 CPIZ Address: City: State: Zip Code: Phone: �` Email: � r l Contractor: _ r- A<, C�cAav,!`Q Address: City: State: Zip Code: Phone: Email: Contact Person: License Number: Expiration: 6/16LP Page 1 of 3 0� RESIDENTIAL PERMIT APPLICATION i ` Department of Community&Economic Development O 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 [._]{ Shower(2.0) x ❑ Lavatory (1.0) x ❑1 Clothes Washer(4.0) x ❑ Water Closet(2.5) x ❑ Dishwasher(1.5) x ❑ Water Heater i e 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 c,`�Y °�' RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development 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: Print Applicants Name: 6/16LP Page 3 of 3 i 2vo o220 O� c} �OOrN ��\• ' 0 c�I i NOv �rl �-�- -lys RM1100 To �P-Al� C- �7 J 1 ^ C TY OF ARLINGTON BUILDING DEPARTMENT APPROVED -- — IIAM / SMO ORANGES AUTWOWED g' FINLESS APPROVED BY THE BUILDING INSPECTOR 41.3 ` A �- W X 31X �)FFICE COPS'' o - - � a53.o1 C �fi c--Li �r�� KOTOZIJ A gQ M.D. THBMTMg30 EWIaJIUS Q3VOf19gA =r47 Y8 03VOA99A U3.M POT003CIM O141CUKJS MmgoDrmhTL P[g1-15F G3 - 1/2"PLYWp�tl h � PLYWp 8N7`LC V G _ " MCIitL DRp' - R itVr CLJP IXWDI'i13CM Ri UNNI.M Rc u CowVCNr CA M`1P MU5:�5C5 N Z4"O.0 r f CL c& 2x4 5rc wo �/2"'MIG10R�9OLT _ te �"COIVC 5�t6 OVCR E w�� z)Z�fl Z 04 �Z r I• �I f-r�L'�Iti GON1:1°TG rrG ro exreto AT - r>cLowci�o�rL✓Nc S-T �� G�`I ul r� CA)O 4�oVe— Received JUN 01, 2017 i I ® l X_ N r" r. XIN tA Lo� .r r r � I CITY OF ARLINGTON BUILDING DEPARTMENT APPROVED OCopy DATE �O'i2-I� BY - �-NO CHANGES AUTHORIZEDFFI E UNLESS APPROVED BY THE BUILDING INSPECTOR HOTOViI.IS qO YTID MW tw►a o"K-Lnue aQ3VORggA Ya .�Vkn .1 , '4 , . 3, mow►a�wraow SIT Y6 C*JVWMA P"MU Elliott, Shawn From: shawn elliott <camayshawn@hotmail.com> Sent: Friday, May 26, 2017 11:16 AM To: Elliott, Shawn Subject: Fwd: City of Arlington Zoning Verification -------- Original message -------- From: Kristin Foster<kfoster@arlingtonwa.gov> Date: 5/1/17 2:12 PM (GMT-08:00) To: camayshawn@hotmail.com Subject: City of Arlington Zoning Verification Shawn, Your zoning verification has been approved to submit for a building permit. The only condition to the zoning verification is that the roof drainage of the new addition will need to be tied in to the existing drainage system. Let me know if you have any questions. Thanks, Kristin Foster Permit Technician City of Arlington 18204 59th Ave NE Arlington, WA 98223 360 403 3549 kfoster@arlingtonwa.gov 1 - . _ r i I _ � v _ i n : � i u .. I �� 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: L d�w OL6 �OQI O 1?L)R� Plat: l U`i /1/UU Owner/Applicant: i5H PI LAW C- L I U1 J Address: Z0270 e(*(� City: ,Ae,(_)A),1'7A0 State: (✓ Zip Code: 7JWZ 3 Phone: 7oL R)9 - 25`?b Email: CA►MAJ SHAL-�e No701AiL, CUM Describe Proposal (include cross street): FX iCwS/D0 (-)i k-X)S'l/d4 6M?A�€ 17 �. A�)�l�'r." �� X zcl � U 0V)ozx 52L W (2iMaL C,ASZA(� , Please check one: ❑ Single-family dwelling ❑ Duplex 1�(Addition ❑ Accessory structure 1. Proposed Dimensions: W) L) H) Total SF) 2. Allowed Lot Coverage: Total Lot Size 151%3.6 SF x 35% = ist`2- SF 3 3. Actual Lot Coverage: (SF of all structures'.) _ (lot size) = % 4. Septic Tank? C'Yes ❑!No Private Well on Site? ❑1 Yes �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) Fire Sprinkler System ❑ Medical Equipment Lawn Sprinkler System Livestock Drinking Tanks ❑ Decorative Pond/Fountain JI Hot Tub ❑ Re-circulating Heating System JLJ Swimming Pool Other L Applicant Signature: Date: / 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. Received Rev04/2013 APR 1. 7 2017 ��I ,� .., '��-' ti m J I N N N � 03 O O y W O O FL� i O yC- O A N OD J V N N 0 O O O CA O C ' n A i s , i J 11 III J in r I I RECEIVED OCT 10 1005 COA PERMIT CENTER 2 O 2 20 0\a �o�r�•+��• .1 o 5 r• Q � 'y 1 - �� 01, Received APR 17 2017 �1 • �vw � i i� � 3� M ��., M+�_ 1 Kristin Foster From: Kristin Foster Sent: Monday, May 01, 2017 2:13 PM To: Icamayshawn@hotmail.com' Subject: City of Arlington Zoning Verification Shawn, Your zoning verification has been approved to submit for a building permit. The only condition to the zoning verification is that the roof drainage of the new addition will need to be tied in to the existing drainage system. Let me know if you have any questions. Thanks, Kristin Foster Permit Technician City of Arlington 18204 59th Ave NE Arlington, WA 98223 360 403 3549 kfosterCa)arlingtonwa.gov 1 I Permit#: 1494 Permit Date: 06/08/17 Permit Type: RESIDENTIAL ADDITION Project Name: Elliott Applicant Name: Shawn Elliott Applicant Address: 20220 Old Burn Road Applicant, City, State, Zip: Arlington,WA 98223 Contact: Shawn Elliott Phone: 206-817-2576 Email: camayshawn@hotmail.com Scope of Work: Addition to garage and deck Valuation: 16000.00 Square Feet: 312 Number of Stories: 1 Construction Type: Occupancy Group: ID Code: Permit Issued: 06/13/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning ELLIOTT DONNA L 31051400102000 20220 OLD BURN RD /ELLIOTT SHAWN Residence Single Family sidence-Detached L Contractors Contractor Primary Contact Phone Address Contractor Type License License Shawn Elliott Shawn Elliott 20220 Old Burn OWNER Road Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status R20. 08/23/2017 ADDITION/ALTERATION Completed FINAL Plan Reviews Date Review Type Description Assigned To Review Status 06/08/2017 RESIDENTIAL ADDITION approved with red lines. z.Rick Karns Fees Fee Description Notes Amount Building Permit Table 4-1 $374.49 Building Plan Review Table 4-2 $243.42 Processing/Technology $25.00 State Surcharge- 1st DU Residential- 1st Unit $4.50 Total $647.41 Attached Letters Date Letter Description 06/12/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 06/13/2017 Shawn Elliott Check#1253 Kristin Foster $647.41 Outstanding Balance $0.00 Uploaded Files Date File Name 06/13/2017 2363709-1494 Issued Permit.pdf 06/08/2017 2352153-1494 Application,Site Plan and Plans.pdf