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HomeMy WebLinkAbout19621 45th Dr Ne_BLD1527_2026 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: i y t!o� / s r .. 3 _J Project Description: Valuation: Sou �✓ Owner: Address: �v ?J. n �� City: ^� State: w,4 Zip Code: � 2.2 Phone: Email: -] e-e SCAL.J e ;' Lrf Applicant- Address: City: State: Zip Code Phone: Email: Contractor Name: Address: City: State: Zip Code: Phone: Email: License Number: Expiration Date- /hereby certify that they 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. Y Applicants Signature Date Print Applicants Name FOR STAFF USE ONLY Rt;%'V 1 a ISZ'l JUN 2 7 2017 Permit# Acedgy Amount Received Receipt# Date Received ' CITY OF ARLINGTON CAM 1W 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:19621 45th Drive NE Permit#:1527 Parcel#:00951300000900 Valuation:300.00 OWNER APPLICANT CONTRACTOR Name:SCHWEIZER TERRY L&TAYA K Name:Terry Schweizer Name:Terry Schweizer Address: 19621 45TH DR NE Address:8011 177th Place NE Address:8011 177th Place NE City,State Zip:ARLINGTON,WA 98223-4794 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-631-7516 Phone:360-631-7516 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_City of Arlington must reported on your sales tax return form and c dcd Ci of A 'hgt r#3101. �rrr 1, s w Signature Mint Name Date Released By Date CONDITIONS Approved as submitted. 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 7/3/2017 Building Permit-Other $100.00 7/3/2017 Processing/Technology Fee $25.00 7/3/2017 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 S (�� w e- r 1C1 � i R�l � 1-✓ � 3 L—C �Jar 1 `�-- 2(� Received JUN 27 2017 ® CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:19621 45th Drive NE Permit#:1527 Parcel#:00951300000900 Valuation:300.00 OWNER APPLICANT CONTRACTOR Name:SCHWEIZER TERRY L&TAYA K Name:Terry Schweizer Name:Terry Schweizer Address: 19621 45TH DR NE Address:8011 177th Place NE Address:8011 177th Place NE City,State Zip:ARLINGTON,WA 98223-4794 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:360-631-7516 Phone:360-631-7516 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 City�f,Arl' ton must reported on your sales tax return form and c ded Ci of A '6gt #3101. Signature Putt Name Date Released By Date CONDITIONS Approved as submitted. 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 7/3/2017 Building Permit-Other $100.00 7/3/2017 Processing/Technology Fee $25.00 7/3/2017 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 Permit Information Date 6/28/2017 Permit Number 1527 Project Name Schweizer Applicant Name Terry Schweizer Applicant Address 8011 177th Place NE City, State,Zip Arlington,WA 98223 Contact Terry Schweizer Phone 360-631-7516 Email terr.schweizerc@gmail.com Permit Type Residential Alteration Site Address 19621 45th Drive NE Valuation 300.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use Create a bedroom Assigned To Kristin Foster Property Information Owner Information Parcel#:00951300000900 SCHWEIZER TERRY L&TAYA K SCHWEIZER TERRY L&TAYA K 19621 45TH DR NE 19621 45TH DR NE ARLINGTON,WA 98223-4794 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Terry Schweizer fer Schweizer 360-631-7516 erry.schweizer@gmail.com DWNER Review Date Type Description I Target Date Completed Date I Assigned To I Status 3/28/2017 lResidential Renovation 7/5/2017 JRick Karns 111n Review Fees Fee Description Notes Amount Building Permit-Othe 322.10.00.00 One Inspection $50.0 Processing/Technology Fe 341.43.00.02 $25.00 ' 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: ��a� ��s7-), �� N6' Ar1+f.�;�,c Project Description: Valuation: t 3®ci Owner: w e,, Address: City: � � State: Ar,4 Zip Code: L_2 Phone: Lo31— -2 SI Lv Email: 1-e_rr-4 c,' Zit- Ci ,r�<=��i. -, Applicant: S Address: City: State: Zip Code: Phone- Email: Contractor Name: Address: City: State: Zip Code: Phone: Email: License Number:_ Expiration Date: I 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. Applicants Signature Date %7_2,n-/ Print Applicants Name T�60R STAFF USE ONLY r%CI�G!v 16.%A tS2�l JUN 2 7 7017 Permit# AAcby tg Amount Received Receipt# Date Received s C� r I Cl (.- I-J` - r N 6 0 �0-0 L/ 3 [2-c4y-� 2&, OFFICE COPY CITY OF ARLINGTON BUILDINGS DEPARTMENT APPROVED DA 7l_k BY C 140CHANGES AUTHORIZED UNLESS APPROVED BY THIS BUILDING INSPECTOR Received IUN 2 7 2017 "r2l c--z-"l Permit#: 1527 Permit Date: 06/28/17 Permit Type: RESIDENTIAL ALTERATION Project Name: Schweizer Applicant Name: Terry Schweizer Applicant Address: 8011 177th Place NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Terry Schweizer Phone: 360-631-7516 Email: terry.schweizer@gmail.com Scope of Work: Frame in a bedroom within the Family Room space Valuation: 300.00 Square Feet: 0 Number of Stories: 1 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/04/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00951300000900 19621 45TH DR NE SCHWEIZER 111 Single Family TERRY L&TAYA K Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License Terry Schweizer Terry Schweizer 360-631-7516 8011 177th PINE OWNER Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 08/11/2017 R20.SFR/DUPLEX 08/11/2017 Completed FINAL Plan Reviews Date Review Type Description Assigned To Review Status 06/28/2017 RESIDENTIAL z.Rick Karns ALTERATION Fees Fee Description Notes Amount Building Permit-Other Two Inspections $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 07/03/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/04/2017 Terry Schweizer check#4098 Launa Black $129.50 Outstanding Balance $0.00 Notes Date Note Created By: 07/03/2017 L&I Inspection is required for any electrical work.KF Kristin Foster Uploaded Files Date File Name 08/04/2017 2502967-1527 Issued Permit.pdf 06/30/2017 2415217-1527 Plans.pdf