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
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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
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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
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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