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HomeMy WebLinkAbout18821 43rd Dr Ne_BLD1610_2026 Y RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development O ll City of Arlington • 18204 59th Ave NE•Arlington,WA 98223 • Phone(360)403-3551 lYG'1 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 ,� ram. ��j �� Plat: 310-"11,00 yo V300 ❑ Single-family �f7 Duplex ❑ Townhouse ❑ Addition ❑ Accessory structure Proposed Area: 1st Floor: 2"d Floor: Garage: Total SF: Z/ !? 3 Describe Proposal (include cross street): Valuation: �/sr ' N`)(-) Owner: S-k0_u y% L4 P seA Address: / &"Fr z/ `/3'-J 'D t0 City: Ar-0-yu s State: 1,!�A Zip Code: '7 ZZI Phone: (36,0) / — Z,gS80 Email: Applicant: Er- ,- u S A r,.o..A ►o - G 1,v-YV fv A/,,e i Address: e13 1,0 T. 1 31 sf (`'I' . S IYe amity: State: Zthq Zip Code: `�8'16 8 Phone: Z04, - 3qY — 79L,? Email: Contractor: L F. �o✓ �� ��o�1 r? coca Address: y s'"L o S. 3/-,-t< `-'l, SNP City: 5�,z#le- State: " Zip Code: 9 Phone: Z 04 3 2. - © �cyo Email: �,ur�u . Le 6{-r us ea. Co^,-- Contact Person: T 6e r License Number: 1 Z 7C l Lt Received 5�to S AUG Y Y 2017 i0wor +b (10 1 o 6/16LP Y / Page 1 of 3 �✓\ eA'y OWUL+U�� RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551 11 NC+1 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: 97--&-/ 7 Print Applicants Name: 6/16LP Page 3 of 3 Y.°� RESIDENTIAL PERMIT APPLICATION Department of Community&Economic Development 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) ICJ Bath/Shower Combo (4.0) x CD/ Sink(1.5) x ❑ Shower(2.0) x []' Lavatory(1.0) x I Clothes Washer(4.0) x ❑ Water Closet(2.5) x I ❑/Dishwasher(1.5) x , 0/ Water Heater x Ir ❑ 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 ` I 1; -Z� t c� N� o P o fi ` o UA LA co + L � ;u N <' CD Q. N LA u - CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 18821 43rd Drive NE Permit#: 1610 Parcel#:31051600402900 Valuation:75000.00 OWNER APPLICANT CONTRACTOR Name:MAGELSEN SHAWN/SARAN Name:Belfor USA Group Name:Belfor Property Restoration Address: 18821 43RD DRIVE NE Address:4320 S. 131st Place,#100 Address:4320 S 131st Place,4100 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Seattle,WA 98168 City,State Zip:Seattle,WA 98168 Phone: Phone:206-348-7928 Phone:360-720-1537 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: I OCC GROUP: BUILDINGS: I 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. IBCI l0/IRCl10. SALES TAX NOTICE:Sales tax relating to construction and construction materials i - Cit� 'n and coded Ci of Arlington#3101, glon must be reported on your sales tax return form p g�1Z ' � r{( �� lT � 4.dl.r i U P.✓ T St:!f✓ Cr(�ti7'�J Z� /C-��-� Signature Print ame Date Released By Date CONDITIONS See red lined 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 Date Description Fee Amount 8/18/2017 Building Permit Fee $1,161,53 8/18/2017 Building Plan Review Fee $754.g9 8/18/2017 Processing/Technology Fee $25.00 8/18/2017 State Building Code Surcharge Fee $4.50 Total Due: $1,946.02 Total Payment: $0.00 Balance Due: S1,946.02 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 18821 43rd Drive NE Permit#: 1610 Parcel#:31051600402900 Valuation:75000 00 OWNER APPLICANT CONTRACTOR Name: MAGELSEN SHAWN/SARAN Name:Belfor USA Group Name: Belfor Property Restoration Address: 18821 43RD DRIVE NE Address:4320 S. 131st Place,#100 Address:4320 S 131st Place,#100 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Seattle,WA 98168 City,State Zip:Seattle,WA 98168 Phone: Phone:206-348-7928 Phone:360-720-1537 MECHANICAL 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: I OCC GROUP: BUILDINGS: I OCC LOAD: PERMIT APPROVAL kei 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. IBC1 IOARCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials i Ci ington must be reported on your sales tax return form and coded Ci of Arlington#3101. g'Z �' lT G'dt. � • ✓ T� 5c,.�r✓ �ti yC,o �f��l''�7 Signature Print Illame Date Released By Date CONDITIONS See red lined 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 8/18/2017 Building Permit Fee $1,161.53 8/18/2017 Building Plan Review Fee $754 99 8/18/2017 Processing/Technology Fee $25 00 8/18/2017 State Building Code Surcharge Fee $4.50 Total Due: $1,946.02 Total Payment: WOO Balance Due: $1,946.02 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 8/16/2017 Permit Number 1610 Project Name Magelsen Applicant Name Belfor USA Group Applicant Address 4320 S. 131st Place,#100 City,State,Zip Seattle,WA 98168 Contact Christopher DeSuler Phone 206-348-7928 Email christopher.desuler@us.belfor.com ���'�re Leqq d—D Permit Type Residential Alteration Site Address 18821 43rd Drive NE Valuation 75000.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 2 Proposed Use 1 Unit of duplex-Fire rebuild-interior to studs and exterior structural repair Assigned To Launa Peterson Property Information Owner Information Parcel#:31051600402900 MAGELSEN SHAWN/SARAH MAGELSEN SHAWN/SARAH 18821 43RD DRIVE NE 18821 43RD DR NE ARLINGTON,WA 98223 Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# elfor Prooertv Restoration Pirn Leffingwell 360-720-1537 im.leffinawell(a)us.belfor.com ONTRACTOR -abor&Industries OELFOUG99OBJ Review Date Tvoe Description I Taraet Date ComDleted Date Assigned To Status /16/2017 esidential Renovation -ire rebuild /30/2017 Pick Karns n Review Uploaded Files Upload File Date File Uploaded By 8/16/2017 3:16:27 PM 11610 Apt,&Plan.pdf Peterson,Launa 1 I it�• - BUILDING INSPECTION REPORT - RESIDENTIAL Permit No. BLD1610 Address: 18821 43rd Drive NE Contractor: Belfor— Fire Rebuild Owner: Shawn/Sarah Magelsen Date: 1/16/2018 APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER INSPECTION: INSULATION FOOTING: ❑ GROUNDWORK: ❑ FOUNDATION: ❑ HYDRO: ❑ SLAB: ❑ SPRINKLER: ❑ FRAMING: ❑ FIRE ALARM: ❑ SHEAR WALL: ❑ ACCESS: ❑ CEILING GRID: ❑ ADA: ❑ RATED ASSEMBLY: ❑ FIRE FINAL: ❑ INSULATION:W al l S/OhA l f t F/ea r BLDG FINAL: ❑ Date: 1/16/2018 Inspector: Ryan Miller r. Y RESIDENTIAL PERMIT APPLICATION Department of Community&Economic Development 'Q O 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: /?F Z 1 q 3 r,/. _D". Plat: . /d.s 1 f�oo U o Lq 00 ❑ Single-family IV— �V Duplex ❑ Townhouse ❑ Addition ❑ Accessory structure Proposed Area: 1st Floor: 2"d Floor: Garage: Total SF: 'Z ! Describe Proposal (include cross street): Valuation: d I` Owner: Address: / F F Z 1 cl 3,.d "0r. 0e, City: State: Zip Code: 7'�-ZII_3 Phone: (36,0) 4, I — Z O Email: Applicant: r.a4y12 5"/f_ Address: V3 Lo r 3 i sf t`-'- 1 . S,JYe amity: State: &,�q Zip Code: `� Y/( 9 Phone: 7_04, - 3 q V — 79 LP Email: C-Ar; ,sl2ke, 4e ice. fern 'us. 6e ✓,c0� Contractor: 0c,tf:o✓ M Y'iq Address: `�S Z o S, t 3 l.s4 IF/, S�'�,�r City: State: AAIq Zip Code: *'16- K Phone: Z06 63 2 W © WOO Email: u.u,•&.u . . Contact Person: TAF License Number: i7c�GreetG,9%JC,?Expiration: I Z j z6 j zo I J �- T 1 � T Received l AUG 11 2017 +b _?_'d)I 6/16LP �3�+"6dI n �� 6 Page 1 of 3 v i '` RESIDENTIAL PERMIT APPLICATION Department of Community&Economic Development IN City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 lG`� Plumbing Section (continue filling out if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) `Izr Bath/Shower Combo (4.0) x D/ Sink(1.5) x ❑ Shower(2.0) x Lavatory(1.0) x l Clothes Washer(4.0) x ❑ Water Closet(2.5) x Dishwasher(1.5) x D/ Water Heater x 1 ❑ 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) 6116LP Page 2 of 3 i '` RESIDENTIAL PERMIT APPLICATION 0 0 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: dFurnace(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: Fj' 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: �l g -{v 02 k e T ?De 5-i,le,� 6/16LP Page 3 of 3 8/22/2017 BELFOR USA GROUP INC Search L&I Safety/& Health Claims&Insuram;e t orkpl;ar e Rights Tcades g, Licensing Washington State Department of ` h Labor & Industries BELFOR USA GROUP INC Owner or tradesperson 185 OAKLAND AVENUE SUITE 150 Principals BIRMINGHAM,MI48009 YELLON,SHELDON,PRESIDENT 206-632-0800 CIOLINO,JOSEPH,SECRETARY JOHNSON,JEFFERY L,PRESIDENT (End: 10/30/2008) DAVIS,MARK W,VICE PRESIDENT (End:10/30/2008) Doing business as BELFOR USA GROUP INC WA UBI No. Business type 602 089 710 Corporation Governing persons MARK DAVIS JEFFERY JOHNSON; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. BELFOUG99OBJ Effective—expiration 01/11/2001-12/20/2018 Bond HARTFORD FIRE INS CO $12,000.00 Bond account no. 35BSBBZ7167 Received by L&I Effective date 11/16/2003 01/01/2004 Expiration date Until Canceled Insurance National Union Fire Ins of PA $2,000,000.00 Policy no. GL7468694 Received by L&I Effective date 07/07/2017 07/01/2017 Expiration date 0 7/0112 0 1 8 https://secure.ini.wa.gov/verify/Detail.aspx?UBI=602089710&LIC=BELFOUG990BJ&SAW= 1/4 i I �. i 8/22/2017 BELFOR USA GROUP INC Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings Cause no. 12-2-05119-4knt Dismissed Complaint filed by Complaint against bond(s)or savings BUILDERS HARDWARE&SUPPLY INC 35BSBBZ7167 Complaint date Complaint amount 06/12/2012 $0.00 L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts L&I Account ID Call L&I account representative for account 982,028-01 status. Doing business as BELFOR USA GROUP INC Estimated workers reported Incomplete premium report received. L&I account contact Collections Dialer Unit,800-301-1826-Email:dialercollections@Lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes This contractor received a valid strike(s)for violation or infraction for the following L&I law(s).Learn more about contractor strikes. RCW Violation Effective Date 18.27,200 7/30/2011 Description Failure to comply with contractor registration requirements,per RCW 18.27 Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 04/19/2017 Violations Inspection no. 317944184 Location Sixty 01 Association Redmond,WA 98052 Inspection results date 0 312 8/2 01 6 No violations hftps://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602089710&LIC=BELFOUG99OBJ&SAW= 2/4 i 8/22/2017 BELFOR USA GROUP INC Inspection no. 317939439 Location 2 West Casino Road Everett,WA 98204 Inspection results date 11/24/2014 No violations Inspection no. 317609626 Location 1808 B Street NW Suite#150 Auburn,WA 98003 Inspection results date 06/16/2014 No violations Inspection no. 317317261 Location 4320 S 131 st PI#100 Tukwila,WA 98168 Inspection results date 08/22/2013 Violations Inspection no. 316854603 Location 1100 s.Massachusetts St Seattle,WA 98144 Inspection results date 11/05/2012 Violations Inspection no. 316396811 Location 757 Central Ave. Kent,WA 98032 Inspection results date 0 711 3/2 01 2 No violations Inspection no. 316251941 Location 120 N Ralph St Spokane,WA 99202 Inspection results date 05/01/2012 No violations Inspection no. 315908343 Location 4831 Fauntleroy Way SW Seattle,WA 98168 https:Hsecure.ini.wa.gov/verify/Detail.aspx?UBI=602089710&LIC=BELFOUG990BJ&SAW= 3/4 i 8/22/2017 BELFOR USA GROUP INC 0 Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://secure.ini.wa.gov/verify/Detail.aspx?UBI=602089710&LIC=BELFOUG990BJ&SAW= 4/4 i , i I 1 _ f �G c 6' R -XII e H to cn 2 C7 f g Z 0 _' � m -o 'n m O mop { mq ~ (�1 N z y { Ma 0 7 L„ � C<i LA a �,C � II, � _ rTl r\ C n` c `�Cr CD S N < CD CKI �J c/j g r f� •� t _r BUILDING INSPECTION REPORT — Residential Final Permit No. 1610 Address: 18821 43rd Drive NE Contractor: Belfor USA Group Owner: Magelsen Date: 4/12/2018 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER INSPECTION: Final Building ADDRESS NUMBERS: © ACCESS: PLUMBING: ® MECHANICAL: SMOKE DETECTION: ® CO DETECTION: LIFE SAFETY: ® DECKS: HANDRAILS: ® PLANTINGS: ❑ WATER: © SEWER: LIGHTING: ® FINAL ELECTRICAL: BLOWER DOOR/DUCT CERT: ® INSULATION CERT: Date: 4/12/2018 Inspector: Kevin Olander Permit#: 1610 Permit Date: 08/16/17 Permit Type: RESIDENTIAL ALTERATION Project Name: Magelsen Applicant Name: Belfor USA Group Applicant Address: 4320 S. 131 st Place, #100 Applicant, City, State, Zip: Seattle,WA 98168 Contact: Christopher DeSuler Phone: 206-348-7928 Email: christopher.desuler@us.belfor.com Scope of Work: 1 Unit of duplex - Fire rebuild- interior to studs and exterior structural repair Valuation: 75000.00 Square Feet: 0 Number of Stories: 2 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/25/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31051600402900 18821 43RD DR NE MAGELSEN 122 Two Family SHAWN/SARAH Residence(Duplex) Contractors Contractor Primary Contact Phone Address Contractor Type License License# Belfor Property Gary CONSTRUCTION Restoration McConaghy@us.belfor.com 206-632-0800 4320 S 131st PL CONTRACTOR COA 602089710 Belfor Property Gary 206-632-0800 4320 S 131 st PL CONSTRUCTION Labor&BELFOUG99OBJ Restoration McConaghy@us.belfor.com CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status R20. 01/09/2018 ADDITION/ALTERATION Completed FINAL Plan Reviews Date Review Type Description Assigned To Review Status RESIDENTIAL Fire rebuild 08/16/2017 ALTERATION Approved with red lines.Deferred mech and plm and 5/8 z.Rick Karns gwb in garage throughout. Fees Fee Description Notes Amount Building Permit Table 4-1 $1,161.53 Building Plan Review Table 4-2 $754.99 Processing/Technology $25.00 State Surcharge- 1st DU Residential- 1st Unit $4.50 Total $1,946.02 Attached Letters Date Letter Description 08/18/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/25/2017 Belfor USA Group,Inc. Check#5967 Kristin Foster $1,946.02 Outstanding Balance $0.00 Notes Date Note Created By: 08/25/2017 Out of City License has been issue.KF Kristin Foster 08/18/2017 Contractor needs to pay for out of city license.KF Kristin Foster Uploaded Files Date File Name 04/30/2018 3424322-18821 43rd Drive NE.docx 08/25/2017 2558304-1610 Issued Permit.pdf 08/16/2017 2533910-1610 App&Plan.pdf Date: 03/23/2026 Permit#: 1610 Permit Date: 08/16/2017 Review Date: 08/16/2017 Permit Type: RESIDENTIAL ALTERATION Review Type: RESIDENTIAL ALTERATION Target Date: 08/30/2017 Scheduled Time: 00:00 Completed 08/17/2017 Date: Description: Fire rebuild Approved with red lines. Deferred mech and plm and 5/8 gwb in garage throughout. Review Status: Assigned To: z.Rick Karns Time In: 00:00 Time Out: 00:00 Hours: 0.0 Property Information Parcel#: 31051600402900 MAGELSEN SHAWN/SARAH MAGELSEN SHAWN/SARAH 18821 43RD DRIVE NE 18821 43RD DR NE ARLINGTON, WA 98223 Zoning: 122 Two Family Residence (Duplex)Lot: Block: