HomeMy WebLinkAbout709 Talcott St_BLD2096_2026 ' CITY OF ARLINGTON
•
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
4PHONE; (360) 403-3551
BUILDING PERMIT
Address:709 Talcott Street Permit#:2096
Parcel#:00461801200400 Valuation:.00
OWNER APPLICANT CONTRACTOR
Name:WESTERN WASH SEVENTH-DAY ADVENTISTS Name:Dave Patrick Name:C4 Construction,LLC
Address:32229 WEYERHAEUSER WAY S Address:713 N Talcott Street Address:20800 Lake Riley Road
City,State Zip:FEDERAL WAY,WA 98001-9347 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:360-435-8117 Phone:
LIC:C4CONCL894Q2 EXP: 11/22/2021
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Demolition CODE YEAR: 2015
STORIES: 1 CONST.TYPE: `IB
DWELLING UNITS: I OCC GROUP: U
BUILDINGS: 1 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 IO/IRC110.
SALES-TAX NOTICE:Sales tax relating to construction and mslruchon materials in the City of Arlington must be reported on your sales tax return form
a=.odcefof rlinVo #3101. �ZJ
Signature Print Name Date Released By 15ate
CONDITIONS
THIS PERMIT AUTHORIZES 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
03/18/2020 Demolition Fee $100.00
03/18/2020 Processing/Technology Fee $25.00
03/18/2020 State Surcharge-Commercial $25.00
Total Due: $150.00
Total Payment: $0.00
Balance Due: $150.00
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
I
OMWBE Certifications
No active certifications exist for this business.
Apprentice Training Agent
No active Washington registered apprentices exist for this business.Washington allows the use of apprentices
registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor
&Industry to verify if this business has apprentices.
Workers' Comp
Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums.
L&I Account ID Account is current.
888,736-02
Doing business as
C4 CONSTRUCION LLC
Estimated workers reported
Quarter 4 of Year 2019"0"Workers
L&I account contact
TO/KRISTINE HATHAWAY(360)902-4811-Email:HATK235@lni.wa.gov
Public Works Requirements
Verify the contractor is eligible to perform work on public works projects.
Required Training—Effective July 1,2019
Exempt from this requirement.
Contractor Strikes
No strikes have been issued against this contractor.
Contractors not allowed to bid
No debarments have been issued against this contractor.
Workplace Safety& Health
Check for any past safety and health violations found on jobsites this business was responsible for.
No inspections during the previous 6 year period.
Waskngion Sule 0.ga,IxwuN
Labor&Industries-( s//Ini WA_ggy)
C4 Construction LLC
Owner or tradesperson 20800 Lake Riley Rd
Principals ARLINGTON,WA 98223
Patrick,David Michiel,PARTNER/MEMBER 360-435-8117
SNOHOMISH County
■ Patrick,David Michiel,AGENT
■ Patrick,Timothy James,PARTNER/MEMBER
(End: 10/21/2015)
Doing business as
C4 Construction LLC
WA UBI No. Business type
603 147 701 Limited Liability Company
Governing persons
DAVID
M
PATRICK
TIMOTHY JAMES PATRICK:
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.
C4CONCL894Q2
Effective—expiration
11/22/2011—11/22/2021
Bond
Travelers Cas and Surety Co of America $12,000.00
Bond account no.
103491035
Received by L&I Effective date
11/22/2011 11/17/2011
Expiration date
Until Canceled
Insurance
American Fire&Casualty Co $1,000,000.00
Policy no
BLS54899634
Received by L&I Effective date
09117/2019 11/07/2018
Expiration date
11/07/2020
Insurance history
Savings
......................
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
No lawsuits against the bond or savings accounts during the previous 6 year period.
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.
Certifications & Endorsements
DEMOLITION
PERMIT APPLICATION
Department of Community&Economic Development
City of Arlington •.18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551
THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS/DEMOLITION NOTIFICATION FROM PUGET
SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT
(if applicable)COMPLETED BY AN APPROVED AGENCY.
Type of Permit:(check one) �6 Residential ❑ commercial ❑ Industrial
Project Address: jjqaT ` C_ Parcel ID#:
Lot#: Subdivision: Valuation:
Building Area
�(Sq/Ft) o2`t No.of floors: Number of Buildings:
^ �(
Owner: r1I a A l 14 LAAC /V_` Phone Number: 3�- �%3S
Address: ,[ city: Aryl I A State: Zip Code: `o
Contact Person: C,c l� Phone Number: 34to !4' _ ?L -
Cell Phone: S- - 4437 E-mail: ,W ,p L`t`coYSS`t ruC-� ( M , y_p
Address: 2t)V d W_Aj-u I� city:!A State: A 14 Zip Code: U 2 2 3
Contractor: C.�T �-W1 �Yk Cam}( f1� Phone Number: 810 - 4&S= p O)I
Address: 2a9fo 0 Lab (Z 1*e;A �`+City: W I State: W A Zip code: "/i)gz 23
Contractor's License Number:C-q C 0 1G �� 4 Z- Expiration:
Scope of Work:
hereby ceofy_that the above information is correct and that the construction on,and the occupancy and the use of the above-
des crib property will be in accordance with the laws, rules and regulations of the Stat of Washington.
L
-111 � Illr
Applicants Signature Date
Print Applicants Name
FOR STAFF USE ONLY
(D(Iry
Permit# Accepted By Amount Received Receipt# Date Received
dkl
U 1.
1-
. '
�JV� ( A lb (P, 6MU)
�
&�- m
Timr,
Asbesto-Test,
Inc.
1429 Ave.D #187•Snohomish.WA 98290
425-489-4040
uuvushr.,mrustro+n:kdnGAa,Grrwhsl.earn
ASBESTOS SURVEY
Old Wood Frame Detached Caraw Only
(a) 713 N. Talcott St.,Arlington, WA 98223
Page I of 3
PAT2180722
August 2,2018
C4 Construction,LLC
20800 Lake Riley Rd
Arlington,WA 98223
attn:David Patrick
360-435-8117;425-3594837
Davidn(a�c4constr ction.net
On July 27,2018,Asbesto-Test personnel conducted an Asbestos survey(per
U.S.E.P.AJA.H.E.R.A.guidelines as designated and specified by Puget Sound Clean Air
Agency and Washington State)of the old wood frame detached garage(h? 713 N. Talcolt St.,
Arlington,Snohomish Countp, Washington 98223. This survey purpose is to identify any
Asbestos Containing Materials that may be present and will require professional removal
prior to demolition.
THERE WAS NO ASBESOTS DETECTED IN ANY OF THE SAMPLES TAKEN
continue to page 2
Received
AUG ® 3 2018
BBB
% ■ '�
Lo X
� � ■ NON -
IN N
1 1■ ■ 1
1111111 M ' ■ ■ % mom 1 '■ 6 M 1
or
■ 1■ ■
■ ■ ter ■
M ■ ■
■ 1 ■ ■ 11111
mlpjPi 1 ■l NON
som simmom mom Nomm mom mommommism mom ■ ' 11111111 � 111111111 1 ■ ■ 1
■ ■ M M ■ M ■ ■ ■1 ■ ■ NON ■ ■ 1 ■
■ ■ ■ ■ ■ NON ■
■M ■ ■ ■ ■ ■ 1 1 ■ ■ ■
■ 1 • ■
I
I
I
r 'i 1 �.
t —
Page 2 of 3 August 2,2018
PAT2180722 Asbesto-Test,Inc. 425-489-4040
Old Wood Frame Detached Garage Only
Q) 713 N. Talcott St.,Arlington, WA 98223
NARRATIVE OF FINDINGS
BASIC CONSTRUCTION: The structure is wood frame.The composition roofing materials
were sampled.There was no siding vapor barrier located.
INTERIOR CONSTRUCTION, FINISHES, AND FLOORINGS: N/A
INSULATION: There was no insulation found.
ELECTRICAL SYSTEM: N/A
HEATING AND VENTILATION SYSTEM:N/A
MISC.: None.
ADDITIONAL STRUCTURES ON SITE INCLUDED IN SURVEY:None.
#of structures included in survey:one detached wood garage
Requested by:Dave Patrick
IWI s W N.—Sro 316
Seeg wt ®D
9 11s --3 (1
This cenifres that _
Christopher L Patterson
has satisfactorily completed
4 hours of refresher training as an
AHERA Building Inspector
to comply with the Veining requirements of
TSCA Title II,40 CFR 763(AHERA)
EPA Provider R 1065
9 201B E-r r you
ce N 1672W
Christopher Patterson
VP Operations/Analyst-Asbesto-Test,Inc.
Inspector, Certified A.H..E.R.A.
Accred #167284 EXP.May 9,2019
condhime to page 3
46*
BBB NOW
B /4Oi
(:�D
1419Ave.D.#187,Snohomish,WA 98290
425-489-4040;f 775-665-0420
hv�cashvsmresr.crmr:inro(awsbi rrolinsi eom
' !
1
Page 3 of 3 August 2,2018
PAT2180722 Asbesto-Test,Inc.425-489-4040
Old Wood Frame Detached Gara>Qe Only
nu, 713 N. Talcott St.,Arlineton, WA 98223
ANALYSIS ID ASBESTOSUTWEHQUANTITY OTHER MATERIAL
THERE WAS NO ASBESTOS DETECTED W ANY OF THE MATERIALS SAMPLED
1.0 composition roofing NAD cellulose,tar,
non-fibrous materials
1.1 mastic NAD cellulose,adhesive
holding composition roofing
ark. _ r
If,during demolition or renovation,any additional hidden or covered suspect materials similar to those identified in the survey are located(may Include but not limited to;sheet
vinyl f oodng,tie flooring,wall or ceiling texturings orpainls,concrete siding orskirting,cement plow,cement wallboard,electrical cloth,electrical wiring Insulation,thermal
paper,wallboard,Joint compounds,vinyl wall coverings,spackling compounds or any other suspect TV(Thermal System insulatlon)f theyare presumed Asbestos Containing
Materials unless determined to be nonasbestos by laboratory analyses.
Asbesto-Test,Inc does not guarantee appradmations of quantities ofACM,which may be listed with the analyses.It is therefore recommended professional abatement prke
and/or disposal quotes be obtained by inquiring as to fees per area of spec•Ific ACM material(i.e.square or!(near foot,etc.),ar by on site assessment.
Any and all materials[denlifkd as ACM and/or PACM in this report must be abated prior to disturbance in renovation ordemolition.
Analytical test method-USEPA 6WIR93/116••(P1.M),•WAC296-62-07753 APP.J
•0me percent Is the USEPA regukdory Ikoit for asbestos in bulk sampks.
Kev: FRIABLE"signlfles Easily Airborne'
ACM signifies Asbestos Containing Material'
PALM slgnUies"Presumed Asbestos Containing Material"
NAD *n fies"No Asbestos Detected"
END OF REPORT
ArLynn Hammond,Pres.,BSc.
Analytical Chemist,AIHA proficient
Inspector,certified A.H.E.R.A.
accred.0168598(Expires July 18,2019)
BBB
a_r
1429Ave.D.#187,Snohomish,WA 98290
425-489-4040;f 775-665-0420
u•n•m•.nshr�slulrsl.rrun;in n!u'tcshfedolrsLsvlrn
i
_.�.
Home Espafiol Contact
Search L&1
III,;I fir St.i[i In,.,p I of A-Z Index Help J1 My L&I
.ff � Industries
Safety&Health 8 Claims&Insurance 0- Workplace Rights Trades&Licensing 0
Washington State Department of
" Labor & industries
C4 Construction LLC
Owner or tradesperson 20800 Lake Riley Rd
ARLINGTON,WA 98223
Principals 360-435-8117
Patrick,David Michiel,PARTNER/MEMBER SNOHOMISH County
Patrick,David Michiel,AGENT
• Patrick,Timothy James,PARTNER/MEMBER
(End: 10/21/2015)
Doing business as
C4 Construction LLC
WA UBI No. Business type
603 147 701 Limited Liability Company
Governing persons
DAVID
M
PATRICK
TIMOTHY JAMES PATRICK;
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.
C4CONCL894Q2
Effective—expiration
11/2212011-11/22/2019
Bond
Travelers Cas and Surety Co of America $12,000.00
Bond account no.
103491035
Received by L&I Effective date
11/22/2011 11/17/2011
Expiration date
Until Canceled
Insurance
American Fire&Casualty Co $1,000,000.00
Policy no.
BLA54899634
Received by L&I Effective date
10/24/2017 11/07/2013
Expiration date
11/07/2018
Insurance history Help us improve
Savings '
No savings accounts during the previous 6 1 period.
Lawsuits against the bond or savings
No lawsuits against the bond or savings accounts during the previous 6 year period.
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.
L&I Account ID Account is current.
888,736-02
Doing business as
C4 CONSTRUCION LLC
Estimated workers reported
Quarter 2 of Year 2018"0"Workers
L&I account contact
TO/KRISTINE HATHAWAY(360)9024811-Email:HATK235@lni.wa.gov
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
No strikes have been issued against this contractor.
Contractors not allowed to bid
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
,Access
Washinkton'
HeI9
Launa Peterson
From: Launa Peterson
Sent: Friday,July 20, 2018 11:13 AM
To: 'davidp@c4construction.net'
Cc: Kristin Foster
Subject: Arlington SDA Church 709 Talcott
David,
Our Building Inspection viewed the structure that you would like to remove. Based on the roofing and the year of the
structure an asbestos survey is required.Once completed you can email or drop off at our office.
Respectfully,
Launa Peterson
Permit Techncian
City of Arlington
18204 59th Avenue NE
Arlington, WA 98223
360-403-3551
1
DEMOLITION
t PERMIT APPLICATION
Department of Community&Economic Development
City of Arlington •.18204 59th Ave NE•Arlington,WA 98223• Phone(360)403-3551
THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS/DEMOLITION NOTIFICATION FROM PUGET
SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT
(if applicable)COMPLETED BY AN APPROVED AGENCY.
Type of Permit:(check one) �6, Residential ❑ Commercial ❑ Industrial
Project Address: An An T `C_ Parcel ID#:
Lot#: ''II Subdivision: Valuation:
Building Area(SgJFt) A40 No. of floors: / Number of Buildings:
Owner: A_ r!I�,,,1 5.t, CIA I1/L_C' 1/j Phone Number: ?�—
Address: N City: AwI " State: W 8 Zip Code:
Contact Person: Phone Number: 3 dII
Cell Phone: aS= — 3 3Z E-mail: . 11. ,p ,6) C , CQys-k ru-c� e em H
Address: ovd +L�raLt (W—?�41 ki I City: (w - State: IA14 Zip Code: L792-23
Contractor: C=T 1�y1,�-}Y�l Cam}( f1� Phone Number: "�
Address: 2ada 6 Lab (Z tA4� �`+'v City: / State: � Zip Code: QgL-2 23
Contractor's License Number:Cq COG L'N 4 Q,Z- Expiration
Scope of Work:
�4eh*tA)))�L &Aa_c6e,
hereby cergity_,hat the above information is correct and that the construction on, and the occupancy and the use of the above-
describ property will be in accordance with the laws, rules and regulations of the Stat of Washington.
Applicants Signature- ^ Date !
Print Applicants Name
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
OL, _,
1, � I
J
ti-
�1 1 V_
CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
00 PHONE; (360) 403-3551
BUILDING PERMIT
Address:709 Talcott Street Permit#:2096
Parcel#:00461901200400 Valuation:.00
OWNER APPLICANT CONTRACTOR
Name:WESTERN WASH SEVENTH-DAY ADVENTISTS Name:Dave Patrick Name:C4 Construction,LLC
Address:32229 WEYERHAEUSER WAY S Address:713 N Talcott Street Address:20800 Lake Riley Road
City,State Zip:FEDERAL WAY,WA 98001-9347 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:360-435-81 17 Phone:
LIC:C4CONCL894Q2 EXP: 11/22/2021
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Demolition CODE YEAR: 2015
STORIES: I CONST.TYPE: `IB
DWELLING UNITS: 1 OCC GROUP: U
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/IRC110.
SALE.WrAN NOTICE:Sales tax relating to construction andAQnstruction materials in the City of Arlington must be reported on your sales tax return form
an=�oderofrain�or #3101. 1� _zU
Ig.
C11 ", o, -k-A- b6�U_SSignature Print Name Date Released By 6ate
CONDITIONS
THIS PERMIT AUTHORIZES 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
03/18/2020 Demolition Fee $100.00
03/18/2020 Process ing/Technology Fee $25.00
03/18/2020 State Surcharge-Commercial $25.00
Total Due: $150.00
Total Payment: $0.00
Balance Due: $150.00
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:709 Talcott Street Permit#:2096
Parcel#:00461801200400 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:WESTERN WASH SEVENTH-DAY Name:Dave Patrick Name:C4 Construction,LLC
ADVENTISTS
Address:32229 WEYERHAEUSER WAY S Address:713 N Talcott Street Address:20800 Lake Riley Road
City,State Zip:FEDERAL WAY,WA 98001-9347 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:360-435-8117 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: Demolition CODE YEAR: 2015
STORIES: 1 CONST.TYPE: VB
DWELLING UNITS: 1 OCC GROUP: U
BUILDINGS: 1 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. IBC1I0/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form
and coded City of Arlington#3101.
Signature Print Name Date Ikelcascd By IDW
CONDITIONS
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
8/9/2018 Demolition Fee $100.00
8/9/2018 Processing/Technology Fee $25.00
8/9/2018 State Surcharge-Commercial $25.00
Total Due: $150.00
Total Payment: $0.00
Balance Due: $150.00
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
IL
•T
~ !"•`k
Permit#: 2096
Permit Date: 08/08/18
Permit Type: DEMOLITION
Project Name: Arlington SDA Church
Applicant Name: Dave Patrick
Applicant Address: 713 N Talcott Street
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Dave Patrick
Phone: 360-435-8117
Email: davidp@c4construction.net
Scope of Work: Remove old garage
Valuation: 0.00
Square Feet: 0
Number of Stories: I
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 03/18/2020
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Launa Black
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
WESTERN WASH
00461801200400 709 TALCOTT ST SEVENTH-DAY Residence
Single Family
-Detached
ADVENTISTS
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
C4 Construction,LLC 20800 Lake Riley CONSTRUCTION Labor& C4CONCL894Q2
Road CONTRACTOR Industries
Fees
Fee Description Notes Amount
Demolition $100.00
Processing/Technology $25.00
State Surcharge-Commercial Commercial Only $25.00
Credit Card Service $4.50
Total $154.50
Attached Letters
Date Letter Description
08/09/2018 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
03/18/2020 David Patrick 79564835 $150.00
03/18/2020 79564835 CC Surcharge Raelynn Jones $4.50
Outstanding Balance $0.00
Uploaded Files
Date File Name
03/18/2020 6404877-2096 Issued Permit.pdf
08/09/2018 3802461-2096 Apnlication.pdf