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HomeMy WebLinkAbout19406 68TH AVE NE_BLD2072_2026 CiTY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:19406 68th Drive NE Permit#:2072 Parcel#:31051400300200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WESTERN FOREST PRODUCTS US Name:David Garcia Name:Demolition Man,Inc LLC Address:800-1055 W GEORGIA STREET Address:19406 68th Drive NE Address:PO Box 80423 City,State Zip:VANCOUVER,BC V6E3P3 City,State Zip:Arlington,WA 98223 City,State Zip:Seattle,WA 98223 Phone: Phone:360-333-0688 Phone:206-763-3366 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: CONST.TYPE: DWELLING UNITS: 0 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. IBC I10/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arli on cr p0 on your sales tax return form and c cd City of Arl'ngt #3101. � Signature Print Name Date Ql��LAas;Yd 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 7/26/2018 Demolition Fee $100.00 7/26/2018 Processing/Technology Fee $25.00 7/26/2018 State Building Code Surcharge Fee $25.00 Total Due: $150.00 Total Payment: $150.00 Balance Due: $0.00 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 DEMOLITIOI • Ile 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 BYAN APPROVED AGENCY. Type of Permit:(check one) ❑ Residential El Commercial .r Industrial d Project Address: ���� �p ��/hoc Parcel ID#: Lot#: Subdivision: Valuation: Building Area (Sq. Ft.): No.of floors: Number of Buildings: Owner: 1- i4U/O Phone Number: .3 6O 3.33 Address: /f406 6 gf� 12e A"E City: /tiL TaA-/State: I-azV Zip Code: 9b'z 3 Contact Person: _���//� � C/.mil Phone Number: 345�G 3&3 Cell Phone: 360 333 E-mail: c�g�r/� •wE��E-,�.�r c '�sT. Go�i Address: 994a 6 6 s' �,E',n/� City:i9,P,����i�.tJ State: Ltd Zip Code: 7Y Z Z3 Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: Scope of Work: I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above- described property will be in accordance with the laws, rules and regulations of the Stat of Washington. Applicants Signature: Date: �� Print Applicants Name: 6n(P - FOR STAFF USE ONLY Received '2'MZ iI II 2 f mm Permit# Ac99pted By Amount Received Receipt# Date Received 6/16LP Page 1 of 1 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 BYAN APPROVED AGENCY. Type of Permit: (check one) ❑ Residential ❑ Commercial Xr Industrial Project Address: l 94 r 6 Parcel ID#: Lot#: Subdivision: Valuation: Building Area(Sq. Ft.): No. of floors: Number of Buildings: Owner: Z��CCllq Phone Number: 3 60 3.33 Address: /Y4U6 6 gf'� 290e City: State: 1ci9 Zip Code: Contact Person: Phone Number: Cell Phone: >60 33-3 E-mail cf/cl cz rG%'ez Address: 1940 6 �g� �� � City:�9.F'����i a-tJ State: 4� Zip Code:'/y 0 23 Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: Scope of Work: I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in accordance with the laws, rules and regulations of the Stat of Washington. Applicants Signature: Date: l� Print Applicants Name: FOR STAFF USE ONLY * - ,�,7mZ .II II 2 h Permit# A(- pted By Amount Received Receipt# Date Received 6/16LP Page 1 of 1 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:19406 68th Drive NE Permit#:2072 Parcel#:31051400300200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WESTERN FOREST PRODUCTS US Name:David Garcia Name:Demolition Man,Inc LLC Address:800-1055 W GEORGIA STREET Address:19406 68th Drive NE Address:PO Box 80423 City,State Zip:VANCOUVER,BC V6E3P3 City,State Zip:Arlington,WA 98223 City,State Zip:Seattle,WA 98223 Phone: Phone:360-333-0688 Phone:206-763-3366 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: CONST.TYPE: DWELLING UNITS: 0 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 Arli ton r o on your sales tax return form and c cd City of Arl'ngt #3101. � GCi�t t0 !S� �r4�Sr-9t' V-•D. •Z(O.2 6 Signature Print Name Date ac d 13Y 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 7/26/2018 Demolition Fee $100.00 7/26/2018 Processing/Technology Fee $25.00 7/26/2018 State Building Code Surcharge Fee $25.00 Total Due: $150.00 Total Payment: $150.00 Balance Due: $0.00 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 Permit#: 2072 Permit Date: 07/26/18 Permit Type: DEMOLITION Project Name: Western Forest Products Applicant Name: David Garcia Applicant Address: 19406 68th Drive NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: David Garcia Phone: 360-333-0688 Email: dgarcia@westernforest.com Scope of Work: Lumber yard Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 07/26/2018 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning WESTERN FOREST 31051400300200 19406 68TH AVE NE PRODUCTS US Planing Sawmills& ning Mills LLC Pla Contractors Contractor Primary Contact Phone Address Contractor Type License License# Demolition Man,Inc John Malcom 206-763-3366 PO Box 80423 CONSTRUCTION Labor CONTRACTOR Industri and es DEMOLMI178N2 Fees Fee Description Notes Amount Demolition $100.00 Processing/Technology $25.00 State Surcharge- 1 st DU Residential- 1 st Unit $25.00 Total $150.00 Attached Letters Date Letter Description 07/26/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 07/26/2018 Rory Kellener 70971981 cc $150.00 Outstanding Balance $0.00 Notes Date Note Created By: OK to issue over the counter per KO.No utility connections for this demo.Demo is for 07/26/2018 equipment and not a structure. Kristin Foster Uploaded Files Date File Name 07/27/2018 3758169-2072 Issued Permit.pdf 07/27/2018 3758170-2072 Application.pdf