The URL can be used to link to this page

Home My WebLink About17712 Hillside Ct_BLD2100_2026 I i BUILDING INSPECTION REPORT— Residential Final Permit No. 2100 Address: 17712 Hillside Court Contractor: Custom Werx Design Owner: Paul and Laura Carlson Date: 8/14/2018 APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER INSPECTION: Residential Re-Roof Date: Inspector: "7V CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17712 Hillside Court Permit#:2100 Parcel#:00870600004300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:CARLSON PAUL E&LAURA M Name:Custom Werx Design Name:Custom Werx Design Address: 12014 60TH ST NE Address:17414 79th Drive NE Address: 17414 79th Drive NE City,State Zip:LAKE STEVENS,WA 98258 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-239-5842 Phone:425-239-5842 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 Re-Roof CODE YEAR: 2015 STORIES: I CONST.TYPE: `IB DWELLING UNITS: 1 OCC GROUP: R3 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 INS C N HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC I I0ARC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City o Ar m t reported on your sales tax return form and cod ty of Arlington#3101 Signature Print Name Date ascd By Date CONDITIONS Approved as submitted. Final inspection required. 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 Processing/Technology Fee $25.00 Total Due: $25.00 Total Payment: $25.00 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 RE-ROOF PERMIT APPLICATION 4 Department of Community&Economic Development City of Arlington• 18204 59th Ave NE•Arlington, WA 98223• Phone(360)403-3551 Type of permit: (check one) i (j ) Residential ( ) Commercial Valuation: Project Address:T�-712— ��1115�'^ coy, Y A71 iV° 6n (JA Parcel ID#: Owner: Address: City: State: �41k Zip Code: 'I0Z52b Phone Number: Email: Applicant: Address City: State: Zip Code: Phone Number: Email: Contractor: �-��`• "� / �i2��S c�ti Address: 1MV 75 s 14 v✓d City: �j lyziState: �� Zip Code: 2222 '3 Phone Number: �/ .2 3�3 `�2 Email: � '1"` "� � Oct 4ye>zy40k, h h R/'c IL,cy,GOyI Contractor's License Number: WOW& *ect 3{ S Expiration: /0'2C-f Type of Roofing Material: Number of Existing Layers: Class of Roofing: A ❑ B ❑ C ❑ Replacing existing sheathing: Yes ❑ No Roof tear off: ❑ Application over existing material: KI The following is required for NON-Residential Buildings: • Existing roof structure and material: _��I V c: -, • Two copies of the installation specifications and U.L. listed roof assembly • Occupancy of Building: Office Retail Church Restaurant School I hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will be responsible for providing a method of safely accessing roof for inspection A final inspection and approval shall be obtained when the re-roofing is complete. Applicants Signature Date so-Awl' 1✓A- 1--e' S Print Applicants Name FOR STAFF USE ONLY ceive Zro� Auc - 9 M18 Permit# Accepted By Amount Received Receipt# Date Received ''� 1 RE-ROOF PERMIT APPLICATION �_ l Department of Community&Economic Development City of Arlington• 18204 59th Ave NE•Arlington, WA 98223• Phone(360)403-3551 Type of permit: (check one) ( ) Residential ( )Commercial Valuation: , -� � � z 1��lls;�{ cn�,,�� A6) �J Project Address: —� Parcel ID#: Owner: Address: JMTCT City: State: Zip Code U2,(� Phone Number: Email: Applicant: Address: City: State: Zip Code: Phone Number: Email: Contractor: If,9)6 Address: 17YI V 22 t 4),e City: 1' State: 4'4'" Zip Code: 9022 ' Phone Number: Email: �� ' C GcS�yJ�i u�c'r��G�lSi `i h �a/lt`t.aL'.GOyI Contractor's License Number: I�� l�" 3t� S Expiration: /0'2�'I Type of Roofing Material: Number of Existing Layers: Class of Roofing: A ❑ B ❑ C ❑ Replacing existing sheathing: Yes ❑ No Roof tear off: ❑ Application over existing material: K] The following is required for NON-Residential Buildings: • Existing roof structure and material: �\ V < -11 • Two copies of the installation specifications and U.L. listed roof assembly. • Occupancy of Building: Office Retail Church Restaurant School I hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will be responsible for providing a method of safely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is complete. 0 Applicants Signature Date SEf A6i✓R OJA-J-P,- S Print Applicants Name FOR STAFF USE ONLY 7eceivecl 12�i00 ui.ir, 09 M18 Permit# Accepted By Amount Received Receipt# Date Received I BUILDING INSPECTION REPORT— Residential Final Permit No. 2100 Address: 17712 Hillside Court Contractor: Custom Werx Design Owner: Paul and Laura Carlson Date: 8/14/2018 L�1 APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER INSPECTION: Residential Re-Roof I Date: ��,�� JCA?J Inspector: �,>� CITYOF ARLINGTON of 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:17712 Hillside Court Permit#:2100 Parcel#:00870600004300 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:CARLSON PAUL E&LAURA M Name:Custom Werx Design Name:Custom Werx Design Address: 12014 60TH ST NE Address:17414 79th Drive NE Address: 17414 79th Drive NE City,State Zip:LAKE STEVENS,WA 98258 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-239-5842 Phone:425-239-5842 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 Re-Roof CODE YEAR: 2015 STORIES: I CONST.TYPE: ` 13 DWELLING UNITS: 1 OCC GROUP: R3 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 INSP C N HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC1 l0/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City*Arm &rcportcd on your sales tax return form and cod "ry of Arlington#3101 Signature Print Name Date aced By Date CONDITIONS Approved as submitted. Final inspection required. 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 Processing/Technology Fee $25.00 Total Due: $25.00 Total Payment: $25.00 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#: 2100 Permit Date: 08/09/18 Permit Type: RESIDENTIAL RE-ROOF Project Name: Carlson Applicant Name: Custom Werx Design Applicant Address: 17414 79th Drive NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Shawn Waters Phone: 425-239-5842 Email: customwerxdesign@yahoo.com Scope of Work: Re-Roof Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00870600004300 17712 HILLSIDE CRT CARLSON PAUL E 111 Single Family &LAURA M Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# Custom Werx Design Shawn Waters 425-239-5842 7403 W.Country CONSTRUCTION Labor andCUSTOWD825P6 Club Dr CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 08/14/2018 Inspection Kristina with Safebuilt 08/14/2018 08/14/2018 Approved performed the inspection and approved.See attached inspection report. Fees Fee Description Notes Amount Processing/Technology $25.00 Total $25.00 Attached Letters Date Letter Description 08/09/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/09/2018 Shawn Waters 71205403 cc $25.00 Outstanding Balance $0.00 Uploaded Files Date File Name 08/14/2018 3820671-2100 Inspection Report.pdf 08/14/2018 3820662-2100 Issued Permit.pdf 08/14/2018 3820663-2100 Application.pdf