HomeMy WebLinkAbout19816 51st Dr Ne_BLD5841_2025 Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551
Permit Number: BLD5841 Permit Type: Residential Re-Roof
Address/Parcel: 19816 51st Dr Ne Completed (Month/Year): March 2024
Land Use Bonding or Assignment of Funds
Notice of Decision o Confidential Documents. Contact the
Staff Report City to obtain.
Application As-Builts
Narrative Letters and Project Documents
Legal Description Other:
Vicinity Map
Site Plan Civil
Landscape Plan Issued Permit
Complete Streets Checklist Application
Traffic Impact Analysis Other Applications
Snohomish County Traffic Mitigation Offer Construction Calculation Worksheet
WSDOT Traffic Offer Form Approved Plans
Tree Survey Review Comment Form
Stormwater Drainage Report Letters and Project Documents
Geotech Report Other Agency Permits
Critical Area Evaluation Form Reports:
SEPA Checklist o Drainage Report Pg:
Public Notice Material o Stormwater Pg:
Noticing and Related Documents o Geotech Pg:
Water / Sewer Availability Certificate o All Other Reports
Unanticipated Discovery Plan Form SEPA and Noticing Materials
Aerial Photo of Site Inspections
Proposed Building Materials As-Builts
Lighting Plans and Lighting Cut Sheets Other:
Color Elevations
Design Matrix Building
Plat Map ✔ Issued Permit
Title Report ✔ Application
Lot Closures Additional Applications
Preliminary Civil Plans Approved Plans
Archaeological Survey Site Plan
o Confidential Documents. Contact the Letters and Project Documents
City to obtain. Calculations
Topography (Existing Conditions) Project Specification Manuals
CC&R’s Reports
Deeds / Easements / Conveyances Certificate of Occupancy
/Dedications Inspections
Developer’s Agreement Other:
Letters and Project Documents
Page 1 of 1
CITY OF ARLINGTON
18204 59th Avenue NE, Arlington, WA 98223
INSPECTIONS: 360-403-3417 - Permit Center: 360-403-3551
BUILDING PERMIT
19816 51ST DR NE Permit #: 5841
PERMIT EXPIRES 180 DAYS AFTER
Parcel #: 00426400003500
DATE OF ISSUANCE.
Scope of Work: replace shingles Valuation: .00
OWNER APPLICANT CONTRACTOR
JOSLIN CARY Leonid Sushch L & D NW Construction LLC
19816 51ST DR NE 23357 Pringle ST 1302 Heather Ln
ARLINGTON, WA 98223 Clear lake, Wa, 98284 Sedro-Woolley, WA 98284
3608737501 3608737501
LIC: 604 870 038 EXP: 03/31/2025
LIC: LDNWCNC774N2 EXP: 08/22/2025
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC #: EXP: LIC #: EXP:
JOB DESCRIPTION
PERMIT TYPE: RESIDENTIAL RE-ROOF CODE YEAR: 2018
STORIES: 1 CONST. TYPE: VB
DWELLING UNITS: OCC GROUP: R-3; Residential
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any
other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the
Governor of this State. To the extent the issuance or granting of this permit is interpreted to allow construction activity during any
period of time when such construction is prohibited or restricted by any state or federal law, or order, proclamation, guidance advice
or decision of the Governor of this State, this permit shall not authorize such work and shall not be valid. The building official is
authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this jurisdiction or
any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or
decision of the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or
on the basis of incorrect, inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or
federal law, or any order, proclamation, guidance or decision of the Governor.
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 be reported on
your sales tax return form and coded City of Arlington #3101.
03/04/2024
Applicant Signature Date Building Official Date
CONDITIONS
Adhere to approved materials. Permit shall be onsite for inspection. Call for final inspection.
The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations. The property
owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or
community. The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant authorities
before commencing construction. The property owner shall ensure that the construction project complies with all applicable design
review requirements.
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
03/04/2024 Processing/Technology $25.00
03/04/2024 Re-Roof Residential $75.00
03/04/2024 State Surcharge - 1st DU $6.50
03/04/2024 Credit Card Service $3.20
Total Due: $109.70
Total Payment: $109.70
Balance Due: $0.00
CALL FOR INSPECTIONS
Call by 3:30 pm for next day inspection, allow 48 hours for Fire Inspections
When calling for an inspection please leave the following information:
Permit Number, Type of Inspection being requested, and whether you prefer morning or afternoon
INSPECTION INFORMATION Pass/Fail
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