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Home My WebLink About19713 51st Dr Ne_BLD2807_2026 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY 2fAPPROVED PERMIT#: I AM PM DATE: JOB ADDRESS: LOT#: PROJECT: TYPE OF INSPECTION: , OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION THEACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE ,r O PLANNING O CIVIL [3 BUILDING CITY OF ARLINGTON s NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL Cl CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ®'APPROVED PERMIT#: DATE: f�''• ; �,� OB ADDRESS: `"�� -_� � L, G LOT#: PROJECT: TYPE OF INSPECTION: �!, OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. Cl CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION All V�li�i THEACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 1 X INSPECTOR DATE ' 0 PLANNING 0 CIVIL BUILDING CITY OF ARLINGTON i � . NOTICE TO PERMITEE AND/OR OWNER Cl PARTIAL APPROVAL CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ❑ APPROVED PERMIT#: �V' �'�- % AM PM DATE: •�v jj t� 1 OBADDRESS: ICr`�(� =1 �JI`•�� LOT#: _!. L PROJECT: e TYPE OF INSPECTION: i OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT f ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. !. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION _ '0E k, . 1 to moo r. PPS Ads 10 -5,- t., No►J SP;IGiGJP�tL ;PtSS�1�C 'f eL-TE o KC M1U�►� '� �I�r-� 1U 'GEtO�wti 512E �-I1J1Gy.1�6J1� I.��l G�oP�=�'c-i 5c1rpoeiL"g, l: Ij.4tLL IJh Fr_o"r:,V4 ,c1-5Eo >02 3at� �d .firs. A c l��J mac- I?A1E 12 i s- Cz' p% o r` !'2o3�cT THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE 0 PLANNING O CIVIL 1 BUILDING CITY OF ARLINGTON 1 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:19713 1/2 51st Dr NE Permit#•2807 Parcel#:00426400005000 Valuation:10643.79 OWNER APPLICANT CONTRACTOR Name:MATTHEWS CELINDA Name:[Company Name] Name:Michael Mulligan Construction,LLC Address:PO BOX 219 Address:(Company Address] Address:7922 59th Avenue NE City,State Zip:SILVANA,WA 98287 City,State Zip:Arlington,WA 98223 City,State Zip:Marysville,WA 98270 Phone: Phone:425-890-8779 Phone:425-359-1051 LIC:HOMEWCS896QG EXP: 11/30/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Alteration CODE YEAR: 2015 STORIES: I CONST.TYPE: `lB DWELLING UNITS: 1 OCC GROUP: R3 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. IBC110/IRCl l0. SALES4tA"X }LA tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and oded it of ii�#3�!��) Signature Print Name Date Released By Date CONDITIONS INSPECTIONS REQUIRED. CALL FOR INSPECTIONS. 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 12/20/2019 Building Permit Fee $286.28 12/20/2019 Processing/Technology Fee $25.00 12/20/2019 Building Plan Review Fee $186.08 12/20/2019 State Building Code Surcharge Fee $6.50 Total Due: $503.86 Total Payment: $503.86 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 Y . , CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:19713 1/2 51st Dr NE Permit#:2807 Parcel#:00426400005000 Valuation: 10643.79 OWNER APPLICANT CONTRACTOR Name:MATTHEWS CELINDA Name:[Company Name] Name:Michael Mulligan Construction,LLC Address:PO BOX 219 Address:[Company Address] Address:7922 59th Avenue NE City,State Zip:SILVANA,WA 98287 City,State Zip:Arlington,WA 98223 City,State Zip:Marysville,WA 98270 Phone: Phone:425-890-8779 Phone:425-359-1051 LIC:HOMEWCS896QG EXP: 11/30/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Naive: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Alteration CODE YEAR: 2015 STORIES: 1 CONST.TYPE: `IB DWELLING UNITS: 1 OCC GROUP: R3 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. IBC I10/IRCI10. 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 Released By Date CONDITIONS INSPECTIONS REQUIRED. CALL FOR INSPECTIONS. 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 12/20/2019 Building Permit Fee $286.28 12/20/2019 Processing/Technology Fee $25.00 12/20/2019 Building Plan Review Fee $186.08 12/20/2019 State Building Code Surcharge Fee $6.50 Total Due: $503.86 Total Payment: $503.86 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 _ ;; i; :�-. _ - t I� I labor&iodusiries-(fps://Ini.wa.ggy) Contractors MICHAEL MULLIGAN CONST LLC Owner or tradesperson 7922 59TH AVE NE Principals MARYSVILLE,WA 98270 MULLIGAN,MICHAEL JAMES,DIRECTOR 425-359-1051 SNOHOMISH County • MULLIGAN,MICHAEL,OWNER (End:10/05/201 B) Doing business as MICHAEL MULLIGAN CONST LLC WA UBI No. Business type 602175 930 Limited Liability Company 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. MICHAMC981PA Effective—expiration 10/01/2002-10/05/2020 Bond Contractors Bonding&Insurance Co $12,000.00 Bond account no. sj7762 Received by L&I Effective date 11/01/2012 11/26/2012 Expiration date Until Canceled Insurance Ohio Security Ins Co $1,000,000.00 Policy no. BKS55059992 Received by L&I Effective date 02/07/2019 03/25/2017 Expiration date 03/25/2020 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 OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Not allowed to have 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. 929,436-01 Doing business as MICHAEL MULLIGAN CONSTRUCTION Estimated workers reported Quarter 3 of Year 2019"1 to 3 Workers" L&I account contact T3/FEARAED FEROZE(360)902-4797-Email:FERH235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Needs to complete training. 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. i �: I i � RESIDENTIAL PERMIT APPLICATION Department of Community & Economic Development 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: 19713 1/2 51st Drive NE Arlington 98223 Plat: 00426400005000 ❑ Single-family Duplex ❑ Townhouse ❑ Addition ❑ Accessory structure Proposed Area: 1st Floor: 1150 2nd Floor: Garage: Total SF: 1150 Describe Proposal (include cross street): Due to previous contractor's work and absence of permits, homeowner and replacement contractor are home up to code and make any necessary corrections. Valuation: $3000.00 Owner: Celinda Matthews Address: 19713 51st Drive NE City: Arlington State:WA Zip Code:98223 Phone: 425.890.8779 Email. wapikwan60@gmaii.com Applicant: Celinda Matthews, homeowner Address: 19713 51st Drive NE City:Arlington State: WA Zip Code:98223 Phone: 425.890.8779 Email:wapikwan60@gmaii.com Contractor: Michael Mulligan Construction LLC 7922 59th Ave NE Marysville WA 98270 Address: City: State: Zip Code: Phone: 425.359.1051 Email: michaeljmul@hotmail.com Contact Person. Mike License Number;MICHAMC981PA Expiration: 10/05/2020 Received DEC 13 2019 6/16LP Page 1 of 3 RESIDENTIAL PERMIT APPLICATION Department of Community & Economic Development O 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) ❑ Bath/Shower Combo (4.0) x ❑ Sink (1.5) x 1 ❑ Shower (2.0) x 1 ❑ Lavatory (1.0) x 0_1 Clothes Washer (4.0) x 1 ❑ Water Closet (2.5) x 1 ❑ Dishwasher (1.5) x ❑ Water Heater x ❑ 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 � RESIDENTIAL PERMIT APPLICATION • Department of Community & Economic Development O 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: ❑ 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. 12/13/2019 Print Applicants Name; Celinda Grace Matthews 6/16LP I - ' CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:19713 1/2 51st Dr NE Permit#:2807 Parcel#:00426400005000 Valuation: 10643.79 OWNER APPLICANT CONTRACTOR Name:MATTHEWS CELINDA Name:[Company Name] Name:Homework Construction Services LLC Address: PO BOX 219 Address:[Company Address] Address:PO Box 1 149 City,State Zip:SILVANA,WA 98287 City,State Zip:Arlington,WA 98223 City,State Zip:Monroe,WA 98272 Phone: Phone:425-890-8779 Phone:425-941-2687 LIC:HOMEWCS896QG EXP: 11/30/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Addr City,State,Zip: City State,Zip: Phone: Phoney LIC#: EXP: LIC EXP: JOB DESCRIPTION PERMIT TYPE: Residential Altera n CODE YEAR: 2015 STORIES: 1 CNST.TYPE: `IB DWELLING UNITS: 1 100CC GROUP: R3 BUILDINGS: 1 J OCC LOAD: FXIMIT 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 R( I8 27. THIS APPLICATION IS NOT A PERMIT UNTIL SIG D BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL-'O USE OR OCCUPY A BUICDI OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF UPANCY HAS BEEN GRANTED. IBC110/IRC110, SALES TAX NOTICE.•Sa e�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#3 W.I. Signature Print Name Date Released By I)atc y CONDITIONS INSPECTIONS REQUIRED. CALL FOR INSPECTIONS. 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 12/04/2019 Building Permit Fee $286.28 12/04/2019 Processing/Technology Fee $25.00 12/04/2019 Building Plan Review Fee $186.08 12/04/2019 State Building Code Surcharge Fee $6.50 Total Due: $503.86 Total Payment: $0.00 Balance Due: $503.86 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 Community • • Development November 22, 2019 Celinda Matthews 19713 515Y Drive NE Arlington,WA 98223 RE: Unpermitted Work Ms. Matthews, On October 29, 2019, 1 conducted a courtesy inspection at 19713 515f Drive NE,Arlington,WA 98223. Upon arrival,the homeowner, Celinda and mechanical contractor, David Dudley greeted me. Celinda and Mr. Dudley provided photo documentation of the project and at that point I reviewed the information and the work completed without permits. I base my findings on the 2015 International Residential Code and 2017 Accessible and Usable Buildings and Facilities requirements as follows: 1. Work completed without the following permits: • Residential Building Remodel Permit • Plumbing Permit • Labor and Industries, Electrical Permit 2. Floorjoists in shower area; removed and replaced without verification of size or type for structural requirements. 3. Floor joist hangers from photos appear incorrectly sized. 4. Plumbing re-located for new shower base, no inspection. 5. Water closet plumbing re-located, incorrect location, no inspection. 6. Shower pan installed with cardboard drywall shims.These shims are non-structural, no inspection. 7. Water closet enclosure framed at incorrect width at 30"; minimum requirement is 34"to 38". 8. Water closet enclosure had no grab bars at time of inspection. 9. Wall between bathroom and bedroom; removed and replaced with a beam. No verification of size or structural support requirement for floorjoists below or if the wall removed was a structural support for framing above. 10. Game room floor; raised without verification of materials or inspection of installation. These findings may not be all encompassing;the work performed was without permits, inspections and since, covered. If you have, any further questions, please contact me at 360-403-3433 or kolander@arlingtonwa.gov. Kevin Olander, CBO Building Official City of Arlington 14 CArlington, 1 �j Permit#: 2807 Permit Date: 09/20/19 Project Name: Matthews Site Address: 19713 1/2 51 st Dr NE Applicant Name: Celinda Matthews Applicant Address: 19713 51 st Dr NE City, State, Zip: Arlington, WA 98223 Contact: Phone: 425-890-8779 Email: wapakwan60@gmail.com Permit Type: R SWial- Iteration Valuatio . 12182.04 �J►^l �' _,, ,' . Statu :-Applie Permit Issued: Permit Expires: Square Feet: 0 Type of Construction/Occupancy Type: Residential Alteration Number of Stories: 0 Proposed Use: MIC/Opportunity Zone: Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00426400005000 19713 51ST DR NE MATTHEWS 122 Two Family CEUNDA Residence(Duplex) Contractors Contractor Primary Contact Phone Address Contractor Type License License Homework Construction John Oliver 425-941-2687 PO Box 1149 CONTRACTOR Services LLC Fees Fee Description Notes Amount Building Permit Fee 322.10.00.00 $0.00 Processing/Technology Fee 341.43.00.02 $25.00 Building Plan Review Fee 345.83.00.00 $0.00 Total $25.00 Uploaded Files Date File Name 09/20/2019 5652425-2807 Application.pdf y RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development 'Q City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone (360)403-3551 ClyG`� 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: / 7/ X.f � S/ _ DR lat: ❑ Single-family Duplex ❑ Townhouse ❑ Addition ❑ Accessory structure 4: Proposed Area: 1st Floor: 2"d Floor: Garage: Total SF: Describe Proposal (include cross street): Valuation: Owner: Lfrl- I J2A4 AEI A T'04E k/S Address: /9 7/1 - S/grid A/C City:A R1.11V 4 TV hlState:Id A_ Zip Code: ?Py-ly3 Phone: &S. o'90 . f7 7 9 "Email: Applicant: dki-fMDQ NIA+ 7TY-CWS Address: aAA4-C 4 -G AZavc State: Zip Code: Phone: - Email` �T Contractor: _RM F`] d k k Coo A/S ZIR ue rlO A/ s'£,PriyL'ES Address: _NO BOX //// City: /4?AJ IZ0f State: �� Zip Code: Phone 'Sr.ZS. 9A5�� etli�� Email: �'r•K Contact Person: JJ-1 149 &IVE& License Number: Expiration: O �' HOME Wd F?44va Received 6/16LP SEP 19 2019 Page 7 of 3 �W 250-1 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) A4�QShower Combo (4.0) x F Sink(1.5) x [e" Shower(2.0) x ! ELavatory(1.0) x ❑' Clothes Washer(4.0) x ❑ Water Closet(2.5) x 01 Dishwasher(1.5) x DI Water Heater x ❑ Hose Bibb (2.5) x Water Heater Model # EiK Other(list) x SOPPOAT 8�A M IN WA 6 L etc t toy Awes S pp6p t T S t A of S tl eON vt7- Ft-oo�?t�sy Plumbing Section Continued IAI �KT� Fat< oeabC- /W .�Ko glEr� - =�QKss L✓IKDou! FoX P-19A9ti-IIV 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 `Y °�' RESIDENTIAL PERMIT APPLICATION Department of Community&Economic Development IN City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 LG� 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 U' Type II Hood U Commercial Cooking Appliance Hydronic Piping U Boiler U, Solid-Fuel Appliance ❑ PV System U Fireplace Insert U Outdoor BBQ ❑ Storage Tank U Freestanding Stove U Gas Piping ❑ Other Gas Piping Information Not Applicable: L 1. 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 Signatur Date: Print Applicants Name: E6/ X.4T7;VE- 6/16LP Page 3 of 3 ti Homework Construction Services Ilc. PO Box 1149 Monroe WA 98272 425-941-2686 i Celinda Matthews 19713 51st Dr H""'e'9ork Arlington WA 98223 lltil� Date: 18-Jun-19 Electric Pew On Plumbing N A Revision # Plumbing On / 9-190017d HVAC Electrical N/A On Building N/A/ Tax Rate 9.2 protect Division I. Bathroom re T_ -construct door opening/install 36" door $ Subtotal 1,538.25 2-Master Bedroom $1,538.25 Demo doorway/flooring install barn style door/install hallway f a floor closet Total install hardware/door and floor trim $2,121.00 $4,399.15 Subtotal $1,730.00 demo and install entry area floor -$8,250•15 cover(refer to FSR) Subtotal $1,367.31 $1,367.31 Disclaimer:This is an estimate only and+or—is most likely.This estimate include any unforeseen problems.All labor performed is subject to our guarantee.Some restriction apply. does not Tax is not include in the "subto al"of the divided projects. one year Subtotal $11,155.71 Tax $1,026.33 Total $12,182.04 /. I 1 ' �� .. 0® Homework Construction Services PO Box 1149 Homework Monroe WA 98272 Kit-Cab Estimate Name Celinda Matthews Project#9-1900032 Address 19713 1/2 51st Dr Date 5/10/2019 city/state/ZIP Arlington WA98223 3 23.7 Phone 425-890-8779 Projects Description 1 demo kitchen wall/install pocket door butcher block for small counter top 2 re-install cabinets/counter top butcher block counter top factored in this estimate 3 plumb for icemaker reroute copper tube under subfloor 4 re-route dryer electrical and dryer vent route vent under subfloor 5 cut in and install access door(bonus room) repurpose door/remove lighting 6 remove door and open bonus room doorway/finish drywaiI 7 install micro-hood/ventilation vent to exterior 8 9 10 11 12 13 14 15 16 17 18 19 20 �21 L23-24 25 \ /Note: Please read the disclaimer carefuily. l Project Overhead(Admin.) $45.00_ Estimated Labor/Materials _ $7,323.45 ®"°= Estimated Tax — _ � $673.76 Total Estimation $7,997.21 1 !imer:This is an estimate only and+or—is; Ilkely.This esrimate does not include any unforeseen problems,additional projects requested or additional hours needed to complete those tasks.Should there be additional hours or projects,work will resume only after a change order has been signed.All labor performed is subject to our one year guarantee.Some restriction apply. signature John Oliver Phone: 425-941-2687 jchn@homeWorkseattle.com Lic.#HOMEWCS896QG I accept this estimate/bid under the terms and conditions outlined in the Work s7¢nxwre: — °"` Release Form.I understand this is a binding contract between both signatures. Hoir,xwork Construction Services PO Box 1149 tfatM Monroe WA 98272 Estimate Name Celinda Matthews Project 9-1900017 Address 19713 1/2 51st Dr Date 4/28/2019 City/State/ZIP Arlington WA98223 Phone 14 114.2 425-890-8779 Front and Rear Ramp Description Materials - - Laher 1 Demo and remove.debris ----- —¢---- ,�oifffkitchert remnve existing sidewalk ► $o,00 $o.00 2 construct ramp(::addr)!aarrai rallink. try ramp - - -� - $o:oo $0:ac 3 construct rear neck ano ramp �' slider $0,00 4 Bedroom - - Description tabor Mate rats 5 Demo closet wall/increase floor stability remove master closet/provide passage to bathroom $2,377-50 $l,o6s.oD 6 expand master bedroom/bathroom doorway door constructed in place of removed hall closet $948.50 $634.75 7 construct and install access door to furnace no access to furnace ( .Sla6sso $580.75 8 Bathroom Description I p tabor Materials 9 Demo bathroom demo subfloor included in this estimate $1,077.00 $593.25 10 increase structure stability bathroom/shower stall additional floorinist to maintain stable structure _ 51,79s.o0 $988.75 11 install new sink and toilet/trim out plumbing glass top sink(wall mount)/wall mount toilet 12 � $2;440rOD $2,065.00 Kitchen Oeg rl n lobo. Materials 13 remove flooring/install subfloor/install floor cover additional subfloor to level transition $3,250.50 $723.00 14 Bedroom Description tabor Materials 15 re-construct window lower window to ADA specs $1,409.50 $367.00 16 Common Areas Description tabor Materials 17 remove entry flooring/level subflooring repurpose master bed floor cover $1,631.50 $221.50 18 construct hall closet no storage in bathroom for supplies $1,409,60 $367.00 19 route and connect all vents to exterior no exterior ventilation $70150 I $131.s0 20 construct subfloor(rec room)/install floor cover matching floor cover if applicable ff 21 1 Subcontract $3,849.50 $2,432.00 Description Materials tabor 22 relocate plumbing move plumbing to accomdate roll-in shower $816.00 $1,963.50 23 apply epoxy floor cover and shower wall master bedroom and bathroom receives epoxy— p >ry $1,284.40 $5,020:90 24 Miscellaneous - - Description tabu I mar lals 25 drywall repair/prime paint/Install base and door trim and hardware various drywall repair work I I $2,826.50 I $866.00 Note. RIease lead'he disclaimer r:arefuily,Jt3111&prep work is refluired by the GC ferrthe subcontractor. arwsrr rn,,. Project Overhead(Admin.) $18750 Estima ted Labor/Materials u $45,745.80 Estimated Tax $4,574,58 DSHS FUNDS TOTAL AFTER -- ---- WAIVER C ww.n.. " Total Estimation $50,320.38 $12,164.35 $38,156.03 Olfe/afiner This is an estimate only and+or—is most likely.This estimate does not include any unforeseen problems,additional projects requested or additional hours needed to complete those tasks.Should there be addltional hours or projects,work w81 resume only after a change order has been signed. All labor performed Is subject to our one year guarantee.some restriction apply. signature John Oliver Pho : 425-94 -2687 JohnQttomeworkseettle.com Uc.#H0MEWCS896QG I accept this estimate/bid under the terms and conditions outlined in the Work IsVwt�a: ace. Release Form.1 understand this isa binding contract between both signatures. © Homework Construction Services PO Box 1149 ©.Work Monrw WA 98772 Change Order& Reconcile Name Celinda Matthews Projectu 9-1900038 Address 19713 1/251st Dr Date 6/26/2019 city/state/zip Arlington WA98223 15 I21.9 Phone 425-890-8779 Projects Description Total labor 8 1 Demo $2,385.00 L2 expand master bedroom/bathroom doorway $1,483.25 3 _reconstruct hall closet(furnace area) $1,709.35 4 Demo bathroom $1,473.75 5 increase structure stability bathroom shower stall floor to be reconstructed to support shower pan $2,907.00 6 install new sink and toilet/trim out all plumbing $4,505.00 7 remove flooring/prep subfloor � $1,921.00 8 re-construct window/flash,caulk and trim out Donated $0.00 9 remove entry tile flooring/level subflooring $1,853.00 �10 reconstruct hall closet(furnace area) $1,168.75 11 route and connect all vents to exterior/fireplace tile Donated $0.00 12 construct subfloor(rec room) $3,893.85 13 relocate plumbing(utility)/ramp and rear deck Donated $0.00 14 demo additional floor cover and install flooring (install not factored) $5,038.80 drywall install and repair/mud and texture drywall/install 15 hardware(grab bars,etc.) additional drywall work $3,714.50 ^16 reconstruct utility room door-plumbing wall/remove bonus room door $940.95 17 replace electrical panel/rough in and trim out new electrical (vdriousareas) _ _ _ $2,401.25 18 install passage door to adjoining unit $855.95 19 construct archway/install cabinets/appliances purchase new cabinet and butcher block counter top $1,664.30 20 demo showerfloor/install shower pan lower subfloorfor shower pan $1,809.65 21 purchase and install new floor trim 250'wood trim $2,856.00 22 construct barn door and pocket door $1,827.50 23 install barn door tracking,door and pocket doors $1,363.40 24 epoxy bathroom walls and wainscot epoxy subcontractor $9,784.50 25 prep walls and floor for epoxy $955.40 Note: please read the disclaimer carefully. Project Overhead(Admin.) $0.00 Estimated Labor/Materials $56,512.15 Estimated Tax Total Estimation $61,711.27 Oft—ClOinner:This is an estimate only and+or—is most likely.This estimate does not include any unforeseen problems,additional projects requested or additional hours needed to complete those tasks. Should there be additional hours or projects,work will resume only after a change order has been signed.All labor performed is subject to our one year guarantee.Some restriction apply. sisnatu,e John Oliver Phone: 425-941-2687 john@homeworkseatfle.com Lio.#HOMEWCS896QG I accept this estimate/bid under the terms and conditions outlined in the Work Release Farm.I understand this is siinrtvr: onr a binding contract between both signatures. :, i wa:nmymsoe oq„nmem of Labor&Industries(�ttpS://InLwe.gov) Contractors HOMEWORK CONSTRUCTION SRVS LLC Owner or tradesperson PO BOX 1149 Principals MONROE,WA 98272-4419 OLIVER,WILLIAM J,PARTNER/MEMBER 425-941-2687 Doing business as SNOHOMISH County HOMEWORK CONSTRUCTION SRVS LLC WA UBI No. Business type 603 078 769 Limited Liability Company 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. HOMEWCS896QG Effective—expiration 11/07/2011-11/30/2021 Bond American Contractors Indem CO $12,000.00 Bond account no 100402549 Received by L&I Effective date 09/12/2018 07/30/2018 Expiration date Until Canceled Bond history Insurance Rockingham Casualty Company $1,000,000.00 Policy no RWAA101781-00 Received by L&I Effective date 08/27/2019 08/27/2019 Expiration date 08/27/2020 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings Cause no- 17-2-32987-8SEA Dismissed Complaint filed by Complaint against bond(s)or savings ANOOSHIRAVAN SABOORI&ANNA 46WBO53667 SAMOGRAY Complaint date Complaint amount 12/28/2017 $25,000.00 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 Infraction no. EROMA01197 Not Satisfied Issue date RCW/WAC 09/18/2019 19.28.041 RCW Violation city Violation amount MONROE $1,000.00 Type of violation ELECTRICAL CITATION Description Offering to perform,submitting a bid for, advertising,installing or maintaining cables, conductors or equipment that convey or utilize electrical current without having a valid electrical contractor license. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Not allowed to have 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. 221,465-00 Doing business as HOMEWORK CONSTRUCTION SERVICES Estimated workers reported Quarter 3 of Year 2019"1 to 3 Workers" L&I account contact T5/DESTINY MASTELLER(360)902-4873-Email:ADAF235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Needs to complete training. 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. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. eeea' .. t. �. I Original Game Room i� _ L s 0.1 �� • a i it Raised and leveled floor in game room....the one thing done right! 14 ■ ■ ■ ■ T ■ _ 1 ' 1 . !IL :F 1 ' : Co • ' ' ■ . , 1 0 ` ■16 . i0 0 - % ' 0 IL _ L Z rho ri rr % -i . . -W. V- ' m" Tr ` ■ i 1�.■ I I I 1 i I h According to contractor's initial measurements upper and lower cabinets were to fit on side of fridge when complete; however, due to failure to figure in door swing cabinets could not be used leaving excessive dead space and obvious fix gone wrong. 13 New mstr bdrm window off at least S' iff Multiple holes into guest room Very crooked header and very from bathroom remodel, repaired poor mudding. & painted with mismatched oil base resulted in homeowner repainting entire room 11 7 ■ ■ ■ INS ■ 7 • ■ • `--mmM ` mm mom ` moi0.0A ■ ME ■ ■ • ■ ■ ME 1 ■ ■ ON ■ 1 ■No ■ ■ ■ 1 • •■ ■ • • �� ■ No Elm MEN 0 L • • . '. ' �• M 1 7 _ ■ ' r F IL 4 0 FL ■ . . ■ ■ ' ON. ■ ■ 1 No ` ■ ■ 1 NON ■ •■ 'J ` 01 J L A1119r 1 1m ■ `i %MNo INS mom ■ L` mmINm■ i1 EM ■ .. ` . ' IJ -MrT - No7 . ON 1 1 r 0 ' • • • • �. �`� '� rr� I ' � � '�. 4 - � \ i�\ . . l l � r '� t �� ' l \, � ��- �� ` �� '.., \. '� Jr { �� 1 \\ �t_ ,` ` '' i Electrical Original Panel Replaced panel ►tom-`, ;�. a WOOL t I , I � Yti 1 1 f ` Various concerns following electrical work by contractor's hired electrician { i 9 � Ground not connected on 220, reversed polarity, bridged ground & neutral, overloaded boxes, cut wires in mster bdrm terminated two outlets......and more. Homeowner asked contractor if permits were needed and was assured they were not; homeowner repeated the question when the panel was replaced and was again told "no" and even if it was it would result in a "cow" (contractor definition: "can of worms"). Homeowner has since found out the electrician was neither licensed nor contracted. 9 JI 1 T • ■ tF-A 1 ■ T r• 1• 1 ro ME ■ MEM ME ■ SEE 0 ME ■ ME ■ ■ ■ ME ■ ME ' • ME� . • • dL i ■ % ' JI■ ■ 1 ti •t d 1 1 ;Film R 0 El ■ Elm I' 1 ■ ■ ■ ■ ' 1 JT 0MEM ` ■• ■ 7 . ■ ■ ' ■ 1 � ■ 1 ■i • ■ i M 1 ME ■ I I Mismeasurements, miscalculations and poor workmanship j� �kt4 Uitu, . � - �--:-tea'" • - � � Utility: 2/4 pocket door is too narrow to get washer and dryer into the room f Barn doors: top further away from wall than bottome resulting in hanging crooked; back inner door scrapes wall. Either mounts are crooked or support beam isn't straight. 10 Subfloor still wet after more than a week so finally was removed z 3 W:11 Homeowner repainted after repairs 31 Ar. s 1 Contractor's idea of"fixed" plumbing issue Homeowne insisted upon plumber doing it right 8 ■ ■ ■; 1 1 mr 7 : OL 1 I .i 96 i r ■ 7 • ■ No • - I • • :O I 1 ■ 1 ■ L . ! 1 ■ 1 . • . ol P_ ;■ . i Contractor stated he knew how "to do it right" but had no intentions of removing any flooring until homeowner demanded it after Dave brought in a professional remediator who found high moisture level 2+' away from wall 1� Mold already forming required replacement of new subfloor and flooring Donated Moen bedpan wash fixture cut to adjust W to 1" instead of making adjustment in wall, resulting in copper fitting ruining aesthetics of very expensive appliance. Hole in recently painted wall left unexplained. Second plumber called in to repair damage and adjust pressure, but found pieces missing so could not adjust the pressure ($800) 30" clearance, likely requires removal of pony wall; no backsplash on sink �F 01 f 30" clearance likely resulting in removal of pony wall; no backsplash on sink 5 - . J 0 L■ 0 ` - J 1 0 9rt R • ■ 7 1 ■ 1 - . ■ME ME ■ ■ 1 . JICL SO WE qw4fiNO J Z•� m ■ L ' ■ 1.1 I e_ _ T C No .-i'l 00 ■ir • i LE ;. . ■ ■ • 1 r 1 . ; •. . J A MEN 1 -- ! • No NO 0 - NINE = ■ ■ ohms ■ 7 ■% • NJ • • • _ ■ ■ ■ 1 J � • ME rill` � • � • • , 11 No • No ME III fE T to my F •• . 1� •� • 1 ■ MEN ■ J ■ •�rJ 1 L r 7 ■ ■ or ■ No .1111111011 . 0 • Water Damage Framer plumbed flex pipe from kitchen sink, through crawl space, up through floor by fridge, along base boards to ice maker box. Found water damage cleaning up following entire unit painted by homeowner and volunteer 1 �1 V �I Contractor attempted to dry it out without removing any flooring and one fan 6 Floor prep for support and installation of shower pan 1 tf r jp�*4 Various statements of concern regarding support in crawl space initiated request for inspection. Sheetrock shims? 41 , 1 } 3 LE ' ■ ' ■ ■ IL 1 1 1 r `'■ 1 ' : MEN , ' m'&JkLjiL-m qm 1 1 ' ■': T 1 �i 1 ■ ■ L L � . ` . rf ' ■ ■ rA ■ NIL ■ ME ■ 1 No 0 r • •11 � ■• 1 J � 1 ' „ll.. 0 ` . . J lir I' • IN • • A . J. No . ■ ■• to ME IN INO No 7 ' ■ AN •' •1 ME IT wlm ■ .� :e ME ME • 1 ' LM M . ■ ILmL ■ MENEM! MMI ■ 0 ■ 1 ■ IN ■ • 1 1 IN ■� ■ 7 0 0to 0 0 0 0 0 1 ' 1 1 : 00 • �� •' , • , _ r LIN ■� 0 1 ' IN •111■■ IN I No r . l 1 ' i7 1 90- Plumbing/Fixtures i _ L Low pressure to bedpan wash -r _ m High pressure to commode results in splatter to walls 4 Original Bedroom/Bath Wall - f r A Contractor determined this was a support wall after dismantling, requiring a beam. Dave instructed contractor beam needed more than one 2x4 on ends for proper support. Beam ends just prior to outer hallway wall. Pocket door was contractor's idea, but would result in mismatched pocket with barn door so reverted to original 2-barn door plan. Pocket door frame was not removed; boards were put between frame supports instead to stabilize wall. 1 r — � 1 It A 1p* LO 1 EIr morr MINI 9 _ : 1 1 . ' • � ■ it ■ 9 ■ ■ ■ ■ INE ME ■ ME ■ 1 ■ ■ ■ ■ ■ ON I,- ■ wig ■ ON IMMEME , 1 • 1 01 : No mommi r 0 0ME Fes ■ • ■ 0 Jti ■ _ ■ ' NEW ME ■ ■ ■ _ ■ ■ ■ ■ ■ ■ ■ ■ 1 1 I 0016%9r ■ y i 1 � 1 � • 1 r 1 ' • r 1 7 ■ ' No 0 1.- 0 mom ' 0 P. 0 _J , T 10 � 7 . . r ®r 1 F m rp mom r A- No ■ _ . . • L m i �. . " . . • r - .0■ ' 1 moll ON 1 ' NO • ' � ; i — • i . . ■ ■ . . PL 1 ■ • ME ME 1 Z f uoilmilsumaj • • • 'UOII!IOLUBa r. . I t: © Homework Construction Services LLC 1313 PO Box 1149 INVOICE Home Work Monroe WA 98272 www.hpmeworkseattle.0 in i (ohnr homeworkseattlexom Invoice# :9-1900038 Filing Name: Matthews, Invoice Date 7/18/2019 91111ng Address Site Addressf sub Info of eppllcable) Billing Department: Homework Construction Services Company: Name: Celinda Matthews Name: Address: 19713 51st Dr Address: City/State/Zip Arlington WA 98223 City/State/Zip Phone# 425-890-8779 Phone# Project Name: Rehab Project Name: Date Services Description Amount 9/17/2019 Rehab/Repair/Modify//EPDXY Multiple projects for ADA approval and p p y wheelchair accessability $59,790.60 Change order Re-construct bath doorway(N/C) $0.00 Change order Install refridgerator icebox(plumber) $325.00 Change order Re-construct cabinet(utility room only) $175.00 Change order Additional flooring (material only) $870.00 Change order Additional base trim (material only) $770.00 Change order Custom barn doors (material only) $875.00 Change order Additional barndoor hardware (material only) $390.00 Paid Deposit $31,657.06 CREDITS Sub Total: $63,195. 00 DSHS $12,182.05 Donated Labor 7.8% Tax $4,929.26 Electrical 33 hrs.not $9,817.50 (labor) $600.00 invoiced Total $68,124.86 Client Receipts $1,015.99 Re-construct $447.00 CREDITS $14,845.04 Bath Doorway office use only Balance Due $21,622.76 cha :nn.,ra I accept this invoice under the terms verbal or contractual.This invoice is a legal and binding document of compensation due to Homework Construction Services LLC.Payment is due upon receiving this invoice.I understand insufficient funds are subject to a service charge of $45.00 and am allotted 5 business days to correct.I understand I will be responsible for all legal fees Homework accrues in pursuit of any outstanding payment due. Please Sign and Return(Digital Copy Accepted) Date hmwkllinv Please print a hard copy for your records 1 :: I I. - - � � . I t I © Homework Construction Services LLC PO Box 1149 INVOICE "©'Mork Monroe WA 98272 www,homeworkseattle.com iohnitilhameworkseattle.com Invoice# 9-1 90003 8 Filing Name: Matthews Invoice Date 9/22/2019 Billing Address Site Addressl Sub Into(if eppllaeble) Billing Homework Construction Services Company: Pan y' Name: Celinda Matthews Name: Address: 19713 51st Dr Address: City/State/Zip Arlington WA 98223 City/State/Zip Phone# 425-890-8779 Phone# Project Name: Rehab Project Name: Date Services Description Amount 9/17/2019 Rehab/Repair/Modify Change Order 8r Reconciliation 8/13/2019 $59,790.60 I Change order Re-construct bath doorway(N/C) Change order Install refrigerator icebox(plumber) Change order Re-construct cabinet(utility room only) Change order Additional flooring (material only) Change order Additional base trim (material only) Change order Custom barn doors (additional material only) Change order Additional barndoor hardware (material only) Change order Additional labor and epoxy cost Paid Deposit $31,657.06 CREDITS Sub Total: $59,790.60 DSHS $12,182.05 Donated Labor 7.8% Tax $4,663.67 Electrical 33 hrs.not $9,817.50 (labor) $600.00 invoiced Total $64,454.27 Client Receipts $1,015.99 Re-construct $447.00 CREDITS $14,845.04 Bath Doorway office use only Balance Due $17,952.17 ch#1 cn I accept this invoice under the terms verbal or contractual.This invoice is a legal and binding document of compensation due to Homework Construction Services LLC.Payment is due upon receiving this invoice.I understand insufficient funds are subject to a service charge of$45.00 and am allotted 5 business days to correct.I understand I will be responsible for all legal fees Homework accrues in pursuit of any outstanding payment due. Please Sign and Return(Digital Copy Accepted) Date hmwk111nv Please print a hard copy for your records r Homework Cortstructiott Services IS MPo Box 1149 �'+'� Monrne WA 9e272 Name Celinda Matthews Change Order& Reconcile Address 19713 1/2 515t Dr project#9-1900038 c[Wstate/ziP Arlington WA98223 Date 6/26/2019 Phone 425-890-8779 fs 121.9 Projects FT—! Description Total tabor 8 ( 1 Demo - Materlal 2 expand master bedroom/bathroom doorway $2,385.00 I 3 reconstruct hall closet(furnace area) $1,483.25 4 Demo bathroom $1,709.35 I 5 increase structure stability bathroom shower stall $1,473.75 floor to be reconstructed to support shower pan 6 install new sink and toilet/trim out all plumbing $2,907.00 7 remove flooring/prep i g/prep subfloor $4,505.00 i— 8 re-construct window/flash,caulk and trim out Donated $1,921.00 t 9 remove entry tile flooring/level subflooring $0.00 10 reconstruct hall closet(furnace area) $1,853.00 11 route and connectall ventsto exterior/fireplace file Donated $1,168.75 12 construct subfloor(rec roam) $0.00 ( 13 relocate plumbing(utility)/ramp and rear deck Donated $3,893.85 14 demo additional floor cover and Install flooring $0.00 (install notfactored) 15 drywall install and repair/mud and texture drywall/install $5,038,80 16 hardware(grab bars,etc.) additional drywall work ' reconstruct utility room door-plumbing wall/remove bonus $3,714.50 room door f— 17 replace electrical panel/rough in and trim out new electrical $940.95 (various areas) I -18 install passage doorto adjoining unit -- — - -- __ _ $2,401.25 �- I 19 construct archway/install cabinets/appliances $855.95 + purchase new cabinet and butcher block countertop $1,664.30 I 20 demo shower floor/install shower pan IL 21 purchase and install new floortrim lower subfloor for shower pan $1,809.65 250'wood trim 22 construct barn door and pocket door $2,856.00 23 install barn door tracking,door and pocket doors $1,827.50 I 24 epoxy bathroom walls and wainscot $1,363.40 25 prep walls and floorfor epoxy epoxy subcontractor $9,784.50 Note: Please read the disclaimer carefully. $955.40 Project Overhead(Admin.) .00 ,� —--- Estimated Labor/MateNais :$7611,711.27 512,15 Estimated Tax 99.12Total Estimation i claf er:This Nan estimate only and+or—is most likely.This estimate does not include any unforeseen problems,additional projects requested or additional hours needed to completethose tasks. Should there beaddltional hours or projects,workwlll resume only after a change order has been signed.All labor performed is subject to our one year guarantee.Some restriction apply. sIA-t a John Oliver Phone:425-941-2687 jalmQhometvorhsea[Ue.com I accept this estimate/bid under the terms and conditions outlined In the Work Release Form.I understand this Is I Lie.#HOMEWC5fi9fiQG a binding contract between both signatures. s,sr.+mo-: � wee• I I 1 f' Homework Construction Services ON; Po Boa 1149 Monroe WA 96272 Change Order&Reconcile Name Celinda Matthews Project 9-1900038 Address 19713 1/2 51st Dr Date 8/13/2019 city/state/zip Arlington WA 98223 17 133.2 Phone 425-890-8779 t _ Projects Status Description taW Labor s 1 1 Demo complete $2,385.00 2 expand master bedroom/bathroom doorway complete $1,483.25 3 reconstruct hall closet(furnace area) complete $1,709.35 4 Demo bathroom I Complete 11� $1,473.75 5 increase structure stability bathroom shower stall L. complete floor to be reconstructed to support support shower pan 6 install new sink and toilet/trim out all plumbing complete $4,505.00 7 remove flooring/prep subfloor complete I $1,921.00 f- - 8 re-construct window/flash,caulk and trim out complete Donated $0.00 9 remove entry tile flooring/level subflooring I complete l $1,853.00 10 reconstruct hall closet(furnace area) I complete I $1,168.75 11 route and connect all vents to exterior/fireplace the complete Donated $0.00 12 construct subfloor(rec room) complete $3,893.85 13 relocate plumbing(utility)/ramp and rear deck complete Donated $0.00 14 demo additional floor cover and floor prep cOmPlete (install not factored) $5,852,25 15 drywall install and repair/mud and texture drywall/install complete additional drywall work p $3,714,50 hardware(grab bars,etc.) reconstruct utility room door-plumbing wall/remove bonus 16 complete $940.95 room door replace electrical panel/rough in and trim out new electrical 17 complete credit$600 $2,401.25 (various areas) 18 install passage door to adjoining unit complete $855.95 19 construct archway/install cabinets/appliances ( complete construct cabinet $1,664.30 20 demo shower floor/install shower pan complete lower subfloor for shower pan $1,809.65 21 purchase and Install new floor trim I complete additional new trim $4,403.00 22 construct barn door and pocket door complete change order construct barn door(material $2,618.00 only) 23 install barn door tracking,door and pocket doors complete changed pocket to barn door(material only) $1,490.90 24 epoxy bulhruurn wullu and wuimcul cuulplut¢ epuxysubcunlraclor $9,794.50 25 prep walls and floor for epoxy j Complete $955.40 Note., Iftlease read the disclaimer carefully. �°- Project Overhead(Admin.) $0.00 =.ra Estimated Labor/Materials $59,790.60 r ! Estimated Tax $4,663.67 r.e.�. Total Estimation $64,454.27 Disclaimer:This is an estimate only and+or-is most likely.This estimate does not Include any unforeseen problems,additional projects requested or additional hours needed to complete those tasks. Should there be additional hours or projects,work will resume only after a change order has been signed.All labor performed is subject to our one year guarantee.Some restriction apply. St.— John Oliver Phone:425-941-2687 Johnahomeworkseettye.com LIo.AHOMewC8690Gti I accept this estimate/bid under the terms and conditions outlined in the Work Release Form.I understand this��e"c rA. Is a binding contract between both signatures work sheet original $50 320.38 total w/Chenip $59,790.60 I estmate Oro"_ deposit $31,657.06 total credits $14,646.42 balance due $18,663.32 deposit $31,657.06 subtotal $13,487.12 tax S4.663.67 total due S18.150.79 over bud et under budget -S512.53 _Racal to Cradle 15M I D6NSCrack 05 Homework construction Services Ilc. PO Box 1149 Monroe WA 98272 425-941-2686 Home Work Celinda Matthews 19713 51st Dr Arlington WA 98223 Date: 18-Jun-19 Utll-°t1eS- Permits Electric On Revision # 9-190017d Plumbing N/A Plumbing On Electrical N/A HVAC Tax Rate 9.2% On Building N/A Proiect Division Total I. Bathroom re-construct door opening/ install 36" door $1,538.25 Subtotal $1,538.25 2.Master Bedroom Demo doorway/flooring/ hallway & master closet Total install barn style door/install floor cover $2,121.00 install hardware/ door and floor trim $4,399.15 $1,730.00 Subtotal $8,250.15 demo and install entry area floor cover (refer to FSR) $1,367.31 Subtotal $1,367.31 Disclaimer:This is an estimate only and+or—is most likely.This estimate does not Include any unforeseen problems.All labor performed is subject to our one year Subtotal $11,155.71 guarantee.Some restriction apply. Tax $1,026.33 Tax is not include in the"subtotal"of the divided projects. Total $12,182.04 i 'Y? 7 Homework Construction Services PO Box 1149 i Hmnn w°" Monroe WA 98272 i Name Celinda Matthews Estimate Address 19713 1/2 51st Dr Project B 9-1900017 city/state/zlp Arlington WA98223 Date 4/28/2019 Phone 425-890-8779 14 114.2 Front and Rear Ramp — Description Whur Materials Fi- Demo and remove debris —I remove existing sidewalk 's $o.00 � lonstructram cedar _ $0.06 Z I p(cedar)/partial railing-h,•T ...o,I; ;-o1� entry ramp — 3 iconstructrear deck and ramp So.00 Sp•ap off kitchen slider $o 4 I $0 00 Bedroom Description labor Mate ais 5 Demo closetwall/increase floor stability remove master closet/provide passage to bathroom $2,37750 $1,065.OD 6 expand master bedroom/bathroom doorway door constructed in place of removed hall closet 7 construct and install access door to furnace $84BSD $c80.75 no access to furnace $1,769.50 8 Bathroom $sg0.7 Description I labor Materials 9 Demo bathroom demo subfloor inrludod in this estimatr, $, .,077.00 $593.25 10 increase structure stability bathroom/shower stall additional floor joist to maintain stable structure $1,795.00 $988.75 11 install new sink and toilet/trim out plumbing glass top sink(wall mount)[wall mount toilet 12 $2/140.00 $z,o6s.ao Kitchen �— p Descri tion labor Materials 13 remove flooring/install subfloor/install floor cover additional subfloorto level transition 14� on $3,2i30.50 $723.00 Bedroom Description labor Materials 15 re-construct window lower window to ADA specs 16 Common Areas $1,409s0 $367.00 Description tabor mate rau 17 remove entry flooring/level subflooring repurpose master bed floor cover 18 construct hall closet $1,637.;0 $zzl.su no storage in bsthruu n fur supplies $1,409.50 19 _(route and connect all vents to exterior __ $1c7.00 1 no exterior ventilation $701.50 20 construct subfloor(rec room)/install floor cover $131so matching floor cover if applicable $3.�,7G —�- 21 $2,431.00 Subcontract Description 22 relocate plumbing Mvtrdoh tuirur move plumbing to accomdate roll-in shower $g16.Oo 23 apply epoxy floor cover and shower wall $1,963so master bedroom and bathroom receives epoxy $1,294.4o Z4 S5:020.90 � Miscellaneous Description P labor Malcrials 25 drywall repair/prime-paint.'/install base and door - trim and hardware various drywall repair work $2,828.50 $966.00 Note: i. -;- - _':w= ...._ ...wi5r:iaiii,_, rarr±yi;�`' Sulu::--, - _ Project Overhead(Admin.) $18750 — — _ _ moo„ Estimated Labor/Materials $45,745.80 _ Estimated Tax TOTALAFfER $4,574.58EDSHSFUNDSTotal Estimation $50,320.38!fe o nv $38,156.03 This Fs an estimate only and+or—is most likely.This estimate does not include any unforeseen problems,additional projects requested or addltlonal hours needed to comolete those tasks.Should there be additional hours or projects,work will resume only after achange order has been signed. All labor performed is subject to our one year guarantee.Some restriction apply. !signarorc to n Oliver Phone: 425-941-26871 /oh7r�homaurorkseattle,corn u EWCS886Q0 I accept this estimate/bid under the terms and condltions outlined In the Work ! #HOM S>taattwe OWe Release Form.1 understand this is a binding contract between both signatures. Kevin Olander<kolander@arlingtonwa.gov> Wed, Sep 18, 2019 at 9:57 AM To: Celinda Matthews<wapikwan60@gmaii.com> Cc: Raelynn Jones<rjones@arlingtonwa.gov>, Kristin Foster<kfoster@adingtonwa.gov>, Launa Peterson <Ieterson@arlingtonwa.gov> Celinda, I have reviewed your information and have found the following. 1. Electrical Permit is required for panel replacement and wiring re-routing/re-location 2. Construction Permit is required for beam replacement/bathroom re-model and floor leveling 3. Plumbing Permit is required for all plumbing alterations. 4. Inspections required for all of the above and all ADA requirements Please feel free to contact me if you have any further questions regarding this issue. Kevin Olander CBO Building Official City of Arlington 18204 59th Avenue NE Arlington WA, 98223 (360)403-3433 kolander@arlingtonwa.gov i Performance Documentation of HomeWork Construction John Oliver, Owner Re: Remodel Duplex Unit for Disability Access 19713.5 51s' Drive NE Arlington, WA Celinda G Matthews, Homeowner i i I 4r I :r 1 ro - ■ - -Lu C / 9—A-rt+ ouL-L B� s 11 f�Po t c T s Gh/b. i /ti10 I c� j 1K/ Ill© �f ,�S l nJ '� �v 9� !IILOOIz —C�. c� rIi-°fit A/O- No ✓ �L� E0 GALLOWAY LAW GROUP, PLLC Bruce C.Galloway Peter C.Rudolf Sarah Yeilding Attorney at Law Attorney at Law Rule 6 Law Clerk September 26, 2019 John Oliver Homework Construction Services, LLC PO Box 1149 Monroe, WA 98272 (425) 941-2687 John Oliver Homework Construction Services, LLC 884 4" St. Sultan, WA 98294-9801 Re: Construction Project at 19712 V2 5111 Dr,Arlington,WA 98223 Dear Mr. Oliver, I represent Celinda Matthews. She felt compelled to retain my firm to address construction contract issues that have resulted in a loss of faith in your quality of work which force her to find other contractor(s) to remedy defects and complete the project. Let this be formal notice of termination. Your contract is at an end. You are no longer required or permitted on-site. If you have left any equipment at the premises please communicate directly through me to arrange for its return. Ms. Matthews bases this cancelation of the contract on various factors, not the least of which were: • your failure to adequately advise her of the need for permits, • work that you have completed required significant repair or caused ancillary damage, • general failure to complete work in a workmanlike manner, • the presence of numerous defects: including water leak and consequential mold damage, failure to install proper vapor barriers, damage to donated fixtures that will require complete replacement, • failure to adequately substantiate and itemize change orders, • apparent double billing to Matthews and DSHS, • failure to adjust billings for volunteer-provided labor and materials, and • failure to complete the project in a timely manner. As a consequence of these failures, the intended tenant is unable to move in as was intended for June 2019, thereby costing substantial consequential damages as he was Physical:12101 N.Lakeshore Drive•Mailing: PO Box 425 Lake Stevens,Washington 98258 Telephone(425)334-440o Facsimile 334-2149 September 26, 2019 Page 2 forced to maintain a second residence. Other direct damages have occurred and will further be incurred to repair or remedy the extant defects and replace certain defective materials. You have breached your express warranties under contract and implied warranties under RCW 64.34.445. In order to mitigate her losses, Ms. Matthews must now seek out other D SH S-approved contractors, at great personal expense, to finish the job. Please direct all future correspondence directly to me. You may reach me by email at peter ,glgpllc.corn or by telephone at (425) 334-4400. Thank you, Peter C. Rudolf, WSBA#47791 Attorney for Celinda Matthews Washington State Department of ELECTRICAL Inspection Labor & Industries Correction Report The corrections listed below are hereby ordered and must be completed within 15 days of issuance. Where Indicated (****), the correction must be completed within 15 days, but does not require re-inspection until the final inspection is done. Applicant: Homework Construction Services, LLC Site Owner: Celinda Matthews Date of Inspection: 9/12/2019 Permit Number: CR3270346 Address of Inspection: 19713 51st Dr NE City: ARLINGTON Z NOT APPROVED FOR COVER Fx] NOT APPROVED FOR SERVICE Correction issued on: 9/12/2019 2005 RCW 19.28.101(1) (sit. 1) Electrical permit required Correction issued on 9/12/2019 by ROBERTS , MARK AN ELECTRICAL PERMIT IF REQUIRED TO BE OBTAINED, BY AN APPROPRIATELY LICENSED ELECTRICAL CONTRACTOR, FOR THE INSTALLAION OF SERVICE/FEEDER PANEL AND ASSOCIATION NEW/ALTERED CIRCUITS. An electrical work permit is required to be purchased and posted on the jobsite prior to beginning the installation of electrical equipment or conductors. See WAC 296-466-901 (5). Correction issued on: 9/12/2019 2005 RCW 19.28.101(1) (sit. 2) Request for inspection required Correction issued on 9/12/2019 by ROBERTS , MARK AN INSPECTION REQUEST IS REQUIRED. Requests for inspection must be made no later than three business days after completion of the installation or one business day after any part of the installation has been energized, whichever occurs first. See WAC 296-46B-901(9)(a). Correction issued on: 9/12/2019 2005 RCW 19.28.101(4)(sit.1) Covered prior to inspection Correction issued on 9/12/2019 by ROBERTS , MARK ALL NEW/ALTERED ELECTRICAL INSTALLATIONS (SERVICE/FEEDER PANEL, RECEPTACLES, LIGHTS, SWITCHES, DEVICES, ETC.) NEED TO BE EXPOSED FOR INSPECTION. Electrical wiring concealed and covered prior to inspection and approval. Inspector: ROBERTS, MARK (360) 416-3005 Inspection Request Line (360) 416-3000 r �- - i _ � _ - - - - - '' ' ' u� � - - i _1 i _ _ ' - , � � r - _ NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ®'APPROVED PERMIT#: i %( AM PM DATE: ��2�[ LOB ADDRESS: `! i�) ' 1 1 1 LOT#: PROJECT: ( , �,, 10 1 TYPE OF INSPECTION: fvll vw /%, 6 OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION: $50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION rr � iTI OVUl ! -�Z7 7 THEACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 K� _ Z�v INSPECTOR DATE M PLANNING Cl CIVIL -) BUILDING CITY OF ARLINGTON • RESIDENTIAL PERMIT APPLICATION Department of Community&Economic Development IN'fA 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: /9 7-1— .,, ,Fr / ST DR Ni Plat: ❑ Single-family Duplex ❑ Townhouse ❑ Addition ❑ Accessory structure Proposed Area: 1 st Floor: _ �_ 2"d Floor: Garage: Total SF: Describe Proposal (include cross street): Valuation: Owner: eCt /M 17A" /N A TINErr 1tlS' Address: /4 7!3— S/ Dif Alf City:A 141p14 rp h/State:Id A Zip Code: ?"a,3 Phone: �.�S. 00110 . f l 9 'Email: `Covet Applicant: t,E'L/ 'Alp A MA 71YE WS Address: 6SA-Ad A--C State: r+o, Zip Code: �s Phone: — 131P, Email: mil' Contractor: AQM E WAkk 00M.9-/R Ve 771W Address: ISO City: Stater Zip Code: � .t Phone: $, �/. �G�� Email: o/t � //yI�LiJa/�sc�' . Contact Person: �pw dL IVER License Number: Expiration: ,�O e+ NONCE We, SP944pc �9 Received 6/16LP SEP 192019 Page 1 of 3 RESIDENTIAL PERMIT APPLICATION r 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) A4�?Shower Combo (4.0) x [ Sink (1.5) x 171 Shower(2.0) x Lavatory(1.0) x ❑ Clothes Washer(4.0) x ❑ Water Closet(2.5) x ❑ Dishwasher(1.5) x ❑ Water Heater x ❑ Hose Bibb (2.5) x Water Heater Model# C !� Other(list) x _ I � S#PRO It'r $C a M IN Nfp L L ��c toK R 2s S PI�'e�CT $t�l�LS r� �C•t�DNT�vtr Ft-oof?l�l, Plumbing Section Continued jA/ x.4 ra FOX iWObL- /N - EaJ&Sc WIKDOrt! Fop JcKOwck C c9,4 Xi t-t 7V 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``Y= �^ RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development '�+ p 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: 0, Furnace (80+) Model# AFUE ❑ Heat Pump Model# SEER HSPE AC Unit Model# SEER ❑ Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping �J 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 Signatur Date: Print Applicants Name: 6/16LP Page 3 of 3 Homework Construction Services Ilc. PO Box 1149 Monroe WA 98272 425-941-2686 Celinda Matthews �'�.:,", 19713 51st Dr Home 'Nork Arlington WA 98223 Util_ its Date: 18-Jun-19 Electric On Pe—r_ Plumbing On Plumbing N/A Revision # 9-190017d HVAC Electrical N/A On Bilding N A / Tax Rate �9.2�%. Proiect �Iv7lsiqn�� 1. Bathroom re-construct door opening/install 36 T otal " door Subtotal $1,538.25 2.Master Bedroom $1,538.25 Demo doorway/flooring/hallway& master closet 2, Total 2 install barn style door/install floor cover install hardware/door and floor trim $ 121.00 $4,399.15 Subtotal $1,730.00 demo and install entry area floor cover(refer to FSR) $8,250.15 Subtotal $1,367.31 $1,367.31 Disclaimer:This is an estimate only and+or—is most likely.This estimate include any unforeseen problems.All labor guarantee.some restriction apply. does not Performed is subject to our one year 71 Tax is not include in the"subtotal" Subtotal Ta of the divided projects. $11,155*33x $1,026.33 Total $12,182.04 i © homework Construction Services PO Box[f49 name® Monroe WA 98272 Change Order& Reconcile Name Celinda Matthews Project#9-1900038 Address 19713 1/2 51st Dr Date 6/26/2019 clty/state/zip Arlington WA98223 zs 121.9 Phone 425-890-8779 Projects fDescription total labor Material 1 Demo $2,385.00 2 expand master bedroom/bathroom doorway $1,483.25 3 reconstruct hall closet(furnace area) $1,709.35 4 4 Demo bathroom $1,473.75 5 Increase structure stability bathroom shower stall floor to be reconstructed to support shower pan $2,907.00 6 install new sink and toilet/trim out all plumbing $4,505.00 7 remove flooring/prep subfloor $1,921.00 8 re-construct window/flash,caulk and trim out Donated $0.00 9 remove entry the flooring/level subflooring $1,853.00 10 I reconstruct hall closet(furnace area) $1,168.75 11 route and connect all vents to exterior/fireplace tile Donated $0.00 12 construct subfloor(rec room) $3,893.85 13 relocate plumbing(utility)/ramp and rear deck 'Donated $0.00 14 demo additional floor cover and install flooring (install not factored) $5,038.80 drywall install and repair/mud and texture drywall/install 15 hardware(grab bars,etc. additional drywall work 16 reconstruct utility room door-plumbing wall/remove bonus room door $940.95 17 replace electrical panel/rough in and trim out new electrical (various areas) $2,401.25 18 install passage door to adjoining unit r—' $855.95 19 construct archway/install cabinets/appliances purchase new cabinet and butcher block counter top $1,664.30 20 demo showerfloor/install shower pan lower subfloorfor shower pan $1,809.65 21 purchase and install new floor trim 250'wood trim $2,856.00 22 construct barn door and pocket door $1,827.50 23 install barn door tracking,door and pocket doors $1,363.40 24 epoxy bathroom walls and wainscot epoxy subcontractor $9,784.50 25 prep walls and floor for epoxy $955.40 Nora: Please read the disclaimer carefully. Project Overhead(Admin.) $ppp Estimated Labor/Materials $S6 51US Estimated Tax ;199 Total Estimation ,$61,711.2-7 I Disclaimer.*This is an estimate only and+or—is most likely.This estl mate does not include any unforeseen problems,additional projects requested or additional hours needed to completethose tasks. Should there be additional hours or projects,work will resume only after a change order has been signed.All labor performed Is subject to our one year guarantee.Some restriction apply. signature John Oliver Phone: 425-941-2687 john@homeworkseattle.com U.4 HOMEWC5896QG 1 accept this estimate/bid under the terms and conditions outlined in the Work Release Form.I understand this is axo: it binding contract between both signatures. a© Homework Construction Services PO Box 1149 Home Wurk Monroe WA 98272 Kit-Cab Estimate Name Celinda Matthews Project#9-1900032 Address 19713 1/2 51st Dr Date 5/10/2019 city/state/zip Arlington WA98223 3 23.7 Phone 425-890-8779 Projects Description 1 demo kitchen wall/install pocket door butcher block for small counter top 2 re-install cabinets/countertop butcher block counter top factored in this estimate 3 plumb for icemaker reroute copper tube under subfloor 4 re-route dryer electrical and dryer vent route vent under subfloor 5 cut in and install access door(bonus room) repurpose door/remove lighting 6 remove door and open bonus room doorway/finish drywall 7 install micro-hood/ventilation vent to exterior 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Note: I Please read the disclaimer ramfully. Project Overhead(Admin.) _$45.00 Estimated Labor/Materials $7,323.45 Estimated Tax $673.76 Total Estimation $7,997.21 Dlscfalmer:This Is an estimate only and+or—is most likely.This estimate does not include any unforeseen problems,additional projects requested or additional hours needed to complete those tasks.Should there be additional hours or projects,work will resume only after a change order has been signed.All labor performed is subject to our one year guarantee.Some restriction apply. Slgn°c— John Oliver Phone: 425-941-2687 johnghomeWorkseattle.com Lic.#HOMEWCS896QG 1 acceptthis estimate/bid under the terms and conditions outlined in the Work « o�u Release Form.I understand this is a binding contract between both signatures. i I I .. Homework Construction Services PO Box 1149 I Homework Monroe WA 98272 Estimate Name Celinda Matthews Project p 9-1900017 Address 19713 1/2 51st Dr Date 4/28/2019 uty/State/zlp Arlington WA98223 Phone 425-890-8779 14 114.2 Front and Rear Ramp Description i _--__— — P Labor Materials 1 Demo and remove.debris - - -- --- ' sting sidewalk -- existing d k $0.00 $o a0 2 construct-ramp icEdarj!partial railin -�---- -- S0.00 $0 00 3 wstru 5.treardeckandramp ' - - r 50.00 $0 00 I 4 Bedroom —i Description Material, -- 5 Demo closet wall/increase floor stability remove master closet/provide passage to bathroom $z,3n.so $1,o6s.00 6 expand master bedroom/bathroom doorway door constructed in place of removed hall closet $848,50 $634.75 7 construct and install access door to furnace no access to furnace 8 Bathroom - — _ - --- - $1.769.s0 $580.75 Description Labor Materials 9 Demo bathroom - - _ demo subfloor included in this estimate Sl,.71 $s93 2s 10 Increase structure stability bathroom/shower stall additional floor joist to maintain stable structure $1,795.00 $988,75 11 install new sink and to /trim out plumbing glass top sink(wall mount)/wall mount toilet ---- b — 12 Kitchen —----_- "- -- —— r44o,o0 $2,065.00 Description Ubo, maw ials 13 remove flooring/install subfloor/install floor cover additional subfloor to level transition i $3,280.50 5723.00 14 Bedroom �- -- _— � Description Labor Materials 15 ire-construct window lower window to ADA specs t $1,409.50 $367.00 16 Common Areas - _ Description odor materials 17 remove entry flooring/level subflooring repurpose master bed floor cover $1,631-50 `—$221.50 18 construct hall closet no storage in bathroom for supplies $1,409:50 $367.OU 19 route and connect all vents to exterior no exterior ventilation — $701.50 $131.50 20 construct subfloor(rec room)/install floor cover matching floor cover if applicable $3,849.50 $2,432.00 21 Subcontract - - 3T=--- r I Description Materials I Labor 22 relocate plumbing move plumbing to accomdate roll-in shower $816.00 $1,963-SO 23 apply epoxy floor cover and shower wall master bedroom and bathroom_ el rec "ves epoxy $1,284.40 $5,020.90 24 Miscella neou_s"�_1. ' Description p Labor Materials 25 ldrywall repair/prime-paint/install base and door I(trim and hardware various drywall repair work $2,828.50 $886.00 Note: Please read the disclaimer carefully.Same pl-r--p svre,3c IS required b the Gc.'f� 4 rase>ulcontrac:or. -- Project Overhead(Admin.) $187.50 Estimated Labor/Materials $45,745.30 i Estimated Tax AL AFTER _ $4,574.5$ DSHS FUND TOTAL WAIVER Total Estimation $50,320.33 $12,164.35 $38 156.03 Is kLM :This is an estimate only and+or—is most likely.This estimate does not include any unforeseen problems,additional projects requested or ' additional hours needed to complete those tasks.Should there be additional hours or projects,workwill resume only after a change order has been signed. All labor performed is subject to our one year guarantee.Some restriction apply. sis"amre John Oliver Phone: 425-941-2687 John�homawcrksentGe.cam LIc.#HOMEWCS896QG IacceptthisestimatelbidunderthetermsandconditionsoutlinedintheWork Amato- wte: Release Form.I understand this is a binding contract between both signatures. i NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ❑ APPROVED PERMIT#:r �' ��%-1 AM PM DATE: J •J•Zu� JOB ADDRESS: J (�� (E LOT#: PROJECT: TYPE OF INSPECTION: 'L�1\ �N� OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION: $50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION (36k3-% 1� _ce>r- f�PPS P.2s o P Dt - Nc i JK,__ S 12 C LJ Q e oz)w o. I�`t� o i P2oP Po�'LC-d O IJALe- A vt i"') r-36kil, kQ T3E our` 5 i -- Z-lMV-MOW N Mott P�OPL �L-I 5Ll'PPOe L I-1 Sn1 ).Lj kL L ON.wL_ S9W C, N 1)4- '� n.�c rl�c� '6 AGrE�s vSErJ �� nI sd rZT LZ eZACC d!ltl"Z-- OZ1 Or P2o3�-ci THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE Cl PLANNING 0 CIVIL 7 BUILDING CITY OF ARLINGTON ' , . NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL Cl CORRECTIONS REQUIRED ❑ DO NOT OCCUPY XAPPROVED PERMIT#: (A*PM DATE. JOB ADDRESS: !LOT#: PROJECT: TYPE OF INSPECTION: OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION �` -�<( 'r ► n Ilea 1 'lf U `> THEACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE 0 PLANNING M CIVIL -1 BUILDING CITY OF ARLINGTON CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:19713 1/2 51st Dr NE Permit#:2807 Parcel#:00426400005000 Valuation: 10643.79 OWNER APPLICANT CONTRACTOR Name:MATTHEWS CELINDA Name; [Company Name] Name:Michael Mulligan Construction,LLC Address:PO BOX 219 Address:[Company Address] Address:7922 59th Avenue NE City,State Zip:SILVANA,WA 98287 City,State Zip:Arlington,WA 98223 City,State Zip:Marysville,WA 98270 Phone: Phone:425-890-8779 Phone:425-359-1051 LIC:HOMEWCS896QG EXP: 11/30/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Alteration CODE YEAR: 2015 STORIES: 1 CONST.TYPE: `lB DWELLING UNITS: I OCC GROUP: R3 BUILDINGS: 1 OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WIT]I 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 I0/IRCI10. SA F' AX 146TI :Salag tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and odeA P.i/Vof, i #3 Signature Print Name Date Released By Date CONDITIONS INSPECTIONS REQUIRED. CALL FOR INSPECTIONS. 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 12/20/2019 Building Permit Fee $286.28 12/20/2019 Processing/Technology Fee $25.00 12/20/2019 Building Plan Review Fee $186.08 12/20/2019 State Building Code Surcharge Fee $6.50 Total Due: $503.86 Total Payment: $503.86 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 -' _ CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:19713 1/2 51st Dr NE Permit#:2807 Parcel#:00426400005000 Valuation: 10643.79 OWNER APPLICANT CONTRACTOR Name:MATTHEWS CELINDA Name: [Company Name] Name:Michael Mulligan Construction,LLC Address:PO BOX 219 Address:[Company Address] Address:7922 59th Avenue NE City,State Zip:SILVANA,WA 98287 City,State Zip:Arlington,WA 98223 City,State Zip:Marysville,WA 98270 Phone: Phone:425-890-8779 Phone:425-359-1051 LIC:HOMEWCS896QG EXP: 11/30/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Naive: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Alteration CODE YEAR: 2015 STORIES: 1 CONST.TYPE: `IB DWELLING UNITS: 1 OCC GROUP: R3 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. 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. Signature Print Name Date Released By Date CONDITIONS INSPECTIONS REQUIRED. CALL FOR INSPECTIONS. 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 12/20/2019 Building Permit Fee $286.28 12/20/2019 Processing/Technology Fee $25.00 12/20/2019 Building Plan Review Fee $186.08 12/20/2019 State Building Code Surcharge Fee $6.50 Total Due: $503.86 Total Payment: $503.86 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 RESIDENTIAL PERMIT APPLICATION Department of Community & Economic Development � jNG,Cp 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 BYTWO(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: 19713 1/2 51st Drive NE Arlington 98223 Plat: 00426400005000 ❑ Single-family �01 Duplex ❑ Townhouse ❑ Addition ❑ Accessory structure Proposed Area: 1�` Floor: 1150 2"� Floor: Garage: Total SF: 1150 Describe Proposal (include cross street): Due to previous contractor's work and absence of permits, homeowner and replacement contractor are home up to'code and make any necessary corrections. Valuation: $3000.00 Owner: Celinda Matthews 19713 51st Drive NE Arlington WA 98223 Address: City: State: Zip Code: Phone: 425.890.8779 Email: wapikwan60@gmail.com Applicant: Celinda Matthews, homeowner 19713 51st Drive NE Arlington WA 98223 Address: City: State: Zip Code: Phone: 425.890.8779 Email: wapikwan60@gmail.com Contractor: Michael Mulligan Construction LLC 7922 59th Ave NE Marysville WA 98270 Address: City: State: Zip Code: Phone: 425.359.1051 Email: michaeljmul@hotmail.com Contact Person: Mike License Number: MICHAMC981PA Expiration: 10/05/2020 6'16LP Page 1 of 3 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 K plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) ❑ Bath/Shower Combo (4.0) x ❑ Sink (1.5) x 1 ❑ Shower (2.0) x 1 ❑ Lavatory (1.0) x ❑ Clothes Washer (4.0) x 1 ❑ Water Closet (2.5) x 1 ❑ Dishwasher (1.5) x ❑ Water Heater x ❑ 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 RESIDENTIAL PERMIT APPLICATION ' 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: ❑ 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 [7-1111,11 11 e"000-f,a«,<<,ae..._e.o_� 12/13/2019 Applicant Signature: Date: Print Applicants Name: Celinda Grace Matthews 6/16LP Page 3 of 3 Permit#: 2807 Permit Date: 09/20/19 Permit Type: RESIDENTIAL ALTERATION Project Name: Matthews Applicant Name: Celinda Matthews Applicant Address: 19713 51 st Dr NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Phone: 425-890-8779 Email: wapakwan60@gmail.com Scope of Work: Valuation: 10643.79 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 12/26/2019 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00426400005000 19713 51 ST DR NE MATTHEWS 122 Two Family CELINDA Residence(Duplex) Contractors Contractor Primary Contact Phone Address Contractor Type License License# Michael Mulligan 7922 59th Avenue CONSTRUCTION Labor and MICHAMC981PA Construction,LLC Mike Mulligan 425-359-1051 NE CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 09/01/2020 C09.FRAMING 09/01/2020 09/01/2020 BUILDING Approved 05/04/2020 C09.FRAMING 05/04/2020 BUILDING Approved Fees Fee Description Notes Amount Building Permit Table 4-1 $286.28 Processing/Technology $25.00 Building Plan Review Table 4-2 $186.08 State Surcharge- 1 st DU Residential- 1 st Unit $6.50 Total $503.86 Attached Letters Date Letter Description 09/20/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 12/04/2019 Celinda Matthews Check#110291565 8 Kristin Foster $503.86 Outstanding Balance $0.00 Notes Date Note Created By: 12/24/2019 Emailed permit for signature. Kristin Foster 12/13/2019 Received revised application with change of contractor. Kristin Foster 12/04/2019 Emailed Celinda and left a vm that the permits are ready once the contractor obtains a city of Kristin Foster arlington business license.Emailed the contractor the info on how to apply for the license. Uploaded Files Date File Name 09/30/2021 9798330-2807 IC 9.1.2020.pdf 09/30/2021 9798331-2807 IC 1.7.2020.pdf O1/02/2020 6041985-2807 Issued Permit.pdf 12/20/2019 6019188-2807 Revised Application.pdf 09/20/2019 5652425-2807 Application.pdf