Loading...
HomeMy WebLinkAbout216 E BURKE AVE_BLD3296_2026 APPLICATION CONSTRUCTION INFORMATION FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW ❑ , ALTERATION ❑ , ADDITION ❑ , DEMOLISH ❑ . �/ Building Department Building Permit �Ll Describe Alteration_ e-jroo_� Certificate of Occupancy ❑ Date NOTICE: No permit for erection, alteration, moving, repair or occupancy of any building f� /J� f shall be issued until an application has been made and approved for a certifi- Valuation based on total floor area $ 1W ' N O T I C E cate of zoning compliance. Plan checking fee` '�Ob $ Where work is started before permit is obtainer Owner �� -t N Q�lS071 _ __--_ _ Address I o�V)eY�p(C \���^ $ �� 6 the permit fee shall Permit fee �~ be doubled. Permittee- _ Address C!d �cJ /40 100 Architect, Address SPECIFICATIONS Engineer Address FOUNDATION Exterior Piers COVERING j:A �11 �,t�i'� Address ��� weJT T�V�Contractors Material Exterior walls LEGAL DESCRIPTION OF PROPERTY: Lot No. / Block No. Width at top Interior walls Subdivision or Unplatted description Width at bottom Roof or reroofing 01 Depth in ground ZONING INFORMATION FRAME Size Spacing Span FLUES TYPE OF OCCUPANCY of present or TYPE of CONSTRUCTION of present or R.W. Plate(sill) Fireplace proposed main building (circle) proposed main building (circle) Girders Floor furnace A B C D E F G H I J 1 II III III 1 hr. III HT Joist, 1st floor Kitchen DIVISION 1 2 3 4 IV IV 1 hr. V V 1 hr. Joist,2nd floor Water heater Joist,ceiling Furnace Use Zone Fire Zone Area of Lot Size of building or addition No.of stories- _ Exterior studs Gas Oil Total height Basement floor area 1st Floor area Interior studs Additional floors and areas 'No.of rooms No.of families Roof rafters ' No.of buildings now on lot Use of buildings now on lot Bearing walls Percentage of lot covered by main building Additional Permits are required for: Percentage of lot covered by accessory buildings (check) IMPORTANT Kind of livestock _ ❑ ❑ Signs,gns, ❑ Moving, Written authorization of owner must CHANGE OF OCCUPANCY from to ❑ Sewer hookup, ❑ Water hookup, be presented when applicant is occupant If a commercial building,list each use and its area in square feet: ❑ Gas appliance and Gas piping. or lessor. I am the legal owner of the I hereby acknowledge that I have read this application and property described in this application. state that the above is correct and agree to comply with all city ordinances a State Laws regulating zoning and bui i / Owner DRAW on the reverse side of this application,to scale, a PLOT PLAN. APPLICAN PLOT PLAN FOR DEPARTMENTAL USE Draw below,to scale, a plot plan showing: FOR DEPARTMENTAL USE Application for Certificate of Zoning Compliance ❑ Checked Initials 1. Dimension and shape of the lot. 1. 2. Front street name. 2• Building Permit4, Certificote of Occupancy ❑ checked and approved. 3. Side street name if corner lot. 3. 4. Sizes and location on the lot of buildin s alread existin 4.9 Y g• / Ci"� �F 5. Location and dimensions of proposed building or alterations. 5. Building Inspector s Dat 6. Front yard,side yard,rear yard setbacks. 6. 7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No.. 720 Date front yard trees and shrubs, green belt. 8. Location and size of required off-street parking and loading. 8. rr INSPECTION RECORD Inspection Date Signature Set Back p� � Excavation Concrete Reinforced Steel Grout Blocks Bond Beam �6S Frame p Roofing Room Ventilation b Kitchen Vent Bathroom Vent Foundation Vent Access Hole Garage Fireproofing Fireplace Spark Arrester Water Closet Water Heater Sewage Disposal Lathing Plastering Correction Order Left Stop Work Order Issued Stop Work Order Released Give brief report of special or unusual conditions i Job completed Date 30 Buildirib Inspector Certificate of Zoning Compliance No. Issued Date Certificate of Occupancy No. Issued Date 6100RE BUSINESS FORMS INC LA P r >uma t'% GMF s-' w ., , •z r � OO n C - Za Mt (1 C a n c ,....;t f",3 ? 06 CD m CD coo (n o m CD O v (n *. -n p m c_ ::,- p (D (D 00 rp, % r G) C ^` n �'• w o wl 1'"' r 7` O O N I w C h Z Z W m C 1 D C :Y { _ 7 p D X: C (D CD D f m m m _ m o 0 I �— CD °oN C � Z CD T w O an o n ° 0 M > n en n a c `I o I al T. r- Z C O rk C: 11 m 9 n Cl �. Gl m y 3,M f" 0 o w C's <. m D I � a � 3 m f�1 m )< CD D m m m an < CD1 (n Z W C `7c 0 w D � d = 7 r _'� 7 C ^ m �• D Z N A p n (D r o ° �= D < — O 0 7 < m 0 -3 ° C7 f I (A � 0, > 10 � � i m o o —1 k T. Oy S �• Imo, `G �c N o C m 0) m m Z l r � ° a �� I �, d o I to ° w .. caa fi t �, c o I �. rn CD 0 0 0< fw/1 I W ,c c $ 01 c 0 �= 6 I a o v a C to w.N W i p ^ N cn i M 1 .w'' 7 n :4 '� w tI'i m a °c m o r 1 � n c1 6 I 0 3 ° £ v c � w I 7 7 7 w a CD m W to 7 3 °. 7 *{ w J w ° le w 7• 0- Gil o a m 0- ri_' o 2 m w. U c v (e o a o (n 1 0 ( p 3 m w m u Q o o C3; r ,o ft Z C-> O o a NX m 7 (n v Z \ Z O p m O c ;y. W to C) ° m o I Sp m 3 r, 0 m 6i1 A m ;; o O Z N N (n V D �\ I m m -� D � I - DEMOLITION PERMIT APPLICATION Department of Community& Economic Development City of Arlington •.18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551 THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS DEMOLITION NOTIFICATION FROM PUGET SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT (if applicable)COMPLETED BYANAPPROVED AGENCY. Type of Permit:(check one) © Residential ❑ Commercial ❑ Industrial Project Address: 216 E Burke Parcel ID#: Lot#: Subdivision: Valuation: 1000.00 Building Area(Sq Ft) 400 No. of floors: 1 Number of Buildings:1 Owner: Calvin Rengen Phone Number: 2067152659 18706 123rd Ave N E Arlington 98223 Address: C ty: State: wa Zip Code: Contact Person:Nathan Rengen Phone Number: 425-266-6699 Cell Phone: 425-299-6699 E-mail: N.rengenearthworksinc@gmail.com Address: Po Box 663 City:Arlington State: wa Zip Code: 98223 Contractor: Rengen Earthworks INC Phone Number: 425-299-6699 Address: Po box 663 City: Arligton State: wa Zip Code: 98223 Contractor's License Number:RE N G E E I820QT Expiration:11/30/2020 Scope of Work: Removing carport from back of house. Kevin looked at it last week for me, I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in accordance with the laws, rules and regulations of the Stat of Washington. �G�attca�2ro one�� Kev e'3eB36B'e°° a 07/06/2020 Applicants Signature Date Nathan Rengen Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received CITY OF ARLINGTON 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT 216 E Burke Ave Permit#:3296 Permit Expiration Date: 01/03/2021 Parcel#: 00461801500500 Valuation: 1000.00 OWNER APPLICANT CONTRACTOR RENGEN CALVIN J&MICHELLE Nathan Rengen Rengen Earthworks,Inc. 18707 123RD AVE NE PO Box 663 PO Box 663 ARLINGTON,WA 98223 Arlington,WA 98223 Arlington,WA 98223 425-266-6699 425-299-6699 LIC:RENGEE1820QT EXP: 11/30/2020 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Demolition CODE YEAR: 2015 STORIES: 1 CONST. TYPE: VB DWELLING UNITS: OCC GROUP: U BUILDINGS: I 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. IBC 110/IRC 110. 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. '-'4- QC440", zt,11'UN �*2 zz�&�/ ignature Print Name to Released By ate CONDITIONS Permit shall be onsite for inspections. Call for final inspection. 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 07/07/2020 Demolition Fee $100.00 07/07/2020 Processing/Technology Fee $25.00 07/07/2020 State Building Code Surcharge Fee $6.50 Total Due: $131.50 Total Payment: $0.00 Balance Due: $131.50 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 Permit#: 3296 Permit Date: 07/07/20 Permit Type: DEMOLITION Project Name: Rengen Applicant Name: Nathan Rengen Applicant Address: PO Box 663 Applicant, City, State, Zip: Arlington,WA 98223 Contact: Nathan Rengen Phone: 425-266-6699 Email: n.rengenearthworksinc.gmail.com Scope of Work: Demo carport at back of house Valuation: 1000.00 Square Feet: 400 Number of Stories: 1 Construction Type: Occupancy Group: ID Code: Permit Issued: 07/07/2020 Permit Expires: 01/03/2021 Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00461801500500 216 E BURKE AVE RENGEN CALVIN J 111 Single Family &MICHELLE Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# Rengen Earthworks,Inc. Nathan Rengen 425-299-6699 PO Box 663 CONSTRUCTION L&I RENGEE1820QT CONTRACTOR Fees Fee Description Notes Amount Demolition $100.00 Processing/Technology $25.00 State Surcharge- 1st DU Residential- 1st Unit $6.50 Total $131.50 Attached Letters Date Letter Description 07/07/2020 Building Permit 07/07/2020 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 07/07/2020 Nathan Rengen 81192202 $131.50 Outstanding Balance $0.00 Uploaded Files Date File Name 07/07/2020 6938743-3296 Issued Permit.pdf 07/07/2020 6933687-3296 Application.pdf