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HomeMy WebLinkAbout20204 45th Dr Ne_BLD2759_2026 CITY OF ARLINGTON 238 N. O1.YMPIC AVE - ARL.ING'TON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20204 45th Dr NE Permit#:2759 Parcel 4: Valuation: .00 OWNER APPLICANT CONTRACTOR Name: Name:Donald Kinsman Name: Donald Kinsman Address: Address:20204 45th Dr NE Address:20204 45th Dr NE City,State Zip:, City,Stale Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:206-460-246S Phone:206-460-2465 LIC: EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LfC/1: EXP: LIC,9: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Re-Roof CODE YEAR: STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTIIORIZED 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/TIER 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. IBCI 101IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return fonn d cod u 'ity of Arlington 93101. - 0'4uD lelvnsk-mw, oja� /fir 8/29/19 Signature Print Name Date eleascd RS1 Date CONDITIONS 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 0 812 9/20 1 9 Processing/Technology Fee $25.00 Total Due: $25.00 Total Payment: S0,00 Balance Due: $25.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Permit#: 2759 Permit Date: 08/29/19 Project Name: Kinsman Applicant Name: Donald Kinsman Applicant Address: 20204 45th Dr NE City, State, Zip: Arlington, WA 98223 Contact: Donald Kinsman Phone: 206-460-2465 Email: dkinsman2l@gmail.com Permit Type: Residential Re-Roof Site Address: 20204 45th Dr NE Valuation: 0.00 Status: Applied Permit Issued: Permit Expires: Square Feet: 0 Type of Construction/Occupancy Load: Residential Re-Roof Number of Stories: 0 Proposed Use: Re-Roof- structural MIC/Opportunity Zone: Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning Contractors Contractor Primary Contact Phone Address Contractor Type License License Donald Kinsman 206-460-2465 20204 45th Dr NE OWNER Fees Fee Description Notes Amount Processing/Technology Fee 341.43.00.02 $25.00 Re-Roof 322.10.00.00 $50.00 Total $75.00 Uploaded Files Date File Name 08/29/2019 5533902-2759_Ap li Mpdf r RE-ROOF `1 PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551 Type of permit: check one Residential Unsure Yp P ( ) (�} ( ) Commercial Valuation: Project Address: 20204 45th Dr ne Parcel ID#: ------ Owner: Donald Kinsman Address: 20204 45th Dr ne City:Arlington State: Wa Zip Code:98223 Phone Number: 206 460 2465 Email:Dkinsman2l@gmail.com Applicant:Donald Kinsman Address. 20204 45th Dr ne City:Arlington State: Wa Zip Code:98223 206 460 2465 Dkinsman2l@6mail.com Phone Number: Email: N/A Contractor: -N/A N/A N/A N/A Address: City: State: Zip Code: N/A N/A Phone Number: Email: Contractor's License Number:N/A Expiration:N/A Type of Roofing Material Asphalt Number of Existing Layers: 1 Class of Roofing: A ✓❑ B ❑ C ❑ Replacing existing sheathing: Yes ✓❑ No ❑ Roof tear off: © Application over existing material: ❑ The following is required for NON-Residential Buildings: • Existing roof structure and material: • Two copies of the installation specifications and U.L.listed roof assembly. • Occupancy of Building: Office Retail Church Restaurant School I hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will be responsible for providing a method of safely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is'° complete. - 08/29/2019 Applicants Signature Date Donald Kinsman Print Applicants Name FOR STAFF USE ONLY - � A29 2019I? ' Permit# 1. c; ��� Amount Received Receipt# Dale Received i RE-ROOF PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360) 403-3551 Type of permit: (check one) (v) Residential ( ) Commercial valuation:Unsure Project Address: 20204 45th Dr ne Parcel ID#: Owner: Donald Kinsman Address: 20204 45th Dr ne City:Arlington State: Wa Zip Code:98223 Phone Number: 206 460 2465 Email:Dkinsman2l@gmail.com Applicant: Donald Kinsman Address: 20204 45th Dr ne City:Arlington State: Wa Zip Code:98223 206 460 2465 Dkinsman2l@gmail.com Phone Number: Email: N/A Contractor: -N/A N/A N/A N/A Address: City: State: Zip Code: N/A N/A Phone Number: Email: N/A N/A Contractor's License Number: Expiration: Type of Roofing Material: Asphalt Number of Existing Layers: 1 Class of Roofing: A ✓❑ B ❑ C ❑ Replacing existing sheathing: Yes ✓❑ No ❑ Roof tear off: © Application over existing material: ❑ The following is required for NON-Residential Buildings: • Existing roof structure and material: • Two copies of the installation specifications and U.L. listed roof assembly. • Occupancy of Building: Office Retai I Church Restaurant School I hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will be responsible for providing a method of safely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is complete. ­�sdz3-e 08/29/2019 Applicants Signature Date Donald Kinsman Print Applicants Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20204 45th Dr NE Permit#:2759 Parcel#: Valuation:.00 OWNER APPLICANT L CONTRACTOR Name: Name:Donald Kinsman Name:Donald Kinsman Address: Address:20204 45th Dr NE Address:20204 45th Dr NE City,State Zip:, City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:206-460-2465 Phone:206-460-2465 LIC: EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTO Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION W PERMIT TYPE: Residential Re-Roof CODE YEAR: STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC1l0/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. 8/29/19 Signature Print Name Date eleased Date CONDITIONS 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 08/29/2019 Processing/Technology Fee $25.00 Total Due: $25.00 Total Payment: $0.00 Balance Due: $25.00 CALL FOR INSPECTIONS ` BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Permit#: 2759 Permit Date: 08/29/19 Permit Type: RESIDENTIAL RE-ROOF Project Name: Kinsman Applicant Name: Donald Kinsman Applicant Address: 20204 45th Dr NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Donald Kinsman Phone: 206-460-2465 Email: dkinsman2l@gmail.com Scope of Work: Re-Roof- structural Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning Contractors Contractor Primary Contact Phone Address Contractor Type License License Donald Kinsman 206-460-2465 20204 45th Dr NE OWNER Fees Fee Description Notes Amount Processing/Technology $25.00 Total $25.00 Attached Letters Date Letter Description 08/29/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/29/2019 Donald Kinsman 76792364 $25.00 Outstanding Balance $0.00 Notes Date Note Created By: 08/29/2019 Applicant not replacing sheathing as per email Raelynn Jones Uploaded Files Date File Name 08/29/2019 5534028-Re Re Roof Permit Application.msg 08/29/2019 5533902-2759 Application.pdf