HomeMy WebLinkAbout4225 188th Street NE_BLD1084_2026 RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
I'1P City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
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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: Plat: "Co ff �Je OJI AL rC6wf_1J
0! Single-family ❑ Duplex ❑ Townhouse ❑ Addition ❑' Accessory structure
Proposed Area: 1 st Floor: 2"d Floor: // -7 <� Garage: LQ, > Total SF:
Describe Proposal (include cross street): 11
Valuation:
Owner:
S
Address: s cw f3 City:M (i C rg State: , Zip Code: q Q ob7_
Phone: _�0q --"7 Z 3 - €' =A'� Email: t nn
Cam-rY1i91 . Cc-rrn
Applicant-,4'm-e_S In 4-�4c ',ZAJ
Address: / "o 8 fM n iN .� -aS City: ) ►/ �/� `� State: W4,, Zip Code: ' '8 0r2
Phone: Sd 9- '7 Z3 - i9 ' 3 Email: bU,
Contractor:
Address: ���d�- �1/`i/�i�� � Zvi City:;'y1, !f Ce-e e.4-_ State: �J�, Zip Code: 9' 13vrz
Phone: so r- -7 Z"3 ���� Email: ( < <�,e� k, Cn MAu COO
Contact Person:.-�,l 5 fe / License Number: Expiration: 7
Received
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6/16LP Page 1 of 3
RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
�iING� 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:
D 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 lid Gas Piping ❑ Other
Gas Piping Information
Not Applicable: ❑
Pipe Material: Pipe Size: 3IY Total BTU's of all Appliances:
Distance from Meter to Furthest Appliance: b0 F I
• 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:
Print Applicants Name:
6/16LP Page 3 of 3
Y RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
�lI�G,SO 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)
1 Bath/Shower Combo (4.0) x C]" Sink (1.5) x
D Shower (2.0) x []` Lavatory (1.0) x
O Clothes Washer(4.0) x f] Water Closet (2.5) x
L"J! Dishwasher(1.5) x [ .Water Heater x
Hose Bibb (2.5) x Water Heater Model#
[ji 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
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:4225 188tth Street NE Permit#:1084
Parcel#:31051600302300 Valuation:395000.00
OWNER APPLICANT CONTRACTOR
Name:GALLAGHER SEAN M/ASHELY M Name:Matteson Construction,LLC Name:MATTESON CONSTRUCTION,LLC
Address: 18815 42ND DR NE Address:15408 Main Street,#208 Address: 15408 Main Street
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mill Creek,WA 98012 City,State Zip:Mill Creek,WA 98012
Phone: Phone:509-723-8873 Phone:509-723-8873
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Single Family Residence CODE YEAR: 2015
STORIES: 2 CONST.TYPE: `IB
DWELLING UNITS: I 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. 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
c ed City rlington#3101.
��;:-z
Sig re Print // 1 c-q-t6 Released By to
CONDITIONS
See redlined plans for additional requirements. Drainage shall comply with Standard Detail SD-140. Adhere
to approved plans.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC,)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
8/2/2016 Building Permit Fee $3,676.34
8/2/2016 Building Plan Review Fee $2,389.62
8/2/2016 Furnace $25.00
8/2/2016 Gas Outlets Base Fee 1 to 5 $10.00
8/2/2016 Mechanical Permit Base Fee $25.00
8/2/2016 Miscellaneous $25.00
8/2/2016 Park-Community SF $1,662.00
8/2/2016 Park-Mini SF $484.00
8/2/2016 Plumbing Permit Base Fee $25.00
8/2/2016 Plumbing Permit Fee(Enter Fixture Fee) $144.00
8/2/2016 State Building Code Surcharge Fee $4.50
8/2/2016 Traffic Mitigation $3,355.00
8/2/2016 Vents $40.00
8/2/2016 Water Heater $25 00
Total Due: SI 1,890.46
Total Payment: $0.00
Balance Due: S1 1,890.46
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 and Economic Development
12-15-2016
I am withdrawing my permit#1084. Site address 4225 188' St NE.
There has not been any work performed on the property and I am requesting a refund.
Reason for withdrawal is the lot did not appraise for what the owner asked for the
property.
Thank You,
Matteson Construction llc
Kay Mtteson
425-508-1012
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CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT _
Address:4225 188tth Street NE Permit#:1084
Parcel#:31051600302300 Valuation:395000.00
OWNER APPLICANT CONTRACTOR
Name:GALLAGHER SEAN M/ASHELY M Name:Matteson Construction,LLC Name:MATTESON CONSTRUCTION,LLC
Address: 18815 42ND DR NE Address:15408 Main Street,#208 Address: 15408 Main Street
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mill Creek,WA 98012 City,State Zip:Mill Creek,WA 98012
Phone: Phone:509-723-8873 Phone:509-723-8873
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Single Family Residence CODE YEAR: 2015
STORIES: 2 CONST.TYPE: `13
DWELLING UNITS: I 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. 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
'N c ed City f- rlington#3101.
&U4 ld)�� \'14 P,4 - 5�iA
Sign re Print. an c Ity 1pi/' CSal:6 Released By r Date
CONDITIONS
See redlined plans for additional requirements. Drainage shall comply with Standard Detail SD-140. Adhere
to approved plans.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
8/2/2016 Building Permit Fee $3,676.34
8/2/2016 Building Plan Review Fee $2,389.62
8/2/2016 Furnace $25.00
8/2/2016 Gas Outlets Base Fee 1 to 5 $10.00
8/2/2016 Mechanical Permit Base Fee $25.00
8/2/2016 Miscellaneous $25.00
8/2/2016 Park-Community SF $1,662.00
8/2/2016 Park-Mini SF $484.00
8/2/2016 Plumbing Permit Base Fee $25.00
8/2/2016 Plumbing Permit Fee(Enter Fixture Fee) $144.00
8/2/2016 State Building Code Surcharge Fee $4.50
8/2/2016 Traffic Mitigation $3,355.00
8/2/2016 Vents $40.00
8/2/2016 Water Neater $25.00
Total Due: $11,890.46
Tuiai i`a�wrn(. $0.00
lialancc Dljc: $11,890.46
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
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Permit Information
Date 7/12/2016
Permit Number 1084
Project Name Matteson Construction,LLC
Applicant Name Matteson Construction,LLC
Applicant Address 15408 Main Street,#208
City,State,Zip Mill Creek,WA 98012
Contact James Matteson
Phone 509-723-8873
Email builderkay@gmail.com
Permit Type Single Family Residence
Site Address 188tth Street NE
Valuation 395000.00
Status Applied
Permit Issued
Permit Expires
Square Feet 2068
Type of Construction/Occupancy Load
Number of Stories 2
Proposed Use New SFR
Assigned To Launa Peterson
Property Information Owner Information
Parcel#:31051600302300 GALLAGHER SEAN M/ASHELY M
GALLAGHER SEAN M/ASHELY M 18815 42ND DR NE
188th Street NE ARLINGTON,WA 98223
Review
Date Type Description TDate Completed Date Assigned To Status
/12/2016 Residential Dwellin Pendin new site plan /26/2016 [Kevin Olander In Review
Notes
Date Note
7/12/2016 Pending Energy Calculation Submittal and updated site plan
• Upload File
Date File
7/12/2016 2:43:04 PM 11084 Ap Iicanon,pdf
*lY RESIDENTIAL PERMIT APPLICATION
'Y
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: Plat: C�OE/)
Single-family ❑ Duplex ❑ Townhouse ❑ Addition 01 Accessory structure
Proposed Area: 1" Floor: a 9 2nd Floor: /� Garage: �iJ 5 e"
�,� g C,p-� Total SF: _�4
Describe Proposal (include cross street):
47
Valuation:
Owner: e
Address: P0, S&( City:M r II C ee State: ' ' Zip Code: a�Z
Phone: _�0R --"7 Z _ ` ',� Email: v L 1 nklm i I
Applicant:__�4'wM-e-5 47
Address: o fi9 Pv-t n, i Au i<2 c>B City: M r/" CP,4-i2A State: W4, Zip Code: 0+2
Phone- 50 9- 7 z?, - 8 9 7 3 Email: 3u" f9ek S�Y'vf4 1
Contractor: 2 1 j44-4-e-S c)
Address: l��p _ �i/•f��- � Zdb City:.'' '� " ; � , e.'s_ State: a Zip Code:
Phone: -o`rJ `7 Z"3 Email: 0 u i aeIRL r;O MAC s 6�
Contact Person:,�i(v4e5 At �e �(1 License Number: p Expiration: .5- 1 7
n4H f+er—L y 91 G 6
Received
UL12Mq
Ot
/16LP �V
6 Page 1 of 3
NY
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:
131 Furnace(80+) Model# AFUE
IJ Heat Pump Model# SEER HSPE
❑ AC Unit Model# SEER
❑ Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping
0 Boiler ❑ Solid-Fuel Appliance ❑ PV System
Fireplace Insert ❑ Outdoor BBQ ❑' Storage Tank
Freestanding Stove L? Gas Piping ❑ Other
Gas Piping Information
Not Applicable: ❑
Pipe Material: C_0 rt Pipe Size: Total BTU's of all Appliances: !"
Distance from Meter to Furthest Appliance: C G- i
• 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: 7"
Print Applicants Name: 3 g T ��
6/16LP Page 3 of 3
1
�4y RESiDENT1AL PERMIT APPLICATION
H
• • Department of Community& Economic Development
® City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
e1'r Gt
Plumbing Section (continue filling out if plumbing is involved)
(Check all that apply and indicate the number of fixtures proposed)
L .. Bath/Shower Combo (4.0) x l Sink (1.5) x
0 Shower (2.0) x [ Lavatory (1.0) x
0 Clothes Washer(4.0) x f] Water Closet (2.5) x
f7 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: '3/4 c A/ Proposed DWV Material:
Proposed Piping Material: 00 pp ec- 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
-� [0�;
RESIDENTIAL PLAN PLAN REVIEW
Owner
Address
Building Type Single Duplex Townhouse `
Type of Work Existing New
Reviewed By
Date
Design Criteria
301.1 Engineered Prescriptive
301.2 Loads:Tables 301.5-301.7 Yes No
302.1 Location on Lot: 5 feet/35% maximum Yes No
302.2 Townhouse Separation Yes No
302.5.1 Garage Openings: 20-minute door Yes No
302.6 Garage Separation Yes �No
Footings and Stem Walls
401.4.1 Soils: Geotech or Prescriptive
403.1 Footings: (2)#4's Corifinuous Yes No
T403.1 Footing Size Yes No
403.1.2 Continuous Footings (132) Yes No
403.1.3 Vertical Reinforcement:#4 @ 4'/hook Yes _ No
403.1.3.1 Stem Wall: (2)#4's horizontal 1Yes rj No
403.1.16 'Foundation anchors: 1/2 inch @ 6' Yes No
403.1.7.1 Clearances from Slopes _ Yes y No
404 Foundation Walls(see Tables) Yes -- No j
.1.2.3.7.3 Wall Openings:Verts within 12" ea. Side Yes l No
405.1 Foundation Drainage or exception_ Yes No —
406.1 Damproofing(basement) Yes No
407 Columns:4 X 4 and R317 _ Yes No
408.2 Crawl Vents 1:300 and 3' of corners Yes No _
408.3 Unvented Crawl Space Yes No i
408.4 Crawl Access: 16 x 24 or 18 x 24 Yes No
Architectural
303 Light/Ventilation: 8%and 4% Yes i/ No
303.2 Whole House Fan Yes No
303.3 Bathrooms: 3%or 50cfm Yes No
303X7' Stairway Illuminati o= Yes No _
304.1 Habitable Rooms: 120sf min. Yes ti No
304.2 Other Rooms: 70sf min. Yes �'� No
305.1 ,Ceiling Height: 7 feet min. Yes No
307.1 Plumbing Fixture Clearance Yes / No
308.4 Safety Glazing: Hazardous Locations Yes No
Life Safety /
310.1 Emergency Rescue Windows: 5sf/5.7sf Yes v No
310.2 Window Wells Yes No
Life Safety Continued
311.2 Doors: 3 feet min. @ 6' 8" Yes _ No
311.3 Landings: 3' X 3' min. Yes No
311.4 Vertical Egress Yes No
311.5.1 Landing Attachment Yes No
311.6 Hallway Width 3 feet min. Yes No
311.7.1 Stairway Width 3 feet min. Yes I {,% No
311.7.2 Headroom 6' -8" min. Yes No
311.7.4 Stairs:7 3/4" Max/10" Min. Yes 1--' No
311.7.4.3 Handrail Profile Yes �j No
311.7.7 Handrails-4 plus risers Yes V No
311.8 Ramps Yes - No
312.1 Guards-30 plus inches Yes - No
312.2 Guard Height-36-inches min. Yes No
314 Smoke Detection Yes No
315 CO Detection Yes No
316 Foam Plastic Yes No
325 & 326 '!Adult Home/Day Cares Yes r No
Floor Systems
502.2..... Deck Ledger Connection Yes No
502.2.2.3 Lateral Load Connection or Engineered Yes No
502.3 Allowable Joist Spans or TJI's Yes No
502.10. Headers/Openings Yes No
502.11 Trusses or Rafter/Joist Yes !No
502.12 Draftstopping: 1,OOOsf max. Yes No
504 Pressure Treated Wood Yes No
506 Concrete Floors: 3.5 inches min. Yes No
Wall Systems
602.3 Wood Wall Framing and Plates Yes No
602.3.1 Fastener Schedules(2, 3,4, 5) Yes No
602.9 Cripple Walls: Less than 14" or 4' . Yes No
602.10. Wall Bracing: Engineered or Prescriptive Yes No
602.10.3.2 Alternate Braced Wall Panel Yes No
602.10.9 Cripple Wall Bracing Yes No
602.11.2 Stepped Foundations Yes No
602.12.1 Veneer Nes No
610.1 TGlass Unit Masonry Yes r No
612 Exterior Windows/Doors Yes No
702.1 Interior Wall Covering Yes No
703 Exterior Wall Coverings (WAC) Yes No
703.4 Stone/Masonry Veneer Yes No
Roof/Ceiling
801.3 Roof Drainage (SD-14)I 'Yes No
802.3 Ridge Beams: <3:12 pitch Yes No
802.4 Ceiling Joist Span:Truss or Platform Yes No
802.5 Rafter Spans:Truss or Platform Yes No
802.11 Roof Tie-Downs (48" o.c.) Yes r/ No
I
803 Roof Sheathing Yes ✓ !No
806 Roof Ventilation: 1/150 high and low Yes No
807.1 Attic Access: 22" X 30" Yes No
905.2.7 Underlayment Yes No
Mechanical Systems
Chapter 10 Chimney and Fireplaces Yes 6 No
1305.1 1 Equipment Access: 30"X 30" 1yes _ No _
1305.1.3 Appliances in Attics Yes No
1305.1.4.1 Ground Clearnaces: 3" Concrete Slab Yes No
1307.2 Anchorgae of Appliances Yes No
1307.3 Elevation of Ignition Source Yes i No
1307.3.1 Protection from Impact Yes ✓ No
1401.3 Equipment Sizing: WSEC Yes No
Chapter 14 Specific Appliances Yes — No
1502 IClothes Dryer Exhaust: 25' or M.I. Yes No
1502.4.5 Length Identification Yes No
Chapter 18 Chimneys and Vents I Yes INO
Chapter 24 Fuel Gas and Piping Yes -! No
Plumbing-UPC
WSEC and Lighting:See Energy Code Plan Review
A
Permit Information
Date 7/11/2016
Permit Number 1083
Project Name Matteson Construction,LLC
Applicant Name Matteson Construction,LLC
Applicant Address P.O.Box 12188
City,State,Zip Mill Creek,WA 98012
Contact
Phone 509-723-8873
Email builderkay@gmail.com
Permit Type ZON
Site Address 188th Street
Valuation 0.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load
Number of Stories 0
Proposed Use New SFR
Assigned To Launa Peterson
UploadedFilesUpload File
Date File
7/11/2016 3:29:51 PM 108s Application_&_Site Plan. df
RESIDENTIAL ZONING
VERIFICATION APPLICATION
Department of Community&Economic Development
City of Arlington • 18204 59th Ave NE•Arlington, WA 98223•Phone(360)403-3551
(Please allow 72 hours for review)
Project Address: 1 � c� E�'� Plat:
Owner/Applicant:
Address: P, 0, R OY, 1 72_1 '8�j City:m State: Zip Code: �i n A 02
Phone: Email: u•►ld 4 'i4'� �c� (.-Ma
Describe Proposal (include cross street):
Please check one: Single-family dwelling ❑ Duplex ❑ Addition ❑ Accessory structure
1. Proposed Dimensions: W) L) H) Total SF) a,DUf5
2. Allowed Lot Coverage: Total Lot Size �,?�O SF x 35% = t7(.I 1 SF
3. Actual Lot Coverage: (SF of all structures') #0W _St M 3(lot size) = o6 %
4. Septic Tank? ❑Yes D No Private Well on Site? ❑Yes Q No
If so,please provide Snohomish County Health Department approval and indicate on site plan.
5. How many trees greater than 12" diameter will be removed?. ' if any, please indicate on site
plan.
6. Appliances permanently connected to water service may require Cross-Connection-Control.
(Check all that apply)
Fire Sprinkler System U Medical Equipment
Lawn Sprinkler System Livestock Drinking Tanks
Decorative Pond/Fountain LJ Hot Tub
Re-circulating Heating System L! Swimming Pool
Other
Received
Applicant Signature: Date: til 16
This square footage should include the footprint area of all structures on the property including:house, garages, sheds,covered
patios, and decks permitted by the building code.
Rev 04/2013 0
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Date: 04/02/2026
Permit#: 1084
Perm Date: 07/12/2016
Review Date: 07/12/2016
Perm Type: RESIDENTIAL SINGLE FAMILY
Review Type: RESIDENTIAL SINGLE FAMILY
Target Date: 07/26/2016
Scheduled Time: 00:00
Com pleted Date:
Description: Pending new site plan
Review Status:
Assigned To: BUILDING
Tim eIn:
Tim e O it:
H curs:
Property Information
Parcel#: 31051600302300 G ALLAGHER SEAN M/ASHELY M
GALLAGHER SEAN M/ASHELY M 1 8815 42ND DR NE
4225 188th Street NE A RLINGTON, WA98223
Zoning: 910 Undeveloped (Vacant) LandLot: 3Block:
Permit#: 1084
Permit Date: 07/12/16
Permit Type: RESIDENTIAL SINGLE FAMILY
Project Nam e Matteson Construction, LLC
Applicant Nam e M atteson Construction, LLC
Applicant Address: 15408 Main Street, #208
Applicant, City, State, Zip: MAI Creek, WA98012
Contact: Jam es Matteson
Phone: 509-723-8873
Em al: builderkay@gm al.com
Scope of Work: New SFR
Valuation: 395000.00
Square Feet: 2068
Num ber of Stories: 2
Construction Type:
O xupancy G ioup:
ID Code:
Permit Issued: 08/08/2016
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Launa Black
Property
Parcel# Address L egal Description O wner Nam e Caner Phone Zoning
Section 16 Township 31
Range 05 Quarter SW-LOT
3 CITY OF ARLINGTON GALLAGHER 910 Undeveloped
31051600302300 4 225 188th Street NE SHORT PLAT Z-07-047 SEAN M/ASHELY (Vacant)Land
AFN 200712195006 BEING M
A PTN OF SE1/4 SW 1/4 SD
SEC
Contractors
Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License#
MATTESON 509-723-8873 15408 Main CONSTRUCTION Labor&MATTECL991CB
CONSTRUCTION,LLC Street CONTRACTOR Industries
Plan Reviews
Date R eview Type D escription A ssigned To R eview Status
07/12/2016 RESIDENTIAL SINGLE Pending new site plan B UILDING
FAMILY
07/18/2016 RESIDENTIAL SINGLE BUILDING
FAMILY
Fees
Fee D escription N otes A m cunt
Park-Mini SF Single Fam iy $484.00
Traffic Mitigation-C/MF Om m ecial/Multi-fam iy $3,355.00
Park-Com m nity SF S ingle Fam iy $1,662.00
Building Perm i T able 4-1 $3,676.34
Building Plan Review T able 4-2 $2,389.62
State Surcharge- 1 st DU R esidential- 1 st Unit $4.50
Forced Air Heat f ee per Btu $25.00
Gas Piping/Units E nter#of units $10.00
Mechanical Base P erm i Fee $25.00
Plum ling Base Perm i Fee $25.00
Mechanical Comm ecial Perm i T able 4-7;Per Unit $144.00
Vents $40.00
Water Heater(Tank) $25.00
Mechanical Misc. N of otherwise specified F ireplace $25.00
Total $11,890.46
Attached Letters
Date Letter D escription
08/02/2016 Building Perm i
Paym arts
Date Paid By D escription P aym art Type A ccepted By A m aunt
08/08/2016 Matteson Construction c heck#11109 L auna Black $11,890.46
O ttstanding Balance $0.00
Notes
Date Note C reated By:
07/18/2016 Revised Site Plan received-1p L auna Black
07/12/2016 Pending Energy Calculation Subm ital and updated site plan L auna Black
Uploaded Files
Date File Nam e
O1/04/2017 2033869-1084 Refund Request Letter.pdf
12/15/2016 2012374-1084 Issued Perm i.pdf
07/18/2016 1735331-1084 Site Plan.pdf
07/12/2016 1725519-1084 Apnlication.pdf