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HomeMy WebLinkAbout6924 211TH PL NE_BLD1182_2026 MISCELLANEOUS PERMIT APPLICATION Department of Community&Economic Development City of Arlington•18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR INTERIOR ALTERATIONS FENCES, RETAINING WALLS, STORAGE TANKS,_PLAYGROUND EQUIPMENT, POOLS, HOT TABS, ETC. Project Address: 'E) -? o2,l & Project Description: �G�G{ S7- Valuation: kFAct . Owner: Pelt`J r& Y44X Address: City: State: Zip Code: Phone. //►►""'� Email: Applicant: i lMJ�1� J1 Address: City: State: Zip Code: Phone- Email: Contractor Name: i0,f dv_f _ ��n 5 Sta e: �Address: , Zip Code: �9�1.Jy Phone: #.Z S'4 0- CV VIEmail: License Number: V051- n IlAl Expiration Date: 1 hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. Applicants Signature Date Print Applicants Name FOR STAFF USE ONLY �Z OCT 18 2016 Permit# ccepted By Amount Received Receipt# Date Received CITY OF ARLINGTON 0: 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:6924 211th Place Permit#:1182 Parcel#:31051100301000 Valuation:5000.00 OWNER APPLICANT CONTRACTOR Name:TAYLOR CARRIE M Name:Vos Property Management Name:Vos Property Management Address: 13223 252ND ST NE Address:20028 127th Ave NE Address:20028 127th Ave NE City,State Zip:ARLINGTON,WA 98223-6511 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-308-0419 Phone:425-308-0419 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Mlsc CODE YEAR: 2015 STORIES: 2 CONST.TYPE: DWELLING UNITS: 1 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. IBC l I0/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington mus Z, .u,sales tax return form and coded City of Arlington#3101 Signature Print Name Date Released 13�s Date P CONDITIONS T W� 0mcm, See red-lined drawings and attachments for ledger board fastener spacing and beam assembly details. 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 10/24/2016 Building Permit Fee $153.90 10/24/2016 Building Plan Review Fee $99.83 10/24/2016 State Building Code Surcharge Fee $4.50 Total Due: $258.23 Total Payment: $0.00 Balance Due: $258.23 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 Tl� I -S T— -i T t l w �o� art II Z2''k2Z'°-{'�o�o�ng3 /C °rCoeev 12- �3 e n ot 96 s Received OCT 18 2016 No lt�& ji r i 'v 1 V 13 rul qc T� G 7l V ^\ =l L i v z, s_. i t �?-INC 24-12 �I vt � I laX�v �ryd 1 AVI PI2 : e C\ s QQ e i CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:6924 211 th Place Permit#:1182 Parcel#:31051100301000 Valuation:5000.00 OWNER APPLICANT CONTRACTOR Name:TAYLOR CARRIE M Name:Vos Property Management Name:Vos Property Management Address: 13223 252ND ST NE Address:20028 127th Ave NE Address:20028 127th Ave NE City,State Zip:ARLINGTON,WA 98223-6511 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223 Phone: Phone:425-308-0419 Phone:425-308-0419 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Misc CODE YEAR: 2015 STORIES: 2 CONST.TYPE: DWELLING UNITS: 1 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. IBC110/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington mus rtt i our sales tax return form and coded City of Arlington#3101. &4 r l02 1�'- l� D 49 Signature Print Name Date Released B Date CONDITIONS rpp Wd 01i See red-lined drawings and attachments for ledger board fastener spacing and beam assembly details. 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 10/24/2016 Building Permit Fee $153.90 10/24/2016 Building Plan Review Fee $99.83 10/24/2016 State Building Code Surcharge Fee $4.50 Total Due: $258.23 Total Payment: $0.00 Balance Due: $258.23 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 fOF A 15 3 , 51�i 99 es Permit Information Date 10/19/2016 Permit Number 1182 Project Name Carrie Taylor Applicant Name Vos Property Management Applicant Address 20028 127th Ave NE City, State,Zip Arlington,WA 98223 Contact Bob Vos Phone 425-308-0419 Email Permit Type Misc Site Address 6924 211 th Place Valuation 5000.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Replace second story deck and stairs Assigned To Kristin Foster Property Information Owner Information Parcel#:31051100301000 TAYLOR CARRIE M TAYLOR CARRIE M 13223 252ND ST NE 6924 211TH PL NE ARLINGTON,WA 98223-6511 Contractors Contractor Name --] Primary Contact Phone Email Contractor Type License License# Vos Property Mana ement III Vos 425-308-0419 CONTRACTOR III Industries VOSPRPM911M1 Review Date T e Descri tion I Target Date Completed Date Assigned To Status 10/19/2016 JIMisc 10/26/2016 111 Olander 11in Review Uploaded Files Upload File Date File Uploaded B 10/19/2016 10:08:36 AM 1.1_82 Application.pdf IFoster, Kristin 10/19/2016 10:08:36 AM 1182 Plans.pdf lFoster, Kristin MISCELLANEOUS PERMIT APPLICATION Department of Community& Economic Development City of Arlington•18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR INTERIOR ALTERATIONS FENCES, RETAINING WALLS, STORAGE TANKS, PLAYGROUND EQUIPMENT, POOLS, HOT TUBS, ETC. Project Address: o`l/ 7 G Project Description: G6lL{ Valuation: 4 '5� Owner: {otlt`/ r6t Y46W, Address: City: State: Zip Code: Phone: Email: Applicant: Address: City: State: Zip Code: Phone: Email: Contractor Name: J�la dUf v0s J(A),a&q-�A 0 a Address: Agog /2 7 /tv-r n f City: 4'fG Sta e: �/� Zip Code: f,9.))j Phone: 4Q S add- 04 (f Email: License Number: U /l.� l/M Expiration Date: I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. kl� — /2�1—6—16 Applicants Signature Date Print Applicants Name FOR STAFF USE ONLY Reeeived 2 OCT 18 2016 Permit# WCcepted By Amount Received Receipt# Date Received d 10/19/2016 VOS PROPERTY MANAGEMENT irrun� f Search L&I 1-Z Intlr� i ti-i�i [� i`d Safety Fiealtii Clair€;s&Insurance 1Alorkpface 'Rights (rades & I_icensir.9 " Washington State Department of Labor & Industries VOS PROPERTY MANAGEMENT Owner or tradesperson 20028 127TH AVE N E Principals ARLINGTON,WA 98223 VOS, ROBERT DEAN,OWNER 425-308-0419 Doing business as SNOHOMISH County VOS PROPERTY MANAGEMENT WA UBI No. Business type 601 616 849 Individual Governing persons ROBERT D VOS ROCHELLE ANN VOS; 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. VOSPRPM911MJ Effective—expiration 07/21/2009—02/05/2018 Bond RLI INS CO $12,000.00 Bond account no. LSM0095665 Received by L&I Effective date 07/21/2009 07/15/2009 Expiration date Until Canceled Insurance MESA UNDERWRITERS SPECIALTY IN $1,000,000.00 Policy no. MP0036002003089 Received by L&I Effective date 07/15/2016 07/15/2016 Expiration date 07/15/2017 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. Help us irrrprr.;up https://secure.Ini.wa.gov/verify/Detai l.aspx?UBI=601616849&LIC=VOSPRPM911 M 1&SAW= 112 10/19/2016 VOS PROPERTY MANAGEMENT L&I Tax debts r' 1 No L&I tax debts are recorded for this contract, cense during the previous 6 year period,but some s may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts L&I Account ID Account is current. 885,529-01 Doing business as VOS PROPERTY MANAGEMENT Estimated workers reported Quarter 2 of Year 2016"Less than 1 Workers" L&I account representative T5/THAO NGUYEN(360)902-4276-Email:NGUV235&ni.wa.gov Trac ontract ! Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Help Lis improve https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=601616849&LIC=VOSPRPM911 M 1&SAW= 2r2 r :r Zxf )6 ;s+5 fall ZZ NkZz�� 'eo ii!rl s l G "Xeev 12- a eon n 115" h1Gf'l � i o f la qs s ------G Ff Y BUILDING IMPARTMENT h APPROVED �k8 a is �-�N9 ers t+o �umrc�eiz�u �, UNi.E88/1PPROVED BY THE Received OCT 18 2016 v-M. p, yu4Jat%oh"i014 It i T Ye W op"-uk OC.3jmlj .� 1 i f„ V V O RTI *—c G A ci I v � cX" � J ..1 -` � 1= 1 N V� 1 s k i I r Z�J`' �� l�vrrie,ar,�s �� C � Y t\ V� o �G „ C 21fxvZ• ;�`' Q� P(eej - i 1 • Y sL x _ �6 y i l c � ._ � .; �, f, J _�«+ . � �y :S �1, } 1� .• �, W� � Date: 04/03/2026 Permit#: 1182 Perm Date: 10/19/2016 Review Date: 10/19/2016 Perm Type: ACCESSORY STRUCTURE Review Type: M isc Target Date: 10/26/2016 Scheduled Time: 00:00 Com pleted Date: Description: See red-lined drawings and attachm ants. Review Status: Assigned To: BUILDING Tim eIn: 00:00 Time O it: 00:00 H curs: 0.0 Property Information Parcel#: 31051100301000 T AYLOR CARRIE M TAYLOR CARRIE M 1 3223 252ND ST NE 6924 211TH PL NE A RLINGTON, WA98223-6511 Zoning: 111 Single Fam iy Residence - DetachedLot: Block: Permit#: 1182 Permit Date: 10/19/16 Permit Type: ACCESSORY STRUCTURE Project Nam e Carrie Taylor Applicant Nam a Vos Property M anagem ait Applicant Address: 20028 127th Ave NE Applicant, City, State, Zip: Arlington,WA98223 Contact: Bob Vos Phone: 425-308-0419 Email: Scope of Work: Replace second story deck and stairs Valuation: 5000.00 Square Feet: 0 Num ber of Stories: 0 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 10/25/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egat Description O wner Nam e Cvner Phone Zoning 31051100301000 6 924 211TH PL NE TAYLOR CARRIE 111 Single Fam iy M Residence-Detached Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# Vos Property 20028 127th Ave CONSTRUCTION Labor&VOSPRPM911M 1 Managem art Bob Vos 4 25-308-0419 NE CONTRACTOR Industries Inspections Date I nspection Type D escription S cheduled Date C om Oeted Date I nspector S tatus R20.ACCESSORY Deck final conducted.Wcrk 11/09/2016 STRUCTURE 11/09/2016 1 1/09/2016 z Christopher Young A pproved FINAL was approved. R20.ACCESSORY 11/04/2016 STRUCTURE Structural fram hg approved 1 1/04/2016 B UILDING A pproved FINAL R20.ACCESSORY 11/01/2016 STRUCTURE Deck footings approved 11/01/2016 B UILDING A pproved FINAL 11/1/16 KO. Plan Reviews Date Review Type D escription A ssigned To R eview Status 10/19/2016 M isc S ee red-lined drawings and attachm ants. B UILDING Fees Fee D escription N otes A m cunt Building Perm i T able 4-1 $153.90 Building Plan Review T able 4-2 $99.83 State Surcharge- 1st DU R esidential- 1 st Unit $4.50 Total $258.23 Attached Letters Date Letter D escription 10/24/2016 Building Perm 1 Paym eats Date Paid By D escription P aym ant Type A ccepted By A m aunt 10/25/2016 Vos Property M anagem ant C heck#2909 K ristin Foster $258.23 O ttstanding Balance $0.00 Notes Date Note C reated By: 10/19/2016 Contractor needs to pay for out of city license prior to issuing.KF K ristin Foster Uploaded Files Date File Nam e 10/25/2016 1911292-1182 Issued Perm i.pdf 10/19/2016 1900785-1182 Plans.pdf 10/19/2016 1900786-1182 Application.pdf