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
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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
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Received
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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