HomeMy WebLinkAbout20227 80th Ave Ne Spc 22_BLD303_2026 CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:20227 80th Avenue NE#22 Permit#:303
Parcel#:00960009602200 Valuation:4000.00
OWNER APPLICANT CONTRACTOR
Name:ZIMMERMAN LYLE Name:Senior Services of SnoCo Name:Senior Services of Snohomish County
Address:20227 80TH AVE NE SP 22 Address:11627 Airport Road,#B Address: l]627 Airport Road,#B
City,State Zip: ARLINGTON,WA 98223 City,State Zip:Everett,WA 98204 City,State Zip:Everett,WA 98204
Phone: Phone:425-508-8272 Phone:425-508-8272
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip.
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: M1sC CODE YEAR: 2012
STORIES: 1 CONST.TYPE:
DWELLING UNITS: I OCC GROUP:
BUILDINGS: 1 OCC LOAD:
PERMIT APPROVAL
1 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. 1BCl 10/IRCI l0.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City o rl, ¢ton usl be reported on your sales tax Blu/�fii
ai coded C'y of 'ngton 101,
rt - Z Lp
ignaturc dor Print Name Date Rcicas y D Ic
CONDITIONS
Adhere to approved plans.
THIS PERMIT AUTHORIZE 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
2/28/2014 Building Permit Fee $126 82
2/28/2014 Building Plan Review Fee $82.43
2/28/2014 State Building Code Surcharge Fee $4.50
Total Due: $213.75
Total Payment: $0.00
Balance Due: $213.75
CALL FOR INSPECTIONS
BUILDINC(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
a�
Permit Information _
Date 2/27/2014
-i.l!�u�lbeH B03 1
Project Name Zimmerman
Applicant Name Senior Services of SnoCo
Applicant Address 11627 Airport Road,#13
City,State, Zip Everett,WA 98204
Contact Mark
Phone 425-508-8272
Email jrose@sssc.org
Permit Type Misc
Site Address 20227 80th Avenue NE#22
Valuation 4000.00
Status Applied
Permit Issued
Permit Expires
Square Feet 241
Type of Construction/Occupancy Load
Number of Stories 1
Proposed Use ADA Ramp
Assigned To Launa Peterson
Property Information Owner Information
Parcel#:00960009602200 ZIMMERMAN LYLE
ZIMMERMAN LYLE 20227 80TH AVE NE SP 22
20227 80TH AVE NE SPC 22 ARLINGTON,WA 98223
Contractors
—A—
Contractor Name Primary Contact Phone Email Contractor Type License License#
(Senior Services of Snohomish County ark 25-508-8272 ONTRACTOR
Review
Date T e Description Target Date Completed Date Assigned To I Status
2/27/2014 Misc }?8/2U44 hris Youngln Review - M
Uploaded Files Upload File
Date _ File
2/27/2014 j8pplication (18).pdf Delete,
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RESIDENTIAL PERMIT
LTAPPLICATION
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 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 CAN BE SUBMITTED PRIOR.
Date: = - - - - -- --- - _ - - - - -
Address: l'02� - 't7lff/�v m #aiL Plat:
Owner/Applicant:
Signature:
Venhcabo f accuracy and agreement to follow the City of Arlington Municipal Code(electronic is ok)
EMAIL: ►��' is��S��SC. !�/��
Phone: (h) Y,;Z f= IL5 y 9/6 (c) 72 - � CaL.,
Describe Proposal (include cross street):
z2y& 13d& A�V-1/` A,— G��'! d9Ej2/3,u—_'5LS Pw
❑ Single-family ❑ Duplex ❑' Townhouse KAddition ❑ Accessory structure
1. Proposed Area: 15' Floor _ 2"' Floor Garage Total SF)
2. Valuation (cost): /d � L �
3. Contractor:,Skw/p/?.Stw✓/CAS o/A5,vy/3// CO Phone: 6jzj -'7�1�
4. Address:, 6AZA,14y*111- _'Txlw.6 �171e-17-
5. License NumberCC-S[=N/c7SSA 5,e10/y Expiration:
Plumbing Section (continue filling out if plumbing is involved)
(Check all that apply and indicate the number of fixtures proposed)
❑ Bath/Shower Combo (4.0) x ❑ Sink (1.5) x
❑ Shower (2.0) x Q Lavatory (1.0) x
❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x lea,
e -
❑ Dishwasher (1.5) x ❑ Water Heater x 2��R
❑ Hose Bibb (2.5) x ❑: Other (list) Fto
Rev 2013
RESIDENTIAL PERMIT
APPLICATION
�. Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
Plumbing Section Continued
• Proposed Water Piping Size: 11/1
Proposed Piping Material: NA
Proposed DWV Material M
Proposed DWV Size: A1,4
• 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)
Mechanical Section (continue filling out if Mechanical equipment is involved)
Select proposed appliances:
❑ Furnace (80+) ❑ Fireplace Insert Ell Outdoor BBQ
❑ Heat Pump ❑ Freestanding Stove ❑ Hydronic Piping
❑ Type II Hood ❑ Commercial Cooking Appliance ❑ PV System
❑ Boiler ❑ Gas Piping ❑ Storage Tank
❑, AC Unit ❑ Solid-Fuel Appliance ❑ Other
Gas Piping Information
Not Applicable:
Pipe Material:
Pipe Size:
Distance From Meter to Furthest Appliance:
Total BTU's of all Appliances:
• 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
Rev 2013
1
� ��
•.` �1
��.
RESIDENTIAL 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 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 CAN BE SUBMITTED PRIOR.
- Date: 13
Address: av?� Plat:
Owner/Applicant:/ter! Vw ee&7�/ioi4
Signature:
VenficahopKf accuracy and agreement to follow the City of Arlington Municipal Code(electronic is ok)
EMAIL: ><T/� (OP sss" ewa
Phone: (h) (c) 9—A'7
Describe Proposal (include cross street):
❑ Single-family ❑ Duplex ❑ Townhouse Addition ❑ Accessory structure
1. Proposed Area: 1" Floor 2nd Floor Garage Total SF)
2. Valuation (cost): C ,t�
3. Contractor:,5&//,*4 S'L=71 C,0 Phone:
4. Address://6it'�/�//��Oi'iT/�17 ��//lam [✓L:'79C%T Lt//9
5. License NumberCC-Sz N/c7S'SdjY,3OH Expiration:
Plumbing Section (continue filling out if plumbing is involved)
(Check all that apply and indicate the number of fixtures proposed)
❑ Bath/Shower Combo (4.0) x ❑ Sink (1.5) x
❑ Shower (2.0) x ❑ Lavatory (1.0) x
❑ Clothes Washer(4.0) x ❑ Water Closet (2.5) x Wed
6
' ❑ Dishwasher (1.5) x ❑ Water Heater x JL %k
❑ Hose Bibb (2.5) x ❑ Other (list)
Rev 2013
'. RESIDENTIAL PERMIT
± APPLICATION
Department of Community& Economic Development
City of Arlington • 18204 59th Ave-NE •Arlington,WA 98223 • Phone (360) 403-3551
Plumbing Section Continued
Proposed Water Piping Size: //W
Proposed Piping Material: NA
Proposed DWV Material: M
Proposed DWV Size: A0
• 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)
fMechanical Section (continue filling out if mechanical equipment is involved)
Select proposed appliances:
❑ Furnace (80+) ❑ Fireplace Insert ❑ Outdoor BBQ
❑ Heat Pump ❑ Freestanding Stove ❑ Hydronic Piping
❑ Type II Hood ❑ Commercial Cooking Appliance ❑ PV System
❑ Boiler ❑ Gas Piping ❑ Storage Tank
❑, AC Unit ❑ Solid-Fuel Appliance ❑ Other
Gas Piping Information
Not Applicable:
Pipe Material
Pipe Size:
Distance From Meter to Furthest Appliance
Total BTU's of all Appliances:
• 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
Rev 2013
Permit#: 303
Permit Date: 02/27/14
Permit Type: ACCESSORY STRUCTURE
Project Name: Zimmerman
Applicant Name: Senior Services of SnoCo
Applicant Address: 11627 Airport Road, #B
Applicant, City, State, Zip: Everett,WA 98204
Contact: Mark
Phone: 425-508-8272
Email:jrose@sssc.org
Scope of Work: ADA Ramp
Valuation: 4000.00
Square Feet: 241
Number of Stories: 1
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 03/03/2014
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Launa Black
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
20227 80TH AVE NE SPC ZIMMERMAN 119 Manufactured
00960009602200 22 LYLE Home(Mobile Home
Park)
Contractors
Contractor Primary Contact Phone Address Contractor Type License License
Senior Services of 11627 Airport CONSTRUCTION
Snohomish County Mark 425-508-8272 Road,#B CONTRACTOR
Plan Reviews
Date Review Type Description Assigned To Review Status
02/27/2014 Misc Ok to issue z.Christopher Young
Fees
Fee Description Notes Amount
Building Permit Table 4-1 $126.82
State Surcharge- 1 st DU Residential- 1 st Unit $4.50
Building Plan Review Table 4-2 $82.43
Total $213.75
Attached Letters
Date Letter Description
02/28/2014 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
03/03/2014 Mark Beckmeyer 49419733 cc $213.75
Outstanding Balance $0.00
Uploaded Files
Date File Name
02/27/2014 Application Q 8).pdf
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