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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, Y. I � 1 1 F. I 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 x , IN a 06 t� �l -411 14 ai t k 4 333 [ 3 a i i i w :f W � � - Ak TI twt i '\ 'r .�, •` ^w.r $ �1 -- � i i { t t t i x , E I i t t z S t a ; t , t � = r t i , 4 1 e