HomeMy WebLinkAbout3016 184th Pl Ne_BLD371_2026 CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:3016 184th Place NE Permit#:371
Parcel#:00855100000200 Valuation:0 00
OWNER APPLICANT CONTRACTOR
Name:HADLEY VICKI Name:Vicki Hadley Name:Vicki Hadley
Address:PO BOX 382 Address:3016 184th Place NE Address:3016 184th Place NE
City,State Zip:SILVANA,WA 98287 City,State Zip: Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-503-4305 Phone:425-503-4305
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Re-Roof CODE YEAR:
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
r9' 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. IBCI 10/IRCI10.
SALES TAX NOTICE:Sales tar relating to construction and construction materials in the City of Arlington mus be reported on your sales tax return form
and cod I
d, ity of Arlington#3101.
. 511
Signature Print Name .11 ele• d By Date
CONDITIONS
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
Total Due: $0.00
Total Payment: $0.00
Balance Due: $0.00
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
r
RE-ROOF
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223 - Phone(360)403 3551 • FAX(360)403 3418
Type of permit: (check one) CD Residential ® Commercial Valuation:
Project Address: 3016 184th Place NE -Arlington, WA 98223 parcel ID#: 00855100000200
Owner:
Vicki Hadley Phone Number: 425 5034305
Address: PO BOX 382 city:Silvana State: WA Zip Code:98287
Contractor: Homeowner Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
asphalt shingles one ?
Type of Roofing: Number of Layers: Number of Squares:
Class of Roofing: A B C installing or replacing sheeting as needed
�l► lC� � 9 P 9 9
Work Scheduled to Begin: May 13, 2014 work Scheduled to End: May 16, 2014
The following is required for NON-Residential Buildings:
a All Non-Residential projects will require a site visit prior to the issuance of the permit for obvious signs of fatigue,condition of
existing roofing and number of existing layers.
(0 Two copies of the installation specifications and U.L.listed roof assembly.
Building square footage:
(�Occupancy of Building: Office
Retail
Church
Restaurant
School
I hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described
property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will be responsible for
providing a method of safely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is
complete.
1✓ IitM_ May 13 2014
Applicants Signature Date
Vicki Hadley
Print Applicants Name Received
v,At L� r� S� ('_ � MAY 14 2014
FOR STAFF USE ONLY
r;
Permit# ece to Y Amount Received Receipt# Date Received
WEB Form—284 Page 1 of 1 7I10CJY
HP OfficeJet G Series G85 Fax-History Report for
Personal Printer/Fax/Copier/Scanner VICKI HADLEY
360 651 0671
Mar 30 2000 6:48pm
Last Fax
Date Time Type Identification Duration Pages Result
Jan 00 00:00am Sent 3604033418 0:00 0 No answer
BUILDING INSPECTION REPORT — Residential Final
Permit No. 371
Address: 3016 184th PL
Contractor: Hadley
Owner: Hadley
Date: 6/27/2014
N APPROVAL ❑ PARTIAL APPROVAL
❑ CORRECTION ❑ OTHER
INSPECTION: Residential Re-Roof
N FLASHING
N GUTTERS/DOWNSPOUTS
N VENTILATION
N QUALITY/WORKMANSHIP
Date: 6/27/2014 Inspector: YOUNG
RE-ROOF
12 PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223 - Phone (360)403 3551 • FAX(360)403 3418
Type of permit: (check one) CD Residential ® Commercial Valuation:
Project Address:
3016 184th Place NE -Arlington, WA 98223 -- Parcel ID#: 00855100000200
Owner: Vicki Hadley Phone Number: 425 5034305
Address: PO BOX 382 city.Silvana State: WA Zip code: 98287
Contractor: Homeowner Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:.
asphalt shingles one ?
Type of Roofing: Number of Layers: -- Number of Squares:
Class of Roofing: A B C installing or replacing sheeting as needed
� � � 9 P 9 g
Work Scheduled to Begin: May 13, 2014 Work Scheduled to End: May 16, 2014
The following is required for NON-Residential Buildings:
03 All Non-Residential projects will require a site visit prior to the issuance of the permit for obvious signs of fatigue,condition of
existing roofing and number of existing layers.
()Two copies of the installation specifications and U.L.listed roof assembly.
a Building square footage:
([)Occupancy of Building: Office
Retail
Church
Restaurant
School
I hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described
property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will be responsible for
providing a method of safely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is
completVLA�
May 13 2014
Applicants Signature Date
Vicki Hadley
Print Applicants Name Received
V of rY -cb�& MAY 14 2014
FOR STAFF USE ONLY
Permit# cce)tedtly Amount Received Receipt# Date Received
WEB Form-284 Page 1 of 1 7/10CJY
Permit#: 371
Permit Date: 05/14/14
Permit Type: RESIDENTIAL RE-ROOF
Project Name: Hadley
Applicant Name: Vicki Hadley
Applicant Address: 3016 184th Place NE
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Vicki Hadley
Phone: 425-503-4305
Email: kvelectric@msn.com
Scope of Work: Replacing some sheating& shingles
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 05/14/2014
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Launa Black
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
00855100000200 3016 184TH PL NE HADLEY VICKI 111 Single Family
Residence-Detached
Contractors
Contractor Primary Contact Phone Address Contractor Type License License
Vicki Hadley Vicki Hadley 425-503-4305 3016 184th Place OWNER
NE
Plan Reviews
Date Review Type Description Assigned To Review Status
05/14/2014 RESIDENTIAL RE-ROOF Discussed with Chris and ok to issue.AR z.Christopher Young
Attached Letters
Date Letter Description
05/14/2014 Building Permit
Uploaded Files
Date File Name
06/27/2014 3016 184TH.docx