HomeMy WebLinkAbout18311 WOODLANDS WAY_1065_2026 City 4 A It 1,1 N G TON PERMIT APPLICATION
230 N. OLYMPIC AVE., ARU rON, v 98223
(206) 435-57,,_
COMMERCIAL, RESIDENTIAL, MECHANICAL, PLUMBING, GRADING a
Tax Account Number 73S5-CQ)-DI9—QQD I
Job Site Address � ` L— jLkqb City A">1-1X1n0f4
Applicant Name*"'�Qo, :- GL'N Phone z 3 I
Mailing Address '" W l LkQ BEAU 1-�)A'-b CityL Zip gzZ-(
Contractor Name6a4ST, C—D License #
Address4W)q ANkQ 'R-�b-VA 0- VA 6 City Zip—(b22 , PhoneM—O'J '
Architect/Engineer License #
Address City Zip Phone
f TYPE OF PROJECT 6&CO 'L�Td6tf f4fg �-/ e�S --ArY F
Sewage Disposal Right-of-Way Width Culvert Permit No.
LOCATIONAL INFORMATION: SEC TWP RGE 16th
Plat Name/Short Plat No./Segregation No.
Lot/Parcel # l Block # Lot Size
Is the average slope of the property in excess of 25%? Yeses_ No Has construction started? Yes NoK
This structure will be used for the following purpose '�!Esrt'EI.�CE
Other buildings on this property
,,,OWNER/AGENT SIGNATUR DATES ZI �7
NOTICE: Front Yard Setbacks. Curbs, Sidewalk Edge, Edge of Street pavement is not necessarily your front property line. In the case
where your setback will be measured from the front property line, be certain that you are measuring from the actual front property line and
that your plot plan depicts this. In the event your setback will be measured from a private access easement,the edge of the improved road
is not necessarily your front property line. Be certain that you are measuring from the edge of the actual easement and that your plot plan
depicts this.
ACKNOWLEDGED
-----,-------------------OFFICE USE ONLY BELOW THIS LINE------------------------
PERMIT CONDITIONS . . .
ZONING: P720C) Max Lot Cover % Max Bldg. Height ft
SETBACKS:�.�
Front o<y
Side
ao - ( 0 I --fin t�
Rear n
Basic Plan # Other Covenants T ,
SPECIAL CONDI ONS . . . ov
al
MAY 2 -
SANITATION PUBLIC WORKS
ON SITE LETTER DRAIN TRAFF
ENV HEALTH SEWER CN R/R RD IMP
OCO
ACCESS RSBP LS _ SLIDE CMBP
ESMT RSME STD BLA SLOPE CMME
ADDRESS PLBG SP SEPA SITE PLAN
CULVERT MBHM 5 ACRE OTHER FIRE
AFF/BOND MOVE LOTS OTHER _
GRADING INSP 20 ACRE
OCP
Cu--- FL ZN FML BLA PLAT REZONE
SEPA SH LN SP VAR SU VA
PLUMBING PERMIT MECHANICAL PERMIT (NOT .R MU-,LE HOMES) F4-1
FIXTURES No. UNIT TYPE:
Electric Oil Gas LPG Solar
Water Closets
Bath Tubs UNIT SIZE: BTU's KW
Shower Baths
Wash Basins No. FEE
Sinks // FOR THE INST. OR RELOC. OF
Dish Washing Machine �_ Forced Air Systems
Hot Water Tanks Fuel Storage Tanks
Drains Heat Pumps
Laundry Washers / Wood Stove
Laundry Trays Fireplace Insert
Urinals —0— Clearance Fireplace
Drinking Fountains
Rain Leaders
Sumps
Vacuum Breakers
Gas Piping Permit Fee
Side Sewers
Water Service Line Total Due $
Misc
Total Fixtures GRADING/FILL INFORMATION
F51
Permit Fee No. of cubic yards:
Total Due $ To be removed from site
Related Bldg. Permit # To be imported to site
IF MORE THAN ONE BUILDING, SUBMIT SEPARATE APPLICATION FOR EACH STRUCTURE. A SEPARATE BUILDING
PERMIT MUST BE ISSUED FOR EACH BUILDING. 1
BUILDING DIMENSIONS:
MAIN FLOOR MAIN FLOOR SQ. FT.
SECOND FLOOR SECOND FLOOR SQ. FT._
THIRD FLOOR THIRD FLOOR SQ. FT.
FOURTH FLOOR FOURTH FLOOR SQ. FT.
MEZZANINE MEZZANINE SQ. FT.
Ii BASEMENT BASEMENT SQ. FT.
I
GARAGE GARAGE SQ. FT.
CARPORT _ CARPORT SQ. FT.
DECK DECK SQ. FT.
NUMBER OF FIREPLACES TOTAL SQ. FT. `
FOR OFFICE USE ONLY
ROUTING SCHEDULE:
Bldg: sent rcv'd Valuation '
Site Plan: sent_ _ rcv'd Plan Chcck.. �I e��ii rcp #
San: sent rcv'd Permit Fee
Env. Hlth: sent rcv'd Penalty Fee �\
Eng: sent rcv'd Plumbing Fee
FM: sent rcv'd Mechanical Fee
I
Env. Cklt Fee
TOTAL DUE:
f
1
f
4
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b
V� z
0
F
- - M
Q V
0
a
0
ZQ' EASF���M1� a
EVE D W= R=C.i —
• � V �CAidC.KErE t723vE�
I ry
I
i Pt-
70.a0'
L, iTY OF ARLING7 ,-jN
STATE OF WAS HINGTON
June 8, 1987
Dave Gold
4609 Anaco Beach Road
Anacortes, WA 98221
RE: Reduction in setbacks for
construction of SFD on Lot D-19-
Woodlands, Sector I
This letter is to verify thk�I herby approve the reduction in side yard
setbacks- for the construction of a single family residence on the
above noted lot.
This reduction is subject to .the plot plan submitted May 21, 1987
and as attached to the permit.
City of Arlington,
Thomas R. Myers
i�
City Supervisor
CC: File
David G. Gold June 2 , 1987
4609 Anaco Beach Road
Anacortes, WA 98221
City of Arlington
3rd & Olympic
Arlington, WA 98223
Subject: Reduction of side setback, Lot D-19, Plat of Woodlands
To Whom It May Concern:
Please allow the North side setback to be reduced to 6 feet for
a total side setback of 16 feet . The north side of the lot abuts
a 20 foot easement, which will give a large distance between my
home and the existing home on lot D-18. Thank you for your con-
sideration.
Sincerely,
C"Q�� -
David G . Gold
CITY OF ARLINGTON
CONSTRUCTION
PERMIT -
❑ ❑ PLUMBING ❑ SIGN � �
❑ COMBINATION ❑ BUILDING MECHANICAL PERMIt NO.
OWNER MAIL ADDRESS CITY ZIP PHONE
Franklin D. Carlson 18311 Woodlands Way Arlington, WA 98223 435-2066
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M
CM Heating 1415 Broadway Everett WA 259-6666
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
❑NEW ❑ADDITION ®ALTERATION ❑REPAIR ❑DEMOLI[ION ❑BUILDING RELOCATION
VALUATION OF WORK
s 2000
DESCRIBE WORK
Install Freestanding as fireplace: stove
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL UPS(RIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT-BLOCK—OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OAUTHOPJZED AGENT DATE
IOB AUURLSS
18 311 WoodlandsX 6
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND.UNITS -H.P. EA
BATHIUB REFRIGERATION UNITS -H P, EA
LAVATORY (WASH BASIN) BOILERS - H.P. EA
SHOWER GAS FIRED A.C. UNITS -TONNAGE EA
KI ICHLN SINK& DISP. FORCED AIR SYSTEMS- B T U MEA
DISHWASHER WALL HEATERS- B.T.0 M
LAUNDRY TRAY UNIT HEATERS - B.T.U. M
CLOT HESWASHER EVAPORATI`✓ECOOLERS
WAIERHEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNIAIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS 1 METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUB TOTAL f SUBTOTAL f50
PERMIT $I PERMIT f im
TOTALFEE $1 TOTAL FEE f
SIDE YARD SL TBACK STREET SETBACK REAR YARD SETBACK DATERECBVED PLAN CHECK FEE
FEE RECEIPT NO
U'SF /ONE LOT AREA VACANT SITE
❑ FEES VALUATION FEE
❑YES NO
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BU'LDING f
SIZE OF BLDG NO,OF STORIES MAX.OCC.LOAD
PLUMBING
F IRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL 24 50
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
U B C
PENALTY
Mechanical only SEC.303(a)
WATER/SEWER FEES
TOTAL 5Z
nn PERMIT VALIDATION
WHEN PROLIDATED (IN THIS SPA THIS IS YOUR PERb11 b AIECEIPT
PAI4Dtl
CR# BYcc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT- DATE
S COPY
CITY OL ARLINGTON
CONSTRUCTION
PERMIT
LJ CON131NAT10N (] EIUILbINO E] MEcITANICAL [] PLUMtlINO I] sIGN p9pM1-1 NO.
I OWN[R MAIL ADDRESS ae CITY Y(► ►IIUNE
_�'rcu�h tc' 1J ��•rL� N l�3!` Wocc��ch.a fin{ �t`�h4i�11. `">;i� 135 LV L
ARCIIIftCT OR DESIGNER MAIL ADDRESS Clty lip %TONE
GE►+ nl CON a L U MAIL ADDRESS tlty LTr ►t10NE UC NSE/
C� t�.ttl,l,- - )y-�S �,8�„ �.IeN••�- 1�A� 2�"`l- l.Lb�
Ct1ANICAI.CONIR _iUR MAIL ADDRF.55 Cllr 11► fl10NE UCENSE
PLUMBING CONTRACTOR MAIL AOORESS CITY LIP ►TIONE UCENSE I
CLASS Of WORK
❑NIW (]AUDITION [JAL ItRAIION [jREPAIR ❑UEMUU[ION (JIMILDINGRELOCAIION
VACUAIfMVFr WORK
IN t SC R 19 E WUIt K
Pauru5l D USE Ot BUILDING 1
11 IEREITY CERTIFY TI IAT I I LAVE READ AND EXAMINED THIS ArPLICA-
TION AND KNOW TI It SAME TO ITE TRUE AND CORRECT ALL PROVI-
I I.t,AI.lot S(RIP I ION UI Priori,R I v(51R)WN lot.LOW OR A I 1 ACT I most(Or)t SI SIONS OF LAWS AND ORDINANCES GOVERNING TI 115 TYPE Or WORK
Ito I_ BLO(J< or WILL 1TF COMrLIFO WITII WI IETI IER SPECIFIED HERIN OR NOT. THE
GRANT ING Or A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL TI It PROVISIONS OF ANY OTHER STATE OR
TAX IO NUMgER 1 OCAL I.AW REGULAT ING CONSTRUCTION OF TI It PERFORMANCE OF
CONSTRUCTION.PERMIT FXrIRFS I YEAR FROM DATE OF ISSUANCE.
'IGNATURE Or CONTRACTOR OR AU1I IOR17ED AGENT DATE
TUB ADDRI 55
x
(OFFICE USE ONLY) MEUTANICAL
PLUMBING
NO. TYPE Or E IXTURE 1 EE No. TYPE OF EQUIPMENT FEE
WATER CLOSET (IOILEII _ AIR CVNU.UNI15 -II.P.EA.
BA 1111 UB REE RIGERA I ION UNITS—II.P.EA.
LAVATORY IWASII BASINI BOILERS—II.P.EA
5110RLR GAS FIRED A.C.UNITS— TONNAGE EA.
KI ICIILN SINK&015P. FORCED AIR SYSTEMS— B.f.U. MEA
DISIIWASIILR WALL IIEAIERS- B.f.U. M
LAUNURY TRAY UNIT HEATERS - H.T.U. M
_CLUIIILS WASIIER EVAPORAIIVE COOLERS
WATER IIEAILR CLOIHES DRYERS
URINAL VLNI ILA 110N FAN
DRINKING I UUN I AIN RANGE IIUUU COMMERCIAL
I LOUR DRAIN AIR IIANDLING UNIT — CPM _
VACUUM BREAKERS STOVE
RUOI DRAINS - RAINLEADERS METAL FIREPLACE A CIIIMNEY
SINk (SERVICE - BAR,E IC.) / WATER 11EATER
GAS PIPING
SUBTOTAL ! SUBTOTAL 1
PERMIT 1 PERMIT
TOTAL FEE ! TOTAL FEE !
SIDI.VARI)51.1BACk 51RIEI St-IBACK REAR YAROStIBACK PLAN CIIECKNUMBtR PLAN CFIECKFEE
rEE kEcElrt NO.
UST /UNI TOT ARIA VACANT SITE _
[]YES [jNO FEES VALUATION FEE
1vrE of CONS OCCUPANCY GROUT NO.Or DWELLING UNIIS rLAN CHECKING 40
SItE UI "LUG. NO Of SIVR11.5 MAX.OCC.LOAD
BUILDING !
PLUMBING
r IRE.SPRINKLERS REOVIRED
C]vE5 [j NO MFCIIANICAL
COMMENTS STATE BLDG.COOF
ENERGY CObE SURCHARGE _
rENALTY U.B.c
SEC.jd)la)
WATER/SEWER rFES
TOTAL
PERMIT VALIDAIION
WI It"PROrtRLY VALIDATED RN TI ITS SrACEI 114119 YOUR PERMIT R RECEIPt
rAIV CRM By
ec:A1qSES9O". ArrLICANT. TnEASUntrl.19Lb(3 t)ErT_ RuaowcorrICIAL DATE
RECORDS COPY
Permit No. City of Arlin eTton
—it,& F� NOTICE and Inspecticw Report
Date Called —� Address �f I �� r t
J �
Time alled Contractor/Owner
B Requested by -A
TYPE OF • •
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm X Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace Other", .
APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections lis ed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ CAL 35-0724 FOR REINSPECTION-24 hour notice required.
Inspector Date
r �
city of ARLINGTON I
NOTICE and Inspection Repor-c-
� i
J Address 1 �//Dd��jrO:T�-� Z✓ q
(rti G r Contractor ✓� D C/i lri f
Owner
Requested by
TYPE OF INSPECTION REQUESTED
BLDG: Pmt. No. 17, 9-:2— ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
❑ Footing ❑ Framing
❑ Foundation ❑ Drywall Nailing Final
i
❑ Concrete Slab ❑ Rough-In
❑ Fireplace and Chimney ❑ Furnace ❑ Other
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy.
❑ Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435-5785 FOR REINSPECTION — 24 hour notice required.
Inspector
I was present during this inspection.
City o4 a It�i �i�����
NOTICE and Inspection Report
Address
j
Contractor
Owner
Requested by
TYPE OF INSPECTION REQUESTED
❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
❑ Footing ❑ Framing
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑Rough-In
❑ Fireplace and Chimney ❑ Furnace b Other
D APPROVAL ❑ PARTIAL APPROVAL
'❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy.
❑ Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required.
Inspector Date
I was present during this inspection.
7J S city od .:ItLIN4"I'llN
r✓ NOTICE and Inspection Report f
Address
Contractor
Owner
Requested by
TYPE OF INSPECTION REQUESTED
❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
❑ Footing aming
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In
❑ Fireplace and Chimney ❑ Furnace ❑ Other
_APPROVAL ❑ PARTIAL APPROVAL
VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy.
❑ Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required.
Inspector Date r '
I wal present during this inspection.
It
j Cityog :ItLINGTON
NOTICE and inspection Report
Address
e
Contractor
Owner I
Requested by
TYPE OF INSPECTION REQUESTED
❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
❑ Footing Framing
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In
❑ Fireplace and Chimney ❑ Furnace ❑ Other
i
1E] APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy.
❑ Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435-5785 FOR REINSPECTION — 24 hour notice required.
Inspector Date
I was present during th,s :nspect�on
of aaItLINiir91411 J/!�/�-` r
NOTICE and Inspectibrii Report
Address
Contractor
Owner
Requested by t
a
TYPE-OF INSPECTION REQUESTED i
❑ BLDG: Pmt. No. � ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
❑ Footing El Framing
Foundation ❑ Drywall Nailing ❑ Final ,
❑ Concrete Slab ❑ Rough-In
❑ Fireplace and Chimney ❑ Furnace ❑ Other
El APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy.
❑ Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required.
i
I
I
Inspector Date
I was present during this inspection.
l
City q aItLINo:rr41N
NOTICE and Inspection Report
Address
Contractor
Owner ��L+
Requested by
TYPE OF INSPECTION REQUESTED
t�_Ia1.DG: Pmt. No. ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
E4 footing ❑ Framing
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In
❑ Fireplace and Chimney ❑ Furnace ❑ Other
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy.
A Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required.
7
Inspector Date
I was present during this inspection.
city c6 iItLIN GTON _
NOTICE and Inspection Report
Address i�i:•-= �/? �' i ✓_
\` Contractor t_u-'✓ 1
Owner
Requested by
`- TYPE OF INSPECTION REQUESTED
3LDG:Pmt.No. ❑ MECH: Pmt. No.
❑-PLBG: Pmt.No.
❑ Footing Framing
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In ,
-;' ; -
❑ Fireplace and Chimney ❑ Furnace ❑ Other
Cl APPROVAL ❑ PARTIAL APPROVAL
`❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy.
❑ Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required.
i
Inspector Date
I was present during this inspection.