HomeMy WebLinkAbout17822 59th Dr NE_3609_2026 C I T Y O F A R L I N G T 0 N
E C O N S T R U C T I O N P E R M I T
DATE '�" �' PERMIT N0. `31p,09
Application is hereby made for permits to do the following work:
[ ] New Residence [ 3 Addition C 7 Duplex
C ] Carport [ ] Remodel C ] Commercial
[ ] Garage [ l Mobile C ] Apartment/Condo
[ ] Barn C J Mechanical C ] Relocation/Move
C ] Accessory Building[ 3 Plumbing C ] Demolition
C)CI Other2�_nW,
No. of buildings : / No. of Living Units: Land Use Code:
Valuation : cQ(')�_ �� Tax Acct . # :
Property Address :
Legal Description: a2z_ ,
Owner:
Owner's Address :
Builder: Lic . #
Builder's Address: _
Architect or Engineer:
Applicant's signature:
owner or agen
Permission is hereby granted to do the work described, according to the
approved plans and specifications pertaining hereto subject to compliance
with the ordinances of the City of Arlington and the State of Washington.
The following is a breakdown of your permit fees .
1 . Plan Check Fee(341 . 83 .00) . . . . . . . . . . . . . . . . . . . $ pd CR#� l�C
2 . Building Permit Fee(322 . 10 .00) . . . . . . . . . . . . . . $
3 . Plumbing Permit Fee(322 . 10.00) . . . . . . . . . . . . . . S
4. Mechanical Permit Fee(322. 10 . 00) . . . . . . . . . . . .
S . Energy Fee (386.00 . 02) . . . . . . . . . . . . . . . .
6 . State Fee (386 .00. 01 ) . . . . . . . . . . . . . . . . S o3•��
7 . Water/Sewer Fees (see attached breakdown) . . . S
9 . T 0 T A L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5----,,564Z4-2
P A I D ff C R # D 3� B Y
�OC� SD ISSIJING OFFICER
PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING ALL PROPER Y LINE LOCATIONS AND
RELATED EASEMENTS .
NO OCCUPANCY PERMIT WILL BE ISSUED UNTIL THE INSPECTOR HAS APPROVED THE
FINISHED STRUCTURE.
BUILDING PERMIT REVIEJ CHECKLIST
PLANS RECEIVED AT . BY
DOCUMENTS SUBMITTED: °
_XBUILDING PERMIT APPLICATION noo ''
X_PLANS FOR BUILDING 3
STORM DRAINAGE PLAN Z7
ENVIROMENTAL CHECKLIST
K PLOT PLAN M � i fly, 11,
OTHER AS NOTED CITY HALL IJ THInU&OLYMPIC AVENUE
ARLINGTON.WA 96223
CHECKED FOR ZONING COMPLIANCE:
ZONING
USE
APPROVED BY DEPARTMENTS:
WATER
SEWER
STREET
FIRE
SANITATION
ENGINEERING
NOTES:
READY FOR BUILDING INSPECTOR REVIEW:
APPROVED BY BUILDING INSPECTOR:
.•. :,• d t °+. � ,� gin,', ,
PREPARED BY: OS'TERQAARD • ROBINSON
a ASSOC. INC. CONSULTING ENGINEERS
3805 108TH.AVE. N.E., BELLEVUE, WA. 98004
PHONE : 827-58b4 335-oz,%v
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MEMO-NOTE FROM:
TO: DATE:
RE:
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0 REPLY 0 SEE ME SIGNED:
0 INITIAL AND RETURN
MEMO-NOTE FROM:
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I TO: DATE:
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❑ REPLY ❑ SEE ME
0 INITIAL AND RETURN SIGNED:
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MEMO-NOTE FROM:
TO: ;1'1 DATE:
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❑ REPLY ❑ SEE ME
SIGNED:
I] INITIAL AND RETURN
Cif, cd SItLINI:T11N
NOTICE and Inspection Report
Address
I
Contractor
Owner
Requested by
TYPE-OF INSPECTION REQUESTED
-BLDG: Pmt. No. J,___'' ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
❑ Footing ❑ Framing
❑ Foundation ❑ Drywall Nailing Final
❑ Concrete Slab ❑ Rough-In 11
❑ Fireplace and Chimney ❑ Furnace ❑ Other
;._APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
.Z APPROVED FOR OCCUPANCY su - - ancy.
�❑ 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.
i .- City 0t \r
'-( '--- NOTICE and InspeL_ «port
Address
Contractor
Owner
i Requested by
TYPE,OF INSPECTION REQUESTED
i ❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
❑ Footing ❑_Framing
i
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In
❑ Fireplace and Chimney ❑ Furnace ❑ Other
'Q-.APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
ElAPPROVED.FOR OCCUPANCY subject to certificate of occupancy.
❑ Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
i
❑ Was not able to perform inspection.
I ❑ CALL 435-5785 FOR REINSPECTION — 24 hour notice required.
Inspector / _ Date -7 �
I was present during this inspection.
city o¢ 1 It L I l 1:'IA)N
NOTICE and Inspection Report
Address
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 ❑ Other
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
f Corrections listed below MOST 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.
City o� IKIAN/iTON
NOTICE and Inspection Report
Address
Contractor
Owner
Requested by
TYPE OF INSPECTION REQUESTED
El,BLDG: Pmt. No. - ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
❑ Footing ❑ Framing , �T
❑ Foundation 0-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
I was present during this inspection.
:.i IANGrrflN
r�
NOTICE and Inspection Report
Address
Contractor
Owners --'
Requested by
TYPE OF INSPECTION REQUESTED
❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.Ely�,
Footing �QSj Framing
El 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.
.�, � Ci � �r'sL-�'�r•�`i �ate,!
Inspector Date
I was present during this inspection.
ci �d sItLIN4'r'TON
NOTICE and Inspection Report
Address
Contractor
Owner
Requested by I
TYPE OF INSPECTION REQUESTED
❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
❑ Footing ❑__Er.B[Qi� {
❑ Foundation ��Trywall Nailing ❑ Final i
❑ Concrete Slab U Rough-In
❑ Fireplace and Chimney ❑ Furnace ❑ Other y
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
I -
i ❑ 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. I
❑ Was not able to perform inspection. '
❑ CALL 435-5785 FOR REINSPECTION — 24 hour notice required. i
I
1
i
Inspector nate
I was present during this inspection.
I
city od ;1t1.1N1:'1'11\
NOTICE and Inspection Report
Address L• Vr`Gt ��
Contractor
Owner
Requested by __ �ti '� •'-
TYPE OF INSPECTION REQUESTED
-8'91LDG:Pmt. No. ❑ MECH: Pmt. No.
"PLBG: Pmt.No.
❑ Footing ❑ Framing
`_Foundation ❑ Drywall Nailing ❑ Final
❑ ConCfete Stab ❑ 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.
i
❑ 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.
i
f /
City r,g JAI Iti.INGTON
/ NOTICE and Inspection Report
ti
Address
Contractor
Owner
Requested by
TYPE OF INSPECTION REQUESTED
❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
Footing ❑ Framing
❑ Foundation Drywall Nailing ❑ Final
1❑,Concrete Slab ❑ Rough-In
,'[]"Fireplace and Chimney ❑ Furnace ❑ Other
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Correotions 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
II
1
Inspector Date
i� I was present during this inspection.
i
City of .:RLIN1:'I ON
NOTICE and Inspection .Report
Address
Contractor
Owner
Requested by
TYPE OF INSPECTION REQUESTED
❑ BLDG: Pmt, No. y',� !/� ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
❑ 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.
❑ 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
i
Inspector Date
I was present during this inspection.
I
7 d - J-_d
city o� SKIANGTON
NOTICE and Inspection Report
Address
Contractor
Owner
Requested by
TYPE OF INSPECTION REQUESTED
❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
Ir ❑ Footing ❑ Framing
1 -
❑ Foundation ❑ Drywall Nailing E] 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 ap
proved.
❑ 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.
1
I
Inspector Date
I was present during this inspection.
606
('ity od A'CLIN1jrr"N PERMIT APPLICATION
230 N. OLYMPIC AVE., ARLINGTON, WA 98223
y (206) 435-5785
COMMERCIAL, RESIDENTIAL, MECHANICAL, PLUMBING, GRADING F11
Tax Account Number A
Job Site Address AFL i' Ivf, ±C7/I) fi/ oz of?�` City
Applicant Name_ OQ �, /gyF2 LP Phone t�omC 3:`/- 5136�
Mailing Address City �y�r� Zip` 9.�0 j�
Contractor Name �� /j !^d/--/J License #
Address S' City Zip Phone
Architect/Engineer License #
Address City Zip Phone
TYPE OF PROJECT �/ t�y/'7` C,r1? 1 j— C-. '0,r05 F
Sewage Disposal l / Right-of-Way Width Culvert Permit No. 0
LOCATIONAL INFORMATION: SEC TWP RGE 16th
Plat Name/Short Plat No./Segregation No.
Lot/Parcel # Block # Lot Size
Is the average slope of the property in excess of 25%? Yes _ No Has construction started? Yes No
This structure will be used for the following purpose
Other buildings on this property
OWNER/AGENT SIGNATURE asi, _ 'Z DATE L b p
NOTICE: Front Yard Setbacks. Curbs, Sidewalk Edge, Ede 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: Max Lot Cover % Max Bldg. Height ft
SETBACKS:
Front
Side
Rear
Basic Plan # Other Covenants
SPECIAL CONDITIONS . . .
SANITATION PUBLIC WORKS
ON SITE LETTER DRAIN TRAFF
ENV HEALTH SEWER CN R/R RD IMP
OCD
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
S OCP
CU ZN FML BLA PLAT REZONE
SEPA SH LN SP VAR Su- VA
PLUMBING PERMIT a MECHANICAL PERMIT (NOT FOR MOBILE HOMES)
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 a
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. F-61
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.
BASEMENT BASEMENT SQ. FT.
GARAGE GARAGE SO. FT.
CARPORT CARPORT SO. 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 Check 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
Env. Cklt Fee
TOTAL DUE:
C I T Y O F A R L I N G T 0 N
L/ C O N S T R U C T I O N P E R M I T
DATE ?' Oi� PERMIT NO.
Application is hereby made for permits to do the following work:
[ ] New Residence C ] Addition C ] Duplex
[ ] Carport [ ] Remodel [ ] Commercial
[ ] Garage [ ] Mobile [ ] Apartment/Condo
[ ] Barn [ ] Mechanical [ ] Relocation/Move
[ ] Accessory Building[ ] Plumbing C ] Demolition
[)CI Other 1760111
/
No. of buildings : / No. of Living Units:_ Land Use Code:
Valuation: cc-5;060- 4eq Tax Acct. # :
Property Address : _
Legal Description: imp,
Owner: 13
Owner's Address:
Builder: Lic. #
Builder' s Address:
Architect or Engineer:
Applicant' s signature:
owner or agen
Permission is hereby granted to do the work described, according to the
approved plans and specifications pertaining hereto subject to compliance
with the ordinances of the City of Arlington and the State of Washington.
The following is a breakdown of your permit fees .
1 . Plan Check Fee(341 . 83 . 00) . . . . . . . . . . . . . . . . . . . S //60 00 Dd CR#
2. Building Permit Fee(322 . 10 .00) . . . . . . . . . . . . . .
3 . Plumbing Permit Fee(322 . 10 . 00) . . . . . . . . . . . . . . S
4. Mechanical Permit Fee(322 . 10 .00) . . . . . . . . . . . . S
S . Energy Fee (386 .00 . 02) . . . . . . . . . . . . . . . .
6. State Fee ( 386 . 00 .01) . . . . . . . . . . . . . . . . 1 16-0
7. Water/Sewer Fees (see attached breakdown) . . . S
8. . . . . . . . . . . . . . . . . . . . . . . . . . . . S
9 , . . . . . . . . . . . . . . . . . . . . . . . . . . . S
TO T A L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
P A I D C R # fU3-7 B Y
�DS�sd ISS ING OFFICER
PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING ALL PROPE Y LINE LOCATIONS AND
RELATED EASEMENTS .
NO OCCUPANCY PERMIT WILL BE ISSUED UNTIL THE INSPECTOR HAS APPROVED THE
FINISHED STRUCTURE.
BUILDING PERMIT REVIEJ CHECKLIST
PLANS RECEIVED AT BY
DOCUMENTS SUBMITTED: .
_BUILDING PERMIT APPLICATION aoo _ 3
_PLANS FOR BUILDING
STORM• DRAINAGE PLAN
ENV I ROMENTAL CHECKLIST � '� ', '
K PLOT PLAN IL
OTHER AS NOTED CITY HALL IJ THInU b OLYMPIC AVENUE
ARLINGTON.WA 98223
CHECKED FOR ZONING COMPLIANCE:
ZONING
USE
APPROVED BY DEPARTMENTS:
WATER
SEWER
STREET
FIRE
SANITATION
ENGINEERING
NOTES:
READY FOR BUILDING INSPECTOR REVIEW:
APPROVED BY BUILDING INSPECTOR:
.r �- � 1. ••,. r ,• • -
PREPARED BY: OSTM'ROAARD • ROBINSON
a ASSOC. INC. CONSULTING ENGINEERS
3805 108TH.AVE. N.E., BELLEVUE, WA. 98004
PHONE : 827-5854
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