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Home My WebLink About1200 E 5TH ST_972539_2026 APPLICATION CONSTRUCTION INFORMATION FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW ALTERATION ❑ , ADDITION ❑ , DEMOLISH ❑. Building Department Building Permit Describe Alteration r Rc�4 A 01! All- Certificate of Occupancy ❑ Date__ .S' Z p y NOTICE: No permit for erection, alteration, moving, repair or occupancy of any building �� shall be issued until an application has been made and approved for a certifi- Valuation based on total floor area $�,.��totto At A T--I C cate of zoning compliance. O re d p ✓ e Plan checking fee S.— �ny1 b o ained Owner�QT--C. /�A`�6►d�'tlAadrress t.�d70 .r � 9�, t 7— Permit fee $ �d( Permittee Address ��•�� 4 ram/ of 3 f 6 -t?Q Architect .Address i1�' ,�, / �a� �. SPECIFICATIONS Engineer Address 98 Contractor_ 1�� t.� ��Q�'. ��,M.� FOUNDAYION Exterior Piers COVERING Address /� �-�� ir• Material Exterior walls LEGAL DESCRIPTION OF PROPERTY: Lot No. _Block No. Width at top Interior walls Subdivision or Unplatted description_ Width at bottom Roof or reroofing Depth in ground ZONING INFORMATION FRAME Size Spacing Span FLUES TYPE OF OCCUPANCY of present or TYPE of CONSTRUCTION of present or R.W.Plate(sill) Fireplace proposed main building (circle) proposed main building (circle) Girders Floor furnace A B C D E F G H I J 1 II III III 1 hr. III HT Joist, lstfloor Kitchen DIVISION 1 2 3 4 IV IV 1 hr. V V 1 hr. Joist,2nd floor Water heater / Joist,ceiling Furnace Use Zone g(I _Fire Zone_ _ Area of Lot Size of building or addition No.of stories Exterior studs Gas Oil Total height Basement floor area 1st Floor area L Ufa Interior studs Additional floors and areas No. of rooms No.of families Roof rafters No.of buildings now on lot _Use of buildings now on lot -- . Bearing walls Percentage of lot covered by main building Additional Permits are required for: Percentage of lot covered by accessory buildings ( Kind of livestock (check) IMPORTANT ❑ Plumbing, ❑ Signs, ❑ Moving,CHANGE OF OCCUPANCY from to ❑ Sewer hookup, El Water authorization of owner must Water hookup, be presented when applicant is or must If a commercial building,list each use and its area in square feet: El Gas appliance and Gas piping. or lessor. I am the legal owner of the hereby acknowledge that I have read this application and property described in this application. state that the above is correct and agree to comply with all city ordinances and State Laws regulating zoning and building DRAW Owner on t e reverse side of this application, to scale, a PLOT PLAN. APPLICANT PLOT PLAN FOR DEPARTMENTAL USE Draw below,to scale,a plot plan showing: FOR DEPARTMENTAL USE Application for Certificate of Zoning Compliance ❑ Checked Initials 1. Dimension and shape of the lot. 1 Building Permit Certificate of Occupancy El checked and approved. 2. Front street name. 2, 3. Side street name if corner lot. 3. 4. Sizes and location on the lot of buildings already existing. 4. 5. Location and dimensions of proposed building or alterations. 5. Building Inspector if 44ko Date 6. Front yard,side yard,rear yard setbacks. 6. / _ 7. Locate and describe any fences,walls,hedges,.signs;. 7. Issued Building Permit No. l Date front yard trees and shrubs,green belt. 8. Location and size of required off-street parking and loading. 8. INSPECTION RECORD Inspection Date Signature Set Back Excavation Reinforced 5�fel 7 Grout Blocks Bond Beam Frame Roofing Room Ventilation Kitchen Vent Bathroom Vent Foundation Vent �(Q Access Hole Garage Fireproofing Fireplace / Spark Arrester Water Closet Water Heater Sewage Disposal /7i3 Lathing ((� Plastering Correction Order Left 7� Stop Work Order Issued Stop Work Order Released Give brief report of special or unusual conditions Job completed I aw Date !y 1 Buil Ing Inspector Certificate of Zoning Compliance No. Issued Date Certificate of Occupancy No. Issued Dare MOORE BUSINESS FORMS INC.LA APPLICATION CONSTRUCTION INFORMATION FOR: :Certificate offZoning Compliance ❑ To CITY of ARLINGTON CLASS o f WORK (check) NEW [a, ALTERATION ❑ , ADDITION ❑ , DEMOLISH ❑ . Building Department / /► // / Building Perm, Describe Alteration_ �J �.fL?.� `/ C CiiZU!•G (` Certificate of Occupancy ❑ Date NOTICE: No permit for erection, alteration, moving, repair or occupancy of any building shall be issued until an application has been made and approved for a certifi- Valuation based total rea $ 6'Aly la p�0,00 N O T I C E cote of zoning compliant A �_ , ✓ t �, .. dy , Where work is started P� �o2Q0 Planehecki { ;��-� QS before permit is obtaine(" the permit fee shale jwner �I"P° Cff�v P_1r4°t1: iL4,?a4h-,-44d cfSarr77lr Address �y� -- /�t--�_- Permit fee ��P I��C $�T.✓.s`l�3•DO be doubled. Perm tte Address— Architect 9'r e-e .l el woo;✓ Cl R-SSG . Address— _ ECIFICATIONS Engineer Address .— J FOUNDATION Exterior Piers COVERING Contractor. 1�4,-t Address Material Exterior walls Width at top Interior walls LEGAL DESCRIPTION OF PROPERTY: Lot No. Block No. Width at bottom Roof or reroofing Subdivision or Unplatted description_ — Depth in ground ZONING INFORMATION FRAME Size Spacing Span FLUES TYPE OF OCCUPANCY of present or TYPE of CONSTRUCTION of present or R.W.Plate(sill) Fireplace proposed main building (circle) proposed main building (circle) Girders Floor furnace B C D E F G H I J 1 II III II 1 hr. III HT Joist, 1st floor Kitchen i DIVISION b C?) 3 4 IV IV 1 hr. V V 1 hr. Joist,2nd floor Water heater Joist,ceiling Furnace 11 e Zone l►00 '1411Petn+,7 Fire Zone �r _Area of Lot Size of building or addition /A o90� _ No.of stories 2 Exterior studs Gas Oil Total height Basement floor area S(. Vd 1st Floor area Gy S-U � Interior studs Additional floors and areas No. of rooms_ No.of families Roof rafters No.of buildings now on lot_ Use of buildings now on lot _ Bearing walls Percentage of lot covered by main building Additional Permits are required for: Percentage of lot covered by accessory buildings (check) IMPORTANT Kind of livestock Plumbing, ❑ Signs, ❑ Moving, Written authorization of owner must Sewer hookup, IN Water hookup, be resented when applicant is occupant CHANGE OF OCCUPANCY from to _ P PP P If a commercial building,list each use and its area in square feet: ❑ Gas appliance and Gas piping. or lessor. I am the legal owner of the property described in this application. I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all city ordinances and State Laws regulating zoning and building Owner DRAW on the reverse side of this application,to scale, a PLOT PLAN. APPLICANT M PLOT PLAN FOR DEPARTMENTAL USE Draw below,to scale, a•plot plan showing: FOR DEPARTMENTAL USE Application for Certificate of Zoning Compliance ❑ i Checked Initials 1. Dimension and shape of th_,ot. 1. 2. Front street name. 7. Building Permit 0 Certificate of Occupancy 911111checked and approved. 3. Side street name if corner lot. 3. 4. Sizes and location on the lot of buildings already existing. 4. 5. Location and dimensions of proposed building or alterations. 5. Building Inspector Date 6. Front yard,side yard,rear yard setbacks. 6. 7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. Date '?.a_ front yard trees and shrubs,green belt. 8. Location and size of required off-street parking and loading. 8. INSPECTION RECORD k 1 Inspection Date Signature P g j () Set Back el-7_g'L ,A- _3_g3 Excavation c:?_? -$i I,(,+�•2 /a-73 Concrete 9-9 - q_/o Reinforced Steel Q_y / 9-13 N� � Grout Blocks 9-? 2 ' 7'Y 3 Bond Beam / Frame Roofing --- -- 7.- Room Ventilation 30-4y >4O c 3 ' 3 -93 Kitchen Vent Bathroom Vent v 3 _ `s / Foundation Vent Access Hole /O 31V Garage Fireproofing / 3 Fireplace Spark Arrester / Water Closet 77 3'O s Z /3 yj Water Heater / Sewage Disposal / Lathing liJ7L y- �prya / Plastering " Correction Order Left J i j� Stop Work Order,lssued Stop Work Order Released / ._-Q.ive brief report of special or unusual conditions Job completed kaz Date Building Inspector Certificate of Zoning Compliance No. Issued Date Certificate of Occupancy No. Issued Dote MOORE BUSINESS FORMS INC LA C I Tl� OF A RL I hIGTOP ' COh1�T RLlCT I Ohl PE R1+�1 I T P1ERM I T NO_ 97-2Z5Z9 Owner: CATHOLIC ARCHDIOSESE Value of Work: $26, 100.00 Tax ID: 013105-3-005-0006 Phone: Describe Work: TEAR OFF ROOF AND INSTALL BUILT 4 PLY BUILT UP ROOF- Proposed Use: CHURCH Legal Description: Job Address: 1200 E 5TH ST' Contractor's Name Type Address License# STANLEY ROOFING G 19710 144T'H AVE NE STANLR*3755T TOTALS Fee Permit Fee $50.00 State fee $4.50 S I GNATURE t7? TOTAL FEE.... . ........ .. . . $54.50 1 HEREBY CERTIFY THAI I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS.... . .. . .. .... . ...$0.0 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE.... . .... .. . . . .. . $54.50 ORDINANCES GOVERNING THIS TYPE OF WORK _ B� COMPLIED WITH WHETHER SPEC D 11- ED4 _I N . DATE CEIP#r • QBUILDING OFFICIAL STANLEY ROOFING 34990 _ WOODINVILLE,WA 98072 DATE INVOICE NO. DESCRIPTION INVOICE AMOI DEDUCTION BALANCE TE i2-177 i j o e- (?-y4t e ,fie CHECK CHECK DATE - 9 NUMBE �7 D TOTALS s4�. SO PLEASE DETACH THIS PORTION AND RETAIN FOR YOUR RECORDS. .a UI 111 l ll1 1.V11 I l.11 lVV vJ vJ'V'V JLAl I-i JJ I 'Jt CITY OI:ARLINGTON CONSTRUCTION PERMIT El COMBINATION ❑ NUILDINO 0 MECHANICAL ❑ PLUMBING Wit [� SIaN PERMIT NO. AIL ADOREff c q�� r Y E �tr l' 6, Sbo o .S'c-ter�f`/<• 9/4 �bh J ��r� ��; / 9�/c5Y MAIL AOOR[ 20 �� h aTog- AooR s>< c Y f ' ' ! r4 �I AN K A C AC MAII ApOR jf �D Al VIU L � T/aS Y tlr r S -39. lIClNS UMII►fG CONTRALTO MAIL AOORISS tTY llr �[ ltC NS ASS OF ORK NLW nAL4jIT1nN n ALTERATION F]IMPAIR ❑DEMOLITION IUAlIO VI WORK ❑IUILUIN4RELOCAT1pN .� a� Stk1E[MURK Cat Cy, / C fj/ irv� U U>t I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL' AL x + / PROPt It fTT%-1R9W-RTWw-U7p—tAjIA1L)f►wit C IS1 TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PRI SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF W, of WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIT% 0 3 fU VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE it 10 NUMo[R FROM PROPERTY TAX •TATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE FERFORMANC 00 CONSTRUCTION.PERMIT EXPIRES I YEAR FROM GATE OF ISSUAr Aul CXTNTRACTOR OR Ml1HON110 ACI►/T 0Ai1 X I/ ICI{Utia ONL .UMNNO IMMICAL N0. Tt OF FI uae taa FlxTvaaat NAM T O 11<RNT raa ■.naTuaa� ATI TUB 0BRATION UMIN-II.j'.ill J .Nt•• VATORT MI EMIR) llJ.RIO�IIBR RAID VNIt&-TONNAKIS M d .da•• tIN[R Dl[�OBAL AIR ETF MM-E.T.U. 1 MA�jIR MALL 11EATaRf--B.T.U. ft[ J1 "DAY T mtrilLAT"s- Q.T.V. �( :1.01NfD NAa11IR IVAVORATTVICOOLBR/ ATBR IIBATBR R dt7iB!OIIYR/ OR ITION PAN IRINRI ABI IWAL OOD COIIIIiRC1A1, — LOOR t1RA1N DLINO U CrAd ACUUM EALARS %am •RAINLUADWS a llr!/lC0 a Clllllljll{Y 1 VtCB-BAR !IRC. TBR AB MMO N 7+i]M ■N■L r j, '6111firmat RM r,M b o•IId ]Ua TO'YAL r11B TorAL IIBIM(T r1YlMIT _ TOTAL no TOTAL rsa YARU1f IIALK $TRILI St IBALK REAR YAROSETaACK rLANCIACK NVMIEA ►LANCIIECK FE FEE REC[IrT NO. /VNI LUI AKI A VACANT SITE ri V•i r i FEES VALUATION SEE 7-29-1997 8: 14AM FROM STANLEY ROOFING CO. 206 483GGGO P. 2 u �.J N, ,,, aG, y.yl, • VVV �v'V `'J - JUG — ✓1 1ti•J✓ . VL C17Y OF ARLINGTON CONSTRUCTION J �3 PERMIT COMRIN11PIpN Q RfflfrplMQ Cl MECHANICAL rLUMBING L`1 slaty ` •L Aan.�u �j �q__ PERMIT NO. �' rt C7, J<�a r7 s 7P (/o'-t�t/•,bh J;c, I,Y Ir I(,AO>)Rl _ CITY I f I /� 7 q MIC Caw MA A017R f1♦ t`4 iG ' //J✓ICE,�dl`7f�,7 II.S -�/ U I�IG CMfT A �-if.�� K ++AK Ap04!%S CITY ' dlr "CIE LRTWsT AS!0 Ntw Q AUDITION n AL TERATION Cl RLPAtrt Lw^T"3"0# K [7fitM1�LI'110N ❑�UIIUINGItELOC,%7jaN 06 ioo_oo ` sc nc MURK S C Cqt �7 G J� 1/�t qb l}I- yaar u c R (7/ in% cv i �Glo hd J o use w 6tow I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL' AMs('IllflxwTf Fitumpth . AV A K► TION AND KNOW TM! SAME TO"TRUE AND CORRECT ALL I% s SIONS Of LAWS AND ORQINAME5 GOVF'RNINtj THIS TYPE OIL W WR.I EE COMP"D WITH WfTETHER SPECIFIED HERIN QR NQT. _ DING OF A PERMIT DOES NOT PRESUME To CAVE AVTHORIT-- �c IG Nu cm VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE PlIc9A PAtlPI 7 y ME TAX �TATEItT LOCAL LAW REGULATING CONSTRUCTION OF THE PERINOR/�MNC 44 00 �- s St CONSTRUCTION.PERMIT EXPtRES I YEAR FROM OAT[OF ISSUAr �l.1'S' >ta«iw a ca sNrRAc a dt A,nwoRl>a na►K cAre tr.s L N0. ITEI or rtxtuea lossA Smw"Lan �I' s1 TTf«. RA. •• v trill 1 ,Iw R.. ter Wnl-TOiRlMS KA. T ftlR 4 K .t.T.U. �1. K ai U. x tiK AttNtA7ri1 C0041t� ^� Al111 ' tfRvm ►Alf 1 MO Y fyy grldlCi•l.71314I1I1>• �L4W Afl•�i e1 _ _ �NII TO'VAL '1drAl. rI1R.err ---- — �` rnRelrr TO r !'Yt TWAL#I* — Fd YARU 14ACK ARpfll KANCIfgtK/! �tAYI tul ^R ACPA—my /!L < < � RlCl►T q r'lon Fit$ VALUATION I Fit 7-29-1997 8: 13AM FROM STANLEY ROOFING CO- 206 4836660 P. 1 O WF� 19710 - 144th Avenue Northeast Woodinville,Washington 98072 Telephone! 483-6666 or 454-3929 FAX(206)483-6660 FAX MESSAGE DATE: i'- 22 7 PAGES INCLUDING COS SIFT TO: is in/C--712 Nru ATTENTION:--- FROM: `'11rGr�nf� MESSAGE: J ".is-�.,;,•v��/L a �11� - ��.�./rL ',•� Irlr .� ^� .,r� 1\ -,f /b'r •}\ ,s,'j,� �� /�` t , Cl y o A= h US OFQ 30 Oki I ` � � �'► � I ill I 9b� ` iew.Ak �R l\�//1 �,� �.:�. ! �' �•\\ �/ � `Q ,! T, .N � tr. ,��, f .� .,/, �jai �.\ .,1/ ��-