HomeMy WebLinkAbout8323 176th St Ne_BLD6136_2025 Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551
Permit Number: BLD6136 Permit Type: Residential Re-Roof
Address/Parcel: 8323 176th St Ne Completed (Month/Year): September 2024
Land Use Bonding or Assignment of Funds
Notice of Decision o Confidential Documents. Contact the
Staff Report City to obtain.
Application As-Builts
Narrative Letters and Project Documents
Legal Description Other:
Vicinity Map
Site Plan Civil
Landscape Plan Issued Permit
Complete Streets Checklist Application
Traffic Impact Analysis Other Applications
Snohomish County Traffic Mitigation Offer Construction Calculation Worksheet
WSDOT Traffic Offer Form Approved Plans
Tree Survey Review Comment Form
Stormwater Drainage Report Letters and Project Documents
Geotech Report Other Agency Permits
Critical Area Evaluation Form Reports:
SEPA Checklist o Drainage Report Pg:
Public Notice Material o Stormwater Pg:
Noticing and Related Documents o Geotech Pg:
Water / Sewer Availability Certificate o All Other Reports
Unanticipated Discovery Plan Form SEPA and Noticing Materials
Aerial Photo of Site Inspections
Proposed Building Materials As-Builts
Lighting Plans and Lighting Cut Sheets Other:
Color Elevations
Design Matrix Building
Plat Map ✔ Issued Permit
Title Report ✔ Application
Lot Closures Additional Applications
Preliminary Civil Plans Approved Plans
Archaeological Survey Site Plan
o Confidential Documents. Contact the Letters and Project Documents
City to obtain. Calculations
Topography (Existing Conditions) Project Specification Manuals
CC&R’s Reports
Deeds / Easements / Conveyances Certificate of Occupancy
/Dedications Inspections
Developer’s Agreement Other:
Letters and Project Documents
Page 1 of 1
RE-ROOF PERMIT APPLICATION
Community and Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
Type of Permit: Commercial Residential
Property Address: Suite/Unit Number:
Lot #: Parcel ID No.: Project Valuation:
Project Scope of Work:
Primary Contact: Owner Applicant Contractor
Owner Name: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
Applicant Name: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
Contractor Name: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
L&I Contractor License Number: Expiration Date:
Type of Roofing Material: Replacing existing sheathing: Yes No
Number of Existing Layers: Installation over existing material: Yes No
Roof tear off: Yes No
Class of Roofing: A – Highest Fire Rating B – Moderate Fire Rating C – Light Fire Rating
Concrete, Clay, Roof Tiles, Fiberglass Pressured Treated Shakes and Untreated Wood Shakes and
Class Examples:
Asphalt Composition Shingles, Metal Roofs Shingles Shingles, Plywood, Particleboard
The following is required for NON-RESIDENTIAL BUILDINGS
Provide 2 copies of the installation specifications and U.L. listed roof assembly.
Existing Roof Structure: Existing Roof Material:
Building Occupancy: Office/Professional Services Industrial Restaurant
Other: Educational Facility Retail Religious Facility
I hereby certify that I am the Owner, Applicant, Contractor, and authorized to sign this application and that the
above information is correct and construction on, and the occupancy and the use of the above-described property will be in
accordance with the laws, rules and regulation of the State of Washington, and the City of Arlington. 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.
Signature Print Name Date
FOR STAFF USE ONLY
PERMIT # ACCEPTED BY: DATE STAMP
REV01.2022
!""#
$%&' ()*+,-!**.
/0&1' 23++()*+,
/0&1/4455 6 +,+
/0&178797: );<=>+*=?@ ?A
8$1& 23++
B$1 6
C0 D3++>)*+,EF3,**GH*D
9&$$IJ$K -L;3H-3;;M,<=>;-M3=N)-L3<)N-HO3M=-H-MM3)F
P0Q$1 6G
9RQS
'QT$I9$5
8$15Q&$1 UV
W&&Q1&X$Q ! Y-M<N-=+<3;
Z 8$4
Z55Q4
C[5
S$ !""#
9Q5 \"2]
/55^14$ _)<M+<=#*M+-)
$
]3)H-;` NN)-MM ->3; -MH)<L+<*="a=-) 3D- "a=-)],*=- b*=<=>
(
-H+<*= *a=M,<L (" c2 c@
A 6 c # 2 g
3=>-de3)+-)@ \f " g
\
8$1&$5
\*=+)3H+*)])<D3)F\*=+3H+],*=- NN)-MM\*=+)3H+*) FL- <H-=M- <H-=M-`
@3M,<=>+*=**.<=> A,-L3)NM \" i\ "
=N)-a]3H- A6 A iV
-)h<H-M 3=- \" \ "
@3M,<=>+*=**.<=> A,-L3)NM \" i\ " \*=M+)eH+<*=
=N)-a]3H- A6 A @ c]V
-)h<H-M 3=- \" \ " \*=+)3H+*)
Z15&$15
3+-=ML-H+<*= FL- -MH)<L+<*=H,-Ne;-N 3+-\*DL;-+-N 3+-=ML-H+*)+3+eM
% % &'( ))*+
! " #$
% . ( /+
, -
0112
(3 ) 4
53 /-3!6/7 8"
9 + 6 + 6 8$"
)3 8$"
.+ . + ,* 3 8""
)3 :8$" ;
<=>?@ ABCDEFD
G>>?HI1J K1>>1L2
( (3 )
MNOPQORS TUVWOX
" YUZ [\VW
] ^U ^\\_
`?ab1c>2
( 5 + &7(3 ) 5 7 -7)33) + &74
" ! ! "$$ 8""
" ! ! "$$ 8 $"
% %"$% :8$" ;
de>2>?cJfcg h?@?cH1 ACECC
i=>12
( . + &7j
6+ k4 / )! 9 ! 6 / 9 ! ! ! / )6 3 l )3 m +
l
6 +7 3*+
. 3 )* ++ ! 966 / 9 / + / ! ! ! /
n4 # ! 9 $ #o ,& )6 3+ 6+ 99 ! + 6 #o +/ + o ! l
9 6+
+ 4 94+ 9 ! )3 9l
94+ k4 3 npl
# 6+ * 97 9 3 3 66 n + / ! q ! !l
rs@=?J1J 0f@12
( 6
ttuvwwxy]txtzx{t{|M}~yuy|€ÂÂNUQTUVWOX‚ƒQ_
# ttuz{„{x]txtzx{ty|M}~yuy| ƒƒPO†‡XO\R‚ƒQ_