HomeMy WebLinkAbout112 S STILLAGUAMISH AVE_BLD20077555_2026 INSPECTION REPORT Plkf
Permit No.: 7555 Lot#:
Address: (rZ s
Contractor:
• Owner:
Date:
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
Inspector: Date: Z 14
TY E OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in �inal
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
zl 701
INSPECTION REPORT
• Permit No.: o'V W4 7555 Lot #:
Address: /(Z s s r7
1
1
Contractor:
• ♦ Owner: le l-j k cos e')
Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION 4VI-CORRECTION REQUESTED
(12�Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
Inspector: Date: 3-3 0—a5
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in 61-final OLD`
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
• Permit No.: 6.7 - 75555 Lot #:
Address: r/z s s n !=�
Contractor: _ e-y cvu,_� 6 L-d xi.
Owner: kej,rs€a j
Date: 3 - 2_1 - 0 '!�/
;APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
�i n �t /?1P�/t a1 c�►n v� ,,o SelFt'r1(4S !3�t-1e
Inspector: 1sz, Date: 3 -Z7-0 l
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
• Permit No.: 12 7 25_53Lot#:
Address:
Contractor:
Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
lC%1100 CZ L✓�T/'ter >
QZ
Inspector: Date: I
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in QK Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
• Permit No.:�� Lot #:
Address: / S_ 57��l
Contractor: A 1./5-0h
• ♦ Owner:
Date: 10°-13 —O r
3( APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
d
1
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing &Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
• Permit No.: '- 7 5 S Jot it:
Address: l /a S.
Contractor: t4 41
• ♦ Owner:
Date:
*A7PITOVAL �"ARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
�rco:s1 Gv�1 03Z
p. )� 5,
Inspector: Date:
YPE OF INSPECTION REQUESTED
❑ Under-floor A Framing ❑ Gas Piping
❑ Footing ' ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT �1��_ yA_5�
-�4
• Permit NoZ /-7SJ S— Lot #:
Address:
Contractor: /f
• . Owner: L e.r-
Date: a
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
�^ w 5 h
,
LL G f
00/ ?,0T� , zz
r
Inspector: Date: /O
TYPE OF3:7rywa
N REQUESTED
❑ Under-floor ❑ Gas Piping
❑ Footing ailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ,g ❑ Insulation
❑ Other: e- — 1 /-, 42E
�.. 'INSPECTION REPORT
Permit No.: o7 7555 Lot#:
Address: I z s stoo n
Contractor: 77fe- P�
♦ Owner: fG,Ai o os tw
Date:
94 APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove 0 Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
0 Other:
AN -INSPECTION REPORT
7M lc Permit No.: 0 — 75-S�Lot#:
Address:
Contractor:
Owner: AL,n LXA&I
• d
v) Date: 2 — ;24
❑ APPROVAL U, PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
r
Inspector: Date:
7_;7T cr
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
0 Other:
e fr- INSPECTION REPORT
Permit No.: o-i -7 5 S s Lot#:
Address: i i Z s S 77 LL 4
Contractor: N 64-us a_AJ
• Owner:
Date: �7- i &-e S
❑ APPROVAL PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection. `
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
I N SSfA L/1RT]1.J YL S C 'j ter A-t..L_
Prl�P!LA v O e� l..rn
Inspector: Date: 7-M-o 8
TYPE OF INSPECTION REQUESTED
❑ Under-floor mmg ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage Insulation
❑ Other:
} INSPECTION REPORT
r�
• Permit No.: ag -1 5 55 Lot #:
Address: I i Z S _S ti KA-o" +su-
Contractor: rc-nj Lt Ds 4 .j
• Owner:
Date: -7— r6-oI3
O APPROVAL PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
S:C2 Z4
Zi
1
Inspector: .'f �' Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor C& Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
• Permit No.:o-�5-5--Lot#:
Address: /Z- cS
Contractor:
'' � ei/ k3(6b�S
• Owner:C� t4_t_
Date: 7- -J-fig
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION CORRECTION REQUESTED
'OlqGorrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
CALL 435-0674 FOR RE-INSPECTION -24 hour notice required.
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)1 AJV R.,4--) t. 'W-eML%^ 1 R.c�Y� vt rl r4r�.r�P
Zt V, lif /3
Inspector: < Date: 7-3- o
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
CITY OF ARLINGTON
238 N.OLYMPIC AVE.-ARLINGTON,WA.98223
PHONE:(360)403-3421
STATUS: READY TO ISSUE Permi( #; 07_7555
BUILDING—PERMIT
Project Address: 112 S. STILLAGUAIIISH.
ARLINGTON
Parcel No: 00455401201500
PROPERTY OWNER APPLICANT CONTRACTOR
ELMER&ELLEN KNUDSEN -0-EVERETT BUILDERS INC.
112 S.STILLAGUAMISH 24818 43RD AVE NE
-0- -0-
ARLINGTON,WA 98223 ARLINGTON,WA 98223
LICENSE#:EVEREB*301PH EXP:
PLUMBING CONTRACTOR INIECHANICAL CONTRACTOR
JOB DESCRIPTION
ADDITION OF DORMERS,BATH,&DECK/RAMP
Description Fee Amount Paid _Balance Due
Permit Fee $300.00 ($300.00) $0.00
C-Plumbing Permit Fee $24.00 $0.00 $24.00
3 fixtures $30.00 $0.00 $30.00
C-Building Permit-Other Fees $647.00 $0.00 $647.00
Plan Review Fee$300 @ submittal $120.55 $0.00 $120.55
C-State Building Code Surcharge $4.50 $0.00 $4.50
Total Due: $1,126.05 ($300.00) $826.05
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.
I'I APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL Olt I IIS/HER DEPUTY AND ALL FEES ARE PAID.
LA 1&4 Lyl�- (" —('I- -7
signs ur Print Name Date Release By Date
ATTENTION
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.UBC109/IBC110/IRCI 10.
ARCHIVE U APPLICANT F-1 ASSESSOR OTHER
�\ J
CITY OF ARLINGTON
238 N.OLYMPIC AVE.-ARLINGTON,WA.98223
PHONE:(360)403-3421
DATE: Friday,October 19,2007
PERMIT#: 07-7555
PROJECT ADDRESS: 112 S. STILLAGUAMISH,ARLINGTON
LOCATION:
APPLICANT: ELMER&ELLEN KNUDSEN
112 S.STILLAGUAMISH
ARLINGTON,WA 98223
360 435-4055
*FEE SUMMARY:
Awrlptiou Fee Amount Paid Balance Due
Permit Fee $300.00 ($300.00) $0.00
C-Plumbing Permit Fee- $24.00 ($24.00) $0.00
3 fixtures $30.00 ($30.00) $0.00
C-Building Permit-Other Fees $647.00 ($647.00) $0.00
Plan Review Fee$300 @ submittal $120.55 ($120.55) $0.00
C-State Building Code Surcharge $4.50 ($4.50) $0.00
Total Due: $1,126.05 ($1,126.05) $0.00
*FEES ARE ESTIMATED BASED ON INFORMATION PROVIDED AT SUBMITTAL-SUBJECT TO CHANGE
PAYMENT TRANSACTIONS:
Date Receipt# 1_ Method/Payee Paid:
9/7/2007 CRCT3430 Cash/ ($300.00)
No Fee Description! ($300.00)
10/19/2007 REC000100 Check 75105/-0-EVERETT BUILDERS ($826.05)
INC.
C-Plumbing Permit Fee ($24.00)
C-Plumbing Permit Fee ($30.00)
C-Building Permit-Other Fees ($647.00)
C-Building Plan Review Fee ($120.55)
C-State Building Code Surcharge ($4.50)
!�
I
4C0
RESIDENTIAL' ADDITION/ALTERATION
PERMIT APPLICATION
Department of Community Development
City of Arlington• 238 N Olympic Ave. •Arlington, WA 98223•Phone(360)403 3551 •FAX(360)403 3447
THIS APPLICATION TO BE USED FOR ONEAND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS
APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS, SIX(6)ACCURATE,
FULLY DIMENSIONED PLOT PLANS AND TWO(2)SETS OF ENERGY CODE APPLICATIONS.
TYPE OF PERMIT: ( ) Residential Addition ( Residential Alteration
( ) Plumbing ( ) Mechanical
�. c5'}lnal�lllm►
Project Address: � � S� ' '"� Parcel ID#: MIA5� 0110( Sod
J Lot#.. fl Subdivision: -' C3 2
/
Project Description: � SIC �" }� �_Valuation: t
Owner: �Y`�1�C °4' y*h '�i'�Yl i -n &S-cn Phone Number: 3(D0-LA35 - -1-AO`j
Address: I I a 5 9n IOICI()(A m 6.12 city: -+r State: - .)(z1 Zip Code: UI ?223
Contact Person: '} f 1CACA YYICuCIiq Phone Number: �4 -353
Cell Phone: Fax: -100�_ yA,�S5 _13'9-7 E-mail: ln-- 06)We-relthut l tiers (1G. iZ
�-
Address AS�� � (V f� U(�. E City:i7L�L ate (wA Zip Cod �22�
yy�
Building Area(Sq Ft): Ist Floor: 2nd Floor: U�7 I ' 3rd floor:
Deck: g D Garage/Carport: Basement:
Project Valuation: I L I1 - 1 rn 4-PoI 77) )o
LLO gX S
Contractor: Is Phone Nu er:
Address: FIR State: Zip-we: O
Contractor's L' ense Number: (2 U Expiration: l (J
Plumbing Contract Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: on:
Mechanical Contractor: Phone umber:
Address: City: State: Zip C
Contractor's Lice se Number: Expiration:
I Vherebcethat the bove information is correct and that the construction on, and the occupancy and the use of the above-
dty will be i accordance with the laws,rules and r ulation of the State of Washington.
Applicants Sig
w I (-�S, �1741VW (a
Print Applicants Name
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Dat"eceived
WEB Forms—39 Page 1 of 2 3107 dwe
AUG 2-2Uut
COA Permit Center ()` —75�S
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City of Arlington
Community Development
Building Division
238 N Olympic Ave.
Arlington, WA 98223
360-403-3551, fax 360-403-3447
Certificate of Compliance
Permit type: Building
Permit#: 07-7555 Issued:10/19/07
Regarding: 112 S Stillaguamish
This certificate issued to: Elmer & Ellen Knudsen
This certifies that the following addition to the premises indicated above conforms
substantially to the approved plans and specifications heretofore filed in this office as it
pertains to the application submitted, pursuant to which the permit was issued and
appears to conform to all of the requirements of the applicable provisions of the law.
This certificate of compliance is issued for: Addition of dormers, bath, deck and ramp.
Dated this 6TH day of June , 2009
Building bfficial or De/sign
I
Y O f,
y
City of Arlington Aug 2 9 2007
7 � Community Development utjljtj8S0iV.
�lfN G 0 Permit Center
REQUEST FOR REVIEW
NAME: (ill BP #:
DATE: 7 2 / RETURN THIS FORM BY: � C�
I
PROJECT SUMMARY:
i CC.., Ca'if iuiivV vL r R Tr:i_i i J
T 0 M C., FIRE DAVE A., BUILDING
l
UTILITIES _ KERRY W., BUILDING
BILL B., NATURAL RESOURCES SCOTT B., BUILDING
ENGINEERING YVONNE P., PLANNING
SHERRI PHELPS, BUS LIC CWA., CONSULTANT
DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your
comments in memo form to the Permit Center. If you have no comments, please return the formwith the
"Okay to Issue" box checked.
PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER.
❑ 'COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO
s
NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT
❑ COMMENTS
REVIEWED BY
DATE
M M
Y
City of Arlington
7 Community Development
�lI N G,SO Permit Center
REQUEST FOR REVIEW
NAME: 44 (J a-, . BP #:
DATE: 7 2 / RETURN THIS FORM BY:�
PROJECT SUMMARY: �
i ES v�•viivG vL nd n�Eii
T0Ni C., FIRF DAVEZ A., BUILDING
UTILITIES KERRY W., BUILDING
BILL B., NATURAL RESOURCES SCOTT B., BUILDING
ENGINEERING YVONNE P., PLANNING
SHERRI PHEI_r�, BUS LIC CWA., CONSULTANT
DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this formand your
comments in memo form to the Permit Center. It you have no comments, please return the formwith the
"Okay to Issue" box checked.
PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER.
❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO
E�r'NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT
❑ COMMENTS
Lb �l a�
REVIEWED B DATE
i w �
I
Y
City of Arlington
-, Community Development
�LIN G�0 Permit Center
REQUEST FOR REVIEW
NAME: (, � llZ BP #:
DATE: 2 / D RETURN THIS FORM BY: _� /�_'_ ,
PROJECT SUMMARY:
i � n�. rn1,N r.0 n r— 1.,F j,
:CSPviri V�irir-v v�r r� i4 J
TO.M C., FIRE DAVE A., BUILDING
UTILITIES KERRY W., BUILDING
BILL B., NATURAL RESOURCES SCOTT B., BUILDING
�CENGINEERING YVONNE P., PLANNING
SHERRI PHELPS, BUS LIC CWA., CONSULTANT
DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your
comments in memo form to the Permit Center. If you have no comments, please return the formwith the
"Okay to Issue" box checked.
PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER.
❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO
C ' NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT
❑ COMMENTS
`"��� DATE S 0
REVIEWED B� ;' _t��
0 0
GDNG'
City of Arlington
Community Development
Permit Center
REQUEST FOR REVIEW
1
NAME: (� �G�ll�. BP #:
DATE: 4 2 / RETURN THIS FORM BY: D
PROJECT SUMMARY: � CJi�tr�t�Ce-e
�Pnif.in'IK1G3 r.CPnDT►, F, i
i�C�. vi rviiry v� ri i ' —i� � J
TOM C., FIRE DAVE A., BUILDING
UTILITIES KERRY W., BUILDING
BILL B., NATURAL RESOURCES �SCOTT B., BUILDING
ENGINEERING YVONNE P., PLANNING
SHERRI PHELPS, BUS LIC CWA., CONSULTANT
DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this formand your
comments in memo form to the Permit Center. If you have no comments, please return the formwith the
"Okay to Issue" box checked.
PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER.
❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO
❑- NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT
❑ COMMENTS
REVIEWED BY DATE 9V/Y & 7
•
City of Arlington
Community Development
Permit Center
REQUEST FOR SFR REVIEW
RESPONDING DEPARTMENT: PLANNING
BP #: �- �5�5 S NAME:
ADDRESS: 14,1t
PLEASE RETURN FORM WITHIN 3-5 WORKING DAYS FROM - v
\' Mitigation Fees Verified:
School Mitigation Fees:
Community Park Impact Fee:
Mini-Neighborhood Park Impact Fee-
Trip Impact Fees:
❑ Set Backs Verified Required/Existing: Zoning: (=i
Front Yard/
Street Setback Rear Yard Setback Side Yard Setbacks
Lot Coverage Verified 101 "Ve av,�
Shade Trees Verified on Site plan
Height Verified (Called out on Site plan) 7
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your
comments, either on the drawings or in memo form, to the Permit Center. If you have no comments,
please return the form with the"Okay to Issue" box checked.
PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO PERMIT CENTER.
❑ IN COMPLIANCE WITH LAND USE CODE - OKAY TO ISSUE
- NOT APPROVED - ADDITIONAL INFORMATION REQUIRED
o (SEE ATTACHED REDLINES OR MEMO FOR COMMENTS)
REVIEWED BY DATE Z- c
Ate`,
- - DEPARTMENT OF LABOR AND INDUSTRIES
-- -- -- -
)
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REG I S T. ## EXP. DATE
CCO1 EVEREB*301PH 01/29/2008
EFFECTIVE DATE 10/08/1970
EVERETT BUILDERS INC
24818 43RD AVE NE
ARLINGTON WA 98223
' I
F625-052-OM WO)
AUG 27 20U l
COA Permit Center
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it
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prescriptive Energy Code Compliance for Single Family and Duplex Housing:Zone 1
I'rojoct Information Contact Information
����
icants documenting
iance
th
This set notat has Energy developed(2006 edition).Th slsetislfor type R 3 and R-4 strucltures located
de
Washingtt on State Code
in climate zone 1.
The following forms provide much of the required documentation for plan review. The details noted here
must also be shown on the drawings(WSEC 104.2).
This form is not a substitute for the energy code itself. To obtain a copy of the energy or ventilation codes,
go to the following web address. http://www.energy.wsu.edulcode/code2006.cfrn
Option Glazing Glazing U-Factor poor a Ceiling Vaulted Wall iz Wall.ine Wall-ext° Floors Slab'On
Area10: °��
U-Factor Ceiling Above Below Below Grade
of Floor Vertical Overhead" Grade Grade Grade
1 10% 0.32 0.58 0.20 R 38 R-30 R15 R-15 R-10 R-30 R-10
FUnlimited 0.35 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R 10
G
�N
roup R3-3
and Occupancie Y >
s Only /
See WSEC table 6-1 for footnotes
Glazing Schedule Attached to Document
❑ Does not apply. Using Prescriptive Option IV.All glazing and doors meet maximum U-factor.
Using Prescriptive Option IV.All glazing and doors meet maximum U-factor.
All glazing and doors meet maximum U-factor.
Alternate heating size method submitted
❑ Option I, Glazing to floor area limit(WSEC 602.7.2)
❑ Area weighted window, skylight or door U-factor(WSEC 602.7.2)
❑ As part of the heating and cooling system sizing calculation (IRC M1401.3&WSEC 503.2.2)
Radiant slab:
R-10 foam insulation, continuous with thermal break(WSEC 502.1.4.9)
AUG 2 7 2001
COA Permit Center
WSEC Prescriptive Worksheet(2006 edition)Zone 1 R-3 or R-4 Insulation
WSUEEP07-010 Copyright 2007
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