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Z — w m V `VO p LO ° 0 :° y O °o C l V V q7 � a O � �ov, _ N m cs �° o ti Q ti a 3 � o o a�i o c�'a .c CITY OF ARLINGTON 238 N OLYMPIC AVE.-ARLINGTON,WA.98223 PHONE:(360)403-3421 Permit#: BLD20100084 BUILDING PERMIT Project Address: 121 GIFFORD AVE, ARLINGTON Parcel No: 00455400600400 PROPERTY MENDRO MENDRO MENDRO 121 N GIFFORD AVE 121 N GIFFORD AVE 121 N GIFFORD AVE ARLINGTON,WA 98223- ARLINGTON,WA 98223- ARLINGTON,WA 98223- Phone:( ) - Ext Phone:( ) - Ext LICENSE#: EXP: Email: Email: PLI.JMBING CONTRACTOR MECIIANICAL CONTRACTOR Lic#: I`•: Lic#: I.z, i DESCRIPTION Upper story addition to raise ceiling height-7.5 sq.ft additional. VALUATION: $0 PERMIT TYPE:Residential PERMIT GROUP:Alteration/Remodel Interior NUMBER OF STORIES:0 TYPE OF CONSTRUCTION: NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP: CODE:2006 OCCUPANT LOAD: BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0 1 BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 FRONTSETBACK SIDE ' RE UIRED: PROPOSED: RE UIRED: PROPOSED: RE UIRED: PROPOSED: HEIGHT ALLOWED:0 PROPOSED:O RE UIRED: PROPOSED: SETBACK NOTES: 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. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. ca 7 110 712110 wul'4e Print Name Date ased By Dat 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/IBCI10/IRC110. ARCHIVE APPLICANT = ASSESSOR OTHER .-. f BLD20100084 CONDITIONS • None PERM IT FEES Description _m Fee Amount Paid Balance Duc 7/2/2010 C-Building Permit Fee(QTY: 1.00) $137.75 $0.00 $137.75 7/2/2010 C-Building Plan Review Fee(QTY: 1.00) $89.54 $0.00 $89.54 7/2/2010 C-State Building Code Surcharge(QTY: 1.00) $4.50 $0.00 $4.50 7/2/2010 C-Plumbing Permit Fee $97.00 $0.00 $97.00 Total Due: $328.79 $0.00 $328.79 INSPECTIONS THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. CALL FOR INSPECTIONS BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674 FIRE(360)403-3607 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon. • None L• � BLD20100084 FYI Separate Washington State L and I Electrical permit required R314.3.1 When alterations, repairs and additions requiring a permit occur,the individual unit shall be equipped with smoke alarms as required for new dwellings R806.3-Vent and insulation clearance:A minimum 1 inch space shall be provided between the insulation and the roof sheeting R308.4 Item 5.Safety Glazing required in walls facing bathtubs and showers where the exposed edge of glazing is less than 60 inches above any standing or walking surface R702.3.8 Water- resistant Gypsum backing board shall not be installed over a class 1 or 2 vapor retarder in a shower or tub department. Use of 1/2 inch water- resistant gypsum shall be permitted on ceilings where framing does not exceed 12 inches on center. Use of 5/8 inch water resistant shall be permitted on ceiling framing not exceeding 16 inches on center. All work subject to field inspection BLD20100084 (BFECHT/PT-%,IVE) - PermitTrax by Bitco Software Page 1 of 1 BUILDING PERMIT PERMIT #: BLD20100084 OWNER: MENDRO-MENDRO, BENJAMIN S STATUS: APPLIED ADDRESS: 121 GIFFORD AVE,ARLINGTON BALANCE: $0.00 ISSUED: CREATED: 6/28/2010 SCREENS: Select Screen... FUNCTIONS: Select Permit Function... ALTERATION/REMODEL INTERIOR Reviews ADD REVIEW REMOVE REVIEW PRINT CLOSE Review Description 'Assigned To Due Date Last (#) Req? 3 Done? ASSIGN 2000 C-Building I CYOUNG 7/2/2010 0 Y N ASSIGN 2008 C-Community Development I BFECHT 7/2/2010 0 Y N ASSIGN http://coaweb2/permittrax/PermitTraxMain/wfPennitConsoleReviews.aspx?COMMENT=... 6/28/2010 r. �:; 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 ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS, TWO(2) ACCURATE,FULLY DIMENSIONED PLOT PLANS AND ONE(1) CROSS CONNECTION CONTROL SURVEY(if adding plumbing). TYPE OF PERMIT: © Residential Addition Residential Alteration Also Incl�iding: PItiflin_g Mechanical L5 C5 40tyOW460 Project Add- ss l� Parcel ID#: OCR 4- i Lot#: Subdivision: Project Description: y ��7 r(.�� r� ��l" Valuation: Owner: 4y Phone Number: (/ Address: I �� - City: State: uA Zip Code: Phone Number: Contact Person: CL LC� (QL� �� �� Cell Phon .- �- -ax: E-mail: Address:Tn J "1 —4— city: State y :�+ Zip Code: 2 L Building Area(Sq Ft): Isf Floor: 2"d Floor: 3rd floor: Deck: Garage/Carport: Basement: Project Valuation: ✓ (/C'L?`� zJ Contractor: tom/ Phone Number: �� G� I l Address: City: i-` ' State: Zip Code: Contractor's License Number: Expiration: Plumbing Contractor- Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: Mechanical Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- d gd p{g e ty will�/inc rdance with Pe laws, rules and regulation of time State of Washin ton- RECEIVE® %Applicants ignatu a Date JUN 2 5 2010 - `i l Print Applicants Name COA PERMIT CENTER FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Forms—285 Page 1 of 2 04/08 sb 1 . 1 I 1 11 11 I 1 r - 1 1 - I I 1 • 1 1 ._� 1 JL 1 1 1 1 fl 1 111 ' f I � I - f I 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 i Water Supply Piping A. Fixture Units: Number of FixtFesXixture Units=Total Fixture Units B. Distance from meter to most remote outlet: feet. C. Difference in elevation between meter and highest fixture: feet above meter or feet below meter. D. Pressure in street main: psi, (Measure with gauge or check with Water Department) Number of Plumbing Fixtures (Including Rough-Ins) Plumbing Accessory Main Total Fixture Total Number Fixtures Dwelling unit Residence #X Multiplier Fixtures Units Bar Sink X 1.0 = Bathtub or Combination Bath/Shower ✓ s/i X 4.0 = Clotheswasher X 4.0 = Dishwasher Ij X 1.5 = Hose Bibb X 2.5 = Kitchen Sink NVj X 1.5 = Laundry Sink X 2.0 = Lavatory Bathroom Sink v X 1.0 = Shower Stand Alone Each Head X 2.0 = Water Closet(Toilet) ° X 2.5 = Whirlpool Bath or Combination Bath/Shower X 4.0 = Water Heater Other TOTAL 111 Traps(other than above items FIXTURE UNITS: wod I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- de d prope y b in accordance with the laws, rules and regulation of the tate of Washington. Applicants'Sign au ate Prin Appli nts Name FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Forms—285 Page 2 of 2 04/08 sb m - K 1 1 r' 1 I r 1 � I , V 1 I ff ti I T:5 Co 4) SITE PLAN NOTES SITE INFORMATION PROVIDED BY U T I L I T I E S INCLUDE: I T'y- (T' -,',--v 12-L PUBLIC POWER. CABLE & PHONE SPR STOCK PILE AND COVER EXCAVATED SOILS W/IN 24 HRS W/ BLACK PLASTIC. PROVIDE DOWNSPOUT EXTENDERS > UNTIL VEGITATION ADJACENT TO RESIDENCE IS REESTABLISHED. • PROVIDE SILT FENCE AT DOWN HILL SIDE OF AREA OF CONSTRUCTION. MAINTAIN CONSTRUCTION ENTRY THRU OUT PROJECT CONSTRUCTION. CUT/ FILL: EXCAVATED SOIL TO BE USED AS BACKFILL MATERIALS AND FEATHERED OUT FROM THE RESIDENCE 20' rnax. 06/18/2010 'j r-1 I I IMPERVIOUS SURFACE AREA: RESIDENTIAL REMODEL FOR: THE MENDRO FAMILY 121 N. GIFFORD ARLINGTON, WA RECEIVED JUN 2 5 2010 COA PERMIT CENTER