HomeMy WebLinkAbout137 N OLYMPIC AVE_BLD20110099_2026 BUILDING INSPECTION REPORT
G1 'Y �,f Permit No.
Address: _ �3 7 A/ 6L VI)V I&
Contractor:
t�NG�
Owner:
Date: � 2211
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APPROVAL PARTIAL APPROVAL
® VIOLATION CORRECTION REQUEST
Corrections listed below MUST BE MADE before work can be approved
Please contact inspector
Was not able to perform inspection
Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before
/LtGle �,4G e i�!�
Inspector: Date:
® 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:
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BUILDING INSPECTION REPORT
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a Y c�� Permit No. N Address: �J 7 DJL y1)_zj,)/G9��� GContractor: I '�lG
Owner:
Date: S/z 211
APPROVAL PARTIAL APPROVAL
® VIOLATION CORRECTION REQUEST
Corrections listed below MUST BE MADE before work can be approved
Please contact inspector
Was not able to perform inspection
Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before
Inspector: ;141tl, Date: z i/
® 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:
0
CITY OF ARLINGTON
238 N. OLYMPIC AVE.-ARLINGTON,WA. 98223
PHONE: (360)403-3421
BUILDING PERMIT
Address: 137 N OLYMPIC AVE,ARLINGTON Permit#:BLD20110099
Parcel#:00378800601900 Valuation:$16,000.00
OWNER APPLICANT CONTRACTOR
James&Carla Donnelson Doug Bartley Doug Bartley
15727 JIM CREEK RD 19304 Burn Road 19304 Burn Road
ARLINGTON,WA 98223 Arlington,WA 98223 Arlington,WA 98223
Lie#:ACHCIC*054BC Exp: 1/21/2013
PLUMBING CONTRACTOR 4mg MECHANICAL CONTRACTOR
Lie#: Exp: Lie#: Exp:
'JOB DESCRIPTION'-11W. 11EW _
Commercial window replacement and new brick work.
PERMIT TYPE: Commercial PERMIT GROUP: Alteration/Remodel Exterior
STORIES: 0 CONST TYPE:
DWELLING UNITS: 0 OCC GROUP:
CODE: OCC LOAD:
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.
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.IBC 110/IRC1 10.
SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and
coded City of Arlington#3101. f
8i nature Print Name Date Rbl sed B ate f
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ARCHIVE APPLICANT ASSESSOR Q OTHER
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BLD20110099
CONDITIONS
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.
• None
PERMIT FEES
Date Description Fee Amount Paid Balance Due
6/24/2011 Building Permit Fee(QTY: 1) $333.35 $0.00 $333,35
6/24/2011 Building Plan Check Fee(QTY: 1) $216.68 $0.00 $216.68
6/24/2011 State Building Code Surcharge(QTY: 1) $4.50 $0.00 $4.50
Total Due: $554.53 $0.00 $554.53
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
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238 N. OLYMPIC AVE.-ARLINGTON, WA. 98223
_ PHONE: (360)403-3421
PERMIT FEES/RECEIPT
DATE: Tuesday, June 28, 2011 PERMIT#: BLD20110099
PROJECT ADDRESS: 137 N OLYMPIC AVE, ARLINGTON
LOCATION:
OWNER;: James & Carla Donnelson
15727 JTM CREEK RD
ARLTNGTON,WA 98223
(360)403-1916 EXT:
FEE S U1JiYfARY
D"Ite Description Fie Amount Paid Balance Due
6/24/201 1 Building Permit Fee(QTY: 1) $333.35 ($333.35) $0.00
6/24/2011 Building Plan Check Fee(QTY: 1) $216.68 ($216.68) $0.00
6/24/201 1 State Building Code Surcharge(Q'l'Y: 1) $4.50 ($4.50) $0.00
Total Due: $554.53 ($554.53) $0.00
r—rt5.1RE EST1,11,1TED BASED ON INFORiIIAT ION PROVIDED,dT SUBYWITTAL-SUBJECT TO CHANGE
PAYNIEiNT TRANSACTIONS:
Date Receipt# :tilethod/Payee Paid
6/23/2011 REC002103 Check 2646/James&Carla Donnelson ($554.53)
Building Permit Fee ($333.35)
Building Plan Check Fee ($216.68)
State Building Code Surcharge ($4.50)
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BLD20110099(PT-LIVE)-PermitTrax by Bitco Software-Microsoft Internet Explorer provided by City of Arlington I
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BUILDING PERMIT PERMIT#:BLD20110099
3 OWNER:Donnelson,Jaynes&Carla STATUS:APPLIED
ADDRESS:137 N 01-Y6a1PIC AVE.ARLINGTON BALANCE:$0.00
ISSUED: CREATED:612412011
SCREENS: Select Screen.. FUNCTIONS_'Select Permit Function.._
ALTERATIONi(REIvIDDEL EXTERIOR
REVIEWS
2000 C-Building I CYOUNG 6a812011 0 Y N Assign Remove
2008 C-Community Development I SBLACKER 612812011 0 Y N Assign Remote
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M-"CELLANEOUS 0`11ILDING
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 MUST BE ACCOMPANIED BY THREE(3) SETS OF CONSTRUCTION DRAWINGS, THREE(3)
ACCURATE, FULLY DIMENSIONED PLOT PLANS AND ONE(1) SETS OF ENERGY CODE APPLICATIONS(IF
APPLICABLE).
Type of Permit: (check one) ( ) Residential ( ommercial Valuation: c� dG�� �-q
Project Address: t 3 77 ��" ���I°c Parcel ID#: o 0 3`� o �n(n C:A. �rn
Lot#: Subdivision:
Building Area (Sq Ft) No.
rof;—floors: Number of Buildings:
Owner: ��[l .-� CC}ltC� _J vsvo�`__c._�, Phone Number.
Address: E P �p"f i �, < ` 6: City: ''� S "' State: �C� Zip Code: 0
Scope of Work: rce lCe.-P— w•`�e�(a)Cx D5 >r��
A detailed site plan/vicinity map, and construction drawings may be required depending on the scope of work. Please verify this with a
Community Development Permit Technician prior to submitting application for review.
Contractor- r'`"` r C,�' Phone Number: 3(e
Address: f q � "� ®� City: State: " Zip Code: g�23
Contractor's License Number: A 5Y Bc Expiration: I /2/ /7-0/ 3
1 hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulations of the State of Washington.
Applicants Signature Date
C CL �\ c,- t I'Ll
Print Applicants Name
v •� l �'�..� Y 1 COA PERMIT CENTER
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FOR�TAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms—283 Page 1 of 1 ___ 04/08 sb
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