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HomeMy WebLinkAbout19220 59TH DR SE UNIT 18_BLD20120149_2026 Pic I ) M BUILDING INSPECTION REPORT ZAA Y � Permit No. Address: ./9�oZ. 5-Y-29Z l&W 41NG10 Contractor: Owner: TSD� Date: 7,� /L APPROVAL ® PARTIAL APPROVAL ® VIOLATION fj 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: o Date: 7 ..T1/Z —7 ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork ® Mechanical ® Grid 9 Struct. Slab ® Wood Stove ® Rough-in >Qinal ® Masonry ® Drainage ® Insulation ® Other: fill r BUILDING INSPECTION REPORT GAc v ��^ Permit No. /�'q r D Address: 1 QDO Z 3M'00 Contractor: Owner: ,or�e►1 Date: 7//�e�/� �J 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: 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: Is �• A •ems •^• - �... ••• • :i - �-. c-av .ram... .. • ., `� � .. . �}1 v/h-,t•,`_ .. • C 1 CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA 98223 PHONE:(360)403-3551 BUILDING PERMIT Address:19002 59TH DR NE,ARLINGTON Permit#:BLD20120149 Parcel#:31051500300103 Valuation:$40,000.00 O APPLICANT CONTRACTOR JOHNSON HANGARS KEN'S TRACTOR COMPANY KEN'S TRACTOR COMPANY BARBAR JOHNSON JESS BRANTNER KEN VANASSHE 24005 13TH AVE NE PO BOX 1098 PO BOX 1098 ARLINGTON,WA 98223-9040 SULTAN,WA 98294 SULTAN,WA 98294 Lie#:KENSTC*145J8 Exp:5/15/2014 PL - RA 1�IIyx Oc yTRAC1OR'''i Lie#: Exp: Lie#: Exp JOB DESCRIPTION - T.I.for Office Space PERMIT TYPE: Commercial PERMIT GROUP: Tenant Improvement/Non Structural STORIES: 1 CONST TYPE: II-B DWELLINGUNITS: 0 OCC GROUP: B CODE: 2009 IBC OCC LOAD: 11 PiRw 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.IBC110/IRC110. 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. ignature Print Name ate eleased By Date ARCHIVE = APPLICANT ASSESSOR OTHER BLD20120149 CONDMONS 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 11FRAIrr Date Description Fee Amount Paid Balance Due 6/20/2012 Building Permit Fee(QTY.1) $696.50 ($696.50) $0.00 6/20/2012 Building Plan Check Fee(QTY:1) $452.73 ($452.73) $0.00 6/20/2012 State Building Code Surcharge(QTY.1) $4.50 ($4.50) $0.00 Total Due: $1,153.73 ($1,153.73) $0.00 CALL FOR INSPECTIONS BUIIAINGENGPMMINC/PARKS/UlUff'IES/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 BLD20120149 (PT-LIVE) -PermitTrax by Bitco Software Page 1 of 1 s BUILDING PERMI. PERMIT#: BLD20120149 Va OWNER: JOHNSON HANGARS-JOHNSON, BAR... STATUS:APPLIED ADDRESS: 19002 59TH DR NE,ARLINGTON BALANCE: $0.00 ISSUED: CREATED: 6/19/2012 SCREENS: Select Screen... FUNCTIONS: Select Permit Function... - TENANT IMPROVEMENT/NON STRUCTURAL REVIEWS PRINT ADD NEW SUMMARY REVIE.. DESCRIPTION !ASSIGNE.. DUE DATE LAST (#) REQ7 DQ.. ASSIGN REMOVE 2000 C-Building I CYOUNG 6/20/2012 0 Y N Assign Remove 2008 C-Community Development I ARUSKO 6/22/2012 0 Y N Assign Remove 3004 X-Fire TCOOPER 6/20/2012 0 Y N Assign Remove �' k xx https://coapermits.arlington.local/PermitTrax/Module_Permits/Permits...Permit/Permit_Reviews.as... 6/19/2012 t I I Y COMMERCIAL REMODEL: PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3418 THIS APPLICATION MUST BE ACCOMPANIED BY THREE(3) SETS OF CONSTRUCTION PLANS, THREE(3) SETS OF SPECIFICATIONS, TWO(2) SETS OF STRUCTURAL CALCULATIONS, ONE(1) SETS OF NREC ENERGY CODE APPLICATIONS AND ONE(1) OCCUPANTS'S STATEMENT OF INTENDED USE. Type of Permit: U Commercial Remod I Commercial Addition �enant Improvement Project Address: C O d �.�/� �� / Q /� Parcel It#: / S�j 30�/,01 Project Description: Legal Description: Project Valuation: I Owner: li-x-4 Ton Q/L) Phone Number: Address: 2.EfC70.s /3Q ��4 vim/" -City: �L��CI �'n State: Zip Code: 9��Z� Contact Person: .J'Gz'�S' ll�iniC ►�STiC� Phone Number: Cell Phone: Fax: E-mail: Address: City: State: Zip Code: Contractor: l (4 1 Phone Number: Q 2J` _2� V ' V_?0 Address: /0 0 q � City: Styl1q vt State: .LV4 Zip Code: Pel+956 Contractor's License Number:_ �� �� ZC /4j- Expiration: S- --(J` r - I tL Plumbing Contractor:_ _. � Phone Number: G 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 construct"o on, a d the occupancy and the use of the above- descr' a property will-b in accordance wi the laws, rules and regulation o th State f Washington. 6 Z A pl'cants Signatu a Date Print Applicants Name RECEIVED FOR STAFF USE ONLY COA PERMIT CENTER Permit# Accepted By Amount Received Receipt# Date Received Web Forms—146 Page 6 of 7 7/10CJY I I i t . .,���. COMMERCIAL REMODEL PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3418 The building permit does not include any mechanical,electrical, plumbing or fire sprinkler/alarm work. These permits are issued separately. Mechanical, electrical, plumbing,or fire sprinkler/alarm permits require a separate permit application and may also require separate plan review. Please note that any tenant improvement work in a space that involves food handling or preparation requires Snohomish County Health District approval before the permit can be issued.You must provide the Permit Center a copy of the approval letter or the approved plans. Contact the Snohomish County Health District at(425)339-5250 with any questions or for more information. An intake appointment is required for all large Tenant Improvement Building Permit Applications.To determine if your project requires an intake appointment,to schedule an appointment or to ensure that you have the most current information, please contact the City of Arlington Permit Center at(360)403-3551 or by email to perrnitcenter@ci.arlinpton.wa.us. Application by courier or mail will not be accepted. Incomplete applications will not be accepted. I acknowledge that all items designated as submittal requirements must accompany my Building Permit Application to be considered a complete submittal. 4 Signature: Date: �`•"`� �l Owner/Owner's Representative r Company: Phone: RECEIVED 'JUN 19 2012 COA PEW CEN R Web Forms—146 Page 5 of 7 7/10CJY v� r f t OP W Contractors or Tradespeople Printer Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with LEI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name KEN'S TRACTOR CO UBI No. 600334455 Phone 4255137265 Status Active Address Po Box 1098 License No. KENSTC145J8 Suite/Apt. License Type Construction Contractor City Sultan Effective Date 4/28/1986 State WA Expiration Date 5/15/2014 Zip 98294 Suspend Date County Snohomish Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Expiration Status Date Date KEN'S Sanitation KENSTC`15000 TRACTOR Construction System Side Excavation/Grading1/20/1985 4/15/1986 Archived COMPANY Contractor Sewer Business Owner Information Name Role Effective Date Expiration Date VAN ASSCHE, KEN W Owner 01/01/1980 Bond Information Bond Bond Company Name]Bond Account NumberlEffective Date Expiration Date Cancel Date Impaired Date(Bond Amount Received Date 4 RLI INS CO RSB9000094 104/15/2002 Until Cancelled $12,000.0004/01/1962 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 18 Omega US ous002000962 03/06/2012 03/06/2013 $1,000,000.00 03/16/2012 Insurance Inc 17 OMMEGA US INS OUS002000792 03/06/2011 03/06/2012 $1,000,000.00 03/03/2011 OMEGA U.S. 15 INSURANCE, OUS002000553 03/06/2010 03/06/2011 $1,000,000.0003/09/2010 INC. 14 OMEGA US OUS002000256 03/06/2009 03/06/2010 $1,000,000.00 03/10/2009 INSURANCE 13 ATLANTIC CAS M1250000061 04/19/2008 04/19/2009 02/04/2009 $1,000,000.0004/16/2008 INS CO 12 ATLANTIC CAS M1250000060 04/19/2007 04/19/2008 $1,000,000.0004/04/2007 INS CO 11 ATLANTIC CAS M0880001282 04/19/2006 04/19/2007 $1,000,000.00 04/14/2006 INS CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx v 6/19/2012 i � � i, Page 2 of 2 Close Window RECEIVED JUN 19 2012 OOA PERMIT CENTER 8UJ 9D1a-0I q9 http://www.snoco.org/app2/propsys/PropInfo05-StructData.asp?parcel=31051500300100... 6/13/2012 r _� � i ;^ � . , �I - �. 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