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:
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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:
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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
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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
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https://coapermits.arlington.local/PermitTrax/Module_Permits/Permits...Permit/Permit_Reviews.as... 6/19/2012
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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
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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
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Company: Phone:
RECEIVED
'JUN 19 2012
COA PEW CEN R
Web Forms—146 Page 5 of 7 7/10CJY
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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
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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
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