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Home My WebLink About105 COX AVE_BLD20130020_2026 lilt, J- CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA 98223 PHONE:(360)403-3551 BUILDING PERMIT Address:105 COX AVE,ARLINGrON Permit#:BLD20130020 Parcel#:00461803900500 Valuation:$25,000.00 0 PPLICANT CONTRACTOR RIVERSIDE MOBILE HOME PARK RIVERSIDE MOBILE HOME PARK FRED HORSLEY JANET L STIMACH BOB WYANT PO BOX 764 1920 S SPOKANE ST 105 E COX AVE PUYALLUP,WA 98371 SEATTLE,WA 98144 ARLINGTON,WA 98223 Lic#:HORSLF*028LT Exp:08/31/13 PUAIBING CON TRACTOR MMFANICAL CONTRACTOR Lie#: Exp: Lie#: Exp: JOB DFSCRIPTION - -4. — Mobile Home PERMIT TYPE: Residential-Residential-New CODE YEAR: STORIES: 0 CONST TYPE: DWELLINGUNITS: 0 OCC GROUP: BUILDINGS: 0 OCC LOAD: PHOW ALPPROVAL 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 HISJHER 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. c Signs re Print Name Date Released Date ARCHIVE APPLICANT ASSESSOR OTHER BLD2013002_0 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 [�atev.,, �_1etcci4tl_ Fee Amount Paid Balance Due 02/07/13 Building Permit Fee(QTY-.1) $500.00 $0.00 $500.00 Total Due: $500.00 $0.00 $500.00 CALL FOR MSPF"ONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon. BLD20130020 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. • 1.Support and bracing per ANSI Standard • 2.L&I electrical inspection AIM Pu nirr r F:Ps Date Descripxion Fee Ainoum Paid Balance Due 02/07/13 Building Pennit Fee(QTY.1) $500.00 $0.00 $500.00 Total Due: $500.00 $0.00 $500.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon. ,: I I li Ad UFACTURED /MOBILE HOME 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 TWO (2) ACCURATE, FULLY DIMENSIONED PLOT PLANS, TIEDOWN LOCATIONS, SPECIFICATIONS FOR TIEDOWNS AND BLOCKING, PORCHES, DECKS AND ENTRY STAIRS. Location of Installation: Client's N�e� /4 1/ Phone Number: , 2 Address: 4- , C O X City: A,-/n/L/,T`o/'c) State: WA Zip Code Lot number: Valuation: When acting as the general contractor for installing Manufactured Homes/Mobile Homes, the following requirements must be met per the Washington Administrative Codes. WAC 296-15OM-0330-Who may install a manufactured home? 1. A manufactured home may be installed by: • Homeowner • A certified installer • An individual who is supervised by an on-site certified installer; or • A specialty trades person, for certain aspects of installation. 2. A certified installer must be a registered contractor or his or her employee, or an employee of a registered dealership. Contractor's Name: xs L /: �z Phone#: Address: P O /,C y/2/. / Gt P \A//), -;Zr5 S 7/ L&I Number:,W/t>o f�C?R,S 4/=' G f3LT City Business License#: I hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will be responsible for providing a method of safely accessing roof for inspection. G�e/trrt��Ge�-� ntractor's Signature ,� DaWd i Installer's Name: V IC /2AAl I-J4 Lc L f AZ Cr Phone#: /'�00 -`7�5 6�61 Address: . 3(9 H n Sr-,e 14-4 C:o 1:22 &zd e S, 161 tz 0 Y 7�-v i�'�� L/? Y8 '5f L&I Number: l) City Business License#: 60,cz TG GC_- O 1 ;7-2 � CITY OF ARLINGTON , e RECEIVED FOR S AFF USE ONLY FEB O )300� - y- COAPERMIT CENTER Fite-rind# Accepted By Amount tcjify 11 Receipt# Date Received WEB Form—286 Page�1 of 1 NO rll I1 AU'fl iORIZED 7/10CJY UNLESS APPROVED BY THE BUILDING INSPECTOR - -- i ��"�09' 1' T r �'�: � BLD20130020 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 BUILDING PERMI . ) PERMIT#: BLD20130020 OWNER: RIVERSIDE MOBILE HOME PARK-STIM... STATUS:APPLIED i ADDRESS: 105 COX AVE,ARLINGTON BALANCE: $500.00 ISSUED: CREATED: 2/7/2013 SCREENS:I Select Screen... FUNCTIONS: Select Permit Function.... RESIDENTIAL-RESIDENTIAL-NEW REVIEWS PRINT ADD NEW SUMMARY COMME... ID DESCRIPTION ASSIGNED.. DUE DA... LAST (#) REQ? DON... ASSIGN � REMOVES 2000 C-Building I CYOUNG 2/14/20... 0 Y N j 2008 C-Community Developme... ARUSKO 2/14/20... 0 Y N (� �25- https:Hcoapermits.arlington.local/PermitTrax/Module Permits/Pennits_Permit/Permit Reviews.asp... 2/7/2013 Westspan Hauti DOT # 0006n4,- 1"w48 WUTC # CCmM0129 ,'7,. 5 '"WEESTSPAN HAULING INC. 3SS0 Steilacoom Blvd, S.W. 4204 * Tacoma, WA 95499 1-500-456-6079 * 1-253-588-3465 * Fax: 588-7057 Transporter of Manufactured Homes i - � � Oci 20 11 03:48p Fred Horsley (253)626-0648 p 1 K'n 10 ;th eL It'd -1H101 CERTIFIED AS PROVIDED BY LAW AS M',N.UF HO)a NSTALLER Please Remove CERT.IN E}2.DATE MOD H0RSL?wO28LT .6rlf?01= Alld Sign EFFECT EVE DATL 8/1SP-010 IC�Eni1t1C�]t1Un and Before Placinu In HOF5LF4',r'RED Billfold PO B0X 764 PLYALLUP R'•A 90.71 Si,ina ure j Issued by 1)E1I,-1RTN1L"NT OF LABOR AND INDLISTRILS J 1 �Y.I L: I I 1 I� Contractors or Tradespeople Printer Friendly Page Page 1 of 1 Business and Licensing Information Name HORSLEY, FRED UBI No. Phone Status Active Address License No. HORSLF``028LT Suite/Apt. License Type Manufactured Home Installer City Puyallup Effective Date 8/18/2010 State WA Expiration Date 8/31/2013 Zip 98371 Suspend Date County Pierce Specialty 1 Unused Specialty 2 Unused Infractions/Citations Information No records found for the previous 6 year period Education Information No continuing education credits have been reported for the next/current renewal https:Hfortress.wa.gov/lni/bbip/Print.aspx 2/7/2013 ...� _ ' I ZON20130001 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 DEVLPMNT REVIErr)COMMITTEE PERMIT#: ZON20130001 OWNER: RIVERSIDE MOBILE HOME PARK-STIM... STATUS:APPLIED ~ ADDRESS: 105 COX AVE,ARLINGTON BALANCE: $0.00 �� ISSUED: CREATED: 1/29/2013 SCREENS: Select Screen... FUNCTIONS: Select Permit Function... E GENERAL- BLD REVIEWS PRINT ADD NEW SUMMARY COMME... ID DESCRIPTION ASSIGNED. DUE DA... LAST (#) REQ? DON... ASSIGN j REMOVE 1002 P-Engineering I LPETERSON 2/l/2013 0 Y N �} ( 1014 P-Public Works I MHAYES 2/l/2013 0 Y N (� („ 1020 P-Sewer FRAPELYEA 2/1/2013 0 Y N (� (� 1028 P-Water EANDERS... 2/l/2013 0 Y N 1032 P-Utilities I LTAYLOR 2/l/2013 0 Y N 0 („ 2000 C-Building I CYOUNG 2/1/2013 0 Y N 2008 C-Community Developme... ARUSKO 2/l/2013 0 Y N ( 2014 C-Planning I TDAVIS 2/l/2013 0 Y N https:Hcoapermits.arlington.local/PertnitTrax/Module Permits/Permits—Permit/Permit Reviews.as... 1/29/2013 i i F RESIDENTIAL SUBMITTAL REQUIREMENTS City of Arlington•238 N Olympic Ave.Department Arlington,WA 9 223 Pho 60)40� t 551 • FAX(360)403 3418 ZONING VERIFICATION APPLICATION 72 hour turnaround Date: � �� „ Address: ,1 d •; ', C o Plat: Owner/Applicant: i3 / N A/ Signature: Verification o -curacy and agr ment to f ow the City of Arlington Municipal Code Phone: (h) �-- / 1. Please check one: PA a. Single-family dwelling b. Duplex c.Addition d.Accessory structure 2. Proposed Dimensions: V1) L} H) r� Total SF) ,2 3. Allowed Lot Coverage: Total Lot Size SF x 35% = SF 4. Actual Lot Coverage: (SF of all structures) — (lot size) = % (This square footage should include the footprint area of all structures on the property including: house, garages, sheds, covered patios, and decks permitted by the building code) 5. Septic Tank? f so please provide Snohomish County Health Department approval and indicate on site plan. 6. How many trees greater than 12" diameter to be reriloved? If any please indicate on site plan. 7. Describe Proposal (include cross street): 00U O� wF V%./ OFFICIAL USE ONLY PROPERTY ZONED _ APPROVED —Q— DENIED _ DATE INT s .� � � � .. . , �., _ r: � �� y � . � Aq /A� P )c-,'oPERTY Llrvr z�.5 q � �� 2 •s' 1 0� f Lu Q . i I t t c o X t r l A: ,e,i-11vc,1-ro" VVAIF , -. fill Ijil i f RESIDENTIAL SUBMITTAL REQUIREMENTS City of Arlington•238 N Olympic Ave.Department WA 9 223 Pho e flDevelopment 0)403 551 •FAX(360)403 3418 ZONING VERIFICATION APPLICATION 72 hour turnaround Date: � --oZ � Address: ^ , Cox Plat: Owner/Applicant: AA N iv /?mil,*G f,J Signature- Verification o ccuracy and ag► ment to f ow the City of Arlington Municipal Code Phone: (h) --.�-�'�?�_-�I- � � .�'C� mac) 1. Please check one: a a. Single-family dwelling b. Duplex c.Addition d.Accessory structure 2. Proposed Dimensions: 1/1n�. L) H) —13 Total SF) ,2 3. Allowed Lot Coverage: Total Lot Size SF x 35% = SF 4. Actual Lot Coverage: (SF of all structures) (lot size) = % (This square footage should include the footprint area of all structures on the property including: house, garages, sheds, covered patios, and decks permitted by the building code) 5. Septic Tank? f so please provide Snohomish County Health Department approval and indicate on site plan. 6. How many trees greater than 12"diameter to be removed?_ If any please indicate on site plan. 7. Describe Proposal (include cross street): _Z,.ygg no 4 A,,two IV O� �� V` OFFICIAL USE ONLY [PROPERTYZONED " _ APPROVED DENIED DATE INT i a Ile S CALF PPOPE,97—Y �,]Nr Y ' zz.s �9 , ,/ az •s ?a /O i • j I