HomeMy WebLinkAbout17410 84TH AVE NE_BLD20120153_2026 Property Address: } A
Conditioned Floor Area �A 0 y Date i Z-
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Ceiling: Vaulted R- Floors Over unconditioned space R-
Attic R- Slab on grade floor R-
Walls: Above grade R- Doors R-
Below,int. R- R-
Below,ext. R- R-
U-Factors andSHCC
NFRC rating(or) Windows U- SHGC-
Default rating(Chapter 10 wsEC 2009) Skylights U- SHGC-
Chapter 9 option(s) Total Chpt:9 Cf edift
Heattnl„P Cooling ADomesileHot Water
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BUILDING INSPECTION REPORT
-,rY �,� Permit No.10- — 0153 _
Address:
9+ Contractor:
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Owner: t"or►�e.,�S7�n��
Date: 77
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: Z
® Under-floor ® Framing ® Gas Piping
® Footing ® Drywall, nailing ® Consultation
® Foundation f<Shear Nailing ® Groundwork
® Mechanical ®Grid ® Struct. Slab
® Wood Stove ® Rough-in ® Final
® Masonry ® Drainage ® Insulation
® Other:
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BUILDING INSPECTION REPORT
G .V Y � Permit No. 1 53
Address: 1711!D ?�� Aw_,
Contractor: �Q rnGYS-1-bne✓
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Owner: �,o nY err f bnC,
Date: $ - 3- /�-
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:
Date: /2
® 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
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PERMIT T
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2009 PEAT
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I AGREE TO COMPLY OCC LOAD. R-3
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• 360 403-3506. place the brass
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• Protect existing
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` See Redlined drawings -�' �$'20 .00
'$A 00- $0.00 $2,210.62
$110.00 $0.00 $1,475.90
DAte ccii>t�°n $2,270.62 $0.00 $4.50
7/2/ - Pern" Fee $1� $4,066.02
2012 Plumbing it Fee 475.90 $0.00
7/?✓2012 Mechanical Perm TY.1) $4.50 $0.00
t Fee(Q
7/2/2012 Building Plan Check Fee(Qry..1) ) $4,066.02 -
2/2012 Building Code Surcharge(Q .1 `
Total Due: --,
7/2/2p12 State Building -
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C-Footings
C-Foundation wall
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C-plumb Rough In
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C-Fquip
C-ShearNailing- erI°r
C-Franing
C-liisulationlCaulk
C-Sheetroc Final
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C-Building
GROof Drains
;LD20120153 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1
BUILDING PERMIT PERMIT#: BLD20120153
OWNER: CORNERSTONE HOMES NW, LLC- I... STATUS: APPLIED
f ADDRESS: 17410 84TH AVE NE,ARLINGTON BALANCE: $0.00
.� ISSUED: CREATED: 6/27/2012
SCREENS: Select Screen. FUNCTIONS: Select Permit Function...
SINGLE FAMILY RESIDENCE NEW
REVIEWS PRINT ADD NEW SUMMARY
REVIE... DESCRIPTION ASSIGNE... DUE DATE LAST (#) REQ?DO... ASSIGN REMOVE
2000 C-Building I CYOUNG `;i7/3/2012 0 Y N Assign Remove
2008 C-Community Development I BFECHT 7/3/2012 0 Y N Assign Remove
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https:Hcoapermits.arlington.local/PermitTrax/Module Permits/Permits_Permit/Permit Rev... 6/27/2012
_�ti
RESIDENTIAL PERMIT
SUBMITTAL
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3551 • FAX (360)403 3418
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: (ED Residential Addition ED Residential Alteration
Also Including: CP Plumbing (ED Mechanical
Project Address
17410 84th AVE NE Parcel ID#: 0108920001500
Lot#: 15 Subdivision: Eagle Heights
Project Description New SFR Valuation:
Owner: Cornerstone Homes NW LLC Phone Number: 425-338-5888
Address: PO Box 14424 City: Mill Creek State: WA Zip Code: 98082
Contact Person:JP Lampinen Phone Number: 425-338-5888
Cell Phone: 425-923-0926 Fax: E-mail: ip@cornerstonehomes.us
Address: PO BOX 14424 City: Mill Creek State: WA Zip Code: 98082
Building Area(Sq Ft): 15t Floor: 680 2nd Floor: 1424 3`d floor:
Deck: Garage/Carport: 500 Basement:
Project Valuation:
Contractor:actor: Cornerstone Homes NW LLC Phone Number: 425-338-5888
Address:
PO BOX 14424 City: Mill Creek State: WA Zip Code: 98082
Contractor's License Number: CORNEHN9470A Expiration: 9/1/2012
Plumbing Contractor,Advanced Plumbing Phone Number: 425-348-5100
Address- 9630 145th ST SE City: Snohomish State: WA Zip Code: 98296
Contractor's License Number: ADVANPL917LS Expiration:
Mechanical Contractor: Innovative Comfort Systems Phone Number: 425-268-0863
Address: 17405 Snohomish Ave City: Snohomish State: WA Zip Code: 98296
Contractor's License Number: INNOVCS895PM Expiration: 10/14/2013
I he b certify that th above information is correct and that the construction on, and the occupancy and the use of the above-
de rib d property ' be in accordance with the laws, rules and regulation of the tate of ashington.
z__
plicants Signat re Date RECEIVED
M ED
Tq6
JUN 2 C 2012
Print Applicants Name
FOR STAFF USE ONLY
L 153 gK
Permit# Accepted By Amount Received Receipt# Date Received
it
i
RESIDENTIAL PERMIT
SUBMITTAL
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418
Number of Plumbing Fixtures (including Rough Ins)
Accessory Main Total Fixture Total Number Fixtures
Plumbing Fixtures Dwelling Unit Residence Unit#x Units
Multiplier
Bar Sink 0 X 1.0 = 0
Bathtub or Combination Bath/Shower 3 X 4.0 = 12
Clotheswasher 1 X 4.0 = 4
Dishwasher 1 X 1.5 = 1.5
Hose Bibb 2 X 2.5 = 5
Kitchen Sink 1 X 1.5 = 1
Laundry Sink 0 X 1.5 = 0
Lavatory(Bathroom Sink) 3 X 1.0 = 3
Shower(Stand Alone)Each Head 0 X 2.0 = 0
Water Closet(Toilet) 3 X 2.5 = 7
Whirlpool Bath or Combination X 4.0 =
Bath/Shower
Water Heater 1
Other Total Fixture
Units 33.5
Traps(other than above items)
Column Totals 15
Estimated Project Valuation
Building Square Footage 2104
15t Floor 680 2nd Floor 1424 3rd Floor
Basement Deck Garage 500
Water Supply Piping
A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units
B. Distance from meter to most remote outlet: 50 feet.
C. Difference in elevation between meter and highest fixture: 16 feet above meter or feet below meter.
dD. Pressure in s re main: psi. (Measure with gauge or check with Water Department)
I certify that h above information is correct and that the construction on, a d the occupancy and the use of the above-
dd property w' a in accordance with the laws, rules and regulation oft State fa,5hington.
Z'
A icants Signature L Date
8
RESIDENTIAL PERMIT
SUBMITTAL
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 or plumbing work. These permits are issued
separately. These permits require a separate permit application.
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 Permit Center.
Applications delivered by courier or mail will not be accepted.
Incomplete applications will not be accepted.
/acknowledge that all items d 'gnated as submittal requirements must accompany my Building Permit
Application to be nsidered c mplete submittal.
Signature: = Date: (/� 2-
0 t ner/OZ's Representative
Company: _Come Homes NW LLC Phone: 425-338-5888
6
' RESIDENTIAL PERMIT
SUBMITTAL
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3551 • FAX(360)403 3418
CROSS CONNECTION SURVEY FORM
Forward to Utilities Division for Review
Type of Residence: ❑✓ Single-Family ❑ Duplex ❑ Other
The Rules and Regulations of the State of Washington Department of Health require that certain premises install
backflow prevention assemblies (WAC 246.290.490). Backflow prevention assemblies shall be installed at any
premise where, in the judgment of the City of Arlington Cross Control Specialist, the nature of activities on the
premises may pose a hazard to the public water system.
Type of Permit: (a New Residential ® Addition/Alteration
Project Description:New S F R
Project Address: 17410 84th AVE N E Parcel lD#: 0108920001500
Owner: Cornerstone Homes NW LLC Phone Number: 425-338-5888
Address PO BOX 14424 City: Mill Creek State: WA Zip Code: 98082
Contact Person: JP Lampinen 425-338-5888
Phone Number:
Cell Phone: 425-923-0926 Fax: E-mail: jp@cornerstonehomes.us
PO BOX 14424 Mill Creek WA 98082
Address: City: State: Zip Code:
Appliances permanently connected to water service may require
Cross-Connection-Control (check all that apply)
❑ Fire Sprinkler System ❑ Medical Equipment
❑ Lawn Sprinkler System ❑ Livestock Drinking Tanks
❑ Decorative Pond/Fountain ❑ Private Well
❑ Hot Tub ❑ Re-circulating Heating System
❑ Swimm'hg P o
9 f ❑ Other
Authorized Signature: Date: Z' !�
For Office Use Only
Date Received Survey Received By:
Assembly Required: ❑ DCVA ❑ RPBA ❑ AVB ❑ Other JUN C
zoo
Inspection Required YES ❑ NO ❑ 'a0w ZQ 1 ZOIDG y
C0A PERMIT CE;s R
4Jz6 I Zo)JD
r
I
- ' RESIDENTIAL MECHANICAL
i 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) SETS OF CONSTRUCTION DRAWINGS, TWO(2) SETS
OF SPECIFICATION SHEETS AND TWO(2) SETS OF WASHINGTON STATE ENERGY CODE(if applicable).
Project Valuation:
11RD a l () UX) 015 00
Project Address:17,3,1"4th AVE NE Parcel ID#: 01111 200"000
Lot#: Js /5- Subdivision: Eagle Heights
Project Description: New SFR
Owner: Cornerstone Homes NW LLC Phone Number: 425-338-5888
Address: PO BOX 14424 City, Mill Creek State: WA Zip Code: 98082
Contact Person:JP Lampinen Phone Number: 425-388-5888
Cell Phone: 425-923-0926 Fax: E-mail: jp@cornerstonehomes.us
Address: PO BOX 14424 City: Mill Creek State: WA Zip Code: 98082
Please List quantity of fixtures below:
+ FURNACE UP TO 100K BTU + CLOTHES DRYER 4 GAS OUTLETS
FURNACE OVER 100K FLOOR FURNACE SUSPENDED HTR/UNIT HTR
BOILER UP TO 3 HP APPLIANCE REPAIR SOLID-FUEL APPLIANCE
BOILER UP TO 4-15 HP AIR HANDLING UP TO 10K CFM + FIREPLACE INSERT
BOILER UP TO 16-30 HP AIR HANDLING OVER 1OK CFM VENTILATION SYSTEM
HEAT PUMP VENTILATION FANS OTHER
+ VENT HOOD DOMESTIC INCINERATOR
ALL OTHER UNITS FREESTANDING STOVE
Contractor: Innovative Comfort Systems Phone Number: 425-268-0863
Address:
17405 Snohomish Ave City: Snohomish State: wA Zip Code: 98296
Contractor's License Number: INNOVCS895PM Expiration, 10/14/2013
I her by ertify that the a information is correct and that the construction on, and the occupancy and the use of the above-
des ribed roperty will be n ccordance with the laws, rules and regulation of
the State of W shington.
JP LarnpinekApp' nts Signature Date
JP Lampinen
P Applicants Name
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
2010 CJY
l'
i�
• 1 li
Contractors or Tradespeople Printer Friendly Page Page 1 of 2
General/Specialty Contractor
A business registered as a construction contractor with L&I 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 CORNERSTONE HOMES NW LLC UBI No. 602584939
Phone 4253389777 Status Active
Address Po Box 14424 License No. CORNEHN9470A
Suite/Apt. License Type Construction Contractor
City Mill Creek Effective Date 9/1/2006
State WA Expiration Date 9/1/2012
Zip 98082 Suspend Date
County Snohomish Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Other Associated Licenses
Specialty Specialty Effective Expiration
License Name Type Status
1 2 Date Date
KEYSTLL9430H KEYSTONE LAND Construction General Unused 9/8/2006 9/8/2012 Active
LLC Contractor
IMPOLHI023CA IMPOLA HOMES Construction General Unused 2/1/1998 7/30/2000 Archived
INC Contractor
BIGSKE"055CA BIG SKY Construction General Unused 2/1/1995 2/1/1998 Archived
ENTERPRISES Contractor
CORNERSTONE Construction Re
CORNEH"009N9 HOMES Contractor General Unused 8/29/2000 '9/3/2006 Licensed
Business Owner Information
Name IRole Effective Date Expiration Date
IMPOLA,MICHAEL D Partner/Member 09/01/2006
Bond Information
Bond Bond Company Name Bond Account Numberl Effective Date Expiration Date Cancel Date Impaired Date Bond Amount(Received Date
1 DEVELOPERS SURETY 447589C 08/29/2006 Until Cancelled $12,000.00 09/01/2006
&INDEM CO
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
5 New Hampshire 01LX0044146444 I03/01/2012 03/01/2013 $1,000,000.00 02/29/2012
Insurance Co
NEW
4 HAMPSHIRE 01 LX0044146442 03/01/2011 03/01/2012 $1,000,000.00 02/01/2011
INSURANCE
COMPAN
NEW
3 HAMPSHIRE INS 01LX0044146440 03/01/2008 03/01/2011 $1,000,000.00 02/02/2010
CO
WESTERN
2 PACIFIC WPGL4600023007 03/01/2007 03/01/2008 $1,000,000.00 01/23/2007
MUTUAL INS CO
WESTERN
1 PACIFIC WPGL4600023006 03/01/2006 03/01/2007 51,000,000.00 09/01/2006
MUTUAL INS CO
https://fortress.wa.gov/lni/bbip/Print.aspx 6/13/2012
Contractors or Tradespeople PriFriendly Page Page 2 of 2
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 6/13/2012
r-L
Contractors or Tradespeople Printer Friendly Page Page 1 of 1
General/Specialty Contractor
A business registered as a construction contractor with L&I 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 ADVANCED PLUMBING LLC UBI No. 602210055
Phone 4253485100 Status Active
Address 9630 145Th St Se License No. ADVANPL917LS
Suite/Apt. License Type Construction Contractor
City Snohomish Effective Date 6/10/2009
State WA Expiration Date 6/10/2013
Zip 98296 Suspend Date
County Snohomish Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Other Associated Licenses
License Name Type Specialty Specialty 2 Effective Expiration Status
1 Date Date
ADVANCED Construction Boiler/Steam
ADVANPH033MC PLUMBING& Contractor Plumbing Fit/Proc Piping 7/3/1997 9/25/1998 Archived
HEATING
ADVANPL981MQADVANCED Construction Plumbing Other(Specify) 7/18/2002 7/18/2006 Expired
PLUMBING LLC Contractor
ADVANCED Construction
ADVANPH022PS (PLUMBING& Contractor Plumbing Unused 10/10/1998 11/16/2010 Expired
HTG INC
Business Owner Information
Name Role Effective Date Expiration Date
WARREN&DUGGAN PLLC Agent 06/10/2009
GILL,THOMAS H Partner/Member 06/10/2009
Bond Information
18ondjBond Company Name tmO095363
ond Account NumberjEffective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date
1 IRLI INS CO 106/05/2009 jUntit Cancelled I $12,000.0006/10/2009
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
2 Farmers Ins 604744115 06/09/2011 06/09/2013 $1,000,000.00 05/31/2012
Exchange
1 FARMERS INS 604744115 06/09/2009 06/09/2011 $1,000,000.0005/18/2010
EXCHANGE
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
Infractions/Citations Information
Infraction/Citation Date RCW Code Type Status Violation Amount
PFRES00342 4/19/2010 18.106.020 PLUMBER INFRACTION Satisfied $1,000.00
PRARI00384 1/11/2011 18.106.020 PLUMBER INFRACTION Satisfied $1,000.00
https://fortress.wa.gov/lni/bbip/Print.aspx 6/13/2012
.y . ,
r.
Contractors or Tradespeople Printer Friendly Page Page 1 of 1
General/Specialty Contractor
A business registered as a construction contractor with L&I 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 INNOVATIVE COMFORT SYSTEMS INC UBI No. 603139865
Phone 4257720626 Status Active
Address 17405 Snohomish Ave License No. INNOVCS895PM
Suite/Apt. License Type Construction Contractor
City Snohomish Effective Date 10/14/2011
State WA Expiration Date 10/14/2013
Zip 98296 Suspend Date
County Snohomish Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses _
Specialty Specialty Effective Expiration
License Name Type 1 2 Date Date Status
INNOVCS901PH INNOVATIVE Construction General Unused 10/8/2010 10/8/2012 Re-
COMFORT SYSTEMS Contractor Licensed
Business Owner Information
Name Role Effective Date Expiration Date
CARTER, KRYSTLE Agent 10/14/2011
CARTER,TIMOTHY JASON President 10/14/2011
CARTER, KRYSTLE Secretary 10/14/2011
CARTER, KRYSTLE Treasurer 10/14/2011
CARTER, KRYSTLE lVice President 10/14/2011
Bond Information
Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date 9mpaired Date Bond Amount Received Date
1 Developers Surety EtI276403C 09/01/2011 Until Cancelled $12,000.00 10/14/2011
Indem Co
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
(InsurCompany Name Policy Number Effective Date Expiration Date Cancel Date Impaired Datej Amount Received Date
American
1 States 01C141596820 10/08/2011 10/08/2012 $1,000,000.0010/14/2011
Insurance 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 6/13/2012
ZON20120064 (PT-LIVE) - PermitTrax by Bitco Software ® I Page 1 of 1
s
DEVLPMNT REVIEW COMMITTEE PERMIT#: ZON20120064
OWNER: CORNERSTONE HOMES NW, LLC- I... STATUS: APPLIED
ADDRESS: 17410 84TH AVE NE, ARLINGTON BALANCE: $0.00
y ISSUED: CREATED: 6/27/2012
SCREENS: Select Screen.. -i FUNCTIONS: Select Permit Function...
PREAPP-BLD
REVIEWS PRINT ADD NEW SUMMARY
REVIE...I DESCRIPTION ASSIGNE... DUE DATE LAST (#) REQ?DO... ASSIGN REMOVE
1002 P-Engineering I MHAYES 7/2/2012 0 Y N Assign Remove
1004 P-Engineering II LPETER... 7/2/2012 0 Y N Assign Remove
1014 P-Public Works I LTAYLOR 7/2/2012 0 Y N Assign Remove
1020 P-Sewer FRAPEL... 7/2/2012 0 Y N Assign Remove
1026 P-Utilities Fees RSHEPA... 7/2/2012 0 Y N Assign Remove
1028 P-Water EANDE... 7/2/2012 0 Y N Assign Remove
2000 C-Building I CYOUNG 7/2/2012 0 Y N Assign Remove
2008 C-Community Development f' BCC_ 7/2/2012 0 Y N Assign Remove
2012 C-Natural Resources BBLAKE 7/2/2012 0 Y N Assign Remove
2014 C-Planning I THALL 7/2/2012 0 Y N Assign Remove
D i�-O-
https:Hcoapermits.arlington.local/PermitTrax/Module_Permits/Permits_Permit/Permit_Rev... 6/27/2012
--
I
RESIDENTIAL
SUBMITTAL REQUIREMENTS
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3418
ZONING VERIFICATION APPLICATION 72 hour turnaround
Date: 6/21/2012
Address: 17410 h AVE NE Arlingt A 98223 Plat: Eagle Heights Lot 15
Owner/Appli ant Cornerstone o es NW LLC
Signature: Cp Z
eri cation of accuracy and a reemont to ollow the City of Arlington Municipal Code
Phone: (h) 425-338-5888 (C) 425-923-0926
1. Please check one:
U a. Single-family dwelling b. Duplex c. Addition d.Accessory structure
2. Proposed Dimensions: W) 35 L) 48 H) 26 Total SF) 2104
3. Allowed Lot Coverage: Total Lot Size 8649 _ SF x 35% = 3027 SF
4. Actual Lot Coverage: (SF of all structures) 1649 _ 9461 (lot size) = 18.9 %
(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? No If so please provide Snohomish County Health Department approval
and indicate on site plan.
6. How many trees greater than 12" diameter to be removed? 0 If any please indicate on
site plan.
7. Describe Proposal (include cross street): Build NEW sFR
( U�2ot U12
COA PERMIT CENTER
OFFICIAL USE ONLY
PROPERTY ZONED APPROVED _F-1 DENIED_F DATE INT
O Cp
N
RESIDENTIAL PERMIT
SUBMITTAL
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3551 • FAX(360)403 3418
Please use this checklist to ensure that all necessary information
is provided for review of your project.
One (1) completed Single Family Residential Building Permits
Application
Two (2) accurate fully dimensioned plot plans
Two (2) sets of construction drawings
�v Two (2) sets of engineered drawings and calculations
(If required)
Health Department approval of septic system
Verification of Water and Sewer Availability from City of
Marysville (if applicable)
APPLICATIONS ARE ONLY CONSIDERED COMPLETE IF ALL
INFORMATION REQUESTED ON FORMS IS FILLED IN.
1
i
RESIDENTIAL PERMIT
SUBMITTAL
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3418
A. FEES DUE AT TIME OF PERMIT APPLICATION
The following non-refundable fees will be collected at the time of application for all residential projects.
1. Building Plan Check Fee
B. CODES
The City of Arlington currently enforces the following:
International Codes
1. 2009 International Building Code (IBC)
2. 2009 International Residential Code (IRC)
3. 2009 International Mechanical Code (IMC)
4. 2009 International Fuel Gas Code (IFGC)
5. 2009 International Fire Code (IFC)
6. 2009 Uniform Plumbing Code (UPC)
7. 2009 International Property Maintenance Code (IPMC)
8. 2003 Accessible & Usable Buildings and Facilities (ICC/ANSI 1417.1)
Washington State Amendments
1. WAC 51-50 Washington State Building Code
2. WAC 51-51 Washington State Residential Code
3. WAC 51-52 Washington State Mechanical Code
4. WAC 51-54 Washington State Fire Code
5. WAC 51-56 & 51-57 Washington State Plumbing Code and Standards
6. WAC 51-11 Washington State Energy Code
7. WAC 51-13 Washington State Ventilation and Indoor Air Quality Code
8. WAC 296-46B Electrical Safety Standards, Administration, and Installation
C. CITY OF ARLINGTON DESIGN REQUIREMENTS
Design Wind Speed: 85 miles per hour (Exposure C)
Ground Snow Load: 25 pounds per square foot
Seismic Zone: D2
Rainfall: 2 inches per hour for roof drainage design.
Frost Line Depth: 12 inches
Soil Bearing Capacity: 1,500 psf unless a Geo-Technical Report is provided.
D. PLANS AND DRAWINGS
Submit two (2) complete sets of drawings and plans. Drawings and plans must be submitted on minimum
18"X 24", or maximum 30"X 42" paper. All sheets are to be the same size and sequentially labeled.
Plans are required to be clearly legible, with scaled dimensions, in indelible ink, blue line, or other
professional media. Plans will not be accepted that are marked preliminary or not for construction, that
2
I
' RESIDENTIAL PERMIT
SUBMITTAL
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3551 • FAX(360)403 3418
have red lines, cut and paste details or those that have been altered after the design professional has
signed the plans.
Please Note: A separate submittal of plans is required for each building or structure.
DETAILED SUBMITTAL REQUIREMENTS
Mark each box to designate that the information has been provided.
Please submit this checklist as part of your submittal documents
A. ❑ SITE PLAN — REQUIRED WITH ALL SUBMITTALS
1. Two (2) complete sets of plans on 8.5" X 11" paper which reflect all of the information noted in
the Site Improvement and Drainage Plan Requirements for Residential Construction.
B. ❑ FOUNDATION PLAN (Minimum '/4" Scale)
1. Show north direction
2. Indicate front street (and side street if corner lot).
3. show the location and dimension to all property lines.
4. Show the location for existing and/or proposed easements
5. Provide the scale for the drawing.
6. Show outline of foundation with section cuts and dimensions; include maximum wall heights and
all connections.
7. Provide the location and size of all beams, posts, interior footings and thickened footings within
slabs with their dimensions and connections.
8. Provide detail of step down foundation and footings with required reinforcing steel.
9. Show spacing of anchor bolts, location, and type of hold down fasteners to the foundation.
10. Retaining walls.
11. Show the location and size of all crawl space vents and the crawl space access with size and
location.
12. Show footing depth below grade and show the clearance between grade and sill plate.
13. Show the floor joist size, spacing, direction, support, connections and blocking.
14. Show all floor insulation.
15. Label any space within the foundation (i.e. basement, garage, storage room, etc.)
Note! Arlington is in seismic design category D2 which requires that foundations with stem walls have
a minimum #4 rebar at top and minimum #4 rebar at bottom of footing.
C. ❑ FLOOR PLAN (Minimum '/4" Scale)
1. Indicate the dimensions of all areas and the use of each room. Include fixed cabinet, counter or
island facilities.
2. Show all roof, floor or deck joist size, spacing, direction, support, connections. Blocking, etc.
3. Show the location of exhaust fans, smoke detectors, hot water heater, heating units, plumbing
fixtures and any other mechanical equipment.
4. Show the location of the attic and/or crawl space access.
5. Include all exterior decks on your floor plan, with necessary structural details and attachment to the
house.
3
RESIDENTIAL PERMIT
SUBMITTAL
_- Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3418
Note! The 2009 International Residential Code requires smoke detectors at each level of the home
and in all rooms that can be used for sleeping. All smoke alarms shall be listed and installed in
accordance with the IRC and provisions of NFPA72.
D. ❑ ARCHITECTURAL CROSS SECTIONS & DETAILS (Minimum '/4" Scale)
1. Show a typical roof section with all materials labeled; indicate size and spacing of all members;
include all dimensions, venting, insulation and connections
2. Show a typical foundation and floor section with all material labeled; indicate size and spacing of all
members; include all dimensions, venting, insulation and connections.
3. Show a typical wall section with all materials labeled; indicate size and spacing of all members and
insulation values.
4. Show all connection details, including post-beam, post-footing, collar tie, etc.
5. Provide the dimensions for all stairs, with details showing rise, run, headroom and handrails per
Section R311 of 2006 International Residential Code. Guards require intermediate rails to be less
than 4" apart; handrails are to be 34"to 38"from nose of the tread and to be returned. Show any
fire blocking, landing sizes. Specify one-hour fire resistive construction for any usable space under
the stairs.
6. Show a section detail for any fireplace, including the hearth and hearth extension. Include
dimensions, materials, clearance from combustibles, height above roof, reinforcing, seismic
anchorage and foundation details.
E. ❑ STRUCTURAL NOTES
1. Specify all design load values, including dead, live snow, wind, lateral retaining wall pressures and
soil bearing values.
2. Specify minimum design concrete strength, concrete sack mix and reinforcing bar grade.
3. Specify the grade and species of all framing lumber.
4. Specify the combination symbol (strength) of all GLU-LAM beams.
5. Specify all metal connectors, including joist hangers, clips, post caps, post bases, etc.
6. Provide details showing the complete load path transfer at roof perimeter, interior shear walls,
cantilevered floors, off-set shear walls and ceiling diaphragm to shear walls (if used).
7. Provide a shear wall schedule noting nail spacing, blocking, bolts, top and bottom plat nailing.
8. Locate all hold down straps on the drawings.
F. ❑✓ STRUCTURAL CALCULATIONS
1. Provide two (2) sets of structural calculations if prepared by an engineer or architect registered with
the State of Washington. (Not required if using Prescriptive Design Approach from the IRC/IBC.)
G. ❑✓ ELEVATIONS
1. Show elevations views of each side of the structure; provide finished floor level for each floor.
2. Show existing and proposed grades.
3. Show the maximum building height.
4. Show the maximum site slope.
5. Show all roof overhangs and any chimney clearances from the roof.
4
i
i
RESIDENTIAL PERMIT
� 1
i
SUBMITTAL
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3551 • FAX(360)403 3418
6. Indicate the pitch of the roof.
H. ❑✓ DOORS & WINDOWS
1. Show size and type of all doors.
2. Show the door size, type and closure device for doors between the garage and dwelling.
3. Show all window sizes and openable areas.
4. Show all sleeping room egress window locations, sill heights, methods of opening, dimension of
openable area and clear open space.
5 Show size and type of all skylights.
I. ✓0 WASHINGTON STATE ENERGY CODE
1. Provide one (1) copy of the WSEC &VIAQ Residential Prescriptive Compliance Form.
2. Show the insulation R values on the floor plan drawings and glazing class of all windows and
skylights.
5
NASH&ASSOCIATES
-ARCHITECTS
PLAN 210 4
BEAM, LATERAL &
SEISMIC CALCULATIONS
(-1A
8 Mai 7_�
RECEIVED
JUN 2 f) 201Z 2009 IBC
GO, PERMIT CENTER JANUARY 1, 2012
GO,
IS S
11644 N.E. 80th St. Kirkland, WA 98033 (425) 828-4117 Fax (425) 822-1918
WWW.NASH-ARCHITECTS.COM
1
CLIENT:
NASH, JONES BEAM DESIGN DATA PROJECT:
ANDERSON DATE:
NAME:
Arohiteate & Flamers
Roof Loads:
LL 25#/of
DL 15 #/sf
Total 40#/sf
Unless Noted Otherwise
Floor Loads:
LL 40#/sf
DL 10 #/sf
Total 50#/sf
Deck Loads:
LL 60#/sf
DL 10 #/sf
Total 70#/sf
Soil: 1500 PSF Min.
Concrete: Per IBC 09
Masonry: Per IBC 09
Steel: Per IBC 09
Wood: Per IBC 09
Nailing: Per IBC 09
4" Beam: Douglas Fir #2
fv = 180
fb — 900 PSI
E = 1,600,000
6" Beam: Douglas Fir #2
fv = 180
fb = 900 PSI
E = 1,600,000
Joists & Hem Fir #2
Rafters: fv = 75
fb = 850 PSI
E = 1,300,000
Glu—Lam Beams:
fv = 165 PSI
fb = 2,400 PSI (reduced by size factor, CF•KI)
E = 1,800,000
11644 N.E. 80th St. Kirkland, WA 98033 (426) 828-4117—Pax (426) 822-1918
WWW.NASHJONESANDERSON.COM
i
I
PLAN 2104
BeamChek y2.4 licensed to:Nash,Jones,Anderson Architects Reg#6464-622
PLAN 2104 DINING ROOM
RB-2 Date:8/23104
Selection 3-1/8x 9 GLB 24F-V4 DF/DF Lu=0.0 Ft _Y
Conditions
Min Bearing Area R1=4.9 in' R2= 1.5 in' DL Defl 0.02 in Suggested Camber 0.03 in
Data Beam Span 6.0 ft Reaction 1 LL w 2062# Reaction 2 LL 641 #
Beam Wt per ft 6.83# Reaction 1 TL 3156# Reaction 2 TL 967#
Bm Wt Included 41 # Maximum V 3156#
Max Moment 2786 W Max V(Reduced) 2586#
TL Max Defl L/240 TL Actual Defl L/>1000
LL Max Defl L/360 LL Actual Defl L/>1000
Attributes Section in' Shear in2 TL Defl(in) LL Defl
Actual 42.19 28.13 0.06 0.04
Critical 13.93 20.41 0.30 0.20
Status OK OK OK OK
Ratio 33% 73% 19% 19%
Fb(psi) Fv(psi) E(psi x mil) Fc I(psi)
Value Base Values 2400 190 1.8 650
Base Adjusted 2400 190 1.8 650
A01ustments Cv Volume 1.000
Cd Duration 1.00 1.00
Cr Repetitive 1.00
Ch Shear Stress 1.00
Cm Wet Use 1.00 _ 1.00 1.00 1.00
Cl Stability 1.0000 Rb=0.00 Le=0.00 Ft Kbe=0.0 - - -I
Loads IJ
Point LL Point TL Distance Par Unif LL Par Unif TL Start End
1600 B.=2539 1.0 538 H=753 0 1.0
113 1= 158 1.0 6.0
E� _
Pt loads: �]
R1 =3156 SPAN 6 R2=967
= FT
Uniform and partial uniform loads are Ibs per lineal ft.
i
PLAN 2104
BesmChek v2.4 licensed to:Nash,Jones,Anderson Architects Reg#6464-622
PLAN 2104 BEDROOM FOUR
BB-1 Date:8/23104
Selection 4x 10 DF-L#2 Lu=0.0 Ft
Conditions NDS'91
Min Bearing Area R1=0.8 Ina R2=0.8 In DL Defl_<0.01 In.
Data Beam Span 4.0 ft Reaction 1 LL 400# Reaction 2 LL 400# !
Beam Wt per ft 7.87# Reaction 1 TL 516# Reaction 2 TL 516#
Bm Wt Included 31 # Maximum V 516#
Max Moment 516'# Max V(Reduced) 317#
TL Max Defl L 1240 TL Actual Defl L/>1000 i
LL Max Defl L/360 LL Actual Defl L/>1000
Attributes Section in_a) Shear(in 2) TL Defl(in) LL Defl
Actual 49.91 32.38 0.00 <0.01
Critical 5.89 5.00 0.20 0.13
Status OK OK OK OK
Ratio 12% 15% 2% 2%
Fb(psi) Fv(psi) E(psl x mil) Fc I (psi)
Vaillps Base Values 875 95 1.6 625
Base Adjusted 1050 _ 95 1.6 625
Adjustments CF Size Factor 1.200
Cd Duration 1.00 1.00
Cr Repetitive 1.00
Ch Shear Stress 1.00
Cm Wet Use 1.00 1.00 _1.00 1.00
Cl Stability 1.0000 Rb=0.00 Le=0.00 Ft Kbe=0.0
Loads Uniform LL:200 Uniform TL: 250 =A
I
Uniform Load A
R1 = 516 R2=516
SPAN=4 FT
Uniform and partial uniform loads are lbs per lineal ft.
Ll
Q.
TII
VN N
1�
I �
IJ
II
L
r71-- I L
CLIENT:
NASH, JONES SEISMIC ANALYSIS PROJECT:
ANDERSON PER IBC O q DATE:_ —
NAME:
Architects & Planners 2
SEISMIC:
V = 0.166 (Wdl) (plywood)
2nd Level: /
Roof: (Asphalt / Cedar Shake) 10#/ft X / �1� U sf =�or (Tile) 16#/ft X sf =
Exterior Walls: L x 10#/sf x 1/2 (h)
(E2)
Interior Walls: L x 8#/sf x 1/2 (h)
)50 xeO kq
TOTAL: _ 2E P
1st Level:
Roof: (lot Floor Roof) 10#/ft X of
2nd Floor: 10#/ft
Exterior Walls: (Ep) + L x 10#/sf x 1/2 (h)
Interior Walls: (I2�)/ + L x 8#/sf x 1/2 (h)
o
TOTAL: _
C
Basement:
1st Floor: 10#/ft X -of =
Exterior Walls: (El) + L x (h) i
Interior Walls: (11) + L,:x 8#/sf x 1/2
TOTAL: U` Z 110
I
11644 N.E. 80th St, Kirkland, WA 98033 (425) 828-4i17 Fax (425) 822-1918
WWW.NASHJONESANDERSON.COM
REVISED
i
CLIENT:
NASH, JONES SEISMIC ANALYSIS PROJECT:
ANDERSON
PER IBC pCj DATE:
NAME-:
Arohiteots do Plannara 4
O� W
xA �
�ZU i - --
o w
zy-
n
a
% <3-
a
116jh4-N.E. 80th Eg— Kirkland, WA 98033 (425) 828-4117 Fax (425) 822-1918
� WWW.NASHJONESANDERSON.COM
REVISED
i
CIdENT:
NASH, JONES SEISMIC ANALYSIS PROJECT:
ANDERSON PER IBC 0 q DATE:
NAME!
Amhiteota k Planners 5
Redundancy Factor :
1. Maximum allowable wall shear for p<=1
Vumax = (2)(Vaccstory)/Ab 1/2
2. Maximum actual shear
Vmax = Largest seismic wall shear
3. p = 2—[2(Vaccstory)/(Vumax)(Ab 1/2)
-- J =- f
o�
1NrNi) 60UWAII1
11644 N.E. BDth St. Kirkland, WA 98033 (425) 828-4117 Fax (425) 822-1918
LM
WWW.NASHJONESANDERSON.COM
REVISED
I
ti
Prescriptive Energy Code Compliance for Single Family and Duplex Housing:Zone 1
P Inlommlion Coafacf Inlomotlon
This set of forms has been developed to assist{permit applicants documenting compliance with the
Washington State Energy Code,(2009 edition).This set Is for structures built under the IRC and located
In Climate Zone 1.
The following forms provide much of the required documentation for plan review.The details noted here
must also be shown on the drawings(WSEC 104.2).
This form Is not a substitute for the-energy cWe itself.To obtain a copy of the energy code,
go to the following web address,hftpJYwww.9ner9y.wsu.edu/code
Glazin
bon IWB Glazing 10 Factor Door 9 a Vaulted Wallfa Vdall-line wall.ext' Slav
ft U Factor Ceiling Ceiling Above Below Below Floors on
%of Floor Vertical Overhead Grade Grade Grade Grade
• R-49 or 01 13% 0.34 0.50 0.20 R-38 R•38 R•21 21 R•-221 R-10
R-10 R-50 2
Adv. j
R49 or R-21 R-21 R-10
Q 11 2S% 0.32 0.50 0.20 R-38 R-38 Lit? R•]0 R-30 2,
Adv.
R49 or R-21 R-21 R-10
0 a1I Unlimited 0.30 0.50 0.20 R 3 Int" TB R-10 R-30 21
Adv.
See WSEC hwe 6•1 forJootnaies
Glazing Schedule AthdW to t mmxnt
❑ Does not apply.(SEE INSTRUCTIONS)Using Prescriptive Option lit.All glazing
and doors meet maximum U-factor.Alternate heating size method submitted.
Option t or 11,Glazing to floor area limit(WSEC 602.7.2)
❑ Area weighted window,skylight or door U-factor(WSEC 602.7.2)
❑ As part of the heating system sizing calculation(IRC M1401.3&WSEC 508.2.2)
Radiant slab:
❑ R-10 foam Insulation,continuous with thermal break(WSEC 502.1.4,9)
Chapter 9 Options Total of 1 Credit Reaulred
Opt. Opt.Description
is HI h Efficiency HVAC Equipment 1
1 b High Efficiency HVAC Equipment 2
1 c HI h Eff lolency HVAC E uI ment 3
2 High Efficiency HVAC Distribution System
3a Efficient Building Envelope 1
3b Efficient Bulldinp Envelope 2
3c Su er-Efflolent Building Envelope 3
4& Air Leaka a Control and Efficient Venlilatlon
4b AddEtional Air Leakage Control and Efficient Ventilation
ba Efficient Water Heating
bb High EffleclenoX Water Heating
6 Small Dweilin Unit
7 Large DwelllnR Unit
8 Renewable Electric Ener •1200 kwh
Total Credits 1AD
WSEC Prescriptive wortcaheet(2oloenm)zomI wsuat:PI"10 Gopydphtsoto
i
I
Simple Heating System Size:Climate Zone 1
Pwject Inf&m bon Contra Intomwow
Indoor Design Temperature 70
Outdoor Design Temperature y
Design Temperature Difference Ll
Indoor-Wjxr DeslgnTemp
Conditioned Floor Aren 1 p
Conditioned Volume 17
Glazing
Copy Sum of UA from Glazing Schedule ,
Attic U-Factor X Area UA
R-49 0.027
A-38 Advanced 0.026
Single Rafter or Joist Vaulted Cellings
U-Factor X Area UA
R-86 Vented 0.027
Above Grade Walls U-Faclor X Area _ UA
R-21 0.056
Floors U-Factor X Area _ UA
R-30 0.029
Below Grade Wells U-Factor X Area a UA
2'Depth Walls U-0.042
8.5'Depth Walls U-D.041
7'De th Walls U-0.037
Slab Below Grade F-Factor X Len th a UA t
2'Depth 0.69
3.5'Depth 0.64
7'De th 0.67 ,
Slab on Grade F-Factor X Length _ UA
R-10 2'perimeter 0.64
R-10 Full-Heated 0.65
Sum of UA 13
Envelope Heat Load �Btu/Hour
Sum of UA X Design Temperature plHerenm
Air Leakage Heat Load g q Btu/Hour
((Volume X 0.6)X Design Temperature Difference)X,oia))
1
Building Design Heat Load 22 Btu/Hour '
At Leakage+Envelope Heal Loss
Building and Duct Heat Load ,IS Z,6 305 Btu/Hour
If ducts are located In uncondlfloned space:Sum of Building Heat Loss X 1.16
11 ducts are bcaled In mWilloned space:Sum of Bugding Heat Lase X I
Maximum Heat Equipment Output 150% y5 Btu/Hour
Building and Duct Heal Loss X 1.50 1
WSEC Presedplive Worksheet(2010 Edition)
WSUEEPIO.010 Copyd91112010
I
i
i�
' I
Glazing Schedule(Electronic version available at:htto://www.energy.wsu eV i D urngnts/Prescrl�o ive Zone___—�LYlsxxlsx)
Conditioned Floor Aran I Sum of UA for Heating System SWeig
Sum of All Glazing Areas From Below
Glazing to Floor Area Ratio 602.7.2 Exception Ratio(not to exceed 1
Exterior Doora
Plan component Door Percent Width Height Glazing Door Door
ID Description Ref. U-factor Glazed Cat. Feet h"h Feet "'h Area Area UA
Qntt Exutnpt 9whwin)Pwi•:24 3quule Feet —
Sum of Glazing Area,poor Area, end UA(do not include exompt door)
Area Weighted U-UA/Aros
Sum ofArea and UA for Heating system else only(include exempt door)
Vertical Glazing(Windows,Glazed doors using Exceplion 602.6 f/1)
Plan Component Glazing Width Haight Glazing
ID Dwecri tioli Ref. U-fwetor 01. Fwtt kch Feet Inch Area UA
Vi t FrZ44j95 kJL5 1.
/ Sr
Ot
1
2�4
CL
v
Sum of Area and UA
Area Weighted U v-UAIArea
Overhead 4ilazing
Plan Component Glazing Width Holpht
ID Dcaorl tion Rot. U Ot. Foot "'a' Fact `ih ArQn UA
Sum of Ana and UA
Area Wolghted L/-UA/Area
Daubs Glazed Garden Windows section 002.7.2 exception
Plan Component wid"I Height
IJ Ueoori lion Ot. Fertt t"`r' Feet Inch Area UA
SUM at Area
Som of Area X 3(Thle total la automatically included/n the clawing area total.) FE]
Glazing UA for Heating Syetom Size Only m Area X O.03 ^J
Page 4 of 9
i
F-iOUSE 1503
WALK/PATIO 146
LOT COVERAGE 1649
LOT SQ FT= 8,649
LOT COVERAGE= 18.9%
1649 SQ FT / 8649 SQ FT
BUILDING HEIGHT= 26'
1 29.44'
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tini TRACT 998 °
110.15'
LOT 15
PLAN: 2104 RECEIVED
17410 84TH AVE NE Z� a,? 9
ARLINGTON, WA 98223 CO A PEFI IT CVN Ek
' 6\20\ SCALE: 1 "=20'
I
SITE EAGLE HEIGHTS � CORNERSTONE HOMES NW, LLC ORNERSTONE
PO BOX 14424 MILL CREEK WA 98082
PLAN
OFFICE (425) 338-5888 0 tj
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CITY OF ARLINGTON
�• �� 238 N.OLYMPIC AVE.-ARLINGTON,WA 98223
PHONE:(360)403-3551
BUILDING PERMIT '
Address:17410 84THAVENF,ARLINGTON Permit#:BLD20120153
Parcel#:01089200001100 Valuation:$239,000.00
OWNtR j0Njj&APPUCANT CONTRACTOR
CORNERSTONE HOMES NW,LLC CORNERSTONE HOMES NW,LLC CORNERSTONE HOMES NW,LLC
MICHAEL IMPOLA JP LAMPINEN MICHAEL IMPOLA
PO BOX 14424 PO BOX 14424 PO BOX 14424
MILL CREEK,WA 98082 MILL CREEK,WA 98082 MILL CREEK,WA 98082
jp@cornerstonehomes.us jp@cornerstonehomes.us Lie#:CORNEHN9470A Exp:9/1/2012
PLUINBING CONTRACTOR lW A917CIIANICAL COMRACTOV_
Lie#: Exp Lie#: Exp
JOB DESCRIPTION
Single Family Residence-2104 sq.ft.,680 Ist fl,1424 2nd fl.,500 sq.ft.
PERMIT TYPE: Residential PERMIT GROUP Single Family Residence New
STORIES: 2 CONST TYPE: V-B
DWELLINGUNITS: I OCCGROUP: R-3
CODE: 2009 IRC OCC LOAD: N/A
7rr APPROyn1.
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 U OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A
CERT ICATE OF OC UP NCY HAS BEEN GRANTED.IBC110/IRC110.
S TAX NOTICE Sale tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return
arm a d coded City of rli gton#3101
-7/6
Signature Print Name We I Released B r Oate
ARCHIVE APPLICANT ASSESSOR OTHER
BLD20120153
CONDmONS
-r----
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.
• FYI:
• Per E.A:Utilities. 360403-3506.
• Protect e)asting meter boxand tail piece. Replace the brass compression fitting on the tail peace if missing.
•
• Per C.Y.-Builidng 360 403-3432
• See Redlined drawings
W. W PERK fI'FEES
Date Description Fee Amount Paid Balance Due
7/2/2012 Plumbing Permit Fee $205.00 $0.00 $205.00
7/2/2012 Mechanical Permit Fee $110.00 $0.00 $110.00
7/2/2012 Building Permit Fee(QTY. 1) $2,270.62 $0.00 $2,270.62
7/2/2012 Building Plan Check Fee(QTY: 1) $1,475.90 $0.00 $1,475.90
7/2/2012 State Building Code Surcharge(QTY 1) $4.50 $0.00 $4.50
Total Due: $4,066.02 $0.00 $4,066.02
' CALL FOR INSPECTIONS
BUII,DINC/FNGMMMUPARKS/UTILMESS/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.
• C-Footings
• C-Foundation Wall
• C-Foundation Drainage
• C-Plumb Ground Work
• C-Plumb Rough In
• C-Gras Test/Pipe
• C-Equipment-Mechanical
• C-Shear Nailing-EAerior
• C-Framing
• C-Insulation/Caulk
• C-SheetrockNail
• C-Building Final
• C-Roof Drains
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