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HomeMy WebLinkAbout17614 79TH DR NE_BLD20110224_2026 P (Y\ /�--r a BUILDING INSPECTION REPORT GAT Y o� Permit No._I Address: 1�fp /1/ 77 q .� D r 7�lrN 'l0 Contractor: EK)GOY-° Owner: Ell co re Date: la2- 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: L Date: f6 h-- ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork ® Mechanical ®Grid ® Struct. Slab ® Wood Stove ® Rough-in ® Final ® Masonry ® Drainage Wlnsulation ® Other: PIIA �P'. iet �r. i t A01 �3 BUILDING INSPECTION REPORT Permit No.__ ` l/- a Z2 Address: f 7�9 7 o Contractor: i(JGIj`L Owner: Date: 26 1Z 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: a �::�Da�te: / z ® Under-floor ® Framing ® Gas Piping ® Footing © Drywall, nailing ® Consultation ® Foundation XS Nailing ® Groundwork ® Mechanical ®Grid ® Struct. Slab ® Wood Stove ® Rough-in ® Final ® Masonry ® Drainage ® Insulation 0 Other: t • PM BUILDING INSPECTION REPORT Gi^rY O� Permit No._ Address: / 76ol y ZT 9��rNG�p� Contractor: Owner: i(j��Gf/�� Date: A APPROVAL PARTIAL APPROVAL EP 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 zvnr Inspector: Date: /Z Z Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork ® Mechanical ®Grid ® Struct. Slab ® Wood Stove ® Rough-in ® Final ® Masonry G Drainage ® Insulation ® Other: �• is �.,. . BUILDING INSPECTION REPORT Gt�Y o� Permit No. 225/ Address: Contractor: �,Q� 9�17N Gi Owner: �Jl,© ,� Date: �7/'Ta/L/ 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: Gu 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�5�•( ,. - � �st. . . 1 111- BUILDING INSPECTION REPORT G 'V Y Jr) Permit No. Address: 1 7(0 7q yw O/C /�_77 Contractor: ���rN G'�O Owner: Date: "�PPOVAL ® PARTIAL APPROVAL ® VIOLATION ffo 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: lr_ Date: /,47 ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation b.'fioundation Cj� ®Shear Nailing ® Groundwork ® Mechanical ® Grid ® Struct. Slab ® Wood Stove ® Rough-in ® Final ® Masonry ® Drainage ® Insulation 0 Other: k r Qo� BUILDING INSPECTION REPORT G1Kv o� Permit No. _® off-aLA Address: Contractor: CING't0 Owner: _ f1 G��>✓ Date: — APPROVAL tj 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: U ider-floor Ell Framing ® Gas Piping oting G Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork ® Mechanical ®Grid ® Struct. Slab ® Wood Stove o Rough-in ® Final ® Masonry ® Drainage ® Insulation ® Other: fif. •s;115a�t- �� CITY OF ARLINGT • 238 N. OLYMPIC AVE.-ARLINGTON,WA. 98223 �- PHONE: (360)403-3421 BUILDING PERMIT Address: 17614 79TH DR NE,ARLINGTON Permit#•BLD20110224 Parcel#:01047700000300 Valuation:$177,000.00 OWNEIW' APPLICANT :, ;, CONTRACTOR 1 ENCORE HOMES INC ENCORL HOMES INC ENCORE HOMES INC KEITH HOYER KEITH HOYER KEITH HOYER 1801 GROVE ST UNIT B 1801 GROVE ST UNIT B 1801 GROVE ST UNIT B MARYSVILLE,WA 98271 MARYSVILLE,WA 98271 MARYSVILLE,WA 98271 keith@encorehomesinc com keith@encorehomesinc corn Lie#:ENCORHI914NS Exp:8/30/2013 PLUMBING CONTRACTOR MECHANICAL CONTRACTOR SOUNDVIEW PLUMBING ELECTRIC WALL HEATERS 5917 195TH ST NE 3 ARLINGTON,WA 98223 Lie#:SOUNDVP033NF Exp:6/13/2013 Lie#: Exp: .TOB DESCRIPTION .` - y ,. Single Family Residence PERMIT TYPE: Residential PERMIT GROUP: Single Family Residence New STORIES: 2 CONST TYPE: V-B DWELLING UNITS: 1 OCC GROUP: R-3 CODE: 2009 IRC OCC LOAD: N/A 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/IRC 110. SALES TAX NOTICE: Sales tax relating to constriction and construction materials in the City of Arlington must be reported on your sales tax return form and coded C'ty of Arlington 43101. 71Ke�'f� �►� � i � z3/�� /77 ignature Print Name Date eleased B ate t ARCHIVE APPLICANT ASSESSOR OTHER BLD20110224 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. • Follow specific conditions in regards to the 15'planting easement on all lots of Division Il. See attached paperwork. • Replace the brass fitting on the tail peace. • 2 trees required per lot(I in both the front and rear yard) PERMIT FEES Date. -., _ .Description Fee Amount Paid Balance Due 11/18/2011 Mechanical Permit Fee S65.00 $0.00 $65.00 11/18/2011 Plumbing Permit Fee $193.00 $0.00 $193.00 11/18/2011 Building Permit Fee(QTY: 1) $1,796.08 $0.00 $1,796.08 11/18/2011 Building Plan Check Fee(QTY: 1) $1,167.45 $0.00 $1,167.45 11/18/2011 State Building Code Surcharge(QTY: 1) $4.50 $0.00 $4.50 Total Due: $3,226.03 $0.00 $3,226.03 "T 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 u z m4 u NO cV ay c p P-4 w ® � � 3 o w a O N O wU v U z � Q �! ;J w O oW z C) Q . ® z � biD z z H ® W w u z z z o b O N W � zE-4 � Q zz Q o o � o � �D � z Ln � �M O zw ° H H Ducc" cesting Calculator (New CL struction) 41`-1 1 f 'z House address or lot #: 126--/+ '7&,.f Piz- AID. &4txzn' tl / 6 V­ q Conditioned Floor Area: r 3 Duct tester location: �'��;Aj-r L-)O0/— Pressure tap location: Ring (if applicable): open 2 - At Rough-in (_Total Leakage) Test Method & Testl Calculated Standard' CFM ;5 Target Air Handler Present _ <_ 6 CFM,s per 100 sf of CFA Ob X _ CJ A Air Handler not Present <4 CFM,s per 100 sf of CFA — 04 X - CF,A = C F M . Post Construction Test Method & Test, Calculated Standard' CFM`s Target Air Handler Present (Total Leakage) 08 X CFA = CF:M 5 8 CFM,5 per 100 sf of CFA -- - --- Air Handler Present (Leakage to Exterior) .06 X CFA < C F M <_ 6 CFM25 per 100 sf of CFA - — - - - 1 Test results must comply with one of the Standards options 2. Test CFM,s must be equal to or less than the calculated target Air Leakage testing Calculator (Blower Door Test) Standard Tested Calculated Test Result CFMSC 1 CFM50 X 0 055) CFA X 144)) = SLA 0.00030 SLA -2, divided by0-2 '�- SLA SLA - 20 Glossary Rough-In: After installation of the complete air distribution system but before :nst7tJat:on of insuiauon and sheet ror n ,Mows for access to all duct seams and connections for re-evaluation of Seal integrity it standard it not met ir. intjtia: test Post Construction: At or near final inspection The home must be complete enough to pre�sui'r.c the home to 25 :;u Total leakage: Aggregation of the entire systems duct leakage ;n a duct tear Leakage to Exterior: Aggregation of all duct system leaks to the e,ter:or of the C'F,> ;i- a due; to,,! CFA: Conditioned floor area CFM25: Cubic feet per minute of air leakage at 25 pascals of pre,ti,jre CFMS0: Cubic feet per minute of air leakage at 5o pascai> of pressure Pascal (pa): Unit of pressure SLA: Specific leakage area Property Address:Z��/E/ Conditioned Floor AAre-a�9����J� Date [1.17 Builder or registered design/professional: nC- Stiialure. R-6 slues Ceiling: Vaulted R. Floors Over unconditioned space R- Attic R- Slab on grade floor R- Walls: Abovegrade R- Doors R- Below,inn. R- R Below,ext. R- R V-Factors and SHCY' NFRC rating(or) Windows U- SHGC- Defaultrating(enspieriowsiczw,) Skylights U- SHGC- cwapler 9 OpdaalSl T.Ad avL 9 Credits Herring;CoollnR SI DornrsJlc flak IlirJrr Svslelu l s.X. emriniry Idrnline Coaling DHW Duet dt Rulld(ng;fG J.raArtbe All ehicls&J.(vAC in condilioncd pace 1 yes/no j Insulalion R- Test Method: _Totallcakage _Lcakagetocxterior Air handier present Test Target CFI41;Zt+25Pa Tca Rcsidtl 29 C►rV1@v25Pa Building air leakage targcl:SLA-70,01 l30-Tested leakage:SLA= Ota*eRmewaWr Energy!'&*jc p0wefS)p3tkln System type: Rated annual generation Kwh JRR Engineering, Inc. EC � ECEIVED 18609 76th Ave. W., Suite B OCT 112011 NOV Q 0 2011 Lynnwood, WA 98037-4149 WA PERMIT C (425) 697-5108 �V,� `PERMIT CENTER Client: Encore Homes, Inc. Pro'ect Location: Varies, Plan 1533 All-Car Option 0917...) 1801 Grove Street, Unit B Design calculations are for 85 mph (3-sec. gust)wind exposure B, Marysville, WA 98270 topographic factor, Kzt of 1.0 and 30 psf snow load. Do not use or (360)659-1579 Ph. depend upon these calculations for more severe wind ex osure (360)659-3394 Fax or snow loading. Scope: Lateral &Vertical Design Code: 2009 IBC/ASCE 7-05 Lat. Des. Parameters: SDC&Site Class., D; (Ss): 1.25 Dead Loads: Roof& Ceiling load 15 psf Wind Exposure: B Floor load 10 psf Windspeed,V mph): 85 Exterior wall load 8 psf(surface area) Live Loads: Floor Load (psf): 40 Interior wall load 10 psf floor area) Snow Load(psf): 30 Attic Lim. Sto. (psf): 20 Assumed Soil Values per IBC 2006: Soil Bearing: 2000 psf(Contractor shall notify Engineer if testing Indicates bearing capacity is lower than 2000 Wind Design: Ps=)L*IW*P830•Kzt (Simplified Wind Load Method, Sec.6.4, Eq. 6-1) Where; X, Adjustment Factor varies over height&exposure(Fig. 6-2) IW= 1 1 JWind Importance Factor(Table 6-1) P130,Varies with roof pitch and building zone(Figure 6-2) Kzt= 1 JTopog. Factor 6.5.7, Fig. 6-4 , equal to 1.0 for flat terrain Root rise in 2° : 5 Roof rise in 12" :1 0 " Horizontal Pressures (Kzt not yet Included) Horizontal Pressures (Kzt not yet included) A B C D A B C D Ps30 15.9 -4.2 10.6 -2.3 Ps30 11.5 -5.9 7.6 _ -3.5 0-15'P,= 15.9 -4.2 10.6 -2.3 1 0-15' P,= 11.5 -5.9 7.6 -3.5 15'-20'P8 15.9 -4.2 10.6 -2.3 15'-20' Pa 11.5 -5.9 7.6 -3.5 20'-25'P,= 15.9 -4.2 10.6 -2.3 20'-25' Ps 11.5 -5.9 7.6 -3.5 25'-30'P,= 15.9 -4.2 10.6 -2.3 25'-30' P,= 11.5 -5.9 7.6 -3.5 30'-35'P,= 16.7 -4.4 11.1 -2.4 30'-35' P,= 12.1 -6.2 8 -3.7 35'-40'Pa 17.3 -4.6 11.6 -2.5 35'-40' Pa 12.5 -6.4 8.3 -3.8 Seismic Design: V= Cs*W (Equivalent Lateral Force Design per ASCE 7-05, Sec 12.8) F,= 1 (Table 11.4-1) Sos= Des. Spectral Resp.Accel. Parameters(Sec. 1 Sos= 0.833 (Eq. 11.4-3) D= Site Classification (Section 11.4.2) �D IE= 1 (Table 11,5-1) Fa& Fv=Site Coeff. (Table 11.4-1 &11.4-2 R= 6.5 (Table 12.2-1) V= Seismic Base Shear ' Cs= le*SDs/R (Eq. 12.8-2) W= Effective Seismic Weight(Sec. 12.7. p=Redundancy Factor[1.0 < p< 1.31 (Sec. 12.3.4.2) 89 Therefore; V= 0.128 AL Prepared by: JCM API i*)r5 1pf2�/?.Dl3 Checked by: RKR Project Name: Plan 1533-All Car Option (0917...1 Project No.: 10-02U 8/26/2010 Pagel of 15 Rl;VISP ', 1/17/11Ail �- - iu,nr= ENGINEERING & PLANNING SERVICES Project Name: PLAN 1.533 —AU- 6"P- No.: f .9&1�f o ® ® IF csa W Y L-..._ ... _.. - .. _ uJ r ~ A F 6! W � WOo Designed X4M Checked__-RK—P—l _ Date 25 1 Sheet Z of f5 i, :I r� I JAR-1 \' .L.ngir3 OeC='X 121491 _�,mac. ENGINEERING & PLANNING SERVICES Project Name:_ P1..� N I i'3 A.Lt,-C�� 1'7 No.: to -011 U a ua a ,c e a ut M at in s a MM m a n - « - 's t TJ lu cp�� �!! 1 II = 0<8> 'Jpg n ( k o73 . , '�' •• Qd 'lYHOLLJO !!!! n 0'0' _ _... a. ..••11� f - .__ e M Designed ITC-M Checked I' . Date bASAD Sheet 5 of 15 RF-VD,� q' 17/11 �TR� •' Engineering, i_lc. 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ENGINEERING & PLANNING SERVICES Project Name: 1;33 ALL -C,&k- BD* SNP4 No.: rd—D2l 1 ri _!E !4 71— 25-) ills s Wla w. .. _.�. � P=.�145D'� ' `_.....�..�.-. :. '• ...... .�;:�.;.7�5NC.41�.,.;,-l�l�a.�.' . r..,�..,..�, ...� - � ._ .1�-=11 .._.._.._ Nu?ti o�. .��.�_,. r� `I�J•I���•13���•t65�+1is���.f2aS�' 3r�1i5- t�z�- 411 3b45# lfi5) $1.69.1. (116it Wig 114). 4 K ® pf2:API _... _ -- ...�.�..w :�w-K� .I��r�.f o_in%�. .��-w_s_a�_.1���...•.4=.6_►5' %�._. :... :. : .:._�-�_. _:.. �� _ ___~:.._ D= 1�r5���� 322 -G^ '�•ja 0 �IEIS� s .3�40- � _ -$ D 7 T?4 S Designed AGM Checked_ P444____- Date_ J3 26 Id Sheet _ 0 of J '�, .: r I JRs � Ertgineerin�', " +ric. ENGINEERING & PLANNING SERVICES Project Name: PLA.0 1533 4U 3(5# St,ZIA No.: —QJU Al { i 14 5 ! I AM- _. :.. .�____ � -:_._.r�-�b "---�-�- i ato��--r i..�— �_-�__�___.4 _.•?_.�,ga�••!p�14�/i�• •I�,75�'��• ` •n.. .v.rr�... '�/.�• �1 w,is w,.w•n._.+1•r..w:w.lw..•. F.•..w.«vJ. ~! � .A.,<wl ' ' .iu. � r I !.+...nr..•r-j r... f/1�V:� _ I f �• i_'•.•..•i Z �-Mrs ...a.:..:--r._•.,•:.;u.w w•we ..r. e.. .... �-r.--_.r w••Ma+eww: • •e. ' 1 ./.iF.nr+ i t C 1 i • L •M►.M1•��I•FTTY•e.e.uV •n•ttt-�.VrI..V.as�M ]]tt .lWtl•M.NIj..•M:.•fw•�W •rrtiMl•W1J.... . `s✓ .-.E I III.+_...— • i 1 I�./' ` r...r�_...•.i.. f ....__.. __� ._246w ��is� �_..._�.._._ _ _ •---•• �-_-D'i9;4''�-��_r+=•�tfa4-�-=fl�3�i�ti k��3 �-.pry. '__�.�- I_.__' �1 Pik� • � i ��i � � � Ott �^:��E' `-�1,�,- I t_ �• '� �__. !�...- } ! 1 t � p 4 is i ��•wr.n^`�. t—'- - :C4A) Designed .rGm Checked p1=p Date OLi6& Sheetf_of TIMBER COLUMN DESIGN (ASD) 2005 NDS/2009 IBC Description: T , 6x6.. Timber Column Formula: F`c= Fc* 1+ FCE/Fc* /2c-s rt ( 1+ FcE/Fc* /2c ^2 - FcE/Fc* /c Input Values Fc= var:- psi where: HF#2=575, HF#1=850, DF#2=700& DF#1=1000 Emin = var. psi where: HF#2=400000, HF#1=470000, DF#2=470000& DF#1=580000 c= 0.8 0.8 for sawn lumber, 0.85 for round col.1pile, 0.9 for lu-lam timbers h = var: feet b= 5.5= inch d = 5.5 inch Calculated Values A 30.25 s . in. le var. inch f e=ke*h*12; where: ke per Table G1 & h is the unsup . length) Fe var. psi (Fc multiplied by applic.Adjustment Factors, CF=1.0) FCE Formula FCE=0.822*Emin/ !e/d "2 Fe Formula F'c=Fc* 1+(FcE/Fc*))/2c-s rt(((1+(FcE/Fc*))/2c ^2 - FcE/Fc* /c FcE var. Critical Buckling Design Value for Compression Members (psi) Pc var. Allowable Compressive Stress(psi) Load, P cap. var. Ilbs (P = F'c*A, at 100% cap. load duration factor not yet included) TABULATED CO UMN CAPACITY(at 100%) Descri tion 6'ht. 1 7'ht. Ir 8'ht. t. 12' ht. 13'ht. (6-x6 HF#2-1 16.160 15,610 920 1' 0 ," 13,070 11,980 10.890 9,840 6x6 HF#1 23,330 22,210 20,820 9,150 17,370 15,550 13,860 12.320 6x6 DF#2 19,610 18,910 18,000 16,910 15,670 14,340 12,980 11,710 6x6 DF#1 27,590 26,350 24,810 22,960 20,940 18,850 16,850 15,010 Therefore; P allow. = Pcap* Ca= 140-70 4e 1-115 = T 61 W" y 136C6* --OI- Sheet f1 of J fN � '. F2 4e4ex-l",g, ENGINEERING & PLANNING SERVICES Project Name: I G-i'3 ALL- -46-P- W# Q-ml No.; N9-0-L 0 4i." I Ur 6-7- L/A 6 0 6K., Y114: pX64M. AM - T t -- - 12"5-I 1700 Y, % 7 (1,115) Q, 0164 FIT, W-AA, FM ;fz) ap f Designed Checked— Date 2 Sheet 12) of r 1 �TR� _ Engineering, ' .sic. ENGINEERING & PLANNING SERVICES Project Name: PL_,Q. _153?1 I-V,—C/—(L CST, No.: a{4 t) - 3---A R DPn d fJ Ly.. .$-US ?D. I , AP w L= 1 1 ur' =�rd0 f 15�C14'L� 65 + f7+10--vf r �- P/4 ,9474 tAC- LVL W/j�-) PVJS AF tad o I�.►'dYC, . Gam, '�-G�•R - CAR, ��D� �-flR -1. �,.- �� � - V= 5015 U-70 '>' Wz 4DOTA-'4- 4 6 041 it 15 ✓q.xis DF -2 in 17t5" C��2/� 2,277 5�� - (Y;I5� i 3 VO x-1 14F-A aB Designed 3`G f�l Checked 4c iz. Date "L- Sheet 1-4 of �TRs � .Engirt eerzng •-�ric. ENGINEERING & PLANNING SERVICES Project Name:_ F�l.f4 N 15�a'?� i�•!A.—G� �i�'��f�W No.: FE I JA ! I I I CAP, i ! i I I t t r Wt K U, I 11 9 LT Tr AL IkJ I251 .51 Ir Designed .TG f+1 Checked Da;te 0 2.6 AD sheet f6 of_� Permit Review Details Permit: ZON20110062 1002 Complete? Y 11/10/2011 LPETERSON 5 no comments Y Total Time: 5 1014 Complete? Y -11/17/2011 MHAYES 15 -There are specific conditions that need to be complied with in regards to the 15'planting Y easement on all lots of Division II.See attached Total Time: 15 1020 Complete? Y 11/10/2011 FRAPELYEA 5 No comments Y Total Time: 5 1026 Complete? Y 11/14/2011 RSHEPARD 0 no comment Y Total Time: 0 1028 Complete? Y 11/14/2011 EANDERSON 10 Replace the brass fitting on the tail peace. Y Total Time: 10 1032 Complete? Y 1 1/1 61201 1 LTAYLOR 5 No comments Y Total Time: 5 2000 Complete? Y 11/18/2011 CYOUNG 0 No issues Y Total Time: 0 2008 Complete? N Total Time: 0 2012 Complete? Y 1 111 01201 1 BBLAKE 5 No critical area setback required Y Total Time: 5 2014 Complete? Y 11/14/2011 THALL 5 Meets density/dimensional standards.Conform to easement setbacks.2 trees/lot(1 Y front/back). Total Time: 5 Total Reviews: 10 Total Time: 50 11/21/2011 2:57:00 PM Page 1 of 1 BLD20110224 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 BUILDING PERMIT PERMIT#: BLD20110224 3 OWNER: ENCORE HOMES INC-HOYER, KEITH STATUS: APPLIED ADDRESS: 17614 79TH DR NE,ARLINGTON BALANCE: $0.00 ISSUED: CREATED: 11/10/2011 SCREENS: Select Screen... - FUNCTIONS: Select Permit Function... SINGLE FAMILY RESIDENCE NEW REVIEWS PRINT ADD NEW SUMMARY REVIE...I DESCRIPTION ASSIGNE... DUE DATE LAST I (#) IREQ?IDO...I ASSIGN REMOVE 2000 C-Building i CYOUNG 11/24/2011 0 Y N ! Assign Remove 2008 C-Community Development I ARUSKO 11/24/2011 0 Y N Assign i Remove fs http://coaweb2.arlington.local/PennitTrax/Module_Permits/Pennits_Pennit/Permit Revie... 11/10/2011 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: 0 Plumbing 0 Mechanical Project Address: 1'16 14 It Dt. N , Parcel I D#: 0104PQ0000 0_�.00 Lot#: 3 Subdivision: Magnolia Meadows Project Description: New Single Family Residence Valuation: Owner: Encore Homes,Inc. Phone Number: (360)659-1579 Address: City: Marysville State: WA Zip Code: 98270 Contact Person:Kean Hoyer Phone Number: (360)659-1579 Cell Phone: (425)220-5223 Fax: (360)659-3394 E-mail: keith@encorehomesinc.com Address: same as owner City: State: Zip Code: Building Area(Sq Ft): 1 st Floor: 797 2n'Floor: 743 3rd floor: Deck: Garage/Carport: 483 Basement: Project Valuation: Contractor: Encore Homes,Inc Phone Number: (360)659-1579 Address: 1801 Grove St.Una B City. Marysville State: WA Zip Code: 98270 Contractor's License Number: ENCORHI914NS Expiration: en3 Plumbing Contractor*Soundview Plumbing Phone Number: (360)658-9900 Address: 5917 195th St.N.E.3 City- Arlington State: WA Zip Code: 98223 Contractor's License Number: SoundVP033NF Expiration: D' t 7— auk& Mechanical Contractor: Electric Wall Heaters Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property l be in accordance with the laws, rules and regulation of the State of Washington. ' 10/6/11 ,T plicants Signature Date Keith Hoyer Print Applicants Name RECEIVED FOR STAFF USE ONLY NUV Q 9 LU11 EMftwaq AY.- 450� ate' COA PERMIT CENTER 'Permit# Accepted By Amount Received Receipt# Date Received j r JavIa�.x 111dr-MV ThIEFr,J- 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 Unit#X Total Fixture Total Number Fixtures Plumbing Fixtures Dwelling Unit Residence Units Multiplier Bar Sink X 1.0 = Bathtub or Combination Bath/Shower 2 X 4.0 = 8 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 = 3 Laundry Sink X 1.5 = Lavatory(Bathroom Sink) 3 X 1.0 = 3 Shower(Stand Alone)Each Head X 2.0 = Water Closet(Toilet) 3 X 2.5 = 7.5 Whirlpool Bath or Combination X 4.0 = Bath/Shower Water Heater 1 Other Total Fixture 32 Units Traps(otherthan above items) Column Totals 14 Estimated Project Valuation Building Square Footage 1533 1"' Floor 797 2Id Floor 743 3fd Floor Basement Deck Garage 483 Water Supply Piping A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units B. Distance from meter to most remote outlet: 80 feet. C. Difference in elevation between meter and highest fixture: 121 feet above meter or feet below meter. D. Pressure in street main: 57 psi. (Measure with gauge or check with Water Department) I hereby certify that the dove information is correct and that the construction on, and the occupancy and the use of the above- described property will b in accordance with the laws,rules and regulation of the State of Washington 10/6/11 114pplicants Signature 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 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 a Addition/Alteration Project Description:New Single Family Residence -7 Project Address: 0611 -7 9r' 1�. At.t: Parcel ID#: 01047'V0000 U S 00 Owner: Encore Homes, Inc. Phone Number: (360)659-1579 Address: city: Marysville state: WA zip code: 98270 Contact Person: Keith HOyer Phone Number: (360)659-1579 Cell Phone: (425)220-5223 Fax: (360)659-3394 E-mail: keith@encorehomesinc.com same as owner 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 ❑ Swimming Pool ❑ Other Authorized Signature: J/ Date: 10/6/11 1 For Office Use Only Date Received: Survey Received By: Assembly Required: ❑ DCVA RPBA ❑ AVB Other RECEIVE Inspection Required: YES ❑ NO ❑ NOV 0 9 2011 C2OA PERMIT CENTER G La) mat i3TA4u iFl L , rj_ 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 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. RECEIVED NOV 0 g 2011 COA PERMIT CENTER g(;0?1)1kDa A u ��� � ��� 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. Fv 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. F✓ 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. e. 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. 1o. 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. 2 FLOOR PLAN (Minimum '/41' 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 AT 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 GLLI-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. P1 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 ' 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 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. ❑✓ 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 -' 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 may 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. Signature: Date: 10/6/11 Owner/ er's Representative Company: Encore Homes, Inc. Phone: (360)659-1579 6 Z,c)N20110062 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1 DEVLPMNT REVIEW COMMITTEE PERMIT#: ZON20110062 OWNER: ENCORE HOMES INC-HOYER, KEITH STATUS:APPLIED ADDRESS: 17614 79TH DR NE,ARLINGTON BALANCE: $0.00 ISSUED: CREATED: 11/10/2011 SCREENS: Select Screen... FLINCTIONS:1 Select Permit Function... �- GENERAL-BLD REVIEWS PRINT ADD NEW SUMMARY REVIE... DESCRIPTION ASSIGNE.�DUE DATE LAST (#) REQ7�D0... ASSIGN REMOVE 1002 P-Engineering I LPETER... 11/15/2011 0 Y N Assign Remove 1014 P-Public Works I MHAYES 11/15/2011 0 Y N Assign Remove 10'i) P-Sewer FRAPEL... 11/15/2011 0 Y N Assign Remove 1026 P-Utilities Fees RSHEPA... 11/15/2011 0 Y N Assign Remove 1028 P-Water EANDER... 11/15/2011 0 Y N Assign Remove 1032 P-Utilities I LTAYLOR 11/15/2011 0 Y N Assign Remove 2000 C-Building I CYOUNG 11/15/2011 0 Y N Assign Remove 2008 C-Community Development I ARUSKO 11/15/2011 0 Y N Assign Remove 2012 C-Natural Resources BBLAKE 11/15/2011 0 Y N Assign Remove 2014 C-Planning I THALL 11/15/2011 0 Y N Assign Remove http://coaweb2.arlington.local/PermitTrax/Module__Pennits/Pennits—Permit/Permit Revie... 11/10/2011 .-� 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: 1 0i6i1 1 -,u �- Address: —7It D., A t;_ Plat: Magnolia Meadows Division 4-Wjesa2 Owner/Applicant: Encore Homes, Inc. Signature: G Verification of accuracy and agreement to follow the City of Arlington Municipal Code Phone: (h) 360 659-1579 (C) (425)220-5223 1. Please check one: 0 a. Single-family dwelling ✓� b. Duplex ✓❑ c.Addition [ZI d.Accessory structure 2. Proposed Dimensions: W) L) H) <35' Total SF) 3. Allowed Lot Coverage: Total Lot Size $o31) SF x 35% = 2910 SF 4. Actual Lot Coverage: (SF of all structures) 130-D _ ��; ,3� (lot size) = 1 S'� % (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): New Single Family Residence OFFICIAL USE ONLY PROPERTY ZONED APPROVED F-1 DENIED_ DATE INT RECEIVED NOV p 9 2i: COA PERMIT CENTER 20A) a Wt C)6(e - . . ,. „ ., Ci3�f 1�i��� -Site Information: Impervic Surface: 17614 79th Dr. N.E. House w/O.H.: Sq. Ft. Arlington, WA Driveway/Walkway: Sq. Ft. Parcel #: 01107700000300 Total: Sq. Ft. Unit Size: 8,315 S.F Notes: Legal: Magnolia Meadows, Div2, Lot 3 1. Downspouts to plat system Job #: 2. Stockpile to be covered within 24 hours. Plan: 3. Entire site to be disturbed 4. Silt Fence as needed 5. Denuded soils to be straw covered. 6. Armored Construction Entrance. 7. Parking pad concrete /driveway gravel Setback Notes: Front Setback 20' N Driveway length 22' Side / Rear Setback 5' 0 ft. 12 ft. 20 ft. 40 ft. Ht. 35' No Overhangs in Easement Areas Rebar Set 1' from actual Corner U.N.O AILL (true corner closer to road) 116.53' LOST 3 8,315 �Q. FT. I I 23' c i I E I oa o Muj C7 c I` N 1() N I ti -0 LO I O Ln M Jo a W 5910 p . I I ro I °O I I I I I I I I 115.83' - L �- CEIVED NOV 09 20-11 COA PERMIT CENTER Encore Homes, Inc 1801 Grove St. Unit B Marysville, WA 98270 (360) 659-1579 Contact: Keith Hoyer x _ ,.� ;� _ ., ., �i���� i'iT�iF.. ;� G1 S Y 04 VOLUNTARY COMPLIANCE AGREEMENT Z Community Development, Code Enforcement +ZI N G` ' I Quilceda Land Group Inc. residing, operating a business or owning the property located at 17625 79'h Ave. N.E.Arlington (address)APN: 310523-004-014-00 & 310523-004-014-01 (legal description) have been notified by the City of Arlington that a violation of Arlington Municipal Code Title 20 (specific code sections are included within the Notice of Violation) has occurred or is occurring at the above described property. The following corrective action must be taken in order to abate this violation: 1. In addition to the requirements of the Tree Mitigation Planting Plan submitted by Higa — Burkholder Associates,LLC the following changes shall be required. a. Note11 of the landscape Planting Notes shall read —All trees are guaranteed to survive for one year from date of planting. b. Note 12 - Planting easement delineation and language as follows shall be placed upon the recorded plat map. "A permanent 15-foot Tree Retention Easement shall be located along the perimeter of each lot, which shall be left permanently undisturbed in a substantially natural state. No clearing, grading, filling, building construction or placement, or road construction of any kind shall occur except removal of hazardous trees Any removal of hazardous trees shall be done in accordance with the significant tree protection and retention rules per the City of Arlington Land Use Code and in coordination with the Natural Resources Manager." c. All trees utilized in the restoration shall be a minimum of 3" caliper at a planting ratio no less than 3 :1. d. Replace Acer Circinatum (vine maple) with Acer Macrophyllum (big leaf maple). e. Provide a permanent no-maintenance fence around the perimeter of the permanent planting easements. Approval of materials required by the City. f. The stumps from the harvested trees, as identified in the tree retention plan as#2, #12, #13, #15 and#20 shall remain untouched and retained permanently. g. Minor changes agreeable to the City may be made by consultants in the implementation of the tree mitigation plan. 2. Per AMC Chapter 20.80 Section 20.80.450 — Violation Assessment and Section 20.80.455—Fines, an assessment worksheet was completed to establish the appropriate fines for the subject violation. A penalty assessment of$ 22,000.00 was derived from the worksheet (worksheet is attached). The City will allow the Penalty Assessment ($ 22,000.00) to be utilized for the mitigation of the subject violation (materials and installation only) except for the $ 8,000.00 penalty for the candidate trees (see condition # 3), which will be allocated to the City's tree program. 3. Per the Tree Condition Report submitted by Cricklewood Consultants, there were four candidates for long-term retention and four for short term retention (these four should have been at the City's discretion). Therefore eight trees shall be subject to the $ 1,000.00 per each violation. 8 X$ 1,000.00 = $ 8,000.00 4. All timber harvested upon subject property shall be utilized in the wetland restoration of the � plat of Magnolia Meadows. �k4) p �>� V_ 5. All conditions within this agi—ement shall be completed to the satisfG ,on of the City prior to the approval and recordation of final plat for Magnolia Meadows Division II. Should the violation not be corrected by completing the specified corrective action within the specified time, I acknowledge I will be subject but not limited to fines and penalties, criminal prosecution, civil injunction, administrative abatement, civil penalties, revocation of business license, revocation of permits, recordation of the Notice of Violation and withholding of future permits. Should the violation not be corrected by completing the specified corrective action within the specified time, I agree that the City of Arlington may abate the violation and recover any costs and expenses incurred in abating the violation. By signing this Voluntary Correction Agreement, I waive the right to an appeal of the required corrective action, and agree to the terms and conditions contained herein. OWNERSHIP CERTIFICATION I do hereby certify that I am the major property owner or an officer of the corporation owning the subject property and that I will abide by any requirements and conditions that m be part of this a reement. Property owner/officer's signature (must be notarized) Corporation name, if officer: STATE OF WASHINGTON ) ) ss COUNTY OF SNOHOMISH ) On this, the day of 0(TV 20 ��, before me personally appeared. L h F a ZRimi known to me to be the same person whose name is subscribed to the within instrument and acknowledged that he/she voluntarily executed the same for the purpose therein contained. IN WITNESS WHEREOF, I hereunto set my hand and offici I✓ I. _� � ,•••ioa'''�`gyp��i 1h 0 Notary Public in and for the State of V) Washington residing at asp ° ^o My appointment expires 4-2 9-0.9 1l�l�AVN' n,n„ ,,m .aww.µoaMono ,a. N ::aau 1 r r'N -- -q IN LD r,tt irk; t c U cn N Tc� 0 m z a O 0 tJ 0 Q) -t s a. 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