HomeMy WebLinkAbout1220 E 5th St_BLD443_2026 (3) DEMOLITION
PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington •.18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551
THIS APPLICATION MUST BE ACCOMPANIED WITH A COPY OF THE ASBESTOS/DEMOLITION NOTIFICATION FROM PUGET
SOUND CLEAN AIR AGENCY, TWO(2)COPIES OF AN ASBESTOS SURVEY REPORT AND ABATEMENT REPORT
(if applicable) COMPLETED BY AN APPROVED AGENCY.
Type of Permit: (check one) ❑ Residential Commercial ❑ Industrial
Project Address L 5-T0 51< vvy Parcel ID#:
Lot#: Subdivision: Valuation:
Building Area(Sq Ft) 11 f No. of floors: Number of Buildings:
Owner: �V>_14111� -5e_ �tOOL— �I. .V `�/ I Phone Number: -3&0• &31 -11451
Address: ��� 5, W A � City: ML�.I� State: Zip Code: q �
Contact Person: ► l Y Phone Number: I • .
Cell Phone: 3(alo %,,, 1 . Cf.-��� Fax: E-mail: ,-TA �a n,G't,$d, Wfd el - CC!/
J
Address: 13 5 S. 1`�-"xA NJ I;- City:A��CAA State: W Zip Code 17 �
Scope of Work:
Contractor: lid rf . Phone Number: 425- 3 53— `A19$
ep--��
Address: I�o l-y I city: State: rV Zip Code: 9 5zio
Contractor's License Number: 1't R l/ Expiration: I I I I ZUI S
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 will be in accordance with the laws, rules and regulations of the Stat of Washington.
pplicants Vignature Date
Print Applicants Name
Received
FOR STAFF USE ONLY AUG1 06 Z0�
Buk �q3 Oct=
gler—
dom—
Permit# Accepted By Amount Received Receipt# Date Received
ASBESTOS INSPECTION
FOR
DEMOLITION
Owner: Arlington School District
Site: POST MIDDLE SCHOOL PORTABLE 6
Subject: Asbestos Inspection for Demolition
Inspector: Anthony Hayes,AHERA Building Inspector
Please Note-Sampling was done in a destructive manner in this building. Sampling was thorough,all
areas and materials were sampled. Seattle Asbestos Test was used as the verifying laboratory.All
samples tested negative for any asbestos.
Sincerely,
Anthony Y Ha d�/
AHERA Building Inspector
ARGUS Certificate#144296
Expires 10/23/2014
Received
AUG 05 2014
16l,D L4LA 3
CITY OF ARLINGTON
` 18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551
BUILDING PERMIT
1220 E FIFTH ST Permit#:443
Parcel#: 31050100300400 PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Scope of Work:Demolish and Remove Portable(P-6) Valuation: .00
OWNER APPLICANT CONTRACTOR
ARLINGTON SCHL DIST 16 Arlington School District Arlington School District
315 N FRENCH AVE 135 S French Ave 135 S French Ave
ARLINGTON,WA 98223 Arlington,WA 98223 Arlington,WA 98223
360-631-1459
LIC: EXP:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: DEMOLITION CODE YEAR:
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any
other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the
Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any
period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance
advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building
official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this
jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation,
guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is
determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City
ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor.
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 construction and construction materials in the City of Arlington must be reported on
your sales tax return form and coded City of Arlington#3101.
08/11/2014
Applicant Signature Date Building Official Date
CONDITIONS
The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations.The
property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment
or community.The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant
authorities before commencing construction.The property owner shall ensure that the construction project complies with all
applicable design review requirements.
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.
PERMIT FEES
Date Description Fee Amount
09/14/2026 Demolition $100.00
09/14/2026 State Surcharge-1st DU $4.50
Total Due: $104.50
Total Payment: $104.50
Balance Due: $0.00
CALL FOR INSPECTIONS
Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
INSPECTION INFORMATION I Pass/Fail
Permit#: 443
Permit Date: 08/06/14
Permit Type: DEMOLITION
Project Name: Post Middle School
Applicant Name: Arlington School District
Applicant Address: 135 S French Ave
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Tony Hayes
Phone: 360-631-1459
Email: t hayes@asd.wednet.edu
Scope of Work: Demolish and Remove Portable (P-6)
Valuation: 0.00
Square Feet: 600
Number of Stories: I
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 08/11/2014
Permit Expires:
Permit Form Type:
Civic Plus Number:
Status: COMPLETE
Assigned To:
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
31050100300400 1220 E FIFTH ST ARLINGTON SCHL 681 Nursery,Primary
DIST 16 &Secondary School
Contractors
Contractor Primary Contact Phone Address Contractor Type License License
#
Arlington School District 135 S French Ave CONSTRUCTION
CONTRACTOR
Plan Reviews
Date Review Type Description Assigned To Review Status
08/06/2014 DEMOLITION Ok to issue.Asbestos report indicates no ACM's z.Christopher Young
Fees
Fee Description Notes Amount
Demolition $100.00
State Surcharge- 1st DU Residential- 1st Unit $4.50
Total $l 04.50
Attached Letters
Date Letter Description
08/11/2014 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
08/11/2014 Tony Hayes 51245707 cc $104.50
Outstanding Balance $0.00
Notes
Date Note Created By:
08/06/2014 Demolition is for a school portable that has no utilities(water or sewer)hook up. Amy Rusko
Uploaded Files
Date File Name
08/06/2014 LLD 443 Application.pdf