Loading...
HomeMy WebLinkAbout5423 Cemetery Rd_BLD993635_2025 INSPECTION REPORT ` ''��O 3 5-Lot#. -� � Permit No.: �~ Address: �� I/G � Contractor: VIEW • Owner: �f�s -SCE C`f3Co Date: !� T ❑ APPROVALARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. �-�5W2 Inspe Date: �/ TYOt OF INSPECTION REQUESTED ❑ Under-floor XFFrarning ❑ Gas Piping ❑ Footing Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork fMechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT Permit No. / 1— 3 Lot # �7n • Address q Contractor Owner bon) Date �?- .Ig —c! 1 ❑ APPROVAL ,i PARTIAL APPROVAL ❑ VIOLATION A ' CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-04094 FOR RE-INSPECTION - 24 hour notice required. v&'711 c ` Inspector Date TYPE OF INSPECTION REQUESTED ❑ 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 INSPECTION REPORT Permit No.: (10r3923 Lot#: r Address: Contractor: • Owner: X� Date: 41— 613 -­2060 PPROVAL El PARTIAL APPROVAL ❑ VI CATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. � U Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing *Gas Piping ❑ Footing ❑ Drywall, Nailing `I Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: - 07/01/99 THU 14:05 FAX 425 339 5254 ENVIRON, HLTH DIV f004 � U S'ZHOMISH HEALTH DISTRICT _0 ! - �7 Environmental Health Division 153105- 01-8007 Courthouse, Everett, WA 98201 _ (Property Tax Account Number 339-5270 APPLICATION FOR AN ONSITE SEWAGE DISPOSAL PERMIT 0 Repair {JAltera New 0 Renewal on ❑AI Redesign v _ / Phoneme r�_nce'9 r.1 GC�_d7Aq Applicant Dick HaDsen—-- City Zip AR723 Mailing ad s _ 3 th For iestaLa a Sec. Twp. 5423 199th N.E. city 15 Legal description W— 110' X N--S 240' - Lot elk. Short PlaULLS No. Lot Pia _ Exlstin9 SFR�_ Duplex_, No. Bdrms�3_ Commercial Other Type of Building: Newer, (Attach Letter of Avallablllty) Water Supply: Public--.X— Name F pdvate Source Protective Covenants oil log eld ines, 100% Attach a detailed drawing 1pvetloni9, boda of hea of lweterie gt pro party em atl lines, house locations banks, lexcav excavations, reserve area, contours, easements, north, and any proposed or existing well within 100 feot- . SOIL LOG 1. 0— T SOIL LOG 2. 36„ at 1 DECEIVE i sa'ia SOIL LOG a. 0-37° Tan avell tneciitutt •rtD u S • • SOIL LOG 4. 1 1 a SOIL LOG 5. 0 3n aVell mediurr. sand SCS CLASSIFICATION 41 rcMe++ SOIL TYPE U QV—Ap�R�QAj�>�N RATE SJM-949" f�07 DEPTH TO HIGHEST SEASONAL. GF�OUNDWATRR�SC eFT OBSERVED_WIDTHIM24 InchesDADEPT 2FL 4 Inches SEPTIC TANK SIZE 90- Old gallons an TRENCH: REQUIRED COVER SOIL: DEPT �' '� .ncnas.and Vr"4ME—N��=—a'blc yards License No 26352 Phone No. 435-5551 Signature of Designer 98223 Date 6-29-89 Address PO BOX 326 / Jim K. Sutton City Arlington z{p� DO NOT WRITE BELOW THIS LINE Application Denied Date Sanitarian G - Pending: (Date) p y 1%�✓ d N l APPLICATION APPROVED ate SANITARIAN 'J SANITA AN a PERMIT ISSUANCE APPROVED Date � pERM{T N PERMIT ISSUED: (Date) , BY Y natal r o/ Called For Inspection: (Date) �� By Date__ Renewal dY Date Final Inspection BY • See reverse side for addltlonal Information Erik NOW CIS IN. Canwo Island WA.98292 1how 425 50188)09 kax,W 387 0293 August 09, 1999 AT rYNTION MIIKE THRAMUS THIS IS A NAPPATIY-' IN RE-TO THE PROPzRTY(!) 5433 CEMETERY ROAD IN ARLINGTON', On the waeic of the 9th-14th of August the following repairs:AEU be made to the house on WIC - Plumbing will have been repaired and have had a pressure test put on the lines on or before Wednsday the l Ith. (Ace plumbun_a.) - Electrical will have been repaired by an electrical contractor on or before Thursday the 12th The home will be insuiated floor,walls and vapor barner by of before E';iday Oe 13th. - Other damage as the siding nrn•joists and the window replacement will all be repairer to existing some time before the 20th of August. ✓ The lock box combo is RIS Any Questions please call me at 425-501-8809 or 360-387-7118 Thank you ERIK MUELLER el �� me 101 3 J K �1 C LA-b :S70kJa C M fr&A(5 )se . uUVI 110' W � r W . r l� y50 P 1 c;b' ago' Yl 50' f pip AALINGTO AMMENT gU1LGiNG DE�' !1 RECEIVED p1QE�NO 6Y ° HE JUL 01 2001 fl D1 1 CITY OF ARLINGTON C 3 7Y OF A RL- I NG7QN CONSTRUCTION PERM 3 T F,E:R.M I T FAO, Ownere Value of Work: - Describe Work: Proposed use. Sri Legal Description: Job Address: - .-- �Q =_ actor' s Name Type Address _i:ersa= TOTALS Fee -;C--cI:t r;E IZ..�1• T[!?AL FEE. . . . . . . . . . . .. . . . . $0.00 � PAY#+ENTS.. . .. ... . . .. ... .. .$0.0 .SPI-,C 2-L ,'YL ` ; r FRECT .A.= PRO,,7 c- SAC C -�H� rA� TOTAL DUE. . . .. . . .. . ... . .. , $0.00 �t�<L:f'��N�_.- 4,P:i i:y fir,' F-Il7g?on Fsx:300-435,390E Hug j �% r CITY(W ARLINGTON CONSMUCTION PERM17 ij CWI>AtIMTIQq Q •WL011'0 MCCHAOWAL D 1,UMMW, D PERMIT No. Mw l ss IvJo S 02`33 �rl rpytllSt 0M tvS �'S AFC rl 4Qq * QAuw�KJtl ,l It 44TON tAlte [I 64r4.1110" Q IIIJI.UTAC:RELOWIM S YALUAr10M0t t •'�� 1 � I P*RW ClRTIfY THAT I HAVE AEAD AND EXAM040 TMTS At►lIU• TION ANO KNOh''MF;AMJ TO It TRUE AND CORRIC'ALL FRONT. ` SONS VLAWS wbO4DlKA +CISC4MANIN(;THISTY►EOf*OAK t lUl NHLw a WIll Of COW^LD;MTH WI MIX 5"CI440 AIRIN aR NOT.TM?! � --7 C�tM1T1MCCFAPEAa4tTDOESNCT•Rl4t.A1ETOvn+rAJ.lT►fDRtTr'Tp �V*LATI CPR CANCEL THE rROVIS!Dns Of ANY OTHM STATI OR TAR IO hUk* ?"M PWDP ATT TAX •TAT{MOT S W RECJt/�T3NGCONSTR hLit RI E CONS-mUCTIQN.IERM'T tvIRI1 i IfFAV FIOMDATE C)F ISSUANCE.ovo is lo.Aw r a oYRa+C*at or.utttoAt»rare o+n ul LY) ►3c yw+to _ no _a*tra►fuTwa -- _ t r Trtl9/. tt cLawst+ottr e Ad At*"Vrr-o su- WAS - } r bil ♦7f e OWHt•ltA1YW�fA>t •C ?._ _ "MAC IL h ri..YtFCaI t E t srUl`.\tU� ♦Tttl>yl e�A{A ttR ♦Ata 7tttl/pt KANO�KR t`R r♦NCtI('t1q ;ry--T— ..:n l Aw Ur l![f vwtUw hVl+ Il /II Q YCt 0"•a It►t W Cr?Mt IeCGVAUIG`G'st7N• OI llW V•` t �'IfECt�10 VO I —. rn+�M>zwts i w_ sTAn ��� wf>w�ww i - TCIAA Iwr.VA►�AHolt rrlwt t+Io►urr lwuwtw IM stilt wwar rwx,�Ytrtt nrw a tlCf lrt IAq Co Yr e Et w9e5r.f90�:A'"relGu+ THEALI71lR4dt. DO bCl•P µAROb COpY CITY OF ARLINUY0N C ONS T RUCTION P E RM I T PERM I Y NO- = 00—a873 Owner: DUTSON, MIKE 5433 CEMETERY RD ARLINGTON 98223 Value of Work: $500.00 Tax ID: 153105-2-018-0007 Phone: 360-770-9988 Describe Work: CONVERT TO GAS Proposed its-`: RESIDENTIAL Legal Description: Job Addr : 5433 CEMETERY RD Contractor's Type Address License# OWN P E R M I T F E E S I Equipment-and Fixtures Humber --Fee Total-Charge ---------------------------- - ------ DRYER 1 $10.65 $10.65 i WATER HEATER 1 $10.65 $10.65 GAS PIPING 1-4 OUTLETS 1 $4.75 $4.75 t S U B T O T A L...... $26.05 TOTALS Fee Equipment $26.05 Nech Permit 523.50 TOTAL FEE. . . . . . . . . . . . . . . . $49.55 I HEREBY C RTTFY T.. I liAVc READ AND EXAMINED THIS APPLICATION AND s. .................$0.0 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND DUE................. $49.55 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE _IED WT H WHETHER SPECIF' K hu DATE RECEIPT # 115-ri - D BIJIL.61—KS OFFICIAL o -603 - CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING 0 MECHANICAL ❑, PLUMBING ❑ SIGN PERMIT NO. ��- 1 OWNER MAIL ADDRESS CIl ZIP PHONE � G_ l lG o y ARCHITECTOR DESIGNE MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 11 PL BING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N 3 CLASS OF WORK CO ONLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI IION ❑BUILDING RELOCATION QVALUAI ION OF WORK Z S W OLSLRIBE WORK 3 t � ►- a m PROPOSE D USE Of 8 LOIN I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z LLGAL DESCRIPI ION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIF S) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK J LUI BLOCK • OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO s 3`ps oZ�C�`� �'� VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF (L CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. OSIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE U 108 ADURLSS (OFFICE USE ONLY)PLUMBING ECTTANICAL NO. TYPE OF FIXTURE FEE x's FIXTURES NO. TYPE OF EQUIPMENT FEE x's FIXTURES WATER CLOSET OILET IR COND.UNITS—H.P. EA. ui •list•' ATIITUB 13FRIGERATION UNITS—H.P.EA uE •list«" VATORY(WASIT BASIN) 301LERS—H.P.EA. •li#«" MOWER P3AS FIRED A.C.UNITS—TONNAGE EA. u .list" TCHEN SINK&DISPOSAL FORCED AIR SYSTEMS—B.T.U. MEA_ ISHWASHER ALL HEATERS—B.T.U. M UNDRY TRAY NIT HEATERS—B.T.U. M LOTH ES WASHER :VAPORATI V E COOLERS WATER HEATER LOTH ES DRYERS RINAL ENTILATION FAN RINKINGFOUNTAIN ZANGEHOOD COMMERCIAL LOOR DRAIN IR HANDLING UNIT— CPM VACUUM BREAKERS OVE OOP DRAINS—RAINLEADERS qETAL FIREPLACE&CHIMNEY INK(SERVICE—BAR.ETC.) ATER HEATER >�13AS PIPING -(up to 5=$3.00,addol.=S.75 —Equipment list must be provided SUB TOTAL SUB TOTAL PERMIT PERMIT TOTAL FEE TOTAL FEE SIDL YAkD SL I BACK S TRLLI SL T BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USF /ONE LOT AREA VACANT SITE FEES VALUATION FEE ❑YES ❑NO TYPL OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BU'LOING $ SILL Of BLDG NO.OF STORILS MAX OCC.LOAD PLUMBING F IRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE PENALTY U.B.C. SEC.303(a) WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED EIN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT PAID _CR# BY BUILDING OFFICIAL DATE cc:ASSESSOR,APPLICANT,TREASURER. BLDG DEPT RECORDS COPY INSPECTION REPORT ti1N Gr Permit No.t/'��� � Lot #: O Q' Address: Z Contractor: _ Owner: ��1IG,5L1� SINO Date: APPROVAL ❑ PARTIAL APPROVAL ❑ IOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: L111 IN, Dater q�_ TYPE OF INSPECTION REQUESTED ❑ 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: C I TY OF ARL-I NO-rO V CONOYRUCT I OIV AERM I T F31ERNNIT NO- o 01—r+&gz+ Owner: DUTSON, MICHAEL 5433 CEMETERY RD ARLINGTON 98223 Value of Work: $27,000.00 Tax ID: 153105-2-018-0007 Phone: 360-435-2463 Describe Work: CONSTRUCT A SHOP ON EXISTING FOOTING 1260 SF Proposed Use: GARAGE, STORAGE Legal Description: Job Address: 5433 CEMETERY ROAD Contractor's Name Type Address License# MICHAEL DUTSON OWN 5433 CEMETERY ROAD TOTALS Fee Permit Fee $411.95 Plan Fee $267.77 State fee $4.50 I�I&4ATUIE: TOTAL FEE................. f684.22 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS........ ......... . $254.64 KNOW THE SAME TO BE TRLO AND COR- RECT ALL PROVISIONS OF LAWS A TOTAL DUE................. $429.58 ORDINANCES GOVERNING HI WORK WILL BE LI THER DATE RE IPT # I q SPECIP HER I 0 . -r �� kp 3U -DING FILIAL CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.4* j OWNER 4ppIICArsT MAIL ADDRESS CITY ZIP PHONE ARCHITECT OR DESIGNER MAIL ADDRESS City LIP PHONE l GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# I MlCnnNl. R MAIL ADDRESS CITY ZIP PHONE LICENSE I PLLMBINC•E TRACTOR MAIL ADDRESS CITY ZIP PRONE LICENSE IF 3 CLASS OF WORK O RNf_W ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLI TION ❑BUILDING RELOCATION QVALUATION OF W RK Z S W DESCRIBE ORK 3 Gt ^.a� 6� E—�i J v M PROPOSE D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- w GW ,e S tf� r TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- ? uL nI DE tic T ION of ruoPE RTY S N RF lOw OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK J LOI BLOCK . OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE -s GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO H r~ ��` _p _ VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LLI J TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF a CONSTRUCTION.PERMIT EX IRES 1 YEAR F, M DATE F IS UANCE. OSIGNATURE OF CONTRACTOR O AUTHOR AGENT ATE Z I� V )OB ADDRI SS C r 3 V2 0 er� x (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE Vs FIXTURES NO. TYPE OF EOUIPMFNT FEE i s FIXTURES ATER CLOSET TOILET' IR COND.UNITS—H.P. FA. u .list•.' AT ITUg EFRIGERATION UNITS—II.P.EA. ui .list•• I AVATORY(WASII BASIN TOILERS—H.P.EA. ti .list•• 11OWER AS FIRED A.C.UNITS—TONNAGE EA. d .list•• TCIiEN SINK dt DISPOSAL 'ORCED AIR SYSTEMS—B.T.U. MEA ISHWASHER NALL HEATERS—B.T.U. M UNDRYTRAY JNIT HEATERS—B.T.U. M LOTIIE S WASHER .VAPORATIVECOOLERS ATER HEATER 'LOTIIES DRYERS RINAL IVENTILATION FAN 7RINKING FOUNT IANGPIIOOD COMMERCIA 'LOOK DRAT 1R HANDLING UNIT— CPM ACUU ZRAKERS TOVE ZOO RAINS—RAIN LHADERS E'1'AL FIREPI.A' .A CHIMNEY K(SERVICE—BAR,GTC. A'IT3R I IFAT iAS PIPIN •(u to S=S3.00.addnl.=S.7S ui oM list must f>e rovided SUB TOTAL SUBTOTAL PERMIT PERMIT TOTAL FEE TOTAL FEE SIDI,),1RIj SLID C STRELISLTBACjK REAR Yg RUIEIBACK PLAN CCHjECK,NNUMBER FEE � �PLAN CHECK TFEE US /UN! S LOT n n VACANT SITE / �" 0 ��q l�. � �_� —/—/q n r�r.,41�60 ❑YES Q§i0 FEES VALUATION FEE YPE Ul (IN S OCC P NCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG r 7> 7, te r ~ BUTDING SI/F Ut BU< NO.UF SIURILS MAX OCC. OAD A14X PLUMBING F IRE SPRINKLKo EQUIRED El YES MECHANICAL COMMENTS STATE BLDG.CODE iJ n _q(;qd ENERGY CODE SURCHARGE PENALTY S B C. SEC 303(.) I' WATER/SEWER FEES t•-""'-"�..�.r , � TOTAL 1 7 1 ' PERMIT VALIDATION Too"+E 1 I- ��r t�� t,t WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS 15 YOUR PERMIT&RECEIPT 1 { ;•S! PAID CR# BY Cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. BUILDING OFFICIAL DAIF� RECORDS COPY