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
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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
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D 1,UMMW, D PERMIT No.
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IvJo S 02`33
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TION ANO KNOh''MF;AMJ TO It TRUE AND CORRIC'ALL FRONT.
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�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
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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