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Home My WebLink About417 S Cobb ST_BLD0020_2025 Oiftj p6 Aft ItLINI:T40N NOTICE and inspection Repfrt Address Contractor Owner L�►�l[ /1 P2L . Requested by —� TYPE OF INSPECTION REQUESTED ❑ BLDG: Pmt. No. z2c,-� % ❑ MECH: Pmt. No. ❑ PLBG: Pmt. No. ❑ Footing ❑ Framing ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In ❑ Fireplace and Chimney Furnace ❑ Other ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. ❑ Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required. Inspector �� Date ✓ef!Z I was present during this inspection. J* .: 'n i ~ CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00020 OWNER MAIL ADDRESS CITY ZIP PHONE Richard Rollins 417 S . Cobb Arlington , Wa. 98223 435-8423 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSEN MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE Same as above PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# CLASS OF WORK ❑NLW ❑ADDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK $ Install new gas heater and piping DESCRIBE WORK 500 ,00 PROPOSED USE Of BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORK LOT-BLOCK-OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OFA PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 417 S . Cobb SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE IOBAUDRCSS X SEE APPLICATION (OFFICE USE ONLY) MECHANICAL PLUMBING NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND.UNITS - H.P. EA. BA I lFH UB REFRIGERATION UNITS-H.P.EA. LAVATORY (WASH BASIN) BOILERS-H.P.EA SHOWLR GAS FIRED A.C.UNITS-TONNAGE EA. KI ICHEN SINK & DISP. I FORCED AIR SYSTEMS- B.T.U_ MEA DISHWASHER WALL HEATERS- B.T.U. M LAUNDRY 1 RAY UNIT HEATERS- B.T.U. M CLOTHES WASHER EVAPORATIVECOOLERS WAIERHEATLR CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUNIAIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY SINK (SERVICE- BAR, ETC.) WATER HEATER GAS PIPING SUBTOTAL $ SUBTOTAL S PERMIT S PERMIT $ 1 5 1 00 TOTAL FEE f TOTAL FEE $ SIDE YARD SE IBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE ZONE LOT AREA VACANT SITE ❑ FEES VALUATION FEE ❑YES NO TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG BUILDING $ SIZE OF BLDG, NO.OF STORIES MAX.000.LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑ MECHANICAL 27 00 YES ❑NO COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY U.B.C. SEC-303(a) M E C H , PERMIT ONLY WATERJSEWER FEES TOTAL 271 00 PERMIT VALIDATION WHEN PROPERLY VALIDATED ((,IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT PAIZ_ _ 9 / CR#dy�3� BYcc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. L DATE RECORDS COPY F OT-DAURA 10 YTO 17M09 asQo.a.CJH TlMlly� 11u1r �1 r7KIMMUI` .1A,INA.I a'ui 1 p►►fAJr�l� (�(��A��a}14� I� J.1 11 1 pill 1 I 11 r { ,- ii1,I1*EXIiI, I I AIO •�► TI j �:11111 .r111 11'7 r�i lfl P 11.1 LU�! - L1 f - _ill C It�11' n•� _J I I SIYY11 *14 �— fiF11 iiA'A I IN UI I 111LYI. 1I• . �. :. �7:]1:IAY '�' I f:•J:�t� 1 � � 9r1, � I• - ':�I�i�' ?lip - - 4ir7trli�:•.:/-11� II 11N - 1'JJ 11' _ ♦.•_ ►1` - .. 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(II rj Ill�fll yYl� ~�� WIN M- I--W I-r+ - 4 11 1•T; .aciw4mmY1IJI "jill4rr.21 u rpct-VL �.-• '.►J}�r-v�•f�lf �hr •� s .r„t1 I•_ J - - A A7G vgo3 8414003 + 3Q �1 QIII a'��IIJ_.?:.. wl•L�1', Ka. AL�,J�LaJ a� CITY OF ARLINGTON C/ CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑' PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL.ADDRESS CITY ZIP PHONE ARCHITLCTO.DESIGNER MAIL ADDRESS CITY ZIP PHONE 'Ste - ()I I i r5 3 Fre Z) y GENERAL CON I RAC TOR MAIL ADDRESS CITY ZIP PHONE LIC NSEN MECHANICAL CONTRACTOR MAIL ADDRESS CITY. ZIP PHONE LICENSE N PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS OF WORK ❑NF W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION []BUILDING RELOCATION VALUA1 ION OF WORK f / , '3 *7-(Ae8 6 Q 5 �ec, er DtSC IBE WORK PRUPOSt O USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL UtSCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LUr BLUCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZEO AGENT DATE IOB ADURLSS X J -2 ,gv (OFFICE USE ONLY) MECHANICAL PLUMBING NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSE] (TOILET) AIR COND.UNITS -II.P. EA. BAIIIIUB REFRIGERATION UNITS-H.P.EA. LAVATORY(WASH BASIN) BOILERS-H.P.EA SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. KI ICIILN SINK&UISP. FORCED AIR SYSTEMS- B.T-U. MEA DISHWASHER WALL HEATERS- B.T.U. M LAUNDRY TRAY UNIT HEATERS- B.T.U. M CLOI IILS WASHER EVAPORAT IVE COOLERS WAIERHEATLR CLOT HESDRYERS URINAL VENTILATICN FAN DRINKING FOUN I AIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY SINK (SERVICE - BAR,ETC.) WATER HEATER GAS PIPING SUB TOTAL f SUBTOTAL 3 PERMIT s PERMIT f TOTAL FEE f TOTAL FEE S J SIUL YARD SE I BACK STRLET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USI ZUNI LOT AREA VACANT SITE ❑ FEES VALUATION FEE ❑YES NO TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG SIZE Of BLDG. NO.OF STORIES MAX.OCC.LOAD BUILDING f PLUMBING FIRE SPRINKLERS REQUIRED i ❑YES ❑NO MECHANICAL COMMENTS � I ® STATE BLDG.CODE PENERGY CODE SURCHARGE PENALTY U.B SEC.. 303(a) MAR Z 01989 WATER/SEWERFEES CITY OF ARLINGTON TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT&RE 7 PAIDG' KRN cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT. BUILDING OFFICIAL DATE RECORDS COPY �,1-+rv. s :.r t,�•..�7 ._:.'.'rrr:�:'=7?i'r+rc� - •;.�r .r,_ri r:•!.T•'i •r:...2'"a"A - •r r y ,..�� i � �,f - ;��, t � �