HomeMy WebLinkAbout20409 Lantern Ln_BLD00055_2025 t
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NOTICE and Inspection /om
Report
Address / , A0,^—
41
Contractor— �
Owner TT
Requested by
TYPE OF INSPECTION REQUESTED
❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
❑ Footing ❑ Framing
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In
❑ Fireplace and Chimney ❑ Furnace ❑ Other
❑ APPROVAL e ✓�'�^`❑ A,RTIAL APPROVAL
El VIOLATION RECTION REQUIRED
rections 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.
� s
Inspector Date Z, ! ✓ r
I was present during this inspection.
NOTICE and Inspection Re ort J
Address �Q
Con tracto`%%//��
Owner
Requested by�r�
TYPE OF INSPECTION REQUESTED
.XBLDG: Pmt. No. �J� ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
Footinp� L Q Framing
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-in
❑ Fireplace and Chimney ❑ Furnace ❑ Other
ARTIAL APPROVAL
V*T
IOLATION ❑ 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.
ease contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required.
46aea2A
Inspector Date
I was present during this inspection.
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NOTICE and Inspection Report
Address f /_4 a (L- � E l f �" I
Contractor rt • -'y��f��
Owner
Requested by
TYPE OF INSPECTION REQUESTED
❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No. —
❑ Footing ❑ Framing
Foundation WAI f` ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In
❑ Fireplace and Chimney ❑ Furnace ❑ Other
❑ APPROVAL �❑ PARTIAL APPROVAL
❑ VIOLATION p�,CORRECTION REQUIRED
❑ Corrections fisted below MUST BE MADE before work can be approved.
❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy.
Pork listed below has been inspected and approved.
llease contact Inspector and arrange for appointment.
❑ Was not able to perform inspection
❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required.
i
spector Date E /
I was present during this inspection.
I
I or
NOTICE and Inspection Report
Address G^
v
Contractor
Owner
Requested by
TYPE OF INSPECTION REQUESTED
XBLDG: Pmt. No. ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
❑ Footing ❑ Framing
r
❑ 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.
fx �-�2
Inspector ate ✓� ��
I was present during this inspection.
cite n6 :ItI,INGTON
NOTICE and Inspe=,,
Address L�,V�Vc..�
`O Contractor cv50 t 1
Owner 0 Jv5DrN
Requested by C"i-5DY-,
TYPE OF INSPECTION REQUESTED
4;-&LDG: Pmt. No. * 9AECH: Pmt. No.
❑ PLBG: Pmt. No.
❑ Footing raming
❑ Foundation Drywall Nailing ElFinal
❑ Concrete Slab ❑ Rough-In A
❑ Fireplace and Chimney ❑ Furnace Other
❑ APPROVAL ❑ ARTIAL APPROVAL
El VIOLATION El
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.
- . 17,12,e r,�' ,�� :moo ���1,12
c ��, ,el-1-8
7
Inspector v^ UAL 7 1 Date
I s present during this inspection.
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NOTICE and Inspection Report
Address LA v-' ! r r i
Contractor
Owner
j Requested by
TYPE OF INSPECTION REQUESTED i
❑ BLDG: Pmt.No. # l`� ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
f ❑ Footing ❑ Framing
x Foundation ❑ Drywall Nailing El Final
❑ Concrete Slab ❑ Rough-In
❑ Fireplace and Chimney ❑ Furnace ❑ Other
❑ APPROVAL GPARTIAL APPROVAL
❑ VIOLATION b CORRECTION REQUIRED
i
❑ Corrections listed below MUST BE MADE before work can be approved. i
❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy.
❑ Work listed below has been inspected and approved.
`ET Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection. i
CALL 435-5785 FOR REINSPECTION —24 hour notice required. 1
Inspector � to
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CITY OF ARLINGTON
CONSTRUCTION
PERMIT [[
❑ COMBINATION BUILDING El MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00055
OWNER MAIL ADDRESS CITY ZIP PHONE
Marvin Pedersen 20409 Lantern Ln . Arlington , Wa , 98223 435-3714
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
Same as above
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
PLUM81NG CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
❑NLW f]ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION WORK
$ 15 , 143
DESCRIBE WORK
Add laundry room , storage room , and covered spa area
PROPOSED USE OF BUILDING
Residence 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 GOVERNING THIS TYPE OF WORK
LOT 8 BLOCK OF Wu t h e r 1 n g heights 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 OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
jOB ADDRESS
20409 Lantern Lane X
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND UNITS -H P. EA
BAIT{TUB REFRIGERATION UNITS-HP EA
LAVATORY (WASH BASIN) BOILERS-H P. EA
SHOWER GAS FIRED A C UNITS-TONNAGE EA
KI TCHEN SINK & DISP FORCED AIR SYSTEMS- B T U MEA
DISHWASHER WALL HEATERS- B,T.0 M
LAUNDRY TRAY UNIT HEATERS- B.T U M
CLOTHES WASHER EVAPORATIVECOOLERS
WAILR HEATER CLOTHES DRYERS
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 2 nn SUBTOTAL S
PERMIT 17 PERMIT S
TOTAL FEE ; 17 nn TOTAL FEE S
SIDL YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER G PLAN CHECK FEE
FEE 16 . 25 RECEIPT NO. 20352
USE /ONE 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 ; 171 OO
PLUMBING 17 00
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE 3 50
ENERGY CODE SURCHARGE
PENALTY U.B.C.
PERMIT REQUIRED FOR SEC.303(a)
INSTALLATION OF SPA, OR HOT TUB WATER/SEWERFEES
® TOTAL 286 40
® PERMIT VALIDATION
MAY Z 1�7VJ WHEN PROPERLY VAL DATED(IN THIS SPACE) THIS IS
YOUR PERMIT RECEIPT
PAID CR# / BY
27 CITY OF ARLINGTON
cc:ASSESS RECORDS
APPLICANT,TREASURER, BLDG. DEPT. I OFFICIAL DATE
RECORDS COPY
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CITY OF ARLINGTON
CONSTRUCTION APR 2 7 ,D
PERMIT
❑ COMBINATION BUILDING ❑ MECHANICAL ❑' FILUMBING ❑ SIGN
NO.
OWNER MAIL.ADDRESS CITY ZIP PHONE
� kVI N E. 0EOFR.�EN aay6,9 G,tnYT- n L11 Al2omeiyW g8ag3 q35 371Y
ARCHITECT OR DESIGNER ` MAIL ADDRESS CITY ZIP PHONE
GENERAL CON RAC FOR l L MAIL ADDRESS CITY ZIP PHONE LIC NSE I
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I
CLASS OF WORK
❑Nl W AUDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
f 1 , I100�(1)(1)
DESCRIBE WORK
4DD LAoqnRY E R00M. (^_oy'ERED
PROPOSE U USE Of BUILDING
:S {}8o LIE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LkirAL UkSt RIPIIUN 01 PROPERTY 15HOWN BELOW OR ATIAC:H FOUR COPIES) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT
BLOCK-OF 11^E�1 N! t tI C 7 J WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
t} C r 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.
)OB.IUURLSS SIGNATURE OF CONTRACTORORAUTHORIZEDAGENT DATE
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (IUILEI) AIR COND. UNITS -II.P.EA.
BAIIIIUB REFRIGERATION UNITS-H.P.EA.
LAVATORY (WASH BASIN) BOILERS-H.P.EA
SHOWLR GAS FIRED A.C.UNITS- TONNAGE EA.
KI ICIILN SINK d DISP. FORCED AIR SYSTEMS- B.T.U. MEA
UISHWASIIER WALL HEATERS-B.T.U. M
LAUNDRY TRAY UNIT HEATERS- B.T.U. M
f CLOHILS WASHLR 61 O' EVAPORAI IVE COOLERS
WATERIIEATLR CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUN I AIN I RANGE HOOD COMMERCIAL
FLUOR DRAIN AIR HANDLING UNIT- GPM
VACUUM BREAKERS SIOVE
Roof DRAINS - RAINLEADERS METAL FIREPLACE 6 CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUB TOTAL f SUBTOTAL f
PERMIT f / S I PERMIT f
TOTAL FEE f /-7 1 1 TOTAL FEE f
SIUL YARD SE IBACK STRLET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE ZONE LOT ARIA VACANT SITE &' rJ S
AYES ENO FEES VALUATION FEE
TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
f /
SIZE OI BLDG. NO.OF STORIES MAX.OCC.LOAD BUILDING
PLUMBING 1
F IRE SPRINKLERS REQUIRED
YES 0 NO MECHANICAL
COMMENTS STATE BLDG.CODE
4` - ENERGY CODE SURCHARGE
PENALTY U.B
SEC..303(a)
APR 2 71989 WATER/SEWER FEES
TOTAL ���' ��
II IN�y
AI'e1 4n1�' 7 )h R�g s�lluviil
_ PERMIT VALIDATION
---zap WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT
PAID CRN BY
cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT. BUILDING OFFICLNL DATE
c�
RECORDS COPY