HomeMy WebLinkAbout134 N Dunham St_BLD00106_2025 CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00106
OWNER MAIL ADDRESS CITY ZIP PHONE
Grewe 206 N Dunham St , Arlington , WA 98223 435-2520
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
Same as above
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
CLASS OF WORK
❑NEW ❑ADDITION ❑ALTERATION 51 REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
$ 1 ,500
DESCRIBE WORK
Re-Roof
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—BLOCK—OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
3788,005-001-0.000 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
IOBADDRLSS
134 N Dunham St , 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,
BATHTUB REFRIGERATION UNITS-H.P,EA.
LAVATORY (WASH BASIN) BOILERS -H P. EA
SHOWER GAS FIRED A.0 UNITS-TONNAGE EA.
KI TCHEN SINK& DISP. FORCED AIR SYSTEMS- B.T.0 MEA
DISHWASHER WALL HEATERS- EIJ.0 M
LAUNDRY TRAY UNIT HEATERS- B.T.U. M
CLOTHES WASHER EVAPORATIVECOOLERS
WA1ERHEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNTAIN 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 ; SUBTOTAL ;
PERMIT ; PERMIT f
TOTAL FEE ; TOTAL FEE ;
SIDE YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO
USE ZONE LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
SIZE OF'BLDG. NO.OF STORIES MAX.00C.LOAD BUILDING $ Re-Roof 2 5 OIL
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE 4 50
PENALTY U.B.C.
SEC.303(a)
v WATER/SEWER FEES
Fe 0 P l TOTAL 2 9 0
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT RECEIPT
RLINGTON PAID `� 0-� crtaF �� sy
A A�v_.4z
cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. euiL woFFIC. L DATE
RECORDS COPY
C11Y OF ARLING-1 UN
CONSIRUCTION
1)E I1N1 IT
U COMBINATION LJ BUILDING ❑ MECHANICAL ❑ FLUM13ING SIGN PEnMIT NO.
()NNkR ( MAIL.ADDRESS CITY ZIP ►IIWIE
A RC i ii i kCT U R UE S IGNI.R ^ MAIL ADDRESS H CITY ZIP 1'I IW+E
GENERALT N1RACTUR MAILAUURESS CITY ZI► Mora LICTNSE
PiliiAN7ic ONi11ACiUR MAIL ADDRESS CIIY ZIP mouE LILENSE f
F LU�I BINGCUNIRACI OR MAIL ADDRESS CIIY ZIP PIIONE UCENSEf
L L NSS OF WORK
L]N1IV UAl1UIIION L]ALIERAIION [REPAIR ❑DEMOL111014 [j BUILDING RELOCAIION
VALUAIIONOP WORK -- '
1 _
ell
UISLRIB URK
/Rt! 1 U USE UI IUIlU1NG
I HEREBY CERTIFY TI-IAT I I IAVE READ AND EXAMINED T1115 APPI ICA-
11ON AND KNOW TI-IE SAME TO BE TRUE AND CORRECT ALL PROVI-
iion!uksl RI'P i iuN oirRoi EAi r`(511uWN lilL'OW OR'A IAACII RUR COMES), 51ONS OF LAWS AND ORDINANCES GOVERNING 11115 TYPE OF WORK
Lul / eLUCK Or WILL BE COMPLIED Will-1 WHEII IER SPECIFIED HERIN OR NOT. TI IE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AU11 TORT I Y 10
J VIOLATE OR CANCEL THE PROVISIONS OF ANY OTT STATE OR
nil NUMBERLOCAL LAW REGULATING CONSIRUCT ION OF 11 1EPERFORMANCEOF
CONS RUCTION.PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUIFIORIZED AGENT DATE
1U9 AUURISS
X
lOF F ICE USE ONLY)
PLUMBING M1IECIIANICAL
NO _ _ _TYPE Of FIXIURE FEE NO. TYPE Of EQUIPAIENF FEE _
%►A I E R CLUSE I I IOILL I) _AtR_CON_U.LINT 15 -I I.P.EA. _
BA l I I I lIB RE RIGERA I ION UN)15-II.P.LA. _
LAVAIURY 11VASII BASIN) BOILERS-II.P.EA _
SIIUIILH__ GAS FIRED A.C.LINT IS- IONNAGE EA. _
KHCIILN 517.41K 6 DISP. 1OjtcEuAJR_SY51EMS- B.T.U. NIEA _
DISIIWASIILR WALL IIEAT_ERS- B.T.U. Ni _
LAUNURY IRAY _UNIT IIEAIERS- B.I.U. M
LLIIIIILS$VASTILR EVAPORAI IVE COOLLR5 _
%A I L R I ILA I LR CLO_I IIES DRYERS _
URINAL VLNIILAI ION FAN _
hHINkING 1OUNIAIN _RANGE IIO_U_UCOMMERCIAL _
I LOUR DRAIN_ _AIR IIANDLI14G UNI T - CPM1I _
VALUUNIBRLAKERS _ SIUVE
HOUI DRAINS - RA_INLLA_UERS h1EIAL FIREPLACE 6 CIIIM1INEY _
SINK (SERVICE - BAR,EIC.) WA1 ER IIEATER _
VAS PIPING
SUBTOTAL * 1 SUB IUTAL 1 _
PERIIIIT I PERM111_T 1
TOTAL FEE 1 IUTALFEE 11
SIUL ARUST.IBALK SIRLEISLIBACK REAR YARD SEIBACK ILAN CHECK NU61DER PLANLIIFCK►IE
FEE RELEIPI NO.
115T /UNI LOI ARLA VACANT $11E _
LINES El?10 FEES VALUATION I LE
I1FLUI CUNSt. UCCUPA—NC YGRUUP NO.Of DWELLING LINT IS PLAN CIIECKING VG
BUILDING S
SIIE UI BIUG. NU.OI SIURILS MAX.MC.LUAU
____ ____ PLUMBING
1 IRE SPRINKLERS REQUIREII
U YES [j NO 1NECI IANICAL
(-OM M EN I S 5 TAT E BIDG.CODE
ENERGY CODE SURCI IARGE _
PENALIY
SLC.10711)
WAI ERISEWER FEES —
iuG-4 I 4 TOTAL
PERM1III VALIDAIION
WI TEN PROPERLY VALIDA1ED TIN TFIIS SPACE) 1111S IS YOUR PERMIT 6 RECEIPT
PAIR —CRI BY
cc: ASSESSOR.APPLICANT.TREASURER,BLDG.DEPT. RFII ltZZ)ZIAL DAIS
RECORDS COPY