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Home My WebLink About914 E Maple St_BLD00111_2025 i,j .`. ,1\1 T11\ NOTICE and nspection Report Contractor Owner 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 ❑ PARTIAL APPROVAL lOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. ❑ ork listed below has been inspected and approved. lease contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435-5785 FO - SPECTION —24 hour notice required. S , R2 Inspector ✓. Date- —T- 2- O I was present during this inspection. E SIELINGMIN `7j ' ' NOTIC an Inpection Re ort Q (pJd' Address `y Contractor n r J_ wner \ Requested by TYPE OF INSPECTION REQUESTED *BLDG: Pmt. No. P 1 I I ❑ MECH: Pmt. No. ❑ PLBG: Pmt. No. ❑ Footing ❑ Framing ❑ Foundation ❑ Drywall Nailing ❑ F a� f&LIWI ❑ Concrete Slab ❑ Rough-In❑ Fireplace and Chimney ❑ Furnace .Othd[�"� ❑ APPROVAL ❑ PARTIAL APPROVA ❑ VIOLATION ❑ CORRECTION REQUI ❑ Corrections listed below MUST BE MADE before work can be appr C1 lb ❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. ❑ Work listed below has been inspected and approved. Jv ❑ Please contact inspector and arrange for appointment, ❑ Was not able to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION — 24 hour notice required. Inspector Date I was present during this inspection. CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00111 OWNER MAIL ADDRESS CITY ZIP PHONE William Stipeck 914 E Maple Arlington , WA 98223 435-3935 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PH:JNL 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 Ej REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK f2 j 500 DESCRIBE WORK Replace existing roof PROPOSE D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- Res i d e n c e TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL DES(RIPTIUN 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 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. SIGNATURaONTRACTORORAUTHOPIZEDAGENT DATE jOBADDRLSS 914 E Maple. 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. BA I H I UB REFRIGERATION UNITS -H.P.EA. LAVATORY (WASH BASIN) BOILERS-H.P-EA SHOWER GAS FIRED A.C.UNITS-TONNAGE EA_ KI ICHLN SINK& DISP FORCED AIR SYSTEMS- B.T.U. MEA DISHWASHER WALL HEATERS- B-T_U M LAUNDRY 1RAY UNIT HEATERS- B.T.U. M CLOTHES WASHER EVAPORA1I`✓E COOLERS WATER 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 $1 SUBTOTAL f PERMIT $I PERMIT ; TOTAL FEE $1 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 NG BUILDING f 25 00 SIZE OF BLDG, NO.OF STORIES MAX.000.LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE 4 50 PENALTY U.B.C. y'� A SEC.303(a) 1 WATER/SEWER FEES TOTAL 29 50 PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT PAID- 2 9 CR# 21024 BY C B 41 cc:ASSESSOR,APPLICANT,TREASURER, BLDG, DEPT ILG OTFIUAL DATE RECORDS COPY CITY OFARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION BUILDING ❑ MECHANICAL ❑" PLUMBING ❑ SIGN PERMIT NO. OWNER L MAIL.AODRESS CITY ZIP • PHOONE ARCHITECT OR DESIGNER MAIL ADDRESS / CITY ZIP PHONE GENERAL CO RACt R MAIL ADDRESS CITY ZIP PHONE LICENSE 0 1. MLCHANICAL C TRACTOR MAIL ADDRESS CITY d ZIP PHONE LICENSE IF } PLUMBING CONTRACTOR MAIL ADDRESS CITY r ZIP PHONE LICENSE N C?NLW OF WORK ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUAT ION OF WORK f ��. C//(3 •i Y DESCRIBE WORK S PRUPUSEOUSLO1-BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND AND CORRECT ALL PROVI- LLG AL DES(RIP1ION Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIO G-HIS TYPE OF WORK LOI BLUCK OF PLIED WITH WHETHER ERKOR NOT.THE ING 6F A PERMIT DOES NOT PRESU OTHORITYTO LATE Off CANCEL THE PROVISIONS OF A R TE OR TAX ID NUMBER I.00ALLAW-REGULATING CONSTRUCTION OFTHE A - EOF CONSTRUCTJON.PERMIT EXPIRES 1 YEAR FROM DA UANCE. SIGNATURE OF RACTOR OR AUTHORIZED AGENT DATE 108 AUD LS F X l (OFFICE USE ONLY) i MECHANICAL+ PLUMBING NO. TYPE OF FIXTURE FEL NO. TYPE OF EQUIPMENT EE WATLR CLOSEI (TOILET) % AIR CONU.UNITS -H.P. EA. BAIIIIUB REFR,-IGERATION UNITS-H.P. EA. LAVATORY (WASHBASIN) RS-H.P.EA SHOWLR - KI ICI ILN SINK&DISP. ! FOKCEU MEA UISHWASIILR WALL'''HEATERS- B.T.U. M LAUNDRY 1 RAY UNIT HEATERS- B.T.U_ M CLOIIILS WASIILR EVAPORAT IVE COOLERS WA LR HEATER CLOTHES DRYERS URINAL VENTILATION FAN DRINKING FOUN I AIN RANGE HOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT- . CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY SINK(SERVICE - BAR,ETC.) WATER HEATER GAS PIPING i• SUBTOTAL ; t SUBTOTAL S PERMIT $I PERMIT ; TOTAL FEE ; TOTAL E ; SIUL YARD SE I BACK STRLET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE \ F 0RECEIPT Of�� 9?' / USE /.ONF LOT AREA VACANT SITE y ❑YES ❑NO FEES VALUATION FEE TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG f :d. SILL Of BLUE. NO.OF STORIES MAX,OCC.LOAD BUILDING PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE �J'1 ENERGY CODE SURCHARGE / v ?> U.B C. PENALTY i SEC.303(a) It4m, WATER/SEWERFEES TOTAL PERMIT VALIDATION (�C � WHEN PROPE4Y VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT 1` -SJ•T PAID ` CRq BY :e; cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT, BUILDING OFFICIAL DATE RECORDS COPY,:'