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Home My WebLink About404 N Washington Ave_BLD00135_2025 i i RCity of Arlington R 238 North Olympic M Arlington, WA 98223 4-23-90 Plans for Building Permit # 135 were returned to you for correction in October of 1989 and have not been re--submitted for permit issuance. Please call and let us know if you intend to resubmit or withdraw this application,- If we receive no response within 30 days your entire application will be returned to you. Cristy L. Brubaker Building Department 435-0724 Lonnie Palm T 404 N, Washington Ave rlington, WA 98223 NY (i It L I N �:'1'il \ CITY HALL ❑ 238 N. OLYMPIC AVENUE ARLINGTON,WA 98223 ❑ (206)435-5785 September 28, 1990 Lonnie Palm 404 N. Washington Ave Arlington, WA 98223 RE: Building Permit # 135 Enclosed you will find the documentation you submitted for the above noted permit application. Our records indicate the permit has expired and all documents should be resubmitted if you plan to proceed with the project. If you should have any questions , please feel free to contact us at 435-0724 . Respectfully, c 1-�/ Da -id W . Anderson Building Official ADDITION TO THE RESIDENCE OF LONNIE PATIM 404 N. Washington Ave. Arlington, Washington Oct. 15, 1989 CODE DATA TYPE OF CONSTRUCTION: V-N OCCUPANCY GROUP: R-3 AREA OF ADDITION: 270 S.F. VALUATION: 270 X $48.80 X .88 = $11,594.00 PERMIT FEE: $135.00 PLAN CHECK FEE: $87.75 Dear David: The submitted drawings have been examined for compliance with the 1988 Edition of the Uniform Building Code. The following ,items should be corrected before the permit is issued, with two corrected sets of drawings being submitted; 1. You should ensure that the city agencies such as Planning, Zoning, Public Works and the Fire Department approve of the project. 2. A plot plan should be submitted to verify the rear and side yard requirements. 3. The finished shower walls should be installed over a material not adversely affected by moisture to a height of 70" above the drain ,inlet. Sec. 510(b) 4. Every roan used for sleeping should have one window for emergency exit, with a clear opening area of 5.7 sq. feet, a clear opening height of 24" and width of 20". Sec. 1204 5. The bathroom should have an operable window or a fan exhausting to the exterior. Sec. 1205(c) 6. The dryer should exhaust to the exterior. Sec. 1903 U.M.C. 7. The residence should have a smoke detector. Sec. 1210(a) 8. The addition should be heated. 9. Flashings should be provided for all exterior openings. Sec. 1707(b) 10. The exterior wall construction should be shown: a) 21'-X16." studs with double plates. b) Sheathing, C.D.X. plywood. c) R-19 insulation. d) Siding. 11. The roof construction should be shown: a) Roofing material, shingles not approved. b) Sheathing, CDX plywood. c) R-30 insulation. d) Roof joists 2" x 10" as required for R-30 insulation. (or 2" X 12") e) 1" air space above insulation vented' to the exterior. f) Headers at openings should be shown. _2_ ADDITION TO THE RESIDENCE OF LOMIE PALM Oct. 15, 1989 12. The floor construction should be shown: a) Sheathing. b) R-19 Insulation. c) Floor joists and floor framing system. d) 3/4" plywood sheathing for joist spacing at 24". If joist spacing exceeds 24", a structural design should be -,,akrritted or 2" t*?ck T. & G. plank flooring. 13. Beams should be shown and designed which support the roof joists over the rooms where the walls were removed. 14. Foundation walls should be detailed: a) 6" X 12" rein-forced footing. b) 6" concrete foundation wall. c) 2" X 6" pressure-treated plate. d) 1/2" X 10" anchor bolts at 61 on center and 12" from ends. 15. Foundation crawl space should have ventilation and an access crawl hole. 16. Two 4'-0" wide plywood panels should be located in the west wall for bracing. 17. All glass should be class 60 (double-glazed) . 18. Double glass in the door should be impact-resistant. 19. Steps at rear door should have risers, 8" maximan and treads, 9" mi,niman. 20. Corridors should be 36" wide, clear. 21. Complete construction drawings should be submitted. 22. Heat loss calculations should be submitted for the addition with heating equipment not exceeding 150% of the heat loss. 23. The window over the tub should be impact-resistant. Sincerely, John H. Warrens, Jr. CITY OF.ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. Y OWNER ((( MAIL,AOORESS Qliv ZIP PHONE LO(.IN(e i?Ajh•, HGx l,tI N . CA) IaVf IIJ/-'�--j 1 LE35-�i55� ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE .GENERAL CONTRACTOR MAIL ADDRESS CI1 Y ZIP PHONE LICENSE N MLCHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PIIONE LICENSE If �PLUMBINGCONIRACTOR MAIL ADDRESS CITY v ZIP PIIONE LICENSE CLASS OF E]NtW N WORK ITION ❑ALTERATION ❑REPAIR ❑DEMOLI IION ❑B'QILDING RELOCATION UATION O DESCRIBE WORK Y , ti b-b-r"o S I _ b�"D►�G'Dm -. �lSCtrlf2CY� }+ - PROPOSE D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- EDL�1Y3on \12LXM U-6 I }kj R[)or•. TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL UESCRIPI ION Ul PROPERTY(SHOWN BELOW OR A TACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LUI BLUCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE 5%Z of- F''7 GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO (aLk,n a"0 ��D.�T) A2L. - _ ALlvf 6aID VIOLATE OI.'CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF ^M CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATUREOFCQNTRACTORORAUTHO!PZEDA ENT DATE IOB DURESS �D b IJC�.(_JZ l'on-J) . H or, e l T ) xCM (OFFICE USE ONLY) MECHANICAL? PLUMBING NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (IOILEI) AIR COND.UNITS -II.R. EA, BAIIIIUB REFILIGERATION UNITS-H.P.EA. LAVATORY (WASH BASIN) BOILERS-H.P. EA 5110WLK GAS FIRED A.C.UNITS,-TONNAGE EA. KI ICI ILN SINK 6 DISP. r FORCED AIR SYSTEMS- B-T.U. MEA DISHWASHER WALL,HEATERS- B.T.U. M LAUNDRY 1RAY UNIT )IEATERS- B.T.U_ M CLUIIILS WASHER EVAPORAI IVE COOLERS WAIER HEATER CLOTHES DRYERS URINAL VENTILATION FAN DRINKING FOUN I AIN RANGE HOOD COMMERCIAL ILUUR DRAIN AIR IIANDLING UNIT- . CPM VACUUM BREAKERS STOVE RUOI DRAINS - RAINLEADERS METAL FIREPLACE h CHIMNEY SINK ISERVICE - BAR,E TC.) WATER HEATER GAS PIPING SUBTOTAL f SUBTOTAL f PERMIT f PERMIT f TOTAL FEE f .'TOTAL FEE f SIDE YARD SE I BACK STRLET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE Z-5 FEE / RECEIPI�//0/}USE /0Nt LOT AREA VACANT SITE •f ❑YES [j NO FEES VALUATION FEE TYPE OF CONS], OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUILDING It S SILL OI BLDG. NO.OF STORIES MAX.00C.LOAD PLUMBING 4' F IRE SPRINKLERS REQUIRE D YES ❑NO MECHANICAL !' COMMENTS STATE BLDG.CQDE ENERGY CODE 4URCHARGE U.B.C. PENALTY s; SEC.3o3(+) WATER/SEWER FEES sEQ 2 5 TOTAL U • PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 15 YOUR PERMIT&RECEIPT PAID CRN BY i• cc:ASSESSOR,APPLICANT,TREASURER,BLDG. DEPT. BUILDING OFFICIAL DATE RECORDS COPY,,' CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00135 OWNER MAIL ADDRESS CITY ZIP PHONE ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# CLASS OF WORK ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK S DESCRIBE WORK 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- LEGAL DESCRIPTION Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOr 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. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE 100 AOURESS 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. BAIHIUB REFRIGERATION UNITS—H.P.EA. LAVATORY (WASH BASIN) BOILERS—H.P. EA SHOWER GAS FIRED A.C.UNITS—TONNAGE EA, KI ICHEN SINK& DISP. FORCED AIR SYSTEMS— B.T.U. MEA DISHWASHER WALL HEATERS— B.T.U. M LAUNDRY 1 RAY UNIT HEATERS— B.T•U. M CLOIHLSWASHER EVAPORATIVECOOLERS WAIERHEATLR 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 S SUBTOTAL S PERMIT $ PERMIT $ TOTAL FEE $1 TOTAL FEE $ SIDE YARD SL I BACK STRLET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE ZONk LOT AREA VACANT SITE ❑ FEES VALUATION FEE ❑YES NO TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUILDING $ SIZE OF BLDG. NO.OF STORIES MAX.000.LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY U.B.C. SEC.303(a) WATERISEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT PAID CR# BY cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. BUILDING OFFICIAL DATE RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. : OWNER MAIL ADDRESS CITY ZIP PHONE ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# CLASS OF WORK ❑NE W' ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUAT ION OF WORK f DESCRIBE WORK PRUPOSI D USE OI 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 Ot Y RIPI ION OF PROPERTY!SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCEOF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE IOB ADDRI SS X (OFFICE USE ONLY) MECHANICAL PLUMBING NO TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSE] (TOILLI) AIR COND UNITS — H P EA BAIHIUB REFRIGERATION UNITS — H P EA LAVATORY (WASH BASIN) BOILERS H P EA SHOW LR GAS FIRED A C UNITS — TONNAGE EA KI ICHLN SINK & DISP, FORCED AIR SYSTEMS — B T U MEA DISHWASHLR WALL HEATERS— B T U M LAUNDRY I RAY UNI I HEATERS — B T U M CLOIHLSWASHER EVAPORATIVECOOLERS WAILR HEATLR CLOTHESDRYERS URINAL VENTILATION FAN DRINKING F OUN I AIN RANGE-FIOOD COMMERCIAL F LOOR DRAIN AIR HANDLING UNIT — CPM VACUUM BRLAKERS STOVE ROOF DRAINS RAINLEADERS METAL FIREPLACE &CHIMNEY SINK (SERVICL — BAR,ETC ) WATER HEATER GAS PIPING SUB TOTAL f SUBTOTAL f PERMIT $I PERMIT $ TOTALFEE f TOTALFEE $ SIDE YARD SL I BACK STREET SL TBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USF /ONt LOT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE TYPE OF CONS OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING VG BUILDING f SIZE OF BLDG NO.OF STORIES MAX OCC LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE PENALTY SEC 3 S 303(a) WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT PAID CR# BY cc: ASSESSOR,APPLICANT,TREASURER, BLDG DEPT BUILDING OFFICIAL DATE TREASURER'S COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT N0.01 l._,": OWNER MAIL ADDRESS CITY ZIP PHONE ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS Of WORK ❑Ni W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK 5 DESCRIBE WORK PROPOSE D USL 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 DES(RIPT ION 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 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE jOB ADDRI SS X (OFFICE USE ONLY) MECHANICAL PLUMBING, NO TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE WATLRCLOSEI (TOILET) AIR COND UNITS - HP EA BA I HT UB REFRIGERATION UNITS - H P EA LAVATORY (WASH BASIN) BOILERS H P EA SHOWLR GAS FIRED A C_UNITS- TONNAGE EA. KI TCHLN SINK& DISP FORCED AIR SYSTEMS - B T U MEA DISHWASHLR WALL HEATERS- B-T U M LAUNDRY TRAY UNIT HEATERS- B_T U M CLOI HLS WASHER EVAPORAI IVE COOLERS WAILRHLATLR CLOTHES DRYERS URINAL VENTILATION FAN DRINKING F OUN I AIN RANGE HOOD COMMERCIAL I LOOR 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 SUB TOTAL f PERMIT f PERMIT f TOTALFEE $ TOTALFEE $ SIDE Y 1RD SETBACK STRELT SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO USF /ONE LOT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE Tl PL OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUILDING f SIZE OF BLDG NO.OF STORIES MAX.OCC LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY S B C SEC 303(a) WATEPUSEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT PAID CR# BY cc ASSESSOR,APPLICANT,TREASURER, BLDG DEPT BUILDING OFFICIAL DATE TREASURER'S COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00135 OWNLR MAIL ADDRESS CITY ZIP PHONE ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# CLASS Of WORK ❑NE W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK S DESCRIBE WORK PROPOSI U UAL 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 DES(RIPTION OI PROPERTY(SHOWN BFLOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOI BLOCK 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 OFTHE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE IOB ADDRf SS X (OFFICE USE ONLY) MECHANICAL PLUMBING NO TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WA TER CLOSEI (TOILLI) AIR COND. UNITS - H.P. EA BAIHTUB REFRIGERATION UNITS-HP EA LAVATORY (WASH BASIN) BOILERS- H.P.EA SHOWLR GAS FIRED A.C. UNITS-TONNAGE EA KI ICHLN SINK & DISP_ FORCED AIR SYSTEMS- B T U MEA DISHWASHER WALL HEATERS- B T.0 M LAUNDRY T RAY UNI1 HEATERS- B.T U M CLOIHLS WASHER EVAPORAI IVE COOLERS W'AIER HEATLR CLOTHES DRYERS URINAL VENTILATION FAN DRINKING f OUN 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 ; SUBTOTAL $ PERMIT $1 PERMIT $ TOTALFEE ; TOTALFEE $ SIDE YARD SE I BACK STRLLT SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO USF/ONI LOT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG SIZE OF BLDG NO OF STORIES MAX OCC LOAD BUILDING $ PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY S B.C. SEC.303(a) WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT PAID CR# BY cc: ASSESSOR,APPLICANT,TREASURER, BLDG DEPT BUILDING OFFICIAL DATE APPLICANT'S COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS ZIP PHONE ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LFC NSE III MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IT CLASS OF WORK ❑NE W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK S DESCRIBE WORK PROPOSF D USL 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- LLL.AL DtS(RIPTIUN OF PROPERTY(SHOWN BELOW OR ATIACH WUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORK LUI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OFA PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO 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 CONTRACTORORAUTHORIZED AGENT DATE 108 ADDRI SS 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 BAIHIUB REFRIGERATION UNITS — H P, EA LAVATORY (WASH BASIN) BOILERS HP EA SHOWLR 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 1 RAY UNI1 HEATERS— B T U M CLOIIiLS WASHER EVAPORAI IVE COOLERS WAILRHLAILR CL01HESDRYERS URINAL VENTILATION FAN DRINKING F OUN I AIN RANGE HOOD COMMERCIAL I LOOR DRAIN AIR HANDLING UNIT — CPM VACUUM BREAKERS STOVE ROOF DRAINS RAINLEADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR,ETC ) WATER HEATER GAS PIPING SUB TOTAL $ SUB TOTAL $ PERMIT $I PERMIT $ TOTAL FEE $ TOTAL FEE $ SIDL 1 ARD SL I BACK STRELI SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO USE /ONI LOT ARkA VACANT SITE FEES VALUATION FEE ❑YES ❑NO 1YPL OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUILDING ; SILL OF BLDG. NO OF STORILS MAX.OCC LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE PENALTY SECG303(a) WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT PAID CR# BY cc ASSESSOR,APPLICANT,TREASURER, BLDG DEPT BUILDING OFFICIAL DATE ASSESSOR'S COPY