HomeMy WebLinkAbout117 Dunham Ave_BLD00209_2025 lItLI\1:T0N
NOTICE and Inspection Report
Address
Contractor
Owner_�J��'/t-�V - q✓^Yl�+✓�
Requested by ��/ /
TYPE gg 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 1, ther
PPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy.
X".rk 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
I was present during this inspection.
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City q A It L 1 N G T40 N PERMIT APPLICATION
230 N. OLYMPIC AVE., ARLINGTON, WA 98223
(206) 435-5785
COMMERCIAL, RESIDENTIAL, MECHANICAL, PLUMBING, GRADING X
Tax Account Number
Job Site Address 117 S. Dunham City 41-/iil4 f6ll
Applicant Name aj(L t-ll:r " A e/ Phone �3.� 930o
Mailing Address // 7 S. Dan ham City�Qr/,� fpn Zip_?,9,ZZ3
Contractor Name License #
Address City Zip Phone
Architect/Engineer License #
Address City Zip Phone
TYPE OF PROJECT ��nce -,S'ld C.4�,4,DE /.'✓s cu - 12
Sewage Disposal Right-of-Way Width Culvert Permit No.
LOCATIONAL INFORMATION: SEC TWP RGE 16th
Plat Name/Short Plat No./Segregation No.
Lot/Parcel # 14 17 Block # 0(iq D -OQ Lot Size 'jam
Is the average slope of the property in excess of 25%? Yes No Has construction started? YesX No
This structure will be used for the following purpose %G �,7/4?Vi�!� rS'C�e�t�. Dri i&A4
Other buildings on this property 'AAj!re
OWNER/AGENT SIGNATURE /�� lr.�,s DATE
NOTICE: Front Yard Setbacks. Curbs, Sidewalk Edge, Edge of Street pavement is not necessarily your front property line. In the case
where your setback will be measured from the front property line, be certain that you are measuring from the actual front property line and
that your plot plan depicts this. In the event your setback will be measured from a private access easement, the edge of the improved road
is not necessarily your front property line. Be certain that you are measuring from the edge of the actual easement and that your plot plan
depicts this.
ACKNOWLEDGED
------------------------OFFICE USE ONLY BELOW THIS LINE------------------------
PERMIT CONDITIONS . . .
ZONING: Max Lot Cover % Max Bldg. Height _ ft
SETBACKS:
Front
Side
Rear
Basic Plan # Other Covenants
SPECIAL CONDITIONS . . .
SANITATION PUBLIC WORKS
ON SITE LETTER DRAIN TRAFF
ENV HEALTH SEWER CN R/R RD IMP
OCD
ACCESS RSBP LS SLIDE _ CMBP
ESMT RSME STD BLA SLOPE CMME
_ ADDRESS PLBG SP SEPA SITE PLAN
CULVERT _ MBHM 5 ACRE OTHER _ FIRE
_ AFF/BOND _ MOVE _ LOTS _ _ OTHER _
GRADING INSP 20 ACRE
OCP
CU FL ZN FML BLA PLAT _ REZONE
SEPA SH LN SP VAR SU _ VA __
PLUMBING PERMIT F3_1
MECHANICAL PERMIT (NOT FOR MOBILE HOMES) F4-1
FIXTURES No. UNIT TYPE:
Electric_ Oil Gas LPG Solar
Water Closets
Bath Tubs UNIT SIZE: BTU's KW
Shower Baths
Wash Basins _ No. FEE
Sinks FOR THE INST. OR RELOC. OF
Dish Washing Machine Forced Air Systems
Hot Water Tanks Fuel Storage Tanks
Drains Heat Pumps
Laundry Washers Wood Stove
Laundry Trays Fireplace Insert
Urinals —0— Clearance Fireplace
Drinking Fountains
Rain Leaders
Sumps
Vacuum Breakers
Gas Piping Permit Fee
Side Sewers
Water Service Line Total Due $
Misc
Total Fixtures GRADING/FILL INFORMATION
Permit Fee No. of cubic yards:
Total Due $ To be removed from site
Related Bldg. Permit # To be imported to site
IF MORE THAN ONE BUILDING, SUBMIT SEPARATE APPLICATION FOR EACH STRUCTURE. A SEPARATE BUILDING
PERMIT MUST BE ISSUED FOR EACH BUILDING. [-61
BUILDING DIMENSIONS:
MAIN FLOOR MAIN FLOOR SQ. FT.
SECOND FLOOR SECOND FLOOR SQ. FT.
THIRD FLOOR THIRD FLOOR SQ. FT.
FOURTH FLOOR FOURTH FLOOR SQ. FT.
MEZZANINE MEZZANINE SQ. FT.
BASEMENT BASEMENT SQ. FT.
GARAGE GARAGE SQ. FT.
CARPORT CARPORT SQ. FT.
DECK DECK SQ. FT.
NUMBER OF FIREPLACES TOTAL SQ. FT.
FOR OFFICE USE ONLY
ROUTING SCHEDULE:
Bldg: sent rcv'd Valuation �UQ
Site Plan: sent rcv'd Plan Check rcp #
San: sent rcv'd Permit Fee
Env. Hlth: sent rcv'd Penalty Fee
Eng: sent rcv'd Plumbing Fee
FM: sent rcv'd Mechanical Fee
Env. Cklt Fee
TOTAL DUE:
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00209
OWNER MAIL ADDRESS CITY ZIP PHONE
James Ferris 117 S. Dunham Arlington, WA 98223 None
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE III
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
James Ferris 117 S. Dunham Arlington, WA 98223 None Homeowner
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
❑NLW ❑ADDITION ❑ALTERATION FC]REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
$ 100.00
DESCRIBE WORK
Installation of new gas fired. unit
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
S i n 1 e Family TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DES(RIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
L 0 1 j-6-&17BLOCK 9 OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
3788-oo5-oi6-0005 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES T YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
JOB ADDRLSS •
117 S. Dunham 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 HT UB REFRIGERATION UNITS—H-P-EA
LAVATORY (WASH BASIN) BOILERS—H.P.EA
SHOWER GAS FIRED A.C.UNITS—TONNAGE SA-
KI TCHEN SINK& DISP. FORCED AIR SYSTEMS— B.T.U. MEA
DISHWASHER WALL HEATERS— B.T.U. M
LAUNDRY TRAY 1 UNIT HEATERS— B.T.U.70, 00 OQ
CLOTHES WASHER EVAPORAT I`JE COOLERS
W'AIER HEATLR 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
1 GAS PIPING 3 00
SUBTOTAL $ SUBTOTAL S 12 100
PERMIT $ PERMIT $ 15 OO
TOTAL FEE $1 TOTAL FEE $ 2 �00
SIDL YARD SE IBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE ZONE Ltr .\R4 q 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.000.LOAD BUILDING
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.303(a)
7NOVP ® WATER/SEWER FEES
L^ 8 rA TOTAL
PERMIT VALIDATION
j CITY OF ARLINGTON L WHEN PROPE Y V LID. eD (IN THIS SPACE) THIS I Y UR PEZM T RECEIPT
1 PAID/�� /� CR" ��� BY _
cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. SUIL NGOFFIC L DATE
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