HomeMy WebLinkAbout4513 192nd Pl Ne_BLD20080278_2025 INSPECTION REPORT
• Permit No.: (570—W 29 Lot #:
Address: q 513— /9,2.*,wl f �.
Contractor:
• ♦ Owner: � C
Date:
1,4�-APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
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Inspector: Date: 'I '
TYPE OF INSPECTION REOUESTEIJ
❑ Under-floor ❑ Framing AGas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in A Final ArIbA•
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
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'NSPECTION REPORT
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Permit NoAMX"10�1%Lot#:
Address: 4 SI-_:z' l s a -Pl. N�
Contractor: 'C
Owner:
Date:
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required.
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Inspector: IA1714111 Date:� �
TYPE OF INSPECTION REQU TED
El Under-floor El Framing ESs Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
� 1mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drai ge / El Insulation
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CITY OF ARLINGTON
238 N.OLYMPIC AVE.-ARLINGTON,WA,98223
PHONE:(360)403-3421
I'crinit #: BLD20080278
BUILDING '
Project Address: 4513 192ND PL, ARLINGTON
Parcel No: 00928200005800
;PROPERTY OWNER APPLICANT CONTRACTOR
RIESTER,THOMAS&KELLIE EVANS,JOHNNY
4513 192ND PL NE 4513 192ND PL NE
ARLINGTON,WA 98223 ARLINGTON,WA 98223
Phone:425 359-3634 Phone:425 923-9250 LICENSE#: EXR
Email: Email:
PLUMBING CONTRACTORCONTRACTOR
Lic#: r-xQ Lic#: Fx :
JOB DESCRIPTION
new gas hot water tank and natural gas line from the meter and conversion of existing furnace, future conversion of propane stove in
living room,but not right now.
VALUATION: $350
PERMIT TYPE:Residential PERMIT GROUP:Mechanical/Solar
NUMBER OF STORIES:0 TYPE OF CONSTRUCTION:
NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP:
CODE:2006 OCCUPANT LOAD:
EXISTING AREA PROPOSEDAREA
BASEMENT:0 1ST FLOOR:O 2ND FLOOR:0 I BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0
3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0
FRONTSETBACK SIDESETBACK
REQUIRED: PROPOSED: I REQUIRED: PROPOSED: RE UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED. PROPOSED:
SETBACK NOTES:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18:27,
THIS APPLICATION 1S NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
SAIV nature --Print Nine ate �, Reles2s�Bry� ate
ATTENTION vim`
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED.UBC109/IBCI 10/IRCI 10.
ARCHIVE APPLICANT = ASSESSOR OTHER
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BLD20080278
CONDITIONS
• None
PERMIT FEES
Description Fee Amount Paid Balance Dtie
C-Building Permit Fee $38.00 ($38.00) $0.00
Total Due: $38.00 ($38.00) $0.00
INSPECTIONS
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE
PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
CALL FOR INSPECTIONS
BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674
FIRE(360)403-3607
When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection
being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon.
• None
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.IESIDENTIAL MCLAANICAL
' PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3447
THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS, TWO(2) SETS
OF SPECIFICATION SHEETS AND TWO(2) SETS OF WASHINGTON STATE ENERGY CODE(if applicable).
Project Valuation:Project Address: q E— Parcel ID#: c)Ly�1
Lot#: Subdivision:
Project Description: QM
Owner: mcus o �('r l , Phone Number: � Q
Address. �� �"� City: , G Stater Zip Code.
Contact Person: Phone Number: mil' 1t L0
Cell Phone: J _Fax: E-mail: 1 f�
Address: City: dans,6 State: Zip Code: 81
Please List quantity of fixtures Below:
CLOTHES DRYER FURNACE UP TO 100K BTU GAS OUTLETS
FURNACE OVER 100K FLR FURN INSTALURELOCATE SUSPENDED HTR/UNIT HTR\
APPL VENT/OTHER APPLIANCE REPAIR BOILER UP TO 3 HP
BOILER UP TO 4-15 HP BOLIER UP TO 16-30 HP BOILER UP TO 31-50 HP
BOILER 51 HP AND UP AIR AHNDLING UP TO 10K CFM AIRHANDLING OVER 10K CFM
EVAL COOLER VENTILATION FANS OTHER VENTILATION SYSTEM
VENT HOOD DOMESTIC INCINERATOR COM/IND INCINERATOR
✓ALL OTH NIT �[ FREESTANDING STOVE FIREPLACE INSERT
GV_
Contractor:_10t a ri e-r!t Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
descri ed property will be in a cord ce with the laws, rules and regulation of the State of Washington.
ov D2
Ap, licants S' nature Date �A
Pri Applicants Name NOV
COA PERMIT CENT F,
FOR STAFF USE ONLY
Permit# Aceepted By Amount Received Receipt# Date Received
WEB Forms-139 Page 1 of 1 04/08 sb
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