HomeMy WebLinkAbout4521 192nd Pl Ne_BLD20090164_2025 YISW123d754/9- INSPECTION REPORT p
• Permit No.: 10G'-016y' Lot#:
MEW
Address: 5Z 1 ( r Z ILL A,L—'-
Contractor: si \-s
• Owner: J U( P IU
Date: F.
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.
as Sao®
2
Inspector: 6r Date:
TYP OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing U- 6as Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
r _
No
1r No. '
I■
J -MMI ■ MEN • ME
ME
.Y�
. . r 1■ • J 1
1
MEME .
t
' ■ 1 J IL 1■ 1 ' ` ''•
• � �
MEN
1
CITY OF ARLINGTON
238 N_OLYMPIC AVE.-ARLINGTON,WA.98223
♦ PHONE:(360)403-3421
Pennit#: BLD20090164
BUILDING PERMIT
Project Address: 4521 192ND PL, ARLINGTON
Parcel No: 31051600401700
PROPERTY OWNERAPPLICANT CONTRACTOR
BAISCH,JUSTIN BAISCH,JUSTIN BAISCH,JUSTIN
4521 192ND PL NE 4521 192ND PL NE 4521 192ND PL NE
ARLINGTON,WA 98223- ARLINGTON,WA 98223- ARLINGTON,WA 98223-
Phone:(425)923-7548 Ext Phone:(425)923-7548 Ext LICENSE#: EXP:
Email: Email:
PLUMBING CONTRACTOR MECHANICAL CONTRACTOR
Lie#: Ex : Lic#: Ex :
JOB DESCRIPTION
EXTENDING GAS LINE FOR CONVERSION FROM LPG TO NAT. GAS.APROX. 8'.
VALUATION: $0
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 PROPOSED ARFA
BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0 I BASEMENT:0 1 ST FLOOR:0 2ND FLOOR:0
3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0
FRONT1REARSETBACK
REQUIRED: PROPOSED: RE UIRED: PROPOSED: RE UIRED: PROPOSED:
HEIGHT ALLOWED:0 PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES:
APPROVALPERMIT
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 APPLICATIO 1S NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/ EPUTY AND ALL FEES ARE PAID
Signiture rint Name Date Releas d By Date
ATTENTION
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.UBC I09/IBC 110/IRC 110.
ARCHIVE APPLICANT = ASSESSOR OTHER
ti
� - - - - - -
- I
BLD20090164
CONDITIONS
• None
PERMIT FEES
Date Description Fee Amount Paid Balance Due
8/10/2009 C-Mechanical Permit Fee $50.00 $0.00 $50.00
Total Due: $50.00 $0.00 $50.00
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 re nested,Contact Name and Phone Number,Date Preferred,and whether you prefer morning or afternoon.
None
RESIDENTIAL MECHANICAL
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: 4521 192nd pi ne Parcel ID#:
Lot#: Subdivision:
Project Description Pxtensinn of qas line for ronyp-rsinn from I PG to N3tImal GiaS
owner: Juistin._Baisch Phone Number: 425-923-7548
Address: 4521 192nd pl ne city:Arlington State: Wa zip Code:98223
Contact Person:Justin BaisCh Phone Number:
Cell Phone: 425-923-7548 Fax: E-mail: sicks6sixx@hotmail.com
Address: 4521 192nd pi ne City:arlington State:wa Zip Code:98223
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 1 OK CFM
EVAL COOLER VENTILATION FANS OTHER VENTILATION SYSTEM
VENT HOOD DOMESTIC INCINERATOR COM/IND INCINERATOR
ALL OTHER UNITS FREESTANDING STOVE FIREPLACE INSERT
Contractor: W`1 -��' Phone Number:
Address: City: State: Zip Code:
Contractor's License Number. Expiration:
I hereby certify hat the a ove information is correct and that the construction on, and the occupancy and the use of the above-
des crib prop rty will b in rdance with the laws,rules and regulation of the State ofW Washington.
1/5"J -0 4/I'
JUS �n BaISChApp icants Signature Date RECEIVED
Print Applicants Name AUG 0 9 2009
COA PERMIT CENTER
FOR STAFF USE ONLY
&.02-polot Sc o-4—, gTo
Permit# Aclepted By Amount Received Receipt# Date Received
WEB Forms-139 Page 1 of 1 04/08 sb
rTA7l,lr9'lA ■ _ ■
MEN 1 1. ti.11 1 = i era i ■ u mom ■ mom mommomm ■ ■ ■ ilboa m"1.som ■
ME ■ M ■ ■ ■ MEN MINEME ■ ■ MINEME INIMEN ems■ ■ ■ ■ ■ ME ME ME .0 MEN MINEME
.i ■ ■ L- I}7Y ' W%oomr him -■ C ■ I '. I ■ tr ■ ■ ~ %`' ` ' ` ■ 'i ImIT% 7 '
.rLd6m m 7T`71� 7 r! 7 ! Pom i somi.
" momm ■ ■ Im■
No mj 7 10 1 L
■ ME 0 - ■ ■
ii"■ I ■ i '■ Jim ■ ` ■ mti7 ■ .■ i ■I■ ■ ■ ■ ■ ■
1 : ■ 1 ■ - ■ MEMEM MhMmmJ ■ ■
r
■ " ■ ■ . ■
■
■ ■ r
■ "■ ■
■ ■ J ■ Ir" . - ■ ■ L ■
MEMININ ■
■ 11 ■ ■ ■ ■ ■ ■ ■i 1
IM. it MEN
T 1 I
1 ■
- ■ ■ 1 ■� oo� '
a
r 9
hp
• �ti
4
"o.
- `va
_ a o
RECEIVED
AUG P 9 2009
COA PERMIT CENTER
-r
Q�.� -20o9 o I (,