HomeMy WebLinkAbout7530 190th Pl Ne_BLD05-6502_2025 4__ X _r 1*1r C3 F= r_%F;t L_ z M ca_r C3 M
Owner: UPGRADE ),::�,,4425 43RD AVE A R LIN G 0 N
Value of Work: 41_'5j. 330. 1950
Describe Work: NEW STNS3'L_E FAMII.-Y R1-SIDENCE Proposed Use: 33 F R
Legal Description: 6 A G L 0 1- 2
Job Address: -7 5''3 0 1901"FA PL NE
Contractor' s Name Type Address License#
UPGRADE CONS T'RUCT I 01\1 GfE N 24425 43RD AVE NE U1 P G R A C*9 6 7 N f1:
DOUBLE K PLUMBING P'-LB 16925 LARCH WAY DOUBLEKP97LIER
1; & D HEATING7 MEC 18311. CEDARBOUGF1 L_(30E--, I DHI .:*A D Fi 97(`1 il 1`l
P E R M I T F E E S
Equipment and Fixtures Number Fee Tota 1 Charge
PLUMBING FIXTURES 19 $10. 00 $19 0. 0 IZI
I URNACE/UNIT HEATER 1 $15. 00 $13. 00
VENTILAI"ION FANG 6 $7. 00 $42.. 00
DRYER 1 $11. 00 $11. 00
METAL FIREPLACE & CHIMNEY 1 $11. IZIQI $i 1. 00
WA-1-E R H 1"'A-1-ER 1 $i 5. 00 $15. 00
GAS PIPING 1-5 OUTLETS 1 $6. 00 $6. 021
S U B T 0 T A L. . . . . . 3290. 00
TOTALS Fee
$1 1)94. 7 V)
School iYiittgation $0. 0Q)
119 c r,t
F' .1-ure $190. 00
IYI e c 1-1 P e r,III i t $24. 00
IDIan Fee $1, 296. 56
plark 11itigation $:L, 00
P11 u in b P e I-rn it, s2E:. 00
State fee $4. 50
Tr-affic Mitigation $1, IZ138. 00
SIGNATURE:
TOTAL FEE. . . . . . . . . . . . . . . . . $6, 334. 76 1 HEREBY CERTIFY TkIAT I 11 )VE READ
AND EXAMINED THIS AP)PLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $1, 034. 00 `lipX PR
THE SAME TO BE I-RUE AND COR
RCK ALL OV I SIONS OF' LAWS AND
In N
TOTAL DUE. . . ,. . . . . . . . . . . $5, 300. 76 0 DI ANCES GO ER"a NO 11-11S OF'
WW.,Fl 1W I BE OM IED WITH WH1:_.,_ 1-HE):'�
SHIL,*C JF I I I N i R NO"I".
1719" M
DING EIF'F�Ir,I AL'
441NG
NEW SINGLE FAMILY E 1SIDENCE
coBUILDING PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223 • Phone (360)403 3431 • FAX(360)403 3447
THIS APPLICATION TO BE USED FOR ONEAND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS
APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS, SIX(6)ACCURATE,
FULLY DIMENSIONED PLOT PLANS AND TWO (2) SETS OF ENERGY CODE APPLICATIONS.
TYPE OF PERMIT: X)) Building ( ) Mechanical ( ) Plumbing ( ) Combination
Project Address: _T S�'_ )CA OIL* 1�L 9 , Parcel ID DS iq IV
Lot#: 1 6� Subdivision:— O-Aa-420 !�Lc I
Project Description:��— '` q
Owner: ��^✓� -U/ -���, Phone Number.
Address: -�'"j"1 2� f �D �`� V ( City: State: Zip Code: I Z23
Contact Person: Phone Number: `7
Cell Phone:4Z 'S- 7 1—ISM Fax�. (Pb- _ v f C E-mail:
Address: ,77V,r e431 Av' City: &YzL_ State:_L / } Zi pCode: 7 a22;5
�M , n
Lending Agency: a U' e>t1Mk �>Lax_M Phone Number:4F-^ 77 ( _ 2'7 O 0
M o V 4k t L vq K-6
Address:y2-%0I �r W- Ay 6J City: State: ip Code:(7t3OLr3
Contractor: Phone Number: 2-
Address: 2A2j ' ��ay A V IJ C City: P 121-I6 UTIM State: Zip Code: 22-3
Contractor's License Number: (A Expiration:
Plumbing Contractor- L F" � �L ���� Phone Number:
Address: ft"l -I- L-tA4- ' 't`4 City: State: Q 0. Zip Code:
Contractor's License Number: 5 Z 5V)J PJC)WP Expiration:
Mechanical Contractor: i(t 0 (—k-o-�t;JL: Phone Number:
Address: � 1 1 `- ` n� P- 6 J (.: I� City: 1 I� State: Zip Code:
Contractor's License Number: RECEIVED
Expiration
JIM 0 9 2005
ta-MBED COA BUILDING DE r 73�3
Forms/NSFR Page 1 of 2 10/041DWA
i1t
Y ° NEWFAMILY F _SIDENCE
BUILDING PERMIT APPLICATION
ING� Department of Community Development
City of Arlington • 238 N Olympic Ave. • Arlington,WA 98223 • Phone (360)403 3431 • FAX(360)403 3447
Number of Plumbing Fixtures (Including Rough-Ins)
Plumbing Accessory Main Total Fixture Total Number
Fixtures Dwelling unit Residence #X Multiplier Fixtures Units
Bar Sink X 1.0 =
Bathtub or Combination Bath/Shower _ X 4.0 =
Clotheswasher X 4.0 =
Dishwasher ' ` X 1.5 = �, �'
Hose Bibb o 2, o� X 2.5 =
Kitchen Sink X 1.5 = �_j
Laundry Sink t X 2.0 = Z
Lavatory(Bathroom Sink) rj X 1.0 = S
Shower(Stand Alone) Each Head _? X 2.0 = Z
Water Closet(Toilet) 3 ' X 2.5 = 7
Whirlpool Bath or Combination Bath/Shower X 4.0 =
Water Heater
Other TOTAL
Traps (other than above items) FIXTURE UNITS:` N
COLUMN
TOTALS:
Estimated Project Valuation 1_1 S 10 0 0
Building Square Footage Z5-6 Z
1st Floor 9-0 Z CP 2nd Floor 3'd Floor
Basement 75S0 Deck Garage
Water Supply Piping
A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units
r
B. Distance from meter to most remote outlet: ISO feet.
C. Difference in elevation between meter and highest fixture: , ?� feet above meter or feet below meter.
D. Pressure in street main: psi. (Measure with gauge or check with Water Department)
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulation of the State of Washington.
Applicants SignatUT6 Date
Print Applicants Name
Forms/NSFR Page 2 of 2 10/04/DWA
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