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Home My WebLink About4628 191st Pl Ne_BLD20090085_2025 ,NSPECTION REPORT Permit No.: oq- o o tas Lot #: Address: y(.z-P i9 i sT 474- Contractor: /J, N GJ�Jsf Owner: Date: 41-2 I- c 9 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. Inspector: r�4 Date: �-Z/-o j TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation Aq Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: CONTRACTORS INVOICE flzc � • _ WORK PERFORMED AT: V (.✓ 07 DATE YOUR WORK ORDER NO. OUR BID N0. t s APR 2 0 2.009 =APERMLT.CENTER All Material is guaranteed to be as specified, and the above work was performed in accordance with the drawings and specifications provided for the above work, and was completed in a substantial workmanlike manner for the agreed sum of - Dollars($ - - This is a ❑ Partial ❑Full invoice due and payable by: Month Day Year in accordance with our ❑Agreement ❑ '�loposal No. Dated a. Month Day Year d TC8122 CONTRACTORS INVOICE CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 PHONE:(360)403-3421 Permit#: BLD20090085 BUILDING I'll-oject Address: 4628 191ST PL, ARLINGTON Parcel No: 00955700005700 PROPEWIN OWNER APPLICANT CO NTRA( "I 0I HIATT,BRIAN HIATT,BRIAN DENNING CONSTRUCTION INC 4628 191 ST PL NE 4628 191 ST PL NE 16619 130TH ST NE ARLINGTON,WA 98223-478 ARLINGTON,WA 98223- 47 ARLINGTON,WA 98223- Phone:( ) - Ext. Phone:( ) - Ext LICENSE#:DENNICI946DA EXP:3/10/2010 Email: Email: CONTRACTORPLLJMBING 1 1 ' Lie#: Ex Lic#: Ex JOB DESCRIPTION EMERGENCY REPAIR-DAMAGE CAUSED FROM VEHICLE IMPACT. VALUATION: $0 PERMIT TYPE:Residential PERMIT GROUP:Alteration/Remodel Exterior NUMBER OF STORIES:0 TYPE OF CONSTRUCTION: NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP: CODE:2006 OCCUPANT LOAD: BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0 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 FRONT1 REQUIRED: PROPOSED: RE UIRED: PROPOSED: RE UIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED: SETBACK NOTES: APPROVALPERNIIT 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 IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. 'z "" c v J Signature t Name Date Released By D616 ATTENTION IT IS UNLAWFUL TO E OR O UPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.UBC109/IBC110/IRC110. ARCHIVE APPLICANT ASSESSOR OTHER a BLD20090085 • None THIS PERMIT AUTHORIZES ONLY THE WORK NOED.THIS DOMAIN(CURBS,TSIDEWALKS SIDEWALKS, S,MARQUEES,ETC,)WILL T COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE L REQUIRE SEPARATE PERMISSION. i • BUILDING/ENGINEERI FIRE(RK 03I3607ES/FINAL(360)435-0674 When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection bein rc nested,Contact Name and Phone Number,Date Prefereed,and whether you prefer mornin or afternoon. None I RESIDr.NTIAL ADDITION/p4LTERATION 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 TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS, TWO(2) ACCURATE, FULLY DIMENSIONED PLOT PLANS AND ONE(1) CROSS CONNECTION CONTROL SURVEY(if adding plumbing). TYPE OF PERMIT: C] Residential Addition (E] Residential Alteration Also Including: tT] Plumbing T] Mechanical Project Address: 76.1z A1-1 P1 No Ar/"h X. Parcel ID#: 002-55-2000O S-76v Lot#: Subdivision: Project Description: Ctf'"_;- Cd vAe4 /6`�"''"'±4<_ Valuation: �. Owner: r Jc�.� i-SA /1,`,- //- Phone Number: Address: City: State: Zip Code Contact Person: _ LA I r1, 1'.,LA Phone Number: a 3 9 z/ Cell Phone: Fa)' E-mail: C-11"s-i(60.s+e.-371 nc� Address: �'��1 ��'' {i SIN City. °' State: 4— Zip Code: Building Area (Scl Ft): 15t Floor: 2"d Floor: 3`d floor: Deck: Garage/Carport: Basement: _ Project Valuation: /6. U ` Contractor: Oetvptil C. Phone Number: 9�/- Address: l S°F"`� City: r�� State: Zip Code: Contractor's License Number: b—OWt,/X C'T 146 DA Expiration: Plumbing Contractor- nz Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: Mechanical Contractor: /4 Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration i I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- desCrf k pr a ty will be in accordance with the laws, rules and regulation of the State of Washington Appli is Signature Date RECEIVEP Print Applionts Name FOR STAFF USE ONLY APR 2 0 2009 ILDIo0q W COA PERMIT CENTER Permit# Accepted By Amount Received Receipt# Date Received WEB Forms—285 Page 1 of 2 04/08 sb RESIDENTIAL � I . SUBMITTAL REQUIREMENTS _I. Department of Community Development City of Arlington •238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3447 The building permit does not include any mechanical, electrical or plumbing work. These permits are issued separately. These permits require a separate permit application. To ensure that you have the most current information, please contact the City of Arlington Permit Center at (360) 403 3551 or by email to Permit Center. Applications delivered by courier or mail will not be accepted. Incomplete applications will not be accepted. / acknowledge that all items designated as submittal requirements must accompany my Building Permit Application to be considered a complete submittal. Signature: 44 Owner/Owner's Repr s ntative Company: Phone: WEB Forms—67 Page 5 of 5 04/08 sb