HomeMy WebLinkAbout506 E Highland Dr_BLD3307_2025 APPLICATION 0INSTRUCTION INFORM_ JON
OOR) Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW 0 , ALTERATION ❑ , ADDITION DEMOLISH ❑.
f Building Department
• Building Permit Describe Alteration__CCA_ dA►C70M
Certificate of Occupancy ❑ Date /'13
NOTICE: No permit for erection, alteration, moving, repair or occupancy of any building
shall be issued until an application has been made and approved for a certifi- Valuation based on total flooF,orea $ tZ SOD N O T I C E
cate of zoning compliance. �`
�,► Where work is started
� / e Plan checking fee Q ` $ before permit is obtained
Owner -J!`�_K A/ /�`�a� Address ✓ d G N Permit fee G� 3 S,s� the permit fee shall
��< � $ be doubled.
Permittee �Q IV h�.�'S�N Address_ Aw Wash. State Building Code Fee $1.50
Architect Address Wash. State Energy Studies Surcharge /1i00
SPECIFICATIONS
Engineer Address TO ,
FOUNDATION Exterior Piers COVERING
Contractor �Il'Ir 'C Address--- - - __ Material Exterior walls
LEGAL DESCRIPTION OF PROPERTY: Lot No.—_ Block No. Width at top Interior walls
Width at bottom Roof or reroofing
Subdivision or Unplatted description
72EjX// 3140
! d—O Z 3 —OO O O Depth in ground
ZONING INFORMATION FRAME Size Spacing Span FLUES
TYPE OF OCCUPANCY of present or TYPE of CONSTRUCTION of present or R.W.Plate(sill) Fireplace
proposed main building (circle) proposed main building (circle) Girders Floor furnace
A B C ^ C C r r Joist, Istfloor Kitchen
DIVISION BUILDING PERMIT DATE G� � '�J Joist,2nd floor Water heater
Building Department
CITY of ARLINGTON, WASH. Permit O
No. Joist,ceiling Furnace
Use Zone_ This permit is issued on the express condition that the
work and use shall conform in all respects to the state- Valuation
Size of built ments certified to in the application for such permit, Plan Checking Fee Exterior studs Gas Oil
Total height and that all work shall be done in accordance with the
ordinances of the City of Arlington and the State of Permit Fee
Washington pertaining to construction of buildings. Total Fee Paid5 "� _ Interior studs
Additional f end c -•?���
No. of room Per._lion is hereby granted to t/ ��f - Roof rafters
No.of buildi to ❑erect faltert
large Elrepair ❑demolish a building on Lot No.
Block N Plol, Subdivision, Unplatted Description Bearing walls
Percentage c Additional Permits are required for:
Percentage c IMPORTANT
Street and No. � an (check)
Kind of livesi �� ��-��N
In the City of Arlington, Washington to be used as ❑ Plumbing, ❑ Signs,g, g ❑ Moving, Written authorization of owner must
CHANC_._ Attention is particularly called to the cut- i� ` ✓ ❑ Sewer hookup, ❑ Water hookup, be presented when applicant is occupant
— kin main sewer //
If a commerc;-'And'water connection. driveway and Building ins. Gas appliance and Gas piping. or lessor. I am the legal owner of the
cur1bsn@6aAsgit.fpwu4 construction must property described in this application.
be obtained from the City of Arlington,
Wash. by I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all
city ordinances and State Laws regulating zoning and building
Owner
DRAW on the reverse side of this application,to scale, a PLOT PLAN. APPLICANT
t
IrPLOT PLAN FOR DEPARTME AL USE �
I6w, to scale,a plot plan showing: LFOR DEPARTMENTAL USE Application for Certificate of Zoning Compliance ❑
Checked Initials
Sion and shape of the lot. 1.
Street name. 2. Building Permit X Certificate of Occupancy ❑ checked and approved.
sIr reef name if corner lot. 3.
e Q nd location on the lot of buildings already existing. 4._ pn and dimensions of proposed building or alterations. 5. Building Inspector Date -/2
3—AST
5--ayard,side yard,rear yard setbacks. 6. Q -�
Ote and describe any fences,walls,hedges,signs, 7. Issued Building Permit No Z Date_!_
i�Ir yard trees and shrubs,green belt.
ea't pn and size of required off-street parking and loading. 8.
INSPECTION RECORD
Inspection Date Signature
Set Back
Excavation
Concrete $
Reinforced Steel
Grout Blocks
Bond Beam g
Frame
Roofing
Room Ventilation
Kitchen Vent ev,Bathroom Vent 1
Foundation Vent
Access Hole
Garage Fireproofing ly
Fireplace
Spark Arrester
Water Closet
Water Heater
Sewage Disposal
Lathing
Plastering
Correction Order Left
Stop Work Order Issued
Stop Work Order Released
Give brief report of special or unusual conditions
Job completed Date
Bu ding Inspector
Certificate of Zoning Compliance No. Issued
Date
Certificate of Occupancy No. Issued
Date
__ wESS FORMS INC LA
APPLICATION CC - JSTRUCTION INFORM j.)N
FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW ❑ , ALTERATION ❑ , ADDITION , DEMOLISH ❑ .
Building Department
Building Permit Describe Alteration
Certificate of Occupancy ❑ Date
NOTICE: No permit for erection, alteration, moving, repair or occupancy of any building � f
shall be issued until an application has been made and approved for a certifi- Valuation a to ( oor�preo $ �� _ N O T I C E
cate of zoning compliance. ' /.
,.•rl- �.,�: �•3, ,� Where work is started
Plan check ng fee �r before permit is obtained
/ the permit fee shall
Owner Address Permit fee 2 R1 be doubled.
1 lI
Permittee Address
Architect Address
SPECIFICATIONS
Engineer .Address
FOUNDATION Exterior Piers COVERING
Contractor. Address_ Material Exterior walls
LEGAL DESCRIPTION OF OPERTY: Lot No. Block No. Width at top Interior walls
Subdivision or Unplatted description 'S'P C! (tiO 2) A' :r tt),!r 60/ e/---4etDC Width at bottom Roof or reroofing
O Depth in ground
ZONING INFORMATION FRAME Size Spacing Span FLUES
TYPE OF OCCUPANCY of present or TYPE of CONSTRUCTION of present or R.W.Plate(sill) Fireplace
proposed main building (circle) proposed main building (circle) Girders Floor furnace
A B C D E F G H I J 1 II III III 1 hr. III HT Joist, Istfloor Kitchen
DIVISION 1 2 3 4 IV IV 1 hr. V V 1 hr. Joist,2nd floor Water heater
Joist,ceiling Furnace
Use Zone Fire Zone Area of Lot
Size of building or addition No.of stories Exterior studs Gas Oil
Total height Basement floor area 1 st Floor area
Interior studs
Additional floors and areas
No. of rooms No.of families Roof rafters
No.of buildings now on lot Use of buildings now on lot
Bearing walls
Percentage of lot covered by main building Additional Permits are required for:
Percentage of lot covered by accessory buildings (check) IMPORTANT
Kind of livestock
❑ Plumbing, ❑ Signs, ❑ Moving, Written authorization of owner must
CHANGE OF OCCUPANCY from to ❑ Sewer hookup, ❑ Water hookup, be presented when applicant is occupant
If a commercial building,list each use and its area in square feet: ❑ Gas appliance and Gas piping. or I ssor. I am the legal owner of the
proprty described in this application.
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all
city ordinances and State Laws regulating zoning and building
Owner
DRAW on the reverse side of this application,to scale, a PLOT PLAN. APPLICANT
9
PLOT PLAN FOR DEPARTMENT)-_ _)SE
J
Draw below,to scale, a plot plan showing: FOR DEPARTMENTAL USE Application for Certificate of Zoning Compliance ❑
Checked Initials
1. Dimension and shape of the lot. 1,
2. Front street name. 2. Building Permit � Certificate of Occupancy ❑ checked and approved.
3. Side street name if corner lot. 3.
4. Sizes and location on the lot of buildings already existing. 4.
5. Location and dimensions of proposed building or alterations. 5. Building Inspector .L.e,'aea Date 3
6. Front yard,side yard,rear yard setbacks. 6.
7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. 6:2�n-z Date �"C1
front yard trees and shrubs,green belt.
8. Location and size of required off-street parking and loading. 8.
INSPECTION RECORD
Inspection Date Signature
Set Back
Excavation
Concrete
Reinforced Steel
r Grout Blocks
Bond Beam
Frame
Roofing
Room Ventilation
Kitchen Vent
Bathroom Vent
�j Foundation Vent
Access Hole
Garage Fireproofing
Fireplace
Spark Arrester
Water Closet
Water Heater
Sewage Disposal
Lathing
Plastering
Correction Order Left
Stop Work Order Issued
Stop Work Order Released
Give brief report of special or unusual conditions
Job completed ',,)`L'l Date
Building Inspector
Certificate of Zoning Compliance No. Issued
Date
Certificate of Occupancy No. Issued
Date
MOORE BUSINESS FORMS INC.LA