HomeMy WebLinkAbout18015 CAMBRIDGE DR_983084_2026 `NSPECTION REPORT
Permit No. /[ Lot#
Address
Contractor
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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
r_-A
Inspector Date L
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid , ❑ ,Struct. Slab
❑ Wood Stove ❑ Rough-inI-IckFinal
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
\, G0NSTF2UOT=0M RE FRMIT
RE:RM=T No _ ; 9$-3a8At
Owner: JACOBSEN HOMES INC. 4811 113TH AVE SE SNOHOMISH 98290
1 ^ Value of Work: $146,276.00 Tax ID: GE IVD 08 Phone: 425-335--4048
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Describe Work: NEW CONSTRUCTION
Proposed Use: SFR
Legal Description:
Job Address: 18015 CAMBRIDGE DR.
Contractor's Name Type Address License#
JACOBSEN HOMES INC. G 4811 113TH AVE SE JACOBHI034MA
HORIZON HEATING INC. M 3601 121ST ST. HORIZHI137OU
PERKINS & SON P 8524 NW 147TH PL PERKII*200B1
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
- ----- --- ------ --- ------------
PLUMBING FIXTURES 16 $7.00 $112.00
FURNACE/UNIT HEATER 1 $13.25 $13.25
1 $9.50 $9.50
VENTILATION FANS 5 $6.50 $3.2.50
DRYER 1 $9.50 $9 50
METAL FIREPLACE & CHIMNEY 1 $9.50 $9 50
WATER HEATER 1 $9.50 $9 50
GAS PIPING 1-5 OUTLETS 1 $5.00 $5.00
S U B T O T A L. . . .. . $200.75 '
i
TOTALS Fee
Equipment $88.75
Fixture $112.00
Mech Permit $22.00
Permit Fee $1,014.25
Plan Fee $659.26
Plumb Permit $15.00
State fee $4.50
School Mitigation $941.00
SIGNATURE:
TOTAL FEE............ ..... . $2,856.76 I HEREBY CERTIFY THAT' HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS.. .. ...... ........ $350.00 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE................. $2,506.76 ORDINANCES GOVERNING T TY OF
WORK.
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PLF WH F THER
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DATE RECEIPT # [ C� BUILDING OFFICIAL
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RECEIVED 1
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MAY 13 1998
CITY OF ARLING711'
CITY OF ARLINGTON
CONSTRUCTION
PERMIT ���
COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. q
j OWNER MAIL ADDRESS CI7Y ZIP PHONE
Jj��r.1 Sal u Al I I I�Y= � ��r+ �i�aIc� s - -4 Oy K
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
I�t`�-IJ'-�1 CC�lS1A L�4►yis Lf7 - 4 q S - �I s Lo q
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
jlv�� 4yc5 -TAe rrp)r�l—U 3 y,gl i4
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE R
t-ic- L, L`IN*t 97 5 "+45 - 3g 30
PLUMBInNG�CONTRACTOR� ��MAIL ADDRESS CITY ZIP ,PHONE v� � LICENSE rn1' lS t l%
3 CLASS OF WORK
0�NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
Q VALUATION OF WORK '' rr I
z s `iI , )�L-:
W DESCRIBE WORK
F- —.
m PRUPUSt U USE OF BUILDING
c n I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
ILII TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
Z ILGAI UtSf RIPI ION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J LOI QL_BLOCK of �L tLt WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
w VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
w LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
J TAX ID NUMBER FROM PROPERTY TAX STATEMENT
a CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
v ()Cy
' SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
1oe
t _1,30 15 x C t , -`1�
(orOwB USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE x's FIXTURES NO. TYPE OF EQUIPMENT FEB x's FIXTURES
ATER CLOSBT(TOILET) 1R COND.UNITS-H.P. EA. lqtip.Iist"'
ATH•T•UB EFRIGERATION UNITS-H.P.EA u .list•"
y VATORY ASH BASIN OILERS-II.P.PA. Igtip.list-
HOWER AS FETED A.C.UNITS-TONNAGE EA. 3qtip.list•"
1UTCHEN SINK&DISPOSAL ORCED AIR SYSTEMS-B.T.U. MEA
ISIIWASHER ALL HEATERS-B.T.U. M
UNDRY TRAY 1UNIT HEATERS-B.T.U. M
LOTHES WASHER TVAPORATIVE COOLERS
ATER HEATER LOTHES DRYERS
RINAL IIENTILATION FAN
KINKING FOUNTAIN UNGB HOOD COMMERCIAL
LOOR DRAIN kIR HANDLING UNIT- CPM
ACUUM BREAKERS TOVE
OOF DRAINS-RAINLEADERS ETAL FIREPLACER CHIMNEY
INK SERVICE-BAR,ETC.) VATER HEATER
AS PIPING *(up to 5=$3.00,addol.=S.75
*Fquipmcnt list must be rovidcd
SUB TOTAu-
TOTALFEE
SUB TOTAL
PERMI PERMIT
TOTAL FE
SIUL YARD SE I BACK STREET SL(BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
E C FEE RECEIPT NO.g��
USE lUNF LOT ARA > VACANT SITE
❑NO FEES VALUATION FEE
TYPE O///CCCO�NS1. UCCUPAANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
v ( / -3 L- / / BUILDING $ 1 y
SIZE UI BLUG. NO.OF STORILS MAX.OCC LOAD
�7
7 4 i / PLUMBING
FIRE SPRMLERS REQUIRED
❑YES NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
U.B.C.
6 PENALTY SEC.303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT 6 RECEIPT
PAID CR#_ BY
BUILDING OFFICIAL DATE
cc:ASSESSOR.APPLICANT,TREASURER. BLDG.DEPT. RECORDS COPY