HomeMy WebLinkAbout5822 CEMETERY RD_00689_2026 CITY OF ARLINGTON
CONSTRUCTION
PERMIT 0 COMBINATION [51 BUILDING ❑ MECHANICAL ElPLUMBING ❑ SIGN PERMIT NO.00689
OWNER MAIL ADDRESS CITY ZIP PHONE
Erling Espedal 5822 Cemetery Rd. Arlington, WA 98223 435-2674
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
State Aide Vinyl 15125 Hwy 99 Lynnwood WA 98037 745--2842 STATEVI167M3
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE p
CLASS OF WORK
❑NEW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
s 5,916 . 00
DESCRIBE WORK
Re lace 6 single pane windows with double Paine w frames including 2 bay winds
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
Sin le family residence TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LEGAL DES(RIPTION Of PROPERTY(SHOWN BELOW Iik ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORK
LOT-BLOCK-OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATUR NT THORI7ED AGENT D.
jOB ADDRESS
5822 Cemetery Road X
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND.UNITS -H.P.EA.
BAIHTUB REFRIGERATION UNITS-H.P.EA.
LAVATORY (WASH BASIN) BOILERS-H P. EA
SHOWER GAS FIRED A.C.UNITS-TONNAGE EA
KI ICHLN SINK & DISP. FORCED AIR SYSTEMS- B.T.U. MEA
DISHWASHER WALL HEATERS- B.T.U. M
LAUNDRY TRAY UNIT HEATERS- B.T.U. M
CLOTHES WASHER EVAPORATIVECOOLERS
WATERHEATER CLOTHES DRYERS
URINAL VENTILATION FAN
DRINKING FOUN LAIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS I STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUBTOTAL f SUBTOTAL $
PERMIT $ PERMIT $
TOTAL FEE $ TOTAL FEE $
SIDE.YARD SE F BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE ZONF LOT AREA VACANT SITE
❑ FEES VALUATION FEE
❑YES No
TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG 81 00
SIZE OF BLDG NO.OF STORIES MAX.00C.LOAD BUILDING
PLUMBING
FIRE SPRINKLERS REQUIRED
[-]YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE 4 50
ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.303(a)
WATER/SEWER FEES
YkQ TOTAL 8 5
PERMIT VAEIDA ON
JUL 2 1991WHEN PROP LY V I TED`(IN THIS SPACE) T Is.] YO PPE IT& IP
PAID # BY '
cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. BUI IE OFFIRDS COPY rE
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION 6UILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
&/w
OWNER / �- IL
ADDRESS/ l CITY J ZIP �j �j7 PHONE
tE F- I ! L L G S C-j'L ✓ d Z l-f trK�eT�e v, l� Cm. r l K l�rT>1 U r Y 3 s -a 7
ARCHITECT OR DESIGNE
MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS I
CITY ZIP PHONE LICENSE#
S�a'1✓�e Glit 1 r l/i k /S/Z S /'S� �7�9
L H LVoOcI 9803 7-YS-Z81Yz ST = V J67„�t
MECHANICAL CONTRACTOR
MAIL ADORES CITY ZIP PHONE LICENSE 1
PLUMBING CONTRACTOR MAIL ADDRESS
CITY 21P PHONE LICENSE N
C❑LAvSOF WORK❑AUDITION ALTERATION REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORT(,
uLSLAiBE WORK /
�� rreT GltC G !K /Y tt G t,vtK10•v5 w clapwY dH W rd+1"'�S / Lr !lw.�. ..- C'a. wlK. S
Pau St D USE F BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA
Dct9 lit TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL UtSLRIPTION I PROPERTY(SHOWN.,,--OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
LOI BLOCK OF GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
TAX ID NUMBER C .NSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
I VURE OF CO R-OR D AGENT DATE -
JOB ADDRESS �Qv/j
(OFFICE USE ONLY) ECHANICaL
PLUMBING TYPE OF EQUIPMENT FEE
TYPE OF FIXTURE FEE NO.
NO. AIR CONU,.UNITS - H P.EA.
WATER CLOSET (TOILEI)
REFRIGERATION UNITS - H.P.EA.
BAIFIIUB
BOILERS-F1-9. EA
\ LAVATORY (WASH BASIN)
GAS FIRED A C. N1T5-TONNAGE EA.
S})()WLR MEA
FORCED AIR SYS MS- B_T.U-
KI IbilLN SINK& DISP. M
WALL HEATERS -B. U.
UISHW HER UNIT HEATERS- B.T.U� M
LAUNDRY RAY
EVAPORAI I`JE COOLERS
CLOIIIES WA LR CLOTHES DRYERS
WAl ER HEATER
VENTILATION FAN
URINAL
RANGE HOOD COMMjap
DRINKING FOUN 1 AIN
AIR HANDLING UNITFLUOR DRAIN STOVEVACUUM BREAKERSMETAL FIREPLACE &
RUUF DRAINS RAINLEAUERS WATER HEATER
SINK(SERVICE - BAR,ETC.) GAS PIPING
\ SUBTOTAL s
SUBTOTAL s PERMIT s
PERMIT s TOTAL FEE
TOTAL FEE S PLAN CHECK FEE
SIUL YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO.
USE JONt LOT AREA VACANT SITE FEES VALUATION FEE
❑YES ❑NO
TYPE OF CONST
OCCUPANCY NO.OF DWELLING UNITS PLAN CHECKING VG
BUILDING $
SIZE Of BLDG, NO.OF STORIES MA .LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
STATE BLDG.CODE Q
COMMENTS ENERGY CODE SURCHARGE
U.B.C.
PENALTY SEC.303(a)
WATERISEWER FEES
TOTAL /
PERMIT VALIDATION
WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
PAID CR# BY
DATE
BUILDING OFFICIAL
cc: ASSESSOR,APPLICANT,TREASURER,BLDG. DEPT RECORDS COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL .[] PLUMBING ❑ SIGN PERMIT NO.
OWNER MAIL.ADDRESS CITY ZIP •Cr��„ PHONE
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N
,l SC=LF '•
MLCHANICAL CONTRACTOR MAIL ADDRESS CITY a ZIP PHONE LICENSE/
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
:p
1 CLASS OF WORK❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI HON ❑BUILDING RELOCATION
1(/VALUAI'ON 01 WORK
DESCRIBE WORK
X�r "�-i>�c c -sc•lC
PRUPUSt U USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLG AL UES(RIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LUI BLOCK DF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE Off CANCEL THE PROVISIONS OF ANY OTHER STATE OR
XTAX ID NUMBER ; LOCAL LAW.REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION.PERMIT EXPIRES t YEAR FROM DATE OF ISSUANCE.
SIGNATURE OFZED AGENT DATE
JOB AUURLSS
5 2 r -F a x
(OFFICE USE ONLY) i
MECHANICAL.
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSE] (TOILET) AIR GOND.UNITS —Ii,R EA.
BA I II I UB REFILIGERATION UNITS—H.P. EA.
LAVATORY (WASH BASIN) BOILERS—H.P.EA
SIIOWLR GAS FIRED A.C.UNITS.—TONNAGE EA.
KI ICI ILN SINK& DISP. ! FORCED AIR SYSTEMS— B.T.U. MEA
DISHWASHER WALL;•HEATERS—B.T.U. M
LAUNDRY 1 RAY UNIT HEATERS— B.T.U. M
CLOI IILS WASHER EVAPORAI IVE COOLERS
WAIERHEATLR CLOTHES DRYERS
URINAL VENTILATION FAN
DRINKING FOUNTAIN RANGE FIOODCOMMERCIAL
FLUOR DRAIN - AIR HANDLING UNIT— CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK(SERVICE — BAR,ETC.) WATER HEATER _
GAS PIPING
i•
SUB TOTAL 3 s SUBTOTAL f
PERMIT 3 PERMIT 3
TOTAL FEE 3 - TOTAL FEE 3
SIDL YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
x,.
FEE RECEIPT NO.
USE LONI LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPL OF CONST. OCCUPANCY GROUP NO.Of DWELLING UNITS PLAN CHECKBK(G NG
BUILDING 3
SUL OF BLDG. NO.OF STORILS MAX.OCC.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE �O
ENERGY CODE 4URCHARGE
PENALTY :y SEC.303(a)
WATERISEWER FEES 1
TOTAL
PERMIT VALIDATION
WHEN PROPEgY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID ` CRN BY
Cc:ASSESSOR,APPLICANT.TREASURER,BLDG.DEPT, BUILDING OFFICIAL DATE
RECORDS COPY
CITY OF AR.LINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00 1 42
OWNER MAIL ADDRESS CITY ZIP PHONE
Erling Espedal 5822 Cemetary Road Arlington , Wa 98223 435-2674
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
Same as owner
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE '
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
CLASS OF WORK
❑NEW n ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
s 1 , 000
DESCRIBE WORK
Add new deck to existing residence. 30.0 aq ft
PROPOSED USE OF BUILDING
Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLG AL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT-BLOCK--OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CON STRU RMIT EXPI S 1 YEAR FROM DATE OF ISSUANCE.
jOB ADDRESS
SIGNATU NT O RAU RIZED AGENT DATE /17
5822 Cemetary Road X �
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND. UNITS - H.P. EA
BAIHIUB REFRIGERATION UNITS-H P.EA
LAVATORY (WASH BASIN) BOILERS-H P- EA
SHOWER GAS FIRED A C. UNITS-TONNAGE EA.
KI ICHEN SINK& DISP FORCED AIR SYSTEMS- B T U MEA
DISHWASHER WALL HEATERS- B T U M
LAUNDRY TRAY UNIT HEATERS- B-T U M
CLOIHESWASHER EVAPORATIVECOOLERS
WAIERHEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUN I AIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR, ETC) WATER HEATER
GAS PIPING
SUB TOTAL S SUBTOTAL $
PERMIT $ PERMIT $
TOTAL FEE $ TOTAL FEE $
SIDE.YARD SE I BACK STRLET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE ZONE LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONST OCCUPANCY GROUP NO OFDWELLING UNITS PLAN CHECKING NG
SIZE OF BLDG NO.OF STORIES MAX.000.LOAD BUILDING $ 2 50
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE 4 50
PENALTY SE C
SEC 303(a)
WATER/SEWER FEES
AI TOTAL
29 50
NO
V 91989 PERMIT VALIDATION
WHEN PROPERLY VALIIDATEDy/�l'� HIS SPACE)THIS IS YOUR PERMIT&RE
CITY OF ARLINGTOYN PAID ✓ CR# BY
cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. IL OFFICIAL DATE
RECORDS COPY