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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