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HomeMy WebLinkAbout419 CLARA ST_045952_2026 INSPECTION REPORT 1;4 r0Permit No.: Oti 511Sz LotAddress: a1 `) C t_AContractor: E � n�O Owner:Date: 5- —CoL/ ❑ 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. �c-) U_ --p"v i o t Inspector: Date: `oq TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork y'LMechanical P-0'44 ❑ Grid ❑ Struct. Slab ❑ Wood Stove 90'0 ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: � D - INSPECTION REPORT N G?'O Permit No.: D�/ 59 S Z Lot #: `r Address: ?/19 GL Arc-c4 Z Contractor: G L> O Owner: E-T is 9s'01 NG Date: 2-v`f APPROVAL ❑ PARTIAL APPROVAL 0 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. 7_10 C , C. ce Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork A Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: CITY OF ARLINGTON BUILDING DEPARTMENT GAS PIPING TEST AFFIDAVIT RECEIVE[ Homeowner FMAY 4 5 2004 Address �r 16-M. P rm�itt�To The gas piping syste ested at psi for a total of inutes. WITNESSED BY OY o l 0 s' natureJJJ of occupant reques ' gas service) ( ate) / a INSTALLED BY / b ql ab IDLf (signature of installing gas fitter) (date) Please arrange for someone to be present on the date of requested inspection to provide access for the inspector. The white copy must be mailed upon completion to: City of Arlington --Building Department 238 N. Olympic Arlington, WA 98223 Hard Copy - Job Site Pink Copy - Contractor White Copy - Mail C I T`r OF ARL I hlG-TQN C O N S T R U C T I O N P E R M I T PE RM I T NO _ = 04—t59 52 OYner: ETUE, AL 5405 141ST PL NW STANWOOD 96292 Value of Work: $5, 000. 00 Tax ID: 006189-000-003-00 Phone: Describe Work: INSTAL GAS FURNACE & WATER HEATER Proposed Use: SFR Legal Description: Job Address: 419 N CLARA 5T Contractor's Hale Type Address License# COZY HEATING MEC P. O. BOX 335 L"02YHI*122MM — - - - P E R M I T F E E S Equipment and Fixtures Humber Fee Total Charge --------- ------ ------ -- ------ ------------ , FURNACE/UNIT HEATER 1 $15. 00 $15. 00 WATER HEATER 1 $15. 00 $15. 00 GAS PIPING 1-4 OUTLETS 1 $6. 00 $6. 00 ' i S U B T O T A L. . . . . . 36. 00 TOTALS Fee Equipment S36. 00 { Mech Permit $24. 00 < TOTAL FEE. . . . . . . . . . . . . . . . . SIGNATURE: $60. 00 I HEREBY C IF Y :_^:A= rAV E READ AND AMD PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KNOWE THE ISAMETHIS TO BEP TRUE AANDNCOR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $60. 00 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE r-JP:PLIED WITH WHETHER DATE L�'3 a RECEIPT # / S7�/Z SPEC=: r' N OR NOT. BUi.,U_ G OF F IAL �SA&CJ-7 L/ kj � 3 S' 0C� 7V t� CITY OF ARLINGTON CONSTRUCTION PERMIT �q�7� l)� d COMBINATION 0 BUILDING MECHANICAL 0 PLUMBiNG SIGN PERMIT NO. 1�WNER MAIL ADDRESS CITY TIP PHONI ARCHITECT OR DESIGNER MAIL k.. P PHONE ECIfANI MAIL t. ; .. �:,.� ... . by PHONE LIC N NTRACTOR MAIL ADDRESS CITY zi► PHONE LICENSEdtvAl-G7��-r lyF. �r6i`/l�ay`P✓1 g8.223LU RACTOR MAIL AOORE55 CITv1/ -tip PHONE LICENSE III LASS OF WORK 'Q NLW Q ADUITION ALTERATION 0 REPAIR ❑DEMOLH ION ❑BUILUINC; RELOCATION VW1�10N�OF WORK D SLRISE WORK / PavPUst D u�L o/ eullulNG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLE,AL DtS(RVITON oI PRO/LRTY 5R0'WN!BELOW OR ATTACH 1UUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK Lt)I RLOLK-Or 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 i TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CON5TRUCTION. PERMIT EXPIRES i YEAR FROM DATE OF ISSUANCE. I 51CNATURE OF CQNTRAC'OR OR AVTHORlZEO AGENT DATF IQB AUURLSs 01 X tvPPICE USES ONLY) HAHICAL PLUMDINo NO. TYPE OF FIXTURE PER :'+FIXTURES NO. TYPBOPEgUIPMEITNT PP11H.- >t'ePIXiVFl6S ATE&CL.OS61 ILS3T f7-00 TR CORD.UNITS- H.P. EA_ATHTUS f7 00 RICIVRATION UNITS-HY,EA.VA-MRY ASII EASIN 17" OILERS-Ii.P.9A.HO 17.00 ASPIRED A.C.UNrrS-'TONNAOBIL&L IJP,kSTINK A DISPOSAL $7,00 ORCSD AIR SY91SMS-B.T.0 �Gti7�A18A 18HwASHB 117.00 _ ALL IMATPRS-B.T.U. M 69.00 UNDRY TRAY S7.00 NET HBATERS-B.T.U. M f9 00 LOTH ES WASHER f7.00 APORATI V B COO LMU EH� ATSR HSATE R fT.00 E.OrMR9 DRYERS $4.50 R I NAL $7 00 - r4i SN7IEATION PAN f430 RINICINO FOUNTAIN 17.00 OE HOOD COMMERCIAL fb�0 Loo, DRAlN _ 17.00 T' ER HANDLINO UNIT- CPM ACUUM VRRA[BRS 87.00 I VB 1630 COP DRAINS-RAINLEADBRS $7.00 BTAL FIREPLACE A CHIMNEY $630 INK BRVICB-B UM. $7.00 ATER HBATE9t f6.50 AS PIPING %ug to S e3)Q,ed/al. f•75 • W sect Il►t 0 be PfwMG4 SUB TOTAL SUB TOTAL PELRMIT PERMIT 4—= TOTAL PEE TOTAL PEE SIUL YARD SL I BALK Sr FILL 1 SL TSACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USl IONI LOT ARE♦ VACANT SITE © FEES VALUATION FEE [�YES NO IYPt OF CONSI OCCUPANCY GROUP NO,OF DWELLING UNITS PLAN CHECKING VG SU'LOING 1 SItIL OI BLLT4. No.or STORMS MAX OCC LOAD PLUMBING FIRE SPRINKLERS REQUIRED vE5 NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY COCE$URCHARGE RCr� PENALTY SEC.)o)IEI LV �OQI` WATER/SEWER FEES — TOTAL BUlLnI G OEp1 PERMIT VALIDATION CoxWHEN PROPERLY VALIDATED TIN THIS SPACE) TNi$i5 YOUR PERMIT RIC PT PAID _ CRN BY 8U401NGOfiICIAI __-- _— � DATE «:ASSE[iSOp, APPLICANT, TREASURER. E;LDd RCI'T RECORDS COPY