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Home My WebLink About401 CLARA ST_066922_2026 VSPECTION REPORT N G Permit No.: ot., 69 L7__ Lot#: Q' Address: 4101 Iq c-L'47t-A- Contractor: i-e7z s o Owner: 3p a"-F �IIN C' 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. .0-7 N►�'�- ^-d�fLo�.i-�Y7 Inspector: Date: . TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in A.Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢tiIN GrO Permit No.: Of. i8922_ Lot #: T.4T. y Address: `fo► Contractor: O Owner: /�' 0 4--7-0 �s�IN 0� Date: J4 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. Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ;K Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 4 , G?'� Permit No.: G(o h; Z� Lot#: Q' Address: Z Contractor: O Owner: �`s4I N G� Date: L4- f —o 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. �;� ti717. L S Gf✓f�yL1 Inspector: 3[-� Date: —�� D(� TYPE OF I 11 NSPECTION REQUESTED Under-floor '§2C Framing Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation X Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Rough-in ❑ Final ❑ Wood Stove �Insulation ❑ Masonry ❑ Drainage ❑ Other: INSPECTION REPORT ti1N G?'0 Permit No.: O 6 - 429 21 of#: Address: 4 D l lj � Z Contractor: O Owner:4m�, IN Cs� Date: APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ElCORRECTION 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. Date: 3`"2- Inspector: TYPE OF INSPECTION REQUESTED ❑ Framing ❑ Gas Piping ❑ Under-floor ❑ Consultation Footing .,S� ❑ Drywall, Nailing ❑ Foundation ❑ Shear Nailing El Groundwork ❑ Struct. Slab El Mechanical ❑ Grid ❑ Rough-in ❑ Final ❑ Wood Stove ❑ Insulation ❑ Masonry ❑ Drainage ❑ Other: Permit No. City o1 Arlington NOTICE aad Insper~.lon Report Date Called l Address Time Called ' f Contractor/Ow r BY 1 Requested by - �-o ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing Reinspection ❑ Shear Wall ❑ Furnace ( LotherXLr� PROVAL ❑ CORRECTION REQUIRED ><W!,rk CCorrections listed below MUST BE MADE before work can be approved. listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required. Inspector Date ��/ City of Krlw-«yam NOTICE and Address Report Permit No. < n Address '-><c Date Called Contractor/Ow 5r Time Called l ' i \!\ Requested by • 0 Insulation � Reroof Setback Gas Piping Roof Diaphragm Plumb GW Woodstove 11 Framing � Footing � Final Drywall Nailing Foundation -1 Reinspection Co Rough-In Plumbing �°� ,f, 0 Concrete Slab Other Furnace Shear Wall CORRECTION REQUIRED PROUAL listed below MUST BE MADE before work can be approved. � Correctionsroved. Work listed below has been inspected and app CALL 435 0724 FOR REINS PECTION-24 hour notice required• Date Inspector 1' city �a •'• � 'rl'11 and inspection Report NOTICE a i, �Q';�. J / Address i f l Contractor I owner Requested by Types OF.INSPECTION REQUESTED ( /_' ❑ MECH:Pmt.No. I i ❑ gLpG:Pmt.No. . I ❑ PLBG: Pmt. No. , ❑ Framing Final ❑ Footing ❑ prywall Nailing ❑ Foundation ❑ Rough-In ❑ Concrete Slab C] Furnace other ❑ Fireplace and Chimney ❑ MARTIAL APPROVAL 1 ❑ APPROVAL ❑ CORRECTION REQUIRED i ❑ VIOLATION roved. 1 MUST BE MADE before work can u ancy, ❑ Corrections listed below subject to certificate of occp { ❑ AppFIOVED FOR OCCUPANCY . ❑ Work listed below has been inspected and approved i ❑ please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. I ❑ CALL 435-5785 FOR PEINSPECTION — 24 hour notice required. 1 11 I r i Date - Inspector I v,,as present during this inspection. i j 0,I,, r.f. AIR NOTICE and InsPC- Address Contractor Owner Requested by REQUESTED �pE OF INSPECTI Q MECH: pmt. No. SLDG'. Pint.No. ,ePLBG: Pmt.No. ❑-Framing C1 Final ❑ Footing (mil Drywall Nailing ❑ Foundation B ough-In ❑ other ❑ Concrete Slab ❑ e ❑ Fireplace and Chimney ❑ PARTIAL AppROVAL ��AppROVAL CORRECTION REQUIRED VIOLATION roved. BE MADE belorc work can be aanPy ❑ Corrections listed belOW MUST FOR OCCUPANCY subject to certif a 0t OCCUp ❑ APPROVED been inspected and approved. below has a for appointment. ❑ Work listed inspector and arran9 ❑ please contactrform inspection. re aired. ❑ Was not able to P 24 hour notice q ❑ CALL 435-5785 FOR REINS PECTION — Date Inspector { was present during this inspection- 6itq of Mau NOTICE and Inspection Report Address l Contractor Owner l Requested by TYPE OF INSPECTION REQUESTED ❑ MECH:Pmt.No. J BLDG.Prat. No. ❑ PLBG:Pmt. No. Framing❑ Footing ❑ Final Drywall Nailing ❑ Foundation ❑ Rough-In ❑ Concrete Slab ❑ Other ❑ Furnace Fireplace and Chimney ❑ APPROVAL ❑ PARTIAL APPROVAL El❑ VIOLATION ❑ CORRECTION REQUIRED ST BE MADE before work can be approved. ❑ Corrections listed below MU El APPROVED FOR OCCUPANCY subject to certifrovedof occupancy. ❑ Work listed below has been inspected and app . ector and arrange for app nt- ❑ Please contact insp ❑ Was not able to perform inspection. 24 hour notice required. El CALL 435-5785 FOR REINSPECTION — Date Inspector I was present during this inspection. C I TY OF AF2L I MCiTOIV COIVST FRUCT I ®N PE Ft I T PE Ft I T P4C3 = mf6 —6 C3 22 Orner: BOULTON, GEORGE Value of Work: $21, 000. 00 Tax ID: 0061890000070 Phone: Describe Work: ALT RES Proposed Use: ALT RES Legal Description: Job Address: 401 NORTH CLARA STREET Contractor's Name Type Address License# MIKE LARSON GEN 15802 23RD AVE. LARSEC*101DW P E R M I T F E E S Equipment and Fixtures Number Fee Total Charge --------------------------------- ---- ------ -- ---------- FURNACE/UNIT HEATER 1 $15. 00 $15. 00 S U B T O T A L. . . . . . $15.00 TOTALS Fee Equipment $15. 00 Mech Permit $24. 00 Permit Fee $383. 50 Plan Fee $249. 28 h� State fee $4. 50 SIGNATURE: TOTAL FEE. . . . . . . . . . . . . . . . . $676. 28 I HEREBY CERTIFY THAT I HAVE READ AN:' EXAMINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $200. 00 KN THE SAME TO BE TRUE AND COR- A ALL PROVISIONS OF LAWS AND TOTAL DUE. _ _ . _ . . . . . . . . . . . _ -0476. 28 0R I ANCES GOV RNI L- THIS TYPE OF WO K WIL BE C PL FL WITH WHETHER P !FIE I 0. NOT. DATE �Q� `1��1 RECEIPT # 4ivu Q �^ lNG OFF C L 3 ai ----------------- L4 0 CHANGES I N NLESS APPF i I EXISTING MOUSE �( I n40 5F I I E I I f • � � „- � EXISTING Z .0 1, GARAGES I•'O it I 600 SF ,� ,Z i 1co E ' I ' SE �GK 12'-5) EXISTING DRIVEWAY I ' FRONT L.----- - - - - - - - - - - wG SETBACK - - -•-. ,rr.� � ----------------- --------- o ccJ 120-I" Lu OWNER: GEORGE BOUI.TON W i SITE PLAIT e ® NUMBER: 006Og000OO7O 0' 25' 20' BULDIN6 LOT COVERAGE: 31.8$ LOT COVERAGES SCALE I"-20' ROOF RUNOFF: NEW DOWN5POUT5 TO EXI5TING DRYWEL.6 )�UIJLTON RE.SIDENC'E ADDITION PL G '101 N. CLARA ST. MINAKER (8�)�) ARCHITECTURE Arlington, WA P.S. " SINGLE FAMILY RESIDENCE o BUILDING PERMIT APPLICATION �11Y G' Department of Community Development City of Arlington•238 N Olympic Ave. •Arlington,WA 98223•Phone(360)403 3431 •FAX(360)403 3447 THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS,SIX(6)ACCURATE, FULLY DIMENSIONED PLOT PLANS AND TWO(2)SETS OF ENERGY CODE APPLICATIONS. TYPE OF PERMIT: j,,fBuilding ( ) Mechanical ( ) Plumbing ( ) Combination Project Address: yo N 4! t. ZA 'fit. Parcel ID# LIO&I g?9 dd0od:70 Lot#: Subdivision: ') Project Description: Z3ly 4F Aaw-roM 7-p rxl ina& 1��y S►� SjQ IUC Owner: �'�01sz6.� �a K1,7-d/V Phone Number: y37 3 1 Address: 'AI Cl4ffl -5r- City: "Al N State: WA Zip Code: Contact Person:--d Allv*ffm .Phone Number: 3W �3� )II7 Cell Phone: Fax: ZZ 5 E-mail: 0J`5,l eV1,0!5 6'2 m,',1st ke l c—cr*i Address: .aL ry• O �pl G �l�- City: MAJ State: '"� Zip Code: 4 Lending Agency: Phone Number. Address: City: State: Zip Code: Contractor: ` l t:l �' V��1J�1� ti�C�L� Phone Number: S =ZL �� Ci /a 3 d57� Address: ��i�L Y��1 �� City: ELI I A m State: L-)i' Zip Code: , Contractor's License Number: Expiration: Plumbing Contractor- Phone Number Address: City: State: Zip Code: Contractor's License Number: Expiration: PEeftr�lycr, r &a .1 Mechanical Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number. Expiration: FOR STAFF USE ONLY Permit# Acc ed y Amount Received Receipt# Date Received WEB Forms-46 Page 1 of 2 5/05 dwa - .y °� SINGLE FAMILY RESIDENCE BUILDING PERMIT APPLICATION Department of Community Development City of Arlington•238 N Olympic Ave.-Arlington,WA 98223• Phone(360)403 3431 • FAX(360)403 3447 Number of Plumbing Fixtures (including Rough-Ins) Accessory Main Total Fixture Total Number Fixtures Plumbing Fixtures Dwelling Unit Residence Unit#X Units _ Multiplier Bar Sink X 1.0 = Bathtub or Combination Bath/Shower X 4.0 = Clotheswasher X 4.0 = Dishwasher X 1.5 = Hose Bibb X 2.5 = Kitchen Sink X 1.5 = Laundry Sink X 2.0 = Lavatory(Bathroom Sink) X 1.0 = Shower(Stand Alone)Each Head X 2.0 = Water Closet(Toilet) X 2.5 = Whirlpool Bath or Combination X 4.0 = Bath/Shower Water Heater Other Total Fixture Units Traps(other than above items) Column Totals � Estimated Project Valuation Building Square Footage 1't Floor 2nd Floor 3°d Floor Basement Deck Garage Water Supply Piping A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units B. Distance from meter to most remote outlet: feet. C. Difference in elevation between meter and highest fixture: feet above meter or feet below meter. D. Pressure in street main: psi.(Measure with gauge or check with Water Department) I hereby gerfify that the above information is correct and that the construction on, and the occupancy and the use of the above- des(crib /property will beja)accordance with the laws,rules and regulation of the State of Washington.. Applicants Signature Date FOR STAFF USE ONLY y L Permit# Accepted By Amount Received Receipt# Date Re-clOVbd WEB Forms-46 Page 2 of 2 5/05 dwa L+Vl1 f`�K11`►i 1 L.i.t r l Sri r''f C 1 Y O F A `2T."`L' I N G T -e C O N S T R U C T I O N P E RI T DATE -1 / I% PERMIT NO. e�� 5 Application is hereby made for permits to do the following work: [ ] New Residence [)<] Addition [ ] Duplex [ ] Carport C ] Remodel [ ] Commercial C ] Garage [ ] Mobile C ] Apartment/Condo C ] Barn C ] Mechanical C ] Relocation/Move C ] Accessory Building[ ] Plumbing [ ] Demolition C ] Other No. of buildings: No. of Living Units : Land Use Code: - -- Valuation: 441 Tax Acct. # : ___ Property Address : Legal Description:min i �J 'a 0�2�� ' �C � � Owner: Owner's Address —_— Builder: Lic. # Builder's Address: Architect or Engineer: Applicant's signature: caner o agent) Permission is hereby granted to do the work described, according to the approved plans and specifications pertaining hereto subject to compliance with the ordinances of the City of Arlington and the State of Washington. The following is a breakdown of your permit fees . 1 . Plan Check Fee(341 .83 .00) . . . . . . . . . . . . . . . . . . . -y;9, ef- pd k CR# 2 . Building Permit Fee(322. 10 .00) . . . . . . . . . . . . . . 3 . Plumbing Permit Fee(322 . 10 .00) . . . . . . . . . . . . . . 4. Mechanical Permit Fee(322. 10.00) . . . . . . . . . . . . 5 . Energy Fee (386 .00 . 02) . . . . . . . . . . . . . . . . $ 6 . State Fee (386 . 00. 01 ) . . . . . . . . . . . . . . . . $ sl� IT6 7 . Water/Sewer Fees (see attached breakdown) . . . $ B . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9 T O T A L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P A I D 4 __Co_-_d C R # /?/"�' 7` B Y �- ISSUING OFFICER PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING ALL PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. NO OCCUPANCY PERMIT WILL BE ISSUED UNTIL THE INSPECTOR HAS APPROVED THE FINISHED STRUCTURE. CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE George Boulton 401 N Clara Arlington 98223 435-5780 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRAC OR MAIL ADDRESS CITY ZIP PHONE LIC NSE N WHAC Corporation P.O. Box 401 Marysville, WA 98270 WHACC133PF MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ o NEWF WORK[:) AUDITION ALTERATION ❑REPAIR ❑UEMULI iION ❑BUILDING RELOCATION VALUATION OF WORK $ 1600 ULSERIBE WORK Install new gas furnace PROPOSE D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- h.eat in SFR TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LEGAL DES(RIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE LOT-BLOCK-OF GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF :TAX ID NUMBER CONSTRUCT( PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. I TURE OF CONT OR AUTHORIZED AGENT DATE JOB ADURLSS x 401 N Clara Arlington (OFFICE USE ONLY) MECHANICAL PLUMBING TYPE OF EQUIPMENT FEE NO. TYPE OF FIXTURE FEE NO WATER CLOSET (TOILED REFRIGERATION CUNU UNITS - H.P. EA REFRIGERATION UNITS - H P EA BAIHIUB LAVATORY (WASH BASIN) BOILERS - H P EA 1 GAS FIRED A.C. UNITS -TONNAGE EA 9 00 SHOWLR MEA FORCED AIR SYSTEMS- 8 T U KI TCHEN SINK & DISP, M WALL HEATERS- B T U DISHWASHER UNI1 HEATERS- B.T.U. M LAUNDRYTRAY EVAPURAIIVE COOLERS CLOT HLS WASHER CLOTHES DRYERS WAIERHEATER VENTILATION FAN URINAL RANGE HOOD COMMERCIAL DRINKING FOUN I AIN AIR HANDLING UNIT- CPM FLUOR DRAIN STOVE VACUUM BREAKERS METAL FIREPLACE &CHIMNEY ROOF DRAINS RAINLEADERS WATER HEATER SINK (SERVICE - BAR,EiC) 3 00 GAS PIPING SUB TOTAL s SUBTOTAL 9 PERMIT S PERMIT s TOTAL FEE s TOTAL FEE S PLAN CHECK FEE SIUL YARD SL 1 BACK STRLLI SL IBACK REAR YARD SETBACK DATE RECEIVED FEE RECEIPT NO USF /ONE LOT AREA VACANT SITE FEES VALUATION FEE [:]YES ❑NO TYPE OF CONS( OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUTDING ; SILL OF 8LDG, NO.OF STORILS MAX OCC LOAD PLUMBING F IRE SPRINKLERS REQUIRED 27 00 ❑YES ❑NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE U.B.C. PENALTY SEC.303(a) WATER/SEWER FEES Mechanical only t to r r� TOTAL 2 7 0 PERMIT VALIDATION WHEN PROP VALIDATED (IN THIS SPACE)THIS 15 YOUR P T&RECEIPT PAID CRN DAT �4� 8 IL OFFICIAL cc:ASSESSOR,APPLICANT,TREASURER, BLDG DEPT R CORDS COPY CITY or ARLINGTON CONSTRUCTION rr WIT Cl COI011NAtIUM bUILbl"o FIECIIAMICAI- ( � P014rTlNo 91(1N h�1�Mlfi Nth. pwrot4 MAIL trontiS (.Itv I!► ►Ilf»iF. ] k CA o ARCIIIII?I OR firswolfot 04AIL At16RFiS ,Ifv c 71► rllt>NF A , 2Z �- (.1 F ICAI• ACtryR L Aglt .Si I:IIr for MItlNE LICENSE r(t Klfll"OCOWRAC1OR MAIL ADIIRESS ttty 71r r11ChJE LICENSE LCLASSOI WORK N1 W C]ADUII I0N AL IERAIION U RrrAIR V Ultilf)LI11(1N U HUILIfING arlVCAl1ON `v LUAnONpr wryak _ �0`.5CRIRE Wort .' tr.(st 11 vst Of AUR011"I� GAS ��►.�.►a c�' I I IFRFRY CERTIFY 11 IAT I I IAVF READ AND EXAMINED TI115 ArP1.1U- ___ IION AND KNOW TI IF SAME TO"F TRUE AND CORRECT AU- PROVI- I l.f.nl.U!5f RIr i wN v1 rlturt.R 1 v ISnfwvN q(L0w OR ATtn(:II i rwR f.nru.gl GIONS Or I-AWS AND ORDINANCES GOVERNING TI 115 TYI'F OF WORK (N1— "Ltx.k—fir _ WILT RE COMPI_IFD WITI I WI IFTI IER SPECIFIED I IFRIN OR NOT. 11 IF (;RANI INC;Or A PERMIT DOES NOT PRESUME tO GIVE AUTI IORITY TO \1101-ATF OR CANCEL TI IF PROVISIONS Or ANY OtIIER STATE OR tAx!d�iu�aeEn — — I OCAI_I.AW REGULAIING CONSTRUCTION Or 11 IF PFRFORf,1AN(:F Or MNSIRUC110N.PFRK111' FXF'1RES I YEAR FROM DATE Or ISSUANCE. c1(;N1fURF Or CONtRAC1OR OR A(It11OR17E0 AGENT VATF OR.11111R)Ci � lL _ x 101'rICE USE ONLY) 1 `V R11(1IANICAI. I'LUMHING _ NO. Typt UI IIXIURE ILE Nff. TYPE Ur touIrMENt rtt wA 11.R CLOSLI II01lE 11 _ — AIIt CONU.UN115 — 11.r, EA. F1A 1l I I UA REI RIGS RA I IUN UNI 15 -II.P,EA. LAVA FURY IRAS11 IIASIN) — 1101LERS-II.r.EA SOlo%kLR GAS rIRE1)A.C.UNI15- FUNNAGE EA. kIIC11L11 SINK A DISr. PURGED AIR 5VS1EM5 - H.LU, MCA --� 0151IWA51ILR WALL IILAIERS- H,I.U. M LAUNDRY FRAY UNII IIEAIERS - H.I.U. M CLOIIILS WASIILR EVAPORATIVE r-00MtS WAILR FIEAILit CLUIIIES UP.YERS URINAL _ _ VLNIILAIIONrAN I)RINkINU I OUNIAIFJ i RANGE IIUUU COMMERCIAL _ I LUUR DRAIN AIR HANDLING UN11 - CrM VACUUM HI(EAkERS _ SIOyE RUOI DRAINS - RAINLEADERS METAL rIRMACE d.CHIMNEY SINk ISERVICE - PAR,E IC.) WAM HEATER GAS PIPING — Sun 1131AL t SUdtotAL 1 PERMIT 1 PERMIT 1 �� TOTAL M 1 10tALttt SIUI VARUSFIBA(_k SIRl1.1tlIRAr,k REARYAROSEIRACk rlANCNECKNUMFIER rLANCII[f_KfFE PEE IltrUrt NO. IISI /UNI (OI Alit A VA(ANI SIIF um UJ FEES VALVAtIVN 1rrtof WNW m(AfrAt+CYGR(fUr NO Of OWFLLINGUNI(5 r1.ANC1IECKINd 4t3 5W OI "I.W. NO,OI 510R11.5 MAX.0rC.LOAD PlI1lbING 1 _ rLUMP1NG F IRE S►RINKLERS RFq(11RFi, U vES L_.1 NO KlFCI IANICAL COMMENTS 51AIER1,1)G.COM _ ENERGY CODE SURCI IAKGE rFNAL1YV— SEt,id)1+1 WAFER/SEWER FEES 1ntAE rIR1l11t VA(IbAIION w!IFN rR0►ERIv VAUdA1En RN 11111 PACFI t1115 11 YOUR rtR)(l►t A REttlrt MID— r-A0 Pv _ ��• AeeE550n,Arrl_ICAFIT. TnrASUnr►1.MLbO.OrrT. Innlpn,romcu( rA+E nEconns copy City od A It L I`wr40` PERMIT AP",ICATION • 230 N. OLY=A� ., ARLINGTON, \__)8223 (206) 435-5785 COMMERCIAL, RESIDENTIAL, MECHANICAL, PLUMBING, GRADING a Tax Account Number Job Site Address lZa / /v 0�— o —ep,4 City I&KIM Aj Applicant Name '17�'-U Phone Mailing Address City ! -6 Zip a Contractor Name ripL License # Address City _ L.li "-,O Zip QAr>Z_3 Phoneq"�S S—! Architect/Engineer License # Address City Zip Phone TYPE OF PROJECT I. A 7-CA1h ��(�'�AA , �D SteLL R4$�r a Sewage Disposal Right-of-Way Width Culvert Permit No. LOCATIONAL INFORMATION: SEC TWP RGE 16th Plat Name/Short Plat No./Segregation No C7-�d Lot/Parcel # Block # Lot Size Is the average slope of the property in excess of 25%? Yes No Has construction started? Yes No� This structure will be used for the following purpose bOa/{y jf 41-Y-9 PiJovin Other buildings on this property / OWNER/AGENT SIGNATURE ��! _ DATEs�Z, —9`S NOTICE: Front Yard Setbacks. Curbs, Sidewalk Edge, Edge of Street pavement is not necessarily your front property line. In the case where your setback will be measured from the front property line, be certain that you are measuring from the actual front property line and that your plot plan depicts this. In the event your setback will be measured from a private access easement,the edge of the improved road is not necessarily your front property line. Be certain that you are measuring from the edge of the actual easement and that your plot plan depicts this. ACKNOWLEDGED ------------------------OFFICE USE ONLY BELOW THIS LINE------------------------ PERMIT CONDITIONS . . . ZONING: Max Lot Cover % Max Bldg. Height ft SETBACKS: Front Side Rear Basic Plan # Other Covenants SPECIAL CONDITIONS . . . SANITATION PUBLIC WORKS ON SITE LETTER DRAIN TRAFF ENV HEALTH SEWER CN R/R ,. RD IMP OCD ACCESS RSBP LS SLIDE CMBP ESMT RSME STD BLA _ SLOPE CMME _ _ ADDRESS PLBG _ SIP SEPA SITE PLAN CULVERT MBHM _ 5 ACRE _ OTHER FIRE AFF/BOND_ MOVE LOTS OTHER GRADING INSP 20 ACRE OCP CU FL ZN FML BLA PLAT REZONE SEPA SH LN SP VAR SU VA 1 w 5 7�9 ' r , i - r . 1 i Ngod AItLI`tirr41` PERMITAr-ICATION 230 N. OLYMPK; AVE., ARLINGTON, 1'�8223 (206) 435-5785 COMMERCIAL, RESIDENTIAL, MECHANICAL, PLUMBING, GRADING T Tax Account Number i Job Site Address City 72?Aj Applicant Name Q26 1 `,hoc `7a ;: Phone Mailing Address YU / N r?! J-Q A- City Zip9�zZ Contractor Name �p 7, Pilo"5 License # Address Z�.� �� lJ City _ L t!✓cvO-J Zip Z3 Phone4ge%. o 9—! Architect/Engineer License # Address City Zip Phone TYPE OF PROJECT 21 Sewage Disposal Right-of-Way Width Culvert Permit No. LOCATIONAL INFORMATION: SEC TWP RGE 16th Plat Name/Short Plat No./Segregation No�l-i5� /� QZ4.0-1�jo 1 o4— 1140 0 ! L7�� Lot/Parcel # Block # Lot Size I� Is the average slope of the property in excess of 25%? Yes No I Has construction started? Yes No /c This structure will be used for the following purpose i20a 1tX A Rbd �In Other buildings on this property OWNER/AGENT SIGNATURE / /��, / DATES l'w —,9`8 NOTICE: Front Yard Setbacks. Curbs, Sidewalk Edge, Edge of Street pavement is not necessarily your front property line. In the case where your setback will be measured from the front property line, be certain that you are measuring from the actual front property line and that your plot plan depicts this. In the event your setback will be measured from a private access easement,the edge of the improved road is not necessarily your front property line. Be certain that you are measuring from the edge of the actual easement and that your plot plan depicts this. ACKNOWLEDGED ------------------------OFFICE USE ONLY BELOW THIS LINE------------------------ PERMIT CONDITIONS . . . ZONING: Max Lot Cover % Max Bldg. Height ft SETBACKS: Front Side Rear Basic Plan # Other Covenants SPECIAL CONDITIONS . . . SANITATION PUBLIC WORKS _ ON SITE LETTER _ _ DRAIN TRAFF ENV HEALTH SEWER CN R/R RD IMP OCD ACCESS RSBP LS SLIDE CMBP ESMT_ RSME STD BLA _ SLOPE CMME _ ADDRESS PLBG SP SEPA SITE PLAN _ CULVERT MBHM 5 ACRE _ OTHER FIRE AFF/BOND MOVE _ LOTS OTHER GRADING INSP 20 ACRE OCP CU FL ZN FML BLA PLAT REZONE SEPA SH LN SP VAR SU VA . i PLUMBING PERMIT F31 MECHANICAL PERMIT (NOT OR MOBILE HOMES) F4-1 FIXTURES No. UNIT TYPE: Electric Oil Gas LPG Solar Water Closets Bath Tubs UNIT SIZE: BTU's KW Shower Baths Wash Basins _ No. FEE Sinks FOR THE INST. OR RELOC. OF Dish Washing Machine Forced Air Systems Hot Water Tanks Fuel Storage Tanks Drains Heat Pumps Laundry Washers Wood Stove Laundry Trays Fireplace Insert Urinals —0— Clearance Fireplace Drinking Fountains Rain Leaders Sumps Vacuum Breakers Gas Piping Permit Fee Side Sewers Water Service Line Total Due $ Misc Total Fixtures GRADING/FILL INFORMATION Permit Fee No. of cubic yards: Total Due $ To be removed from site Related Bldg. Permit # To be imported to site _ IF MORE THAN ONE BUILDING, SUBMIT SEPARATE APPLICATION FOR EACH STRUCTURE. A SEPARATE BUILDING PERMIT MUST BE ISSUED FOR EACH BUILDING. [-61 BUILDING DIMENSIONS: MAIN FLOOR MAIN FLOOR SQ. FT. SECOND FLOOR SECOND FLOOR SQ. FT.. _ THIRD FLOOR THIRD FLOOR SQ_ FT. FOURTH FLOOR FOURTH FLOOR SQ. FT. MEZZANINE _ MEZZANINE SQ. FT. BASEMENT _ BASEMENT SQ. FT. GARAGE GARAGE SQ. FT. CARPORT CARPORT SO. FT. DECK DECK SQ. FT. NUMBER OF FIREPLACES TOTAL SQ. FT. FOR OFFICE USE ONLY ROUTING SCHE�1 Bldg: // c"Yvtfrl Valuation l��_ Site Plan: sent � rcv'd Plan Check � rcp # San: sent rcv'd Permit Fee Env. Hlth: sent rcv'd Penalty Fee Eng: sent rcv'd Plumbing Fee FM: sent rcv'd Mechanical Fee Env. Cklt Fee TOTAL DUE: