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HomeMy WebLinkAbout420 CLARA ST_972350_2026 City of Ax_ ,ington NOTICE and_Inspection Report p Phone# T�� ' ,2 7 Permit No. Lot# Date Called - 7 / 7 Address Time Called e Contractor/Owner By ^R� Requested by TYPE OF • REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing Piping ❑ Footing ❑ Drywall Nailing ❑ Fnal ❑ Foundation ❑ Roughin Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other , ROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ork listed below has been inspected and approved. ❑ CAL 435-0724 FOR REINSPECTION—24 hour notice required. 0 Inspector Date A 'F7 { LU; xw a: O j om 0CLLU �\ Q W m o � z0 a Z z< Z Q 0 ¢w — _� _a]Lj 0 93 - - 4.3 <�Ilft - Qj v 1 o tMM © C . . e o s © or ou '� � x �... CI-TV OF RL I hi�TOl COMO-rRIJCT I ON PERM I T BERM I T NO_ S-7—a35O Owner: SM_TH, DIXIE 420 NORTH CLARA STREET ARLINGTON 982r3 Value of Work: $13 s00.O0 Tax T.Dy Phone: -€60-4v5-8E57 Describe Work: REPLACP OLD FURNACE Proposed Use: HEAT Legal Description: Job Address: 420 NORTH CLARA STREET Contractor's Name Type Address License# CRA I G CAUDLE M 1509 90TH DRIVE NE K I WESPS045K9 P E R M I T F E E S Equipment and Fixtures Nu-ber Fee Total Charge FURNACE/UNIT HEATER $13.25 $13.2'5 GAS PIPING 1-5 OUTLETS !�5.00 $5. 00 SUBTOTAL..... . $18.25 TOTALS Fee r, Equipment $18.c5 / Mec permit $22.00 JHAV SIGNATURE;TOTAL FEE.... . . ........... $40.25 I HEREB CERTIFY THATE Rt,u AND EXAMINED THIS APPLICATION AND PAYMENTS. .... . ............$0.0 KNOW THE SAME Ti 8E TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE. - _ - . . . $40.25 ORDI ICES GOVERNING THIS TYPE OF WORK W LL BE COMIL -D W H WHETHER / Sp' IF ED H sN NO DATE` Q 2 -6_77CECEI�'T ss# C0 �G - an OF BU LDING OFFICIAL pd!1:5! I D ARUNtTON CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING El SIGN PERMIT NO. ��� j OWNER / MAIL ADDRESS CITY ZIP PHONE l�ixi:2, /Jo i ��► `{�lJ n. �' lar,c� 3i, JrL ��;C�� ARCH) LCT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N 1<L VV - 5 P5-o g.5 K9 MECHANICAL CONTRACTOR /. W MAIL ADDRESS CITY ZIP PHONE �-�'-- - s cry 5 ems^ D tic -A 9 Zoe PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS OF WORK _®NLW ❑AUDITION ❑ALTERATION ❑REPAIR ClUEMOLI LION ❑BUILDING RELOCATION =TVALUAT ION OF WORK Z S jj DESCRIBE WORK n PRUPOSt U USE OT BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z LLC,.\L DES(RIP I ION UI PROPERTY(SHOWN BELOW OR AT 1 ACl1 FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK � LUI BLOCK • OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE s GRANTING OFA PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO L VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR J TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF 1 CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. E SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE jIOB AUURE SS V (OI'I'ICI!tlSll ONLY) PLUMBING 11.071CAL NO. TYPE OF FIXTURE PEE x's FIXTURES NO. TYPE OF EQUIPMENT PER x's PIXTURES HATER CLOSEC(TOILET) TR COND.UNITS—H.P. EA ui .list— IAT9ITUB ISPRICIERATION UNITS—H.P.EA. r ti .lit•, ,AVAT'ORY ASII BASIN 3OILERS—II.P.EA. lqtdp.lit— HOWER 'AS FIRED A.C.UNITS—TONNAGEF.A lgiip.11t•• TCHEN SINK&DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA ISIIWASIIER NALL HEATERS—B.T.U. M _ UNDRY TRAY JNIT HEATERS—B.T.U. M LOTHES WASHER 3VAPORATIVECOOLERS ATER HEATER LOTFIES DRYERS RINAL ENTILATION PAN KINKING FOUNTAIN ILANGRIIOOD COMMERCIAL FLOOR DRAIN kill HANDLING UNIT— CPM VACUUM BREAKERS irovu tOOP DRAINS—RAINLEADERS AffrAL FIREPLACE A CHIMNEY INK SERVICE—BAR.ETC. WATER HEATER AS PIPING *(up to S=$3.00,addnl.=$35 1 ' ..Bqulpmeat list must be provIded SUIT'TOTAL SUBTOTAL PIJtMII PERMIT TOTAL FEB TOTALFEB SIM,YARD St.I HA(_K STRLLT SL)BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK f EE FEE RECEIPT NO USE /UNt LOT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE TYPL OF CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUTDING $ SILL OI BLU(,. NO.Of STORIES MAX.OCC.LOAD PLUMBING FIRE SPRINKLERS REQUIRED DYE 5 ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE w F. A �;t ^ PENALTY U B.C. e,.{. ` I ►I 4 J SEC.3031+) +• WATER/SEWER FEES q FEB 1 1997 TOTAL n PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT PAID CRII BY cc:ASSESSOR,APPLICANT,TREASURER.BLDG DEPT BUILDING OFFICIAL DATE RECORDS COPY