HomeMy WebLinkAbout407 CLARA ST_046162_2026 C I TY OF= A FRL I MCGTUM
COhIST F;tIJCT I ON PE Ft I T
PERM I T P4C3 a 04—E6 1 62
Ovner: GALDE, GARY 407 N CLARA ST ARLINGTON 98223
Value of Mork: $3, 200. 00 Tax ID: 006189-000-004-00 Phone: 360. 435. 0911
Describe !Mork: INSTALL GAS INSERT/WATER HEATER
Proposed Use: SFR
Legal Description:
Job Address: 407 CLARA ST
Contractor's Name Type Address License#
ANDERSON INSTALLATION INC NEC 1376 S BURLINGTON BLVD ANDERII96ILT
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
--------------------------------------- ------ -------- ------------
METAL FIREPLACE & CHIMNEY 1 $11. 00 $11. 00
WATER HEATER 1 $15. 00 $15. 00
GAS PIPING 1-5 OUTLETS 1 $6. 00 $6. 00
S U B T O T A L. . . . . . 032.00
TOTALS Fee
Equipment $32. 00
Mech Permit $24. 00 e�C�G
SIGNATURE:
TOTAL FEE. . . . . . . . . . . . . . . . . $56. 00 I HEREBY C %FIY THAT I AVE READ
AND EXAMIN THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0.00 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PRO VISI OF L AND
TOTAL DUE. . . . . . . . . . . . . . . . . $56. 00 ORDINA CES GOVE IN T YPE OF
WO K LL BE PLIE I WHETHER
SP D H N O
DATE RECEIPT # �. e- 9
I G FI AL
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License Information
License ANDER11961 LT
Licensee Name ANDERSON INSTALLATION INC
Licensee Type CONSTRUCTION CONTRACTOR
UBI 602396180 Verify Contractor Premium
Status
Ind. Ins. Account
Id
Business Type CORPORATION
Address 1 1376 S BURLINGTON BLVD
Address 2
City BURLINGTON
County SKAGIT
State WA
Zip 98233
Phone 3607075225
Status ACTIVE
Specialty 1 PLUMBING
Specialty 2 WOODSTOVE INSTALLATION
Effective Date 6/30/2004
Expiration Date 6/30/2006
Suspend Date
Separation Date
Parent Company
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Business Owner Information
https://fortress.wa.gov/lni/bbip/detail.aspx?License=ANDER1I961 LT 9/14/2004
Look Up a Contractor, Electrician or Plumber License Detail Page 2 of 2
Name Role Effective Date
ANDERSON, ROD PRESIDENT 06/30/2004
MCBRIDE, KEVIN 06/30/2004
Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
AMERICAN
STATES
#1 INS CO 6286891 06/27/2004 $6,000.00 06/30/2004
Savings Information
No Matching Information
Insurance Information
Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Date Date Date Amount Date
INTERSTATE
FIRE Ft CAS
#1 CO CLP6261889 06/27/2004 06/27/2005 $1,000,000.00 06/30/2004
Summons/Complaints Information
No Matching Information
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https:Hfortress.wa.gov/lni/bbip/detail.aspx?License=ANDER1I961 LT 9/14/2004
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CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00030
OWNER MAIL ADDRESS CITY ZIP PHONE
Arnold E. Burns 407 Clara St , Arlington , Wa . 98223 435-3971
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
Same as above
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
CLASS OF WORK
❑NLW ®ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
s 400
DESCRIBE WORK
Add carport to existing garage
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
Car o rt 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
LOr 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.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
jOB ADDRLSS
407 Clara St . 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
BAIHIUB REFRIGERATION UNITS-H P. EA
LAVATORY (WASH BASIN) BOILERS-H.P. EA
SHOW'LR GAS FIRED A.C.UNITS-TONNAGE EA
KI ICITEN 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
CLOTHES WASHER EVAPORATIVECOOLERS
WAl ER HEATER CLOTHES DRYERS
URINAL VENTILATION FAN
DRINKING FOUN IAIN 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
SUBTOTAL $ SUBTOTAL S
PERMIT $ PERMIT f
TOTALFEE $1 TOTAL FEE f
SIDE YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE ZONE LOT AREA VACANT SITE 3/2 3/8 9 9 . 75 20248
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG 9 . 75 0 00
BUILDING $ 15 00
SIZE OF BLDG. NO.OF STORIES MAX,OCC.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE 3 50
ENERGY CODE SURCHARGE
U.PENALTY SE C
SEC 303(a)
PD WATER/SEWER FEES
A0Q TOTAL 18 CJ
APR �`�"" PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT
/&RECEIPT
CITY OF ARLINGTON PAID V� BY
06
cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. BrJIL DFFICtAI DATE
R CORDS COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNL (7 IV I MAIL ADDRESS CITY ZIP`�^I'�/I�!�- �WdPPHH `4
�OCNrEJE
ARC I ECTORUESIG R MAIL ADDRESS ( CITY ZIP Ii � PHONE 335-Cfttl
GENERAL CON!RAC!OR MAIL ADDRESS CITY ZIP PHONE LICENSE III
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE If
CLASS OF WORK
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
O
% :jOC�
DES RIBE WORK
02� U'1 Se r+ U-1.5 fal l itJ
PR SE U USL OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LLGAL UESCRIP 11ON Uf PKUPL RTY(SHOWN BELOW OR ATTACH FOUR COPIES) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOI BLOCK - OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER �f LOCALLAWREGULATING CONSTRUCTION OF THE PERFORMANCE OF
l CL� �C CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
JOB ADURLSS /'
(OFFICE USE ONLY)
PLUMBING MECHAN AL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILEI) AIR COND.UNITS -H.P EA
BAIFIIUB REFRIGERATION UNITS-H.P. EA.
LAVATORY (WASH BASIN) BOILERS- H.P.EA
SHOWLR GAS FIRED A.0 UNITS-TONNAGE EA.
KI ICHEN SINK& DISP- FORCED AIR SYSTEMS- B.T.0 MEA
DISHWASHER WALL HEATERS- B.T.0 M
LAUNDRY T RAY UN11 HEATERS- B.T.0 M
CLOT IILS WASHER EVAPORAI IVE COOLERS
WA I ER HEATLR CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNIAIN RANGE HOOD COMMERCIAL !
FLUOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS t METAL FIREPLACE&CHIMNEY
SINK (SERVICE - BAR,ETC.) ` WATER HEATER
GAS PIPING
SUB TOTAL f SUBTOTAL f
PERMIT f PERMIT f
TOTAL FEE $1 TOTAL FEE f
SIUL Y ARD SL I BACK STRLLT SLTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USt /ONt LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONS] OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
SIZE Ot BLDG. NO.OF STORILS MAX.000.LOAD BUTDING f
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC 303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID CR# BY
cc:ASSESSOR,APPLICANT,TREASURER.BLDG. DEPT BUILDING OFFICIAL DATE
RECORDS COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER ' MAIL.AOORESS / /, CITY ZIP PHONE
ARCHITECT OR DESIGNER MAIL ADDRESS ITY ZIP PHONE
GENERAL CONI RACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
5jlq'tW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUAl ION OF WORK
f "$ Cr.
oo
DESCRIBE WORK
PRU St D USE OF BVILDING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGnI U SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
RIPIyN Of PROPfATY(SHOWN BELOW OR ATTALH FOUR COPIES)
LUI 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 OF THE PERFORMANCE OF
�� CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
JOB ADURLSS _
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSE] (TOILLI) AIR COND.UNITS -II.P.EA.
BAIIIIUB REFRIGERATION UNITS-H.P.EA.
LAVATORY (WASIT BASIN) BOILERS-H.P.EA
SHOWLR GAS FIRED A.C.UNITS-TONNAGE EA.
KI ICIILN SINK& DISP. FORCED AIR SYSTEMS- B.T.U. MEA
DISHWASHER WALL HEATERS- B.T.U. M
LAUNDRY 1 RAY UNI1 HEATERS- B.T.U. M
CLOI IILS WASHER EVAPORAI I`/E COOLERS
WA I ER HEATER CLOTHES DRYERS
URINAL VENTILATION FAN
DRINKING FOUN I AIN RANGE HOOD COMMERCIAL
FLUOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS SFOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY
SINK(SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUBTOTAL $1 SUBTOTAL f
PERMIT $I PERMIT f
TOTAL FEE $1 TOTAL FEE f
SIUL YARD SE I BACK STRLET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER FEE I PLAN CHECK FEE
O I t' / 75 RECEi NO.b
USE ZONI LOT AREA VACANT SITE G%
FEES VALUATION FEE
❑YES ❑NO
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD BUILDING f
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.3
SEC.303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT
PAID CRII BY
cc:ASSESSOR:APPLICANT,TREASURER,BLDG. DEPT. BUILDING OFFICIAL DATE
RECORDS COPY
s�l
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
uW, MAIL ADDRESS �by
j 1 ) �1 CITY ZIP PHONE
11
IIITECTUKU {u MAILAOURESS
CITY LIP PHONE
JCL RALCUNI nCi R Y l
MAIL AD RESS CITY LIP PHONE
LIC NSE d
MLCIIANICAL C TR TOR J AIL ADDR`
CITY ZIP PHONE LICENSE]
PLUMBING CO KAC OR MAI D�$$ CITY ZIP PHONE
�i I I , ,��),I,/ LICENSE/
1 I L y I �U1�-J-
CtA550F WORK - /
mow(
XNI.W ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
vnwAJ ION OF WORKC=-
3
ULS(RIBE K
-
PRUPUS U USE 01 BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LLGAL ULSCRIP I IUN U ROPERTY SHOWN BELOW URA TACH hUUR COPIES) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
1 SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
Lul �"5 RLcxx ofl WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
'r '>� 3 1 GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
7 -) ,"_ — ) VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
rnx to NUMBER go
Y e, LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
Lt j - P� CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
IOU•UURI SS SIGNATURE ONT OR OR AUTHORIZED AGENT DATE
(OFFICE USE ONL
PLUMBING MECHA ICAL-
NO. I TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLUSEI (TOILE]) AIR COND.UNITS -H.P.EA.
L'AIFIIUB REFRIGERATION UNITS-H.P.EA.
LAVAIORY(WASH BASIN) BOILERS-H.P.EA
SIIOWL•R GAS FIRED A.C. UNITS-TONNAGE EA.
KI ICIIL-N SINK 6 VISP. FORCED AIR SYSTEMS-B.T.U. MEA
UISIIWASIIER WALL HEATERS-B.T.U. M
LAUNDRY 1 RAY UNI1 HEATERS-B.T.U. M
CLOIIILS WASI(LR EVAPURAI IVE COOLERS
WAIERIIEATLR CLOIHES DRYERS
URINAL VLNTILATICN FAN
DRINKING FOUN IAIN RANGE HOOD COMMERCIAL
I'LUOR DRAIN AIR IIANDLING UNIT- CPM
VACUUM BREAKERS STOVE
RUUI DRAINS•- RAINLEAUERS METAL FIREPLACE 6 CHIMNEY
SINK(SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUB TOTAL f SUBTOTAL f
PERMIT f PERMIT f
TOTAL FEE f TOTAL FEE f
SIUL YARU SL I BACK 15rgLLISLIBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEEh- ��� RECEIPTNO.�^
USI /UNI - LUI AKt.A VACANT SITE D 5
® 1 r� Q ❑YES NO FEES VALUATION FEE
IYPL OF CONS OCCUPANCY GKUUP NO.OF DWELLING UNITS PLAN CHECKING VG
SIZE Of ULM. NO.Of STORIES MAX,OCC LOAD BUILDING f (A t!
- PLUMBING
R�' FIRE SPRINKLERS REQUIRED
❑YES NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE 4�L•
PENALTY U.D.C.
CITY OF ARUNG10I SEC.303(')
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED [IN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIP-
PAID CRII BY
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