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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 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Topic Index J Contact Info Search Honve Safety Clainu 8 Insurance Warkplace Rights Trades ft Licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber General/Specialty Contractor A business registered as a construction contractor with I-Ed to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. 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 Previous License Next License Associated License 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 Start a New_Sea_rch. Printer Friendly Version About L&I I Find a job at Llfl I Information en espahol I Site Feedback 1-800-547-8367 Washington State Dept. of Labor and Industries. Use of this site is subject to the taws of the r��i�"' 1111D�011 state of Washington. Access Agreement I Privacy and security statement I Intended use/external content policy f Visit access.wa.gov Staff only link https:Hfortress.wa.gov/lni/bbip/detail.aspx?License=ANDER1I961 LT 9/14/2004 - - 1 1. 6 E a :;dvw l n\0 BI a 1 � I . i ' _ I I 0 1 I I a � I v � 1 IA r � �r- �2 G Cl � s :1 d�:Z a S 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 rrt•P.�''CS'nh Arri I­1.IT Pi-nnur,nrnna