HomeMy WebLinkAbout20710 CIRCLE BLUFF DR_014782_2026 INSPECTION REPORT 3I/l
ti1N G T Permit No.: ��� Lot #:
O� Address: 0 /�
Z Contractor:
O Owner:
9s�ING� 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.
�
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 Final
❑ Masonry ❑ Drainage9"XLI Insulation
❑ Other:
INSPECTION REPORT
titN G T Permit No.: �700g;2' Lot #: q
O ,T
Address: � 7/D ` --,b
• Contractor:
� Z
O Owner:
gs�INO� Date: Ll 3 3
❑ APPROVAL ❑ ARTIAL APPROVAL
❑ VIOLATION CORRECTION REQUESTED
Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
A'�C'`LL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
— s
�S:711%
7'r�
!i-! iAS 7T /5c, H-1
Ini.(-rics -;0/C c �,
Inspector: Date:
z zz
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 Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT¢1.1Ncr Permit No.: of `f-782 Lot#:
O F' � Address: 2-E' -7 10 Gd le
Contractor: o Nv�zs
O Owner:
IN�'� Date: ILI 12. 1 8z
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: L c
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing X Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT �S
1,ZN G?'� Permit No.: `� 7 Lot #: 1
F" Address:
Contractor:
� z -
O Owner:
IN G� 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.
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 ❑ Final
❑ Masonry ❑ Drainage ��— Insulation
❑ Other:
INSPECTION REPORT
4tiZN G TO Permit No.: 01_ L170, Lot#: P 1
Q' Address: &0-7/0 C&
� Z Contractor:
O Owner: /
IN�� Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION CORRECTION REQUESTED
Corrections listed below MUST BE MADE before work can be approved.
❑ lease contact inspector.
❑ Was not able to perform inspection.
00,QALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
Inspector: �Z V- Date: 4 / D z_
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 ❑ Final
❑ Masonry ❑ Drainage Insulation
❑ Other:
/9AL INSPECTION REPORT
N G? Permit No.:Cl/ - L/72! 2 Lot#:
O
Q' Address: 2 07/6/-
Z Contractor:
O Owner:
9s�IN G� Date: /ee77 -
j�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: z�/ 7 Date: %D z50_Z--
TYPE OF INSPECTION REQUESTED
❑ Under-floor �'' 4'Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
rr f�
ti1N G rO Permit No.: ` 792 Lot #:
Q" Address: C_ C-114
Z Contractor: '
O Owner:
9s�1 N G� 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.
S`�Yzjq'p t,o wt�' P V F1T� P L-yl '161A-
S'c37w1_ L��-rY :�Z V OM1 D39fY-41Z,
t ��Tr✓ L ,rJ E
Inspector: 77 Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor aming ❑ Gas Piping
❑ Footing /❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
G c
1.ZN G To Permit No.: (J j �ZbZ Lot*: /
Q" Address: 710
p
� Z Contractor: t
O Owner:
9S�I N G� 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.
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 ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
¢ti1N G TO Permit No.: V! 1 9)- Lot#: 1
Q Address: O� D 7/0
� z
Contractor:
O Owner:
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.
Inspector: / Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
3 oundation ❑ Shear Nailing ❑ Groundwork
Mechanical ❑ Grid ❑ Struct. Slab
-❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
tiZN G?'O Permit No.:n � Lot #: L
Address:
Z Contractor:
O Owner: O UyA-K C40 9,
I N Cs� 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.
l
Inspector: /1 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 ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
4tiZN G rO Permit No.: - ( 7�2 Lot#:
Q' Address: 40 (A/:i-->
z Contractor:
O Owner:
9s�iN�� 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.
Inspector:
Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation .Shear Nailing El Groundwork
El Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
4ti1N G?'� Permit No.: Lot#:
Q' Address: 7 _
Contractor:
O Owner:
s IN G 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.
U `
C)
C ��-�1
Uf �Z�f CYd so
Date:
Inspector:
G
( 7 !
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 ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
ti1N G),, Permit No.: A:_7�Z Lot#:
a l
Address: �L �-
z Contractor:
O O Owner:
IN Date: '� ,;
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION D CORRECTION REQUESTED
I 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.
V' Vc
Inspector:
Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation Shear Nailing ❑ Groundwork
❑ Mechanical �Crid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
4tiIN G 1'O Permit No.: D I W �g Lot#: _
Q' Address: ,30-7 1
Contractor:
ems, SO Owner: Lor'� �o��n�►��'
SIN�' Date: -Z-
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
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 Our 'rlj❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other: Afv-,- ��� '�
INSPECTION REPORT
N GTO Permit No.: �l- `/7 Lot#: �9
Q' Address: ")M /d - C,', Z, /Sf,)�.
Z Contractor: fza4�
jV
O Owner:
IN G� Date: r e -4- �
❑ APPROVAL r S 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:
PE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
4Av N G rO Permit No.: - 4 7k)--Lot#: ! 1
F' Address: _107 /D r"�1
Z Contractor: fl�f4
O Owner:
Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION J�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: 5:
YPE OF I WSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
S\ INSPECTION REPORT
N G?'O Permit No.: 47 8 Lot#:
Q Address: �� 7
Contractor: �14
,SO Owner:
4ING Date:/4
APPROVAL ❑ PARTIAL APPROVAL
❑ IOLATION ❑ 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
Inspector: / Date:
YPE OF INSPECTION REQUESTED
Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
�¢ti1N G?'O Permit No.: 7 LotJ#: `
Address:
Contractor:
,t0 Owner:
IN O 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.
Q CALL 435-0674 FOR RE-INSPECTION -24 hour notice required.
rk Z( G
Inspector: Date:,O V `�
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 ❑ Final
❑ Masonry Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
);IN G r Permit No.: o L
Address: �-��Contractor:
LR
O Owner:
IN N Date: C) 0, ' �—
❑ 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:
;KYPE OF I SPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ( Drainage ❑ Insulation
❑ Other: "1
INSPECTION REPORT
V v�\ZN G permit No.: Lot #: /
a Q' Address: O-71 a,g
Contractor: 1+ I✓1
O Owner:
9s�IN�� Date: r! �- ba
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.
f
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
T�Doting Drywall, Nailing ❑ Consultation
J ❑Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
ZN G T Permit No.:
¢ti o �
Q' Address: 7l
ZContractor: S%�9 61P_
O Owner:9s ,/ 'I N IN Date: `7��
*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: � "' ���
YPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
undation ❑ Shear Nailing ❑ Groundwork
Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
C I-ry OF' ==<eRL I IVGTC3N
CUNOY RUCT I UN 1:1E RM I T
HERMIT NU_ 2 01-4?8a
Owner: ULYANCHUi, ALEKSEYILIDIA 717 HAWTHORNE ST #D10 EVERETT 98E01
Value of Work: $7E,000.00 Tax ID: 00915800001900 Phone-. 4E5-258-9E55
Describe Work: NEW DUPLEX, ONE UNIT
Proposed Use: SFR-`
Legal Description: THE BLUFF UNIT 19
Job Address: E0710 CIRCLE BLUFF DRIVE
Contractor's Na.:,e Type Address License#
HOUSING HOPE GEN 5830 EVERGREEN WAY HOUSIHI028RH
WOLFE PLUMBING INC MEC 18954 OLD SNOHOMISH!MONROE HW WOLFEPI033CJ
HUGO'S HEATING PLB 913 N VICKY PL. HUGOSH08OR8
P E -R M I T F E E S
y Equipment and Fixtures Number Fee Total Charge
______ ------ -------- ----
PLUMBING FIXTURES 10 $10.00 $100.00
FURNACE/UNIT HEATER 1 $15.00 $15.00
VENTILATION FANS 4 $7.00 $28.00
DRYER 1 $11.00 $11.00
WATER HEATER 1 $15.00 $15.00
GAS PIPING 1-4 OUTLETS 1 $6.00 $6.00
SUBTOTAL.. .. .. $175.00
r
TOTALS Fee
Permit Fee $829.E5
Equipment $75. 00
Fixture $100.00
Mech Permit $24.00
Flan Fee $539.01
Plumb Permit $E5.00 �,
State fee $4.50
,AI RE:
TOTAL FEE. ....... . .... .. . . 31,596'76 HEREBY T HAT I HAVE R
EAD
AND EXAMINED THISAPPLICATIONAND
PAYMENTS.. . . .......... ... . $539.01 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE.... .. ........... $1,057.75 ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE CO "`LIED WITH WHETHER
E_Q_T5jFzD R N NO3.
DATE RECEIPT # -
I G OFFI AL
LU
� � b P o
�o
N
00
2°1,1V l r
ace
30 o2.a
7'
I,-- -z3'-c•.-------- - ---2-- _G -- -- -•-� rl N3
N N.
saa E 'iaa
�Ir
----------- ----
r � 16 ELE�a w
n
ID' PdV :N pn j
S �d�wG 11� 29,0fl
UNIT 20 SCALE:1" 6'
UNIT 19 SCALE:1"=16' 1IE BLUFF AT ARLINGTON,A CO, MINIUM
THE BLUFF AT ARLINGTON,A CONDOMINIUM S RESS: 2011 Z CIR BLUFF DR.
SITE ADDRESS: Z C-I 10 CIRCLE BLUFF DR. CITY OF. GTON,WA
CITY OF ARLINGTON,WA AFN 20010709500 HO, I COUNTY
AFN 200107095007,SNOHOMISH COUNTY REP: HOUSING HO OPERTIES
REP: HOUSING HOPE PROPERTIES SELF HELP USE
SELF HELP HOUSING 5830 E • GREEN WAY
5830 EVERGREEN WAY E •TT,WA98203
EVERETT,WA 98203 TAX P #00915800002000
TAX PARCEL#00915800001900 IIOU' 'LAM: 3 BDRM;1,098 sq.M living space
HOUSE PLAN: 3 BDRM;1,098 sq.ft.living space Cl' OF ARLINGTON WATER&SEWER
CITY OF ARLINGTON WATER&SEWER
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
® COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT NO.
(u R Iq -AWLP--Y & Udlyd Ul., M.7LU[ DRESS 717 Hawthorm St. #D16ITYE�rett' ZIP PHONE 5-25 92
55
ARCH ITECTaT(DESIGNEh CITY ZIP - PHONE
JKnFic atnSon Architecture & Plarrdm 2124 Third Aye, &Ate 200 �tt1e WA 98121 �gq�7580
MAIL ADDRESS CITY LIP PHONE
`ldmcal AS'S18tanm t; LIC N5E/
AgFsl Ii irr3 Hope, Inc. 5830 L�ergree- Aty sett, ice, %203 425-347-65% fUMDUO?_8RH
MLCIIANICAL CONTRACTOR MAIL AODRESS CITY ZIP PHONE LICENSE/
aKPIs Hmting, Inc. 5415 Hater f-bllm Rd. Stmuuod, WA 98292 PHONE fI �OLICEN
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE
hblfe Pl LICENSE
urbiTrl, Ir)c. 12924 Old S1d�aTdsY xTroe I Hwy, El • sh 4a 98290 360-568- 53 hL�iFFP1033G7
CLASS Of WORK
®NLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
(f 71,000
DESCRIBE WORK
�' ' IOW ca-stnrticn Q1
PRUPUSI U USL OF BUILDING
2 units Ci*E S' le �-n ly F�b,iderm I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LLUAL ULSCRIPI ION Of PKUPLRTY ISHOWN 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
tcu BLOCK Or `� I.���' T WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
�^f 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 OFTHE PERFORMANCE OF
-)C 7 I C CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
108 AUURLSS SIGNATURE OF C AUTHORIZED AGENT DATE
x
(OFFICE USE ONLY) PIP
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLUSEI (TOILLI) AIR COND.UNITS -H.P. EA.
BA I H I UB REFRIGERATION UNITS-H.P.EA.
LAVATORY(WASH BASIN) BOILERS -•H.P.EA --�
SHOWCR GAS FIRED A.C. UNITS -TONNAGE EA.
i KI ICIIL'N SINK& UISP. ' FORCED AIR SYSTEMS- B.T.0 MEA /
DISHWASHER WALL HEATERS- B.T.U. M
LAUNURY 1 RAY UNI1 HEATERS- B.T.U. M
( CLUI IILS WASHER EVAPORAI IVE COOLERS
I WAIL•'RIIE ATE,R ;I1 CLOTHES DRYERS
URINAL / 1 �� VENTILATICN FAN
DRINKING FOUN I AIN v ' / RANGE HOOD COMMERCIAL 1
I"LOUR DRAIN / AIR HANDLING UNIT- CPM J v
VACUUM BREAKERS , STOVE
ROOF DRAINS•- RAINLEAUERS METAL FIREPLACE &CHIMNEY
SINE;(SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUBTOTAL f SUBTOTAL f
PERMIT f PERMIT f
TOTALFEE f TOTAL FEE s
SIUL YARD SE I ACK STRLLI SL IBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE,
RECE T/N�O..
USE IUN! -AlLOT AREA VACANTVACANT SITE �-I D I �% (i',,,/�7
R6 �� /O YES ®NO FEES VALUATION FEE
TYPE OF CONS OCCUPANCY OCCCUPANC/Y GROUP NO.OF DWELLING UNITS PLAN CHECKING NG 3 17 ;
$ILL OI BL(X,. NO.OF YTORILS MAX.00C.LOAD BU'LDING f
0 PLUMBING
_ 61 I FIRE SPRINKLERS REQUIRED
�J ❑YES JaNO MECHANICAL
COMMENTS STATE BLDG.CODE
I ENERGY CODE SURCHARGE vI
t PENALTY U.B.C.
CC SEC.303(m)
IC"
y'? F-
WATER/SEWER FEES
SEP 19 TOTAL
PERMIT VALIDATION
n j �! S ���i i} u I O � WHEN PROPERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT&RECEIPT
�1f1 PAID CRII BY
cc:ASSESSOR,APPLICANT,TREASURER,BLDG. DEPT. BUILDING OFFICIAL DATE
RECORDS COPY