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HomeMy WebLinkAbout309 COBB ST_056351_2026 11'� INSPECTION REPORT r-) iiGrPermit No.: ©�-6�ILot it:Address: 3 � C- 5Contractor:Owner: a°`'S Date: r ZVI APPROVAL ❑ PARTIAL APPROVAL Ij VIOLATION O 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. jor n �'� C'n to�1GY �*ar s•. r �A dr . / �i 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: /ol-' .S'3 NSPECTION REPORT ¢ti1N G?, Permit No.:05-6-T-r/ Lot #: Q' Address: 3105 Z Contractor: or/1 %sti•. Owner: o rrl-S �ls��N G Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION 4 CORRECTION REQUESTED Corrections listed below MUST BE MADE before work can be approved. ❑ Pleasd contact inspector. ❑ Was not able to perform inspection. ❑ A L 435-06/74 F R RE-INSPECTION - 24 hour notice required. 7 H v c7✓ h C h 012 Inspector: �/�iyt/ Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stgve ❑ Rough-in N( Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 1;i Permit No.: o� (P 3 T1 Lot #: Address: '3 wq c o r54 Contractor: �y o<yrr�,i� tn.,) Owner: Date: / ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION 1�CORRECTION REQUESTED Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. CW CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. AS IV(o /V oT 6&Z 4-Z4­--rt--x2' Inspector: Date: —g`D6 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 ILO Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: INSPECTION REPORTRq ` ¢ti1N GTO Permit No.: 05- 6.551 Lot #: Address: 30') Co56 Contractor: 7 ,�0 Owner: IN C' Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ACORRECTION REQUESTED Allcorrections 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. A ket ifl)A-Aer in t-),j— 5�!�&i/xr,... tilt ail i n WnT c, AZL&F-5 S i�5Tt3?iL_ �1�'ls�o✓1 ,L a,,j S7x► f2,S rD ?f`� r rKo�� 57epS c,rAj,N o1 - -7 31Y 1?_4s e- (P � !✓ 12:::LLr 4 N- / V,'VPDX BA*lL+tYL rG e4L)yC'1C.141i S e+A�— fit.+ Pl�-j.+�s7rc ri C�.JS: e vsC'p i Lj D ors 614 5, r�(-- O N ro►-+L V P P o 0- 6 A7Z1 4 c-W, i- e_C) c f%-c.-'zri 0^3 Kcciok Inspector: S'c�o-s-r- Date: 1- 5 -8� 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 C4 Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 6 4`1 INSPECTION REPORT " 41,1N GTN Permit No.: i-,351 Lot#: 13 Address: 3 Z Contractor: O Owner: 9s101 N G� Date: --Lo---cS- X 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. o "' J Inspector: Date: 9 �� TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing 5(Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢tit NG TD Permit No.: 05 f Lot #: j Q" Address: ^3oci cogg s i— Contractor: eU O Owner: IN C'� Date: i- I y- of '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. I AJ-514 L.,g---,0,3 I%PPa4u� 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 --) ¢1,1N GrO Permit No.: 05' 63 31 Lot #: l Address: 3 oq cl* Contractor: �U�,rr�► IN GAO 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. I M-5 0 c.�� <0 4-V-7-1 R imJ- 7 V V �A_-A-T J��� �4T7 y� —G Lr CT)V �fNLcI�Di JC2 7— Inspector: ` Date: 9—/Z--Q 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 (f Insulation ❑ Other: ssr� INSPECTION REPORT 4ti1N GTO Permit No.: ©s- 63S i Lot #: 1 � Q" Address: '409 c-�o6 6 Contractor: iv c-(LA-A--v, `;,j qs, O Owner: �I N G Date: 9-9 - Q S` 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: c U Date: 9'g—Of TYPE OF INSPECTION REQUESTED ❑ Under-floor 2A Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: G�1 ')INSPECTION REPORT ii T Permit No.:4S_4.3 S/ Lot #: l3 Addm3Contractor:Owner: 5 G� Date: 'off ❑ 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 43t:pl674 FOR RE-INSPECTION - 24 hour notice required. ,,.�� �v�.,r..�-Zan�,.1s .yy� Laf+r;r�<<-�7'r•Y> IJ�L.•+-�Ts�a� .4-�.� pis �b ,yL.rn� 1^2 Inspector: Date: Ay 9—/—g-- TYPE OF INSPECTION REQUESTED ❑ Under-floor A Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork Cd-Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 'L fl;vv INSPECTION REPORT G 3s-/ �ti1N GAO Permit No.: Lot #: Address: 41x7C0A'g s;' Contractor: /k/o v f r_ . Owner: `YS,�INC Date: -Z� �5 ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ACORRECTION REQUESTED OLCorrections listed below MUST BE MADE before work can be approved ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ 35-0674 FOR -INSPEC ION - 4 hour notice re uiredeel i 1 r ti Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor & Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork X Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: y11O Q� INSPECTION REPORT 41,1N G?0 permit No.: 057 6 3S 1 Lot #: t 3 �' Address: 30 O �� ,�g S T � z Contractor: N o s T-Hy i � O Owner: �s I N C'� 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. C \ Inspector: Date: ' d YPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove x 2f Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: r� oi INSPECTION REPORT ,—) N G?, Permit No.: o�_ &o 51 Lot #: I Q" Address: _ 3 o 9 C-0 is Z Contractor: O Owner: 9`s4I N G� Date: A3 ❑ APPROVAL ARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED �d_ brrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ QAIFL 435-0674 FOR RE-I SPECTION - 24 ho ► a required. 01/ Inspec r: Date: r�3 _ 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: '-)NSPECTION REPORT ') 4ti1N G TO Permit No.: b_(,;-63 5 I Lot #: 1 3 Address: '3 ock cis r Contractor: j 9s G,S4 Owner: IN Date: ca-t i-O !� APPROVAL ❑ PARTIAL APPROVAL Cl 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�. Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation (LX Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ii T Permit No.: o s' b 3 5 r Lot #:`� Address: 30 C-0 i'Contractor: N Q rLravOwner: Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED 4-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. 5h'6_ _ C'��a,-.) XL _ 1Fh S T A`1Jm6Lc:S S urS /5 t.c� wit o�v` S 7X.C-ZT' ul'Ali_ S;►�1US /4d3D✓.r /fD��Dw/�1S TD TD�P Py/gTE� � Fi4�L►a 2cf TD Gv m P�;'� GflYLrLc.�t-�o n1s P,u��c N t5 r /A_t5Q&-Lr2L)1_) "1 -L- AeSw t,T JA/ 4 41-7 Inspector: SZ,o'Dl� Date: -5-o T- 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: °z5y �... INSPECTION REPORT -� 4ti1 N G 110 Permit No.: o S 63 S i Lot #: 13 Address: .3 0`i C-s,S i3 Z Contractor: u b g2m+ti ..� 9s, 10 Owner: �fNC' Date: _1-7yo!g- ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION A CORRECTION REQUESTED Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-067 OR RE-INSPECTION - 24 hour notice require 40 C. w Inspector: � Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation Mi_Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: `).,NSPECTION REPORT jiGT Permit No.: oS 635 1 Lot #:Address: -5oq �86 Contractor: NoX4-,�vicw Lczs"T- Owner: Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION X 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. /N3 774-z _ .3�r ,,.,L. ,�i�,<. S Tit PW5 A-7- dmr A- O.r= Inspector: Sz<<+- Date: 6-ZZ-O.- TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation W Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: /I-z 1 INSPECTION REPORT ,--) 57 ti1N GT Permit No.: 0 15' &3 A Lot #: 13 Q' O� Address: 30 C-ei d 9 Contractor: ING,�O Owner: Date: / l APPROVAL ❑ PARTIAL APPROVAL u 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: r 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: �{ 1.' Q INSPECTION REPORT ` NG ¢til T� Permit No.: 05 6351 Lot#: (3 Address: Soct C-0 6b Z Contractor: 9s, O Owner: SIN 0 Date: y 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: y-Z7-OS' TYPE OF INSPECTION REQUESTED Cl 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 4ti1N G?'� Permit No.: € ,,T (P 3& 1 Lot #: i s Address: 3 o 9 C-0 g 6 Contractor: /Uoaawy,_—%,..) 4 Owner: IN G� Date: q 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: 0-5-- TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation X Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT NG ¢yt T� Permit No.: o 6 3 5 f Lot #: 1 3 Q" Address: 3 c)9 C'o G Sr- Contractor: �rz�-►} C�a.sr� �. 4 Owner: �S INO� 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. 0 CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: Y-/9-057— TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping 8,Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: C I T Y C]F= A F?I_ I I1%j C3 T C3 IV CC]IVST F7UCT I C]hl ICE Ft I T PE F2M I T PI Cl _ = OS---C, 3Ei 1 Owner: NW CUSTOM HOME'S 41 E HIGHLAND DR ARLINGTON 9822:3 Value of Work: $139, 000. 00 Tax ID: 004117-011-013-00 Phone: 425. 343. 456'2 Describe Work: NEW SINGLE FAMILY RESIDENCE Proposed Use: SFR Legal Description: COBBS AIyD TO ARL BLK 11 LOT 13 Job Address: 309 COBB ST Contractor's Name Type Address License# NV CUSTOM HOMES GEN 412 E HIGHLAND DR NORTHCH963CCI MARYSVILLE PLUMBING INC:. PLB 13316 SR 530 NE. MARYSPI101JE C:02Y HEATING MEC P. O. PDX 335 CO2YHI*122'MM F E R M I T F E E S Equipment and Fixtures - -y- Number Fee Total Charge ---- --- - - - - -- - - --- ---- ------------ PLUMBING FIXTURES 14 $10. 00 $140. 00 FURNACE/UNIT HEATER 1 $15. 00 $15. 00 ` YENTILATION FANS 5 $7. 00 $35. 00 DRYER 1 $11. 00 $'11. 00 ` 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 1 S U B T O T A L. . . . . . $233. 00 TOTALS Fee Permit Fee $1, 364. 70 Cc-haol Mitigation $0. 00 Equipment $93. 00 Fixture $140. 00 Mech Permit $24. 00 Plan Fee $887. 05 Park Mitigation S1, 662. 00 Plumb Permit $25. 00 State fee $4. 50 Traffic Mitigation $1, 038. 00 SIGNATURE TOTAL FEE. . . . . . . . . . . . . . . . . $5, 238. 25 I HEREBY W' i iA �AD AND EXAMINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $789. 00 W THE SAME TO BE TRUE AND COR- E T ALL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $4, 449. 25 - R INA ;ES IiQV •.RNING THIS TYPE OF K W L MPLIED WITH WHETHER C IF 1: OR NOT. DATE RECEIPT # ILDIN I IAL School Impact Fee Payment Form Please complete the form below and bring it with you when you come to Arlington School District to pay your fees. Jurisdiction City of Arlington Date 3 -3 /-6s- Plat/Project Name A Lot No(s) 3 Developer N V O U5>fn m (fz::)rH e_S Project Location ::�O l C Obb Assessor's Parcel Number(s) City File No(s) OS LD 3 SI Related File No(s) Date of Determination of Complete Application by City _ - 3/-OS Payer Name / L7A Vie t.,rJ (2V Slum b OniES Address nx /3o City State LV A Zip 9$ZZ3 Telephone y2 -3 43- y� mail Relationship to Project(please circle): Builder Developer Homeowner Agent This payment is for: ❑ a Final Plat Single-Family Residential Building Permit(s) ❑ a Multi-Family Residential Building Permit Please check appropriate choice/s and list number of units: Single Family �_units X $894 = OR�_ Multi-Family 1 bedroom units X $0 = Multi-Family 2+bedroom units X $1476 = Total School Mitigation Fee: ------------------------------------------------------------------------------------------------------------ To be completed by the Arlington School District: Receipt Number Date Paid Amount Paid 95' Received by Rates Changed January I,2005 07 .1> NEW 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 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. FEB 2 2 2005 TYPE OF PERMIT: ( ) Building ( ) Mechanical ( ) Plumbing Combination WA BUILDING L)EV Project Address: 3o ! co lob .5- Parcel ID#: C�aq It zd�� Lot#: Subdivision: b i c, f i , 01( Project Description: Owner: Ionnrrl ,(� Phone Number: Sl llp Address: J City: State: Zip Code: A-U� Contact Person:. AC�(j k&rfs� Phone Number: 3lVlJ 106, � I Cell Phone: Fax: �Jt Ul Jr 1 , 1�-U �IE-mail: Address: 1 c y: State: Zip Code: Lending Agency: Phone Number: Address City: State: Zip Code: Contractor: l)I �Y,1,�Z ,�.I�l Phone Number.- Address: Ji ond City: State: Zip Code: Contr actor's License Number: ' ` I I i '�='="_' ' e Expiration:)-hnI -'=10 Plumbing Contractor• Phone N1unm�be�r: Address: J City: nofiState: ) Zip Code: Contractor's License Number: (I-W1 I6 I C I Expiration: I O t D Mechanical Contractor: Phone Number: k��11/l1' f i Address: City: State: Zip Code: hp ' nf� , Contractor's License Number: `n �}OZV If T*-))- C /mil M Expiration: l�130190a 'orms/NSFF Page 1 of 2 iNIQUA 4�Y ° NEW SINGLE FAMILY RLSIDENCE o BUILDING PERMIT APPLICATION t�N G� 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) Plumbing Accessory Main Total Fixture Total Number Fixtures Dwelling unit Residence #X Multiplier Fixtures Units Bar Sink X 1.0 = I Bathtub or Combination Bath/Shower X 4.0 = Clotheswasher X 4.0 = Dishwasher + X 1.5 = Hose Bibb 2 X 2.5 = Kitchen Sink X 1.5 = Laundry Sink X 2.0 = Lavatory(Bathroom Sink) X 1.0 = Shower(Stand Alone) Each Head 1 X 2.0 = Water Closet(Toilet) X 2.5 = Whirlpool Bath or Combination Bath/Shower X 4.0 = Water Heater TOTAL Other FIXTURE UNITS: Traps (other than above items) COLUMN /] I ' 4lh TOTALS: Estimated Project Valuation w ll 0( Building Square Footage > I 1s` Floor LP99 2"d Floor 930 3rd Floor Basement Deck Garage )441 Water Supply Piping A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units B. Distance from meter to most remote outlet: I kJ feet. C. Difference in elevation between meter and highest fixture: feet above meter or feet below meter. D. Pressure in street main: l O psi. (Measure with gauge or check with Water Department) I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described pro y will be in accordance with the laws, rules and regulation of the State of Washington. Applicants Signature Dat Print Applicants Name Forms/NSFR Page 2 of 2 10/04/DWA 'ti111, O OFFICE copy 31'-O" OE Q q U/lC�j 05 C) � DE 711 m ia � > O 17� m , r � ➢ � � rn ti W Ti 3 p9 1