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Home My WebLink About450 Burke Ave_BLD025026_2025 NSPECTION REPORT tixN G?'0 Permit No.: Lot #: Q Address: S'cj �4 9 sf Contractor: 14 35=OF7a s ,SO Owner: /Vp h u v t N 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. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: Date: / G PE OF INSP CTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry �Ga J Draina9p, ❑ Insulation ❑ Other: t City of ArV ngton NOTICE and Inspection Report J(� Phone# Permit No. �! T Legal Date Called — Address Time Called .r. Contractor/Owner �Z By Requested by t t'f TYPE OF • REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing Gas Piping ❑ Footing ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other PROVAL ❑ CORRECTION REQUIRED ❑ Co ions listed below MUST BE MADE before work can be approved. Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required. _G I nsp Date C I TY OF ARL. I MCGTON C O N S T R U C T I O N P E R M I T Owner: PENCILLE, NANCY 450 E BURKE AVE ARLINGTON 98223 Value of Mork: $4, 000. 00 Tax ID: 00461801300300 Phone: 360-435-0872 Describe work: REMOVE SHAKE/REPLACE WITH COMP ROOFING Proposed Use: SFR Legal Description: Job Address: 450 E BURKE AVE Contractor's Mane Type Address License# OWN TOTALS Fee l J Permit Fee $50. 00 IGNATURE: TOTAL FEE. . . . . . . . . . . . . . . . . $50.06 HE BY CERTIFY Tk T I HAVE REA AND AMIHED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KNOW HE SAME TO BE TRUE AND COR- REC LL P VISIONS OF AWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $56. 00 OR N NCES OVERNI G T S TYPE OF WO ILL �IREDNI TH WHETHER S I ED �ET DATE RECEIPT # ifdftbtfid O C 4 CITY OF= ARL_I hiGTC1%' CCiVST RUCT I ON PE RM I T PERMIT NO- Owner: BARKER; LARRY 450 E BURKE ST ARLINGTON 9822.3 Value of Work; $1s700.00 Tax ,.Do 4618-013-003-0006 Phane° 091 Describe Worm: INSTALL GAS CONVERSION Proposed Use; RESILDENCE Legal Description: Job Address: 450 E BURKE ST Contractor' s Name Type Address License# INNOVA i TDNS S-OVES & SPAS INC M 2233 JAMES 2T INNOVISS066NP �— P E R N 1 T F E E S Equip -ent and Fixtures Number Fee Total Charge __ _ _ _ ------------ t METRL FIREPLACE_ CHIMNEY ------ $9a 5� 00 GAS PIPING 1-5 OUTLETS i $5.00 $5' S f i i S U B T O T A L...... $14.50 TOTALS Fee Equipment $14�5k= Mech Permit $21Em 00 G SIGNATURE TOTAL FEE... . .. . .... . ... . . $36.50 I HEREBY CE Y THAT I HAVE REPI) AND EXAMIN THIS APPLICATION AND PAYMENTS..... .. . .. .... ....$G.0 KNOW THE AlME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE...... .. .... . .... $36.50 ORDINPACES GOVERNING THIS TYPE OF WORK LL BE COMPLIED WITH WHETHER SP=C _ED -TM - DATE R1=CEiP's # 03 P BUILDING - CIAL CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER F MAIL ADDRESS CITY ZIP PHONE � P� _ ��C; ll� I/5� �s�F � ,4>!-� y ��3 360-ass--a� �z ARCHITECT OR DESIGNER_ / MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE UC NSE N MECIiANiCAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS Of WORK ❑Nt.W ❑ADDITION ❑ALTERATION REPAIR ❑DEMOLI PION ❑BUILDING RELOCATION VALUATION Of WORK ' 5 �doa DESCRIBE WORK, �5)r/— r�elrrloV lA— C- 541 Ake L C 0 n PRUPOSt D USL OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- LL TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- GAL LIE rIUN O( PROPERTY(SHOWN BE OR ATTACH 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 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 CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE I08 AUURLSS (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATLR CLOSE] (TUILEI) AIR COND.UNITS -I1.P. EA. BA I III UB REFRIGERATION UNITS-H.P. EA. LAVATORY (WASH 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.0 M CLOI IILS WASHLR EVAPORAT IVE COOLERS WATER IIEATLR CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUNIAIN RANGE HOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE RU()( DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY SINK (SERVICE - BAR,ETC.) WATER HEATER GAS PIPING SUB TOTAL $I SUBTOTAL f PERMIT $ PERMIT f TOTALFEE $I TOTAL FEE f SIDE YARD SL I BACK STRLLT SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE /ONE LOT AREA VACANT SITE FEES VALUATION FEE ❑YES ❑NO TYPE OF CONSI OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG f SIZE Of BLUE. NO.Of STORIES MAX.OCC.LOAD BUILDING PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY U.B.C. SEC.303(a) WATERLSEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS 15 YOUR PERMIT&RECEIPT PAID CRIi BY cc: ASSESSOR, APPLICANT, TREASURER, BLDG. DEPT BUILDING OFFICIAL DATE 'l7Ccl,rrr/S (Inry ®vAT , -c��S can OF AwNc;iV� cpt4s RUCTIO AERMIT F.f I MIT � I7l.�1M191t'1O � �IdN P MEc+{J►N1cJ►!. O �uILDEwO -+ " 1 �a p coF,�ltiJ►TTot+ �, AdURlS 13�� -'`-� Cf Y A C h Y C O 't K H nll lt>N 33 J Q-s -� ►✓Cf y y } t ry ol n A!L At7pREti 1PMC n t n Co CI V MAIL Ap01" ,%UMgjW;CUM RA OR ° ° LfERATlON (�REFAIR uEMc9Ll slot+ �61-11 14fG ItELOCATIC HLw J►uufT►vH - "w C. !N IFY T}IAT 14 AND`t CORRECTE AND ALL? a 1 / I HRE! WtpW THE SAME TO BE Tit VERNING HIS TYPE OFVW '. TION A F LAWS AND ORDINANCES G vul 510N50 WITH WHETHER SpICIFIED HERIN OIL NOT,T, L v WILL BE COMPLIED S NOT pitESt)ME TO GIVE m"t . . _ G- TING OF A 11WIT VOE VI I NS OF,ANY OCHER SLAT` LIJf�—#LUEK.-.-r+UF ' vIOLATE OB GULACASCLE (:ONSTRUC 10',IUFTF�EPEIZFOINN A 3 �3 QOO LOCAL LAW RI ;,I IZ II'ROM DATE OP iS5UA r TAX SIATRME CONSTRUCTION.�0*�„E�lMA0lW rnoM PnoPFifAl ,�r, � '� +AtufMofeo"1 X — tMltClMi Tar ef17RV1►t r asro rss -..J c z,rrs of rf vxa i .w �uaru► �flr�-ns. AT3& WlOf N OR.Il1MR�It .6A N An WB i1.N a P EIlflt/-29IetAcls>�. YA f ASH IK AIAR .R. Va K !o� {1N[►{sittta +- {7a1 tT N -Mu. f�� fRiIMAMtsR $1,/111 _. _ YAP 0RIV1 COO LAM" ,� LO{Tsdw�� it.M TION 1AN SO AM 11 0"s MA3. 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