HomeMy WebLinkAbout101 S STILLAGUAMISH AVE_00440_2026 ��C ' City q Aft 5-4CTON
Permit' _
rNOTICE and-In ,pection Report
Date Called /���-' Addressl
r
Time Called Q ' 3(D Contractor
By �./"> Owner
Requested by
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace Other
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Co ections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able top rform inspection.
❑ CALL 435-85 KOR REINSPECTION—24 hour notice required.
Inspector Date
I was present during this inspection.
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CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00440
OWNER MAIL ADDRESS CITY ZIP PHONE
Nellie Miller 101,(IStillaguamish Arlington WA 435-3835
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICIENSE#
James F. Eoff 3700 2G9th Pl NE Arlington, WA 435-3555 EOFFJF37ONT.
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
CLASS OF WORK
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
S
DESCRIBE WORK
RE-Roof
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) 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 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
5412^OOO•-002-OQQ9 CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE DAGENT DATE
IOB ADDR SS v J
101 ,Stilla uamish X
(OFFICE USE ONLY)
EMECHAIAL
PLUMBING
NO. TYPE OF FIXTURE FEE TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND.UNITS —H.P.EA.
BATHTUB REFRIGERATION UNITS—H.P.EA.
LAVATORY (WASH BASIN) BOILERS—H.P.EA
SHOWER GAS FIRED A.C.UNITS—TONNAGE EA.
KI TCHEN SINK& DISP. FORCED AIR SYSTEMS— B.T.U. MEA
DISHWASHER WALL HEATERS— B.T.0 M
LAUNDRY TRAY UNIT HEATERS— B.T.U. M
CLOTHES WASHER EVAPORATIVE COOLERS
WA ER HEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUN TAIN 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 f SUBTOTAL S
PERMIT ; PERMIT $
TOTAL FEE S TOTAL FEE ;
SIDE.YARD SE TBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE ZONE LOI AREA VACANT SITE
❑ FEES VALUATION FEE
❑YES NO
TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
BUILDING $ 40 00
SIZE OF BLDG NO.OF STORIES MAX.000.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
[:]YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE 4 50
ENERGY CODE SURCHARGE
C.
PENALTY S B
SEC..
303(a)
Re-Roof Only WATER/SEWERFEES
TOTAL 4 4 5 0
V PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
PAID 8^1` 90 CR# 223.73 BY CB
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 ADDRESS
CITY ZIP
PHONE p p
ARCHITLET OR DESIGNER MAIL ADDRESS
CITY ZIP PHON
ti
G AL CONtRACTO � MAIL ADDRESS t-
CITY ZIP PHONE 7IC NSE I
MLCIIANICAL CONTRACTOR MAIL ADDRESS/ O /-
CITY ZIP PI10NE LICENSE
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE
LICENSE/
CLASS OF WORK
❑NLW ❑AUDITION ❑ALTERATION p REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
DLSCRIBL WORK
PRUPOSI D USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LLGAL UFS(RIPI IUN OF PROPERTY(SHOWN BELOW UR 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
LUf 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 MBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
o� ! _�) )In CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
�IOBADORLSS SIGNATURE OF CONTRACTOR OR AUTHORIZEDAGENT DATE
x
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND.UNITS —H.P. EA.
AtFITUB
LAVA REFRIGERATION UNITS—H.P.EA.
LAVATORY (WASH BASIN) BOILERS—H.P.EA
SIIOWLR GAS FIRED A C. UNITS—TONNAGE EA.
KI ICIILN SINK& DISP.DISH FORCED AIR SYSTEMS— B T.0 MEA
LAUNDRY
ASIILK WALL HEATERS— B.T.0 M
AUNUKY!RAY UNIT HEATERS— B.T.U. M
WA I I I ILS WASHERREVAPORAT IVE COOLERS
WA HEATER CLOTHES DRYERS
URINAL VENTILATION FAN
DRINKING FOUN I AIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT— CPM
VACUUM BREAKERS STOVE
KUUF DRAINS - KAINLEAUEKS METAL FIREPLACE&CHIMNEY
SINK (SERVICE ——BAR,ETC I WATER HEATER
GAS PIPING
SUBTOTAL f SUB TOTAL S
PERMIT $ PERMIT S
TOTALFEE f TOTAL FEE S
SIDL YARD SE I BACK STRLLI SL TBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE ZONE LOT AREA VACANT SITE
❑YES NO FEES VALUATION FEE
TYPE OF CONS! OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
SIZE OF BLDG. NO.OF STORILS MAX.OCC.LOAD BUILDING $
PLUMBING / �
____JFIRESPRINKLERSREQUIRED
❑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 TIN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
PAID CR# BY
cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. SURDINGOFFICIAI DATE
CITY OF ARLINGTON
CONSTRUCTION
PERMIT NG 1072
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER MAIL ADDRESS CITY ZIP PHONE
Margaret Vanderwalker 101 S Stillaguamish Ave, Arlington 98223
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
same
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
❑NEW M(kDDITION ❑ALTERATION ❑REPAIR ❑DEMOLI PION ❑BUILDING RELOCATION
VALUATION OF WORK
f 1500
DESCRIBE WORK
6ft Cedar Fence 561, x 82 enclosing back yard
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DES("RIPTIUN OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOf BLOCK - OF iinkrinwn 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 l_OCALLAWREGUL ONSTRUCTION OF THE PERFORMANCE OF
TRUCTIO ERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGN*4 FCONT CTORORAUTHORIZEDAGENT DATE
)OB ADDRLSS
101 S Sti.11aguamish.
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND UNITS - H P EA
BATHIUB REFRIGERATION UNITS-H P EA
LAVATORY (WASH BASIN) BOILERS - H P EA
SHOWLR GAS FIRED A C UNITS-TONNAGE EA
KI ICHLN SINK & DISP FORCED AIR SYSTEMS- B T U MEA
DISHWASHER WALL HEATERS- B T,U M
LAUNDRY T RAY UNI I HEATERS- B T U M
CLOIHLS WASHER EVAPORATIVECOOLERS
W'A1 ER HEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNTAIN 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 f SUBTOTAL f
PERMIT ; PERMIT f
TOTALFEE ; TOTAL FEE f
SIDL YARD SE I BACK STRLLT SETBACK REAR YARD SETBACK DATE RECEIVED 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 NG
BUTDING $
SILL OF BLDG NO.OF STORILS MAX OCC LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
U B C
Fence 6 " high only PENALTY SEC 303(a)
WATEPUSEWER FEES
TOTAL
PERMIT VALI ATI N
WHEN PROPS Y V DATED TIN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID CR# BY
c
DATE
cc: ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. 8 ILR CORDS COPY
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tl(;NAIVRE Or CONTRACTOR OR A01110RUFf)AGENT GATE
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(OrrICE USE ONLY) 1 RUCIIANICA)
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WAILRCLOSEIIIUILEII - AIR CUNU.()NITS - N.r.FA.
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LAUNDRY TRAY _ UNII IIEAIERS - 9.1.U. M
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IUTALrEE / 10TAL1EE 1
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Tvrtof C0I151 tX(UPANCYGRoUr No Of bWE1.1.INGUNIIS rIA"Cl1ECkIN4140
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