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HomeMy WebLinkAbout1010 E 4th St_BLD853_2026 BUILDING INSPECTION REPORT — MECHANICAL Permit No. 853 Address: 1010 E 4th Street Contractor: Richardson Owner: RICHARDSON JAMES D & SARAH A Date: 12/8/2015 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas Piping GAS PIPING: © DRIP LEG: ❑ SHUT-OFF VALVE: ® SEISMIC: ❑ PRESSURE TEST: M REGULATOR VENTING: PIPING SUPPORT: M ACCESS: % INCH - 6 FEET: ❑ MATERIAL: %- 1 INCH -8 FEET: ❑ 1 1/4 OR LARGER- 10 FEET: ❑ Date: 12/8/2015 INSPECTOR: Kevin Olander BUILDING INSPECTION REPORT — MECHANICAL Permit No. 853 Address: 1010E 4th Street Contractor: Richardson Owner: RICHARDSON JAMES D & SARAH A Date: 12/8/2015 ❑X APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION 17 OTHER APPLIANCE: Gas Piping GAS PIPING: M DRIP LEG: ❑ SHUT-OFF VALVE: ® SEISMIC: ❑ PRESSURE TEST: ® REGULATOR VENTING: PIPING SUPPORT: ® ACCESS: '/2 INCH-6 FEET: ❑ MATERIAL: %-1 INCH-8 FEET: ❑ 1 1/4 OR LARGER- 10 FEET: ❑ Date: 12/8/2015 INSPECTOR: Kevin Olander CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 ` PHONE; (360) 403-3551 BUILDING PERMIT Address: 1010 E 4th Street Permit#:853 Parcel#:00618900001800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:RICHARDSON JAMES D&SARAH A Name:Karl Christensen Name:Sarah Richardson Address: 1010 E 4TH ST Address:22904 40th Place W Address: 1010 E 4th Street City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mountlake Terrace,WA 98043 City,State Zip:Arlington,WA 98223 Phone: Phone:425-773-4569 Phone:360-336-3844 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. 1BC110/IRC 110. SALES X'%-X N TICE:Sales tax relating to construction and construction materials in the City of rlir to Must be reported on your sales tax return form n, co ly if Arlington#3101. �0'4C �' / 7 -7-/ ignu re Print Name Da c Released By Date CONDITIONS THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION PERMIT FEES Date Description Fee Amount 12/7/2015 Gas Outlets Base Fee 1 to 5 $10 00 12/7/2015 Mechanical Permit Base Fee $25.00 12/7/2015 Mechanical Plan Review Fee $0 00 Total Due: $35.00 Total Payment: $0.00 Balance Due: $35.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address. ® 0 � Project Description: Owner: Address: ! D) City: A P_h/L ` State: IkA , Zip Code: �� 3 Phone: 5(_0 3 0qq Email: ynA1?_5)9k i tqd Applicant: VIO-; CiXr. Address: �2�t b�-F q` City: If� ,� fate: 4_A Zip Code: Phone6�0 �`1 L(�(pC1 Email: °� il/ Cnti CONTRACTOR INFORMATION Contractor Name: Address: City: State: Zip Code: License Number: Expiration Phone: Email STAFF USE ONLY Received DEC 01 Z015 Permit#: Accepted by: Date- COMMERCIAL MECHANICAL PRESSURE PIPING INFORMATION Department of Community& Economic Development City of Arlington•.18204 59th Ave NE •Arlington, WA 98223• Phone (360)403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: t 0 c_k a>azr-3 Inlet Pressure: b r Pressure Drop: Specific Gravity: Pressure Piping Schematic Show Pipe Size(s)and Length(s)from meter to all appliances. ❑ Scale or ❑ Not to Scale NOTE: any interior pressure regulators IV; must be indicated NOTE: drip legs/sediment traps are required at all appliances �\ unless I` integrated in I � Cf the listed appliance I hereby ce pignatureV a information is correct and that the construction on, and the occupancy and the use of the above- d rib d p opcordance with the laws, rules and regulation of the late f Washington '7 � I — Aate \ 1 Print Applicants Name RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223•Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. y _Project Address:W111 10 J l Project Description: Owner: X'u..� t Address: �� ' �` City: A State: , Zip Code: Uo� 3 Phone: 12�)�5(.9" �J �� _ Email: ►�'�+4/hQ S�Q�� r���' Cms1�, Applicant: �rf �i�r: s � Address: 22St b L4 q 1A_ City: r1i, k Mate: 4_A Zip Code: �ffoQ/--cv, Phone�`TZg) ~?1 -3 ` g514el Email: A )dlrY� (°J_L�V P_. iA-- CONTRACTOR INFORMATION Contractor Name: Address: City: State: Zip Code: License Number: Expiration- Phone. Email Received STAFF USE ONLY 7 2015 DEC U Permit#: Accepted by: Date: RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223• Phone(360)403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model# AFUE ❑ Heat Pump Model# AFUE HSPE ❑ AC Unit Model# SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: ❑ Pipe Material- Pipe Size: Distance From Meter to Furthest Appliance: Total BTU's of all Appliances: • New gas piping requires a pressure test to hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances Applicant Signature: Date: Applicant Printed Name- /hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. - COMMERCIAL MECHANICAL PRESSURE PIPING INFORMATION Department of Community& Economic Development City of Arlington•.18204 59th Ave NE •Arlington, WA 98223• Phone(360)403-3551 If gas piping will be installed, this form is required in addition to a Commercial Mechanical Permit Application Pipe Material: -?ro Inlet Pressure: I Pressure Drop: Specific Gravity: Pressure Piping Schematic Show Pipe Size(s)and Length(s)from meter to all appliances. ❑ Scale or ❑ Not to Scale NOTE: any interior pressure regulators must be indicated NOTE: drip legs/sediment traps are required at all appliances �\ unless l� "y ) integrated in I � the listed appliance I;hVere th the ab a information is correct and that the construction on, and the occupancy and the use of the above- dp rty ill b ' ccordance with the laws, rules and regulation of the late f Washington A ignature ate c Print Applicants Name CITY OF ARLINGTON 0 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 1010 E 4th Street Permit th 853 Parcel#:00618900001800 Valuation:0 00 OWNER APPLICANT CONTRACTOR Name:RICHARDSON JAMES D&SARAH A Name:Karl Christensen Name:Sarah Richardson Address: 1010 E 4TH ST Address:22904 40th Place W Address: 1010 E 4th Street City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mountlake Terrace,WA 98043 City,State Zip:Arlington,WA 98223 Phone: Phone:425-773-4569 Phone:360-336-3844 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: STORIES: CONST.TYPE; DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27, THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT 1S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCI 10. SALESTA TICE:Sales tax relating to construction and construction materials in the City of, rli to nusl be reported on your sales tax return form n, co VyfArlington#3101. ie(4,'l gna re Print Name na c V Released By Date CONDITIONS THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION PERMIT FEES Date Description Fee Amount 12/7/2015 Gas Outlets Base Fee 1 to 5 $10 00 12/7/2015 Mechanical Permit Base Fee $25.00 12/7/2015 Mechanical Plan Review Fee $0.00 Total Due: $35.00 Total Payment: $0 00 Balance Due: $35.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Permit#: 853 Permit Date: 12/07/15 Permit Type: RESIDENTIAL MECHANICAL Project Name: Richardson Applicant Name: Karl Christensen Applicant Address: 22904 40th Place W Applicant, City, State, Zip: Mountlake Terrace,WA 98043 Contact: Karl Christensen Phone: 425-773-4569 Email: kandm07@live.com Scope of Work: Replace Furnace & Install Gas Piping Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 12/07/2015 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning RICHARDSON 00618900001800 1010 E 4TH ST JAMES D& Residence Single Family -Detached SARAH A Contractors Contractor Primary Contact Phone Address Contractor Type License License Sarah Richardson Karl Christensen 360-336-3844 1010 E 4th Street OWNER Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 12/08/2015 R09.GAS PIPING 12/08/2015 BUILDING Approved ROUGH-IN Fees Fee Description Notes Amount Gas Piping/Units Enter#of units $10.00 Mechanical Base Permit Fee $25.00 Mechanical Commercial Plan Review Table 4-1 $0.00 Total $35.00 Attached Letters Date Letter Description 12/07/2015 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 12/07/2015 Karl Christensen cash Launa Black $35.00 Outstanding Balance $0.00 Notes Date Note Created By: 12/07/2015 Per Applicant Furnace is 80K BTU 80%AFUE Launa Black Uploaded Files Date File Name 12/08/2015 1387413-1010 E 4th Street.docx 12/07/2015 1385385-853 Issued Permit.pdf 12/07/2015 1385384-853 Application.pdf