HomeMy WebLinkAbout18017 Ambleside Ct_BLD983131_2025 15'q/M<5;C---, 44 C)
INSPECTION REPORT
Permit No./) Lot # 0
Address / 1 /
Contractor kj�
Owner
Date s�1
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
aS`not'able to pefforminspection.
❑ CALL 435-0724 FOR RE-INSPECTIONI 4 hour no ice required.
Inspector Date '—
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation 0 Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid .0 Struct. Slab
❑ Wood Stove ❑ Aough-in 1� Final
❑ Masonry ❑ Drainage J Insulation
0 Other
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MAY 2 9 1998
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CITY OF ARLINGTON
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CUNSTRUC-IFXON 3=1CRM=T
PERM=T NO _ 9g-3j_:3j_
i� Owner: LARSEN, GREG 7605 77TH PL. NE MARYSVILLE 98270
Value of Work: $115,449.00 Tax ID: GE IVA 17 Phone: 360--659-1426
Describe Work: NEW CONSTRUCTION
Q� Proposed Use: SFR
�T Legal Description:
Job Address: 18017 AMBLESIDE CT.
Contractor's Name Type Address License#
MAUKA MAKAI G 15414 SMIKEY PT. BLVD #210 MAUKAM605257
J&C HEATING M 120 SE EVERETT MALL WAY #921 JCHEA**055RJ
DAVE CUSTOM PLUMBING P 12424 MERIDIAN AVE SUITE 2 DAVESCP03281
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
PLUMBING FIXTURES �^ 15 $7.00 $105.00
FURNACE/UNIT HEATER 1 $13.15 $13.15
RANGE 1 19.50 $9.50
VENTILATION FANS 5 ;:6.50 $32.50
DRYER 1 $9.50 $9.50
METAL FIREPLACE & CHIMNEY 1 $9.50 $9.50
WATER HEATER 1 $9.50 $9.50
GAS PIPING 1-5 OUTLETS 1 $5.00 $5.00
S U B T 0 T A L...... $193.65
TOTALS Fee
Equipment $88.65
Fixture $105.00
Mech Permit $22.00
Permit Fee $872.50
Plan Fee $567.13
Plumb Permit $15.00
State fee $4.50
School Mitigation $941.00
SIGNATURE:
TOTAL FEE.. .... ... . ...... . $2,615.78 I HEREBY CE." FY H f I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS.. ....... .. ... .... $567.45 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE. .......... . ..... $2,048.33 ORDINANCES GOVERNING THIS T_y.PE OF
WORK WILL BE OMP I WITt HETTER
SPECIFIM H E OT
DATE RECEIPT # ` . —
ev-_ BUILDING OFF AL
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F _ u ,DD
CITY OF ARLINGTON
12 CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.3 ) 3I
l OglR MAIL ADDRESS CI I Y zip PRONE
C� E>� �boC f'- t. Wh C�sg- I�-ZC-
A HITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
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ONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
M�l'Ay 641LI <AhVei WAUI v 23- W X-7661 Nllt►ONW17
MLCIIANICAL CONTRACTOR f' IL ADDRESS CITY ZIPPHONE LICENSE I
JLl� �
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0
}y CLASS OF WORK
NLW ❑ADDITION ❑ALTERATION ❑REPAIR ClDEMOLI[ION ❑BUILDING RELOCATION
Q VALUATION OF WORK
w = —4-406a 1 /
W DESCRIBE WU K
3 u% L6%A-s V-U -r
m PROPOSED USE OF BUILDING
Lfl�i t1'�, � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
Lu 5� r-w:r TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
Z LLGAL DESCRIPTION OI PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIGNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J
LOT �� BLOCK OF G WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
Q 1ca. GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
ul e j�_ _Oi _tto p VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
a CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
:> S O SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
VTUB AUDRI SC
t 18 0 '7 PJ X
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE PEE z's FIXTURES NO. TYPE OF EQUIPMENT FEE z's FIXTURES
UATHTU
TER CLOSET TOILET.') IR COND.UNITS—H.P. EA. ti .list""
B IFRIGERATION UNITS—H.P.Eel ti .list""
VATORY ASI I BASIN OILERS—H.P.EA. u .list""
HOWER jAS FIRED A.C.UNITS—TONNAGE EA. Fqtip.list""
f TCHEN SINK R DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA
ISHWASHER WALL HEATERS—B.T.U. M
UNDRY TRAY NIT HEATERS—B.T.U. M
LOTHES WASHER VAPORATIVECOOLERS
ATER HEATER I n LOTHFS DRYERS
RINAL IENTILATToN FAN
RINKING FOUNTAIN GE HOOD COMMERCIAL
LOOR DRAIN IR HANDLING UNIT— CPM
VACUUM BREAKERS OVE
ROOF DRAINS—RAINLEADERS ✓� ETAL FIREPLACE&CHIMNEY
INK(SERVICE—BAR.ETC. (/ ATER HEATER
AS PIPING "(u to 5=$3.00.addol.=$.75
ui meot list must be provided
1 �
1 �
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTAL FEE TOTAL FEE
SIDL YAR S I BACK STRELI SL 1 BACK REAR YARD SETBAC f„J LAN CIIECK NUMBER �-1 PLAN CHECK FEE
-,;)I?_ y E 164
� ECEIPT NO.
USE /UN LOT ARLA VACANT SITE j (, ,VC 7 (lei
f/� /_&�� [D-Y&S— ❑NO� EES L-J VALUATION FEE
TYPL OF CONSI / OCC ��%GROUP NO.OF DWELLING UNITS PLAN CHECKING VG s6 7. /3 �
(0 BUTDING $ 7
SIZE Of BLDG- // NO.OF STORILS MAX.OCC.LOAD
(D PLUMBING
FIRE SPRINKLLRS RE UIRED
❑YES ❑'NO MECHANICAL
COMMENTS STATE BLDG.CODE c -a
ENERGY CODE SURCHARGE
RECEIVEDPENALTY SEC.303(a)
W 2 9 1998 WATER/SEWER FEES
C TOTAL
CITY OF ARLINGTON PERMIT VALIDATION
WHEN PROPERLY VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID CR# BY
cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT BUILDING OFFICIAL DATE
RECORDS COPY