HomeMy WebLinkAbout434 Alcazar St_BLD20110003_2025 Xl"Al
BUILDING INSPECTION REPORT
4.e-
��YO Permit No.Address: 7V /y 14<z r ,�
Contractor:
Owner:
Date: -- -7 — -- -
APPROVAL ® PARTIAL APPROVAL
® VIOLATION CORRECTION REQUEST
Corrections listed below MUST BE MADE before work can be approved
Please contact inspector
Was not able to perform inspection
Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before
T�
Inspector: Date: " V i/
® Under-floor ® Framing ® Gas Piping
® Footing ® Drywall, nailing ® Consultation
® Foundation ®Shear Nailing ® Groundwork
® Mechanical ® Grid ® Struct. Slab
® Wood Stove ® Rough-in Final
® Masonry Ell Drainage ® Insulation
® Other:
BUILDING INSPECTION REPORT
03
4Permit No.
• ' Address: Lj
o Contractor:
: . , . ,
Owner:
Date: ----
APPROVAL ® PARTIAL APPROVAL
K ® CORRECTION REQUEST
® VIOLATION
ctions listed below MUST BE MADE before work can be approved
Cor re
Please contact inspector inspection
Was not able to perform insp 5;00 pm the day before
Call 360-435-0674 FOR RE-INSPECTION by
e
l.J L
Date: -
Inspector:
® Framing ® Gas Piping
® Under-floor ® pall, nailing ® Consultation
® Footing ®Shear Nailing ® Groundwork
® Foundation (5 Struct. Slab
® Mechanical —t),—
I,
� Final
® Wood Stove Drainage ® Insulation
® Masonry
® Other:
CITY OF ARLINGTON
238 N. OLYMPIC AVE.-ARLINGTON,WA. 98223
PHONE: (360)403-3421
BUILDING PERMIT
Address:434 ALCAZAR ST,ARLINGTON Permit#•BLD20110003
Parcel#:00411600300200 Valuation:$0.00
OWNER APPLICANT CONTRACTOR
DEMPEWOLF LARRY DEMPEWOLF LARRY BUILDER'S CUSTOM HOME IMPROVEMENT
434 ALCAZAR 434 ALCAZAR INC
ARLINGTON,WA 98223- ARLINGTON,WA 98223- 8124 83RD PL NE
ARLINGTON,WA 98223-
Lic#:BUILDCH922N1 Exp:8/8/2011
PLUMBING CONTRACTOR MECHANICAL CONTRACTOR
MBA CONSTRUCTION
Lic#: Exp: Lic#: Exp:
JOB DESCRIPTION
CONNECTING BEDROOM TO/AND ADDING ADA BATH,INSTALL DRYWALL
PERMIT TYPE: Residential PERMIT GROUP: Alteration/Remodel Interior
STORIES: 0 CONST TYPE:
DWELLING UNITS: 0 OCC GROUP:
CODE: 2006 OCC LOAD:
EXISTING AREA PROPOSED AREA
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0
OTHER: 0 OTHER: 0
FRONT SETBACK SIDE SETBACK REAR SETBACK
REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
HT ALLOWED: 0 PROPOSED: 0 REQUIRED: PROPOSED:
SETBACK NOTES:
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.UBC109/IBC110/IRC110.
SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and
coded City of Arlington#3101_
G,r.14
Signature Print Name Date Released By Date
ARCHIVE = APPLICANT ASSESSOR OTHER
BLD20110003
CONDITIONS
THIS PERMIT AUTHORIZES 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.
• None
PERMIT FEES
Date Description Fee Amount Paid Balance Due
1/5/2011 Building Permit Fee(QTY: 1.00) $549.50 $0.00 $549.50
1/5/2011 Building Plan Review Fee(QTY: 1.00) $357.18 $0.00 $357.18
1/5/2011 State Building Code Surcharge(QTY: 1.00) $4.50 $0.00 $4.50
Total Due: $911.18 $0.00 $911.18
CALL FOR INSPECTIONS
BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674
FIRE(360)403-3607
When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection
being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon.
• None
RESIDENTIAL ADDITION/ALTERATION
PERMIT APPLICATION
40 Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3447
THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS
APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS, TWO(2)
ACCURATE, FULLY DIMENSIONED PLOT PLANS AND ONE(1) CROSS CONNECTION CONTROL SURVEY(if
adding plumbing).
TYPE OF PERMIT: (ED Residential Addition Residential Alteration
Also Including: XPlumbing (ED Mechanical
Projec/t
Lot#f: I of !/zoF T 1 I 1115 C�Ir�A�� /4��T(71�
- Subdivision:
Project Description: i1b Fom To A04 AA-N Z&qkAl Valuation: __ .�k).na-)
Owner: Phone Number: 3[00 41s-zoz9y
Address: 43LI N AUAZAk A)IF City:_14Wrl(%1n4 State:-!n)A Zip Code: 9RZZ3
Contact Person: IL_ &CA1 _11q(_ Phone Number: 4LY 3LY4 /Storg
Cell Phone: 344 jgSU9) Fax.Cam)(05g (p E-mail: e5QEFtJ-td6j( ('0-(cXIAW,A(&-I-
Address: t)l - 6S&I l f City: M t4L&W�L
— Y .,State: LJPf Zip Code:._'W; 3-
Building Area(Sq Ft): 1st Floor: J(90c7 2nd Floor: 3`d floor: -
Project Valuation: 43 Deck: I ZAD Garage/Carport: Basement:
U)lK3
Contractor: &AIL8M- ' Cr 4at&L�bWI - ?rump. 1W Phone Number: 14Z� Tlo;; ZSft
Address: ��Zy-Q'��- P[ N City:�'I'I"U(I I� State: �� Zip Code: fi3Z-7c�
Contractor's License Number: &AIL604 "L Z Z_M 1 Expiration: g I$I WI I
Plumbing Contractor,- MG4 G- SMl.(C-47 CYO 425 g 7(,p q+ 7,o
Phone Number: --- u
Address: 014 j MUAI QAq City:6QNV(lf (-AILS S State:
WA Zip Code:'q49ZSZ
Contractor's License Number: Expiration:
Mechanical Contractor: Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described roperty will be in accordance with the laws, rules and regulation of the State of Washington.
I /s/zoi RECEIVED
Applicants Signature Date
NrIL_ &QEEAJ JAN p 5 2010
Print Applicants Name
COA PERMIT CENTER
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
RESIDENTIAL ADDITION/ALTERATION
PERMIT APPLICATION
4� p Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3447
Water Supply Piping
A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units
B. Distance from meter to most remote outlet: feet.
C. Difference in elevation between meter and highest fixture: feet above meter or feet below meter.
D. Pressure in street main: psi. (Measure with gauge or check with Water Department)
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 =
Bathtub or Combination Bath/Shower X 4.0 =
Clotheswasher X 4.0 =
Dishwasher X 1.5 =
Hose Bibb X 25 =
Kitchen Sink X 1.5 =
Laundry Sink X 1.5 =
Lavatory Bathroom Sink) X 1.0 =
Shower Stand Alone) Each Head X 2.0 =
Water Closet(Toilet) X 2.5 =
Whirlpool Bath or Combination Bath/Shower X 4.0 =
Water Heater
Other TOTAL
Traps(other than above items) FIXTURE UNITS: 3
1 hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulation of the State of Washington.
4/W1O
Applicants Signature Date
Print Applicants Name
RECEIV.FEV.
J A N 0 5 L?G",,`_
COA PERMIT CEO TEE_,
8
' ~` RESIDENTIAL ADDITION/ALTERATION
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223 • Phone (360)403 3551 • FAX (360)403 3447
CROSS CONNECTION SURVEY FORM
Forward to Utilities Division for Review
Type of Residence: Dal�ingle-Family ❑ Duplex ❑ Other
The Rules and Regulations of the State of Washington Department of Health require that certain premises install
backflow prevention assemblies (WAC 246.290.490). Backflow prevention assemblies shall be installed at any
premise where, in the judgment of the City of Arlington Cross Control Specialist, the nature of activities on the
premises may pose a hazard to the public water system.
Type of Permit: Q] New Residential WAddition/Alteration A-A)k �
Project Description:
Project Address: `7-s q k 1 C pt Z r— Parcel/D#:
Owner: 'De yy\ Pe yJ b ('t— I �'-1�'rr `r T Phone Number:
Address: City: 2
3� � ( C�I�'� �� state: WA Zip Code-G��
Contact Person: W G Phone Number: go Z�
Cell Phone: Fax: E-mail:
Address: �
City: State: Zip Code:
Appliances permanently connected to water service may require
Cross-Connection-Control (check all that apply)
❑ Fire Sprinkler System ❑ Medical Equipment
❑ Lawn Sprinkler System ❑ Livestock Drinking Tanks
❑ Decorative Pond/Fountain ❑ Private Well
❑ Hot Tub ❑ Re-circulating Heating System
❑ Swimming Pool ❑ Other
Authorized Signature: IDate:
For Office Use Only
Date Received: Survey Received By:
Assembly Required: ❑ DCVA ❑ RPBA ❑ AVB ❑ Other
Inspection Required: YES ❑ NO ❑
RESIDENTIAL ADDITION/ALTERATION
PERMIT APPLICATION
4-p— Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3447
The building permit does not include any mechanical, electrical or plumbing work. These permits are issued
separately. These permits require a separate permit application.
To ensure that you have the most current information, please contact the City of Arlington Permit Center at
(360) 403 3551 or by email to Permit Center.
Applications delivered by courier or mail will not be accepted.
Incomplete applications will not be accepted.
/acknowledge that all items designated as submittal requirements must accompany my Building Permit
Application to be considered a complete submittal.
Signature: L/ Date: /
�O er/Owner's Representative
r
Company: &AlLhr9 S Cl ot&s PAL .ZMAt'L)UL C-A LVL• Phone:
6
Larry Dempewolf "I do hereby certify that this drawing or plan and related
Existing Floor Plan specifications meet all local code requirements and are in
Drawn y:Ne Green substantial conformity with VA Minimum Property
Requirements,all building standards as set forth by the
Betera Date:1Z-t`f--'2.p� International Code Council(ICC)and federal safe drinking
Builde. Date("_ —Z 7G Owater plumbing standards."
Note:New drywall,insulation 41
Existing front porch D'3/
Z P o = and paint throughout bathroom,- ti O common area and rear living area. � �� /,�l ✓�
_ t... _ : p n U
= oLU
rn >D c7)
C7 Existing Irving room Existing bedroom#1
U w �_ '
J L.. J
Z 10'-3" 1'-11"-Z'4" T-0'
w z �• -Existing
U Q Existing dining room bathroom
i^i I N
Existing kitchen
New 36"walk-throug 2 2^--
�1
-- 1 - New ADA toilet i New 24"sash
y`v i " and vanity window
Existing stairs 4 `3'p"
to basement — N
" Common area Grab tars(3) 5.0"
New 5'x5'
_ 6_10. ro 4 Ceramic tileF o roll-in shower
Y N Mooring in bath (ceramic tile) "
utility room New 36"
y y pocket doors v
l` s-10" � rys�re�
I '- --li0 - Re-surface and add J • �`rtR
am
new handrails on
3 S N - existing rear deck i/ ,�f�_357r�6
CO--- -- I(
S 6S
G -5��! N New commercial grade b 5s
i rn level loop glue-down carpet
N throughout entire rear living — __ New 36"
and common areas _ + exterior door
o J
(4)new sash L
Wwindows
V " RECEIVED
o� New built-in
work surfaces (Rear living area)
LALM6-0- — New 5'x5' JA IN
�� F landing to ramp
113" - COA PERMIT
o - _ -
v New 48"ramp a "'
@ 5%slope
s-0"
-- 13-6"-- -- - -
i
Y •\
— 6 slope on new ramp w
Elevation of new ramp and railing