HomeMy WebLinkAbout18509 Ballantrae Dr_BLD20130001_2025 Y�
BUILDING INSPECTION REPORT
ct�v ��� Permit No. OOo
Address: `S5 09n baM o'n-l- Dr
Contractor: 1 Lk(V\. 'knq
�ING� � , r
Owner:C`jYM L- V Q.!'l YV16kv-
Date:
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
Inspector: Date: Lz' /3
® Under-floor ® Framing ® Gas Piping
® Footing ® Drywall, nailing ® Consultation
® Foundation ®Shear Nailing ® Groundwork
® Mechanical ®Grid ® Struct. Slab
® Wood Stove ® Rough-in ® Final
® Masonry ® Drainage ® Insulation
0 Other: WAR( K_
4P CITY OF ARLINGT
238 N.OLYMPIC AVE.-ARLINGTON,WA 98223
PHONE:(360)403-3551
BLUDING PERMIT
Address:18509 BALLANTRAE DR,ARLINGTON Permit#:BLD20130001
Parcel#:00865900000700 Valuation:$1,400.00
OWNER APPLICANL�T CONTRACTOR
BRUCE W VANMETER MR ROOTER PLUMBING MR ROOTER PLUMBING
9210 MARKET PL 2000 SW 116TH 2O00 SW 116TH
EVERETT,WA 98205 SEATTLE,WA 98168 SEATTLE,WA 98168
Lic#:MRROOP*022NE Exp:08/19/14
PLUMBING CONTRACTOR MEC"M. CALCO1SrMkCI'OR
MR ROOTER PLUMBING
2000 SW 116TH
SEATTLE,WA 98168
Lic#:MRROOP*022NE Exp:08/19/14 Lic#: Exp
JOB 1500 PTIO
Water Heater
PERMIT TYPE: Residential-Residential-Repair CODE YEAR:
STORIES: 0 CONST TYPE:
DWELLINGUNITS: 0 OCC GROUP:
BUILDINGS: 0 OCC LOAD:
PERMf OKOVAL
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 OCCUPA HAS BEEN GRANTED.IBC110/IRC1 10.
SALES TAX 'LICE: �rles to relating to construction and construction materials in the City of Arlington must be reported on your sales tax return
form and c City Arlin n#3101.
Z,-!YL
Signature Print Name Date Released ate
ARCHIVE = APPLICANT ASSESSOR a OTHER
RESIDENTIAL PLUMBING
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. • Arlington: WA 98223 • Phone (360)403 3551 • FAX (360) 403 3418.
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 AND TWO SETS OF SPECIFICATION SHEETS.
Type of Permit: ® New Residential Addition/Alteration
Project Address: B&% BIZ Parcel ID#:
Lot#: Subdivision:
P11Eiu� �+ks 1,►.•r�4 b *`r-- �.Eop •--
Project Description: Project Valuation:
Owner: Q-C ZW—NA"M!V*9L- Phone Number:
Address: S^4^4- c _ _ City: e.
State: Zip Cod
Contact Person: Olaa/1ti?.�A „7-►��P'�VyW Phone Number:
Cell Phone: 2A(s,'7S0-�.r/v Fax: E-mail:
Address Z>�� City: !:& ' *_State: tAA- Zip Code:
Plumbing Contractor:_; Qr. Phone� Number: pd�
L
Address: Stra �t TW City: S6>l �� State: S Zip Code: 9g ilofr
Contractor's License Number: 0724,4*— Expiration:
I hereby c rtify at the ove information is correct and that the construction on, and the occupancy and the use of the above-
describe op y will b in ccordance with the laws, rules and regulation of the State of Washington.
__9- - ?M13
pp scants Signature Date
Print Applicants Name
RECEIVED
JAN 0 2 2013
COA PERMIT CENTER
RESIDENTIAL PLUMBING
r
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. -Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418
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 2.5 =
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:
hereby certi!.v that the ab Fordance
information is correct and that the construction on, and the occupancy and the use of the above-
described pr rty wi be in with the laws, rules and regulation of the State of Washington.
l - Zr2� �3
plicants Signature Date
Print Applicants Name
2
RESIDENTIAL PLUMBING
l
PERMIT APPLICATION
a `
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3418
CROSS CONNECTION SURVEY FORM
Forward to Utilities Division for Review
Type of Residence: ❑ Single-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: ® New Residential ® Addition/Alteration
Project Description
Project Address: Parcel ID#:
Owner: Phone Number:
Address: City: State: Zip Code:
Contact Person: Phone Number:
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: Date:
For Office Use Only
Date Received Survey Received By:
Assembly Required: DCVA RPBA AVB Other
Inspection Required. YES NO ❑
3