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HomeMy WebLinkAbout18124 Cedarbough Loop_BLD90168_2025 Permit Nc ---J� � C i f j q AIL IV AN G T ON1 NOTICE an�dp Inspection Deport Date Called 6- -3 Address r�Z/ Time Called Contractor 100, 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 ❑ Corrections 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 435.571WFOR REINSPECTION—24 hour notice required. • Inspector Date I was present during this inspection. cili) n� Air I N G" ON Permit No. NOTICE and Inspectioi r, report Date Called -7 Address CAL L Time Called ��� Contractor By 7 Owner Requested by - (� .1 TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation A Drywall Nailing ❑ Final i ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION '❑ CORRECTION REQUIRED ❑ Corrections 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 to perform inspection. i {J.-1 CALL 435-5785-FOR REINSPECTION—24 hour notice required. Inspector Date I was present during this inspection. Permit No /� �ih) n4 i�It 1, "N G T 04 NOTICE and Inspection Report Date Called fe Address alzel ,- Time Called Contractor By Owner Requested by TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof � 11124 sulation S�X"Yec�q ❑ 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 ❑ Corrections 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 to perform inspection. ❑ CALL 435 5-7 -FOR REINSPECTION—24 hour notice required. Inspector Date as present during this inspection. Permit No. !u� NOTICE and Inspection Report Date Called —/e Address 0 1 dt Time Called Contractor '� loor 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 Ir Corrections 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 dorm inspection. ova ❑ CALL 43 FOR REINSPECTION—24 hour notice required. el czt 7� Inspector Date 6- J� I was present during this inspection. Permit No. n��_{� NOTICE and ii Ispection Report Date Called Address Time Called Contractor By Owner Requested by l' TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Pipi g ❑ Footing A Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other__ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections 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 to perform inspection. ❑ CALL 434XzOR REINSP CTION—24 hour notice required. Inspector Date I was present during this inspection. Permit No. _ f Cif j nt fa It f,11`,40"1'111111 NOTICE and Insptr%;tion Report Date Called ✓ Address Time Called � Contractor By de Owner a� Requested byUwe — TYPE OF INSPECTION REQUESTED Q ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm XGas.Oiping ❑ Footing Framing ❑ Woodstove ❑ Foundation �-� ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other 1 QN APPROVAL ❑ PARTIAL APPROVAL /❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections 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 to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION—24 hour notice required. /4-;, ~lam ra!Z Inspector Date I was present during this inspection. Permit No. < / 3 cai n� A It IA I N 4*r''01N _ZS NOTICE and InSpe.,1.101 r report Date Called � Address Time Called Contractor By Pip Owner Requested by �C 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 ❑ Corrections listed below MUST BE MADE before work can be approved. kk listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION—24 hour notice required. T Inspector '�✓ t Zs present during this inspection. Permit No. ;���. City q Alt' 4►►1r"T N NOTICE and. Inspection Report /f Date Called Address Time Called �L0/016'� Contractor J J By Owner z2g/ =� Requested by A� 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 ❑ Corrections listed below MUST BE MADE before work can be approved. Work listed below has been inspected and approved. ?_1 Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION—24 hour notice required. Inspector Date I was present during this inspection. Permit No. q A It 1i�`4e rI,0�` 6 � NOTICE and In,',ection Report Date Called _ 7 Q Address Jg ay LJ jQ( d Time Called in 4/D Contractor R C—A b- il O By �r�V� Owner Requested by !Cl2 TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation XPlumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other XAPPROVAL ❑ PARTIAL APPROVAL ❑ 00 LATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. '<"Or' listed below has been inspected and approved. ❑ e contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION—24 hour notice required. 04 011610 Inspector �*� Date I was present during this inspection. Permit No. ,G U NOTICE and Inspection Report Date Called Address 't'1L4 Time Called ' q�� Contractor By / .JF Owner Requested by TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing �inal ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other �PPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. Orl<listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435L7 R REINSPECTION—24 hour notice required. (7A Inspector DateMe ✓ ` I was present during this inspection. F,21D ---------------- /V l jrAed JC4 oam �"OO �/ �r7ir�lUryc✓e� /5�28+Ab►a/t � `�l hl �l TN,F WOO PILPA>195 C i De Of TUN L�/u. c _SECT 0 RE—D I�CO.—CONSTRUCTION 5130 I44'EcK AYI� -5860 CITY OF ARLINGTON CONSTRUCTION PERMIT BUILDING ❑ MECHANICAL ❑ PLUMBING ' �10 ❑ COMBINATION ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE Steven L & Suzanne Robinson 18124 Cedarbough Arlington 98223 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N same as owner MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE iY PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# CLASS OF WORK ❑NLW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLI[ION ❑BUILDING RELOCATION VALUATION OF WORK f 3000 DESCRIBE WORK Finish Basement 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(RIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOI C24BLOCK " OF Woodlands Sector I' WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE R CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCA EGULATING CONSTRUCTION OFTHE PERFORMANCEOF CONS RU N.PERMIT E i S 1 YEAR FROM DATE OF ISSUANCE. SIC I T OF RACTO R AUT Z AGENT DATE IOB ADDRESS 18124 Cedarbough. Loop Arlington X P (OFFICE USE ONLY) PLUMBING MECHANI AL NO. TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND. UNITS - H.P. EA. BATEIIUB REFRIGERATION UNITS - H.P. EA. LAVATORY (WASH BASIN) BOILERS- H P. EA SHOWER 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 TRAY UNIT HEATERS- B.T.U. M CLOIHLSWASHER EVAPORATIVECOOLERS WATER HEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN IAIN 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 $1 SUB TOTAL f PERMIT $I PERMIT f TOTAL FEE $1 TOTAL FEE f SIDL YARD SE IBACK STRLLT SETBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE FEE RECEIPT NO USE/ONE LOT AREA VACANT SITE FEES VALUATION FE ❑YES ❑NOE TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG 35 SIZE OF BLDG. NO.Of STORILS MAX.00C.LOAD BUTDING ; 54 00 PLUMBING F IRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY U.B C. SEC.303(a) WATEPUSEWER FEES r TOTAL PERMIT VALIDATION WHEN PROP 1'VA ATED UN THIS SPACE) IS YOUR PERMIT C PAID CR# / BY 9� cc:ASSESSOR,APPLICANT,TREASURER, BLDG DEPT ING I iA DATE RECORDS COPY z le C l CITY OF ARLINGTON CONSTRUCTION PERMIT - ❑ COMBINATION ❑ 9UILbING ❑ MECHANICAL ❑ PLUMBING SIGN pEAMIT NO. WNER MAIL ADDRESS CIIY ZI► PIIONE sev.: I$ Z Ce�A:. 2 2 RCHITECT OR DESIGNER MAIL ADDRESS Filly ZIP PION E,NE AL CONIRACIUA MAIL ADDRESS CITY ZIP PHONE UC NSE F ECIIANICAL CONTRACTOR MAIL ADDRESS CIIY ZIP PHONE LICENSE J)MBINGCONTRACTOR MAIL ADDRESS CITY ZIP PIIONE LICENSE F LASS OF WORK JNLW ❑ADDITION OALTERATION - []REPAIR ❑DEMOLILION ❑BUILDIN(;RELOCATION LVAT ION OF WORK CRIBE WORK i.s.s fJ� RUPUSI D USE Of BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TINS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- t46AL UES(11RrrIPIION Of PROPERTY(SHOWN BELOW OR AT 1 ALI1 f UUR CUNT 51 SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK k]I�-`2`►aLtxk Or c � _ L 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 FAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION.PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE. 51G4A7UR(rOr, NTRACTOR O Ut R1ZED AGENT DATE B\UpURLSS l I DI Zt l P� V`�D S x 0- (oFl l(;li I1SI!()NI,Y) — -- - - _ -- --Y-- ECIIANICAL 'I'YI,I:OPFIXTURE PRD__xiFIX7'URCS NO. TYPROPEOUIPMENT PER ix FIXTURES - VA'1'IiR CLOSI!'I'('IO11.ET) -57.00 _ IRCOND.UNITS-II.P.EA. ,quip.list•• tA'1.I1'1'11I1--�-_ _ - _ — $7.0_0 — EPRIOERATION UNITS-H.P.EA. ,quip.—lilt- LAVATORY(WAStl BASIN) $7.00 IOILERS-H.P.EA. _quip.Iist- - I IUWI!R $7.00 1ASPIREDA.C.uNrrs-TONNAGE EA. gulp.list"' _ II(:I It?N SINK&DISPOSAL 57.00 IORC D AIR SYSTEMS-B.T.V. MEA- $9.00 )ISIIWASFIER _ $7.00 VALL II EATERS-D.T.U. M $9.00_ - .AI/NDRY'I ItAY $7.00 ]NIT IIRATERS-B.T.U. M $9.00 I,U'fl IES WASIIER f7.00 .VAPORATIVE COOLERS XlItR IIPATIIR $7.00 - - 'LOTIIES DRYERS $6.50 JR1 At — $7.00 61ENTILATION PAN s4_50 )IUNKINO FOUNTAIN 27.00 1ANGE HOOD COMMERCIAL $6.50 I'I.oO,t DRAIN T _ S7.0o R.IIANDLING UNIT- CPM _ A:UUM RREAKI;ILS f7.00 rove $6.50 tool:DRAINS-RAINI,EADERS 57.00 -ETA_LPIREPLACE A.CIIIMNEY $6.50 _ PINK(SI!itVICI!-BAR,-E_11C.)_-_- _ _..f7.00 .,... .- •-.-- -WATER HEATER $630 AS P IPING •(tIp to 5=53.00,addnl.=f.75 ea.1 'EqulEment list must he provided SUB TOTAL suD'FoTAL _ _PERMIT PERMIT' - TOTALI'EE TOTAL FEE SIDE.YARD SLIBALk SIRELISL ��REC�VEO IBACK REAR YARD SETBACK FEE RECEIPPTT N NO IlANC/1ECO. USF /UNI LOT ART A VACANT SITE FEES VALUATION FEE ❑YES (j No _ TYPE Of CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUILDING s SIZE Of BLM. NO.OF STORILS MAX.OCC.LOAD PLUMBING F ME SPRINKLERS REVUIRED ❑YES []NO MECHANICAL COMMENTS STATE BLOC.CODE ENERGY CODE SURCHARGE PENALLY SEE. SEC.301I1) WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VAt1OAnt)tiN TH11 SPACLI THIS IS YOUR PERMIT 6 RECEIPT PAID CRs - BY RUtIOINr,Of t ICIAt DATE ASSESSOR. APPLICANT,TREASURER, FLOG.DEPT. RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION © BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00 1 68 OWNER MAIL ADDRESS CITY ZIP PHONE Re-Del -Co Construction 5130 Narbeck, Wa, Everett. - 98203 348-5860 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE Crane Design 10803 Kent Kangley Rd, Suite 300, kent Wa. 98031 859-2954 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICIENSE M same as above REDEL **1540T MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M Mountainview Plumbing CLASS OF WORK EJNLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK s 110,868 DESCRIBE WORK SFR PRUPUSF U USE OF BUILDING SFR I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LEEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH(•OUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LC �5 BLOCK OF Woodlands WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO Sector 1 as per Plat recorded in Vol 46 of Plat VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATTT j08 ADDRESS // E OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE / / 18124 Cedarbou h Loop X �M"'a" n�9al�,ZL (OFFICE USE ONLY) MECHANI AL PLUMBING NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE 4 WATER CLOSET (TOILET) 800 AIR COND.UNITS -H.P. EA. gAIHTUg 4no REFRIGERATION UNITS-H P.EA. LAVATORY (WASH BASIN) BOILERS-H.P.EA SHOWER GAS FIRED A.C.UNITS-TONNAGE EA, KI ICHEN SINK& DISP. 266 1 FORCED AIR SYSTEMS- B.T U MEA DISHWASHER 2=00WALL HEATERS- B.T U M LAUNDRY TRAY UNIT HEATERS- B.T.0 M CLOIHLSWASHEK 20n EVAPORATIVECOOLERS WAIERHEATER CLOTHES DRYERS URINAL VENTILATICN FAN 2250 DRINKING FOUNTAIN RANGE HOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR,ETC.) WATER HEATER GAS PIPING SUB TOT ; SUBTOTAL $ 41 bo PERMIT $I PERMIT $ TOTAL FEE $1 j 00 TOTAL FEE ; SIDL YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE 20 21 FEE RECEIPT NO. USE L LOT AREA VACANT SITE 50.00 R7200 7311 F(I YES ❑NO FEES VALUATION FEE TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG 50,00 VN R3 & M 1 SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD BUILDING $ 678 00 3257 w basement 8 PLUMBING 51 00 FIRE SPRINKLERS REQUIRED ❑YES NO MECHANICAL 56 QQ COMMENTS STATE BLDG.CODE 4 50 ENERGY CODE SURCHARGE PENALTY S B.C. SEC 303(a) WATER/SEWER FEES 13 PLAN C121288AF A '' I; D TOTAL 2094 50 7 I 6 PERMIT VALIDATION f_�N C§ e• �"•,J WHEN PROPERLY VAu ATE uN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT PAID CR# BY GITY Ulf 13- cc:ASSESSOR,APPLICANT,TREASURER, BLDG.DEPT. �L '14 11CIA11. DATE RECORDS COPY x CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL.ADDRESS CITY Zip M ORE ' �. 6 ARCIII I tC1 0R V*SIGNElt ^ MAIL ADDRESS CITY TIP ►IIONt GtNtRALCON RACIU MAIL ADDRESS xf �f I�G CIiY 11► PHONE LtCtf#St IF Ml01ANICALCONIRACIUR MAIL ADDRESS CITY 11P PHONE LICENSE PL MBING CONI RAC10R MAIL ADDR SS CITY 11P PRUNE LICENSE Cl - Ir !J :� CLASS Of WORK NI w ❑ADUI I ION ❑AL TE RAT ION ❑REPi1i ❑OEMOLI IION ❑80ILUING RELOCAI ION VA,LUAI ION OF WORK t ULSLRIIIL WORK PRUPUSI 0 USL OI BUILDING r. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- LEGAI OtSCRIPI ION 01 PROPERTY(SHOW BELOW ORAIIALHFOURCOPIES)• TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- n/1 -��3 C�, SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK Lultc_ ]-BLLxK uT �� WILL BE COMPLIED WITH WHETHER SPECIFIED HERM4 OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO J /ko P4 I yc'� t,', ��/' 07, VIOLATE O(�•CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER . LOCAL LAW.REGULATING CONSTRUCTION OF THE PERFORMANCE OF 4 &d jCONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 106 RISS SIGNATURE OF CQINTRACTOR OIL AUTHORIZED AGENT DATE (OFFICE USE ONLY) 1-7 PLUMBING MECHANI AL! NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET ((OILED AIR GOND.UNITS -II.R EA. BAIIIIU9 REFRIGERATION UNITS-II.P.EA. LAVATORY (WASII BASIN) BOILERS-H.P.EA SII()W'CR GAS FIRED A.C.UNITS.-TONNAGE EA. r KI ICI ILN SINK d UISP. 2- FORGED AIR SYSTEMS-B.T.U. MEA UISIIWASIILR WALL-HEATERS-B.T.U. M LAUNDRY 1RAY UNII HEATERS- B.T.U. M CLOIIILS WASIILR .�_ EVAPQRAI IVE COOLEFS WA I LR IILATLR CLOTHES DRYERS / c URINAL VLNTILAI ION FAN SC) DRINKING I UUN I AIN RAN 'E HODU COMMERCIAL �� I LOUR DRAIN - AIR IIANULING UNIT- . CPM VACUUM1IBREAKERS SIOVt ROOI DRAINS - RAINLLADERS METAL FIREPLACE A CFIIMNEY SINK (SERVICE - BAR,ETC.) WATER HEATER GAS PIPING SUB TOTAL f (o f ,SUBTOTAL f PERMIT T PERMIT S TOTAL FEE T S TOTAL FEE T SIDE YARD SE IBACK SI Rkki SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE V' FEE,,,f�i _ RECEIPT NO. USf t.UN4 LOT AREA VACANT SITE pzo(7 S ❑NO FEES VALUATION FEE IYPt01 CONS 1. OCCUPANCY GROUP NO.OF DWELLING UNIIS• PLAN CHECKINGVO LIN SIZE UI BIIX;. NO.Of SfORIE y My.000.LOAD BUILDING PLUMBING F IRE SPRINKLE R REQUIRED []YES NO MECHANICAL !! COMMENTS STATE BLDG.CQDE d?J ENERGY CODE JURCHARGE PENALTY :y SEC.U.B.C. _p!Ate' �,j y� Z� t WATER/SEWER FEES TOTAL '�' r--•��, D L ' PERMIT VALIDATION' WHEN PROPE4Y VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT opt, t 7 PAID CRN BY 'r cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT. BUILDINI;OFFICIAL DATE ,r RECORDS COPY','