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HomeMy WebLinkAbout18305 Cedarbough Loop_BLD87443_2025` NOTICE and Inspection Ret._rt Address vi (j Contractor I i Owner Requested by TYPE OF INSPECTION REQUESTED BLDG: Pmt. No. ❑ MECH: Pmt. No. ❑ PLBG: Pmt. No. Footing ❑ Framing Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough -In ❑ Fireplace and Chimney ❑ Furnace ❑ Other El APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. ❑ Work listed below has been Inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CAUL 435.5785 FOR REiNSPECTION — 24 hour notice required. Inspector I, /..41 Irr 1 � " •'' • . t: j am.. Date I was present during this inspection. city o� ItL1 ING"I'llN NOTICE and Inspection Report Address r� Contractor Owner Requested by PE OF INSPECTION REQUESTED ❑ BLDG: Pmt. No. �� ❑ MECH: Pmt. No. ❑ PLBG: Pmt. No. ❑ Footing Framing ❑ Foundation LJ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough -In ❑ Fireplace and Chimney ❑ Furnace ❑ Other C .APPROVAL ❑ PARTIAL APPROVAL '❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved APPROVED FOR OCCUPANCY subject to certificate of occupancy. ❑ Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform Inspection. ❑ CALL 435.5785;FORrREINSPECTION — 24 hour notice required. Inspector Date _ I was present during this Inspection. Permit ✓ a' Date Called Time Called By C�ly q "'L-IN1:TION t. NOTICE ana Mspection Report Address���� Contractor } Owner Requested by 1 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 ❑ Cor clions 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 pert m inspection. ❑ CALL 435o578 FOR REINSPECTION — 24 hour notice required. Inspector Date I was present during this inspection. 5 h�y��o�rn ❑ COMBINATION CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ BUILDING n MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00443 OWNER MAIL ADDRESS CITY ZIP PHONE Steve Olivares ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N Cozy Heating Inc. 20221 67th Ave NE Arlington, WA 98223 435-4904 COZYHI*122MM MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE SAME PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE SAME CLASS OF WORK ❑ NEW f] ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION []BUILDING RELOCATION VALUATION OF WORK s2,000.00 DESCRIBE WORK (_ate D4rocs F'i�rnan� PRUPOSt D USt Of B'UILDING Residential I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE X LLUAL DESCRIPTION Of PROPERTY )SHOWN BELOW OR ATTACH FOUR COPIES) LOT D-4 BLOCK OF Woodlands Sector I TAX ID NUMBER 7385^004-060-0009 jOB ADDRLSS 18305 Cedarbough Loop (OFFICE USE ONLY) PLUMBING MECHANICAL NO, TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND UNITS - H.P. EA BAIHIUB REFRIGERATION UNITS -H P. EA. LAVATORY (WASH BASIN) BOILERS - H P EA SHOWER GAS FIRED A C UNITS - TONNAGE EA KI ICHEN SINK & DISP. 1 FORCED AIR SYSTEMS — B T U MEA 9 00 DISHWASHER WALL HEATERS — B T U M LAUNDRY TRAY UNIT HEATERS — B.T U M CLOIHESWASHER EVAPORATIVECOOLERS WAIER 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 SUB TOTAL ; SUBTOTAL $ 12 00 PERMIT ; PERMIT $ TOTAL FEE ; TOTAL FEE ; SIDE YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER - PLAN FEE CHECK FEE RECEIPT NO USE ZONE LOT AREA VACANT SITE ❑ YES ❑ NO FEES VALUATION FEE PLAN CHECKING NG TYPE OF CONST OCCUPANCY GROUP NO. OF DWELLING UNITS BUILDING $ SIZE OF BLDG NO OF STORIES MAX.000. LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO MECHANICAL 2.7 OC COMMENTS r� STATE BLDG. CODE ENERGY CODE SURCHARGE PENALTY U.B C. SEC,303(a) WATER/SEWER FEES TOTAL 27 0 PERMIT VALIDATION WHEN PROPS/ IDATED (IN THIS SPACE) THIS IS YOUR PERMIT & RECEIPT Q I Ck 1) ­7 7 '17 o f rLJ r f cc: ASSESSOR, APPLICANT, TREASURER, BLDG DEPT CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ A COMBINATION ❑ BUILDING P' MECHANICAL ❑ PLUMBING 5AP--j Nr,CONT RAC70R MAIL AUUKt SS ❑ SIGN PERMIT NO. 443 CITY ZIP PHONE CLASS OF WORK ❑ NLW OADDITION Cl ALTERATION Cl REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION VALUATION OF WORK $ DESCRIBE WORK P RCIPS )5k ls'11<F Cli ii�'n �r � Lc %L uL.c% Klr I tuN lrA rxVrtK J T (]IMMN t LLOW OR ATTACH FOUR COPIE's) LOT D BLOC1 rr OF TAX ID NUMBER IUD AUUKLSS 1S3d�_ - C (OFFICE USE ONLY) PLUMBING NO. TYPE OF FIXTURE FEE WATER CLOSET (TOILLI) BAIIIIUB LAVATORY (WASH BASIN) SHOWER KI ICIILN SINK & DISP. DISHWASHER LAUNDRYIRAY CLOIHLSWASHLR WATER HEATER URINAL DRINKING FOUNIAIN FLOOR DRAIN VACUUM BREAKERS ROOF DRAINS - RAINLEADERS SINK (SERVICE - BAR, ETC.) SUBTOTAL S PERMIT ; TOTAL FEE S SIUL YARD SE I BACK ISTRLEISETBACK REAR YARD SETBACK TYPL OF CONST SIZE Of' BLDG. COMMENTS OCCUPANCY GROUP NO. OF STORIES I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK 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 LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SiGNAT �OF CONTRACfORCIRAUTHORIZED AGENT DATE MECHANICAL NO. TYPE OF EQUIPMENT FEE AIR COND. UNITS - H.P. EA. REFRIGERATION UNITS - H.P. EA. BOILERS - H.P. EA GAS FIRED A.C. UNITS - TONNAGE EA. FORCED AIR SYSTEMS - B.T.U. EA WALL HEATERS - B.T.U. M UNI1 HEATERS - B.T-U. M EVAPORAI IVE COOLERS CLOTHES DRYERS VENTILATION FAN RANGE HOOD COMMERCIAL AIR HANDLING UNIT - CPM STOVE METAL FIREPLACE & CHIMNEY WATER HEATER GAS PIPING SUBTOTAL S PERMIT $ TOTALFEE $ PLAN CHECK NUMBER PLAN CHECK FEE ^ I' FEE I RECEIPT NO. VACANT SITE ❑ YES ❑ NO FEES VALUATION FEE NO. OF DWELLING UNITS PLAN CHECKING VG BUILDING S MAX. OCC. LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO MECHANICAL r STATE BLDG. CODE ENERGY CODE SURCHARGE PENALTY U.B.C. SEC. 303(a) WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PFRMfT ERECEIPT PAID — CR � 's BY q cc: ASSESSOR, APPLICANT, TREASURER, BLDG. DEPT. I BUILDINGOFFICIAL DATE RECORDS COPY OV City q AItLI►N' GTO N PERM`T APPLICATION fj�i 230 N. OLYMPIC(AV 4 5RLINGTr WA 98223JUL ` 5785 ERCIAL, RESIDENTIAL, MECHANICAL, PLUMBING, GRADING FIG cur Tax Accpunt Numbe 0 C)�� ' Job Site Address xe'��`����%�� City Applicant Name � 't f �' % �: tffll"r� Phone 35' 9 • - 7- Mailing Address % % ,7 fa' N � City /G' rCi Zip 7 g _7 r 3 Contractor Name ,!' .['/1✓/. /)? r Z Z I } A.r License # Address o2 7 to -5J City AA` i� j 4 ../ Zip , Z� Z '3 Phone l3.57` .3 7 Z Architect/Engineer Address TYPE OF PROJECT City Sewage Disposal Right -of -Way Width LOCATIONAL INFORMATION: SEC TWP Plat Name/Short Plat No./Segregation No. 6-1�1& Lot/Parcel # Block # Is the average slope of the property in excess of 25%? Yes License # Zip Phone Culvert Permit No. RGE 16th 'kak- No /e This structure will be used for the following purpose``£'`" Other buildings on this property NEI Lot Size I C% Has construction started? Yes No OWNER/AGENT SIGNATURE DATE / J30 —97 NOTICE: Front Yard Setbacks. Curbs, Sidewalk Edge, Edge of Street pavement is not necessarily your front property line. In the case where your setback will be measured from the front property line, be certain that you are measuring from the actual front property line and that your plot plan depicts this. In the event your setback will be measured from a private access easement, the edge of the improved road is not necessarily your front property line. Be certain that you are measuring from the edge of the actual easement and that your plot plan depicts this. ACKNOWLEDGED ------------------------OFFICE USE ONLY BELOW THIS LINE ------------------------ PERMIT CONDITIONS ... I ZONING: — SETBACKS: Front Side Rear Basic Plan # SPECIAL CONDITIONS ... SANITATION Max Lot Cover Other Covenants ON SITE LETTER ENV HEALTH SEWER ACCESS RSBP ESMT RSME ADDRESS J_ PLBG CULVERT MBHM �_ _ AFF/BOND MOVE GRADING INSP CU FL ZN— SEPA SH LN_ OCD LS STD B LA SP _ 5 ACRE_ LOTS _ 20 ACRE OCP FML BLA SP VAR_ % Max Bldg. Height DRAIN CN R/R SLIDE SLOPE SEPA _ OTHER OTHER PLAT SU PUBLIC WORKS TRAFF_ RD IMP CMBP CMME _ SITE PLAN FIRE REZONE VA ft PLUMBING PERMIT F3_1 FIXTURES No. Water Closets -- Bath Tubs 2` Shower 41aShs Wash Basins Sinks `? Dish Washing Machine Hot Water Tanks / Drains Laundry Washers Laundry Trays Urinals Drinking Fountains Rain Leaders Sumps Vacuum Breakers Gas Piping Side Sewers Water Service Line Misc Total Fixtures ! Permit Fee Total Due $ Related Bldg. Permit # MECHANICAL PERMIT (N07 FOi. ,AOBILE HOMES) i UNIT TYPE: _ Electric Oil Gas LPr~ 0lar UNIT SIZE: BTU's KW No. FEE FOR THE INST. OR RELOC. OF Forced Air Systems Fuel Storage Tanks Heat Pumps Wood Stove Fireplace Insert —0— Clearance Fireplace GRADING/FILL INFORMATION No. of cubic yards: To be removed from site_ To be imported to site Permit Fee _ Total Due $ IF MORE THAN ONE BUILDING, SUBMIT SEPARATE APPLICATION FOR EACH STRUCTURE. A SEPARATE BUILDING PERMIT MUST BE ISSUED FOR EACH BUILDING. F61 BUILDING DIMENSIONS: MAIN FLOOR MAIN FLOOR SQ. FT. SECOND FLOOR SECOND FLOOR SQ. FT. THIRD FLOOR THIRD FLOOR SQ. FT. FOURTH FLOOR FOURTH FLOOR SQ. FT. MEZZANINE MEZZANINE SQ. FT. J � BASEMENT BASEMENT SQ. FT. GARAGE GARAGE SQ. FT. �� 1 CARPORT CARPORT SQ. FT. �I DECK DECK SQ. FT_ NUMBER OF FIREPLACES TOTAL SQ. FT. FOR OFFICE USE ONLY ROUTING SCHEDULE:] Bldg: sent rcv'd Valuation Site Plan: sent rcv'd Plan Check % —2_ rcp San: sent rcv'd Permit Fee Env. Hlth: sent rcv'd Penalty Fee Eng: sent rcv'd Plumbing Fee FM: sent rcv'd Mechanical Fee Env. Cklt Fee TOTAL DUE: