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HomeMy WebLinkAbout18030 Cedarbough Loop_BLD871405_2025city od Aft 1t IA I N i:'1 O N NOTICE and Inspection Report r o 7 9 Address -,f 3 Contractor 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 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 FOR REINSPECTION — 24 hour notice required. J Inspector?/fir SA Date I was present during this inspection. ❑ BLDG: Pmt. No. City o� ' RLI1N'�iTON �7 NOTIC/Eand Inspection Report Address Q / C� Q-y Contractor Owner Requested by TYPE OF INSPECTION REQUESTED ❑ MECH: Pmt. No. ❑ PLBG: Pmt. No. ❑ Footing Framing ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ough-In i ❑ Fireplace and Chimney ❑ Furnace Other { 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 FOR REINSPECTION — 24 hour notice required. Inspector Date I was present during this inspection. city od It L I NG"I'll N NOTICE and Inspection Report Address Contractor Owner Requested by TYPE OF INSPECTION REQUESTED ❑ BLDG: Pmt. No. ❑ MECH: Pmt. No. ❑ PLBG: Pmt. No. ❑ Footing ❑ Framing ❑ Foundation ❑ Drywall Nailing ❑ Final El Concrete Slab ❑ Rough -In ❑ Fireplace and Chimney ❑ Furnace ❑ Other ❑ 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 FOR REINSPECTION — 24 hour notice required. eCtor Date I was present during this inspection. } City q I It IN G'110 N NOTICE and Inspection Report Address Contractor Owner Requested by _TY E`OF SPECTION REQUESTED 7cZ ❑ BLDG: Pmt. No. ❑ MECH: Pmt. No. ❑ PLBG: Pmt. No. Footing ❑ Framing ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough -In ❑ Fireplace and Chimney ❑ Furnace ❑ Other ❑ 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 FOR REINSPECTION — 24 hour notice required. Inspector Date I was present during this inspection. Permit No. / City of Arlington ti NOTICE and Inspeu--- n Report Date Called - Address GF Time Called r Contractor/Owner By S Requested by ❑ 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 ® CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. Work listed below has been inspected and approved. ❑ CALL 435-4724 FOR REINSPECTION - 24 hour notice required. Inspector - Date " City of Arlington Permit No 1137 NOTICE and Inspection Report Z G Date Called _r— Address 0 3 C/ � /}✓ ��s Time Calledp., •%05 Contractor/Owner By .!J Requestedby— TYPE OF • ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping Er-fo­ofing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough -In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other APPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required. Inspector I& U& Date Permit No. Date Called Time Ca41e By ❑ Setback ❑ Plumb GW ❑ Footing ❑ Foundation ❑ Concrete Slab ❑ Shear Wall -_.APPROVAL City of Arlington NOTICE and Inspection Report Address Contractor/Owner Requested by ❑ Reroof ❑ Insulation ❑ Roof Diaphragm ❑ Gas Piping ❑ Framing ❑ Woodstove ❑ Drywall Nailing ❑ Final :-,M sough -In Plumbing ❑ Reinspection ❑ Furnace ❑ Other_ ❑ CORRECTION REQUIRED — ❑ Corrections listed below MUST BE MADE before work can be approved. N-Fie—WodLfisted below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required. Inspector Date r Permit Nv Date Called Time Called l BY ❑ Setback ❑ Plumb GW ❑ Footing ❑ Foundation ❑ Concrete Slab ❑ Shear Wall APPROVAL City of Arlington NOTICE and Inspection Report Address / AX 6,A.&Oa- F] Reroof ❑ Insulation ❑ Roof Diaphragm ❑ Gas Piping ❑ Framing ❑ Woodstove ❑ Drywall Nailing ❑ Final _�4%ugh-ln Plumbing ❑ Reinspection ❑ Furnace ❑ Other - ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required. Inspector Date 3 Permit No. 11 �3-1 Date Called q _ Time Called _ By ..1 City of Arlington NOTICE and Inspection Report Address Contractor/Owner ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation wall Nailing ❑ Final ❑ Concrete Slab ❑ Rough -in Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other, _APPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. l > Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required. Inspector Date 4 ` "� Permit No. 7 City of Arlington �, O TICS and Inspection Report I � Date Called Address_ Time Called 1 Contractor/Owner By Requested by ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-ln Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other [ APPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice requited,. J/ City of ArlingtonPermit No. Date Called Time Called ❑ Setback ❑ Plumb GW ❑ Footing ❑ Foundation ❑ Concrete Slab ❑ Shear Wall NOTICE and Inspection Contractor/Owner ❑ Reroof ❑ Roof Diaphragm ❑ Framing ❑ Drywall Nailing ❑ Rough -in Plumbing ❑ Furnace Insulation ❑ Gas Piping ❑ Woodstove ❑ Final ❑ Reinspection ❑ Other If PROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. V--Wj)rk listed below has been inspected and approved. ❑ CALL 435-0724 FOR 9&NSRECTIONA24 hour notice required,\ Inspector Date 1 I //,--s �' City of Arlington Permit No. NOTICE and Inspection Report Date Called /�r�' Address / �1 C r�&�� Time Called 1� _ _ Contractor/OwnerQ�Ovl By Requested by ❑ Setback ❑ Plumb GW ❑ Footing ❑ Foundation ❑ Concrete Slab ❑ Shear Wall ❑ Reroof ❑ Roof Diaphragm ❑ Framing ❑ Drywall Nailing ❑ Rough -in Plumbing ❑ Furnace ❑ Insulation ❑ Gas Piping ❑ Woodstove (2)nal ❑ Reinspection ❑ Other. _ APPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required. I Permit No. City of Arlington NOTICE and Inspection Report Date Called) Address Time C I d Contractor/Owner Clt By Requested by TYPE OF •REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-ln Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other >�APPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ork listed below has been inspected and approved. V, ❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required. Inspector _ LI # Date`/ ✓ f �-3 CITY OF ARLINGTON CONSTRUCTION PERMIT 1405 ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT T NO. OWNER MAIL ADDRESS CITY ZIP PHONE Bob & Vickie Campbell 18030 Cedarbough Loop 98223 435-8638 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE Gary Parkinson 2812 Colby Ave Everett 98201 252-2153 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICIENSE N T & G Construction 24729 47th-Ave NE Arlington 98223 435-5962 TGCON**09306 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE # PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS OF WORK NLW ® ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLI f ION []BUILDING RELOCATION VALUATION OF WORK s 50 DESCRIBE WORK Gas piping only for furnace water heater 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- LEG7.L DES( RIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOT —BLOCK —OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE. — �.ATLIRE OF CONTRACTOR OR AUTHORIZE, AGENT DATE IOB AUDRI SS 18030. Cedarbough Loop X 4 3;,2 (OFFICE USE ONLY) MECHANICAL of Iiiuolwi!' NO V TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE WATER CLOSET (TOILLT) AIR COND UNITS — H P EA BAIHTUB REFRIGERATION UNITS — H P EA LAVATORY (WASH BASIN) BOILERS - H P EA _ SHOWER 1 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 T RAY UNI I HEATERS — B T U M CLOTHES WASHER EVAPORATIVECOOLERS WAIERHEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUNIAIN y RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT - CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS SINK (SERVICE - BAR, ETC) METAL FIREPLACE & CHIMNEY WATER HEATER 6 50 1 GAS PIPING 3 00 SUB TOTAL f SUBTOTAL PERMIT TOTAL FEE $ f SIDL YARD SE I BACK STREETSETBACK REAR YARD SETBACK DATERECEIVED USE /ONE LOT AREA VACANT SITE ❑ YES ❑ NO FEES VALUATION FEE TYPE OF CONST OCCUPANCY GROUP NO. OF DWELLING UNITS PLAN CHECKING NG BUILDING f SIZE OF BLDG NO OF STORILS MAX OCC LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO MECHANICAL 3 3 5 C STATE BLDG. CODE COMMENTS ENERGY CODE SURCHARGE U B C SEC 303(a) PENALTY PAID WATER/SEWER FEES All. r n % � �- 6, TOTAL 33 5( Mechanical only cc: ASSESSOR, APPLICANT, TREASURER, BLDG DEPT PEE WH PAI OFF( RECORDS COPY DATE CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL -0 PLUMI§ING ❑ SIGN I ' PERMIT NO. j OWNER � IL-ADDRLSS I?L, ZIP'. 40' PHONE G 42 r{v4 tM=A -,,' ,13 - ARCHITECT OR DESIGNER MAIL ADDRESS 241Guy C TY W ZIP PHONE Z)S � >� , If _ � � 1�- lt;& ZEST GENERAL CONTRACTOR MAIL ADDRESS CITY �S'� 1?vcTi nr� ��Z q7� &oe- AIL!).J1-13t 1 SIP PHONE LICENSE P :TT MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE i PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 CLASS OF WORK O ❑ NLW AUDITION ® ALTERATION ❑ REPAIR ❑ DEMOLI f ION ❑ BUILDING RELOCATION VALUATION OF WORK Z Iul III DE 9E ORK _ w_5 P1 pIN L_ .6 1� L IN / wfiz\-t--p' HLZ­4me-� f PROPOSI O 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- 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 LA EGULATINGCONSTRUCTIONOFTHEPERFORMANCEOF CONSTRU ION. PERMI XPI S 1 YEAR FROM DATE OF ISSUANCE. SIGNATU OI�ITRACTOROitA ORIZ AC DATE x - LLGAL DESCRIPtIONOF PROPLRTY (SHOWN BELOW OR ATTACH FOUR COPIES) LOI BLOCK OF TAX ID NUMBER FROM PROPERTY TAX STATEMENT IOB AUDRLSS (OFFICE USE ONLY) PLUMBING MEC14ANICAL NO. TYPE OF FIXTURE FEE i s PLXTURES NO. I TYPE OF EOUIPMFNT FEE is FIXTURES WATER Er OI LL'tj ATIiTUS 17.00 $7,00 (R COND. UNITS — H.P. EA. VPRIGMATION UNITS — H.P_ EA ul .lit' 19dy. list'" VATORY AST[ BASIN S7.00 OB ERS — HE .P. A tip. list — tTOWER, $7.00 AS FIRED A.C. UNITS —TONNAGE EA ti .lift•` may, 4c.+ HEN SINK R DISPOSAL $7.00 IORMD AIR SYSTEMS — B.T.U. MF.A $9.00 ISITWASHER $7.00 WALL TTEATER.S — B.T.U. M $9.00 UNDRY'T'RAY 37.00 NIT HEATERS — B.T.U. M $9.00 LOTHES WASHER $7.00 EVAPORATIVECOOLERS WATER HEATER $7.00 LOTIIF.S DRYERS $630 IRTNAL $7.00 IVENTILATION FAH g4SO KINKING FOUNTAIN LOOR DRAIN S7.00 S7.00 GB HOOD COMMERCIAL M HANDLING UNIT — CPM 3650 VACUUM BREAKER S $7.90 kmvB $6.50 OOF DRAINS — RAIN LEADERS $7.00 1mErrAL FIREPLACE& CHIMNEY $630 INK ERVICE — BAR, ETC. $7.00 WATER HEATER $6.50 AS PIPING *(up to 5 = S3.00, addol. = S.75 • ui ment list must be ro%ided SUB TOTAL SUBTOTAL PERMIT PERMIT TOTAL FEE TOTAL PRE SIDL YARD SE I BACK STRLLI SL TBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN FEE CHECK FEE RECEIPT NO. FEE USE LOW LOT ARP.A VACANT SITE ❑ YES ❑ NO FEES VALUATION PLAN CHECKING NG TYPL Ot CONS1. OCCUPANCY GROUP NO. OF DWELLING UNITS BUTDING I SILL OI BLDG, NO. OF STURILS MAX. OCC. LOAD PLUMBING COMMENTS R ECtIl IE `) l BB &&An "i i _.,... FIRE SPRINKLERS REQUIRED ❑ YES 13 NO MECHANICAL STATE BLDG. CODE ENERGY CODE SURCHARGE PENALTY U.B.C. SEC. 303(a) WATER/SEWER FEES TOTAL s I"', — ' I7zw 0tTY OF ARLINGTOI, PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT & RECEIPT PAID CRII - BY cc: ASSESSOR. APPLICANT, TREASURER, BLDG DEPT, BUILDING OFFICIAL DATE RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT -N-0 1137 ❑ COMBINATION Q BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE Bob & Vicki Campb]Jll 18030 Cedarbough Loop Arl 98223 435-8638 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE Gary Parkinson 2812 Colby Ave Everett 98201 252-2153 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N "d /� � — - , —A . - ..- . ' a � Zvi -1�''i` �, _1. � _ .1 _ _ . � � . � MECHANICAL CONTRACTOR MAIL ADDRESS I CITY ZIP PHONE I-LIC SE 1 ,gip IT1 b 43 PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP ® NEW ® ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION VALUATION OF WORK f 100,000 DESCRIBE WORK Addn of 17no scT. ft to res e e PROPOSE D USE OF BUILDING SPR 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 PRESUMETO GIVEAUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE. SIGNATURE FCONTRACTOR OR AUTHORIZED AGENT DATE I zyx ^, LLGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) LOT 'IRLOCK_ I OF Wnodlands TAX ID NUMBER I©B ADDRL55 (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE NO- TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) 14 00 AIR COND UNITS - H P EA. 1 3 BAIHIUB LAVATORY (WASH BASIN) 21 00 00 REFRIGERATION UNITS -H.P EA BOILERS - H P. EA 2 SHOWLR 14 nn GAS FIRED A C UNITS - TONNAGE EA. KI ICHLN SINK & DISP. 7 n 1_±ORCED AIR SYSTEMS - B T U MEA DISHWASHER nn WALL HEATERS - B.T U M LAUNDRY T RAY UNIT HEATERS - B T.0 M CLOT HLS WASHER EVAPORAT IVE COOLERS 1 WATER HEATER 7 00 CLOTHES DRYERS URINAL 4VENTILATICN FAN DRINKING FOUN I AIN RANGE HOOD COMMERCIAL FLOOR DRAIN VACUUM BREAKERS AIR HANDLING UNIT - CPM STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE & CHIMNEY SINK (SERVICE - BAR, ETC) % 00 WATER HEATER GAS PIPING SUBTOTAL PERMIT f f uu SUBTOTAL f PERMIT f TOTAL FEE SIDL YARD SL I BACK STRLLI SETBACK 5/5 20/20 f 99 00 REAR YARD SETBACK TOTAL FEE S DATE RECEMD PLAN CHECK FEE FEE RECEIPT NO 6/11/93 415.68 27610 L'SF' /ONE R7200 LOT ARFA 7202 VACANT SITE ❑YES FJ]NO FEES VALUATION FEE PLAN CHECKING NG TYPE OF CONS] VN OCCUPANCY GROUP R3 & M1 NO, OF DWELLING UNITS 1 BU'LDING f 639 50 SILL OF BLDG. 819 NU. OF STORILS 2 MAX OCC. LOAD 8 PLUMBING 99 00 F IRE SPRINKLERS REQUIRED ❑ YES ® NO COMMENTS PAID c. i993 Addition only MECHANICAL STATE BLDG. CODE ENERGY CODE SURCHARGE 49 4 50 PENALTY U B.0 SEC 303(a) WATER/SEWER FEES Exi stin TOTAL 0 O PERMIT VALIDATION of WHEN PROPVP a I (IN THIS SPACE) THIS 21. 71 YOUR VEPJ RECEIPT cc: ASSESSOR, APPLICANT, TREASURER. BLDG DEPT w, City q 1.ItLINl:r1'11N PERMIT A- ICATION 230 N. OLYMPIC AVE., ARLINGTON, %,�8223 (206) 435-5785 COMMERCIAL, RESIDENTIAL, MECHANICAL, PLUMBING, GRADING 41 Is the average slope of the property in ex This structure will be used for the foll Other buildings on this property Tax Account Number Job Site Address(MOCIV.J'W / S 19030 3v ZOO t' City ,1-lAi j Of� Applicant Name dow' /C+'J� - � I �,n,? Phone �35's/SO Mailing Address ("vo ' V' �. City %III ! « Zip ? Contractor Name e%�tJ� �uCa ��/[Q.S . License # / Address d, C- l4S�d.'' City Zip Ph/one Architect/Engineer /� License # A// p Address City TYPE OF PROJECT e,,S7 Sewage Disposal Right -of -Way Width LOCATIONAL INFORMATION: SEC TWP Zip Phone 2 Culvert Permit No. RGE 16th Plat Name / Short Plat No. / Segregation No. 1:2)00,b'Z1AKi,3S .SQL' 1 , L0 0- l.ot! arcel # Cj 3q Block # of 25%? Yes No Lot Size Has construction started? Yes No ig purpose Jel—E/117- =-AL ��,S 6 -1Z rJ N6 N, OWNER /AGENT SIGNATURE f ,J A DATE �� NOTICE: Front Yard Setbacks. Curbs, Si ewalk Edge, Edge of Street pa ent is not necessarily yemthe r front property line. In the case where your setback will be measured from the front property line, be certain th t you are measuring fr actual front property line and that your plot plan depicts this. In the event your setback will be measured from a private access t, the edge of the improved road is not necessarily your front property line. Be certain that you are measuring from the ed th ct( ial ea ement and that your plot plan depicts this. ACKNOWLEDGED ` ------------------------OFFICE USE ONLY BELOW THIS LINE ------------------------ C-3 9 oT � C) % Max Bldg. Height DRAIN CN R/R _ SLIDE SLOPE SEPA OTHER OTHER PUBLIC WORKS TRAFF_ RD IMP CMBP CMME SITE PLAN FIRE ft CU FL ZN FML BLA PLAT REZONE SEPA SH LN SP VAR SU VA MECHANICAL PERMIT (NOT . JR MOBILE HOMES) PLUMBING PERMIT F3� FIXTURES No. UNIT TYPE: Electric Oil Gas LPG Solar Water Closets Bath Tubs UNIT SIZE: BTU's KW Shower Baths / Wash Basins No. FEE Sinks 1 FOR THE INST. OR RELOC. OF Dish Washing Machine �_ Forced Air Systems Hot Water Tanks / Fuel Storage Tanks Drains Heat Pumps Laundry Washers 7 Wood Stove Laundry Trays Fireplace Insert Urinals —0— Clearance Fireplace Drinking Fountains Rain Leaders Sumps Vacuum Breakers Gas Piping Permit Fee Side Sewers Water Service Line Total Due $ Misc Total Fixtures GRADING/FILL INFORMATION F51 Permit Fee No. of cubic yards: Total Due $ To be removed from site Related Bldg. Permit # To be imported to site IF MORE THAN ONE BUILDING, SUBMIT SEPARATE APPLICATION FOR EACH STRUCTURE. A SEPARATE BUILDING PERMIT MUST BE ISSUED FOR EACH BUILDING. [67 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. BASEMENT BASEMENT SQ. FT. GARAGE GARAGE SQ. FT. CARPORT CARPORT SQ. FT. 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 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: R{ V CITY Of ARLINGTON CONSTRUCTION PERMIT COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN PERMIT NW OWNER MAIV ADDRESS CITY 2►P - - PHONE - ARCHITECT OR DESIGNE MAIL ADDRESS CITY 2TP PHONE r' MECIIANICAL CONTRACTOR MAIL ADDRESS CITY 21P PHONE LICENSE I PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I CLASS Of WORK [J NLW ADDITION ❑ ALTERATION ❑ REPAIR Cl DEMULI IION ❑ BUILDING RELOCATION VALUATION Of WORK - S 1 " �C) UtSE 113E WORK PROPOSI 0 USE Of- ��� U I HEREI3Y 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 OF THE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE Of CONTRACTOR OR AUTH0RI2EQ AGENT DATE X LL4AL Ut Sf RIP i ION UI PROPERTY (SHOMVN B LOW OR AT TACIT F OUR COPIESI LOT C1'3-�HLOCK OF IZ 'xoy�r`v E, 5, ()Q aj - 0 -;5 - v p� L TAX ID NUMBER - �100 AUI7RL'SS t 1 _LU MIT I NC _ - MECHANICAL NO. TYPE OF F IX11]RE Lrim FEB VIFIXTURFS NO. TYPE OF SOUIPMENT FEE is FIXTURES CLOSE 1' (T'OILE7) TV $7-00 1R COND. UNITS - H.P. EA. uip, fist•• 3l IA'I'IfTlJ13 •/� ,AVA'l'ORY (WASII BASIN f7.00 S7.00 EFRIGERATION UNITS H.F. EA 30OLERS — H.P. EA. ui .list`• kulp.list•• i- BOWER $7-00 AS FIRED A.C. UNITS-TONNAGBEA ui .list`• 1'I'CIIEN SINK & DISPOSAL S7.00 ORCED AIR SYSTPMS - B.T.U. MEA $9.00 )1SIIWASIIER $7.00WALL HEATERS-S.T.U. M $9.00 -^ _ ,hUNDRY TILAY $7.00 JNIT HEATERS - S.T.U. M $9.00 I.O 1'T TES WASHER $7.00 3VAPORAnVE COOLERS _�—'--ATPItIIEA7'ER $7.00 10CHESDRYERS $+`0 UNAL 17.00 MNIFILATION FAN $430 WINKING FOUNTAIN 57.00IRANGE HOOD COMMERCIAL 5630 'I.00R DRAIN__ S7.00 kift HANDLINCB UNIT- CPM ACUUM BREAKERS ` - $7.00 OVE S630 00P DRAINS - RAINLEADERS _ 141NK (SERVICE — BAR, E'CC.) _ $7.00 $7.00 ++ff _ —' HTALFIR.RPLACE &CHIMNEY 16.50 ATER HEATER $630 ASPIPING •(u toS=S3.00,eddnl.=S.7Se - - SUB TOTAL - 'F.sulpment_fist must be pr +v!dad — SUB TOTAL TO'I•ALFEE 4k PERMIT TOTAL FEE SIULY.IR SLIBALK SIREEISLIBACK REARAC TC PLAN FEE CHECK FEE RECEIPT k0. UST' NI `, ��p LOT ARl VACANT SITE ❑ YES ND 1:EES VALUATION FEE PLAN CHECKING VG I YPt Of CONSI. v � OCCUPANCY GROUP M 1 NO. OF DWELLING UNITS l BU'LDING s� ! SIZE OI BLM. 2 NO. Of STURILS MAX. OCC LOAD PLUMBINGOil FIRE SPRINKLERS REOUIREQ ❑ YES - MECHANICAL COMMENTS � DWAtER/SEWER UUN 1 1 19j STATE BLDG, CODE ENERGY CODE SURCHARGE PENALTY U.B.C. SEt.701(a) FEES TOTAL C171' C) cARLING-rol 6 14RMIT VALIDATION WHEN PROPERLY VALIDATED 11N THIS SPAM THIS IS YOUR PERMIT b RECEIPT PAID car By cc: ASSESSOR, APPLICANT. TREASURER, 91-00. DEPT, BUKOINGOFFICIAL OATS RECORDS COPY 1p ExlsTtUU PU�D. �(RAtJSFDRMEi� _ . 0'-o'' 015E r' I 18'' ►u�� �/ �° . ,O,f ' T Al If ti tio. •��' G� f%lvi •WAio./ / lZ '� Exi-Z)T I F-IU � � r pRl�lEi.•!A .3 t-nAlL- aQT f, �p 0�