HomeMy WebLinkAbout905 Broadway St_BLD014485_2025INSPECTION REPORT
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APPROVAL
❑ VIOLATION
Permit No.: U l Lot #:
Address: D S ( PO a Lv o,
Contractor: L A VV
Owner: I 'a m S
Date: ()
❑ PARTIAL APPROVAL
❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required.
Inspector:
Date:-.)
TYPE OF INSPECTION REQU ED
El
Under -floor
❑
Framing
Gas Piping
❑
Footing
❑
Drywall, Nailing
Consultation
❑
Foundation
❑
Shear Nailing
❑
Groundwork
�11 echanical
❑
Grid
❑
Struct. Slab
❑
Wood Stove
❑
Rough -in
❑
Final
❑
Masonry
❑
Drainage
❑
Insulation
❑
Other:
INSPECTION REPORT
S
y1N GTO Permit No.: Ll Tom' _ Lot #:
4�
Q' Address: Q O� �f
Z Contractor:
O Owner:
�`r�IN CDate:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
4Wa
ease contact inspector.
s not able to perform inspection.
LL 435-0674 FOR RE -INSPECTION - 24 hour notice required.
I
Inspector X �c Date:
TYPE OF INSPECTION REQUE)STED
El
Under -floor
El
Framing
GaS Piping
❑
Footing
❑
Drywall, Nailing
❑
Consultation
Foundation
❑
Shear Nailing
❑
Groundwork
Mechanical
❑
Grid
❑
Struct. Slab
❑
Wood Stove
❑
Rough -in
❑
Final
❑
Masonry
❑
Drainage
❑
Insulation
❑
Other:
C I -rY OF ARL I NO-rON
CONO-r RUCTION PERM I T
PERMIT NO_ e
Owner: WILLIAMS, KEN 239 HALLER ST ARLINGTON 98223
Value of Work: $3,600.00 Tax ID: 004-618-038-01700 Phone:
Describe Work: INSTALL GAS PIPING
Proposed Use: MECH
Legal Description:
Job Address: 905 BRODWAY
Contractor's Name Type Address
L&M CONSTRUCTION MEC P 0 BOX 3476
O 1-44a5
License#
LMCON**126KZ
P
E R M I T F E
E S
Equipment and Fixtures
_ -a--------------------------------------
Number
------ ------
Fee
--------
Total Charge
--------------
GAS STOVE
1
$11.00
$11. 00
DRYER
1
$11.00
$11.00 G
WATER HEATER
1
$15. 00
$15. 00 f
GAS PIPING 1-4 OUTLETS
1
$6.00
$6.00 f
SUBTOTAL......
$43.00
TOTALS Fee
Equipment $43.00
Mech Permit $24.00
TOTAL FEE ................. $67.00
PAYMENwiTS.................. $0. 0
TOTAL I1ElE. .:.... a .... $67.00
DATE RECEIPT # 17;/ f5
SIGNATURE: -✓ L{
I HEREBY SIGNATURE;:-.
TZA4 RAVE READ
AND EXAMINED THIS'PP. PLICATION AND
KNOW THE SAME TO TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE CO MPIIED WITH WHETHER
SPECIEEB' HFNR+i0�
BALDW OFFICI
REGISTERED AS PROVIDED By LAW A�
CONST CONT GENERA
REr-ST. # EXP. DATE=
05/2001
CCOi. I,MCON**126KZ 05�09/1988
EFFECTIVE DATE
L & M CONSTRUCTION
PO ROX 3476
Ro,L,IN TON WA 98223
Sisna=u�e O' OR �;�TD -L3S'TRIESJ
Issued by DLPARTi4 : ---:'
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION Cl BUILDING MECHANICAL Cl PLUMBING Cl SIGN G f � �K
PERMIT NO.
OWNEV�ppliCel.,F MAIL ADDRESS CITY ZIP PHONE
-o/,%/
ARCI II TLC) OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GLNLRAL CON I RAC TOR MAIL ADDRESS City ZIP PHONE LICENSE /
PLUMBING CONTRACTOR
3 CLA55 OF WORK
¢❑NtW INADDITION C
Q VALUA110N OF WORK
Z 1
W ULKRRFOC WORK
w—
m PRUI'USI U USL OF BUILDIN
cn
Lu
JLLGAL I)tWlAJPFION OF PROPERTY 1
J LOI BLOCK OT�
a
w
1-
ALTERATION ❑ REPAIR ❑DEMOLIFION ❑ BUILDING RELOCATION
BELOW OR ATTALH ►OUit COME 5)
a TAX ID NUMBER FROM PROPERTY TAX STATEMENT
00
0
U
r
NCO /JY7c /Z it Ilk"
LICENSE
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 OF THE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
{OPPlCii UST) ONLY)
PLUMDINO
NIPCITANICAL
NO.
TYPO OP PIXTURD
FEO i ■ PIXTURL'S
NO.
TYPO OP BOUIPM13NT
FEO
2'• FiXTURUS
ATDR CLOSITI IL13T
IR COND. UNITS — H.P. EA.
lqdp. ut••
)AMITUO
113FRIGIRATION UNITS — II.P. EiA
Igule.list••
.AVATORY ASH BASIN
IOILDRS — II.P. BA.
d . llt•'
'IIOWER
AS PIRTID A.C. UNITS—TONNAOORA.
lqtdp.Ilt••
ITCHEN SINK do DISPOSAL
_
ORCOD AIR SYS`MMS — 13.T.U. MRA
ISHWASHOR
NALL I IPATERS — D.T.U. M
_AUNDRY TRAY
JINITHELATERS — B.T.V. M
AMISS WASHOR
IVAPORATIVFICOOLMS
ATDR IIEATEt
LOTIIFS DRYMS
RINAL
E1TILATION PAN
)RINKINO POUNTAIN
IRANG13110013 COMMERCIAL
FLOOR DRAIN
MR, HANDLING UNIT — CPM
ACUUM BREAKERS
_
I
OVD
OOP DRAINS — RAINLLTADER9
MlrrAL PIRRPLACE! CIIIMNEY
INK . RRVICO — BAR R7C.
!!
ATRR I MATTER
AS PIPING *(up to 5 - S3.00 eddnl. S.75
ul ment list must be provided
SUB TO•17AL
SUB TOTAL
PERMIT
PERMIT
TOTAL PER
TOTAL POE
SIM. YAkI) SL I BACK
STREI.1 SL [BALK
RLAR YARD SE IBACK
PLAN Cl ILCK NUMBER
PLAN
FEE
CHECK FEE
RECEIPT NO.
U51 IUNI
LOT AREA
VACANT SITE
❑ YES ❑NO
FEES
VALUATION
FEE
PLAN CHECKING VG
TYPL OF CONSI
OCCUPANCY GROUP
NO. or DWELLING UNITS
BU'LDING
i
511.L OF BLtK-.
NO. Or STORILS
MAX. OCC. LOAD
PLUMBING
I IRE SPRINKLERS REQUIRED
❑ YES ❑ NO
COMMENTS
RECEIVED
MAR 14 2001
CITY OF A►RLING I ON
`J
MECHANICAL
STATE BLDG. CODE
ENERGY CODE SURCHARGE
ENERGY
PENALTY
SEC. 3031a1
WATERISEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT 6 RECEIPT
maim run BY
cc- ASSESSOR, APPLICANT, TREASURER, BLDG DEPT
BUILDING OFFICIAL - -
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