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HomeMy WebLinkAbout7012 Cedarbough Loop_BLD025013_2025city od .A IRA I N :'1141m, �I- 2207 NOTICE and Inspection Report Address % J,,2 / () �; 02 " 4 &,e Contractor Owner Requested by .r TYPE OF INSPECTION REQUESTED ❑ BLDG: Pmt. No. ❑ MECH: Pmt. No. ❑ PLBG: Pmt. No. ❑ Footing ❑ Foundation ❑ Concrete Slab ❑ Fireplace and Chimney ❑ Framing ❑ Drywall Nailing ❑ Final ❑ Rough -In ❑ Furnace � Other GJ 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. h� INSPECTION REPORT 0 G J Permit No.: Lot #, L4V Q fi `' Address: _aA Contractor: r�, �Q Owner: r VI/IGC G 1Z. d N Date: '�c-- ❑ APPROVAL ❑ PARTIAL APPROVAL Cl VIOLATION 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. ❑ Under -floor ❑ Footing ❑ Foundation ❑ Mechanical ❑ Wood Stove ❑ Masonry ❑ Other: ECTION REQU ❑ Framing ❑ Drywall, Nailing ❑ Shear Nailing ❑ Grid ❑ Rough -in ❑ Drainage ■ i i S -.14 Gas Piping Consultation Groundwork Struct. Slab Final Insulation `,r l INSPECTION REPORT co Permit No.: (•-^ol-N3 Loot,,#: Address: 70// , N ,, Contractor: K t LG b6e V1 Owner: G IN Date: ,APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ 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: ❑ ❑ ❑ ❑ ❑ ❑ ❑ Under -floor Footing Foundation Mechanical Wood Stove Masonry Other: PE OF INSPECTION REQUESTED ❑ Framing Gas Piping ❑ Drywall, Nailing ❑ Consultation ❑ Shear Nailing ❑ Groundwork ❑ Grid ❑ Struct. Slab ❑ Rough -in ❑ Final ❑ Drainage ❑ Insulation •,"I CITY OF ARLINGTON APPLICATION AND PLUMBING PERMIT Date O-------.�------------------- Permit No. _tOu:.__ e Life of J Permit ....... ...-- ........... Valuation........................................... Permit Fee .............oi��-`-�-'-•--•- Receipt No. W--------------- Occupancy or Use ._..,...--•:..... .------ ___ .............. ..--- .-- Plans Filed %.Yes ........ No. Owner-... ................................... ....... ........................ Address ......... .. -.. Contractor..-----.... ...�.._............... ..................................._....�.................. Address-- .-........................_..,:_.....................;........................♦............... L Job Address •----/%©' ...... ....... Description of Job t ,�.....fJ..�....... _ WARNING: Work must not be covered before Inspection I hereby acknowledge that I have read this application and state that the above is correct and I further agree to comply with all City Ordinances, State Laws, and lawful orders of the Building Inspector gov- erning plumbing. �r Owner �.__�_.._. � By... .0......... --............ --------------------- -- -------------------- PERMIT PLACARD MUST BE POSTED ON THE WORK Permission is hereby granted to do the work described herein subject to compliance with the Ordinances of the City of Arlington. Issued........................................................ .......------------_ -_--_---------- Building Inspector Cogod :ItM,INl:TON NOTICE and Inspection Report Address Contractor Owner 1 Requested by i � i! NSPECTION REQUESTED +- BLDG: Pmt. No ElMECH: Pmt. No. ElPLBG: Pmt. o. ❑ Footing ❑ Framing I 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. C I T Y OF A RL I NCrP T O N C ON S T R UC T I O N P E R M I T P E R M I T Orner: JACOBSON, JON 7012 CEDARBOUGH LOOP ARLINTON 98223 Value of Work: $1, 174. 00 Tax ID: Phone: 360. 474. 1120 Describe Mork: CHANGE FROM WOOD STOVE TO GAS -ELECTRIC RANGE TO GAS Proposed Use: SFR Legal Description: Job Address: 7012 N CEDARBOUGH LOOP Contractor's Maw Type Address License# ENTERPRISES DEMARTINI NEC 6016 HE BOTHELL DEMARE*077LD P E R M I T F E E S Equipment and Fixtures Number Fee Total Charge METAL FIREPLACE & CHIMNEY 1 $11.00 $11.00 MISC EQUIPMENT 1 $11.00 $11.00 GAS PIPING 1-4 OUTLETS 1 $6.00 $6.00 S U B T O T A L..... $28. 06 TOTALS Fee Equipment $28. 00 ry Mech Permit $24.00 L IOMATUR9 TOTAL FEE ................. $52.00 I HEREBY' ERT FY THAT I HAVE READ AN XAT4&ED HIS APPLICATION AND PAYMENTS .................. $6.60 KN$WNtHE SAME TO BE TRUE AND COR- RECT LL PROVISIONS OF LAWS AND TOTAL DUE ................. $52.00 OR IN CE GOVER NG I5 TYPE OF Q� W S LL C I Ea IED ITN WHETHER R N DATE �{'6N �� RECEIPT # PAI[) CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.02.- E)p13 PHONE 360 z-/7q r1Z0 PHONE. OWNER f JO,'' Juco MAIL ADDRESS CITY ��vl 7ClZ ce.ay& ti 1e� WIri, . ZIP �,� aS'zz3 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE LICENSE N GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE # MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE # CLASS OF WORK NLW L_f AUDITION ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION VALUATION OF WORK S DESCRIBE WORK PRUPOSE U USE OF BUILDING A LOI BLOCK - OF TAX ID NUMBER --?o c z ov ce_� 40«j(L 1 JOB AUURLSS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- )PIES) 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 `Y CONST UCTIO PE IT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATU OF CONT CTQ - R AUTHORIZED AGENT DATE (OFFICE USE ONLY) PLUMBING f_ j. �/ L MEC ICA NO. TYPE OF FIXTURE FEE NOI I V TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET ) Y AIR COND. UNITS - H.P. EA. BAIHlUB ;' REFRIGERATION UNITS - H.P. EA. LAVATORY (WASH BASIN) ; BOILERS - H.P. EA SH(11A GAS FIRED A.C. UNITS - TONNAGE EA. KI KIILN SINK & DISP. ' FORCED AIR SYSTEMS - B T.0 MEA U, SHWASHER / WALL HEATERS - B.T.0 M LAUNDRY T RAY UNIT HEATERS - B.T.U. M CLOTHES WASHER EVAPORAI IVE COOLERS WRIER HEATER / CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN I Ai / RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT - CPM VACUUM BREAKtRS VE ROOF DRAI - RAINLEADERS METAL FIREPLACE & CHIMNEY SINK (SE)4 ICE - BAR, ETC.) WATER HEATER GAS PIPING SUB TOTAL $1 SUBTOTAL $ PERMIT $I PERMIT $ TOTAL FEE $I TOTAL FEE $ SIDE YARD SL [BACK STRLLT SLTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN FEE CHECK FEE RECEIPT NO. USE /ONE LOT ARFA VACANT SITE ❑ YES ❑ NO FEES VALUATION FEE PLAN CHECKING NG TYPE OF CONS] OCCUPANCY GROUP NO. OF DWELLING UNITS BUTDING $ SIZE Of BLDG, NO. OF STORIES MAX. OCC. LOAD PLUMBING COMMENTS FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO MECHANICAL STATE BLDG. CODE ENERGY CODE SURCHARGE PENALTY U.B.C. SEC. 303(a) WATER/SEWER FEES /�ASPR 2 4 2W2 TOTAL V Cam— 5D 13 PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 15 YOUR PERMIT & RECEIPT PAID CR# BY cc: ASSESSOR, APPLICANT, TREASURER, BLDG. DEPT. BUILDING OFFICIAL RECORDS COPY DATE I City ri ARLINGTON PERMIT APF 1TION 230 N. OLYMPIC AVE., ARLINGTON, WA�123 (206)435-5785 COMMERCIAL, RESIDENTIAL, MECHANICAL, PLUMBING, GRADING X Tax Account Number p Job Site Address City /9— ex ()4:�.Td A) Applicant Name /` "q'wo 2/VC. Phone (6S3— Mailing Address _f�G,e-Fy City 14)G7d-4-1 Zip8� Contractor Name (: A Z AV l;)%O A) �� License # Address 14/-1 -E City Zip Architect/Engineer AV-4 License # Address City Zip �2 Z-n I jPA-Ma z,< 9 W,& Phone Phone TYPE OF PROJECT . iAJ f /e % % ',/ �c�.�c/�'c/G F Sewage Disposal Y&S Right -of -Way Width Culvert Permit No. LOCATIONAL INFORMATION: SEC TWP/ RGlE / 16th Plat Name / Short Plat No. / Segregation No. LV o12L- /i'agya s Lot/Parcel # D - .S .3 Block # Lot Size Is the average slope of the property in excess of 25%? Yes No Has /construction started? Yes No This structure will be used for the following purpose Other buildings on this property A41 . Al-w OWNER/AGENT SIGNATURE tTUr '� _ DATE X014'6,4% 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 .. . ZONING: Max Lot Cover % Max Bldg. Height ft SETB, Front Side Rear Basic Plan # SPECIAL CONDITIONS .. . SANITATION ON SITE _ ENV HEALTH _ Other Covenants i� A LETTER SEWER T ACCESS RSBP _ ESMT RSME ADDRESS PLBG CULVERT MBHM AFF/BOND MOVE GRADING INSP T CU FL ZN SEPA SH LN � J OCD LS STD B LA SP 5 ACRE LOTS 20 ACRE OCP FML BLA SP VAR e DRAIN CN R/R SLIDE SLOPE SEPA OTHER OTHER PLAT SU PUBLIC WORKS TRAFF_ RD IMP CMBP CMME _ SITE PLAN FIRE REZONE VA PLUMBING PERMIT F3_1 MECHANICAL PERMIT (NOT FOR MOBILE HOMES) F41, 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 FOR THE INST. OR RELOC. OF Dish Washing Machine Forced Air Systems Hot Water Tanks Fuel Storage Tanks Drains Heat Pumps Laundry Washers Wood Stove Laundry Trays Fireplace Insert Urinals —0— Clearance Fireplace Drinking Fountains Rain Leaders Sumps Vacuum Breakers Gas Piping Permit Fee Side Sewers '� � 7,407) Water Service Line Total Due $ ofTe Misc Total Fixtures 146AGRADING/FILL INFORMATION 141 Permit Fee No. of cubic yards: 4 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. [-61 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 SO. FT. CARPORT CARPORT SQ. FT. DECK DECK SQ. FT. NUMBER OF FIREPLACES TOTAL SQ. FT. Fdk OFFICE- USE ONLY ROUTING SCHEDULE: Bldg: sent rcv'd Valuation Site Plan: sent rcv'd Plan Check �0 rcp # �� f 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: