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Home My WebLink About18400 Cedarbough Loop Rd_BLD004387_2025\A� INSPECTION REPORT V� - 1� Permit No., Lot #: Address: Contractor: 7O Owner: III N G Date: ❑ APPPROVAL ❑ 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. Date: Inspector. YPE OF INSPECTION REQUESTED ❑ Under -floor ❑ Framing ❑ Gas Piping ❑ Drywall, Nailing ❑ Consultation ❑ Footing ❑ Shear Nailing ❑ Groundwork ❑ Foundation ❑ Grid ❑ Struct. Slab ❑ Mechanical ❑ Wood Stove ❑ Rough -in �inal ❑ Insulation ❑ Masonry ❑ Drainage ❑ Other: SAP P ROVAL � Lot #: Permit No.: , Address: Contractor:' Owner: Date'. ❑ pARTIAL APpRO 1AL ❑ CORRECTION REWESTED ❑ VICLATiul'4 raved. Corrections listed below MUST B� MAaE before work can be . approved. Please contact inspector. Perform inspection. ❑ Was notable to p .,n oF_jN<,-pECTlo1� - 24 bear notice required. inspector: ❑ Under -floor ❑ Footing ❑ Foundation ❑ Mechanical ❑ Wood Stove ❑ Masonry ❑ other: E OPECTi�N FtEQUE.STED )I(Gas Piping ❑ Framing ❑ Consultation ❑ Drywall, bailing Groundwork ❑ Shear 'Nailing ❑ Struct. Slab ❑ Grid ❑ Final ❑ Rough -in ❑ Insulation ❑ prainage City o� ■! I�i.1�1i��`1� NOTICE and Inspection Report .{ z 0 � � Address , Contractor Owner Requested by TYPE OF INSPECTION REQUESTED MECH: Pmt. No. �BLDG: Pmt. No. 3 C`Cf ❑ / ❑ PLBG: Pmt. No. ❑ , ❑ Footing Framing Final ❑ ❑ Foundation Drywall Nailing � ❑ Rough -In El concrete Slab ❑ Other ❑ Fireplace and Chimney ❑ Furnace 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. / Date Inspector l was present during this inspection. 1 NOTICE and inspection depart Address Contractor Owner Requested by TYPE OF INSPECTION REQUESTED ❑ MECH:.Pmt. No. -FLOG: Pmt. No. ❑ PLBG: Pmt. No - Footing ❑ Footing ❑ Final ❑ Foundation ❑ Drywall Nailing ❑ El Rough -In Concrete Slab ❑ Other ❑ Fireplace and Chimney ❑ Furnace ❑ 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. Date Inspector I was present during this inspection. City of SALMAING ION NOTICE and Inspection Report Address w\ Contractor Owner Requested by TYPE OF INSPECTION REQUESTED 'kr'BLDG: Pmt. No. ❑ MECH: Pmt. No. ❑ PLBG: Pmt. No. ❑ Footing ❑ Framing - ❑ Foundation E Drywall Nailing ❑ Final f ❑ Concrete Slab ❑ Rough -in El Fireplace aped Chimney ❑ Furnace Other Q 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 -- I was present during this inspection. Permit Nc C' 19 (1 NOTICE and -n-visp/e�ction Report Date Called . Address l Nez Time Called l Contractor �7TC 'j �. 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 ❑ CORRECTI IRED ❑ Corrections listed below MUST BE MADE before wo n be approved. dr ,,�Work listed below has been inspected and appr ❑ Please contact inspector and arrange for app in ent. ❑ Was not able to.perform inspection. ❑ CALL 435-$W+5.FOR REINSPECTION — 24 hour Inspector Date I was present during this inspection. Permit No. r.21 Date Called `• Time Called By city i AILIEF INGT11\ NOTICE and ip rrection Report Address l e4oi)r OwnerContractor Requested by L2499 tJt.(, 4t== - — TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ,-Er—Footing ❑ Framing ❑ Woodstove 11L;i_<0undation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough -in Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other ,Q—WPPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. yf�T'Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 43R REINSPECTION — 24 hour notice required. e04,10 r Inspector Date ` I was present during this inspection. J,e 6-71 Permit No. Date Called `G Time Called By cili, of AItLIN4'N' ii! NOTICE �and � Inspection Report / Address Contractor 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 ❑ Remspection ❑ Shear Wall ❑ Furnace ❑ Other APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. Ne Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to pe rm inspection. CAW ❑ CALL 435- OR REINSPECTION — 24 hour notice required. Inspector%c� Dates I was present during this inspection. � Cif, nt A mi r� 4., r* 41 N Permit No. ,+� - -NOTICE and Inspection Report Date Called �� Address 72ez Time Called /�� Contractor C r 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 ❑ PARTIALAPPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Correc ions 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 topej�orm inspection. ❑ CALL 43 � OR REINSPECTION — 24 hour notice required. Inspector Date I was present during this inspection. city od ..1a, ir. rON NOTICE and Inspection Report Address Contractor Owner Requested by TYPE OF INSPECTION REQUESTED BLDG: Pmt. No. �J y [IMECH: Pmt. No. ❑ PLBG: Pmt. No. ,E.Footing ❑ Framing Z_ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough -In I ❑Fireplace and Chimney ❑ Furnace ❑ Other ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. I ❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. h❑ 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. Date Inspector � I was present during this inspection. �N Ia/ JK -A4f ��bl 1"I 00h 9f -;Pfvv.ia -r -!!-i -fotd 8 CITY' OV ARL I N0Y01%! CONOY RUCT I ON P'E RM I T IF)1ERM I Y NO- 010—zt3a? Owner: GUTIERREZ, TONY 18400 N CEDARBOUGH LP ARLINGTON 98223 Value of Work: $350.00 Tax ID: 7385-004-042-0002 phone: 435-6680 Describe Work: FIREPLACE INSERT Proposed Use: RESIDENTIAL Legal Description: Job Address: 18400 N CEDARBOUGH LP Contractor's !Name Type Address License# DAVES INSTALLATION MEC 1110 BROADWAY DAVESI105ON5 1 P E R X I T F E E S Equipment and Fixtures -------------------------- METAL FIREPLACE & CHIMNEY GAS PIPING 1-4 OUTLETS Number Fee 1 �id.O+D 1 Ss•, 00 SUBTOTAL...... TOTALS Fee Equipment $17.00 Mech Permit $24.00 TOTAL FEE ................. $41.00 PAYMENTS.... - ............. $0.0 TOTAL DUE ................. $41.08 DATE Piz, - IZ i3-oo I%2_34 t Total Charge 66.00 1 $ 17.00 SI6NATURE: I I HEREBY CEO - i hA - READ AND EXAMINED HIS L I N AND KNOW THE SAME TO B Tf�l1E COR- RECT Al-.- F(00 10 S O LAWS AND ORDl,e',L � 604ERIJING T "I s_°" OF WORK WILL BE I WHETHER St,I'iLDINY3FFICIAL L1.' CITY OF ARLINGTON CONSTRUCTION PERMIT - --,)❑ COMBINATION ❑ BUILDING Zd MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. �" NER 41Ppli .n fj e-"tCll% MAIL ADDRESS CITY f ZIP PHONE Cam, v. ijr t ARC lit CTORDESIGNER �l��erirez MAIL ADDRESS D CITY ZIP PRONE G NER'*+��A.L (:0N RA[; U r MAIL ADD � SS f CIIY LIP �Z�l PI1pNE LEC NSE / MLC€IANICALtONiRACTOR MAIL ADDRESS CITY IIP PFIONE L14:ENSE PLUMBING CONTRACTOR BAIL ADDRESS CITY 11P PHONE LICENSE I UI .aa yr NF W ❑ AUDITION Al ION Of WORK S-O2 PLRIBL WORK PRUPUSI U LI,, M-RIPlION UI PROPEP J LOr__21 RL0CK Of a ALTERATION ❑ REPAIR ❑ DEMOLI IION ❑ BUILDING RELOCATION AT TACIT FOUR COPIF c;t., TAX-IOj�UM8ER _ FROOM PROPERTY TAX STATEMENT -047 2 -0092z- 10;3 VURI.SS a r , f (OPPICB USU ONLY) PLUMBING Tit). ATER CLOSUr CMILIT17) ATIITUB A_VAT_ORY EWA511 BASIN IOWFR ITCHEIN SINK d€. DISPOSAL ISFIWASHCR ALIN DRY TRAY LOTHES WASHER IATDR IIBATMt RINAL RINKINO POUNTAIN LOOK DRAIN ACUUM BRBAKURS OOP DRAINS - RAINLPAD13RS INK fSRRVICR — BAR. Mr.) :'s 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 AUTHORITYTO 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 AUTH0PJZED AGENT DATE x �, PCI IANICAL NO. TYPEi OF EQUIPM13NT F$B ■`e Tq=RTIS DZ COND. UNITS - H.P. P.A. ul .lilt" E PRICERATION UNITS - II.P. ETIL ui . Ilst•• N14 OILRR.S - ILP. RA. . Ilst•• ASPIRRDA.C.UNITS-TONNAORIIA. ul .list•• ORCRD AIR SYSTEMS - B.T.U. MIA ALL I IZATCRS - D.T.U. M NIT I IRATBRS - B.T.U. M IVAPORATI V R COO LMtS .LOTIIES DRYPRS 19C11LATION PAN tANGBJIOOD COMMERCIAL %IR IIANDLINO UNIT - CPM OVR L� [TFAL PIRBPLACRR CIIIMNRY ATDRIHIATFR AS PIPING '(up to S - t3.00, addnl. S.75 •Fqulpment list must be provided SUB 1VrAL SUB TOTAL — PERMIT PPRMIT - TOTAL PIM TOTAL PUS SIUL YARD SL 1 BALK STRLLI SL I BALK REAR YARD SETBACK PLAN CIILCK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USI' /ON1 LOT AREA VACANT SITE ❑ YES ❑ NO FEES VALUATION FEE PLAN CHECKING NG IYPL OF CONS] OCCUPANCY GROUP NO. OF DWELLING UNITS BU'LOING 3 SI/.L OI BLOC.. NO.OF STORILS MAX.000. LOAD PLUMBING COMMENTS FIRE SPRINKLERS RLQUIREU ❑ YES ❑ NO MECHANICAL STATE BLDG. CODE ENERGY CODE SURCHARGE PENALTY U.B.C. StC. 3031a1 WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT 6 RECEIPT PAID CRM BY Cc ASSESSOR, APPLICANT. TREASURER, BLDG DEPT. oULDING73ii CIAL DATE RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.0042 1 OWNER MAIL ADDRESS bale & Diane Berry 18400 N. Cedarbough CITY ZIP PHONE Arlington, WA 98223 435-6278 ARCHITECT OR DESIGNER K & B Designing MAIL ADDRESS 16212 Bothell Way SE CITY ZIP Millcreek WA PH N �3 98102 7-1076 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE Kevin Stockdale Const. 820 83rd Ave SE #3 Everett, WA 98205 334-4106(KEVINC1 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE ❑ NEW [3 ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION VALUATION OF WORK S 20FOOG Ep DESCRIBE WORK Install French doors, construct kitchen nook., add deck,reconstruct existing deck PROPOSED USE OF BUILDING Kitchen Nook 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 OFA PERMIT DOES NOT PRESUMETO 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. SXNATLtiTRACiRORAUTHO�RZrf f) c LLGAL DESCRIPTION Of PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) Luf D42 BLOCK OF Woodlands Sector I TAX ID NUMBER 7385-004--0.42•-0.00.2 JOB ADURI I'S 18400 N. Cedarnough (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE I WATER CLOSET (TOILET) 2 100 AIR COND. UNITS — H.P. EA BA I HI UB 2 100 REFRIGERATION UNITS — H P. EA LAVATORY (WASH BASIN) 4 00 BOILERS — H.P. EA SHOWER 2 00 GAS FIRED A.0 UNITS — TONNAGE EA. KI ICHEN SINK & DISP. FORCED AIR SYSTEMS — B T.0 MEA DISHWASHER WALL HEATERS — B T U M LAUNDRY TRAY UNIT HEATERS — B.T.0 M CLOTHES WASHER EVAPORATIVECOOLERS WA ER HEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUNIAIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT — CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE & CHIMNEY SINK (SERVICE — BAR, ETC J WATER HEATER GAS PIPING SUBTOTAL S 10, OO SUB TOTAL $ PERMIT $ 15 OO 1 PERMIT $ TOTAL FEE ; 25 00 1 TOTAL FEE ; SIDE YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER 7-19—'90 PLAN FEE 134,55 CHECK FEE RECEIPT NO 22496 USF ZONE LOT AREA VACANT SITE ❑ YES ❑ NO FEES VALUATION FEE PLAN CHECKING NG TYPE OF CONST V-N OCCUPANCY GROUP R3 & M NO. OF DWELLING UNITS BUILDING ; 207 OO SIZE OF BLDG. NO. OF STORIES MAX OCC, LOAD PLUMBING 25 00 FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO MECHANICAL COMMENTS PAID, SEP 111990 STATE BLDG. CODE ENERGY CODE SURCHARGE 4 5C PENALTY C. U.B SEC.. 303(a) WATER/SEWER FEES TOTAL 236 5c cc: ASSESSOR, APPLICANT, TREASURER, BLDG. DEPT PERMIT VALIDATION WHEN PROPS R VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT & RECE PAID CR# J � Y BUILIMI�FICIAAIL DATE RECORDS COPY u eOFARLINGTONRan MMIA CONSTRUCTION PERMIT COMBINATION BUILDING MECHANICAL PLUMBING OWNER MAIL ADDRESS CITY .HI I ECT OR DESIGNER RAC SIGN ZIP MAIL ADDRESS i+ CITY +-" __ -ZIP MAIL ADDRESS CITY ZIP MAIL ADDRESS CITY ZIP PLUMBING CONTRACTOR MAIL ADDRESS PERMIT NO. PHONE q &_S -_Y � 7 , �L PHONE ___�- /d , PHONE LICENSE N PHONE LICENSE / CITY ZIP PHONE LICENSE If CLASS OF WORK NEW ADUITION Ej ALTERATION ❑ REPAIR ®DEMOLITION N BUILDING RELOCATION VALUATION OF WORK r)r? Oct:? DESCRIBE WORK PRUPOSk O USE OF BUILDING - koi-e4u I HEREBY CERTIFY THAT I HAVE READ AND EXAMI ED THIS APPLICA- LLi,AL UESCRIPiION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LDF BLQCKa== � OF *'LrCe104,d_-5 r 1`0- WILL BE COMPLIED WI 3�-S TAX ID NUMBER 109 .� UU•�%DRR LLL SSSS jyJ! J/Kr' / (OFFICE USE ONLY) PLUMBING NU. TYPE OF FIXTURE WATER CLOSET (TOILET) f BAIHIUB LAVATORY (WASH BASIN) SI',01vE R KI ICHLN SINK & DISP. DISHWASHER LAUNDRY TRAY CLOIIIES WASHER WAIERHEATER URINAL DRINKING FOUNTAIN FLUOR DRAIN VACUUM BREAKERS ROOF DRAINS - RAINLEADERS SINK (SERVICE - BAR, ETC.) SIUL YARD SE 1 BACK SUBTOTAL PERMIT TOTALFEE STRLETSETBACK TH WHETHER SPECIFIED HERIN OR NOT. THE GRANTING OFA 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 AUTHORIZED AGENT DATE MECHANIC L FEE NO. TYPE OF EQUIPMENT FEE AIR CONr�,llNITS - H P. EA. REFRIGERAttON UNITS - H.P. EA. BOILERS - H.P. EA GAS FIRED A.C. Wl14-S - TONNAGE EA. FORCED AIR SYSTEM$';_ B.T.U. MEA WALL HEATERS - B.T.0 M UNIT HEATERS - B.T.U. M EVAPORATIVECOOLERS CLOTHES DRYERS VENTILATICN FAN RANGE HOOD COMMERCIAL AIR HANDLING UNIT - CPM STOVE METAL FIREPLACE & CHIMNEY WATER HEATER GAS PIPING \ $ C7 SUBTOTAL $ S PERMIT $ i J TOTAL FEE $ REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE AECEIPT NO. USE /ONE D L T ARLA ACANT SITE YES NO TYPE OF C N T. OCCUPANCY GROUP 0.OF DWELLING UNITS SIZE OF BLDG. NO. OF STORIES MAX. OCC. LOAD FIRE SPRINKLERS REQUIR YES NO COMMENTS f cc: ASSESSOR, APPLICANT, TREASUR R WD FEES VALUATION PLAN CHECKING NG BUILDING $ PLUMBING MECHANICAL STATE BLDG. CODE ENERGY CODE SURCHARGE PENALTY U. B.C. SEC. 303(a) WATER/SEWER FEES TOTAL �. PERMIT VALIDATION WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT!, RECEIPT PAID CR#. BY �11 BUILDING OFFICIAL. RECORDS COPY DATE FEE f APPLICATION r 6� STRUCTION INFORMA i iON FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON Building Permit Building Department ` Certificate of Occupancy ❑ Date �r �� NOTICE: No permit for erection, alteration, moving, repair or occupancy of any building shall be issued until an application has been made and approved for a certifi- cate of zoning compliance. � Cie 1lLv"-1 e3 Owner C7 _�Ln ` j&L-7, Address Permittee Architect Engineer Add Address Add Contractor, J_,�� 21�'� Li?t^I Address ' �6 ► Y�Ic i�_y 70 LEGAL DESCRIPTION OF PROPERTY: Lot No. TO,-, Block No. Subdivision or Unplatted description Z,� )Wd a Jj ZONING INFORMATION TYPE OF OCCUPANCY of present or proposed main building (circle) A B C D E F G H I J DIVISION 1 2 3 4 Use Zone Size of building or addition Total height Additional floors and areas No. of rooms No. of buildings now on lot. Percentage of lot covered by main building — Percentage of lot covered by accessory buildi Kind of livestock Fire Zone TYPE of CONSTRUCTION of present or proposed main building (circle) 1 II III III 1 hr. III HT IV IV 1 hr. V V 1 hr. Basement floor area Area of Lot, No. of stories - -I Floor area No. of families Use of buildings now on CHANGE OF OCCUPANCY from If a commercial building, list each use and its area in square feet: to DRAW on the reverse side of this application, to scale, a PLOT PLAN. CLASS of WORK (check) NEW 0- ALTERATION ❑ , ADDITION ❑ , DEMOLISH 11. Describe Alteration Valuation I�e4 JN oar area Plan checkiQ �g86 Permit fee i; $ 6 $_14j.00 9s 01 V. �� N O T I C E Where work is started before permit is obtained the permit fee shall be doubled. Wash. State SuildinE Code Fee $1.50 y� 0 r Wash. State Energy StudleS-S=118W 3 SPECIFICATIONS*! 1�rls.. FOUNDATION Exterior Piers COVERING Material Exterior walls Width at top Interior walls Width at bottom Roof or reroofing Depth in ground FRAME Size Spacing Span FLUES R.W. Plate (sill) Fireplace Girders Floor furnace Joist, 1st floor Kitchen Joist, 2nd floor Water heater Joist, ceiling Furnace Exterior studs Gas Oil Interior studs Roof rafters Bearing walls Additional Permits are required for: (check) Plumbing, ❑ Signs, ❑ Moving, Sewer hookup, A Water hookup, Gas appliance and Gas piping. I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all city ordinances and State Laws regulating zoning and building APPLICANT 4 IMPORTANT Written authorization of owner must be presented when applicant is occupant or lessor. I am the legal owner of the property described in this application. Owner PLOT PLAN FOR DEPARTMEN. A USE Draw below, to scale, a plot plan showing: FOR DEPARTMENTAL USE Application for Certificate of Zoning Compliance ❑ Checked Initials 1. Dimension and shape of the lot. 1. �y[ 2. Front street name. 2. Building Permit l ' Certificate of Occupancy El checked and approved. 3. Side street name if corner lot. 3. 1 4. Sizes and location on the lot of buildings already existing. 4. 5. Location and dimensions of proposed building or alterations. 5. Building Inspector r 11111opw. ate 6. Front yard, side yard, rear yard setbacks. 6. 7. Locate and describe any fences, walls, hedges, signs, 7. Issued Building Permit No. c7 Date front yard trees and shrubs, green belt. 8. Location and size of required off-street parking and loading. 8. INSPECTION RECORD Inspection Date Set Back Excavation Concrete Reinforced Steel Grout Blocks Bond Beam Frame Roofing Room Ventilation Kitchen Vent Bathroom Vent Foundation Vent Access Hole Garage Fireproofing Fireplace Spark Arrester Water Closet Water Heater Sewage Disposal Lathing Plastering Correction Order Left Stop Work Order Issued Stop Work Order Released Give brief report of special or unusual conditions Signature Job completed Date Building Inspector Certificate of Zoning Compliance No. Certificate of Occupancy No. Issued Issued Date MOORE BUSINESS FORMS INC LA