HomeMy WebLinkAbout202 WEST AVE , ARLINGTON, WA 98223_00442_2026 Permit No. Lily n� AIM G ■ h
NOTICE and Inspection Report
Date Called " Address
Time Called "�— Contractor
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 Othe
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections 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 perform inspection.
❑ CALL 435-SFWFQR REINSPECTION—24 hour notice required.
QYI�
Inspector Date
I was present during this inspection.
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION BUILDING ❑ MECHANICAL PLUMBING ❑ SIGN PERMIT NO.00442
OWNER MAIL ADDRESS CITY ZIP PHONE
Lester Abbenhouse 23431 Mnrantha Way Arlington, WA 98223 435--4431
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
❑NLW ❑ADDITION ❑ALTERATION ® REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
$ 3000 00
DESCRIBE WORK
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-
LLGAL DESCRIPT ION OI PROPERTY ISHOWN 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 OFA PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR ORAUTHORIZED AGENT DATE
JOB ADDRESS
202 South West Ave. x
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
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-HP EA
SHOWER GAS FIRED A C UNITS-TONNAGE EA.
KI TCHLN SINK& DISP. FORCED AIR SYSTEMS- B T U MEA
DISHWASHER WALL HEATERS- B T,U M
LAUNDRY TRAY UNIT HEATERS- B.T.0 M
CLO I HES WASHER EVAPORAI IVE COOLERS
WAIERHEATER 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
SUBTOTAL S SUBTOTAL ;
PERMIT ; PERMIT ;
TOTAL FEE $1 TOTAL FEE ;
SIDE YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE ZONE LOT AREA VACANT SITE
❑ FEES VALUATION FEE
❑YES NO
TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
SIZE OF BLDG. NO.OF STORIES MAX OCC LOAD BUILDING $ 40 00
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE 4 50
PENALTY SE C
SEC 303(a)
RE ROOF ONLY
WATER/SEWER FEES
TOTAL 44 50
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID $ CR# 22383 BY CB
cc:ASSESSOR,APPLICANT,TREASURER, BLDG, DEPT. BUILDIN OFFICIAL DATE ((/
RECORDS COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT NO.
OWNER � 7 � Q MAIL ADDRESS CITY P PHONE
A rc� S-qq 3 I
ARCHITECT OR DESIGNER MAIL ADDRESS CITY IFP I ON
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
❑NLW ❑ADDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALE TIONOFWORK
EltSLRIeE w
PRUPOSL L OF BUILDING
n
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL (RIP)IUN OI PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOr BLOCK OF WILL BE COMPLIED WITH 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
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
�d L CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
° SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
106 URLSS
x
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSEI (101LE1) AIR COND UNITS - H P. EA.
BA I III UB REFRIGERATION UNITS- H_P. EA.
LAVATORY (WASH BASIN) BOILERS - H-P. EA
SHOW LR GAS FIRED A-C. UNITS -TONNAGE EA
KI ICIiLN SINK & DISP. FORCED AIR SYSTEMS- B T U MEA
DISHWASHER WALL HEATERS- B.T.0 M
LAUNDRY I RAY UNIT HEATERS- B.T.U. M
CLOIIILS WASHER EVAPORAI IVE COOLERS
WAILRHEATLR CLOIHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNIAIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS SIOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK ISERVICE - BAR,ETC) WATER HEATER
GAS PIPING
SUB TOTAL f SUBTOTAL f
PERMIT $I PERMIT S
TOTALFEE f TOTAL FEE $
SIDL YARD SE I BACK STRLLI SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO
USE/ONE LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONSI OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD BUILDING f
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE �L
PENALTY U 8 C.
SEC.303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT rRECEIPT
PAID CRV—__!��BY /
cc:ASSESSOR.APPLICANT,TREASURER, BLDG. DEPT. BUILDING OFFICIAL DATE
RECORDS COPY