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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