HomeMy WebLinkAbout103 E 3RD ST_00544_2026 CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION X❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00544
OWNER MAIL ADDRESS CITY ZIP PHONE
Donald Black 24211 19th_ Ave NE Arlington, WA 98223 435-2469
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
SAME
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
SAME
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
❑NEW ❑ADDITION ❑ALTERATION ®REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
; 7, 000. 00
DESCRIBE WORK
Reframe Roof Structure
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
Commercial TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DES(RIPTION OF PROPS RTY ISHOWN BELOW OR ATTACH POUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
L0r11/12LOCK 1 OF McMahon "A 1 ct 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
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
IOB AUDRLSS
103 E. Third Arlington, WA
(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—H.P. EA
SHOWER GAS FIRED A.C. UNITS—TONNAGE EA.
KI ICHLN SINK& DISP. FORCED AIR SYSTEMS— B.T.0 MEA
DISHWASHER WALL HEATERS— B.T.0 M
LAUNDRY TRAY UNIT HEATERS— B.T.U. M
CLOT I iES WASHER EVAPORAT IVE COOLERS
WAIERHEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNTAIN 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
SUB TOTAL S SUBTOTAL $
PERMIT ; PERMIT $
TOTAL FEE $ 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 1-11-91 58, 50 22967
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
SIZE OF BLDG NO,OF STORIES MAX.OCC.LOAD BUILDING ; 90 00
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE 4 50
PENALTY U.B.C.
SEC,303(a)
Re-Roof Only PAIL WATEP/SEWERFEES —
g/�A` TOTAL 4 150
�J NV 28 199E PERMIT VALIDATION
WHEN PERLY VALIDATED IN THIS SPACE)THIS 15 YOUR PERMIT& Cfl
PAID `�� IN
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RECORDS COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑' PLUMBING ❑ SIGN PERMIT NO.
MAIL ADDRESS _CITY ZIP PHONE
OWNER �Y��f% !- ��°J7��=1W:. 4
ARCHITECT OR DESIGNER
MAIL ADDRESS CITY ✓ZIP PHONE
j !. PHONE LIC NSE#
GENE ALCONTRACTOR MAIL ADDRESS CITY 11P
ZIP PHONE LICENSE#
MECHANICAL CONTRACTOR MAIL ADDRESS CITY
1/ .I CITY ZIP PIIONE LICENSE#
PLUMBING CONTRACTOR MAIL ADDRESS
CLASS OF WORK
ION Q REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
❑NLW ❑AUDITION ❑ALTERAT
VALUATION OF WORK
DESCRIBE WORK
j //I G
PRUPUSk D 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 UES(.RIPIIUN 01 PROPERTY(SHOWN STADIA UR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
/'' L�fl� WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
LOI//fr/ BLOCK Z Of GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
U�9Ja' VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
TAX ID NUMBER CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
IOB AUDRLSS
Y / ? x
(OFFICE USE ONLY) MECHANICAL
PLUMBING - TYPE OF EQUIPMENT FEE
NO.
TYPE OF FIXTURE FEE NO.
WATER CLOSET (TOILET► AIR C U.UNITS -H.P.EA.
REPRICE T ION UNITS-H-P.EA.
BAIIIIUB
SDISHWASH
(WASIT BASIN) BOILERS- .EA
GAS FIRED A.C. NITS-TONNAGE EA.
MEA
FORCED AIR SYSF S- B.T.U.
INK&UISP. WALL HEATERS—B. M
UNIF HEATERS— B.T.U. M
LAUNURYTR
EVAPORA71`JE COOLERS
CLU I I ILS WASHE
CLOTHES DRYERS
W'AI ER HEATER
VENTILATION FAN
URINAL
RANGE FIOOD COMMERCIAL
DRINKING FOUNTAIN
AIR HANDLING UNIT- CPM
FLOUR DRAIN
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS ET
METAL FIREPLACE&CHIMNEY
SINK(SERVICE - BAR.ETC.) \ WATER HEATER
GAS PIPING
SUBTOTAL f
SUBTOTAL f PERMIT f
PERMIT f TOTAL FEE f
TOTAL FEE f PLAN CHECK FEE
SIDE YARD SE(BACK STRLET SETBACK REAR YARD SETBACK PLAN CAE NU�� RECEIPT NOy�j
USE F LOT AREA VACANt SITE FEES VALUATION FEE
YES ❑NO
TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS
PLAN CHECKING NG
BUILDING $
SIZE OF BLDG. NO.OF ST S MAX.OCC.LOAD
PLUMBING
ESPRINKLERSREQUIRED
YES NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
PENALTY U.B.C.
EC 303(a)
WATER/SEWER FEES
._...�r TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT RECEIPT
PAID CR# BY
� DING OFFICIAL DATE
I BUILDING
cc:ASSESSOR.APPLICANT.TREASURER.BLDG.DEFT. RECORDS COPY