HomeMy WebLinkAbout18420 WOODBINE DR_00769_2026 Permit No. -
City of `rlington
NOTICE and Inspection Report
Date Called Address
Time Called Contractor/Owner
By Requested by
• 1 ki ff• •
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm PGas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
❑ APPROVAL �_e1 R CTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required.
Iz
Inspector Date G
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL R)C PLUMBING ❑ SIGN PERMIT NO.00769
OWNER MAIL
Richard Steinberg, 1 ADDRESS 8400Woodbine Drive, Arlington, WA 98223P`I`�NF
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
MECHANICAL CONTRAC IOR MAIL ADDRESS CITY ZIP PHONE LICENSE I
Chimney Masters, 1415 Broadway, Everett, WA 98201, 259-6666 , #CHIMNM1108P
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
CLASS OF WORK
6j]NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
E
DESCRIBE WORK
Gas piping
PROPOSED USE OF BUILDING
Single family dwelling
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA—
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI—
SIONS DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) 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 GIVE AUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
IOB ADDRLSS
18400 Woodbine Drive, Arlington X
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND, UNITS —H.P. EA.
BAIHTUB REFRIGERATION UNITS—H P. EA.
LAVATORY (WASH BASIN) BOILERS—H.P. EA
SHOWLR GAS FIRED A.C.UNITS—TONNAGE EA
KI ICHLN SINK& DISP. 1 FORCED AIR SYSTEMS— B T U100, OM 9 00
DISHWASHER WALL HEATERS— B.T.0 M
LAUNDRY TRAY UNIT HEATERS— B.T.U_ M
CLOTHES WASHER EVAPO RAI IVE COOLERS
WATERHEATLR CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUN f AIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT— CPM
VACUUM BREAKERS STOVE
ROOF DRAINS — RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK (SERVICE — BAR, ETC.) WATER HEATER
1 GAS PIPING
SUB TOTAL $1 SUBTOTAL $1 12 00
PERMIT $I I IPERMIT $ 15 IQ
TOTAL FEE $1 1 1 TOTAL FEE $
SIDE YARD>L I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO
USE ZONE LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONST. OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING NG
SIZE OF BLDG. NO.OF STORIES MAX.000.LOAD BUILDING $
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL 27 00
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC,303(a)
WATER/SEWER FEES
MECHANICAL ONLY TOTAL 27 00
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE THIS IS YOUR PERMIT&4tEeEIPT
ov
91
PAID C "
1 Z.-'44
1
cc: ASSESSOR,APPLICANT,TREASURER, BLDG.DEPT. U DINGOFFI L
RECORDS COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT -7
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING ❑ SIGN PERMIT NO.
OWNER II MAIL ADDRESS CITY ZIP PHONE
Lh�ir� 5+e;)lbee-cv lgyDU kJ000i/hh a A/1 ivaIIo,I
ARCHITECT OR DESIGNER MAIL ADDRESS CI1 71P PHONE
GENERAL CONTRA(TOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
MIAHANICALCONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
IJ&a0er5 IY15A a(/ Cuc�c71� 2 Y-a66 GYflvA f/-0—
PLUM8ING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
VNLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
f
DESCRIBE WORK
Jn
PROPOSI D USE Of BUIL ING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
SI Ilk C,� /Gi/1?r � O�vi JH TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL UIS(RIPTION OI PRO .RTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORK
LOI BLOCK OF 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 OF THE PERFORMANCE OF
TAX ID NUMBER CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
)OB AQUURLLS1S / I —/
(OFFICE USE ONLY) MECHANICAL
PLUMBING
NO TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSEI (IOILLI) AIR COND. UNITS - 11 P EA
BAIfIIUB REFRIGERATION UNITS - H P.LA
LAVATORY (WASH BASIN) BOILERS - H P. EA
SHOw'LR GAS FIRED A C. UNITS -TONNAGE EA
KI IC.IILN SINK& UISP FORCED AIR SYSTEMS- B T.U. A
UISHWASIILR WALL HEATERS- B.T-U
LAUNDRY 1 RAY UNI1 HEATERS- B.T.U. M
EVAPURAI I`JE COOLERS
CLOTIILS WASHLR
WATER IIEATLR CLOTHESDRYERS
URINAL VENTILATION FAN
DRINKING FOUN I AIN RANGE HOOD COMMERCIAL
I LOOR DRAIN AIR HANDLING UNIT - CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEAUERS METAL FIREPLACE h CHIMNEY
SINK (SERVICL - BAR,ETC ) WATER HEATER
GAS PIPING
SUBTOTAL f SUBTOTAL f
S PERMIT
PERMIT f
TOTAL FEE f TOTAL FEE f
SIDL Y ARD SL I BACK STRLLISLTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USF /ONI LOT AREA VACANT SITE
[:]YES ❑NO
FEES VALUATION FEE
TYPL OF CONS) OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
BUILDING f
SIZE OF BLDG NO.OF STORILS MAX.00C.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
UBC.
PENALTY SEC.303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
PAID CRk BY
BUILDING OFFICIAL DATE
cc ASSESSOR,APPLICANT,TREASURER. BLDG.DEPT RECORDS COPY