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HomeMy WebLinkAbout18513 59TH AVE NE_00898_2026 - City of Ark 'ngton Permit No. _!1 NOTICE and Inspection Report Date Called Address Time Called ® �f� Contractor/Owner By Requested b TYPE OF • ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing aming ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other ❑ APPROVAL ORRECTION 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. Inspector Date r FAX COVER SHEET Bogs & Girls Clubs of Snohomish County PO Box 5224, Everett, Wa 98206 Tel: (206) 258-2436 Fax: (206) 259-6177 Date- To: CA.vrf— Company/Depattment: Fax No:433 Telephone No: From: gl1 l S3 V Fax No: 259-6177 Telephone No: 258-2436 Number of Pages (including cover sheet): Special Instructions/Comments: PIA 6-zUlA V10 + k� twof2P 6!sf We request that, in response, you: [� Acknowledge receipt by return fax. ❑ Phone us at (206) 258-2436 upon receipt. ❑ Other: [] No response upon receipt is necessary. CITY OF ARLINGTON CONSTRUCTION PERMIT p ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ElPLUMBING ElSIGN PERMIT NO.00098 OWNER MAIL ADDRESS CITY ZIP PHONE Boys & Girls Club, P. 0. Box 5224, Everett, WA 98206 , 258-2436 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 )UNLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK $ 2500 DESCRIBE WORK Place mobil unit on park property adjacent to Boys & Girls Club/CYC PROPOSED USE OF BUILDING temporary office space I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LEGAL DESCRIPTION OF PROPERTY(SHOWN 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 GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRAC7OR OR AUTHORIZED AGENT DATE 108 ADDRESS 18513 - 59th Drive NE X (signature on application) (OFFICE USE ONLY) MECHANICAL PLUMBING NO TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND. UNITS -H P. EA. BA I O UB REFRIGERATION UNITS-H P. EA_ LAVATORY (WASH BASIN) BOILERS-H.P. EA SHOWER GAS FIRED A.C. UNITS-TONNAGE EA. KI ICHEN SINK& DISP, FORCED AIR SYSTEMS- B T.0 MEA DISHWASHER WALL HEATERS- B.T.0 M LAUNDRY TRAY UNIT HEATERS- B.T.U. M CLOIHESWASHER EVAPORATIVECOOLERS WAIERHEATER 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) WATER HEATER GAS PIPING SUB TOTAL ; SUB TOTAL S PERMIT $1 PERMIT S TOTAL FEE $ TOTAL FEE $ SIDE YARD SE T 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.OCC.LOAD BUILDING ; PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE Temporary office to be removed upon PENALTY SEC.303(a) completion of youth center. WATER/SEWERFEES TOTAL NO IME PERMIT VALIDATION WHEN PROP Y DATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT PAID CR# BY L cc: ASSESSbR,APPLICANT,TREASURER, BLDG. DEPT. BOIL `G FTICIAL DATE RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT C0040INATION OUILOINO MCCHANlrAI, El Pt,i.IMAING Q StoN PERMIT NO. OWNER MAIL AL)URLFS (;II Y asp PHONE " "I 1A,,bs o r SY\a�c��1-.G�vW�t,, Qb 1�+nc SZ14 &AaAa h m 2oL 1�i - AKZ#IIItffClRDESIGNER MAIL AQUA 55 CItY lip ►HONL G.L►+ AL(, fRAC(UR MAILA(!U f.SS falY lip ROPE LICENSE 0 MECHANICAL CONTRACTOR MAIL ADDRESS City 71P ►IION>: LicENS PC11MRINC CONTRAC OR MAIL ADOREii C1tY zip MitN r LICENSE CLASS or*6Rk �— NEW 0AU01II()N ❑ALIERAIION ❑RFPAIR �I)!u(r1.1110" [:]9UILD(NtI III.L(K:AIION VAl UAIIt*#U1 NR1kK f UL4t.wIR1 Wc7RK - PI n ,. & 1 PRUPUSf U USE Of BUILDING I HF.R•BY CERTIFY THAT 1 HAVF. D ANO EXAMINED THIS APPL{CA• Ark U t% t G T•ION ANT) KNOW TI IF 4AMF,TO BE TRUE AND CORRECT ALL PROVI- L!L+L UEK aI ilt><+Cll ►KUPERTY(51Kr►N RF!fTW f7R A( AL IlII,2 tnP+eif 5i01yS Or LAWS ANEW ORDINANCES GOVERNING THIS TYPE OF WORK I tsl _RLUL►i—...,�„n+,�__._._,._. •_ WILL BE C•OMPLI10 WIT)j WIIETIIER SPF,C.IFIED HE.R1N QR NOT.THE GRANT INK;OF A PERMIT I)C)FS NOT PRESUME TO GIVE AUTHORITYTA VIOLATE OR CANCEL TIIC PROVISIONS OF ANY OTHER STATE OR TAX IP NUMBER 1,0CALLAWRFCIEII,ATING CONSTRUCTION OF THE PERFORMANCEOF � � 5 CONSTRU(:TION, PERMIT f:XPIRES 1 YEAR FROM DATE OF ISSIJANCE. 1 4 t _ __ IICNATt,•Ri(1F tOMRAC+rJR OR AUTf tORIT.[p AGENT OA(f X� cOFIICC USE ONLY? MECNANI[AL NO 1YPE Or rjXltIRE FEE N(). TYP! or CVUIPMENT FLE ' "'''•"••'— ��- "- Allt CUNV, VN115 �Ir.i. A. %AILkCLUSLI (I(JILL1) RAIIIIUS .—� RLI RIULRAI IQN UNITS N.P.EA (.AVAIURY (WASCI BA51NI _ — liol(.ERS II.P. EA 5110NLK _ (.A5 FIRED A.C. UNITS - I(JNNA()E EA. �^ I()i CELI AIR SYSTEMS - R.T,U, MLA DISFIWASIILR — WALLIILAIERS- B I.0 M LAUNUXY TRAY — liNiliIILAILRS - B.T.U. M GLUIIILSWASIILR _ _. F,VAPOR AIIVEC.00LtRS w'AILKIILATLR --^ CLUINF,S139YERS U1(tNAL - _ VLNTILAIIGN FAN I)► lNAINL,FOON I AIN _ I(AN(;E 1100D COMMERCIAL, I UDR I)RAIN AIR 110I)LING UNIT . GPM _ VAC.110M BRLAKLkS —. -- _ — M _ 510vt il(J(1I GRAINS RAINI,LAUERS _ MLIAL FIREPLACE A CHIMNLY SINK (SERVICC AAR.LTC.) - WATER HEATER GAS PIPING SUB 101 AL I _ SUa 70'TAL 6 -- PERMIT I +PERMIT I TOTAL FEE I TOTAL.FEE 1 SIU1.11HIi SO,ISALK iIRIII '--;BALK RLARvAR17tfTBALK ►LAN(AIff:KNUMPf.R PLAN C1(CCKFEE FF.F RECEIPT NO. 1.19 /UN( 101 ARC A VACANT SI f 1. Cl),IS E)NO FEES VALUATION FEE IvPC.(it CONS CKCUPANCY IUR(111P No.of pwr1,LING UNI IS PLAN CHECKING 140 ti,1/F(11 SLU(,. NO.Of 51 Uk If S MAX.OCC I.OAU BUIi,I?INL; I PLUMBING I IRI.5PRIVKI I RS RLOWPAL) ©Yf,I LJ NO MECI IANICAL COMMENTS STATE$LUG,C E ENERGY CQQ[SURCHARGE PENALTY U.B.C. WATF,k/SC1VER FEES !' f�`^t'i� v /211 TOTAL iS PERMIT VALIDATION WHEN PEQp(ELY VALIpATCp Ifry TM(SPACF.I T1i13 fS YOUR PERMIT&RF.CEIPs PAID CRR CC:ASSES3014,APPLICANT, TREAtSLJA[ '.OG OEhr fnJi f +GtAI OATl T MORE "OaY