HomeMy WebLinkAbout19128 59th Ave NE unit A_1031_2026 Permit No. 1 City of Arl;--igton
NOTICE and Inspection Report
Date Called 4P —�-7 Address
Time Called Contractor/Owner
l � j
By Requested by CI ,TYPE _ vU
` OF •
N REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm Gas Piping
❑ Footing ❑ Framing I Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reins a ion llr
❑ Shear Wall � ❑ Furnace Other r��-�'�
ROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ CALL 5-0724 FOR REINSPECTION-24 hour noti7uired.
Inspector Date
CITY OF ARLINGTON
CONSTRUCTION
PERMIT 1031
❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER MAIL ADDRESS CITY ZIP PHONE
Bayliner Marine P.O. Box 9029 Everett 98206 435-5571
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
Same as above
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
❑NE-WADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI TION []BUILDING RELOCATION
VALUATION OF WORK
f 4500
DESCRIBE WORK
Install Gas Radiant Heat
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 DESCRIPTION Of 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 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
CONST N. PERMIT EXP EAR FROM DATE OF ISSUANCE.
SIGMA OF COS CTOR OR AU ZED AGE OAT
108 ADURLSS
19128 A 59th Av NE X
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILLT) AIR COND UNITS - H.P. EA
BAIHIUB REFRIGERATION UNITS - H.P.EA.
LAVATORY (WASH BASIN) BOILERS- H P EA
SHOW'LR GAS FIRED A.0 UNITS - TONNAGE EA
KI ICHLN SINK& DISP FORCED AIR SYSTEMS- B T U MEA
DISHWASHER WALL HEATERS- B-T-U M
LAUNDRY T RAY UNI1 HEATERS- B.T U. M
CLOIHLSWASHER EVAPORATIVECOOLERS
W'AIER HEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUN IAIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADLRS METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUBTOTAL f SUB TOTAL f
PERMIT f PERMIT f D
TOTAL FEE f TOTAL FEE f
SIUL YARD SL I BACK STRLLI SETBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE
FEE RECEIPT NO.
USE /ONI LOT AREA VACANT SITE
FEES VALUATION FEE
❑YES ❑NO
TYPE OF CONSI OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING NG
BUTDING f
SIZE OF BLDG, NO.OF STORILS MAX.OCC LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL 24 00
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
U B C
PENALTY SEC 303(a)
Mechanical only
WATER/SEWER FEES
PAID
ID TOTAL
I ^7 PERMIT VALIDATION
WM OPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT RECEIPT
Ls
PAI -/ CR# BY
� I �.q�__
BUI I L DATE
cc: ASSESSOR,APPLICANT,TREASURER, BLDG DEPT RECORDS COPY
' CITY Or ARLINGTON
CONSTRUCTION
PERMIT
l_J cOb1131NAtIOET Fj bUILbINO K[_MEc11ANICAL Cl PLUMM40 tj SIGN MMIT No.
NER MAIL ADDRESS (.ItY ilI PHONE
F ?)-o 4 y 3 5- S5 7
ARCIIIIICI OR DESIGNER MAIL Af) RrS D ..S CIfY 211 PIfONE
GENERAL tomIRALIOR MAIL ADDRESS (:IIY IP PHONE
MEAT ANICAL CONTRACTOR MAIL ADDRESS city llr NIONE LICENSE I
PLUMRINGCONIRACIOR MAIL ADDRESS CItV lip ►HONE LICENSE I
�CL Ass or WORK
[]NlW U)ADUIt1UN UALTERATION []REPAIR C]UEMOUIION (]BUILDINGRELOCATION
V At1/At1DN Or WgRk .�
4ESLRIBE WORK RAd r
If.FyS�f}/! �r1S 1d:r'X G �
PRVrOSI U L15E Of BUILDING
I I IFRrBY CERTIFY TI IAT 1 I LAVE RFAD AND EXAMINED THIS APPLICA-
t I I,nl,ul5t a1rl IV++CAI rRUrl.R IY 15ffOwN BrIOW OR At IAL►1 I t)I1R Ct)rlr TION AND KNOW THE SAMF TO ITF TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING T1115 TYPE OF WORK
1.01_ aLU(:K Or WILL RE COMPLIED WITH WI IFTHER SPECIFIED HERIN OR NOT. TLIE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTFIORITY TO
VIOLATE OR CANCEL TILE PROVISIONS OF ANY OTHER STATE OR
inx-1 NUm6-En -- LOCAL LAW RFG0LA11NG CONSTRUCTION OF TI It PERFORMANCE OF
G 4w,�RI)C11ON.PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE.
gGNAIUR Or CONt OR AU111OR17EO AGENT DAIS
JOB.%)ORI CS
e; ZRA _ �� fiv Ne l 2
(OFFICE USE ONLY) ME NNI L
PLUMBING
NO, TYPE Or I IXTURE I EE. O, TYPE Or EQUIPMENT rEE
WATER CLOSEI (VOILLI) AIR COND.UNITS - II.P. EA.
4AII11UH RErRIGERAIION UNITS -II.P.EA.
LAVA IURY (WA511 BASIN( BOILERS-II.P.EA
51lo%%'LR GAS rIRED A.C.UNITS- IONNAGE EA.
KI ICI N SINK 6 UISP. FORCED AIR SYSIEMS - B.T.U. MEA
D1511WA ILR WALL HEATERS- B.T.U. M
LAUNDRY AY UNIT HEATERS- B.T.U, M �p
CLOIIILS WAS R EVAPURAI IVE COOLERS
WAILR IIEAILR CLOIIIES DRYERS
URINAL VLNTILA[ION rAN
DRINKING T OUN I AIN RANGE 11000 COMMERCIAL _
I LOUR DRAIN AIR IIANDLING UNI T - CPM
VACUUM BREAKERS STOVE
RUOI DRAINS - RAINLLADERS METAL I-IREPLACE b CIIIMNEY
SINK(SERVICL - BAR,E IC.) WATER HEATER
\� GAS PIPING
SUBTOTAL 1 SURTOTAL !
PERMIT 1[EA rERMIT ( ({
TOTALrEE ! TOTALFEE
SIDI VAROS1,111ACK 51111.1,1 St.IBACk REAR YARD StIIIACK PLANCIIECkNUMBER PLAN CIIECKrEE
PEE RECEIPT NO.
DO /UNI LOT ARIA VACANT SIIE
[DYES [JND FEES VALUATION rEE
IYPE Or CONS PANCYGROUr NO.Or OWELUNGUNITS PLAN CI 40
Silt Ot BLDG. NU OI S1URt1.5 \ MAX,OCC.LOAD
BUILDING !
rIUMBING
fIRF.. KI.FRSREOt11Rm `
1__I YES CJ NO MECI IANICAL
COMMENTS STATE SLUG.CODE
/ ENERGY CODE SURCIIARGE
PENALTY SEc.C�d71•►
WATERAFWER FEES
TOTAL Qfv
PERMIT VALIDATION
WI IFN PROPERLY VAUOAtEO IIN 11111 SrACE)114I1 IS YOUR PERMIT R RECEIPT
PAID _CRN By
cr_- ASCESSOrt,Ar'r'LICANT, TmEASUntfi,ETLOO.OEr'T, aU1Dtr1gO►nOAt DATE
RECORDS COPY