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HomeMy WebLinkAbout19605 51ST DR NE UNIT A_1104_2026 Permit No. City of Arlington NOTICE and Inspect.on Report Date Called Address AIL 6 Time C fled �� Contractor/Owne. Requested by ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing Woodstove X� ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other. PPROVAL ❑ CORRECTION 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. 2c ?67, u l` Ld Inspector Date _�`�� CITY OF ARLINGTON CONSTRUCTION PERMIT - ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN N 1104 PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE Brent Sesby 3709 179th PL NE Arlington 98223 653-99633_ZlC���4} ARCHITECTOR DESIGNER "It ADDRESS CITY ZIP PHONE GLNERAL CON I RAC iOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N same as owner MECHANICAL CON T RACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS OF WORK ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK S DESCRIBE WORK f ves PRUPOSk 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(RIPI IUN OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LUI 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 CO TRACTOR OR AUTHORIZED AGENT DATE jOB ADDRESS 19605 51st DR NE 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. BA IH1 UB REFRIGERATION UNITS -H.P.EA LAVATORY (WASH BASIN) BOILERS- H P. EA SHOW'LR GAS FIRED A C UNITS-TONNAGE EA. KI ICHLN SINK & DISP. FORCED AIR SYSTEMS- B.T.0 MEA DISHWASHER WALL HEATERS- B.T U M LAUNDRY 1RAY UNII HEATERS- B.T.U. M CLOTHES W'ASHLR EVAPORAI I`VE COOLERS W'AILRHEATER CLOTHES DRYERS URINAL VENTILATICN FANi DRINKING FOUN I 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 GAS PIPING SUBTOTAL $ SUBTOTAL f PERMIT f PERMIT f TOTAL FEE $1 TOTAL FEE f SIDE YARD SEIBACK STRELTSLTBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE FEE RECEIPT NO. USE ZONE LOT ARP A VACANT SITE ❑YES ❑NO FEES VALUATION FEE TYPE OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING VG SIZE OF BLDG. NO.OF STORIES MAX.000.LOAD BUTDING f 100 00 PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE 4 50 ENERGY CODE SURCHARGE PENALTY U.B.0 Wood stove only SEC.303(a) WATER/SEWER FEES Ins,3ect1 (50 c� � ;.�Ct� `'S`�v�� TOTAL 104 50 PERMIT VALIDATION WHEN PROP VALIDATED (IN THIS SPACE) THIS IS YOUR PER I(EECEIPT PAID CR BY /1 7 cc: ASSESSOR,APPLICANT,TREASURER, BLDG.DEPT. BUIL INGOF 'IAI I L DATE RECORDS COPY CITY Or ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN PERMIT NO. OWN _/ER MAIL ADDRESS CITY/} , zip PHONE ARCHITECT OR DESIGNER MAIL ADORE CITY ZI y2 PHONE GENERAL CONTRACTOR nn^^ ,,^^ MAIL ADDRESS CITY ZIP PHONE LICENSE IT `vim MECHANICAL CONTRACTOR MAIL ADDRESS CITY Zip PHONE LICENSE IT PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 CLASS OF WORK O NLW ❑AUDITION ❑ALTERATION ❑REPAIR []DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK S UfSCR( WORK PRUPOSI U U E OF BUILd G I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL UE5(RIPI ION Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LUI BLOCk - or 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 OF THE PERFORMANCE OF CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE e ADUR(SS l (OFFICE.ITSE ONLY) --- - --���- --�- - --- "IMNInING _ MECHANICAL NO. 1 __ .1 OF FIXTURE _ FEE x's FIXTURES NO. TYPE OF EQUIPMENT PEE x's FIXTURES !WA IIiR CLO_SET(1-011.M- $7.00 UR COND.UNITS—1I.P.EA. ,quip.list— IATIrrun $7.00 IEFRIGERATION UNITS—H.P.EA. uip.list— AVA•I.ORY(WASI1 BASIN) $7.00 301LERS—H.P.EA. ui .list— _ _ I IOWER $7.00 3AS FIRED A.C.UNITS—TONNAGE EA. !quip.list" _ ITO IEN SINK&DISPOSAL S7.00 7ORCED AIR SYSTEMS—B.T.U. MEA S9.00 )ISIIWASIIER $7.00 WALLHEATERS—B.T.U. M $9.00 .AIINURYTRAY $7.00 JNITH EATERS—B.T.U. M $9.00 Loll WAS IIER $7.00 lVAPOPATIVECOOLERS A'PER))EATER $7.00 LOTHES DRYERS $6.50 1RINAL--- _-�- - --- -� —_— -- f7.00 -_-'--- — -VENTILATION FAN 3430 bRINKINO FOUNTAIN $7.00 NGE HOOD COMMERCIAL $6.50 IYLOOR DRAIN __ _$7.00 _____ IR HANDLING UNIT— CPM t1VACUUM BRFAKE_RS $7.00 _ OVE hj�- S630 T� )(OOF DRAINS—RAIN LF.A_D_E_R_S_ $7.00 _ETALFIREPL.ACE&CHIMNEY $6.50 SINK(SIiRVICIi—BAR.E'IC.) $7.00 WATER HEATER S6.50 -- AS PIPING '(u to 5=$3.00,addnL=$.75 ea.) ' —EgiApmoenl list must be provided suit O'fAl. SUBTOTAL Pi:RMIT PFRMIT TOTAL FIE TOTAL FEE Gf O C) SIDL YARD SL IBACK STRELISLIBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE FEE RECEIPT NO. USE /ONI LOT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE I YPE OF CONS 1. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG SIZE 01 BLIX,. NO.Or STURILS MAX.00C.LOAD BU'LDING S C� PLUMBING FIRE SPRINKLERS REOUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE / ENERGY CODE SURCHARGE (/ / / PENALTY SEC. SEC.3034) WATER/SEWER FEES TOTAL i PERMIT VALIDATION WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT PAID CRN RY cc: ASSESSOR,APPLICANT, TREASURER,BLDG. DEPT. BUILDING OFFICIAL DATE RECORDS COPY