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.
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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