HomeMy WebLinkAbout1104 PARK HILL DR NE_1310_2026 Permit No, City of Arlington
// NOTICE and Inspectionf�Report
Date Called — 1D' Address /0 ���J, /�
r Time Called Contractor/Owner if G
By Requested by % 6
TYPE OF • a
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing Final
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❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection 64SU
❑ Shear Wall ❑ Furnace ❑ Other
L�gCAPPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
�<W®rksted below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required.
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Inspector Date ✓���
Permit No. � —
City of Arlington
NOTICE card In Teotiot ,eport
`
Date Called / Address
Time Cal qd Contractor/Owne�77-�,
L
B Requested by
TYPE OF • REOUIESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-ln Plumbing ❑ Reinspectio
❑ Shear Wall ❑ Furnace
APPROVAL ❑ CORRECTION REQUIR D"t C
❑ Corrections listed below MUST BE MADE before work can be approved.
ork listed below has been inspected and approved.
CALL 435-0724 FOR REINSPECTION-24 hour notice required.
Inspector Date '�
Permit No. _ � City of Arlington
NOTICE and Inspectior, epori
Date Called Address I I
Time Ca Contractor/Owner 00
By:_
Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation *__Drywall
Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
APPROVAL ❑ 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 noti uired.
h
Inspector Date v
Permit No. City of Arlington
I NOTJIICE and Inspectior►.report
Date Called { Address /CJ
Time a led Contractor/Owner
By Requested by
TYPE OF •
❑ Setback ❑ Reroof1 Insulation
❑ Plumb GW ❑ Roof Diaphragm /❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
APPROVAL ❑ 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..
Inspector Date �` ��
Permit No 2 City of Arlington
NOTICE and Inspectio-z"eport
Date Called —IlAddress CAL
Time Called Contractor/Owner
By Requested by__�/%/�f`[3f
TYPE OF • REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
❑ APPROVAL _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.
Inspector Date v
Permit No. City of Arlington
NOTICE and Inspection .e,port
Date Called /3Address ��U
Time Called [ Contractor/Owner
By Requested by
TYPE
OF • REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
VI—A_PPRO' RRECTION REQUIRED
❑ Corrections list :an be approved.
Work listed be
❑ CALL 435-07' b/ l Ci1'e required.
r
Inspector Date
�3/� City of Arlington
Permit No. —--
NOTICE and InspeecJttiion—eport
Date Called Address Ile2el 9d/
Time Called Contractor/Owner
By Requested by
TYPE OF •
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
PZWork listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION-24 hour tice required.
Inspector Date
i
f Permit No. City of Arlincrton
,f __ 3
NOTICE and Inspection eport
Date Called C Address :i
Time Called !1`1 Contractor/Owner J%
By Requested by C
TYPE OF •
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
❑ APPROVAL ORRECTION REQUIRED
ctions 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.
,Z)d 4 Z404
Inspector Date
Permit No. City of Arlington
_
NOTICE and Inspection- .report
Date Called S,� Address \ '
Time lied f Contractor/Owner J
Requested by
TYPE OF •
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
- Shear Wall -❑ Furnace ❑ Other
� L;5,.APPROVAL ❑ 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.
1
Inspector Date U
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CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. 1310
OWNER MAIL ADDRESS CITY ZIP PHONE
Michael K. Rosenb.ach 19227 40th Ave NW Stanwood 98292 652-6352
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
Michael K. Rosenbach 19227 40th Ave NW Stanwood 652-6352
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE#
Happy Valley Construction HAPPYVC15OLO
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE - LICENSE#
7 Lakes Plumbing Stanwood 98292 652-7717
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
CLASS OF WORK
®NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
s 64 ,475
DESCRIBE WORK
new construction
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
SPR AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLG AL DES(-RIPI ION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT
17 BLOCK OF Park Hill Estates WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF 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
5627-000-0.17-0003 CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
)OB ADDRESS
1104 Park Hill Drive
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO_ TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
2 WATER CLOSET (TOILLI) 1 00 AIR COND. UNITS -H.P. EA
2 BAIHTUB 14 00 REFRIGERATION UNITS-H_P. EA
LAVATORY (WASH BASIN) 14 00BOILERS-H.P. EA
SHOWLR GAS FIRED A.C.UNITS-TONNAGE EA.
KI 1CHLN SINK & DISP 7 nn FORCED AIR SYSTEMS- B.T.U_ MEA
DISHWASHER (30 WALL HEATERS- B.T.U. M
LAUNDRY TRAY UN11 HEATERS- B.T-U M
1 CLOTHES WASHLR 7 00 EVAPORATIVECOOLERS
WATER HEATER 7 00 CLOTHES DRYERS
URINAL 3 VENTILATICN FAN 1
DRINKING FOUN IAIN RANGE FIOOD 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 f 64 UILI SUBTOTAL ;
PERMIT ; PERMIT ;
TOTAL FEE ; 99 00 TOTAL FEE ;
SIDE YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
2 0+ 2 0+ 2 0+ FEE RECEIPT NO.
USE ZONE LOT AREA VACANT SITE 12/16/93 260.98 28863 xX
R7200 7278 [-YES NO FEES VALUATION FEE
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG 313. 30 52732
`7N R3 & M 1 BUILDING $ 482 1 00
SIZE OF BLDG. NO.OF STORIES MAX.00C.LOAD
1708 1 8 PLUMBING 99 00
FIRE SPRINKLERS REQUIRED
❑YES NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE 4 50
PENALTY SEC.303(a) 15 00
WATER/SEWER FEES 3100 00
PAID TOTAL 3787182
2 6 19 � PERMIT VA U TION
(J. WHEN PRO RLY ALIDATE (IN THIS SPACE) THIS IS YOUR P IT RECEIPT
PAID CR' Y
✓ ! 19-4�
cc: ASSESSOR,APPLICANT,TREASURER, BLDG, DEPT. BUILDI-4150F. DATE
RECORDS COPY
/ CITY OL ARLINGTON
CONSTRUCTION
PERMIT - I a
7QM81N TIO y� BUILQING� ❑ MECHANICAL ❑ FLUMBIyG SIGN PERMI Q
uWNER
o7//""QaA� e5�h MAiAopaEsez /i11�./ S4 eZlr7 �71Zi PHONE Z� �3S
L
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
so k
GENERAL CONTRACTOR n l MAIL ADORES CITY ZIP PHONE
I MECHANICAL CIONTRACTOR I MAIL ADDRESS CITY ZIP PHONE LICENSE
1 PLUMBING CONTRACTOR MAIL ADDRESS CITY I.IP PHONE LICENSE
i
I CLASS Of WORK
Gj NLW ❑ADDITION AL RATION []REPAIR []DEMOLITION ❑BUILDING RELOCATION
VALUATION F WO y
o (�J,
UESC I E RK J�
PRUPOSF 0 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-
LLbAL DtsL a1vnQNot PaoPERTY(SIIOwN BE LowOR AnAt►1►QUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
L01 Z :7_RLOCK or Q. «l WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
-- GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
S �� •.00 _ sti3 VG `I VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER FROM PROPERTY TAX STAT MEN LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
' S ,_ 1.7 _d Q CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
coo SIGNATURE OF CONTRACTOR OR RIZED AGENT DATE
D
1 1 1f�isr�4r.QNLYj -
I 11WHANICAL .. . .._ -
NO. _ 'I'YPIi OP PIXTURR Flild_ xb FIX'Pl1RP' __ NO. _ TYPE OF EQUIPMENT PEE a's FIXTURES
�/WA'I1'.RCLOtiIfI"i'OIL1?-1) E7.00 - RCOND.UNI'1'S-II.P.EA. -,-.quip.list•"
)IA I-II'll)13 $7.00 EPRIGERATION UNITS-H.P.EA. --quip.list"
y.AVA-I'ORY(WASII BASIN) $7.00 30ILERS-H.P.EA. qu.P.list"
iI IOW rill E7.00 .AS FIRED A.C.UNITS-TONNAGE EA. qui Ip ist•" _
_ H-C)IEN SINK&DISPOSAL. E7.00 _ TORCED AIR SYSTEMS-B.7'.U. MEA $9.00
)ISIIWASIIER E7.00 _� _ __ ALL IIEA-rERs-B.T.U. M $9.00
).AI)NI)ItY'I'RAY '$7.00 .^� SNIT IIFK"I'ERS-B.T.U. M E9.00 `
WASHL
$7.00 WAPORATIVE
----��- AI'13RFI11 nli IL E7.0_0 7 A.011WS COOLERS
DRYS
--_ $6.50
L,. --- �)RINA ----. -- -- _-- _ --$7.00 _ UNTIL.ATIONFAN $4.50
T)ILINKING FOUNTAIN _ _ _E7.00 NGE HOOD COMMERCIAL $6.50
i°I.00I DRAIN $7_.00 ,j _ IR IIANDLING UNIT- CPM
'�/IVACUUM_BREAKERS .--___- - ---_E7.00 -_ ��i A_ y I'OVE $6.50
ROOF DRAINS-RAINLI-ADERS E7.00 r / + ETAL FIREPLACE&CHIMNEY $6.50
'SINK(513RVICIi-BAR,E IV.) $7.00 _ / _ AI'ER HEATER $6.50
ASPIPING "( to5=13.00,addnl.=E.75tat.
-Equipment Iisl must be provided
77. ► _ __
_ _
sul3'ro'rnl- sub roTnL
- - -- ---- --- ---- PHRMI'r �._ -_..
1'O_I'Al.I'I:1; _q- ------.1. -- - I'OTAL PER 11 3.<:::
SIUL YARU SE IBA(,K SIRELI SCIBACK REAR YARD SETBACK PLANC►IECK FEE
RECEIPT NO
FE _I CJ��t
UST IUNI LOT AREA VACANT SITE Cc
El9�S1"`� '�� YES ❑No FEES VALUATION E
it
TYPE V C AI
OCCUPANCYpGRROOUPP NO.OF DWELLING UNITS PLAN CHECKING 11G 31 ZQ
`I P '" r BUILDING
SIZE Of SLUG. NO.Of STORIES MAX.OCC.I-OAD
�0 PLUMBING
TIRE SPRINKLERSREOUIREO
❑YES p MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY
SEC.)Da(+)
V F;e Kam. WATEPUSEWER FEES
TOTAL 71
! PERMIT VALIDATION
WHEN PROPERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT&RECEIPT
.1 'L i tC i 1 U PAID _CRp BY
BUILDIW,OFFICIAL DATE
cc: ASSESSOR.APPLICANT, TREASURER,BLDG. DEPT, RECORDS COPY