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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 ___ Gz ❑ 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. l��L ���er��.A� .�rY�C ��✓ /auk. 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 ag � a l ► ! i - ! ma a7� � WW-W2aUJ i < h �,� ! • ► C I �1 Q_ J � k 3 0fee qr rOX O• �v 1 .Ir 72 P :r U) LIJ T 0 ui H y LC _ 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