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Home My WebLink About18624 WHITEHAWK DR_1328_2026 City of Ar'-�_ngton NOTICE and Inspection Report i Phone# Permit No.�6 Legal �c Date Called �`��' Address Time Call O t ( ! Contractor/Owner By Z Requested by TYPE OF • REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing Fnal ❑ Foundation ❑ Rough-in Plumbing (:�Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other PPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ork listed below has been inspected and approved. ❑ CALL 435-0724 FOR REJNSPECTION—24 hour notice required. � 1 T j i 9 Inspector Date City of Ar] 4 `lgton NOTICE and Inspection Report Phone# Permit No. �25 Legal Date Called Address K/ Time Called Contractor/Owner Le! KC -1 By Requested by OF • • ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing oral ❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other APPROVAL ❑ CORRECTION REQUIRED ❑ Corte ms 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. S 3 _ D / G�Tei n �� &C /mil Z4� Inspector Date //,v Permit No. / City of Arlington NOTICE mnd Insl: .n Report Date Called Address �J C�✓, [�C-��i,��C// Time Called /�' Contractor/Owne By ( Requested b TYPE OF • REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing Framing ❑ Woodstove ❑ Foundation (Porywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other APPROVAL ❑ CORRECTION REQUIRED ❑ orrections listed below MUST BE MADE before work can be approved. sled below has been inspected and approv ❑ CALL 435-0724 FO SPECTION-24 ho n tice required. Inspector Date `� Permit No. /�" City of Arlington 0� �y� — NOTICE and Inspec.�.n 1.� ,%ort Date Called / Address Time Called Contractor/OmcC/�� By Requested by7/� TYPE OF • ❑ Setback ❑ Reroof Insulation ❑ Plumb GW ❑ Roof Diaphragm Jl Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-in Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other PROVAL ❑ CORRECTION REQUIRED ❑ 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. J Inspector A Date ! ' 2 Permit No. City of Arlington NOTICE and Inspec.---jn ._port Date Called Address Time Called Contractor/Owner By Requested by L<<g-- TYPE OF INSPECTIONREQUESTED ❑ 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. >�k listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required. Inspector Date — 210 9 Permit No. City of Arlington -3Z � 30 NOTICE and Inspet-4nport Date Called 5 1 I Address 1'910Z* 'e � 4` b Time Called S Contractor/Owner k.��f t) By c�C11PY► Requested by r 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 ,,,,r ❑ Shear Wall ❑ Furnace the hhh `1 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 h u notice required. 4ff_&_V_ZL Inspector Date Permit No. City of Arlington NOTICE and Inspec,,n Report Date Called �2 Address Time Called • Contractor/Owner« By Requested by TYPE OF • REOCIESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab Rough-ln Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other APPROVAL ❑ CORRECTION REQUIRED T -1 ❑ Corrections listed below MUST BE MADE before work can be approved. Work listed below has been inspected and approved. ❑ CAL 5-0724 FOR REINSPECTION-24 hour not required. Inspector Date Z,/, Permit h_ City of Arlington NOTICE and Inspec—on Report Date Called Address Time Called ContractodOwne /► By l 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 KShear Wall ❑ Furnace ❑ Other ROVAL ❑ CORRECTION REQUIRED ❑?Work orrections listed below MUST BE MADE before work can be approved. listed below has been inspected and approved. '" ❑ CALL 435 0724 FOR REINSPECTION-24 hour notice required. Inspector Date l!/ ✓�� Permit No. City of Arlington �OTICE and Inspem-:n Report Date Called Address Time Called Contractor/Owner By Requested by L , TYPE OF • REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ,EQundation G�� ❑ Drywall Nailing ❑ Final /❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other PROVAL ❑ 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 _jam Date Permit No. ---� City of Arlington TICE cmd Inspec_,_-)n Report Date Called , _ A ress I T Time Called ^�� Contractor/Owner By � : '.• Requested by TYPE OF • REOUESTED ❑ 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. ^ i c 1 � Inspector Date � ! �� a C=TY OV ARL=NST_0N CONSTRUCT=ON RaRpf=T F2,aRMX-F_ NO _ 95-3JL33 Owner.- BRDWN,--•IVAN 18624 WHITEHAWK OR . ARLINGTON 98223 Value:.of Work: $9,462.00 Tax ID: 8007-000-032-0008 Phone: 360-435-9633 Describe Work: RE-ROOF Proposed Use: RESIDENTIAL Legal Description: �.. Job Address , 1,66:24 WHITEHAWK DR Contractor's Marne Type Address License# HAYES ROOFING ENT. G PO B0X 3633 HAYESRE066JL TOTALS Fee C' Permit Fee $0.00 1�1 SIGNATUR . TOTAL FEE................. $0.00 I HEREBY CERTIFY THAT I HAVE READ AND Y7NAMINED THIS APPLICATION AND PAYMENTS.................. $0.00 KNO E SAME TO BE OF AND COR- RECI A .L PROVISIONS �: Ll1' AND TOTAL DUE................. $0.00 ORD NA CES G EP.NIN HIS 'YPE OF WCM W LL BE I I.JTT ' WHETHER SpE IF D •HE T DATE RECEIPT #k �--�— OING OFF IAL C I T'Y OF 1qRL I hIGTO1%' CONE;YRUCY I Ohl BERM I T PERMIT NO- Omer: BROWN, IVAN 18604 WHITEHAWK DR ARLINGTON 982232 Value of Work: $500.00 Tax ID: 800-700-0032-0008 Phone: 360-435-96.33 Describe Work: 3-WALL GARDEN SHED ATTACHED TO HOUSE Proposed Use: SHED Legal Description: GE SECIII LOT 32 Job Address: 18624 WHITEHAWK DR Contractor's Name Type Address License# OWN TOTALS Fee \\ � �✓� �/ Permit Fee $38.75 SIGNATURE• TOTAL FEE................ . $38.75 T HEREBY CERTIFY THAT I HAVE READ AND =XFKVED THIS APPLICATION AND PAYMENTS..................$0.0 KNOW T' E "AME TO BE TRUE AND COR- RECT L ROV7 IONS OF LAWS AND TOTAL DUE................ . $38.75 ORDT CE G& -R�iING -CIS _ FIE OF WQE�, IL BE - kI'H HETHER DATE RECEIPT # l BUI IM CI L �}r00 L ' LP CD U4 r II c,� i C CDv ' L a 'IN t 1. GC% L-; D R A c' o` /�` t0 Ll 1 `, a o all 1 17 Q1, co t � C P•l r�io.s' -� V= z wry tGG. OG -5 �� R �o•�S. i • �a Ct Str��{ 33r:� J3" C , PI ° 7C.G 1 A 101 ft to Curb of Heron Court 46 ft 1 53 ft to Fence 14 ft I in — 11 ft 6 in /—Gorden Shed 9 ft / 105 sq ft 1lnder Foo- 72 sq ft Flea Space - - New Oeck Existing fleck Fxtens i on and Stairs ar rr 9 ft 2 in 'r 'r 8 ft rr ri 2 ft Firs: Flar Second Floor Exterior Wa11 Exterior Wo11 26 ft 46 ft B ft 6 in to R.L. 22 ft 52 ft 6 in to GA -T 10 ft 5 in to Pl, 34 ft 9 in to Curb 52 ft 5 in to Center of Street 40rv►E5 I LD-j 3 Z 8Z1 l Flo PC- Sc• 641-rpiAwk- V2. t� �j -Vk-EEL-I, r LVR. �(8o1Z �lrEs-3eAlot k-- ( (%A) {^/►l l�r✓ 4 IA N S O/.� �2 L►N6 Ton I , i v/�. �06 4L- °60 �� 5-��2M�2Atrs1�6t S 00 I" .c zz JW 1 1 T'Y OF AR:.Ir�V rUN I I I I I 1 �H AWI(- DIP, CITY OF ARLINGTON CONSTRUCTION PERMIT 1T® 1328 ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. GlM'NER MAIL ADDRESS CITY !IP PHONE LaRock Homes Inc.. 4827 166PL SE Both-ell 98012 744-0924 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE Design Consultants 950.5 19th Ave &E Everett 98208 388-3868 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N LaRock Homes I:nc 4827 166 PL SE Bothell 98012 744-0924 LAROCHI101KM MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# CLASSLIF WORK EXNLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI FION ❑BUILDING RELOCATION VALUATION OF WORK ; 111 F 6 81 DESCRIBE WORK new construction PROPOSED USE OF BUILDING SFR I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LL(.AL DES(RIPT ION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LO, 32 BLOCK OF Gle ea 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 OFTHE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 108 AUDRLSS SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE a/ '� e 1(/ 18624 Whitehawk Dr x1tJuck2��(OFFICE USE ONLY) MECHANICAL PLUMBING NO. TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) 21 00AIR COND. UNITS - H P EA BAIHIUB 14 00 REFRIGERATION UNITS - H P EA LAVATORY (WASH BASIN) 28 00 BOILERS - H.P EA _ 1 SHOWLR 7 00GAS FIRED A C. UNITS -TONNAGE EA 1 KI ICHLN SINK& DISP. 7 onFORCED AIR SYSTEMS - B T.0 MEA q on DISHWASHER WALL HEATERS- B T-U M LAUNDRY TRAY I UNI1 HEATERS- B.T.0 M CLO111LS WASHER 00 EVAPORAI IVE COOLERS WAILR HEATER 1 CLOIHES DRYERS 6 50 URINAL 4 VLNTILATICN FAN DRINKING FOUN I AIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT- CPM 2 VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS 1 METAL FIREPLACE &CHIMNEY 6 50 SINK (SERVICE - BAR, ETC.) 1 WATER HEATER 6 50 5 GAS PIPING 3 75 SUBTOTAL $ SUBTOTAL $ PERMIT $I 5 PERMIT $ TOTAL FEE ; 1201 00 TOTAL FEE $ SIDL YARD SE TBACK STRELI SETBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE 8/6 22. 5 20+ FEE RECEIPT NO. USE /ONE LOT AREA VACANT SITE 1/11/94 50 29010 R7200 10949 DYES ❑ FEES VALUATION FEE NO TYPE OF CONSI OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING NG 1716 2 8 BU'LDING ; 661 50 SIZE OF BLDG- NO,OF STORILS MAX.00C,LOAD PLUMBING 120 00 F IRE SPRINKLERS REQUIRED ❑ ❑ MECHANICAL 71 75 YES NO COMMENTS STATE BLDG.CODE 4 50 ENERGY CODE SURCHARGE Plan 2203 X r Radon kit XXXXX 15 00 WATER/SEWER FEES 3100 00 u TOTAL 3972 7 5 PERMIT V 1 ATION WHEN ERL VALIID TED IIN THIS SPACE) THIS IS YOUR PEFL T J2ECEIPT PAIN ` CR# BY Y cc: ASSESSOR,APPLICANT, TREASURER, BLDG. DEPT. O FI IAL DATE RECORD COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING Q SIGN PERMIT NO— . 1 � OWNER MAIL ADDRESS CITY ZIP (HONE Ljc- Oc.i FI F L _ �c - y i Z. z �F Get Z_ ARCIIITECT OR DESIGNER MAIL ADDRESS CITY ZIP ►IIONE D� icu �/ c%��n��S rsos �/n '&f- � A2"m* Grip 4g� 33g-38kg ENERA ON RACIUR MAIL ADDRESS CITY ZIP PHONE LICENSE �/� �� l I a t=c:c I{,.l ��TY`It�f�•� �a,r . �' 1 ((C h �L S t S'� '�(1€L( (.� c� �I �°O(� 7�(�-�`�i�'>' (r I tic A,, MECHANICAL CONTRACTOR F MAIL ADDRESS CITY ZIP PHONE LICENSE/ PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE Il 'LASS OF WORK '9'NL.W ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION Of WORK _ UE SCR IBE-WORK �J PROPOSI D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- Stec,-YL'u- - -j �� E=-�1 F'j- -'c C[ TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LWAL UES(JRIPT ION UI PROPERTY( ItOWN RELOW OR ATTALII IUUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK wl�,e�BLcx k QT 'EYE�LE 7}T 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 I YEAR FROM DATE F ISSUANCE. IOB aUURI-SS SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT DATE Q 4' a (()I I ICI'.I)S1?ONLY) --- - ---._— . - . —MECHANICAL —NO. 'I'YPI?OF FIXTURE ^^ FEE x's PIXTURIS NO. TYPE OF EQUIPMENT FEE :'s FIXTURES 3 WATF CI.OSIPI'('FOILED _ $7.0-0 _ IRCOND.UNITS—H.P.EA. 3quip.list•' )tAnrrUE _ $7.00 EFRIGETION UNITS—H.P.EA_ quip.IbN' .AVA-1.0RY WASII BASIN $7.00 Z 301LERS—H.P.EA, !quip.list— j I IONRER $7.00 AS FIRED A.C.UNITS—TONNAGE EA. lquip.list— I HY:IIEN SINK&DISPOSAL $7.00 •ORCED AIR SYSTEMS—B.T.U. MEA $9.00 Oa _L )ISIIWASIIER _ $7.00 t ALL HEATERS—B.T.U. M 1 f9.00 AUNURYTRAY $7.00 NIT HEATERS—B.T.U. M $9.00 _ — CITIIES WASIIER $7.00 lVAPOPLATIVECOOLERS XI-FR IIEATE.R __f7.00 _ LOT[IES DRYERS f6.50 �)RINAL f $7.00 VPNTILATION FAN $4.50 �L7 )RINKMG FOUNTAIN S7.00 ZANGE HOOD COMMERCIAL 16.50 FLOOR DRAIN ------ ---'--_— _ $7.00 ---- IR HANDLING UNIT— CPM 1V` ACUUM BREAKERS $7.00 J _ OVE S6SO 12 )tDOI IL DDAINS—RAINI.EADER_S_ _ S7.00 _ J _ET_ALFIREPLACE&CIIIMNEY f6S0 SINK(SERVICE—BAR,E'IC.) S7.00 ATE HEATER f6.50 _! k- AS PIPING to 5=$3.00,addnl.=f.75 ea. •Ecjuipment list must he provided ----------- SUBTOTAL PERMIT _ TOTAL FriE ` 1� TOTAL FEE SIULVI\kUSl18ACk SfRtLll REA YARD SETBACK DATE FIECEIVIED PLAN CHECK FEE FEE RECEIPT NO. USE /ONI LOT ARE VACANT SITE KYES ONO FEES VALUATION FEE F -I TYPE OF CONSI. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG SIZE OF BLM NO. STORIES MAX.OCC.LOAD BU'LDING O PLUMBING 2-0 FIRE SPRINKLERSREOUIRED ❑YES O MECHANICAL 17/ COMMENTS STATE BLDG.CODE �Z^ u , �7 ENERGY CODE SURCHARGE P T A M G��3 P /F WATER/SEWER FEES 1 �� a TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED ON THIS SPACEI THIS IS YOUR PERMIT b RECEIPT ! PAID CRII BY BUILDING OFFICIAL DATE reCr'=rn[i APPI-I/'ANT TREASURER BLDG DEPT CITY OF ARLINGTON CONSTRUCTION PERMIT J �) ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. l X (-' OWNER//1, Zit Rn/ MAIL ADDRESS Clly ZIP PHONE r !!! ' 1v ah A RCHITE.CT OR DESIGNER MAIL ADDRESS VEY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRES CITY ZIP PHONE LIC NSE M :bar) 1?)mL�r) aM4-1 bovit MLCHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N Cn f ASS OF WORK NLW X ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI LION ❑BUILDING;RELOCATION LUATION Of WORK 5bd. o0 ti(RISE WORKii llca.r raa n apt a n N -5,a oapPRUPOSI U USE,OI BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAM ED THIS APPLICA- 'Wn L v_ r6 A661s a:ti TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z LLGAL DES(RIPT ION OI PRON RTY(SHOWN BFLOW Oft AT T A(H I OUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK -j 32 �,� � pD l �L�bV' - WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE J LOT BL(X.:K(LsL/OF� a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR k�_J _A,XID NUMBER J FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCEOF U A d t' I �) CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE U :("OFFICR AUURI SS18�Zh t� t r I U 1x USE ONLY) Ij -- PLUMBING F_CI IANICAL NO. TYPE OF FIXTURE FES s's FIXTURES N TYPE OF EQUIPMENT FEE :'s FIXTURES ATER CLOSET'(TOILET] It OND.UNITS—H.P. EA. IqLdp.lit"' IATHTUB 113PRIbligATION UNITS—H.P.EA. 1'd .list•« TORY WASII BASIN) 301LERS—'hP.EA. 3qLdp.lit— _lOW 3AS FIRED A_0H.NITS—TONNAGE EA. 7 d .lit•• ITCIIEN K do DISPOSAL ORCED AIR SY9I —B.T.U. MBA ISI IWASIIBR ALL THEATERS—B.T.U. M .AUN DRY TRAY NIT HEATERS—B.T.U. N, M LO'iTIFS WASHER .VAPORATIVECOOLERS ATER HEATER LOTHFS DRYERS �\ RINAL VENTILATION FAN )RINKING FOUNTAIN GE HOOD COMMERCIAL FLOOR DRAIN IR HANDLING UNIT— CPM VACUUM BREAKERS OV E OOF DRAINS—RAINLEADERS AETAL FIREPLACE&CHIMNEY 'INK SERVICE—BAR,IN-C.) ATER IIFATIR _ AS PIPING *(up to 5=$3.00,addol.=$35 -Equipmem list must be provided SUB TOTAL SUB TOTAL PERMIT PERMIT TOTAL FEE TOTAL FEE SIDE,YARD SL[BACK S TREL1 SL 1 BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE /UNI LOT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE TYPE,OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUILDING f ✓ f SIZL OI BLDG.. NO.Of STORILS MAX.OCC.LOAD PLUMBING T F IRE SPRINKLERS REQUIRED ❑YES [j NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE PENALTY U.B SEC.303(a) WATER]SEWER FEES �L J - TOTAL � PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT PAID CR0 —BY BUILDING OFFICIAL DATE cc:ASSESSOR, APPLICANT,TREASURER, BLDG DEPT RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT 9g_ ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. 3 j OWNER MAIL ADDRESS CITY ZIP PHONE 1't ' IS ' ; o w DN C ar - 3 ARCHITECT )R DESIGNER MAIL ADDRESS CITY ZIP PHONE nl/A PENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N H,4 Ve_6 cam. Inc. E n-�, P�.�z^� 3 4M tyc�A q 8�.0 3 549�"�q� �avesrC, MEC IANICAL CCI TRACTOR MAIL ADDRESS CITY ZIP PHONE LI ENSE/ N/h 0bh 'T PLUMBING �.`CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 3 CLASS-'OF WORK ❑NLW ❑ADDITION ❑ALTERATION REPAIR ❑DEMOLI IION ❑BUILDING RELOCATION Q VALUATION OFWORK z s Uj DESCRIBEfWORK n l - 5 f A 2 6f (� m PRUPO E O USE OF BUILDING N I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- w TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z LLGAL U X IPT ION OF PROPERTY HOWN BELOW OR ATT C FOUR COPIES) :3 SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK J LOI 1 BLOCK OF SQL- — WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO _ VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR uj TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF IL _ O _ O CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. V0 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE IOB ADURLSS f t 13i!�'2_4 1��11�E -.\ D rlir x (oFriCB USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE z's FIXTURES NO. TYPE OF EQUIPMENT FEE z's FIXTURES ATER CLOSET TOILET) IR COND.UNITS—H.P. EA. 3glip.list— ATHTUB tEFRIGERATION UNITS—H.P.EA 3qLip.list** VATORY ASH BASIN OILERS—H.P.EA. zip.list•• ROWER 3AS FIRED A.C.UNITS—TONNAGE EA. ti .list•• ITCHEN SINK&DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA ISHWASHER NALL HEATERS—B.T.U. M _ UNDRY TRAY JNIT HEATERS—B.T.U. M LOTHES WASHER APORATIVECOOLERS WATER HEATER 'LOTHES DRYERS RINAL FNTILATION FAN RTNKING FOUNTAIN GE HOOD COMMERCIAL LOOR DRAIN IR HANDLING UNIT— CPU[ ACUUM BREAKERS OVE OOF DRAINS—RAINLEADERS ETAL FIREPLACE&CHIMNEY INK SERVICE—BAR,ETC. ATER HEATER AS PIPING *(up to S=$3.00,addnl.=S35 —Equipment list must be provided SUB TOTAL SUB TOTAL PERMIT PERMIT TOTAL FEE TOTAL FEE SIUL YARD SL I BACK S IRLLI SL I BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE /ONt LOT AREA VACANT SITE FEES VALUATION FEE ❑YES ❑NO TYPE OF CONS] OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG 51lE Of BLDG. NO,OF STORILS MAX.OCC LOAD BUTDING $ PLUMBING FIRE SPRINKLERS REQUIRED 0 YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY U.B.C. � p SEC.3031+1 ,�,C WATER/SEWER FEES v TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT PAID __CR# BY cc: ASSESSOR,APPLICANT,TREASURER, BLDG DEPT BUILDING OFFICIAL DATE RECORDS COPY