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HomeMy WebLinkAbout107 S STILLAGUAMISH AVE_1441_2026 Permit No. City of Arlington C, NOTICE and Inspection Report Date Called i I� Address D Ti � �me Called.d Contractor/Owner !41 By Requested by —Z- J I h.�� TYPE OF • ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing Woodstove ❑ Foundation ❑ Drywall Nailing ❑ inal ❑ 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 Inspector Date ��� CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑k MECHANICAL ❑ PLUMBING ❑ SIGN N® 1441 PERMIT NO. - OWNER MAIL ADDRESS CITY ZIP PHONE Don & Shirley Christensen 10,7 S' Stillaguamish Arlington 98223 435-4001 ARNtTrCT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE# Home Town Heating 609 State Ave. Marysville 98270 659-6901 HOMETH075Q2 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS OF WORK ❑NLW ❑ADDITION ALTERATION ❑ REPAIR ❑DEMOLITION BUILDING RELOCATION VALUATION OF WORK f 180.0 DESCRIBE WORK Install fre-e standing gas- stove & piping PROPOSED 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 DES(RIPI)ON OF PROPLRTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOr BLOCK - OF 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 5412!^0,00-0O3--0QO8 CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. TUREOFCONi RORAUTHORIZEDAGENT DATE IOB ADDRESS 107 S Stilla uamish (OFFICE USE ONLY) MECHANICAL PLUMBING NO. TYPE OF FIXTURE FEE NO, TYPE OF EQUIPMENT FEE WATER CLOSET (TOILEI) AIR COND UNITS -H P. EA _ BAIFIIUB REFRIGERATION UNITS - H P. EA. LAVATORY (WASH BASIN) BOILERS - H.P EA _ SHOWLR GAS FIRED A.C. UNITS-TONNAGE EA KI fCHLN SINK & DISP FORCED AIR SYSTEMS - B T U MEA DISHWASHER WALL HEATERS- B.T U M LAUNDRY 1 RAY UNIT HEATERS- B.T.U. M CLOIHLS WASHER EVAPORAI IVE COOLERS WAIERHEATLR CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN 1 AIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS 1 STOVE 6 50 ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR, ETC-) WATER HEATER GAS PIPING SUB TOTAL S SUBTOTAL f 9 PERMIT ; PERMIT f TOTAL FEE f TOTAL FEE f 2A SIDL YARD SL IBACK STRLLT SETBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE FEE RECEIPT NO �.! /ONE LOT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG BU'LDING $ SIZE OF BLDG NO.OF STORIES MAX,OCC LOAD PLUMBING F IRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL 24 50 STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE U,BC PENALTY SEC 303(a) WATEPUSEWER FEES PAID TOTAL 24 50 w - - PERMIT VALIDATION I - '�`9 ' WHEN PR Y IV, IDATED (IN THIS SPACE) THIS IS YOU�PET RECEIPT PAID CR $U 6 EC AL ATE cc: ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT- RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING x MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. MAIL ADDRESS CITY ZIP BONE � , t�� ASE'S �(�)� 5• �L!ax �,�� CA s`.�` �� S ARCHITECT OR DESIGNER MAIL ADDRESS CI Y ` ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N MECHANICAL CONTRACTOR MAIL ADDRESS• CITY ` ZIP PRUNE_ LICENSE if PLUMBING CONTRACTOR MAIL ADDRESS C Y ZIP PHONE LICENSE/ 3 CLASS OF WORK CC❑NLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION IXVALUATION OF WORK ov z s G W DESC IBE WORK \ ` m PROPOSE D 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- uw Z LLGAL DES(RIP)ION OT PROPLRTY (SHOWN BELOW OR AT IACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE Lur—BLOCK OF GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO w /�� _ VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR I- 'T LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF a TAX ID NUMBER FROM PROPERTY TAX STATEMENT CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OFISS�NCE,� SIGN OF CONTRACTOR RITHORIZEO AGENT DATE 0 I08 ADDR1 S, 1 X v — 1 (OFFICtf USE ONLY) ECHANICAL PLUMBING FEE z's FIXTURES TYPE OF FIXTURE FEE i s FIXTURES NO. TYPE OF EQUIPMENT NO. ti .list•' ATER CLOSET(TOILET) f7.00 lR COND.UNITS—H.P. FA. Fl RIGERATION UNITS—H P.EA 7 ti .list•• ATHTUB $7.00 ,AVAT'ORY(WASII BASIN) $7.00 OILERS—H.P.F.A. tip.list" HOWER $7.00 AS FIRED A.C.UNITS—TONNAGE EA. ti •list•• TCHEN SINK R DISPOSAL $7.00 ORCED AIR SYSTEMS—B.T.U. MIS $9.00 ALL HEATERS—B.T.U. M $9.00 ISHWASHER 7'� $9.00 UNDRY TRAY f7.00 NIT HEATERS—B.T.U. M LOITEES WASHER $7.00 VAPORATIVE COOLERS ATE- HEATER $7.00 LOTIIES DRYERS $6S0 f700 FNTII/�TtON FAN f4SO . RINAL f6S0 RINKING FOUNTAIN $7.00 ANGE HOOD COMMERCIAL 00 IR HANDLING UNIT— CPM AI LOOR DRN f7 $6.50 5D 00 OVE ACUUM BREAKERS f7 f6S0 t?TAL FIREPLACEdt CtIIMNEY OOF DRAINS—RAINLEADERS t7•00 $7.00 EATER f6S0 INK(SERVICE—BAR.E1C. ATER H AS PIPING *(up to S=f3.00,sddnl.=_5.75 •Equipment list must be provided SUBTOTAL SUB TOTAL PERMIT PTRMII TOTAL FEE TOTAL FEE _ PLAN CHECK FEE SIDL YARD SE I BACK STRLLT SL I BACK REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. USE LONE LOI AREA VACANT SITE FEES VALUATION FEE ❑YES ❑NO TYPE OF CONS1 OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUTDING f SILL Or BLDG. NO.Of STORIES MAX.OCC.LOAD PLUMBING F IRE SPRINKLERS REQUIRED Y YES ❑NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE U.B.C. p i, PENALTY SEC.303(,) E WATER/SEWER FEES J� PR ? 6 19994 TOTAL ►v PERMIT VALIDATION 'I I Y `l•- i� I1�+;;TUI` WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT✓y RECEIPT PAID CRR BY �— DATE BUILDING OFFICIAL cc:ASSESSOR,APPLICANT,TREASURER,BLDG DEPT RECORDS COPY