HomeMy WebLinkAbout101 UNION ST_1572_2026 City of Arlinq ' on
f ' NOTICE and Inspection Report
Permit No. 10�r/ Legal
Date Called (!/ Address
Time Called .✓✓ Contractor/Owned
By � Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall Mechanical Other
r APPROVAL ❑ COR CTION 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�i/I��i�P f 3��� Date !`�
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CITY OF ARLINGTON
CONSTRUCTION
PERMIT NO. 1572
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER MAIL ADDRESS CITY ZIP PHONE
Steven King 101 W. Union St Arlington WA 98223 435-4858
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE III
Energy Inovations 214 N Lewis St Monroe, WA 98272 339-1511 ENERG11160N7
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
CLASS OF WORK
❑NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI[ION ❑BUILDING RELOCATION
VALUATION OF WORK
$3,300
DESCRIBE WORK
Replace furnace with propane tank and gas piping
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
Residence TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LEGAL DES(RIPTIUN OI PROPERTY(SHOWN BELOW OR ATTACH}OUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT-BLOCK - OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO 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.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
JOB ADDRISS
101 W Union St X itiv �>C
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND.UNITS - H.P-EA
BAIHIUB REFRIGERATION UNITS - H.P. EA.
LAVATORY (WASH BASIN) BOILERS- H.P.EA
SHOWLR GAS FIRED A.C.UNITS- TONNAGE EA.
KI ICHLN SINK & DISP FORCED AIR SYSTEMS - B T U MEA
DISHWASHER WALL HEATERS- B T U M
LAUNDRY T RAY UNIT HEATERS- B.T.U. M
CLOIHLS WASHER EVAPORAI IVE COOLERS
WA1ERHEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
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 $1 SUBTOTAL S
PERMIT $I PERMIT $
TOTAL FEE f TOTAL FEE $ -�
SIDE YARD SL[BACK STRLLT SETBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE
FEE RECEIPT NO.
USE/ONE LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONS1. OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING NG
BUTDING f
SIZE OF BLDG NO,OF STORILS MAX.00C.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL 0
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC-303(a)
MECH ONRY'
WATER/SEWER FEES
TOTAL
PERMIT VAIJUDIATION
WHEN PR PE Y VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT 1, WT
PAID CR# BY
B IL G OFFICLA `DATE
cc:ASSESSOR,APPLICANT,TREASURER, BLDG, DEPT. R CORDS COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT NO.
j OWNER MAIL ADDRESS CITY ZIP PHONE
E+eyty, riKrl 101 W- U 116o n�s f,4 43!- 9S S
ARCHITECT OR DESIGNER/ MAIL ADDRESS CITY ZIP PHONE
L
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PH LICENSE N
_eher6v Tvino k' `e is ZtY IU. L2�r1`s Morinet, WA 99212 ?3ci-� MeeGu l&oa1�
MLCHAN ICKUCONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
IF
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0
3 CLASS OF WORK
cc
❑NLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
Q VALUATION OF WORK
z s 3300. ro
Ul DESCRIBE WORK r
I— e lAc& t Lt rn k C&
M PROPOSI D USE OF BUILDING I
y Q'#s!d t vt,f�rG-! I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
W TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
? LEGAL LIES(RIPI ION OT PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LUr BLOCK • OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
W 41 l-7 - O i d _ Orb - 0001 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
1—
TAX XIDNUMBER FROM P)OPIRTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
11`` `I�jl VE( I,) 11✓i .41 vl CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
VLOB.iUURLSS SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
(OPFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE PEE z s FIXTURES NO. TYPE OF EQUIPMENT FEE i s FIXTURES
WATER CLOSED(TOILET) IR COND.UNITS—H.P. EA. tip.list•"
ATHTUB S7.00 kEPRIGERATION UNITS—H.P.F.A igtip.list—
VATORY ASH BASIN $7.00 301LERS—H.P.EA. ui .list*•
OWER $7.00 3AS FIRED A.C.UNITS—TONNAGE EA. tip.list'"
TC N SINK&DISPOSAL $7.00 ORCED AIR SYSTEMS—B.T.U.12-5 K MEA $9.00 r�
ISITWASTIER $7.00 NALL HEATERS—H.T.U. M S9.00
UNDRY TROY $7.00 JNIT HEATERS—H.T.U. M $9.00
LOTHES WASHHq $7.00 _VAPORATIVECOOLERS
ATER HEATER $7.00 LOTFIES DRYERS $6.50
RINAL S7.00 VENTILATION FAN $4.50
KINKING FOUNTAIN $7.00 1 FAS
E HOOD COMMERCIAL. S6S0
FLOOR DRAIN $7.00 ANDLING UNIT— CPM
VACUUM BREAKERS $7.00 E $630
OOF DRAINS—RAINLEADERS $7.00 L FIREPLACE&CHIMNEY S6.50
INK(SERVICE—BAR,ETC. S7.00 R HEATER $6S0
IPING *-(up to S=$3.00.addol.=S.75 C
ui meut list must be provided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTAL FEE TOTAL FEE
SIUL YARD SE 18A(.K STRLLT SL TBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO
USF/ONI LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPL OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
SUL Of BLUE. NO.OF STURILS MAX.OCC.LOAD BU'LDING S
PLUMBING
FIRE SPRINKLERS REQUIRED �^
y j ❑Y'ESS ,,�❑NO MECHANICAL
COMMENTS ��— `f ( !/�{ STATEYCO CODE
ENERGY CODE SURCHARGE
1* " �7 PENALTY U.B.C.
LIB L' SEC.303Ia)
WATER/SEWER FEES
_Jut-
._��,"".�'�; TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT
PAID CRII BY
cc, E$510R,APPtMMN TREASURER.BLDG. DEPT. BUILDING OFFICIAL DATE
,n, RECORDS COPY