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HomeMy WebLinkAbout19915 54TH DR NE_1599_2026 CITY OF ARLINGTON CONSTRUCTION PERMIT Ti® _ 1599 ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE Ken Higdon 19915 54th Dr NE Arlington, WA 98223 435-9885 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE# Kalif 's Service & Repair 691-7245 KALAFSR101DN MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# CLASS OF WORK NL.W ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLI HON []BUILDING RELOCATION VALUATION OF WORK $ 2600. 00 DESCRIBE WORK Gas Insert & Hot Water Tank PROPOSED USE OF BUILDING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LL6AL DESCRIPTIONOF PROPERTY(SHOWN BELOW OR ATTACH FOURCOPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOT 2 BLOCK OF Prospect Point 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 OFTHE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. sic�TU F COTTRAROPAUTHOPIZEDA DATE I`NTN' 54th Dr NE X 217- (OFFICE USE ONLY) MECHANICAL PLUMBING NO TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND UNITS — H P EA. BAIEHUB REFRIGERATION UNITS — H P EA LAVATORY (WASH BASIN) BOILERS - H.P. EA SHOWLR GAS FIRED A.C.UNITS — TONNAGE EA KI ICHEN SINK & DISP. FORCED AIR SYSTEMS— B T_U MEA DISHWASHER WALL HEATERS— B T.U. M LAUNDRY T RAY UNI I HEATERS— B.T.U. M CLUTIIES WASHER EVAPORATIVE COOLERS W'AIERHEATER CLOTHESDRYERS URINAL I VENTILATICN FAN DRINKING FOUNIAIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT— CPM VACUUM BREAKERS l STOVE 6 50 ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR,ETC.) 1 WATER HEATER GAS PIPING SUB TOTAL S SUB TOTAL S 16 00 PERMIT S PERMIT S 0 TOTALFEE $ TOTAL FEE S SIDLYARDSLIBACK STRLLISETBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE FEE RECEIPT NO. USE /ONE LOT AREA VACANT SITE ❑YES ONO FEES VALUATION FEE TYPE OF CONSI. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BU`LDING $ SIZE OF BLDG. NO.OF STORILS MAX.000.LOAD PLUMBING F IRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL 31 00 STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE PENALTY SLC SEC, 303(a) Mechanical Only T� WATER/SEWERFEES PAID TOTAL 31 00 laq PERMIT V TION �' WHEN P ER LY ALIDATED (IN IS SPACE) THIS IS YOUR PERMIT& C PT PAID CR# /✓ 7� BY cc: ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT B IL F IAL DATE R CORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING [:] MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. j OWNER I MAIL ADDRESS CITY ZIP PHONE ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP✓ PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N n� r M C14ANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N 3 CLASS OF WORK CO❑NLW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLI IION ❑BUILDING RELOCATION Q VALUATIONOF WORK z $ z'/'CID Ul LU DESCRIBE WORK // �t _ � ly Sit r 7- Gl% m PROPOSE D USE OF BUILDING y I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- ul TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z LEGAL DESCRIPTION Of PRUPtRTY jSHOWN BELOW OR ATTACH FOUR COPIES) SIGNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK J li�i .C! C.L 7 WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a LD r BLIX K OF GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO r VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR J TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF IL CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE '08�i9�s x (OFFIC USE ONLY) PLUMBI WBCHANICAL NO. TYPE OF FIXTURE FEE V.FIXTURES NO. TYPE OF EQUIPMENT FEE i s FIXTURES ATE LOSEI OiLEC 57.00 IEL COND.UNITS—H.P. EA. tip.lid— ATHTUB $7.00 EFRIGERATION UNITS—H.P.EA. ui .lid— VATOB Y H BASIN $7.00 OB.ERS—H.P.EA. �i •lid•" HOWER $7.00 AS FIRED A.C.UNITS—TONNAGE EA. u .lid— HEN SINES;&Dl AL $7.00 ORCED AIR SYSTEMS—B.T.U. MEA $9.00 ISHWASHER $7.00 WALL HEATERS—B.T.U. M $9.00 UNDRY TRAY S7.00 JNIT HEATERS—B.T.U. M $9.00 LOINPS WASHER $7.00 IVAPORATIVE COOLERS WATER HEATER \ $7.00 LOTHFS DRYERS $6.50 RINAL $7.00 VENTILATION FAN S4.50 KINKING FOUNTAIN $7.00 kANGH FLOOD COMMERCIAL $6S0 LOOR DRAIN S7.00 IR HANDLING UNIT— CPM VACUUM BREAKERS 57.00 VE S6S0 1� OOF DRAINS—RAINLEADERS 7.00 E`FAL FIREPLACE&CHIMNEY $630 INK(SERVICE—BAR,ETC. S7. ATER HEATER $630 AS PIPING •u to 5=$3.00,eddal.=S.75 ui ment list must be provided SUB TOTAL SUB TOTAL PERMIT PERMIT TOTAL FEE TOTALIZER SIDE YARD SE 1 BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE LUNt LOT AREA VACANT SITE FEES VALUATION FEE ❑YES ❑NO TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUTDING 5 SILL Of SLUG. NO.OF STORIES MAX.OCC.LOAD PLUMBING F IRE SPRINKLERS REQUIRED T ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY U.B.C. � SEC.303(a) WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT PAID CRII _BY BUILDING OFFICIAL DATE cc:ASSESSOR,APPLICANT,TREASURER,SLOG. DEPT RECORDS COPY City of Ar' ington NOTICE and Inspection Report Permit No. Legal Date Called Address l ' Time Called Contractor/Owner By Requested by / M TYPE OF • REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing Gas Piping ❑ Footing ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Roughmin Plumbing ❑ Reinspection ❑ Shear Wall Mechanical ❑ 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 ur notice required. 1. / Q Inspector