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