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HomeMy WebLinkAbout19919 54TH DR NE_1616_2026 City of Arl. 2gton NOTICE aDA Inspection Report Permit No. Legal 'y) Date Called I /�/�`% Address MIS r Time Called '/,5 Contractor/Owner � By ��"� Requested _ TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing �Piping ❑ Footing ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Roughin Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other APPROVAL ❑ CORRECTION REQUIRED ELIJ.Porrecdons listed below MUST BE MADE before work can be approved. Work listed below has been inspected and approved. ❑ CAL -OM4 FOR REI PECTION—24 hour notice required. Inspector Date CITY OF ARLINGTON CONSTRUCTION PERMIT ` r ❑ COMBINATION ❑ BUILDING -b� MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. j OWNER MAIL ADDRESS r_ CITY ZIP PHONE 1/2- ARCHITECT OR DESIGNER MAIL A`D�RES CITY 1 HONE ► Tlou7 a 6G EN4ALCON�IRACT R MAIL AD ESS ITV ZIP PHONE ���LICENS��� / MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ PLUMBING CONTRACTOR MAIL ADDRESS CITY Zip PHONE LICENSE I 3 CLASS OF WORK 0❑NLW ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI LION ❑BUILDING RELOCATION CC -im !VALUATION OF WORK f _GY-7 yi ESC IBE WORK i_L-. G s 5 n'U aU S - m PRUPOSt U USE Of BUILDING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- w TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z LL4AL DES('RIPI TUN OI PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK J � Lust 3 BL(X:k � OF Q � C � WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE e GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO W VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF J TAX ID NUMBER p FROM PROPERTY TAXI STATEMENT CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 3 0/' 1 LtJ /� �•( J 1 o / SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE 0 U JOB ADURLSS 'n �. X I col (OFFICE USE ONLY) ECHANICAL PLUMBING FEE :'a FIXTURES TYPE OF FIXTURE FEE i s FIXTURES NO. TYPE OF EQUIPMENT NO. ti .lilt'• ATER CLOSET ILI3T $7900 IIt COND.UN17S—H P. EA. A7TITUB 57.00 FfRIGERATION UNITS—H.P.FA ni •list" VATORY ASiI BASIN) 7.00 OILERS—H F..P. A. ut 'list" $ t WF1t 7.00 AS PBLBD A.C.UNITS-TGNNAGSEA. vi .list" TC SINK R DISPOSAL $7.00 ji IR SYSTEMS—B.T.U. MEA $9.00 $7.00 TERS-B.T.U. M $9.00 ISt{W ER 39.00 UNDRY Y $7.00 TERS-B.T.U. M LOTHES WAS1 R $7.00 TIVECOOLERS ATER HEATFIL $7.00 DRYERS $630 f7.00 RATION PAN f4SO RINAL $6S0 KINKING FOUNTAIN $7.00 OD COMMERCIAL LOOR DRAIN $7.00 LING UNIT— CPM f7 00 f630 UUM BREAKERS $630 i7 00 REPLACER CHIMNEY GOP DRAINS—RAINLEADERS $7.00 R IIEATER f6S0 INK(SERVICE—BAR.ETC. AS PIPING *(UE to 5=$3.00.addnl.=f.TS ..Equipment list must be provided SUB TOTAL SUB TOTAL PERMIT PERMIT TOTAL FEB TOTAL FBE _ PLAN CHECK FEE SIUL YARD SL IBACK STRLLI SL IBACK REAR YARD SETBA K PLAN CHECK NUMBER FEE RECEIPT NO USF/ONt LOT AREA VACANT SITE VALUATION FEE ❑YES ❑ NO FEES tVPL OF CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUTDING f SILL OI BLM. NO.Of STORILS MAX.00C.LOAD PLUMBING F IRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL CPENALTY DE COMMENTS URCHARGE U.B.C. SEC.303(a) EES TOTAL FPERMITVALIDATION LIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT _CR# -- BY DATE BUILOING OFFICIAL Cc:ASSESSOR,APPLICANT,TREASURER,BLDG DEPT RECORDS COPY LED IZ —1 _ I I _ R IM I ',�■ f 1= I - — I.I IJrI I L— - fllu Ilulr 1 I -lit I ' • l .� �.. _+ram _ _ [Isu ��s� ' _ I_ _I _ — I I yl■I� � III♦ — � _ - �- rp 1 • I Irk l/,� ■ ' - —_� � � __ - - -, � .. T _ 1 I A I I 1 X Irl in •'i�ulw' -I i'I - - 1 CEO L - - JrIOU - _-� R • _�J ��+��`� ■raah�* 1 • ■ _—- 1 in ♦ -1 1 I u1 -11 I0 ra •�� I - r II 1-F I T -I 11 I In� llr.■.- SAL/ - �� �1 r► ■ ]In1 - c - , ►11111■UI_ 1 11 Mf _ --Aww t111111'R - - — _ - ' - - — - — — — ILI l._ . ''f y� ■ _ ,3��,�,'�/1 f„ _ f i. �5 ./••'ir3 rr ,l+. rl ` ff—"- ill 1 L i I L ;� ,��� 1- _ _11�C � ' � r♦��f1�ti II J 1 111�- ram• I � ��I T- �'JI �� - - rVA 1 COW WtIC-11ov c.. JArA jocJI '!.A 1 i CITY OF ARLINGTON CONSTRUCTION PERMIT M 1616 COMBINATION ❑ BUILDING ® MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO_. Ov;NLR MAIL ADDRESS CITY ZIP PHONE David L. Whitmore 19919 54th Dr NE Arlington 98223 435-7042 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N Dav0 s Installations 1701 Broadway Everett WA 259-4619 DAVESI*096PS MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE_ CLASS OF WORK ❑NLW [jJADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI TION ❑BUILDING RELOCATION VALUATION OF WORK f 4477. 85 DESCRIBE WORK Install Gas Stove inserts (2) in fireplaces 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- LLGAL DES(RIPTIUN OF PROPLRTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOI 3 BLOCK OF ProgRect 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 PERFORM.ANCEOF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE f 108 ADURI SS Z ` 12-60 19919 54th Dr NE X , / (OFFICE USE ONLY) MECHANICAL PLUMBING NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSEI (TOILET) AIR COND UNITS - H P. EA. BAIII]UB REFRIGERATION UNITS - H P EA LAVATORY (WASH BASIN) BOILERS - H P EA SHOWER GAS FIRED A C. UNITS - TONNAGE EA KI ICHLN SINK & DISP. FORCED AIR SYSTEMS- B T U MEA DISHWASHER WALL HEATERS- B,T.0 M LAUNDRY TRAY UNI I HEATERS- B.T.U. M CLOTHES WASHER EVAPORAIIVECOOLERS WA I LR HEATER CLOTHES DR YERS URINAL VENTILATICN FAN DRINKING FOUN I AIN RANGE FIOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR,ETC.) WATER HEATER GAS PIPING SUBTOTAL f SUBTOTAL f PERMIT S PERMIT f TOTAL FEE f TOTAL FEE f 'All UO SIDE YARD SE IBACK STRELI SETBACK REAR YARD SETBACK PLAN CHECK FEE DATE RECEIVED FEE RECEIPT NO USE /UNF LOT AREA VACANT SITE FEES VALUATION FEE ❑YES ❑NO TYPE OF CONS] OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BU'LDING f 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 U.B.C. SEC.303(a) Mechanical Only AL1 WATER/SEWERFEES L1 Q(� TOTAL 3 1 0 0 'J 1994 PERMIT V IDATION WHEN PR P Y VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT&R EIP PAID_ CR# - W BY BUR VI? OFfICIAI ATE ' cc:ASSESSOR,APPLICANT,TREASURER, BLDG DEPT RE ORDS COPY