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HomeMy WebLinkAbout1105 E 5TH ST_3344_2026 APPLICATION LJNSTRUCTION INFORMi,.. ION FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW ❑ , ALTERATION X❑ , ADDITION ❑ , DEMOLISH ❑. Building Department Building Permit ® Describe Alteration Re-roof (20 sq) Certificate of Occupancy ❑ Date 3/11/86 NOTICE: No permit for erection, alteration, moving, repair or occupancy of any building 1 ,237 .00 shall be issued until an application has been made and approved for a certifi- Valuation based on total floor area $ N O T I C E cate of zoning compliance. Where work is started Plan checking fee $ before permit is obtained Owner Charles Donnelson Address 1105 5th St . E. Permit fee $ C � '00 the permit fee shall Arlington, Washington be doubled. Wash. State Building Code Fee 1.60 Permittee Address Wash. State Energy Studies Surcharge3 Architect _ _ Address �O I SPECIFICATIONS Engineer _ Address �.� Everett Bldrs . Inc. 5606 Evergreen Way FOU / Exterior Piers COVERING Contractor Address - 4 %j rr- Everett , Washington Material Exterior walls CITY ar- q3 Zd IYGr Interior walls LEGAL DESCRIPTION OF PROPERTY: Lot No. .Block No. Width at top ON Subdivision or Unplatted description Victor Heights 1 BLK 000 D-00-Lot 14 Width at bottom Roof or reroofing Depth in ground ZONING INFORMATION FRAME Size Spacing Span FLUES TYPE OF OCCUPANCY of present or TYPE of CONSTRUCTION of present or R.W. Plate(sill) Fireplace proposed main building (circle) proposed main building (circle) Girders Floor furnace A B C D E F G H I J 1 II III III 1 hr. III HT Joist, 1st floor Kitchen DIVISION 1 2 3 4 IV IV 1 hr. V V 1 hr. Joist,2nd floor Water heater Joist,ceiling Furnace Use Zone Fire Zone Area of Lot Size of building or addition No.of stories Exterior studs Gas Oil Total height Basement floor area 1st Floor area Interior studs Additional floors and areas No. of rooms No.of families Roof rafters No.of buildings now on lot. Use of buildings now on lot Bearing walls Percentage of lot covered by main building Additional Permits are required for: Percentage of lot covered by accessory buildings (check) IMPORTANT Kind of livestock ❑ Plumbing, ❑ Signs, ❑ Moving, Written authorization of owner must CHANGE OF OCCUPANCY from to ❑ Sewer hookup, ❑ Water hookup, be presented when applicant is occupant If a commercial building,list each use and its area in square feet: ❑ Gas appliance and Gas piping. or lessor. I am the legal owner of the I hereby acknowledge that I have read this application and property described in this application. state that the above is correct and agree to comply with all city ordinances and/State La s relating zoning and building Owner DRAW on the reverse side of this application, to scale, a PLOT PLAN. APPLICANT PLOT PLAN FOR DEPARTMEN.AL USE ` Draw below,to scale,a plot plan showing: FOR DEPARTMENTAL USE Application for Certificate of Zoning Compliance El Checked Initials 1. Dimension and shape of the lot. 1 2. Front street name. 2. Building Permiv `Certificate of Occupancy Elchecked and approved. 3. Side street name if corner lot. 3. dinA 4. Sizes and location on the lot of buildings already existing. 4. _ 3 �3�� 5. Location and dimensions of proposed building or alterations. 5. Building Ins pector /,— '�_ Date 6. Front yard,side yard,rear yard setbacks. 6. 3 go 7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. e� Date front yard trees and shrubs,green belt. 8. Location and size of required off-street parking and loading 8. INSPECTION RECORD Inspection Date Signature Set Back Excavation Concrete Reinforced Steel Grout Blocks Bond Beam Frame `� Roofing Room Ventilation Kitchen Vent Bathroom Vent Foundation Vent Access Hole Garage Fireproofing Fireplace Spark Arrester Water Closet Water Heater Sewage Disposal Lathing Plastering Correction Order Left Stop Work Order Issued Stop Work Order Released Give brief report of special or unusual conditions Job completed Date Building Inspector Certificate of Zoning Compliance No. Issued Date Certificate of Occupancy No. Issued Date MOORE BUSINESS FORMS INC LA APPLICATION %-ONSTRUCTION INFORM. ilON FOR: Certificate of Zoning Compliance 1-1 To CITY of ARLINGTON CLASS of WORK (check) NEW ❑ , ALTERATION ❑ , ADDITION , DEMOLISH ❑. Building Department 4 a Oof. Building Permit � Describe Alteration �G Certificate of Occupancy ❑ Date /0 - / —V'/ NOTICE: No permit for erection, alteration, moving, repair or occupancy of any building shall be issued until an application has been made and approved for a certifi- Valuation based 4onal ea $_5P040 N O T I C E cate of zoning compliance. Where work is started To 4A. �• + Plan checki fee �— before permit is obtained Owner----.X � D/f//1'G�S��'✓ Address_��� S� G J T� Permit � $ s�� S the permit fee shall be doubled. Permittee Address Architect Address O SPECIFICATIONS Engineer Address FOUNDATION I Exterior Piers COVERING Contractor _Address Material Exterior walls LEGAL DESCRIPTION OF PROPERTY: Lot No. Block No.000,0-04 Width at top Interior walls Subdivision or Unplatted description C-0` v �41'1 4,7S r Width at bottom Roof or reroofing Depth in ground ZONING INFORMATION FRAME Size Spacing Span FLUES TYPE OF OCCUPANCY of present or TYPE of CONSTRUCTION of present or R.W. Plate(sill) Fireplace proposed main building (circle) proposed main building (circle) Girders Floor furnace A B C D E F G H I J 1 II III III 1 hr. III HT Joist, 1st floor Kitchen DIVISION 1 2 3 4 IV IV 1 hr. V V 1 hr. Joist,2nd floor Water heater Joist,ceiling Furnace Use Zone _Fire Zone Area of Lot Size of building or addition No.of stories Exterior studs Gas Oil Total height _ Basement floor area 1 st Floor area Interior studs Additional floors and areas _ No.of rooms No.of families _ Roof rafters No.of buildings now on lot Use of buildings now on lot_ Bearing walls Percentage of lot covered by main building - Additional Permits are required for: Percentage of lot covered by accessory buildings (check) IMPORTANT Kind of livestock ❑ Plumbing , El Signs, ❑ Moving, Written authorization of owner must CHANGE OF OCCUPANCY from to ❑ Sewer hookup, ❑ Water hookup, be presented when applicant is occupant If a commercial building,list each use and its area in square feet: ❑ Gas appliance and Gas piping. or lessor. I am the legal owner of the I hereby acknowledge that I have read this application and property described in this application. state that the above is correct and agree to comply with all city ordinances ,,a///nd Sta Laws regulating z ing and building Owner DRAW on the reverse side of this application,to scale, a PLOT PLAN. APPLICANT )t ®" PLOT PLAN FOR DEPARTMEfo.AL USE Draw below to scale an sow p p g� Checked Initials pp p a lot Ihin FOR DEPARTMENTAL USE Application for Certificate of ZoningCompliance ❑ _ 1. Dimension and shape of the lot. 1, 2. Front street name. 2. Building Permit Certificate of Occupancy ❑ checked and approved. 3. Side street name if corner lot. 3. , , 4. Sizes and location on the lot of buildings already existing. 4. / 5. Location and dimensions of proposed building or alterations. 5. Building Inspector9 Date 6. Front yard,side yard,rear yard setbacks. 6. 7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. Date �G1 51—lkl front yard trees and shrubs,green belt. 8. Location and size of required off-street parking and loading. 8. INSPECTION RECORD Inspection Date Signature Set Back Excavation Concrete Reinforced Steel Grout Blocks Bond Beam Frame Roofing Room Ventilation Kitchen Vent Bathroom Vent Foundation Vent Access Hole Garage Fireproofing Fireplace Spark Arrester Water Closet Water Heater Sewage Disposal Lathing Plastering Correction Order Left Stop Work Order Issued Stop Work Order Released Give brief report of special or unusual conditions. Job completed Dat��� Building Inspector Certificate of Zoning Compliance No. Issued Date Certificate of Occupancy No. Issued Date MOORE BUSINESS FORMS INC.LA City of Arlington Code Enforcement Office Third&Olympic Arlington,Wa. 435-5255 Date Occupancy rr /t c Address //� 5 y e;fy Owner or Manager Person notified Under authority of sec. UFC a survey of the premises was made by the undersigned and discrepancies in fire standards were noted as follows: -7 �a Ise i A- IZ6 Xj �-Gfif.Llr.^ t.t-�l�ii1" -1 � '�'/ ��-(' �lf'--•/ �.�L`l.�Ii^4i �[A",•� '2, �/-Yr./..•�!' �--e.C�'s_.t� , y t -�'.:.rl d--1rt� i��� !/-I-� YOU ARE HEREBY REQUIRED TO CORRECT THE ABOVE item(s)WITHIN_ AT WHICH TIME A REINSPECTION WILL BE MADE. SEC. U.F.C. R. D. Mulligan j -Code Enforcement Officer Inspector "Practice Fire Prevention"