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Home My WebLink About18405 WOODLANDS WAY_004048_2026 Cog od A1E1AN4jrr4)N PERMIT APPLICATION ` 230 N. OLYMPIC AVE., ARLINGTON, 98223 (206) 435-5785 COMMERCIAL, RESIDENTIAL, MECHANICAL, PLUMBING, GRADING Tax Account Number �. 45 -oo e"-° 0/& - n Job Site Address /��/� rj Wood fC 4- ��✓Cr= r City f l� V'\w C )"N Applicant Name .// S•70 Phone Mailing Address ,---' 5-27 City J"11',,71o+1 Zip 6zz Contractor Name-2-'R,je, 'n -e.On L 04S4-1'c..74"? License Address a�d n� Q. City Zip Phone — Architect/Engineer License # Address City Zip Phone TYPE OF PROJECT `5'P-9 F2� Sewage Disposal (f � � iJ- Right-of-Way Width C00 Culvert Permit No. LOCATIONAL INFORMATION: SEC TWP RGE 16th Plat Name/Short Plat No./Segregation No. WOonL A KTD S S e-QAn r Lot/Parcel # 0- /za Block # Lot Size 7 7 X/07 X 76X 1 Z�l Is the average slope of the property in excess of 25%? Yes No ke . Has construction started? Yes No i--� This structure will be used for the following purpose..sr e Other buildings on this property a 4 ro >> OWNER/AGENT SIGNATURE G1"2 rci . `a.� DATE 7'-/-S 7 NOTICE: Front Yard Setbacks. Curbs, Sidewalk Edge, Edge of Street pavement is not necessarily your front property line. In the case where your setback will be measured from the front property line, be certain that you are measuring from the actual front property line and that your plot plan depicts this. In the event your setback will be measured from a private access easement, the edge of the improved road is not necessarily your front property line. Be certain that you are measuring from th of the actual easement and that your plot plan depicts this. ACKNOWLEDGED L. ------------------------OFFICE USE ONLY BELOW THIS LINE------------------------ PERMIT CONDITIONS . . . ZONING: Max Lot Cover % Max Bldg. Height ft SETBACKS: Front Side Rear Basic Plan # Other Covenants SPECIAL CONDITIONS . . . Tpkjal g ow 3Uv 6 SANITATION PUBLIC WORKS _ ON SITE LETTER DRAIN TRAFF ENV HEALTH SEWER CN R/R RD IMP OCD ACCESS RSBP LS SLIDE CMBP_ ESMT RSME STD BLA SLOPE CMME _ ADDRESS PLBG SP SEPA SITE PLAN CULVERT MBHM 5 ACRE _ OTHER FIRE AFF/BOND MOVE LOTS _ OTHER GRADING INSP 20 ACRE OCP _ CU FL ZN FML BLA PLAT REZONE SEPA_ SH LN SP VAR Su— VA PLUMBING PERMIT [31 MECHANICAL PERMIT (NOT . ,R MOBILE HOMES) F41FIXTURES No. UNIT TYPE: Electric_ Oil Gas_ LPG Solar Water Closets 2 Bath Tubs UNIT SIZE: BTU's KW Shower Baths Wash Basins Z ' No. FEE Sinks / FOR THE INST. OR RELOC. OF Dish Washing Machine Forced Air Systems Hot Water Tanks Fuel Storage Tanks Drains Heat Pumps Laundry Washers / �_ Wood Stove Laundry Trays Fireplace Insert Urinals - —0— Clearance Fireplace Drinking Fountains Rain Leaders Sumps VacuumBreakers Gas Piping -- Permit Fee Side Sewers Water Service Line / Total Due $ Misc Total Fixtures Permit Fee c IV tv r Jr 0,4 d/4,,dr &vay Total Due $ Q 1,a-t p �' Related Bldg. Permit # IF MORE THAN ONE BUIL, A SEPARATE BUILDING PERMIT MUST BE ISSUED I ��y t, f `14� BUILDING DIMENSIONS: MAIN FLOOR l,/ ,il Plv.+'a�,�,� -- SECOND FLOOR Pf THIRD FLOOR FOURTH FLOOR aAS4 Sr yt V MEZZANINE BASEMENT GARAGE .ZO !�' r$'�Df AN W aPogo CARPORT DECK 1 NUMBER OF FIREPLACES - 19 _ FOR OFFICE.LMALY ROUTING SCHEDULE: Bldg: sent rcv'd Valuation J1 J (�0 �,., Site Plan: sent rcv'd Plan Check �J �C� rcp # San: sent rcv'd Permit Fee Env. Hlth: sent rcv'd Penalty Fee Eng: sent rcv'd Plumbing Fee FM: sent rcv'd Mechanical Fee Env. Cklt Fee TOTAL DUE: CITY OF Ar.LINGTON BUILDING D.-PARTMENT GAS PIPING TEST AFFIDAVIT Homeowner u.�'C Address Permit No. The gas piping system was tested at psi for a total of minutes. WITNESSED BY % �, �1-' IA (signature of occupant requesti g gas service) (date) INSTALLED BY All 7`-(-/'� - '(signature of installing gas fitter) (date) Please arrange for someone to be present on the date of requested inspection to provide access for the inspector. The white copy must be mailed upon completion to: City of Arlington - Building Department 238 N. Olympic Arlington, WA 98223 Hard Copy - Job Site Pink Copy - Contractor White Copy - Mail d INSPECTION REPORT 4ti1N GrO permit No.:� �koLN., Lot #: Q' Address: Z Contractor: �O Owner: II ti IN C' Date: PROVAL ❑ PARTIAL APPROVAL VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: . PE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing JI l Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in TFinal ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: City oJ .:1M1NGIrrON NOTICE and Inspection Report Address Contractor r Owner Requested by TYPE/OF INSPECTION REQUESTED ❑ BLDG: Pmt. No. c��` ❑ MECH: Pmt. No. ❑ PLBG: Pmt. No. ❑ Footing ❑ Framing j ❑ Foundation ❑ Drywall Nailing rLYJ Final � ❑ Concrete Slab ❑ Rough-In ❑ Fireplace and Chimney ❑ Furnace ❑ Other El APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. APPROVED FOR OCCUPANCY subject to ceWfieaie of.00cupArlpy_. ❑ Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required. Inspector Date I was present during this inspection. city od ARLINGTOM NOTICE and Inspection Report Address : /P.,-,Y Contractor Owner Requested by TYPE OF INSPECTION REQUESTED BLDG: Pmt. No. Q ii 7 ❑ MECH: Pmt. No. PLBG: Pmt. No. ❑ Footing Framing ❑ Foundation Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In ❑ Fireplace and Chimney ❑ Furnacd ❑ Other El APPROVAL ❑ PARTIAL APPROVAL ❑'VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before-Work can be approved. ❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. ❑ Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required. Inspector Date i was present during this inspection. Caq of AKLimGTgn --,JOTICE and Inspection Report f Address r% ( xC4/ .• '7 S �U/� Contractor I% /S ��1 �✓ s C) t'/ Owner s� Requested by TYPE OF INSPECTION REQUESTED o � ,)?,,/BLDG: Pmt. No. 7 ❑ MECH: Pmt. No. ❑ PLBG: Pmt. No. ❑ Footing A Framing ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab Rough-In ❑ Fireplace and Chimney ❑ Furnace ❑ Other M APPROVAL ❑ PARTIAL APPROVAL /❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. ❑ Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION — 24 hour notice required. i Inspector Date was present during this inspection. I II City od A&ICL1\GTO\ y. NOTICE and Inspection Report Address es �� v/i/y/x� / sc!_Ir S C1/�! V ry Contractor ' . �� C _J v ':i,✓�� i Owner �cs� f Requested by A O 7 TYPE OF INSPECTION REQUESTED ,K.BLDG: Pmt. No. ❑ MECH: Pmt. No. ❑ PLBG: Pmt. No. ❑ Footing ❑ Framing Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In ❑ Fireplace and Chimney ❑ Furnace ❑ Other APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. ❑ Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required. 117 Inspector Date I was present during this inspection. cijq Sri .:1�1.1\1:'1'11 e t 1` --NOTIC E and Inspection Report �l Cr� 3 Address ` I �' tx; Contractor J �� 1KJ�Tv7 Owner Requested by ., TYPE OF INSPECTION REQUESTED G: Pmt. No. ❑ MECH: Pmt. No. PLBG: Pmt. No. f�-Eooting ❑ Framing ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In ❑ Fireplace and Chimney ❑ Furnace ❑ Other 1- ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. ❑ Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION—24 hour notice required. 1_•i's Y Inspector Date I was present during this inspection. O C I T Y O F A R L I N O T O N CONSTRUCTION P E R M I T P E R M I T N O_ = 0 0—4 0 4 8 + Owner: BURGESS, BILLIE 18405 WOODLANDS WAY ARLINGTON 98223 !^ Value of Mork: $2,000.00 Tax ID: 7385-004-016-0004 Phone: 360-435-5808 Describe Mork: INSTALLING GAS FIREPLACE Proposed Use: SFR Legal Description: Job Address: 18405 W004LAND5 WAY Contractor's Name Type Address License# SHANNON HEIGHTS HEATING NEC 20902 67TH AVE NE #108 SHANNHH08IBC JP E R M I T F E E S Equipment and Fixtures Number Fee Total Charge -------- --------------- ------- - ---- - - -- ------ -------- - ------------ ` METAL FIREPLACE & CHIMNEY 2 $10.65 $21.30 ` GAS PIPING 1-4 OUTLETS 1 $4.75 $4.75 DRYER 2 $10.65 $21.30 RANGE 1 $10.65 $10.65 I S U B T 0 T A L...... $58.00 TOTALS Fee ^I Equipment $58.00 Mech Periait $23.50 SI TURE. TOTAL FEE. . . . . . . . . . . . . . . . . $81.50 I EBY CERTIF THAT I HAVE READ AN ANHEINED THIS APPLICATION AND PAYMENTS.............. . ...$0.6 KN SANE TO BE TRUE AND CDR- RE LL PR ISIONS F L S AND TOTAL DUE. . . . . .... . . . . . ... $81.50 0 N NCES V£RNI THI TYPE OF WR LL B N D WI H WHETHER Sle IED DATE RECEIPT t0ld O ICIAL C I -r Y QF= A RC I NO-rQN CONE3YRUCT I ON F}ERM I T F}ERM I T NO. Sa—aac3S Owner: , BILL 18405 WOOD-LANDS ARLING ON 98223 Value of Work: ",500.00 Tax ID: 7,s85-004-016-0004 Phone: 435-5808 Describe Work: RETROFIT GAS FURNACE & WATER HEATER Proposed Use: SFR Legal Description: Jab Address: 18405 WOODLANDS Contractor"s Name Type Address License# OOZY HEATING M P.Q.BOX 335 C0ZyHI*i22M 3 P E R M� I T F E E S Equipment and Fixtures Number Fee Total Charge ---------------------------------------- - ---- -------- ------ ------ r t WATER HEATER PLUMBING FIXTURES 1 $7.00 $7.00 GAS PIPING 1-4 OUTLETS $4.75 $9.50 S U B T O T A L...... $27. 15 TOTALS Fee Equipment $20. 15 Fixture $7.00 Mech Permit $23.50 SIGNATU TOTAL FEE. . . . . . : : . . : . . . . . . $50.65 I HEREBY C RT:-Y I HAVE R_ AND AMIVED THIS APPLICATION AN PAYMENTS..................$0.0 riNG ! - SAME TO BE TRUE AND ' Q 1-9 A' L PROVISIONS OF LFAWS �! TOTAL DUE.. . .... . . . . . . . . . . $50.65 ORD Nq. ChS _-vERNINIA THIM TYPE Lr WOO W LL K C MPLI WI WHETHER O1 S IF E /1,/' NOT, �� DATE RECEIPT # IfU Kbilhg t&O I LI hL F �� ,X_9 75� 1 - � I In ` n� 1 I I N CCU fC�c�e- �QI 1 N N f S• \A""C,o c_�i c�S oT 7 7,E 7'E, G Jl _6,C,0 i 8 von 1,&C YJS F/ � Arl�•�q�-Eon, JCA- CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN pER IT NO. I-In l OWNER MAIL ADDRESS CITY ZI► PHONE 13*1\�'-�. 6', .1 k q o&')z'1� 0 - A CT/ITECT OR DESIGNER AIC A RESS CITY cir PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N y - MECHANICAL CONTRACTOR MAIL A DRESS CITY Z P �QP)ONEj LICENSE 1s/L7 l!\� d f(1)' 1 0)(, PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N 3 CLASS OF WORK co O NI-W ❑ADDITION ❑ALTERATION ❑REPAIR ElDEMOLI TION ❑BUILDING RELOCATION Q VALUAI ION Of WORK zs W UE CRI URK F m PROPOSE D l/SE OF UICDINGVV I FIEREBY ERTI THAT I H E READ AND EXAMINED THIS APPLICA- w TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z u.GAL Dt St alrllt>AI oI rR<)rt RlY ISIKHVN BI I OW UR AI I Aul tvuR COrltcl J SIGNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LUI BLOCK • OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO w •� VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR w LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF a TAX ID NUMBER FROM PROPERTY TAX STATEMENT CONSTRUCTION.PERMIT EXPIRE 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF ONTRACTOR OR AUTHO ED GENT DATE U 10e ADDRESS X (OPt'ICB USE ONLY) PLUMBING ECIIANICAL NO. TYPE OF FIXTURE PEE i PIXTURES NO. TYPE OF EQUIFMUNT PEE s's FIXTURES ATER CLOSEC(TOILET) 1R COND.UNITS-II.P. EA. ti .llt'• ATTITTJB EPRIGERATION UNITS-II.P.EA Ij .Ilt" VATORY ASII BASIN OILERS-II.P.BA. jqtip.lit•« IIOWER AS FIRED A.C.UNITS-TONNAGE EA. Wip.IIA" ITCHEN SINK&DISPOSAL ORCED AIR SYSTEMS-B.T.U. MEA ISHWASHUR ALL IIEATERS-B.T.U. M UNDRY TRAY NIT IIBATERS-B.T.U. M LO"fI1B5 WASIIER VAPORATIVBCOOLOtS WATER I(EATER LOTTIPS DRYBRS RINAL PNTILATION PAN RINKING FOUNTAIN LANGE IIOOD COMMERCIAL IL.00R DRAIN IR HANDLING UNIT- CPM VACUUM BREAKERS OVE OOP DRAINS-RAINLEADBRS 4017AL PIRL'PLACE R CHIMNEY ;INK ERVICB-BAR.Mt. ATER IIBATER AS PIPING *(up to 5-$3.00.■ddnl.a$35 ul ment list must be provided Al SUB TOTAL SUB TOTAL rW.MIT PERMIT TOTAL PEB TOTAL PBB SIUL YARD SE(BACK STRL1.1 SL IBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO USF /UNI LOI ARIA VACANT SITE ❑YES ❑NO FEES VALUATION FEE IYPL OP CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG BU'LDING f SILL OI BLb(,, NO.OF S70R11_S MAX.(CC.LUAU PLUMBING ��SPRINKLERSRLQUIRED❑NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE PENALTY U.B.C. SEC.303(a) RECEIVED WATER/SEWER FEES MA TOTAL 2000 PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT 6 RECEIPT CITY OF ARLINGTON PAID_ CRa BY BUILDING OFFICIAL � DATE cc' ASSESSOR,APPLICANT.TREASURER. BLDG.DEPT RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COM13INATION ❑ 9UILDIN0 MECHANICAL ❑ PLUM13ING ❑ SIGN PERMIT NO. II OWNER MAIL ADDRESS City Zlr r11ONE Ij��AOS L),tb�Ols 1Dc P41A.At-Ak1+224-4 3 3te.0 S—�S)c>X ARCIIIIECI Ott DESIGNER MAIL AUURESS CItY Zlr rIIONE uF.Fil fixLZuAf iT1CCTZS MAIL ADURES`S El Y lir ff loptTct T3l a— MCCRA—IICT(L CON;RAC IOR MAILAUURESS City Z1r r11UNE LICENSE rLUMBIN(;CON I RAC IOR MAIL ADDRESS CITY 21r rtIONE LICENSE IT CLASS W WUnK O=)NLW ❑AUUITIONALTERATION ❑REPAIR ❑UEMOLIIION ❑BUILDING RELOCATION VALVAt IpN prCnK ! t y�t�(j� UESCRtBE WORK rrturuSl D USL OI BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED T1115 APPLICA LUA- 1-T k5(Rlr TUN OI rnUl ERTY SI OW BELOW OR AI IALII LOUR CURES TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORE LOI nLucK Or WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. TI-11 z GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TC 0 Q Q L4 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OF „I TAX ID NOMEIEn FITOM PnO11E11TY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHEPERFORMANCEOI 0. C UCTION, PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE. $I ATURf O NIRACT Ott 0 Ott-IT OATS V 100 AUUnt55 ?o ((}I'lll(;11 t1911 UNI,Y) rLUMDINU IvInCIIAHICAL, No. Tyra or rlxrUAu ruts I,,rimmus NO. Tyra Or uQVIrmam run sea rtxluRus ATDR CLOSUr qu1Lur) IR COND.U11118—tl.r. nA. SyWp.Itd•' _ IN11111ID L111FRIOLUM11ON UNITS—Mr.nA. I ui .Ild'• AVATURY(WASII DRSIN) )OILDRS—II.P.11A. Ila p.IT It .t10WL7t UAS VIRUU A.C.U:IIr3—1014111.03 UA, iq�iy.N a— _ ITCIIIIN SINK&DISroSAL 'ORCUU AIR STVI13MS—a.m. J`0 MmA _ ISIIWASIInR MALL IInATRPS—:D.T.U. M _ JWNDRY TRAY JNIT IItIATURS—D.T.U. M T I,o7Nl'S WASIIttlt IVArOItATIVII COO LIUtS j A11I1L IIUMMI. Loull9 URYeRs RINAL V111,1111ATION PAN )ILINKINU POUNTAIN tANGm IIOOD COMMDRCIAL _ 'LUOIL DRAIN IIt IIANDLINO UNIT— CrM _ ACUUM DRDAKUR9 r1lova _ tooP DRAINS—RAINLPADLIR9 IAWFAL PIRMACm R CIIIMNDY INK(SURVICm—BAR,mrCJ NATUR IInATM `L jAs Pima '(up to 3-$3.00,addnl. 1.73 . 4ulpment IIIt mud be proYlded BUD TOTAL BUD TOTAL _ rI RMr1 r1U(MIT _ YOTALrum TOTALrnn SOW.Y.\Itu R(BACK s 1 RE I.I SL k BACK REn11 YARD SE InACK PLAN CIIECK NUM OER PLAN CIIECK ftt FEE RECEIrI NO. VSl IUNI LOT AREA VACANT 511E ❑YES ❑r1D FEES VALUATION FEE IYrt Oi cUNsI. UCCUrANCY GnUUr No.Or DWELLING UNITS PLAN Cl IECKINO VO T slcl ul nuuWILDINGx.. No.of STORRS MAX.MAX.00C.LOAD _ PLUMmr10 rin;srnINKL1,115 111:0UIRE0 ❑YES ❑No MECI IANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE PENALTY SEC.103(a) • WATER/5EWER FEES X, RE:;r_IVEQ TOTAL +� !` rMill VAUOA11ION �, r•gin, �'� Wt IEM rRorER(Y VAUDA1iU tom 11its SrACEI TO Olt IS YOUR P M IT A RECEIrI 1JF A LlNGl! OF ARLINGTON PAID CRM BY null On,lo.orTncmt I DATE cc ASSESSOR. Ar'r1_1(ANT, TrTEAS(1TTErt D• RI-DO, Er'T. ITFf:( nm; COPY