HomeMy WebLinkAbout1025 ROBINHOOD DR_004090_2026 ,\ti,\ INSPECTION REPORT
jiG T Permit No.: Oct 0 Lot#:
Address:
ContractorO Owner:Date: rJ 0'(S
APPROVAL ❑ 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:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing )dGas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
V*J-- INSPECTION REPORT
ti1N G T Permit No.: i — Q Lot#•
K
F' Address: l �s
Contractor: ��,
93, ,SO Owner:
LINO Date: -57--_ �-�C�� .�s
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION CORRECTION REQUESTED
❑ Corrections listed below MU 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.
In ector. Date-
PE OF INSPECTION REQFGas
D
❑ Under-floor ❑ Framing Piping
El Footing ❑ Drywall, Nailingonsultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
CITY OF ARLINGTON
CONSTRUCTION PERMIT
PERMIT NO. -. 00-4090
Owner-. DIERMANN, CLAUDIA 1025 ROBINHOOD DR ARLINGTON 98223
Value of Work: $1,500.00 Tax ID: 39880000130005 Phone: 435-9884
Describe Wore:: CONVERT TO GAS
Proposed Use: RESIDENTIAL
Legal Description:
Job Addressn 4L025 RODINHOOD DR
Contractor's Name Type Address License#
OWN
-- P E R M T T F E E S
Equipment and Fixtures Number Fee Total Charge
---------------------------------- ------ ------ -
FURNACEfUNIT HEATER 1 $14.80 $14.80
GAS PIPING 1-4 OUTLETS 1 $4.75 $4. 75 t
S U D T 0 T A L. . .. . $-I9.55 !
TOTALS Fee
Equipment $19.55 ^ _
Mech Permit $23.50 `
SIGNATURE; .
TOTAL FEE.. . ... . . . . ... . . . . $43.0; I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . ... .. . .. ... . .$B.@ KNOW THE SAME TO DE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . .. . . .. . . . . . . $43.05 ORDINANCES GOVERNING THIS TYPE OF
WOR!', LL DE COMPLIED WITH WHETHER
SF'E
DATE RECEIPT #
nc-s-x
E€UTLDTNGNGOFFICIAL
00
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
j 409(-)
OW R MAIL ADDRESS CI t v ZIP PHONE 4/�9 —
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
rGV ` �e—
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0
�I
MECHANICAL CONTRACTOR MAIL ADrORES CITY 71P PHONE LICENSE/
�1 C I
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
3 CLASS OF WORK
M❑NEW AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLI IION ❑BUILDING RELOCATION
M VALUATION F WORK
Z f
LU 64 OLSCRIBE aRK&- - -_
tl,' IA.261:7-TK
m PRUPUSt U USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
w TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
JLLGAL DE!.(RIPI TUN Uf PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J LUr BLOCK - OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
to VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
a TAX NUMBER F PROPERTY TAX STATE LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCEOF
4) '1 72CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DAT�O ISSUANCE._
0 l7� SIGNATU OF CONTRACTOR OR AUTHORIZED DATE LJ
U 108 A R 1
(OFFICE USE ONLY) I
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE z's FIXTURES NO. TYPE OF EQUIPMENT FEE z'a FIXTURES
WATER CLOSET TOILET IR COND.UNITS—H.P. EA u .list-
ATHTUB tEFRIGERATION UNITS—H.P.EA. 7 u .list—
VATORY ASH BASIN OILERS—H.P.EA. 7 u .list**
FLOWER 3AS FIRED A.C.UNITS—TONNAGE EA. 7 u .list•"
LIEN SINK R DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA
ISHViWASHER WALL HEATERS—B.T.U. M _
UNDRY TRAY JNIT HEATERS—B.T.U. M
LOTHES WASHER VAPORATIVECOOLERS
WATER HEATER LOTH ES DRYERS
RINAL _ VENTILATION FAN
RINKING FOUNTAIN ANGE TIOOD COMMERCIAL
LOOR DRAIN IR HANDLING UNIT— CPM
VACUUM BREAKERS TrOVE
OOF DRAINS—RAINLEADERS ETAL FIREPLACE&CHIMNEY
INK SERVICE—BAR,13TC. WATER IIRATER
AS PIPING *(up to 5=$3.00,addnl.=S35
.FAulpment list must be provided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTALFEE TOTALFEE
SIDL YARD SL I BALK STRLLT SL I BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE /ONI LOT AREA VACANT SITE
FEES VALUATION FEE
❑YES ❑NO
TYPE OF CONS] OCCUPANCY GROUP NO,OF DWELLING UNITS PLAN CHECKING NG
BUTDING f
SILL Of BLDG. NO.Of STORILS MAX.OCC LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY SEC..
SE 303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT S RECEIPT
PAID CRtI BY
cc:ASSESSOR,APPLICANT,TREASURER,BLDG DEPT BUILDING OFFICIAL DATE
RECORDS COPY