HomeMy WebLinkAbout19906 51ST DR NE_004137_2026 INSPECTION REPORT
¢ti1N GrO Permit No. 41,37 Lot #:
Q" Address: 1991Q& 5_1 �f Ae_
z
Contractor:
Owner: Scz C
IN Date: F— I4— GU
(*,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 ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in nal
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
Permit No.: CZ% _2 Lot#:
Address: f�19C�'G- Sl sl" �12
Contractor:
Owner: �-
Date:
�P�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.
VU
Inspector: Date
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing kGas Piping
❑ Footing ❑ Drywall, Nailing onsultation
❑ oundation ❑ Shear Nailing ❑ Groundwork
echanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
- J /
C I TY OF AI L I NtEiTnt-4
CONES-rRUCT ION F�iE!RM I T
P E RM I T No_ 0 0—4 1 3 7
Omer: GRIFFITH, GEORGE 19906 51ST DR. NE ARLINGTON 98223
Value of Mark: $1,500.00 Tax ID: 00426400002300 Phone: 435-3789
Describe Work: GAS CONVERSION
Proposed Use: SFR
Legal Description-.
Job Address: 19906 51ST DR
Contractor's Na Type Address License#
EVERGREEN ST. SHEET METAL NEC 1611 E. MARINE VIEW DR. EVERGSS121K7
P E R M III F E E S
Equipment and Fixtures
I -------- ----_- - Number Fee Total Charge
FURNAWATERCHEATER HEATER � S1d.80 ----- s14.80
_ $10.65 510.65
GAS PIPING 1-4 OUTLETS 54. 7ti s4. 75
U B T O T A L. . . . . . 530.20
TOTALS Fee
Equipment $30.20
Mech Permit $23.50
SIGNATURE:
TOTAL FEE................ . $53.70 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYISENTS..................$9.® KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL 1)UE................. $53.79 ORDINANCES GOVERNING THIS TYPE OF
WORK TLL BE COMPLIED WITH WHETHER
DATE RECEIPT # / SPE D E N R WT.
BUILDING OFFICIAL
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
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VALUAI ION OF WORK
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DESCRIBE WORK
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I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLIC/
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LUI RLUCK • or WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. TH
a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY T(
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE O
TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE O
0. /�.� CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE
Q W 74 4 ODC SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
V 108 AUURLSS
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NO. TYrD OP PIXTURIS PUB i PIXIURUS NO. TYPE!OF DQVIrMBNT PHIS FIXTURDS
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ul want list mud be eravided _
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SUB TOTAL SUB TOTAL _
PDRMIT PI9LMI,r
TOTALPBU TOTAL PHIS
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FEE RECEIPT NO.
USI' 14UNI LOT ARLA VACANT SIIE
FEES VALUATION FEE
❑YES ONO
IYPLOI CONS I. OCCUPANCY GROUP NO.Or DWELLING UNITS PLAN CFIECKING VG
BU'LOING I
SILL VI BOX,. NO.OI SIORILS MAX.OCC.LOAD
PLUMBING
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❑YES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
PENALTY S .
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WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROrERLY VALIDATED TIN 1/115 SPACE) THIS 15 YOUR PERMIT IL RECEIPT
PAID CRN BY
OUROINr,orrICIAt I DAIII
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