HomeMy WebLinkAbout19702 48TH AVE NE_004249_2026 INSPECTION REPORT
ji
T Permit No.: �� Lot#:
Address:Contractor: 3 CQ C� — LLD 0
Owner:
Date: �1 l
APPROVAL '/- , ❑ PARTIAL APPROVAL
VIOLATION ��a� ❑ 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 (_36-inal
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
J
N G TO Permit No.:oe' o Lot #:
Address: 19120a
Z Contractor:
Owner:
IN O Date:
0
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 XGas Piping
El Footing El Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
l
C I-rY CF A RL I NOTON
CONO-rRUCT I CN FERIA I T
PERM 1 Y h1C_ 00--1+a4+S
Owner: SHADDOCK, MRS= -i iS f0C 48 T ° AVE N ARLINGTON ^82'23
Value of Work: iE- C.00 Tax ID": 8715-000-0E9-0008 Phone- 380-435--0670
Describe Mork: INSTALL GAS INSERT
Proposed Use: RESIDENTIAL
Legal Description:
Job Address. 1°702 48TH AVE
Contractor's Name Type Address License#
_&M CONSTRUCTION :EC P C BOX 3476 �iY4C�'s�a��i��t'Ei
P E R M I T F E E S
' Equip-:ent and Fixtures Nu7iber Fee Total Charge !
GAS APPLIANCES $11. 00 $11. 00
METAL FIREPLACE & CHIMNEY 1 $11.00 $11. 00
SAS WIPING 1-4 CUTLETS 1 $6.00 $E.00
S U B T O T A L...... $58.00 '
TOTALS Fee
Meth Equipment $58.00 _9ET
al-RijE
�fech Permit $�=4.��
6 Tt (}E
TOTAL FEE................. S52.68 AiVD WCOR--
LAWS
S_ _
X :;`IN
PAYMENTS..................$0.0 Sh _ PROUISINS AND
TOTAL DUE..... ......... ... $52.00 �Jr:.'� - _ .,1NG _S r'PE OF
L_y== - W17 WHETHER
77
DATE RECEIPT #
�SV l0� L ING C. CT_AL
CITY OF ARLINGTON
1&0
Building DepartmentJuly 24, 2001
Mrs. J Shaddock
19702 48`h Avenue NE
Arlington, WA 98223
RE: The permit for gas insert has not been fmaled
Dear Mrs. J. Shaddock,
This letter is to inform you have not had a final inspection for your gas insert. I called and
left a message to call for an inspection on May 5, 2001.
I few do not hear from you within 14 days,please be advised that your file will be closed,
with notice of not have the last required inspection.
If you have any questions,please call 360-435-0724.
Sincerely,
S
�j
Barbara Noble
238 N. Olympic Ave. Arlington, WA 98223 (360) 435-0724 FAX (360) 435-3906
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. Z�a
j OWNEFI,/,4ppI,*ccj"k MAIL ADDRESS CITY ZIP PHONE
$fiCHiTECTOR DES 'NER I /� MAIL ADDRESS F CITY ZIP PHONE�/f�
f�11"a.e ��f' Q/ /� 71A
' /GEN RAL CONTRACTOR MAIL ADDRESS CITY 21P ' PHONE UC NSE
M CIIANICALCONTRACTOR MAIL A RESS CITY ZIP `P12,9E L ENSE/
PLUMBING CONTRACTOR MAIL ADORESS CITY ZIP PHONE LICENSE IT
3 CLASS OF WORK
�
❑Nt.W ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLI IION ❑BUILDING RELOCATION
Q VALUA1 ION OF WORK
Z f
lW)) DESCRIBE WORK
w l j
m PRUPUSI U USE OF BUILDING
m I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
w TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
J LEGAL UES('RIPI ION UI PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J LUI BLOCK Of WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
W VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
/ _ CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
a C C� d C/ �� SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
V108 AVURLSS
(OFFICE USE ONLY)
PLUMBING MBCIIANICAL
NO. TYPE OF PIXPURB FEB x a FIXTURES NO. '1'YPB OF EOUIPMENT FEE :'a FIXTURES
ATBR CLOSE 1LLr1 TR COND.UNITS—H.P. EA d .lilt—
ATHTUB kEFRIGERATION UNITS—II.P.E.A ui .lilt•"
VATORY ASI I BASIN OILERS—IF.P.EA. 3qtdp.lilt"
110WQL JAS FIRED A.C.UNITS—TONNAGE EA. ti .lit**
TCHEN SINK&DISPOSAL ORCED AIR SYSTEMS—B.T.U. MCA
ISHWASHER ALL HEATERS—B.T.U. M
AUNDRY TRAY JN IT HEATERS—B.T.U. M
LOTHFS WASHER 3VAPORATIV9COOLERS
ATBR HEATER LOTIIRS DRYQLS
RINAL F11TII ATION PAN
RINKINO FOUNTAIN tANGBIIOOD COMMERCIAL
'LOOR DRAIN MR.11ANDLINO UNIT— CPM
VACUUM BREAKERS Irovu
OOP DRAINS—F AINLFADERS X pAgrAL PIREPLACC&CI IIMNEY
INK ERVICB—BAR,ET-C. SWATER HEATER
AS PIPING *(up to S-$3.00.addnl. S.75
uT went llat must be provided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTAL FEE TOTAL FEB
SIDI.YARD SL 14ACK STRLIA SL I BACK REAR YARD SE FBACK PLAN CIIECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
UST /ONI LOT ARIA VACANT SITE
FEES VALUATION FEE
❑YES ❑NO
TYPE OF CONS1 OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BU'LDING f
SUL OI BLDG. NU.OI STORILS MAX.000.LOAD
PLUMBING
F IRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
PENALTY SEC.
SEC.303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT
PAID CR# BY
BUILDING OFFICIAL DATE
CC! ASSESSOR,APPLICANT,TREASURER.BLDG- DEPT. RECORDS COPY