HomeMy WebLinkAbout16511 41ST DR NE_004263_2026 INSPECTION REPORT
¢y1N G jiN Permit No.: ���0 J Lot#:
Q' Address:
Contractor:
Owner:
4I N G Date: 5 �D
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: Da e: - —�
PE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing A Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in % Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
�4 INSPECTION REPORT
4c,
N G?' Permit No.:�` l� 3 Lot#:
Address:•ZContractor:
- 0 Owner: T 61`�s ,' ?
�I j N Date: !o;-o-o -3 6
❑ 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:
PE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing O\Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
9: Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
i
C I-r-Y aF= nRL I N[3- ON
CONSYRUCT I ate F:aERM I T
fn-'aR I I T NO- i 00--4a&3
Owner:
Value of Work:
Describe Works
Proposed Use
Legal Descriptis n,.
Job Address;
Contractors Name Type Address License#
- - - P E R M I T F E E S '
' Equipment and Fixtures Nu_ber Fee Total Charge
THEATER $i CIS` 0
S U B T 0 T A L......
TOTALS -_
L
'ec Penini4
TOTAL FEE............... .. _ ,-
NEE
......a..a :PAYMENTS v S J`J�E �
rftu �.. :kv �
- -- - nr�r•l+�r
L,7 �.::rr..
TOTAL DUE... .. ..... t55= v- a' �
CITY OF ARLINGTON
CONSTRUCTION
PERMIT 00-
❑ COMBINATION ❑ BUILDING p MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT NO. LQ&�
j OWNER QIOIi Cqn MAIL ADDRESS CIIY ZIP PHONE
S-- (fir. lU E ��'l�hu c , � ZZ3 35O � 57-2�;
ARCHIiLCT OR ULJSIGNER MAIL ADDRESS CIIY V ZIP PHONE
GtNtRAL LUNIRALIOR MAIL ADDRESS CITY ZIP PHONE LICENSE
MLCIIANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I
PLUMBING CONTRA OR i MAIL ORESS CITY ZIP (HONE LICENSEE
3 CLASS OF WORK
o❑NL IN ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI LION ❑BUILDING RELOCATION
Q VALUAI ION OF WORK
zs
W DESCRIBE WORK
m PRUPUSI U USE OF BUILDING
y 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
Jl1G.tl U(5(RIP I TUN UI PItUPL R T Y)SHOWN BELOW OR AT 1 ACH f OUR 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 A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
r - C Ci l VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
aTAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
Q. CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
LOB.\UURLSS SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
(OPFICB USB ONLY)
PLUMBING MFCIIANICAL
NO. TYPB OF PIXTURB PBB :s PIXTURPS NO. TYPE OP EQUIPMENT PEE is FIXTURIS
ATER CLOSET IL13 IR COND.UNITS—H.P. PA. ' d .list"
AMMEI I PRIGERATION UNITS—II.P.El.& s d .lit"
.AVATORY ASII BASIN OILERS—II.P.EA. 7 d .Ilt••
IIOWER JAS PIRED A.C.UNITS—TONNAGE EA. dn.Bt-
17CHEN SINK A DISPOSAL TORCBO AIR SYSTEMS—B.T.U. MBA
ISHWASHER, NALL I[ENT'ERS—B.T.U. M _
SUNDRY TRAY JNIT 11RATERS—B.T.U. M
LOTHES WASHER IVAPORATIVRCOOLERS
f ATER IIRATER I LOTIIPS DRYERS
JRINAL _ VENTILATION PAN
)RINKINGPOUN'CAIN LANGBIIOOD COMMERCIAL
ILOOR DRAIN IR HANDLING UNIT— CPM
VACUUM BREAKERS MOVE
OOF DRAINS—RAINLEADERS AgEAL PIRRPLACBdt CHIMNEY
INK .ERVICB—BAR,ETC. MATE R IITIATER
rIJAS PIPINO -(up to S-$3.00,addnl. SJS
11E4ulpmeat list must be provided
SUB TOTAL SUB TOTAL
C tit MIT PERMIT
TOTAL PEE TOTAL PEE
SIDI.YARD SLIBACK STRLLISLIBACK REAR YARD SETBACK PLAN CIILCK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
U51 /UNI LOT ARIA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
1 YPL OF CONS] OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BUTDING f
SIZE UI BLDG. NO.OF STORILS MAX,OCC.LOAD
PLUMBING
I IRE SPRINKLERS REQUIRE[)
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U B.C.
SEC.303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT d RECEIPT
PAID CRII BY
CC:ASSESSOR,APPLICANT.TREASURER,BLDG DEPT BUILDING OFFICIAL DATE
RECORDS COPY