HomeMy WebLinkAbout16820 SMOKEY POINT BLVD_004310_2026 (�'o INSPECTION REPORT / 'l
titN G ��
?'O Permit No.: I 0 Lot #:
4
Q" Address: A( Y,9U !j�� J)% -6C-11P
If
Contractor:
-y O owner: ,560 2C - S 3�3 1 (7
IN � Date: 10,— .7_ 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.
Vj V L� Y
Inspector: Date:
TYP OF INSPECTION REQUESTED
❑ Under-floor El Framing Gas Piping ,
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Sla
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
1 L
1 , 1 ■ ■� —
1 1. ■ 1 -A "' , .- , ■
■ ■ ■ ■
Z •
1
. . ME
■
MEN MEN
1 ON1
� • 1� 1 1 � �� � _ �
I _ Q. 1
t
'Ma ■ ■ ■■ 1
■ _ 0 dz
1 ■ 1rl Mr. ter : ■
_ OF MEN =Ja 1 1 A ■ • ■ : ■ 1.1 ■ ■ ■
M. -0 ■ 7
, _ ` _ MEN ■ ■ MEN _ ■ MEN ■ _ ■ ■ mmim ■ L
MEN MEMEMMI Eft ■ mommomin 0-
0 ■ ■ ME
■ MEN 0 J ■ ■ i _
_ _ ■ ■
_
� � 1 • ■ , S , r . ■
ME
:,L.
� 1
■ ■
� , . .,
ME
MEN
■ i • • Ate _ ` 1■ _ . ■ '■ ,
•: ■ P■ ■ : ■ A 1 mmI , IM -4w110
L
i
C I TY OF ARL I h1OTO1f
CONOY RUCT I Old PE RM I T
PE RM I T NO_ = 00-4Z 1 O
Owner: NORTHWEST VETERINARY CLINIC 16820 SMOKEY PT BLVD ARLINGTON 98223
Value of Work: $1,500.00 Tax ID: 004828-000-010-01 Phone: 360-629-4571
Describe Work: INSTALL MEDICAL GAS
Proposed Use: VETERINARY CLINIC
Legal Description:
Job Address: 16820 SMOKEY POINT BLVD
Contractor's Name Type Address License#
GREGORY HOLT MEC 657 W FIELD RD HOLT*GM022R8
P E R' M I T F E E 5 -
Equipment and Fixtures Number Fee Total Charge
-------------------------------------- - - - - - -- ------------
MEDICAL GAS PIPING SYS 1 $50.00 $50.00
S U B T 0 T A L...... $50.00
TOTALS Fee
Equipment $50.00 ¢�"'�
Mech Permit $24.00.
SIGNATUR -
TOTAL FEE................. $74.80 I HEREBY RTIFY THAT I H VE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS...... . ........ . ..$0.0 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE.............. ... $74.00 ORDINANCES GOVERNING THIS TYPE OF
WORK WLL BE COMPLIED WITH WHETHER
SPECUPIED H REIN R T.
DATE RECEIPT # � - 'r�
BUILTI F C AL
io0C P9,
T 7 M33�' i {rtt3� '1�.=it�lri T3iAt]
. _r'_: ���Ji� �I •' � Y.�a- 11� 1:_ �! - I t� ,} .., - Ic ic�l .i.r; ^:#RwE
'1.11 n••. I' 1 . ! �J U��� ��, JPc fs f aF: !!1'fQid
Out tv.Pl3F9Q I-&Q*J
^t4}is: sz.-3-fbbP doL
bseltoJt.1 Qav 4015M c l'.0t.25 +ff C:*f
�`�l1Mi ila J•I '-I 1 k t: 'I l:rn l'_,'I. S 'liJ .i-
3 7 M 5 3
y) 4p,S�S� 1lrS 3 mi5 eoijj"il Gff$ fo4jvrj'vp3
�.:•.5:.1 n 1.+tik � i1'� �.� -; F..'rr .,+i'':f.1Jn
' wet 0 T 0 7, 8 Z1
$ SATOT
h
-ATi
art►�� �[l I'•'ti1 ��Y�fl �:� c Sk',�E't•'+ � u'If. Y y �!.�
I LJr''►1'a _� (qt - t'IT -�lll�i` �»7 '_II�� �•� 41AO sTf�ha�'�1't
.I•i IIf11141 jl)"#r • pow.
• .�L/'.1 JT i IiT
4ki_ it �`' �y�!WIT"
�R � � I I IJi� � �•► .0 � �
1'
J�
Y
CERTIFIED AS PROVIDED BY LAW AS
PLUMBER JOURNEYMAN ' ENDORSED AS PROVIDED BY LAW AS
CERT. # EXP. DATE MEDICAL GAS PIPING INSTALLER
PLO1 HOLT*GM234LT 08/02/2001 ENDORSEMENT# EXP. DATE
EFFECTIVE DATE 11/01/1976 MG01 HOLT*GM022R8 08/02/2001
EFFECTIVE DATE- 12/28/1998
HOLT, 1=GREGORY M
657 W"FIELD RD HOLT, GREGORY M
CAMANO ISLAND WA 98292 -657 W FIELD RD
CAMANO ISLAND WA 292
Signal e -
Issued by DEPA ENT O LABOR AND Signature_
INDUSTRIES Issued by DEPARTM OF EABOR AND INDUSTRIES
PIPING INDUSTRY REGISTERED AS PROVIDED BY LAW AS
PROGRESS & EDUCATION
TRUST FUND ;PIPE Q CONST CREGISTEN# L EXP. DATE
CC01 EZPLUI*212KB 05/01/2001
536-52-3383 � EFFECTIVE DATE 05/02/1979
GREGORY M.HOLT��
CLASS EXPIRES CLASS EXPIRES s E Z ' PLUMBING INC
M1 10/2000 657 W FIELD RD
CAMANO ISLAND WA 98 92
CERTIFIED Signature
Issued by DEPARTIVIE T OF LABOR AND INDUSTRIES
E. Z. PLUMBING, inc.
Residential, Commercial, Remodeling
GREG HOLT 657 W. FIELD ROAD
PH. 387-8841 CAMANO ISLAND, WA 98292
i
CITY OF ARLINGTON
1 CONSTRUCTION
PERMIT
❑ PLUMBING ❑ SIGN P�!!!! T NO.
BUILDING MECHANICAL Z
❑ COMBINATION Y lIP 1
MAIL ADDRESS A
)WNLR 1+191011L•a''1' � G O De ZIP PHONE
Q. CIIY
MAIL AUURE S �� sT>v rlo 6
ARCHITLC OR DESIGNER PHON LIC NSE N
t c:j ��b CITY ZIP
S MAII ADDRESS `—
GENERAL CON IRAC UR i C' pii E LICENSE 1
� CITY 21P
MnIL ADDRESS r 3
Nf-(MANIC AL CONiRAC TOR "�•o _ "„ONE LICENSE I
CITY 21P 'AL`•'�'
MAIL ADDRESS I
PLUh1RING CONTRACTOR
CLASS OF WORK REPAIR ❑DEMOLI T ION ❑BUILDING RELOCATION
❑NLW ❑AUDITION ®ALTERATION ❑
VALUAn Q
I ION OF WORK -�\ -
Z S c
Ijj DLSCRIBL WO
Rio, L EXAMINED
I HEREBY
N AND KNTOW TIAT I HAVE REAHE SAME TO Ep UEDAND CORRECTIS APPLICA
ALL PROVI-
9 pRL1PU5F D USE()I BUILDING ( t TIO
N Q SIGNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
Z LEGAL L I)LS%RIPT ION UI p1tOPLR1Y ISFIOWN RELUW UR A11 ACH FOUR COPIF SI OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
OR
J BLOCK Ur
GRANTING
� Lvl�- VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE
a LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
w
� CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
LI TAX ID NUMBER FROM
O OaOP TY TAX STATEMENT
O—O SIGNATURE OF CONIR.^CTOR O i AV H RIZED AGENT D��'
V
CO.) IUp AUURI SS � p /�
PO N eJ—T �V _
[',C;i1ANICAL PRj; isP17C1'URL'S
(OPI'ICL USB ONLY) '1'YPB OP BOUIPME�IT
PLUMBING 111211 x s PIXTURPS NO. ? ii ,ii9t••
TYPB 00 PiX1'URB IR COND.UNVIS—Ii.P. A' ,� ,list•'
NO. 11.P.L A
ATBI1�SBr TOILTTI' (hRtGFSiAII.p. UNI'iS— ,Itot"
IATTITUR 3UIL[?RS—II.P.CA. a , ist••
VA'I'ORy ASII BASIN AS PIRL'D A.C.UNTIS—T'O . BA•M[-A
s ORCED AIR SYSTEMS—B.T.0
_ IIOWL'R B.T.U. M
'1'TCIIBN SINK dt DISPOSAL ALL I IRA'[T?RS—
/NIT'IITATCIRS—B.T.U.
)ISIIWASIIBR
M
COOLFRS
..&UNDRY TRAY SVAPORATIVC
LO'l'IItiS WASIICR
LOTIIES DRYERS
A'IT;R IIL'ATE'R I!NT1lJ(TION PAN
tANGL'IIOOD COMMERCIAL
RINAL CPM
IR HANDLING UNIT—
RINKING POUN'l'AiN
'LOOIL DRAIN 1'OVB
ACUUM DRBAKLRS BTAL PIRL•PL.ACB&CIIIMNBY
LOOP DRAINS—RAINLIJ\DC ATCR I IL'A
RS TFR $.TS
u to S�f).�,
a ddni.
INK SCRVICC—BAR,KIC. AS PIPING
•p ui ment list tnuR be tovidcd
SU B'E'OTAL
PERMIT
SUn TOTAL
PPRMI'C TOTAL F[C
PLAN CHECK FEE
TOTAL PL'B PLA CK NUM E RECEIPT NO
SiRF.4t SLIBACK .
REAR YARD SET OO LEE
I
SIDI,YARD SL I BACK
PEE
VACANT 511E
VALUATION
NI LOT AREA
USk /U ❑
❑YES C. ING
UPnNCY GROUP BU'LDING
NO OF UWELLIN
TYPE OF CONSI (. S
NO.Uf STURILS MA ()CC LOAD
SILL 01 BLU(. - PLUMBING
r'� �
CITY OF ARLINGTON
CONSTRUCTION
PERMIT .
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING r
❑ SIGN PERMIT NO.
j OWNER Pp1iCAn MAIL ADD ESS CITY ZIP PHONE
ARC14ITLCT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CON I RAC OR MAIL ADDRESS CITY ZIP PHONE LIC NSE I
MLCIIANICAL CONTRACTOR MAIL ADURLSS CITY ZIP PHONE LICENSE IT
Z:--nC_
PLUMBING CONTRACTOR , MAIL ADDRESS City ZIP PHONE LICENSE I
CLASS OF WORK
co❑Nl W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLi rION ❑BUILDING;RELOCATION
Q VALUAI ION Of WORK
zl2� C!CC1
W DESCRIBE WORK
3
h-
PROPOSI U USE Of BUILDING
N 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
w TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS LLGnLOttcRiPtwNVI PRUPLRTY(SIfOWN BELOW ORAIlAC11f OUR CUPiFS) OFLAWSANDORDINANCESGOVERNINGTHISTYPEOFWORK
J
J LUI RLOCk • OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
iw VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
—C L �� — a CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
U IOB nDURL55
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
t �C) SY - V X
(OPPICB USE ONLY)
PLUMBING MPCIIANICAL
NO. TYPE OF PIXTURB FEE :'s FIXTURES NO. TYPE OF EQUIPMENT FEE FIXTURES
AT13R CLOSET (TOILET) IR COND.UNITS—H.P. P.A. r d .Ust•"
IATIITUD 113PRIGURATION UN17S—II.P.DA. 7 d .Ilrt•"
.AVAT'ORY ASH BASIN TOILERS—II.P.BA. 7 d .list
MOWER 3AS FIRED A.C.UNITS—TONNAGE BA 7 d .list•"
ITC-1113N SINK B.DISPOSAL ORCBD AIR SYSTEMS—B.T.U. MBA
ISFIWASHER NALL I IEATERS—B.T.U. M _
A DRY TRAY )NIT HEATERS—B.T.U. M
LOTH WASHER SVAPORATIVECOOLIILS
WATER II BA LOTIIES DRYERS
RINAL _ ENTILATION FAN
]RINKING POUNb\LIN LANOE ROOD COMIP+RCIAL
'LOOR DRAIN IR IIANDLING UNIT— CPM
ACUUM BILLTAKERS )MOVE
LOOP DRAINS—RAINLFAE S IMSTAL FIREPLACE&CHIMNEY
'INK: SERVICE—BAR BTC. WATER IIBATFR
AS PIPING *(up to S-113.00 ■ddnl. S.7S
13gulement lit must be provided
sun TOTAL SUB TOTAL
41
PIRMIT PERMIT n
TOTAL FEL1 TOTAL FEB
SIDI,YARD SL I BALK S FRLI.I SL I BACK REAR YARD SE FB PLAN CI IECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USI /UNI LOI AR►A VACANT SITE
❑YES ❑NO FEES VALUATION FEE
IYPL OF CONS] OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
f
SI/.L OI BLDG., NU.UI STURII.S MAX.OCC.LOAD BU'LDING
PLUMBING
f IRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
n / ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.303(s)
4� L WATER/SEWER FEES
TOTAL
(/ PERMIT VALIDATION
WHEN PROPERLY VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT
PAID CRM BY
C r_:ASSESSOR.APPLICANT.TREASURER.BLDG DEPT BUILDING OFFICIAL DATE
RECORDS COPY
4 4 � �i 0
n �
'' X try rryll��N;
� ' O
3Q��� h to w.A �r10\S��)1f�\ .3
li4-4
O
O
N �
Paz
z S
{ {'�
�.Y
" I r
Jul . x
i E PIP f
' ( n
JoIr
Ploc
46IV
-
+•
Un
N0I.L v-1osl ix3/ m
;m
{6•;"?;a90s x 9
tt T V
Op
,5
L 0 .
r-4 ---- 46'-3' -
m 6 x 3• 3068;a::'g:
4► to /Ex I S OLA i I C)
�a
r., K E N NE L ZrO Jr L To
to �0 6'x3' deep �58 c
O � 5� fe,,z e
m N (o c 6'x 3. 'ourar 1 +
00
. J
t0 to 6'x 3 - E 'VAC
f,/g tub '[ 'x3' -ryp
•r 4 �'-5' 30.f2 I r4v
p I sd id � � �
3' f
3C � �J.��
� � � TP.EAT� ivT U ?Yf_
V A `
V) N.f� I calr "
}.f + f F j Ext, Ine0ov. w.7m
Shk I.
> C1192 -L:2-v- -
.—x�� NIC-C .
L=
LIS I;-,k I
G1 m �•n�ll it-,rr;ot �tcor^ :� � � L
s ' F.A
96
0 c•i':: _ :t,2 i
Q
� N
" o
0 0 -C( es +(MEAlSrof�6
o �
f
o
I N��Cites 5 � �-••�l�c J'1.rL`aC, � \ IJ �
cv AtWAIJ65b &ZE VCT- D
+3o J
•�
0