HomeMy WebLinkAbout17717 TOPPER CRT_024965_2026 33 �
NSPECTION REPORT
¢ti1N G?'O Permit No.: o 2- w R b,5' Lot#: 7
Address: 1-7 '7 1 1 _
Contractor: %A i c,.-uAeiz_
Owner:
IN C' Date:
,&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 Z1 0 Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
'NSPECTION REPORT
ii
T Permit No.O�' G�Lot#:
Address: l77 - .1a �� GContractor: ,A/"w/V! i3Owner:O� Date: � —
❑ 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.
ewig L&-)re 3 on i lu Se�,4g,64-rla1J 0-4 cT- Tz;)
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 0 Final
❑ Masonry ❑ D ainage / ❑ Insulation
❑ Other:6Ocz��+-95' f�
INSPECTION REPORT
4 tiIN G?' Permit No.: - ` Lot#:
Q O� Address: 7 17 7D �
Contractor:
O Owner:
9s�j N GG Date:
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* / - D -0-3
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 ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
ii
? Permit No.:O�_ `q Z �Lot#: G7-3
Address: 17 7/Contractor:
Owner:
G
Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
0 Was not able to perform inspection.
�91,CALL 435-0674 FOR RE-INSPECTION -24 hour notice required.
/ eJv
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing all, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
¢1.IN G?'O Permit No.: y a (a 5 Lot#:
Q Address: 1 '7 7 1 '7 To pPc� �r
Contractor:
N-ys �
, ,SO Owner: � L
h�I N�' Date: III
'SkAPPROVAL ❑ 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.
�dWti�n t ns ti A P P ft-a ✓cYJ
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 ❑ Final
❑ Masonry ❑ Drainage Insulation
❑ Other:
INSPECTION REPORT
1;4
l'O Permit No.: cl `19,6 S Lot#: /-7 3
Address: 177r7 7DPeL�Contractor: .tit r�,SOwner:
Date: o f 0 Lo 1
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ORRECTION REQUESTED
tions 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.
ASc=M rf)IJ i1-1
Inspector: Date:
PE OF INSPECTION REQUESTED
❑ Under floor W�Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT -
_-__r_x
1" f_
Permit No. — � Lot #
Address
Contractor
Owner '��'�-L�-'—�-�-.f
c -
Date
Taken By
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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Inspe - Dated -
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 Plumb. ?" n a I
[I Masonry ❑ Drainage �/❑ Insulation
0 Other
INSPECTION REPORT 1
Permit No. - Lot#�,L
Address �--
Contractor
Owner '�—
Date
Taken By 7.
❑ APPROVAL ❑ P RTIAL 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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Sr
. s .
r .
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 Plumb. inal
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No7�" Lot#7_
i Address '
Contractor
Ownerr�dc�
Date
Taken By
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION -� ERECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required.
tau 'fae��- —
L
Inspe r Date /
TYPI OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing Drywall, Nailing ❑ Consultation
❑ Foundation Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. Q1—2(q3 Lot # 73
Address l77/7 7'0 Pier CT_
Contractor U 55�QfI �I> S 7`
• Owner
Date fZ — (Z- 97
ROYAL ❑ 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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Insp ctor Date ! Z
TYP F INSPECTION REQUESTED
❑ Under-floor �A Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage Insulation
0 Other /\
INSPECTION REPORT
Permit No. Lot # _
Address / 1 1 -01 .�
Contractor rga&defl i i`✓ —a -�
Owner
Date A;t— J 9
Taken By
❑ APPROVAL ❑ P4WIAL 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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
...��
.00
r
TYPE OF IN PECTION REQUESTED
❑ Under-floor Framing Ell Gas Piping
❑ Footing Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
Cl Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
V�k INSPECTION REPORT
Permit No.00- Lot# f7 3
Address
Contractor "—
Owner �en-E-
Date
Taken By ^ T)e n c
❑ 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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Inspect Date/
TYPE OF INSPECTION REQUESTED
❑ Under-floor A Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
"1 INSPECTION REPORT
Permit No. 1 - rc Lot #Q
.-
Address ��1 !-] / G /�r-
Contractor L, 42.1)
• Owner
Date
PPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
J Corrections listed below MUST BE MADE before work can be approved.
11
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required.
-r
—z
Inspec Date — r
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing )( Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
Foundation ❑ Shear Nailing ❑ Groundwork
Xj
Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
11 Other
INSPECTION REPORT
Permit No. 73 Lot#
i Address 17 711Q®ed—�C_7__'_
Contractor � "J'14LIS ['z7 [ anS
Owner
Date
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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
del
Inspecto \ Date f
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation `Ij Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. - Lot #
• Address
Contractor
Owner
Date
❑ APPROVAL ARTIAL 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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Tv
I e Date Z 'a- Y'7
TYPI�OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage *sulation
❑ Other
INSPECTION REPORT
Permit No. Lot#.
Address
Contractory1�
Owner
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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Inspector Date 1 o%ram/�j
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
footing ❑ Drywall, Nailing ❑ Consultation
oundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
*A vo POUT-
INSPECTION REPORT
Permit No. — -U673 Lot# lS
Address 17 i r
f 1 7 p;U-e,
Contractor V ry l _l9�fT
• Owner
Date C),00 Ila �1
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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Inspector Date D ( Gl
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 ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
C I TY OF d=k FR L- I NGTON
COIVSTFRI.JCT I Qhl PERM I T
PE RM I T P4C3 _ GD2-4C3 Ea 5
Owner: MILLER, MICHAEL 17717 TOPPER COURT ARLINGTON 98223
Value of Mork: $5, 000. 00 Tax ID: 00870600007300 Phone: 360-403-7201
Describe Mork: FINISH BASEMENT 390 SQ FT
Proposed Use: REC-ROOM
Legal Description: HIGHLAND VIEW ESTATES LOT 73
Job Address: 17717 TOPPER COURT
Contractor's Name Type Address License#
OWN
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
--------- ------------------------------ ------ -------- ------------
PLUMBING FIXTURES 1 $10. 00 $10. 00
METAL FIREPLACE 8 CHIMNEY 1 $11. 00 $11. 00
S U B T O T A L. . . . . . $21.00
TOTALS Fee
Permit Fee $117. 75
Equipment $11. 00
Fixture $10. 00
Mech Permit $24. 00 '
Plan Fee . 54$25 J 7 �
Plumb Permit 525. 00 l
State fee $4. 50 ///
SIGNATURE /,�// z
TOTAL FEE. . . . . . . . . . . . . . . . . $268. 79 I HReEBY C RTIFY THAT I HAVE READ
AND AMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KNO HE SAME TO BE TRUE AND COR-
RE LL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $268. 79 OR IN NCE GOVE NIN THIS TYPE OF
T.
S K ILL ILL E CO PLI DOWITH WHETHER
DATE ] RECEIPT # r �}Lot
'" �� I V� BUft6iia b&iGIXL
N
s.f�ac%
&0
I
Ia° �
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1PhAn
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19y�'
I
CITY OF
do 'LfNG G/ti O D
ARI_INGTON
97- ?Lq3
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. r--L�C'1+rr�
OWNER) I MAIL ADDRESS CITY ZIP PHONE 1l
/I"C,�a" F M,ller 17717 ToDOCr LL. A���a���. c.�� 9.�5zZ3 360 403-7Zo1
ARCHITECT OR DESIGNER MAIL ADMESS Clu LIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE if
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF
CLASS OF WORK
❑NLW ❑AUDITION ALTERATION ❑REPAIR ClDEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
f
DESCRIBE WORK f
A VCc - r
PRUPOSt D USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
ou1 e TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL UESCRIPFION Of PROPLRTY ISHOWN BELLOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORK
LOF73BLL)CK : OF L Ia+�i� L �a�(f5 WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
TAX ID NUMBER
oz �� CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
JXI%, T
SIGNATURE OF C N RACTQR OR AUTHORIZED AG°NT DATE
TUB ADURLSS
(OFFICE USE ONL 982Z 3 MECHANICAL
PLUMBING
NO TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND UNITS -H P EA.
BAI HI UB REFRIGERATION UNITS-H P. EA.
LAVATORY (WASH BASIN) BOILERS- H.P.EA
SHOWLR GAS FIRED A.C.UNITS-TONNAGE EA.
KI ICIILN SINK& DISP FORCED AIR SYSTEMS- B T.0 MEA
DISHWASHER WALL HEATERS- B.T.0 M
LAUNDRY 1RAY - UNI1 HEATERS- B.T.0 M
CLOI IILS WASHER EVAPORAT IVE COOLERS
WATER HEATLR CLOTHES DRYERS
URINAL VENTILATICN FAN 1 n
DRINKING,FOUN IAIN RANGE HOOD COMMERCIAL
FLUOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEAUERS METAL FIREPLACE&CHIMNEY
SINK (SERVICE - BAR,EFC.) WATER HEATER
GAS PIPING
SUB TOTAL S SUBTOTAL f
PERMIT S PERMIT f
TOTAL FEE S TOTALFEE $
SIUL YARD SL F BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
✓_ � � FEE ��- RECEIPT NO.
u5E / t LOT AREA VACANT SITE VALUATION FEE
❑YES ❑`a0 FEES �^
TYPE OF ONS 1 / / OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG r J
BU'LDING f
SILL Of BLDG. NO.OF 51 OR I L 5 MAX.OCC.LOAD r
7� 5.
I` PLUMBING O
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL 7
STATE BLDC.CODE
COMMENTS ENERGY CODE SURCHARGE
U.B.C.
PENALTY SEC.303(a)
WATER/SEWER FEES
/d
�r TOTAL
4A R PERMIT VALIDATION
" �Qn� WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
1. Q—4 (alo s PAID CR# BY
BUILDING OFFICIAL DATE
cc:ASSESSOR.APPLICANT,TREASURER,BLDG.DEPT RECORDS COPY
CITY OF ARLINOYON
CONST RUCT I Ohl F3E RM I T
PERM 1 Y NO_ _ 97—aS7a
Owner: RASMUSSEN, BRENT 9330-13 STATE AVE. #210 MARYSVILLE 98270
Value of Work: $115,692.00 Tax ID: HVE 73 Phone: E51-2382
Describe Work: NEW CONSTRUCTION
Proposed Use: SFR
Legal Description:
Job Address: 17717 TOPPER CT.
Contractor's Name Type Address License#
BRENT RASMUSSEN G 9330-13 STATE ##210 RASMUC*055CL
REFRIGERATION AND HEATING M 1595 PORT DR. REFIE*20GC6
MARYSVILLE PLUMBING INC. P 13318 SR530 NE MARYSP101JE
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
PLUMBING FIXTURES 15 $7.00 $105.00
FURNACE/UNIT HEATER 1 $13.25 $13.25
RANGE 1 $9.50 $9.50
VENTILATION FANS 5 $6.50 $32.50
DRYER 1 $9.50 $9.50
METAL FIREPLACE & CHIMNEY 1 $9.50 $9.50
WATER HEATER 1 $9.50 $9.50
GAS PIPING 1-5 OUTLETS 1 $5.00 $5.00
SUBTOTAL...... $193.75
TOTALS Fee
Equipment $88.75
Fixture $105.00
Mech Permit $22.00
Permit Fee $972.50
Plan Fee $567. 13
Plumb Permit $15.00
State fee $4.50
School Mitigation $941.00
SIG1dATURE:�
TOTAL FEE...... ........ .. . $2,615.88 I HEREBY CER HAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. .. ... ........ .... $500.00 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . .. . . . . . . . . $2, 115.88 ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH E7i-�=R
SPECiF ED H EiN T
DATE /0 - / 3--97RECEIPT # 7696
BUILDING OFFICIAL
CITY OF ARUNGTON
CONSTRUCTION
PERMIT
Ial COMBINATION ❑ BUILDING ❑ MECFIA14WAL ❑ PLUMBING ❑ §1GN
_//-- PERMIT NO.
j OWNER MAIL ADDRESS CITY ZIP. PfIONE
Jr 1� 'r c�
Ay/Z'lf5<�.. /�C:^a/J/>a. iC•� C7336,, .�, Gl�,� };iti �dfU f'cv1 d:/ ! !/lllti 96d7- / �C jlvJ
ARCIIIIECT OR DESIGNER MAIL ADDRESS CITY ZI► PHONE
C fur-..� %�� �• r
GENERALCONI ACIUW-
JMAIL ADDRESS // City /ZIP IION C S
AU�j_fCI Zli 1",n V 45L770 %7S//.a *V6400GI
L0IA� NICAL CONI RAC IOR MAIL ADDRESS City ZIP PHONE LICENSE 6
PLUMBINGtONTRA0011 MAIL ADDRESS—�- CITY ZIP PHONE LICENSE A
.,, �, �/35—SSSS
e /LL CLASS Of WORK
0-0NLW ❑ADDITION ❑ALTERA110N ❑REPAIR ❑UEMULIIION ❑BUILDINGRELOCATION
S VALUUAAII ION Or WORK
DESCR B�WORK
p PRVPVSF U 5E Ot BUILDING
I HEREBY CERTIFY THAT 114AVE READ AND EXAMINED THIS APPLICA-
TION .
GAL St.RIP IVN Vr RUP RTY f N ELOW UR AI lACfl FOUR COPIES) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
] f !/ SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
j LOT 73 BLOCK • Or i Z�49?'1 �lc k, .ems>!�t*s WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT,THE
s GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER F110M PFIoPERTY TAX 9TATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
7 �� CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
1 SIONAIUREOrCOWRAC10R Oft AUTII0RIZEOAOENI DATE
IUD AVURj �
x
(pF'1'1C6I15fS ONLY) --
I'LUMBING AECIIANICAL
No. TYPE OP PIXTURR PER :i PIXTURRS NO. TYPE OP EQUIPMENT PBB :'e PIXTVRI9
ATBR CLOSBi(TOILUt) 17.00 EL COND.UNITS-II.P. PA. IgiAp.Ilt-
A71ITU8 37.00 RIUMATION UNITS-ILF.BA. d .Bt•"
VATORY(WASH EASIN) l7.00 OILERS-II.P.BA, 1glip.Mt,
_L IIOWE4L 17.00 3AS FIRED A.C.UNITS-1.ONNAGBBA. d .nt•"
TCIIEN SINK,A DISPOSAL 31.00 TORCRV AIR SYSTEMS-B.T.U. MBA 19.00
ISIIWASIIER $7.00 NALL IIRATER9-B.T.U. M 39.00
,AUNDRT TRAY $7.00 JNIT HEATERS-B.T.V. M 10.00
'L0111ES WASHER 31.00 IVArORATIVBCOOLMS
A113R HEATER $7.00 �'i L0111E9 DRYERS list
RINAL 11.00 1 E NTILATION PAN S430
0.1NIUNO FOUNTAIN 11.00 L% LANGE HOOD COMMERCIAL $dill
WOR DRAIN 11.00 I&IR IIANDLINU UNIT- CPM
VACUUM BREAKERS l7.00 3TOV8 1630
OOF DRAINS-RAINLEADII119 11." L IiTAL FIREPLACE A CHIMNEY 1630
INK, SERVICE-BAR.ITM) WAT13R HEATER. S630
As PIFING '(up to S-57.00..ddn1.-1.S
"Etiulpment Bt must be provided
BUD TOTAL A Bus ivAL
FERMIi U I rmmir
TOTAL PER TOTAL PEE
SIDI' .YARD SL I BA S T RL I SL IBAACCK'• REAR YAR.nnO ibACIC PLAN CIIECK NUMBER
Lr/U r F�tj '7�
UST' LOT AREA VACAN E LC.J
1?L'&O 7;-e YEs ❑ND FEES VALUATION FEE
IYPE Ot /N . OCCU NCY GROUP No.OF DWELLING UNITS PLAN CI IECKING VG 2. (o-7 1
WE of BLl)(A No.01 STURI LS MAX.OCC.LOAD BU LDINO ( 7 Ur
PLUMBING
I IRE SPRINKLERS R IRED
❑YES NO MECIIANICAL
COMMENTS STATE BLDG.CODE
Sn� U� '� ENERGY CODE SURCHARGE
ec�S brA-'SkC' PENALTY SECC70l(r) _
��/ /�� '_ `/�� , WATER/SEWER FEES —
CI 1 i OF �[$`/�yV� TOTAL
C PERMIT VALIDATION
O - vA TEN PROPERLY VALIDATED TIN TI ITS SPACE) THIS 15 YOUR PERMIT b RECEIPT
ARUNGTON PAID CRII BY
C'7- z�'73
cc!ASSESSOIT,ArrLICAN.T.11TEA_ PLUG.DEPT. 9IIIIDINGvrr1C)AL DATE
fql s �`d neconvs corY
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