HomeMy WebLinkAbout17521 39TH DR NE_025049_2026 INSPECTION REPORT
40
4tiiN G TC Permit No.: �`� Lot #:
F' � 754l 3el Address: r* �rL
• f..��e ,,_,4
Contractor:
9s, ,�0 Owner:�ak L e e-
4I N O Date:
V_APPROVAL ❑ PARTIAL APPROVAL
0 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:
YPE OF INSP CTION REQUESTED
❑ Under-floor ❑ Framing Pf Gas Piping
❑ Footing ❑ Drywall, Nailing L Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
nechanical ❑ Grid ❑ Struct. Slab
Wood Stove ❑ Rough-in Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
C I TY OF' ARLL I IMGTOh1
CONSTRUCTION F::1 E RM I T
FEE Ft I T NO_ = 02-5049
Owner: GOHL, DEE 17521 39TH DR HE ARLINGTON 98223
Value of Work: $2, 700. 00 Tax ID: 00749000000200 Phone: 340. 659. 8543
Describe Work: REMOVE EXISTING WOOD STOVE REPLACE WITH GAS STOVE
Proposed Use: SFR
Legal Description:
Job Address: 17521 39TH DR HE
Contractor's Name Type Address License#
HOME TOWN HEATING NEC 1325 STATE AVE HOMETH07592
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
--------------------------------------- ------ -------- ------------
METAL FIREPLACE & CHIMNEY 1 $11. 00 $11. 00
GAS PIPING 1-4 OUTLETS 1 $6. 00 $6. 00
S U B T O T A L. . . . . . $17.00
TOTALS Fee
Equipment $17. 00
Mech Permit $24.00
State fee $4. 50
SIGNATURE:
TOTAL FEE. . . . . . . . . . . . . . . . . $45. 50 I HEREBY CERTIFY T AT I NAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 80 KWW THE SAKE TO BE TRUE AND COR-
K C ALL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $45. 56 O DI ANCES COVE IN THIS TYPE OF
W RK WILLJAA BE CO LI WITH WHETHER
S C FIED H R OT.
DATE RECEIPT -
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CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER MAIL ADDRESS CITY ZIP PHONE
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ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N
MEC I��CONTRACTOR �DRESS �� S�' �__CITY Y � ZIP E LICENSE
PLUMBING CONTRACTOR MAIL AODRESS CITY ZIP V P LICENSE,N
v
CLASS OF WORK _ ❑ALTERATION REPAIR ❑DEMOLI PION ❑BUILDING RELOCATION
❑NLW LB�ADDITION/
VALUATION OF
WORK
f a ( 6b•
DESCRIBE WORK �+
'PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DEM RIPT ION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT-BLOCK - OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMB q LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
'7 / D CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
108 URLSS, e75g l y
�/, X
7 Z
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSEI (TOILE)) AIR COND. UNITS -H.P. EA
BAl III UB REFRIGERATION UNITS-H.P. EA
LAVATORY (WASH BASIN) BOILERS- H P. EA
SHOWER UAS FIRED A.C. UNITS-TONNAGE EA.
KI ICHLN SINK& DISP. FORCED AIR SYSTEMS- B T.0 MEA
DISHWASHER WALL HEATERS- B.T.0 M
LAUNDRY 1 RAY UNI1 HEATERS- B.T.0 M
CLOI ILLS WASHER EVAPORAI WE COOLERS
WAIER HEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING,FOUN IAIN RANGE HOOD COMMERCIAL
I"LOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR,E[C.) WATER HEATER
GAS PIPING
SUBTOTAL $1 SUBTOTAL f
PERMIT $I PERMIT f
TOTAL FEE $1 TOTAL FEE f
SIDE.YARD SE I BACK STREET SL TBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE /ONt LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BUTDING f
SIZE OF BLDG NO.OF STORILS MAX.OCC.LOAD
PLUMBING
F IRE SPRINKLERS REQUIRE
D
❑YES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
PENALTY U.B.G.
SEC.303(+)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID CR# BY
BUILDING OFFICIAL DATE
cc:ASSESSOR,APPLICANT, TREASURER,BLDG. DEPT. RECORDS COPY