HomeMy WebLinkAbout1316 PARK HILL DR_025181_2026 INSPECTION REPORT
¢ti1N G 1'o Permit No.:02- O Lot #:
Q Address: [ 3 ��'/L c
� z
Contractor:
O Owner:
�`r IN C' Date:
4'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.
1-17/1 If
� 1
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:
C I T Y M F A R L- I N G T C3 N
C O N S T R UC T I O N P E R M I T
P E R M I T IhIO_ 02-5 1 8 1
Owner: BURDEN, JOAN 1316 PARK HILL DR ARLINGTON 98223
Value of Work: $4, 092. 12 Tax TD: 005627-000-026-01 Phone: 360. 435. 7056
Describe Work: INSTALL PROPANE TANK & REPLACE FURNACE
Proposed Use: SFR
Legal Description: PARK HILL ESTATES LOT 26
Job Address: 1316 PARK HILL DR
Contractor's Have Type Address License#
SUBURBAN PROPANE NEC 12820 34TH AVE NE SUBURPD088PA
P E R M I T F E E S
Equipment and Fixtures Humber Fee Total Charge
--------------------------------------- ------ -------- ------------
METAL FIREPLACE 8 CHIMNEY 1 $11. 00 $11. 00
S U B T O T A L. . . . . . $11.00
TOTALS Fee
Equipment $11. 00
Mech Permit $24. 00
HATURE:'--
TOTAL FEE. . . . . . . . . . . . . . . . . $35.N I HEREBY CERTIFY THAT I HAVE READ
AND INE D THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $6.N KNOW THE AK TO BE TRUE AND COR-
RECT ALL I.SIONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $35.N ORDINAN GOVERNING THIS TYPE OF
WORK WI BE OMPLIED WITH WHETHER
S F H EIN OR NOT.
DATE RECEIPT #
/3/ -Q/� //n BUIL G FFICIAL
CITY OF ARLINGTON
CONSTRUCTION
PERMIT �1• ����
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER -� MAIL ADDRESS CI I Y ZI► PHONE
CLYL Bccrc��n i Ib >s�: �II �i' �I /r��� rr `f�.<�3 ,3/✓O) vS- 7C%.5�<
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
l7..
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LS LIC NSE N
IM?ptilsv� Ile y8�7/ ( JE��)6�9-/.Z5/ C,I�l7G�ej 1�
MECHANICAL CONTRACTOR MAIL ADDRESS CIT ZIP �— PHONE LICENSE#
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I
CLASS OF WORK
NEW ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI FION ❑BUILDING RELOCATION
VALUATION OF WORK
DESCRIBE WORK .f, � j� L•- � C�/yJ / /
I� 17 , / a r u� Ex _N ;�, F �,b li -/u.r ST v >F 10t a/, /Pvter
PROPOSE D USE di BUfLDING
I HEREB CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DES(RIPT ION Of PROPERTY (SHOWN BELOW OR ATTACH POUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LU I RL(X K OF
WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
C?D G' A&C VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION.PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE.
V7 O SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
IOB AUDRLSS
(OFFICE USE ONLY) HANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLUSEI (TOILLI) 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 fCHLN 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
CLO I HLS WASHLR EVAPURAI IVE COOLERS
WA LR BEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNIAIN RANGE FIOOD COMMERCIAL
f-LOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS RAINLEADERS METAL FIREPLACE&CHIMNEY
ESINKVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUB TOTAL S SUBTOTAL S
PERMIT $ PERMIT S
TOTAL FEE f TOTAL FEE S
SIDE.YARD SL I BACK STRLLI SL TBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
utif /ONi LOT ARE A VACANT SITE VALUATION FEE
❑YES ❑NO FEES
TYPE OF CONSI OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BUTDING $
SIZE Of BLDG. NO.OF STORIL5 MAX.OCC.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
PENALTY U.B.C.
RE C E IV E C SEC.303(+)
WATER/SEWER FEES
Oct) U 6 Z00Z ''I'll''=, L=
TOTAL
PERMIT VALIDATION
CITj OF ARLINGTON WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT&RECEIPT
PAID CR# BY
BUILDING OFFICIAL DATE
cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT RECORDS COPY