HomeMy WebLinkAbout19721 47TH AVE NE_056291_2026 C I TY QF A RL I RIGTQfV
CONST RUCT I Qhl PE RM I T
PE Ft I T IVO_ a GD5-6 29 1
Orner: GRC HOMES 6306 49TH DR. MARYSVILLE 98270
Value of Work: $5, 000. 00 Tax ID: 005646-000-004-01 Phone: 659-1109
Describe Work: ADD 144 SA FT DECK
Proposed Use: SFR
Legal Description: FINCHER SHORT PLAT LOT 1
Job Address: 19721 47TH AVE NE
Contractor's Name Type Address License*
GRC CONSTRUCTION INC. GEN 6306 49TH DR. NE GRCHOI*077MH
TOTALS Fee
Permit Fee $125. 50
Plan Fee $81. 58
State fee $4. 50
SIGNATURE:
TOTAL FEE. . . . . . . . . . . . . . . . . $211. 58 I HEREBY RTLP THAT I HAVE READ
AND EXAMINED .IS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . .$0. 0 KRQW THE SAME TO BE TRUE AND COR-
R C ALL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $211. 58 O D NANCES GOV RNI G THIS TYPE OF
WI B P I D WITH WHETHER
P FIE R NOT.
DATE RECEIPT #k '
DI 16 OFFI I L
� `o
RECENED
JAN 0 6 20051
COA BUILDING DEPT
D Fz G
Y77A"vrt
1�
U
N
I
po"14
LL
jl7-'Avf /��F, 1
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.614/. � +
OWNER MAIL ADDRESS CIl Y ZIP PHONE
/49 1" �s 5,
ARCHITECT OR DESIGNER RAIL ADDRESS CITY ZIP PHONE
G ERALCONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE P
sgowP .4 :5 A60VE
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE i
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
❑NL-W O ADDITION ❑ALTERATION ❑REPAIR Cl DEMOLI HON ❑BUILDING RELOCATION
VALUAI ION OF WORK
f q6n,
DESCRIBE W�ORK/ ! Ofce /°� �jy �('r e5
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 DES(RIPTION UI PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOI BLOCK-or J - WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
l VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER
/ LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRyCyfON. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATUR /NTRACTOROPA ORIZEOAGE ) DATE
108 ADURI SS
(OFFICE USE ONLY)
MECHANICAL '
PLUMBING
NO TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND UNITS - H P EA
BA I E11 UB REFRIGERATION UNITS -H P EA
LAVATORY (WASH BASIN) BOILERS - H P EA
SHOWLR GAS FIRED A C UNITS-TONNAGE EA
KI TCIILN SINK& DISP FORCED AIR SYSTEMS- B T U MEA
DISHWASHER WALL HEATERS- B T U M
LAUNDRY 1 RAY UNI I HEATERS- B T U M
CLOI IILS WASHLR EVAPORAI IVE COOLERS
WAILR HLATLR CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING F OUN I AIN RANGE E1000 COMMERCIAL
I LOOK DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR,ETC WATER HEATER
GAS PIPING
SUB TOTAL $1 SUBTOTAL f
PERMIT f PERMIT f
TOTAL FEE S TOTAL FEE f
SIDE.YARD SL[BACK STRELI SL TBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE /ONE LOT AREA VACANT SITE
❑ FEES VALUATION FEE
❑YES NO
TYPL OF CONS OCCUPANCY GROUP NO OFDWELLING UNITS PLAN CHECKING VG $ t 508
SILL OF BLDC. NO.OF STORILS MAX.OCC LOAD BU'LDING
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE L v
�,
ENERGY CODE SURCHARGE
PENALTY S B C
SEC 303(a)
WATER/SEWER FEES
RECEIVES
TOTAL
JAN 0 6 2005 PERMIT VALIDATION
/�
i(� ° WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
COA BUILDING DEPO PAID CRp BY
BUILDING OFFICIAL DATE
cc: ASSESSOR.APPLICANT,TREASURER, BLDG DEFT RECORDS COPY