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HomeMy WebLinkAbout17717 39TH DR NE_056293_2026 INSPECTION REPORT _WCY3 ii( Permit No.. Lot #: Address: I-7 _7/_7 3TContractor:Owner: Date: ' - -� - ©� g 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: SL c,rtil� Date: /—.5 —O,- TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation Foundation ❑ Shear Nailing ❑ Groundwork echanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: C I TY OF ARL I NGTUN CCNST RUCT I ON F=1ERM I T PE Ft I -F 1114C3_ a GD5—C6 2C3 3 Ovner: WALTER, DOUGLAS 17717 39TH DR HE ARLINGTON 98223 Value of Work: Tax ID: 004200-000-008-00 Phone: 360-653-1273 Describe Work: CHANGE OUT PROPANE GAS TO NATURAL Proposed Use: SFR Legal Description: TOTEM PARK DIV 3 LOT 8 Job Address: 17717 39TH DR NE Contractor's dame Type Address License* OWN P E R H I T F E E S 4 ` Equipment and Fixtures Number Fee Total Charge ' GAS PIPING 1-5 OUTLETS 1 $6. 00 $6. 00 S U H T O T A L. . . . . . fib. TOTALS Fee Equipment $6. 00 } Mech Permit $24. 00 State fee $4. 50 SIGNATUR : TOTAL FEE. . . . . . . . . . . . . . . . . $34. 58 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $0.00 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $34. 50 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGIF;ED HEREIN OR NOT. DATE RECEIPT # BOLDING OFFICIAL l_3 _Ua �' CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE JD"L >A azk 17717 sag-2841-= d&/_ �&223 afI:>-/= � -It 73 ARCHITECT R DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE M MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF CLASS OF WORK ❑Ni W ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLI IION ❑BUILDING RELOCATION VALUATION OF ORK S � , DESCRIBE W RK PROPO 1,LVUSL 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 LA%(RIP ION Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOJ 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 NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 177/7 SSG OF CONTRACTOR OR AUTHORIZED AGENT DATE JOB ADURL SS X 2 — — ^� (OFFICE USE ONLY) PLUMBING MECHAN L A NO TYPE OF FIXTURE FEE NO, TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND UNITS - H P EA BA I FI I UB REFRIGERATION UNITS - H P EA LAVATORY (WASH BASIN) BOILERS - H P EA SHOWLR GAS FIRED A C UNITS- TONNAGE EA KI ICIJLN SINK & DISP FORCED AIR SYSTEMS- B T U MEA DISHWASHER WALL HEATERS- B T U M LAUNDRY T RAY UNI I HEATERS- B,T U M CLOI I ILS WASHER EVAPORAI IVE COOLERS "AILRHEATLR CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN I AIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT - CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLLADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR,ETC I WATER HEATER GAS PIPING SUB TOTAL S SUBTOTAL S PERMIT $ PERMIT S TOTAL FEE $ TOTAL FEE 3 SIUL YARD SL I BACK STRLLT SL IBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO L'SI /UNI LOT ARV VACANT SITE ❑ FEES VALUATION FEE ❑YES NO TYPL OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BU'LDING $ SIZL OI BLDG NO.OF STORILS MAX,OCC.LOAD PLUMBING F IRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE U B C PENALTY SEC 303(a) RECEIVED WATER/SEWER FEES RECEIVED TOTAL JAN 0 3 2005 PERMIT VALIDATION WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT OOA BUILDING DEPT PAID CR# BY BUILDING OFFICIAL DATE cc:ASSESSOR,APPLICANT,TREASURER. BLDG DEPT RECORDS COPY