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Home My WebLink About18722 59th Ave NE_035608_2026 INSPECTION REPORT 4ytN GTO Permit No.:�� S�' Lot #: Address: IF S 7-fl S 2` Contractor: Owner: ,U. �IN� 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. 1/ Inspector: e 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 tz X Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: T 37 INSPECTION REPORT ii( Permit No.:' 5�Og Lot#: Address: / -7 2 z 5 9Contractor:Owner: fFj-O Date: /- i.5-oy ❑ APPROVAL ❑ PARTIAL APPROVAL ...��(( ❑ VIOLATION J�CORRECTION REQUESTED �C:orrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ ALL 435-0674 FOR RE-INSPECTION -24 hour notice required. 6?y c 7`,rcq/ 4f Lan�li5?� r� 4/ ra,Z S7lc�.tS . r—rz7-_V_lt *hGv s� FOP ,2 `f' e ziu/� Inspector: .X Date: TYPE OFJN16PECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in XFinal ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: G I TY C3F" GIRL I NCCTON CONST RIJGT I ON PE RM I T PE RM I T NO_ a QD3-56 0ka OMner: A S D *16 401 N FRENCH AVE ARLINGTON 98223 Value of Work: $0. 00 Tax ID: 31051100303200 Phone: 435-5528 Describe Work: RELOCATE MOBILE CLASSROOM Proposed Use: CLASSROOM Legal Description: Job Address: 18722 59TH AVE HE Contractor's Name Type Address License# WILLIAM SCOTTSMAN GEN 14407 SMOKEY PT BLVD WILLIS102LP TOTALS Fee Permit Fee $500. 00 _� State fee $4. 50 C V �� (1,,� S SIG ATU�, RE:� TOTAL FEE. . . . . . . . . . . . . . . . . $504. 50 I REBY CERTIFY THAT I HAVE READ AN EXAMINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KH W THE SA E TO B TR E AND COR- RE T ALL P VISI0 O LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $504. 50 OR I ANCES V RN G IS TYPE OF O K WILL. C ED ITH WHETHER P FIEDD DATE RECEIPT #k T G O F CIAL r ! i.lE, g i• ! � •!1 1 i t 1'i lti> '.- ._ 'i•"' r-_ i ; � a oL N3::r)��c►L_i + ',sr;.. ,ca ° i ;011;ir1 „o'1 :?.J A PU'i' i-d :AItUTA III i1l ,�fi.'i.:4f� Nt' .l�Nr::: . . " . . . . . .:1:�1 i .IATOT � ' , A.. / 'Y•.r� t14SA :it,:� i :JE! U': -A�Ati iN !'bifyirlis tNN ASK . . . . . . . . . . . . . . . . . .G:'1'H:KYA9 .3IM .IA" IJT r City of Arlington Bgjlding P--t FIRE DEPARTMENT CHECi_ FIST PERMIT # - LD DATE: NAME: ADDRESS: d / a`� % T1> �� LEGAL: BUILDING USE: �'Ll�f Va /y1 OCCUPANCY CLASSIFICATION: � r A B E F H F172 12.1131 4 1 1 2 1 3 1 1 2 1 1 2 1 3 1 4 1 5 1 6 7 I M R S U 1.1 1.2 T2T3 1 1 3 1 1 2 3 1 4 5 17 2 TYPE OF CONSTRUCTION I II III 1V V F.R. F.R. ONE-HOUR N ONE-HOUR. N H.T. ONE-HOUR N Item inspected&completed Signature & Date: Site Plan: Approved = Denied Access Requirements: fired: Fire lane: Sprinkler system: - Alarm'system: a_ �rucf+/Lc, �t�-+�_ .�i.•� �.� ��, Knox Box: 3 - wG /�T Tv/�/�'�ih¢,n s y s C Fire extinquishers: /A,<- Cc" - Hydrant: # of hydrants required: Location of Hydrant: Location of Knox Box: Location of Fire Extinquishers: Fire Flow requirements: Location of address on building: FIRE DEPT: ` -- Date: f-5 A 3 Signature R CEIV3ED Build\form\fdchecklist �a� ."!� .+ • I _ I -1 ' 1 L-' J-- 1 Ill\ '•I yy J I 41 Ill. IL r I I I - 1 �' • - - IL ri 11 II 1 : J I 1 Irl.-i n'irl -ti I I I ' �Lq III JI III 1 I• L L7 -1 1 1 J -r IJ I I LT 1 1 1 i r -LI l -_11 - -1 f ITT C r_I 1 Ifl_-1 11 -1J I 1l 1 I t� I - II _J: L JJ IL I _ L � 1 City of Arlington Building Dept sEr' 18 zoM E OWE D PUBLIC WORKS CHECKLIST Utilities Div„ PERMIT # �j ,�I C 'c DATE �> i' LEGAL Plat Lot v Tax ID# NAME ADDRESS7� BUILDING USE (�b(sll V ;1 # of BUILDING UNITS Existing Required Signature Date Water Meter Fire Hydrant Side Sewer Permit Monitoring Manhole Cross-Connection Control Sewer: Off site On site Water: Off site On site Pretreatment Discharge Permit Water/Sewer Fees s�O.W\s 7 Date received (jpy�11�e(i'f 1 "1v W s Date Yellow returned Date Pink returned �r_ � �, � �+ ��' � � ,i - �rl '� f ti '1 r: i .i f � i i ii i r • � �� - - r IV J I � _ r_ i i - = L i i - i i � 'r J i l i i i � �� ii i � i ' � - � �r - �,,N G rod City of Arlington Utilities • A o 9Sf�INGk Memo To: Tom Waltz, Arlington School District From: Karen Latimer, Utilities Manager ` Date: September 24, 2003 Re: Utility Review, Building Permit#03-5608 Your tenant improvement documents submitted with building permit#03-5608 have been reviewed for compliance with Utilities Division regulations To receive approval for occupancy from the Water and Wastewater Departments, you will need to complete the items listed below. 1. It is unclear from the drawings if this building is being connected t will need a list sanitary erofrfdomestic to water. Will this building be connected to water o r sewer?be connected. finish processing your construction application we may Please provide the requested information so y review. I can be contacted at 360-403-3505 to answer your questions. 0 Page t ' «� r _ �� i . � ILI City of Arlington Building Department REQUEST FOR REVIEW FORM PROJECT NAME: & #- 1 L9 PROJECT ADDRESS: 1 -7 ;zl r# e & BP #: O'> - 1�;WOFS PROJECT MANAGER: Linda Friddle, Permit Coordinator DATE OF CIRCULATION: �/ w,/, 1> RETURN THIS FORM BY: TYPE OF PROPOSAL: e to le- da PROJECT SUMMARY: C161 -� G RESPONDING DEPARTMENTS: _ V" Q 5A ❑ TOM C., FIRE ❑ BILL B., NATURAL RESOURCE ❑ YVONNE P., PLANNING ❑ SHARREE L., GENERAL SERVICES ❑ GREGG E., ENGINEERING SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments, either on the drawings or in memo form, to the Building Department. If you have no comments, please return the form with the"No Comments" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO LINDA. ❑ MORE TIME REQUESTED, WILL SUBMIT ON ❑ COMMENTS FOR THIS REVIEW ARE ON ATTACHED DRAWING ❑ COMMENTS FOR THIS REVIEW ARE IN ATTACHED MEMO NO COMMENTS FOR THIS REVIEW, OKAY TO ISSUE P RM T REVIEWED BY C DATE t gpilcling Dep City of Arlington / 3 DATE: PERMIT # �� FIRE �D NAME: aD—W I La 1,EGAL: ADDRESS: 7a� S �I i/� 1�� C�,ANCY CLASSIFICATION BUILDING USE: Y� OC F It 6 1 2 3 4 5 A B 3 1 2 1 V 1 2 2.1 3 4 1 2 S 1 2 M g 1 2 3 4 5 I 3 1.1 1.2 2 3 1 OF CO ,STgUCTION IV V TYPE N III NF;HOUR g.T. I II �'gOiJR N a cted&completed ON N Item Wspe Date: F.R. F.R. ONE-HOUR Signature & Site Plan: Approved Denied Access Requirements: Rec4 u i red= Fire lane: Sprinkler system: Alarm system: Knox Box: Fire extinquishers: Hydrant: # of hydrants required: Location of Hydrant: Location of Knox Box: I-ovation of Fire Extinquishers: Fire Flow requirements: -.ovation of address on building: Date: 'IRE DEPT: igruiture Build\forrrdfdchecklist ' - ►■ 1 Lj I 1 y' - n 1 1 ■ lc P PI 1 . �: III EL IL la fir■■ n I I JI — � f ■ I 1 1 IrlLl — ■ — 1 1 , ! • II T I r• _1 1 1 • 1 ? 1 �� 1• 1r I - ■ _;z -t — 1II - - - - ri ' - ir 1 f • - K 1 ding Dept City of Arlington Bui1 PUBLIC WORKS CHECKLIST DATE PERMIT#��C7�� }6 // va30Ia� Tax LEGAL Lot Plat NAME ADDRESS n # of BUILDING UNITS BUILDING USE (' ��'� Date Existing Required Signature Water Meter f Fire Hydrant ------- Side Sewer Permit Monitoring Manhole Cross-Connection Control ------- Sewer: Off site On site ------- Water: Off site On site Pretreatment Discharge Permit i Water/Sewer Fees ------ Date received Date Yellow returned Date Pink returned � q: - "�� : � j• U A I - } - _ _ - _ 11 I I . I I I I I II � I I , r I •_ J I 1 1 � I ` II 1 Jl I- ` � ��-�1 I I I I ' I I _ II I I _ � I II 1 I ] : r � I _ - � ' r. _ � _� � - � � w � 1 I I _ _ � � � _ � �' ,.. �, _ �� J CITY OF AR L I N GTO N Invoice No. 2003-03-5608 238 N. Olympic Ave. Arlington, WA 98223 360-403-3431 fax 360-435-3906 INVOICE - Customer Name ASD#16 Date 11/7/2003 Address 315 N French Order No. 03-5608 _ City Arlington State WA ZIP 98223 PO Phone 360.618.6228 FOB QTY Description Item TOTAL 1 Building Permit#03-5608 $504.50 $504.50 Payment Details SubTotal $504.50 O Cash OO Check O Credit Card TOTAL $504.50 Name CC# Please send payment Attention Expires Building Department Make check payable to City of Arlington If you have questions regarding this invoice please call(360) 403-3431 CITY OF ARLINGTON CONSTRUCTION PERMIT 03 Or ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER XS7- L ADDRESS COY ZIP PHONE A9LjM&-r0 ) SCW — ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE 3RmG- GENERAL CONTRACTOR {{ p MAIL ADDRESS CITY ZIP PHONE LICENSE rr SiqIPA fi� I�IIQrn Jca��tn�a>y YY)o r�s�Jl�le MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEif SAmE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ S R m G CLASS OF WORK ❑NLW ❑ADDITION ❑ALTERATION Cl REPAIR [:]DEMOLITION BUILDING RELOCATION VALUATION OF WORK f DESCRIBE WURK Ynoue Frzom oIs its' -ro, wEsTor�a PROPOSE D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- eL FL S s ROC)v- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LL(,AL DESCRIPTION OF PROPERTY JSHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOr BLOCK • OF 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 TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIG�TUOITRACTORO UTHORIZEDAGENi DATE 108 AUURLSS Lk-) IJ IG�- (OFFICE USE ONLY) MECHANICAL PLUMBING NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND.UNITS -H.P. EA. BAIHIUB REFRIGERATION UNITS-H.P.EA. LAVATORY (WASH BASIN) BOILERS-H.P.EA SHOWLR GAS FIRED A C_UNITS -TONNAGE EA. kl ICI ILN SINK& UISP. FORCED AIR SYSTEMS - B.T.0 MEA UISHWASHER WALL HEATERS-B.T.U. M LAUNDRY 1 RAY UNI1 HEATERS-B.T.0 M CLOIIILS WASHLR EVAPORAI IVE COOLERS WAI ER BEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUNIAIN RANGE FIOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEAUERS METAL FIREPLACE 6 CHIMNEY SINK ISERVICE - BAR.ETC.) WATER HEATER GAS PIPING SUB TOTAL S SUBTOTAL f PERMIT f PERMIT f TOTAL FEE f TOTAL FEE $ PLAN CHECK NUMBER ER PLAN CHECK F SIDLVARUSEIBACK STRtt15LTBACK REAR YARD SETBACK FEE RECEIPT NO. L,SE /ONt LOT ARIA iNOOF NT SITE FEES VALUATION FEE ES []NO TYPE OF CONS(, OCCUPANCY GROUP DWELLING UNITS PLAN CHECKING VG BUILDING f SIZL OI BLU(,. NO.OF STORIES MAX.00C.LOAD PLUMBING FIRESPRINKLERSREQUIRED ❑YES ❑NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE U.B.C. FPENALTY SEC.303(al R/SEWER FEES L PERMIT VALIDATION RECEIVE[ WHEN PROPERLY VALIDATED(IN THIS SPACE(THIS IS YOUR PERMIT&RECEIPT PAID CRN BY SEP 15 2003 ,� BUILDING OFFICIAL DATE cc:ASSESSOR.APPLICANTa ►OPARNGTow. RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT �03 Or ❑ COMBINATION BUILDING ❑ MECHANICAL ClPLUMBING ❑ SIGN PERMIT NO. OWNER X-sr L ADDRESS CITY ZIP PHONE ARLim&ro li ScW. �35 121 - ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE 3 Rm G- GENERAL CONTRACTOR 11`` e 11 MAIL ADDRESS CITY ZIP PHONE LIC NSE/ vJ1l1IUA VCOpgUOL&? 10.r S1JI t MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I SRrn E- PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE �R m E CLASS OF WORK ❑NLW ❑ADDITION ❑ALTERATION ❑REPAIR []DEMOLITION XBUILDING RELOCATION VALUATION OF WORK f DESCRIBE WORK "oue PRom nIA its - o truer✓'sTo" PROPOSE U USE OF BUILDING C.->~R S 5 Rob v� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL UESCRIPTION Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOr BLOCK Uf WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO U✓ 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. MNATU OF CONTRACTOR O UTHORIZED AGENT DATE JOB ADDRLSS k&)CS-ro N %C-( - 1��Zz sc�l� Aoc NU COFFICE USE ONLY) MECHANICAL PLUMBING NO. TYPE OF FIXTURE F Ej�' NO. TYPE OF EQUIPMENT FEk WATER CLOSEI (TOILET) AIR COND.UNITS -H.P. EA. BAIHIUB 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.U. ME DISHWASHER WALL HEATERS- B.T.U. M LAUNDRY IRAY UNI1 HEATERS- B.T.U. M CL0IHLS WASHER EVAPORAI IVE COOLERS WATER HEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN I AIN RANGE HOOD COMMEPtIAL FLUOR DRAIN AIR HANDLING UNI - CPM VACUUM BREAKE STOVE ROOF DRAINS AINLEAUERS METAL FIREPIACE&CHIMNEY SINK (SERVI - BAR,ETC.) WATER H TER GAS PIP14G SUB TOTAL $1 SUBTOTAL f PERMIT $I PERMIT f TOTAL FEE $1 TOTAL FEE f SIUL YARD SL IBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE /ONE LOT AREA VACANT SITE VALUATION FEE ❑YES ❑NO FEES TYPE Of CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG �j BU'LDING f SILL OF BLDG. NO.OF STORILS MAX.000.LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE CD ENERGY CODE SURCHARGE PENALTY SEC. 03(a) WATER/SEWER FEES TOTAL ��]] ✓ PERMIT VALIDATION R E C E 11f`0 E f WHEN PROPERLY VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT PAID CRif BY SEP 15 2003 �,r1,1,4/0JR-Of�b,I NG� �E BUILDING OFFICIAL DATE cc:ASSESSOR,APPLICAN�Vf�Y`�ii^FCf1QlFF��334�FJlt RECORDS COPY 8 /0 =� Z CA • o A 01 01 Z ,A Z . y o• � �� , b co . .. W rn c . r - cn o ryl v -�„ oo rn LAX _ \ I 1 vz O 'Ar- on i � � I w � 0 Q • r I � Q f C c s oLA N �-r '•ems a' 'iv i� 1 '