HomeMy WebLinkAbout17727 39TH DR NE_035725_2026 INSPECTION REPORT
2
N G TD Permit No.: 03 -57Z-Lot#:
Q' Address: 17 7 2 7 '/ems 6Z
Z Contractor: 1� GL
9s�
O Owner:IN C'� 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.
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Inspector: S Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing A Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
_111NINechanical ❑ Grid ❑ Struct. Slab
/❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
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NGT0Permit No.: 57z- 5 Lot #:
Address: i 77 z7 .3 5Contractor: b,a � t E r O,�O Owner:
Date: / z- iC -
12�,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.
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Inspector: ���4`� Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing X Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid 'U 'Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
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Permit No.: 5-7 2-5 Lot#:
Address: 1'112-'1 3`i "`' 0Contractor: ?��Owner: H-OA Date: , z- A0 - 0 3
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ACORRECTION REQUESTED
,4a-Gorrections 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.
42
Inspector: Date:
PE OF INSP CTION REQUESTED
❑ Under-floor ❑ Framing g- Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
?_4 Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
E I _T1e OF A RL I 1'%1GTOIV
GOIVE3T FtLJCT I "P4 F}E FRM I T
F=■ERhrl I T IVO_ No3—!:-:;70-11ES
Owner: HOAD, ALEX 17*727 39TH DR NE ARLINGTON 98223
Value of Work: $7, 000. 00 Tax ID: 004200-000-006-00 Phone: 360. 658. 7829
Describe Work: INSTALL NEW HEATING SYSTEM, FURNANCE, PIPING
Proposed Use: SFR
Legal Description:
Job Address: 17727 39TH DR NE
Contractor" s Na._je Type Address License#
DAY & NITE PLUMPING & HEAT MEC P 0 PDX 1021 DAVNIPHO44CM
P E R MI I T F E E S
Equipment and Fixtures Number Fee Total Charge
- -FURNACE/UNIT HEATER 1 ^$15. 00 $15. 00
WATER HEATER 1 $15. 00 $15. 00
GAS PIPING 1-4 OUTLETS 1 $6. 00 $6. 00
S U B T O T A L. . . . . . $36. 00
TOTALS Fee
Equipment $36. 00
Mech Permit $24. 00
SIG TUR
TOTAL FEE. . . . . . . . . . . . . . . . . $60.00 I PsEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF AND
TOTAL DUE. . . . . . . . . . . . . . . . . #60. 00 ORDINANCES GO V N I(�i T r F'E OF
WORK ILL F'' D WHETHER
S-'E I tl_ ER N y
DATE RECEIPT #
ING F CIAL
l I �-
CITY OF ARLINGTON
CONSTRUCTION _
J
PERMIT
❑ COMBINATION ❑ BUILDING g MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER MAIL ADDRESS ZIP PHONE
'4leu 4,/ 'a 17727 WIG oA1F q$ZZ3 36 0- GS-9- 79zr
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
Oq o 3N,-le i //i 4/ i 344 Q L,e L✓ 4����es� 9883 7 YZ s 7 7 S-GyG Y
MEC ANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE p/�YN�pyByyGLK
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
❑NEW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
S
UESCRIBL WORK
// / / /
N 7'Q �� P Gr yin S isr C7CI /�[Q G K c 7 IC.' K
PROPOSE D 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-
LLUALDES(RIPrIUNOI PROPERTY(SHOWN 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 AUTHORITYTO
z VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
7 7 is CONSTR PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SI RE OF CO R O AUTHORIZED AGENT DATE
JOB ADURLSS
(OFFICE USE ONLY) MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILEI) 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.0 40< MEA
DISHWASHER WALL HEATERS- B.T U M
LAUNURY 1RAY UNI1 HEATERS- B.T.0 M
CLUI IILS WASHER EVAPORAI IVE COOLERS
WA ER HEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING,FUUN IAIN RANGE HOOD COMMERCIAL
I'LOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY
SINK (SERVICE - BAR,ETC ) WATER HEATER
GAS PIPING
SUB TOTAL f SUBTOTAL f
PERMIT f PERMIT f
TOTAL FEE S TOTAL FEE f
SIDE YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE LONE LOT ARE A VACANT SITE VALUATION FEE
❑YES ❑NO FEES
TYPE OF CONS] OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BUTDING f
SILL OF BLOC.. NO.OF STORIES MAX.000.LOAD
PLUMBING
F IRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
U.B.C.
PENALTY SEC.303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED TIN THIS SPACE)THIS 15 YOUR PERMIT&RECEIPT
PAID CR# BY
BUILDING OFFICIAL DATE
cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT RECORDS COPY