HomeMy WebLinkAbout17511 38TH DR NE_035771_2026 \A� INSPECTION REPORT �O3
Y"
ONG, Permit No.: ��v��7 Lot#:
Address:Contractor:Owner:Date:
f,Y,QPPROVAL ❑ 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: Date:
`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 al
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
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INSPECTION REPORT
I;;
r0 Permit No.: S "S 7 � Lot#:
Address: /Contractor:
Owner:
Date:
❑ APPROVAL rAPARTIAL 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:
YPE OF I PECTION REQUESTED
❑ Under-floor ❑ Framing a-Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
G I TY OF AFRL I hiGTQhI
GOIVSTRUG-IF I Ohl PERM I T
PE Ft I T h1Q- a 03-577 1
Ovner: RAMSEY, PAM 17511 38TH DR HE ARLINGTON 98223
Value of Work: S5, 000. 00 Tax ID: 004208-000-002-00 Phone:
Describe Work: INSTALL GAS FURNACE & GAS LINES
Proposed Use: SFR
Legal Description:
Job Address: 17511 38TH DR HE
Contractor's Name Type Address License#
AIRE FORCE HEATING MEC 14225 16TH AVE NW AIREFHGO14DX
F E R M 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
State fee $4. 50
SIGNATURE.
0i�;;�
TOTAL FEE. . . . . . . . . . . . . . . . . $64. 50 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 0 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $64. 50 ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER
SPEC IED HEREIN OR NOT.
DATE RECEIPT # r"
BUILDING OFFICIAL
CITY OF ARLINGTON
CONSTRUCTION
PERMIT 03 - 57
❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
MAIL ADDRESS(� CITY y� ,ZZIP1� PHONE
OM
3, r' I�!m I �'J:2�
1�'1 Rc�G�J��! I ill �' /��
ARCHITECT OR DESIGNER MAIL ADDRESS CITY" ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE I
AIRCCH(SCAT)K
CHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I
or(P Aea��� C�as LZL / 1�5/�— �ti'r-A)C ,11, 1 Ile
PLUMBING CONTRACTOR I MAIL ADDRESS CITY ZIP PHONE LICENSE I
CLASS OF WORK
❑NLW ❑AUDITION ,ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUAI ION OF WORK
s 5r ,�)
DESCRIBE WORK
� ' S
PRi.tPoSt D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
P_e� , TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL ULSCRIPT ION OI PROPERTY SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LUI BLUCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO
C b q e1-O � o 8 d Ba o1L.dgD VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAXI D NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONST .P !T EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
y� �] SIG REOF O 56jgfGRo AUTHORIZED AGENT DATE
IOB a UURLSS� 7�>
(OFFICE USE ONLY) MECHANICAL
PLUMBING.
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSE] (TOILE]) AIK COND. UNITS -H.P.EA.
BAIFIIUB REFRIGERATION UNITS - H.P. EA.
LAVATORY(WASH BASIN) BOILERS- H.P.EA
SHOWLK GAS FIRED A.C.UNITS-TONNAGE EA.
KI ICI ILN SINK S DISP. FORCED AIR SYSTEMS-B.T.U. MEA
UISIIWASIBER WALL HEATERS-B.T.U. �(
LAUNDRY 1RAY UNI1 HEATERS- B.T.U. AM
CLOT IILS WASIIER EVAPORAI IVE COOLERS
WA1ERI(EATLR CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNIAIN RANGE HOOD COMMERCIAL
1'LUOK DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROUE DRAINS-- RAINLEAUERS METAL FIREPLACE&CHIMNEY
SINK(SERVICE - BAR,EiC.) j WATER HEATER
GAS PIPING
SUB TOTAL s SUBTOTAL t
3 PERMIT
PERMIT s
TOTAL FEE $ TOTAL FEE f
SIUL YARD SL I BACK STRttI SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK ELL
FEE RECEIPT NO.
USE /ONt LOT AREA VACANT SITE FEES VALUATION FEE
❑YES ❑NO
I YPL OF CONS 1. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BUILDING $
SIZL UI BLUG. NO.OF STORIES MAX.00C.LOAD
PLUMBING
F IRE SPRINKLERS REQUIRED
[:]YES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
PENALTY S C.303(+)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID CRN BY
BUILDING OFFICIAL DATE
cc:ASSESSOR.APPLICANT,TREASURER,BLDG.DEFT. RECORDS COPY