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HomeMy WebLinkAbout17810-A 34TH DR NE_045796_2026 Q� N G INSPECTION REPORT I ¢ti ?'Q Permit No.: b 4 579b Lot #: Address: 119 f o 1614 0-L- Contractor: 6� 4 Owner: IN Date: 7 7— D c/ ;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: 4'-0— Date: 7- 7 ay 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 72-jo Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢ti1N G rO Permit No.: o y 5796 Lot #: 1 Q" Address: ! 7 9/ o Contractor: —b 6 3- Owner: IN Date: o S/ ❑ 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. 7— Inspector: ��c.'N�/ Date: & --0V 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 "(Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 1 °7 +ISPECTION REPORT 4ti1N GT Permit No.: o L4 547 13b Lot#: / Address: f 1 of b 3 L( Po— Contractor: Contractor: ©t3 ,�o Owner: SING Date: -7-Z-0(-( ❑ APPROVAL ❑ PARTIAL APPROVAL Cl 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. 2`-)VL 6V, /rJ S A Lj47-7,1,,.j M A-,?Av-i-outW /2—36 ouc-A_ ra-� L� ✓►N Gj �I�F �-c -, .n rn<__ UN ; t3 N�i L &-11-7 t-CA4M t S-5 i-J !� 6 r 2 i�1�1/J T!it✓�L L�l,.�t I/U 5 fr t--04T_7-' -K) A-ri`-C L 4 A./(-!" L. �-CL ��•�J SL���L�ZI �{•l.Cl r Inspector: za�T— Date: L 7—Z—e v 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 Y Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: cIS 3 26 (� JN; PE TION REPOM-, G1T Y O� Permit No: O4 5 7 9 b _ Date: 6—Z-I`0 Address/Lot No: /7YJ O `y Contractor: Q� NG"V Owner: Supervisor: ❑ Approval ❑ Correction Required ❑ Corrections listed below MUST BE MADE before work can be approved Please contact inspector ❑ Was not able to perform inspection Call 360.435.0674 for re-inspection -24-hour notice required Inspector: Date: TYPE OF INSPECTION REQUIRED TESC STORM DRAIN ROAD ANDSCAPI ❑Slit Fence ❑Pipe ❑Sub-grade ❑Check Dam ❑Catch Basin(s) ❑Rock Cl Soil ❑Inlet Protection ❑Manhole(s) ❑Curb&Gutter ❑Fertilizer ❑Temp.Sed ❑Oil Seperator(s) ❑Sidewalk ❑Bark ❑Sheeting ❑Down Spouts ❑Approach(s) ❑Plants ❑Straw ❑Trash Rack/Overflow ❑ATB ❑Trees ❑Seeding ❑Restrictor ❑Cl.B Asphalt ❑Root Barriers ❑Final ❑Level Spreader ❑Striping ❑Play Equipment ❑Treatment ❑Signing ❑Final ❑Infiltration ❑Final INSPECTION REPORT GtZ Y O� Permit No: C!I--;5?9(l Date: Address/Lot No: Contractor: 9l1xG't0� Owner: Supervisor: Ii AP, 'Approval ❑ Correction Required ❑ Corrections listed below MUST BE MADE before work can be approved ❑ Please contact inspector ❑ Was not able to perform inspection ❑ Call 360.435.0674 for re-inspection -24-hour notice required Inspector: -- _Date: TYPE OF INSPECTION REQUIRED TESC STORM DRAIN ROAD CAPING ❑Slit Fence ❑Pipe T� rune' J raga ion ❑Check Dam ❑Catch Basin(s) ❑Rock ❑Soil ❑Inlet Protection ❑Manhole(s) ❑Curb&Gutter ❑Fertilizer ❑Temp.Sed ❑Oil Seperator(s) ❑Sidewalk ❑Bark ❑Sheeting ❑Down Spouts ❑Approach(s) ❑Plants ❑Straw ❑Trash Rack/Overflow ❑ATB ❑Trees ❑Seeding ❑Restrictor ❑Cl.B Asphalt ❑Root Barriers ❑Final ❑Level Spreader ❑Striping ❑Play Equipment ❑Treatment ❑Signing -&Final ❑Infiltration 'Final INSPECTION REPORT P �N c r Permit No.: o q 519 Lot#: Address: 1 1% l o 3 q DiC- ZContractor: E)B J 4 Owner: �s I N O( Date: 5- 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: 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 J Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT a �P "� IN c T 4-5 77ZP ot l ¢ti O Permit No.: Lot#: Address: I W I D 3t/i Fr 2. Contractor: � ?J IN G�0 Owner: ,mil 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. 4/� ®h ✓ Inspector: Date: "- o TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab Cl Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ` Y Insulation ❑ Other: 3 2- INSPECTION REPORT LN G ¢L r0 Permit No.: ©Y 5 7`l6 Lot#: Q' Address: ! 7 s 1 o 3 q '`` niL- Contractor: 76 T 9s, ,'0 Owner: 1SING Date: H-2-8 c y ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ;LCORRECTION REQUESTED a 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. i l Inspec or: 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 ❑t Final ❑ Masonry El Drainage d'Insulation ❑ Other: 337 INSPECTION REPOR' Q 41,iN G1'O Permit No.: oL( 511 b Lot#: F' Address: P l 8 10 24 4� O Contractor: �T3J Owner IN IN Date: o y _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: -- 1 Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor p'g Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ,&-- Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPOR G1't Y �� Permit No: ti (G Date: Address/Lot No: C7 S I t{fii.4_( (, • • ;� I 7Contractor: O B)D"s uyl _ G,S0 Owner: Supervisor: WA 2Iz(&1 .4113 0 ❑ Approval ❑ Correction Required ❑ Corrections listed below MUST BE MADE before work can be approved ❑ Please contact inspector ❑ Was not able to perform inspection ❑ Call 360.435.0674 for re-inspection -24-hour notice required rtyt �� r i CU, � ` -\; Inspector: Date: TYPE OF INSPECTION REQUIRED TESC STORM DRAM ROAD LANDSCAPING ❑Slit Fence ❑Pipe ❑Sub-grade ❑Irrigation ❑Check Dam ❑Catch Basin(s) ❑Rock ❑Soil ❑Inlet Protection ❑Manhole(s) ❑Curb&Gutter ❑Fertilizer ❑Temp.Sed ❑Oil Seperator(s) ❑Sidewalk ❑Bark ❑Sheeting ❑Down Spouts ❑Approach(s) ❑Plants ❑Straw ❑Trash Rack/Overflow ❑ATB ❑Trees ❑Seeding ❑Restrictor ❑Cl.B Asphalt ❑Root Barriers ❑Final ❑Level Spreader ❑Striping ❑Play Equipment ❑Treatment ❑Signing ❑Final ❑Infiltration ❑Final 04SPECTION REPORT N Gr0 Permit No.: 014 5114 Lot#: Address: /ti7 Y Y-- O - Contractor: J7 Owner: �I N O Date: 3 -o`f APPROVAL ❑ PARTIAL APPROVAL ❑ IOLATION ❑ 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 IN PECTION REQUESTED ❑ Under-floor ❑ Framing ,LGas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove *Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: 2 2Cv n INSPECTION REPORT �1IN G?o Permit No.: o Y 5710 Lot#: Q Address: l 7 8 i o 3 Y "— O 2 .vim Contractor: 7` O Owner: r�ING� Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ,�ORRECTION 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: YPE OF INSPECTION 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: r1z_ INSPECTION REPORT ¢ti1N G rO Permit No.: `7 S/ y� Lot#: R Q" Address: 7��1/ j`f rK ' T Z Contractor: Dig �4 Owner: l� IN C' Date: C)T ❑ 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: cSZ-<-°-' Dater 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 ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT I ¢yIN G rO Permit No.: X7 77��ot #: Wie Address: Z,f lQ Contractor: Owner: 9s�I N G Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ACORRECTION REQUESTED 4Corrections 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:ic PE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: tj**,- y CNINSPECTION REPORT PermitNo.: oy 5-7gto Lot#: Address: (7 R /oContractor: O65- 4Owner: Date: 3- 2_4- oL %"PPROVAL ❑ 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 INSP CTION REQUESTED Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT G1'T Y Permit No:04-51q Date: �J Address/Lot No: 1 �? _PV LC+J_ Contractor: �►� 7�t1NG"t0 Owner:._ Supervisor: do'Approval ❑ Correction Required ❑ Corrections listed below MUST BE MADE before work can be approved ❑ Please contact inspector ❑ Was not able to perform inspection ❑ Call 360.435.0674 for re-inspection - 24-hour notice required Inspectorr-`�_ Date: J-dZ-o9 TYPE OF INSPECTION REQUIRED TESC STORM DRAIN ROAD LANDSCAPING ❑Slit Fence ❑Pipe ❑Sub-grade ❑Irrigation ❑Check Dam ❑Catch Basin(s) ❑Rock ❑Soil ❑Inlet Protection ❑Manhole(s) ❑Curb&Gutter ❑Fertilizer ❑Temp.Sed ❑Oil Seperator(s) ❑Sidewalk ❑Bark ❑Sheeting ❑Down Spouts ❑Approach(s) ❑Plants ❑Straw ❑Trash Rack/Overflow ❑ATB ❑Trees ❑Seeding ❑Restrictor ❑Cl.B Asphalt ❑Root Barriers ❑Final ❑Level Spreader ❑Striping ❑Play Equipment ❑Treatment ❑Signing ❑Final Infiltration ❑Final INSPECTION REPORT ¢ti1N GT® Permit No.: � s7y� Lot#: Address: 1-79I d Z Contractor: Owner: LINO 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. 0111 die Inspector: / Date: — TYPE OF IN40ECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry Drainage ❑ Insulation ❑ Other: INSPECTION REPORT \ ti1N G rO Permit No.: oy S 7'l tc, Lot#: 4 Q' Address: 1-1 IG i o S y f~ P L_ ^w C Contractor: 93,E ,SO Owner:j N G Date: 3 -2- - y ROYAL 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. �v Inspector: 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 ❑ Final ❑ Masonry kDrainage ❑ Insulation ❑ Other: iL yf INSPECTION REPORT N GrO Permit No.: o Y 519 Lot#: Address: J -1 9 i 0 3YF` pL Contractor: 0 bS" INO�O Owner: Date: Z- 2 5 - a q 'fl=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: �C- — Date: 2--7--F 22' 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 ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: PtA INSPECTION REPORT 41�tN GTo Permit No.: D`1 S7 9 b Lot#: Q' Address: 1 791 o 3 Y `"- e�- Z Contractor: D 6 9s, �O Owner: O 6� IN CsCs Date: "� 5- ael 0"PPROVAL ❑ 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: Alp'A i" Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ;C Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: E I T1e C]F= d=4 FtL I IdGTCJIV C�C3 ME3_r FRLJ(--T I C3 1%J PE FR M I T F=)1EFRM I T P4CJ_ o fi r— 79e3h Owner: DB JOHNSON CONSTRUCTION 1801 GROVE ST MARYSVILLE 98270 Value of Work: $105, 000. 00 Tax ID-. Phone : 60--659-1579 Describe Work: NEW DUPLEX Proposed Use: SFR--` Legal Description: CAROLA ADDITION LOT i Job Address: 17810 34TH PL NE Contractor' s Name Type Address License# DB JOHNSON CONSTRUCTION GEN 1801 GROVE ST DBJOI-1CI044BA G&S HEATING COMPANY, INC. MEC 500 EAST MAIN STREET GSHEAC1147JD MARYSV I LLE PLUMBING INC. r'LBB 13318 S R530 NE MA RYSP 101 JE P E R M I T F E E S Equipment and Fixtures Number Fee Total Charge --------------------------- ------ - - ----- ------------ PLUMBING FIXTURES 14 $10. 00 $140. 00 FURNACE/UNIT HEATER E.R 1 $1 s. 00 $15. 00 VENTILATION FANS 4 $7. 00 $28. 00 DRYER 1 $11. 00 $11. 00 METAL FIREPLACE & CHIMNEY 1 $11. 00 $11. 00 WATER HEATER 1 $15. 00 $15. 00 GAS PIPING 1-4 OUTLETS i $6. 00 $6. 00 S U B T O T A L. . . . . . $226. 00 TOTALS Fee Permit Fee $1. 106. 00 Equipment $86. 00 Fix t ure $140. 00 Lakewood School Mit $0. 00 Mech Permit $24. 00 ti Plan Fee $718. 90 Plumb Permit $2`+. 00 State fee $4. 50 Traffic Mitigation $1, 058. 00 � SIGNATURE: TOTAL FEE. . . . . . . . . . . . . . . . . $3, 142. 40 1 HEREBY CERTIFY THAT I HAVE RE:iD AND XAMTNED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $715. 00 IiN W THE SAME TO BE TRUE AND COR-- RE T LL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $2, 427. 40 OR t IN NCES GO'V- N I L THIS TYPE OF W K ILL E C F'L D �J I TH WHETHER S' ^"9=IED O T. DATE RECEIPT # -7 liff / HU=LLNG uF=ICIAL CITY OF ARLINGTON CONSTRUCTION 4-716-,Ov PERMIT XCOMBINATION BUILDING MECHANICAL PLUMBING SIGN PERMIT NO. 03-57y(y OWNER MAIL ADDRESS CITY ZIP PHONE D. B. Johnson Const. 1801 Grove St., #B Marysville 98270 360.659.1579 ARCHITECHT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE Country Roads 930 N. Amy Place Camano Island 98282 360.629.6068 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# D. B. Johnson Const. 1801 Grove St., #B Marysville 98270 360.659.1579 DBJOHC1044BA MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# Marysville Plumbing 13318 SR 530 NE Arlington 98223 360.435.5555 MARYSPI101JE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# G & S Heating 500 E Main St. Monroe 98272 360.794.7306 GSHEAC1005C5 CLASS OF WORK ®NEW ADDITION ALTERATION REPAIR DEMOLITION BUILDING RELOCATION VALUATION OF WORK DESCRIBE WORK NEW CONSTRUCTION PROPOSED USE OF BUILDING DUPLEX I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED HIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOWOR ATTACH FOUR COPIES) LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE LOT BLOCK OF Carola Addition 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 LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF TAX ID NUMBER CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE SIGNATURE OF CONTRACTOR OR AUTHORIZE)AGENT DATE JOB ADDRESS 1-1,2)\O (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET(TOILET) AIR COND.UNITS-H.P. EA. 7 BATHTUB REFRIGERATION UNITS-H.P. EA. -Z- LAVATORY(WASH BASIN) BOILERS-H.P. EA. SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. KITCHEN SINK&DISP Z FORCED AIRSYSTEMS-B.T.U. MEA 2 DISHWASHER WALL HEATERS-B.T.U. M LAUNDRY TRAY UNIT HEATERS-B.T.U. M CLOTHES WASHER EVAPORATIVE COOLERS �r WF,HER HEATER Z CLOTHES DRYERS RINAL VENTILATION FAN DRINKING FOUNTAIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT - CPM VACUUM BREAKERS STOVE ROOF DRAINS-RAINLEADERS METAL FIREPLACE&CHIMNEY SINK(SERVICE-BAR, ETC.) Z WATER HEATER GAS PIPING SUBTOTAL SUBTOTAL PERMIT PERMIT TOTALFEE TOTALFEE SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE S 27-- 5 FEE RECEIPT NO. USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE IL.I : 1ZZ� YES [:]NO PLAN CHECKING TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING �)y — V _ f'-� I' � U ) UNITS Z_ BUILDING --715? SIZE OF.BLDG NO.OF STORIES MAX. OCC.LOAD PLUMBING �� (1 10(p ;��ICJ 2_ MECHANICAL FIRE SPRINKLER REQD STATE BLDG.CODE ❑yts NO ENERGY CODE SURCHARGE PENALTY1- y� U.B.U.COMMENTS SEC 303 a RECEIVED WATER/SEWER FEES TOTAL DEC 2 9 2003 PERMIT VALIDATION WHEN PROPERLY VALIDATED ON THIS SPACE)THIS ISYOUR PERMIT&RECEIPT COA BUILDING DEPT PAID CR# BY BUILDING OFFICIAL DATE CC: ASSESSOR,APPLICANT,TREASURER, BLDG.DEPT RECORDS COPY pp --j -4M (JiAW N� 00 — Z vv C7 W E - v 0 wm NDvcnmwm N _0 v ° C- C- � o� 000 C7 O C -l CD T. 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