HomeMy WebLinkAbout17816 31ST DR NE_045864_2026 q Z"
k INSPECTION REPORT
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Permit No.: n g 15 9 Ly Lot#:
Q Address: j -7 is /c, 3 f S' 0 Nt
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Contractor: w, �.Jtirta.� e7��z�✓
O Owner: 6 CW_
jN C'� Date: Z - ZS 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.
a,CALL 435-0674 FOR RE-INSPECTION -24 hour notice required.
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Inspector: �L�� 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 ,yEZ,.�4
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
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CC]NE3TFZLJ('T I C]N PERM I T
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Owner: GREMMERT, TIN & KATHY 17616 31ST GE ME ARLINIGTON 98223
Value of Work: $2, 638. 00 Tax ID: 00621300003200 Phone: 360 651 1842
Describe Work: INSTALL NEW FURNACE AND GAS PIPING
Proposed Use: RESIDENiCE
Legal Description:
Job Address: 17816 31ST DR
Contractor's Name Type Address License#
WASHINGTON ENERGY SERVIiCES G 2800 'THORHDYKE AVE W WASHIESO 740
P E R M I T F E E S
Equipment and Fixtures Humber Fee Total Charge
-------- ------------
FURNACEfUNIT HEATER 1 $15. 00 $15. 00
GAS PIPING 1-4 OUTLETS _L SEA. 00 $6. 00
S U H T O T A L. . . . . . $21..00
TOTALS Fee
Equipment $21. 00
Mech Permit $24. 00
SIGNATURE y
TOTAL FEE. . . . . . . . . . . . . . . . . 45. 00 I HEREBY R IFY THAT HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . _ $0. 00 ."N THE SAME TO BE TRUE AND COR-
ALL PROVISIONS OF LAWS AND
TOTAL DUE_ . . . . . . . . . . . . . . $45. 00 OR I 'AMCES GOV-RH MG THIS TYPE OF
W K WIL E MP' IED WITH WHETHER
S C FIE N 'c0 T.
DATE l�r�� RECEIPT # /�� 7 G
P 'I U LDIH OF I 3A w ' D
FEB 19 20
�.1
CITY OF ARLINGTON
CONSTRUCTIONb
PERMIT
❑ COMBINATION ❑ BUILDING Ng MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER MAIL ADDRESS CITY ZI/ PHONE
., I Vt�t; Kc ti��F �7�`��v1� :�f l 7 I4 �'��S� r�.t✓ �[�� c ?Z> J'�-�e� � r:fi Zed
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE#
EC IA CAL CO TRACTOR MAIL,,ADDRESS CITY ZIP PHONE LICENSE 1
PLUMBING CONTRACTOR J M IL ADDRESS CITY ZIP PHONE LICENSE f
CLASS OF WORK
❑NEW ❑AUDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK,"
S i -3 LJ DESCRIBE WORK, �' � �
ce-
PROPOSE D USE Qi,B 1 ING
S� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLUAL DES(RIP I ION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOF 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 p LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
�& [ '2CO()o ZOL� CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SiGN � 2-1(--�l
ATU ,F CONT CTOR OR AUTHORIZED AGENT DATE /
108 ADURLSS I J � x _ � 2 /
f 7mcH A/N ICAL(OFFICE USE ONLY)
M CH ANICAL
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
SHOWER GAS FIRED A.C.UNITS-TONNAGE EA.
KI ICHLN SINK&DISP. j FORCED AIR SYSTEMS-B T.0 Z( r&MEA
DISHWASHER WALL HEATERS- B.T.0 M
LAUNDRY 1 RAY UNI1 HEATERS- B.T.U. M
CLOI IILS WASHER EVAPORAT IVE COOLERS
WATER HEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUN I AIN RANGE HOOD COMMERCIAL
FLUOR 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
TOTALFEE $I TOTAL FEE I
SIDE.YARD SL I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE /ONI LOT AREA VACANT SITE
FEES VALUATION
❑YES []NO
FEE
I YPL OF CONSI OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BUTDING f
SILL OF BLDG. NO.OF STURILS MAX.00C.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
[—]YES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
RECEADPENALTY SEC.303(a)
�Eg 13 2004 WATER/SEWER FEES
TOTAL
COS+ BUILDING DEPT PERMIT VALIDATION
WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID CR# BY
BUILDING OFFICIAL DATE
cc:ASSESSOR,APPLICANT,TREASURER,BLDG. DEPT. RECORDS COPY