HomeMy WebLinkAbout19923 48TH DR NE_046036_2026 INSPECTION REPORT
N G?'0 Permit No.: Lot it
Address: :7f
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g Z Contractor: Ma
9s, O,SO Owner: '
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.
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 ❑ Drainage ❑ Ins lion
❑ Other:
C I TY QF A RL I 1%IGTO1V
C O N S T R U C T I O N P E R M I T
PE RM I T NO_ a 04-6 036
Onner: MARTZ, DEAN 19923 48TH DR HE ARLINGTON 98223
Value of Work: $500. 00 Tax ID: 008491-000-033-00 Phone: 360-474-1047
Describe Work: EXTEND EXISTING DECK 80 SF
Proposed Use: SFR
Legal Description: HIGH CLOVER DIV I LOT 33
Job Address: 19923 48TH DR NE
Contractor's Name Type Address License#
OWN
TOTALS Fee
Plan Fee $16. 90
State fee $4. 50 �j SIGNATURE: �t
TOTAL FEE. . . . . . . . . . . . . . . . . $21. 40 I HEREBY CERTIFY THAT I Af 'R EAD
AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KN qV�THE SAME TO BE TRUE AND COR-
RE T ALL P OVIS ONS F LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $21. 40 O I NCE OVE IH THIS TYPE OF
W K ILL B C LI WITH WHETHER
S C FIED OT.
DATE RECEIPT #
NG
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CITY OF ARLINGTON
CONSTRUCTION
PERMITl-(����
❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OW j \ � MAILADU1E55 �eITY / I� i��Z PHONE �����
ti
ARCHITECT OR DESIGNER If\G/, MAIL ADDRESS CITY,1iL'v `/ZZIIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE f
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
❑NLW 0;4UDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
SAL is 0RK
-+
i
UE RiBE WUR / /� D
PRUPOSt 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-
LLGAL DESCRIPTION OF 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
0 au�/ D� �J 00
2 GRANTING OFA PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO
O [ VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAXI UM ER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
I 1 y � 33 CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
b �✓ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
108 AUDRLSS
(OFFICE USE ONLY) MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND. UNITS -H.P. EA.
BAI FII UB REFRIGERATION UNITS-H P.EA.
LAVATORY (WASH BASIN) BOILERS- H-P. EA
SHOWER GAS FIRED A C. UNITS-TONNAGE EA.
KI ICHLN SINK& DISP. FORCED AIR SYSTEMS- B T U MEA
DISHWASHER WALL HEATERS- B T.0 M
LAUNDRY 1RAY UNIT HEATERS- B.T.0 M
CLOI IILS WASHER EVAPORAI IVE COOLERS
WATER HEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNTAIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK iSLRVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUBTOTAL f SUBTOTAL
f
PERMIT f PERMIT f
TOTAL FEE f TOTAL FEE f
SIDE YARD SL I BACK STRELI SLTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE /ONt LOT AREA VACANT SITE VALUATION FEE
❑YES ❑NO FEES
i
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG II�
BUTDING f
SIZE Of BLDG. NO.OF STORILS MAX.000.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
U.B.C.
PENALTY SEC.303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
1 / WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS 15 YOUR PERMIT&RECEIPT
PAID CR# BY
BUILDING OFFICIAL DATE
cc:ASSESSOR.APPLICANT,TREASURER,BLDG. DEPT RECORDS COPY