HomeMy WebLinkAbout17928 OXFORD DR_046110_2026 INSPECTION REPORT
�yIN GTO Permit No.:6T`(.L�O Lot#:
Address: 17?c28
� � Contractor: file!r et
-Ys, �O Owner: ee � `
III N C' Date: R-(21fv
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 ❑ rainage ❑ Insulation
❑ �
Other: 0 _/�1/L�.T
G I TY Q1= A RL I h1GTOP4
CONS_'RUGT I Ohl PE RM I T
F3E Ft I T 1V0_ = 04-6 1 1 0
Owner: LIFFRIG, LYNNETTE 17928 OXFORD DR ARLINGTON 98223
Value of Work: $3, 900. 00 Tax ID: 008939-000-003-00 Phone:
Describe Work: INSTALL AC UNIT
Proposed Use: SFR
Legal Description:
Job Address: 17928 OXFORD DR
Contractor's Name Type Address License#
MERIT MECHANICAL MEC 9630 153RD AVE NE MERITE1163CH
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
------------------------- ----- - ---- --- - - - - - - - - ----- -- --- ---------
AIR HANDLING UNIT 1 $11. 00 $11. 00
S U B T O T A L. . . . . . $11.00
TOTALS Fee
Equipment $11. 00 �
Mech Permit $24. 00
SIGNATURE:
TOTAL FEE. . . . . . . . . . . . . . . . . $35. 00 I HEREBY CERTIFY THAT I HAVE READ
AND AMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KNOW HE SAME TO BE TRUE AND COR-
REC LL PROVISI S OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $35. 00 OR )NNCES 'OVERNG :- IS TYPE OF
WOIL� LIE WITH WHETHER
S IE R T.
DATE RECEIPT #
U NG FI I L
oLo 7
ec-17 &-t,
43* 1 CITY OF ARLINGTON
CONSTRUCTION
PERMIT �'w(o
❑ COMBINATION ❑ BUILDING )XI MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER MAIL ADDRESS CI1V LIP PHONE
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP \ LICENSE/
F
4t
_':iC:2aj
165
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 Col
CLASS OF WORK
❑NLW ;AUDITION ❑ALTERATION ❑REPAIR Cl DEMOLITION ❑BUILDING RELOCATION
VALUAT ION Of WORK
s o!� oc,C�C7
DESCRIB"ORK
PRUPOSI U 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 UE SCRIPI ION UI PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOI BLUCK 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 LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNAT O ONTRnCTOR OR nU 2E0� DATE
108 ADDRESS
(OFFICE USE ONLY) MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSEI (TOILLI) AIR COND UNITS -H.P EA ,
BAIIIIUB REFRIGERATION UNITS -H P.EA.
LAVATURY (WASH BASIN) BOILERS- H P.EA
SHOWLR GAS FIRED A.0 UNITS - TONNAGE EA
FI ICIILN SINK& DISP. FORCED AIR SYSTEMS - B T U MEA
DISHWASHER WALL HEATERS- B.T U M
LAUNDRY 1 RAY UNI1 HEATERS- B.T.U. M
CLOT IILS WASIILR EVAPORAI IVE COOLERS
WAIL'R HEATLR CLOIHESDRYERS
URINAL VENTILATICN FAN
DRINKINU FOUN I AIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT - CPM
VACUUM BREAKERS STOVE
R0()1 DRAINS - RAINLEAUERS METAL FIREPLACE 6 CHIMNEY
SINK(SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUB TOTAL 1 SUBTOTAL s
PERMIT s PERMIT s
TOTALFEE $ TOTAL FEE S
SIUL YARD SL I BACK STRLL7 SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE /ONt LOT AREA VACANT SITE VALUATION FEE
❑YES ❑NO FEES
TYPE OF CONS! OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BU'LDING S
SIZE 01 BLDGm NO.OF STORIES MAX.OCC.LOAD
PLUMBING
FIRE 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 (IN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT
PAID CRM BY
BUILDING OFFICIAL D�TIE
cc:ASSESSOR,APPLICANT,TREASURER.BLDG. DEPT RECORDS COPY