HomeMy WebLinkAbout1301 PARK HILL RD_077279_2026 'NSPECTION REPORT
yN GT Permit No.: �-1 0� Lot #:
Address: 10
Contractor: v o
ems, ,S4 Owner: b S
SIN G Date: 11aslon
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: 07
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:
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Owner: SHEPHERD, JASON 1301 PARK HILL DRIVE ARLINGTON 98223
Value of Work: $1, 000. 00 Tax ID: 0O562700001000 Phone: 360. 403. 0757
Describe Work: RESIDENTIAL MECHANICAL
Proposed Use: RESIDENTIAL MECHANICAL
Legal Description:
Job Address: 1301 PARK HILL DRIVE
Contractor's Name Type Address License#
ADVANCED INSTALLATION GEC] 16504 HWY 99 SUITE 101 ADV'AN11033DU
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
------ - -------------------------- - - -- -------
METAL FIREPLACE & CHIMNEY 1 $11. 00 $11. 00
GAS PIPING 1-5 CUTLETS 1 $6. 00 $6. 00
S U B T O T A L. . . . . . $17.00
TOTALS Fee
Equipment $17. 00
Mech Permit $24. 00
SIONATUR
TOTAL FEE. . . . . . . . . . . . . . . . . $41. 00 I HEREBY =h'I'IFY THAT I HAVE RLAD
A EXAKIMED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 K W THE SAME. i BE TRUE AND COR-
K •C ' ALL PROVI-- ONS F LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $41. 00 Ul'D NANCT GI:V .'MIN`' THIS TYPE OF
RI WIL' " C PLI WITH WHETHER
GATE ,a O'� RECEIPT # l
D1NG .F'FI T L
G``Y 04 '-IESIDENTIAL ME"O"MANICAL
7 o PERMIT APPLICATION
��NG� Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3431 • FAX (360)403 3447
THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS
APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS, AND TWO(2) SETS
OF WASHINGTON STATE ENERGY CODE APPLICATIONS.
Type of Permit: ( ) Residential ( ) Commercial
Project Address /30
Parcel ID#:
Lot#: Subdivision: /
Project Description:- 4-A) 57-7�j( /ZOP /J 7v9-iV n�
Owner: 7 rQSb,4/ .Sff7���(1 �2<� Phone Number: 360- 0O 3._ 0 5- 7
Address: 1301 2&/1 674 L 1�w. City: Ay-1 rltl State: �/�� Zip Code:
Contact Person: Phone Number:
Cell Phone: Fax: E-mail:
Address: City: State: Zip Code:
Please List quantity of fixtures Below:
CLOTHES DRYER FURNACE UP TO 100K BTU GAS OUTLETS
FURNACE OVER 100K FLR FURN INSTALLIRELOCATE SUSPENDED HTR/UNIT HTR\
APPL VENT/OTHER APPLIANCE REPAIR BOILER UP TO 3 HP
BOILER UP TO 4-15 HP BOLIER UP TO 16-30 HP BOILER UP TO 31-50 HP
BOILER 51 HP AND UP AIR AHNDLING UP TO 1 OK CFM AIRHANDLING OVER 10K CFM
EVAL COOLER VENTILATION FANS OTHER VENTILATION SYSTEM
VENT HOOD DOMESTIC INCINERATOR COM/IND INCINERATOR
ALL OTHER UNITS FREESTANDING STOVE FIREPLACE INSERT
Contractor: Aft 5�z-)4.50,/ S atQ- Phone Number:
Address: - City: State: Zip Code:
Contractor's License Number: Expiration:
hereby certify that the above information is rec and that the construction on, and the occupancy and the use of the above-
describe roperty will be in ccorda a with t laws, rules and regulation of the State of Washington.
Applicants Signature Date
Print Applicants Name
17ECEI VED
10 00
COOE, Mir' 7(�
Forms/MECH-1