HomeMy WebLinkAbout17603 OSPREY RD_951786_2026 'I-TV OF' ARL I hIGTC
00NOY RUCT I Ohl PE RM'TT
PERMIT NO- = 9r5-1a40
Owner: LAKE CREST CONSTRUCTION 4641 SILVERTIP LANE EVERETT
Value of Work: $74,000.00 Tax ID: BE IIB 8 Phone: 259-6005
Describe Work: NEW CONSTRUCTION
Proposed Use: SFR
Legal Description:
Job Address: 17603 OSPREY RD.
Contractor's Name Type Address License#
LAKE CREST CONSTRUCTION G 4641 SILVERTIP LANE LAKECC11707
PUGET HEATING CO INC. M PO BOX 336 PUGETH*2648D
ALLIANCE PLUMBING P ALLIAPI066KJ
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
PLUMBING FIXTURES 11 $7.00 $77.00
FURNACE < 100,000 BTU 1 $9.00 $9.00
CLOTHES DRYER 1 $6.50 $6.50
VENTILATION FANS 4 $4.50 $18.00
KITCHEN RANGE 1 $6.50 $6.50
METAL FIREPLACE & CHIMNEY 1 $6.50 $6.50
WATER HEATER 1 $6.50 $6.50
GAS PIPING 1-5 OUTLETS 1 $3.00 $3.00
S U B T O T A L..... . $133.00
TOTALS Fee
Equipment $56.00
Fixture $77.00
Mech Permit $15.00
Permit Fee $581.50
Plan Fee $377.98
Plu-b Permit $15.00
School Mitigation $941.00
State Fee $4.50 r
SIMATU
TOTAL FEE.. ............ ... $2,067.98 I HEREBY IFY TH I HAVE READ
AND EXAM D THIS PPLICATION AND
PAYMENTS... ............. . . $377.98 KNOW TH AME TO BE TRUE AND COR-
RECT AL PROVISIONS OF LAWS AND
TOTAL DUE............... .. $1,690.00 ORDI CES GOVERNING THIS TYPE OF
WO R W LL BE COMPLIED WITH WHETHER
SP IF ED H EIN R OT.
DAL RECEIPT # �
301995
BUILDING OFFICIAL
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CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN /�
PERMIT NO.
j �87
OWNER/ MAIL ADDRESS CITY ZIP PHONE
ARCHITECT OR DESIGNER MAICADDRESS CITY ��J�7 PHONE
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TRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N
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MECHANICAL ONTRACTOR IL ADDRESS CITY ZIP PHONE LICENSE/
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PLUMBING CONTRA OR MAIL ADARESS Cl" /ZIP PHONE LICE14SE/
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9 CLASS ORK
CC LW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
Q VALUATION OF WORK
z $ ',�/ , 'W DESCRIBE WORK
F-
m PROPOSE D USE OF BUILDING
0 �_ 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
U) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
z LLGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATT, 'H FOUR COPIES)
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J LUI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
w VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
1•-
a TAX ID NUMBER FROM PROPERTY TAX STATEMENT L.00ALLAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
V 108 ADDRESS
t 7 K x
(OFFICE USE ONLY)
PLUMBING :ECHANICAL
NO. TYPE OF FIXTURE FEE I's FIXTURES NO. TYPE OF EQUIPMENT FEE :'s FIXTURES
eZ— WATER CLOSET TOILET $7.00 1R COND.UNITS—H.P. EA di .list•"
?/ ATHTUB $7.00 1EPRIGERATION UNITS—H.P.F.A. ul .list*"
VATORY ASH BASIN) $7.00 30ELERS—H.P.EA. di .lit**
HOWER $7.00 3AS FIRED A.C.UNITS—TONNAGE EA u .lit—
TCHEN SINK&DISPOSAL $7.00 ORC'ED AIR SYSTEMS—B.T.U. MEA S9.00
I )ISHWASHER $7.00 ALL HEATERS—B.T.U. M $9.00
UNDRY TRAY $7.00 NIT HEATBRS—B.T.U. M S9.00
LOTHES WASHER $7.00 IVAPORATIVECOOLERS
WATER HEATER $7.00 2LOTHES DRYERS S650
RINAL $7.00 6TENTILATION FAN 3450
RINKING FOUNTAIN 37.00 tANGEHOOD COMMERCIAL $650
LOOR DRAIN S7.00 kJR.HANDLING UNIT— CPM
ACUUM BREAKERS $7.00 pTOVH S650
ROOF DRAINS—RAINLEADERS $7.00 ARTAL FIREPLACE&CHIMNEY $6.50
INK(SERVICE—BAR.ETC. 37.00 WATER HEATER $650
AS PIPING -(up to 5=$3.00.addnl.=$35
Equipmcut list must be provided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTAL FEE TOTAL FEE
SIDL YARD SE I B K ST 7 1 BA REAR YA�ETB SETBACK PLAN CHECK NUMBER PLAN CHECK FEE'
FEE � ,,�/J RECEIPT NO.
USE /LNtt��� LOTjARE VACANT SITE[—]NO
LLC(/./��/n- YES NO FEES VALUATION FEE
TYPE vF CONS] OCCUPANCY GROUP Jl 'NO.OF DWELLING UNITS PLAN CHECKING NG
SIZE Of BLDG. NO.OF StORILS7 MAX.OCC.LOAD BU'LDING $
179Fl PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES L'NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID CR# BY
cc:ASSESSOR.APPLICANT,TREASURER. BLDG DEPT BUILDING OFFICIAL DATE
RECORDS COPY