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Home My WebLink About1014 ROBINHOOD DR_951922_2026 City of Ax1 = ngton G NOTICE and Inspection Report Phone hone#, Permit No. Legal Date Called Address its /✓%rsl�'/ ,�,� Time Called Contractor/Owner By Requested by f d✓C TYPE OF • ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing Final ❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection ❑ Shear Wall `echanical ❑ Other v ❑ APPROVAL CORRECTION REQUIRED Corrections listed below MUST BE MADE before work can be approved. ❑ Work listed below has been inspected and approved. CALL 435-0724 FOR REINSPECTION—24 hour notice required. Inspector Date City of Arl ,ngton NOTICE and Inspection Report Permit No. Legal Date Called lG Address 7 Time Called k -5-a� Contractor/Owner By Requested by LIZ, OTYPE F • ■ ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing ❑ Gas Piping Footing ❑ Drywall Nailing ❑ Final]�Foundatioe�/*; ❑ Roughin Plumbing ❑ Reinspection �❑ Shear Wall ❑ Mechanical ❑ Other L+AP1!rROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. Q-VZrk listed below has been inspected and approved. ❑ CAL 435 0724 FOR REINSPECTION—24 hour notice required. 'r /�e Inspector Date 1.0tiIIN . laf� � City of Ar_' ngton 15: 30 NOTICE and Inspection Report Permit No-4/ Legal ^/ Date Cane Address Time Called Contractor/Owner -ir/1 By Requested W- /- TYPE OF INSPECTION REQUESTED a Setback ❑ Roof Diaplvagm o Insulation ❑ Plumb GW ❑ Framing ❑ Gas P•ipi V Footing ❑ Drywall Nailing ❑ Final Foundaion ❑ %ugh4n MffA g ❑ Renspection ❑ Shear Wall ❑ Mechanical ❑ Other &19-PROVAL ❑ CORRECTION REQUIRED ❑ �IWb:b, ted below MUST BE MADE before work can be approved. Work low has been inspected and approved. CALL 435-0724 FOR RBNSPECTION—24 hour notice required. 1W Inspector �— Data v �/ City of Arli -,gton NOTICE and Inspection Report Phone# Permit No. Legal Date Called �' Address / rYA led Contractor/Owner Requested by TYPE OF • REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW Framing ❑ Gas Piping ❑ Footing Drywall Nailing ❑ Final ❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other APPROVAL ❑ CORRECTION REQUIRED ❑ Corr ctions listed below MUST BE MADE before work can be approved. ork listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required. Insp or Date ,__ I City of Arl , ngton NOTIC'E/ and In7ectioa Report Phone# 7 yz -� Permit No. Legal p/ Date Called —I /CO Address Time )0 Contractor/Owner 1<7-A CC— 1�k R By Requested by TYPE OF • REQUESTED ❑ Setback ❑ Roof Diaphragm � Insulation ❑ Plumb GW ❑ Framing ❑\Gas Piping Cl Footing ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Roughin Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other iaic(�PROVAL ❑ CORRECTION REQUIRED [� CorTections listed below MUST BE MADE before work can be approved. -'vVcrk listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECT10N—24 hour notice required. Date / //'7,1�50 City of Arl -* ngton NOTICE and Inspection Report Phone# 3 9-—L4 Permit No. Nf�7 Leggy ^ f n Date Called Address l.' I ' Time Called ` d�l Contractor/Owner k ,A By Requested by I V OTYPE F • REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing ❑ Foundation ❑ Rough-in Plumbing ❑ Reinspecton ❑ Shear Wall ❑ Mechanical ❑ Other PROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required. Inspector Date j C ITV OF AiR L I NO TON CONSTRUCTION F}E RM I T F}ERMIT NO_ 9Zi-19aa Owner: KJARGAARD Value of Work: $3,000.00 Tax ID: Phone: Describe Work: INSTALL NEW FURNACE AND WATER HEATER Proposed Use: SFR Legal Description: Job Address: 1014 ROBINHOOD DR. Contractor' s Name Type Address License# COZY HEATING M P.O.BOX 335 COZYHI*122MM P E R M I T F E E S Equipment and Fixtures Number Fee Total Charge --------------------------------------- ------ ------- ------------ FURNACE C 100,000 BTU 1 $9.00 $9.00 GAS PIPING 1-5 OUTLETS 1 $3. 00 $3.00 WATER HEATER 1 $6.50 $6.50 S U B T 0 T A L...... $18.50 TOTALS Fee Equipment $18.50 Mech Permit $15.00 SIGNATURE: TOTAL FEE................. $33.50 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS....... ... ........ $0.0 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE. . .... . .. .... . . . . $33.50 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED iHER IN OR WCT. DATE /Z/-f/f,5 RECEIPT # 725159 / BUILDING OFFICIAL e t V V V V 1 i �-- �r i� a7� v ~ 4t 5� Po DATE ell r -Ilk Z' ' 4 12 l� � + 1 _ 7�C-- o — s J/ y Memorandum t City of Arlington Department of Community Development Building Department Date: Ou To: /0 �� From: City of Mingt n Building Departmen Subject: Expired Building Permit No work has commenced within 180 days of the date of the last inspection, as per UBC Sec. 106.4.4 "Expiration". Therefore this file is being closed as an expired permit. Building Permit file no: Last Inspection Date: / /ZzC t Building Official building\memoklosed or approval of plans, specifications and computations shall not be When submittal document- construed to be a permit _. , or an approval of, any violation of ,i require additional plan revie of the provisions of this code or of any other ordinance of the'juirs- ferred submittal items as de_ diction. Permits presuming to give authority to violate or cancel tional plan review fee shall b the provisions of this code or other ordinances of the jurisdiction 1-k shall not be valid. 107.4 Expiration of Plan F The issuance of a permit based on plans, specifications and oth- permit is issued within 180 & er data shall not prevent the building official from thereafter re- shall expire by limitation, any quiring the correction of errors in said plans, specifications and review may thereafter be retu: other data, or from preventing building operations being carried the building official. The built on thereunder when in violation of this code or of any other ordi- action by the applicant fora F nances of this jurisdiction. quest by the applicant show 106.4.4 Expiration. Every permit issued by the building official control of the applicant have under the provisions of this code shall,expire by limitation and be- No application shall be eaten come null and void if the building or work authorized by such per- new action on an application mit is not commenced within 180 days from the date of such resubmit plans and pay a new permit, or if the building or work authorized by such permit is sus- 107.5 Investigation Fees: V pended or abandoned at any time after the work is commenced for 1075.1 Investigation. Whe- a period of 180 days. Before such work can be recommenced, a required by this code has be new permit shall be first obtained to do so, and the fee therefor is shall be one half the amount required for a new permit for such ing said permit, a special inve., work, provided no changes have been made or will be made in the mit may be issued for such w original plans and specifications for such work and provided fur- 107.5.2 Fee. An investigatic ther that such suspension or abandonment has not exceeded one shall be collected whether or i year. In order to renew action on a permit after expiration, the per- issued. The investigation fee mittee shall pay a new full permit fee. permit fee required by this co Any permittee holding an unexpired permit may apply for an shall be the same as the minir_ extension of the time within which work may commence under Payment of such investigatio that permit when the permittee is unable to commence work with- from compliance with all oth: in the time required by this section for good and satisfactory rea— sons. The building official may extend the time for action by the 107.6 Fee Refands. The bui: permittee for a period not exceeding 180 days on written request ing of any fee paid hereundf by the permittee showing that circumstances beyond the control of collected. the permittee have prevented action from being taken. No permit The building official may at shall be extended more than once. 80 percent of the permit fee pa: 106.4..5 Suspension or revocation. The building ofnciai may, der a permit issued in accords_ in writing, suspend or revoke a permit issued under the provisions The building official may at: of this code whenever the permit is issued in error or on the basis of 80 percent of the plan review 1-4 CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO,),7 j OWNER MAIL ADDRESS D CITY ZIP PHONE K i r 4 a a /y / o�O I h��K _ c�l u�o✓J �f"3S 3�fF ARCI TECT OR SIGNER MAIL ADDRESS CITY ZI/ PHONE GENERAL CON I RACIORMAIL ADDRESS CITY ZIP PHONE —LICENSE MLCIIANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE YL UMBIN/' ONTRACIOR MAIL ADDRESS CITY j Z11P PHONE LICENSE 3 CLASS OF WORK 0❑NLW ❑ADDITION WALTERATION ❑REPAIR Cl DEMOLI I ION ❑BUILDING RELOCATION VALUATION OF WORK S �g0000a OLSLRISE WORK ri s i r ryola c cmcrl m PRUPUSI U USE Of BUILDINGIf rn tq e S I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- jW TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- GAL ULS(-RIPI TUN OF PROPERTY SHOWN BELOW OR Al1AC11 FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LUI BLUCK • OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT,THE Q GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF _ CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. V IOB AUURlSS ' SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT DATE t x -- (OFPICB USE,ONLY) PLUMBING WPCIIANICAL NO. TYPE OF FIXTURH PBE i e FIXTURES NO. TYPE,OF BQUIPMBNT FBE \s'i FIXTURES ATHR CLOSET OILBf) $7.00 IR CONIM UNITS—II.P. BA lqLAp.lit" AU1I1JB 37.00 tEFRIGERATION UNITS—IIF.B.A. d .BA•• VATORY ASH BASIN 27.00 JDILBRS—11.P.EA, lqdp.RA••' ROWER $7.00 PAS FIRED A.C.UNITS—TONNAGE EL d .list•" TCIIBN SIN[A DISPOSAL $7.00 ORCBD AIR SYSTEMS—B.T.U. MBA $9.00 ISIIWASIIBR $7.00 ALL NBATERS—B.T.U. M S9.00 UN DRY TRAY $7.00 NIT HELATBRS—H.T.U. M $9.00 LOIIIB9 WASHER 17.00 VAPORATIVSCOOLERS AT 11 IEBATFR $7.00 LOTIIES DRYERLS $6.50 RINAL $7.00 IIAT LATION FAN f4SO RINILING FOUNTAIN 67.00 B HOOD COMMERCIAL $6.50 ILOOR DRAIN $7.00 ANDLING UNIT— CPM VACUUM BREAKERS $7.00 E $4.50 OOP DRAINS—RAINLEADBRS $7.00 L FIREPLACB A CHIMNEY $6.50 IN[ SERVICE—BAR,ETC. $7.00R 11HATER $630 AS PIPING *(up It.S-$3.00.addBl. S.75 •Equlpmart Ihl must be provided SUBTOTAL SUB TOTAL PERMIT PERMIT TOTAL PBB TOTAL PEE Sift YARIi Si I BACK Sf RELI SL i BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. UST /UNI LOT AREA VACANT SIZE ❑YES ❑NO FEES VALUATION FEE 1VPLUI CONS I OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG SILL Of OLUL. NO.or SIURi1.5 MAX.TxC,LOAD BU'LDING PLUMBING f IRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE ^� Jt' PENALTY C. SEC.303(r) 1 1 WATER/SEWER FEES TOTAL JPERMIT VALIDATION WI IEN PROPERLY VALIDATED IIN 11115 SPACEI THIS IS YOUR PERMIT 6 RECEIPT PAID CRM BY cc:ASSESSOR,APPLICANT,TREASURER, SLOG, DEPT- BUILDING orrICb1L DATE RECOITDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT N0.00042 Ow>f.R MAIL ADDRESS CITY ZIP PHONE Niels Kjargaard 1014 Robinhood Ave. Arlington , Wa . ARCHITECT OR DESIGNER MML ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY Zfp PHONE LICENSE N Same as above MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF CLASS OF WORK ❑NEW 0 AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION []BUILDING RELOCATION VALUATION OF WORK � ,000 DESCRIBE WORK Install new porch addition PROPOSE D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- LE(.AL DESC'RIPFIUN OF PROPERTY(SH TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOi 1 BLOCK OF DU r oe i r Plot 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. SIGNATURE OF CONTRACT ORORAUTHORIZEOAGENT DATE 108 ADDRESS 1014 Robinhood Dr, X / (OFFICE USE ONLY) MECHANICAL PLUMBING NO. TYPE OF FIXTURE FEE NO, TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) 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. FORCED AIR SYSTEMS— B.T.U. MEA DISHWASHER WALL HEATERS— B.T.U_ M LAUNDRY TRAY UNIT HEATERS— B.T.U. M CLOTHES WASHER EVAPORATI`✓E COOLERS WATER HEATER CLOTHES DRYERS URINAL VENTILATION FAN DRINKING FOUN IAIN RANGE FIOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT— CPM VACUUM BREAKERS STOVE ROOF DRAINS — RAINLEADERS METAL FIREPLACE&CHIMNEY SINK (SERVICE — BAR, ETC.) WATER HEATER GAS PIPING SUBTOTAL $1 SUBTOTAL $ PERMIT S PERMIT $1 =# TOTAL FEE $1 iTOTAL FEE $ SIDE YARD SETBACK STRLEI SETBACK REAR YARD SETBACK PLAN CHECK NUMBER (1 PLAN CHECK FEE 04/12/89 FEE 29 . 25 RECEIPT NO 20300 USE/ONE LOT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG SIZE OF'BLDG, NO.OF STORIES MAX.OCC,LOAD BUILDING ; 45 00 PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE 3 50 ENERGY CODE SURCHARGE PENALTY U.B.C. SEC.303(a) shy WATER/SEWER FEES TOTAL 48 50 AF R, 2 6 1989 PERMIT VALIDATION ^ —I i a� � WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PE FT*&RECEIPT z;sl .LlilC5;1 M __ .. PAID l �CR# = BY � r cc: ASSESSOR, APPLICANT,TREASURER, BLDG. DEPT. BUILDING bATE RECORDS COPY -..-- -.---+.�.�.-..�a..,a..w...,.a.r.a..o.ncwunurne.wiw.'..lp�r _ -- .::4.4.weiW..llM...:'•1::e3'.v.. 1:..�:4r _ .e .. ...e... xlr. ., .. CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL.ADDRESS 1. ] Cli ZIP PI10NE [—s .J fi 2t/>t 4,�Z� 1O/Y�a�i�.`1 o d ARCHIIkCT OR DESIGNER '" MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PRUNE LICCtNSE If MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PIIONE LICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE CLASS OF WORK ❑N(W )DITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUAI ION OF WORK f �1'-nf'� DESCRIBE WORK PROPOSE O 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- SIONS(,nl utx RIP]TUN of vRovtslr(SHOWN BELOW OR ATTACH fouR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOI / BLUCK Of- 'e-c« l0 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. 6ADDRESS SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE (OFFICE USE ONLY) MECHANICAL / PLUMBING. NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSE] (IOILEI) AIR COND. UNITS -H.P. EA. BATHTUB REFRIGERATION UNI15-H.P.EA. LAVATORY (WASH BASIN) BOILERS-H.P.EA SIIOW'LR GAS FIRED A.C.UNITS- TONNAGE EA. KI ICIILN SINK&DISP. FORCED AIR SYSTEMS- B.T.U. MEA UISHWASIILR WALL HEATERS-B.T.U. M LAUNURY TRAY UNIT HEATERS- B.T.U. M CLOI IILS WASIILR EVAPORAI IVE COOLERS WAIER IILATLR CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING F OUN I AIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT- CPM VACUUM BRLAKERS STOVE RUUF DRAINS - RAINLEAUERS METAL FIREPLACE&CHIMNEY SINK ISERVICE - BAR,E IC.) WATER HEATER GAS PIPING SUBTOTAL f SUBTOTAL f PERMIT f PERMIT 3 TOTALFEE 3 TOTAL FEE f SIUL YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CIIECK FEE FEE _ECEIPTT NO. USE ZONE LOT AREA VACANT SIIE o' �e-:%eo YES ❑NO FEES VALUATION FEE TYPE OF CONS 1. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG f SIZE OI BLDG. NO.Of STORIES MAX.OCC.LOAD BUILDING PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY U.B C. SEC.303(a) PA D WATER/SEWER FEES APR 12 199arl TOTAL PERMIT VALIDATION T�, WHEN PROPERLY VALIDATED(IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT G!I : O- a em6iNGTON PAID CRN BY cc:ASSESSOR.APPLICANT,TREASURER,BLDG.DEPT. BUILDINC OFF ICIAL FATE RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT M 1685 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE Niels & Kathleen Kjargaard 1014 Robinhood Dr Arlington WA 98223 435-4348 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE Ruth E. Gonzales 6823 211th Pl NE Arlington, WA 98223 435-5514 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE III Same as Owner MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE if Same as Owner PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M Same as Owner CLASS OF WORK ❑NEW C9 ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI LION ❑BUILDING RELOCATION VALUATION OF WORK f 26 ,989: DESCRIBE WORK Add garage w/bedroom and 2 bath over garage PROPOSE U USE r,l BUILDING Residence 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(RIPTIUN Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK 1_01 1 BLOCK OF Burgoyne Plat WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF 3988-000-QO1-0009 CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRALTO OTH ZED AGENT DATE IOBAUDRCSS ( J 1014 Robinhood Drive X' (OFFICE USE ONLY) MECHANICA PLUMBING YI/ 4�z LZ NO TYPE OF FIXTURE FEE NO YPE OF EQUIPMENT FEE 2 WATER CLOSET (TOILET) AIR COND, UNITS -H-P-EA. BAIIITUB REFRIGERATION UNITS - H-P.EA. LAVATORY (WASH BASIN) 14 00 BOILERS - H-P.EA SHOW'LR 7 00 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 T RAY UNI1 HEATERS- B.T.0 M CLOIHESWASHER EVAPORAI IVE COOLERS WAIERHEATLR CL01HESDRYERS URINAL 2VENTILATICN FAN DRINKING FOUNIAIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT - CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLLADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR, ETC.) WATER HEATER GAS PIPING SUBTOTAL fAq nn SUBTOTAL f 9 Loo PERMIT S PERMIT f 151 OO TOTAL FEE f TOTAL FEE S 24 1 OO SIUL YARD SE(BACK STREET SETBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE 34 2 4 13 E 5 FEE RECEIPT NO. USE ZON[ LOT AREA VACANT SITE 3-9-95 134. 55 31043 ❑YES ®NO FEES VALUATION FEE TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG 172 .25. 37 VN R3 & M1 BU'LDING f 258 50 SIZE Of BLDG, NO.OF STORILS MAX,OCC LOAD 908 Added 2 PLUMBING 64 00 F IRE SPRINKLERS REQUIRED ❑YES NO MECHANICAL 24 00 COMMENTS STATE BLDG.CODE 4 50 ENERGY CODE SURCHARGE PENALTY U.B.C. SEC.303(a) WATEPUSEWER FEES PAID TOTAL 388 70 PERMIT VALIDATION -5 WHEN P P Y A TE THIS SPACE) THIS IS YOUR PERMITS i C/�; PAID CR BY V J V BUIL F L ATE cc:ASSESSOR,APPLICANT,TREASURER, BLDG DEPT RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT 3 ,I ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS n CITY ZIP PHONE �I1C—LS �ell 74LEEN /��/��129 �(�(� 20�1vl�OJ!) �r �14(_f,tC !�I✓/w� qg _L3 4/3s -4`3 S" ARCHITECT OR DES/IG+NER MAIL ADDRESS CITY ZIP PHONE l>,�V� C CJOf�IZt}LG 5 (oSt� 2-11 P1RcC- �1, G AtzLih94 N vjA- -�tgZ23 `f35-- 5-S GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N :5-4 61 G 4--5 oWrq&/< MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N 5 sy vy &; 4--s 0 W 4 C- PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N S 6= 't—,s o 3 CLASS OF WORK Co❑NLW ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDIN(;RELOCATION QVALUATION OF WORK uWj DESCRIBE WORK 3 h� cIJOv-,- a-r-J 2 �.� �� CA-rG' e m PROPOSED USE OF BUILDING ai LS C) � � s t I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- W TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z Ll6AL DESCRIPTION Of PROPERTY(SHOWN BELOW OR AT TA(H FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK l boa -d_ vv �ls r o� yx 2 P`(0.�T WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE J L(ll BLU(:K OF a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO w VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR •Wj TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF IL 0qS� -coo - oo ( � p o o CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE V 108 ADDRESS X (OPPPCE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE x's FIXTURES NO. TYPE OF EOUIPMENT FEE i s FIXTURES /;- WATERCLOSLTI goiLED $7.00 kIR COND.UNITS-H.P. EA. r ATHTUB 37.00 / Q O FFRIGERATION UNITS-H.P.EA.VATORY ASH BASIN $7.00 o OILERS-H.P.EAHOWER $7.00 n AS FIRED A.C.UNITS-TONNAGEEA.HEN SINK do DISPOSAL f7.00 ORCED AIR SYSTEMS-B.T.U. MEA ISHWASHER $7.00 ALL HEATERS-H.T.U. M $9.00 UNDRY TRAY K$7.00 NIT HEATERS-B.T.U. M $9.00 'LOTH ES WASHER $ APORATIVECOOL13iS WATER HEATER �/ LOTII6 DRYERS f650 RINAL ` ENTILATION FAN $4.50KINKING FOUNTAIN ANGE HOOD COMMERCIAL $6.50 FLOOR DRAIN 37.00 UR HANDLING UNIT- CPM ACUUM BREAKERS $7.00 FmVE $650 OOF DRAINS-RAINLEADERS f7.00 AETAL FIREPLACE&CHIMNEY $650 INK(SERVICE-BAR.Lrl'C. S7.00 WATER HEATER S6.50 AS PIPING *(up to 5=S3.00,addnl.=S.75 .Equipment list must be provided SUB TOTAL d SUB TOTAL C C PERMITS PERMIT i U TOTAL FEE CSC' TOTAL FEE IQ G SIUL YARD SE I BACK STRLLT SL IBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE �✓ i1- /� / Z J7 i{ i7r� /0� FEE RECEIPT NO USE C/.ONE LOT AREA? VACANT SITE �— - ❑YES JE�_NO FEES VALUATION FIV- EE - TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG �i /"� BU'LDING SILE Ofl BLDG. NO.OF STURILS MAX.000.LOAD PLUMBING r7/ mt� F IRE SPRINKLERS REQUIRED ❑YES ElNO MECHANICAL COMMENTS STATE BLDG.CODE O�r/_ ;� („�� _1� �o,�•�- _ ENERGY CODE SURCHARGE C U.B SEC.303(a) "�yy.��f"I/ �,M�, { PENALTY I j CC IVY G��S �'r J . 1 WATER/SEWER FEES ae TOTAL -PA ID PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT,,_ PAID CR#_ BY Cc ASS£r{i QR. I Ij'LFuL Is1T_)ITREASURER.BLDG DEPT BUILDING OFFICIAL DATE RECORDS COPY