HomeMy WebLinkAbout19906 51ST DR NE_962160_2026 C I _r OF C4 RL-I NGT'O1r''
CONSTRUCTION BERM I T'
PERM I T NO- a 96—a 16O
Owner: GRIFFITH, GEORGE 19906 5 .ST DR. NE ARLINGTON 98P-3
Value of Work: $2,800.00 Tax ID: 4864-00-0E3-0006 P=Iore- 43�-3739
Describe Work: REROO
Proposed Use: SFR
Legal Description:
Job Address: 19906 1ST DR.
Contractor's Na-e Type Address License#
BAKERS TOPSIDE ROOFING G 24630 115TH AVE BAKERIR044CA
TOTALS Fee
Permit Fee $50.
SIGNATURE: �vl 2c1_
TOTAL FEE..... .^....._ - $50.00 I HEREBY CERT I = READ
AND EXAMINED THIS APPLICATION ;AND
PAYMENTS. . .. . . .... . ... . . . _ S0.0 KNOW THE SAME TO BE TRUE AND COR—
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE... .... ......... . $50.00 ORDINANCES GOVERNING THIS TYPE OF
WORK WILL RE COMPLIED WITH WHETHER
SPECIFIED HERS=-N NOT.
DATE RECEIPT # D r
pm rni - � / RUILDING OFF IAL
® 8'-0' - 90
1 �
D
D
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING Cl MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. �� I
j OWNER MAIL ADDRESS ) r CITY �7 ZIP 41 1 PHONE
n -113
ARCHITECT ORDESIGNER MAIL ADDRESS CITY ZIP `J PHONE
G MAIL ADDRESS CITY ZIP' .F1 PHOt�� e���_ iI�NSE 0
71�
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
3 CLASS OF WORK
O❑NLW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLI f ION ❑BUILDING RELOCATION
Q VALUAT ION OF WORK
Z r �Jr )
3 DESCRIBE WORK _T F!_
C - =
PROPOSED USE OF BUILDING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
W — Z e5 / TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
J LLGAL Uk5(RIP TUN Of PROPERTY S BELOW OR ATTACH 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 AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
J TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
a CONSTR ION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE f _.TRACTOR OR AUTHOR AGE DATE
V 108 AUURLSS
Ci C/ f
ZL /;,.4/,C,3 x
(OFFICE USE ONLY)
PLUMBING ECHANICAL
NO. TYPE OF FIXTURE FEE x's FIXTURES NO. TYPE OF EQUIPMENT x's FIXTURES
ATER CLOSEC OILET $7.00 IR COND.UNITS—H.P. EA. ui .list•"
ATHTUB $7.00 EFRIGERATION UNITS—H.P.EA u .list•"
VATORY ASH BASIN S7.00 OILERS—H.P.EA. JFEE
ti .list••
HOWER $7.00 AS FIRED A.C.UNITS—TONNAGE EA u .list•"
TCHEN SINK 1R DISPOSAL $7.00 ORCED AIR SYSTEMS—B.T.U. MEA $9.00
ISHWASHER $7.00 NALL HEATERS—B.T.U. M S9.00
UNDRY TRAY $7.00 PNIT HEATERS—B.T.U. M $9.00
LOTHES WASHER $7.00 IVAPORATIVECOOLEPS
ATER HEATER $7.00 LOTHES DRYERS $6.50
RINAL $7.00 IENTILATTON FAN $430
KINKING FOUNTAIN $7.00 kANGR HOOD COMMERCIAL. S6.50
LOOR DRAIN $7.00 UEL HANDLING UNIT— CPM
ACUUM BREAKERS S7.00 TOVE $6.30
OOF DRAINS—RAINLEADERS $7.00 dETAL FIREPLACE&CHIMNEY $6.50
INK SERVICE—BAR,ETC. $7.00 VATER HEATER $6.50
AS PIPING *(up to 5=$3.00,addol.=3.75
Equipment list must He provided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTAL FEE TOTAL FEE
SIUL YARD SE I BACK STRLLI SL TBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE/ONt LOT AREA VACANT SITE
❑ FEES VALUATION FEE
❑YES NO
TYPE OF CONS]. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BUTDING $
SIZE Of BLDG, NO.OF STORILS MAX.000 LOAD
PLUMBING
F IRE SPRINKLERS REQUIRED
❑YES ❑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 6 RECEIPT
PAID CRN BY
cc: ASSESSOR,APPLICANT,TREASURER,BLDG, DEPT BUILDING OFFICIAL DATE
RECORDS COPY