HomeMy WebLinkAbout17623 UPLAND DR_983143_2026 M _ INSPECTION REPORT '
Permit No. 3/5/-3 Lot#
Address I7&aZ 3
Contractor 'JT H
Owner / 90�-� 7
L �
Date d.;'99
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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Ins Date
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slayr
❑ Wood Stove ❑ Rough-in No
nal �L
❑ Masonry ❑ Drainage sulation
❑ Other
Z
CITY O f= AR L=N0TON
CONSTRUCTION PERMX_F
PE RHM=T NO _ = Sk5_:231L A a
Owner: JOH CONSTRUCTION 20604 BROWN RD. MONROE 98272
Value of Work: $101,226.00 Tax ID: HVE 107 Phone: 360-794-5235
Describe Work: NEW CONSTRUCTION
Proposed Use: SFR
Legal Description:
Job Address: 17623 UPLAND DR.
Contractor's Name Type Address License#
SFR JDH CONSTRUCTION! G 20604 BROWN RD. JOHCO**070JL
JAYCO HEATING INC. M 17461 147TH ST. SE JAYCOHI04559
WHITE COAST PLUMBING P 403 MAPLE AVE. S'TE 5 LtilHITECP*1773
P E R M I T F E E S
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Equipment and Fixtures _`- Number �-Fee--- Total Charge
PLUMBING FIXTURES 14 $7.00 $98.00
FURNACE/UNIT HEATER 1 $13.15 $13.15
RANGE 1 ,.9.50 $9.50
VENTILATION FANS 5 R6.50 $32.50
DRYER 1 .9.50 $9.50
METAL FIREPLACE & CHIMNEY 1 `9.50 $9.50
WATER HEATER 1 $9.50 $9.50
GAS PIPING 1-5 OUTLETS 1 �-5.00 $5.00
S U B T 0 T A L... ... $186.65
TOTALS Fee
Equipment $83.65
Fixture $98.00
Mech Permit $22.00
Permit Fee $809.50
Plan Fee $526.18
Plumb Permit $15.00
State fee . 0
Schaal Mitigation $94141.00
SIGNATURE:
TOTAL FEE......... . . ...... $2,504.83 I HEREBY C TIFY THAT I NAVE E D
AND EXAMI D THIS APPL.ICATI . 1D
PAYMENTS. . ........... . .. . . $410.48 KNOW THE AME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
WORK WILL BE LOMf� ED - TYPE OF
TOTAL DUE. . . . . . . . . . .. . $2,094.35 ORDINANCES GOVERNING T !. TYPE
HER
FIED T.
DATE RECEIPT it a/�3�
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5 Mill RECEIVED
30 w JUN 0 3 1998
CITY OF ARLINGTON
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SAS EMENT
UPLAND PR
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CITY OF ARLINGTON
CONSTRUCTION
PERMIT ?9
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. 5 ((-it 72
j OWNER MAIL ADDRESS CITY ZIP PHONE 7,2
J 17N (Siys6'uc�rcN 2c&oe1 �,E'o�� ,2t� �9o/+/R�� ��Z74 �3&0) 7''4-5 Z3�
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
MLCI ANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
�1�NCo a1WN61N( i74W /q7/A 5r Sc �JyN2oC �18Z7Z r'36�)74y—S��
PLU t ING CONTRACTOR MAIL ADDRESS /� CITY ZIP PHONE LICENSE If
WllPfr- ( DA5� �Lun,R �f03 /IAAaC_ RvC_ C/<l O 360 S -6/S, wNfTjr CPO 33CLcl
3 CLASS Of WORK
OpEhLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION E]BUILDING RELOCATION
Q VALUAI ION OF WORK
z s 704 QOD
W DESCRIBE WORK
F-
m PRUPUSI U USE OI BUILDING
In 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 LLUAL S('RIPTION OI PROPERTY ISHOWN BELOW OR ATTACH FOUR COPIES)
/'l/ SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J LOI�7BLOCK • OF 1l/ N /CV �;7-4�2 WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OFA PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO
� VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
_j TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
Q. CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
0 SIGNATURE OF ONTRACTOR OR AUTHORIZED AGENT DATE
L) 106 AOURl SS
t % Z ( t�L ii!� Iel�� x
(OFFICE USE ONLY)
PLUMBING MMIY41CAL
NO. TYPE OF FIXTURE FEE x's FIXTURES NO.� TYPE OF EQUIPMENT FEE x's FIXTURES
ATER CLOSET TOILET 1R COND.UNITS-H.P. EA. IgLip.list•'
ATHTUB iEFRIGERATION UNITS-H.P.EA 7 d .list-
VATORY ASI I BASIN IO►LERS-H.P.EA. 7 ti .list-
IIOWER 3AS FIRED A.C.UNITS-TONNAGE EA. IqLdp.list"'
ITCHEN SINK k DISPOSAL 7ORCED AIR SYSTEMS-B.T.U. MEA
ISEIWASHER WALL HEATERS-B.T.U. M
UNDRY TRAY JNIT HEATERS-B.T.U. M
LOTHES WASHER -EVAPORATIVE COOLERS
ATER HEATER /^ LOTEIES DRYERS
RINAL _ 17 ENTILATION FAN
RINKING FOUNTAIN ANGE HOOD COMMERCIAL
TLOOR DRAIN IR HANDLING UNIT- CPM
VACUUM BREAKERS OVE
OOF DRAINS-RAINLEADERS BTALFIREPLACE&CHIMNEY
INK SERVICE-BAR,F-IC. WATER I]EATER _
AS PIPING *(up to S-f3.00,eddnl. f.75
{{ "Equipment list must be provided
lLl
SUBTOTAL SUB TOTAL
PMMIT PERMIT
TOTAL FEE TOTALFBE
SIULYARUS IB,�CK STRLLISLTBACK REAR YARD SET AQR� PLAN CHECK FEE
L� V 0' ( fEE 'i 5� I� RECEIPT NO
USF/ONI LOT ARF VACANT SITE L•!!11 lJX
, --6- q o r- ayks-- N FE)ES, VALUATION FEE
TYPL OF ONSI OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG �g -70
SIZE Of BLUG. NO.OF STORIES ' ( MAX.OCC.LOAD BU'LDING S �0 1 50
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES Q-906 MECHANICAL
COMMENTS \ STATE BLDG.CODE /�
"� �4I" / ��`'L ENERGY CODE SURCHARGE '—'1
ft/ /g 7C F �F-3 PENALTY U,B.C.
v U SEC.303(a)
^ RECEIVE �S� wATERrSEWER FEES
TOTAL
JUN 0 3 1998 PERMIT VALIDATION
eel_ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
�V
11 OF ARLINGTO PAID CRk BY_
cc:ASSESSOR.APPLICANT.TREASURER, BLDG DEPT BUILDING OFFICIAL DATE
RECORDS COPY