HomeMy WebLinkAbout18623 35TH AVE NE_993843_2026 p INSPECTION REPORT
a 2
Permit No.: C ,>? 3 Lot#:
.. Address: ,Z&a,.23 3S 7-' ate
Contractor:
• Owner:
Date: /2--& ^9 -364-6-57 r81�a
,-E -Al'PROVAL ❑ 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-./�-- -
TYPE OF INSPECTION REQU ESTED
❑ Under-floor ❑ Framing 1<Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
C I YY OF= n RL I NOYON
CONST RUCT I ON P'E RM I T
PERM I T NO_ s Sc3-3a�43
Owner: WASKEY, KRISTINE 18623 351-H AVE NE ARLINGTON 9822E
Value of Work: $500. 00 Tax IDo 213105-2-014-0006 Phone: 360-657-8626
Describe Work: INSTALL GAS .INSERT
Proposed Use: RESIDENTIAL
Legal Description:
Sob Address: 186E.3 35TH AVE NE
Contractor's Name Type Address License#
OWN
- - P E R M I T F E E S
1 Equipment and Fixtures Number Fee Total Charge
I
+ METAL FIREPLACE & CHIMNEY 1 $10.65 $10.65
GAS PIPING 1-4 OUTLETS 1 $4.75 $4.75
S U B T O T A L..... . $15.40
TOTALS Fee
Equipment $15.40
Mech Permit $23.50
SIf iA:�EPY CEEBY CER VVVLLL///
TOTAL FEE................ . 38.90 I Ti Y THE=
AND t AMINED THIS APPLICATION AND
PAYMENTS............ ......$0.0 ?!NO HE SAME TO BE TRUE AND COR-
REC LL PRO SION OF WS AND
TOTAL DUE... .............. $38.90 ORD Al NCES ERN! - TH TYPE OF
W IL6 B MP T D W H WHETHER
SE I EDH N,0
DATE RECEIPT # Ns 3 ING Ot- IC AL
1 - -7 - (?�
CITY OF ARLINGTON
CONSTRUCTION
PERMIT Gl f
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. 32 ,
OWNER ` MAIL ADDRESS CITY ZIP PHONE
S t, , � I J 6LS k-Z-t I ��P a3 3 j�`^ Y�I--� f\J C fty-t> n ci I� Q aa3 A(y
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTORMAIL ADDRESS CITY ZIP PHONE LICENSE I
MLCIFA�CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I
PLUMBING COW RACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I
3 CLASS OF WORK
0❑NI.W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
Q VALUATION OF WORK l` , `
_
z s C� i� ' 500 m
Lu
W DLSLRIBE WORK
f- n5kal\ ' Gj C`S kD wife 0Iac� n
m PROPOSE U USE OF BUILDING
rn 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
w TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
? LL(.AL UkSE'RIPf ION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIGNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LUr _BLOCK _ of WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
Q GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
r i 3 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
CL 8(>, 3 35 .� �V i r�G (��}q CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
V108AVURL55
T X
(OFFICL USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE x's FIXTURES NO. TYPE OF EQUIPMENT FEE x's FIXTURES
ATER CLOSET TOILET IRCOND.UNITS—H.P. EA. 3qtip.list**
ATHTUB EFRIGERATION UNITS—H.P.EA 3qtip.list••
VATORY ASH BASIN OILERS—H.P.EA. 3qLaip.list**
HOWER jAS FIRED A.C.UNITS—TONNAGE EA. EgLip.list••
ITCHEN SINK&DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA
ISHWASHER. NALL HEATERS—B.T.U. M
UNDRY TRAY JNIT HEATERS—B.T.U. M
LOTHES WASI-TER "' .VAPORATIVE COOLERS
WATER HEATER LOTHFS DRYERS
RINAL IVENTILATION FAN
&INKING FOUNTAIN 1RANGE HOOD COMMERCIAL
LOOR DRAIN TR HANDLING UNIT— CPM
VACUUM BREAKERS "TOVE
.00F DRAINS—RAINLEADERS AETA FIREPLACE&CHIMNEY
INK(SERVICE—BAR.EM.) NATER HEATER
AS PIPING *(up to 5=$3.00,addnl.=$35
r*Equipment list must be provided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTALFEEA TOTALFEE
SIDE.YARD SL 1 BACK 5TRLL1 SI.iBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO
USE/UNI LOT AREA VACANT SITE
FEES VALUATION FEE
❑YES []NO
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
BUTDING S
SILL OI BLDG NO.OF STORILS MAX.OCC.LOAD
PLUMBING
FIRE SPRINKLERS RLQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.303(a)
RECEIVED WATEPUSEWER FEES
f� TOTAL
DEC 7 1999 PERMIT VALIDATION
WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS 15 YOUR PERMIT&RECEIPT
CITY OF ARLINGTON PAID_ CR#— BY
cc:ASSESSOR.APPLICANT,TREASURER, BLDG_ DEPT, BUILDING OFFICIAL DATE
RECORDS COPY