HomeMy WebLinkAbout101 UNION ST_993369_2026 INSPECTION REPORT
Permit No. -.3, Lot #
Address ho/ eC1 Li4LZ'4r7L1/
Contractor �� YZ,i- Z 3�'��l/ 7
Owner Ad CAa
Date L,91-99 - 7/2-
,Lml- �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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Inspe to Date � -
OF INSPECTION REQUE TED
❑ Under-floor ❑ Framing Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ onsultati0n
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry Cl Drainage ❑ Insulation
Cl Other
L
C I T Y OF A RL- I NG T O N
CONS T RUCTION PE R M I Y
PERM I Y NO_ a 99-3 69
Owner: SMITH, TOM A CECELIA 101 E UNION ARLINGTON 98223
Value of Work: $1,000.00 Tax ID: 4117-010-018-0001 Phone: 435-2917
Describe York: CONVERT TO GAS
Proposed Use: SFR
Legal Description:
Job Address: 101 E UNION
Contractor's Hale Type Address License*
M D GAS WORKS NEC 7909 MADE RD MDGASV*066MA
P E R M I T F E E S
Equipment and Fixtures Humber Fee Total Cbarge
------------------------------ ------ -------- ------------
GAS PIPING 1-4 OUTLETS 1 $4.75 04.75
S U-B T O T A L...... $4.75
TOTALS Fee
Equipment $4.75 �-
Mech Permit $23.50 �
SIGHATUR
--- - —
TOTAL FEE................. 528.25 I HEREBY CERTIFY THAT I HAVE 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................. $28.25 ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE CQM IED H WHETHER
SP D OR
DATE RECEIPT # 1 ®'Z_ i -
BUILDING wlf
l - i9 - ci!
CITY OF ARLINGTON
CONSTRUCTION
• PERMIT
❑ COMBINATION ❑ BUILDING '13 MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. 330
4 OWNER MAIL ADDRESS CITY ZIP PHONE
Tay m C.-C Q a �-,i G, % L l.�-�i .,,; C? r %. % -s 1j 7
ARCHITECT OR DESIGNER MAIL ADDRESS city ZIP ONE
GENERAL CON RAC OR MAIL ADDRESS CITY ZIP PHONE LICENSE N
MLCHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0
`,P4UMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE f
MD works :2 9<%51 (A)c d-e )Pc/Or 6'n tu/l 58.2,23 '�135 7la�
3 CLASS OF WORK
CO❑NLW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLI FION ❑BUILDING RELOCATION N� D T� JN
QVALUATION OF WORK
z s
W DESC IBE WORK
3 ski' �' //Ga1�� —Cai�iF� fa qS
m PROPOSI D USErOf SOILDING
N 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 LLGAL DES('RIPI ION Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J LUr 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-
J TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CL L f r l� a _ CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
V IOB ADDRESS
t ^ �Z cr S� . fit i
(OFFICE USE ONLY)-
PLUMBING VIECHANICAL
NO. TYPE OF FIXTURE FEE x's FIXTURES NO. TYPE OF EQUIPMENT FEE x's FIXTURES
WATER CLOSET TOILET IR COND.UNITS—H.P. EA tip.list**
ATHTUg I.EPRIGERATION UNITS—H.P.EJ tip.list**
VATORY ASH BASIN OILERS—H.P.EA. IcIdp.list"
HONER jAS FILED A.C.UNfTS—TONNAGE EA. 3g4p.list
TCHEN SINK&DISPOSAL ORCED AIR SYSTEMS—H.T.U. MEA
1SHWASHER NALL HEATERS—B.T.U. M
UNDRY TRAY JNIT HEATERS—B.T.U. M
LOTHES WASHER 3VAPORATIVECOOLEPS
ATER HEATER LOTHES DRYERS
RINAL ENTILATION FAN
RINKING FOUNTAIN ANGE HOOD COMMERCIAL
LOOR DRAIN IR HANDLING UNIT— CPM
VACUUM BREAKERS OVE
OOF DRAINS—RAINLFADERS ETAL FIREPLACE&CHIMNEY
INK(SERVICE—BAR,ETC.) A HEATER
AS PIPING 'u to 5=E3.00,addal.=T.75
-Equipmeat list must be provided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTAL FEE TOTAL FEE
Ml
SIDL YARD SL I BACK STRLLT SL IBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE /ONI LOT AREA VACANT SITE
FEES VALUATION FEE
❑YES ❑NO
TYPL OF CONS]. OCCUPANCY GROUP NO,OF DWELLING UNITS PLAN CHECKING VG
BUTDING $
SIZL Of BLDG_ NO.OF STORILS MAX.OCC.LOAD
PLUMBING
FIRE 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 IIN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
PAID CR>R BY
cc:ASSESSOR.APPLICANT,TREASURER, BLDG, DEPT BUILDING OFFICIAL DATE
RECORDS COPY