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Home My WebLink About17215 SMOKEY POINT DR_993825_2026 INSPECTION REPORT y Permit No.: — Lot#: � Address: J/2oP/J d,� Contractor: Owner: Date: 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. Inspec or: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ truct. Slab ❑ Wood Stove ❑ Rough-in Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢tiZN GrO Permit No. "' Lot#: Address: Contractor: a z /�ara�� IN O Owner:O Date: APPROVAL ❑ PARTIAL APPROVAL ❑ IOLATION ❑ 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. A Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in &KFinal ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 1NGT — Q �ti Q Permit No.: Llo� Lot#: Q' Address: d � Contractor: 17a 3 9s, ,S0 Owner: VIA� _ Date: ❑ 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 435-0674 FOP RE-INSPECTION - 24 hour notice required. D - Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid XFinal truct. Slab ❑ Wood Stove ❑ Rough-in ❑ Masonry ❑ Drainage sulation ❑ Other: INSPECTION REPORT ZN G �1 / ¢ti TO Permit No.: 1 Lot#: 30 Q' Address: C Contractor: 703 O Owner: > > - 1qINC'� .ate: s�— -aQ _ ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION 4 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. - 1 l' i Inspector: Date: Cite) YPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation Other: l INSPECTION REPORT 1N G _ ¢v TD Permit No.: Lot#: c 30 Address: / 42 q � Z Contractor: ? 9 O Owner: `r�I N G� Date: xI APPROVAL ❑ PARTIAL APPROVAL VIOLATION Q 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. V v Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor XDrywall, raming El Gas Piping ❑ Footing Nailing ❑ Consultation ❑ Foundation hear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: I[a INSPECTION REPORT 1!!,, ;440, T® Permit No.: —�� Lot #:Address:• J r� .� Z Contractor* rlOc;Date: �nd ❑ 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 435-0674 FOR RE-INSPECTION -24 hour notice required. r Inspector: Date: C:r YPE OF INSPECTION REQUESTED ❑ Under-floor XFraming ❑ Gas Piping ❑ Footing rywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove .Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: CITY OF ARL_ I hIGTOhI COhISTRUCT I Ohl PERM I T PERMIT h!O_ a 99-3�25 Owner: MONTY, RALPH 17215 SMOKEY PT. BLVD ARLINGTON 98223 Value of Mork: $2,000.00 Tax ID: 293105-008-0004 Phone: 659-8551 Describe Work: INTERIOR REMODEL Proposed Use: OFFICES Legal Description: Job Address: 16404 SMOKEY POINT BLVD Contractor's (lane Type Address License# RAMO CONSTRUCTION GEN 16404 SMOKEY POINT DR Suite 3 RAMO***269MR TOTALS Fee Permit Fee $62. 25 Plan Fee $40. 46 State fee $4. 50 SIGMATU �� TOTAL FEE................. $167.21 I HEREB CERTIFY THAT I HAV-.-�E R AD PAYMENTS..................50.0 KNOW THq SAKE AND EXANIKED TTOSBEP TRUE AAND NCOND RECT AL4 PROVISIONS OF AWS AN TOTAL DUE................. $107.21 ORDINAN ES GO ERNING T S TYPE W0 ,'K WI L BE 0 LIED W TH WH ER DATE RECEIPT # SPECIFL�D"HE I R N T. RI BUIGDIIIG OFFICIAL I —�� • �f • ( ' _ t 3 i t r c; "r r; i S'+: :'J'•(•�}P ':1iCt •.ttlfx.ir� rl.• rl. l ��r,I.' 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FROM RAMO REALTY TEL: 206 653 5332 DEC. 15.2000 9:46 AM P 1 21 PUBLIC WORKS DEPARTMENT i Utility plvlsion wrnauc b � 0 City of MArybvhle lNCOkPOIIAUD 1501 le December 14, 2000 City of Arlington Planning Department Mr. Dave Anderson Dear Dave, As per our phone call today, regarding the doctor's office in the Ramo Building in Smokey Point, I phoned Bob Waden, of Ratno Properties I informal him that a backflow assembly may be required, and that if it iE required, it will need to be tested and certificd His plumber will be there Friday,Decomber 15, 20bQ, mid 1 will be there to mccl with both of them at that.time. I sul3gest that you grant a temporary Certificate()f Occupancy. This is for 7 days, which will be on or before December 22."T, 2000. This is for the Doctor to meet.I)atient requirements oii De.cembcr ISO'. I will keel) you infonned on our progress, Thank you for you help in this natter. Les Skyto water Quality i Cross Connection S'puialisl 80 Columbia Ave. + Marysville, Washington 0 98270 0 (360) 651-5100 ♦ FAX (360) 651.5099 � � r '•r I _ � I - '�� 1�11..I �J�LI�1 ■ ■ w 1 1 I ME In of L ■n ■ - - _J' 1 _ ■ ■ ■ _ IR 1111 IT — —It ' 1 1� j■��■ ■ 1luqr 1 I — I - 1 U _ _ I 1 r 1 1 ■ 11 01 L. 1 ■ r II i1 1 7■ 1 ' Mo1 ■ 11 v '-1- 11 i 00 1 M 1 1 _ � I ■T ■ —1 ■Tn 1 1 LJ 1 1610 — 1 — 1 1 1 It 1 ■L r 1 1 1 J1, 1 r — n - Y CITY OF ARLING )N EL[EcTcTr i OO CT "TRUMD cTUR& DEPARTMENT OF COMMUNITY,iIjevELOPMENT 238 N. Olympic, Arlington, WA 98223 DATE < _ �< C� ,oa NO. —4ao Building ❑ Engineering ❑ Planning ATTENTION ` one (206) 435-0724 FAX (206) 435-3906 (� RE: KlkTO L C l� U� JQ c) C► of OFF I LA S�� ► 'B�-1/ c' _ —c-n_ Q WE ARE SENDING YOU ElAttached ❑ Under separate cover via._ —the following items: ' Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION j d .. 12000 City or ,v�a�y:,v►i�� '.'ttlo VVOrkS THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution XF0 srequested ElReturned for corrections ❑ Return corrected prints rreview and comment ❑OR BIDS DUE 19 ❑ PRINTS RETURNED AFTER /LOAN TO US REMARKS �1� cx ILL A / Q �1 'i.Qe /dam✓ (��'� t'c�-�c�' ��JCCQ,e ��— COPY TO 401/6 Pre-Consumer Content •t ON.Post-Consumer Content SIGNED: 1 PRODUCT240 �I.,Gmtoo,Mm UI47t If enclosures are not as noted, kindly notify us at once. A ry a �, J �' �4 ¢`�`' {� I •rr�, +I_=r��. Vie r'i1.1.,i ^ 4� �IO tAY7r1gN3s r 'i7t%UMMT$ '41) 7104TIA430 Us- 0 AAA- I Z�A__J ilk Y_ -yl�l1 �7�rtt='oi - f� �� _ ,•• ILi. �i n-fr_ TttiM! i -39A 41-4 I�AUinNli�w� .J �+�IIICc f i.�u I � . rnt�k ,? �U='' �C'1L •:J� �! ATrmc T�Illill IIIII +t, xvl ' + rim c _��tli}Ti ;(,N e��r�tp„ —Jil'rtdllir�is �`+•11 -•{V� l0 ''- �-.'i� � f-,'/'J1�?':� 1t►� i-_` 1 oy. I I III ii' I f, !�L +U( H" 'J1�7+; be�Pl1'FT - _ ri r i �_, _++ltf :;1�►) �•y. �1 .'H►!_ _ !�� .+„7s�► +. Da iil (3T 1 --AIJ TI, U i;t r•Iwwol i'!. — S_` Z• _-�C ► •}:1rr) c1+ ^.►4�-t�. =�i��Lrl ,.—�' "-3 S` i ds _ A�'•:�1' - - .'' CITY OF ARLING,TON CONSTRUCTION PERMIT ❑ COMBINATION BUILDING ❑ MECHANICAL f ❑ PLUMBING ❑ SIGN j OW/NJEa MAIL A DRESS . �O ,,�j�¢ /Z. CIIY LI. PEpMIT NO PHONE AaclurEcroanaslcNEB iQitu,t- 2 5-4 77/ �y ,p -7MAILAuuaEss C/Q'G/ / /�/t�/iVe/6�✓ L��f/� �OLQ' / Clry IIP P/IONE EN RAL d zr-Z 5-7- MAIL ADDRESS CIIY IIP PHONE LIC MLCIIACAL OONIRACTOR � N1 MAIL ADDRESS CITY ZI► PHONE LICENSE f r7/IUMBiNG CONTRACTOR 9 MAIL ADDRESS CIIY LIP "'ONE LICENSE/ • CLASS OP wpRK :❑NLW ❑AUDITION TERATION ❑REPAIR ❑DEMO T ION i vALu^11oN Of WORK ❑BUILDING RELOCATION DESCRIBE WORK r'LIM'974-[ /t�i�,i �/`/=iCE/ 'c-v/t '& aGTa/t PROPOSI D USE 01 BUILDINE; G G'-/%-/ e df=��C'C— I HEREBY CERTIFY THAT I I?AVE READ AND EXAMINED THIS APPLICA- LLE.nI ULS(RIPI IQ O1 ._ RIY IS?IOWN BELOW OR At 11AlI1 FOUR COPII S) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI• Lul - RL(X:k Of S�s� f/T&r �L rn/ SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK _ WILL BE COMPLIFD WITH WHETHER SPECIFIED HERIN OR NOT. THE GRANT ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO TAX ID NUMBER VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR / FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF V �D�� i.✓ ee // CONSIRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE, 108nUUR(c5 SICNAIUREOIC IRACTORORAUTHORIZIOA E 1 DATE x i..i(0F US NI G'D {�IC1: (I V ,Y) tell. PLUMDINO NO. TYPR OP PIXTURD ECIIANICAL PER PIXTURISS NO. T >t'� YPD O ATP,R CLOSET' TOILET PMTTJT pRR :'�PIXTURES $7.00 IR COND.UNITS-II.P PA. . ATIITUD f7.00 U .IIK•• VATORY ASII DASIN 13PRIGPRATION UNITS- II.P.DAL Ld .IIR••IIOWER _ t7.00 _OILERS-I I.P.RA. TCIIEN SINK R DISPOSAL AS PIRDD A.C.UNITS-TONNAGEP.A, d .IIK•• $7.00 ORCVD AIR SYSTEMS-B.T.V. ISiIWA•SIIER f7� - MRA 29.00 -AUNDRY TRAY ALL IIE ATFRS- D.T.U. M $9.00 f7.00 NIT IIP-LTP.RS- B.T.U.LO'IIIPS WASHER $7,00 M S0.00 VATCR 17.00 •VAPO_ RATIVCCOOLERS LOTIIPS RINA1, $7.00 bRYIAIS 16.50 RINKINO POVNTAIN _ �TILATION PAN faSO 7.00 AN COMMERCIAL 1.00R DRAIN 37.00 OR IIOOD t6S0 ACUUM DRDAkERS 37.00 IR HANDLING UNIT- CPM OOP DRAINS-RAINLE'ADDRS f7,00 COVE f6J0 INK PRVIC13-BAR,ITTC, ITTAL PIRDPI�ICR 4 CIIIME7RY f6.50 f7.00 ATER I[RATER 114.50 AS PIPING u to S+t3.00,addal..t.7S ui Inent Ilu muK ba ovlded SUB TOTAL PERMIT SLID TOTAL TOTAL PED P[9tMIT L YAkU SE IBACK ST RELI SL IBACK REAR YARD SETBACK PLANCIIE(:K NUMBER T�07'AL PRO R " FEE PLAN CHECK PEE /U++1 LOI AREA vnCANr SItE RECEIPT NO. L 01 CONS ❑YES �]NO FEES VALUATION FEE OC V CY R UP + NO.OP DWELLING UNI IS PLAN CHECKING VG OI BIOG. NO,OG SIQ,RILS MAX,UGC-LOAD BU'LOING I I , L C I YY OF= ARL I MGTON CONST RUCT I Ohl FEE RM I T ' RERM I T NO_ = 00-4aO4 Owner: RAMO INC 16404 SMOKE`( PT DR STE 301 ARLINGTON '38E23 Value of Work: $27,615.00 Tax ID: 310529--001-015-00 Phone: 360--659 -D55:i Describe Work: REMODEL F.XIS'INC FACILITY 1'0 MEDICAL OFFICES Proposed Use: OFFICES Legal Description: .lob Address: 15A 4 Si'OKEY PDT BLVD Contractor's Name Type Address License# RANO CONSTROCT?Ohj GEN .�44 �NOKEY PT DR GTE .� +_ RAN00034L . TOTALS Fee Permit Fee $422.05 Plan Fee $274. 7, State fee $4.50 SIGNATUR TOTAL FEE.... . . . . .. . .... .. $700.88 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS....... . ... ..... .. $0.00 KNOB! ?' ' SAME TO BE I RUE AND COR- RECT PROVISIONS OF AND TOTAL DUE. . . . . . . . . . . $700.88 ORD—11 ilV 'LS VERNI(, THI TYPE OF 40, I L B L �iI ; �JHETHER SP CI .-. j_1r Y „r i t DATE RECEIPT � 5� B ILD NG OF t I I qLft I ,■ ■ _ 1 . _,tom aW p ., I kris.o-r■ ,a ■ , ■i ■ fl, { ■■ L 10■ _i ■ 1 i■ ' ■ on , I i , i r i I CITY OF .A►RLINGT-N LEEUUF"� Q0 [F V DrEi MSEMIL DEPARTMENT OF COMMUNITY OL..,I.OPM£NT 238 N. Olympic, Arlington, WA 98223 ` • DATE � J NO. _44r �/l.Bullding ❑ Engine�ering L7 Planning ATTENTION_ "one (2,.0'6) 4435-07,,yyrr24/wry/FAXix(206) 435-3906 (Oli- E I L 1 E, L-V I > WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ I COPIES DATE NO. DESCRIPTION <; THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution > Ll As requested ❑ Returned for corrections ❑ Return corrected prints �T >t) For review and comment ❑ __ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO 40 k Pre-Consumer Content•10/Post-Consumer Content SIGNED: PRODGGT240 � Inc,Gmmn,Mass.GI42I If enclosures are not as noted, kindly notify us at once. i i City of Arlington Building Dept t FIRE DEPARTMENT CHECKLIS i PERMIT # - DATE: 00 NAME: / \P O �G�—/V ADDRESS: V LEGAL: BUILDING USE: T.� �S �fi OCCUPANCY CLASSIFICATION: /7 Z A B E F H 1 2 2.1 3 4 1 2 3 1 2 1 2 3 4 5 6 7 I M R S U 1.1 11.2 F2T3 1 1 3 1 2 1 3 4 5 1 2 TYPE OF CONSTRUCTION I II III 1V V j F.R. F.R. ONE-HOUR I N ONE HOUR N H.T. 'ONE-HOUR N Item inspected & completed Signature &Date: Site Plan: Approved Denied Access Requirements: Required: Fire lane: Sprinkler system: Alarm system: Knox Box: Fire extinquishers: �•- Hydrant: # of hydrants required: ryICF/ V Location of Hydrant: Alin A 8 on Location of Knox Box: ly„ 20 Location of Fire Extinquis rs: 4 AA��IIIt; , vN Fire Flow requirements: Location of address on building: FIRE DEPT: Date: U Sighature Build\form\fdchecklist .. _ � � t•'�l � `. �t stir `, �i. T. � �..�- � — �1 ✓ \ �1 J• I I I Tl i ,l• . ii i i c t i I I �r City of Arlington Building Dept T 1 F RE, DEPARTMENT CHE K IS PERMIT # — ./ DATE: NAME: �� RrW L 77,1 ADDRESS: 1. L VD LEGAL: _t�? UO BUILDING USE: OITjC,12, OCCUPANCY CLASSIFICATION: A B E F H 1 2 1 2.1131 4 1 1 2 1 3 1 2 1 1 2 1 3 4 5 6 7 I M R S U 1.1 1 1.2 F2T3 1 3 1 F2 3 4 5 1 2 TYPE OF CONSTRUCTION I II III 1V V F.R. F.R. ONE-HOUR N ONE-HOUR N H.T. NE-HOUR N Item ins completed Site Plan: Approved Denied Signature & Date: Access Requirements: Required: Fire lane: Sprinkler system: Alarm system: Knox Box: Fire extinquishers: Hydrant: # of hydrants required: Location of Hydrant: Location of Knox Box: Location of Fire Extinquishers: Fire Flow requirements: Location of address on building: FIRE DEPT: Date: Signature Build\form\fdchecklist - I.I W ■ A—. - 1 IN ■ 1 ' 1 . 1, LUI-A IJ a III I rj iimfJ r ,■1 ./n - — 1 ' _ - :Ilan 1 _ �_ ' ■ nI rI r --I LT V�V-4\ 1 fmwq"a C �.� �IT�.-ITT t�1�� •�'1� 1 �I _ � i}��_ -r7 _ I- I -set- Ir as jdf _ 1 T ■ !. ti l I r i I P � T"+ 1 1 77 OY M-kW, ■I'I m flit 11'�1-LJ Y S ■ i ' I r r _ IIJti� _ _ — I I jr WbImp� till If111� um:j J1111 rAaR r i' -U. =laTpi■I 1 , ■ �I T-I r■ r 16 (' 1 ` City of Arlington Building Dept PUBLIC WORKS CHECKLIST PERMIT _ DATE ! o LEGAL �31 0 ,�7- 0/ X O(� 7 Plat Lot Tax ID# NAME ADDRESS 0 / / A L- V BUILDING USE (_ . # of BUILDING UNITS Existing Required Signature Date Water Meter Fire Hydrantr Side Sewer Permit Monitoring Manhole Cross-Connection Control Sewer: Off site On site P Iti VE O Water: Off site Sf P 5 znoo On site C/ry n,- _ ..,-,yRONG70/v Pretreatment Discharge Permit Water/Sewer Fees Date received Date Yellow returned Date Pink returned f '�' I, r' � v _ _ I I I • - - � I - I I I _ I I II _ I I I + � I I I 1 I _ I II I I I I _ � I I _ 1 I I 1 I I I _. I I 1 11 L I 1 I 1 I 1 I I _ I I I I I 'y _II I I I I � � - ' - I I - I _ I • T a a L I 1,_i �• .. �] I •-, -.4 City of Arlington Building Dept PUBLIC WORKS CHECKLIST PERMIT — DATE LEGAL 17 3/OS7-/ Plat Lot Tax ID# NAME ADDRESS VJO BUILDING USE , # of BUILDING UNITS Existing Required Signature Date Water Meter Fire Hydrant Side Sewer Permit Monitoring Manhole Cross-Connection Control Sewer: Off site On site Water: Off site On site Pretreatment Discharge Permit Water/Sewer Fees Date received Date Yellow returned Date Pink returned I i i i' n _ I ' a i - I CITY OF ARLINGTON CONSTRUCTION PERMIT ��— ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE 3�'/''c'/ ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 9 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ i 'IL1/141 PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 3 CLASS OF WORK CO❑NLW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLI IION ❑BUILDING RELOCATION Q VALUATION OF WORK Z Suj Lu DESCRIBE WORK m PROPOSE D USE Of BUILDING CAI ��rU 7-��,�� y / I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- ? LLG.0 uEsc RIP)ION of PROPERTY(SHOWN BELOW OR AT Tnal FOUR coP1Es1 SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LUr BLOCK - OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO r 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 CONSTRUCTION. PERMIT EXPIRES 1 YEAR F. M DATE OF ISSUANCE. O - SIGNATURE OF CON T R OR A �B'nG ATE V IOB ADDRESS YQ �' .��o�y �T ��-v�� icy � x ��- (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE a's FIXTURES NO. TYPE OF EQUIPMENT FEE :'s FIXTURES ATER CLOSET TOILET IR COND.UNITS—H.P. EA tip.list'• pTHTUfg ZEFRIGERATION UNITS—H.P.EA tip.list** VATORY ASH BASIN 0H ERS—H.P.EA. ti .list" HOWER jAS FIRED A.C.UNITS—TONNAGE EA. 3qtip.list•• TCHEN SINK dt DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA 31 HWASHER ALL HEATERS—B.T.U. M AUNDRY TRAY JNIT HEATERS—B.T.U. M —CLOTHES WASHER IVAPORATIVECOOLERS WATER HEATER CLOTHES DRYERS RINAL VENTILATION FAN RINKING FOUNTAIN RANGE HOOD COMMERCIAL LOOR DRAIN WR HANDLING UNIT— CPM ACUUM BREAKERS OVE OOP DRAINS—RAINLEADERS VIETAL FIREPLACE&CHIMNEY INK(SERVICE—BAR,ETC.) WATER HEATER AS PIPING *(up to 5=$3.00,addol.=$35 ui meot list must be rovided SUB TOTAL SUB TOTAL PER PERMIT TOTAL FEE TOTAL FEE SIDI.YARD SE 1 BACK STRLLI SL I BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE' LOT ARLA VACANT SITE /� r1 1\01\ ❑YES ❑NO FEES VALUATION FEE TYPE OF CONSI OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG SILL 0f BLDG. NO,OF STORIES MAX.000.LOAD BUTDING s PLUMBING I IRE SPRINKLERS REQUIRED ❑YES ❑NO MECIOANICAL COMMENTS STATE BLDG.CODE 4 L v C ENERGY CODE SURCHARGE V) REC L PENALTY U.B.C. ' SEC.303(a) ,n U yl NOV 17 1999 WATER/SEWER FEES /•� III f/ TOTAL OF ARLINGTON PERMIT VALIDATION WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT PAID CR# BY cc:ASSESSOR.APPLICANT,TREASURER. BLDG. DEPT. BUILDING OFFICIAL DATE RECORDS COPY CITY OF ARLING,TON CONSTRUCTION PERMIT no❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING f j OWNER ❑ SIGN PERMIT NO. �04 i9'L`7 MAIL ADDRESS Lily II► ONONE y t ,/ �%� 47w� y Zs ARCNIiECTORDESIGNER /t /iC�IVI�T� �(7�? - 2S'O. 77C- ,p MAIL AO SS CITY ti / / I�/11Afjfi16AO 2-b ��GQ. 11► PHONE EN RAl C RA U /� C^�/P� ��;2o/MAIL ADDRESS CI1Y 6 ZIP 0{IONE UC NSE/ MECHANICAL CONTRACTOR MAIL ADDRESS � CITY � Llr PHONE LICENSE/ PLUMB ING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 3 CLASS OF WORK S0❑NLW ❑AUDITION TERATION ❑REPAIR ❑UEMOLI I ION ❑BUILDING RELOCATION VALUAI IONOF WORK ' Al OLSCRIBE WURK ►RUPUS!U USE DF BUILDING u G e-/�-/ L GI=��e� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- LlGnl UES(RI/IIUNUI PROPERTY(SHOWN BELOW UR AIIACH FVUR COPIES) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- J l(1I RIIX K OF ,5'�C f T<f /mot,r/✓ SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK _ WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE u -2 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 j G ¢Q ��«� »,✓ �� dj' CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 1 IOBAUURLGS SIGNATU RERACTORORAUTHORIZED E T DATE I (OPPICB USII ONLY) X - C/ -// PLUMBING BCI INi1CAL NO. TYPE OF PIX7'URE PER a's PIXTURES NO. TYPE O PMtT17 A7ER CLOSEt TOILET FBE :'�FIXTUILES 37,00 IR COND.UNITS-II.P. Fib, E1, 11114. ATITTVB f7.00 FPRtOPRATION UNITS VWEP ASII BASIN $7,00 OR ER9- I{OWER $7.00 AS FIRED - TCHEN SINK bISPOSAL $7.00 ORCIRD Al - ISIIWASHEiR UNDRY TRAY ALL HEA' S7.00 NIT IIEA1 - iAITIESSq+ASHER $7.00 VAPOFAI / - ATER IIEATFR $7.00 LOTIIES R I NAL $7.00 ENTI LAT (/ RlPTICINO FOUNTAIN $7.00 ANOB TIC LOOR DRAIN $7.00AffrALFII IR HAND U / ✓ AC UM BREAKERS 7.00LOVE N� OOP DRAINS-RN $ NLEADERS 7.00 �_ SINK ERVICB-BAR,EfPC.) 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