HomeMy WebLinkAbout111 S STILLAGUAMISH AVE_993860_2026 INSPECTION REPORT-
Permit Lot#:
• I
Address: 1 l�
Contractor: S
Owner:
Date: a' -7
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.
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 = `Final
❑ Masonry ❑ Drainage Insulation
❑ Other:
INSPECTION REPORT
Permit No.: — Lot#:
Address:
Contractor:
Owner: ' /C zi,4�
Date:
�a" HPPROVAL ❑ 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: aO '
E OF 7NF
PECTION REQUESTED
❑ Under-floor rming ❑ Gas Piping
❑ Footing Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
G I YV OF ARL I NOYON
CONS-r RUC-r I Ohl PE RM I T
PERMIT CVO- 99—Za&O
Owner: RUSSELL, ,JOEL 2412E 19TH AVE NE ARLINGTON 98223
Value of Mork: $29000.00 Tax ID: 5412-000-004-0007 Phone: 350-403-0438
Describe Mork: CONVERT EXISTING RESIDENCE TO DUPLEX
Proposed Use: SFR2
Legal Description:
f Job Address: III S. STILLAGUAMISH
Contractor' s Name Type Address License#
STEVE BAKER CONSTRUCTION & REPA G 316 CLARA 5T BpF:ERCR073fK
P E R M I T F E E S
i
Equipment and Fixtures Number Fee Total Charge '
---------------------- --- -- - -- - ------ -------- --------- -
h PLUMBING FIXTURES 1 $7.00 $7.00
-- 7 SUBTOTAL...... $7.00
f
TOTALS Fee
Permit Fee $62.25
Fixture $7.00
Plan Fee $40.46
PlumbState fee $4. 50
State fee �4.50
SIGNATURE:
TOTAL FEE. . . . . . . . . . . . . . .- - . $139.21 I HEREBY ilF`f THAT I HAVE READ
AND EXAM D THIS APPLICATION AND
PAYMENTS...... ............d0.0 KNOW THE H-ME TO BE TRUE AND COR—
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE................. $139.21 ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPETE WITH NETHER
SPECIFIED H-E i + N T.
=;TE RECEIPT #
_ n Dl BUILDING OFFICIAL
J
CITY OF ARLINGTON
CONSTRUCTION
PERMIT -
COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO
j OWNER MAIL ADDRESS CITY Zip PHONE
ARCHITECT OR DESIGNER MAIL AUDRESS CITY ZIP PHONE
'KLslt C ! r � -I t,L'[i�,�Grtr��t &V07�V "I : 3
GENERAL CONTRACTORMAIL ADDRESS CITY ZIP PHONE LICENSE r
i5;_rzFV5_: �°4KEP� �/NFaTY �f�GlgK 07_--FMfc
MLCHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PRONE LICENSE IT
CLASS OF WORK
❑C
Nt W ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLI(ION ❑BUILDING RELOCATION
C AT ION OF WORK
> z,062�)
DESCRIBE WORK GO/V V' �7C �T/i C! r�� L�j r,11 11,Y ���= Fi IV
�' v rr' vn r b tt✓ ��- �vvE�4 66S WY 17.
PRUPOSt D USE OF BUILDING �`N�, £ � �y ���f f�71G�J
iTi ✓f/ IfTIEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
u �f-��� TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
E LEGAL 0LSCRIPt1ON OI PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J
J LU1�_BLLX:K�t � WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
q GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
L VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
07 LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
TAX ID NUMBER FROM PROPERTY TAX STATEMENT
/ CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
Ave-,
SIGNATURE OF j CONTRACTORgO"UTHORIIIZZEEJD AGENT DATE IOBADDRESS /GI'/ YlL%lwL� 1� l7
t
(OPPICE USB ONLY)
PLUMBING ECI IANICAL
NO. TYPE OP PIXFURE PEE :i FIXTURES NO. TYPE OF EQUIPMENT PER s's PIXTURIS
ATERCLOSU TOILET 1RCOND.UNITS—ILP. EA to .lit"
ATIITUB 1'RRIGPRATION UNITS—H.P.EA. W .list**
AVAT'ORY(WASII BASIN) )OILERS—II.P.EA. ? ul .lid*'
— MOWER ASPIIEEUA.C.UNFI'S-TONNAGEEA. ! ui .lit••
ITCHEN SINK&DISPOSAL `IORCED AIR SYSTEMS-B:r.U. MEA
1SIIWASIiRR NALL IIEATERS—B.T.U. M
UNDRY TRAY J NIT IIEATERS—B.T.U. M
LOTHES WASHER IVAPORATIVECOOLERS
NATO II PAT ER LOTHPS DRYERS
RINAL VENTILATION PAN
KINKING POUNTAIN FIR
E HOOD COMMERCIAL
FLOOR DRAIN ANDLING UNIT— CPM
ACUUM BREAKERS EOOP DRAINS—RAINLPADERS L FIREPLACE&.CHIMNEY
INK SERVICE—BAR,017C. R HEER
IPING '(up to S m$3.00,addol._5.75
—Equipment list must be providcd
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTAL PEE TOTAL PEE
SIUL YARD SLIBACK SFRLL1SLIBACK REAR YARD SETBACK PLAN CIIECK NUMBE R
PLAN CHECK FEE
USE/UNi LOT AREA VACANT SITE
El YES ❑NO FEES VALUATION FEE
TYPL OF CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
SIZE UI BLUG. NO.OF STORIES MAX-OCC.LOAD BUILDING
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
U.B.C.
PENALTY SEC.303(+)
WATERISEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT 6 RECEIPT
PAID CRII BY
T�-
BUILDING OFFICIAL OATS
cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEFT, RECORDS COPY
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