HomeMy WebLinkAbout17914 31ST DR NE_BLD20110029_2026 .IF \
Z `°z'P"`
BUILDING INSPECTION REPORT
01Y p� Permit No.
Address: I��I�I / StDr.
r Goo Contractor: r � Aq
N Cj
Owner: Re_►xcz_o,_ pty l
Date: ---
APPROVAL PARTIAL APPROVAL
�® VIOLATION CORRECTION REQUEST
Corrections listed below MUST BE MADE before work can be approved
Please contact inspector
Was not able to perform inspection
Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before
.' ¢ 6r111 iLz_� l
i
e
Inspector: Date:
® 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:
OAT-28-2010 23:42 FROM: T^',13604033418 P.1'1
AS
CITY CIF ARLINGTON
238 N.OLYMPIC AVE,-ARLINGTON,WA.90223
PHONE;.(360)403.3421
BUILD.MG PtRM[T
Add ress:17914 31ST DR,ARL.ING'J'ON Permit#.-IRLD20110029
Parcel#:00621300003600 Valuation:$3,000.00
OW1NIER APPLICANT CONTRtACTOR
RFMCCA CAMPBELL PARAGON HEATING PARAGON HEATING
179 t4 31 ST OR NL 4(10 RV131xL KEEN W AY 117 4610 EVF.RORFEN WAY 07
ART,.INGToN,WA 98223. C'VrRLTf,WA 98203- RVI31107T,WA 98203-
Uc 1f'PAItAOHA9MA Exp;111144012
T'Lyl%WNGCONTRAC OR MECKAINI"CALCONTMtAb'OR
PARAGON 11EA'1"ING
4610 EV131 OKLIEN WAY 01
EVr.Rr%T,WA 99203-
Lic 11_ Exp Lie 4:PARAGIIA964MA Exp:1 IJ1412012
JOB bEsckrve'.16N.
Retro Fit of Gas Furnance
PERMITTYPE: Rcaidcntial p1'kMCTCTtO1�T': MrchonicgUSolar
STOttIliS- 0 CONST YFE;
TSWEILING UNITE: 0 OCC GROUP:
CODE: OCC MAD
PERMIT APPROVAL
I AORI?H TO COMPLY WITH CITY AND STATE;LAWS R'GULAT1N(i CONSTRUCITON AND IN DOING-THE WORK AtrMORIZED 17119Rfi13Y,NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE IAROR CODE OF THR STATE OF WASHINUR N RW ATTNG TO WORKMI3N'S
COMPCNSATION INSURANCE AND RCW 18.27
THIS APPLICATION IS NOT A PF RMIT UNTIL SIGNED BY TF14 FTUT1,T)[Nr,,prFICIAI.OR HIS/I•IrUt DISPUTY AND ALL M- U Au PAM.,
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A
CERTIFIC:A'I'N Oil OCCUPANCY HA3 wwMN GRANTED IBC 110/IRC t 10..
SALES TAX NOTICE:Sala&tax relating to ennotmetion and construction materinls in the City of Arlington must be reported on your sales tax return form and
ended Ciry of Arligton 0101
a"vlaloe -lb�L
Signa r Pdnl Name Date Re1688ad By e
ARCAIf.'V..E = Al"JI-LICANT ASSESSOR =OTHER
r- n
t:
f
CITY OF ARLINGTON
` 238 N. OLYMPIC AVE.-ARLINGTON,WA. 98223
PHONE: (360)403-3421
BUILDING PERMIT
Address: 17914 31ST DR,ARLINGTON Permit#:BLD20110029
Parcel#: 00621300003600 Valuation:$3,000.00
OWNER APPLICANT CONTRACTOR
REBECCA CAMPBELL PARAGON HEATING PARAGON HEATING
17914 31ST DR NE 4610 EVERGREEN WAY 47 4610 EVERGREEN WAY#7
ARLINGTON,WA 98223- EVERETT,WA 98203- EVERETT,WA 98203-
Lie 4:PARAGHA9649A Exp: H/14/2012
PLUMBING CONTRACTOR MECHANICAL CONTRACTOR
PARAGON HEATING
4610 EVERGREEN WAY#7
EVERETT,WA 98203-
Lic#: Exp: Lic#:PARAGHA9648A Exp: 11/14/2012
JOB DESCRIPTION
Retro Fit of Gas Furnance
PERMIT TYPE: Residential PERMIT GROUP: Mechanical/Solar
STORIES: 0 CONST TYPE:
DWELLING UNITS: 0 OCC GROUP:
CODE: OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMENS
COMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A
CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.IBC 10/1RC110.
SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and
coded City of Arlington#3101. d,
Signature Print Name Date Released By D e
61
ARCHIVE APPLICANT Q ASSESSOR = OTHER
I
BLD20110029
CONDITIONS
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE
PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
• None
PERMIT FEES
Date Description Fee Amount 1'aid Balance Due
3/10/2011 Mechanical Permit Fee(QW: 1.00) $50.00 $0.00 $50.00
Total Due: $50.00 $0.00 $50.00
CALL FOR INSPECTIONS
BUILDING/ENGINEER.ING/PARKS/UTILITIES/FINAL(360)435-0674
FIRE(360)403-3607
When calling for an inspection please leave the following information, Permit Number,Job Site Address,Type of Inspection
being requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon.
• None
a'
I
I
I
RESIDENTIAL MECHANICAL
PERMIT APPLICATION
Department of Community Development
City of Artington-238 N Olympic Ave.-Arlington,WA 98223•phone(360)403 3551 •FAX(360)403 3447
THIS APPUCA77ON MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION ORA WNQS,.TWO(2)SETS
OF SPECIFICATION SHEETS AND TWO(2)SETS OF WASHINGTON STATE ENERGY CODE(If applicable).
Projed Valuation; t3C Lvst
Project Address;-0�91 y ; GI—nc 'V f— Parcel lD* (42a,S d ' ----
Lot 0. S
u
bdivision:
owner: bP r-ca Ca mOloq 11 Phone Number. Z60-Md.'Q VA
Address: � `�l L1 '�t4'- flr )U �„ CittrAlrl� �• _w^tate:(-AJP Zip Code: 9 kQ23
Caa'rwct P*r**n:2 t:WL7_\ ,-W 42. nC Ir'� Phone Number ,;� ,_-l_�3-
Cell Phone: Fax' `1 �' S�-1�� E-mail: _ �{l�t l;r�a 09liQ1, C v
Address: �(�P.I1 �4�Qc,,(,rja� City. F--"L+ State.Lil — Zip Code: 4h�os
Pleaso List quantity of fixtures Below,
CLOT IES DRYER FURNACE UP TO 100K BTU � GAS OUTLETS
FURNACE OVER 100K 1=1.4.FURN INSTAUJRF_LOCAT8 �. SUSPCNOCO HT"NIT HYR1
APPL VENT/OTHER APPLIANCE REPAIR BOILER UP TO 3 HP
BOILER UP TO 4-15 HP BOLIER UP TO 1ft-330 HP BOILER UP TO 31-50 HP
BOILER 51 HP AND UP AIR AHNOLING UP TO 10K GFM AIRHANDLING OVER 1OK CFM
EVAL COOLER VENTILATION-FANS OTHER VCNTILATION SYSTEM
VENT HOOP DOMESTIC INCINERATOR COWIND INCINERATOR
ALL OTHER UNITS FREEVANDING STOVE FIREPLACE INSERT
Contractor: �1? �CPr��in � Rhone Number:.r _ a:_(9K9 -
Address: L-C,/O eyzjfa,, •r' &L&'7 CRY:JQde. State; Ll_),4 Zip C e:
Contractor's License Number s-� Expiration: ` `��
I hereby a ertit'y that the above inbrmatlon Is correct and that the Construction on. and the occupen4 and the use of the above-
do s bed property will be in accordance with the lam.rules and regulation of the Stalato of Washington.
0
&9A� 1 -1
plicants Signature Date
22
r_ rint Appllcants Name q�
#yi7taJ tir1 CIC*PA—
RECEIVED
FOR STAFF USE ONL V
CO A PERMIT CENTER
Permmit Its ACColptied Sy Amount Rewlved Recalpt* Oft Rmlvw
WE9 Fomn9.139 Page 1 of 1 (WOO arb
T/T'd 8Tb22Ot7O9ZT:Oi :W0dJ 20:T2 OT02-88-190
}
VI
f
"nip
�I
OCT-15-2010 01:50 FROM: 71�3604033447 P.1/1
RESIDENTIAL MECHANICAL
w PERMIT APPLICATION
Department of Community Development
City of Arlington•236 N Olympic Ave. •Arlington,WA 98223-Phone(380)403 3551 *FAX(360)403 3447
THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS, TYVO(2)SETS
OF SPECIFICATION SHEETS AND TWO(2)SErS Of WASHINGTON STAIT LeNERGY CODE(If applicablo)-
Project Valuation: _
ProjoekAddress: � _KV U Of ---- Parcel lDi/:
Lot#-. Subdivision ---
Project Description:
Owner. b l Phone Number: `a�fa A S Stl 1
Addre55. ID L`7 t A)F- city: p
�'(- �n- State: Zip Code: ,
Contact Pomon: G Phone Number:
Cell Phone: Fax: E-mail: r,
Address: — City; State° Zip Code:
Please Llat quantity of fixtures Below,
CLOTHES DRYCR 1. .. FURNACE UP TO 100K STU GAS OUTLETS
FURNACE OVER 100K FLR FURN INSTALLIRELOCATE SUSPENDED HTRIUNIT HTR1
APPL VENT/OTHER APPLIANCE REPAIR 130ILF-R UP TO 3 HP
BOILER UP TO 4-15 HP BOLIER UP TO 16-30 HP B014ER UP TO 31-50 HP
BOILER 51 HP AND UP AIR AHND41NG UP TO 10K CFM AIRMANOLING OVER 10K CFM
EVAL COOLER VENTILATION FANS OTHER VENTILATION SYSTEM
Tom_ VENT HOOD DOMESTIC INCINERATOR COMIIND INCINERATOR
ALL OTHER UNITS FREESTANDING STOVE //FIREPLACE INSERT
Contractor: Phone Number:
Address: 10 V Q I—La2&t4-- City, V State: Zip Code; �� Q
ContraCtOr's LiCense Number: � �^�a��4�t Expiration.,
I hereby certify that the above information is correct and that the Construction on, and the OCCupency and the use of the above.
deacri ed property will be I cc ordanc a wi the laws,rules end regulation of the State of Washington.
A icantr>Sig iture Date
PrW Applicants Name
FOR STAFF USE ONLY
Permits Accepted By Amount Received Receipt A Data Received
WEB Forms-139 Page 1 of 1 04108 sb
1 -