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HomeMy WebLinkAbout17923 Country Club Dr_BLD931166_2025 (3) Permit No. / City of Arlington OTICE and Inspe.won Report Date Called P Address i' Time Called Contractor/Owner tj o a V\ By,L Requested by TYPE OF • REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GIN ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation -,'��,Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other �ROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. PPWork listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required. Inspector Date ��/% '`�/ � )Permit No. City of Arlington NOTICE and Inspe,..on Report l�� 34 _ Date Called Address Time Calle Contractor/Owner By Requested by TYPE OF ❑ Setback ❑ Reroof Insulation ❑ Plumb GW ❑ Roof Diaphragm Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough•In Plumbing ❑ Reinspection El Shear Wall ❑ Furnace �ther� APPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required. Inspector Date G"! v Permit No. A e__ - / City of Arlington NOTICE and Inspe"n Report -3y - Date Called Address Time C I Contractor/Owner g Requested by _ L TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing :[F raming ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other APPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required. Inspector Date .( \ " City of Arl s ngton Permit No. ��TICE and Inspection/Report Date Called Address Time Called 3 Contractor/Owner Byj Requested bTYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab h-ln Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other -_APPROVAL ❑ CORRECTION REQUIRED �Work tions listed below MUST BE MADE before work can be approved. isted below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required. Inspector Date Permit No. City of Arling*on / NOTICE cmd Inspection heport Date Called (� Address I �/— Time C Ile{d� �ti ContractoNOwno By \ Requested by TYPE OF • ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove Foundation ❑ Drywall Nailing ❑ Final ,❑ \Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other APPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required. n g t_ Inspector allQ A Date 1 `� Permit No. / / City of Arlington MICE and Inspection-_,sport Date Called Address /� LkhEXr i Time Cal d Contractor/Owner By Requested by TYPE OF ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other— APPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required. lei Ss u K,X Inspector Date T Scale: 1" =20' SD = Storm Drain W =Watir Line .. SS = Sanitary Sewer DS =Roof Drain Down Spout i = Storm Drain Catch Basin ^'> = Surface Water Flow Direction GB = Grade Break I d o- d 0 I I a M D�� P hose 3 10 I � J PLAN 9027 .o i s Sri` . Co. I � d S Z -so I+ cor[feic i �L5 • N 00• S 1 N► ' GOC�i�!?Tz Y GL!J� D211/4E I a ' 20' RECF-'vt LOT 34 JUL 2 9. 1993 PLOT PLAN CITY©FARLINGTOIV CITY OF ARLINGTON CONSTRUCTION PERMIT �� _ �166 ❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE Brandel Construction Corp 770.3 233rd P1 SW- Edmonds 98026 775-7594 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE Thom Naumann 168-15 116th St. SE Snohomish 98290 568-4888 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N same as owner gp,A NDi2*2Q D1 MECHANICAL CONTRACTOR MAIL ADDRESS CITY zip PHONE LICENSE# PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE CLASS OF WORK NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI[ION []BUILDING RELOCATION VALUATION OF WORK f 127 F929 DESCRIBE WORK new construction PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- SFR AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LEGAL DES(RIPT ION OF PROPERTY(SHOWN BELOW OR ATTACH fOURCOPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOT 34 BLOCK OF $leneagle 2B ITT WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE. SIGN E OF CONTRACTOR OR AUT O D AGENT DATE FOB AOURI SS r q 179.23 Country Club Dr. X (OFFICE USE ONLY) MECHANICAL PLUMBING NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) 21. 00 AIR COND- UNITS - H P. EA BAI[IIUB la no REFRIGERATION UNITS-HP EA 3 LAVATORY (WASH BASIN) BOILERS - H.P.EA 2 SHOWER I nn GAS FIRED A.C.UNITS-TONNAGE EA. KI ICHLN SINK & DISP. nn. 1 FORCED AIR SYSTEMS- B-T_U MEA DISHWASHER WALL HEATERS- B.T,U. M LAUNDRY T RAY UNI l HEATERS- B.T U. M JL CLOTHES WASHER 00 EVAPORATIVECOOLERS "'A1 ER HEATER CLOTHES DRYERS 6, 5.0 URINAL A VENTILATICN FAN 1 no DRINKING FOUNIAIN RANGE HOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS 1 STOVE E50 ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY 50 SINK (SERVICE - BAR,ETC.) WATER HEATER 50 GAS PIPING I no SUBTOTAL f 10 00 SUBTOTAL $1 56 100 PERMIT S15 0 PERMIT $1 15 100 TOTAL FEE f 120 TOTAL FEE $1 71 100 SIDE YARD SLIBACK S[RLETSLTBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE 8/10 22. 6 49 7/29/93 FEE 50 RECEIPT NO. USF/ONE LOT AREA VACANT SITE 28137 R7200 10,f 333 [3YES ❑NO FEES VALUATION FEE TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG VN R3 & M 1 BUILDING is 695 50 SIZE OF BLDG NO,OF STORIES MAX.000 LOAD 2954 1 8 PLUMBING 120 00 F IRE SPRINKLERS REQUIRED ❑YES �10 MECHANICAL 71 0 0 COMMENTS STATE BLDG.CODE 4 150 ENERGY CODE SURCHARGE U.B.C. 15 00 PENALTY SEC.303(a) WATEWSEWER FEES 3100 00 TOTAL 40 0 6 00 PAID Plan 9027 PERMIT VALIDATION ,y ,{ �03,� WHEN P Y VALI TED (IN THIS SPACE)THIS IS YOUR P IT b RECEIPT UG `l PAID a CRitt �' oY <G O vICIAL DATE cc: ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. RECORDS COPY CITY OF ARLINGTON • CONSTRUCTION PERMIT � ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT N0. (2 OWNER MAIL ADrD7RESSr CITY c ZIP PHONE ( a%N-wfl-k 1801;(^ 775,- 7' tits ARCHITECT OR DESIGNER WAIL ADDRESS 1 CITY ZIP PHONE I V'�C\1� N Q•-ll\\�C,l`C�11 ��i�r � - ��r+-1� �+ �'�-' � .C �{a S C� `` - 7 (1 �`�' GENERAL CONT RACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 7703 - r\,LfL -775 - 7'" R•AN)b c-,v( � 1 MECHANICAL CONTRACTOR MAIL ADDRESS CITY LIP PHONE L� ICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PIIONE LICENSE III CLASS OF WORK 11NI W (3 AUUI IION ❑ALTERATION ❑REPAIR ❑UEMULI I ION ❑BUILDING RELOCATION VALUATION OF WORK I 1a7, '?-a`) DESCRIBE WORK SFV� ►RUPOSI O USE Of BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- t EGAL OUR RIPIIUN OI PROPLRIY(SHOWN RF.LOW UR AI TALII 1(XIR CWIIS) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK I0Iy4 RL(X.K Or !x F ^u= j WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION.PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTFK)RIZED AGENT DATE IOB AUURI SS (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WAILR CLOSEI (TOILET) AIR COND.UNITS --H.P.EA. BA I II I UB REF RIGERAI ION LINT IS-H.P.LA. ?i LAVATORY (WASH BASIN) j BOILERS-- H.P.EA SIIOWLR / GAS FIRED A.C.UNITS- TONNAGE EA. KI If.IILN SINK 6 UISP. / FORCED AIR SYSTEMS- B.T.U. MEA DISIIWASIILR 7 WALL HEATERS- B.T.U. M LAUNDRY TRAY UNIT HEATERS-B.T.U. M CLOIIILS WASIILR 7 EVAPORAI IVE COOLERS WATERIILATLR / CLOTHES DRYERS URINAL ¢ VLNTILATICN FAN DRINKING FOUNTAIN RANGE HOOD COMMERCIAL I LOUR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS / STOVE R(X)r DRAINS - RAINLLAUERS J METAL FIREPLACE&CHIMNEY t] SINk ISERVICL - BAR,E IC.) / WATER HEATER 'D 4 GAS PIPING Dc'7 SUB TOTAL I l� SUBTOTAL f r � PERMIT f ! PERMIT 3 TOTALFEE S J1-2 Q TOTAL FEE f 0 SIUI- •N SE 1 BALK S T REL I SE I BACK REAR YA D 1 BACK PLAN CHECK NUMBER PLAN CHECK F E �` �`�� FEE RECEIPT��/�� VS I F LOT AREA (� VACANTSITE vj} YES ❑NO FEES VALUATION FEE J 111PE OF CONS I. OCCUP NCYGROUP NO.OF DWELLING UNITS PUN CHECKING VG V N �3 4- 'V \ i I BUILDING SILL 01 BLOC. NO.Of SIURILS MAX.OCC.LOAD p� �C-• PLUMBING /✓�� r IRE SPRINKLERS REQUIRED [:]YES ❑NO MECIiANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE RECEIVED L U.B.C. `�- fr 1� �l I R 6'�1 SEC.303(a) ( JUL 2 9 19% WATER/SEWERFEES TOTAL -'ITV nC AInln_,-o m PERMIT VALIDATION WHEN PROPERLY VALIDATED RN THIS SPACE)THIS IS YOUR PERMR 6 R*cW PAID CRII BY cc!ASSESSOR,APPLICANT,TREASURER,BLDG. DEPT BUILDING OFFICIAL DATE RECORDS COPY