HomeMy WebLinkAbout17819 Country Club Dr_BLD941416_2025 r City of Ar' ngton
NOTICE and Inspection Report
Permit No. Legal
Date Called Address Cc� / tjAzvj
Time Called f Contractor/Owner ";
By Requested by
TYPE OF •
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing oral
❑ Foundation ❑ Roughin Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
� �ROVAL ❑ CORRECTION REQUIRED
❑ Correcticns 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 no required.
Inspect Date ` � ZZ✓�
City of Arlington
Permit No- f « NOTICE and Insa_-ction Report
Date Called 1� Address
Time Called Contractor/Owner
By Requested by
• • •
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing Framing ❑ Woodstove
❑ Foundation rywall 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.
S6
Inspector Date G J
�, j� City of Arlington
Permit"°. _ NOTICE and Insj-fiction Report
i �
ate Cal / Address
Time Called Contractor/Owne '
By _ 7 ' Requested by
TYPE OF • REQUESTED
❑ 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 RRECTION REQUIRED
rections listed below MUST BE MADE before work can be approved
Q Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required.
Inspector Date J ✓�
City of Arlington
Permit No. _ NOTICE and Ina ction Report
09 17
V
Date Called Address �
C�-C J
Time Called � Contractor/Owner
By Requested by
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing
( ! �raming ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑] Final
❑ Concrete Slab ❑ Rough-In Plumbing (✓% einspection
❑ Shear Wall ❑ Furnace \❑ Other_.
APPROVAL CORRECTION REQUIRED
or `ed 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.
l
Date
Inspector
��y �.
�,-Z City of Arlington
Permit Nf� NOTICE and Insiation Report
Date Called G Address
Time Called Contractor/Owner
By Requested by
TYPE OF • REQUESTED
❑ 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
[��ections 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
Permit No. City of Arlington
NOTICE and Insj_ztion Report
Date Called Address
Time Called Contractor/Owner
By Requested by
TYPE OF • REQUESTED
❑ 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.
V
Inspector Date ��
City of Arlington
Permit No. `J NOTICE cnd Inspection Re,--.,rt
Z;?X4 I,*>
Date Called Address
Time Called Contractor/Owner
By Requested by
TYPE OF • REQUESTED
❑ 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 oticerequired.
t
Inspector Date
1- , City of Arlington
Permit No. - —
NOTICE and Inspection RL. .jrt
Date Called ell Address
/ r
Time Called /y 3v Contractor/Owner
By Requested by J w�
TYPE OF • REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm CK
Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing �❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ' ,J Reinspection /
Shear Wall ❑ Furnace A Other ��f
APPROVAL � C�ORREC�TIONREQUIRED
❑ 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.
S
Inspector Date 2—
Permit No. City of Arlington
—
�3 NOTICE and Inspection Rt.,..irt
Date Called '/ Address / w
JOr �
Time Called �n '3 Contractor/Owner
By Requested by �� 31
TYPE OF •
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm KGas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace Other e
❑ APPROVAL CORRECTION REQUIRED
PdCorrections 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
Permit No. City of Arlington
—
NOTICE and Inspection Re._ort
DaPeCafled /CW
Address �O /7 `��
Time Called - Contractor/Owner 1
By Requestedv
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.
IX<ork listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required.
Inspector Date
Permit No. City of Arlington
—
NOTICE andInspection Rt.. ort
Date Called Address /Z0�5,7 6�
Time Called c�� ContractorlOwner .0 Q
By Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing A< Reinspection
Shear Wall ❑ Furnace ❑ Other
V_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 v 1
Permit No. City of Arlington
NOTICE card Inspection Rt.:ort
Date Called Address
Time Called �� Contractor/Owner
By Requested by�
TYPE OF • REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-ln 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.
U d
Inspector Date /!/�/
Permit No. City of Arlington
OTICE and Inspection Repo. -
Date Called �Wdress
Time Called Contractor/Owner
By Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Re o ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
undationll—)� ❑ 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.
rk listed below has been inspected and approved.
❑ CALL 438-0724 FOR REINSPECTION-24 hour ice required.
Inspector Date ✓"
Permit No. City of Arlington
NOTICE and Inspection Repo.
Z 2
Date Called /�_, dress
Time Called`` 4ZLi I( ContractodOwnor
By �.J\ Requested b ,± AA4
TYPE OF INSPECT1,0N REOUESTED
❑ 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
PPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ CA "724 FOR REINSPECTION-24 hour noti r quired.
Inspector l Date `J
I 1 I _•I I , J 1_!I'I L
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CITY OF ARLINGTON
CONSTRUCTION
PERMIT
1416
❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT NO.
OWNER MAIL ADDRESS CITY ZIP PHONE
Contempra Homes Tnc 4208 198th St SW Lynnwood 98036 774-3900
ARCH ITECTOR DESIGNER MAIL ADDRESS CITY ZIP PHONE
Nash Jones & Assoc 8275 166th NE Redmond 98052 867-1156
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
Contempra Homes Inc 4208 198th. St SW #208 Lynnwood 98036 774-3900
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
THE Mechanical 7312 67th St NE Marysville 98270 6.59-5606 THEMEL*147R4
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF
William Adams Tnc 18326 48th Ave W' Lynnwood 98037 776-8627 WTLLIAI144L7
CLASS OF WORK
[2NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION []BUILDING RELOCATION
VALUATION OF WORK
f 230., 000.
DESCRIBE WORK
new construction
PROPOSED USE OF BUILDING
Sk'R I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DEt(-RIPIION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT
39 BLOCKOF
Gleneagle 2 B Sec 3 WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO
VIOLAT CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER ALLAW NG CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCT( P MIT XPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OFCO T CT RA 'HORIZEDAGENT DATE
108 ADDR(SS
17819 Country Club. Dx, X
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO V TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILEI) 14 UILIAIR COND UNITS -H P EA
BAIH1Ug REFRIGERATION UNITS - H P EA
4 LAVATORY (WASH BASIN) 28 00 BOILERS - H,P, EA _
1 SHOW'LR 7 00 1 GAS FIRED A.0 UNITS - TONNAGE EA. 9100
1 KI ICHLN SINK& DISP. 7 001 FORCED AIR SYSTEMS- B-T.0 MEA
DISHWASHER 7 00 WALL HEATERS- B,T U M
LAUNDRY T RAY UNI1 HEATERS- B_T U M
CLOIIiLS WASHER 7EVAPORAT IVE COOLERS
WA LR HEATER CLOTHES DRYERS b
URINAL 3 VENTILATICN FAN 13 5
DRINKING FOUN IAIN RANGE HOOD COMMERCIAL _
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR, ETC) WATER HEATER
GAS PIPING
SUBTOTAL f SUB TOTAL f
PERMIT f 1 9. 0 PERMIT $
TOTAL FEE $ 12 Q TOTAL FEE f
SIDE YARD SE IBACK STRELT SETBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE
FEE RECEIPT NO
USE /ONI LOT AREA VACANT SITE 4/4/94 711. 43 29154
R7200 11,722 ®YES []NO FEES VALUATION FEE
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
VN R3 & M 1 1094 50
BU'LDING f
SIZE OF BLDG NO.OF STORILS MAX.000.LOAD
3 014 1 8 PLUMBING 120 00
F IRE SPRINKLERS REQUIRED 66 50
❑YES ®NO MECHANICAL
COMMENTS STATE BLDG.CODE 4 50
ENERGY CODE SURCHARGE
Plan # Camlin 3 PAID REMMR(x Radon kit x& 15 00
WATER/SEWER FEES 3100, 00
4400 50
TOTAL
PERMIT VALIDATION
WHEN PROPE LIOA D (IN THIS SPACE) THIS IS YOUR PER,, RECEIPT
PAID R# Z j(S� B
i
jx/
cc: ASSESSOR,APPLICANT, TREASURER, BLDG DEPT BUILD•GOFFICIAL DATE
RECORDS COPY
' CITY OF ARLINGTON
CONSTRUCTION
/
PERMIT
❑ COMBINATION 1� MUILOING ❑ MECHANICAL ❑ PLUMEIINO ❑ SIGN pLgMlt NO. /411
OWNER MAIL ADDRESS CITY ZIP P►IONE
Contempra Homes, Inc. 4208 - 198th St. S.W. , #208 Lynnwood 98036 206-774-3900
ARCHITECT OR DESIGNER MAIL At7DRFSS City ZIP PHONE
Nash, Jones & Assoc. 8275 - 166th N.E. Redmond 98052 206-867-1156
GENERAL CO RAC!OR MAIL ADDRESS CITY Zlr PHONE UC NSE
Contempra Homes', Inc. 4208 - 198th St. S.W. , #208 Lynnwood 98036 206-774-3900
MECHANICAL CONTRACTOR MAIL ADDRESS CItY ZIP PHONE Of I
T.H.E. Mechanical 7312 - 67th St. N.E. Marysville 98270 206-659-5606 THEMEL*147R4
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I
William Adams, Inc. 18326 - 48th Avenue W. Lynnwood 98037 206-776-8627 WILLIAI144L7
CLASS OF WORK
WNLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION []BUILDING RELOCATIoN
,UALUAIIONOF W RK
1 11 e,1
DESCRIBE WOR - `
PRVPV$F U USE OF UILDi „
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LL(oAL OVA RIPTiDN Uf r rE Rir(SI N BELOW QR At1ACH FOUR COPIF. I SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
101 FILOck OF "'e e -T17 - WILL BE COMPLIED WITH WHETHER SPECIFIED FIERIN 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 OF THE PERFORMANCE OF
CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
LGNATV dFC NTRACTORORAVTF RJZEDAGENF DATE
108 ADDRFSS
27 x
(OFFICE USE ONLY)
PLUMBING MECHANICAL
No. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WAILRCLOSEI (TOILLI) ]L AIR COND.UNITS -II.P. EA.
BAIIIIUB REFRIGERATION UNITS-H.P.EA.
LAVATORY(WASH BASIN) BOILERS -H.P.EA
SIIOWLR GAS FIRED A.C.UNITS - TONNAGE EA. Iq tic
KI ICI ILN SINK &DISP. —j FORCED AIR SYSTEMS- B.T.U. MEA
j UISIIWASIIER WALL HEATERS- B.I.U. M
( LAUNDRY TRAY UNIT HEATERS- B.1.U. M
C1011MS WASIILR EVAPORAIIVE COOLERS
WATER IIEAILR CLOTHES DRYERS
URINAL VENTILATION FAN
DRINKING FOUN I AIN RANGE HOOD COMMERCIAL
I LOUR DRAIN I AIR HANDLING UNI T - CPM
VACUUM BREAKERS Q-' STOVE
RUOI DRAINS - RAINLLAUERS METAL FIREPLACE&CHIMNEY '
SINK ISERVICE - BAR,E.fC.) WATER HEATER
GAS PIPIN(3
SUBTOTAL ! 105 SUBTOTAL 11 j
PERMIT ! f PERMIT ! /S
TOTAL FEE 11 /yJ TOTAL FEE I /
SIUL YARD StIBACK SIRELISttBACK REAR YARD SETBACK PLAN CHECKNUMBER PLAN CHECK FEE
FEE �� RE EIPT !NO
U5F ZONI I Of AREA VACANI SITE ( ' 'f' 3 / /
,< , ,) -7, YES El No FEES VALUATION FEE
TYPL OF CONS1. OCCUPANCY GROUP No.or DWELLING UNITS PLAN CHECKING VO ---
1/nI 1z -<Z�11 -�- A/\ /v 9 so
SIZE OI BLDG NO.Of STORIES MAX.OCC.LOAD BUILDING !
PLUMBING /
F IRE SPRINKLERS REQUIRED
❑YES �NO MECHANICAL
COMMEN75 STATE BLDG.CODE ��
ENERGY CODE SURCHARGE
PENALTY SEC.303121 l
WATER/SEWER FEES � � Q
TOTAL
PERMIT VALIDATION ( 71// `�
,} ,. WHEN PROPERLY VALIDATED IIN THIS SPACP 1HIS 13 YOUR PERMIT A kECE1Pf V J 1 ( J
PAID_ _CRA BY
cc:ASSESSOR•APPLICANT,TREASURER,BLDG. bEPT. BUILDING PFFICI4L DATE
RECOgb$ COPY