HomeMy WebLinkAbout18215 E Country Club Dr_BLD951649_2025 -city" of Ak'_4 kngton
NOTICE and Inspection Report
Phone#
Permit No. 1 /Cr,,
I Legal y�
I/ all
Date Called �—ILI Address
Ti ,-���� 7G t1
XC d'
Time Call 106 ai?1 Contractor/Owner ��IC 111
By / ` ll
xC�_ Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing Final
❑ Foundation ❑ Rough-in Plumbing /❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
APPROVAL ❑ CORRECTION REQUIRED
❑ �ons listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ CALL 43355,-0077294 FFORRRREINSPECTION—24 hour notice required.
Inspector Date
City of Arl_ ton
NOTICE and Inspection Report
Permit No. �tt' �C�j b Legal 177�
Date Called `1 ' !S Address �v d� -• � -Time Called `� Contractor/Owner
C�z L By y�-j t(,�i - Requested by s- 7x u
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW J�R.ug
ming ❑ Gas Piping
❑ Footing wall Nailing ❑ Final
❑ Foundation h-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
APPROVAL ❑ CORRECTION REQUIRED
�-=,k
ions listed below MUST BE MADE before work can be approved.
sted below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
Inspector �� Date ��/
City of Arl ngton
NOTICE and Inspection Report
Permit No. Leg
Date Called Address ../`—
Time Called Contractor/O
By Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm I ulation
❑ Plumb GW ❑ Framing Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
APPROVAL ❑ CORRECTION REQUIRED
❑ �Ilisoted
ted below MUST BE MADE before work can be approved.
low has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
T
AIX
G
Inspector �" Date
--City of Arl ngton
NOTICE and Inspection Report
Permit No. Legal 4 5
Date Called 66 ��/ Address /21�1 - E C
Time Called `G Contractor/Owner ���Ll-Al/_e IIIII
By 414�rs-i` Requested by
TYPE OF • REQUESTED
❑ Setback A)raming
❑Roof Diaphragm ❑ Insulation
Plumb GW / ❑ Gas Piping
Footing Drywall Nailing ❑-,Rnal
❑ Foundation ❑ Rough-in Plumbing einspection
❑ Shear Wall ❑ Mechanical ❑ der
PPROVAL ❑ CORRECTION REQUIRED
❑ Corre i ns 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 ngton
NOTICE and Inspection Report
Permit No. A K'�;' Legal 7 Jf
Date Called �� Addressgg
&
Time Called Contractor/Owner M A 111JJ36
By Requested by <Z7�
7 TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW _)Framing Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
Q APPROVAL CORRECTION REQUIRED
�rrections listed below MUST BE MADE before work can be approved.
❑ Wor
d below has been inspected and approved.
ALL 435-0724 FOR REINSPECTION—24 hour notice required.
_ _j ( '
-- F-a:Aj - <.r
Inspector Date
City of ArxIngton
NOTICE and Inspection Report
Permit No. /&q,_ Leggy q..� /�
Date Called Address /,p��� g- C- e�A
Time Called Contractor/Owner
By Requested by jL�/tf
TYPE OF •
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Roughmin Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
❑ APPROVAL CORRECTION REQUIRED
U �rrections listed below MUST BE MADE before work can be approved.
❑ W listed below has been inspected and approved.
CALL 435-072 FOR REINSPECTION.—_ 24 hour notice required.
(P)
v 9
" L
Inspector / Date `?S
City of ArlJngton
NOTICE and Inspection Report
L�
Permit No. / ( Legal
Date Called —L Address I ✓� /�
r
Time Called / Contractor/Ow
By � Requeste
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation Rough in Plumbing Cal.Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
PPROVAL ❑ CORRECTION REQUIRED
Corr s fisted 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
S
City of Arl-ngton
NOTICE and Inspection Report
Permit No. /�/�y Leg
✓
Date Called Address
Time Called �CJ Contractor/Owner=c��` -
By �/fj Requested by
v
TYPE
OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑��Rough-in Plumbing (l [,,f einspection
❑ Shear Wall (%I.Mechanical �❑ Other
APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
ork listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
Inspector Date
_ City of Ar"ngton
NOTICE and Inspection Report
Permit No. // Leggy �/
Date Called /G- /9 Address 1"p 146,_ L"(Y O
Time Called 1/,01 Contractor/Owner`s/�6a,1,6
/�
By Requested by(/ ����
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ,Rough-in Plumbing T❑,Reinspec ion
❑ Shear Wall ❑ Mechanical ❑ Other
❑ APPROVAL CORRECTION REQUIRED
Corrections listed below MUST BE MADE before work can be approved.
q-�COALL
isted below has been inspected and approved.
435-0724 FOR REINSPECTION—24 hour notice required.
2 Z
1A 4r-
Inspector Date
City of Arl-..ien� gton
NOTICE and Inspection Report
Permit No. Legal
Date Called (/ /.Z Address
Time Called lam'/S Contractor/Owner 1g<< Lt lcs�
By yJo�- Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough4n Plumbing ❑ Reinspection
❑ Shear Wall [Vi Mechanical ❑ Other
❑ APPROVAL CrCORRECTION REQUIRED
Conections liste=,low MUST B�MADE before work can be approved.
❑ W below has been inspected and approved.
LL 435-0724 F R REINSPECTION—24 hour notice required.
Inspector Az DateZI-1
City of Arington
NOTICE and Inspection Report
Permit No. !�Vq 1 Legal ___
Date Called 5's3 Address 11F;21 e e�
Time Called —7,'490 Contractor/Owner
BY J -j— Requested by S;.0—b�� �in a44 f
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
dmb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ough-n Plumbing ❑ Reinspection
ear Wall Mechanical ❑ Other
77-:
�1�4[ APPROVAL ❑ CORRECTION REQUIRED
listed below MUST BE MADE before work can be approved.
�Cocoons
' ed below has been inspected and approved.
CALL 435_0724 FOR REINSPECTION—24 hour notice required.
Inspector`!T�iC /�✓ Date '�7
City of AY--,."ington
NOTICE and Inspection Report
Permit No. � Leg
Date Called ` ' Addressy
Time Called .�/,05 Contractor/Owne
By Requested
TYPE OF •N REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑_Other
APPROVAL ❑ CORRECTION REQUIRED
ions listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
❑CALL 435-0724 FOR REINFECTION—24 hour notice required.
Inspector Date 3 -'-�
City of Ax,., 'ington
NOTICE and Inspection Report
Permit No. `F'� Legal
Date Called ✓ ��g c Address
Time Called 0 Contractor/Owner
By Requested by !✓�/v �/
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Roughin Plumbing ❑ Reinspecdon
❑ Shear Wall ❑ Mechanical Other
PROVAL ❑ 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 C Date ys—� /��
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30,
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CITY OF ARLINGTON
CONSTRUCT-ON
PERMIT N® _ 1649
❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER 1S MAIL ADDRESS CITY ZIP PHONE
Stephen R. Smallwood 4317 188th St NE Arlington, WA 98223
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
Design Unlimited Woodinville
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
Same as Owner STEPHRS136KH
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE If
CLASS OF WORK
®NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI IION ❑BUILDING RELOCATION
VALUATION OF WORK
f 130 , 000
DESCRIBE WORK
New Construction
PRUPOSE D USE OF BUILDING
Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LEGAL UES(RIPIIUN OF PROPERTY ISMOwk BELOW OR ATTACH FOUR COPIES) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOI 45 BLOCK OF Sector 4A 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 OF THE PERFORMANCE OF
CONSTRUCTIO .PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
TUREOF CT ORr.I.7H.0 ZED AG NT TE
j08 ADDRESS
18 215 E. Country Club X �
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE
WATLR CLOSET (TOILET) 2 00 AIR COND UNITS -H P EA
2 BAIHIUB 14 00 REFRIGERATION UNITS - H P EA.
5 LAVATORY (WASH BASIN) 00 BOILERS - H.P.EA
l SHOWER nn (,AS FIRED A.C. UNITS - TONNAGE EA
KI ICHLN SINK & DISP l FORCED AIR SYSTEMS- B T.0 MEA
DISHWASHER WALL HEATERS- B T.0 M
], LAUNDRY TRAY UNI1 HEATERS- B.T.0 M
CLOIHLSWASHLR EVAPORATIVECOOLERS
W'AIER HEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNIAIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS 14 00 1 STOVE 6 50
ROOF DRAINS - RAINLEADERS l METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR, ETC ) WATER HEATER
GAS PIPING
SUB TOTAL ; 119 00 SUBTOTAL f 6 O
PERMIT $1 l 0 PERMIT ; 0
TOTAL FEE f 134 0 O�� TOTAL FEE f
SIDE YARD SE I BACK STRELT SETBACK REAR YARD SETBACK PLAN CHECK FEE
6/12 25 26 DATE RECEIVED FEE RECEIPT NO.
USE/UNE LOT AREA VACANT SITE 2-8-95
R7200 7200 [ YES ❑NO FEES VALUATION FEE
TYPE OF CONS1 OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING NG
VN R3 & M
BU'LDING f
SIZE OF BLDG. NO OF STORIES MAX OCC.LOAD 7 O
PLUMBING 134 00
FIRE SPRINKLERS REQUIRED
❑YES NO MECHANICAL 75 50
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE 4 5 0
Plan #1965/3
XXXX Radon Kit (}"X4Xxi 15 00
WATER/SEWER FEES
PAID TOTAL
3073, 50
�. PERAUT LIDATION
WHEN OP Y VALIDATED (IN THIS SPACE) THIGS•IISSS 'OUR PERrII!y(/ARE
F'Ai CR D` BY--(
cc:ASSESSOR,APPLICANT,TREASURER, BLDG DEPT B 4 ,C OFFICIALY DATE
RECORDS COPY