HomeMy WebLinkAbout18131 E Country Club Dr_BLD951788_2025 City of Arl ngton
NOTICE and Inspection Report
Phone#
Permit No. Legal I 13
Date Called /l" 2� Address /rP/ 3/ r �-
Time Called Contractor/Owner
By -, T Requested by
TYPE OF INSPECTION REQUE.STED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing Final
❑ Foundation ❑ Roughin Plumbing 37Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
OVAL ❑ CORRECTION REQUIRED
❑ cc ' ns 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 Arl ngton
NOTICE and Inspection Report
Phone#
Permit No. 77 Legak 7
Q L.c�
Date Called /" � Address kl� !) �� ��1!
Time Called �r� Contractor/Owners^�C�'L %J`Z.�`
By Requested Requested by
TYPE OF • •
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspec ion
❑ Shear Wall ❑ Mechanical ❑ Other
❑ APPROVAL CORRECTION REQUIRED
Corrections listed below MUST BE MADE before work can be approved.
❑ Wor ' ted below has been inspected and approved-
CALL 435-0724 FOR REINSPECTiON—24 hour notice required.
[�
Inspector Date
City of ArV ugton
NOTICE and
Inspecction Report
(�Q Phone# � / —
� d(�
Permit No. Legal J-
Date Called Z^ 5 Address
Time Called "9! J D Contractor/Owner
By Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing Drywall Nailing ❑ Final
❑ Foundation �I I ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wal! ❑ Mechanical ❑ Other
*-AP R—OVAL ❑ 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 L, Date �� �
City of Arl ; Wigton
NOTICE and rlInspecti-&n Report
Phone
r
Permit No. Legal
Date Called —95 Address
Time Called 7 Contractor/Owner
By Requested by
TYPE OF INSPECTION REQUE.STED
❑ Setback ❑ Roof Diaphragm *Irlulation
Plumb GWFraming Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Roughmin Plumbing Reinspecdon
❑ Shear Wall ❑ Mechanical ❑ Other
Z}'P,PPROVAL ❑ CORRECTION REQUIRED
Ccrrec ions listed below MUST BE MADE before work can be approved.
--W--.rk listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
Err IA-
Inspector Date — ��
City of Ar_---,.) ngton
NOTICE and Inspection Report
Permit No. Legal `- -3
Date Called ��� Address AF13 1 /e'
Time Called � Contractor/OwnerI s A.&Ci A5 —�-1
By Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW l l, Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Roughin Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
APPROVAL ORRECTION REQUIRED
ections listed below MUST BE MADE before work can be approvedg W-W .
Isted below has been inspected and approved.
CALL 435-0724 FOR REINSPECTION—24 hour notice required.
Ale 4
Inspector G Date —'
City of Arl._.Jngton
NOTICE and Inspection Report
Permit No. U Legal
Date Called a Address
Time Called 4; 00 Contractor/Owner
By �L ,� Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation Rough4n Plumbing ❑ Reinspection
Shear Vyall _ ❑ Mechanical ❑ Other
/1G L-ryl
PROVAL ❑ CORRECTION REQUIRED
❑ Corte ' 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.
' �•�i1 r��
Inspector 1 Date d f \
l''"I, City of Arl�___�gton
NOTICE and Inspection Report
Permit No. Le9c
Date Called 7- 2-7 Address
Time Called Contractor/Owner
By `�/yj/,cC&�- Requested by
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Roughin Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical Other
❑ PROVAL ISJ CORRECTION REQUIRED
i
[f 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 Ar: �ngton
NOTICE and Inspection Report
/ Legal /c %: �.d. 6
Permit No. p, >
Date Called Address
Time Called ContractoriOwner,el"P"sj
By Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
Zundg.lion
❑ Drywall Nailing ❑ Rnal❑ Roughan Plumbing ❑ Reinspectlon
❑ Shear Wall ❑ Mechanical ❑ 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 noticeeuired.
ell !S
Inspector Date 7- ZE- /�
City of Arl-)hgton
NOTICE and Inspection Report
Permit No. D Legal Z 1— 49
Date Called %_ � Address
Time Called Contractor/Owner
By 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
❑ ctions 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
C I TY OF ARL I NG_r01%4 _
CQIvF-Y RUCT I QM PE RM I T
PERM I T NO_ = 95-17a8
Owner: JACOBSEN CONSTRUCTION 11712 MERIDIAN PL. NE. 334-
Value of Work: $130,000.00 Tax ID:
Describe Work: NEW CONSTRUCTION
Proposed Use: SFR
Legal Description: GE IV A 43
Job Address: 18131 E. COUNTRY CLUB DR.
Contractor's Name Type Address License#
JACOBSEN CONSTRUCTION G 11712 MERIDEAN PL. NE. JACOBC110MC
UPLAND HEATING M 317 BEDROCK 2 UPLAND#*077L
PERKINS & SON P 8524 NW 147TH PL PERKII*200B1
P E R M I T F E E S
Equipment-and Fixtures Number _ Fee_ Total Charge
PLUMBING FIXTURES 14 $7.00 $98.00
FURNACE < 100,000 BTU 1 $9.00 $9.00
CLOTHES DRYER 1 $6.50 $6.50 f�
VENTILATION FANS 4 $4.50 $18.00
KITCHEN RANGE 1 $6.50 $6.50 4
METAL FIREPLACE & CHIMNEY 1 $6.50 $6.50
WATER HEATER 1 $6.50 $6.50
GAS PIPING 1-5 OUTLETS 1 $3.00 $3.00
SUBTOTAL... ... $154.0@
TOTALS Fee
Equip-sent $56.00
Fixture $98.00
Mech Permit $15.00
Permit Fee $744.50-
Plan Fee $483.93-
Plumb Permit $15.00
School Mitigation $941.00
State Fee $4.50
Utility $2, 100.00
5I6NATURE:
TOTAL FEE........ .. . ...... $4,457.93 I HEREBY CCTIFY T I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS.......... ....... . $552.18 KNOW T SAME TO BE TRUE AND COR-
RECT L PROVISIONS OF LAWS AND
TOTAL DUE................. $3,905.75 ❑RDIN NC S GOVERNING THIS TYPE OF
WORK IL BE Co,d LIED WIT WHET R
SP FI D HEREI 0 NOT.
DATE �I'l�-q RECEIPT #
1 ���� BUI IN6 OFFI IAL �- -�r'
J U L 11 1995
CITY.OF
ARLiNGTON
1 0
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�► � .lbc�F3s�.-I CAE-l�T�o�..�
RECEI,p A F p1-112 �EkzJbibJ-� I � 1 I.�
�825g
;ITY OF ARLINGTON I
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. V
j OWNER MAIL ADDRESS CITY ZIP PHONE
3gcd II-712.HeejAlaqpId1 I,� � �P��s� 335 � I ��
ARCHITECT OR DESIGNER MAIL ADDRESS /� CITY ZIP
6�Si�h P,dt�b�xl3�� M�f\i� WA 9 e21 7 (e��
GENE RAL`CONT RAC TOR MAIL ADDRESS CITY PHONE LICENSE
::37uc,o Cons UPr:�� nI, 5g M
335115� a�ob�- IIouC
MECHANICAL ONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A
iSt4 rocJ4 1 2 e+}- °- 353-(eqg 4MPA H0771 a
PLUMBING CONTRACTOR-) MAIL ADDRESS CITY ZIP PHONE LICENSE N
O, kr �L A BC? JE g8nl 1 03 3�35 Qerr
3 CLASS OF WORK
Q 1LW ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI I ION ❑BUILDING RELOCATION
Q VALUA+0W0TW0RK -
2 s `-r�(oo l 000 100
uWi otsc I6E-wvax! -----
3
m PRUPUSt D USE OF BUILDING
H I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
W LtJ TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
Z LLGAL DtS(RIPTI''1 PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES)
_, SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
-1 LOI Y3 BLOCK ) li- OF Cah r k-11& WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
d GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
w T VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
H
J TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
a CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
z
0 SIGNATURE OF CONTRACTOR O
IOB AUURlSSR ZED AGENT DATE
C0=6a, C )t.) x
(OFFICE USE ONLY)
PLUMBING MUCHANTCAL,
NO. TYPE OF FIXTURE FEE x's FIXTURES NO. TYPE OF EQUIPMENT FEE x's FIXTURES
2- NATER CLOSET OILEC $7.00 IR COND.UNITS-H.P. IA. Ntip.list-
47-. 3ATHTUB $7.00 1EFRIGERLATION UNITS-H.P.EA. tip.list**
3f VATORY ASII BASIN $7.00 301LERS-II.P.EA. igtip.list**
/ HONER $7.00 3AS FIRED A.C.UNITS-TONNAGE EA. tip.list"
TCHEN SINK&DISPOSAL $7.00 ORCED AIR SYSTEMS-B.T.U. MEA $9.00
I ISHWASHER S7.00 ALL HEATERS-B.T.U. M $9.00
UNDRY TRAY S7.00 NIT HEATERS-B.T.U. M $9.00
(� LOTHESWASHER $7.00 .VAPORATIVECOOLFRS
TER EATER $7.00 LOTHES DRYERS $6.50
RINAL $7.00 6FENTILATION FAN S4S0
)KINKING FOUNTAIN S7.00 ZANGE HOOD COMMERCIAL $6.50
LOOR DRAIN $7.00 JAS
ANDLING UNIT- CPM
VACUUM BREAKERS $7.00 E S6.50
OOF DRAINS-RAINLEADERS $7.00 L FIREPLACE&CHIMNEY $6.50
INK(SERVICE-BAR.ETC. $7.00 R HEATER $630
IPING *(up to 5=$3.00,addol.=$.75 '
ui ment list must be rovided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTAL FEE TOTAL FEE
SIUL VAR SE(BACK STRLLI SLTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
5 "'), / �a t /- r� A-�� FEE 559r/f RECEIPT NO
USt / NI LOT ARt A (f VACANT SITE (/f G / fVS
2do Is Lo
O EYES ❑NO FEES VALUATION FEE
TYPt;OF CONST OCCUP CY GRODUP/� NO.OF DWELLING UNITS PLAN CHECKING VG , I
BUTDING
SIZE Of BLDG. NO.OF STORILS MAX OCC.LOAD
Q ?r PLUMBING
FIRE SPRINKLLRS REQUIRED
❑YES in NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY SE C.
C.303(a)
RECEIVED SE WATERISEWER FEES
II4�Itl N 2 7 1995 TOTAL
e� PERMIT VALIDATION
C'Fr(O n ti RL'NTO�i WHEN PROPERLY VALIDATED TIN THIS SPACEI THIS IS YOUR PERMIT&RECEIPT
1 PAID _CRO BY -
cc: ASSESSOR.APPLICANT.TREASURER.BLDG, DEPT. BUILDING OFFICIAL DATE
RECORDS COPY
I