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HomeMy WebLinkAbout17923 Country Club Dr_BLD931166_2025 (5) Permit No. City of Arlington OTICE and Inspe.won Report Date Called P Address i' Z C_ Time Called 1 Contractor/Owner 'i 7YI / Requested by QB VV 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 PROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. rk_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,.Aon Report 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 'ta-- — / City of Arlington NOTICE and Inspe"n Report -7y - 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 :[ 6raming ❑ 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. NICE and Inspection Report Date Called Address � ! Time Called 3 Contractor/Owner By Requested b} T TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑n Drywall Nailing ❑ Final ❑ Concrete Slab `' o, ghdn Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other -_APPROVAL ❑ CORRECTION REQUIRED ❑ orrections 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. Date Inspector Permit No. City of Arling*on --NOTICE cmd Inspection heport Date Called (� Address 'ej 0 �!L Z Time C lied ContractoNOwner By N 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. Inspector -all/1 AA!q Date Permit No. City of Arlington ""TICE and Inspection,6eport Date Called Address i Time Ca 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. L7 Ss u� qf- r o -43 Inspector Date Scale: 1" =20' SD = Storm Drain W =Watir Line c�• off.. 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 PLAN 9027 .o i s Co. I � d S -so I+ cor[feic i • N 00• S 1 s 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 ❑ 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 56R-4RRR GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N same as owner SRANBC*20inj MLCFIANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ CLASS OF WORK NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI[ION []BUILDING RELOCATION VALUATION OF WORK s 127,929 DESCRIBE WORK new construction PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- SPR AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL DES(RIPT ION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) 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 1 YEAR FROM DATE OF ISSUANCE. SIGN E OF CONTRACTOR OR AUTO D AGENT DATE FOB AUURLSS 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 - HP EA BAIHlUB ]_ REFRIGERATION UNITS-HP EA 3 LAVATORY (WASH BASIN) qj on BOILERS - H P EA 2 SHOWER GAS FIRED A C UNITS-TONNAGE EA KI ICHLN SINK & DISP nn 1 FORCED AIR SYSTEMS- B T U MEA DISHWASHER 0 0 WALL HEATERS- B T,U M LAUNDRY T RAY UNIT HEATERS- B T U M JL CLOTHLSWASHLR 00 EVAPORATIVECOOLERS "ATLRHEATER 1 CLOTHES DRYERS 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 1 METAL FIREPLACE &CHIMNEY 50 SINK (SERVICE - BAR,ETC I WATER HEATER 0 GAS PIPING nn SUBTOTAL f 10 00 SUB TOTAL f 56 00 PERMIT S PERMIT f 15 100 TOTAL FEE f TOTAL FEE f 71 100 SIUL YARD SL IBACK S[RLET SLTBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE 8/10 22. 6 49 7/29/93 FEE 50 RECEIPT NO USF/ONI LOT AREA VACANT SITE 28137 R7200 10,F 333 [3YES ❑NO FEES VALUATION FEE TYPL OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING VG VN R3 & M 1 SIZE OF BLDG NO,OF STORIES MAX OCC LOAD BUTDING f 695 50 2954 1 8 PLUMBING 120 00 F IRE SPRINKLERS REQUIRED ❑YES D�10 MECHANICAL 71 00 COMMENTS STATE BLDG.CODE 4 50 ENERGY CODE SURCHARGE PENALTY SECC303(a) 15 00 WATEWSEWER FEES 3100 00 PAID TOTAL 4006 00 Plan 9027 PERMIT VALIDATION ,y ,{ �03,� WHEN P Y VALI TED(IN THIS SPACE)THIS IS YOUR PERT b RECEIPT `l PAIaFICIAL CRO, C 0Y / Z3 DATE cc: ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT RECORDS COPY CITY OF ARLINGTON • CONSTRUCTION PERMIT � ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT N0. (2 OWNER MAIL ADDRESS CITY ZIP PHONE CCCs I�V 3 ���c� 1 �VV ( aV�\6Y� � 10517rt^ ARCHITECT OR DESIGNER 1NAIL ADDRESS CITY ZIP PHONE •�� �?+ �' {a SCE(` - GENERALCONiptAcioR MAIL ADDRESS CITY ZIP PHONE LICENSE I 7703 fl 5VJ T\-ud< 2 .; 775 - 7 �fiL/ BP.AN C'E` ��it MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PITONE LICENSE III CLASS OF WORK 11Nl W ❑ADDI IION ❑ALTERATION ❑REPAIR ❑DEMULI I ION ❑BUILDING RELOCATION VALUATION OF WORK I /a 7, 7 `) DESLRIBEGWORK 51 y� ►RMSI D 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 L(.AL Ut%(RIPIIUN OI PROPLRIY(SHOWN RF.LOW UR AI TALII ftXIR COIFS) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK I0Iy4 RL(X.K OF �� !r F��' �' �, 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 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTFK)RIZED AGENT DATE Joe AVURI SS x LAW -- a - �3 (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WA1LR CLOSEI (TOILET) AIR COND.UNITS --H.P.EA. BA I II I UB REF RIGERAI ION UNITS-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 DISP. / FORCED AIR SYSTEMS- B.T.U. MEA DISIIWASIILR 7 WALL HEATERS- B.T.U. M LAUNDRY TRAY UNIT HEATERS-B.I.U. M CLOIIILS WASIILR 7 EVAPORAI WE COOLERS WATERIILAILR / CLOTHES DRYERS ; URINAL ¢ VLNTILATICN FAN DRINKING FOUNTAIN RANGE HOOD COMMERCIAL I LOUR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS / STOVE R(X)F DRAINS - RAINLLADERS J METAL FIREPLACE&CHIMNEY SINk ISERVICL - BAR.E IC.) / WATER HEATER 'D 4 GAS PIPING vo SUB TOTAL 11 Jo SUBTOTAL I 19 PERMIT f PERMIT 3 TOTALFEE $I TOTAL FEE f D SIDI- •� SE I BALK S T REL I SE I BACK REAR YA O 1 BACK PLAN CHECK NUMBER PLAN CHECK F E 6, �`��`�� FEE RECEIPT��/�� US L F LOT AREA (� VACANFSITE 'tom -1A3, YES ❑NO FEES VALUATION FEE J 111PE OF CONS I. OCCUP NCYGROUP NO.OF DWELLING UNITS PLAN CHECKING VG IN �3 4- v \ BUILDING SILL OF BLtX.. NO.Of SIURILS MAX.OCC.LOAD C; F$• PLUMBING /✓�� F 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 A0� IAI.--r^kl PERMIT VALIDATION y �+ WHEN PROPERLY VALIDATED RN THIS SPACE)THIS IS YOUR PERMIT 6 R6CW ' PAID CRR BY cc!ASSESSOR.APPLICANT,TREASURER.BLDG. DEPT BUILDING OFFICIAL DATE RECORDS COPY