HomeMy WebLinkAbout17712 W Country Club Dr_BLD931162_2025 (5) Permit No. City of Art i.ngton
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NOTICE and Inspection Report
Date Called Address 1`
" A
I
Time Call 1 Contractor/Owner s
By Requested by
TYPE OF INSPECTION 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 4135-0724 FOR REINSPECTION-24 hour notice required.
A►XA M_ , e w� ` r✓t
Inspector
Date a����
/c/ /9 City of Arlington
Permit No. —& — NOTICE and Inspectit Report
Date Called -z Address
Time Called Contractor/Owner
By Requested by
❑ 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.
ork listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required.
Inspector Date /Z__
P ✓��
Permit No. I _ _ City of Arlir Eton
�{- NOTICE and Inspection Report
! n
Date Called Address .!_'A
Time Called Contractor/Ow r I f
By Requested by
TYPE OF •
v
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
�ar Wall ❑ Furnace ❑ Other
P.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
J City of ArlineTton
Permit No.
.� NOTICE cord Inspectio..Report
Date Called r'8 Address
Time C I d Contractor/Owner
g Requested by
TYPE • INSPECTION 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.
❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required.
J
Inspector �Date
Z City of Arlinrrton
Permit No.
TICE and Inspection Aeport
Date Called �o--Z� Address
Time Called , G J Contractor/OwIC:' A
✓�{-
By � Requested by 4
TYPE OF • REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing a'Fr nna ii g ❑ 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
AtIaEd5rAj Date
Permit No. 1A�_
City of Arlington
,
�TICE and Inspectio._ deport
)
Date Called Address I
Time Ca led � Contractor/Owner
By Requested by L
TYPE OF • REQUESTED
❑ Setback ❑ Reroof _12�sulation
❑ 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 �/T// ��1 Date
Permit No. City of Arlin-7ton
NOTICE cmd Inspection Report
Date Called Address
Time Called wl illc Contractor/Owne1� �j
By Requested by ✓✓
TYPE OF • REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Drywall Nailing ❑ Final
Foundation
❑ 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
Ainoc..io
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N i " 20`
�¢.as LOT 19
PLOT PLAN
dlZ� G e C\ _ Go�e D�4 = 6 Phase
F,ec. `S(\Q. Co.
CITY OF ARLINGTON
CONSTRUCTION
PERMIT NID 1162
❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO_.
OWNER MAIL ADDRESS CITY ZIP PHONE
Brandel Construction 7703 233rd P1 SW Edmonds 98026 775-7594
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
Thom Naumann
GENERAL CONTRACTOR MAIL ADDRESS CITY Z:P PHONE LICENSE N
Brandel Construction BRAND*20lDl
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
Horizon Heating
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
Nw Pacific
CLASS OF WORK
®NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI TION []BUILDING RELOCATION
VALUATION OF WORK
s 94183
DESCRIBE WORK
new construction
PROPOSE D USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
SFR TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL IDI1E�FS(RIPTIUN OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOI BLOCK OF Gleneagle2B3 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 OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATUN.,OfCONTRACFOROPAUTHORJZEDA NT DATE �
JOB AUDRI SS
Q X
(OFFICE USE ONLY) MECHANICAL
PLUMBING
NO, TYPE OF FIXTURE FEE NO, TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND UNITS -H.P. EA.
BAIHIU6 REFRIGERATION UNITS -H P. EA
3 LAVATORY (WASH BASIN) 21 00 BOILERS - H P.EA
1 SHOWER 7 00 GAS FIRED A.C. UNITS- TONNAGE EA
KI ICHLN SINK & DISP 7 00 1 FORCED AIR SYSTEMS- B T.0 MEA 9 00
DISHWASHER WALL HEATERS- B T U M
LAUNDRY TRAY 7 nn UNI1 HEATERS - B T U M
CLOIHLS WASHER 7 Q0
EVAPORAI I`VE COOLERS
WATERHEATER CLOTHES DRYERS
URINAL 3 VENTILATICN FAN 3 50
DRINKING FOUN I AIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
b 50
SINK (SERVICE - BAR, ETC) WATER HEATER
GAS PIPING
SUBTOTAL fgg 00 SUBTOTAL f
PERMIT f PERMIT f
TOTALFEE f TOTAL FEE f
SIDE YARD SE I BACK STRLET SLTBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE
FEE RECEIPT NO,
7/20/93 50 28132
USE/ONE LOT AREA VACANT SITE
YES ❑NO FEES VALUATION FEE
TYPE OE CONST. OCCUPANCY GROUP NO,OF DWELLING UNITS PLAN CHECKING VG
VN R3 & M 1 BUTDING f 617 00
SIZE OF BLDG, NO.Of STORILS MAX OCC LOAD
2141 1 8 PLUMBING 113 0 0
FIRE SPRINKLERS REQUIRED
❑YES M10 MECHANICAL 60 00
STATE COMMENTS ENERGY
CODESU 4 50
ENERGY CODE SURCHARGE
Plan 9 319 ? PAID xxxxl'X b ) 15 00
same as 9229 WATER/SEWERFEES 3100 00
TOTAL 3909 50
PERMIT VALIDATION
WHEN PROOPPE VALIDATED (IN THIS SPACE) THISIS YOURPERMIT&R EIP
PAID O CR# gY
SU LDIN O FICtAL ATE
cc: ASSESSOR,APPLICANT,TREASURER, BLDG, DEPT. RECORDS COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING 4 SIGN PERMIT NO-" IU
MAIL ADDRESS
ijRApyC1oL Cc, -S7 2-3 , CITY MOY��s ZIP PHONE
7� �,� S�` �, �`,(d �oYb 775- 755�
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENE AL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICIENSE t
YA m - -
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIPIF
PNON LICENSE t
'PLUMBING GCONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
.f.�. c
I ASS OF WIDRK
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR Cl DEMOLI[ION [:]BUILDING RELOCATION
V LUA110N F WftK
DLSCRI E WbQK
CeNS Jk uc7i
PRUPOSI 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-
LLGAL DES((RIPI IUN OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LDI BL0LK of -' 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
CONSTRUCTION.PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE.
SIGNATURE ONTRACTOR OR AUTHORIZED A DATE
106 ADURLSS
(OIjFIC.Ii 11Sl:ONLY)
(01:FI ICING ECHANICAL 6"'�^
PLUNO. I TYPE OF FIXTURE FEE z's FIXTURES NO. TYPE OF EQUIPMENT FEE �s FIXTURES
ATI?RCLOSGI'(TOILET) $7.00 IR COND.UNITS-H.P.IRA uip.list••
INHITUB $7.00 EFRIGERATION UNITS-H.P.EA. ui .list•"
AVA'fORY
(T WASH BASIN) $7.00 01LERS-H.P.EA. ui .list'"
OWER $7.00 / 3AS FIRED A.C.UNITS-TONNAGE EA Equip.list•" M_
'I'1'CITEN SINK k DISPOSAL $7.00 ORCED AIR SYSTEMS-B.T.U. MEA $9.00 v v
)ISIIWASHER $7.00 NALL HEATERS-B.T.U. M $9.00
AUNDRYTRAY $7.00 JNLT HEATERS-B.T.U. M $9.00
--- LO'1'IIES WASIIER $7.00 'VAPORATIVE COOLERS
_ A'1'11R IIEATER $7.00 LOTHES DRYERS $6.50 r0
RINAL $7.00 ENTILAT[ON FAN $4.50
)KINKING I;OUN'I'AIN $7.00 tANGE HOOD COMMERCIAL $6.50
LOOR DRAIN $7.00 IR HANDLING UNIT- CPM
VAC UM BKEAKERS $7.00 TOVE $630
----
OOI--DRAINS-RAINLEADERS $7.00 LrIALFIREPLACE&CIIIMNGY $6.50
1i-13A ,E'I - -^ -_ - AT ER HEATER $6.50
INK(SEKVIC __ ASPIPING ' u to5=T3.00,addnl.=S.75ea. 5
P�
--- - � -- -- _-- •Equipment list must be�mvided-- -`- _ _�_
SUBTOTAL
SUB'1'O1'AL
--- - T
PERMIT --- _-- j -.-— -----_--.- _ PERMIT'
- _ .---~-v----- l'O'1'AL 1'1'?E__ _ - l ��_ _ TOTAL FEE
PLAN CHECK FE
SIDE YARD SE IBACK SIRELT SL IBACK REAR YARD SETBACK DATE"E FEE 1 RECEIRT,7
USE/ I� ,p� LOT AREA VACANT SITE FEES VALUATION FEE
IC_�l,0v 17 iQ' )oYES NO
IYPLOF CONS1, OCCUDP UNITS
ANCYGROUP NO. DWELLING UNI PLAN CHECKING VG /
ZIAI
I BU'LDING S �U/
SIZE OI BLUG. NO.Of STORILS MAX.OCC.LQAD
� yL tea/ PLUMBING 3
F IRE SPRINKLERS REQUIRED
MECHANICAL
[]YES O
r STATE BLDG.CODE
COMMENTS �� ^ Q S&K.e- Aa ENERGY CODE SURCHARGE
SEC.703(a)
Klf-i I..
WATER/SEWER FEES 3 ®O
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT 6 RECEIPT
PAID_ CRII By—
.
BUILDING OFFICIAL DATE
aOR,APPLICANT.TREASURER.BLDG. DEPT RECORDS COPY