HomeMy WebLinkAbout17816 W Country Club Dr_BLD941304_2025 (3) City of Arlington
NOTICE and Inspec•;:�'.jn Report
Permit No. �� Legal
Date Called c Address
Time Called %j/• Contractor/Owner
By ( "/'� Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing (Winal
❑ Foundation ❑ Rough4n Plumbing ❑ Reinspection
❑ 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 notice required.
Inspector Date
City of Arl- tgton
NOTICE and Inspection Report
Permit No. �/� Legal Date Called Address _ j �] �j L411 czTT,D
Time Called Contractor/Owner
By Requested by
TYPE OF-INSPECTION REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing , -9qwall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Wo� listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECIION—24 hour a required.
_7
Inspector Date / ��/
City of Arl-,ngton
NOTICE and Inspection Report
Permit No. LegalV —
Date Called Address
Time Called 4Zs Contractor/Owner
�f �
By Requested by �
TYPE OF •
❑ Setback ❑ Roof Diaphragm insulation
❑ Plumb GW Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing Final
❑ Foundation ❑ Roughin Plumbing Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
EYJ�ork listed below has been inspected and approved.
❑ CALL 435-07247,REINSPECTION—24 hour notice required.
f
Inspector 4 - Date A59 zz %//
City of Arl. ngton
NOTICE and Inspection Report
Permit No. / o� Legal
Date Called �� �� l�y Address
Time Called /- /® Contractor/Owner !�
By C�/�"� Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW [ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Roughin Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
❑ APPROVAL Ij -CORRECTION REQUIRED
chons listed below MUST BE MADE before work can be approved.
V Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice r fired.
c3
i
Inspector Date
City of Arl.,hgton
NOTICE and Inspection Report
Permit No. Legal
Date Called /�• / Address W 61C
Time Called •'�,�J Corrtractor/Own g
By Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm Insulation
❑ Plumb GW ❑ Framing Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation Roughin Plumbing ❑ Reinspection
❑ Shear Wall ,*Mechanical ❑ Other
APPROVAL Ej CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ CAL 435-0724 FOR REINSPECTION—24 hour notice required.
Inspector Date ��
City of Arl s ngton
NOTICE and Inspection Report
Permit No. Legal
Date Called -� Address
Time Called 1 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 I R inspection
❑ Shear Wall ❑ Mechanical ❑ Other
APPROVAL ❑ CORRECTION REQUIRED
Vetractions listed below MUST BE MADE before work can be approved.
,actions
listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
1
Inspector Date—� � �. /
City of Ar. -Ington
NOTICE and Inspection Report
Permit No. ' Legal
Date Called —�/ Address �d
Time Called -7''� Contractor/Owner
By n R Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing �❑ Drywall Nailing ❑ Final
❑ Foundation ( ,'dough in Plumbing ❑ Reinspection
❑ Shear Wall �❑ Mechanical ❑ Other
❑ APPROVAL CORRECTION REQUIRED
rPrrections listed below MUST BE MADE before work can be approved.
❑ Work list below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required,
1
l
Inspector Date
City of Ar i ' ngton
NOTICE and Inspection Report
Permit No. /O�G� Leg 9
Date Called nG� Address /zr'� I'
Time Called Contractor/Owner
By Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Roughin Plumbing ❑ Reinspection
❑ Shear Wall Cl 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 n uir•d.
7
Z- M
Inspector Date
City of Ar.-Ington
NOTICE and Inspection Report
Permit No. � O Legal--7e '
Date Called ' Address /, / !�
Time Called / / Contractor/Own
By - C, Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywaii Nailing ❑ Final
❑ Foundation ❑ Roughin Plumbing ❑ Reinspection
`ear Wall ❑ Mechanical ❑ Other
PROVAL ❑ CORRECTION REQUIRED
❑ ,Corrections listed below MUST BE MADE before work can be approved.
>� Work listed below has been inspected and appro
❑ CALL 435-0724 FOR RE INSPECTION—24 h r tics required.
Inspector Date /�/J
Permit No. City 01 Arlington
NOTICE and Inspe., n Rel -t
-
Date Called ate
A�4/!Gf
Time Called Contractor/Owner
By Requested by
i
TYPE
OF • REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ���� ❑ Framing ❑ Woodstove
Foundation kIiGI��j x ❑ 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.
Q i
Inspector Date / a /
Permit No. ,.�- City of Arlington
—
NOTICE and ImnspL_._ , Red .A
Date Called Address
Time Called 4?,"-3'n Contractor/Owner
By OeIg 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.
Inspector Date �`�/
N CO'I-V25" E m
. u
42
f f
3 � I Iz
A s �� lz
_ mI m
r f � �
� r f
COT
rn
o w
CONTEMPRA HOMES
a _
a
z �
DA'fE� p'�2O.J�GT.
��� � - �, iT �< ,.• ��1f17 '�nf� I n°_ '-;H i I
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. 1304
OWNER MAIL ADDRESS CITY ZIP PHONE
Contempra Homes, Inc. 4208 198th St S.W. #208 Lynnwood WA 98036 774 3900
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
Nash, Jones & Assoc. 8275 - 166th NE Redmond 98052 867-1156
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N
Same as Owner
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
T.H.E. Mechanical 7312 67th St. NE Marysville WA 98270 659-5606 THEMEL*147R4
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
William Adams, Inc. 18326 48th Ave W Lynnwood 98037 776-8627 WILLIAI144L7
CLASS Of WORK
®NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
sl35,805. 99
DESCRIBE WORK
New Construction
PROPOSED USE OF BUILDING
Sin le Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DESCRIPI ION Of PROPLRTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT25BLOCK OF Gleneaglgz TTR - 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 LO W ULATING CONSTRUCTION OF THE PERFORMANCE OF
NSTRU 10 RMIT XPIRES I YEAR FROM DATE OF ISSUANCE.
IO8ADDRLSS
1CNATURE Of N R OR AGENT DATE
17816 County Club Drive A ORIZED vl
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
4 WATER CLOSEI (TOILET) 28 00 AIR COND UNITS -H.P EA
BA I III UB REFRIGERATION UNITS-H P EA
LAVATORY (WASH BASIN) BOILERS- H P EA
S 1OWLR GAS FIRED A C UNITS- TONNAGE EA.
KI ICIIEN SINK& LISP 1 FORCED AIR SYSTEMS- B T U MEA 9 00
DISHWASHER WALL HEATERS- B.T.0 M
LAUNDRY T RAY UNII HEATERS- B T.0 M
CLOI HLS WASHER 7 00 EVAPORAI IVE COOLERS
WAI ER HEATER 1 CLOTHES DRYERS 6 50
URINAL VLNTILATICN FAN
DRINKING FOUN I AIN RANGE HOOD COMMERCIAL
FLUOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS 14 on STOVE 6 50
ROOF DRAINS - RAINLEADERS 2 1METAL FIREPLACE&CHIMNEY
SINK (SERVICE - BAR,ETC) 1 WATER HEATER
GAS PIPING
SUBTOTAL f 126 0 SUBTOTAL f
PERMIT f 15 00 PERMIT f1510.0
TOTALFEE f TOTALFEE S
SIDL YARD SL IBACK STRLLT SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
5 5 22. 6 + 12/8/93 FEE $50. 00 REE8853
$I/0%k LOT AREA VACANT SITE
R7200 8049 i]YES ❑NO FEES VALUATION FEE
TYPL OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG 497. 58 29 58
VN R3 & M 1 BUILDING f
SIZE Of BLDG NO-OF STORILS MAX,OCC LOAD
1860 2 w/Basemeni. 8 PLUMBING 141 00
FIRE SPRINKLERS REQUIRED
❑YES NO MECHANICAL 83 50
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE 4 50
Brittany with Basement XXXXK Radon Kit kx 15 00
WATER/SEWER FEES
TOTAL 31391078
z. PERMIT VALIDATION
j _I�.' WHEN PR E Y VALI Al D (I THIS SPACE)THIS IS YOUR PERMIT& EI
PAID CR. BY
cc:ASSESSOR,APPLICANT,TREASURER, BLDG.DEPT. BUIL GOFFICIAC DATE
RECORDS COPY
j CITY OF ARLINGTON
CONSTRUCTION
PERMIT
r] COMPINAt1ON t1U1LbING [] MECHANICAL C] PLUMbING [] g1GN 1504
pLpMli' NO.
OWNER IMAIL ADDRESS CITY ZIP PHONE
Contempra Homes, Inc. 4208 - 198th St. S.W. , #208 Lynnwood 98036 206-774-3900
ARCIIITECT OR DESIGNER MAIL A00RFS5 CITY ZIP PHONE
Nash, Jones & Assoc. 8275 - 166th N.E. Redmond 98052 206-867-1156
Z;tAERAL CONIRACIOR MAIL ADDRESS CITY ZIP PHONE Ltl. NSE
Contempra Homes', Inc. 4208 - 198th St. S.W. , #208 Lynnwood 98036 206-774-3900
ECIIANICALCONTRACTOR MAIL ADDRESS CITY ZIP PHONE - LICENSE
IF
T.H.E. Mechanical 7312 - 67th St. N.E. Marysville 98270 206=659-5606 THEMEL*147R4
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP ►IIONE LICENSE
IF
William Adams, Inc. 18326 - 48th Avenue W. Lynnwood 98037 206-776-8627 WILLIAI144L7
CLASS Of WORK
NLW [AUDITION [ALttkATIoN [REPAIR ❑OEMOUIION []BVILMNGRELoc.AtloN
VALUAVONor WORK
! /3SI SOS �'`l
DESLR18E WORK
W-5 G
PROPOSE D USE OF BUILDIN
I HEREBY CERTIFY T1 IAT I I IAVF READ AND EXAMINED T1115 Am(CA-
TION AND KNOW 11IF SAME TO BE TRUE AND CORRECT ALL f ROVI-
LL6AL )E.SRIPIIUNOI PROPIRIY(S TYNFIFAC)WO ATIACIIfOUR OPIFS)
� -r� /�/� -�- SIONS OF LAWS AND ORDINANCES GOVERNING Tf IIS TYPE OF WORK
COT
�0 RLtx:k_ Df 11P �,�IU `�'Y !!/ WILL OF COMPLIED WITII WHETHER SPECIFIED IIERIN OR NOT. TI IF
GRANTING OF A PERMIT DOES NOT PRESUME 10 GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW4qGULA1 ING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRU,C ON.PERMIT FXPIRt5 1 YEAR FROM DATE OF ISSUANCE.
108 AIO R-$ylr� SIGNATURrrF0�9RAcyoRoRAuT+tOR1ZfO NT DATE s�
X
(OFFICE USE ONLY)
PLUb1BING MECIIANICAL
N tvPE OF FIXTURE FEE No. TYPE of EQUIPMENT FEE
WA I LR CL05E I (ToILL I) AIR CON().UNITS -II.P.EA.
BAIIIIUB REf RIGERATION UNITS-II.P.EA.
.S LAVAIURY (W'ASII BASIN) BOILERS -II.P.EA
y SIIOWLR GAS FIRE[)A.C.UNITS - IUNNAGE EA. _
KI ICIILN SINK d DISP. FORCED AIR SYSTEMS- B.t.U. MEA p12
()ISII > WALL HEATERS- B.T.U. M
TAUNURRY I R A Y rA UNIT FIEAIERS- 8.1.U. M
CLOIIILS WASIILR EVAPORATIVE COOLERS
W'AIL"R IIEAILR ILICLOIFIES DRYERS
URINAL i VENTILATION FAN D
DRINMN(;IUUNIAIN RANGE 1100000MMERCIAL
1 LOUR DRAIN AIR IIANDLING UNI f - CPM
VACUUM dkEAKERS STOVE -
RUOI DRAINS - RAINLEADERS Z METAL FIREPLACE A CIIIMNEY OO
SINK(SERVICE - BAR,EIC.) WATER IMATER
—� GAS PIPIN0 e
SUB TOTAL ! Wd TotAL 11CO
_
PERMIT ( �C PLRMIt IOTALrEE TOTALFEE
SIOL�EIBACk SIRIAIStIBACK R A ARDSETBACK PLANCHE 'KN MBER PLACK•FEE
40 FEE RE/CE�NT�N-O._
UST ZUN 1 Of AREA VACANT SITE
`jZ,01p �3 5 [NO FEES VALUATION
TYPE OF�CONS I. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECkING VG
V A // + -
SI/.L Of BLDG. NO.Of STORMS
w .UCC. AD BUILDING ! 7`
PLUMBING
FIRE SPRINKLERS REOUIRED
[YES Ig-Ro MECIIANICAL
COMMIENTS ]� E BLDG.CODE
A N -- � 1 J Q K11.� `/� �A�v ERGY CODE SURCHARGE
1AN44Yj�a
WATER/SEWO FEES l
TOTAL r
PERMIT VALIDATION
FN WHEN PROPERLY VALIDATED 11N THIS SPACE)i0l A YOUR PERMif R RECEIPT
PAID CRA BY
DEC e 3 1993 4) 139 0 g
tC:Asstsson.APPLICANT.TPr-Xs1Dff& t1d;T*kr. BUILDING OFFICIAL DATE
neconbs copy