HomeMy WebLinkAbout7619 Country Club Dr_BLD20100054_2025 Part IV
To be completed by the City of Arlington Building Department
Inspection Required: ❑Yes ❑No
Inspections Performed: ❑Yes ❑No Date of Inspection:
Tests or Reports required verifying compliance? ❑Yes ❑No
If YES, have Tests or Reports been received? ❑Yes ❑No
Application(s) Approved: ❑Yes ❑No
Operating Permit Issued by:
Date Operating Permit Issued: Date Operating Permit Expires:
Type/Description of Operating Permit:
Conditions of Operating Permit(list conditions here AND in the space provided in the Operating
Permit):
Additional Comments: (Attach additional pages if needed)
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BLD20100054 (BFECHT/PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1
BUILDING PERMIT PERMIT #: BLD20100054
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APPLICANT: GLENEAGLE GOLF AND COUNT... STATUS: APPLIED
ADDRESS: 7619 COUNTRY CLUB DR,ARLING.. BALANCE: $0.00
ISSUED: CREATED: 4/23/2010
SCREENS:I Select Screen... FUNCTIONS: Select Permit Function... zi
MECHANIC;AI_/SOLAR
Reviews
ADD REVIEW I REMOVE REVIEW I PRINT CLOSE
Review Description Assigned To Due Date Last (#) Req? Done? ASSIGN
2000 C-Building I CYOUNG 4/30/2010 0 Y N ASSIGN
2008 C-Community Development I BFECHT 4/28/2010 0 Y N ASSIGN
http://coaweb2/permittrax/PermitTraxMain/wfPermitConsoleReviews.aspx?COMMENT=... 4/23/2010
BLD20100054 (BFECHT/PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1
I
BUILDING PERMIT PERMIT #: BLD20100054
APPLICANT: GLENEAGLE GOLF AND COUNT... STATUS:APPLIED
ADDRESS: 7619 COUNTRY CLUB DR,ARLING.. BALANCE: $0.00
ISSUED: CREATED: 4/23/2010
SCREENS j Select Screen... FUNCTIONS:[Select Permit Function...
MECHANICAUSOLAR
Reviews
ADD RE`9IE R`0—V- PRINT CLQSE
C-BUILDING I
Date: 4/28/2010 lv� Enter Comments Below And Click To Spell Check I
By: lbfecht
Time(min): 10
Complete? F J
1
SEQ Due Date Rev Date By Comments Done? Minutes Remove
This is denied.A propane cylinder
exchange/dispenser facility is considered a
1 4/30/2010 4/27/2010 cyoung commercial use not ancillary to the golf course Y 30 Remove
and therefore,violates zoning.
http://coaweb2/permittrax/PermitTraxMain/wfPermitConsoleReviews.aspx?COMMENT=... 4/28/2010
Department of Community Development
City of Arlington •238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3551 • FAX (360)403 3447
THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS,AND ONE(1)
SET OF WASHINGTON STATE ENERGY CODE APPLICATIONS.
Type of Permit: E) Residential Apartment ? Commercial Valuation:
�� Li- aI �L�t11 _ �, S� l
Project Address: , l-1 — Parcel ��(�'•-(�'���(� /���� ''f
Lot 9: — Subdivision:
Project Description:�� 5
Owner: Phone Number:Address: Lk 1104ity: Art/ IG t-9-1 State:Y— Zip Code: /��l T 2 22 3
Contact Person. ��,f,
I-h� 21 � Phone Numyyber:�_; . 335 SDg
Cell Phone: Fax: _E-mail:, �j�rULUf�, C,fllNlr04, I
Address: 5&4 <f- Ak- City: State: Wa— Zip Code:-- 12 7 J
Please List Quantity of Fixtures Below:
CLOTHES DRYER FURNACE UP TO 100K BTU GAS OUTLETS
FURNACE OVER 100K FLR FURN INSTALL/RELOCATE SUSPENDED HTR/UNIT HTR1
APPL VENT/OTHER APPLIANCE REPAIR BOILER UP TO 3 HP
BOILER UP TO 4-15 HP BOLIER UP TO 16-30 HP BOILER UP TO 31-50 HP
_ BOILER 51 HP AND UPd�'14A,�,(&I'K AIR AHNDLING UP TO 1 OK CFM AIRHANDLING OVER 10K CFM
EVAL COOLER !! VENTILATION FANS VENTILATION SYSTEM
VENT HOOD jGvyv�' DOMESTIC INCINERATOR OTHER OTHERCOM/IND INCINERATOR
Z ALL OTHER U ITS l FREESTANDING STOVE FIREPLACE INSERT
YO �
Contractor: V ' 17i Phone Number: � �' 953-
Address: ; ts�[, �'� Ctie acity: V lieState: Wh_ Zip Code: C�J 59-2
Contractor's License Number; Expiration: 1 9-e I
I hereby certify that the above information is correct and that the construction on, and the occUpancy, and the use of the above-
described property will be in accordance with the laws, rules and regulation of the State of Washington.
(� 9 �/o
App icants Si nature Date
J
Print Applicants Name RECEIVED
APR 21 2010
COA PERMIT CENTER
FOR STAFF USE ONLY
errnil# Accepted By Amount Received Receipt W Date Received
WEB Forms-133 Page 1 of 1 04/08 sb
OPERATING
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 •Phone(360)403 3551 •FAX(360)403 3418
Part 1
Applicant/Building Information N 6-1 e t
Applicant's Name:
Applicant's Address: � �� � � ()"C�� / l� � Go14 n-t Pri
ve-
Contact Person:_ c2-� �j Telephone:��3 3 0^3/ '�
-FI M l NtKo wC-7�Z- C Jv p R:rrf cAm tww611 425—35-�-35 Fs—
Address of Premises for which Operating Permit is requested:
ame as above ❑Other (specify):
Tax Parcel ID #: Current Occupancy Class:
Part H
Type of Operating Permit
An Operating Permit is required to conduct any activity or to use any class of building listed below.
Please indicate the type(s) of Operating Permit(s) requested by checking each applicable box. (If you
require assistance, or would like more information, contact the City of Arlington Building Department
at 360-403-3551.)
]Manufacturing, storing or handling hazardous materials in quantities exceeding those listed in the
I ire Code (see Appendix_A.) Identify the materials and quantities and describe the manner in which
the materials will be manufactured, stored or handled (attach additional sheets if necessary):
< o6
r
hz4 w qA s
Revised 4/1/08 RECEIVED
APR 2 Y �;,�
Page 1 of 4 C®A PEPuvO y
Part H(cont'd)
conducting a hazardous process or activity, including, but not limited to, any commercial or
industrial operation which produces combustible dust as a byproduct, fruit and crop ripening, waste
handling, spray operations, and high-piled storage (see Appendix B.) Describe the process(es) or
activity(ies) to be conducted(attach additional sheets if necessary):
ti PV/) Oh" III
❑Use of pyrotechnic devices in assembly occupancies(see Appendix C.)Describe the devices to be
used and type of event(attach additional sheets if necessary):
❑Aboveground Storage Tank(AST) (see Appendix D)
❑Removal❑Decommissioning El Temporary tank closure❑Changes in service ❑Permanent tank closure
Brief description:
❑Underground Storage Tank (UST) (see Appendix D)
❑Removal❑Decommissioning❑Temporary tank closure El Changes in service ❑Permanent tank closure
Brief description:
❑Temporary Membrane Structures, including tents and canopies (see Appendix E.) Brief description
of structure and use:
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y
Part II(cont'd)
❑Special Event Operating Permit -An Operating Permit is required for any special event that
takes place within an occupied building, or an outdoor mass gathering,which is outside the
scope of the permitted use(see Appendix F.) Brief description of type of gathering proposed:
Part III
Premises/Building Information
1. Date of last inspection of Premises:
2. Has a Certificate of Occupancy been issued for the premises? DYes DNo
Type: ❑Permanent DTemporary Date of Issuance:
3. Are there currently any open Building Permits associated with the premises? ❑Yes DNo
If yes, please describe (attach additional sheets if necessary):
4. Additional Comments:
SIGNATURE OF APPLICANT
I herby certify that the foregoing information(and all information in attached sheets, if any) is true
and complete.
� '6
Si atur��ppli or Authorized Representatives Signature Date
Name and Title (if applicable) of person signing Application (Please print)
Cc: Fire Department Page 3 of 4