HomeMy WebLinkAbout18112 Cambridge Dr_BLD972592_2025 INSPECTION REPORT -
'04 Sqa Lot #
Permit No. -,
r.
• Address
Contractor
Owner
Date c,
Taken By
'APPROVAL ❑ PARTIAL APPROVAL
"❑ VIOLATION ❑ CORRECTION REQUESTED
tt ❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
I ❑ Was not able to perform inspection.;
❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required.
r�
I
Inspector r " Date 1
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb./ inal
Cl Masonry ❑ Drainage ❑ Insulation
I ❑ Other
INSPECTION REPORT
Permit No. Lot#
• Address �f
Contractor
Owner � 'r`✓ �L��t.cr.
Date Gil
Taken By
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Inspector Date
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove Cl Rough-in Plumb�. ><Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. -at5 a Lot#
Address t% 11 a
Contractor
Owner
Date 'Z- 7- 61
Taken By
❑IPROVAL ❑ PARTIAL APPROVAL
LATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
CA 35-0724 F 4
OR RE-INSPECTION - 24 hour notice required.
Inspector"gL Date Z'
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing Drywall, Nailing ❑ Consultation
❑ Foundation hear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. Lot #
• Address 10
Contractor
Owner CJ
Date
PROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Inspector - Date
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage Insulation
❑ Other
INSPECTION REPORT
Permit No. - Z S?Z Lot #9q
• Address /'y1(� �gin
Contractor Q -:1 tic'AA,e>;
Owner
Date L2— c 'j
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Inspector Date -7
TYPE OF INSPECTION REQUESTED
❑ Under-floor *Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. ��- 9�Lot #
Address l l/Z CGS �2, d c&o
Contractor /����Z�h tZlc It,/-a -
• Owner
Date
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Date f S
Inspector
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing <Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
O Foundation ❑ Shear Nailing 0 Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION !REPORT
0s
Permit No.�7- 2S'iZ Lot #__7o�
Address M12- CA96_9_1 6F-
Contractor JCL'- h 5n+) HcaA4
Owner
Date 1- '
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Inspector Date 3
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation A Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove % Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
Pour-
City of Arl.ngton
NOTICE and Inspection Report
�y Phone# 4ZZ'-Z�j
Permit No. P- Lot# -Z-Li
Date Called C)q-(9-'I'j Address t X ► I t C-fI 1,-,( { jO p 1�
Time Called (,,`-3-3 Contractor/Owner
BY �l/•� '�es-� Requested by � `l
TYPE OF •
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
6 Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
ff'XIPPROVAL ❑ CORRECTION REQUIRED
❑ Corr ctions listed below MUST BE MADE before work can be approved.
listed below has been inspected and approved.
CALL 24 FOR REINSPECTION—24 hour notice required.
Inspecto "
Y ` City of Ar.'k-=Lngton
NOTICE and Inspection Report
Phone#
Permit No. C , _� Lot# _
Date Called Address r r✓
Time Called ts`�i� Contractor/Owner _
By Requested by
TYPE OF •
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
'><ootng ❑ Drywall 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.
Work listed below has been inspected and approved.
❑ CALL 435-0724
FOR REINSPECTION—24 hour notice required.
Inspecto Date
0
1
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'N q�J6 7 8 1997
U
h CITY OF ARLW46 I ON
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C I-rV OF ARL I NOTON
CONSTRUCTION RERMIT
AERM I T NO- S7—a592
Owner: JACOBSEN HOMES, INC 11712 MERIDIAN PL NE LAKE STEVENS 96258
Value of Work: $120,640.00 Tax iDa Phone: 425-335-4048
Describe Work: NEW CONSTRUCTION
Proposed Use: SFR
Legal Description: GE SEC 4D LOT 24
Job Address: 16112 CAMBRIDGE DR
Contractor's Name Type Address License#
JACOBSEN CONSTRUCTION G 11712 MERIDEAN PL. NE. JACOBH1034MA
HORIZON HEATING INC. M 3601 121ST ST. HORIZHI137DU
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 13 $7.00 $91.00
�} FURNACE/UNIT HEATER 1 $13.25 $13.25
RANGE 1 $9.50 $9.50
VENTILATION FANS 4 $6.50 $26.00
DRYER 1 $9.50 $9.50
r METAL FIREPLACE & CHIMNEY 1 $9.50 $9.50
�i WATER HEATER 1 $9.50 $9.50
GAS PIPING 1-5 OUTLETS 1 $5.00 $5.00
SUBTOTAL...... $173.25
TOTALS Fee
Equipment $82.25
Fixture $91.00
Mech Permit $22.00
Permit Fee $895.00
Plan Fee $581.75
Plumb Permit $15.00
State flee $4.50 y
School Mitigation $941.00
SIGNATURE:
TOTAL FEE............. . ... $2,632.50 I HEREBY CERTIFY THAT ; iVE READ
r AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . ............. . $570.05 KNOW THE SAME TO BE TRUE AND COR-
0 RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE...... ........... $2,062.45 ORDINANCES GOVERNING THIS TYPE OF
O
WORK WILL BE COMP D WIT WHETHER
_ SPECIFIED H NO
(�} DATErl
EIPT #
BUILDING OFFICI
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT NO.
j OVER MAIL ADDRESS CITY ZIP PHONE
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GE ERAL CONTRACTOR MAIL ADDRESS CITY ZIP /n PHONE LICENSE M
"Alf i� .' � I t!� y.,tk�.a�� 44l\1 PL-fq (L
MECHANICAL CONTRACTOR I MAIL ADDRESS CITY ZIP PHONE LICENSE 1
-RLUM ING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
�` Y7 Nov �' t�l Ltdrl1 =,irat . L1 6 - ;
3 `CL,SS OF WORK
Co aNLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI FION ❑BUILDING RELOCATION
Q VALUAT ION OF WORK 1
C�zsIll _ rQ,
W UESLRIBE WUgK
M PRUPOSE D USE OF BUILDING
Cn I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
w TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
Z LL=ALDIPTION01 PROPERTY(SHOWN BELOWOR ATTACH FOURCOPIES)
� /� SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
JLOBLOCK (T�OF 7 L- �-I _1 �i 4C L� WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
ILI J TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CL IF// CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
Q SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
V 108 A URLSS
?
(OFFICE USE ONLY)
PLUMBING MECHANICAL
N . TYPE OF FIXTURE FEE x's FIXTURES NO. TYPE OF EQUIPMENT FEE x's FIXTURES
A'Di?It CLOSED 'COILED IR COND.UNITS—II.P. Fib. tquip.list•' _
Al'ITUB tHIJR10191ATION UNDPS—II.P.EA. 1goolp.list-
AVATORY(WASH BASIN) OB.ERS—H.P.EA. 3qtip.list•'
l liOWER 3AS FIRED A.C.UNITS—TONNAGE EA ti .list••
j TCHEN SINK do DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA
1SHWASHER IWALL HEATERS—B.T.U. M
.AUNDRY TRAY JNIT HEATERS-B.T.U. M
.LOTHES WASHER APORATIVECOOLERS
WATER HEATER LATHES DRYERS
RINAL kFENTILATION FAN
RINKING FOUNTAIN kANGE HOOD COMMERCIAL
LOOR DRAIN IR HANDLING UNIT- CPM
rVACUUM BREAKERS 4�A
E
OOP DRAINS-RAINLEADERS L FIREPLACE&CHIMNEY
'INK(SERVICE-BAR,ETC.) R HEATER
IPING •u to5=$3.00.addnL=S.7S
meat list must be twided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTAL PEE TOTAL FEE
IIOL YA U (BACK STRELT SSTB CK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
}/�, FEE RECEIPT NO /7
USE/U - LOT AREA VACANT SITE ✓ �I
lZ.?��� �VES ❑NO FEES VALUATION FEE
TYPE OF CONS UCCUP NC GRCIU NO.OF DWELLING UNITS PLAN CHECKING NG
SIZE B UGH,/ NO.OF STORILS MAX.MAX.00C.LOAD BU'LDING f / Q:
� lam) PLUMBING
F IRE SPRINKLERS RE RED
❑YES LQ^0 MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
a, G-i— , PENALTY U.B.C.
r / t SEC.303(a)
V �
/t WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
�y e
PAID CRk BY
cc:ASSESSOR,APPLICANT, TREASURER, BLDG. DEPT BUILDING OFfiCll\L DATE
RECORDS COPY