HomeMy WebLinkAbout18030 Cambridge Dr_BLD972453_2025 QIr INSPECTION REPORT
Permit No. 7— 2 3 Lot# .�
Address /20 50 CA M.6 r Y d 4 RE Dr-
Contractor ;t c 0 6 SP n NnM i S
Owner
Date l —
PPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
Cl Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice requ' ed.
1- ovv 1� P�AV
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 X Final
❑ Masonry Drainage ❑ Insulation
❑ Other
City of Ar,..Lngton
NOTICE and Inspection Report
Phone# _
Permit No. Lot#
Date Called — Address
Time Called / Contractor/Owner
Ely Requested by �i1,La
TYPE OF •
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW XDrywall
❑Framing ❑ Gas Piping
Footing Nailing ❑ Final
Foundation ❑Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
t2_�PPROVAL ❑ CORRECTION REQUIRED
WoWork
ections listed below MUST BE MADE before work can be approved.
listed below has been inspected and approved.
❑ CALL 55-0 4 FOR REINSPECTION—24 hour notice required.
�i''�G�"
Inspector Date
n
City of Ar- gton
NOTICE and Inspection Report
Phone#
Permit No. C:�,7_ ZC{5,3 Lot#
Date Called 7fT G 3"!�� Address ! O�A4 624..s 1017£ L"
Time Called 4( Contractor/Owner C�
By ,✓ ��:_.t_ Requested by
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Roof Diaphragm Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
APPROVAL ❑ CORRECTION REQUIRED
❑ Co s
k liste listed below MUST BE MADE before work can be approved.
Word below has been inspected and approved.
❑ CALL 43,-07Z,4 FOR REINSPECTION—24 hour notice required.
I
Date
City of Arlington
NOTICE and Inspection Report
Phone#
rtL
Permit No._177-2 7S 3 Lot# Z�
Date Called Qd l—qj Address /,3 ')C; CAM,-3)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 ❑ Roughmin Plumbing (,�Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
RRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
d Work listed below has been inspected and approved.
CALL 435-0724 FOR REINSPECTION—24 hour notice required.
Inspector
�-�— Date
City of Arl,.ngton
NOTICE and Inspection Report
Phone#
Permit No. ' 7 Lot#
Date Called a e9 Address
Time Called 11:0/ Contractor/Owner
By i Requested by C
TYPE OF •
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW Framing ❑ Gas Piping
❑ Footing ,❑` Drywall Nailing ❑ Final
❑ Foundation ❑ Rough4n Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
❑ APPROVAL CORRECTION REQUIRED
Corrections listed below MUST BE MADE before work can be approved.
NWo sted below has been inspected and approved.
ALL 435-0724 FOR REINSPECTION—24 hour notice required.
o _
in e Date ��
City of Arington
NOTICE and Inspection Report
p C I Phone S %'�/S '3`�� 3C%
Permit No. Lot# ?_ L
Date Called Q$ -02-71 Address 1-so .3o Cm S,_�; �t"
Time Called 5-co Contractor/Owner goz zLVj
By / �A;T _ Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing A Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
&)_A<PROVAL ❑ CORRECTION REQUIRED
ZIZ,k
rec' ns listed below MUST BE MADE before work can be approved.
listed below has been inspected and approved.
CALL 435- 724 FOR REINSPECTION—24 hour notice required.
nspector — Date /� '
City of Arington
NOTICE and Inspection Report
Phone#
Permit No.� �� Lot# 2-2—
Date Called �7—��—�� Address f®X7 �y-4C�-L ��`1 �L D7
Time Called�� Contractor/Owner J G OLA SP /M P
By /D/' Requestedby F", C
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation Rough-in Plumbing ❑ Reinspection
( Shear Wall ❑ Mechanical ❑ Other
PROVAL CORRECTION REQUIRED
ections listed below MUST BE MADE before work can be approved.
2Wor listed below has been inspected and approved.
,ALL 435-0724 FOR REINSPEEC-nO�N—24 hour notice required.
Q,,
Inspect �` �� Date
i'
City of Ar: �ngton
NOTICE and Inspection Report
Phone#
Permit No. Lot# 7 `5
Date Called 0 0-- /(p -`3-) Address 4,005C2 `.���..n�•.<� ,t_
Time Called Contractor/Owner �Gt
By P,9 ; Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical Other ql
APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
>?_<Vork listed below has been inspected and approved.
❑ CALL 44y35-0724 FOR REINSPECTION—24 hour notice required.
reequired.
Inspector Date /��
r���1 City of Ar jngton
NOTICE and Inspection Report
Phone#
Permit No. /7r Lot#
Date Called ' Address
tme Called _ Contractor/Owner _
gy Requested by
TYPE OF INSPECTION REQUE'STED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
Foundation ❑ Rough4n Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
A-KPPROVAL ❑ CORRECTION REQUIRED
Cpfrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
CAL 435 24 FOR RE
INSPECTION—24 hour notice required.
Inspectof Date
City of Ar" ngton
NOTICE and Inspection Report
Phone#
Permit No. Lot#
Y 4
Date Called ? 67 Address
Time Cal �5 �a/77 Contractor/Owner,
By Requested by �..
TYPE OF INSPECTIONREQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wail ❑ Mechanical ❑ Other
❑ APPROVAL ECTION REQUIRED
ections listed below MUST BE MADE before work can be approved.
❑ Work lis ed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
Date
Inspector
\ C I TY OF ARL- I NO-rON
00NOY RUC—r I Ohl PE RM I T
\
�w PE RM I T NO- 9 7-2-A+53 r 4'„S
Owner: JACOBSEN EST 11712 MERIDIAN PL. NE. LAKE STEVENS 98258
Value of Work: $135, 111.00 Tax ID: GE 4D LOT 22 Phone: 335-4048
Describe Work: CONSTRUCT NEW SFR
Proposed Use: RESIDENCE
Legal Description:
Job Address: 18030 CAMBRIDGE DR
Contractor' s Name Type Address License#
JACOBSEN CONSTRUCTION G 11712 MERIDEAN PL. NE. JACOBC110MC
PERKINS & SON P 8524 NW 147TH PL PERKII*20081
HORIZON HEATING INC. M 3601 121ST ST. HORIZHI137DU
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
------------------------- ------------- ------ -------- ------------ y
PLUMBING FIXTURES 16 $7.00 $112.00 S
FURNACE/UNIT HEATER 1 $13.25 $13.25
RANGE 1 $9.50 $9.50
VENTILATION FANS 5 $6.50 $32.50
DRYER 1 $9.50 $9.50
METAL FIREPLACE & CHIMNEY 1 $9.50 $9.50
WATER HEATER 1 $9.50 $9.50
GAS PIPING' 1-5 OUTLETS 1 $5.00 $5.00
S U B T O T A L...... $200.75
TOTALS Fee
Equipment $88.75
Fixture $112.00
Mech Permit $22.00
Permit Fee $964.75
Plan Fee $627.09
Plumb Permit $15.00
State fee $4.50
School Mitigation $941.00 C1��,,1� ��
SIENATURE: �Cc
TOTAL FEE...... ........... $2,775.09 I HEREBY CERTIFY T' I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS..... ............. $550.88 KNOW SAME TO BE TRUE AND COR-
RECT L PROVISIONS OF LAWS AND
TOTAL DUE.... ........ ..... $2,224.21 ORDI AN ES GOVERNING THIS TYPE OF
WO W L B CONIP I WI- WHETHER
SP �IF EIS N 'QT
n D
CEIPT #
D BUILDING WfICIC
CITY OF ARLINGTON
CONSTRUCTION
PERMIT ?7—
COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN OWNER PERMIT NO., j
j MAIL ADDRESS CITY ZIP �[ PHONE
!C C/
ARCHITECT O'��)TER MAIL ADDRESS ���� ��• 5�17 q 661 " �
�j �'�jC/I�TY ZIP ►HONE
GE RAL ON RA U �� D` w""� +�� S S — QS
MAIL ADDRESS CITY ZIP ►HONE
i
LICENSE/
MlCIiANtCAL CONTRACTOR MAIL ADDRESS q 3pk QS W
CITY 21► PHONE LICENSE If
+t�l-�,1, �ic!(� 1 171 +�A- SI W l—c,1 �► Z, � �`�(13�— �-4S 3�i 3D
MBIINGG CONTRACTOR c, /M�AI'L1AOORESISI �/y
N —liYiL 1.tV' f ��� Z' 52 1 TV 2�1j► J P►IONE LICENSE
3 CLASS OF WORK
Q NLW ❑AUDITION ❑ALTERATION 0 REPAIR ❑DEMOLI I ION ❑BUILDING RELOCATION
fZ
Q ALUATIONOF WORK
Ijl uFS RISE WORg
m PRUPUSF U_ USE OF BUILDING
IA ,/�jy I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
w LLGA��L U��ESf"RIPTIUN UT PROPERTY(SF)OWN BELOW OR AT IA(fl F UUR COME TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
Q LOI�BLUCK OF lr i 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
i TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
I I CONSTRUCTION, PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
jIOB AUURLSS� SIGNAIUREOf CONT ROR T/IORIZEDAGENT DATE
(OPPICU USB ONLY) _..
PLUMBING ECIIANICAL
NO. TYPE OP PIXTURB PEB :'i PIXTURBS NO. TYPE OP EQUIPMENT PUB PIXIVRBS
_ ATUR CLOSBC TUILBI IR CONU.UNITS-II.P. FA. + ul ,Ilrt••
- 3ATIITUB 1.191RIGERATION UN11S-II.P.EA. 7 ti ,lit*'
VATORY ASII BASIN OILERS-II.P.RA. tI .list••
(TOWER AS PIRED A.C.UNITS-TONNAOBBA. T ti .Ilst-
ITCHUN SINK&DISPOSAL TORCUD AIR SYSTEMS-B.T.U. MUA
ASH WASIIUR ALL IIBA'I'ERS-B.T.U. M
.AUNDRY TRAY JNIT HEATERS-B.T.U. M
LOTIiES WASHER "' IVAPORATIVBCOOLERS
HATER HEATER 3LOTlIRS DRYERS
RINAL VENTILATION PAN
KINKING FOUNTAIN I.ANGU HOOD COMMERCIAL
LOOR DRAIN kIR HANDLING UNIT- CPM
ACUUM BREAKERS TOVB
OOP DRAINS-RAINLEADBRS wErrALPIREPLACB&CIIIMNBY
'INK SERVICE-BAR,ETC. ATER IIEATER
AS PIPING *(Up to S-$3.00,addol.o S.7S
ul med list muA be provided
SUB'1'U'1'A I. SUB'1'O'I'AL
N14(MI'[' PI9(MCI'
TOTAL PBB TOTAL PBE
SIUL YARD S ACK STRLLI SL IBACK REA YARD SETBACK PLAN CIIECK NUMBER PLAN CHECK FEE
�a, i-1 c ,� FEE _ RECEIPT NO. r7
UST' / f LOT AREA VACA TE I'D ') �i,C
Yts ONO FEES VALUATION FEE
TYPL OF C NS1. OCCUPAACY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
SUL Of BLUG. NO.OF STORILS MAX.OCC.LOAD BU'LDING
^7 PLUMBING
FIRE SPRINKLERS_! El)
[:]YES NO MECHANICAL
COMMENTS tJ STATE BLDG.CODE
tt� CODE SURCHARGE
� SEC.
-ENERGY9�� PENALTY .
SEC.303(s)
fell, WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT
PAID CRII BY _
cc:ASSESSOR, APPLICANT,TREASURER, BLDG. DEPT BUR DING OFFICIAL GATE
RECORDS COPY