HomeMy WebLinkAbout17700 W Country Club Dr_BLD931124_2025Permit No. / C# of Arli4gton
NOTICE and Inspe"aon Report
)
Date Called Address
Time Called p Contractor/Owner
Requested by 14
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
PIOVAL
❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
ark listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required.
Inspector
Date,/
Permit No City of Arlington
NOTICE and Inspe"won Report
Date Called �j Address f Ci
Time Ca I 25 Contractor/Owner
By Requested byy_(
TYPE OF •
❑
Setback
❑
Reroof
❑
Insulation
❑
Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
❑
Footing
❑
Framing
❑
Woodstove
❑
Foundation
rywall 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.
u
Permit No. City of Arlington
NOTICE and Inspel. in Report
Date Called 1 Address
Time Ca led Contractor/Owner
gy Requested by
TYPE OF •REQUESTED
❑
Setback
❑
Reroof
❑
Insulation
❑
Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
❑
Footing
raming
❑
Woodstove
❑
Foundation
❑
Drywall Nailing
❑
Final
❑
Concrete Slab
❑
Rough -In Plumbing
❑
Reinspection
❑
Shear Wall
❑
Furnace
❑
Other
APPROVAL
ORRECTION 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
Permit No. 1
Date Called
Time Called
By
City of Arlington
NOTICE and InspeL _ -on Report
i -7
Address 0 {�
Contractor/Owner
Requested by
❑
Setback
❑
Reroof
Insulation
❑
Plumb GW
❑
Roof Diaphragm
❑ Gas Piping
❑
Footing
Framing ❑ Woodstove
❑
Foundation
❑
Drywall Nailing
❑ Final
❑
Concrete Slab
❑
Rough-ln Plumbing'
Reinspection
❑
Shear Wall
❑
Furnace
❑ Other
ROVAL
❑
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 RE INSPECTION - 24 hour notice required.
Inspector
Date riG /
Permit No. ! I
City OL Arlington
_
and Inspet -in in report
Date Called f
,.,,NOTICE
1*7
Address
Time C
Contractor/Owner J
BY
Requested by
TYPE OF
•
❑
Setback
❑ Reroof ❑ Insulation
❑
Plumb GW
❑ Roof Diaphragm :i GGa Pipinb,,6
❑
Footing
❑ Framing ❑ Woodstove
❑
Foundation
❑ Drywall Nailing ❑ Final
❑
Concrete Slab
❑ Rough In Plumbing ❑ Reinspection
❑
Shear Wall
❑ Furnace Other4"
PROVAL
❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved,
erk listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required.
Inspector
Date _ //—lit/;- —
Permit No. —Lu" I
Date Called
Time Ca
By
City of Arlington
NOTICE and Inspetv�on Rep
ort
17
Address
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
❑ Cor ctions 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 a 'er Date I 0--` 7—� f �7
1
Permit No.
City of Arlington
Date Called
Time Called ,
By
NOTICE /cmd Inspeution Report
Address
Contractor/Owner ..
❑
Setback
❑
Reroof
❑
Insulation
❑
Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
❑
Footing
❑
Framing
❑
Woodstove
❑
Foundation
❑
Drywall Nailing
❑
Final
❑
Concrete Slab
Ugh -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 ,([/ f '— ,
Permit No.
Date Called
Time Called
By
City of Arl; -ngton
N� TICE and Inspects/on Report
Address
Contractor/Owner
Requested by
❑
Setback
❑
Reroof —
❑
Insulation
❑
Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
❑
Footing
❑
Framing
❑
Woodstove
❑
Foundation
❑
Drywall Nailing
❑
Final
❑
Concrete Slab
.1Rough-ln Plumbing
❑
Reinspection
❑
Shear Wall
❑
Furnace
❑
Other
❑ APPROVAL
❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Work I' d below has been inspected and approved.
CALL 435-0724 FOR REINSPECTION - 24 hour notice required.
Inspector -A0'!/s'' �' Date t > 3__
Permit No.
Date Called
TimeBy
City of ArPngton
v --7 OTICE and Inspection Report
Address I ?-� oz (\ 0 0, , L
Cont motor/Own
Requested byl '—
❑
Setback
❑
Reroof
❑
Insulation
❑
Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
❑
Footing
❑
Framing
❑
Woodstove
❑
Foundation
❑
Drywall Nailing
❑
Final
® Concrete Slab
❑
Rough -In Plumbing
❑
Reinspection
LheaWall
❑
Furnace
❑
Other
PPROVAL ❑ 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 A�J r'/
Permit No.
Date Called f
Time Called
By f
City of Arlo ngton
j7yTICE cmd Inspection Report
Address %`� f ' i w 4r,%.
Contractor/Owner
Requested by
❑ Setback
❑
Reroof
❑
Insulation
❑ Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
aofing
❑
Framing
❑
Woodstove
❑ Foundation
❑
Drywall Nailing
❑
Final
❑ Concrete Slab
❑
Rough -In Plumbing
❑
Reinspection
❑ Shear Wall/
❑
Furnace
❑
Other
APPROVAL F1 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 _7/ 0141� Date
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420 as4f:,o 0011
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MAY 19 1993
51 Tr--.-t=L-AN J�C>-T" 71 012 0 to PO
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VATIHs
01-12—CUO
PRO-Mr—T# --
CONTEMPRA 1 1O1- 1E5 rrf
1.4,1,
!If#
CITY OF ARLINGTON
CONSTRUCTION
PERMIT -_ c" 1124
❑ COMBINATION Q BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER MAIL ADDRESS
CITY
ZIP
PHONE
Brandel Construction Corp 7703
233rd P1 SW
Edmonds 98026
775-7594
ARCHITECT OR DESIGNER MAIL ADDRESS
CITY
ZIP
PHONE
Thom Nauman 16815 116th St SE
Snohomish
98290 568-4888
GENERAL CONTRACTOR MAIL ADDRESS
CITY
ZIP
PHONE LICENSE N
George Brandel same as above
B13ANT)C'*,2n1n]
MECHANICAL CONTRACTOR MAIL ADDRESS
CITY
ZIP
PHONE LICENSE I
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
® NLW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION
VALUATION OF WORK
DESCRIBE WORK
TeTPC�Y (�f1Yl a fi- v'17 F+4' i rtin
PROPOSED 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-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
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
LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNAT "F CONTRACTOR OR AUTHORIZED AGEW DATE
LLGAL DES('.RePT ION OF PROPERTY JSHOWN BELOW OR ATTACH FOUR COPIES)
LOT 17 BLOCK - OF Gleneagle I-I'B Ph 3
TAX ID NUMBER
IOB aDDRLSS
17700 Country Club Dr.
(OFFICE USE ONLY)
PLUMBING
MECHANICAL
NO.
TYPE OF FIXTURE
FEE
NO.
TYPE OF EQUIPMENT
FEE
3
WATER CLOSET (TOILET)
21
00
AIR COND. UNITS - H.P. EA.
BATHTUB
14
00
REFRIGERATION UNITS - H.P. EA.
LAVATORY (WASH BASIN)
28
00
BOILERS - H.P. EA
SHOWLIR
GAS FIRED A.C. UNITS - TONNAGE EA.
KI ICHEN SINK & UISP.
FORCED AIR SYSTEMS - B T.0 MEA
9
0C
DISHWASHER
WALL HEATERS - B.T.0 M
LAUNDRY TRAY
UNIT HEATERS - B.T.U. M
CLOI IIES W'ASHLR
EVAPORAI IVE COOLERS
WATER HEATLR
1
CLOTHES DRYERS
6
C
URINAL
VENTILATICN FAN
18
0C
DRINKING FOUN I AIN
RANGE HOOD COMMERCIAL
1'LOOR DRAIN
AIR HANDLING UNIT - CPM
2
VACUUM BREAKERS
STOVE
ROOF DRAINS - RAINLEADERS
2
METAL FIREPLACE & CHIMNEY
SINK (SERVICE - BAR, ETC.)
1
WATER HEATER
6
bL
5
GAS PIPING
3
7-c
SUB TOTAL
PERMIT
$1
$1
9
1
00
001
SUBTOTAL f
PERMIT f
s
TOTAL FEE
SIDE. YARD SLIBACK STRELTSLTBACK
2.
f 11 0 01
REAR YARD SETBACK
132
DATE
6 24 93
/ /
TOTAL FEE f
PLAN CHECK FEE
FEE RECEIPT NO.
50 27620
USE /ONE
R7 2 0 0
LOT AREA
13,451
VACANT SITE
121 YES ❑ NO
FEES
VALUATION
FEE
PLAN CHECKING VG
TYP F CONS]
VN
OCCUPANCY GROUP
R3 & M
NO. OF DWELLING UNITS
1
BU'LDING
f
657
00
SIZE OF BLDG.
2449
NO. OF STORILS
2
MAX.00C. LOAD
8
PLUMBING
113
00
F IRE SPRINKLERS REQUIRED
❑ YES ❑ NO
COMMENTS
PAID
J U L 29 1993
MECHANICAL
STATE BLDG. CODE
ENERGY CODE SURCHARGE
4
50,
Zftft Radon Kit
U.B.C.
3tYA%X
15
00
WATER/SEWER FEES
3100
00
TOTAL
3967
75
Plan 9119 Basic
cc: ASSESSOR. APPLICANT, TREASURER, BLDG. DEPT,
PERMIT VALIDATION
WHEN PROVW VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT CEI
PAID Ckt6 �g19v BY
'! r7 b5T
BUI NG OFFI DATE
RECORDS COPY
a�
❑ COMBINATION 1p BUILDING
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT NO. /! E
VWNLK
MAIL ADDRESS
1\u
CITY
21P
PHONE
rar�ei
0- 3-,
,o
Al
77 � _ 7��N � y
ARCHITECT OR DESIGNER
I MAIL ADDRESS
CITY
Tip
PHONE
�1hl; v aurr-y:v\
1 L211 � ! I �'4�' si. S&
.IIt,won1sh
GENERAL CONTRA fl{{
MAIL ADDRESS
C17Y
ZIP
PHONE LICENSE
':'�. _,; ✓_1'`Up
t 0 CA33�d I SVv
c �7
C.4 fT`IT^4.� P•'5�.�
'7�J- �1 J
1F�1�'�+T L} f
MECHANICAL CONTRACTOR
MAIL ADDRESS
f fTY
riP
vwrwo v cuee r
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
CLASS Of WORK
ONLW ❑AUDITION 0 ALTERATION ❑REPAIR ❑DEMOLIIION ❑ BUILDING RELOCATION
VALUATION OF WORK
f .3
DES(,RIBE'WORK ,
tJL�
PRUPOSI D USE DF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
L L(,AL Ot R RIPIION 01 PROPERTY ISHOWN Rf.L+OW OR ATTACH f OUR COPIFSI SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT 1_RLOCK OF 1' 1 ' 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 OF THE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
JOB .1UUR1.55 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
1 ? D
+ f
Ll Cfi UIIz► 17 L 1 �� X
fi`� i k r `r: 'ir,,..:.k,
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO.
TYPE OF FIXTURE
FEE
NO.
TYPE OF EQUIPMENT
FEE
WATER CLOSET (IOILLT)
AIR COND. UNITS - H P. EA.
BAIIIIUB
j
REFRIGERATION UNITS - H.P. EA.
.4
LAVATORY (WASH BASIN)
BOILERS - H.P. EA
SHOW LR
7
UAS FIRED A.C. UNITS - TONNAGE EA.
KI ICIILN SINK d DISP.
FORCED AIR SYSTEMS - B.T.U. MEA
UISIIWASIILR
WALL HEATERS - B.T.U. M
LAUNDRY 1RAY
UNIT HEATERS - B.T.U. M
CLOIHLSWASHLR
EVAPORAIIVECOOLERS
WAILR IILATLR
I
CLOTHES DRYERS
URINAL
VENTILATICN FAN
DRINKING, FOUN I AIN
RANGE HOOD COMMERCIAL
I LOOR DRAIN
AIR HANDLING UNIT - CPM
VACUUM BREAKERS
STOVE
TJ
ROOT DRAINS - RAINLEADERS
METAL FIREPLACE & CHIMNEY
SINK (SERVICE - BAR, E TC.)
WATER HEATER
570
GAS PIPING
SUBTOTAL
f
SUBTOTAL
f
PERMIT
f
PERMIT
f
TOTAL FEE
TOTAL FEE
f
IRU
SIUL >' I,IBACK
o
STREET SL FBACK
;;?- -z" &
REAR YARD SETBACK
`2
VACANT SITE
❑YES NO
NO.OF DWELLING UNITS
`
MAX. OCC. LOAD
0
FIRE SPRINKLERS EOUIRED-
❑ YES „ O
PLAN CHECK NUMBER
�d2�
FEES
PLAN CHECKING VG
BUILDING
PLUMBING
MECHANICAL
PLAN
FEE,_
_.J
CHECK FEE
RECEIPT
_ 7 '
USE f t
n
LOT AREA
i. 3❑
�L � �
VALUATION
FEE
TYPE OF CpONST.
E/ /
OCCUPANCY/GRROU�P
J `!' VVv
f
/
6, S7
SIZE OF BLfX..
NO. Of $�T-ORkLS
2S
COMMENTS �Ci1FT 14�
{ i Tj % �l 11DaK
Pf I" 1 l �as�c `-'e
STATE BLDG. CODE
ENERGY CODE SURCHARGE 1'
CV f
WATER/SEWER FEES
TOTAL
U.B.C.SEC 303(�)
PERMIT VALIDATION
WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT & RECEIPT
PAID CRN BY
cc: ASSESSOR, APPLICANT, TREASURER, BLDG DEPT,
BUILDING OFFICIAL
RECORDS COPY
DATE