HomeMy WebLinkAbout17923 Country Club Dr_BLD931166_2025Permit No. City of Arlington
OTICE and Inspe. $on Report
Date Called Address I'7q Z ,3 L' j Y Ll!�
Time Called 1.LLf Contractor/Owner11i
B" Requested by 01n
❑
Setback
❑ Reroof
❑
Insulation
❑
Plumb GW
❑ Roof Diaphragm
❑
Gas Piping
❑
Footing
❑ Framing
❑
Woodstove
❑
Foundation
,'C4L _Drywall Nailing
❑
Final
❑
Concrete Slab
❑ Rough -In Plumbing
❑
Reinspection
❑
Shear Wall
❑ Furnace
❑
Other
PROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
�LK listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required.
Inspector
Date
Y�
Permit No.
Date Called
Time Called +-
By
❑ Setback
❑ Plumb GW
❑ Footing
❑ Foundation
❑ Concrete Slab
❑ Shear Wall
City of Arlington
.If OTICE and Impe,..Aon Report
3 � Address
Contractor/Owner
Requested by
❑
Reroof
❑
Roof Diaphragm
❑
Framing
❑
Drywall Nailing
❑
Rough•In Plumbing
❑
Furnace
Insulation
Gas Piping
❑ Woodstove
❑ Final
❑ Reinspection
ther
APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ CALL-43"724 FOR REINSPECTION - 24 hour notice required.
Inspector l L _ Date Z"` — 5
�
/ Permit No.
City of Arlington
NOTICE grid Inspe"n Report
Date Called
Address
Time
Contractor/Owner
a� I Ee�
B
Requested by
❑
❑
❑
❑
❑
❑
Setback
Plumb GW
Footing
Foundation
Concrete Slab
Shear Wall
❑ Reroof
❑ Roof Diaphragm
�raming
❑ Drywall Nailing
❑ Rough-ln Plumbing
❑ Furnace
❑
❑
❑
❑
❑
❑
Insulation
Gas Piping
Woodstove
Final
Reinspection
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 _ ! ! , e5
Permit No. I
Date Called
Time Called, 3
By ll
❑ Setback
❑ Plumb GW
❑ Footing
❑ Foundation
❑ Concrete Slab
❑ Shear Wall
City of ArP ugton
NPTiCE and Inspection Report
Address
r'nntmntnr1C]wnar
❑ Reroof
❑ Roof Diaphragm
❑ Framing
❑ Drywall Nailing
h-In Plumbing
❑ Furnace
❑ Insulation
❑ Gas Piping
❑ Woodstove
❑ Final
❑ Reinspection
❑ Other
U GUHHtU I IUN r1r-UU1rnw
❑ orrections 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.
Permit No.
f r'
Date Called
Time Called
�n _
1
By
City of Arlirzg°*on
(NOTICE and Inspection h-eport
Let -
Address
Requested by
i
❑
Setback
❑
Reroof
❑
Insulation
❑
Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
❑
Footing
❑
Framing
❑
Woodstove
Foundation
�❑
❑
Drywall Nailing
❑
Final
Concrete Slab
❑
Rough -In Plumbing
❑
Reinspection
❑
Shear Wa�/
❑
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 — I 1
Permit No. 1
Date Called
i
Time Cared
By
City of Arlington
NICE and Inspection i eport
❑
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.
q-ro-43
Inspector Date
Scale: 1" = 20'
SD
= Storm Drain
W
= Watir Line
SS
= Sanitary Sewer
DS
= Roof Drain Down Spout
0
= Storm Drain Catch Basin
^'>
= Surface Water Flow Direction
GB
= Grade Break
ec. SYNO .
~�_
GO4hV7Tz %r GL lJ,� D211�E
RECEIVED
I " ■ 20'
LOT 34
. JUL 2 9, 1993 CITY®FARLIIVGTOi� P'1_ OT PLAN
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
N11' 1166
❑ COMBINATION
® BUILDING ❑
MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT NO.
OWNER
MAIL ADDRESS
CITY ZIP
PHONE
Brandel Construction CorR
770.3 233rd P1 SW -Edmonds 98026
775-7594
ARCHITECT OR DESIGNER
MAIL ADDRESS
CITY ZIP
PHONE
Thom Naumann
168.15 116th St.
SE Snohomish 98290 5fiR-4888
GENERAL CONTRACTOR
MAIL ADDRESS
CITY ZIP
PHONE LICENSE N
same as owner B DC*201D].
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE Lfctwa
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLI [ION ❑ BUILDING RELOCATION
VALUATION OF WORK
s 127,929
DESCRIBE WORK
new construction
PROPOSED USE OF BUILDING
i I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
SER AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DEM RIPIION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIESI SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT
34 BLOCK OF $leneagle 2B I'I'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
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGN' E OF CONTRACTOR OR AUT CfiOWAGENT DATE
FOB AVURI 5S 1 q
179.23 Country Club Dr. X
(OFFICE USE ONLY)
MECHANICAL
NO y
TYPE OF FIXTURE
FEE
NO
TYPE OF EQUIPMENT
FEE
VvA'[ERCLOSET (TOILET)
2
0Q
AIR COND UNITS - HP EA
BAI[IIUB
1
REFRIGERATIONUNITS - HP EA
3
LAVATORY (WASH BASIN)
21
0
BOILERS - H P EA
2
SHOWLR
GAS FIRED A C UNITS - TONNAGE EA
KI ICHLN SINK & DISP
n1
FORCED AIR SYSTEMS - B T U MEA
DISHWASHER
U 0
1
WALL HEATERS - B T U M
LAUNDRY T RAY
LINT l HEATERS - B T U M
CLOTHES WASHER
0Q
EVAPORATIVECOOLERS
"'A1 ER HEATER
CLOTHES DRYERS
URINAL
VENTILATICN FAN
DRINKING FOUNIAIN
RANGE HOOD COMMERCIAL
FLOOR DRAIN
AIR HANDLING UNIT - CPM
VACUUM BREAKERS
1 STOVE
��
ROOF DRAINS - RAINLEADERS
j
METAL FIREPLACE & CHIMNEY
6
5(
SINK (SERVICE - BAR, ETC)
WATER HEATER
5(
GAS PIPING
SUBTOTAL
f 1000
SUBTOTAL
f 56
00
PERMIT
Sis 00
PERMIT
f 15
00
TOTAL FEE
f126 00
TOTAL FEE
$1 71
0
SIDE YARD SL IBACK S[RLET SLIBACK
REAR YARD SETBACK
DATE RECEIVED PLAN
IPT
8/10 22.6
49
7/29/93 FEE 50
RE CE
NO
28137
281
USI /QN1 LOT AREA
VACANT SITE
FEES VALUATION
FEE
R7200 10,f 333
[NYES ONO
TYPE OF CONST OCCUPANCY GROUP
NO OF DWELLING UNITS
PLAN CHECKING VG
VN R3 & M
1
BU'LDING f
695
50
SIZE OF BLDG NO, OF STORIES
MAX OCC LOAD
2954 1
8
PLUMBING
120
00
F IRE SPRINKLERS REQUIRED
❑ YES D�10
MECHANICAL
71
00
STATEBLDG.CODE
4
50
COMMENTS
ENERGY CODE SURCHARGE
15
00
PENALTY SECC303(a)
3100
00
WATER/SEWER FEES
TOTAL
4006
Oa
D A T T�.
Plan 9.027
AUG 24 .199?
cc: ASSESSOR, APPLICANT, TREASURER, BLDG. DEPT
PERMIT VALIDATION
WHEN P Y VALI TED (IN THIS SPACE) THIS IS YOUR PE. IT p4& RECEIPT
PAID CR#t—
I
G O FICIAL DATE
RECORDS COPY
I?0;� I -3
CITY OF ARLINGTON
• CONSTRUCTION
PERMIT
❑ COMBINATION
BUILDING ❑ MECHANICAL ❑ PLUMBING
❑ SIGN
PERMIT NO.
j �
/
OWNER
MAIL ADDRESS
CITY
ZIP
PHONE'\6Y�k
�
p
1CS
775 7'
ARCIIITECT OR DESIGNER
VAAIL ADDRESS
CITY
ZIP
PHONE
GENE RALCONt RAC O`R
MAIL ADDRESS
CITY
ZIP
PHONE
LIC NSA' EE I} Y
—ry 77
C ;'YZa Y-:�q. k'°R FY' I / 41 J •i �' cf _ I� .-
y q,
Ll�'�.P r'LI..<M X,
`�
!i (7T 1
fi p
Fr''il dr`
r7
��.'.'��1f/1 1
MLCHANfCAL CONTRACTOR
MAIL ADDRESS
CITY
ZIP
PHONE
L iCENSE 1
---LICENSE
IF
PLUMBING CONTRACTOR
MAIL ADDRESS
CITY
ZIP
PHONE
CLASS OF WORK
11NIW ❑ADDT IION ❑ALTERATION ❑REPAIR ❑DCMOLIIION ❑ BUILDING RELOCATION
VALUA1ION OF WORK
S 1a7, 9_-L)
DLSLRIB' WORK
5 1
PROPUSI D USE Of BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
S F KTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
(ELyAL DI%(RIPIK)N OI PRUM-RTY ISHOWN BELOW OR AI TALII f(MOR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
I0Iy4 RLOLK OI Lti IL ;_N121 L'aSe 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
LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
X ( r i 1��1✓ l"�C - o� I
TAX ID NUMBER
I I lk►� s 4 �.
108 AUURI 55
(OFFICE USE ONLY)
PLUMBING
MECHANICAL
NO.
TYPE OF FIXTURE
FEE
NO.
TYPE OF EQUIPMENT
FEE
WATLR CLOSET (TOILET)
AIR COND. UNITS -- II.P. EA.
BA I II I UB
REF RIGERAI ION LINT IS - H.P. LA.
LAVATORY (WASH BASIN)
" ;
BOILERS -- H.P. EA
SIIOWLR
r t'
GAS FIRED A.C. UNITS - TONNAGE EA.
KI If-IILN SINK 6 DISP.
%
FORCED AIR SYSTEMS - B_.T.U. MEA
i
DISIIWASIILR
r
WALL HEATERS - B.T.U. M
LAUNDRY TRAY
UNIT HEATERS - B.T.U. M
CLOIIILS WAS1ILR
%
EVAPORAI IVE COOLERS
WATER IILAILR
/
CLOTHES DRYERS
�
URINAL
VLNTILATICN FAN
DRINKING FOUNTAIN
RANGE IIOOD COMMERCIAL
I LOUR DRAIN
AIR HANDLING UNIT - CPM
VACUUM BREAKERS
STOVE
li
ROOT DRAINS - RAINLLADERS
J
METAL FIREPLACE d CHIMNEY
tl—
SINk ISERVICL - BAR. E IC.)
WATER HEATER
GAS PIPING
Vic'
SUB TOTAL 11
i0o
I
SUBTOTAL
f
PERMIT f
PERMIT
>
J
TOTALFEE 4
o
TOTAL FEE
f
/
J
SIDI. .r SE1BALK
j
S1REL1SEIBALK
/_
(�
REARYA D 1BACK
�
PLAN CHECK NUMBER
�` �`��
PLAN
FEE �0
—
CHECK F f
RECEIPT NQ
�el&L
`✓,`
U4 Jr(.11V1
zs-fl
LOT AREA
VACANT SITE
YES ❑ NO
FEES
VALUATION
FEE
f
PLAN CHECKING VG
T,PL Of CONS I.
v' '
OCCUP NCY GROUPNO.
�3 -�- • V V
OF DWELLING UNITS
L
BUILDING
SIZE OI BLD(r-
NO.Of SIURILS
MAX. OCC.. tLOAD
PLUMBING
! ✓��
F IRE SPRINKLERS REQUIRED
❑ YES ❑ NO
MECHANICAL
COMMENTS
P)�� �d2� RECEIVED
JUL 2 9 19
CITY OF ARLINGTOM
cc! ASSESSOR. APPLICANT, TREASURER, BLDG. DEPT.
STATE BLDG. CODE
ENERGY CODE SURCHARGE
�� ODD
U.B.C. SEC. 303(a)
WATER/SEWER FEES
� %O
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED RN THIS SPACE) THIS IS YOUR PERMIT 6 RECEIPf `tf
PAID CRN BY
BUILDING0"ICIAt DATE
RECORDS COPY