HomeMy WebLinkAbout17917 W Country Club Dr_BLD941250_2025Permit No. f�� City of Arlington
r
NOTICE =tl,;jnPk .: Report
Date Called_ Address
Time Called l • �+� Contractor/Owner
By Requested by
❑
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
ZCorrections 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 4 ��2 G 4
Permit No.
City of Arli
NOTICE card InspE---'
Date Called
Address /
Time Called
Contractor/Owner
By
Requested by
TYPE
OF INSPECTION REQUESTED
❑
Setback
❑ Reroof ❑ Insulation
❑
Plumb GW
❑ Roof Diaphragm ❑ Gas Piping
❑
Footing
❑ Framing ❑ Woodstove
❑
Foundation
Drywall Nailing ❑ Final
❑
Concrete Slab
Q Rougft-In Plumbing ❑ Reinspection
❑
Shear Wall
❑ Furnace ❑ Other
APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Wark listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required.
Permit No.
Date Called
Time Cayd
City of Arlington
NOTI
CE and Inspa Report
Address i '"-
Contractor/Owner
❑ 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
APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ ALL 435 0724 FOR REINSPECTION - 24 hour of ce required.
City of Arlington
Permit No. _�� �"
NOTICEGmd Irnspc _ _ _ -.r Report
Date Called 1 Address L'
Time Called z7 Contractor/Owner
By Requested by
TYPE OF •REQUESTED
❑
Setback
❑
Reroof
❑
Insulation
❑
Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
❑
Footing
gaming
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,
Pork listed below has been inspected and approved.
F7��CALL 435- 724 FOR REINSPECTION - 24 hour notice required.
Inspector Date L _f"
Permit No i 2 City of Arlington
NOTICE and Inspe.-. oa Report
Date Called I Z— Address i i 9 1-7 I
42L
Time Called Q Contractor/Owner .
By Requested by
TYPE OF •REQUESTED
❑
Setback
❑
Reroof
❑ Insulation
❑
Plumb GW
❑
Roof Diaphragm
�iping
❑
Footing
❑
Framing
❑ Woodstove
❑
Foundation
❑
Drywall Nailing
❑ Final
❑
Concrete Slab
❑
Rough -In Plumbing
❑ Reinspection
❑
Shear Wall
r•_
Furnace
❑ Other
APPROVAL
CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Vg—ark listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required.
Inspector Date Z�Z,
Permit No. City of Arlington
a NOTICE and Inspe,..,-a Report
Date Called i '01 Address �, ��j z
/i'Gf. r'
Time Called % Contractor/Owner Jam
=
BY Requested by'1,�
TYPE OF •
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
Concrete Slab —�ffj—Hugh-ln 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 5-0724 FOR REINSPECTION - 24 hour notice reauired.
Inspector
Date
Permit No, �
City o1 Arlington
_
NOTICE and Inspe_ Report
Date Called
1rC,7�— Z- 7 43
Address ` 0 S 6 F'� ,4 c, t Al
Time Cai9k
Contractor/OwnerBy
I
Requested by
TYPE OF
•REQUESTED
❑
Setback
❑
Reroof ❑ Insulation
❑
Plumb GW
❑
Roof Diaphragm 0-- -6a's Piping
❑
Footing
❑
Framing ❑ Woodstove
❑
Foundation
❑
Drywall Nailing ❑ Final
❑
Concrete Slab
❑
Rough -In Plumbing ❑ Reinspection
❑
Shear Wall
❑
Furnacethep�"'L
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.
Inspectors;. Date
Permit No.
Date Called r
Time Called
By L�4�
City of Arlin q'ton
NOTICE and InspE_..:►ai Report
Address f
❑
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 -
ORRECTION REQUIRED
APPROVAL
`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. "� City of A0 i n .. ton
,,p TEE and Inspui-lion Report
Date Called t`�` �- Address
Time C I
Contractor/Owner
By
Requested by
❑
Setback
❑
Reroof
❑
Insulation
❑
Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
❑
Footing
❑
Framing
❑
Woodstove
Foundation
❑
Drywall Nailing
❑
,,Final
❑
Concrete Slab
❑
Rough -In Plumbing
❑
Re -inspection
❑
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 F- Date
Ric-CEIE
3F 3
FARL!NGTO
CITY OF ARLINGTON
CONSTRUCTION
PERMIT Nc 1250
❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER MAIL ADDRESS CITY ZIP PHONE
David Woodward 18625 Olympic Vie Dr. Edmonds 98020 774-0939
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
Redelco Homes Inc. 5130 Narbeck Ave Everett 98203 348-5860 REDELHI088RI
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
Horizon Heating 3610 171st SW Lynnwood 98037 745-3930
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
New Horizon Plumbing 6817 20th o ve NE Marysville 98270 659-5876
CLASS OF WORK
® NLW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLI fION ❑ BUILDING RELOCATION
VALUATION OF WORK
S 120,000
DESCRIBE WORK
new construction
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
SFR TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LILUAL DkS( RIPT ION Of PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOf 3-5 BLOCK . OF 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 OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATDRE OF CONTRnCi A p T OR=TE AG DATE
OB ADDRESS 'x
(OFFICE USE ONLY)
PLUMBING
MECHANICAL
NO
TYPE OF FIXTURE
FEE
NO
TYPE OF EQUIPMENT
FEE
WATER CLOSET (TOILET)
21
0
AIR COND UNITS - H P EA
BAIHTUB
14
00
REFRIGERATION UNITS - H P. EA
3
LAVATORY (WASH BASIN)
21
00
BOILERS - H P EA
SHOWLR
7
100
1
GAS FIRED A C UNITS - TONNAGE EA
1
KI ICHLN SINK & DISP
7
00
FORCED AIR SYSTEMS - B T U MEA
DISHWASHER
WALL HEATERS - B T U M
LAUNDRY T RAY
UNI I HEATERS - B T U M
CLOI IIES WASHER
7
00
EVAPORAT IVE COOLERS
WATER HEATLR
1
CLOTHES DRYERS
6
50
URINAL
4
VENTILATICN FAN
18
DRINKING FOUN I AIN
RANGE HOOD COMMERCIAL
FLOOR DRAIN
AIR HANDLING UNIT - CPM
VACUUM BREAKERS
14
nn
1
STOVE
ROOF DRAINS - RAINLEADERS
METAL FIREPLACE & CHIMNEY
SINK (SERVICE - BAR, ETC)
WATER HEATER
6
50
GAS PIPING
3 175
SUBTOTAL
f
SUBTOTAL
f
PERMIT
;
PERMIT
;
TOTALFEE
f
TOTAL FEE
f
SIDL YARD SL I BACK
5/5
STRELISETBACK
22. 5
REAR YARD SETBACK
39+
�DATE RECEIVED
73
PLAN
FEE
461.18
CHECK FEE
RECEIPT NO
28530
USE' /QN1
R7200
LOT AREA
8978
VACANT SITE
ERYES ❑NO
FEES
VALUATION
FEE
PLAN CHECKING NG
TYPE OF CONS1
all VN
OCCUPANCY GROUP
R3 & M
NO, OF DWELLING UNITS
1
BU'LDING
;
709
50
SIZE OF BLDG
3173
NO. OF STORIES
1
MAX. OCC. LOAD
8
PLUMBING
120
00
FIRE SPRINKLERS REQUIRED
❑ YES :RJ NO
COMMENTS
Plan 2408
p J
�1(` it 1 ➢ �M�
MECHANICAL
STATE BLDG. CODE
ENERGY CODE SURCHARGE
71
4
75
50
Fx Radon kit
�03(X
15
00
WATEPUSEWER FEES
3100
00
TOTAL
4020
75
PERMIT VAUOf ION
WHEN PROPE ,LI ATED (IN THIS
PAID CR#
THIS IS YOUR PERMIT & REC 1P'F
BY i
cc: ASSESSOR, APPLICANT, TREASURER, BLDG DEPT BUI c-OFFICIA! 'P
RECORDS COPY
DATE
CITY or ARLINGTON
CONSTRUCTION
PERMIT
�j COMBINATION OUILbINIO E" MECHANICAL ,j PLUMbINd [j 51c3N PF_pMIT NO �
OWNER MAIL ADDRESS CITY zip PIIONE a
Ott -RIDE wonx f
Lal'7�5RLUCk
TAX IO NUMSER
108 •ADURLSS
(OFFICE USE ONLY)
PLUMBING.
R
BUILIING RELOCAtION
_5 k7�o
I I IF.RFRY CERTIFY TI TAT I HAVE REAL) AND EkAMINtO TI IIS APPI_ICA-
1ION AMC) KNOW 11 IE SAME TO BE TRUE AND CORRECT ALL rpovi-
T R I Y ISFltTWN p[ t,t)w LYR A 1 I ALIT FOUR COPIF S) SIONS or LAWS AND ORDINANCES GOVERNING 11 IIS TYPE OF WOPK
C.or 't' . `� �,�i WILL OF COMPLIED WITI (WI IETHFR SPECIFIED 11FRIN 1 R NOT. TF IF
GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL TFIE PROVISIONS OF ANY OTHER STATE Oil
I.0CAL LAW REGULATING CONSTRUCTION OF TILE rEREORMANCF OF
CONSTRUCTION. rF.RMIT ExrIRES I YEAR FROM DATE Or ISSUANCE,
SlrP4A?U$tFOFC01419"ACT9),ICRAW. 10R12E0AGENt DATE
jr r�y
" MECIIklStftAi,
NU. TYPE OF FIXTURE
FEE
NO. TYPE OF EQUIPMENT
FEE
WAILR CLUSEI IIUILLI)
AIR COND. UNIIS - II.P. EA.
f!i�/
BAIIIIUB t� REtRIGERATION UNITS - II.P. LA.
LAVATORY (WASII BASIN) BOILERS - II.P. EA
f SIIOWLR
GAS FIRED A.C. UNITS - ►ONNAGE EA.
KI ICIILN 51NK d DISP.
'2
tORCED AIR SYStEMS - B. t.U. MEA
OISIIWASIILR
WALL IIEAIERS - B.T.U. M
! LAUNDRY IRAY
CLOIIILS WA511LR
7
-7
UNIIIItAILR5-B.T.U. M
EVAPURAI IVE COOLERS
WAILRIIEAILR
CLUIIIESDR.YERS
�
�L
URINAL I VENTILATION FAN
DRINkINt, IDUN IAIN
RANGE 1100000MMERCIAL
1 LOUR DRAIN
AIR IIANDLING UNIT - CPM
VACUUM ORLAKERS
/Lr
STOVE
D
ROUT DRAINS - RAINLLAUERS
METAL FIREPLACE A CHIMNEY
SINk (SERVICE - BAR, E IC.)
-
jl WATER HEAtER�;j
GAS PIPING)
---
SUB to ►AL
! 10
SUB TOTAL 1
"
PERMIT
1
1PERMIT 1
TOTAL FEE
1
TOTAL FEE (
SIULYARDSEIBACK
SIRLLISEIRACK
2_Z.. 9-
REAR VARD SETBACK
VACANT SIZE
vES CjNo
NO. OF DWELLING UNIIS
1
MAX.00C. LOAD
z
FIRE SPRINKLERS REQUIRED
El vES o
PLAN CIIECK NUMBER PLANCIIECKFEE
RECEIPT
02 0-
FEES VALUATION
PLAN CHECKING V0
-
BUILDING {
PLUMBING
MECHANICAL
NO.
FEE
�09
-s�
57V
LiSE C !
�11
LOT AREA
07 % 8
TYPE OF CONS1,
_ VHJ _
OCCUPANCYGROUP
z 3 -,(- M
51J.L OI stW.
NO.Of STORMS
COMMENTS pL4 r z4C7S'
ECEIVCt
REF 3 G3 1993
VN C C ART-iNGTON
STATE SLUG. L-UUE
ENERGY CODE SURUTARGE ` 50
5' r
WATER/SEWEIT FEES r ��
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VAUOAlEO ON T1111 5PACO iTbS IS YOUR PERMIT 11 RECEIPT ;
PAID (:RI - BY
/
;-i
cc: ASSESSOR, APPLICANT, TREASURER, BLbd. DEPT.
®U(1 OfNr, OfFICIAt BATE
RECOnDS COPY