HomeMy WebLinkAbout17816 W Country Club Dr_BLD941304_2025City of Arlington
NOTICE and Inspec•;:�'.jn Report
Permit No.
Date Called Address / 1
Time Called Contractor/Owner
By Requested by C5
❑ Setback
❑
Roof Diaphragm
❑ Insulation
❑
Plumb GW
❑
Framing
❑ Gas Piping
❑
Footing
❑
Drywall Nailing
(4 -1-1
❑
Foundation
❑
Rough4n 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.
Inspector Date
A
City of Ar1.= tgton
NOTICE and Inspection Report
Permit No. / c.7c;,4
Legal . = vS—
Date Called
Time Called
Address _ _ 1 2 5? 16 14,,) - b
Contractor/Owner
By
Requested by�t
TYPE
OF
• REQUESTED
❑ Setback
❑
Roof Diaphragm ❑ Insulation
❑ Plumb GW
❑
Framing ❑ Gas Piping
❑ Footing
, -9qwall Nailing ❑ Final
❑ Foundation
❑
Rough -in Plumbing ❑ Reinspection
❑ Shear Wall
❑
Mechanical ❑ Other
�f['APOVAL ❑ CORRECTION REQUIRED
❑�&rrections listed below MUST BE MADE before work can be approved.
Wfsr � listed below has been inspected and approved.
Imo=''❑ CALL 435-0724 FOR REINSPECIION —24 hour required.
City of Arl-,ngton
NOTICE and Inspection Report
Legal�o
Address ✓ - ''r
Contractor/Owner
Permit No.
Date Called
Time Called
By
❑ Setback
❑ Roof Diaphragm
Insulation
❑ Plumb GW
1,.,Wraming
❑ Gas Piping
❑ Footing
❑ Drywall Nailing
❑ Final
❑ Foundation
❑ Roughin Plumbing
Reinspection
❑ Shear Wall
❑ Mechanical
❑ Other
APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
ork listed below has been inspected and approved.
❑ CALL 435-0724 FO EINSPECTION —24 hour required.
r
City of Arl_.ngton
NOTICE and Inspection Report
Permit No. /o Legel
Date Called !tom% %�.:' l Address IZ501
Time Called/ - l® Contractor/Owner
By ' Requested by
❑ Setback
❑ Roof Diaphragm
❑ Insulation
❑ Plumb GW
gaming
CA",
❑ Gas Piping
❑ Footing
❑ Drywall Nailing
❑ Final
❑ Foundation
❑ Roughin Plumbing
❑ Reinspection
❑ Shear Wall
❑ Mechanical
❑ Other
❑ APPROVAL-QQRREOTION REQUIRED
coons listed below MUST BE MADE before work can be approved.
❑ Work listed Below has been inspected and approved.
Permit No. �.24
Date Called "Aff
r/
Time Called
By
Cityof Arl.,hgton
NOTICE and Inspection Report
Legal
Address
Contractcr/Own
Requested by
TYPE OF INSPECTION REQUESTED
❑ Setback
❑
Roof Diaphragm
❑ Insulation
❑ Plumb GW
❑
Framing(91
Gas Piping
❑ Footing
❑
Drywall Nailing
❑ Final
❑ Foundation
Plumbing
❑ Reinspection
❑ Shear Wall
�Rough4n
*11
'Mechanical
❑ Other
APPROVAL Ej CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ CAL 6-0724 FOR REINSPECTION — 24 hour notice required.
City of Arl ngton
NOTICE and Inspection Report
Permit No. Legal
Date Called
— Address
Time Called Ion
l
r
By
Requested by
J�
TYPE
OF •REQUESTED
❑ Setback
❑ Roof Diaphragm
❑ Insulation
❑ Plumb GW
❑ Framing
❑ Gas Piping
❑ Footing
❑ Foundation
❑ Drywall Nailing
- V uugh-in Plumbing
❑ Final
�ns ction
❑ Shear Wall
❑ Mechanical
❑ Other
~' APPROVAL ❑ CORRECTION REQUIRED
j erections listed below MUST BE MADE before work can be approved.
L rk listed below has been inspected and approved.
Inspector =1 ' - Date
City of Ar..ington
Permit No. ' &t9
Date Called �f — _
Time Called `T}"
By
NOTICE and Inspection Report
Legal� —'
Address
Contractor/Owner
Requested by
❑ Setback
❑
Roof Diaphragm
❑ Insulation
❑ Plumb GW
❑
Framing
❑ Gas Piping
❑ Footing
❑
Drywall Nailing
❑ Final
❑ Foundation (9"4n Plumbing
❑ Reinspection
❑ Shear Wall
❑
Mechanical
❑ Other
❑ APPROVAL
CORRECTION REQUIRED
Cprcections 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.
City of Ar i ' ngton
NOTICE and Inspection Report
Permit No.Lle9 ,/
Date Called ��% Address ffL" -
Time Called
�+ Contractor/Owner
By Requested by
❑ Setback
❑
Roof Diaphragm
❑
Insulation
Plumb GW
❑
Framing
❑
Gas Piping
❑ Footing
❑
Drywall Nailing
❑
Final
❑ Foundation
❑
Roughin Plumbing
❑
Reinspection
❑ Shear Wall
❑
Mechanical
❑
Other
AO.VAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
ork listed below has been inspected and approved.
❑ CCAALLL 4 5-0724 FOR REINSPECTION —24 hour noti""red.
City of Ar--Ington
NOTICE and Inspection Report
Permit No.
Date Called
Time Called
By _ C. .
❑ Setback
❑
Roof Diaphragm
❑ Insulation
❑ Plumb GW
❑
Framing
❑ Gas Piping
❑ Footing
❑
Drywall Nailing
❑ Final
❑ Foundation
❑
Roughin Plumbing
❑ Reinspec ion
ear Wall
(A u
❑
Mechanical
❑ Other
/ -APPROVAL ❑ CORRECTION REQUIRED
❑vlorrections listed below MUST BE MADE before work can be approved.
-Work listed below has been inspected and approves.
❑ CALL 435-0724 FOR R I PECTION — 24 hq"r,notiee required.
l'
Permit No. �j � -,/ City of Arlington
NOTICE and Insge,.. _ ,n Rej A
Date Called dress
Time Called Contractor/Owner
By Requested by
❑ Setback
❑
Reroof
❑
Insulation
❑ Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
❑ Footing
��j ����
❑
Framing
❑
Woodstove
A
'Foundation %L� x
❑
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.
❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required.
Inspector Date r�
1
Permit No. S� City of Arlington
NOTICE and Insp ..�,-n Red .
Date Called Address /,
Time Called Contractor/Owner'
By O/�77 �
le Requested by
❑
Setback ❑
Reroof ❑
Insulation
Plumb GW ❑
Roof Diaphragm ElGas
Piping
CAr
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.
❑
CALL 435-0724 FOR REINSPECTION - 24 hour notice required.
Inspector _ Date
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CONTEMPRA HOMES
6LF-Nt!A&LE LOT :25
AMA
Z2wAHN O'T.
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO 1304
OWNER
MAIL ADDRESS
CITY
ZIP
PHONE
Contem ra Homes, Inc. 4208 198th
St S.W. #208
Lynnwood
WA 98036 774-3900
ARCHITECT OR DESIGNER
MAIL ADDRESS
CITY
ZIP
PHONE
Nash, Jones & Assoc.
8275 - 166th
NE Redmond
98052 867-1156
GENERAL CONTRACTOR
MAIL ADDRESS
CITY
ZIP
PHONE LIC NSE N
Same as Owner
MLCHANICAL CONTRACTOR
MAIL ADDRESS
CITY
ZIP
PHONE LICENSE i
T.H.E. Mechanical 7312 67th St. NE
Marysville
WA 98270
659-5606 THEMEL*1.47R4
PLUMBING CONTRACTOR
MAIL ADDRESS
CITY
ZIP
PHONE LICENSE I
William Adams, Inc.
18326 48th Ave
W Lynnwood
98037
776-8627 WILLIAI144L7
® NLW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION
VALUATION OF WORK
sl35,805.99
DESCRIBE WORK
New Construction
PROPOSED USE OF BUILDING
Single Family—
Residence
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 WORN
WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTC
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LO W ULATINGCONSTRUCTIONOFTHEPERFORMANCEOF
NSTRU lq RMIT XPIRES 1 YEAR FROM DATE OF ISSUANCE.
iGeATUREOF N Ra]RAU OR#ZEDAGENT DATE
-
LL[r.AL DESFRIf°IfuN or PROPERTY tSHOwN. BELOW oR. ATTACH FouR COPIES)
LOT 25BLOCK . OF Gl aneagIn TTR-
TAX ID NUMBER
108 ADDRESS
17816 Country Club Drive
(OFFICE USE ONLY)
PLUMBING
I
MECHANICAL
NO.
TYPE OF FIXTURE
FEE
NO,
TYPE OF EQUIPMENT
FEE
4
WATER CLOSEI (TOILET)
28
00
AIR COND UNITS - H.P EA
BA I F11 UB
REFRIGERATION UNITS - H P EA
LAVATORY (WASH BASIN)
BOILERS - H P EA
SHOWLR
14
GAS FIRED A C UNITS - TONNAGE EA,
KI ICIILN SINK & DISP
7
00
1
1 FORCED AIR SYSTEMS - B T U MEA
9
06
DISHWASHER
7
00
WALL HEATERS - B.T,U M
LAUNDRY TRAY
UNI1 HEATERS - B T.0 M
CLOIHLS WASHER
7
00
EVAPORAI IVE COOLERS
WAI ER HEATER
1
CLOTHES DRYERS
6
50
URINAL
5
VENTILATICN FAN
22
DRINKING FOUN I AIN
RANGE FIOOD COMMERCIAL
FLOOR DRAIN
AIR HANDLING UNIT - CPM
VACUUM BREAKERS
14
oo
1
STOVE
6
50
ROOF DRAINS - RAINLEADERS
2
METAL FIREPLACE & CHIMNEY
13
SINK (SERVICE - BAR, ETC)
1
WATER HEATER
fi
GAS PIPING
SUBTOTAL
S
126
0 L
SUBTOTAL $
PERMIT
f
1
PERMIT S1)
100
TOTALFEE
S1
4 1
TOTALFEE S
SIDL YARD SETBACK
5 5
STRLLT SLTBACK
22.6
REAR YARD SETBACK
+
PLAN CHECK NUMBER
12/8/93
PLAN
FEE 150. oO
CHECK FEE
REE8853
L'SE IONf
R7200
LOT AREA
8049
VACANT SITE
i]YES ❑NO
FEES
VALUATION
FEE
PLAN CHECKING NG
497.58
29
58
TYPL OF CONST
`%N
OCCUPANCY GROUP
R3 & M
NO. OF DWELLING UNITS
1
BU'LDING
$
SILL Of BLDG
1860
NO. OF STORILS
2 w/Basemeni.
MAX, OCC LOAD
8
PLUMBING
141
00
FIRE SPRINKLERS REQUIRED
❑ YES NO
MECHANICAL
83
50
COMMENTS
Brittany with Basement
PAID
STATE BLDG. CODE
ENERGY CODE SURCHARGE
4
50
XXXXX Radon Kit
15
00
WATEPUSEWER FEES
TOTAL
3139108
PERMIT VALIDATION
WHEN PR E Y VAL IXD 11 THIS $PACO THIS IS YOUR PERMIT & EI
cc: ASSESSOR, APPLICANT, TREASURER, BLDG DEPT
PAID CR# �/ BY
` ! /� -9Y
BUIL G OFFICIAL DATE
RECORDS COPY
t] COMOINATION
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
bUILbING [] MECHANICAL C] 0LUMbIN0 [] RIGN pLpMlt NO.
Contempra Homes, Inc.
MAIL AOORE55
4208 - 198th St.
CITY
S.W., #208 Lynnwood
ZFP
98036
MORE
206-774-3900
ARCIIITECT OR DESIGNER
MAIL AUURFS5
CITY
ZIP
PIIONE
Nash, Jones & Assoc.
8275 - 166th N.E.
Redmond 98052
206-867-1156
r' CO C 1)
Contempra Homes', Inc.
MAIL. ADDRESS
4208 - 198th St.
Cl I Y
S.W., #208 Lynnwood
IIP
98036
PI IONS 1.It. NcE
206-774-3900
LCIIANICALCONTRACTOR
MAIL. ADDRESS
CNY
EFP
PIICTNF - LICENSE I
T.H.E. Mechanical 7312
- 67th St. N.E.
Marysville 98270
206=659-5606 THEMEL*147R4
PLUMBING CONTRACTOR
MAIL ADDRESS
CITY
ZIP
PIIONE LICENSE I .
William Adams, Inc.
18326 - 48th Avenue
W. Lynnwood 98037
206-776-8627 WILLIAI144L7
CLASS OF WORK
NLW []ADDITION [JALTERATIoN El REPAIR ❑DEMOUfION UBVILMNGRELoc.ATION
VALUAIIONor WORK —
51.
rRoposI D USE OF BUILT)IN
F7 on
LLGAL 01 Q RIt' T ION TTP rRi) Ts t)WN RF.I i7W U A 1 11 T T}LIR ()PIT.SI
TAX I
I
3 I es.
I I-IFREf3Y CERTIFY TI IAT I I IAVF READ AND FXAMINFD T1115 Arrl ICA-
71ON AND KNOW TI IF SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING Tf IIS TYPE OF WORK
WILL OF COMPLIED WITI I WHETI IFR SPECIFIED I IERIN OR NOT. TI IF
GRANTING OF A PERMIT DOES NOT PRESUME 10 GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW GULAI ING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRLlC ON, PERMIT EXPIRE T YEAR FROM DATE OF ISSUANCE.
SIGNATURE RACiORORAUTFIORIZEO Nt DATE
X G� L
(OFFTCE USE ONLY)
f Ll1MtlING
MrCIIANICAL
N q.
TYPE or r1x1URE
rEE
NO.
TYPE OF EQUIPMENT
FEE
WA I LR CLU5E 1 (TUILL I)
AIR COND. UNITS - I I.P. EA.
RAIIIIUB
REf RIGERATION UN115 - II.P. EA,
LAVAIURY (WASII BASIN)
BOILERS - H.P. EA
SIIOWLR
GAS FIRED A.C. UNITS - TONNAGE EA.
KI (CIILN SINK d DISP.
FORCED AIR SYSTEMS - B.T.U. MEA
_
pp
U1511
WALL 11EATERS - B.T.U. M
RY IRAY In
UNII FIEAIERS - B.I.U. M
CLOIIILS WA511LR
EVAPORATIVE COOLERS
W'AIL"R IIEATLR
CLOTHES DRYERS
URINAL i
DRINkLNL; IOUNIAIN
VENTILATION FAN
RANGE IIUUOCOMMERCIAL
Pa, D
I LOUR DRAIN
AIR IIANDLING UNI T - CPM
VACUU&IBREAKERS
Qi
STOVE -
RUM DRAINS - RAINLEADERS
SINK (SERVICE - BAR, I-fc.)
Z
METAL FIREPLACE A CIIIMNEY
WATER HEATER
GAS PIPIN(;
1-1
L[
p�
SUBTOTAL
PtRMIf
IOTALYEE
!
( j /
SUBTOTAL
PERMIT
TOTALFEE
!
!
E IBACK
SIUL YV!�-
5TRT.F.I St IBACK
G/
R A ARD SETBACK PLANCHE 'K N MBER
�
VACANT SITEIq,
5 tj TEES
NO. OF DWELLING UNITS PLAN CHECKING 40
BUILDING
Okf. (CC.)A)AD
PLUMBING
FIRE SPRINKLERS REOUIRED
tJ YES NO MECHANICAL
PLAN
FEE
VALUATION
CI CX FEE
RECEIPT NO.
'
rE
UST LUN
2,00
I.f)1 ARLA
TYPE OF CONSI.
OCCUPANCY GROUP
eJ g
!
/
7!O r
511%OF SLLTG.
NO. Of STORMS
/
—
COMMtNTS I ]� E nor. CODE
_Pl A N - MI T J AN Lj `A/ 13A-56W Vmy CQDE SURCHARGE-
1 ,ICY Va
_ WATER/SEWO FEES
Ci. TOTAL
U
S--
r
DEC e 3 1933
be- ASSt!39011. APPLICANT. TTtE`Aia9rJft* f3tb(iT*PT_
P'EIIMIT VA1.1DA110N
WHEN PROPERLY VALIDATED TIN THIS SPACE( iT 11919 YOUR PFRMI? R AWIPTA"
PAID
CRI BY
4) c 19
BUILDING OFFICIAL F)ATF
"EcontA Copy