HomeMy WebLinkAbout17813 W Country Club Dr_BLD941341_2025City of Arl Angton
NOTICE and Inspection Report
Permit No. 7
Legal ,—
Date Called —,
Address /
Time Called VI I
Contractor/Owner
By
Requested by--jf9
w --2 �7?
TYPE OF
•
❑ Setback ❑
Roof Diaphragm
❑ Insulation
❑ Plumb GW ❑
Framing
❑ Gas Piping
❑ Footing x
Drywall Nailing
❑ Final
❑ Foundation ❑
Rough4n Plumbing
KReinspection
❑ Shear Wall ❑
Mechanical
❑ Other
�P QVAI_ ❑ CORRECTION REQUIRED
❑ rrections listed below MUST BE MADE before work can be approved.
k fisted below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTIO?J-24 hour notice required.
Permit No.
r Date Called Z /g
Time Called
City of Arlington
NOTICE and InspE ion Report
Address
el,3 4 G _V
Contractor/Owner G
By Requested by
TYPE OF INSPECTION REQUESTED
❑
Setback
❑
Reroof
❑
Insulation
❑
Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
❑
Footing
❑
Framing
❑
Woodstove
❑
Foundation
j�
Drywall Nailing
❑
Final
❑
Concrete Slab
�J❑�
Rough -In Plumbing
❑
Reinspection
❑
Shear Wall
❑
Furnace
❑
Other
❑ APPROVAL ORRECTION REQUIRED
Corrections fisted below MUST BE MADE before work can be approved.
❑ VJor elow has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required.
Inspector Date O
City of ArJ 4,ngton
NOTICE and Inspection Report
Permit No. /tl"7"/ Legal
Date Called /ci �']�M f +l�f
Address
l( C&t
Time Called
ContrackW�f0
By
Requested by Z -
TYPE OF
•REQUESTED
elation
❑ Setback ❑
Roof Diaphragm
❑ Plumb GW ❑
Framing
❑ Gas Piping
❑ Footing ❑
Drywall Nailing
❑ Final
❑ Foundation ❑
Roughin Plumbing
❑ Reinspec ion
❑ Shear Wall ❑
Mechanical
❑ Other
❑ APPROVAL CORRECTIO�REQU�IRED
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 Arlington
NOTICE and Inspection Rep%._ .
�..�-+6
I
Date Called
Address
�j
Time Called _%
Contractor/Owner
By
Requested by �
TYPE
OF •REQUESTED
❑ Setback
❑ Reroof
❑
Insulation
❑ Plumb GW
❑ Roof Diaphragm
❑
Gas Piping
❑ Footing
(9)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.
I
,,,+ City of Arlington
Permit 14,. -
--.,!NOTICE and Inspection Kept.-:
Date Called 4�Address zS.C4.,
Time Called Contractor/Owner
By Requested by
TYPE OF INSPECTION REQUESTED
❑
Setback
❑
Reroof
❑
Plumb GW
❑
Roof Diaphragm
❑
Footing
❑
Framing
❑
Foundation
❑
Drywall Nailing
❑
Concrete Slab
❑
Rough -In Plumbing
❑
Shear Wall
❑
Furnace
❑ Insulation
Gas Piping
❑ Woodstove
❑ Final
❑ Reinspectio
❑ ' Other7el__
❑ 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
1
City of Arl ingtor
'--"NOTICE and Inspection Report
Permit No.
Date Called f %
Time Called --3 • LAC,/
By _
Legal �-//),7/'�i f
Address f O ✓�'� f
Contractor/Owner �_..
Requested by
❑ Setback
❑ Roof Diaphragm
❑ Insulation
❑ Plumb GW
❑ Framing
❑ Gas Piping
❑ Footing
❑ Drywall Nailing
❑ Final
❑ Foundation
<oughin Plumbing
❑ Reinspection
❑ Shear Wall
❑ Mechanical
❑ Other
PPROVAL ❑ 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
-'--ity of Arling
NOTICE and Inspection Report
P it No / Z/j Legal -,-, Je?,I�
erm
Date Called
Address _ z
Time Called
Contractor/Owner
By �y
Requested by -..,
❑ Setback
❑
Roof Diaphragm
❑ Insulation
❑ Plumb GW
❑
Framing
❑ Gas Piping
❑ Footing
❑
Drywall Nailing
❑ Final
Foundation
\
❑
Rough4n Plumbing
-inspection
Shear Wall
❑
Mechanical
Other
APPROVAL ❑ CORRECTION REQUIRED
rrecfions listed below MUST BE MADE before
"IRr" listed below has been nspected and appro,
❑ CALL 5 0724 FOR RAF( I�PECMON —24 h�i
can be approved.
required.
City of Arlington
Permit No, /
40
Date Called
Time Called
By
NOTIC`E� and Inspection Rep, _.#
Address
Contractor/Owner
Requested by
❑ Setback
❑
Reroof
❑
Insulation
❑ Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
❑ Footing
❑
Framing
❑
Woodstove
❑ Foundation
❑
Drywall Nailing
❑
Final
❑ Concrete Slab
❑
Rough -In Plumbing
❑
Reinspection
Dg�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
� . - Imo' / �il
Permit No. No. City of Arlington
NOTICE cmd Inspeeflon Repk
Date Called Address
Address /
Time Called ' )— Contractor/Owner
By Requested by 2
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
PROVAL
❑ 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
Permit No�,Z_ City of Arlington
NOTICE and Inspection Rept_,
/
Date Called Address 7 C. e7
Time Called Contractor/Owner ,+
By Requested byt
TYPE OF •REQUESTED
❑
Setback
❑
Reroof
❑
Insulation
❑
Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
�ooting
❑
Framing
❑
Woodstove
❑
Foundation
❑
Drywall Nailing
❑
Final
❑
Concrete Slab
❑
Rough -In Plumbing
❑
Reinspection
❑
Shear Wall
❑
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 7 5
?6 r, Y'
CL,h L)"v
Noes
�F��BLv-
I'oT qO
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cc W A?
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16 � r 017 � /Y/
<- CS w
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
ND
1341
❑ COMBINATION
BUILDING ❑
MECHANICAL ❑ PLUMBING ❑
SIGN
_
PERMIT NO.
OWNER
MAIL ADDRESS
CITY
ZIP
PHONE
Brandel Construction Corp
7703 233rd Pl SW Edmonds
98026
775-7594
ARCHITECT OR DESIGNER
MAIL ADDRESS
CITY
ZIP
PHONE
Thom Naumann
16815 116th St SE Snohomish 98290
568-4888
GENERAL CONTRACTOR
MAIL ADDRESS
CITY
ZIP
PHONE
LIC NSE N
George Brandel 7703 233rd
P1 SW'Edmonds 98026
775-7594
BRANDC*201D1
MECHANICAL CONTRACTOR
MAIL ADDRESS
CITY
ZIP
PHONE
LICENSE
PLUMBING CONTRACTOR
CLASS OF WORK
�NLW ❑ ADDITION
VALUATION OF WORK
; 141,000
DESCRIBE WORK
SFR
PROPOSE D USE OF BUILDING
SFR
MAIL ADDRESS
CITY ZIP PHONE LICENSE #
ALTERATION ❑ REPAIR ❑ DEMOLI LION ❑ BUILDING RELOCATION
LL(,AL DESCRIPTION OF PROPERTY ISHOWN BELOW OR ATTACH FOUR COPIES)
L(�r 40 BLOCK of Gleneagle Sec 2B Ph- 3
TAX ID NUMBER
17813 Country Club Dr.
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 AUTHORITYTO
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.
$IGNAT F CONTRACTOR OR AUTHORIZED AGES'T DATE
x cZZ-iK— 6-(, 9 "
(OFFICE USE ONLY)
PLUMBING
MECHANICAL
NO.
TYPE OF FIXTURE
FEE
NO,
TYPE OF EQUIPMENT
FEE
WATER CLOSET (TOILET)
21
AIR COND UNITS - H P EA
2
BAIHIUB
14
00
REFRIGERATION UNITS - H P EA
4
LAVATORY (WASH BASIN)
28 I
00
BOILERS - H P EA
1
SHOWER
7
00
GAS FIRED A C UNITS - TONNAGE EA
KI ICHLN SINK & DISP.
7
00
1
1 FORCED AIR SYSTEMS - B T U MEA
9
00
DISHWASHER
7
n n
WALL HEATERS - B.T.0 M
LAUNDRY T RAY
UNI I HEATERS - B.T_U. M
CLOT HESWASHER
7
EVAPORATIVECOOLERS
"AI ER HEATER
1
CLOTHES DRYERS
0
URINAL
4
VENTILATICN FAN
18
00
DRINKING FOUNTAIN
RANGE HOOD COMMERCIAL
FLOOR DRAIN
AIR HANDLING UNIT - CPM
VACUUM BREAKERS
STOVE
C)
ROOF DRAINS - RAINLEADERS
METAL FIREPLACE & CHIMNEY
13
SINK (SERVICE - BAR, ETC)
WATER HEATER
GAS PIPING
5
SUB TOTAL
$
112
00
SUBTOTAL
;
PERMIT
;
PERMIT
f
TOTAL FEE
$
1 917
n
TOTAL FEE
$
[
SIDE YARD SE IBACK
16/8
STRELT SLTBACK
2 5
REAR YARD SETBACK
42
DATE RECEIVED
1/18/94
PLAN
FEE
50
CHECK FEE
RECEIPT NO
29022ss
USE /ONE
R7200
LOT AREA
10,295
VACANT SITE
®YES ❑ NO
FEES
VALUATION
FEE
PLAN CHECKING VG
TYPE OF CONS]
VN
OCCUPANCY GROUP
R3 & M
NO OF DWELLING UNITS
1
BU'LDING
f
779
5 C
SIZE OF BLDG
2 612
NO OF STORIES
2
MAX OCC LOAD
8
PLUMBING
127
0(
COMMENTS
Plan 9225
PAID
_J V N 16 199 ",
F IRE SPRINKLERS REQUIRED
❑ YES EJNO
MECHANICAL
STATE BLDG, CODE
ENERGY CODE SURCHARGE
78
4
2
5 (
MXXRadon kit
ffixx
15
0(
WATER/SEWER FEES
3100
0 (
TOTAL
4104
21
PERMIT VALIDATION
WHEN P E Y VAL ATED (IN THIS SP�{CE1 THIS IS YOUR PEiCti11
1�1 GI . �l clOAl _
& R) EIPT
II
cc: ASSESSOR, APPLICANT, TREASURER, BLDG DEPT
PAID
�:■ • DATE
ORDS CORECPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION
BUILDING ❑ MECHANICAL
❑ PLUMBING
❑ SIGN
PERMIT NO.
�
OWNLR
MAIL ADDRESS
CIO Yg
ZIP
PHONE
�
l7i(� f 0� tL4 ?i
t
ti3�_
FCl0RG1�
1
-7car"��
! !
ARCFIITECTORDESIGNER
MAIL ADDRESS
CITY
_,M3 -0l-i75
ZIP
`IfONE
t S
.3
a ►\D LT
uaga
5
E A ON
MAIL ADDRESS
CITY
ZIP
PHONE
LIC NSEf
Ceorc,� L] CLT PI
7703 33rJ f! SvJ E ar,VA
775-7592 bZhNOLf,.01D}
MLCIOANSAL CONTRACTOR
MAIL ADDRESS
CITY
ZIP
PHONE
LICENSE IT
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IT
CLASS OF WORK
nNI, W ❑AUDITION ❑ALTERATION ❑RE►AIR ❑DEMOLIIION ❑BUILI)INGRELOCATION
VALUATION OF WOR
S F
101 Y 0 PLUCK OI
1u
I I IEREBY 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 AUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
61
(OFFICE USE ONLY)
PLUMBING MECHANICAL
=511
NO.
TYPE OF FIXTURE
FEE
NO,
TYPE OF EQUIPMENT
FEE
r,
WATLR CLOSET (IOILLII
91
AIR COND. UNITS •- II.P. EA.
BAIIIIUB
14
RLF RIGERAIICN UNITS - H.P. EA.
LAVATORY (WASH BASIN)
�0
BOILERS •- H.P. EA
SO10%LR
-7
UAS FIRED A.C. UNITS - TONNAGE EA.
J
KIICI ILN SINK 6 DISP.
I
P
FORCED AIR SYSTEMS - B.T.U. MEA
GJ
P
UISIIWASIILR
7
WALL HEATERS - B.T.U. M
/
LAUNURY TRAY
7
LINT HEATERS - B.T.U. M
CLOIIILS WASHER
7
EVAPORAI IVE COOLLRS
WATER IILAILR
/
CLOTHES DRYERS
'f O
URINAL
VLNTILATICN FAN
I l�
DRINKING FUUNIAIN
RANGE IIWDCOMMERCIAL
1 LWR URAIN
AIR IIANDLING UNIT - CPM
VACUUM BREAKERS
%
]
STOVE;
ROOT DRAINS RAINLLAUERS
'7_
METAL FIREPLACE 6 CHIMNEY
SINK ISERVICL - BAR. L IC.I
WATER HEATER
.<
GAS PIPING
7
SUB TOTAL
!
f
SUBTOTAL
!
j
PERMIT
!
/
PERMIT
!
TOTAL FEE
!
E
i
SIDI. Y ARDAt IBACK
SIRLLISLIBACK
REAR YARD SEIBACK
VACANI SO E
YES NO
NO. or DWELLING UNITS
MAX. 000... LOAD
FIRE SPRINKLERS REQUIRED
0 YES ' f3NO
PLANCFIECKNU BER
d
FEES
PLAN CHECKING VG
BUILDING
PLUMBING
MECHANICAL
jj l41,ANECKFEE
FEE
LIM /
�„
�Z ! 217
LOF AREA
�; ,�
�
VALUATION
Y FEE
I►PL OF CONS - LZ
OCCLHANCY GROUP
`, 4 Yv
SI/L Of BCD(,.
NO.01 SISORILS
% 9
COMMENTS
�Z2 _
h�'M,1
`
V
STATE BLDG. CODE
ENERGY CODE SURCHARGE
o$�,
WATER/SEWER FEES
TOTAL
4
`✓C
_
%eA
PERMIT VALIDATION
WHEN PROPERLY VALIDATED ON THIS SPACD THIS IS YOUR PERMR i RECEIPT
te• ASSESSOR APPLICANT. TREASURER. BLDG DEPT.
PAID
RlII DIN(; OFFICIAL
CRR BY
DATE