HomeMy WebLinkAbout17822 W Country Club Dr_BLD941351_2025City of A_Jington
NOTICE and Inspection Report
Permit No. / Legit
Date Called %� 2 / y / Address
Time Called f f- Ilk ContractorlO
By % Requested'
TYPE OF • REQUESTED
❑ Setback
❑
Roof Diaphragm
❑ insulation
❑ Plumb GW
❑
Framing
❑ Gas Piping
❑ Footing
❑
Drywall Nailing
(9final
❑ Foundation
❑
Rough4n Plumbing
Fieinspecisan
❑ Shear Wall
❑
Mechanical
❑ Other
PROVAL
❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
i< listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION —2�our notice required.
City of Ar',ington
NOTICE and Inspection Report
Permit No. Legal r"� `�'•' �r,�. �G�%/�� r'
Date Called % Address
Time Called / ContractorjOwner_
By � Requested by f�-�L_ •/ � "-�
i
TYPE
OF •REQUESTED
❑
Setback
❑
Roof Diaphragm
❑
Insulation
❑
Plumb GW
❑
Framing
Gas Piping
❑
Footing
❑
Drywall Nailing
APal
❑
Foundation
❑
Rough -in 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.
City of Arl_ ington
NOTICE and Inspe—ftion Report
Permit No./
Legal
Z2
Date Called
Address
Time Called
Contractor/Owner
By
Requested by
MONOSSON
TYPE OF
•N REQUESTED
❑ Setback ❑
Roof Diaphragm
j �}-4kvlation
❑ Plumb GW ❑
Framing
❑
Gas Piping
❑ Footing ❑
Drywall Nailing
❑
Final
❑ Foundation ❑
Roughin Plumbing
❑
Reinspection
❑ Shear Wall ❑
Mechanical
❑
Other
APPROVAL
❑ CORRECTION REQUIRED
❑ 9prrections listed below MUST BE MADE before work can be approved.
City of Arlington
NOTICE and Inspection Report
Permit No. 4� LegaJ Z
Date Called A9
Address /Vxy
c-�
Time Called�
Contractor/Owner
By �CJ
Requested by_
TYPE OF
•REQUESTED
❑ Setback ❑
Roof Diaphragm
❑ Insulation
❑ Plumb GW raming
❑ 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.
/�A�ork listed below has been inspected and approved.
❑ CALL 43'5-0724 FOR REINSPECTION — 24 Pur notice required.
City of ArI.ington
NOTICE and Inspection Report
Legal %•�" +�tC
Address
Contractor/Owner
Permit No. 11;15-1
Date Called
Time Called
By
❑ Setback
❑ Roof Diaphragm
❑
Insulation
❑ Plumb GW
❑ Framing
Gas Piping
❑ Footing
❑ Drywall Nailing
❑
Final
❑ Foundation
❑ Rough4n Plumbing
❑
Reinspeciion
❑ Shear Wall
Mechanical
❑
Other
PROVAL ❑ CORRECTION REQUIRED
Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ CALL 435-4724 FOR REINSPECTION — 24 hour Lice required.
Inspector �� r
Permit No. City of Arlington
T GE and Inspection Repo.
Date Called �� !
Address
10
Time Called
Contractor/Owner rl
By
Requested by
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
APPROVAL
❑ CORRECTION REQUIRED
❑ Corrections listed below MUST
BE MADE before work can
be approved.
>4or,kiistecl below has been
inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required.
I
Permit No.
City of Arlington
NOT/ICE and Inspe%-,,-:, An Report
r 4
�T
Date Called 3
Address
1
Time Called �7-
Contractor/Owner
By
Requested by_%'fi,G'CJJ�t I
TYPE OF
• REQUESTED
❑ Setback
❑
Reroof ❑ Insulation
❑ Plumb GW
❑
Roof Diaphragm ❑ Gas Piping
❑ Footing
❑
Framing ❑ Woodstove
�nd tion
❑
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.
ork listed below has been inspected and approved.
❑ CALL 435- C3R REINSPECTION - 24 hour notice required.
Permit No.
Date Called /?%
Time Called /i•`
By
City of Ar' ington
NOTICE and Inspection Report
Legal
y
Address -
GontractorlCAwn
Requested by
TYPE
OF
•REQUESTED
❑ Setback
❑
Roof Diaphragm
❑ Insulation
dumb GW
❑
Framing
❑ Gas Piping
Footing
❑
Drywall Nailing
❑ Final
❑ Foundation
❑
Rough4n Plumbing
❑ Reinspection
❑ Shear Wall
❑
Mechanical
❑ Other
AL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
ark listed below has been inspected and approved.
❑ CAL L$35.0724 FOR REINSPECTION —24 hour notice required.
City of Arlington
Permit No.
—
NOTICE cmd Inspection Rc,,art
,�
Date Called 7 ''f Address 1 ,11,4a4.c t�
Time Called T+
Contractor/Owner
by2-dd ?` _�ff_
By
Requested
;:R� __ +
TYPE
OF
•REQUESTED
�] Setback
❑
Reroof ❑ Insulation
❑ Plumb GW
❑
Roof Diaphragm ❑ Gas Piping
Olt '0
se
x Footing —
❑
Framing
g ❑ 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
r
0
�
N
t+1 D S
N
D
N +
I
� a
14
8sl+
Iv
r—.1
!
11b
1
U 20
D
C01NCCcit oZ .5�
C,Je vJay
!S, I0;zlI/ATE
— T�'i2.4l•�E
I
3
i
�
I
4C..2�.
'%ec_ '300. Co. NO
FaVrWaAs
No
I" w 20'
Scale: 1" = 20' ' '-}. � NVr
SD = Storm Drain LOT 2+6
W =Water Liner
SS = Sanitary Sewer
DS =Roof Drain Down Spout --= Storm Drain Catch Basin PLOT PLAN
� -Surface Water Flow Direction
GB = Grade Break
❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. 1351
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 Naumann 16815 116th-St. SE Snohomish 98290 568-4888
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
George Brandel 7703 233rd Pl SW Edmonds 98026 775-7594 BRANDC*20lD1
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
PLUMBING CONTRACTOR
MAIL ADDRESS
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
CITY ZIP PHONE L
CLASS OF WORK
MLW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLI [ION ❑ BUILDING RELOCATION
VALUATION OF WORK
$ 109,787
DESCRIBE WORK
SFR new construction
PROPOSED USE OF BUILDING
SFR
LLUAL DESCRIPTION OI PROPERTY ISHCIWN BELOW OR ATTACH FOUR COPIES➢
LUf BLOCK OF
26 Gleneagle Sector 2B Ph-3
TAX ID NUMBER
I ADDRLSS
_17822 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 PRESUMETO GIVE AUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTCTIO�1. P MIT EXPIRIS 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE FCONT+CT R RAVTi-1fIC1ELjAGENT DATE I
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO.
TYPE OF FIXTURE
FEE
NO
TYPE OF EQUIPMENT
FEE
WATER CLOSET (TOILET)
14
AIR COND UNITS - H P EA
2
BAIHIUB
14
00
REFRIGERATION UNITS - H P EA
3
LAVATORY (WASH BASIN)
21 ,Q0
BOILERS - H P EA
1
SHOWER
GAS FIRED A C UNITS - TONNAGE EA
KI ICHLN SINK & DISP
7 lOn
FORCED AIR SYSTEMS - B T U MEA
DISHWASHER
WALL HEATERS - B T U M
LAUNDRY TRAY
UNII HEATERS - B T U M
CLOI HLS WASHER
7
00
EVAPORAI IVE COOLERS
WAl ER HEATER
1
CLOTHES DRYERS
6
50
URINAL
VENTILATICN FAN
13
DRINKING FOUN I AIN
RANGE HOOD COMMERCIAL
FLOOR DRAIN
AIR HANDLING UNIT - CPM
VACUUM BREAKERS
STOVE
-UT
ROOF DRAINS - RAINLEADERS
METAL FIREPLACE & CHIMNEY
13
SINK (SERVICE - BAR, ETC)
1
WATER HEATER
6
50
6
GAS PIPING
4
50
SUB TOTAL
$ J L
SUBTOTAL
4
PERMIT
$
PERMIT
f
0
TOTAL FEE
$
TOTAL FEE
$ 74
150
SIDE YARD SL I BACK STRLLT SLTBACK
I REAR YARD SETBACK
DATE RECEIVED PLAN CHECK FEE
5/5 22.6
2 0+
FEE
1/25/94 383.50
RECEIPT NO
29206
USE/ONE LOT AREA
VACANT SITE
FEES VALUATION
FEE
R7200 7676
®YES ❑ NO
TYPE OF CONS] OCCUPANCY GROUP
NO OF DWELLING UNITS
PLAN CHECKING VG 438.43
54
9.
VN R3 & M
1
BUTDING s
674
5(
SIZE OF BLDG NO.OF STORIES
MAX OCC LOAD
2443 2
8
PLUMBING
106
1 0(
FIRE SPRINKLERS REQUIRED
74
51
❑ YES ONO
MECHANICAL
STATE BLDG, CODE
4
51
COMMENTS
ENERGY CODE SURCHARGE
Plan 8514-B,x
Radon kit �`�
s
15
01
Al 0
01
WATER/SEWER FEES
TOTAL
3029
4
PERMIT VALIDATION
WHEN NWVID 1 D IINTIS SPACE( THIS
PAIDCR# W,
ff
R PERMIT
BY
3
cc: ASSESSOR, APPLICANT, TREASURER, BLDG DEPT BUILDIVGOFFICIAL I -
RECORDS COPY
PATE
Q�a� �SIy_g
(New
CITY Of ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION
BUILDING ❑ MECHANICAL
❑ PLUMBING
❑ SIGN
PERMIT N0.
6WNER
MAIL ADDRESS
CITY
ZIP
PI{ONE-7
�'4���kL�CIfh
�1 71
1
L-` 1N tl i[i.d�5
f�
f U V�.
/
q�/
—�.
ARC111TECi OR DESIGNER
MAIL ADDRESS
_
CITY
_
ZIP
PHONE
- ! A
GENERAL CONTRACTOR
MAIL ADDRESS
CITY
ZIP
PItONE
LIC NSE /
G�I�EC , �[
� 3 _ 1,rd N _ wW � C1TY,,C11
5
MLCltANjf.At CONTRACTOR
MAIL ADDRESS
CITY
ZIP
PFIONE
LICENSE F
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZI► PIK)NE LICENSE
CLASS OF WORK
n NI W ❑ AUDITION ❑ ALTERATION Q REPAIR Cl UEMOLI IION Cl BUILDING RELOCATION
VALUATION OF WORK
VE S(RME WORsr ! "'
PRUR)SI
SF
IOW OR AITA+LII F(HIRCOPIE
101 12L N ULK 01 L\ �� !
TAX ID NUMBER
Ion A Durk Es
(OFFICE USE ONLY)
PLUMBING.
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 AUTHORITY TO
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
MF.CIIANICAL
NO.
TYPE OF FIXTURE
FEE
NO.
TYPE OF EQUIPMENT
FEE
VIAILR CLOSEI 0OILLI I
AIR COND. UNITS •- II.P. EA.
BAIIIIUB
RLI RIGERAI ION UNITS - H.P. EA.
LAVATORY IWASII BASIN)
2'
BOILERS - H.P. EA
SIIO%LR
GAS FIRED A.C. UNITS — IONNAGE EA.
%
KI ICIILN SINK 6 DISP.
FORCED AIR SYSTEMS — B.T.U. MEA
UISIIWASIILR
WALLHEAIERS—B.T.U. M
LAUNDRY TRAY
UNII HEATERS— B.T.U. M
CLOIIILS WASIILR
EVAPORAI IVE COOLLRS
WA I LR IILA ILR
CLOIHES DRYERS
URINAL
VLNTILATICN FAN
ZZ
DRINKING FOUNIA_I_N_
RANGE IIOOD COMMERCIAL
1 LOOR DRAIN
AIR HANDLING UNIT — CPM
-VACUUM BRLAKERS
SIOVE
ROOF DRAINS RAINLLAUERS
METAL FIREPLACE 6 CHIMNEY
SINA ISERVICL - BAR. E IC.)
WATER HEATER
GAS PIPING
G
SUB TOTAL
S
SUBTOTAL
!�
PERMIT
!
/
PERMIT
!
TOTAL FEE
$1
TOTAL FEE
!
SIVI.iAROStISALK
SIRELISLIBACK
REAR YARD SET BACK
VACANT SITE
YES ❑NO
NO. OF DWELLING UN115
MAX.00C. LOAD
F IRE SPRINKLERS RLOUIRED
❑ YES O
PLAN CIIECK NUMBER
i jz_-7�
FEES
PLAN CHECKING VGZZ
BUILDING
PLUMBING
MECHANICAL
PLAN
FEE
CHECK FEE
RECEIPT ND
-z
iSM�i N/ I
Zn-'O
LOT AREA
76 �
VALUATION}�[,,
_ FEE
I ti Pt OFfCONS I
`
OCCUPANCY GROUP
4/
!
sc-
SI/L DI SLDG.
NO.OI SIIORILS
f�
COMMENTS
�,f f j
KlA1 V /
STATE BLDG. CODE
ENERGYCODE SURCHARGE
FADS J,?ES4i�'p
WATER/SEWER FEES
TOTAL
S�Ia1
1
PERMIT VALIDATION
WHEN PROPERLY VALIDATED BN THIS SPACED THIS IS YOUR PERMT i RECEIPT
pjp
— QCr94%017 ♦PPI orANT TRTI'LCI117PA PI nr. nrPT
PAID
BUILDING OFFICIAL
CRR BY
DATE