HomeMy WebLinkAbout17819 W Country Club Dr_BLD941416_2025Permit No. f
Date Called/
Time Called _6
By I '
City of Ar' ngton
NOTICE and Inspection Report
Legal.,
Address 1 ?/ CCIOAaL
Contractor/Owner
Requested by
❑ Setback
❑
Roof Diaphragm
❑ Insulation
❑
Plumb GW
❑
Framing
❑ Gas Piping
❑
Footing
❑
Drywall Nailing
final
❑
Foundation
❑
Roughin Plumbing
❑ Reinspection
❑
Shear Wall
❑
Mechanical
❑ Other
AOVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
�alisted below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION —24 hour not[ required.
Permit No- City of Arlington
NOTICE and Ins, action Report
Date Called ` ' Address ,
Time Called I /11Contractor/Owner
By Requested by
❑
Setback
❑
Reroof
❑
Insulation
❑
Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
❑
Footing
Framing
❑
Woodstove
❑
Foundation
�Vlrywall
Nailing
❑
Final
❑
Concrete Slab
❑
Rough In Plumbing
❑
Reinspection
❑
Shear Wall
❑
Furnace
❑
Other
❑ APPROVAL
CORRECTION REQUIRED
X-20—rr!ct, ions 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. City of Arlington
� .7 NOTICE and Insj..action Report
ate Called Address
Time Called �' ContractoNOwne 22
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 RRECTION REQUIRED
�reciionslisted below MUST BE MADE before work can be approved.
Q Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required.
Inspector
Date D J G
Permit No.
�7
Date Called
Time Called
By
City of Arlington
NOTICE and Ins, ction Deport
Address / / d
Contractor/Owner
Requested bye
❑
Setback
❑
Reroof
❑
Insulation
❑
Plumb GW
❑
Roof Diaphragm
❑
Gas Piping
❑
Footing
���,,�`�rarning
'
I1❑Drywall
❑
Woodstove
❑
Foundation
Nailing
❑
Final
❑
Concrete Slab
❑
Rough -In Plumbing
(, �einspection
❑
Shear Wall
❑
Furnace
❑Other
-
APPROVAL
CORRECTION REQUIRED
V_zo�s
ted 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 N City of Arlington
NOTICE and Insiation Report
Date Called Address "--�
Time Called Contractor/Owner
By1�4 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
OORRECTION REQUIRED
D?'C,i ections listed below MUST BE MADE before work can be approved..
❑ Work listed below has been inspected and approved.
f-1 rni i 4I5-n724 FOR REINSPECTION - 24 hour notice required.
Inspector Date
'
City of Arlington
Permit
No.
--
NOTICE and In%__, ion Report
Date Called
Address
Time Called
Contractor/Owner
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.
❑ Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice reauired.
Inspector Date O`er
Permit No. _1411j
Date Called
Time Called
City of Arlington
NOTICE and Inspection R t
Address
Contractor/Owner
By
Requested by
TYPE
OF INSPECTION•
❑
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.
❑ CALL 435-0724 FOR REINSPECTION - 24 hour police required.
Permit No. 11116 City of Arlington
w NOTICE and Inspection Rt,..irt
Date Called Address' f
Time Called A!2, 3C) Contractor/Owner
At —
By e"+ Requested by
❑
Setback
❑
Reroof
❑
Plumb GW
❑
Roof Diaphragm
❑
Footing
❑
Framing
❑
Foundation
❑
Drywall Nailing
❑
Concrete Slab
❑
Rough -In Plumbing
❑
Shear Wall
❑
Furnace
❑ Insulation
09iGas Piping
❑ Woodstove
❑ Final
(":i& einspection J
7k. C3ther
��e
ORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
PZ_Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION - 24 hour notice required.
Permit � �`�
City of Arlington
No.
NOTICE and Inspection Rf-#..jrt
Date Called Fes'
Address /��
Time Called '�
Contractor/Owner
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
p
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.�
Da a Called
Time Called
By
❑ Setback
❑ Plumb GW
❑ Footing
❑ Foundation
❑ Concrete Slab
❑ Shear Wall
City of Arlington
NOTICE cmd Inspection Rig. art
AddressQ
Contractor/Owner
Requested
❑ Reroof
❑ Roof Diaphragm
❑ Framing
❑ Drywall Nailing
X,Ilough-ln Plumbing
❑ Furnace
❑
Insulation
❑
Gas Piping
❑
Woodstove
❑
Final
❑
Reinspection
❑
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 FOR REINSPECTION - 24 hour notice required.
Permit No. /_ T`4
4::�45Y
Date Called
Time Called ci
By
City of Arlington
NOTICE cold Inspection RtL. art
Address Z/0
ContractorlOwner
Requested by y -,
❑
❑
❑
❑
❑
AShear
Setback ❑ Reroof
Plumb GW ❑ Roof Diaphragm
Footing ❑ Framing
Foundation ❑ Drywall Nailing
Concrete Slab ❑ Rough -In Plumbing
Wall ❑ Furnace
❑
❑
❑
❑
❑
Insulation
Gas Piping
Woodstove
Final
Reinspection
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
Date Z7ZJ_9�
No. 11116
City of Arlington
Permit
NOTICE card Inspection Rt art
/ /
% ff
Date Called
Address
Time Called r�
Contractor/Owner
By
Requested
by
OF
•REQUESTED
❑ Setback
❑
Reroof ❑ Insulation
❑ Plumb GW
❑
Roof Diaphragm ❑ Gas Piping
❑ Footing
❑
Framing ❑ Woodstove
❑ Foundation
❑
Drywall Nailing ❑ Final
❑ Concrete Slab
❑
Rough-ln Plumbing ❑ Reinspection
XShear 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.
Permit No. 1�qz �
Date Called eg 1-5—
Time Called s
By
❑ Setback
❑ Plumb GW
❑ Footing
undation&)6—
❑ Concrete Slab
❑ Shear Wall
APPROVAL
City of Arlington
QTICE and Inspection Repo. _
A dress Z_ ,_ 9 / 1i -
Contractor/Owner
Requested by
❑
RekW
�!
❑
Roof Diaphragm
❑
Framing
❑
Drywall Nailing
❑
Rough -in Plumbing
❑
Furnace
❑ Insulation
❑ Gas Piping
❑ Woodstove
❑ Final
❑ Reinspection
❑ Other
CORRECTION REQUIRED
❑ orrections listed below MUST BE MADE before work can be approved.
rk listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION - 24 hourtice required.
Permit No. L� `
City of Arlington
Date Called n_ !
Time Called
ByC _. J \
NOTICE and Inspection Repo.
-ress i O � / C (V-1 r
Requested
❑ Setback
❑
Reroof
❑ Plumb GW
❑
Roof Diaphragm
Footing
❑
Framing
❑ Foundation
❑
Drywall Nailing
❑ Concrete Slab
❑
Rough-ln Plumbing
❑ Shear Wall
❑
Furnace
❑ Insulation
❑ Gas Piping
❑ Woodstove
❑ Final
❑ Reinspection
❑ Other
PPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ CAL 5-0724 FOR REINSPECTION - 24 hour notic. qutred.
1- 1116`dHd
a 0lllllt DIY :a OH
1
r�� N�e �1'�af'C>2ic1
. L• jo2e�
� U
Q�0
Q
w
Dim
41 Il II
-mill.,
6 ,I.J ,,
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION [3 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN
N'? 1416
PERMIT NO. -
OWNER
MAIL ADDRESS CITY ZIP
PHONE
Contempra Homes
Inc 4208 198th St SW Lynnwood 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 LICENSE N
Contempra Homes
Inc 4208 198th.St SW #208 Lynnwood 98036
774-3900
MECHANICAL CONTRACTOR
MAIL ADDRESS CITY ZIP
PHONE LICENSE
THE Mechanical
7312 67th St NE Marysville 98270 6.59-5606
THEMEL*147R4
PLUMBING CONTRACTOR
MAIL ADDRESS CITY ZIP
PHONE LICENSE N
William Adams Inc 18326 48th Ave V Lynnwood 98037 776-8627
WILLIAI144L7
CLASS OF WORK
[2NLW ❑ ADDITION
❑ ALTERATION ❑ REPAIR ❑DEMOLITION []BUILDING RELOCATION
VALUATION OF WORK
f 230.,000
DESCRIBE WORK
new construction
PROPOSED USE OF BUILDING
Sk'R
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
VIOLAT - CANCEL THE PROVISIONS OF ANY OTHER STATE OR
, AWR NGCONSTRUCTION OFTHEPERFORMANCE OF
CONSTRUCTI I. P MIT XPIRES I YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CO T CT RA 'HORIZED AGENT DATE
X
LLGAL DiS( RIPT iON OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES)
39 Gleneagle 2 B Sec 3
LOT -BLOCK -OF
TAX ID NUMBER
IOBAUURLSS
17819 Country Club. Dr,
(OFFICE USE ONLY)
PLUMBING
MECHANICAL
NO
TYPE OF FIXTURE
FEE
NO
TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET)
AIR COND UNITS - H P EA
BAIHIUg
14 UUREFRIGERATION
UNITS - H P EA
4
LAVATORY (WASH BASIN)
281 00
BOILERS - H P EA _
1
SHOW'LR
7 00
1
GAS FIRED A C UNITS - TONNAGE EA
9
00
l
KI ICIILN SINK & DISP
7 { 00
FORCED AIR SYSTEMS - B T U MEA
DISHWASHER
7 00
WALL HEATERS - B T U M
LAUNDRY TRAY
7
UNIT HEATERS - B T U M
CLOIIiLS WASHER
71
EVAPORAI IVE COOLERS
WAIERHEATER
CLOTHES DRYERS
URINAL
I
3
VENTILATICN FAN
DRINKING FOUN IAIN
RANGE HOOD COMMERCIAL
FLOOR DRAIN
AIR HANDLING UNIT - CPM
VACUUM BREAKERS
STOVE
ROOF DRAINS - RAINLEADERS
METAL FIREPLACE & CHIMNEY
SINK (SERVICE - BAR, ETC)
WATER HEATER
GAS PIPING
SUB TOTAL
$
SUBTOTAL f
PERMIT
f
PERMIT $
TOTAL FEE
SIDE YARD SE IBACK STRELT SETBACK
$ 1 1211 Qn
REAR YARD SETBACK
DATE RECEIVED
4/4/94
TOTAL FEE
PLAN
FEE
711.43
f
CHECK FEE
RECEIPT NO
29154
LsF ZONF
R7200
LOT AREA
11,722
VACANT SITE
®YES ❑ NO
FEES
VALUATION
FEE
PLAN CHECKING NG
TYPE OF CONST
VN
OCCUPANCY GROUP
R3 & M
NO, OF DWELLING UNITS
1
BU'LDING
$
1094
5C
SIZE OF BLDG
3 014
NO OF STORILS
1
MAX OCC LOAD
8
PLUMBING
120
0 C
COMMENTS
Plan # Camlin 3 PAID
!
. ..
FIRE SPRINKLERS REQUIRED
❑ YES ® NO
G';
MECHANICAL
STATE BLDG. CODE
ENERGY CODE SURCHARGE
66
4
5(
5 (
REMMR(x Radon kit
" MAI
15
0(
WATER/SEWER FEES
3100
0 (
TOTAL
4400
5(
cc: ASSESSOR, APPLICANT, TREASURER, BLDG DEPT
PERMIT VALIDATION
WHEN PROPE r �LIDATED (IN THIS SPACE) THIS 15 YtPEWkRECEIPT
PAID RI(
r
67`
BUILD G OFFICIAL DATE
R ORDS COPY
' CITY OF ARLINGTON `
CONSTRUCTION
PERMIT
❑ COMDINATION N OUILOING ❑ MECHANICAL ❑ PLUM131NO ❑ SIGN
PP-nMIT N%
OWNER
MAIL ADDRESS
CITY ZIP
PHONE
Contempra Homes, Inc.
4208 - 198th St.
S.W., #208 Lynnwood 98036
206-774-3900
ARCHITECT OR DESIGNER
MAIL ADDRFSS
City ZIP
PHONE
Nash, Jones & Assoc.
8275 - 166th N.E.
Redmond 98052
206-867-1156
GENERAL COP I R C 101
MAIL ADDRESS
CITY ZIP
PHONE LIC NS£
Contempra Homes', Inc.
4208 - 198th St.
S.W., #208 Lynnwood 98036
206-774-3900
MECIIANICAL CONTRACTOR
MAIL AOURE55
City ZIP
PHONE - LICENSE IF
T.H.E. Mechanical 7312 - 67th St. N.E.
Marysville 98270
206-659-5606 THEMEL*147R4
PLUMBING CONTRACTOR
MAIL ADDRESS
CITY ZIP
PHONE LICENSE I
William Adams, Inc.
18326 - 48th Avenue
W. Lynnwood 98037
206-776-8627 WILLIAI144L7
CLASS OF WORK
06NLW ❑ADDITION ❑ALTERATION
[jREPAIR ❑DEMOLIFION [] BUILDING RELOCATION
LUAIIONOF WVRX
1)FSr, RIFit WOR k-
PRUPU+I D USE OF BUILOI '
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TIONAND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLt,AL 01 5( RIfIFIONOf POPE R TY ISf N BELOW CIA AT fiACII f OUR Ct)PIE 1 SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOI RLUCk OF � ' y WILL BE COMPLIED WITH WHETHER SPECIFIED FIERIN 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 to NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
yIONATU OF CONTRA GiOR OR AU1F • RfZfD AGENT DATE
IOB tDDRLSS
(OFFICE USE ONLY) ;°
PLUMBING MECHANICAL
NO.
TYPE OF FIXTURE
FEE
NO.
TYPE OF EVUIPMENT
FEE
WAILR CLOSEI (TOILL 1)
JL.
AIR COND. UNITS - II.P. EA.
BAIIII UB
J
REF RIGERATION UNI TS - fI.P. EA.
LAVATORY (WASH BASIN)
BOILERS - H.P. EA
SIIOWLR
GAS FIRED A.C. UNITS - TONNAGE EA.
KI ICI ILN SINK & UISP.
FORCED AIR SYSTEMS - B.T.U. MEA
J
UISIIWASIILR
WALL HEATERS - B.T.U. M
LAUNDRY TRAY
UNII HEATERS-B.I.U. M
C10111LS WASIILR
EVAPORATIVE COOLERS
WATER IIEAILR
CLOTHES DRYERS
URINAL
VENTILATION FAN
DRINKING TOUN I AIN
RANGE IIOOD COMMERCIAL
I LOUR DRAIN
I
AIR IIANDLING UNI T - CPM
ry'
VACUUM BREAKERS
I
STOVE
ROOI DRAINS - RAINLLADERS
METAL FIREPLACE & CIIIMNEY
f,
'
SINk ISERVICE - BAR, ETC.)
)
WATER HEATER
15-
GAS PIPIN(3
1
SUBTOTAL
1
105
SUBTOTAL
I
S
�20
PERMIT
!
%
PERMIT
11
/S
10TAL FEE
TOTAL FEE
1
SIUL V ARD St 1BACK
S T RELI SETBACK
REAR YARD SETBACK
VACANF SITE
❑ NO
NO. OF DWELLING UNITS
I
MAX, OCC. LOAD
FIRE SPRINKLERS REQUIRED '
❑ YES )NO
PLAN CHECK NUMBER
FEES
PLAN CHECKING VO
BUILDING
PLUMBING
MECHANICAL
PLAN
FEEE) f
-
f ( + 1'3
CHECK FEE
RECEIPT NO
f
I,L1 UST' Nf
j F
LOT ARE A
i r
I' S r � �Y%5
VALUATION
FEE
---
TYPL OF CONS1,
OCCUPANCY GROUP
A `
1
/(J 9
SC
SIZE OI 9LUG.
3�0
NO, OT STORILS
I'
el 1
COMMENTS
f
L n '�j • �I
+
STATE BLDG. CODE
ENERGY CODE SURCHARGE
PENALTY
WATER/SEWER FEES
TOTAL
SEC. 303131
l
' O
r
O
PERMIT VALIDATION
WHEN PROPERLY VALIDATED IIN THIS SPACP THIS 13 YOUR PERMIT A RECEIPT V J 1 ( J
PAID CRA BY
Cc: ASSESSOR, APPLICANT, TREASURER, BLDG. DEPT_
BUILDING OfTIVAL DATE
RECOgb$ COPY