HomeMy WebLinkAbout18412 E Country Club Dr_BLD951603_2025City of Ar ,__�ngton
NOTICE and Inspection Report
Permit No.
Date Called
Time Called
By
Legal 5-/ t . e -
Address
Contractor/Owner /
Requested by 1 /^
TYPE OF INSPECTION REQUESTED
❑ Setback
❑
Roof Diaphragm
❑
Insulation
❑ Plumb GW
❑
Framing
❑
Gas Piping
❑ Footing
❑
Drywall Nailing
❑
Final
❑ Foundation
❑
Rough4n Plumbing
❑
Reinspection
❑ Shear Wall
❑
Mechanical
❑
Other
APPROVAL ON REQUIRED
jbelow-MUST BE MADE before work can be approved.
below has been inspected and approved.
ffe4-FOR.REINSPECTION —24 hour notice required.
Inspector Data
rZermft
Date Called
Time Called
By `%'-%/M
City of Ar Ij)ngton
NOTICE and Inspection Report
Legal ! 0 7
Address ( f4ae0 /
Contractor/Owner
Requested by � /
TYPE OF INSPECTION REQUESTED
❑ Setback
❑
Roof Diaphragm
❑ Insulation
❑ Plumb GW
❑
Framing
❑ 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 FOR REINSPECTION — 24 hour notice required.
Inspector Date ��4�
City of Arington
NOTICE and Inspection Report
Permit No. 6 03
Date Called
Time Called
By
Legal e&7'—
Address 16 r
Contractor/Owner
Requested by
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑
Plumb GW
❑
Framing ❑ Gas Piping
❑
Footing
❑
Drywall Nailing ❑ Final
❑
Foundation
❑
Rough -in Plumbing ❑ Reinspeclion
0 shear
Wail
❑
Mechanical ❑ Other
❑ APPROVAL
CORRECTION REQUIRED
Corrections listed below MUST BE MADE before work can be approved.
❑ Wo below has been inspected and approved.
L 435-0724 FOR REINSPEC71ON —24 hour notice required.
InspectoryiyAe Date �l�
City of Ar�.Angton
NOTICE and Inspection Report
Address_
Time Called
By
❑
Setback
❑
Roof Diaphragm
Insulation
❑
Plumb GW
❑
Framing
❑ Gas Piping
❑
Footing
❑
Drywall Nailing
❑ Final
❑
Foundation
❑
Roughin Plumbing
❑ Reinspection
❑
Shear Wall
❑
Mechanical
❑ Other
APPROVAL
❑ CORRECTION REQUIRED
LCorrections listed below MUST BE MADE before work can be approved.
crk listed below has been inspected and approved.
rl CALI-435-0724 FOR REINSPECTION —24 hour notice required.
Inspector } ! Date �! ti
City of Arlington
Permit
No. 1 h3
NOTICE and Inspt,ion Report
Date Called 4--05
L
Address GG42-0 E . �-`t` � (5
Time Called
' >b
Contractor/Owner
_
�tl'siN1 CcryA-L't
By
Requested by
_r�Z-
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
®r''A"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 -` -1`
City of Arington
NOTICE and Inspection Report
Permit No. _
Date Called
Time Called
By
Legal
Address
Contractor/Owner
Requested by L
❑
Setback
❑ .Roof Diaphragm
❑ Insulation
❑
Plumb GW
naming
❑ Gas Piping
❑
Footing
❑ Drywall Nailing
❑ Final
❑
Foundation
❑ Roughin Plumbing
❑ Reinspection
❑
Shear Wall
❑ Mechanical
❑_ Other
❑ APPROVAL tfCORRECTION REQUIRED
rrection sted below MUST BE MADE before work can be approved.
❑ War ted below has been inspected and approved.
LL 435-0724 FOR REINSPECTION —24 hour notice required.
Inspector Date
City of Ar-Angton
NOTICE and Inspection Report
Permit No. o3 Legal J
�L
c.
Date Called �— Address (g42o -E, cc Drr/l1 ,� -��
Time Called (% Contractor/Owner &t SA cftk--LZf
By Requested by �11N1 359- 7c 4G
TYPE OF •REQUESTED
❑ Setback
❑ Plumb GW
❑ Footing
❑ Foundation
❑ Shear Wall
❑ Roof Diaphragm
Framing 9e I b' 5e,
❑ Drywall Nailing
❑ Roughin Plumbing
❑ Mechanical
❑ Insulation
❑ Gas Piping
❑ Final
❑ Reinspection
❑ Other
ROVAL ❑ CORRECTION REQUIRED
❑ Co ctions 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.
4-1
Inspector "`C/ Date
Permit No, 11�5
Date Called )'
Time Called I CP 11
EXD
By
City of 1, _ington
NOTICE and Inspection Report
. . 44-, �1
Contractor/Owner
❑ Setback
❑
Roof Diaphragm
❑
Insulation
❑ Plumb GW
❑
Framing
❑
Gas Piping
X Footing
❑
Drywall Nailing
❑
Final
❑ Foundation
❑
Rough -in 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 FOR REINSPECTION —24 hour notice required.
City of A-7 4..ngton
NOTICE and Inspection Report
Permit No. Legal
Date Called Address , `� i + +�
'of)
Time Called Contractor/Owner M q )-
By Requested by -I If 57
l Ul
OF INSPECTION REQUE5JhL
❑ Setback
❑ Plumb GW
❑ Footing
Foundation
❑ Shear Wall
(,ate PROVAL
❑
Roof Diaphragm
❑
Framing
❑
Drywall Nailing
❑
Rough -in Plumbing
❑
Mechanical
❑
Insulation
❑
Gas Piping
❑
Final
❑
Reinspection
❑
Other
❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
['�f, ork listed below has been inspected and approved.
CALL 435.0724 FOR REINSPECTION — 24 hour notice required.
Inspector h Date ✓� r
-7q - 57
OCZ
TOM C.OmFo
'j HOMES
EMT COUNTRY CLUB DRIVE
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
-
®
����
COMBINATION
❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT NO.
OWNER
MAIL ADDRESS CITY ZIP
PHONE
Custom Comfort
Homes 4630 85th Pl NE Marysville WA 98270 653-9408
ARCHITECT OR DESIGNER
MAIL ADDRESS CITY - ZIP
PHONE
Crane Design
22833 Everett Bothell Hwy SE #212 486-4592
GENERAL CONTRACTOR
MAIL ADDRESS CITY ZIP
PHONE
LICENSE N
Same as Owner
CUSTOCH150
MECHANICAL CONTRACTOR
MAIL ADDRESS CITY ZIP
PHONE
LICENSE
Quality Heating 1927 Gibbon Rd Everett WA 743-6628
PLUMBING CONTRACTOR
MAIL ADDRESS CITY ZIP
PHONE
LICENSE N
C & K Plumbing
P.O. Box 1702 Bothell WA 98041 335-1735
CLASS OF WORK
® NLW ❑ ADDITION
❑ ALTERATION ❑ REPAIR ❑ DEMOLI FION ❑ BUILDING RELOCATION
VALUATION OF WORK
f 160,000.00
DESCRIBE WORK
New Construction
PRUPOSI D USE OF BUILDIIVI.,
Sin le 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 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
CONST UCTION. PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE.
SIGNATU OF CONTRACTOR LTHORIZED AGENT DATE
X
ANICAL
LEGAL DES( RIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES] -
LOT 57 BLOCK OF Sechor TVA -
TAX ID NUMBER
JOB AUURi SS
18412 E, Country Club Drive
(OFFICE USE ONLY)
PLUMBING
NO.
TYPE OF FIXTURE
FEE
O-
TYPE OF EQUIPMENT
FEE
3
WATER CLOSET (TOILET)
21,1 00
AIR COND UNITS - H P EA
2
BAIHTUB
14 on
REFRIGERATION UNITS - H P EA
LAVATORY (WASH BASIN)
BOILERS - H P EA
SHOW'LK
7 nn
GAS FIRED A C UNITS - TONNAGE EA
KI ICHEN SINK & DISP
FORCED AIR SYSTEMS - B T U MEA
DISHWASHER
WALL HEATERS - B.T U M
LAUNDRY TRAY
71
UNIT HEATERS - B T U M
CLOTHES WASHER
EVAPORAIIVECOOLERS
WAAIER HEATER
1
CLOTHES DRYERS
URINAL
4VENTILATICN
FAN
DRINKING FOUN I AIN
RANGE HOOD COMMERCIAL
FLOOR DRAIN
AIR HANDLING UNIT - CPM
2
VACUUM BREAKERS
1
STOVE
ROOF DRAINS - RAINLLADERS
METAL FIREPLACE & CHIMNEY
SINK (SERVICE - BAR, ETC)
WATER HEATER
GAS PIPING
SUB TOTAL f
l
SUBTOTAL S
56
00
PERMIT $
PERMIT $
1
TOTALFEE $
TOTAL FEE $
SIDL YARD SL IBACK
6/12
STRLLI SETBACK
22,5
REAR YARD SETBACK
20
DATE RECEIVED
12-1-94
PLAN
FEE
552.18
CHECK FEE
RECEIPT NO
1598
lSt /ONt
R7200
LOT ARIA
7366
VACANT SITE
0YES ❑NO
FEES
VALUATION
FEE
PLAN CHECKING NG
TYPE OF CONS]
VN
OCCUPANCY GROUP
R3 & M
NO. OF DWELLING UNITS
1
BU'LDING
$
849 9
5'C
SIZE OF BLDG
2652
NO. OFSTORILS
2
MAX OCC LOAD
$
PLUMBING
12
FIRE SPRINKLERS REQUIRED
❑YES NO
COMMENTS
Plan D120391
yyT�
pAMD
PA
MECHANICAL
STATE BLDG, CODE
ENERGY CODE SURCHARGE
7TQn-"
4
5 C
NXXXX Radon Kit
& 'I
15
OC
WATER/SEWER FEES
TOTAL
3167
O C
cc: ASSESSOR, APPLICANT, TREASURER, BLDG DEPT
PEMALOFFICIAt
WHED 9N PACEI/THIS IS YOUR PERMIT
� &y,Cr)CEIPT
PA_ CR# ^i IFJ BY a� l
�3�—�
DATE
RECORDS COPY
-57
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
COMBINATION BUILDING MECHANICAL PLUMBING ElSIGN
� PERMIT NO.
i OWNER S�� -DTI y
MAIL ADDRESS �
CITY ZIP PHONE/��pp�G�� �, 1 � v3v
ARCHITECT OR DESIGNER
MAIL ADDRESS
CITY ZIP PHONE
>�!E �L��lG v✓
�'
o � � 5e 2 2- - S Z
GENERAL CONTRACTOR
l• V S'I� m 6
MAIL ADDRESS CITY ZIP PHONE LICENSE N
/ .6
_.4uscf �§~� Jo
ry • W_ ! A 4)(Jy 1 9 LZI LD C US-ro Cp prb
MEC�H�y�A�yN�; I€ALC TRACTOR /�'
VQ
MAIL ADDRESS
CITY PHONE
LLIICyE�NSE!
+/ pq• �,ZIIPP' ��Jy
PLUMBIMF♦, CONTRACTOR
G
MAIL ADDRESS
p o
CITY ZIP PHONE LICENSE N
H
3 CLASS OF WORK
r [} I
a c7
NLW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION
a VALUATION OF WORK
Z S &A 0 00,-00
IWjI DESCRIBE WORK
m PROPOSE D USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
W '
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
Z LLC.AL DES( RIPI ION OF PROPLRTY (SHOWN BELOW OR ATTACH FOUR COPIES)
�
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
u01 BLOCK - OF mr-WILL
BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
Q
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
Lu
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
a TAX ID NUMBER FROM PROPERTY TAX STATEMENT
LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
r, rtl$�•u
RTv�
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
O -
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
V 108 ADDRLSS
-- - (UFFICE USE ONLY)
-
- -
PLUMBING
FP.TTAN IrAF.
NO.
TYPE OF FIXTURE
FEE z's FIXTURES
NO.
TYPE OF EQUIPMENT
FEE :'s FIXTURES
ATER CLOSET(TOILED)
$7.00
IR COND. UNITS - H.P. EA.
19tip. list**
ATIITU6
$7.00
113PRIGERATION UNITS - H.P. EA
tie. list"
VATORY ASH BASIN
$7.00
301LERS - H.P. EA.
tip. Pot -
ROWER
$7.00
AS FIRED A.C. UNITS - TONNAGE EA.
39tip. list-
TCHEN SINK Q DISPOSAL
S7.00
/
I
ORCED AIR SYSTEMS - B.T.U. MEA
S9.00
00
ISHWASHER
S7.00
NALL HEATERS - B.T.U. M
$9.00
UNDRY TRAY
$7.00
JNITHEATERS - B.T.U. M
S9.00
LOTH ES WASHER
$7.00
31VAPORATIVECOOLERS
WATER HEATER
S7.00
LOTHES DRYERS
$6.50
RINAL
$7.00VENT]
I ATION FAN
S4.50
KINKING FOUNTAIN
$7.00
GE HOOD COMMERCIAL
$6.50
LOOR DRAIN
$7.00
UR HANDLING UNIT - CPM
,VACUUM
BREAKERS
$7.00
VE
S6S0
OOF DRAINS - RAINLEADERS
$7.00
J
ETAL FIREPLACEdt CHIMNEY
$6.50
INK(SERVICE -BAR, ETC.)
$7.00
WATER HEATER
S630
AS PIPING '(up to 5 = S3.00, addnl. = 5.75:ir
"Equipment list must be provided
SUB TOTAL
f
SUB TOTAL
PERMIT
PERMIT
TOTAL FRB
`L7
TOTAL FEE
FI
SIDL YARD SE IIIACK
6
STRLLLII}SLJIBACK
REAR YARD SETBACK
�7
PLAN CHECK NUMBER
�
I PLAN
FEE
CHECK FEE
tP
RECcTTd
t+�
USE NI
-
LOT ARFA
VACANT SITE
YES ❑NO
FEES
VALUATION
FEE
PLAN CHECKING NG
TYPL OF CONS
OCCUPANCY GROUP
VI
NO. OF PWELLING UNITS
BU'LDING
SIZL Of BLDG, ✓�
liPp �L/
NO. OF STQPALS
MAX. OCC. LOAD
F?
PLUMBING
l
1
'
FIRESPRINKLE SREQUIRED
❑ YES NO
MECHANICAL
COMMENTS
�*dP" 1 p�A,
EZ. 1 1994
STATE BLDG. CODE
ENERGY CODE SURCHARGE
PENALTY
SEC. 303(a)
WATER/SEWER FEES1
FOTAL
CITY OF ARLINGTON
PERMIT VALIDATION
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT & RECEIPT
PAID CRtt BY
cc: ASSESSOR. APPLICANT, TREASURER. BLDG DEPT BUILDTNGOFFICIAL DATE
RECORDS COPY