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HomeMy WebLinkAbout17421 OSPREY RD_056460_2026 o� INSPECTION REPORT 1N G T _ �� 4ti O Permit No.: Lot #. Q' Address: On _ ,-cry c Contractor: ©u A?00^ s �O Owner: IN Date: C2 S— APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. i Inspector: �".-- Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry l� ❑ Drainage ❑ Insulation t-�Other: Elmo n (Ali 1 - 1 r 1 Y , I 1 r - 1 11 I C-- X -r%e OF $=%FR L- X r4(3-r(::)h4 F=OF—=F;tMX -r r4C3- 10 t5—6,3 66 KZO Owner: SAUTTER, ABITA 17421 OSPREY RD ARLINGTON 9B223 Value of Work: $1, 000. 00 Tax ID: 008159-000-016-00 Phone : 360-435-2260 Describe Work: REVIEW FOR ADULT FAMILY HOME Proposed Use: ADULT FAMILY HOME Legal Description: GLENEAGLE DIV 2B LOT 16 Job Address: 17421 OSPREY RD Contractor' s Name Type Address License# TOTALS Fee Permit Fee $47. 00 State fee $4. 50 SIGNATURE: &Zau, TOTAL FEE. . . . . . . . . . . . . . . . . $51. 50 1 HEREBY CERTIFV AND EXAMINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . $47. 00 KNOW THE SAME TO BE TRUE AND COR--- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $4. 50 ORDINANCES GOVERNING THIS TYPE OF W R LL E C MP * E R W I t!fTff H WHETHER 0 DATE RECEIPT # SP IFIC-�? E IN6V611'AL r t f n 1 ►f: b bad i V'v-T 11 �Y f � l I + REQUEST FOR INSPECTION- Adult Family Home APPLICATION NUMBER: Applicant must complete sections 1, 2, 3, and 4. Application must be complete to be processed. SECTION 1 - PROPERTY INFORMATION SITE ADDRESS: / ��" S ��r"�r Y l� ASSESSOR'S TAX/PARCEL#: SECTION • • PROPERTY OWNER NAME: /A, J; n DAYTIME PHONE:36o— �7 C • LICENSEE NAME(IF DIFFERENT): �'f L'/` Aw" t1 DAYTIME PHONE:36Oz'113.5 ddO/+ SECTION • • • PLAN A complete floor plan must include all sleeping rooms, identified by number(#1, #2, #3 etc.) and all components for exiting, i.e. stairs, ramps, platform lifts and elevators. (Attach additional sheets if necessary) SECTIONX-7 4wl-el • BLOCK I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and that I am authorized by the owner of the above premises to request inspection for and operate an Adult Family Home at this location. I further certify that I have made application to the Department of Social and Health Services and the jurisdiction for the appropriate license(s)to conduct such business at this location. I further agree to hold harmless the jurisdiction conducting such inspections at my request as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation of such claim),which may be made by any person,including the undersigned,and filed against the jurisdiction,but only where such claim arises out of the reliance of the jurisdiction, including its officers and employees,upon the accuracy of the information supplied to ttW jurisdiction as a part of this application. 0 /,, f/� NAME/TITLE: / DATE: (Y— (U—057 K PROPERTY OWNER APPLICANT :1 LICENSEE N I � r I I I 'ti 1. i • JrZA, _ SECTIONINSPECTION YES NO Home licensed (or applying for license) on or after July 1, 2001 A SLEEPING ROOMS -1 Sleeping Room #1 11 S -1 NS1 7 NS2 Bedroom door is openable from the outside when locked v� 7 Closet doors are readily openable from the inside Smoke alarm is installed in the bedroom Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions-24"high; 20"wide) Sleeping room window has a maximum sill height of 44" p� Sleeping Room #2 :1 S :1 NS 1 ❑ NS2 Bedroom door is openable from the outside when locked P� Closet doors are readily openable from the inside Smoke alarm is installed in the bedroom Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions-24"high; 20"wide) _0( _] Sleeping room window has a maximum sill height of 44" ?� Sleeping Room #3 :1 S ❑ NS 1 :1 NS2 Bedroom door is openable from the outside when locked Closet doors are readily openable from the inside Smoke alarm is installed in the bedroom Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions-24"high; 20"wide) •4 Sleeping room window has a maximum sill height of 44" Sleeping Room #4 ' ] S ❑ NS 1 :1 NS2 Bedroom door is openable from the outside when locked Closet doors are readily openable from the inside I V Smoke alarm is installed in the bedroom J Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions-24"high; 20"wide) Sleeping room window has a maximum sill height of 44" Sleeping Room #5 J S NS 1 ❑ NS2 Bedroom door is openable from the outside when locked LI A Closet doors are readily openable from the inside 71 :1 Smoke alarm is installed in the bedroom 1 :1 Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions-24"high; 20"wide) :1 J Sleeping room window has a maximum sill height of 44" Sleeping Room #6 1 S V NS 1 _1 NS2 Bedroom door is openable from the outside when locked ] Closet doors are readily openable from the inside f/� Smoke alarm is installed in the bedroom Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions-24"high; 20"wide) 7 � Sleeping room window has a maximum sill height of 44" -� GENERAL Bathroom doors are openable from the outside when locked ❑ Smoke alarms are installed on all levels of the dwelling r7 All smoke alarms are audible in all parts of the dwelling upon activation of a single device 0( D Access road and water supply approved by Fire Department V V PASSED I CO RECTIONS REQUIRED ❑ PERMIT REQUIRED INSPECTOR: 21 DATE: C; 57- � . 1 1 N. k �ti 1 1 3r .�� '� t� +� � - I ■ 1 `d 1 1 •� ti 1 1 } ���' � 1 ���� � � �� I .7 bl MAR 0 2 20051 0®A --� Fire Exit Door 1"•II1 �r. e. 0 �1 i r i F r ❑ > •y,1 V _ Fire Exit Door Smoke D etaetor 1,"�..//i lS 1' E w/Alarm DX Fire xt E xtingulsher aautterAdult Family Home 1,421 Osprey lid 1 ':?A iTMENT 3:ngton,WASS223 - Y ; on, 9 Evacuation Platt ( 6C fll yV' O N S AUTH' UNLESS PROVED BY THE BUILDING INSPECTOR I 7 CO fob r-7 MAR 0 2 2005' CG/A BUILDING DEPT C Fire Exit Door SECS I l ) It.iilll �� i' � l — • ���tiNl" 1• n•� 1 i o :•tA*ll!-i Li I HA7}1 U �kJ 7 — QJLN(;i HP[+ >ri i t/O Fire Exit Door Smoke Detec4aY CLU AUE w/Alarm B/G Fire Extingungulshar SautterAdult Family Home hUG vrIL7 U UK 17421 Osprey ad -' ;PCcPARTMENT Arlington,WA 90223 (360)436-226D Evacuation Plan'-•EtnW Lg,,,� t��BY GES AUTH IZED NLESS APPROVED BY THE BUILDING INSPECTOR ' r `�� i 1 1 :: I i �``Y °f RESIDENTIAL ADDITION/#4.,.TERATION z PERMIT APPLICATION 0946(PO VrNG'�O Department of Community Development City of Arlington • 238 N Olympic Ave. • Arlington, WA 98223 • Phone (360)403 3431 • FAX(360)403 3447 THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS�RESIDENTIAL STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS, SIX(6) ACCURATE, FULLY DIMENSIONED PLOT PLANS AND TWO (2) SETS OF ENERGY CODE APPLICATIONS. TYPE OF PERMIT: ( ) Residential Addition J+ Residential Alteration ( ) Plumbing I ( ) Mechanical �J I (2 �l d Parcel ID Project Address: Lot#: 2 Subdivision: Project Description: I Owner: ALLA I (A Lk �'� II Phone Number: Address: r�, �✓��� �� c1 City: riv State: 12A Zip Code:P114' Contact Person:'2 b �a u �' Phone Number: �� Li Cell Phone: Fax: E-mail: Address: City: State: Zip Code: Building Area(Sq Ft): Ist Floor:A 1 2"d Floor: 3`d floor: Deck: Garage/Carport: Basement: Project Valuation- TA I Lxpn Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: Plumbing Contractor- Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: Mechanical Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in accordance with the laws, rules and regulation of the State of Washington. Applicants Signature Date Print Applicants Name Forms/RAA-1 t :�, .� ; ��Nw��� os'_ 6 3�C) L4&, NEW JINGLE FAMILY R.:SIDENCE 7 BUILDING PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. • Arlington,WA 98223 • Phone (360)403 3431 • FAX(360)403 3447 Number of Plumbing Fixtures (Including Rough-Ins) Plumbing Accessory Main Total Fixture Total Number Fixtures Dwelling unit Residence #X Multiplier Fixtures Units Bar Sink X 1.0 = Bathtub or Combination Bath/Shower X 4.0 = Clotheswasher X 4.0 = Dishwasher X 1.5 = Hose Bibb X 2.5 = Kitchen Sink X 1.5 = Laundry Sink X 2.0 = Lavatory (Bathroom Sink) X 1.0 = ' Shower(Stand Alone) Each Head X 2.0 = Water Closet(Toilet) X 2.5 = Whirlpool Bath or Combination Bath/Shower X 4.0 = Water Heater Other TOTAL FIXTURE UNITS: Traps (other than above items) COLUMN TOTALS: Estimated Project Valuation 2 P�`•, / Building Square Footage ! �o 1 st Floor 2"d Floor 3rd Floor Basement Deck Water Supply Pi pin MAR O 2 2005 A. Fixture U 1 is Number of Fixtures X Fixture Units=Total Fixture Units ,r B. Distance from meter to most remote outlet: feet. C. Difference in elevation between meter and highest fixture: feet above meter or feet below meter. D. Pressure in street main: psi. (Measure with gauge or check with Water Department) I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in accordance with the laws, rules and regulation of the State of Washington. Applicants Signature Date Print Applicants Name Forms/NSFR Page 2 of 2 &--,f � 10/04/DWA