HomeMy WebLinkAbout17523 74TH DR NE_077453_2026 INSPECTION REPORT
• Permit No.: D 7 7 y Sj Lot #: T
Address: ��� �•- 7 y rti ,�r /t'/,C
Contractor:
• , Owner:
Date:
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.
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Ze c/o s e -ZVet
Inspector: Date: 1
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 4 Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
14001 INSPECTION REPORT
• Permit No.: 0 7 7! S__F Lot #:
Address: /SoZ 3 — 7 s/5,1!5�e
Contractor: A vim, AcJ4,AS
• Owner: l
Date: S '7 -
❑ 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.
L ,�rt c cfi�� C4 e'
4i
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 4 Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
cp:44Z
INSPECTION REPORT
• Permit No.: o —��S3Lot#:
Address: 7 �`�69-
Contractor: � a/ti�T_ �r,..� S:
• Owner:
Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ULCORRECTION REQUESTED
,zAMNCorrections 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.
A47— -SO lziFi
SC1�i-� }�C'`NYlycibA—��L t1 AT 7'0
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..i Fri.
Inspector: 1 Date: 2-I-a 8
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 JKFinal
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
�35
INSPECTION REPORT
Permit No.: o7 74s-3 Lot #:
Address: 7 5 13 7 y 0 1/L_
Contractor: 1 fir,,4-!dw a
• Owner:
Date: 2--Zo e is
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.
Inspector: Date: 2--.2-0—0 a
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 ❑ Drainage ❑ Insulation
❑ Other:
PM INSPECTION REPORT a �
ii
T PermitNo.: 07,7`fS? Lot #:Address: / 7 5-d 3 7�14
Contractor:GAO Owner:_
Date: - "
A 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.
VL—
C�
Inspector: 10 40� Date:4?
TYPE OF INSPECTION REQUESTED
❑ Under-floor 9 Framing ❑ Gas Piping
❑ Footing J Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ' Insulation
❑ Other:
1z3�
INSPECTION REPORT
Permit No.: o-7 '7� 5 3 Lot#: ''_(
Address: 1 '7 5 z3 -7 4 ro w
Contractor: LEI %M a
• Owner:
Date: i z-)y-o 8
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ILCORRECTION 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.
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DI ��T 121,44 3&N-V'7ru`Z7 KN
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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 ❑ Drainage R_Insulation
❑ Other:
450
INSPECTION REPORT
• Permit No.: 07 '1 Li s'3 Lot#:
Address: S z 3 -741
Contractor:
• Owner:
Date: 2-8-ob
❑ APPROVAL :PARTIAL APPROVAL
❑ VIOLATION c6?(CORRECTION REQUESTED
MCorrections 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.
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t?1L /11� 514 "_A-r
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor 0 Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
Q
• Permit No.: 0-1 7Y53 Lot #:
Address: 7543 75 n,z
Contractor: (-h"',f2i ue
• • Owner:
Date: 1 Z Z -J T,
❑ 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.
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/1U,S'T7at_ 7 CS L A 1-In to 17 d L A n]S R-&A'YL-
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Inspector: Date: 1•2-Z--08
TYPE OF INSPECTION REQUESTED
❑ Under-floor A Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
AK Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
• Permit No.: 01 '7 V S-3 Lot #: `{
Address:
Contractor: f h m A-t r+v, ei,
• Owner:
Date: % It,—o8
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.
Inspector: Date: L16
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing a Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove a Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
25 z
'SPECTION REPORT
• Permit No.: fli -7 y53 Lot #: �f
Address: 1-7 s Z3 7 Y o,�
Contractor: Fh.�
• • Owner:
Date:
,_Ea�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.
Inspector: Date: I— 7—()S
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation C2KShear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
3�Ib
�- INSPECTION REPORT
• Permit No.: o7 7 Y53 Lot #:
Address: / 7 S'z3 -7 kY o/L-
Contractor: 17'7 M ,a
• Owner:
Date: /z -/q-0 7
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.
Lt ,.r
Inspector: , Date: / z- -i 7-07
TYPE OF INSPECTION REQUESTED
§rUnder-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
�3L
INSPECTION REPORT
Permit No.: of -7 y 53 _y
Address: / 7 5 Z-3 7 Y O z
Contractor: rr-L��e/q
Owner:
Date: I z--/ 3 -c)"7
NLAAPPROVAL ❑ 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.
Inspector: Date: 17_ 1 -C�
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 Or Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
• Permit No.: o-7 -74s'�_ Lot#:
Address: l '1 5 2-3 -7 Y rn n�
Contractor: 1--b rwra-y A
♦ Owner:
Date: t 2.-5-0-7
Ot 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.
F=,4 rJ�t--� , Nol iAPPrL -�
Inspector: ;S-t- =�%C— Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
A Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
• Permit No.: d �- S' Lot #: 7
Address: 7 S 3_
Contractor: �f�w� •t
• Owner:
Date:
Gl 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.
vy
Inspector: 42:/— Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
'CgCFooting ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
CITY OF ARLINGTON
238 N.OLYMPIC AVE,-ARLINGTON,WA.98223
♦ PHONE:(360)403-3421
STATUS: READY TO ISSUE Permit#: 07-7453
BUILDING PERMIT
Project Address: 17523 NE 74TH DR,
ARLINGTON
Parcel No: 01069900000400
PROPERTY OWNER APPLICANT CONTRACTOR
-0-HIMALAYA HOMES -0-HIMALAYA HOMES
9633 MARKET PL#201 9633 MARKET PL#201
-0- -0-
LAKE STEVENS,WA 98258 LAKE STEVENS,WA 98258
LICENSE#:HIMALHI 16 1 DE EXP:
PLUMBING CONTRACTOR 1 1
JOB DESCRIPTION
NEW SFR 2170 sq.ft living space
Description Fee Amount Paid Balance Due
Permit Fee $1,000.00 ($1,000.00) $0.00
C-Building Permit Fee $1,976.75 $0.00 $1,976.75
Plumbing Fixtures- 14 $140.00 $0.00 $140.00
C-Plumbing Permit Fee $25.00 $0.00 $25.00
Furnace/Unit Heater- 1 $15.00 $0.00 $15.00
Ventilation Fans-4 $28.00 $0.00 $28.00
Dryer- 1 $11.00 $0.00 $11.00
Metal Fireplace&Chimney- 1 $11.00 $0.00 $11.00
Water Heater- 1 $15.00 $0.00 $15.00
Gas Piping- 1 $6.00 $0.00 $6.00
C-Mechanical Permit Fee $24.00 $0.00 $24.00
C-Building Plan Review Fee $204.61 $0.00 $204.61
NEW PLAN CHECK FEE $1,284.89 $0.00 $1,284.89
C-State Building Code Surcharge $4.50 $0.00 $4.50
Total Due: $4,745.75 ($1,000.00) $3,745.75
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
-�tea JIS107 DateSignature Print Name Released-By Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED.UBCI09/IBC110/IRCI 10,
ARCHIVE APPLICANT = ASSESSOR OTHER
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mly Permit Review Details
�l PERMIT �� Permit: 07-7453
2000 - REVISION PLANS to APPROVED PLANS Complete? Y
10/23/2007 bfecht 0 OK per building K.W.approved stamp 10/23/07 N
11/05/2007 bfecht 60 Y
Total Time: 60
2002 -3RD PLAN SET REVISED&NEW SITE PLAN Complete? N
Total Time: 0
2008 - REVISION PLANS to APPROVED PLANS Complete? Y
11/05/2007 bfecht 0 2ND Revised plans from original submittals.-10/19/07 re-routed. N
11/05/07 b.f. Emailed for status from reviewers.
11/05/2007 bfecht 0 Himilayla called and they may be changing out this plan set again.In pending file drawer, N
11/05/2007 bfecht 60 Y
Total Time: 60
2010 -3RD PLAN SET REVISED&NEW SITE PLAN Complete? N
Total Time: 0
2012 -C-Natural Resources Complete? Y
10/29/2007 bblake 2 No Comments Y
Total Time: 2
2014- REVISION PLANS to APPROVED PLANS Complete? Y
11/06/2007 nhudson 15 2ND REVIEW Minimum driveway length has not been met. Minimum of 22'required. Y
Approximately 21'shown according to scale.
Total Time: 15
2016 - 3RD PLAN SET REVISED&NEW SITE PLAN Complete? N
Total Time: 0
Total Reviews: 10 Total Time: 137
11/13/2007 9:30:32 AM Page 1 of 1
I ifecht-Microsoft Internet Explorer provided by City of
BLD - Build ng Permit Ver:FEW 1 ,
applicant: HIMALAYA HOMES,-0- status: IREADY TO ISSU
address: 117523 75TH DRIVE NE, ARLINGTON post date: 6/20/2007
PERMITS
6iii� : data screens- Select Screen... functions: Select Permit Function...
Reviews
_\ ADD NEW REMOVE PRINT tLOSE
® Description ®®®®
2000 REVISION PLANS to APPRO... SBLACK 11/5/2007 0 Y N ASSIGN
2008 REVISION PLANS to APPRO . BFECHT 11&2007 0 Y N ASSIGN
2012 C-Natural Resources BBLAKE 1115I2007 0 Y N ASSIGN
2014 REVISION PLANS to APPRO. PdHUDSON 11/5/2007 0 le. N ASSIGN
Done I f I Local inkranet
V
G1� Y O
l.�
City of Arlington
., > Community Development
�r'lIN�' o Permit Center
REQUEST FOR REVIEW
NAME: J—� I o, BP #: G 7- 7 1 s3
DATE: -z I - u -1 RETURN THIS FORM BY'. G - z 8 -0 1 _
PROJECT SUMMARY:_,-�. . S F Q -
F:ESPCNDING DEPAR I ivi JTS
TOM C., FIRE DAVE A., BUILDING
UTILITIES KERRY W., BUILDINQ'
BILL B., NATURAL RESOURCES SCOTT B., BUILDING
ENGINEERING YVONNE P., PLANNING
SHERRI PHELPS, BUS LIC CWA., CONSULTANT
DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your
comments in memo form to the Permit Center. If you have no comments, please return the form with the
"Okay to Issue" box checked.
PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER._
❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO
NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT
❑ COMMENTS
REVIEWED BY / I �� DATE ��7
City of Arlington
.� Community Development
�11NG"�° Permit Center
REQUEST FOR REVIEW
NAME: f�,rv.�. l o�.a �� o,-,ties BP #: C I- 7150
DATE: U -z ► -7 - RETURN THIS FORM BY:
PROJECT SUMMARY: �, S F Q
RESPCt•.DING DEPART"VIENTS
TOM C., FIRE DAVE A., BUILDING
UTILITIES KERRY W., BUILDING
BILL B., NATURAL RESOURCES SCOTT B., BUILDING
ENGINEERINC-4 YVONNE P., PLANNING
SHERRI PHELPS, BUS LIC CWA., CONSULTANT
DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your
comments in memo form to the Permit Center. If you have no comments, please return the form with the
"Okay to Issue" box checked.
PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER.
❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO
❑ NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT
�-- COMMENTS —
REVIEWED BY �/ ��-d DATE 2�
ONG'�
Q
0 P7,-v
,,,-V Y
'y
City of Arlington JUN 21 2007
Community Development Utilities j)iv,
Permit Center
REQUEST FOR REVIEW
NAME: BP #: C 1- 71,53
DATE: to -2 1 - u -7 RETURN THIS FORM BY: G — Z 3 -y 7
PROJECT SUMMARY:--,,,,_,--,—,—,, _ SF Q _
RESPCt•dDING DEPART1',.1E.NTS
TOM C., FIRE DAVE A., BUILDING
UTILITIES KERRY W., BUILDING
BILL B., NATURAL RESOURCES SCOTT B., BUILDING
ENGINEERING YVONNE P., PLANNING
SHERRI PHELPS, BUS LIC CWA., CONSULTANT
DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your
comments in memo form to the Permit Center. If you have no comments, please return the form with the
"Okay to Issue" box checked.
PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER.
❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO
NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT
❑ COMMENTS
REVIEWED BY DATE
• a
C-X Y f,
City of Arlington
-, Community Development
��rN�11 o Permit Center
REQUEST FOR REVIEW
NAME: 1—�� r�,�, � o,,� r� ��` 5 BP #: c 1- 7153
DATE: RETURN THIS FORM BY: G -
PROJECT SUMMARY: �4 , 4 S F V - -
1:ESPC�.DI��G LEPAP.T°t,ENTS
TOM C., FIRE DAVE A., BUILDING
UTILITIES KERRY W., BUILDING
BILL B., NATURAL RESOURCES SCOTT B., BUILDING
ENGINEERING YVONNE P., PLANNING
SHERRI PHELPS, BUS LIC CWA., CONSULTANT
DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your
comments in memo form to the Permit Center. If you have no comments, please return the form with the
"Okay to Issue" box checked.
PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER.
❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO
NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT
❑ COMMENTS
REVIEWED BY DATE v Z
City of Arlington
• Community Development
Permit Center
REQUEST FOR SFR REVIEW
RESPONDING DEPARTMENT: PLANNING
BP #: o l--7y 5_� NAME:
ADDRESS: 1 -152O 75t" p,. N E-
PLEASE RETURN FORM WITHIN 3-5 WORKING DAYS FROM
L Mitigation Fees Verified: I
School Mitigation Fees: �
Community Park Impact Fee:
Mini-Neighborhood Park Impact Fee-
Trip Impact Fees: r'
l�1 Set Backs Verified Required/Proposed: Zoning:
Front Yard/ ZZ S _s S
Street Setback�.' Rear Yard Setback >!5 Side Yard Setbackst Z- i
® Lot Coverage Verified
Shade Trees Verified on Site plan
[� Height Verified (Called out on Site plan)
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your
comments, either on the drawings or in memo form, to the Permit Center. If you have no comments,
please return the form with the "Okay to Issue" box checked.
PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO PERMIT CENTER.
[� IN COMPLIANCE WITH LAND USE CODE - OKAY TO ISSUE
❑ NOT APPROVED - ADDITIONAL INFORMATION REQUIRED
o (SEE ATTACHED REDLINES OR MEMO FOR COMMENTS)
P J
REVIEWED BY DATE (o ' / - O 7