HomeMy WebLinkAbout17419 74TH DR NE_077434_2026 INSPECTION REPORS
P
Permit No.: a 7 -7 If 3 Y Lot #:
RE Address: i-�,r y 7_y h ,�
Contractor: f-h " q tom:39
Owner:
Date: Z 4-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.
01,_ 'moo �✓iLis'
Inspector: Date: 7--9'` 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 /Z-4 Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
i
<<S
INSPECTION REPOR"
• Permit No.: 0-7 7 Y 3 Y Lot #:
Address: t '7 �t 1 1 -2
Contractor: tfi e-wv ro-
• • 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.
A-r L S'�MQ �N Ci Arty
3 C—7 tti l t .� __L .�J L�r'�rii✓�- i K'
Cam_ 10% N t,—TA R-n 0 9 S (A /J 10 CYL cS) .y
TT-4 10 C4t leh—i- A-L_C.4_-5 S
S L !>.D vyt'T N sk5 Li i.) y D M Iq F}T rVS iLL
7
-� ry iFYI- GoY�iL�zXz�, nl f2�
a
Inspector: Date: 1 3l-
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
Cl Masonry ❑ Drainage ❑ Insulation
❑ Other:
r
• ��I
� - -
3
_ � i
- - ■.
_ i
S•
- - - -
���
J
MSPECTION REPORT
• Permit No.: n-7 7 4( 9Y Lot #:
Address: 1 i 4 i ,� -714 of-
Contractor: (4, #w a-`1±34 ia.-
• • Owner:
Date: ll- i 5--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.
Inspector: Date: //-/S'_-y7
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing 5L Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
r... .
el,�
INSPECTION REPORT -- ')
• Permit No.: Lot #:
Address:
Contractor: 1)%"*Q/7vc,
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.
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor & Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
Mechanical ❑ Grid ❑ Struct. Slab
l�\ ❑ Wood Stove Or Rough-in ❑ Final
❑ Masonry ❑ Drainage r�W Insulation
❑ Other:
1■1'rr•
�
_
AMEN E-ImX4 . 0 -r,�%. L 46, AA r�'k
WIN
■
• I
i
h■ }
' tip - •
■ ■ r . • • ■ ■
INSPECTION REPORT
• Permit No.: )-)'f3 Lot #:
Address: /el-
Contractor: XT
Owner:
Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION WCORRECTION 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.
uIL
a k►�S �"l S i`ti
j�� !^C ��C/� 'Gr/✓ r GAhle P'iLs ld[9�i��L
/ 22 G
azf IhSw19F y
Inspector: Date: �c —
TYPE OF INSPECTION REQUESTED
❑ Under-floor j% Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
A Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove K Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
1••r11 7 r"`!� r ■
• � 1
- 1 1�6 . - '
ir
NSA WA
11 ■ � "1 -eV
' Y
-
■
■ I
tiAk- r 1 r• L L. 0 'j' 1 r %
MIN TliiiIiiiiiiii%.L L k
• r
� %
y
L
or
S Z
INSPECTION REPORT
Permit No.: c n -7143� Lot #: 9
Address: t'7 y t 9 -1 4 o A_
Contractor: t-fh .K A
Owner:
Date: %a- L9ro-7
O 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: /0-z g J 7
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing X Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove rK Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
•
Permit No.••(�1 7" 7 �y Lot#:
�
Address: 1 71// c7 r ?�0ti�r
Contractor: _&11A ells �
• • Owner:
Date: i"Ci7
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.
10
Inspector: Date: �_ '� 7
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation XShear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
W%F-`
W Ii 1
I Am
t:
I�
INSPECTION REPORT
Permit No.: O ?V 3YLot #A _
Address: / 7� AF " V-4*A
Contractor: &•"A a
• • 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.
Inspector: '`� Date:
TYPE OF INSPECTION REQUESTED
Under-floor ❑ Framing ❑ Gas Piping
Cl Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
}�{-_
� � � ��
� 4 �_
�' \
.yam a
INSPECTION REPORT
• Permit No.: 0 2- 71 t #: �
Address: l7 411,9
Contractor: M
• • Owner:._
Date: lop- 2
W 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.
45
1242 ��L
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 ❑ Insulation
❑ Other:
I l
_ ■ � �.� �� � ti� ■ . ram .
S. ■
4 . . . � .
■ � J
16
JAh
Y
ti ■
y
k•
4 Y
ram'
INSPECTION REPORT 3
Permit No.: 0-7 -7g3 Y Lot #:
Address: 7 ti /9 -7 V " z
Contractor: i ,
• • Owner:
Date: 9- 1�i -v
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.
y
Inspector: �.?_ Date: F-0 7
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
U( Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
2 Z�
Pr INSPECTION REPORT
Permit No.: o '7 4/3 y Lot#:
Address: 1' -(/ 9 7 V O z
Contractor: H M .� �►
• Owner:
Date: c?- 1 -7 -o
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: `?—( 7 —0 7
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
�d' Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
�I ��
�'-� �� � �a� � �� ��
i�� ���i�
6�
� ,���
� � �
�.
� •- - -
� ` _
- i
_ � �
i � � ii � -
CITY OF ARLINGTON
238 N.OLYMPIC AVE.-ARLINGTON,WA.98223
PHONE:(360)403-3421
PERMIT FEES/RECEIPT
DATE: Friday,September 14,2007
PERMIT#: 07-7434
PROJECT ADDRESS: 17419 75TH DR NE, ARLINGTON
LOCATION:
APPLICANT: -0-HIMALAYA HOMES
9633 MARKET PL#201
LAKE STEVENS,WA 98258
425.377.8600
*FEE SUMMARY:
- B
Permit Fee $1,000.00 ($1,000.00) $0.00
C-Building Permit Fee $1,729.75 ($1,729.75) $0.00
Plumbing fixtures-14 $140.00 ($140.00) $0.00
C-Plumbing Permit Fee $25.00 ($25.00) $0.00
Furrace/UnitHeater-1 $15.00 ($15.00) $0.00
Ventilation Fans-4 $28.00 ($28.00) $0.00
Dryer-1 $11.00 ($11.00) $0.00
Metal Fireplace&Chimney-1 $11.00 ($11.00) $0.00
Water Heater-1 $15.00 ($15.00) $0.00
Gas Piping I-5 Outlets-1 $6.00 ($6.00) $0.00
C-Mechanical Permit Fee $24.00 ($24.00) $0.00
C-Building Plan Review Fee $124.34 ($124.34) $0.00
C-State Building Code Surcharge $4.50 ($4.50) $0.00
Total Due: $3,133.59 ($3,133.59) $0.00
*FEES ARE ESTIMATED BASED ON INFORMATIONPROVIDED AT SUBMITTAL-SUBJECT TO CHANGE
PAYMENT TRANSACTIONS:
Receipt# � � MethodlPayee Paid
9/7/2007 CRCT3326 Cash/ ($1,000.00)
No Fee Description! ($1,000.00)
9/14/2007 REC000016 Check 51825/-0-HIMALAYA HOMES ($2,133.59)
C-Building Permit Fee ($1,729.75)
C-Mechanical Permit Fee ($24.00)
C-Building Plan Review Fee ($124.34)
C-State Building Code Surcharge ($4.50)
C-Plumbing Permit Fee ($140.00)
C-Plumbing Permit Fee ($25.00)
C-Mechanical Permit Fee ($15.00)
C-Mechanical Permit Fee ($28.00)
C-Mechanical Permit Fee ($11.00)
� - -
0
■
I
�-.
I
• ..
.�
C-Mechanical Permit Fee ($11.00)
C-Mechanical Permit Fee ($15.00)
C-Mechanical Permit Fee ($6.00)
\ b�
i
n � FdQi
� ti w r p
�VLo n yPD
/1�U(,
nn Vic) Nnr �
011
01�
rn
.y 75th DRIVE NE
------------------- -
ch
�o S0174 29"If 60.00, -
U �
20' 1 3L
l0
n � N �• Z ti
oc O I` ti
20'0"
z �q I \
v a I NO
ZE
N3
o 40'-0"
LIO
P�
k
p I o0
I
I I
I
I I
� I _
I w
I� rmri �I N
I0
I � I
I I
Q �ZN C I
co = o
m m o cn 10' VEGETATION
RETENAON ESMT
NOl'15 34 E 60.00,
y
co
*41N
INGLE FAMILY REt 3ENCE
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
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":,N)X,(,8
FULLY DIMENSIONED PLOT PLANS AND TWO(2)SETS OF ENERGY CODE APPLICATIONS�,_.t p,'"�'„�
TYPE OF PERMIT: Building O Mechanical O Plumbing O Combination Nnr
Project Address: ( !7 / t�� Parcel ID
Lot#: Subdivision:
Project Description: J
Owner: l�T t � 1V"t�I �Y' �f�l(� . Phone Number:
Address: —�'F' �)' City: State: PV/P— Zip Code: �g�5
Contact Person: Phone Number: 7 ��5
Cell Phone: ���9 Fax:( �5)J 7 7 `j E-mail:
Address: /U�J�I r�i'G� >�I �y Gn
City: State: Zip Code:
Lending Agency: '`/4\ Phone Number: N14
IN, \ 1
Address: City: State: Zip Code:
Contractor: 7 _Phone Number: 7,4'S /J7 - V�,p Address: 1� 7 p4 r L�'! aE)a City; S �S State: AA Zip Code: C
- /&'5p)
Contractor's License Number: �{ r� �L L4 T I(a I DE Expiration:
Plumbing Contractor* 0�r�I v1 , / 1 �1�1Y1�ii'l� Phone Number: 31�- Gl�7��- 2���
Address: L vt( /V U2- V `Ate(, City: "1 Stater Zip Code:
Contractor's License Number: ���'}y / Expiration:
Mechanical Contractor: �1/ Phone Number:
Address: 7 ? / 'City:-y Imo_ �1 1" State: Zip Code:
Contractor's License Number: t2 7 / lam ' `� I Expiration:
- I
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms-46 Page 1 of 2 5/05 dwa
T
°��Y °�' ANGLE FAMILY RES_ JENCE
BUILDING PERMIT APPLICATION
�ltivG�O 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 Fixtures Accessory Main Total FixtureUnit#X Total Number Fixtures
Dwelling Unit Residence Multiplier Units
Bar Sink U X 1.0 =
Bathtub or Combination Bath/Shower of X 4.0 = '
Clotheswasher X 4.0 =
Dishwasher X 1.5 = �,S
Hose Bibb X 2.5 = S
Kitchen Sink X 1.5 =
Laundry Sink X 2.0 =
Lavatory(Bathroom Sink) J X 1.0 =
Shower(Stand Alone)Each Head / X 2.0 =
Water Closet(Toilet) X 2.5 = 7, S
Whirlpool Bath or Combination O X 4.0 = O
Bath/Shower
Water Heater 1
Other Total Fixture
Units
Traps other than above items)
Column Totals
Estimated Project Valuatiot?
Building Square
Footage 1-7-7 /
1st Floor l I 2nd Floor_1 �j `�/ 3rd Floor
Basement ZEIAII Deck Garage
Water Supply Piping
A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units
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 W iington.
V• /la
Applicants Signature Da e
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms-46 Page 2 of 2 5/05 dwa
I i ' :.
03/30/2007 15:30 3604357944 CITY OF ARLINGTON U PAGE 02/03
rn. � gr.
G1KY o�, City of Arlington
Public Works Utilities Division �� ��p,,/
• 7 r
or Water'Department ph.36U.403.3526 .1LfN fl5 2U ful7
CROSS CONNECTION SURVEY ''��t���{`;t�
Residential
FOR OFF')<CE USE ONLY
Date Received: Survey reviewed by:
Survey accepted by:
,Assembly required_ ❑ No ❑Yes DCVA RIBA Inspection
Type of Residence Single Family ❑ Duplex [I Triplex ❑ Apartment ##of Units ❑ Other
Project Site,Address: � 25 ', r L
Property Tax JD#: of#:
Building Permit#: Subdivision: ` e
Building size: #of stories Project description: :�;E�
Property Owner:
Property Owner's mailing address:
S '� O J Fax# S � � �� ��5�
Property Owner's Plaone# oZ ��
Occupant/Contact's x►ame:
Occupant/Contact's mailing Address:
Occupant/Contact's Phone# Fax#
De Rules and Regulations of the State of Washington Department of Health require that certain premises install backflow
prevention assemblies.(WAC 246.290.490). Back#low prevention assemblies shall be installed at any premise where,in
•the,judgement of the City of Arlington Cross Connection Control Specialist,the nature of activities on the premise may
present a hazard to the public water system,should a cross connection exist.
t.�
F'l�:
03/30/2007 15:30 3604357944 CITY OF ARLINGTON U PAGE 03/03
City of Arlington Utilities Division Cross Connection Survey
Property Site Address:
Name of person filling out, lease rint : V�
Plane a check mark next to all equipment/fixtures listed below that axe, or will be,permanently or occasionally
connected to water for use at your residence (single fam.ily,multi-family,mobile,etc.)
V. 'Toilets ❑ Shampoo Basin
Sulks(kitchen,bathroom,etc.) ❑ Drinking Fountains
d Janitor sink Q Film Processors
-br, Hose Bib(outside faucet) ❑ Photo Developing Sinks/Tanks etc.
Bath tub ❑ Solar Heating system
\` Shower ❑ Heating system using water
5 Dishwasher ❑ Heating Boilers
Garbage disposal ❑ Boiler Feed Lines
Ice Maker ❑ Bidets
Clothes Washer ❑ Dialysis Equipment
❑ Air Conditioner ❑ Medical Equipment
o Fire Sprinkler system ❑ Water Treatment/Filtration System
o Lawn Sprinkler system
❑ Decorative pond/fountain o Private Well on property
❑ Hot tub
❑ Swimming pool
The above information is complete and accurate to
the best my knowledge. I understand that any
changes in equipment connected to the domestic
water system must be reported imrnediately to the
City of Arlington Utilities Division as a condition of
continued service.
Signatmu do,
Print name
�Date :
CC Rmidential pg2 2006
Loll Y O f
City of Arlington
,� o
i Community Development
OING� Permit Center
REQUEST FOR REVIEW
NAME: (I60 =::' 0 )
DATE: l0 — /a RETURN THIS FORM BY: 7
PROJECT SUMMARY: - �
RESPONDING DEPARTMENTS
TOM C., FIRE DAVE A., BUILDING
VUTILITIES KERRY W., BUILDING
c/ BILL B., NATURAL RESOURCES SCOTT B., BUILDING
ENGINEERING 1_- "-Y\� ftilNF-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
� ��
..I
ti
�iw
G Y C f,
City of Arlington s
7 Community Development
�LING�co Permit Center
REQUEST FOR REVIEW
NAME: �TI))A BP #: 612 -
DATE: l0 RETURN THIS FORM BY: 6?
PROJECT SUMMARY: �S
FRESP01"ILD1^�'-' GFPnR—n:EINT
i�VI�Vl.3 r. � i n•i i i
TOM C., FIRE DAVE A., BUILDING
UTILITIES BUILDING
BILL B., NATURAL RESOURCES >
ENGINEERING YVONN~ i E P. PLANNING
ZOU�
SHERRI PHELPS, BUS LIC JUN 2 0CWA., CONSULTANT
DERYL T., MARYSVILLE UTIL ������ ` � �4 'I 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 ��
• (Zlf
1T Y �f, City of Arlington
oCommunity Development
N G,t Permit Center
REQUEST FOR REVIEW
NAME: BP #:
DATE: lV �� =D 7 RETURN THIS FORM BY: 6 ' 13 -7j,' 7
PROJECT SUMMARY: c�- F 2
,:ESP01",IDING DEPART!"ENT S
TOM C., F-IR` 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 L �L�
REVIEWED BY DATE
��_70
L�
City of Arlington �Ur _ `1
7 Community Development utilities Div.
�j,(NG'� Permit Center
REQUEST FOR REVIEW
NAME: 1k191A (�Gc f� 0,1) e,,.2 BP #: 612 - f,�
DATE: 1p -D- RETURN THIS FORM BY:
PROJECT SUMMARY:
RESPCI•.CING DEPAP,T",•1E'N T S
TOM C., FIRE DAVE A., BUILDING
CTILITIES KERRY W., BUILDING
__7
BILL B., NATURAL RESOURCES ; SCOTT B., BUILDING
C;E
ENGINEERING YVONNE P., PLANNING
. I 1 112 7 & I
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 . Q
-Aa &-,� G ll
City of Arlington
Community Development
Permit Center
REQUEST FOR SFR REVIEW
RESPONDING DEPARTMENT: PLANNING
BP #: NAME:, `1�l
ADDRESS: /-7y/2 �5-77i IDe
PLEASE RETURN FORM WITHIN 3-5 WORKING DAYS FROM ^
l Mitigation Fees Verified: `
School Mitigation Fees:
Community Park Impact Fee:
Mini-Neighborhood Park Impact Fee: it
Trip Impact Fees:
Set Backs Verified Required/Existing: Zoning:
Front Yard/ 2
Street Setback -Z> Rear Yard Setback S Side Yard Setbacks Zo w "
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)
REVIEWED BY DATE i
G1 Y O f)
City of Arlington
o Community Development
�LING"� Permit Center
REQUEST FOR REVIEW
NAME: 91121A /,/' / BP #: a/) - j)
DATE: l0 — �� -D-7 RETURN THIS FORM BY: ' 13 7
PROJECT SUMMARY: �S f
RESPCI•dDllvG DEP, RT"t11E"dTS
TOM C., FIRE DAVE A., BUILDING
UTILITIES KERRY W., BUILDING
BILL B., NATURAL RESOURCES _ SCOTT B., BUILDING
ENGINEERING
_ �`I " � �j"' � YVONNE P., PLANNING
SHERRI PHELPS, BUS LIC �'"`j� CWA., CONSULTANT
fhf RI r!!� _ti
DERYL T., MARYSVILLE UTI.L ;a";CI� � :� 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
IVY NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT
❑ COMMENTS
REVIEWED BY DATEy ���
0