HomeMy WebLinkAbout17413 74TH DR NE_077410_2026 INSPECTION REPORT qU5
• Permit No.: 0-7 '7 y i o Lot#: / 0
Address: 17 V i 3
Contractor:
• Owner:_
Date: 2- - 8
GU�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
❑ Wood Stove ❑ Rough-in A Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
i2 3�►
INSPECTION REPORT
Permit No.: 02 7 y1® Lot #: / uD
Address: i7 tti 3 7 Y d,L
I
1
Contractor: 61,,,>7
• • Owner:
Date: 2.-y-o g
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION a,/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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Inspector: �`c—y � - Date: 2-y�yg
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 rP,,Z� Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
Permit No.: 0,7 -7 41 o Lot #: / 0
Address: i 71413 -7,y Orr-
Contractor: r-h�w4j
Owner:_
Date: 1- 3i - oS
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION CORRECTION REQUESTED
GSCorrections 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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0 PrL_
Inspector: Date: /-3/-c)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 g Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
• Permit No.: 02 7X10 Lot #: �d
Address:/ 7411.; _AA",h ,ter
Contractor: _1' 1�qq/cya
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.
c
U
Inspector: Kz� Date: / " C:7>
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing 16 Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
� y9
INSPECTION REPORT
• Permit No.: 07 7 4 /O Lot#: / O
Address: 1-1 q i 3 7 Y O/z
Contractor: ff-7-n,n
• Owner:
Date: I t - 2—o '7
5LAPPROVAL ❑ 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.
r'YLta►'� I.!
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor 9-Of Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage *.Insulation
❑ Other:
zr, g zs
.r INSPECTION REPORT
Permit No.: o-7 7 y,a Lot #:
Address: 1-7 L/ 1 3 -7 Y
Contractor: H, ,K►��.jan=; ,x
• Owner:
Date: /o-- Z9 ^o.'7
❑ APPROVAL 4ErPARTIAL APPROVAL
❑ VIOLATION ad 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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m k Ltj &-e P A-alA'o
r3-h— ►—o i S r�-ri
Inspector: .�� Date: ia—z9—17
TYPE OF INSPECTION REQUESTED
❑ Under-floor A Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
&75K Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
�a'rr
P�1 INSPECTION REPORT
Permit No.: 0 7- V10 Lot #:
Address: ( 71113 - 2Y'
Contractor: �7i,��ya
• Owner:
Date:
'ID'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: /o -ZZ -o?
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing 0)Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
c ical ❑ Grid ❑ Struct. Slab
❑ Wood Stove Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
0 Other:
INSPECTION REPORT
• Permit No.: 0 7- A//D'Lot #: l
Address:
Contractor: lrti ll�
• Owner:
Date: _____1CI -/lv -®> —
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 9 Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
0 Other:
INSPECTION REPORT
• Permit No.: oi "74 10 Lot #: r o
Address: t 1 4 + 3 g 14
Contractor: LAI v'V'%-1L^-4 d+
• • Owner:
---— Date: Z'14 T o -7
PILAPPROVAL ❑ 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.
ZZ
cv � �• ov
Inspector: Date:
TYPE OF INSPECTION REQUESTED
124�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:
VY ` "INSPECTION REPORT
iiIN
r Permit No.: 2 - 2 q JOLotAddress: �7 LlContractor:Owner:Date:
IW 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: — 1w- ®2
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 P Drainage ❑ Insulation
❑ Other:
�8 Y
-INSPECTION REPORT
N G,? Permit No.: 6 7- 7-110 Lot #:
Address: 2
Z Contractor:
O Owner:
IN Date:
IW 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.
0 /a
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
4 Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
4ti1N GTO Permit No.: o'i 7y �� Lot #: i
Address: r-i Y i 3 ,i S o w
Contractor:
4 Owner:
9s4i N C'� 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: �— 7
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
0 Other:
w,���
1
- � �s
G``Y �� NGLE FAMILY RES )ENCE
BUILDING PERMIT APPLICATION
4tltvG� 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 ONEAND 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: Building ( ) Mechanical ( ) Plumbing ( ) Combination
Project Address: L
j /�, Parcel ID#: 0/4 6�1g9000p/000
Lot#: Io Subdivision: U �/l ` C /!
Project Description: >
Owner: I t >('I 4"k 'l � . �7�5/ 37 7' ���
Phone Number:
Address: �nJ� y��Y -Z L& City: State: �� J Zip Code:
Contact Person: �} Pam/ Zk�/ 1 17f�741� Phone Number.
Cell Phone: 7
C�1/2z2T Fax:C 7/_`� 7����/�E mail: Y�'�?���ln(
Address: _ 0(�✓>��YCyl �d�S0J
City: Gh� State: Zip Code:
Lending Agency. Phone Number: �rt
Address: City: State: \ Zip Code: \
Contractor: 4-1- Phone Number: 472'S ?>7 7- g j
Address: � City, � State: 11A Zip Code:
/ h/ j _
I"T _ >
Contractor's License Number:-�{ r✓1 L Z '�o J LC Expiration:
SO�r �' �I �7 / 3L�
Plumbing Contractor-- ) ,/ ,,/ /'/ 1r/1/�// Phone Number: q7
Address: ,--�� [r>�N�AV(� /V � City � U �"�State:'"`� Zip Code:
n/ ✓p ?
Contractor's License Number n ! — Expiration: �/7
Mechanical Contractor: Phone Number:
Address: l /f 2 City: State: Zip Code: 9,1011, - �
�,
Contractor's License Number: ,,PH _�-7(o � 1 Expiration: -7//
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms-46 Page 1 of 2
5/05 dwa
p 7-7H/O
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G``Y °r NGLE FAMILY RES )ENCE
BUILDING PERMIT APPLICATION
��ttN Goo 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)
Accessory Main Total Fixture Total Number Fixtures
Plumbing Fixtures Dwelling Unit Residence Unit#X Units
Multiplier
Bar Sink O
X 1.0 =
Bathtub or Combination Bath/Shower X 4.0 =
Clotheswasher 1 X 4.0 =
Dishwasher ( X 1.5 = A j
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 0
Bath/Shower X 4.0 =
Water Heater !
Other / Total Fixture
Uni
Its
Traps other than above items
Column Totals 15
Estimated Project Valuation /
Building Square Footage �I 1G]
5 q
15t Floor / 2nd Floor / 3`d Floor_
Basement_ �> ��� Deck Garage_ 17 q o
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 prope will in aFc dance with the laws,rules and regulation of the State of Washington.
Applicants ignature Date
FOR STAFF USE ONLY
07— 7y/0 000 . ou /q7�1 5-4-07
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms=46 Page 2 of 2 5/05 dwa
Prescriptive Approach—Simple Form
For the Washington State Energy Code(2004 Second Edition)
Climate Zone 1
Site Information Building Department Use Only
J
Lot: t o Permit#:
Address: '7 � �� �C/ PVC Notes:
City: & J,l2 a All
��
State: IlAl66 q Zip: U -�^✓ p�
Contact: '!1 Ali / �16117R— l�
Phone: .s�� /� 5 703L '
Phone 2: 1,25— ?77 Odd
Fax:
Table G-1
PRESCRIPTIVE REQL'IRE:NIENTS'" FOR GROUP R-3 OCCUPANCY
CLIMATE ZONE 1
(Unlimited Glazing Option Only)
Glazin�a U-Factor Wall Wall Wall Slab'
Glazing ) + a
Door lilt Est
Area" Vaulted Above s On
Option o Vertical Overhead" U-factor Ceiling- Below Below Floor' Grade
/oof�Floor Ceiling Grade
Grade Grade
IV. Unlimited
Group R-3 0.40 0.53 0.20 R-33 R-30 R-21 R-21 R-10 R-30 R-IO
Occupancy
Only
See the code text for footnote references
This.project complies with the following:
✓ 1 he project is a single family residence or duplex.
✓ The project is wood frame OR all of the insulation is interior or exterior of the framing.
✓ All building components meet the requirements listed in Table 6-1,Option IV.
✓ The project will meet all other provisions of the WSEC and VIAQ.
The project will take advantage of the following exceptions to the prescriptive option:
❑ 602.6 Exception 1.Doors with a U-factor.of 0.40 (or less)allowed,Option IV only.
Location of the door(s)taking this exception
❑ 602.6 Exception 2.One door, that is 24 ft.z or less,which does not meet the standards,is allowed.
Location of the door taking this exception
Copied by permission from the Washington Stare University Cooperative Extension Energy Program
Copyright 2006
WSUEEP06-016 Prescriptive—Simple Form—Climate Zone 1 8/8/2006
"Ell Ej)
MAY 0 9 2L07
v 7''`f/0
WIT - M��
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03/30/2007 15:30 3604357944 CITY OF ARLINGTON U PAGE 02/03
G,cx o� City of Arlington
• Public Works Utilities Division
�'�irNc• ; Water Department ph.360.403.3526
CROSS CONNECTION SURVEY
Residential
FOR OMCE USE ONLY
Date Received: Survey reviewed by,
Survey accepted by:
Assembly Required- ❑ No ❑Yes DCVA RPBA Inspection
Type of Residence Single Family [] Duplex [:] Triplex ❑ Apartment #of Units ❑ Other
Project Site Address: � ? � � ��� � —► � C�� _ -
Property Tax XD#: Lot#: /0
Building Permit#: Subdivision: � /
Building size: #of stories Project description:
✓l�L ��
Property Owner:
Property Owner's mailing address: ��n�72j I��'G1 Y��—l—►i�r/l� �' L-114 Z,c)�,li('e'11
J OL�S5
Property Owner's P..hone# Z-1 I .z -7 7 y�a 0`) Fax# —7 s � / v��
Occupant/Contact's name:_
Occupant/Contact's mailing Address:
Occupant/Contact's Phone Fax# _ #
�
b �
M.1; 09 21u
C7-7N/0
The Rules and Regulations of the State of Washington Department of Health require that certain premises install backflow
prevention assemblies.(WAC 246.290.490). Backflow prevention assemblies shall be installed at any premise where,in
.the judgement of the City of Arlington Cross Connection Control Specialist,the nature ofactivities on the premise may
present a hazard to the public water system,should a cross connection exist.
3, �
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 peMon filling out gnry tease Tint
Place a check mark next to all equipment/fiXtures listed below that are, or will be,permanently or occasionally
connected to water for use at your residence (single family,multi-family,mobile,etc.)
W- Toilets ❑ Shampoo Basin
Sinks(kitchen,bathroom,etc.) ❑ Drinking Fountains
❑ Janitor sink u Film Processor's
-Hose Bib(outside faucet) ❑ Photo Developing Smks/Tanks etc.
Bath tub ❑ Solar Heating system
`g Shower ❑ Heating system using water
6 Dishwasher ❑ Heating Boilers
of Garbage disposal ❑ Boiler Feed Lines
1 Ice maker ❑ Bidets
Clothes Washer ❑ Dialysis Equipment
❑ Air. Conditioner ❑ Medical Equipment
o Fiore Sprinkler system ❑ Water Treatment/Filtration System
❑ Lawn Sprinkler system
❑ Decorative pond/fountain ❑ Private Well on property
❑ Mot tub
❑ Swimtrvng pool
The above information is complete and accurate to
the best my knowledge. l understand that any
changes in equipment connected to the domestic
water system must be reported immediately to the
City of Arlington Utilities Division as a condition of
continued service. �, EC,/EV
Signatu
Print name ''WH , 0.,
Date
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City of Arlington •:" '
,� o Community Development
lING`� Permit Center
REQUEST FOR REVIEW
NAME: I�.�, �( � � �`-,�c1n • i BP #: 0- 7- 7Yl
V
DATE: s -tl - o RETURN THIS FORM BY: 5 18--o _7
PROJECT SUMMARY: �,� �.. SFR ( /� r ic)
RESPCNDI1JG i�E?;P.TENTS^.,
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
1� NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT
REVIEWED BY ""�,,t� DATE `� ��"a7
CIIN
Cityof Arlington
Comm � r�ityDevel Permit Center Development
REQUEST FOR REVI Eve -�_
NAME:
BP #:
DATE: 5 -t l - o 7 RETURN RN THIS FORM BY- 5-
L
PROJECT SUMMARY:
RESP r,,4�IIJG CE;'ART^,4E^JTS - -
TOM C., FIRE
UTILITIES =CSIA&D
DAVE A., BUILDING
BILL B., NATURAL RESOURCES KERRY W., BUILDING
PEA .. SCOTT B.ENIG,IN.EERING - , BUILDING
SHERRI PHELPS, BUS LIC YVON NE P-, PLANNING
DERYL T., MARYSVILLE UTIL CWA., CONSULTANT
AIM T•, CONSULTANT
SUBMITTAL INFORMATION IS ATTACHED.
comments in memo form to the Permit Center. Please review the information
"Okay to Issue" box checked. If You have no com and return this form and
ments, please return the form with the
PLEASE MARK ONE BOX, SIGN, DATE,
AND RETURN THIS FORM TO THE PERMIT
CENTER.
❑ COMMENTS FOR THIS REVIEW ARE IN THE
❑ E
NO COMMENT FOR THIS REVI ATTACHED MEMO
❑ COMMENTS ��/ '-v� w, OKAY TO ISSUE PERMIT
REVIEWED BY
DATE
Y U f,
City of Arlington ►
7 Community Development MAY 14 2001
�ING� Permit Center Utilities Div,
REQUEST FOR REVIEW
NAME: �"I , .,, . 1�, �`-,� BP #: v 7- 7yi o
v
DATE: 5 -il RETURN THIS FORM BY:
PROJECT SUMMARY: kj_e,,,, SrR ( /c r lc)
RESPCNEO-INJG DEP,XR-MIENTS
TOM C., FIRE DAVE A., BUILDING
UTILITIES RECEp&D KERRY W., BUILDING
BILL B., NATURAL RESOURCES SCOTT B., BUILDING
ENGINEERING PERMIT c , , Ll�i 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 6)_ 0
✓
G1-V Y ,- lr9pw
4
City of Arlington
o Community Development
IING� Permit Center
REQUEST FOR REVIEW
NAME: /`] --( �,w , BP #: v 7- 7yi o
li
DATE: 5 -11 - o l RETURN THIS FORM BY: 5- 1-8-c- 7
PROJECT SUMMARY: H (' is r /&)
10ESP0NDING D E P hR T I'A El"J T S
TOM C., FIRE DAVE A., BUILDING
UTILITIES KERRY W., BUILDING
BILL B., NATURAL RESOURCES SCOTT B., BUILDING
ENGINEERING r[GCEI®ED YVONNE P., PLANNING
SHERRI PHELPS, BUS LIC CWA., CONSULTANT
2097
DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT
PF
MR
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 < l
City of Arlington
Community Development
Permit Center
REQUEST FOR SFR REVIEW RECEIVED
RESPONDING DEPARTMENT: PLANNING 15 2307
BP #: o -7 - -7 y/v NAME: ,,
-.,j)__,,, - A aw
ADDRESS: l-7 y l3 15 t" ��,-,tvE_ ��
PLEASE RETURN FORM WITHIN 3-5 WORKING DAYS FROM s ii o7
U Mitigation Fees Verified:
School Mitigation Fees: RECEIVED
Community Park Impact Fee: ` `
- MAY 1
Mini-Neighborhood Park Impact Fee: < <
Trip Impact Fees: #
Set Backs Verified Required/Proposed: Zoning: L��S
Front Yard/ Z_2 S S S
Street Setback fZ Rear Yard Setback 5 Side Yard Setbacks I o
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 DATES H�O
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