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HomeMy WebLinkAbout17602 80TH DR NE_077383_2026 3Y3 MSPECTION REPORT • Permit No.: o -7 73 83 Lot #: Address: 1') o 8-o - Contractor: s P-n-- • Owner: Date: z- , -4; PPROVAL ❑ 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. o bc_ , Inspector: Date: Z-/Z- O S 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 �W Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT � Permit No.: - 2 39-?Lot #: Address: 69" Al-le Contractor: - • • Owner: Date: . l r7 APPROVAL ❑ PARTIAL APPROVAL ❑ IOLATION ❑ 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: ca 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: 7 INSPECTION REPORT • Permit No.: D?-73?3 Lot #: Address: Contractor: • NF 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: L Date: e/Pr C9 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 /,W Insulation ❑ Other: F111 ONSPECTION REPORT ) ¢titN G?'O Permit No.: a7- 22e3 Lot#: Address: �}- • • �'��Contractor: Owner: LINO 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 d Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: 02 -7 3 91 Lot #: c� Address: (-Ito 0 Z g-y-, ­0 z Contractor: Ste* P • ♦ Owner: -- Date: 19-.2 G -c 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: 'r�� Date: `� —D-) TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork JX Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ;a; Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: CIS INSPECTION REPORT Permit No.: o- 'sty 3 Lot #: Address: -7 z 8 0 Contractor: 5�—_n en, • Owner: Date: 9 0APPROVAL ❑ 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 i7hn4-rs` Inspector: Date: 9 —le-0-7 TYPE OF INSPECTION REQUESTED ❑ Under-floor Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation r2 21 Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: Q� INSPECTION REPORT jiN G?' PermitNo.: o7 '7383Lot #: ts Address: l'I o-z 8 !D rL Contractor: 9-� P�Owner:� Date: 1-1L/-o 7 ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION OCORRECTION REQUESTED cz,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. rjyS ry-� yv 0 /-4 Sre t4o AT ��P F �o,z- �/ s/OE N �/L.o� � b� ��l G�/mil�vtrr s4-�PIWV44-t__ /%�tJ'✓L.. 57�9L64 Y 4-/A-2 C AI-Z- R.-lf S 7O6- +7- K ✓ Inspector: _ Date: 9/y-07 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation 19 Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT r N GTO Permit NO.o1: '7 3 83 Lot#: Address: 17(o O L 86 0rt- Z Contractor: Owner: �lINC' Date: $ -3i -off 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: - f Date: . 6-31-0-7 TYPE OF INSPECTION REQUESTED 18( 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: INSPECTION REPORT i;IN 7' Permit No.: D "7.3 LotAddress: / 7 a (V -Contractor: 5&1AO Owner: _ > Date: .! b '0 7 Pt-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• C 1•✓H � � it 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 14K Drainage ❑ Insulation ❑ Other: 4NSPECTION REPORT ii r&T"a Permit No.: � )-�a9' Lot #:Address:Contractor: /)/74 Owner: Date: �� G 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. G � Inspector: Date: lie"I`a Z 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 1A,� ❑ Drainage ❑ Insulation ❑ Other:. V'�c7 `� -1N G INSPECTION REPORT ') ¢ti ?'� Permit No.: or -7'A8-3 Lot#. `r Address: (�e b z so 0 /t. Z Contractor: Sna- oA-t— O Owner:IN Date: 7- L-a-7 ,APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED 0 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 - G-O7 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ;ti Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: A_ } I I � Equ.ipmer,. iji d F'.ii;. u.r t sulii t !} LN , TUTAL:i I k�e L C' TUTAL F LE. . . . . . . . . . . . . . . . . `14, tilts. 11 - - I'AY nLN'l'!.i. . . . . . . . . . . . . . . . . . s 1, 200. bd ::XU'r. f'U'TAL UUL. . . . . . . . . . . . . . . . . `ciJ, :31 a. Zi J I i i Y 16 r C SIPIGLE FAMILY RESIDENCE z BUILDING PERMIT APPLICATION r�ING�c 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: KBuilding ( ) Mechanical ( ) Plumbing ( ) Combination Project Address: 1 / b c x qQ 'J k Dr. A i C- Parcel ID#: Lot#: Ale / Subdivision: 1 l �l� Ino �ig �eg� owS Project Description: Alew SIn!!�,Ie_ FGIMII Owner: Seq �� Pq c 1� 1�C o✓19 e-S C_ Phone Number: -3 6o - 6 S 7 - yl_Yy P �, (3o�e I SLei���tz;e:� -iP Ccde: 8�r O �.dor_ss t, l� y Contact Person: L /le Phone Number � � Se Fax:360-(oS� -�399 E-mail: P9c �-Pi� 11"r✓le5 GO/►1_._ Cell Phone S q r✓) - Address' M P, D !3a X I � _ City:/ I V 1 f l e State: ULM . Zip Code 8 7 O RA Lending Agency:_90-M_ Phone Number: Address: ^ City_ _ —State: _ _'-P Code: S-7 _ / �� f i Contractor: Se9 T7 le P9GI�rG r/Or1p_S �G- --FhoneNumber: b0 I P. State: H//� Ziprode: g 1 Address: .l- O• aoX �a3 City Mqt y..S I lie �✓• • f Code:�� Contractor's License Number: S CA-11 PN o o S a u Expiration: 1 31 0-7 I Plumbing Contractor: r� 4t Phone Number: Address: P. o, Box 170 ) City: State: \ /A Zip Code: Contractor's License Number: C K P L L4 V :Y- L11L/ Expiration: Mechanical Contractor: d ,1*eE 0 rc Q N e at Phone Number: S- 3 Address: City: State: Zip C Contractor's License Number: Ar R F a o)q Q K _Expiration: FOR STAFF USE ONLY v1-73X3 C7 Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-46 Page 1 of 2 5105 dwa -� r^� t . ,. , , 0-7 ;;�* SIPIGLE FAMILY RES"OENCE BUILDING PERMIT` APPLICA`�`IQ1i 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) Total Fixture Total Number Fixtures Plumbing Fixtures Accessory Main Unit#X Dwelling Unit Residence Units Multiplier Bar Sink — X 1 0 = Bathtub or Combination Bath/Shower X 4.0 = u i� Clotheswasher , X 4.0 = 0 Dishwasher , X 1 5 = X 25 Hose Bibb Kitchen Sink l X 1 5 = Laundry Sink , X 20 (� Lavatory (Bathroom Sink) X 1 0 `S Water Closet(Toilet) X 2 5 = 7 r l'dhirlpool Bath or Corntnation X 4 0 = —" BathiShower Water Heater Total Fixture 7� ( �� Other Units ICp Traps (other than above items) Column Totals Estimated Project Valuation // �. Building Square Footage �A 6br Lt" 4�'�'�`3� ,I 151 Floor I 5? C-1 2 ° Floor, I b�t� 3'� Floor !V Easement !V A Deck /VA 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: I feet above meter or feel below meter. c D. Pressure in street main: I C) psi. (Measure with gauge or check with Water Department) hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described pro erty will be in accordance with the laws, rules and regulation of the State of Washington. 5-- - 0 47 Applicants Signature Date FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received 9 WEB Forms-46 Page 2 of 2 5/05 dwa / r \ ox ' 0 Q O CD is a <xrn in A1 � o 58. 99OFECE COPT c > �. 0 o -,j - � N I < Q O X O 10 w�-- N I 0 O C�7't O 00CD �• ylCIL w 0 cCOo I I v v w o 0 3 1 ox 1 ,U N Patio I C�J 40' 3 v 00 0 0 Plan 00 3070 I 0 3-Car N A 18' � h L w 31'-6" Ln p n pv, 0 3 0o co N. N O ° ? �T U) 60. 00 ' V �°h'o'_ C X a V �, CD BOTH DRIVE N . E. �: ��ij`; CD o N 3 - i --4 . f � N) CD i—f Fx 0 C rn C ~L O O OD /cn ■e j 0 CD V ` 4 CCD o 2 O fD T �7 �: O Z N m 1 _ ` 1 '00-0-tvr'v� ji 1 •" ■ - �� II O t 1 -!1r 1 L 1 � r - � 1 I I 1 ' I 'l 1 • - I v 1 1 ■-• r 1 ri Y .� City of Arlington • Public Works Utilities Division 7�'<•r,cto Water Department ph. 360.403.3526 CROSS CONNECTION SURVEY Residential FOR OFFICE USE ONLY Date Received: Survey reviewed by: Survey accepted by: Assembly Required: ❑ No ❑Yes DCVA RPBA Inspection Type of Residence: 0 Single Family ❑ Duplex ❑ Triplex ❑ Apartment #of Units ❑ Other Project Site Address: )76 b g?a-4 DR 11l Property Tax ID#: 010 079 - 00o - 00 9, - 0 O Lot#: Building Permit#: Subdivision: I 'q `, n bI I of M eqd oWS Building size: ;�\ #of stories Project description: IV P.t,xz S in n le -1::'q M i I Y C 0rl Property Owner: Seal 1-He. {"q G i .F t C— rl orn e5 X/IC Property Owner's mailing address:_ P n . 80X a M 91%ys V ill e WA gf��70 Property Owner's Phone# 360 - f;�Y-7 - Yl 17 Y Fax# 6D 7 ` q3 99 Occupant/Contact's name: Occupant/Contact's mailing Address: Occupant/Contact's Phone# FaxRr MR 18 2007 C'VII. ' � The Rules and Regulations of the State of Washington Department of Health require that certain premises install backtlow 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 of activities on the premise may present a hazard to the public water system,should a cross connection exist. City of Arlin n Utilities Division Cross Connection Survev 'ro er Site Address: 1� ;�� name of erson fillin out sun'e lease tint 2i- <--k ent/fixtures listed below that are, or will be,permanently or occasionally Place a ch eck mark next to all equipm connected to water for use at your residence (single family, multi-family,mobile,etc. ❑ Shampoo Basin Toilets Sinks(kitchen,bathroom, etc.) ❑ Drinking Fountains ❑ Film Processors ❑ Janitor sink - �( Hose Bib(outside faucet) ❑ Photo Developing Sinks/Tanks etc. ❑ Solar Heating system Bathtub ❑ Heating system using water �( Shower ❑ Heating Boilers Dishwasher ❑ Boiler Feed Lines Garbage disposal ❑ Bidets �( Ice maker Clothes Washer ❑ Dialysis Equipment ❑ Medical Equipment ❑ Air Conditioner ❑ ❑ Water Treatment!Filtration System Fire Sprinkler system ❑ Lawn Sprinkler system ❑ ain ❑ Private Well on property Decorative pond/fount ❑ 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 immediately to the City of Arlington Utilities Division as a condition of continued service. Signature "Z 9 c ke! Print name _� - /t -C) --? Date CC Residential pg2 2006 ;� a r 1� d ` .ti • City of Arlington Community Development Permit Center REQUEST FOR SFR REVIEW RESPONDING DEPARTMENT: PLANNING BP #: y 7- 7,3X 3 NAME: 12P ADDRESS: 17602 8o fh Dr. , e n/f PLEASE RETURN FORM WITHIN 3-5 WORKING DAYS FROM 5- 7- o 7 p UL Mitigation Fees Verified: I �'� ►School Mitigation Fees: IRE i,,,,i w Community Park Impact Fee: Mini-Neighborhood Park Impact Fee: Trip Impact Fees: ® Set Backs Verified Required/Existing: Zoning: r Front Yard/ 7 2 Street Setback- 7--,:,,' Rear Yard Setback Side Yard Setbacks Lot Coverage Verified ade Trees Verified on Site plan eight Verified (Called out on Site plan) 211,41) 7xr '! r .�t SFI-+- 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 -L) NOT APPROVED -ADDITIONAL INFORMATION REQUIRED o (SEE ATTACHED REDLINES OR MEMO FOR COMMENTS) REVIEWED BY DATE 0 0 G1� Y&"Co City of Arlington 7Community DevelopmentCE'VT, Ir Permit Center MAY 08 2007, REQUEST FOR REVIEW NAME: S P N - 16 t 3 BP #: 9 -7- 73,T,3 DATE: 6- 7- D 7 RETURN THIS FORM BY: 5' �v PROJECT SUMMARY:�e PESP I`41i11NG CEP^,RTI MENTS TOM C., FIRE ���- Mj DAVE A., BUILDING UTILITIES KERRY W., BUILDING BILL B., nr-DtiAIT SCOTT B., BUILDING ENGIN D �� YVONNE P., PLANNING SHERI Y�av 7f 12 r CWA., CONSULTANT DE Lo P,Y � — ! Y ' 1 � � � ,IIm T., CONSULTANT SUB. ai— �� * eview the information and return this form and your Commf Z/. Z�' ,ave no comments, please return the form with the Oka) J F !rl :TURN THIS FORM TO THE PERMIT CENTER. ❑ COMMENTS FOR r n�., . . � tE IN THE ATTACHED MEMO I NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY �� DATE ��-�� G1� Y 0 , City of Arlington -,� o Community Development tlN G� Permit Center REQUEST FOR REVIEW NAME: S F N - 1 C,t BP #: _b -7- 7 3 8,5 DATE: 5- 7- y 7 RETURN THIS FORM BY: 5 v PROJECT SUMMARY: RESP(--*'ND11NG DEP All R IN,E^J T S T 0 M C., FIRE DAVE A., BUILDING UTILITIES KERRY W., BUILDING 4. t SCOTT B., BUILDING �GINEERING ) YVONNE P., PLANNING qE SHERRI PHELPS, BUS LIC CWA., CONSULTANT DERYL T., MARYSVILL E 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 C�V Y Off, r. City of Arlington 7� o Community Development LIIVG,� Permit Center REQUEST FOR REVIEW NAME: S P N - l�t BP #: D -7- 73,T,3 DATE: 5- 7- 01 RETURN THIS FORM BY: 5 y o y PROJECT SUMMARY: c J O�L2�_- P.ESPCNDING DEPARTMENTS TOM C., FIRE RECEIVEDDAVE A , BUILDING UTILITIES MAY 09 2007 KERRY W., BUILDING BILL B., NATURAL RESOURCE ff C COTT B. BUILDING ENGINEERING * YVONNE P., PLANNING SHERRI PHELPS, BUS LIC CV VA., 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 l� NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY DATE 1� Y O V !, City of Arlington Community Development �IING�� Permit Center REQUEST FOR REVIEW NAME: �4 , «� �<< �, /�,�z.r, BP #: o 7- er5 DATE: y-i y -C ? RETURN THIS FORM BY: PROJECT SUMMARY: n � 5 1:K _ RESPONDING DEP;kP.T°ViENTS TOM C., FIRE DAVE A., BUILDING UTILITIES KERRY W., BUILDING BILL B., NATURAL RESOURCES RECEIVED" 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 �" UNG"-�` YCity of Arlington Community Development Permit Center REQUEST FOR REVIEW NAME: ( C ,)Le, BP #: DATE: y—/ y — C -T RETURN THIS FORM BY: 5- PROJECT SUMMARY: RESPONDING DEP::P.T"ViENTS TOM C., FIRE DAVE A., BUILDING UTILITIES KERRY W., BUILDING BILL B., NATURAL RESOURCESIP SCOTT B., BUILDING ENGINEERING �°�+ �� YVONNE P., PLANNING SHERRI PHELPS, BUS I IC ^ - ; CWA., CONSULTANT DERYL T., MARYSVILLE UTIL � 'i � " C,.;EN t ` 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 L� NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS 0�'� REVIEWED BY DATE ` - � � ��' 0 0 qu ORCHWE City of Arlington fu APR 19 2007 -,� Community Development � ��, , , 4v. ING�Co� Permit Center � e REQUEST FOR REVIEW NAME: BP #: DATE: y-/ y -c ? RETURN THIS FORM BY: 5 � 7 PROJECT SUMMARY: n S 1=K RESPCNDI,JG DEP;;RT%IE1NTS TONI C., FIRE DAVE A., BUILDING UTILITIES KERRY W., BUILDING BILL B., NATURAL RESOURCES _ SCOTT B., BUILDING ENGINEERING DECEIVED YVONNE P., PLANNING SHERRI PHELP S I I I ` QPR �` 2007 CWA. CONSULTANT _ , BUS _.0 Q , DERYL T., MARYSVILLE UTIL � 1zTER� 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 �- 4 City of Arlington • Community Development Permit Center REQUEST FOR SFR REVIEW RESPONDING DEPARTMENT: PLANNING BP #: 0 7- 73 20 NAME: ��¢0.tt le �, �; , /!o knef ADDRESS: 17 6 02 tTotk ,pr, NE P,L�}E,ASE RETURN FORM WITHIN 3-5 WORKING DAYS FROM V-i�—o 7 lj Mitigation Fees Verified: School Mitigation Fees: Community Park Impact Fee: Mini-Neighborhood Park Impact Fee: Trip Impact Fees: WSet Backs Verified Required/Proposed: Zoning: RLN D Front Yard/ r S Street Setback ZZ Rear Yard Setback Side Yard Setbacks_ �.7 Lot Coverage Verified 217 Shade Trees Verified on Site plan Height Verified (Called out on Site plan) :3 i ' S afe-tidy �- 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 ��2�f 0'3-