HomeMy WebLinkAbout18216 Woodbine Dr_BLD900297_2025 Permit No. Cite ■of i It IAING AN
NOTICE and Inspectic, Report
Date Called �0 Address
x__
Time Called � Contractor
v
l By Owner
(R1 Requested by
v lJ7" 7
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
( ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
IU' ❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailinginal
❑ Concrete Slab ❑ Rough-In Plumbing —Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Dr<work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to pe orm inspection.
❑ CALL 43aWFOR REINSPECTION—24 hour notice required.
Inspector
Date
?���7pre sent during this inspection.
Permit No. 9
-� cit,jq :IELINGT'"4►!'
NOTICE and Inspection Report
Date Called �� �� 90 Address
Time Called Contractor �t3L/�Q�i«�v
By Owner
Requested by
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing �inal
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION Z,, CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able peyform inspection.
CALL 43W- OR REINSPECTION—24 hour notice required.
(-� Date /� Z 3—
Inspector �,r
i was present during this inspection.
Permit No. � C't'f q
NOTICE and Inspectiorr"Report
Date Called ��L �v Address
Time Called Contractor f ��•Jj��
By Owner
Requested by —TQ�
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation rywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435-,7e5-F_R REINSPECTION—24 hour notice required.
Inspector Date
was present during this inspection.
c:�7 ,�.,�� �'����I N ti rr/�
Permit No.
�- NOTICE and i�opectiw Report
Date Called / D Address Ila /
Time Called Contractor
By Owner
ID Requested by
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Reroof Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to erform inspection.
T
❑ CALL 435-SM. OR R
SUEINSPECTION—24 hour notice required.
Inspector
Date
I was present during this inspection.
Permit No. cifii q
NOTICE and InsRz;ction'Re ort
Date Called 7 Address J/��� �v�
��` D
Time Called � Contractore� %
By Owner
Requested by
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing j�Framing ❑ Woodstove
❑ Foundation /❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
PPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Mork listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435OR REINSPECTION—24 hour notice required.
Inspector ` Date
I was present during this inspection.
Perr o. City q ' It L IN fr"F A%,
NOTICE and Inspection Report
Date Called Address '
Time Called Contractor Gxf�C�Q lid(
d
By _ Owner
Requested by G!!%
T TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing [ Framing ❑ Woodstove
❑ Foundation /❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑f Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION "CORRECTION REQUIRED
.,F-�rrections listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment. /
,0--W'as not able to pejform inspection. l
i
,&-- 5�E��ALL 435• OR REINSPECTION—24 hour notice required.
Inspector Date
was present during this inspection.
17
Perr. o.
NOTICE and Inspection Report
Date Called Address
Time Called Contractor �� r,rC.lg4nt-
By Owner
Requested by
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ;;;/CORRECTION REQUIRED
corrections listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able pe rm inspection.
CALL 435r5: 8 OR REINSPECTION—24 hour notice required.
"44a2 mf1�3. h
r 140
Inspector Date
I was present during this inspection.
Permit No. [✓'ity �� Am ��1 4,,rftN
NOTICE and Inspectioi r Report
Date Called Address D0�
Time Called Contractor\
By iQ Owner
Requested by
TYPE OF INSPECTION REQUESTE
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm a Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
—
AAPPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to p9dorm inspection.
❑ CALL 435 5�FOR REINSPECTION—24 hour notice required.
Inspector 1 Date
was present during this inspection.
/fe- -1 cilt) q ASKLINAIT"%N
Permit No. _ �
NOTICE and Inspeudtion Report
Date Called / ��7,� Address
Time Called - �5 Contractor
By Owner
Requested by
1
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to.perform inspection.
C71-
❑ CALL 43547e5,FOR REINSPECTION—24 hour notice required.
Inspector Date
I was present during this inspection.
c,li, � ;;M,iaO="r,IIIIIIN
N Permit o. � _
er No. NOTICE and Inspectiior!"Report
Date Called ' 1 Address ) l�' L':Cj& -14/ 4��L h
Time !�•QS Contractor �,�7FC� 14Z, !Ci
By Owner
—clC) Requested by 6-
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
`6—Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other_
�PROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435-5785 FOR REINSPECTION—24 hour notice required.
0K
If 0a
Inspector Date
I was present during this inspection.
Permit No. �G
NOTICE and Inspection Report
Date Called 2 '� Address 6 7 1 L,�L)Cq1n47-q �' r
Time Called CY 0-17— Contractor � � 11 's40f- o~q
By Vn6,N21 Owner S Requested by
by
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
APPROVAL ❑ PARTIAL APPROVAL
/ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was n - .. to perform inspection.
U CALL 435-5785 FOR REINSPECTION—24 hour notice required.
10,
Inspector -40
4L__1waspr-,s t tlunng this inspection.
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CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION K] BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00297
OWNLR MAIL ADDRESS CITY Zip PHONE
Woodhaven Homes P.O. Box 1032 Lynnwood, Wa, 98046 546-3969
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
Woodhaven Homes P,O, Box 1032 Lynnwood., Wa. 98046 546-3969 WOODHH174 08
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M
CLASS OF WORK
[jNEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
$97,832
DESCRIBE WORK
new SFR
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
S i n 1 e Family Residence TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLOAL ESCRIP11UN OI PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT D-49 BLOCK of Woodlands WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OFA PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
f SIGNAT O NTRACTOR OR AUTHORIZED AGENT DATE
IOB AUURISS TT
2];il&�L
('Add
1/�l� n L I
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO, TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) 6 00 AIR COND.UNITS-H.P.EA.
BAIHTUB 4 00REFRIGERATION UNITS-H.P.EA
LAVATORY (WASH BASIN) BOILERS-H.P EA
SHOWER GAS FIRED A.C. UNITS-TONNAGE EA
KI TCHEN SINK& DISP. 2 00 1 FORCED AIR SYSTEMS— B T.U. MEA 900
DISHWASHER 2 00 WALL HEATERS— B.T.0 M
LAUNDRY TRAY UNIT HEATERS— B.T.0 M
CLOTHES WASHER 2 00 EVAPORATIVE COOLERS
W'A1 ER HEATER CLOTHES DRYERS
URINAL VENTILATICN FAN 1800
DRINKING FOUN IAIN RANGE HOOD COMMERCIAL
f LOOR DRAIN AIR HANDLING UNIT— CPM
2 VACUUM BREAKERS 400 STOVE
ROOF DRAINS - RAINLEADERS 2 METAL FIREPLACE&CHIMNEY 1 OO
SINK (SERVICE — BAR,ETC.) 1 WATER HEATER 750
GAS PIPING 00
SUBTOTAL ; 30 00 SUBTOTAL S
PERMIT $1 15 00 PERMIT ; 1 00
TOTAL FEE $1 4s 00 TOTAL FEE ; 6450
SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
1 0/20 20 48 FEE RECEIPT NO.
USE ZONE LOT AREA VACANT SITE 50.00
R 72 8400 ®YES ❑NO FEES V LUA ON FEE
TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKIN VG _
VN R3 & M 1 BUILDIN O
SIZE OF BLDG. NO.OF STORIES MAX.000.LOAD
1571 2 8 PLUMBING 45 00
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL 64 50
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE 4 SO
PENALTY U.B.C.
SEC.303(a)
WATER/SEWERFEES 1305 00
v
TOTAL 1419 00
FEIR
m: °1
1990
Plan 2066 PERMIT VALIDATION
WHEN PROPERLY VALIDAT/TE^D� ��(IN THIS SPACE)THIS IS Y UR PERM IT& IPT
PAID CRit BY
-17
/Pa
cc:ASSESSOR,APPLICANT,TREASURER, BLDG.DEPT. 1 NG FFIC DATE
RECORDS COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION KI BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00297
OWNER MAIL ADDRESS CITY ZIP PHONE
Woodhaven Homes P.O. Box 1032 Lynnwood Wa. 98046 546 3969
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONT RAC TOK MAIL ADDRESS CITY ZIP PHONE UC NSE#
Woodhaven Homes P.O. Box 1032 Lynnwood, Wa. 98046 546-3969 WOODHH174 08
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0
CLASS OF WORK
[jNLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
$97,832
DESCRIBE WORK
new SFR
PROPOSE U USE OF BUILDING
1 e Family 1 Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
Sin
LS i n DES('RI am OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT n-49 BLOCK of Woodlands WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OFA PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNA
7NTRACTOPTUB AUDRLSS OR AUTH RIZED AGENT DATE
� k
Ad
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILE]) 6 00 AIR COND. UNITS-H.P. EA
BAIIITUB OC) REFRIGERATION UNITS-H.P.EA.
LAVA]ORY (WASH BASIN) ABOILERS-H P.EA
SHOWER 2 GAS FIRED A.C.UNITS-TONNAGE EA.
KI ICHLN SINK& DISP. 2 00 1 1 FORCED AIR SYSTEMS- B T.U. MEA 900
DIS14WASIIER 2 00 WALL HEATERS- B.T.0 M
LAUNDRY 1 RAY UNIT HEATERS- B.T.0 M
CLOI TIES WASHER 2 00 EVAPORAT IVE COOLERS
WAIERHEATLR CLOTHES DRYERS
URINAL 4 VENTILATION FAN IEOO
DRINKING FOUN IAIN RANGE HOOD COMMERCIAL
FLUOR DRAIN AIR HANDLING UNIT- CPM
2 VACUUM BREAKERS 4 00 STOVE
ROOF DRAINS - RAINLEADERS 2 METAL FIREPLACE&CHIMNEY
SINK (SERVICE - BAR,EiC.) 1 WATER HEATER
50
GAS PIPING 300
SUB TOTAL f 30 00 SUB TOTAL f 4190
PERMIT f 15 00 PERMIT f 1 00
TOTAL FEE $1 45 00 TAIL FEFF 6450
SIDE.YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
1 0/20 20 48 FEE RECEIPT NO.
USE /ONE LOT AREA VACANT SITE ()2-08-qo Sa
R 72 8400 ®YES ❑NO FEES A ION FEE
TYPE OF CONSI OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
VN R3 & M 1
BUILDING f
SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD
1571 2 8 PLUMBING 0
FIRE SPRINKLERS REQUIRED
[]YES ❑NO MECHANICAL \ 64
COMMENTS STATE BLDG.CODE •
ENERGY CODE SURCHARGE 4
PENALTY U.B C.
s
SEC.303(a)
PA l ® WATERlSEWERFEES 1305 00
Plan 2066 I FEB 2 71990 TOTAL 141 00
PERMIT VALIDATION
CITY OF ARLIiVGTON
WHEN PROPERLY VALIDATED(IN THIS SPACE]THISicsy_
ItPERMIT& IPT
PAID �� CR#�l
C:
zp"��4
cc:ASSESSOR,APPLICANT,TREASURER, BLDG.DEPT. B I NG FFICIV DATE
RECORDS COPY
CITY OF-ARLINGTON
CONSTRUCTION
PERMIT .'
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL
❑ PLUMBING ❑ sIGN PERMIT N0.67V
OWNLR( MAIL. JORESS •1
CITY ZIP /HONE�;,�vwoo� �� f�6
ARCIIIILCI Oq DESIGNER MAIL ADDRESS L �r�o S - 3 r�CITY
ZIP f HONE
CANLRAL CON AC OR
�o oc�a MAIL ADDRESS
,'j CIIY ZIP /HONE LICENSE 1
a u iznJ �a� �s .. �� �a c�,l//��7 4�6�
MLLIIANICAL CUNT RAC IOR MAIL ADDRESS !
CITY ZII PHONE LICENSE I
y.
PLUMBING CONIRACIOR 1
MAIL AODRESS CITY
ZIP PHONE LICENSE
CLASS Of WORK 7
NLW ❑A DUI IION ❑ALTERATION ❑REPAIR ❑UEMULIIIONol •
ALUAIIONOF WORK ❑BUILDING RELOCAI ION
0'7J.
ULSCRIBE WORK F �I
A C•4-_ y.
/RuPUSI D USE Of BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LLLAL UL$AW IIUN DI PRUPLRIY ISHMN BELowUR AtucH fouRcorlEs) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING Tf IIS TYPE OF WORK
LUI 0-4 BLUCK or w 'oo Z<," dr-S WILL BE COMPLIED WITH WI IETHER SPECIFIED I�IERIN OR NOT. TI IE
GRANTING CSF A PERMIT DOES NOT PRESUME 10 GIVE AUT I IORITY TO
VIOLATE 04'CANCEL THE PROVISIONS OF ANY OIHER STAIE OR
TAX ID NUMBER LOCAL LAW#EGULATING CONSTRUCTION OF TI IE PERfORMANCE OF
CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
IUBAUURLSS SIGNATURE QNIRACTOR RAUIWFJ WA T Dn1E /
DieX G G ' 216- Fd
(OFFICE USE ONLY) +
PLUMBING •i MECHANICAL!
NO. TYPE OF FIXTURE FEE75 NO. TYPE OF EQUIPMENT FEE
WA1LR CLOSEI IIOILLI) AIR GUNU.UNITS -II.P,EA.
BA1111UB REFItI(;ERAIION UNITS-II.P.EA.
LAVATORY (K'ASII BASIN( BOIL4RS-II.P.EA
51IOWL R
r ETAS FIRED A.C.UNITS,-IUNNAGE EA
I KI ICI ILN SINK A UISP. , FURE.`EU AIR SYSTEMS'- B T.U. MEA
I UISIIWASIILR �•- w ALL-IIEATERS-0,F.14. M
LAUNDRY IRAY UNIT 11EATERS- B.I.U. M
_L CLUIIILS WASIIERWAiL 2 EVAPURAII`JE COOLERS
URINAL 11LAllR CLOIIIES DRYERS
URINAL
Ll VENT ILA IION FAN
I LOOK
—
NE,IUUNiA1N RANGE IIODU COMMERCIAL
LOUR DRAIN AIR IIANULING UNIT CPM
VACUUM BREAKERS { SIUVE
R0E11 DRAINS - RAINLLAUERS METAL FIREPLACE 6 CIIIMNEY
SINA IS[RVICC - BAR,EIC.) I WATER HEATER
y GAS PIPING
SUBTOTAL ' { �� L
� SUB TOTAL
PERMIT 1 1 PERMIT {
TOTAL FEE { �� •'•TOTAL FEE { / 4
SIULYANUSEIBACK SIRLLISEIBACK REARYARDSETBACK PLAN CHECKNtIMBER PLAN CIIECK FEE
.' FEE _ RECEIPT NO.
USE LOW I LOT ARLA VACANT WIE A'*
la4 - '
b'O -YES ❑NO FEES VALUATION FEE
IY/L OF CONS1. OCCUPANCY GROUP NO.Of DWELLING UNIIS•• PLAN CHECKING VG
SILL UI 4Ltxi. NO.Of STORIES MAX,ItCC.LOAD BUILDING { c, -mot✓' L�
PLUMBING
FIRE SPRINKLERS REQUIRED _
❑YES ❑NO MECI IANICAL ;I! �^Q
COMMENTS l� ��� STATE BLDG.CQDE —
! ENERGY CODE JURCIIARGE '
PENALTY U.B C.
SEC.303(+)
•5 WATERISEWER FEES
�j TOTAL a.
PERMIT VALIDATION
WFIEN PROPL4Y VALIDATED ON THIS SPACE)1FIIS IS YOUR PERMIT i RECEIPT
PAID = Cite. BY
1• E
Ca ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT. ' BURDING OFFICIAL DAtE
RECQRDS COPY %'