HomeMy WebLinkAbout7930 Carlisle Pl_BLD7930_2025 INSPECTION REPORT
Permit No. g Lot#
Address '7 5'.3 C
Contractor
Owner
Date
Taken By
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Ins c - 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 Plumb. NP1 Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. !/7 —,,)7,W Lot # L�
Address 'Z 9 3 c)
Contractor
Owner `J
Date ��_ — �f 31
Taken By � n
❑ 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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Date Tap-
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 Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
Other
INSPECTION REPORT
J
Permit No. *-27 Lot-# C3
Address �3G Carl 5 1-e- /4/
Contractor A 4,r S
Owner
Date
Taken By
PPROVAL ❑ PARTIAL APPROVAL
❑ VIOCATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE SPECTION - 24 hour notice required.
Inspector Date r�
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ;4rywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
Cl Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
IV
INSPECTION REPORT
Permit No. G 7 -/ Lot#
Address 7c?3C ( A A - `f
Contractor 20C� `(b 0 `-Pie y
I
Owner ' -02 /5 P;�—
i
Date
Taken By
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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Date '
TYP F INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ` sulation
❑ Other
INSPECTION REPORT
Permit No.C —�� Lot#
• Address
Contractor nn
Owner b �I�
Date
Taken
OVAL ❑ 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 435-0724 FOR RE-IN ECTION - 24 hour notice required.
Inspector - Date
TYPE O SPECTION REQUESTED
❑ Under-floor Framing ❑ Gas Piping
❑ Footing
*Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit NoC 7- 3 Lot #
Address _7�i> �'��
Contractor
Owner 1-1&,_-!A-9
Date ,q—-3 ---cd
Taken By ; '
PROVAL ❑ 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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
In Date:�-
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing _, Gas Piping
Footing ❑ Drywall, Nailing , ❑3onsultation
Foundation ❑ Shear Nailing ❑ Groundwork
Mechanical ❑ id ❑ Struct. Slab
J O Wood Stove ugh-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. ` a Lot #
Address
Contractor
Owner 1 �
Date 1—3
Taken By
❑ 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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Date `
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ all, Nailing El Consultation
❑ Foundation Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other V110Z.1111
INSPECTION REPORT
Permit No�j: �-7� Lot#
• Address D
Contra r �
Owner
• Date ` -7 -7
Taken By
❑ APPROVAL ❑/PARTIAL APPROVAL
❑ VIOLATION <<F -CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required.
=inspectoZr :4����
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 Plumb. ❑ Final
❑ Masonry _ ❑ Drainage ❑ Insulation
Other x E�j - 7 1�JCl-Q Q
INSPECTION REPORT
Permit No.
7 X.ot#
• Address ��-�-
Contractor _
Owner ✓`--
• Date
Taken By
❑ APPROVAL ❑ ARTIAL 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 435-0724 FOR RE-INSP CTION - 24 hour notice re wired.
Inspector
Date
TYPE OF INSPECTION REQUESTED
�4nder-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. Cjq- oV254 Lot # �23
• Address 7Q30
Contractor
Owner
• Date
Taken By
PROVAL ❑ 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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Date
TYPE OF INSPECTION REQUESTED
Under-floor J Framing ❑ Gas Piping
J Footing ❑ Drywall, Nailing ❑ Consultation
Foundation ❑ Shear Nailing ❑ Groundwork
Mechanical D Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
Masonry I Drainage ❑ Insulation
❑ Other
INSPECTION REPORT 5'i q0 jolt—
Permit No.q Lot # &73
• Address
Contractor 2-16C—
Owner 2CZ Cf0li
Date — �a
Taken By .
❑ 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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
ec Date
'�4
E OF INSPECTION REQUESTED
Under-floor ❑ Framing ❑ Gas Piping
D Footing ❑ Drywall, Nailing ❑ Consultation
Cl Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No.gj- 2 34 Lot#��
Address 17130 (2 t4,S1.y PL
r
Contractor Loz-ic e—
Owner
Date lZ-�
Taken By tiiSs2
APPROVAL Ell 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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
4 -4
Inspector Date
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
[X,Foundati.on ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. 'tl- ';'7 3q Lot #L3
• Address
Contractor k—,o (40x&
Owner
Date 1 Z--
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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Insp or
—� Date J� " S
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
A 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. 7r a ��`l Lot#
Address -�9_v (44 r h S r
4?
f Contractor I n�:e r �4t�� C S
Owner
Date 1 `- 3 _9
❑ APPROVAL ❑ PARTIA PPROVAL
❑ VIOLATION RECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE- NSPECTION - 24 hour notice required.
Ins tor — Date '
47-
TYPE F 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
INSPECTION REPORT
Permit No.q:]—,-;(-)34 Lot #
Address 74 3C CAW e, PL.
Contractor
Owner
5�TT
Date 1 17-—01—q 7
❑ APPROVAL ❑ ARTIAL APPROVAL
❑ VIOLATION CORRECTION REQUESTED
orrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required.
J i }
w ; c
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
OIYY OV ARLINOTON
CONSTRUCTION PERMIT
P'E RM I T No-
Owner: LOZIER HOMES 1203 114TH AVE SE BELLEVUE 98004
Value of Work: $105,280.00 Tax ID: Phone: 425-454-8690
Describe Work: NEW CONSTRUCTION
Proposed Use: SFR
Legal Description: GE 3B LOT 63
Job Address: 7930 CARLISLE
Contractor's Name Type Address License#
LOZIER HOMES G 1203 114TH AVE SE LOZIEHC315MM
PHOENIX MECH M PHOENMC137O3
ONE WAY PLUMBING INC P 20103 WOODINVILLE SNOHOMISH R ONEWAP*I96BB
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
------------
PLUMBING FIXTURES 16 $7.00 $112.00
FURNACElUNIT HEATER 1 $13.25 $13.25
RANGE 1 $9.50 $9.50
VENTILATION FANS 5 $6.50 $32.50
DRYER 1 $9.50 $9.50
METAL FIREPLACE & CHIMNEY 1 $9.50 $9.50
WATER HEATER 1 $9.50 $9.50
GAS PIPING 1-5 OUTLETS 1 $5.00 $5.00
SUBTOTAL...... $280.75
TOTALS Fee
Equipment $88.75
Fixture $112.00
Mech Permit $22.00
Permit Fee $827.50
Plan Fee $537.88
Plumb Permit $15.00
State fee $4.50
School Mitigation $941.00
SIGNATURE
TOTAL FEE........... ...... $2,548.63 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. ............ ..... $537.88 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
\, TOTAL DUE... .. ..... ....... $2,010.75 ❑RDINANCES GOVERNING THIS TYPE OF
3 0 WORK WILL BE COMPLIED
SPECIFIED HER N
i DATE 1 _ HEMP
BUIL FICIAL
Memorandum
City of Arlington
Department of Community Development
Building Department
Date:
To: 63
From: City of Arlington Building Department
Subject: Expired Building Permit
No work has commenced within 180 days of the date of the last inspection, as per UBC
Sec. 106.4.4 "Expiration".
Therefore this file is being closed as an expired permit.
Building Permit file no: 3 q
Last Inspection Date: 0 /zz
t
Building Official
building\Tnemoklosed
or approval of plans, specifications and computations shall not be When submittal document
construed to be a permit fr or an approval of, any violation of ar require additional plan revie
of the provisions of this cuuc or of any other ordinance of the juris-
diction. Permits presuming to give authority to violate or cancel ferred submittal items as de
tional plan review fee shall b
the provisions of this code or other ordinances of the jurisdiction 1_A
shall not be valid_ -
Tne issuance of a permi�based on l I07.4 Ea�piration of Plan
plans, spenons and oth- permit is issued within 180 d.
er data shall not prevent the building omcial from thereafter re-
shall expire by limitation, an
quiring the correction of errors in said plans, specincations and review may thereafter be relit
other data, or from preventing building operations being carried the building ofnciaL The buil
on thereunder when in violation of this code or of any other ordi- action by the =Iicant fora
nancrs of this jurisdiction_ truest by the applicant shoe
106 4.4 Expiration. Every permit issued by the building official control of the appiicant have
under the provisions of this code shall-expire by limitation and be- No application shall be eater
come Hall and void ii the bualaing or wort;anthorired by such per-
new action on an application
mit is not oommen�d within 180 days from the date of such resubmit plans and pay a nev,
permit, or if the building or work authorized by such permit is sus- 107.5 Inv+esfigadon Fees: F
pended or abandoned at any time after the work is commenced for
a period of 180 days. Before such work can be recommenced, a 107-.1 Investigation. Whe
new permit shall be first obtained to do so, and the fee therefor is required by this code has be
shall be one half the amount required for a new permit for such ing said permit, a special inve:
work, provided no changes have been made or will be made in the Hilt may be issues for such w
oriz nai plans and sne.^.nc=ons for such work, and provided fur- 107.E 2 Fete. An invesagatic
Cher that such =emon or abandonment ins not e-seeded one shall be collected whether or
yeaz in order to renew action on a permit after ezpiradon, the per- issued_ The investigation fee
mitre~ shall pay a new full permit fee. permit fee required by this cc
Any permitter holding an unexpired permit may cooly for an shall be the same as the miniE
extension of the time within which work may commence under payment of such investigatic
that permit when the permute_ is unable to commence work with- from compliance with all oth
in the time mmiired by this section for good and satisfactory rea-
sons, The WE ling official may extend the time for action by the 107.6 Fee Mands. The but
permitteee for a period not ex ..ding 1$0 days on written request ing of any fee paid hereundt
by the permitter snowing that ca�-cnms-,antes beyond the control of qIl
the permittee have prevente+ action from being tak._ No permit The building official may at
shall be extended more than once. 80P percent the permit fee pa
106.4.5 Suspension, or revocation. The buudinQ of5cal may, der a permit issued in ac corda
in writing, suspend or revoke a permit issued under the vrovisions The building official may at
of this code whenever the permit is issued in error or on the basis of 80 oe=nt of the plan review
1-4
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CITY OF
This site plan Is an approximation only. ND
IAIZicr Ilomes Corporalion reserves the right to make adjustments in siting including - p y�11
grades, rockeries and location or the house to accommodate site conditions as actually LI N CTO N II— I 1 it
encountered. The location oradjoining homes are subject to change. g'I_�" 2 1
APPROXIMATE SITE PLAN DWN: i i - `?-- 617
l--.Jl.__t 1203 1�Ave SE JOB:
Bellevue,WA 98004-6929 �� 8 4-�
LO-Z I-EH-C31 SMM
RECEIVED
NOV 12 W
CITY OF ARLING i 0
AGREE?NIENT - MODEL HOME PERMITS
Lozier Homes Corporation (the developer and builder) indemnifies and holds the City of
Arlington, it's successors and assigns, harmless for any consequences, including_tot line changes,
resulting from starting construction prior to recording of the Gleneagle Sector III-B subdivision,
including cost of defense, claimed by persons within or outside of this subdivision.
LOZIER HO S ORP TION
BY_ DATE
Michael D. Levy
President
STATE OF WASHINQTON )
ss.
COUNTY OF SNOHOMISH )
On this ^-day of k-'V,) A.D. 19 9 1. before me, the undersigned, a Notary
Public in and for the State of Washington, duly commissioned and sworn personally appreared
LEIjy to be known to be the President of
a Washington Corporation the corporation that executed the foregoing instrument, and
acknowledged the said instrument to be the free and voluntary act and deed of said corporation,
for the uses and purpose herein mentioned, and an oath stated that he is authorized to execute
the said instrument.
WITNESS my hand and official seal hereto affixed the day and year in this certificate
above written.
Uj
U z , Notary Public in and for the State of Washington
residing in14�t,
OF WA t�, _ My commission expires: YWa-CZk
ACCEPTED: CITY OF ARLINGTON
BY: DATE
CITY OF ARL.INGTON
CONSTRUCTION
PERMIT
COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
j OWNER MAIL ADDRESS CITY ZIr r11UNE
Lozl -how � 1203 ►14� ,d-vim. Ste. Ltle a - WJ4., g�oa� �Zs-4s4 -$Togo
ARCIIIIECT OR DESIGNER MAIL AUURESS CITY Zlr r11UNE
!!5'A_Pm
GENERAL CUN RACiOFt MAIL ADDRESS CITY ZIP NIONE LICE NSEI
L-o z!EH{- 3lSM m
M CIIANICALCONIRACIUR MAIL AUURESS CITY ZI► NIONE LICENSE
F40W(X V&ZH , Por--N MC- 137am_J_
I'LUMDINGCONIRACIOR MAIL ADDRESS CITY 11P rIIONE LICENSE
00r,- VA.L(
3 CLASS Of WORK
a�N N RATION ❑REPAIR ❑DEMOL11ION ❑9UILDINGRELOCATION
cc
LUAI ION Of WORK
I kSCRIDE WORK
N -(_lON
00
raurust
In , w /4�7/4 /_,►� • I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLIO
�f� I ION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PRO\,
LLUALL )kSCRIPIION V rROP RIY SI UWN 9ELOW OR Al IACII FOUR COPIES) gIpNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOF
LOI TILOCK • OF � � � WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.TI
a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY T
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE C
TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE C
a CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANC(
SIGNATURE Or CONTRACTOR OR AUTHORIZED AGENT DATE
L) ►UC AUURLSS
f l ip
:5�
(OIIIII(,II U911 ONLY)
PLUMBINU V113CIIANICAL
No. Tyra Or PIXTURD PDU X's NXTURIM NO. TYFD OP DUUMMUNT PDD Tt'f FIXTURES
-- -- ATDIL CLOSBT CTOILUC) IR CONE.UHIIS-II.P. DA. ls! .Ip IK'_ _
I/111 ITUD LLTIIRIOURATION UNI"I'S-II.P.DA. Sul .IIK•' _
VATORY mmi BASIN OILUR9-II.F.DA. I ul ,list•'
/ IIOWER JASFIRDDA.C.UNITS-TONNAGRISA. Ititip.11101
11C m SINK dt DISrOSAL 'ORCDU AIR SYSTEMS-D.T.U. Mm
I 1511WASIIDR NALL IIDATURS-D.T.U. M
UNDRY'IRAY JNITIIDATIIR5-DT.U. M
•LO'ITIus WASIIDR - IVAronAT1VBCOOLIMS T-
A'113R 11DATEIL ,o:;) LO111M DRYERS
RINAL VENTIL.NI'ION PAN _
RINKINO FOUNTAIN 1ANO1311000 COMMDRCIAL _
'LOORDRAIN IILIIANULINOUNIT- CPM _
--l�--VACUUM BRDAK11" 'TOVD _
OOP DRAINS-RAINLEADDRS F L PIRDPLACB&CIIIMNUY
INK CSDRVICD-BAR,ITC.) v ATUR IIDATER
A9 PIPING u to S f).00 eddnl. f.TS
..Equipment lIn tauK ba rovlded
!_T_
SUB TOTAL SUB I'O'TAL I _
Y :> PERMIT PERMIT _
TOTALPDD TOTALPDB
SIW.YAltUSI DACk SIRLLISL(BA'K REARYARUSETD PLA IECKNO PLAN CIIECK FEE
�7 EE ^ RECEIPT N
US'' /UNI( LOT AItt r V�AC,ANfT SIIE tLJ OV 8
?�Qp 5GfG / ots ❑NO FEES VALUATION FE
IYPLOI Cu St. OCCUrANC /R/U NO.OFDrELLINGUNITS PLAN CIIECKINGNG ��—
UU,l1
slit UI OLUG(�. NU.UT SIURII.S MAX,UGC.LUAU DU LDING { �
PLUMBING
F IRE SPRINKLERS REGUI
[]YES MECHANICAL
al(• {I�{p6L STATE BLDG.CODE
COMMENTS
ENERGY CODE SURCHARGE �G
%p L� Cal-t9 r--R- PENALTY
SEC.)0)(m)
RECEIVED
ECEI\,//CG D WATER/SEWER FEES -
G TOTAL
I 'A�f A 7 Mf1'7
T
PERMIT VALIDATION
W'TEN rROrERLY VALIDATED IIN TI IIS SrACEI 71115 IS YOUR PERMIT A RECEIPT
PAID_ CRT+ BY
cc:ASSESSOR,APT'UCANT.TREASURER, T)LDG. D6r'T. RUII DING Off C1At I UATE
nrronnR r_nrnv