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HomeMy WebLinkAbout20707 CIRCLE BLUFF DR_045828_2026 is 'D NSPECTION REPORT 141 T' Permit No.: o q zA� Lot#: Address: �-�:'� ©—)Contractor: to I-NieOwner: OAS Date: 6-1 "1 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 435-0674 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 X-0 Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: b_L- S43 INSPECTION REPORT ¢1,IN G?, Permit No.: Oy 5s" Lot #: 115—k Q' Address: -2-a-7 Q-7 C(s 17 Contractor: ��, ,SO Owner: IqI N Date: 8— s— ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED 4- 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 Inspector: Date: `�s ®5 — 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 AVinal ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: ZI If INSPECTION REPORT 4ti1N G To Permit No.: c 4 58 Z8 Lot#: Q Address: -Xo 7 o-7 G6 a Contractor: NzR Owner: Date: 4--1 2--or 3 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: ?—/Z -ef— TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing X Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: rz,zL, INSPECTION REPORT �.IN G?' Permit No.: Qq 56&6 _ Lot #: 5 Q' O� Address: 2-0'7 tr7 4(-6 Z Contractor: Nc O Owner: 9s�j N�'� 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. / S L Tt Inspector: Date: -6 -3-b� 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: INSPECTION REPORT IN G 7'O Permit No.: o S82.8 Lot #: Q' Address: 2-0-7 0 7 C.6 0 � z Contractor: ( ► r-e­ 9 O Owner:I N C'� Date: L( -Z_t —o s vj \APPR0VAL ❑ 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: �aS� TYPE OF INSPECTION REQUESTED ❑ Under-floor CK Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork 4 Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 26 INSPECTION REPORT ii rO PermitNo.: 04 5SZb Lot#: Address: � D "70 -7 C&Contractor: 4- f�4 0 PO Owner: Date: P 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 a(Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: � sy INSPECTION REPORT 1,IN G T S ,¢ O Permit No.: ®q 5€3z-9 Lot #: Q' Address: Z Contractor: 1t ice? O Owner: IN�� Date: APPROVAL ❑ PARTIAL APPROVAL j0 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. Ali Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing Cl Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: - INSPECTION REPORT 4ti1N GTO permit No.: F 4 St3zk� Lot #: Q Address: 2-0-7 o-7 GQ D Contractor: tlzee;- O Owner: 9S�IN�� Date: i - 26 -oS ❑ 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. Spa-n.- ? -rvT�r�-i- pZ� i. NTD 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: INSPECTION REPORT y1N G?'O Permit No.: C��' S�� Lot#: Ir Address: CPO 7 G`,� `4.,f ,&&"/ .• Contractor: qs, �O Owner: _ "f SIN O Date: `O ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION dX 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 0-Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: ,p INSPECTION REPORT ZN G T 5 Permit No.: o � S 8�� Lot #: Q' Address: 2-f-z �7 -7 c 8 0 OContractor: 14�e� Owner: jNG Date: d�L-,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: S 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: S t` &W s r� �S INSPECTION REPORT 4ti1N G r® Permit No.: n-f 5 r 2.8 Lot#: Address: "7 O -7 L f9 0 Z Contractor: �4 1--oLo P C O Owner: IN OAS Date: — c,- _o 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. Inspector: 5 Date: 4— 9-05l 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: ASPECTION REPORT Y Permit No: Uq -S�� Date: 4�, ,*CO Address/Lot No: �O -7 O-7 C I �C Je FI t4 Dv, J Contractor: dn,S1 Owner: N G Supervisor: Approval ❑ Correction Required ❑ Corrections listed below MUST BE MADE before work can be approved ❑ Please contact inspector ❑ Was not able to perform inspection ❑ Call 360.435.0674 for re-inspection -24-hour notice required Inspector:_- — Date: —/fL TYPE OF INSPECTION REQUIRED TESC STORM DRAIN ROAD LANDSCAPING ❑Slit Fence ipe ❑Sub-grade ❑Irrigation ❑Check Dam ❑Catch Basin(s) ❑Rock ❑Soil ❑Inlet Protection ❑Manhole(s) ❑Curb&Gutter ❑Fertilizer ❑Temp.Sed ❑Oil Seperator(s) ❑Sidewalk ❑Bark ❑Sheeting ❑Down Spouts ❑Approach(s) ❑Plants ❑Straw ❑Trash Rack/Overflow ❑ATB ❑Trees ❑Seeding ❑Restrictor ❑Cl.B Asphalt ❑Root Barriers ❑Final ❑Level Spreader ❑Striping ❑Play Equipment ❑Treatment ❑Signing ❑Final Infiltration ❑Final INSPECTION REPORT 3� 1•IN G?'O Permit No.:V�_5�f;r Lot #: Q" Address: 7 '7 1 �� _ Contractor: O Owner: 9s,01NO( Date: +a P 5,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: -2-8 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 ❑ Final ❑ Masonry Drainage ❑ Insulation ❑ Other: ✓✓✓ "` INSPECTION REPORT G1T Y �� Permit No: (�4 - S�Z Date: 7� 0 Address/Lot No: 4j 20'1 o f r ►2 1 Q R1 u 0 DV Contractor: (L��J� }- y P� +,_ , 4 Owner: Supervisor: Askc L1 1— ❑ Approval Correction Required ❑ Corrections listed below MUST BE MADE before work can be approved ❑ Please contact inspector ❑ Was not able to perform inspection ❑ Call 360.435.0674 for re-inspection -24-hour notice required Inspector: Date: TYPE OF INSPECTION REQUIRED TESC ORM DRAIN ROAD LANDSCAPING ❑Slit Fence ❑Sub-grade ❑Irrigation ❑Check Dam ❑Catch Basin(s) ❑Rock ❑Soil ❑Inlet Protection ❑Manhole(s) ❑Curb&Gutter ❑Fertilizer ❑Temp.Sed ❑Oil Seperator(s) ❑Sidewalk ❑Bark ❑Sheeting ❑Down Spouts ❑Approach(s) ❑Plants ❑Straw ❑Trash Rack/Overflow ❑ATB ❑Trees ❑Seeding ❑Restrictor ❑Cl.B Asphalt ❑Root Barriers ❑Final ❑Level Spreader ❑Striping ❑Play Equipment ❑Treatment ❑Signing ❑Final ❑Infiltration ❑Final INSPECTION REPORT 1;i 1'OPermitNo.: o`l 5828 Lot#: Address: Zo 7 0 7 C-b o Contractor: 0- H-o P c=_Owner: Date: y- 23 - 0 ❑ APPROVAL C�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. -PS 17-►V E-- CA4hr Z- R.1",'-2 2►1 Inspector: s�- - 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: � 29 INSPECTION REPORT ¢y1N G�o Permit No.: o g 5 S z�? Lot #: Address: ;1-o-7 o '7 Lei o Z Contractor: K O Owner: 9s IN�� Date: 14 -1.0-c4 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',V TYPE OF NSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation V Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: y �/o INSPECTION REPORT ¢1�ZN G?'O Permit No.: of 5 e 2-8 Lot#: S Address: 2-D 7 0 ? c 6,0 Contractor: O Owner: 9S�INO� 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. S z� �t<•s 3 y o���'tr Inspector: S -t � Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping Qkf Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: C I T,f QF- A F?L I lgca-ru V COIVST FRUCT I OIV PE HM I T ICE Ft I T NO_ = 014-5824E3 Owner: HOUSING HOPE 5630 EVERGREEN WAY EVERETT 98203 Value of Mork: 589, 000. 00 Tax ID: 009158-000-005-00 Phone: 425-347-6556 Describe Work: NEW SINGLE FAMILY RESIDENCE Proposed Use: SFR Legal Description: THE BLUFF LOT 5 Job Address: 20707 CIRCLE BLUFF DR Contractor's Name Type Address License# HOUSING HOPE GEN 5830 EVERGREEN WAY HOUSIHI028RH ALL WAYS AIR CONTROL NEC 11674 HIGGINS AIRPORT WY ALLWAAC074C3 WOLFE PLUMBING INC PLB 12924 OLD SNOHOMISH/MONROE HW WOLFEPI033Cv P E R N I T F E E S Equipment and Fixturea Number Fee Total Charge PLUMBING FIXTURES 1tl $10. 00 $1@0. 001 FURNACE/UNIT HEATER 1 $15. 00 $15. 00 VENTILATION FANS 4 $7. 00 $r8. 00 DRYER 1 $11. 00 $11. 00 WATER HEATER 1 $15. 00 $15. 00 GAS PIPING 1-4 OUTLETS 1 $6. 00 $6. 00 S U B T O T A L. . . . . . $175.00 TOTALS Fee Permit Fee $1, 013. 00 Equipment S75. 00 Fixture $100. 00 Mech Permit $24. 00 Plan Fee $658. 45 Plumb Permit $25. 00 State fee $4. 50 SIGNATURE: TOTAL FEE. . . . . . . . . . . . . . . . . $1, 899. 95 I HEREBY C FY TLHAT I HAVE READ NW D THIS AP LIGATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $601.09 AME TO BE TRUE AND COR- ROVISIONS OF LAWS AND TOTAL DUE. . _ _ . . . . . . . . . . . . . $1, 298. 86 GO'� N—:G THIS `I`YPE OF E MP` - ED WITH WHETHER N HOOT.DATE RECEIPT `�/� UI _ FICIAL v 'I3M3S V d3.LVM NO.LONIMW d0 A.LiO aards 8uIe3-;I-bs 860'I!IN2iQE£ :NV'Id 3SfIOH 0090000080600#'130'dVd XV.L NgIA3S78 2I3 LVM NO.L'JNI'IZIV d0 ADD £O186 VM'.LLnaAS aards BuIAS V•bs 860'I!M(IO£ :NV'Id 3SfI0II AVM NSS?011aA3 0£8S 0090000080600#'I302IVd XV.L ONISfIOH d'ISH 3'I3S £OZ86 VM'.LLS?I3AS S3II-d3dO'dd 3dOH JNISfIOH :d3?I AVM N3SZ ow A3 OM AlXnO0 HSIINOHONS'LOO96OLOi002;N3V ONISnOH d'ISH d'ISS VM'NO.LONImry 30 A.LIJ SSIBUd02Id SdOH'JNISfIOH :Clgd iIQ d3fIrM 3'IJ2IIJ SO LOZ :SSZHa(rV 3.LIS A.LNnO0 HSIINOHONS`LOOS6OLOi00Z NdV IVIINIINOQN00 V'NO.L`JNIrMV.LV 3dfl'III 3H.L VM'NO.LONI'RIV 30 A.LIO .9T «T 3IVJS 9 JUNrI -da 33f1'Is 3'IOiIIJ-r OL O Z :SS3iIQQV 3.LIS INfIINIWOQN00 V'NO.LONI'mv.LV 33f1'Ifl 3H.L .91—..I=3'IVJS C.LII�IIl Vol-) 1 1� N i o f Koddb� F •r1 N Q - o+ n3n i 9l 5 5 o - -a------ - . ------ ist..r+nate ........!�. i pQ �ptS 9 r N `o 44 r .I .tZ ------- ............ n'�+ r � I;nloo� ,.f•. � r,�o,v Boa -- r.,. jr--a 0 !�'bUO q fvc^S Y MIA oo 'bZ So' c Z 0 CITY OF ARLINGTON CONSTRUCTION PERMIT ; ® COMBINATION ❑ BUILDING ClMECHANICAL ❑ PLUMBING [ISIGN PELIT NO. UyVy R J' / MAIL ADDRESS CITY ZIP PHONE V;IL.� �C- 41 �_ <<._ ARCH ITECT'UWDESIGNER AIL ADDRESS G'� r/LL.3 ]Z- ,�q 7' (��3 CITY I� ZIP PHONE JaY><om Ambitecimm & Plar>uM 2124 T ird Ave, Suite 200 Seattle, iA %121 206-448-7580 MAIL ADDRESS CITY ZIP PHONE LICENSE f Tedni®1 Assistance Agent: Ho r&g Hope, Inc. 5830 Evpargr>`an play Everett, iA 98203 425-347-6556 HJ[=OM;li MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE f All-Ways Air Control 11674 Hi5gins Airport way, RIrr1i nrTton Da 9R233 3Arf-71,7-,Cf�3 AGCDJ4rC1M-Q PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I 4+b1fe P1ulbir>g, Inc. 12924 Old &ld>LTr §VMmroe Hwy. 9rhnish, f A, 98290 360-568-%533 KIEEPI033CJ CLASS OF WORK FX]NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK f ()0_'oe DESCRIBE WORK Owner new ca-strL-tiQn cf duplac PRUPOSk D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- 2 units €f Single Eadly Foci TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- l1GAL DESCRIPI ION Of PRUPLRTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LUr BLOCK OF See Attadied WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE C GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO l 56 Q OSDD VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TM ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF Sea CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATUPEOFCeWeAG2=9RAU ORIZED,AGEM DATE 108 AUDRLSS �_ _ t{ GV ,b See Attacd X t ; leZ I (OFFICE USE ONLY) MECHANICAL PLUMBING NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE----�, WATER CLOSET (TOILLI) AIR COND.UNITS-H.P. EA. BAI III UB REFRIGERATION UNITS-H.P.EA. LAVATORY(WASH BASIN) BOILERS-H.P.EA j p SHOW'LR GAS FIRED A.C.UNITS-TONNAGE EA. KI ICIIL'N SINK&DISP. FORCED AIR SYSTEMS-B.T.U. MEA DISHWASHER ') WALL HEATERS- B.T.U. M LAUNDRY TRAY UNI1 HEATERS- B.T.U. M CLOI IfES WASHER I EVAPORAI IVE COOLERS WAIER BEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN 1 AIN RANGE HOOD COMMERCIAL I"LOOK DRAIN AIR HANDLING UNIT- GPM f� VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE b CHIMNEY 1 SINK (SERVICE - BAR,ETC.) WATER HEATER GAS PIPING SUBTOTAL $1 SUBTOTAL f PERMIT $ PERMIT f TOTAL FEE f TOTAL FEE f SIUL YARD SSUBACK STRLLI SLI yCK REAR YARD TACK PLAN CHECK NUMBER PLAN CHECK FEE M. USE / V'M LOT/� FA / VACANT SITE RECfcI � `/ L/ 1 ES ❑NO FEES VALUATION r FEE TYPE OF CONST / UCC NCYAlP NO.OF D7LLING UNITS PLAN CHECKING VG - 1 l BUILDING f � ci SILL LDS,,. NO.OF ILS MAX.OCC ", PLUMBING FIRE SPRINKLERS REQUIRED ❑YES L&O MECHAMCAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE r PENALTY u B.c. v Gv SEC.303(a) REWATER/SEWER FEES TOTAL �Lti�NG DEVI PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT COP, PAID CRn BY cc:ASSESSOR,APPLICANT,TREASURER, BLDG.DEPT. BUILDING OFFICIAL DATE RECORDS COPY