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Home My WebLink About20703 CIRCLE BLUFF DR_045830_2026 INSPECTION REPORT 4tiIN GTO Permit No.: Q 5e 3o Lot#: 7 T Address: Contractor: O Owner: s�1NC'� Date: 8-- 17-0_r VAL ❑ 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 R INSPECTION - 24 hour notice required. --------------- T� Inspector: Date: r TYPk OF INSPECTION REQUESTE ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove U Rough-in 2A Final ❑ Masonry J Drainage ❑ Insulation ❑ Other: INSPECTION REPORT P ¢y1N G , OPermitNo.: 01f 563 Lot#: .� Address: 2-0`7 0 - 6 .9 Z Contractor: i4 t a-p O Owner: I N C',S Date: S - ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION 4,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. _elf 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 Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢ti1N G 1'O Permit No.: oy 6830 Lot #: Address: �-c-7 o r- �3 0 Contractor: N a jg,�' O Owner: IN GAS Date: 5-- - LL 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. ev, Inspector: �c,t��'� Date: 5,— 2-O 0,5� TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing .YDrywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: Jj{/1 INSPECTION REPORT Q' J y3�Permit No.: aClot ot#- : Address: Contractor:�4i- -0 Owner: 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: r 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: c3v-v INSPECTION REPORT T ¢ti1r' G�O Permit No.: 0 q 5S 3 o Lot#: '7 Q" Address: ;?-o7o3 c-�3 v Contractor: 1--ta o c5- O Owner: 9s IN�� 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 ;Id Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork �� ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: : _ 3°5 nll� INSPECTION REPORT �ytN G J5, Permit No.: 01 5630 Lot #: Q' Address: 2�o"7 o 3 C-6D Contractor: IN OHO 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: TYPE OF INSPECTION REQUESTED ❑ Under-floor OK Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork �i( Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 2zu INSPECTION REPORT N G 1'O Permit No.: 014 5 W S,-, Lot#: 7 Q' Address: 4-a-) 05 �-6 Contractor: Owner: INS Date: 14-s-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. Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing AGas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 4y1N G?'O Permit No.: 0q 6830 Lot#. Q Address: 2,c-JX j c,6 ZContractor: t �4- e� O Owner: IN � Date: 3-16 --c5 (KAPPROVAL ❑ 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: i.. Date: 3 46 -njr 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: r� INSPECTION REPORT ¢ti1N G?'O Permit No.: Q q 5930 Lot#: `7 Q" Address: 2-o 7 o 3 C-63.0 Contractor: 14- hy-Pt�'_ 9s �O Owner: III N G Date: /- Zb -® 5 ❑ APPROVAL XPARTIAL 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. T7> v- Inspector: s Date: /-2IL- r�S 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: INSPECTION REPORT ¢1 ,1 G r0 Permit No.: 36 Lot#: Ir Address: 0 02613 Contractor: Owner: f� " �IINC' Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION p,CORRECTION REQUESTED O-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. -Poe/ Inspector: 10 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 ?' Permit No.: o4 S81a Lot #: 7i7i Address: 20 7 03 U6 0 Contractor: Th P c O Owner: OS Date: ❑ APPROVAL l 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 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_1_X1f+7_ INSPECTION REPORT ¢tiiN G ro Permit No.: o,4 S C 3 a Lot #: 7 Q Address: 3-0-7 o 3 c-B D � z Contractor: �_f O Owner: 9s'0ING Date: '1-8_o`f �4 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: E 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: NSPECTION REPORT Permit No:-0 ��3 C Date: �1;4v Address/Lot No,: '� Zc��o CiVcle 3I uZ (f->— Contractor: ��!1Q a-e 4 Owner: Supervisor: Gt- AsL 10 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: _ TY E OF INSPECTION REQUIRED TESC STORM DRAIN ROAD LANDSCAPING El 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 4.Infiltration ❑Final �')T INSPECTION REPORT 4y�N G?O Permit No.: J�J� Lot #: 7- Address: 7102 (!�& z Contractor: / -�Up O Owner: I N C',S 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: S z.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 ❑ Final ❑ Masonry Drainage ❑ Insulation ❑ Other: IN PECTION REPORT v1S Y �� Permit No: OL{ -S'�3 0 Dater �,� Address/Lot No:_T ?-(-)-I C 3 C� I vC 1� (Llk ff ( v Contractor: M l t-t a Ho/o- 9 I fr'l jN G S� Owner: 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: TYPE OF INSPECTION REQUIRED TESC STORM DR ROAD LANDSCAPING ❑Slit Fence ❑Pipe ❑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 -7 ¢� INSPECTION REPORT ¢t,1N G?'� Permit No.: oV 59 3 a Lot#: 4' Address: 20-1 n 3 C43 0 Contractor: h-Z�-PC' Owner: IN Date: Lf— Z 3— o,�' ❑ APPROVAL f 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. t3 7^O 6/A-EILEi L Inspector: -S Date: 14-2-3--0=' 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: l3e INSPECTION REPORT N G?,0 Permit No.: v y 58 3 o Lot #: Address: 2-0170 3 c O o � Z Contractor: j N OHO 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. 77 Inspector: Date: �— YPE 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: `(v INSPECTION REPORT 4ti1N G rO Permit No.: v q 5?30 Lot #: 7 Address: 20 7 0 3 e-6 O Contractor: 106- O Owner: �r N G 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: f5`ay TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping 4 Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: G I T"' C3 F= i=i R LL I iq C3`T C]tV C-UtVSTRi_.1CT I Uh! PERM I T PE FRM I T P4C3 _ _ Qn4—S4E33Q] Ovner: SANCHEZ. JOSE 6510 - 212 T H ST NE # 6242 ARLINGTON 9622- Value of Work: $89, 000. 00 Tax Ili: 009158-000-007-00 Phone; 360. 403. 150 Describe Mork: NEW SINGLE FAMILY RESIDENCE Proposed Use: SFR Legal Description: THE BLUFF LOT 7 Job Address: 20703 CIRCLE BLUFF DR Contractor's Name Type Address License# HOUSING HOPE GEN 5630 EVERGREEN WAY HOUSIH!028RH ALL WAYS AIR CONTROL MEC 11674 HIGGINS AIRPORT WY ALLWAAC074C3 WOLFE PLUMBING INC PLR 12924 OLD SNOHOMISH/MONROE HW WOLFEPI033CJ P E R A I T F E E S Equipment and Fixtures Number Fee Total Charge - - - - - - - - - - --- -- - - - - - -- - - - - PLUMBING FIXTURES 10 $i0. 00 $100. 00 FURNACE/UNIT HEATER 1 $15. 00 $15. 00 VENTILATION] FANS 4 $7. 00 $28. 00 DRYER 1 $i1. 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 $75. 00 Fixture $100. 00 Tech Permit $24. 00 Plan Fee $658. 45 Plumb Permit $25. 00 State fee $4. 50 SIGNATURE: TOTAL FEE. . . . . . . . . . . . . . _ . $1,899. 95 I HEREBY C*- TH1ATLjH4VE REAitAND EXAMINPPION AND PAYMENTS. . . . . . . . . . . . . . . . . . $601. 09 KNOW THE SAME TO BE TRUE AND COR- REC LL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $1, 298. 86 ORD N NCE- MOVE 'IN , THIS TYPE OF WO ILL E C L ED WITH WHETHER SF " FIE ) y O NOT. DATE RECEIPT # FFIUAII z -a a N SWALr ORA��J 7 I c-�+tr ce.g� e...Lt 7' � -, Roo-C DR4,�1 .s T y•� F�7 Ny CR o,J -_- ......- - _ - — - - - F,J.1. I; a a 6 S;deyGr� ELEV-1,it tJ ............. ----------------- ------- � N a o it" AppoK c 1 �.. 1,5'srde..ro lk -"^�• 00 01 Ied wakueaSew«.� Pam'.-S•e v+tie,+1� � s�dew�11� �3v %11 00� UNIT 7 SCALE:1"=16' UNIT 8 SCALE:1"-16' THE BLUFF AT ARLINGTON,A CONDOMINIUM THE BLUFF AT ARLINGTON,A CONDOMINIUM SITE ADDRESS: 20 703 CIRCLE BLUFF DR SITE ADDRESS: 20-7 01 CIRCLE BLUFF DR CITY OF ARLINGTON,WA CITY OF ARLINGTON,WA AFN 200107095007,SNOHOMISH COUNTY AFN 200107095007,SNOHOMISH COUNTY REP: HOUSING HOPE PROPERTIES REP: HOUSING HOPE PROPERTIES SELF HELP HOUSING SELF HELP HOUSING 5830 EVERGREEN WAY ( 5830 EVERGREEN WAY EVERETT,WA98203 I EVERETT.WA98203 TAX PARCEL#00915800000700 TAX PARCEL#00915800000800 HOUSE PLAN: 3 BDRM;1,098 sq.M living space HOUSE PLAN: 3 BDRM;1,098 sq.f.living space ' CITY OF ARLINGTON WATER&SEWER CITY OF ARLINGTON WATER&SEWER CITY OF ARLINGTON CONSTRUCTION PERMIT Skx ® COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. MAIL ADDRESS CITY ZIP PHONE 7 .J_Ose } ��{•,�,� 165iO - 7_12-0,54.N044-GZ'-iz. WA 182z3 36e-q03- J507 Z 5(:"t.�n r -- ARCHITLZTU7tDESIGNER MAIL ADDRESS CITY ZIP PHONE Jdmm Arddbectare & Plwning 2124 ` Ard Ave, Suite 200 Seattle, VA 98121 206-448--7580 MAIL ADDRESS CITY ZIP PHONE LICENSE N `Iadnical Assistarre Agent: HaniM Hope, Inc. 5830 E=zg� way Everett, M 982M 425-347-6556 1-D[b'IFII02M1 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ All-Ways Air Control 11674 Higgins Airport Way, Rtlrli nnton TAm O-QQ V4-�-757-4;r�:1 AU TA cTM-Q PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II Wolfe Plumbing, Inc. 12924 Old &rhmidVMmrue Hwy. ST bmish, 4A 98290 360-568-%53 iu=I033CJ CLASS OF WORK ®NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK ! SO, 000 DESCRIBE WORK Owr�r/milder m.7 CaistwctiCn af duplz� PRUPOSt D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- 2 Tuiits of Single Earl P,esi TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL UESCRIPI ION OI PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOf BLOCK • OF See Attached WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF S� CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF / ' A THOyI RI ZED AGE� DATE IOB ADDRESS /y�� See AttadTed X' "��C (OFFICE USE ONLY) M HAhfICAL ' PLUMBING NO. TYPE OF FIXTURE FEE NO, TYPE OF EQUIPMENT FEE WATER CLOSEI (TOILET) AIR COND.UNITS -H.P.EA. BA I I11 UB REFRIGERATION UNITS-H.P.EA. LAVATORY(WASH BASIN) BOILERS-H.P.EA �1 SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. / J` KI iCHEN SINK&DISP. FORCED AIR SYSTEMS- B.T U. EA UISHWASIIER / I WALL HEATERS-B.T.U. M LAUNDRY TRAY v UNII HEATERS- B.T.U. M CLOI IILS WASHER / EVAPORAI IVE COOLERS WATER HEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN I AIN RANGE FIOOD COMMERCIAL I-LOOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY SINK(SERVICE - BAR,ETC.) WATER HEATER I / GAS PIPING �� SUBTOTAL ! SUBTOTAL ! PERMIT $ PERMIT ! TOTALFEE $ TOTAL FEE ! SIDL YARD SACK STREEI/L r rCK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE 11 Q �" FF��O •l� RECEIPT NO USE /QMt I- LOT AREAD , VACANT SITE ""lT L DYES ❑NO FEES VALUATION FEE TYPL OF CONS OCC ANY OUP NO. WELLING UNITS PLAN CHECKING VG )� ^ �� I SILEO vx'. NO.OF SCT� ILS MAx.000,10A0 BUILDING PLUMBING F IRE SPRINKLERS REQUIRED ❑YES ❑-NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE 5URCHARGE U.B.C. c PENALTY SEC.303(a) WATER/SEWER FEES' RECEIVED TOTAL JAN 21 2004 PERMIT VALIDATION WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT COA BUILDING DEPT PAID CR# BY cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT. BUILDING OFFICIAL DATE RECORDS COPY