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HomeMy WebLinkAbout20705 CIRCLE BLUFF DR_045829_2026 �S SzrP,� Q INSPECTION REPORT ¢1,IN G?'o Permit No.: 09 58 z,ci Lot #: �( Q" Address: ?Zoo ©S— C B D Contractor: h: two-p-. - ems, �O Owner: 4I N G Date: g 1 '7 ROYAL ❑ 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 VC- Of Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: Q� INSPECTION REPORT 4ti1N G l0 Permit No.: ©''i 5 fj%Ai Lot#: 40 Q' Address: -A-02 r s' `& Q Contractor: Ave Y O Owner: INC'� Date: ❑ APPROVAL ❑I PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED y4-eorrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ C L 435-0674 FOR RE- NSPEC�JON -4 hour notice required. Date: Inspector: 14 ^G� 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 4 Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ii T PermitNo.: 8q 5�Z9 Lot #: Address: 2®ro5 GII.0Contractor:O Owner: O Date: 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: �z--� Date: Jr' Z -0 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing §ik Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ZN G r� O Permit No.: ems`/ 5&2- Lot#:' Ir Address: 2o`7 c-5- e-60 O Contractor: Owner: IIINO Date: - A 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. An a A�PIL-cab Inspector: tin- Date: L 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: z Rt;-- INSPECTION REPORT +t,ZN G J,O Permit No.: 04 5f&z,5 Lot #: G Q' Address: 1-0-7 05 Gr3 o Contractor: I+ H-bfr O Owner: Date: ` -72(-0 g — !�PPROVAL ❑ PARTIAL APPROVAL `J 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 A Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork bd,mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: z'2.re INSPECTION REPORT Q ; iiI rPermitNo.: ®4 59Zfl Lot#:Address: 2 105 e-6 0 Contractor:Owner: 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: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing 9 Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: Q INSPECTION REPORT ¢�. O Permit No.: ®4 58 2-) Lot #: �- Q" Address: 2-,o 7 eS e-8 v Contractor: � Z O Owner: 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. 11 Inspector: w 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: Z5 q6 j INSPECTION REPORT -) iio PermitNo.: oq 5%L9 Lot #: G Address: 20-7 o5- LF3 0 Contractor: �P6- Owner: Date: 1-2,lo-05' ❑ APPROVAL X 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. N Q� Tts 5 UtT �—rtA.i-►Z'S Inspector: ��-i-�' Date: /—2-4`d1— TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation rt�- Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢S.ZN G?'O Permit NO.e_ — Lot#: Q' Address: �7� = C Contractor: A/ —A/ qs, �O Owner: _ SIN O Date: C/ S ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION z6CORRECTION 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. oe Inspector: Date: / TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation 0Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 14tl N GT Permit No.: 04 S SZ1I Lot#: Address: � -7 oS' c-r30 Contractor: 1-4 � Pc-- 0 Owner: N GAS Date: 9 A 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. 57'-susI—e� ✓7nr-d 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:. SM6 !� SS N� INSPECTION REPORT 4C, ti1 N G?'O Permit No.: O 1/ S?2-9 Lot#: Q' Address: �-7 0 5 1-6-0 Contractor: I--fa Pcf 0 Owner: 9IIjNG ' 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: idv Date: TYPE OF INSPECTION REQUESTED AI.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 r 41f 1�Y � Permit No: ()`�—S�Z'7 Date: q1 6 4 Address/Lot No: : (o , p 4 CI c�C I �V 9Contractor: t7[W SI' Q llN GA Owner: Supervisor: 19 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 Inspe r. _ Date: ZQ TYPE OF INSPECTION REQUIRED TESC �ST._ORRM__DRAIN ROAD LANDSCAPING ❑Slit Fence J 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 flnfiltration ❑Final INSPECTION REPORT S57 rYI ti 1N G?'O Permit No.: " / Lot#: 4- , Q' Address: � z Contractor: -HD p5 O Owner: 9`r4I N 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: c.0 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 REPOT f STY O Permit No: dam{ 'S Zc'1 Date: ! 2-11 C) �I i&,4CF1, Address/Lot No: � t 201 O S C I y('I e9Contractor: !—f n )GI ✓t Gi �Ur2400? G` Owner: Supervisor: at� a As k,,t)E ❑ 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: =TYPEPEICTION REQUIRED TESC 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 Z-Aft$ INSPECTION REPORT ¢ti1N G?'O Permit No.: Oil 58 Z-5 Lot#: Q Address: 2-0-1 0 5 C-3 D Z Contractor: ►-lw i Owner: IN O.0 Date: Zf- 2-3-a 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. -POs/-m► c C 4 A-W 2L - rt. .•3 Y3l I3t4c. Gi L,L. Inspector: r 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 ¢1 Z1 G�O Permit No.: o q 58 2-9 Lot#: Q" Address: a_cb11 o s c a n - Contractor: 0 He y Owner: IN O Date: y - 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 I SPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation 4 Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ii OPermitNo.: oLl 5�2g LotAddress: � � °�Contractor: 1-I-oY0cF_Owner: O Date: q-l5,—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. eTYN h 3 Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping 5d Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: C I TY UF= AFtL I MCGTON CQIhlST' RUCT I OIV PE RM I T PERM I T 1V0 _ 4—S4B29 Owner: HOUSING HOPE 5630 EVERGREEN WAY EVERETT 96203 Value of Mork: $89, 000. 00 Tap: ID: 009158-000-006-00 Phone: 425-347-6556 Describe Mork: NEW SINGLE FAMILY RESIDENCE Proposed Use: SFR Legal Description: THE BLUFF LOT 6 Job Address: 20705 CIRCLE BLUFF DR Contractor's Name Type Address License# HOUSING HOPE GEN 5630 EVERGREEN WAY BOUSIHI026RH ALL WAYS AIR CONTROL MEC 11674 HIGGINS AIRPORT WY ALLWAAC074C3 WOLFE PLUMBING INC PLB 12924 OLD SNOHOMISH/MONROE HW WOLFEPI033CJ P E R M I T F E E S Equipment and Fixtures Number Fee Total Charge ----------------------------- - - - - ------ ------ -------- ---- -------- PLUMBING FIXTURES 10 $10. 00 $100. 00 FURNACE/UNIT HEATER 1 $15. 00 $15. 00 VENTILATION FANS 4 $7. 00 $26. 00 DRYER 1 $11. 00 $1i, 00 WATER HEATER 1 $15. 00 $15. 00 GAS PIPING 1-4 OUTLETS 1 $6. 00 $6. 00 S U B T 0 T A L. . . . . . $175.00 TOTALS Fee Permit Fee $1, 013. 00 Equipment $75. 00 Fixture $100. 00 Mech Permit $24. 00 Plan Fee $656. 45 Plumb Permit $2 5. 00 State fee $4. 50 SIGNATURE: TOTAL FEE. . . . . . . . . . . . . . . . . $1, 899. 95 I HEREBY CE '7.:A JATION AVE READ A" EXAMINE :IS APP:- AND PAYMENTS. . . . . . . . . . . . . . . . . . $601. 09 K D THE SAME TO BE TRUE AND COR- K C ALL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $1, 298. 86 jjkR I ANGWOHILIA NAOED THIS TYPE OF K WIL• P WITH WHETHER C FIE NOT. DATE RECEIPT # DIN 3 � a J / z o 0 N n Z`i.ois' 7- o 0 Su9a{r— pqq„U� 10 Vltc�re� eas2w.ea.{- '7' 7' 7o DA FCCT,VO 0110'Aa is o 'j (� i' E(E✓+ ' ______ i Ge . Y F1Etf i o^ N U s � r fo' ?UE: 42C' ate.= SidQwolk� 0,-;rc le- [S�d��Ur. RECEIVED JAN 21 2004 COA BUILDING DEPT UNIT 5 SCALE:1" 16' THE BLUFF AT ARLINGTON,A CONDOMINIUM SITE ADDRESS: 2 0-7 0-7 CIRCLE BLUFF DR. UNIT 6 SCALE:1" 16' CITY OF ARLINGTON,WA THE BLUFF AT ARLINGTON,A CONDOMINIUM AFN 200107095007,SNOHOMISH COUNTY SITE ADDRESS: 20 7 O S' CIRCLE BLUFF DR. REP: HOUSING HOPE PROPERTIES CITY OF ARLINGTON,WA SELF HELP HOUSING AFN 200107095007,SNOHOMISH COUNTY 5830 EVERGREEN WAY REP: HOUSING HOPE PROPERTIES EVERETT,WA 98203 SELF HELP HOUSING TAX PARCEL#00915800000300 5830 EVERGREEN WAY HOUSE PLAN: 3 BDR1VI;1,098 sq.It living space EVERETT,WA 98203 CITY OF ARLINGTON WATER&SEWER TAX PARCEL#00915800000600 HOUSE PLAN: 3 BDR1V1;1,098 sq.M living space CITY OF ARLINGTON WATER&SEWER CITY OF ARLINGTON CONSTRUCTION PERMIT -�// ® COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT PERMIT NO. MAIL ADDRESS CITY ZIP PHONE W ifS 2S' 3 ARCHITECT? WDESIGNER J v V MAIL ADDRESS U CITY // ZIP PHONE Jdmsm Archite--Wm & Pla]mim 2124 n ird Ave, Suite 200 Seattle, 4A 98121 206-44�7580 MAIL ADDRESS CITY ZIP PHONE LICENSE 0 T dmml Assistance Aga).t: fb3sing Hope, Inc. 5830 Ewezgnm 44ay Everett, TA 98203 425-347-6556 HJC15IiII028M MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE All-ways Air Control 11674 Higgins Airmrt way, Burli nntnn TAA 98233 AUVJmA-j AJQ PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ Nblfe Plullbing, Inc. 12924 Old a e htq. 4rbm i Gh, VA 98290 360-568-9653 hU=033CJ CLASS OF WORK R]NLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK s 90, 000 DESCRIBE WORK 09 er/adlder new ca strLetim of PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- 2 outs of Sir-pie Eardly Rgsiderce TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL UESCRIPT ION OI PROPERTY(SHOWN BELOW OR ATTA(H FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOr BLOCK-----.:—OF OF See Atttadai WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE D ( �� -kovooCQOa VIOLATGRANTING OF A E OR CANCELITHDOES NOT PRESUME EE PROVISIONS OF AONY 1VE AUTHORITY TO 0 HER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF See CONSTRUCTION.PERytIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF AUTHO AGENT DATE JOB AUUR�$S-7fe �S tez/� Z o 6 > See Attz1E3d 3E c_1t [ (OFFICE USE ONLY) MECHANICAL PLUMBING NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSEI (TOILLI) AIR COND.UNITS -H.P. EA. BA I H I UB REFRIGERATION UNITS-H.P.E.A. LAVATORY(WASH BASIN) BOILERS-H.P.EA SHOWER I GAS FIRED A.C.UNITS-TONNAGE EA. / KI ICI ILN SINK&DISP. ! / FORCED AIR SYSTEMS-B.T.0 M A / -IL UISHWASIIER WALL HEATERS-B.T.0 M LAUNDRY ]RAY I UNI1 HEATERS- B.T.0 M CLOIIIES WASHER l EVAPORAI IVE COOLERS I j WATER HEATLR CLOTHES DRYERS \ URINAL VENTILATION FAN DRINKING FOUN 1 AIN I RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT- CPM .i VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY SINK (SERVICE - BAR,ETC.) WATER HEATER / GAS PIPING SUBTOTAL f SUBTOTAL f PERMIT f PERMIT f TOTAL FEE $1 TOTAL FEE f SIUL YARD SE I BA(,K STREET SLTB K REAR YARD SETBACK PLAN CHECK NUMBER �.DPI AN CHECK FEE C` ( FE40 [/jam RECEIPT O�� ✓ USE /ONI LOT AREA VACANT SITE —� I e2l' ❑YES DNO FEES VALUATION FEE 1 L OF CONS . OCCUPAN GROUP NO.OF DWELLING UNITS PLAN CHECKING VG 3 Gr BUTDING f SIZE L NO.OF S ORILS MAX.OCC.LOAD l , PLUMBING F IRE SPRINKLERS REQUIRED YES NO MECHANICAL STATE BLDG.CODE COMMENTS �` ENERGY CODE SURCHARGE PENALTY U.B.C. / k / SEC.303(a) _/ WATER/SEWERFEES! G DEP`[ % TOTAL ��A BuILDIN ..�i PERMIT VALIDATION WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT \p/ PAID CR# BY cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT. BUILDING OFFICIAL DATE RECORDS COPY