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Home My WebLink About5721 CIRCLE BLUFF DR_035393_2026 INSPECTION REPORT 1;4 TOPermit No.: C ? S3y 3Lot #: 57 Address:Contractor:,SO Owner:Date: APPROVAL ❑ PARTIAL APPROVAL 0 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. r I ns pector: 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 el Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢titN G TD Permit No.:� ' e _�-tot#: Q" Address: Contractor: -es, ov O Owner: �I N 1 Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION A CORRECTION REQUESTED 1)6 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. t��e n 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: INSPECTIC,", REPORT c G1T Y p� Permit No:a��✓� Date: 61,rl�lx 49 Address/Lot Contractor: G ti k, Owner: Supervisor: 3 ` 'WApproval ❑ 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 Inspect Date: r2 TYPE OF INSPECTION REQUIRED TESC STORM DRAIN 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 jjnfiltration ❑Final INSPECTION REPORT N G r0 Permit No.: 3� Lot #: F Address: 67 z i C 13 Z Contractor: Owner: IN Date: 5— 7--0 (-( &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. Fie,c� �.5�'3 7 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: %f :a30 INSPECTION REPORT ii Permit No.: t, 3 53 93 Lot#: �Address: S 7 LI ed.DContractor:Owner: � Date: 4 -�i -o k 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. od Inspector: Date: YPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing I Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: s 5 Z INSPECTION REPORT PermitNo.: o 3 S3 93 Lot# ii .Address: S?zI c-6 0 Contractor: Owner: GG Date: �►'7—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: Date: PE 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: 3 5 2 PIS INSPECTION REPORT N G r0 Permit No.: _o 3 5345 Lot #: �S Address: 5"7 Z 1 C& d Z Contractor: H-o�6' 9s, ,So Owner: �jNC' Date: g-7—Del ❑ 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: 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: Io o8 INSPECTION REPORT 4'S'41 1�ZN GPermit No.: 01 S393 Lot#: 2-% QAddress: 5 77-1 C-6 D Contractor: N�rt s r Owner: YN O Date: 'i —1 - Oct ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION A CORRECTION REQUESTED A)-Qorrections 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. L&_ s��s.d L oG/ 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 fi4r Insulation ❑ Other: INSPECTION REPORT w 1;4 PermitNo.: 0-3 539z Lot#: L)- 7Address: 5-717 c_Q P Contractor: 4 ►-fo POwner:Date: L/ - v ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION O'CORRECTION REQUESTED A-Gorrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INS ECTION -24 hour noti a required. 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 ElMasonry ❑ Drainage ( 00 Insulation ❑ Other: INSPECTION REPORT 4y1N GTO Permit No.: 53V Lot *: �9 Address: 7d / C Contractor: L4— ��Zx e!!7- O Owner: sI NG 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. i Inspector: Date: TYPE O PECTION REQUESTED ❑ Under-floor Framing ❑ Gas Piping ❑ Footing L� Drywall, Nailing ❑ Consultation ❑ Foundation n Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: N G ' INSPECTION REPORT L 1� I0 Permit No.: 03 5353 Lot #: :;L-8 F' Address: 5-7 Z 1 G6 o Contractor: "I r �s Owner:I N G'� Date: 3-► 5- O4 — ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED 9.Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. C CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. 5 T/.-� c-vf 7- I NS:i-L t7(Ij— Tax9T ,,5 .ST r_L,>r teu s r�q& S D r"R fll 1" S 7T F' r cf T /�l e>2'�L— rt i /3 L:r �'- •1 r�/7x 7Z Ld.�FvL! AS .s T/+-;_� f✓ 1-4— a ..1 6 Ld 6 eF�4�11 t A) A—r- r Inspector: 5Z.cS'tt` Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor A Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ;d Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT J ii T Permit No.: 9 Lot#: cAddress:Contractor:Owner: Date: APPROVAL ElPARTIAL 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. � L Inspector: Date: YPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork Mechanical El Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: \n� INSPECTION REPORT 107 P�Y1 iN cr 3..�3y� ¢L O Permit No.: Lot ff#:''\\2 Address: `� Zal '_bL) Contractor: �Z- j 9s �O 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: Date: - � YPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove --4_Bz4h-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: /!.5J7- INSPECTION REPOF- 4ti1N G?'o Permit No.: 5393 Lot#: Z 8 `Z Address: 5-7 7--1 6 8 D • • r z Contractor: t4- 93, ,t4 Owner: LINO Date: /- 2-7-o Y t- -- A-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. z Inspector: ��-< i— Date: _/�2- 7-0 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: INSPECTION REPORT 4ti1N G 7'0 Permit No.: /nLot #: Q' Address: 72 Z Contractor: . i N OHO Owner: Date: 1 Z 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. Inspector: �-L " Date: lz-3o cl TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation Shear Nailing ❑ Groundwork ❑ Mechanical fJ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT n� ii TO Permit No.: _ �/ LotAddress: 5 7Contractor: -0 Owner: O Date: �� - r APPROVAL 0 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. � fry Inspector: Date/"2. l PE 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 If,,r!G iIN NG?' Permit No.: 5395 Lot#: 28 Address: S7 z1 �6o Contractor:Owner: O Date: f d -3 i-103 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. 0 u tsL}Ar�i CH,-- Inspector: 5 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 gZ 7 IN 9G Permit No.: J:S W3 Lo t D#: Address: 5791 Contractor: N- 141D)011?1� Owner: Cate 11-2' Je� a� 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: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation undation ❑ Shear Nailing ❑ Groundwork Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: to ss P INSPECTION REPORT 1C¢tiIN G 1'o Permit No.: 5313 Lot#: 2-5 Q' Address: 5-7 2-1 C 6.D Z Contractor: tea$�� zaN� `Y�, Owner: /� tfo"C SIN Date: /0 - 8- 03 ,)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. boa r�6Ji z2?Ygov e-'o S--�,4rks Ali o.�✓�J� I__ Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping I&( Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: C I TY OF ARL I IVCGTON C O N S T R U C T I O N P E R M I T P E R M I T N O _ O 3—5 3 9 3 Owner: HOUSING HOPE 5830 EVERGREEN WAY EVERETT 98203 Value of Work: $117, 000. 00 Tax ID: 009158-000-028-00 Phone: 425-347-6556 Describe Work: NEW SINGLE FAMILY RESIDENCE Proposed Use: SFR Legal Description: THE BLUFF UNIT 28 Job Address: 5721 CIRCLE BLUFF DRIVE 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 WOLFEPI033CJ P E R H I T F E E S Equipment and Fixtures Number Fee Total Charge ----- ------------ - - -- - - - - - -- - - - - - - - - - - - - - ------- ---- PLUMBING FIXTURES 13 $10. 00 $130. @0 FURNACE/UNIT HEATER i $15. 00 $15. 00 ' VENTILATION FANS 5 $7. 00 $35. @@ DRYER 1 $11, @@ $il. @@ WATER HEATER 1 $15. @0 $15. 0@ GAS PIPING 1-4 OUTLETS 1 $6. 00 $6. 00 i S U B T O T A L. . . . . . $212.00 TOTALS Fee Permit Fee $1, 179. 20 Equipment $82. 00 Fixture $130. 00 Mech Permit $24. 00 Plan Fee $766. 48 Plumb Permit $25. 00 State fee $4. 50 E SIGAATURE'_= TOTAL FEE. . . . . . . . . . . . . . . . . $2, 211. 18 I HEREBY C Y HAT' I HAVE READ A EXAMIN D THIS APPL ATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $818. 02 K O THE SAME TO BE T E AND COR- K C ALL P OVI ION OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $1, 393. 16 DI ANCES GOV NI THIS TYPE OF K WILL PL D WITH WHETHER C FIED NOT. DATE 7- j0-4Z� RECEIPT # UI ICI L � � 1 7� '- � � a •�•mot, •� l INSPECTOR'S DAILY REPORT o DATE JOB PROJECT 5/4/04 The Bluff Z-67-0��< OWNER CONTRACTOR Housing Hope Housing Hope SUBCONTRACTORS Chrome Construction WEATHER AM: 9:00 rain WEATHER PM: RECORD Met onsite with Jeff Neese and Ray Ashcraft from Housing Hope Jim of Chrome Construction to discuss lot's #25 thru 30 infiltration Beds. The infiltration beds were installed incorrectly and not to the City of Arlington standards. I informed the parties present that the lot's in question will not receive C of 0 until the correction are made . All parties present agreed and are gong to work on correcting the issue. EQUIPTMENT LABOR SIGNED TITLE GAT Y ()4 INSPECTOR'S DAILY REPORT 7�l�NG'SO DATE JOB/PROJECT 4/28/04 The Bluff OWNER 1CONTRACTOR Housing Hope Chrome Construction SUBCONTRACTORS LOT #28 WEATHER AM: 10:00 Sunny WEATHER PM: RECORD Went to site with Marc Hayes to look at lots 25-30 to look at the infiltration beds . Met Ray Ashcroft from housing hope informed him he must expose the infiltration beds so they can be inspected . Ray was aware that they had not been inspected and is willing to dig the lots in question up for inspection. He is going to get a hold of me when they are dug up. So I can inspect them. Also is going to dig up their sewer pump lines for Virgil to inspect and sign off . EQUIPTMENT LABOR SIGNED TITLE CITY OF ARLINGTON J CONSTRUCTION PERMIT ® COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. MAIL ADDRESS CITY ZIP PHONE uuLLLI Housing Hope 5830 Evergreen Way, Everett, WA 98203 425-347-6556 ARCHI7Ei:TUTi DESIGNER MAIL ADDRESS CITY ZIP PHONE Jdr>`sm Artbitsctzure & P 2124 M ird Ave, sAte 200 mottle j,�A 98121 206-448-75-00 MAIL ADDRESS CITY ZIP PHONE LIC NSE/ HotmiM Hope, Inc. 5830 E\e imm Way Evemtt, m 982M 425-347-65% HJZlHH02ffi4i MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ All-�4ays Air Control 11674 Hi!Tgins Air ort way, Rur1 i nnton rota, CIPQ3 W-757--1',M.l AUkAYTM:Q PLUMBING,CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ Wblfe Plumbing, Inc. 12924 Old &xiu dsYy4� Hwy. &-dlaTdsh, Ilk 98290 360-56&-%53 VU=I033CJ CLASS OF WORK ®NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION []BUILDING RELOCATION VALUATION OF WORK 1 13®,000- DLSCRIBE WORK nEw ca-sLnutiQ1 of PRUPUSt D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- 2 Units E II e F`al i�51 TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- SIONS UESG RIPIIUN OF PROPELRTRT Y(SHOWN BELOW OR ATTACH FOUR COPIES) OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LU( BLOCK • OF �' 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 I D NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF See Attadi CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 108AUD�S� SIGNATURE OFC �AUTHORIZEOAGENT DATE /t7 ! See Attadied X •- 3 /2 0 (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLUSEI (TOILE]) AIR COND.UNITS -H.P.EA. BA I I11 UB REFRIGERATION UNITS-H.P.EA. LAVATORY(WASH BASIN) BOILERS-H.P.EA SHOWLR GAS FIRED A.C.UNITS-TONNAGE EA. / KI ICIILN SINK 6 DISP. FORCED AIR SYSTEMS-B.T.U. MEA V DISHWASIIER WALL HEATERS-B.T.U. M LAUNDRY 1 RAY J ' UN11 HEATERS- B.T.U. M CLOI IILS WASIIER EVAPORAI IVE COOLERS WA 1 ER HEATLR CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FUUNIAIN RANGE FIOODCOMMERCIAL h FLUOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEAUERS METAL FIREPLACE d CHIMNEY 1A SINK (SERVICE - BAR,ETC.) WATER HEATER GAS PIPING j SUB TOTAL f SUB TOTAL f PERMIT S PERMIT f TOTAL FEE f TOTAL FEE f SIUL YARU SL I BALK STREET SLTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE ) ISOJ /v, ' FEE RECEIPT NO. USE /UNI LOT AREA ` �-03 .1 125`VACANT SITE �f J / AV ❑YES igNO FEES VALUATION FEE TYPL OF CO,NS1. OCCUPANCY G//OUP NO.OF DWELU G UNITS PLAN CHECKING VG =ar � --r�' - - GA— SIZED BLtX,. NO. STURILS MAX.000.LOAD BUILDING f 1//1 l` 1 r PLUMBING FIRE SPRINKLERS REQUIRED [:]YES L,NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE / PENALTY U.B.C. SEC.303(a) R E C E I V E CI WATER/SEWER FEES TOTAL MAR 14 2003 PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT CITY I C0k L GTON PAID CRR BY cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT. BUILDING OFFICIAL DATE RECORDS COPY