HomeMy WebLinkAbout5729 CIRCLE BLUFF DR_035540_2026 fM WSPECTION REPORT
4tiZN G To Permit No.C3-SSzld Lot#: ?O
Q' Address: �ge 7d c C 15 d
Z Contractor: ySa4 .
O Owner:
9s j N G( Date: �"�'/
�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 435-0674 FOR RE-INSPECTION - 24 hour notice required.
Inspector: Date: o
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 1 ❑ Insulation
❑ Other:
INSPECTION REPORT
ji
'OPermit No.:Q J' 5 S 7�Lot#:
Addres&5 �_�Contractor: 414 Owner: -7� Date: / -
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION A CORRECTION REQUESTED
OILmorrections 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.
1
Inspector: i 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 /J4 Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTIOP` REPORT
Y Permit No: 5 , Date:
G Address/Lot N41i,!i ,
Contractor: je
�rlIr1G,SO 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
-e
Inspector Date: . -
TYPE OF INSPECTION REQUIRED
TESC STO�M�DRIN 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
&Infiltration ❑Final
INSPECTION REPORT
1;i
Permit No.: -55 S/O Lot #:
Address: 5 7 Z� Ga
Contractor: (4
Owner:
Date: S- 7- 0 L/
-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.
Inspector: L 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
¢ti1N G rO Permit No.: `��L� Lot #:
Address:
• • /J_���
� Z Contractor: /7
�O Owner:
IN 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.
ac��
Inspector: l�'Ir — Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing %L mrywall, Nailing ❑ Consultation
❑ Foundation /❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
NG
tit Permit No.: 55 4!0 Lot#: 3 0
Q" Address: S 7 z q C P n
Contractor: A-t-�YO+�
0 Owner:
�S11N Date: 2-3-cy
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.
f--J SL9 L-Afn b f)
Inspector: W-Vt— Date: 2- S-Ov
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 XInsulation
❑ Other:
/® 53
INSPECTION REPORT
i¢ti1N GrO Permit No.: S 5 10 Lot#: 30
Q Address: 5 -7 Z I C_a D
O Contractor: 14 H9-e 6�
ems, Owner:
�I N Date: 1-3 0 - O 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:
PE OF I SPECTION REQUESTED
❑ Under-floor (L- QkFraming ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPOP"
I;;
?'O Permit No.: S 5 $D LotAddress: 5� z-°I' c 6 O
Contractor: 14O Owner:
� Date: i- 7-7- 0 Y
❑ APPROVAL JEkPARTIAL APPROVAL
❑ VIOLATION O CORRECTION REQUESTED
,Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
0, Was not able to perform inspection.
CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
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Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor 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:
INSPECTION REPORT QIA1�4'
411N G?'O Permit No.: 55� Lot #: 30
Address: C4L>
Z Contractor:
9s, 0 Owner:
14jN O 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.
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Inspector: -S[s•br Date: Z—/&---OC-_
TYPE OF INSPECTION REQUESTED
❑ Under-floor Framing A Gas Piping
❑ Footing O Drywall, Nailing ❑ Consultation
Foundation --Shear Nailing ❑ Groundwork
Mechanical ❑ Grid ❑ Struct. Slab
Wood Stove , Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
4titN G?'O Permit No.: 05 55 yfl Lot#: 30
Q' Address: 5 7 Z 9 G B D
Z Contractor: f f /4
Owner:
IN O Date: /—110 -o/7/
❑ 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.
/n1S 7 7LM.f f TD %. P aM ?/hr t-r7 �,.1•3 z`_
Inspector: Scow— Date: Hla -oH
TYPE OF INSPECTION REQUESTED
❑ Under-floor g Framing A—Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation 2-Shear Nailing ❑ Groundwork
,Mechanical LJ Grid ❑ Struct. Slab
❑ Wood Stove A,Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
�ss
INSPECTION REPORT
IT 'S
JING (
Permit No.: 55 y® Lot#:Address: 57,z"7 c 8nGContractor: o Owner: /-/ h'�/O�Date: / z-/(,-c>
❑ APPROVAL 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.
►c_ N Ai L_ ?1U_ -try o J�s
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
ji(
Permit No.: Lot#:Address: S7c�1 ��7 D
Contractor:Owner:
Date:
❑ APPROVAL RTIAL 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:
YPE OF IIV PECTION 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
+ N G rO Permit No.: 03 -S S X1 D Lot#: 3 0
Q' Address: SZ ati (!,A D
� z
Contractor: t-4 —i4rnp e-
95��N G,S4 Owner:
Date: I I-d[-03
*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.
kA du Y)t YZ,
Inspector: < Date:
TYPE OF INSPECTION REQUESTED
q'--�(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:
1:or—,
'4SPECTION REPORT
ii
T Permit No.: S 110 Lot#: 3 0
Address: 57Z9 e_� D
Contractor:Owner:
Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ,,F2<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.
P-i7< ; 77 a.STT CUD
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:
INSPECTION REPOR'*
ii
TPermit No.: G5 Lf a Lot #:Address: 57 2-1 c 6 D
OContractor:Owner:
Date: /(- )1E)-03
,,�%"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 435-0674 FOR RE-INSPECTION - 24 hour notice required.
Inspector: SG obi Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
��Footingcn� ❑ Drywall, Nailing ❑ Consultation
�. Foundati� ��° ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
G I TY OF AFRI_ I M(3_rU M
GONST"F?UGT I 01V PEF2M I T
PE Ft I T NO_ _ 903-5540
Owner: HOUSING HOPE 5830 EVERGREEN WAY EVERETT 98203
Value of Work: $80, 000. 00 Tax ID: 009158-000-030-00 Phone: 425-347-6556
Describe Work: NEW DUPLEX RESIDENCE unit 30 only
Proposed Use: DUPLEX UNIT
Legal Description: THE BLUFF LOT 30
Job Address: 5729 CIRCLE BLUFF DR
Contractor's Name Type Address License#
HOUSING HOPE GEN 5830 EVERGREEN WAY HOUSIHI028RH
ALL WAYS AIR CONTROL MEG 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 1
Equipment and Fixtures plumber Fee Total Charge
PLUMBING FIXTURES 10 $10. 00 $100. 00
FURNACE/UNIT HEATER 1 $15. 00 $15. 00
VENTILATION FANS 4 $7. 00 $28. 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 $924. 75
Equipment $75. 00
Fixture $100. 00
Nech Permit $24. 00
Plan Fee $601. 09
Plumb Permit $25. 00
State fee $4. 50
SIGNATURE
TOTAL FEE. . . . . . . . . . . . . . . . . $1,754. 34 I HEREBY CE,ZI , F AT I AVE READ
AND EX HED THIS APP IC I AND
PAYMENTS. . . . . . . . . . . . . . . . . . $562. 09 KNOW T E SAME TO BE TR AND COR-
RECT LL PROVISION- OF WS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $1, 192. 25 ORDIN N ES OVERN G T S TYPE OF
WO WI L 0M ED TH WHETHER
SP � F E8 I R H
DATE � Z, RECEIPT # a�`
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�4ECEIVED
AUG 0 12003
OF ARLINGTON
UNIT 30 SCALE:1" 16'
THE BLUFF AT ARLINGTON,A CONDOMINIUM
T29 SCALE:1" 16' SITE ADDRESS: :572-1 CIRCLE BLUFF DR.
TlI FF AT ARLIN ON,A CONDOMINIUM CITY OF ARLINGTON,WA
SITE A SS: CIRCLE BLUFF DR AFN 200107095007,SNOHOMISH COUNTY
CITY OF A TO WA REP: HOUSING HOPE PROPERTIES
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AFN 2001070950 OMISH COUNTY SELF HELP HOUSING
RTIES
�REP: HOUSING RTIES 5830 EVERGREEN WAY
SELF HE OUSING EVERETT,WA 98203
5830 E PEEN WAY TAX PARCEL#00915800003000
EVE WA 98203 HOUSE PLAN: 3 BDRrvI;1,0' livingspace
TAX
P C L# 0000 X AR 9 0
,-tX PARCEL# 15800002900 CITY OF ARLINGTON SEWER
IJOUS PLAN:
M 1 gli t h
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HOUSE PLAN: DIVM;1,098 sq.R.living space
P
To W T X.S W
CITY OF TON WATER&SEWER
GAT Y Ol,
• INSPECTOR'S DAILY REPORT
7�LlN G,�O
DATE JOB/PROJECT
5/4/04 The Bluff Lot # 30
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
*S�
INSPECTOR'S DAILY REPORT
DATE JOB PROJECT
4/28/04 The Bluff
OWNER CONTRACTOR
Housing Hope Chrome Construction
SUBCONTRACTORS
LOT #30
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
CONSTRUCTION
PERMIT
® COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT NO.
UUlR Jai MAIL ADDRESS CITY ZIP PHONE
Housing Hope 5830 Evergreen Way, Everett, WA 98203 425-347-6556
ARCHII EL1 UR DESIGNER MAIL ADDRESS CITY ZIP PHONE
Jdrsm Architecture & Ph nim 2124 U,i rd Ave, --cite 200 mottle, YA 98121 err g-7580
MAIL ADDRESS CITY ZIP PHONE LIC NSE 1
Homim Hope, Ina 5830 EeLgram Way Everett, Tom, 98203 425-347-6556 Hab- I028M
MLCHANICAL CONT RACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
All-Ways Air Control 11674 Hiqgins Airnnrt way, Rurli nest on w4 98233 -V4h757-4;r)n3 AUkA4-T -Q
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I
Hblfe Plulbing, Inc. 12924 Old 3x>Yrn1isY nroe Hwy. Scxb�(dsh, 4� 98290 360-568-%53 c%0=033rj
CLASS OF WORK
®NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
! 72-1 0vV
DESCRIBE WORK
new amstL1 .'tign of PAC
PRUPUSt D USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LLGnI UtSCRIPI 2 Units of e FarriRT Psi TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LUr BLOCK OF See Attcad-od WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
_ GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX 10 NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
See Attached SIGNATURE
PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SOB-1UUR1.55
SIGNATURE OF C HORIZED AGENT DATE
"—! 2 Ge11-c Q Atha x ��.�- ' 3 G3
(OFFICE USE ONLY) /
PLUMBING MECH I AL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSEI (TOILLI) AIR COND.UNITS -H.P.EA.
BAIHIUB REFRIGERATION UNITS-H.P.EA.
LAVATORY (WASH BASIN) BOILERS-•H.P.EA —
SHOWER GAS FIRED A.C.UNITS-TONNAGE EA.
KI ICI ILN SINK& DISP. FORCED AIR SYSTEMS- B.T.U. MEA
DISHWASHER WALL HEATERS-B.T.U. M
LAUNDRY 1 RAY UNIT HEATERS- B.T.U. M
CLOI I ILS WASHER / EVAPORAI IVE COOLERS
WATER HEATER CLOTHES DRYERS
URINAL VENTILATION FAN
DRINKING FOUNTAIN RANGE HOOD COMMERCIAL
FLUOR DRAIN t / AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
RUUF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUBTOTAL ! SUBTOTAL !
PERMIT ! PERMIT !
TOTAL FEE ! TOTALFEE I
SIUL YARD SL I BACK STRLLI SLTBAL K REAR YARD S�TBACK PLAN CHECK NUMBER PLAN CHECK FEE
1`11115 � , R RE IPT O. 1
USE /UNI LOT AREA VACANT SITE ��(( JI�1` / /(
rp-D 2 r,�_3 YES ❑NO FEES VALUATION FEE
TYPL OF CONS 1 OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
v�� f
SIZE Of BLJUG. NO.OF,!I ORILS MAX.O¢C.LOAD BU'LDING f +�
Y� PLUMBIIJG 4_110�_
FIRE SPRINKLERS REQUIRED
❑YES ff NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
CITY OF ARLINGTON PAID CR(t BY
Cc:ASSESSOR,APPLICANT.TREASURER,BLDG. DEPT. BUILDING OFFICIAL DATE
RECORDS COPY