HomeMy WebLinkAbout5803 CIRCLE BLUFF DR_024896_2026 INSPECTION REPORT 3Z�
ii
?' Permit No.: "`t �y�v Lot,,4t://11Address: SD 0-6-4Contractor:
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: ® 0-7
PE OF INS0146CTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Finai
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
N Gr0 Permit No.: /o ` Lot#:
Address:
p�
Z
O Contractor: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.
6 �
Inspector: - Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing �9rywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
NA INSPECTION REPORT
tiIN G TO permit No.:()? U /.� Lot #:3
¢
Q Address: 5 �3
Z Contractor:
O Owner:
IN 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.
4
Inspector: Date
TYPE OF INSPECTION REQUESTED
❑ Under-floor ���aming ❑ 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
l� N G?' Permit No.: YfI6 Lot#: �
Address: �c��
Z Contractor: - QE
Owner:
IN Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ACORRECTION REQUESTED
Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
ALL 435-0674 FOR RE-INSPECTION -24 hour notice required.
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N S 779-L� Ij---&c., P S
Inspector: C-® Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor Framing El 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 TO Permit No.: -"� Lot#:
4 Address: .
Z Contractor:
O Owner:
9s j 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.
41
Lam•
Inspector: ' /^ Date:
YPE OF INS ACTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing 0 Drywall, Nailing ❑ Consultation
❑ Foundation Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
�w
y� INSPECTION REPORT
),,, Permit No.:.�0c r�5;9
r(� LG�
o�tx#:
Address:
Contractor:
Owner: n�
N
�
Dater
❑ 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.
' � r
Inspector:
PE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation CIO Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
'Aon/A INSPECTION REPORT
4ti1N G rO Permit No.: 0 2- `�� Lot#: 3 f
Q' Address: SRo 3 6-9 0
Contractor: 4- 4-c W
Owner:
�IN Date: i z-1 Ibb2
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION XCORRECTION REQUESTED
„Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
0,CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
ti%A-, UFV
P OLt N Shf�79'lL—
1
Inspector: Date: ! Z�
TYPE OF INSPECTION REQUESTED
❑ Under-floor J(Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation X Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
4ti1N G 1, Permit No.: � Lot #: �
Q' Address: e
• - ,o
� z Contractor:
O Owner:
9s4IN G� Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION y�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-:7 (47—
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing J Drywall, Nailing ❑ Consultation
❑ Foundation Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
ti1N G?'O Permit No.: `� Lot#:
4
Q Address: S3
• •
� z Contractor:
O Owner:
�s41N G� 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.
A p-e/x 6 rA-, j,I ,.)C
/l i P/Z-01/150
C-1 L .
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing �as 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
4
ti1N G Z1 Permit No.: 4?q(� Lot
Address:
#
° 503
�'
•
� Z Contractor:
O Owner:
IN 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 ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation Shear Nailing ❑ Groundwork
Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
A INSPECTION REPORT ?-!DLQ
yZN G?'O Permit No.: b l u Lot#: _
Q' Address:
Z Contractor:
O Owner:
IN G� Date: - 3 1
WAPPROVAL ❑ 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:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove 'ugh-in ❑ Final
❑ Masonry Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
Dy�Q
Permit No.: Lot#: _31
4
Q' -- Address:
Contractor:
Owner:
,qI 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:
YYSPE 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 ro Permit No.: o '7 �_ Lot #:
Q" Address:
Contractor:
O Owner:
9s41 N G Date:
,i� APPROVAL ❑ PARTIAL APPROVAL
i`❑ 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.
e
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
4ti1N G?'0 Permit No. r O l& Lot#:
Address: o
Contractor:
er:
IN �O Date
❑ APPROVALPARTIAL 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 ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
\fin INSPECTION REPORT
�.0 G r Permit No.: ` Lot #: `
¢ O Address: t3
• •
Contractor: '
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.
Inspector: Date: —aZ
TYPE OF INSPECTION REQUESTED
Under-floor ❑ Framing El 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
T® Permit No.: O I Lot #:1;i
Address:Contractor:Owner:� Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION WCORRECTION 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:
PE OF I SPECTION 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 TO Permit No.: qf]%L Lot#:
Address:
Contractor: A/17 V51 7 i N&
O Owner:
INGS 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
A Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
�ti1N G TD Permit No.:Oa� y �1�� Lot #:
Q Address:
Z Contractor:
O Owner:
9S I N 0 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 Or INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
A Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
CITY OF A RL I NG TON
CONS T RUCTION PE R M I T
PERMIT NO- = 02—4 0S 6
Ovner: BALYKO, VALERY&TATYANA 811 PIKE STREET EVERETT 98201
Value of Mork: $85,0N.N Tax ID: 00915SOM3100 Phone: 425-252-0123
Describe Work: NEW SINGLE FAILY RESIDENCE
Proposed Use: SFR
Legal Description: THE BLUFF UNIT 31
Job Address: 5893 CIRCLE BLUFF DRIVE
Contractor's Name Type Address License#
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
--------------------------------------- ------ -------- ------------
PLUKBIHG FIXTURES 10 $I@.N siN.N
FURNACE/UNIT HEATER 1 $15.N $15.N
VENTILATION FANS 4 $7.N $28.N
DRYER 1 $11.00 $11.N
WATER HEATER 1 $15.N $15.N
GAS PIPING 1-4 OUTLETS 1 $6.N $6.N-
SUBTOTAL...... $175.00
TOTALS Fee
Permit Fee $945.65
Equipment $75.N
Fixture $1N.N
Hech Permit $24.N
Plan Fee $614.67
Plumb Permit $25.N
State fee $4.50 ,� 1
SI6IATUBE:
TOTAL FEE. ..... ......... .. 51,7m a2 I HEREBY C Y THAT I AVE READ
AN EXAMINED THIS APPL ATION AND
PAYMENTS.................. $614.67 KN THE SANE TO BE TRUE AND COR-
RE ALL PRPr
ND
TOTAL DUE................. $1,174.15 OR I ANCES E OF
W K WILL ETHER
S C F I ED
DATE" 00 RECEIPT t
l PAID
yrX\N MAR 0 5 2002
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UNIT 31 SCALE:1" 16' UNIT 32 SCALE:1"—16'
THE BLUFF AT ARLINGTON,A CONDOMINIUM THE BLUFF AT ARLINGTON,A CONDOMINIUM
SITE ADDRESS: 5903 CIRCLE BLUFF DR. SITE ADDRESS: 5'T05' 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,WA 98203
EVERETT,WA 98203 TAX PARCEL#00915800003200
TAX PARCEL#00915800003 100 HOUSE PLAN: 4 BDRM;1,322.4q.R.living space
HOUSE PLAN: 4 BDRM;1,322 sq.11 living space CITY OF ARLINGTON WATER&SEWER
CITY OF ARLINGTON WATER&SEWER
1
CITY OF ARLINGTON
CONSTRUCTION ,
0 PERMIT ®
® COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
wyrER MAIL ADDRESS CI l Y ZIP PHONE
31 Ualeriy & Tatyana Balyko 811 Pine St. Everett, WA 98201 425-252-0123
ARCHII_rC I UK DESIGNER MAIL ADDRESS City ZIP PHONE
JdTom ArdAtectLue & Plar w-g 2124 'Third Ave, Suite 200 Seattle, WA 98121 �8-7580
MAIL ADDRESS CITY ZIP PHONE LICENSE N
Tecbmcal Assistance Agent: Rusi M Hope, Inc. 5830 B ergreel Way EVerett, WA 982M 425-347-6556 MMU0281li
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
Hugo's Heating, Inc. 5415 Happy Hallow Rd. Stmwood, WA 98292 360-654-9392 BLUCEM08LB
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
Wolfe Plurbirg, Inc. 12924 Old 31d1a(ldyMmme Hwy. Sx bmish, Wh 96290 360-568-9653 WOLFFPI033CJ
CLASS OF WORK
I]NEW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLI FION ❑BUILDING RELOCATION
VALUATION OF WORK
s ej CZ7�
DESCRIBE WORK
OWIler der n2W aa-stL' ut1CT1 of
PRUPOSt U USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
2 units aE Single F'crily Resi TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LL(,AL DLSCRIPI ION OI PROPL RTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
Lur BLUCK OF Attar WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A 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 OF THE PERFORMANCE OF
See CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF AUTHORIZED AGENT DATE
108 ADDRESS
See Attzadmd
(OFFICE USE ONLY)
M CHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
a. WATER CLOSEI (TOILET) AIR COND.UNITS -H.P.EA.
BA I II I UB REFRIGERATION UNITS-H.P.EA.
LAVATORY(WASH BASIN) BOILERS--H.P.EA
SHOWER GAS FIRED A.C.UNITS-TONNAGE EA.
KI ICIILN SINK& DISP. ��j FORCED AIR SYSTEMS- B.T.0 MEA
DISHWASHER WALL HEATERS-B.T.0 M r
LAUNDRY TRAY UN11 HEATERS- B.T.U. M `� \
CLOI IILS WASHER L/ EVAPORAI IVE COOLERS
1 WAIERHEATLR CLOTHES DRYERS ,
URINAL
VENTILATICN FAN v
DRINKING FOUNIAIN RANGE HOOD COMMERCIAL
I"LOUR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS I STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY
SINK (SERVICE - BAR,ETC.) 1 WATER HEATER
1 GAS PIPING
SUBTOTAL f SUBTOTAL I
PERMIT $1 PERMIT 3
TOTAL FEE $1 TOTAL FEE f
SIUL YARD L IBACK STRLLT SLTBACK REAR YARD SETBACK PLAN CHECKNUMBER //�� In PLAN CHECK FEE
S / S I /d 1 `b0i - FEE Lo,q YT RE P I'
USE /Ulj(F'��� LOT F66 , VACANT SITE
V YES ❑NO FEES VALUATION FEE
1YPLI OF CONS OCCUPANCY RUUP NO.OF DWELLING UNITS PLAN CHECKING VG �l✓' b
SILL Of BLDG. NO.OF STORILS MAX.CX:CrLOAD BU LDING
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES NO MECHANICAL
STATE BLDG.CODE
L
COMMENTS ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.303(a)
WATERISEWER FEES
RECEIVE® TOTAL
♦jANInAI 0 20Q� PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID CRN BY
CITY OF ARLINGTON
cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT, BUILDING OFFICIAL DATE
RECORDS COPY