HomeMy WebLinkAbout5807 CIRCLE BLUFF DR_024914_2026 INSPECTION REPORTAN
33S
r"1 tiZN G To Permit No.: Lot#: -�
4 n
Q Address: 7 ( '
Contractor:
O Owner:
9s IN G� Date: (,� _� -615,3
- 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.
i ,J!-'r-C I t_—XD
Inspector: tom, 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'
ti1N G r0 Permit No.: �`� Lot#:
4 �
Q Address: 7
� z
Contractor:
O Owner:
I N�'� Date: l 2 — O3
❑ 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.
Si Y� �-r-�x.r csvL pE�►PTwJ4T7 c.'••.� /�-i `r3,%� [�._r,/cJlFi:::.tT�
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— 171sfl/L. NoT 7i3 e,r Y 7" 5c;
t�14 L ��^��'f�49'T7 c'. ^�� i.t nJ�'k•- ��r`l iL.
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
tiyN c T permit No.: 2'
F¢ O� Address: S-�W7 C
• _f f��-�
� Z Contractor:
O Owner:
`�sjNCS 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 I SPECTION REQUESTED
❑ Under-floor �❑ Framing ❑ Gas Piping
❑ Footing , Drywall, Nailing ❑ Consultation
❑ Foundation f ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
A414, INSPECTION REPORT
4ti1N G rO Permit No.: 6 �r 5i y Lot#: 1
T Address: c •&a -7 G9 zp
Contractor: f �
� Z
O Owner:
�`r41NO� Date: tr C3
❑ 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.
KFALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
r
a-enQ
Inspector: ��' � Date: —6--d3
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
(4,
G?' Permit No.: Lo #.Address:
Contractor:
O Owner:
N / 2
G" Date:
v
�-4PPROVAL ❑ 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 li j �Z•.t,C?,Lt�(J �v
c oh •-�
Inspector:
TYPE OF INSOECTION 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 CInsulation
❑ Other: ( `
INSPECTION REPORT 7 3�
VW1
INPermit No.: of �
7Address: �S v v
Contractor:
Owner:
/ _ 61�
Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION CYCORRECTION REQUESTED
A.Porrections 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.
Go.►
Inspector: Date: ��`�° —� 22-_
TYPE OF INSPECTION REQUESTED
❑ Under-floor Framing ❑ Gas Piping
❑ Footing /13—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#:
Address: -
Contractor: '
ems, O Owner:
N Date: ��
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:
Date:
YPE OF INS ECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation 1 Shear Nailing ❑ Groundwork
❑ Mechanical Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
J
4`y1N G TQ Permit No.: e'l Lot#:
4' Address: < a �/�P
• #
Z Contractor: �s '? G'4ajV
O Owner:
I N G� Date: l 7
❑ APPROVAL ❑ PARTIAL APPROVAL
a-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.
Of
oe
Inspector:
�, ���Z) �a z—�
PE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation A'Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
C)C"c'
permitNo.: a2 41iiq Lot#: 3 3
Address: G 6 o7 cB O
Contractor: f� H-oy Owner: t4 I-kPC
Date: 1 2—/ l 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.
S
IQ rat-/ (_C`Y�
i ���Z°rza ry 7-0 (3 09A-7 p
Inspector: !&"e'� Date: >z--
TYPE OF INSPECTION REQUESTED
❑ Under-floor a Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation XShear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
M INSPECTION REPORT
4ti1N G 1' I.Y.
O Permit No.: 0 z 4��. _ Lot#: �
F' Address: `�"— c
Contractor: ib e e
O owner:
�`s4ING Date: 2- Oi
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 _ 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
Yy� nn �
¢tiZN G 7' ylm/Lot Permit No.: U � #: C3
Address:
Contractor: '
'Y �O Owner:
�,
SII N G Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ,V CORRECTION REQUESTED
Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
a CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
Inspector: � � Date: /0 z—
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?'O Permit No.: '`�' � Lot#: 33
F' Address: �?O-7 6
• •
Contractor:
O Owner: ll
�S41N 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: c� � Date: I �! aL
TYPE 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:
INSPECTION REPORT
C'lv �.ZN G?' Permit No.: �- ` ' Lot#: 3�
1 4¢ n
� G L
Address: 7
OContractor:
Owner:
IN O Date:
N(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: 5-Lo TT— Date: // Xd A-Z
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical Grid ❑ Struct. Slab
❑ Wood Stove V Rough-in ❑ Final
❑ Masonry 12 Drainage ❑ Insulation
❑ Other:
\n� INSPECTION REPORT
N G?' Permit No.: �" Lot#: s�3
O
Address: _W
� Z Contractor:
r ,SO Owner:
4INO 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.
j/V L L S L
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
1;4
r Permit No.: �!/� Lot #: 33
Address: S5 U7V
Contractor:
O Owner: :h� 4 S"'r�Date: 7-47-0 �
XXAPPROVAL ❑ 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:
Vk I _p"PECTION REPORT
NG
1.1 ?'O Permit No.: '4 `f Lot #: 33
Q' Address:
Contractor: L1
O Owner:
9s4ING Date: 7-1-0c)—
❑ 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:
�\Ax
INSPECTION REPORT
¢ti1N G), Permit No.: � r`7 i 1`1 Lot #: 2 3
Q Address: 5e07
• s
Contractor: %
Owner:
xII N O Date: (a —
gAPPROVAL ❑ 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�'2
,fYPE OF INSP + CTION 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:
Al� INSPECTION REPORT
4yZN G r0 Permit No.: e o1 - Y 9/`1 Lot#: `33
F" Address: .S3 a 7 ^C/',-c , �L�
Contractor: d 2� /� �oY
y�, ,SO Owner:
�I j N O
1 Date:
0�NAPPROVAL ❑ 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:
INSPECTION REPORT
4ti1N G To Permit No. Lot#:
Address: ;J `� w
Z Contractor:
93, ,to Owner:
j N O Date:
P—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.
L 435- 674 FOR RE-INSPECTION - 4 hour notice required.
Inspector: Date: Z/' .23—ca?
YPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
L ( 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 N1GTON
COh1STRUCT I ON PERM I T
ICE FRM I T NO - = 02-49 1 4
Onner: FAUST, DAVID 5632 -332ND ST NW STANWOOD 98292
Value of Work: $72, 000. 00 Tax ID: 00915800003300 Phone: 360-629-6111
Describe Work: NEW SINGLE FAMILY RESIDENCE
Proposed Use: SFR ,
Legal Description: THE BLUFF UNIT 33
Job Address: 5807 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
-------------------------------- ------ -------- ------------
PLUMBING FIXTURES 10 $10. 00 S10@. @0
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 $848. 15
Equipment $75. 00
Fixture $100. 00
Mech Permit $24. 00
Plan Fee $551. 30
Plumb Permit $25. 0O f
State fee $4. 50
SIGNATURE:
TOTAL FEE. . . . . . . . . . . . . . . . . $1,627. 95 I H EBY C Y THAT I AVE READ
ANDI MAMIN D THIS APPLI ATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $551.39 KNO HE S ME T B T E AND COR-
REC LL P VIS ON OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . 51,O76.65 O D N NCES OV NI THIS TYPE OF
W ILL PL D WITH WHETHER
DATE Ba' RECEIPT # S IED NOT.
j3 �-
OF
ICI L
PAID ��'
MAR 9 5 2W2
OFFICE COey
7-11,00
Suj4Lc 00AIIJ
Rod
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JAN 'I 2002
CITY CF AVtLq4GTON
�j J�
UNIT 33 SCALE:I"=16' UNIT 34 SCALE:1 16'
THE BLUFF AT ARLINGTON,A CONDOMINIUM THE BLUFF AT ARLINGTON,A CONDOMINIUM
SITE ADDRESS: 5%07 CIRCLE BLUFF DR. SITE ADDRESS: STOCI CIRCLE BLUFF DR.
CITY OF ARLINGTON,WACITY OF ARLINGTON,WA
AFN 20010?095007,SNOHOMISH COUNTY AFN 200107095007,SNOHOMISH COUNTY
P: HOUSING HOPE PROPERTIES REP: HOUSING HOPE PROPERTIES
SELF HELP HOUSING SELF HELP HOUSING
5830 EVERGREEN WAY 5830 EVERGREEN WAY
ETT,WA 98203 EVERETT,WA 98203
TAX PARCEL# 00003300 TAX PARCEL#00915800003400
HOUSE PLAN: 3 BDRM; . v gspace HOUSE PLAN: 3 BDRM;1,098 sq.ft.living space
CITY OF ARLINGTON WATER&SEWER CITY OF ARLINGTON WATER&SEWER
CITY OF ARLINGTON
CONSTRUCTION
PERMIT ad--���
® COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
R 33 Dantelle & I�Vld EAustl ADDS— 332n St. NW S a 1W�AJl1, WA 98292CITY 1P PHONE xn 629-6111
ARCHITCCTUWDESIGNf R MAIL ADDRESS JJl1A1 CITY ZIP PHONE�TJ-V
JCtrom Ambitectme & Planning 2124 'Third Ave, Suite 20D Seattle, iA 98121 206--4413-7580
MAIL ADDRESS CITY ZIP PHONE LICENSE II
'Ibnical Assistarne Agmt: Housing Hope, Inc. 5830 fimnjr-em Way Everett, 6X 982M 425-347�5G FD[=028R11
MECHANICAL CONT RACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE
Hugo's Heating, Inc. 5415 Happy Hollaa Rd. Starwood, WA 98292 360-654--9392 HLU=008W
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II
Wolfe Pluri M, Inc. 12924 Old sloYlardsY�e Hwy. Sldlardsh, 4A 98290 360-568-%53 VU=033G7
CLASS Of WORK
®NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
s 7 Z 00 0
DESCRIBE WURK
Ommx d-r new ca-stnrtiCn CrE
PRUPOSE D USE Or BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
2 units E f S EaTiy Residencia TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGALDLS(cRIPIIUNoI PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LUr BLOCK OF 1:19e Attache d 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
CO �o
NSTRUCTION.PERMIT
�TEXPIRES+GerrYEAR FROM DATE OF ISSUANCE.
See Attac3>e`i
108 ADURLSS
See Attadied
f- i 0
(OFFICE USE ONLY) MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSEI (TOILET) AIR COND.UNITS -H.P.EA.
BA I III UB REFRIGERATION UNITS-H.P.EA.
LAVATORY (WASH BASIN) BOILERS-H.P.EA
SHOW'LR GAS FIRED A.C.UNITS-TONNAGE EA.
KI ICIILN SINK d DISP. FORCED AIR SYSTEMS-B.T.U. MEA
UISHWASIIER _ N WALL HEATERS-B.T.0 M [—
LAUNDRY 1 RAY UNII HEATERS- B.T.U. M J
CLOI IILS WASHLR / EVAPORAI IVE COOLERS
WA ER IIEATLR �' / 1 CLOTHES DRYERS
URINAL l� VENTILATICN FAN
DRINKING FOUNIAIN RANGE FIOOD COMMERCIAL
I"LOOK DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS ( STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE d CHIMNEY
SINK (SERVICE - BAR,ErC.) I WATER HEATER
/ GAS PIPING
SUB TOTAL S SUBTOTAL f
PERMIT f PERMIT f
TOTALFEE S TOTALFEE f
SIDE YARD S I BACK STRLLT SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
I rI /�) F 1 RECEIPT
USE / NF 5,/� LOT ARIA , VACANT SITE
-M J 33 d YES ❑NO FEES VALUATION FE
IYPL_OF,,CONSj OCCUPANC GR�t�P NO.OF DWELLING UNITS PLAN CHECKING VG Tj ; Cj
V IjVJ BUTDING f
SIZE Of BLD4. 0. TORILS MAX.( .LOAD
m PLUMBING a �,
FIRE SPRINKLERS REQUIRED
C?�� r 3` ❑YES NO MECHANICAL f/ l
COMMENTS a(} STATE BLDG.CODE �Q
ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.3031a)
RECEIVED WATER/SEWER FEES'
TOTAL
JAN 14 2002 PERMIT VALIDATION
WHEN PROPERLY VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT
CITY OF ARLINGTON PAID CRp BY
BUILDING OFFICIAL DATE
cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT RECORDS COPY