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Home My WebLink About5809 CIRCLE BLUFF DR_024913_2026 INSPECTION REPORT- r" 1 ¢"AN G?'O Permit No.: � r��,- Lot#: Address: C � Z Contractor: O Owner:— IN�� Date: 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: &-" 2--3—e3 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 k1*L3 Insulation ❑ Other: INSPECTION REPOR"' ZN G?' Permit No.: Lot#: v 4ti r d' 4' 0� Address: 09 C Contractor: — 1 E �N O,SO Owner: � _ — Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED *Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. 0 Was not able to perform inspection. 3-CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. � C'.1 41^1 D V, ow Inspector: Date: 6-/8 -D 3 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: N� INSPECTION REPORT Permit No.: Address: 7 • e Z Contractor: �i N O HO 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. Date: Inspector: YPE OF 114SPECTION 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?' Permit No.: 0 L—qJ/3 Lot #: 3 Q' O� Address: Z Contractor: O Owner: INGAS 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: `, t Date: 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: A^ INSPECTION REPORT p NG ,013 I_ t#: ?' Permit No.: \ T Address: U • G � Z Contractor: ` O Owner: zN 22 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. 40 7 w Date: Tom Inspector. TYPE OF IN PECTION REQUESTED ❑ Under-floor raming ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage Xlnsulation ❑ Other: MINSPECTION REPORT --7`3 ti1N Gr Permit No.6M� 1/3 Lot#: � O 4' Address: Contractor: O Owner: IN C'� Date: ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION 04ORRECTION REQUESTED 450-�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-INSPECTION - 24 hour notice required. 001-4 -r13 /1/IF /S CO f t� .JiU S Am c:.•J Z n 7'Lt A in Y 7 L7 aV-- c.c�n4 P IL s 0'0 Inspector: -5L�Q / 1 Date: /� 3 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 Y` titN G?, Permit No.:V? Lot #: / - Q Address: Z Contractor: O Owner: 9s�INCs� 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. Date: Inspector: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ rearall, Nailing ❑ Consultation ❑ Foundation Nailing ❑ Groundwork ❑ Mechanical Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢y�N G rO Permit No.: �� Lot #: F' Address: 15 Flo 9" e__6' Z Contractor: 61 � O Owner: IN G� Date: /; ^ ` Ga ❑ APPROVAL ❑ PARTIAL APPROVAL g/IOLATION Q�CORRECTION REQUESTED 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. Inspector: Date: Z2— 2 TYPE OF I SPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation KShear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: AA INSPECTION REPOP'r 4ti1N G TO Permit No.: CZ- y 9/3 Lot #: 3 c/ Address: S er)'i Gd o Z Contractor: O Owner: IN Cs� Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION A CORRECTION REQUESTED kCorrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. as not able to perform inspection. CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. CcJO Z a0 Inspector: S — Date: /2-6 0 v 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 PM ¢y1N Gr Permit No.: az Y9/3 Lot#: y O Address: 5 ?o 9 c 6,0 Contractor: r -f-h 1� O Owner: Date: I Z-I 17 ❑ 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. /910 Inspector: !:�'L-ee� Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ,WGas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT iio Permit No.: ;-el(i�� Lot #: Address: S d� /Contractor: Owner: Date: ❑ 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. Ok-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: \�J� INSPECTION REPORT V" \ N G e 002- Z W3 Lot#: ti p T, Address: s�v� Contractor: O Owner: j N G� Date: AAPPROVAL ❑ 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. M jZj4P1La> > Inspector: S c_�'L Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork Mechanical ❑ Grid ❑ Struct. Slab M ❑ ood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: V INSPECTION REPORT iio ; / Permit No.: � V� 3 t#: ��Address:Contractor: Owner: 1 Date: IWCAPPROVAL ❑ 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.�c vwtS i Za AVAUy� Inspector: Date: It/2t2 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ rid ❑ Struct. Slab ElWood Stove Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT i l .tiLN G TO Permit No.' /(�'/3 Lot #: Address: Y-� OContractor: � Owner: IIN G Date: l _1 ❑ 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 ear Nailing ❑ Groundwork ❑ Mechanical O Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT G. ZN G r Permit No.: �I Lot y C # p e Address: �560 /;-c% Contractor: O Owner: kt)61'0A) &2C s�I N G� Date: -7` 16 - O APPROVAL ❑ PARTIAL APPROVAL O 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 ❑ Rough-in ❑ Final ❑ Masonry (16 Drainage ❑ Insulation ❑ Other: 1L_diPECTION REPORT NG 1.1 I'0 Permit No.: 3 Lot#: _ Q - Address: Contractor: O Owner: 441 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: YPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation Shear Nailing ClGroundwork ❑ Mechanical 9-Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: `^^ INSPECTION REPORT 4tiIN G T� Permit No.: Lot#: 3 7" 4 Address: �J Contractor: 4 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: PE OF 1149PECTION REQUESTED Under-floor ❑ Framing ❑ Gas Piping 0 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?'O Permit No.: -0°1 7 Lot #: Q" Address: Sc 9e:747 CI,,-CA- Contractor: &01et! 93, ,SO Owner: 11i N G Date: C';2- &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: INSPECTION REPORT 4ti1N G)" Permit No.:Q �� Lot #: �L Address: + Contractor: T��_.;_l S 1 v:I C4 01(^ - O Owner: I N G( Date: �L —(Z5� 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 Inspector: Date: ''.7 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: C I TY OF AF?L I NC3TaN COIVSTFZUCT I ON P FEE FtM I T PE FZM I T NO_ n 02-4CD 1 3 Owner: KAL'KO, GALINA 707 HAWTHORNE ST #04 EVERETT 98201 Value of Mork: $72, 000. 00 Tax ID: 00915800003400 Phone: 425-388-0211 Describe Mork: NEW SINGLE FAMILY RESIDENCE Proposed Use: SFR Legal Description: THE BLUFF UNIT 34 Job Address: 5809 CIRCLE BLUFF DRIVE Contractor's Have Type Address License* OWN 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 $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.N TOTALS Fee Permit Fee $848. 15 Equipment $75. 00 Fixture $100. 00 Mech Permit $24. 00 Plan Fee $551. 30 Plumb Permit $25. 00 / State fee $4. 50 S TURE: TOTAL FEE. . . . . . . . . . . . . . . . . $1,627.95 I REBY C IFY THAT I HAVE READ A D EXAMINED THIS AR ICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $551. 3O K THE SAME TO B TRUE AND CDR- RE T ALL PROVI ION OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $1,676.65 I ANCE GOV HI THIS TYPE OF K WILL E PL D WITH WHETHER FIED DATE13 RE 9 CEIPT ( 3 V UI ING OFF L P A I D MAR 0 5 2002 O r � r z9,no d SkJAIc OOAIIJ 3 1 d / Rod DRAB N o- 'Dy,i FoO�•oa�►�r f �t1 `` rI J •--• . ............................... .rl `3 1' �l a 6+ 5iC0�e Ci CA Y o -cLEUa'� tao• l Fi ll 2 4. T4_ iS+ 5iCQ2w4,1 20.S2vv\PM•+- c, MCA r3 t X-C--0,, Ucl -y9i3 CITY OF ARLIIVCTO�4 UNIT 33 SCALE:1"=16' UNIT 34 SCALE:1"=16' THE BLUFF AT ARLINGTON,A CONDOMINIUM THE BLUFF AT ARLINGTON,A CONDOMINIUM SITE ADDRESS: 5%0'1 CIRCLE BLUFF DR SITE Allll12ESS: SgOcJ CIRCLE BLUFF DR CITY OF ARLINGTON,WA CITY OF ARLINGTON,WA AFN 200107095007,SNOHOMISH COUNTY AFT 2RLING SNOHOMISH COUNTY REP: HOUSI REP: HOUSING HOPE PROPERTIES NG HOPE PROPERTIES SELF SELF HELP HOUSING SELF HELP HOUSING 5830 EVERGREEN WAY 5830 EVERGREEN WAY EVERETT,WA98203 EVERETT,WA98203 TAX PARCEL#00915800003300 FAX 1': L#00915800003400 ,• HOUSE PLAN: 3 BDRM'1,098 sq.fk living space IIOUSE PLAt RM;1 0' t.living space CITY OF ARLINGTON WATER&SEWER " ' CITY OF ARLINGTON WATER&SEWER CITY OF ARLINGTON CONSTRUCTION PERMIT �j ® COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.0, - W[3 Q}�NE MAIL ADDRESS CITY ZIP PHONE Cullt Aleman& &(dim �'kD M7 n St. � Everett, T�i 98201 425-388-0211 ARCHITECT-UR DESIGNER MAIL ADDRESS CITY ZIP PHONE Jdmm Architectum & Plarnim 2124 Third Ave, adte 200 mottle, M 98121 20&A48-7580 MAIL ADDRESS CITY ZIP PHONE LIC NSE If�dnical Assistance Age1t: HousiT)g Hope, Itic. 5g30 EXesgceaZ hay Evtt, M 98203 425-347-6556 fDCSIHI02813I MLCHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ H jgD's Heating, Inc. 5415 Happy Ha ow R3. Stmwood, M 98292 360-654-9392 HU33SHIMB PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ Wolfe Plurbing, Inc. 12924 Old Slot)anis0tilroe Fhy. Srh=sh, M 98290 360-568-96.53 V�0=033CJ CLASS OF WORK Rl NLW ❑AUDITION ❑ALTERATION ❑REPAIR Cl DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK S 7-� 11 Q-O CU DESCRIBE WORK 04 px new caistTititicn of PRUPOSt D USE Of BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- 2 Units E e EO(ml 13esi TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- SIONS UtSC RIPTIUN Of PROPERTY(SHOWN BELOW OR ATTACH tUUR COPIES) OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LUr BLOCK Uf See Attached 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 OFTHE PERFORMANCE OF See �CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATUREOF AUTHORIZEDAGENT DATE 108 1DURLSS See Attar.�led X�... ;� (OFFICE USE OIJLY) PLUMBING MEC rANCAL NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSEI (TOILEI) AIR COND.UNITS -Ii.P.EA. BA I II I UB REFRIGERATION UNITS-H.P.EA. LAVATORY(WASH BASIN) BOILERS- H.P.EA SFiOWLR GAS FIRED A.C.UNITS-TONNAGE EA. KI ICIILN SINK 6 DISP. FORCED AIR SYSTEMS- B.T.U. MEA d o UISHWASIIER WALL HEATERS-B.T.0 M f" LAUNURY 1 RAY / UNIT HEATERS-B.T.U. M CLOI IILS WASHER EVAPORAI IVE COOLERS r 1 WAIER HEATER CLOTHES DRYERS URINAL U VENTILATICN FAN - I DRINKING FOUN I AIN RANGE FIOOD COMMERCIAL I"LOUR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS-- RAINLEADERS METAL FIREPLACE d CHIMNEY SINK(SERVICE - BAR,ETC.) WATER HEATER GAS PIPING SUBTOTAL 61 SUBTOTAL f PERMIT 11 PERMIT f TOTAL FEE $1 TOTAL FEE f SIDL. SKID L I BtCK STRLLI SL T BA CK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE(� —02 FED /. � v RECEIPT ��/4 USE /U LOT A F VAC NT SITE .TJ o� Va 1/o, 6�ES ❑NO FEES VALUATION FEE TYPE Of CONSI f J OCC PANCY G OUP NO.OF DWELLING UNITS PLAN CHECKING VG S S/, ;o BU'LDING SIZE Of BL ,.. I NO.or ST ILS MAX.OC`C,4LOAD "1 PLUMBING i FIRE SPRINKLERS REQUIRED YES O MECHANICAL (J� COMMENTS STATE BLDG.CODE LiO ENERGY CODE SURCHARGE I PENALTY U.B.C. RECEIVED SEC.303(a) WATER/SEWER FEES JAN 1 411102 TOTAL !b) qS � _O'� PERMIT VALIDATION WHEN PROPERLY VALIDATED(IN THIS SPACEI THIS IS YOUR PERMIT 6 RECEIPT PAID CRM BY cc:ASSESSOR.APPLICANT.TREASURER.BLDG.DEPT- BUILDING OFF ICIAL DATE RECORDS COPY