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Home My WebLink About5815 CIRCLE BLUFF DR_024910_2026 Q� INSPECTION REPORT ¢ti1N G rO Permit No.: a 7- 49/o Lot#: 3 Q" Address: 59/ 5 e-a a OContractor: t4 l-tt P� 9s � Owner: SIN C' Date: 3—9 -yq 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 j2- Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPOR"' ¢y1N Gl'O Permi No.:OJ -'Yq /0 Lot#: 3� AIMF Contractor: �� O Owner: I N GG 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. CL Inspector: 'bate: rs 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 JM Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢ti1N G TO Permit No.: I D Lot #: Address: 5 S IS C_ t3 D OContractor: -ys ,S /Owner: 1 IN G Date: �� `7'03 Q 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 If4SPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing 5fDrywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT I;; PermitNo.:,Gz yq!o Lot#: 3 (. Address:Contractor:Owner: ' Date: ;Zl-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: recce Date: //—/8-0 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 till );i Permit No.: q11 Lot#: ?' Address:Contractor: AOwner: 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: 11 41-D_'S. TYPE OF INSPECTION REQUESTED ❑ Under-floorEraming ❑ 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 ¢yZN G TO Permit No.: ' (')/® Lot#: 3(� Q' Address: 6915 660 Contractor: FM>L- �s, ,SO Owner: IN O Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED t Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. AT�CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. He -T D vC c-7l R-S �NSTTf'LL— C—�4-1�5• �"� ,r�Li3�"—'r �C T � .•t iic/ J �`Yu Sri►L c Z—C_PW e^+LAr- 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: — INP-PECTION REPORT ¢S.IN G?'0 Permit No.: H Rla Lot #: �- Q' Address: I s e-6 D Contractor: /4D PC O Owner: I N G� Date: LS= o � 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. tit 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 a -� a INSPECTION REPORT ¢1.1N G?'O Permit No.: 4 9 !0 Lot#: -7 0 Q' Address: Sys ( s C_/3 d Contractor: l� tPzs Owner: �IN 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. ❑ 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 RW16",EPOR NG Lr � Lot 4ti Q Permit No.� ` Address: • Contractor: ys, �O Owner: __)) SIN Date: -�5_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: PE OF INSP CTION REQUESTED ❑ Under-fibor ❑ Framing Gas Piping ❑ Footing ❑ Drywall, Nailing 6Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ,Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 83`� N G TD Permit No.: v� '" Lot#: TV Address: Contractor: l e— O Owner: ql N C'� Dater 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. Inspector: Date: PE OF INSP�&ION REQUESTED ❑ Unde loor ❑ 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 �, G rO Permit No.: �/� i o Lot#: C- F Address: �A ; 6.60 Contractor: !� O Owner: 9�, �NC',S Date: '-4 —f 5=us 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�-'/T I -s D Yv 17k;7 I L Inspector: SZ�`' 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: <� S INSPECTION REPORT 1' y�N G r Permit No.: Lot #: Q' O� Addres� Contractor: O Owner: 2 '9s,OIN 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. L w! rz- Inspector: LrrL"�" 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 tiZN GAO Permit No.: 6)_ / �10 Lot#: 36 Address: Contractor: 4 Owner: 9s�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. Inspector: Date: Jr TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove Q ough-in ❑ Final ❑ Masonry Drainage ❑ Insulation ❑ Other: INSPECTION REPORT b 4titN G?'O Permit No.: `7�1 Lot #: _ Q Address: Z Contractor: -ys, ,SO Owner: 11I N 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. co u jo 1,9u l Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ ,Under-floor ❑ Framing ❑ Gas Piping O''Footing ❑ Drywall, Nailing ❑ Consultation �!] Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ ugh-in ❑ Final Masonry Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 4ti1N G 1'O Permit No../))-�/ Lot #: — Q' Address: 5d/ d'6b Z Contractor: O Owner: IN G� Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION X 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: / D ate:T_ 4 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 ¢LIN GONG PermitNo.: 0 4010 Lot #:Address:Contractor: OzOwner:Date: P'APPROVAL ❑ PARTIAL APPROVAL /L3 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. 1 Inspector: ` Date: Flu 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 N G),, Permit No.:d�� Lot #: 6 Q Address: ,S~a/ 3 - (f,''/r Contractor: o,5".7 9 A','N jV Owner: 4IN G Date: �o 30— a;2- 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: 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: INSPECTION REPORT 1,iN G To Permit No. �— Lot#: 4 Q' Address: r � z Contractor: -y �O Owner: ` ,QIN 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: 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 ARL I MC3-rMM C M N E3 T RUC T I Ohl PE R M I T PE Ft I T 1%40.. a 02-49 1 0 Ovner: PETRUSHAK, ROSTISLAV 2737 12TH ST #3 EVERETT 98201 Value of Work: $85, 000. 00 Tax ID: 00915800003600 Phone: 425-304-0716 Describe Work: NEW SINGLE FAMILY RESIDENCE Proposed Use: SFR Legal Description: THE BLUFF UNIT 36 Job Address: 5815 CIRCLE BLUFF DRIVE Contractor's Name 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.M TOTALS Fee Permit Fee $945. 65 Equipment $75. 00 Fixture $100. 00 Mech Permit $24. 00 Plan Fee $614. 67 Plumb Permit $25. 00 State fee $4. 50 SIGNATURE: , TOTAL FEE. . . . . . . . . . . . . . . . . $1.788.82 I HEREBY CE T Y THAT I AVE READ AND EXAMINED THIS APPLI ATIOH AND PAYMENTS. . . . . . . . . . . . . . . . . . $614.67 KXQW THE SAME TO BE TRUE AND COR- ALL. PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . .. . . $1, 174. 15 0 D NANC S GOVERN NG THIS TYPE OF R WIL E MUD WITH WHETHER DATE -�Jb RECEIPT # EC FTE N NOT. y 3s ICIAL PAID MAR 0 5 2002 I � C O -7 J?oj 130A o94- ....Fi----------- -3 ......... ----------------------------- Wf zq 1 3'r ...................... .... .................... to ---------- ...... --- O ID 0-1 d 14 ArVAOX rt 1E 3 7! .1 7E RECEIVED JAN 14 2002 CITY OF ARLINGTON UNIT 35 SCALE:1" 16' THE BLUFF AT ARLINGTON,A CONDOMINIUM UNIT 36 SCALE:1 16' SITE ADDRESS: S917- CIRCLEBLUFFDR. TilE BLUFF AT ARLINGTON,A CONDOMINIUM CITY OF ARLINGTON,WA SITE ADDRESS: 531!5 CIRCLEBLUFFDR. AFN 200107095007,SNOHOMISH COUNTY CITY OF ARLINGTON,WA REP: HOUSING HOPE PROPERTIES AFN 200107095007,SNOHOMISH COUNTY SELF HELP HOUSING REP: HOUSING HOPE PROPERTIES 5830 EVERGREEN WAY SELF HELP HOUSING EVERETT,WA 98203 5830 EVERGREEN WAY TAX PARCEL#00915800003500 EVERETT,WA 98203 HOUSE PLAN: 4 BDRM;1,322 sq.ft.living space TAX PARCEL#00915800003600 CITY OF ARLINGTON WATER&SEWER HOUSE PLAN: 4 BDRIvI;1,322 sq.ft living space CITY OF ARLINGTON WATER&SEWER CITY OF ARLINGTON CONSTRUCTION PERMIT 0�_q jo ® COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. �A'NER MAIL ADDRESS CITY ZIP PHONE Rostislav& Lyubov Petrusbak 2737 - 12th St., 43 Emmett, ha 98201 425-304--0716 ARCHIItCI UK DESIGNER MAIL ADDRESS CITY ZIP PHONE Jdr sm ArdAtectlare & Plmning_ 2124 'Thins Aye, suite 200 SE ttls, kA 98121 2p6L 4 7580 MAIL ADDRESS CITY ZIP PHONE _LRCT NSE 1 `OJxdml Assistance Agent: Housing Hope, Im. 5830 &mgrem 1�ay Everett, M 98203 425-347-i556 HX13hII02&'11 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE{ Hip's HEating, Inc. 5415 Hammy Hallow Rd. Staraaood, M 903292 360-654-9392 HA0SHI008EB PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I Wolfe nu"M, Inc. 12924 Old SnohnTdsYl/bhzroe Hwy. arhamsh, fk 98290 360-568-9653 KXE PI033 i CLASS Of WORK N]NLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK UA f s Juno DESCRIBE WORK 04112r/aii Ider new CLIIStiar-tim of PRUPOSI D USE Of BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- 2 snits cY S Fbridly Fesi TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL DES(RIPT ION Of PROPERTY ISHOWN BELOW OR ATTACH POUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOI BLOCK OF 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 OF THE PERFORMANCE OF See Attac,D CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. TUB AUDRlSS SIGNATURE OF AUTHORIZED AGENT JDATE See A,ttadmd / rJs.• /'Ir �1 d l°Z (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILLI) 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& UISP. FORCED AIR SYSTEMS-B.T.U. MEA DISHWASHER WALL HEATERS-B.T.U. M LAUNDRY 1RAY UNI1 HEATERS- B.T.U. M CLOI IILS WASIILR EVAPORAI IVE COOLERS WAIER HEATLR CLONES DRYERS URINAL VENTILATICN FAN DRINKING FOUN I AIN RANGE HOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEAUERS METAL FIREPLACE &CHIMNEY SINK(SERVICE - BAR,ETC.) WATER HEATER GAS PIPING SUBTOTAL f SUBTOTAL 3 PERMIT S PERMIT $ TOTALFEE $1 TOTALFEE f SIDE YAR LIPACK STRLLISLIBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEV � V.' RECEIPT �I�� USE/O 1 LOT Aftf A VACANT SI T E 9 -G ES - FEES VALUATION FEE TYPE Of CON 1. OCCUPANCY/'ROUP NO.OF DWELLING UNITS PLAN CHECKING VG SIZE OI(L(X,. NO.OF STq)RILS MAX.OC1C.LOAD PLUMBING L ( FIRE SPRINKLERS REQUIRED ❑YES QNO MECHANICAL COMMENTS STATE BLDG.CODE (}� ENERGY CODE SURCHARGE PENALTY U.B.C. 1/ WATER/SEWER FEE SEC.303(a) S' TOTAL TVALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT CITY OF pRL1NOON PAID CRN BY cc:ASSESSOR,APPLICANT,TREASURER,BLDG. DEPT BUILDING OFFICIAL DATE RECORDS COPY