HomeMy WebLinkAbout5715 CIRCLE BLUFF DR_035538_2026 W' INSPECTION REPORT
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¢1,IN G ro Permit No.: �,3k Lot#: _�
Address: f 7/5
Z Contractor: A/ —`
O Owner:
1�`S�I I�C3� Date: ;t -/F,O�
❑ APPROVAL 21<4�ARTiAL APPROVAL
❑ VIOLATION D 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
Inspector:
i' Date:
AYPE OF INSP CTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing Drywall, Nailing ❑ Consultation
❑ Foundation -di-Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage j�--insulation ,
❑ Other:
INSPECTION REPORT
P 4tiZN GT Permit No.: Lot
O ,,
Q' Address: /J,/0
Contractor:
O Owner:
�s�ING� Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION L+ /CORRECTION REQUESTED
corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
JQCALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
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Inspector: G � 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:
�y INSPECTION REPORT
¢ti1N G?'O Permit No.: !3, ",!55M Lot
Address: / �
Z Contractor: "
O Owner:
9s�r N � 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:
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:
23a
INSPECTION REPORT
4y1N G r® Permit No.: 5536 Lot #: ��
Q' Address: S 7 15 e-b D
Contractor: �E
-7 Owner:
SIN G Date: C 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: r
PE OF INSPECTION REQUESTED
❑ Under-floor a 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
¢1IN G 1'0 Permit No.: 3_L�53 Lot#:
Q' Address:
� z
Contractor: e-
O Owner: /
IN�� Date: 1 12Z• �/7
-7� 0VAL ❑ 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: lam'
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing Gas Piping
El Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
Mechanical ❑ Grid ❑ Struct. Slab
Wood Stove Rough-in ❑ Final
❑ Masonry � Drainage ❑ Insulation
❑ Other:
`F3 y
INSPECTION REPORT
.�
¢ti1N G 7'O Permit No.: 5 5 3 9 Lot#: 210
Q' Address: 5-1 15 c a
Contractor: Go 8 3 t-�s-M N
Owner: k� �-�-e
IN Date: i z- 1 0- o 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.
E'4'rlz� L-vL_ s Pn L. 612 F'rZe: %,-- o'j 1L'4
Inspector: Date: 0 -16-03
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation 2- 04 Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
VV I
4ti1N G1'o Permit No.: 55 34 Lot#: Z60
Address: / 5 C 6.6
Z Contractor: e�:-
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.
d,1 L_I 2L'a ^-raT P C-yz—
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Inspector: Date: 2--1
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 ��
1N G �5,3
4ti ?'O Permit No.: Lot#:
Address: LAb
Contractor: l , Hz� D
,SO Owner:
SIN 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.
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Pr9 az'✓L;-o
/ycarA S/O it- tE2i
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
INSPECTION REPORT
4ti1N G TO Permit No.: Lot
Q Address: !S 7
Z Contractor: �-
93, k"O Owner:
4 j N O Date: Oj
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.
�i
Inspector: Date:
PE OF INSPEC ON REQUESTED
` 1lnder-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
�i �
1;i
TPermitNo.: 03-5538 Lot#: 4(4
Address: S; 7/�0JA,lt
Contractor: 14- UU
4 Owner:
Date: 10- 11.0_CO3
UI—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?'O Permit No.0-3 5'�_3�3 Lot#:
Q" Address: - 7 f S - 0
Z Contractor: Sys,� r o
jN G�4 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.
V /
Inspector: Date: t10 `'—(E�3
YY' PE OF INS ECTION 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:
INSPECTION REPORT
¢ti1N G To Permit No.:
Address:
Z Contractor: _4/42_51h':�
4 Owner: �1
�S�INCs� 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 lt� iff Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
�11 INSPECTION REPORT
¢ti1N G7'� Permit No.:r3 -S-'5-3�-Lot#:
Q' Address: S / r C
Contractor: �c�s,� 14c r
4 Owner:
INOS Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ) \ORRECTION REQUESTED
Acorrections 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.
n
r
/G�cCz r
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:
INSPECTIQ� REPORT =�
G1T Y �� Permit No: QC/�__6�3A Date:
Address/Lot No: r71,r)
1 r — r-
Contractor: tip , o P-
lI N G"c' Owner:
0
Supervisor:
0 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
tg
Inspector: - Date: d
TYPE OF INSPECTION REQUIRED
TESC STORM DRAT ROAD LANDSCAPING
❑Slit FencePipe ❑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
lEofiltration ❑Final
INSPECTION REPORT
4ti�N G TO Permit No.: 15 5 3 Lot#:
Address: S -715 ��47
Contractor:
9�, ,S4 Owner:
SIN G
1 Date: S -- 7— o Y
APPROVAL e�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.
P140 rns >N /-/LC
Jae
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-rU V
C U M S T R U C T I U N PE R M I T
P E Ft I T M C3- a 0 3—S 5 3 8
Owner: HOUSING HOPE 5830 EVERGREEN WAY EVERETT 98203
Value of Work: $114, 000. 00 Tax ID: 009158-000-026-00 Phone: 425-347-6556
Describe Work: NEW DUPLEX RESIDENCE
Proposed Use: SFR
Legal Description: THE BLUFF LOT 26
Job Address: 5715 CIRCLE BLUFF DR
Contractor's Mane Type Address License#
HOUSING HOPE GEN 5830 EVERGREEN WAY HOUSIHI028RH
ALL WAYS AIR CONTROL MEG 11674 HIGGINS AIRPORT WY ALLWAAC074C3
WOLFE PLUMBING ING PLB 12924 OLD SNOHOMISH/MONROE HW WOLFEPI033CJ
HOUSING HOPE 5830 EVERGREEN WAY HOUSIBI028RH
HOUSING HOPE GEN 5830 EVERGREEN WAY HOUSIHI028RH
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
--------------------------------------- ------ -------- ------------
PLUMBING FIXTURES 13 $10.00 $130. 00
FURNACE/UNIT HEATER 1 $15. 00 $15. 00
VENTILATION FANS 5 $7. 00 $35. 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. . . . . . $212.00
TOTALS Fee
Permit Fee $1, 160. 90
Equipment $82. 00
Fixture $130. 00
Mech Permit $24. 00
Plan Fee $754. 58
Plumb Permit $25. 00
State fee $4. 50
SIGNATURE.
TOTAL FEE. . . . . . . . . . . . . . . . . $2, 180. 98 I HEREBY CE T AT I H VE READ
AND EXAKIN T IS APPL CA ION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $766. 48 KNOW THE SAME TO BE TR ND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $1, 414. 50 ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER
DATE 1 RECEIPT `� P'=IFI D HE 'EI O NOT.
UILDIMG OFFI IAL
of _ - � • '.L ~ � � 'r.
• ti ��,,,. •, ;�• : . f 't`}�,�_fie>.1
a i►• - ,,,L.: •Kea -
ar -
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0GAT Y ��
• INSPECTOR'S DAILY REPORT
�irIINGSp
DATE JOB/PROJECT
5/4/04 The Bluff Lot # 26
CONTRACTOR
OWNER
Housing Hope Housing Hope
SUBCONTRACTORS
Chrome Construction
WEATHER AM: 9:00 rain
WEATHER PM:
RECORD
Met onsite with Jeff Neese and Ray Ashcrasf#fro h uoupmnfiHd nooaeon
Jim o he
f Chrome Construction to discuss to
the
Beds. The infiltration beds weran
e installed incot estlresent thaty and not othe
City of Arlington stand t deceive C of ptunthe he p the correction are made .
lot's in question will no
to work on correcting the
All parties present agreed and are gong
issue.
EQUIPTMENT
LABOR
;ITY
SIGNED
�t Y OAl
• INSPECTOR'S DAILY REPORT
DATE JOB/PROJECT
4/28/04 The Bluff
OWNER CONTRACTOR
Housing Hope Chrome Construction
SUBCONTRACTORS
LOT #26
WEATHER AM: 10:00 Sunny
WEATHER PM:
r
e informed
with Marc Hayes to look at lots 25-30 to look at the
eds . Met Ray Ashcroft from housing hn be inspectedt expose the infiltration beds so theyare that they had not been inspected and is willing to
in question up for inspection
He lthem Also ss going to tgoingdto
of me when they are dug up. So I can inspect
dig up their sewer pump lines for Virgil to inspect and sign off .
EQUIPTMENT
LABOR
TITLE
SIGNED
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
® COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN L V
PERMIT NO. J��b
C(11R 2(o MAIL ADDRESS CITY ZIP PHONE
vu Housing Hope 5830 Evergreen Way, Everett, WA 98203 425-347-6556
ARCHITEC770-WDESIGNER MAIL ADDRESS CITY ZIP PHONE
Jd-rOm Ard-itecWm & Pmirg 2124 nIliird Ave, Spite 200 Seattle, M 98121 8-
MAIL ADDRESS CITY ZIP PHONE LIC NSE/
HomiM f4e, Im• 5830 �\ty FWerett, 6 A 982M 425-347-6556 IULMFH028M
MLCIIANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
All-Ways Air Control 11674 Hi5gins Airport way, RI)rlinriton IPA c)2Q3 � -F,-75� r�1�
PLUMBING CONTRACTOR MAIL ADDRESS n��'
CITY ZIP PHONE LICENSE/
hblfe PhrblM, Inc. 12924 Old &&aTdsY�MmrCe Hwy. Smbmdsh, Rk %290 360-568-9Et53 hUfFFPI033`J
CLASS Of WORK
®NLW ❑ADDITION ❑ALTERATION ❑REPAIR Cl DEMOLI TIOFI ❑BUILDING RELOCATION
VALUATION OF WORK
f 111 , 0oo
DESCRIBE WORK
new oa-sLnx_tjan of duple c
PROPOSI D USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
L (.\L DES(RIPI
u(L U of e F�( RT MOWN 1� 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 Attad-Ed WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OFA PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
Ss° AttaC-ad CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
108 AUURLSS
SIGNATURE OFA HORIZEOAGENT DATE
i
57/5 6,&b see Atta ailed x ' -7 �7? f o 3
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO, TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILEI) AIR COND.UNITS -H.P. EA.
BAIFII UB REFRIGERATION UNITS-H.P.EA.
LAVATORY(WASH BASIN) BOILERS-H.P.EA
SHOW'LR GAS FIRED A.C.UNITS-TONNAGE EA,
KI ICI ILN SINK& DISP. FORCED AIR SYSTEMS-B.T.U. M J J
I DISHWASHER �, WALL HEATERS- B.T.U. M j 'L'o'
LAUNDRY TRAY / UN11 HEATERS- B.T.U. M @�
I CLOI I IES WASHER ( EVAPORAI IVE COOLERS
WAIERHEATLR \ / CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNTAIN RANGE HOOD COMMERCIAL
I-LOUR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS j STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUB TOTAL f SUBTOTAL f
PERMIT f PERMIT f
TOTAL FEE f TOTAL FEE f
SIDE YARU SE I BACK STRLLI SL IBACK REAR YARD SETBACK PLAN CHECK NUMBER LAN CHECK FEE
/ d.e POP PC/ FEE REGE'PTNO ���
USE/ NE LOT ARE)A�f , VACANT SITE ( IISn�
-2/ '7 UQ YES ❑NO FEES VALUATION FEE
TYPE OF CO ANCY GI UP NO. DWELLING UNITS PLAN CHECKING V OCC G 3 N ^ BU'LDING f
SIZE Of* ' NO.Of STU1fILS MAX.00 LOAD
3 (d2 PLUMBING
7
FIRE SPRINKLERS REQUIRED
❑ ES 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 SPACEI THIS IS YOUR PERMIT&RECEIPT
PAID CRR BY
cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT. BUILDING OFFICIAL DATE
RECORDS COPY