The URL can be used to link to this page

Home My WebLink About18511 Balmoral Dr_BLD003995_2025 (3) INSPECTION REPORT CSc - ?' Permit No.: -,�cl�J Lot #: Address: ^�� (��zf'�—.��,� .ZContractor:,�0Owner: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. Inspects . c Data. ?=dQ::� TYPP11F INSPECTION REQUESTED ❑ Under-floor Framing El Gas Piping ❑ Footing ❑ rywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT Permit No.:(,r-. L_o/t,#: .. Address: Contractor: :� cr- 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. /�loti/ fo�li� Inspector: Date: 1-7 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: INSPECTION REPORT • Permit No.:&e r1 •5_Lot#: Address: l" ��l� Contractor: �ZIO 4efI C� Date: '-ll ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION -a 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 Inspecr.`-J` Date: T OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ ooting ❑ Drywall, Nailing ❑ Consultation Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 0 Permit No77- 7 1 5- Lot #� Address /X-5-// _6 4i) Contractor ?_/A) Owner Date _ Taken By PROVAL ❑ 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 435-0724 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 Plumb. final ppR.C4 ry❑ Mason ❑ Drainage n s u I on ❑ Other INSPECTION REPORT Permit No.c/7" L�7/3� /Lot # _ • Address 1 tf Contractor Owner Date Taken By 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 435-0724 FOR RE-INSPECTION - 24 hour notice required. Inspector Date TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing rywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in Plumb. ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other INSPECTION REPORT Permit No. (�' �7�� Lot# r Address ( J� Contractor Owner L— /v Date L—4'q Taken By —494, ❑ APPROVAL ❑ ARTIAL APPROVAL ❑ VIOLATION RRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required. n zl?a r-r � l r ` r Inspector � T Date TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing /XDrywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in Plumb. ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other INSPECTION REPORT Permit No. 17--._J 7/5 Lot # % v ^ • Addressiyr- Z- Contractor Owner L/ "U Date Q ---�&" l Taken By • Sc.c:;. -P-ROVAL ❑ FA�,R�TIAL APPROVAL ❑ VIOLATION j2 �,RECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 35-0724 FOR RE-INSPECTIO - 24 hour no .ce required. l' i CW A Inspector Date TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing rywall, Nailing ❑ Consultation ❑ Foundation ❑ hear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in Plumb. ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other �j INSPECTION REPORT Permit No _ ; Lot Address Contractor Owner L_[ Date �1`i 1� —Ci Taken By P - a' 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 435-0724 FOR RE-INSPECTION - 24 hour notice required. Date TYP OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in Plumb. ❑ Final ❑ Masonry ❑ Drainage Insulation ❑ Other INSPECTION REPORT Permit No. 9 2 Lot# , Address Zc?7 11C��U�YLf7 -�.= Contractor Owner L-o Date ;-Z—/ 7 Taken By 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 435-0724 FOR RE-INSPECTION - 24 hour notice required. of U772Z C/eI � o Inspector Date TYPE OF INSPECTION REQUESTED ❑ Under-floor Framing ❑ Gas Piping ❑ Footing ; ❑ brywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in Plumb. ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other "7;0 4 cc n`I INSPECTION REPORT Permit No.' 7 Lot # & 3 • Address I9z:) ! I CO3m4nA JCS%. Contractor Owner Date I Taken By —�-� 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 435-0724 FOR RE-INSPECTION - 24 hour notice required. nspector Date .� TY OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing Piping ❑ Footing ❑ Drywall, Nailing X— Gas Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical 0 Grid ❑ Struct. Slab ❑ Wood Stove Rough-in Plumb. ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other Q(e- --(ek I INSPECTION REPORT Permit No. 7— Lot# — Address Contractor Owner "A-) It ti`t Date CQ- `�1 Taken By '<v ❑ APPROVAL ❑ P 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 435-0724 FOR RE-INSPECTION - 24 hour notice required. ector Date ` TY E OF INSPECTION REQUESTED ❑ Under-floor ❑ Framingas Piping ❑ Footing D Drywall, Nailing ?L'3KQC_onsultafion ❑ Foundation D Shear Nailing ❑ Groundwork ❑ Mechanical D Grid ❑ Struct. Slab ❑ Wood Stove Rough-in Plumb. ❑ Final ❑ Masonry D Drainage ❑ Insulation ❑ Other INSPECTION REPORT Permit No.0 -0 7 Lot# Address / Y Contractor Owner �--� A" Date _- -5 ^ V Taken By ❑ 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 435-0724 FOR RE-INSPECTION - 24 hour notice required. Q � - r Ins Date TYPE IFINSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ rywall, Nailing ❑ Consultation ❑ Foundation Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove Cl Rough-in Plumb. ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other INSPECTION REPORT Permit No Lot# • Address Contractor Owner • Date —JLO ti Taken By ,- ❑ 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 435-0724 FOR RE-INSPECTION - 24 hour notice required. J- �- Inspector Date TYPE OF INSPECTION REQUESTED �0Under-floor Framing ❑ Gas Piping ❑Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in Plumb. ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other INSPECTION REPORT Permit No.7 7- -z'// Lot # ` • Address S Contractor Owner j Date _l/ . ❑ PRaVAL ❑ PARTIAL APPROVAL VIOLATION ❑ CORRECTION REQUESTED ❑ Co tionsliMbd below MUST BE MADE before work can be approved. lease contact inspector. ❑ Was of able to perform inspection. ❑ CALL 4�24 F &INSPECTION - 24 hour notice required.Z J U tl 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 YAM INSPECTION REPORT Permit No. `7- 224 _ Lot # Addressia Contractor 1-10,A1 e f 1WOwner Date _//f 9-9 7 APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQLJJESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ rC 435-0724 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 Permit No. S Lot # • Address Contractor,, 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 435-0724 FOR RE-INSPECTION - 24 hour notice required. Inspecto �-` Date TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping Footing ❑ Drywall, Nailing ❑ Consultation /J Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other 20' R BACK LZM { I! I 9 IUNHEATED SUNS Sc ACE in 1p �l Y I ` � S c I W ra�� I Iq N I J M L) ti a w Li N Li C7 rr V1 EXISTING HOUSE PROXY 1792 SOFT. 22 1/2' FRGNT Y RD SETBACK LINE EXISTING DRIVEVA MBE� BEY NDCO CON STRUCTION ENTRANCE in Kok NU UM VA 9M LQT 63 SOM RECEIVED MAR 31 2000 CITY OF ARLINGTON n, rah l.ai" �3 G Icnea,g)� SA N�fie. w cq � w � HOoILQd hj G�ir� Sic wi 5►/�e►,� � u, � - - �_� �4� S I00 ,3 � J � l Ac7� G,5 `�' nSj IDJ2 �q.gq All L i n Horr►c S, ZnL- &I; At? NE ;W)."d st'c-etr CITY OF 5eq,ftlel w A y yo ARLINGTON Ql- V6` C I TY OF ARL I lVGTOI COONO-rRUCT I ON RE:RM I T BERM I T NO_ 00-3S9!5 J Owner: MOEN, SHIRLEY 18511 BALMORAL DR ARLINGTON 98EE3 Value of Work: $9,868.00 Tax ID= 8659-0000-630-001 Phone: 360-403-97n Describe Work: UN HEATED SUN ROOM ADDITION TO EXISTING RESIDENCE Proposed Use: SFR Legal Description: �,. Job Address: 18511 BALMORAL DR Contractor's Name Type Address License# AMERICAN SOLORIUM PRODUCTS G 15314 SMOKEY POINT BLVD AMERISP011RU TOTALS Fee Permit Fee $181.E5 Plan Fee $117.81 State fee $4.50 SIGNATU TOTAL FEE,............... $303.56 I HEREBY CERTIFY I HPV AND EXAMINED THIS APPLICAT N AND PAYMENTS..................$0.0 KNOW THE SAME TO BE TRUE A COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE................. $303.56 ORDINANCES GOVERNING THIS TYPE OF E WILL BE C&M ,' D W. r . WHETHER IFIED R 1 ., `O, DATE RECEIPT ## , r f BUILDING OFFICI CITY OF ARLINGTON CONSTRUCTION �y PERMIT ❑ COMBINATION pQ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ sIGN PERMIT NO.��S j OWNER 7> MAIL ADDRESS CITY 2/P PIIONE AR IITECI OR QE IGNE MAIL AUURESS LI Y ZIP PIIUNE -5 a G Al C N MAMA MAIL ADDRESS CITY LIP PI CIUN L SE/ t�vl .C�,11/Y►1/s� S'f�cL /`iL�•!%,�/SPa 1/2�,� ME I IANICAL CON T R AC T OR MAIL ADDRESS CITY ZIP PRONE LICENSE PLUMBING CON TRACIOR MAIL ADDRESS CITY Zip 1`11ONE LICENSE 0 3 CLASS OF WORK 0❑NLW ❑AUDITION ❑ALTERATION 0 REPAIR ❑UEMULI I ION ❑BUILDING RELOCATION a VAL UA t N OF WORK (j] UESCRIRE+ RK I d&bea CID rRU L D USE Of BUILDING / rn I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICA- w TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- j LWAI UlSCRIrIION UI rRUrERtY 1SIIOWN BELOW OR Al IACH 1UVR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOT�n�BEucK7 Ur -� WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO 41�; VIOLATE O ANCEL THE PROVISIONS OF ANY OTHER STATE OR .i TAX ID NUMBER F OM P PEn Y T s ATEMENT LOCH WR ULATINGCONSTRUCTIONOFTHEPERFORMANCEOF ^� ?S 3� C TRUCT N.PER PIRES 1 YEAR FROM ATE OF ISSUANCE. C LUREOFC TRACTORO T RIZED AGENT DATE v Joe-%uvRLSs t f e�I f ac.Ysf x (0046I LIST;ONLY) % rLUMBINO AUCII CAL NO. Tyra Or r11Ct URa raa x:rIxIURDs rYea or a0 IeMBNTF ::PIXTURDs �- A'I'aR CLOSI r TOILDC I IR COND.UN115-II.P. aA.7-IATIITUD LEPRIaMLATION UNITS-II.P.11&VATORY ASII BASIN OILaR9-II.P.aA. SHOWER AS PIRaD A.C.UNII'S-TONNAGUBA.ITCIIEN SINK&DISrOSAL ORCED AIR SYMSMS-D T.U. a ASHWASHER NALL IIaATBRS-B.T.U. M _ UNDRY TRAY JNIT HI1ATSRS-D.T.U. M '1.071IRS WASIIER IVArORATIVDCOOLERS A-11/R IIEATER LOTIHIS DRYERS RINAL VATUR LATION PAN KINKING FOUNTAIN D IIOOD COMMERCIAL 'LOOK DRAIN R. ANDLING UNIT- CrM AC UM DRBAKERS a OOr DRAINS-RAINLEADERS L PIRarLACaa CHIMNEY INK ERVICS-BAR.13TC. HISATER AS PIPING '(.p to 5 s$3.00.mddnl.a S.75 vl ment llot must be provided SUB TOTAL SUD TOTAL PaRMCP PERMIT TOTAL FIIa TOTAL ITHS S)UI,Y,\ItU SE I 51 REL I Si I BACK REAR YARD SE 1 BACK PLAN CIIECK NUMBER PLAN CIIECK FEE FEE RECEIPT NO. USr IUN)J LOT AREA VACANT SITE 7y� ❑YES zj"A- FEES VALUATION FEE TYPE UI CUN51. r� tx CU NCY GROUP NO.OF DWELLING UNIT$ PLAN Cl IECKING VG V NO.UI SIORILS MAX.00C.LUAU DU'LDINC 511E UI BIUt.. f 1 s PLUMBING r IRE SPRINKLERS REQUIRE[) ❑YES ®TNO MECHANICAL COMMENTS STATE BLDG.CODE ®E C E II'v/F v, ENERGY CODE SURCHARGE fl R M PENALTY SEC.. �7 SEC, 03(a) /� ( LIAR 3 1 ZOQQ WATER/SEWER FEES w�T Z _--- ^� TOTAL PERMIT VALIDATION WREN PROPERLY VALIDATED IIN TIM SPACE) THIS IS YOUR PERMIT A.RECEIPT PAID CRII BY ca ASSESSOR. APPLICANT,TREASURER, BLDG, DEFT. BURDINrOITICIAL ) DATE nECOnDS COPY C I -rY OF ARL I NS-ro V CONSTRUCTION PERM I T BERM I T NO, — I Owner: LIN HOMES INC 6520 202ND ST SEAT?'LE 98155 Value of 41ork: 78,39.00 Tax ID: 8659-000-063-0001 Phone: 425-402-8532 Describe Work: NEW CONSTRUCTION Proposed Use: SFR Legal Description: BE SEC 3A LOT 63 Job Address: 18511 BALMORAL DR Contractor's Name Type Address License# LIN HOMES INC G 6520 202ND ST LINHO266MP ASSOCIATED HEATING M PO BOX 309 ASSOCI238R7 ROCKY'S CUSTOM PLUMBING P 9410 132ND ST. NE. ROCKYCP03iN8 P E R M I T F E E S Equipment and Fixtures Nunber Fee Total Charge --- --- _-------------------- ---- -- ------ -------- ----------- PLUMBING FIXTURES 12 $7.00 $84.00 FURNACE/UNIT HEATER 1 $13.25 $13.25 RANGE 1 $9.50 $9.50 VENTILATION FANS 4 $6.50 $26.00 DRYER 1 $9.50 $9.50 METAL FIREPLACE & CHIMNEY 1 $9.50 $9.50 ! WATER HEATER 1 $9.50 $9.50 GAS PIPING 1-5 OUTLETS 1 $5.00 $5.00 fi S U B T 0 T A L...... $166.25 TOTALS Fee Equipment $82.25 Fixture $84.00 Mech Permit $22.00 Permit Fee $682.00 Plan Fee $443.30 Plumb Permit $15.00 State fee $4.50 School Mitigation 5941.00 4- � — SIGNATURE: TOTAL FEE. . . . . . . . . .... .... $2,274.05 I HEREBY CIR-T-70 THA I HAVE REPO AND EXAMINED THIS APPLICATION AND PAYMENTS...... ..... ....... $600.00 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE............. . .. . $1,674.05 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE CO IL J WHETHER IPT # 913 SPECIFIED - R ` BUILDING OFFICIAL U:D F CITY OF ARLINGTON CONSTRUCTION PERMIT COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE �.,� �Cl✓Y1zS , �i�( , V�o�CJ. �✓�2OJ��IS��eel 'cr7ti� ltih' ��/�� /a5-�Ur- � �Z ARCHITECT OR DESIGNER MAIL ADDRESS f CITY ZIP PHONE GENERALCONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE/ 1 ;�, tiv��l��. �, l�5zv /' av). � MLCIIANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE If A5_6 Cx i61 �_ rofI .60Y 30 ,416nz�,L�ff 9�z T'2- 2,0 Sz=0 0Z 17 a 3,� d2 � PLUMBING CONTRACTOR MAIL ADDRIrSS CITY ZIP PHONE LICENSE/ e06-4Y"-1Lk5A,1l/I P1(C1Nl��rg 'tS)C3 �3��5�. N'C�c�►+�, �, ��,� 9�a�3 3Lv-�S�/��IS�'� CLASS OF WORK gLNLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI IION ❑BUILDING RELOCATION VALUAT ION OF WORK sjZ '7 r UESLRIBE WORK C--I qC W'e— v-C4? PRUPOSI U USE Of BUILDING p S I"�{�i� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LIGAI scRlPl ION or P PERTY SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOT ZBLucic or �Nt'�`'� �e(fo �� WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO s 5 1 G-DUD -('[p _LC�O VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBS FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF l S1 I I ��f CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. Ekjo)OB AUURLSS SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE ��Z 3 Iq L%r rlwyy-e4._ThL_, 1—Y (OPFk%USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE s9 FIXTURES NO. TYPB OF EQUIPMENT FEE is PIXTURES ATER CLOSET TOILIIr URCOND.UNITS—H.P. EA. d .ilt•• ATIITUB IEPRIGERATION UNITS—H.P.EA 3qtdp.lit— VATORY ASH BASIN OILERS—II.P.BA. ' d .llt••' HOWER 3AS FIRED A.C.UNITS—TONNAGE EA. d .lit•' ITCHEN SINK A DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA ISHWASHER WALL HEATERS—B.T.U. M UNDRY TRAY JNIT HEATERS—B.T.U. M LOTHES WASHER IVAPORATIVECOOLERS A71IR IIBA ER 'LOTIIES DRY[0LS RIVAL FEINTILATION FAN RINKING FOUNTAIN / Rmon HOOD COMMERCIAL LOOR DRAIN kIR.HANDLING UNIT— CPM ACUUM BRBAKERS IIIDVB OOF DRAINS—RAINLEADERS ILrrALFIREPLACE A CHIMNEY INK SEILVICE—BAR ETC.) VATUR HEATER AS PIPING *(up to S—$3.00.addol.=$.7S ui meot lid must be provided - SUB TOTAL PERMIT PERMIT TOTALPEB TOTALPSE SIUL YARD IBALK STRELI S[iB ACK REAR YARD SETBACK PLAN CHECK NUMBER J i USE/tNV LOTAKE VACANT SITE Fe ECE ? jq%�' ES ONO FEES VALUATION FEE IYPL OF CON 1 OCCUPA GROUP NO.OF DWELLING UNITS PLAN CHECKING VG 3, , 42 /6 SIZE Of;LUG.SIZE Of 7 NO.Of STURILy MAX.OCC.LOAD BU'LDING PO PLUMBING FIRE SPRINKLERSR IRED ❑YES NO MECHANICAL = / STATE BLDG.CODE COMMENTS r/ S e ie- �Or t c- l� l ENERGY CODE SURCHARGE T U.B.C. PENALTY df /� ��yOF Cl WATERISEWER FEES Il CITY■ O T�/ l , �.3 ^1"7 TOTAL DON :! d PERMIT VALIDATION 1 7(.1 47 D WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS 15 YOUR PERMIT&RECEIPT AMMO PAID CR# BY c� — � 131 5 OUILDING OFFICIAL DATE CC' ASSESSOR.APPLICANT,TREASURER,BLDG.DEPT. RECORDS COPY