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Home My WebLink About18018 Ambleside Ct_BLD983216_2025 INSPECTION REPORT Permit No.CI Lot # • Address Contractor ' Owner Date 4 -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-INSPECT] - 24 hour notice required. Inspe Date ` TYPE OF INSPECTION REQUESTED ❑ Under-floor 7Framing ❑ Gas Piping ❑ Footing Drywall, Nailing ❑ Consultation ❑ Foundation ear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid Cl Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other I V INSPECTION REPORT Permit No. S— �/(a Lot#� Address 60-19 CA Contractor J AA),6/;14K15— Lau Owner �'C�,��' Date '1 7 — 99 PPROVAL ❑ PARTIAL APPROVAL ❑ V LATION ❑ CORRECTION REQUESTED ❑ Corrections fisted below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 43r 0724 FOR RE- SPECTION - 24 hour notice required. L/ Inspector 1 "Date TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Gas Piping ❑ Footing *— Framing Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other INSPECTION REPORT Permit No. — / Lot #�_ • Address 19t1j1'q" (�!^ Contractor b�rkX Owner 945 Date di-nIL-99 ❑ 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. T-- _ - Inspector Date ` TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing Drywall, Nailing ❑ Consultation ❑ Foundation �<JJS! hear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove J Rough-in ❑ Final ❑ Masonry J Drainage ❑ Insulation ❑ Other INSPECTION REPORT Permit No. �/� - -3:Z 141, Lot #� • Address r i ci-ri '_ Contractor %�--•r��J� �- �G' -u r� Owner Date - ❑ APPROVAL ARTIAL 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. r I C C -- Inspector Date l TYPE OF INSPECTION REQUESTED ❑ Under-floor �AFraming ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in O final ❑ Masonry ❑ Drainage Xinsulation L ❑ Other INSPECTION REPORT Permit No. Lot #� Address i?o/. -n�9• -�� Contractor,. _�.""&'� • Owners Date I - ! ' - 9 ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION --;JCORRECTION 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. s� 2 � fi6e i� Inspec r E—� Date TYPE OF INSPECTION REQUESTED ❑ Under-floor '�H(Framing ❑ Gas Piping ❑ Footing 01❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other L INSPECTION REPORT Permit No.W-e7' Ito Lot #�_ Address 1,R n L-c-, r� Contractor - Owner t0z:ak_-� Date J/- / 9 ❑ 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 ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑.Grid ❑ Struct. Slab ❑ Wood Stove Rough-in ❑ Final ❑ Masonry Drainage ❑ Insulation ❑ Other L INSPECTION REPORT Permit No �/ Lot # Address /eG%e -� Contractor /a Owner Date %l-/'7 - y' ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE b 'fore 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 X Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other L INSPECTION REPORT Permit No. to Lot# 4 Address I RD I f n - -ox Contractor Owner q�— Date // —4, - 9 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 ❑ Drywall, Nailing ❑ Consultation ❑ Foundation *Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other L INSPECTION REPORT Permit No. 91 .Za !� Lot Address M Contractor Owner ?._ zi'.4/�! 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-o724 FOR RE-INSPECTION - 24 hour notice required. Inspector �} Date ' TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing 0 Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other L INSPECTION REPORT � Permit No. qX-r3_�_/ 4 Lot # Address .1?7G/ f Contractor �- Owner �� 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 435-0724 FOR RE-INSPECTION - 24 hour notice required. Ai n ' G Inspector Date TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation )l Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other L INSPECTION REPORT Permit No. 9? - i & Lot# Address '7c,3 01 Contractor — • Owner - - Date i® - 9'� ROVAL ❑ 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. lnspect��:�� 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 L INSPECTION REPORT Permit No. LLL 3s;qLSe Lot# 'V �— /�' Address 1901� `�� Contractor '>_'1b ! �- • 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. Ins or 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 ❑ Final J Masonry ❑ Drainages ❑ Insulation ,6ther Sfd ,1"_ ,Lditlr`l1,1 .Lsy, INSPECTION REPORT 4;1 Permit No. t # 9 Address !•)'Oz P -A - Contractor c0G-�_Y—� Owner - S�9 " Date 9/ _2 1 - 9 '4-� 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. Inspe o Date TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing NGroundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove )iC Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other L INSPECTION REPORT Permit No. - Lot #�_ Address f ?� l r►-.}. --� -y D . Contractorh Owner tZ,2 - 3 1 Date 2— 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. Date - TYP F INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation 1 Foundation ❑ Shear Nailing ❑ Groundwork XN ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation Cl Other L INSPECTION REPORT 6'mm Permit No.gg' Lot# Address l?d/19 ��rZ Contractor Aaid?l'I - Owner #_ Date411 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. I Date ' TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping �oundation ooting ❑ Drywall, Nailing ❑ Consultation ❑ ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in Plumb. Cl Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other I COME3-FRUC-TIOlaf RE:RMI -T F::9E:RM1-r hio- e 9a—_-3a1& Owner: LANDMARK HOMES 5921 74TH AVE NE. MARYSVILLE 26246, Value of Work: $209,482.00 Tax !D: SE 4A 9 Phone: 653-8980 Describe Work: NEW CONSTRUCTION Proposed Use: SFR Legal Description: Job Address: 18013 RIBLESIDE CT. Contractor's Name Type Address License# LANDMARK HOMES 8 5912 74TH AVE NE. D & 1 REFRIGERATION M 6401 50TH DR NE DLREF1**099D OLDS TIME PLUMBING P Pb BOX i6a 0LDETP!%3DF P E R M I T F E E 3 I Eq ------------ -uipment and Fixtures Number Fee Total Charge --------- -- ------ ----- ------- - f PLUMBING FIXTURES Q $7.00 019 FURNACE/UNIT HEATER 1 $13. 0 $13: 15 RANGE i $9.50 $9.51 VENTILATION FANS $6.50 S32.50 DRYER $9. 50 $9.50 t METAL FIREPLACE & CHIMNEY $9.50 $9:50 WATER HEATER $1.50 $9.50 GAS PIPING 1-4 OUTLETS $500 S U B T 0 T A L. ..... $207.65 TOTALS Fee Permit Fee Equipment 588.63 Fixture Mech Permit $22.00 1 Plan Fee sbi&& Plumb Permit $15.00 State fee $4.50 School it $941. 00 SISNATU T07;1 "SE.. . . .......... . . . 33,059.71 1 AEREACi At 1 E REAL;aF�__IFY 7 AND EXAMINED THIS APPLICA71ON AND PAYMENTS.................. $2,759.71 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE... . ............. $300.00 ORDINANCES SOVERNI 7HIS TYPE Q WORK WILL BE A .;.0,Af PITH WHETHER SPECIFi NO RECEIPT # LDINS QNiPYL �e, _n,n q o >anen a�w p CITY OF ARL-INSTON CONSTRUCTION F:),ERM I T AERM I T NO-: 98—aa l& Owner: LANDMARK HOMES 5921 74TH AVE NE. MARYSVILLE 98270 Value of Work: $209,482.00 Tax ID: GE 4A 9 Phone: 653-8980 Describe Work: NEW CONSTRUCTION 0 Proposed Use: SFR Legal Description: Job Address: 18018 AMBLESiDE CT. �J Contractor's Name Type Address License# LANDMARK. HOMES G 5912 74TH AVE. NE. LANDMH*0550R D & 1 REFRIGERATION M 6401 50TH DR NE DLREFI**099D OLDE TIME PLUMPING P PO BOX 968 OLDETP1033DF P E R M I T F E E S Equipment and Fixtures Number Fee Total Cnarge --------------------------------------- ------ -------- ------------ PLUMBING FIXTURES 17 $7.00 $119.00 FURNACE/UNIT HEATER 1 $13. 15 $13. 15 RANGE $9.50 $9.50 VENTILATION FANS 5 $6.50 $32.50 1 DRYER 1 $9.50 $9.50 METAL FIREPLACE & CHIMNEY 1 $9.50 $9.50 WATER HEATER -, - - i $5.00 �y, GAS PIPING 1-5 OUTLETS SUBTDT .. .65 TOTALS Fee n 1 Equipment $88.65 Fixture $ �• 0 `� Mech Permit • 0 \� 1.' Permit Fee Plan Fee $618:31 Plumb Permit $1 .0 State fee $4• School Mitigation $941. IGNATURE: , /[ TOTAL FEE................. 12,759.71 , HEREBY C Y T I HAVE READ ND EXAMINED THIS APPLICATION AND PAYMENTS.... ............. $611.33 KNOW 'r SAME TO BE TRUE AND COR- RECT LL PROVISIONS OF LAWS AND TOTAL DUE. .............. . $2, 148.38 ORD ANCES GOVERNING THIS TYPE OF WORD: WILL BE OMPL W rl WHETHER SPECIFIED H DATE RECEIPT # _,j r7 ;� / BUILDING CIAL FE u-- - 07/13/1999 21:34 13606593691 PAGE 01 INSPECTION REPORT Qp0 �dLot#Permit No _L �o — — Address Contractor �� - Owner Date PPROVAL 0 PARTIAL APPROVAL D VIOLATION ❑ CORRECTION REQUESTED 0 Corrections lifted below MUST BE MADE before work can be approved. D Please contact inspector. ❑ Was not able to perform inspection. 0 CALL 435�4ie4 FOR RE-INSPECTION- 24 hour notice required. In _ — Date TYPE OF INSPECTION REQUESTED Cl Under-floor ❑ Framing :1 Gas Piping C7 Footing :I Drywall, Nailing D Consultation iJ Foundation D Shear Nailing D Groundwork ❑ Mechanical 0 Grid ❑ truct. Slab D Wood Stove > Rough-ill F mal ❑ masonry D Drainage 3 lnsulation D Other C.�.r 07/13/1999 21:34 13606593691 PAGE 02 CITY OF ARLI,vGTON, WASHINGTON - BIJILDIN-;�� DEPARTMENT No building construction shell be commenced until permit holder or INSPECTION RECORD his agent has posted this Inspection Record Card In a conspicuous place in front to the premises. OWNER ��„� �,� ��+� rrv(�� CONTRACTOR JOB ADDRESS _ f�C�1 Sr 17n.6f ir -nr LOT NUMBER _ T"(PE GROUP NATURE of WORK plc I , USE of BUILDING �� _ PERMIT No. ! ? / A DATE ISSUED INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB INSpECTiOI: DATE INSPECTOWS SIGNATURE POUR NO CONCRETE FOOTING � �- UNTILTHIS SECTION HAS BEEN SIGNED FOUNOATION - DO NOT POUR FLOOR CONCRETE SLAB FLOOR v UNTILTHIS SECTION PLUMBING(groundwork) HAS BEEN SIGNED _ GAS PIPING(groundwork) ROUGH PLUMBING COVER NO WORK _ UNTILTHIS SECTION ROl rIPING —_ HAS BEEN SIGNED ROUGH HEATING and VENTILATION _ INSULATION 40,^ WALLBOARD UNDERFLOOR —4-- SEWER REFRIGERATION _ / FINAL — C PLUMBING FIXTURES GAS PIPING HEATING 9nd VENTILATION 4 SHEAR WALL Ll - MISCELLANEOUS SETBACKS _ GRADING DRAINAGE ----..__-.v---- JOB COMPLETED Data --- ( 1DMAKK ko-f PQOPUr2-T►r.5 c,p7— . 9 s�c;�z 4 I��u.Ns�►�% , WA 9S2_70 36o-_1.53— 0190 W W W W T' N N N O O O r 1 _ Gaa y �"- - AAA ,. n n n 3'•�r R�r�K a REKZ p20P U. �E L1NE. U. -� CGOQR Dix ABNG [prVc, Par;; (jr:yW y8 C �, -74 3 Ugyrq . ►2Am,&L6L S� w/ Pik - bk'l-LITS BZtyn T' O LO � RECEIVED JUL 2 1 1998 CITY OF ARLINGTON � 27� �z c� r —z.Z— 9 w�l. _ - _w.4.►.Ri.� w v.:al��:�tl�.••�..��Y�i�1�Y'�b>� ..J _ ., _ a�..rx��Y•._ .. - 2 �f K — CITY OF ARLINGTON CONSTRUCTION PERMIT COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO% - 3 24� 4 OWNER MAIL RESS CI7Y, ZIP P ONE UNDAAA,V,ZikEy rkoL, ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N MErANIC L CONTR CTO MAIL AODR S CIT1H ZIP PHONE LICENSE I 2— PLUMBIPG CONTRACTOR / MAIL AD RESS CIT ZIP PHONE LICENSE 3 CLASS OF WORK ' ' 0(!g-NI W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI LION ❑BUILDING RELOCATION IX N,*LUAT ION OF WORK Z W DE WORK 3 1- w PRUPUSf USE OF PILDI I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- W �' L TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z LLOAL DESCRIPI N OF PROPERTY IS BEL2_(_ OR-`ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK J �7f'� J L(1f _BL(X KIOF� WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO F VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR w LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF J TAX ID NUMBER FRqM PR PERTY STAT MENT r7 jpt,� CONSTR)OZTION. P RMIT EXPPVS 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE F /NTRA O (UTH ZE A DATE V 10 AUURLSS ) //1C1� �G'D X / ` t _ (OFFICE USE ONLY) PLUMBING MECHANICAL ICAL NO. TYPE OF FIXTURE FEE i s FIXTURES NO. TYPE OF EQUIPMENT FEE i s FIXTURES WATER CLOSET OTLL IEL COND.UN1TS-H.P. EA u -list" 3 ATl{TUB EFRIGERATION UNITS-H.P.EA. ZqLip.list- VATORY ASH BASIN) OILERS-H.P.EA. igtip.list" ROWER AS FIRED A.C.UNITS-TONNAGEEA. li .list•" j TCHEN SINK R DISPOSAL PORCED AIR SYSTEMS-B.T.U. MEA ISHWASHER ALL HEATERS-B.T.U. M UNDRY TRAY NIT HEATERS-B.T.U. M LOTHTS WASHER VAPORATIVECOOLERS WATER HEATER 'LOTH ES DRYIRS RINAL FNTILATION FAN RINILING FOUNTAIN ANGE HOOD COMMERCIAL TLOOR DRAIN IR HANDLING UNIT- CPM VACUUM BRIERS 5MVE ONKAP i ETAL FIREPLACE R CHIMNEY I ATER I IHATI3R AS PIPING "(UP to 5=$3.00,addol.=$35 -Equipment list must be provided UB TOTAL SUB TOTAL PQtM(T PERMIT OTAL FEE TOTAL FEE PLAN CHECK FEE SIUI.YA SI- ACK ISTRLLIYBACK� REAR��ETBACK PLAN CHECK NUMBER FEE&// RECEIPTNO / USE Z l LOT ARIA /d1_ VACANT SITE LL1ng- ❑NO FEES VALUATION FEE cl PLAN CHECKING NG IYPLOFCOPSI OCCU¢1NLYGROUP NO.OF DWELLING UNITS (V AJ r- 3 -'i +` BUTDING s QS 75 SIZE Of 8 D(.. NO,OF 51ORILS MAX.OCC.LOAD j -I / PLUMBING FIRE SPRINKLERS REQUIRED 14 ❑YES lJ NO MECHANICAL _ - �o - STATE BLDG.CODE C Q COMMEN ENERGY CODE SURCHARGE 7 U.B.C. PENALTY SEC.303(a) FPERMIT EWER FEES RECEIVED VALIDATION .. ROPERLY VALIDATED IIN THIS SPACE)THIS IS YOURPERMIT&RECEIPT CR# BY DATE BUILDING OFFICIAL CC: ASSESSOR,APPLICANT,TREASURER, BLDG DEPT RECORDS COPY