HomeMy WebLinkAbout18528 Balmoral Dr_BLD972595_2025 " INSPECTION REPORT '
Permit No. v, _6151ot# 47
Address
Contractor nn
Owner ° ' 1J '
Date �Vci `
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.
specto Date —
TY OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid El ruct. Slab
❑ Wood Stove ❑ Rough-in Plumb: anal
❑ Masonry 0 Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. D—,-,2�57KLot# Z/
• Address �oZ
Contractor
Owner f
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 inspe tion.
❑ CALL 435-0724 FOR RE-IN ECTION - 24 hour notice required.
i
y
Inspector Date
-fiYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ywall, Nailing ❑ Consultation
❑ Foundation �4z�ltear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. — J S Lot #—Y-7 _
• Address /g�a
Contractor
Owner
Date lZ�
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-INSPECTIO - 4 hour notic quired.
i'
Inspector Date
TYPE OF INSPECTION REQUESTED
❑ Under-floor J Framing ❑ Gas Piping
❑ Footing Drywall, Nailing ❑ Consultation
❑ Foundation J Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. _ J �s Lot #
Address
Contractor
Owner
Date i
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.
i
❑ CALL 435-0724 FOR RE-INSPECTIO - 4 hour notic quired.
i
I
j
3
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
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
.' . INSPECTION REPORT !J
Permit No. - Lot # �
Address l5a r�
Contractor
i
Owner
Date
Taken By KO
❑ 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.
1
� t
ti
'\ 1
Inspector Date
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑gaming ❑ 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. q, -,-2_,575 Lot#
Address /F5,2LS /c?,,
Contractor LAKG
• 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.
T� -71
&Ale-
lnspector Date
TYPE F INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing Drywall, Nailing�o•❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. ✓<Ot# _
Address
Contractor
• Owner1�
Date
❑ PPROVAL ❑ PARTIAL APPROVAL
VI ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
C L 435-0724 FOR RE-INSPECTION - 24 hour notice required.
del � -
Inspector Date
4�
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ✓ I, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other � �
INSPECTION REPORT
Permit No. ! Lot #4_
Address lf! 2Z
Contractor o
Owner
Date ,I 1g-9-7
❑ 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.
r
Inspector--�--t..-- 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. '�7_2S_gS" Lot #�
Address I.'Soq[t )3.4-110 41-r0L�
Contractor £_ t2�S c,•�5 T
Owner i
Date //— lq—7 7
❑ 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.
�i 71_�A ---
7
Inspe
Date "
TYPt 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
C1
t INSPECTION REPORT
Permit No. 9? -_-25_9S Lot # Y:z
Address /P 572 bo U 96-IP4G C"0- f
Contractor
• Owner
Date f l - I c- 2-7
❑ 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.
7-
jr 4011,17 �v C✓eDi2
�i Gr�' � l,,.� a c_.�, ,✓I s
u
Inspector Date I
TYPE OF INSPECTION REQUESTED
❑ Under-floor 4 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. 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.
Date
Inspecto
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
NL
INSPECTION REPORT
t.h
Permit No. 97 ,2� Lot#
Address 4 / f
Contractor L4,e=E xF,;
• Owner
Date
ftROVAL ❑ PARTIAL APPROVAL
❑ VIION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-072 FOR RE-INSPECTION - 24 hour notice required.
Date
Inspector
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing X 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
0Permit No. - 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.
Inspector Date �c �7
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove A Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. -.�2 ? Lot# el_7
Address 13- filDr
ContractorF �' r
Owner
Date f -
,21"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 g Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
A0 INSPECTION REPORT
Permit No. Lot # '"�
Address ®k�-.� 1)r'fHUrA.
Contractor /�} 630'1j:T
Owner 2)A v}b
Date /0—f3: 9 J
❑ 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.
Ir�GG� O�l J
lat co, (x"`)r s' S Gr r�
e
Inspector ' Date 61 Z
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
Cl Foundation A( Shear Nailing ❑ Groundwork
❑ Mechanical Cl Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
City of Arington
NOTICE and Inspection Report
�}—7 Phone#
Permit No.J /— 2 S /� Lot#
Date Called 0�-7g7 Address l /� ✓/t�i�+�`--�
Time Called Contractor/Owneer
By �s� Requested by %_-
TYPE . n
OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection ,/
❑ Shear Wall ❑ Mechanical Other
❑ APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECT10N—24 hour notice required.
6;1
Inspe(etei ��� "
�_ Date
' City of Arl ngton
,7 S NOTICE and Inspection Report
Phone#
Permit No. Lot#
Date Called d Address
Time Called ��t Contractor/Owner./
By Requested by lk",J -,t
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
XPlumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
�Wcrk listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 our notice required.
Inspector Date
City of Arington
NOTICE and Inspection Report
/�
^� Phone#
Permit No. R I ' �� Lot# �i
Date Called a . Address �0 p Z5 15" fAli=
Time Called (d Contractor/Owner Lodr-4ec-r-,, �
By Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
14 Foundation ❑ Roughin Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
PROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
r
Inspector Date S
- City of Arlacngton
NOTICE and Inspection Report
Phone# U
Permit No. �? Lot# 7
Date Called Address 12T '
Time Called Contractor/Owner
By / A i S,Qi Requested by
TYPE OF •
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
❑ APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
❑ LL 435-072 FOR REINSPECTION—24 hour notice requiredlop
Date
I
City of Arlington
NOTICE and Inspection Report
c� Phone#
Permit No. /�-- ��Sv Lot# /
Date Called 9 Address %? 7—s2
Time Called (o- 02� Contractor/Owner C-4-& Cnes,:-
By : .(? ;1 Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
PL Footing ❑ Drywall Nailing ❑ Final
Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
❑ APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ CALL�435Oa FOR REINSPECTION—24 hour notice required.
j
Inspector Date -4
Jam- 3_
as
lot
cz
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3 �o I
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C I_rV OF RRL I NS-r0 I
CONO-r RUCT I Ohl F7E RM I T
G'E RM I T NO- _ S-7—at5-75
Owner: LAKECREST CONST 4641 SILVERTIP LANE EVERETT 98203
Value of Mork: $82, 110.00 Tax ID; Phone: 259-6005
Describe Work: NEW CONSTRUCTION
Proposed Use: SFR
Legal Description: GE SEC 3A LOT 47
Job Address: 18528 BALMORAL DR
Contractor's Name Type Address License#
LAKECREST CONSTRUCTION G 4641 SILVERTIP LANE LAKECC117O7
PUGET HEATING CO INC. M PO BOX 336 PUGETH*2648D
PUGET SOUND T AND A P 620 S. INDUSTRIAL WAY PUGETJT15ODE
P E R M I T F E E S
Equipment and Fixtures Numb
er Fee Total Charge
PLUMBING FIXTURES 11 $7.00 $77.00
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 $9.5O $9.50
WATER HEATER 1 $9.50 $9.50 l
GAS PIPING 1-5 OUTLETS 1 $5.00 $5.00
S U B T O T A L...... $159.25
TOTALS Fee
Equipment $82.25
F i xt ure $77.00
Mech Permit $22.00
Permit Fee $705.00
Plan Fee $458.25
Plumb Permit $15.00
State fee $4.50
School Mitigation $941.00
SIGNATURE:
TOTAL FEE... .. ..... ....... $2,305.00 I HEREBY CERT F , A*IEREAD
AND EXAMINED TH AP AND
PAYMENTS..... ............ . $420.88 KNOW THE SAME BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
V TOTAL DUE.. . .............. $1,884. 12 ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPL WI" WHETHER
� � � I� 5P ED L�iZE
DATE RECEIPT #
o
D 7
r BUILDING OFFIG
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT NO.
j OWNER MAIL ADDRESS CITY ZIP PHONE
-
ARCf#VtCT OR DESIGNER ? MArL ADURE CItY ZIP PHONE
I-d,e �Ya f ��2-- e y
GONE RAL CON I-RAC FOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
M CHANI' LCONIRACTOR MAIL ADDRESS City ZIP PIIONE LICENSE
PLUMBING CONTRACTOR MAII/ADDRESS CITY ZIP PHONE LICENSE N
3 LA Of WORK
cc NLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑UEMOLI IION ❑BUILDING RELOCATION
Q VALUATIONOF WORK
W DESCRIBE WORK
3
mPROPOSI D USE Of BUILDING
m I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
w c TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
Z LLbAL DES(RIPFIUN PROPERTY(S BELO UR ATTACH fUUR COPI )
7 SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J LUI �BLUCY,v o/C5� �� z—' WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
w VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
r
a TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCEOF
CONSTRUCTION. PERMIT EXPIRES 1 YE _FROM DATE OF ISSUANCE.
SIGNATURE Of ONT C70R OR AUTHORIZED NT DATE
V IOB AUURLSS t
1 1 MAR
&'IrnoroL
(OFPICE USE ONLY)
PLUMBING BCII ICAL
NO TYPE OF FIXTURE PEE x's FIXTURES NO. TYPE OF EQUIPM13NT FEE x's FIXTURES
ATTER CLOSET TOILET IR COND.UNITS—II.P. FA. lqtdp.lit—
IATI[TUB tEPRIOERATION UNITS—H.P.EA r W .lit"
LAVATORY ASH BASIN OILERS—II.P.P.A. lqtdp.lit•"
I IOWER JAS PIRED A.C.UNITS—TONNAGE BA. 3gtalp.lit••
ITCHEN SINK&DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA
ISHWASHER INALL HEATERS—B.T.U. M
AUN DRY TRAY )NIT IWATERS—B.T.U. M
T
'LO'III13S WASHER "' 3VAPORATIV13COOLERS
ATER HEATER LOTIIES DRYERS
RTNAL _ VENTILATION PAN
)RINKINO FOUNTAIN RANGE HOOD COMMERCIAL
ILOOR DRAIN 11LE-
9INKR IIANDLINO UNIT— CPM
ACUUM BREAKERS OVEOOF DRAINS—RAINLEADERS TAL PIREPLACBdtCIIIMNEY
ERVICE—BAR,ETC. ATER HEATER
S PIPING •u to 5 m$3.00,addoL-I.75
Equipment list must be provided
v__. — I
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTAL PBS TOTAL PEE
SIDI.YARU SL I CK S IRLL1 SETBACK REAR YARD SE FBACK PLAN CHECK NUMBER PLAN CHECK FEE
Q FEE RECEIPT NO.
USF/UN / LOT AREA VACANT-1—SITE O
/7..� � YES ❑NO FEES VALUATION FEE
TYPL OF C SI OCCUP CY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG 3 37
SILL OI BLM NO.OF STUS BU'LDING
MAX. .LOAD S
d
PLUMBING
FIRE SPRINKLtRSED
❑YES NO MECHANICAL
COMMENTS A '` - �jy//-�0 STATE BLDG.CODE
)C�, 17�"'` ENERGY CODE SURCHARGE
7 PENALTY U.B.C.
SEC.303(a)
�'
OF WATERISEWER FEES
/ T�_ TOTAL
?T�
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT 1Ir RECEIPT
ARLIN GTON PAID CRII BY
q?- s_
cc ASSESSOR,APPLICANT.TREASURER. BLDG. DEPT. BUI!DINCOFFICIAI DATE
PFCORDS COPY