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HomeMy WebLinkAbout907 Broadway N_BLD025081_2025''INSPECTION REPORT Permit No.: �, Lot #: I Address: Contractor: Owner: IN O Date: 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 435-0674 FOR RE -INSPECTION - 24 hour notice required. Date: ZTYPE 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.:r,* - Lot #: Address: e-lc2f" w�'n Contractor: t'f Owner: ING� Date: r-O--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: j Dater' ❑ Under -floor ❑ Footing ❑ Foundation I& Mechanical ❑ Wood Stove ❑ Masonry ❑ Other: E OF IN4PECTION REQUESTED ❑ Framing ❑ Drywall, Nailing ❑ Shear Nailing ❑ Grid ❑ Rough -in ❑ Drainage ❑ Gas Piping ❑ Consultation ❑ Groundwork ❑ Struct. Slab ❑ Final ❑ Insulation C I T Y C3 F A R L I P4C3T O hl CQNSTRIJCT I ON PERM I T PE Ft I T MC3 _ = 02-5108 1 Owner: WILLIAMS, KEN 907-BROADWAY ARLINGTON 98223 Value of Work: $100.00 Tax ID: 00461803800101 Phone: 653-0141 Describe Work: CONVERT WATER HEATER FROM ELEC. TO GAS Proposed Use: SFR Legal Description: Job Address: 907 BROADWAY Contractor's Have Type Address License# OWN P E R M I T F E E S Equipment and Fixtures --------------------------------------- Number ------ Fee -------- Total Charge ------------ WATER HEATER 1 $ 15. 00 $15. 00 METAL FIREPLACE & CHIMNEY 1 $11.00 $11.00 GAS PIPING 1-4 OUTLETS 1 $6.00 $6.00 S U B T O T A L...... $32.00 TOTALS Fee Equipment $32. 00 Mech Permit $24.00 TOTAL FEE ................. $56.00 PAYMENTS .................. $0.0 TOTAL DUE ................. $56.00 DATE �- 'd�' RECEIPT # /� 7 SIGNATURE:; I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEC.WI,ED MEREINk OR NOT. BUIL MG OFFICIAL CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING 29 MECHANICAL ❑ PLUMBING ❑ SIGN \ PERMIT NO. `pWNLR MAIL ADDRESS CITY ZIP PHONE 91C7 -7 �9,oz o ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LI - CIENSE# )WCHANICAL CONTRACTOR �^ mniL AuvRt» CITY ZIP PHONE LICENSE # PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF ❑ NL.W ❑ AUDITION Q ALTERATION ❑ REPAIR ❑ DEMOLI FION ❑ BUILDING RELOCATION VALUATION OF WORK S /4!5� t:&_ DESCRIBE WORK C%%7 /�•��s G� ��CiLC / ��` �.!'ti 725 PROPOSED USE Of BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA• TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI• IONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORk WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TC VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCEOF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE LLGAL DESCRIPIIUN OF PROPERTY ISHOWN BELOW OR ATTALH FOUR COPIES) LUI BLOCK OF u-�`- c� TAX ID NUMBER 108 AUURLSS (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSE] (TOILET) AIR COND. UNITS - H.P. EA. BAIFIIUB REFRIGERATION UNITS -H.P EA. LAVATORY (WASH BASIN) BOILERS - H.P. EA SHOWER GAS FIRED A.C. UNITS - TONNAGE EA. KI ICHLN SINK & DISP. FORCED AIR SYSTEMS - B T.0 MEA DISHWASHER WALL HEATERS - B.T.0 M LAUNDRY T RAY UNI1 HEATERS - B.T.U. M CLOI I ILS WASHLR EVAPORAI IVE COOLERS WATER HEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN IAIN RANGE FLOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT - GPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEAUERS 3e METAL FIREPLACE & CHIMNEY SINK (SERVICE - BAR, ETC.) /}( WATER HEATER GAS PIPING SUB TOTAL S SUB TOTAL S PERMIT $ PERMIT S TOTAL FEE $ TOTAL FEE f SIUL YARU SL I BACK STRLLT SLTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN 6") CHECK FEE RECE%PT NO. 20 USk' /ONf �� LOT AREA �- VACANT SITE ❑ YES ,f5,N0 FEES VALUATION FEE PLAN CHECKING NG TYPL Of CONSI OCCUP Y GROUP NO. OF DW�LLING UNITS BUTDING $ SIZE. Of BLDG. NO. OF STORILS r— MAX.000. LOAD �— PLUMBING F IRE SPRINKLERS REQUIRED ❑ YES O 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 SPACE) THIS IS YOUR PERMIT a RECEIPT PAID CR# BY cc: ASSESSOR, APPLICANT, TREASURER, BLDG, DEPT -. BU IN O CIAL DATE RECORDS CO Y City of Ar? '-.ngton NOTICE and Inspection Report �i� `i Phone # Permit No. /d �7 Legal % �^, n Date Called t-_V— T Address Time Called V Contractor/Owner Z r By _ __ Requested by ^ C% ._ tc � TYPE OF • • ❑ Setback Cl Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing ❑ Gas Piping ❑ Footing Drywall Nailing ❑ Final ❑ Foundation ❑ Rough -in Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other PROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. 25- Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION — 24 hour notice required. 1i %7 Inspector x`'<: Date // Permit No. Date Called Time Called , C'r'c-r, By City of Ar] ` neon NOTICE and Inspection Report Phone # Legal Address ��'c -7 Contractor/Owner 017 Requested by TYPE OF • i ❑ 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 Z cans listed below MUST BE MADE before work can be approved. ted below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION — 24 hour notice required. Inspector Date �f / City of Arl -` ngton NOTICE and Inspection Report Phone r Permit No. I Legal Date Called .a + Address Time Called Contractor/Owner it by g y Requested TYPE 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 iaris listed below MUST BE MADE before work can be approved. 2_W,rk'1i tsted below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION — 24 hour notice required. G! City of Ar] ' vigton NOTICE and Inspection Report Permit No. Phone # Legal _ Date Called Address qll / Time Call d Contractor/Owner By f C c� Requested by �) TYPE • ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing ❑ Final ❑ Foundation Rough -in Plumbing Reinspecdon ❑ Shear Wall ❑ Mechanical ❑ Other &ArF'AOVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ork listed below has been inspected and approved. CALL, 435-0724 FOR REINSPECTION — 24 hour notice required. Inspector Date City of Arl " zgton NOTICE and Inspection Report Permit No. 2r----, /,5 3 Date Called /Q ��- -r p— T Time Called Q c 1 By . Phone # Legal _ Address C elzcw yJ Contractor/Ownerzz Requestedby ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing ❑ Final ❑ Foundation Rough -in Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other ❑ APPROVAL FOR i9ECTION REQUIRED Corrections listed below MUST BE MADE before work can be approved. ❑ Work listed below has been inspected and approved. ALL 435-0724 FOR REI PEC71ON — 24 hour notice puired. ����� /&j7,,7W. 4r".. e � City of Ar1.Jngton NOTICE and Inspection Report Permit No. Legal Date Called �'�� Address Time Called Contractor/Owner By Requested by TYPE OF •REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation Plumb GW ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Rough -in Plumbing — o Reinspecdon ❑ Shear Wall ❑ Mechanical /"// ❑ Other ZVOPROVAL ❑ CORRECTION REQUIRED Vcoons listed below MUST BE MADE before work can be approved. rk listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION —24 hour notice required. Inspector City of Arl JLgton NOTICE and Inspection Report Permit No. r7 Legal Date Called 1 L'� Address ✓f� r Time Called Sd Contractor/Owner ByAl. Requested byi TYPE OF •REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation Plumb GW ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Roughin Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other ❑ APPROVAL TION REQUIRED rrections listed below MUST BE MADE before work can be approved. ❑ Work I' below has been inspected and approved. IM i�.nrsa FOR REINSPECTION —24 hour notice required. Inspector Date ✓ f C I T Y OF A R L I N G T G N C QN S T R U G T I O N P E R M I T PE Ft I T NO _ n 02-5to8 I Owner: WILLIAMS, KEN 907-BROADWAY ARLINGTON 98223 Value of Work: $100.00 Tax ID: 00461803800101 Phone: 653-0141 Describe Work: CONVERT WATER HEATER FROM ELEC. TO GAS Proposed Use: SFR Legal Description: Job Address: 907 BROADWAY Contractor's Name Type Address License# OWN P E R M I T F E E S Equipment and Fixtures Number ------- Fee - Total Charge ------------ --------------------------------------- WATER HEATER ------ 1 $15.00 $15.00 METAL FIREPLACE L CHIMNEY 1 $11.00 $11.00 GAS PIPING 1-4 OUTLETS 1 $6.00 $6.00 SU BT0TAL...... $32.00 TOTALS Fee Equipment $32. 00 Mech Permit $24.00 TOTAL FEE ................. $56.00 PAYMENTS .................. $0. 0 TOTAL DUE ................. $56• 00 DATE `l� RECEIPT SIGNATURE ::9--,-� ei: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPE� DR NOT. BML 06 OFFICIAL CITY OF ARLINGTON CONSTRUCTION PERMIT [3 COMBINATION ❑ BUILDING 2] MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. 'QWNER MAIL ADDRESS CITY ZIP PHONE w//-L X, '?y% z9,47- -�o,?y x/ 1�mztr�v� ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE III CHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE # PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE If ❑ NLW ❑ ADDITION ®ALTERATION ❑ REPAIR ❑ DEMOLI HON ❑ BUILDING RELOCATION VALUATION OF WORK S DESCRIBE WORK 725 si/ Cry' —"� ..✓-ram : ��r - ,sjrv� PROPOSE U USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- IONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIVED AGENT DATE LL(,AL DES( RIPE TUN Of PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) LOT �- BLOCK • OFu-t3 �% �" TAX ID NUMBER IOB AUURLSS (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND. UNITS - H.P. EA. BA I II I UB REFRIGERATION UNITS - H P EA. LAVATORY (WASH BASIN) BOILERS - H.P. EA SHOWLR GAS FIRED A.C. UNITS - TONNAGE EA KI ICIILN SINK & DISP FORCED AIR SYSTEMS - B T.0 MEA DISHWASHER WALL HEATERS - B T.0 M LAUNDRY 1 RAY UNIT HEATERS - B.T.0 M CLOI HLS WASHLR EVAPORAI IVE COOLERS WATER HEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN IAIN RANGE HOOD COMMERCIAL FLOUR DRAIN AIR HANDLING UNIT - CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLLADERS METAL FIREPLACE & CHIMNEY SINK (SERVICE - BAR, ETC.) /X WATER HEATER e° GAS PIPING SUB TOTAL f SUBTOTAL f PERMIT f ( PERMIT f TOTAL FEE f TOTAL FEE f SIDE YARD 5i I BACK STREET SLTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN �RECE}PT ; ©C CHECK FEE NO. Loa %G USE. LONE LOT AREA r- VACANT SITE ❑YES tSNO FEES VALUATION FEE PLAN CHECKING VG TYPE OF CONS1 �J OCCUPY + CY GROUP K -7 NO. OF DWELLING UNITS / BU'LDING f SIZE 0E BLDG. NO. OF STORIES MAX. OCC. LOAD �- PLUMBING FIRE SPRINKLERS REQUIRED ❑ YES r3AO MECHANICAL COMMENTS STATE BLDG. CODE ENERGY CODE SURCHARGE PENALTY 3 FEES ESEC. JE:_::� FWATEKI5EWER TAL PERMIT VALIDATION WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT & RECEIPT PAID CRtt BY cc: ASSESSOR. APPLICANT, TREASURER, BLDG. DEPT RUWblNr, O ICIAL DATE RECORDS -- Y :=TY O F - AR L-XN1GGT0 CONSTRUCT= OIV P E R M I:T P E R M =T NO a 9 5-1 T 5 3 Owner: ZIMMERMAN, GERALD 911 BROADWAY 435-1109 Value of Work: $50,000.00 Tax ID: Describe Work: REMODEL INTERIOR, SIDING AND NEW ROOF Proposed Use: SFR Legal Description: Job Address: 907 BROADWAY Contractor's Name Type Address License# TIM QUINN G PO BOX 1889 QUINNBLO99MK GRANITE FALLS HEATING M] P.O.BOX 809 GRANIFH101MA MARYSVILLE PLUMBING INC. P 13318 SR 530 NE. MARYSPI101JE P E R M I -T F E E S Ecpjipment and Fixtures Number Fee Total Charge PLUMBING FIXTURES 15 $7.00 $106.00 CLOTHES DRYER 1 $6.59 $6.50 VENTILATION FANS 4 $4.50 $18.00 KITCHEN RANGE 1 $6.50 $6.50 WATER HEATER 1 $6.50 $6.50 GAS PIPING 1-5 OUTLETS 1 $3.00 $3.00 S U B T 0 T A L...... $146.50 TOTALS Fee Equipment $40.50 Fixture $105.00 Mech Permit $16.00 Permit Fee $414.50 Plan Fee $269.43 Plumb Permit $15.00 Radon Fee $15.00 State Fee $4.50 Utility $0.00 TOTALFEE ................. $878.93 PAYMENTS..................$0.0 TOTAL DUE ................. $878.93 DATE �,- I �RECEIP-" 0 5 .. C� SIGMA � I HEREBY CERTIFY TH�Ai I HAVE READ AND EXAMINED T PPLICATION AND KNOW THE SAME TO BE TRUE AND COR- RECT A L PROVISIONS OF LAWS AND ORD NAN ES GOVERNING THIS TYPE OF WO K W L . BECOMPLIED „WITF WHETHER SP CIF ED H N y°�tfyT. ��I BUILDING s-zz-qs CITY OF ARLINGTON CONSTRUCTION PERMIT 0 COMBINATION _ BUILDING 9 MECHANICAL jo PLUMBING ❑ SIGN PERMIT NO. j OWNER �Fa ,"/4 MAIL ADDRESS * Al ✓ ! cI r P_ 04 GIW �r'' CITY ZIP / ' .f,.i' /✓v cj� l.Li� !J �i' Z -f'' PMONE ARCHITECTOR DESIGNER MAIL ADDRESS --� CrTy ZIP PHONE v ` 6t �' ` 435— G!/ D-5- u ^^ -� .� '� = :..tir1.4�Vi MiC14ANICALCONTRACTOR MAIL AUDKE55 �. °L.". .%-��'` _ !�5 � J' MAIL ADDRESS CITY ZIP PHddV{ LIC NSE P ']r✓..'." �F L � � s �� ^ IrTi �� clilvi..s r' /S I!� CITY ZIP PHONE LICENSE IF PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N 3 CrASS OF WORK t Q ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ DEMOLI I ION ❑ BUILDING RELOCATION Q VALUAT ION OF WORK ` Z f W DESCRIBE WORK > M PROPOSt D USE OF pUILDIPiG co I HE BY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- W Z LLGAL DES(RIP110N OF PROPL RTY ;SHOWN BELOW OR AT I ACH kOUR COPIF S) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- 17 i 3 _ SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK L01Iell aOBL(x:K 3 E(. OF � G� WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO fr _ _Qf ., gyp® VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. IC}BgODRLSS SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE 't 70 % 1/'!^ •'iy� L'L��tr><±' �, "'��-Jr-..� - ���*.�Y-mil (OFF10E 0SE ONLY] PI IIIw[Y(t1Vl: TrCHAN[CAI. NO. TYPE OF FIXTURE PEE x's FIXTURES NO, TYPE OF BQUIPMMT FEE :`s FIXTURES -'WATER CLOSET I $7.00 IR COND. UNITS - H.P. F-A. uI . list•• ATHTUB $7.00 EFRTGERATION UNITS - H.P. EA. ni . Ilst• VATORY ASH BASIN S7A0 IOILERS - H.P. EA. sip, list** MOWER $7.00 3AS FIRED A.C. UNITS - TONNAGE EA. ui . Iist• TCHEN SINK & DISPOSAL $7.00_)FORCED AIR SYSTEMS - B.T.U. MEA S9.00 ISHWASHER S7.00 ALL HEATERS - B.T.U. M $9.00 UNDRY TRAY $7.00 JNrr HEATERS - B.T.U. M $9.00 i"mm WASHER $7.00 VAPORATIVECOOLERS WATER HEATER $7.00 LOTHFS DRYERS $6.50 INAL S7.00 bFENTI1ATTON FAN 14.50 R,INKING FOUNTAIN $7.00 ANGR I{OOD COMMERCIAL $6.50 LOOR DRAIN S7.00 KIR HANDLING UNIT - CPM VACUUM 13REAKERS $7.00 ;TOVE $6.S0 OOF DRAINS - RAINLRADERS $7.00 4F.rAL FIREzPLACE& CHIMNEY S6.50 INK(SERVICE - BAR. ETC. $7.00 VATER HEATER $640 AS PIPING *(up to 5 = $3.00, addnl. a S.75 -Equipmett list must 6e provided SUB TOTAL PERMIT SUB TOTAL PERMIT TOTAL FEE TOTAL FEE SIDL YAR05L IBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN FEE CHECK FEE RECEIPT NO USE PUNt LOT ARIA VACANT SITE ❑ YES ❑ NO FEES VALUATION FEE PLAN CHECKING NIS 2 TYPE OF CONST OCCUPANCY GROUP NO. OF DWELLING UNITS BU'LDING SUL OI BLDG, NO. OF STORILS MAX. OCC. LOAD _ PLUMBING FIRE SPRINKLE RSREQUIRED ❑ YES ❑ NO COMMENTS ��1` IU{AV !1 11 'iQCl�i I! MECHANICAL STATE BLDG. CODE ENERGY CODE SURCHARGE E� of ,-lpC`� U.B.C. SEC, 303I>) WATER/SEWER FEES TOTAL - "ETY OF ARUNGTON PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT & RECEIPT PAID CR# BY cc: ASSESSOR. APPLICANT. TREASURER. BLDG. DEPT BUILDING OFFICIAL DATE I RECORDS COPY