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HomeMy WebLinkAbout18606 35TH AVE NE_035307_2026 INSPECTION REPORT Permit No.: S Lot#: Q Address: (O Contractor: k'zl Owner: III N 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. oe Inspector: J Dat �— 3 � r /fY PE OF INSr CTION REQUESTED ❑ Under-floor Framing ❑ Gas Piping ❑ Footing Drywall, Nailing ❑ Consultation ❑ Foundation K 9❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: t YV 1 '�n N G �y INSPECTION REPORT �13 5( 1 _ �—�� ¢L ?'O Permit No.: �7 Lot#: a� Address: D(( T Contractor: � � v Owner:9`s4I N OHO - 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. Inspector: Date: �O TYPE OF INSPECTION REQUESTED ❑ Under-floor 0/-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 11573Y Permit No.: �j_,530-7Lot#: a O Address: 55- i r� � Z Contractor: 93, ,SO Owner: SIN C Date: p - r�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. 41 1 A—Z Inspector: Date/ ,' 3 jYPE OF IN PECTION REQUESTED ❑ Under-floor raming ❑ 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 tiZN G rO Permit No.: Lot#: Address: 764 T�" Contractor: ems, O Owner: IN 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. ey s 1 Inspector: ZVI Date: YPE OF 1 PECTION REQUESTED ❑ Under-floor raming El Gas Piping El Footing Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: A INSPECTION REPORT 3Z I IJ NG?' Permit No.: E��3`� Lot #: CZ Address: (f to v ST Contractor: ems, �O Owner: SIN G Date: 60 jd\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: -- ' 6 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork C6 Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ough-in ❑ Final IJ ❑ Masonry / Drainage ❑ Insulation ❑ Other: INSPECTION REPORT (�1z 07W 1N G 7 4ti TD Permit No.: Lot#: Address: 14ftP ou T� Contractor: 0 LO W IN 0,�4 Owner: Date: L2 '3 -O 2> ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION (d-GORRECTION REQUESTED 9*corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. .GALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. /n E`73Lack- e_o Aj Pt-�T' �i�r-r �- -7- C r_D ASS?F- V c'' T /11 UT PU i-- Ord DJ— GL.csznc_ f J-0 Gor✓1 PL.�S i ��L i4-r7 0� o rtc � C.fi /^-) 612251g:�.r­ Inspector: Jet 0-� Date: V- TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove \Q-Rough-in ❑ Final ❑ Masonry /❑drainage ❑ Insulation ❑ Other: INSPECTION REPORT g=ZZ N G z/1 4ti1 7'O Permit No.: Jv� Lot#: Q' Address: Z Contractor: oTj a_k we w 9s ,SO Owner: I N G Date: ❑ APPROVAL Uf PARTIAL APPROVAL ❑ VIOLATION L4'-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: - 3l/ -03 TYPE OF INSPECTION REQUESTED ❑ Under-floor Framing .,Gas Piping ❑ FootingDrywall, Nailing ❑ Consultation My � 9 Foundation ❑ Shear Nailing ❑ Groundwork Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT-- Qii r Permit No.: ��� Lot #: Address: ��r� c a5r n`Contractor: cif u..Kd t1tOwner: O Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ,-2CCORRECTION REQUESTED &-corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. LL 435-0674 FOR RE-INSPECTION -24 hour notice required. ✓ 1Z �- i Vc 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 �.IN G?'O Permit No.: CIA��_ T Lot#: Q' Address: W (o 0_1 • •� z Contractor: zvGZVTA lj 4 Owner: � I N C� Date: K 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: `^^v INSPECTION REPORT YV 4ti1N GTO Permit No.: Lot#: Address: Contractor: ys, ,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. Inspector: Date: YPE OF INSPECTION REQUESTED Cl Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation Shear Nailing ❑ Groundwork ❑ Mechanical ❑ rid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: A INSPECTION REPORT �.ZN G j, Permit No.: ✓ Lot#: Q' Address: C r Contractor: O Owner: j N GN Date: ' E)� d-APPROVAL ❑ PARTIAL APPROVAL P"OLATION 9,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. nc (72 Inspector: Date:7— -e:23 YPE OF INSPECTION REQUESTED ,Under-floor EllFraming ❑ 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 91` L1N G?'O Permit No.: / Lot #: 4 • � Z Contractor: 016w Owner: SIN O Date: ❑ APPROVAL ;2PARTIAL 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: IYPE 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 -/!37rf0' cn 4�'IN G J'0 Permit No.:0vzz ``-�%a�4 Lot#: 6D Q' Address: i rf • • Contractor: Owner: ,ems IN O Date: C� g. -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. 4. Inspector: ./ " - Date: ,,/,/rYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation CC lation ❑ Shear Nailing ❑ Groundwork anical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢y1N G 1'O Permit No.:63_5Y9 Lot#: _ 4" Address: /y Contractor: C� U/e Owner: IN Date: X—T - 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: LZl'-i Date: TYPE OF IN 9 PECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping )f_! ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢ti1N GrO Permit No.: 5 3a-7 Lot#: z� Address: / e 6©b 3 5 P ✓Le O Contractor: G �"�-''evI tFl� 9s Owner. �jNC' Date: /o - i S-o3 ,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. r � 1 Inspector: Date: PE OF IN ECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in 4 Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: C I TY QF ARL I h1GTON CONSTRUCT I Ohl PERM I T PE F?M I T NO_ = 03-5307 Owner: GRANDVIEW INC PO BOX 159 ARLINGTON 98223 Value of Work: $91, 000. 00 Tax ID: NOT YET ASSIGNED Phone: 435-7171 Describe Work: NEW SINGLE FAMILY RESIDENCE Proposed Use: SFR Legal Description: WHISPERING BREEZES LOT 20 Job Address: 18606 35TH AVE NE Contractor's Name Type Address License# GRANDVIEW INC. GEN P 0 BOX 159 GRANDI*065D1 JEFF J & C HEATING MEG 120 SE EVERETT MAL WAY JCHEA**005RJ EMERALD PLUMBING PLB 1511 S GRAM P E R M I T F E E S Equipment and Fixtures Number Fee Total Charge --------------------------------------- ------ -------- ------------ PLUMBING FIXTURES 9 $10. 00 $90. 00 FURNACE/UNIT HEATER 1 $15. 00 $15. 00 VENTILATION FANS 4 $7. 00 $28. 00 DRYER 1 $11. 00 $11. 00 METAL FIREPLACE & CHIMNEY 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. . . . . . $176.00 TOTALS Fee Permit Fee $1, 007. 25 Equipment $86. 00 Fixture $90. 00 Mech Permit $24. 00 Plan Fee $654. 71 Park Mitigation $1, 000. 00 Plumb Permit $25. 00 State fee $4. 50 SIGNATURE: TOTAL FEE. . . . . . . . . . . . . . . . . $2,891. 46 I HEREBY CERTIFY THAT I HAVE READ AHD XAEKINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $500. 00 KNO THE SANE TO BE TRUE AND COR- RE ALL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $2, 391. 46 OR I ANCE GOVE NI THIS TYPE OF W K WILL C PL D WITH WHETHER S C FIQp O NOT. DATE RECEIPT # ING OFFIC AL V1/Cil��'�✓/So. 1/ rvN I S W m � � Z� \ cz, Z AN REVISED R YG•�S RECEIVED O0- 9 2003 ,v c s1ja BAN CITY OF AR•LINGTON CITY OF ARLINGTON CONSTRUCTION PERMIT 53cq ❑ COMBINATION ❑ BUILDING ❑ MECFIANICAL ❑ PLUMBING ❑ SIGN PERMIT NO, I OWNER MAIL ADDRESS CITY---Zip PIIONE Grandview, Inc. PO BOX 159 Arlington 98223 (360) 435-7171 ARCii�'IIECt 0R DESIGNER MAIL ADDRESS CITY ZIP PHONE Creasey CAD 111 SE Everett Mall Way Everett 98208 (425) 349-7769 U A CUR TAXI CTU A MAIL ADDRESS CITY LIP PIIONE IC — Grandview, Inc. PO BOX 159 Arlington 98223 GRANDI*'065D1 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP ►IIONE LICENSE/ J&C Heating PO BOX 1086 Marysville 98270-1086 (360)654-9893 PLUMBING CONTRACTOR MAIL ADDRESS CITY TIP PIIONE LICENSE Emaerald Plumbing 1511 S Gram Camano Island 98292 (360) 387-4022 'cLA�55 OF WORK OMONLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLIIION ❑BUILDING RELOCATION VALUAI ION Of WORK DESCRIBE WURK New Construction IM PRVPUSI D USE Of BUILDING Ruh _Single Family I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- j GAL Tl (:R1r11UNOr RUP!'RIY 5110WN BELOW OR Al1ACl1 OUR COPIES TION AND KNOW IHE SAME TO BE TRUE AND CORRECT ALL PROVI- SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK a LUI 2p_ _nLMk . or Whispering Breezes WILL BE COMPLIED WITH WHETHER SPECIFIED IIERIN OR NOT,THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO LCONSTRUCTION. OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER FnOM PnOPEnTY TAX STATEMENT AW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 8 lo'B Aulia . � � I OiCONIMCIOR O 11fORlz[ AOENT DATE ZSTR , � PLUM81110 11CIIAN ICAL No. TYPE OP PIXTURO PBB a's FIXTUREES NO. TYPB OF BQUIPME NT PBB is FIXTURBS ATER CL.OSBI(TOILBE'1 17.00 Bt COND.UNITS—II.P. Oil Ld .IIAt" 1 AI711'UB $1.00 tBFRICIPRATION UNI1S—IIS.BA. J .Hot" ZLAVATORY ASII BASIN 17.00 IORMRS—II.P.LTA lidr.IIA" SHOWER 17.00 JAB FIRED A.C.UNEI•S—TONNAGE BA. ui .Ild•• E TCI18N SINS do DISPOSAL 17.00 _L iORCMD AIR SYMMS—B.T.U. MBA 19.00 1 ISIIWASI IBR 17.00 ALL IIBATBRS—B.T.U. M $9.00 UNDRY TRAY $7.00 NIT IIBATBRS—B.T.U. M 39.00 1 LOl11PS WASIIBR 11." IVAPORATIVBCOOLMU 1 NA11BR,IIBATFR 17.00 RINAL / 'LOIIII�pRY[flt9 . 1630 11.00 �_ F1ITILATIUN FAN 1630 A jixmrma FOUNTAIN 11.00 WGH 1100D COMMERCIAL 1630 �—ILOOR DRAIN l7.00 1R HANDLING UNIT— CPM VACUUM DRBAKLIRS 11.00 IITOVII 16.50 OOP DRAINS—RAINLIIADBRS $7.00 ALITAL PIRBPLACB A CIIIMNBY 1630 INIC SBRVICS—BAR ETEC. 17.00 _ ATBR IIIEATFR $630 AS PIPING •(up to S r$3.00,addol...$33 �B ulpment list mud be psovlded SUB TOTAL BUB TOTAL HIRMIT PERMIT Rr. TOTAL PBB TOTAL PBB SIULV.\RUS(IBACK SfREL15 L 1BACK REAR YARD tkihACk PLAN CIIECK NUMBER ///��� PLANCIIECkF i E FEEr RECEIPT No. U51' ION( D. LOT AREA VACANT SIIE \/..�0 (�✓ f2-- M D 18 S 3 YES ❑NO FEES VALUATION FEE TYPE 01 CONS 1. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CI IECKING VG Q Io ct[ 7 � BU'LOINC7 1 _I I (L "7'l SIIA D1 BLDG. NO.OF SloftS MAX.OCC.LOAD /o01' 25 y _ PLUMBING I IRE SPRINKLERS REQUIRED U YES O MECI IANICAL COMMENTS STATE BLDO,CODE C ENERGY CODE SURCITARGE p Al PENALTY U.8 CSEE Tl(s) WATERISEWERFEES ®F P►RUNG-TOtA TOTAL CIT`( PERMIT VALIDATION Wl1EN PROPERLY VAI IDAIED (IN TI IIS SPACEI THIS IS YOUR PERMIT 9,RECEIPT PAID CRII BY cc! ASSESSOTT,APPLICANT, TF7EASURETI, BLDG. DEPT. mntUvtCOrrIGAL DATE nEconDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. l OWNER MAIL ADDRESS CITY ZIP PHONE Jxe' S ,� 4�3 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE CONTRACTOR MAIL ADDRESS CITY ZIP P ONE LICENSE A MLCI ANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE tr PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 3 CLASS WORK O NL W ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLI LION ❑BUILDING RELOCATION LF VALUATION OF WORK z sLu Iuj ULSLRIBE WORK m PRUPOSTU USLW BUILDING N 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- w TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z LlGAL UtS('RIPTIUN OF PROPERTY(SHOWN BELOW OR ATTACH tUUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK J LUI BLUCK - Of WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO Lu �� 0O VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR Lu TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF a FROM PROPERTY TAX STATEMENT (L /�� CONSTRUCTION. PERMIT EXP ES 1 YEAR FROM DATE OF ISSUANCE. - SIGNATURE OF CONTRA THO ZED AGENT DATE U 1078\ RLSS 1 (OFFICE USE ONLY) PLUMBING VISCHANICAL NO. TYPE OF FIXTURE FEE :'a FIXTURES NO. TYPE OF EQUIPMENT FEB z's FIXTURES ATER CL.OSEIT ILEC IRCOND.UNITS—N.P. EA. . ui .li t.- ATHTUB kEFRIOERATION UNITS—H.P.EA. 7 Ld .list*" VATORY ASH BASEN 301LERS—H.P.EA. 7 ui .list•" MOWER 3AS FIRED A.C.UNITS—TONNAGE EA. Zqtip.list•• TCHEN SINK&DISPOSAL 7ORCED AIR SYSTEMS—B.T.U. MEA ISHWASHER NALL HEAT — M UNDRY TRAY JNIT HEATERS—B.T.U. M LOTHES WASHER 71VAPORATIVECOOLERS WATER HEATER LOTH ES DRYERS RINAL IFENTILATION FAN KINKING FOUNTAIN ZANGS HOOD COMMERCIAL ILOOR DRAIN IR HANDLING UNIT— CPM ACUUM BREAKERS OVE OOP DRAINS—RAINLEADERS IoffirrAL FIREPLACE&CHIMNEY 3iNK SERVICE,—BAR,ETC. ATER HEATER AS PIPING *(up to 5=$3.00,addol.=$35 -Equipment list must be provided SUB TOTAL SUB TOTAL PERMIT PERMIT TOTAL FEE TOTAL FEE SIUL YARD 54.LBALK STRLL SL T ASK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE ��" `OO FEE RECEIPT NO. USE / /�- LOT� Akr� ❑VACANT SITE S7 n ! YES NO FEES VALUATION FEE TYPE' F CO. !�ST , OCCZANq) (;ROUP NO.OF DWELLING UNITS PLAN CHECKING VG N M4/ / 1 BUILDING $ S SIZE Of BLU(, NO.OF STTURIL5 MAX.OCC.LOAD I PLUMBING F IRE SPRINKLERS REQUIRED ❑YES NO MECHANICAL COMMEN STATE BLDG.CODE ,`5 ENERGY CODE SURCHARGE Sam PENALTY SECC303(a) 01) WATER/SEWER FEES RECEIVED TOTAL PERMIT VALIDATION 2003 V 3 WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT PAID CR# BY Ak L: iNGTON cc: ASSESSOR,APPLICANT,TREASURER, BLDG DEPT. BUILDING OFFICIAL DATE RECORDS COPY