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Home My WebLink About18115 WOODBINE DR_972403_2026 INSPECTION REPORT Permit No. V03 Lot # Z� Address i-✓va-111h"?tu Contractor /'I") --/X" & 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. xe Inspect o Date •/�• TYP F 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 0 Other INSPECTION REPORT Permit No. C' Lot #"V—) Address iS�u ��el �, n P_ Contractor �? ?Q —34 r Owner M 10 C W AJ Ck`tiy'k Date �— Taken By -z ❑ APPROVAL ❑ PA_RT��L 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 OR RE- SPEC T ION - 24 hour notice required. / 1A./ Ins ector Date TYP4 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 fl� INSPECTION REPORT Permit No. 1?7- .2410 Lot # &2 Address a/s— aloo f A, Dr_. Contractor b"01 72w>'? 106 i 14 0_T Owner Date 72APPROVAL ❑ 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 l- / /( 9 2 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 P� INSPECTION REPORT Permit No. -.2 O3 Lot # C/O Address J PUS— W0006iAi c— 'b'f i Contractor M id�nc�1 �ui Owner Date �— APPROVAL ❑ PARTIAL APPROVAL -1 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 4 M INSPECTION REPORT Permit No. 7 `G 3 Lot # Address Iql/ C A V,16--yo !�' Contractor Owner 41z•►-S Date 16 --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 435-0724 FOR RE-INSPECTION - 24 hour notice required. Inspector Date g TYPE OF INSPECTION REQUESTED ❑ Under-floor Framing 4e'4370"❑ 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. q1-,-2'A03 Lot # QQ Address 191 15 W6cmA-b 1 ae— 0�— Contractor A Mz r.c,YL Owner Date ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ,-:6'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. A,c Si`�� 4� �ri � o � h 4 ✓e t vL"L i�l w �G �cJJ LfYI 14`k4 r D I t 6x l 0`/ a v✓c w ! Inspector Date b TYPE OF INSPECTION REQUESTED ❑ Under-floor XFraming ❑ Gas Piping ❑ Footing -3 Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 13 Other INSPECTION REPORT Permit No. d_3 Lot # 4 6 • Address -/ � Contractor ,�j ,�r w Owner Date 0 ❑ APPROVAL ❑ ARTIAL APPROVAL ❑ VIOLATION 0 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. tic �� -L� s I s•H C� a�i��c r GieTI-r cif- ✓ y t=' Sti ea. Ls::5 s.,, ;1 1 by�e .l J ,�_ �,�,,� � GV� ��Lc�S' a�✓4Wi ytG l�lJ/ �4.G%.emsd Inspector Date 10 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 6 " INSPECTION REPORT Permit No. — Lot # lJ • Address l'; 11 5- b 1 n� Contractor U4.x,� Owner OAR—) Date APPROVAL ❑ PARTIAL APPROVAL d 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 REQUE TED ❑ Under-floor ❑ Framing as Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other r INSPECTION REPORT Permit No. 1 j—o; 03 Lot# Address 1'00 w; 000Al ►le, Contractor ffiiel T-0-f' . Owner Date Ct I ❑ 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. l Inspector -L Date 1r, f TYPE OF INSPECTION REQUE TED ❑ Under-floor ❑ Framing Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainan2 ❑ Insulation Other RP I AAA anAA], � e INSPECTION REPORT Permit No. 9 7 q03 Lot # �® • Address f 2/1 ( �»�, Dr 1 Contractor Owner Date It .2 2 ft!i` APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION --,,jd'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. 'S e 'C_5 J— ic1 rp Inspector - Date 3 �- TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing XGas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other INSPECTION REPORT C Permit No.�-_U 03 Lot # Cl O Address kVtl� (,L3 �� ',�1,)p Contractor k �Ctl Owner _ Date (Q •-ZZ -.1__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. Inspec Date�B TYPE OF NSPECTION 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. 92 - 0Y63 Lot # 'T7 _ Address ! %/ lt>ngdk i l,�e- ( r— Contractor lAiCX : (j_)n • Owner Date rC —(S---6?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. Inspector Date / U TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove f9( Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other INSPECTION REPORT Permit No. Lot# l Address Contractor • Ownerc:�'C�, Date ; ��' ❑ APPROVAL �❑ TIAL 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�tice required. L4A_�(K- Insp TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove 4 Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other City of Ar."ngton NOTICE and Inspection Report (� Phone# Permit No. `L ' 7C O Lot# o Date Called C -C Address 1�, LO no Time Called 0 Contractor/Owner .( (LT'YliL� By Requested by \ TYPE OF • REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Rough4n-Plum r Reinspection hear Wall ❑ Mechanical ❑ Other PPROVAL ❑ 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 /-,-7 s City of Arington NOTICE and Inspection Report Phone# 7 70— `1 Permit No. r/ "� ` Lot# Date Called 2 3 �� Address r LkIlot JAI g� Time Called Contractor/Owner By �L Requested by �P-7 `S 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 ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Wpdk-listed below has been inspected and approved. {CALL 4354 72 FOR REINSPECTION—24 our notice equired. G Ins or`' — Date `d City of Arl; cngton NOTICE and Inspection Report Phone# Permit No. — ��d�7 Lot# gC1 Date Called Address Time Called Contractor/Owner L��C 4c i By Requested by zz Q 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 ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Work listed below has been inspected and approved. ❑ CAL 435-0724 FOR REINSPECTION—24 hour notice required. C C'T� Inspect Data City of Arington NOTICE and Inspection Report Phone# '7 -7 G — 3'T Permit No. ,i vl,' Lot# Date Called 3 C 7 AddresslJw- Time Contractor/Owner By Requested by TYPE OF • REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing ❑ Gas Piping Icd- Footing S! ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other J,j--AP'PROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ,Work listed below has been inspected and approved. ❑ ALL 435-07/24 FOR REIN SPECTION—24 hour notice required. G? Inspector Date G City of Arlington ton � NOTICE and Inspection Report Phone# Permit No. 1 - Lot# 1 / Date Called CfC Address Time led 1 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 ❑ Reinspection ❑ Shear Wall ❑ Mechanical Other APPROVAL ❑ CORRECTION REQUIRE ❑ 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 O�- QQ U.r l = 00 City of Ar.,ington ry L NOTICE and on Ins ecti Report P P �7 Phone# �g Permit No. / / -a Y03 Lot# Cr0 Date Called ()!0 '0( -97 Address 1 XII-5— rY_YJ6r/1�_ Time Called Z%_o57� Contractor/Owner Wt td, By T /1!SJ�- Requested by l J 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 ORRECTION REQUIRED ( -CoIrections listed below MUST BE MADE before work can be approved. G�2�G --- Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required. rl A/ Inspector Date Cit of ' n y Ar�,,.� gton NOTICl!E'' and Inspection Report Phone#—i I/:r. U—�5/ --/ Permit No. / Lot# Date Called 4ca /�� Address �� r''! �'/ l {2/2 ,� Time Called Contractor/Owner ��_G�`. Z!ri By `-/�2� Requested by TYPE OF • REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW C3,Framing ❑ Gas Piping Footing ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other APPROVAL ❑ CORRECTION REQUIRED ❑ rrections listed below MUST BE MADE before work can be approved. Work listed below has been inspected and approved. ALL 435-0724 FOR REINS TION—24 hour notice required. I Date (/ �� City of ArI 'Ington NOTICE and Inspection Report Phone# Permit No.q/ A� _3 Lot# d/ Date Called Address Time Called Contractor/Owner zzti/1-6 By Requested by CD 5--7—6 „c 1/S 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 e ❑ 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 REINSPECTION—24 hour notice required. 3 s - 42 eAle I T`r UF= 0PiF2L I N0-rU i CCU E3_1F R JCT I UN F:Aa R +i I T PE RM I T NU_ s ;3-7—a-40a Owner: MIDI-OWN BUILDERS P.O.BOX 1104 MARYSV ILLE Value of Work: $162,090.00 Tax ID: 8329-000-090-0080 Phone: ea.59-5v94 Describe Work: NEW CONSTRUCTION Proposed Use: SFR Legal Description: GLEdEA;ALE SEC. 4A LOT 90 Job Address: 161-15 WOODBINE DRIVE Contractor's Name Type Address License# MIDTOWN BUILDERS INC. G P.0=B12X i 1,0,_%" M IDTOB275DO OLLESTEAD HEATING AND PLUMBING P 15111 SMOKEY POINT BLVD. OL-LESS081B THE MECHANICAL M 731c 67TH ST NE THEMEL#147R4 P E R M I T F E E S Equipment and Fixtures Number Fee Total Charge ------------------------------ --------- ------ -------- - ----- ( PLUMBING FIXTURES 15 $7=00 $105. 00 FURNACE//UNIT HEATER i %13.25 $13.25 ' RANGE 1 $9.50 $9. 50 VENTILATION FANS 5 $6.50 $32.50 1 DRYER 1 $9.50 $9.50 j METAL FIREPLACE & CHIMNEY 1 $9.50 $9. 50 WATER HEATER 1 $9.50 $9. 50 i l GAS PIPING 1-5 OUTLETS 1 $5.00 $5.00 i SUBTOTAL...... $193.75 TOTALS Fee Equipment $8E_75 Fixture $105.00 Mech Permit $2:2_00 Permit Fee $1,086.25 Plan Fee $706.06 Plumb Permit $15.00 State fee $4_150 School Mitigation $941.00 SIGNATURE-1 TOTAL FEE..... . . .. . .. ..... $2,968.56 I HEREBY CERTIFY THAT I ' PVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS. .. .. . . $668.04 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND j` TOTAL DUE. . . . . . . . . . . . . . $2,300.52 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 141lTH WHETHER SPEC/ H9 EIt1 OR NOT. DAT= 0q 30-q7[:CETFT ## • B un UILD-INS OFFICIAL D L .71 - lip, s �) p o g N_ I � �W CITY OlrQx aa w fa n 0 a, ARUNGTON CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ZL BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. -2g03 j OWNER MAIL ADDRESS C17Y ZIP PHONE r11t tf tJ E3 c��1��r S 7-cJc ��.63, . i,y tj l"lo9 pX1 :11� 9vJ 70 &-:s — S 3 /-t ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE N/ems GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE 1 -54oe, ME CH-ANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II' /e}t. R, tle C'Ant'.'i Cai -50ao fake ge'ct"t- -pa. -7 Eve_re--m juce rtP`771r PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N Carl eg" flu ML&Ii,vc /S`/►f , it Q41c1, �a.c�P�;�fl� 1t'fT�7� lob '-#?%'tZ 3 CLASS OF WORK O(XNLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION Q VALUATION OF WORK z 5 / 0' �la Al D W DESCRIBE WO m PRUPUSI U USE OF $UrLDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- lyil TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- ? LL6ALppU,,�.EX'RIP TUN OF PROPERTY(S N BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK J LOT TO BLOCK ;--OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO r G. �, e .L ` VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR J TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF 0. �3 �f Q 8!O Q (��-P CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE CON7 OR OR A OR1ZEO AGENT DATE V108 ADURLSS t I ? Its- O ocl 6,1 n Q- (OFFICL use ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE a's FIXTURES NO. TYPE OF EQUIPMENT FEE z's FIXTURES ATER CLOSET CTOILET• TR COND.UNITS—H.P. EA tip.list— ATHTUB UTRIGERATION UNITS—H.P.EA 34tip.list- VATORY ASH BASIN 01LERS—H.P.EA u .list** HOWER AS FIRED A.C.UNITS—TONNAGE FUL ti .list** TCHEN SINK dt DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA ISHWASHER WALL HEATERS—B.T.U. M jA UNDRY TRAY INIT HEATERS—B.T.U. M LOTHFS WASHER "' .VAPORATIVECOOLERS LOTIIES DRYERS RINAL JENTILATION FAN RINKING FOUNTAIN HOOD COMMERCIAL LOOR DRAIN NDLING UNIT— CPM ACUUM BREAKERS NS—RAINLEADERS FIREPLACE&CHIMNEY INK(SERVICE—BAR,ETC. HEATER G *(up to 5=S3.00,addal.=S.75 ui meat list must be provided U SUB TOTAL SUB TOTAL PERMIT PERMIT TOTAL FEE TOTAL FEE SIUL YARD SE IBALK STRLLT SLTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE ✓j� �\ �Q FEE I RECEIPT NO. USE IUNI LOT AREA VACANT SITE 171C-7�"CJ� R {o ®YES ❑NO FEES UATION FE e5� TYPE OF CONSI OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG ' Ll BUILDING SIZED[ BLDG. t. NO.OF STORIES MAX.OCC.LOAC07 I/ PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE 0 U.B.C. PENALTY SEC.303(a) WATER/SEWER FEES TOTAL _ PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT ARUN PAID CR# BY qt�- 2go3 cc: ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT BUILDING OFFICIAL DATE RECORDS COPY