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Home My WebLink About19721 47TH AVE NE_046121_2026 INSPECTION REP R'T 4ti1N G rO Permit No.: �'Cif�1 Lot #: Q' Address: Contractor: . 9s �4 Owner: - �IN O Date: ja4PPROVAL ❑ 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: 'P q-°kff Pic FM INSPECTION REPORT iiGT Permit No.:�^Wl1dl Lot #: Address: 1977�f � 7 GQ c Contractor:O Owner:Date: r T ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION X.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. A/D Pew r 7— a,2— JO�s C '7775-, Inspector: c Date: /—/O—OS 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 f& Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT a � Q �titN G?O Permit No.: 0 q Lo 12. 1 Lot #: % Address: /17 2-1 q 7 A-1i0_ Contractor: �a �- 9s, �4 Owner: jN C' 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. 47 Z/q z -r-✓re !tiq r yr pL� Cj�oL -l/r' L r r L' S P e h /• �� r l /"o� C oz+ dow c� 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 i ❑ Other: INSPECTION REPORT �y1 Gr0 Permit No.: ��' G/�/ Lot #: Address: / 7 / � 7 • • C� Z Contractor: 7 '�o Owner: G C IN Date: Ll --C.)S ❑ 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: l o� 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: i INSPECTION REPOF'T /4@ 3� 3070 jW Y p Permit No: 04 -(012 ( Date:Address/Lot No: t 12, 1 `'� 1 4 �/.e. rJ Contractor: ja le.L 14 6Y�-�Owner- Supervisor: Q=: _A t L4 L5 3 S 0?(0 3 4grApproval ❑ Correction Required ❑ Corrections listed below MUST BE MADE before work can be approved ❑ Please contact inspector ❑ Was not able to perform inspection ❑ Call 360.435.0674 for re-inspection -24-hour notice required tv Inspector: Date: TYPE SPECTION REQUIRED TESC STORM DRAIN ROAD LANDSCAPING ❑Slit Fence pi I De ❑Sub-grade ❑Irrigation ❑Check Dam Basin(s) ❑Rock ❑Soil ❑Inlet Protection ❑Manhole ❑Curb&Gutter ❑Fertilizer ❑Temp.Sed ❑Oil Seperator(s) ❑Sidewalk ❑Bark ❑Sheeting ❑Down Spouts ❑Approach(s) ❑Plants ❑Straw ❑Trash Rack/Overflow ❑ATB ❑Trees ceding ❑Restrictor ❑Cl.B Asphalt ❑Root Barriers ❑Level Spreader ❑Striping ❑Play Equipment ❑Treatment ❑Signing ❑Final �Wlnfiltration ❑Final PM INSPECTION REPORT iOPermit No.:(`� �� / Lot #: Address: Iq� f — � -2. GAC �� Contractor a�1�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 435-0674 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 A Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 61� ` 1;4 ?'OPermitNo.: 04 6/Z> Lot#: Address: l9 7 z 1 9l 7 A WContractor: f le-e— Owner: Date: /2-]a- r-4 �iv4PPROVAL ❑ 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: INSPECTION REPORT y' 3r3 4ti1N G rO permit No.: 04 &i z 1 Lot#: Q' Address: 11 '7 Z i `f -7 Ay%✓ - Z Contractor: c, ✓t--� 9s, ,SO Owner: IN 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: 1 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing IW Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: iLZ& �. INSPECTION REPORT N G rO Permit No.: oll 6i 21 Lot #: Q Address: / 72-1 '/ -7 rq vE- Contractor: L�X-L 6`Ys ,�O Owner: 4I N 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: 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 (L- Insulation ❑ Other: INSPECTION REPORT ii TPermit No.: '6� 1 Lot#: Address: l��%— `�7 4C, A�� Contractor: o�s Owner: � /�� /� .n; SO Date: 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. C�A.D 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: �=� r !R1 INSPECTION REPORT ¢ti1N G), Permit No.: Lot#: Address: / c7 2d/- 'f 7. Z Contractor: l� C Owner: I N�� Date: /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 435-0674 FOR RE-INSPECTION -24 hour notice required. r — Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor X A Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork V Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove Pr Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: y'_C INSPECTION REPOT 4ti1N Gr0 Permit Nol:2 ___10�� Lot #: / Q' Address: • s ;y Contractor: OpG �s -�s, �O Owner: C �I N G Date: //"d y ❑ APPROVAL '❑ PARTIAL APPROVAL ❑ VIOLATION Wk 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 FO RE-IN PECTION - 24 hour notice required. Xzo� 01, 4 Inspector4,4�1 Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ;6 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 iIN NGPermit No.: o`� b / Z I Lot#: Address: /9 ? ZiContractor: �O Owner: G� Date: it-1 5_0 y ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION 4CORRECTION REQUESTED Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. -0-CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. U-A- ,A tA N ig A-rr /.-4S 14-T eon&7CAA �u\ram YL�1'JFK k/0 MIIU Z c..,.r J c 5 rS i F1 i -,o L C i.►s J�� J `1 or- 2.44.0 Gi F+c-A-r ..+c X ►-f tc c"/L�ts Ffr"3� c�R-AW, Inspector: S c,-�— Date: /r-15- tI TYPE OF INSPECTION REQUESTED ❑ Under-floor PL Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove be,Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 4tiZN GTO Permit No.: o 1f 6/2 / Lot #: Q Address: 19 7 Z 1 q 7 t+vL Contractor: 2.6- Owner: IN�' Date: - "l - oc/ 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. M cL+fi Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing j�s Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork X Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: p� INSPECTION REPORT 4ti1N G r0 Permit No.: e 4 G 121 Lot#: F' Address: 19 7 2-1 7 ^-✓1:F � z Contractor: 6 R-L �® Owner: jNO Date: fa_21?-��1 P-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. ad , /or Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation (2- A Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: SAW f� INSPECTION REPORT r?-y7 Ni G .i 4ti1 ?'Q Permit No.: e)-t (or a I Lot#: Address: I 117 z.r q-7 A v;F- Contractor: <a /1-r- h4o.t ess . Owner: SIN C' Date: /0— 2--7—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. Gan, P�'UN /o j 2-7 f oy Inspector: S�"� Date: fo - 2-7-a TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation JZ ;<Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT N G?'0 Permit No.:Oy L /,-�l Lot #: Q' Address: /12 ,31 — q ? . 5�r 1/z� Contractor: jN G�4 Owner: Date: f(i r 21 C f ❑ 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. �oY d� Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation A$ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT �y11v G?'Q Permit No. Lot #: Q' Address: Z Contractor: ,SO Owner: IN O Date: 2�f)q 1i 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: R' 2rZ y 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: r7 931 INSPECTION REPORT vi tiIN G?,O Permit No.: o V bf z/ Lot#: ¢ Q" Address: /57 Z1 Y 7 A�� Z Contractor: C 9 G O Owner: 9s41N�� Date: -yo-n� ei APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED Cl 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: INSPECTION REPORT 1;4 TPermit No.: o,4 fa i 21 LotAddress: i9-7tii L(�Contractor: ei ti L® 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. o ATf-~j prP P 6ZQ-v Inspector: S Date: 9'/a—o Vf 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: ASPECTION REPORT 4�iN G 1'O Permit No.: `t" L t #: Q' Address: q 7.2l 47 WSW_ Z Contractor: Owner: IN G� Date: ' ; FPPROVAL ❑ 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. }�rLT7)U �rT-t3r /t �ir n, NZY- Inspector: S - 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: G I TY QF= AFZL I hlGTQfV COthIST FtUCT I ON PE Ft I T PE Ft I T h!O_ 04-6 12 1 Owner: GRC HOMES 6306 49TH DR. MARYSVILLE 96270 Value of Work: $118, 000. 00 Tax ID: 005646-000-004-01 Phone: 659-1109 Describe Work: NEW SINGLE FAMILY RESIDENCE Proposed Use: SFR Legal Description: FINCHER SHORT PLAT LOT 1 Job Address: 19721 47TH AVE NE Contractor's Name Type Address License# GRC CONSTRUCTION INC. GEN 6306 49TH DR. NE GRCHOI*077MH PUGET HEATING CO INC. MEC PO BOX 336 LK STEV PUGETH*2648D BEAR NECESSITY PLUMBING PLB 3405 172ND ST NE #5-144 BEARNP*0270H F E R M I T F E E S Equipment and Fixtures Number Fee Total Charge ------------- --------------------- ---- - - ----- - ------- -------- ---- PLUMBING FIXTURES 10 $10. 00 $100. 00 FURNACEJUNIT HEATER 1 $15. 00 $15. 00 VENTILATION FANS 4 $7. 00 $28. 00 DRYER 1 $11. 00 $11. 00 WATER HEATER 1 $15. 00 $15. 00 GAS PIPING 1-5 OUTLETS 1 $6. 00 $6. 00 f S U B T O T A L. . . . . . $175.00 TOTALS Fee Permit Fee $1, 208. 75 School Mitigation $0. 00 Equipment $75. 00 Fixture $100. 00 Mech Permit $24. 00 Plan Fee $785. 75 Park Mitigation $1, 662. 00 Plumb Permit $25. 00 State fee $4. 50 SIGNATURE: TOTAL FEE. . . . . . . . . . . . . . . . . $3, 885.00 I HER Y ERTIF AT I HAVE READ AND E MINED AT S APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $765. 60 KNOW E SAME O BE TRUE AND COR- RECT A PROVISION OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $3, 119. 40 ORD A ES G VERNI G T S TYPE OF WO R W LL B ED TH WHETHER SP F ED cH N DATE RECEIPT # B YAT 16 F illl � I CITY OF ARLINGTON CONSTRUCTION PERMIT COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.6/1Z OWNE T ^MAIL ADDRESS CITY ZIP PHONE L Z / S f-�fn'Vl fz-5, � /Ui��.�'�`�`A�l n I,n. na Aa) Su-IL 1` 'a7 3 S&3 ARCHITLCTORDESIG ER MAILIADDRESS 1 CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N MECHANICAL CONTRACTOR MAIL ADDRESS CI Y ZIP HONE LICENSE I PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE CLASS OF WORK 1xNLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK s E� //-15',, Ova DESCRIBE ORK k115;6�_" S% U C Gxl PRUPOSI 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- LLGAL DES(RIPT ION Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOT—t—_BLOCK - OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CONSTRU ION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. Q 5G il t 2SIGNATUREO! -TRACT O THORIZED AGENT DATE 108 AUURLSS Q (OFFICE USE ONLY) MECHANICA PLUMBING NO. TYPE OF FIXTURE ----4" NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILEI) v AIR COND. UNITS -H.P.EA. BA I III UB REFRIGERATION UNITS-H P. EA. / LAVATORY (WASH BASIN) BOILERS- H.P.EA SHOWER GAS FIRED A.C.UNITS-TONNAGE EA, KI ICHLN SINK& DISK j FORCED AIR SYSTEMS- B-T.U. MEA, ( UISHWASHER WALL HEATERS- B.T.U. M LAUNDRY TRAY // UNI1 HEATERS- B.T.U. M ( CLOIHLSWASHER EVAPORAI IVE COOLERS I WAIERHEATLR CLOTHESDR.YERS URINAL VENTILATICN FAN DRINKING FOUN IAIN RANGE FlOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY SINK (SERVICE - BAR,ETC.) WATER HEATER GAS PIPING SUBTOTAL f SUBTOTAL f PERMIT S PERMIT f TOTALFEE f TOTAL FEE f SIUL YA tU SL I BACK STRLLI SL f BA Kr REAR YAR?SETBACK PLAN CHECK NUMBER PLAN CHECK FEE 3 "fir` � FEE 460 RECEIPT NO. v'S� V. ?6 5 S�; lb' / 3 USF 10 LOT AREA VACANT SITE YES ❑NO FEES VALUATION FEES TYPE Of CONST.! OCCUPANCY G OUP NO.OF DWELLING UNITS PLAN CHECKING NG v BU'LDING f SIZE Of BOX,.-7A NO,OF STgRIL5 MAX.000.LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑YES NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE U.B.C. PENALTY SEC.303(a) RECEIVED WATER,SEWER FEES TOTAL AUG 13 2004 PERMIT VALIDATION WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT COP► BUILDING DEPT PAID CR# BY BUILDING OFFICIAL DATE cc:ASSESSOR,APPLICANT.TREASURER,BLDG.DEPT RECORDS COPY a � 6 m F--s , �c 56T-gAu� ,v, OFFICE COPY Yy��Ysvtc-ram Ewa t $a 70 2SaN GF<o3 je & ct-10-T o77m-4 . pA2c'�L ' a° s��i aaQCso �fa1 PJ2a P65 F'D nor. L,37 N 61 - Lk [% wco 7-6tJ-O �W�2 T� u F7 ,�L 04 � IZ � RECEIVED AUG 13 2004 COA BUILDING DEPT N