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Home My WebLink About18526 WHITEHAWK DR_962127_2026 r�! CiY ,ngt of Arl� ` ton � - NOTICE and Inspection Report Phone# Permit No. (% r / Legal 4,,:t G Date Called 7i Address �.�//4-, Time Called Contractor/Owner By Requested by TYPE OF • ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing `❑ Gas Piping ❑ Footing ❑ Drywall Nailing Final F;.PGFr.A LEA+ ❑ Foundation ❑ Roughin Plumbing ❑ Reinspec ion � ❑ Shear Wall ❑ Mechanical ❑ Other W PROVAL ❑ CORRECTION REQUIRED ❑ Corr ' listed below MUST BE MADE before work can be approved. Work listed below has been inspected and approved. ❑ LL435-07Z4 FOR REINSPECTION-24 hour notice required. M� Inspector I Date �� City of Ar- ington NOTICE and Inspection Report Phone# Permit No. ' GZ Legal Date Called i Address Time Called Contractor/Owner B Requested by TYPE OF • ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing Final ❑ Foundation ❑ Roughin Plumbing Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other PPROVAL ❑ CORRECTION REQUIRED Co ions 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. O-Sv pe Date // /3 City of Art ngton 4 emu/ - NOTICE and Inspection Report Phone# Permit No. _ Legal J Date Called /10= Address /,2 Time Called Contractor/Owner By Requested by Jx TYPE OF • REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing Final ❑ Foundation ❑ Rough-in Plumbing ❑ Remspection ❑ Shear Wall ❑ Mechanical ❑ Other ❑ APPROVAL ORRECTION REQUIRED Corrections listed below MUST BE MADE before work can be approved. ❑ Wo sted below has been inspected and approved. CALL 435-0724 FOR REINSPECTION—24 hour notice required. �T S �/s4- • - y . s - -7 c L 7f i Inspector `/� / Date City of ArY -' igton NOTICE and Inspection Report Phone# Permit No. Legal Q C Date Called Address �-q Time Called �' y 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 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. _l Inspector Date City of Ar - ngton NOTICE and Inspection Report ��// Phone# Permit No. rX la Legal Date Called % Address �. � • �i% Z/ Time Called % G !n Contractor/Owner gy 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 PPR6b�AL�__ ORRECTION REQUIRED Corrections listed below MUST BE MADE before work can be approved. ❑ Wor rted below has been inspected and approved. CALL 435-0724 FOR REINSPECT ION—24 hour notice required. Z I le "v Zz Inspect % Date 41, City of Arl ngton NOTICE and Inspection Report // Phone# •��` f ` Permit No.4 6 - (O Legal �( Date Called ,`e(I Address Time Called JD Contractor/Owner By d _ Requested by C T-A �,e7 OF INTYPE SPECTION• REQUESTED ❑ Setback ❑ Roof Diaphragm Insulation ❑ Plumb GW Cl 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. Work listed below has been inspected and approved. ❑ CA 435-0724 FOR REINSPECTI0N-24 hour notice required. Inspector Data - �� City of Ar.' -",.ngton NOTICE and Inspection Report Phone# Permit No. i L a g,I t'f �j Date Called ? "-� KC) Address / b ' c2 6_, L 1('L'J'1l�lJt 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 Plumbin Reinspection shear Wall ❑ Mechanical ❑ Other / APPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved, r listed below has been inspected and approved. ❑ CALL435-0724 FOR REINSPECTION-24 hour notice required. Inspect Date City of Arl ' ngton NOTICE and Inspection Report Phone# Permit No. G Legal T Date Called ?� _ /Address � l 11/ /'I"j1y�� Ti led ✓ m Contractor/Owner Requested by ��/GL•`rk 1 TYPE OF • REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing as Piping ❑ Footing ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Roughan Plumbing ❑ Reinspection ❑ Shear Wall ical ❑ Other ell APPROVAL ❑ CORRECTION REQUIRED ^lions 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. Inspect Date �G �� City of Ar] ; ngton NOTICE and Inspection Report ✓✓11 ,�,,) Phone# Permit No. Legal ` Date Called 9-ZC—7�2 Address !9S:7—& LI/ ��AJ� to Ti me Cal LS P. , F Contractor/Owner '� 5:�/y By Requested by C- l� TYPE OF • REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation GW❑ Plumb ❑ Framing Gas Piping ❑ Footing ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Roughin Plumbing ❑ Reinspection Shear Wall ❑ Mechanical ❑ Other ❑ APPROVAL ORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. (] W 'ed below has been inspected and approved. CALL 435-0724 FOR REINSPECTION—24 hour notice required. a Insp Date City of Arl! -N,gton NOTICE and Inspection Report Ale # Permit No. 9� Legal C / // Date Called � c0 Address ITJ 2 C— LJ-Jh`11G//&C-� Time Called Contractor/Owner____'�C'CS"p c-r)"- By� Requested by �� TYPE OF • ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing ❑ Final ❑ Foundation (] Rough4n Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other ❑ APPROVAL �O RRECTION REQUIRED Corrections listed below MUST BE MADE before work can be approved. ❑ Work fisted below has been inspected and approved. ❑-CALL 435-072,4 FOR REINSPECTION—24 hour notice required. s Inspector Date /(� � City of Arl= ngton NOTICE and Inspection Report Phone# Permit No. = Legal Date Called — Address G't.J GJ Time 7 1+ Contractor/Owner By f,TA Requested by .� TYPE OF • ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Roughin Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical Other S & I I APPROVAL ❑ CORRECTION REQUIRED [� C9rfec-ions 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. p Date City of Arl = ngton NOTICE and Inspection Report r� Phone# Permit No. ��SO` Legal c;t / Data Called�/� ?�PL Address / W Time Called 7.04 r m Contractor/Owner �,Qr{)��5 By Requested by �. TYPE OF • REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation lumb GW ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Roughin Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other D APPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. _Work listed below has been inspected and approved. ❑ Ckt-L,435-0724 FOR REINSPECTION—24 hour notice required. Inspector Data / City of Arl -:- ngton NOTICE and Inspectl'on Report Phone# Permit No. `� ( � :.�14 Legal Date Called �,— ,- CI ti Address , r Time Called C,, Contractor/Owner By ]�2 ' Requested by TYPE OF •N REQUESTED ❑ Setback ❑ Roof Diaphragm ❑ Insulation Plumb GW ❑ Framing ❑ Gas Piping �❑ Footing ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Roughin Plumbing ❑ Reinspeclion ❑ Shear Wall ❑ Mechanical ❑ Other ❑ APPROVAL CORRECTION REQUIRED �rrecfions listed below MUST BE MADE before work can be approved. ❑ k listed below has been inspected and approved. CALL 435-0724 FOR REINSPECT10N—24 hour notice required. bi ks7Tif Inspecto Date M ��• City of Ar] ,ngton 3 NOTICE and Inspection Report Phone# Permit No. 'I 2' Legal Date Called (o� �P Address57 � Time Called Contractor/Owner B Requested by TYPE OF • ❑ Setback ❑ Roof Diaphragm ❑ Insulation ❑ Plumb GW ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall Nailing ❑ Final Woundaton ❑ Rough4n Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other PPROVAL ❑ CORRECTION REQUIRED ❑ Co ions listed below MUST BE MADE before work can be approved. Wr Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION—24 lour notice required. G�1N i9-t'/cam /17 Inspector Date `/ � V City of Arl ' ngton NOTICE and Inspection Report Phone# Permit No. // �9 Legal Date Called (D ��cl Address Time Called / 00 Contractor/Owner By Requested by Z- TYPE OF INSPECTION ❑ Setback ❑ Roof Diaphragm ❑ Insulation 4 Plumb GW ❑ Framing ❑ Gas Piping Footing ❑ Drywall Nailing ❑ Final ❑ Foundation ❑ Rough4n Plumbing ❑ Reinspection ❑ Shear Wall ❑ Mechanical ❑ Other PPROVAL ❑ 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 REINSPEC71ON—24 hour notice required. J� �7e Inspector �� Date C I-rY OF' ARL I NO-FON CON0-r RLJOT I ON RE RM I T BERM I T NO- 96-2 127 Diner: KING; BYRON 6911 COLUMBIA CT. ##A EVERETT 98203 Value of Work: $129000.00 Tax ID: 951-229-0789 ,hone= 355-1809 Describe Work: F!'MISH UNFINISHED BASEMENT Proposed Use: SFR Legal Description: Job Address: 18588 WHITEHAWK DR. Contractor's Narie Type Address License# JACOBSEN CONSTRUCTION G 11712 MERIDEAN PL. NE. JACOBC110MC TOTALS Fee Permit Fee $153.2C SISNATURE0, TOTAL FEE..... ........ .... $153.25 I HEREBY CERTIFY AT I HAVE AD AND EXAMINED THIS APPLICATION AND PAY14ENTS.. ............. ...$0.0 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . $153.25 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIrxr-n = OR NOT. GPTE RECEIP" �4s n1 BUILDING O --,CIAL 0 I-rY OF fgRL- I N13-r01%' GONSTRUCY I ON RE:RM I T BERM I T NO- 9&—aO&a Owner: jACOBSEN CONSTRUCTION - 7'2` MERIDIAN PL. s4E= LAKE STEVENS 98258 Value of Work: $17.:, 305.00 Tax Ir_ 951-22e-0789 Phone z 3375 -4048 Describe Work: CONSTRUCT NEW S,=R Proposed Use: RESIDENCE Legal Description: GE !IA LOT 44 Job Address: 18526 WHITEHAWK DR Contractor3s Nave Type Address License# JACOBSEN CONSTRUCTION G 1171E MERILEAN PL. NE. _RRCOBC110MC PERKINS & SON P 8524 NW 147TH PL PE.RKII*200Bi HORIZON HEATING INC. M 3601 121ST ST. HORIZHI137DU - - P E R M I T F E E S l Equipment and Fixtures Number Fee Total Charge -------------------- ------ ------ -------- ------------ PLUMBING FIXTURES 18 $7.00 $126.00 l l FURNACE C 100,000 BTU 1 $13.25 $13.25 CLOTHES DRYER 1 $9.50 $9.50 i VENTILATION FANS $6=30 139.00 i KITCHEN RANGE 1 $9,50 $9. 50 METAL FIREPLACE & CHIMNEY 1 $9.50 $9. 50 4 WATER HEATER 1 $9.50 $9.30 GAS PIPING 1-5 OUTLETS i $5.00 $5.00 { S U B T O T A L...... $221.25 t i TOTALS Fee Equipment 195.25 Fixture $126.00 Mech Permit $22.00 Permit Fee $13 003.50 Flan Fee $&52=Ra Plumb Permit $15.00 State fee �4.50 School Mitigation $941.00 SIGNATURE TOTAL FEE............. .. .. $2,859.53 I DER=BY CXRIFY THAT I .4- VEOREAD AND EXAMINED THIS APPLICATION AND PANTS............. . ... . $566.48 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE. ....... .. ..... . . $2,293.05 OR'D-N NC-5 GOVERNING THIS TYPE OF ,46 WORK WI'1 BE COMPLIED ' H HET -R 5�E F_ HER t.: OR `•_ 7,7;: T 2253 oS , p y �q►� DING OF AL / �� q_ b + .�RCo05EN HOMES. s � 1 i 1 I � I 1 I i 1 I I 1 I 1 1 I , I i I ' ; I ' 1 I I � I � I I I I , � I 1 ' N I + I ' I I I I , I , I , I , 1 I 1 I I , I I I � � I I + i I I I 1 CONU ETJ L 1 wuawv, I f 1 I REGEIVFn 70.06 MAY 16 19- SCALE 1'1=201 LOT -# �y CITY Ur ARLtivGTOiv WHITE ARWK UIVL n� - O&;L CITY OF ARLINGTON CONSTRUCTION PERMIT ( ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN f PERMIT NO• WNER MAI DRESS C ty ZIP. PHONE 7(p/ ARCI 111 EC t OR DESIGNER MAIL ADDRESS CITY 21P 1`110NE G ON C U MAIL ADDRESS CITY / zip PHONE C 5 -1<EiL � �.rya-�,S'�il/` � 7�Z (�'��G�,cyvt �- �IJLr �, l�'��t/�^-c� JL� �•'S =.• .., LCI ICAL CONTRACTOR MAIL ADDRESS ITY 2IP PHONE LICENSE f Fxulnum cow RAC root MAIL ADDRESS CITY IIP PHONE LICENSE/ CIASSOI WORK co❑NLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑UEMULI LION ❑BUILDING RELOCATION �ALUA110N OF WORK 4-9, f UESCRISEE ORK m "Urost D USE of ROIL I HEREBY CERTIFY THAT I HAVE DEAD AND E INED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- y t.Al U t('Rlrt ION UI PROPERTY 15ttOWN REL R nl t c►1►DUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOI RLUCK • or WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT,THE a VY / f �� V�} GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR ��TTTAXIO NUMBER FROM PROPERTY TAX 9TA7EMENT � y� LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF ��j��0 f�1�ti ^j� CONSTRUCTION.PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE, SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT DA71 R.1UUR SS y X (uFPICB USB ONLY) -- PLUMBING WECHANICAL NO. TYPE OF PIXTURB PER s's FIXTURES NO. TYPE OF EQUIPMENT FOS es FIXTURES NA-MR.CLOSET TOILET $1.00 IR COND.UNITS—11.P. EA lqtdp.llt•" ATIITUB 17.00 UWRI0FRATION UNITS—N.F.BA. d .Ild " VATORY ASH BASIN $7.00 3OnZRS—H.P.BA. d ,Rt•" MOWER 17.00 VAS FIRED A.C.UNITS—TONNAGHBA. awip,Tit•" TCIIBN SINK R DISPOSAL 11.00 FORCED AIR SYSTEMS—B.T.U. MBA 19.00 ISHWASIIER $7.00 NALL HEATERS—B.T.U. M 19.00 .AUNDRY TRAY $7.00 NIT HEATERS—B.T.U. M $9.00 ' LOINP9 WASIIBR $7.00 IVAPORATIVECOOLERS ATER 1111ATER $7.00 LUnIFS DRYERS $630 RiNAL $7.00 IFENTILATION PAN 1430 RINKINO FOUNTAIN $1.00 LANOBHOOD COMMERCIAL $630 LOOR DRAIN 17.00 Ull HANDLING UNIT— CFM VACUUM BREAKERS 17.00 VB 1630 OOP DRAINS—RAINLPADBRS $7.00 METAL PIRBPLACEde CInwisY $630 INK(SERVICE—BAR,ETC.) $7.00 WATER HEATER =630 AS PIPING '(up to S-17.00.addnl. 1.75 ..Equipmetit. lid must bo rovided SUB TOTAL SUB TOTAL PERMIT PERMIT TOTALFBB TOTAL FEB SIULYARI>SEIBALk SIRLLISLItlACK REARYARI)SETBACK PLAN CIIECKNUMBER PLAN CHECkFEE FEE RECEIPT NO. USr /ON$ LOT AREA VACANT SIIE ❑YES ❑ND FEES VALUATION FEE IYPE Of CONS1. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG SIZE Of RLIX,. NO.Or STORMS MAX,OCC.LOAD BUILDING PLUMBING I IRE SPRINKLERS REQUIRED ❑YES []-No MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE SEC.3 PENALTY SEC. 01(+) 1 WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED IIN 1111S SPACE)THIS IS YOUR PERMIT 6 RECEIPT Q ' PAID CRN BY I(OF ARL,1NG CAN' cc!ASSESSOn,APPLICANT,TREASURER,EILOO.DEPT. BUILDINGOt11C1A1 DATE RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT C: ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN ��y MAIL � PEpM1T NO• j OwNf-JeEG�'✓-m - IYIC.� \��1�ADDRESS AS�K��i k./u E 5'Ce 9i?n, g CITY ZIP.� PHONE Lu q as ARCHITECT OR DESIGNER MAIL AUURESS CITY ZIP PHONE cs.a�. �nsut n s �Pv f3� l; A , c, GENERAL CONTRACTOR MAIL ADDRESS CITY LIP HONE SIC — ��, ��n�.,e�, ��7r��d�" �I_�C t-g��s-� �� 5-yam;` �'a��b,�•�� LCIIANICAL CON]RACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE rt e� kq�xg, _ (�o a is f 9t 5,c d, Ins Ct;- q go3" 7` �q 30 PLUMBING CONTRACTOR MAIL AOORps `I^ CITY ZIP PHONE LICENSE II �,�� ti`�E. 1�(7 ', pry �c��l' �35e� l� S. CLASS OF WORK `,' 7MONLW 0 ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI IION ❑BUILDING RELOCATION Q VALUAI ION OF WORK UESCRIBE WORK PROFOSI D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- ul _ I,AL U Sc.RIPItVN UI PROP RTY S BELOW UR AilAC11 FOUR COPIES TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- � u "'A SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK Lot \ BLOCK • of W�� I _ � �� WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT,THE a _ •17 � GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO C2` 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 I YEAR FROM DATE OF ISSUANCE. I SIGNATUREOFCONT ORO AUTHO ZWAGENT DATE V IOB aUURlS. t 1 x ti 11-4zf w�l PLUMBING ECIIANICAL NG. 1YPB OF PIXTURB VIM i a FIXIVRBS NO. TYPE OF EQUIPMENT Ed , es PUMRF.S .1 ATER CLOSET TOILET f7.00 IR COND.UN11TI-H.P. EA.�i AIIITUB 17.00 RIGFRATION UNI19-H.P.EA.VATORY A9H BASIN 37.00 OB.ERS-II.P.BA. IIOWFR 37.00 AS FIRED A.C.UNITS-TONNAGE BA. 3qtdp.Ut'" / TCIIBN SINK t DISPOSAL 21.00 [RIED AIR SYSTEMS-B.T.U. MBA f9.00 �j Z�.�ISHWASIIBR f7.00 HEATERS-B.T.U. M f9.00 UNDRYTRAY $7.00 HEATERS-B.T.U. M 39.00 LOIITPS WASIIBR $7.00 ORATIVECOOLERS ATBR IIHATPR $7.00 j HE S DRYIIRS $6.50 RINAL $7.00 ILATION FAN =130 RINKINO FOUNTAIN $7.00 LANGRIIOOD COMMERCIAL 16.50 LOOR DRAIN 17.00 UR IIANDLINO UNIT- CPM VACUUM BREAKERS ST." rrovs $630 5z7 OOP DRAINS-RAINLPADBRS $7.00 ImErrAL PIREPIACE!CIIIMNEY S630 INK SERVICE-BAR,ETC. 87.00 wAilaR imm-r Rt 3630 A3 PIPING *(up to 3 m$3.00.addal. VS ..134ulpmaa llt mut ba rorlded SUB TOTAL 'L b SUB TOTAL PERMIT 1 PERMIT TOTAL PEE TOTAL PEE SIUI.YARU�fIBALK STRLLISLIBACK REAR YARD SE IS tLi PLAN CIIECK NUMBER U PLANCHECKFI 1 )IEEN'5�6(IIS RECEIPT NO. USF / LUI ARkA VACANT SITE T�1` �D ` �,� � �.� Yes ❑ r FE E13r, (ALUATION FEE IYPEOE CONS1. OCCUPANCY GROUP NO.OF DWELLING LINT IS PLAN CHECKING VG �L -7 �5 SI/.E Of BLU4. NO.OI SIURILS MAX.00C.LOAD BU IDING f ifPLUMBING I I IRE SPRINKLERS REQUIRED ❑YES 16HO MECHANICAL log COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY U.B.C. SEC.303(s) �j WATER/SEWER FEES TOTAL PERMIT VALIDATION WI IEN PROPERLY VALIDATE[) IIN TI ITS SPACH THIS 15 YOUR PERMIT&RECEIPT PAID CRp BY cc:ASSESSOR,APPLICANT, TREASURER,BLDO, DEPT. BURDINGoIHaAt DATE RECORDS COPY