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Home My WebLink About17501 59TH AVE NE_983135_2026 4Jkl INSPECTION REPORT �► Permit No� 343,S� Lot# Address / e) Contra o Owner Date Taken-By Z—<-- PROVAL ❑ 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. Insp - t 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 Plumb. ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other INSPECTION REPORT Permit No. _ _5 Lot # • Address Z_ Contractor J Owner A:1L_jL' Date 6-3— 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. Inspecto Date '--$ TYPE OF INSPECTION REQUESTED L ❑ Under-floor ❑ Framing ❑ Gas Piping 1�❑ Footing ❑ Drywall, Nailing ❑ Consultation Foundation ❑ Shear Nailing ❑ Groundwork J Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in Plumb. ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other 3 d e,-- . INSPECTION REPORT P Permit No. Lot # O��i�eL • Address Contractor S,7 7-c-- Owner C-k-- 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. t ZAJ Inspe 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 Plumb. ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other INSPECTION REPORT Permit No. L # Address -�D sr /UE Contractor Owner Date 6 - - Taken By 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 435-0724 FOR RE-INSPECTION - 24 hour notice required. Inspe Date "9 TYPE OF INSPECTION REQUESTED ❑ nder-floor ❑ Framing L) Gas Piping Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in Plumb. ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other L Y J C I TY OF R RL-I NO-rON CONOY RUCT I Ohl PE RM I T PERM I T NO-: 98-3135 Owner: CEMENT DISTRIBUTORS INC. 815 OLIVIA PARK ROAD ARLINGTON 98223 Value of Work: $35,000.00 Tax ID: 223105-4-017-0005 Phone: 425 355-0592 Describe Work: NEW MODULAR OFFICE BUILDING Proposed Use: OFFICES Legal Description: Job Address: 17501 172ND ST NE Contractor's Name Type Address License# BLUE RIBBON STEEL BUILDINGS G 47 ALDER LN BLUERSB101LL TOTALS Fee Permit Fee $450.00 Plan Fee $296.08 State fee $4.50 SIGNATURE TOTAL FEE........ . ........ $750.58 I HERE CER Y THAT I HAVE READ AND E M�NED THIS APPLICATION AND PAYMENTS............ ..... . $8.00 KNOW HE SAME TO BE TRUE AND OR- RECTfALL PROVI TONS OF AWS D TOTAL DUE.... . ......... ... $750.58 ORDINAN ES GOV RIING IS TY OF WO K WI L BE IE ITH ETHER DATE RECEIPT # SI F ED HE I QI . ING OFFI I D I -ii' .. _ •• - J i. _ ' � � � �� ,.�� y..� � � � _ CITY OF ARLINGTON Building Department PLANNING AyD ZONING REVIEW I. ZONING COWLIA.NCE: A. Zone Classification B. Permit Use: Yes No C. If no, extension of non conforming use: D. Minimum lot size required: Shown E. Yard Requirements: Required Shown 1. Front 2. Side 3. Rear F. Height limitations, Maximum G. Landscaping and plan required: Yes No H. Paring: 1. Off street parldng required: Yes No 2. Plan provided: Yes No 3. Adequate parldng provided: Yes No II. LOT COVERAGE: A. Allowed: More/Less Shown: Approved DETERMINATION OF S.E.P.A. CATEGORICAL EXEMPTION Action/ Application Title: SFR Brief Description Of Action: EXEMPT Code reference allowing exemption: W.A.C.197-11-800 1(b) Person malting determination: Date: i Blazer Industries, Inc. SPEC SHEET DESIGN LOADS: Date: 04/08/98 Size: 28x66 & 14x46 Floor: 50 Customer: Pacific Mobile Structures,Inc. Description: Office/HCRR Wind: 90/13 Location: Everett, Washington Modular Roof. 26 Project: Cement Distributors Insignias: Washington Gold Foundation: Concrete stemwall on site by others FLOORB. joists: 2x8 @ 16" oc w/Joist hangers @ mod line Rims: Double 2x8 Outdoor wood rims and end joists Rims @ Grid 2 to be microlam Bottom board: Class "A" Insulation: R19 Decking Ist : 5/8" comply T&G Decking (2nd): 1/4" Fiberbond under sheet vinyl @ RR's& Break Area Framing (EXT): 2x4 @ 16" oc HT = 96'/4" NOTES: Double studs @ siding joints Bottom plate to be PT lumber Framing INT): 2x4 @ 16" oc or @ 24" oc Except plumbing walls to be 2x6 &2x8 Columns: Wood and full height bearing walls Insul-Exterior: R I I Insul-Interior: RI I Unfaced @ RR walls to 8'-0" &@ 6 offices to bottom of rafters NOTE: I row of PT blocking at bottom of exterior walls Sheathing: 3/8" OSB under siding @ all endwalls NOTE: See sheet#4 for PT sheathing locations Siding: 5/16" Hardipanel - Stucco Style - over Tyvek building paper NOTE: Ship loose 32"wide pieces of siding @ mod lines for site installation Trims-Corners: Ix4 Prime Trim Fascia: Ix6 Prime Trim Windows: Ix4 Prime Trim Belt rail: Ship loose(9) 1/2"x4'x8' ieces of PT plywood &224 LF of Ix6 Clear Cedar Soffit: 5/16" NG Hardi anel or 1/2" NG Duratemp j 8349.wk4 04/08/98 e ,�, w r EVE• • • Framing., _I Middle mod: Peak Truss @ 24" oc & Rafter 2x10 @ 24" oc Framing: Outer mods: Rafter 2x 10 @ 24" oc Rf pitch = 2/12 Ridgebeam: Microlam I''/i'x 12" Insulation: R21 Sheathing: 7/16" OSB Cover: Comp: 215# Architectural: 18" roof overhang with 5' hinged overhang @ Entrance Venting: Soffit Ridge E. DOORS EXT/INT CITY SIZE TYPE HINGES LIGHT FINISH LOCK CLOSER I. EXT I Tx618" HM BBH 6"x34" PAINT AL53PD LCN PREP FOR GALV 1461 DEADBOLT 2. EXT I 3'x6'8" MC/W STD 6"x34" PAINT AL53PD PREP FOR DEADBOLT 3. INT 5 3'x6'8" PW/SB STD 6"x34" STAIN 200FL 4. INT 2 3'x6'8" PW/S13 STD STAIN A40L 5. INT 5 3'x6'8" PW/SB STD 6"x34" STAIN AL53PD KEY INTERIOR DOORS#5 SEPARATELY AND TO (I) MASTER KEY EXTERIOR ` INTERIOR MC1W=LT Comm Steel w/Wood jamb PW=Prehung Wood HM/GALV=Steel Door/Steel jamb SB=Solidcore Birch WINDOWSF. EXT/INT QUANTITY SIZE BRAND HORIZONTAL GLAZING FINISH BLINDS I jLQ ER I. EXT 13 72"x48" PHILIPS X DUAL BRONZE MINI 2. EXT 2 94"x27" I PHILIPS X DUAL BRONZE MINI 3. EXT I 62"x48" PHILIPS X DUAL BRONZE MINI TEMPERED j 8349.wk4 04/08/98 r�l Y r - INTERIORG. Floors: RR/Breakroom: Corlon All else: On site by others Walls: RR only: 5/8" sheetrock Taptexture/paint&PL wainscot per code All but RR: 5/8" sheetrock Tape/texture/paint Light Orange Peel Finish NOTE: 3/8" OSB under sheetrock on long exterior walls & mod line walls Base: RR only, 6" rubber All but RR: On site by others Trims: Window: Stain & Lacquer Door: Stain &Lacquer Ceiling: Entire bldg: T-bar Height: T-10 1/2" H. SPECIALTIES Toilet tissue: Single roll (2) Mirror: 24x36 (2)ea Glass Grab bar: 36" (2)ea 42" (2)ea J. CABINETS Coffee bar: 4 LF of base &4 LF of uppers - Auburn Reception area: 9 LF of base&5 LF of uppers -Auburn Countertop: Custom with oak backsplash Comb heat/AC: Split System HP 3 ton 15 kw Model #'s: Condensing Unit: Carrier#38YKC036-3 Fan Coil: Carrier# FB4ANF036 Ducting: Galvanized Overhead Diffuser: T-bar Thermostat: Programmable CCPAC 01-A w/lockable cover Return air: Thru Room &transfer eilles in ceiling Outside air: Thru Gable Vent Ship Loose: Condensing units & Line sets NOTES: Provide for 2 2%:" PVC line set accesses Testing and Balancing on site by others j 8349.wk4 04/08/98 • ,« �. I I L. PLUMBING Toilets: (2) handicap Pressure Assisted Tank Type Lays: (2) handicap Wall hung HWH: 1) 6 gallon SS sink: I Double compartment 33"x19" Hose bib: (5) frost proof sill-cocks installed in floor joists Condensate: (2) Attic mount air handler DWV: PVC Water: Copper M. ELECTRICAL Service: Single phase Stub thru Panel: (2) 200 amp Material: Romex Receptacles: Duplex 50 15 amp Dedicated Computer Circuit(15) 20 amp Isolated ground Receptacles_ Dedicated (1) 20 amp Weather Proof(5) 15 amp Switches: J As required Phone/Data box: Stub up &down 22 with 1/2" conduit Sign circuit: Connect J-boxes @ each exterior door to 1 20 amp dedicated circuit only Light: Troffer 2x4 3-tube 26 ea Tubes: 34-watt Ballast: Energy miser Incandescent: (2) 60 watt with receptacle @ Attic mount air handlers .Porch light: Vandal Resistant Le an (2) on Photo cell Exhaust fans: 50 CFM (2) 110 CFM I @ Break Area on a switch �Raceway only, Alarm box 2 j 8349.wk4 04/08/98 r Jl,. i yy 1 1' DEALER SIZEIDESCRIFMON JOB M Pacific Mobile Structures, Inc. 28x66 & 14x46 Office/HCRR 8349-51 DATE INFO RM'D: PROJECT NAME DATE CEMENT DISTRIBUTORS 02/13/98 FLOOR COVER Corlon: 6" rubber base: WALL COVER TrP: ROSE DUST #5321-1 EGGSHELL PLwainscot: FROSTY WHITE PLASTIC LAMINATE Coffee bar: CALDERA ROSE #4609-60 Reception: CALDERA ROSE #4609-60 • • • Siding: SOUTHERN BREEZE #414-2 Fascia: KENTUCKY GREEN #78-838 Windows: KENTUCKY GREEN #78-838 Corners: KENTUCKY GREEN #78-838 Soffit: KENTUCKY GREEN #78-838 Belt rail: KENTUCKY GREEN #78-838 Exterior: SOUTHERN BREEZE #414-2 Interior: STAIN & LACQUER Surrounds/Casing: STAIN & LACQUER Mini-blinds: ROSEWOOD #C-837 ' • • 54 Comp: _ _ _ ASPEN GRAY f � :�_ i _ i City of Arlington Building Deb 1) PUBLIC WORKS DEPARTMENT CHECKLIST I'I;RMIT # DATE ACCOUNT # NAME: ADDRESS: LEGAL: BUILDING USE: # OF BUILDING UNITS: TOTAL ERU DESIGN UNITS: Item is inspected and complete Eidsting Required SIGNATURE: Date WATER METER REQUIRED: HEALTH DEPT. APPROVAL: SIDE SEWER PERMIT REQUIRED: GARBAGE CONTAINER PAD: CROSS-CONNECTION CONTROL: BACKWATER VALVE: SEWER REQUIRED: Off site On site CURBS: Off site On site SIDE WALK: Off site On site PAVING: Off site On site STORM DRAINAGE: Off site On site PRETREATMENT DISCHARGE PERMIT: YES NO WATER/SEWER FEES PAID: YES NO Build\fonms\u-check rI Is 1110 r. Elam HOW" ■ 1 ■IM IWLA ■ ■ IT — - — 91 '1 • ■ ■ mml . Mill LI0 IIIYI MISI a I Lo ' ' 1i I'dlMop I rvm1 1 1■ — _ 13 1111 .w h rpw -Im da. hr m1■ . ' R■ 1 ■ ■ ,■ r ,1 ■ ■ 1 1 =9 LiAm IIK W'Y L' 9r 1 ■ • ME City of Arlington Building Del PUBLIC WORKS DEPARTMENT CHECKLIST PERMIT # DATE ACCOUNT # NAME: ADDRESS: LEGAL: BUILDING USE: # OF BUILDING UNITS: TOTAL ERU DESIGN UNITS: Item is inspected and complete Eidsting Required SIGNATURE: Date WATER METER REQUIRED: HEALTH DEPT. APPROVAL: SIDE SEWER PERMIT REQUIRED: GARBAGE CONTAINER PAD: CROSS-CONNECTION CONTROL: BACKWATER VALVE: SEWER REQUIRED: Off site On site CURBS: Off site On site SIDE WALK: Off site On site PAVING: Off site On site STORM DRAINAGE: Off site On site PRETREATMENT DISCHARGE PERMIT: YES NO WATER/SEWER FEES PAID: YES NO Build\forms\u-check I I I I I I I V '� I .`.'1 � 1•I I I' I I I nL I I r'+ --I I J -Lr ITI M I L —J I _ LI 1 I I I 1 r I I'JJ 1 = � 1 1 11 11 I I �.� � � 1■ I I I Irl�1 I I I p --L3T= r_A-a-Tr J�- � -T-, I I 1 1 1 1 1 I 1 11 7 I L ]UI I I 1L.1 L r •' - !11� I'I 1 �I I I 'J I I I City of Arlington Building Deb^ PUBLIC WORKS DEPARTMENT CHECKLIST PERMIT # DATE ACCOUNT # NAME: ADDRESS: LEGAL: BUILDING USE: # OF BUILDING UNITS: TOTAL ERU DESIGN UNITS: Item is inspected and complete Eidsting Required SIGNATURE: Date WATER METER REQUIRED: HEALTH DEPT. APPROVAL: SIDE SEWER PERMIT REQUIRED: GARBAGE CONTAINER PAD: CROSS-CONNECTION CONTROL: BACKWATER VALVE: SEWER REQUIRED: Off site On site CURBS: Off site On site SIDE WALK: Off site On site PAVING: Off site On site STORM DRAINAGE: Off site On site PRETREATMENT DISCHARGE PERMIT: YES NO WATER/SEWER FEES PAID: YES NO BuilMormsW-check - - - - - - � - - � 1 City of Arlington Building Dep' FIRE DEPARTMENT CHECKL,3 T PERMIT# DATE: NAME: ADDRESS: LEGAL: BUILDING USE: OCCUPANCY CLASSIFICATION: A B E F H F71 2 12.1131 4 1 1 2 1 3 1 1 2 1 1 1 2 1 3 1 4 1 5 1 6 7 I M R— —] S U 1.1 1.2 2 3 1 3 1 2 3 F4 5 1 2 TYPE OF CONSTRUCTION I II III 1V V F.R. F.R. ONE-HOUR N ONE-HOUR N H.T. ONE-HOUR N Item inspected&completed Site Plan: Approved Denied Signature & Date: Access Requirements: Required: Fire lane: Sprinkler system: Alarm system: Knox Box: Fire extinquishers: Hydrant: # of hydrants required: Location of Hydrant: Location of Knox Box: Location of Fire Extinquishers: Fire Flow requirements: Location of address on building: FIRE DEPT: Date: Signature Builfform\fdchecklist r ra J■ .' 00M-.1 ' L a ti ■ I _ of p111 ■ ■ + ■ 1�■I 1 oil ■ 1 IN ■ + 1 ■ 101 — - _ EMF 1INJA rl 1A of Ir y 1 IF - - ■ ' NEEN ' + I 1 5 - . ■ 1 I _ 11L I II I - - - - - - — - - - - - - - - - - - — ■�■ 1i 1�111 �■ ■w 1� I � r '1 ■ No ■ go ■■■ IT ■ 1 ■1■9 ■ ■ ■ �■ 1 ■ No IN 7'1 1 ' or ON Elm 0 1 ON I r'—. 9 IN mcqkr M.. =- I City of Arlington Building De FIRE DEPARTMENT CHECK �T PERMIT # DATE: NAME: ADDRESS: LEGAL: BUILDING USE: OCCUPANCY CLASSIFICATION: A B E F H 72 12.1131 4 1 1 2 1 3 1 1 2 1 1 2 1 3 1 4 1 5 1 6 1 7 I M R S U 1.1 1 1.2 F2T3 1 r 3 1 1 2 3 4 5 1 2 TYPE OF CONSTRUCTION I II III 1V V F.R. F.R. ONE-HOUR N ONE-HOUR N H.T. ONE-HOUR N Item inspected& completed Signature & Date: Site Plan: Approved Denied Access Requirements: Required: Fire lane: Sprinkler system: Alarm system: Knox Box: Fire extinquishers: Hydrant: # of hydrants required: Location of Hydrant: Location of Knox Box: Location of Fire Extinquishers: Fire Flow requirements: Location of address on building: FIRE DEPT: Date: Signature Bu ild\form\fdcheckl ist 1 I � I 1 1 i IN 1 = I 1 r i I- .- - Q JI 4J I- Al JC L I I -11 nAnrrDeLILL In -rTLI - - - - - - - - I I I I I I I _I T LL - I I L' I I 1�111 .�1 I � - ■ I � T J rnrrr I I -. S I - 7 I 1 __.•I_ I - _ I I_f I ' 1 I I — J — 1 I 1 11 II II 1 City of Arlington Building De FIRE DEPARTMENT CHEC =�T PERMIT# DATE: NAME: ADDRESS: LEGAL: BUILDING USE: OCCUPANCY CLASSIFICATION: A B E F H F172 12.1131 4 1 1 1 2 3 1 1 2 1 1 2 1 3 1 4 1 5 6 7 I M R S U 1.1 1.2 F2T3 1 1 1 3 1 1 2 3 4 1 5 1 2 TYPE OF CONSTRUCTION I II III 1V V F.R. F.R. ONE-HOUR N ONE-HOUR N H.T. ONE-HOUR N Item inspected&completed Signature & Date: Site Plan: Approved Denied Access Requirements: Required: Fire lane: Sprinkler system: Alarm system: Knox Box: Fire extinquishers: Hydrant: # of hydrants required: Location of Hydrant: Location of Knox Box: Location of Fire Extinquishers: Fire Flow requirements: Location of address on building: FIRE DEPT: Date: Signature Build\form%dchecklist I r BLS. -ti G PERyIlT APPLICATR ,T CHEST RES & DLT= COMM & IND A.PLIC A'I TOiv ?F°L ICAT-7cN SITE PLAY SIZ= PL,�Q\T A.RCIEL DRAWIiti GS ARCS. DRA.WN GS STRUCT DRAMNi GS S L'i CT D E A w'GS L EGAL DESCI=ON LEGAL DES ►- lON ENJERGY C-A-LCS =GY CALCS STORM DRAINA GS STORM DRAINAGE S=-LC T_LHK DESIGN SPA CHECXLLSr' UIIE TY DRAWL-N-W STRUCT CALCS inree ( 3 ) ccoies of eacfi are requ�=' Faur ( =' ) cavies of each are wed for aoudcation for muHczdon ZONING =ACMS: FRONT USE REAR LOT COVaRAGE SIDE PERMU TRH=G Yame: Pewits. Project Type: Date R ^:%vet DISTRIBUTED RETUR= DISIRIBu I'ID _ R- Pubiic 'Pow Ewe ; Fire Dent Ioha F-M== Date returned for ==tlom Date resubmitted witfi c=ecdow Date ready.to issue: Date issued: ButidkfannskficckLnc t � � - I CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. ' OWNER MAIL ADDRESS CITY Zip PHONE _QRUGE (-u/-}LDEN 815 GL1YlA PARIc !?D EVes'RC'Tr 9S Zoy �uZS-) SJ-OS9Z ARCH;TLCT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL C.ONTRACiOR MAIL ADDRESS CITY ZIP PHONE LICENSE M GLUE f?)290/V Sr2�75C- (3LD6. y7 ,ALDcR LN M 7% YG`2NOA/ 9R-273 (6)N24-9a/G BLuc/CSlI7oZts MLCHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP ` PHONE LICENSE/ /VO ffE)47_—n�.ud PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ U) 3 CLASS OF WORK 2 NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMULI rION ❑BUILDING RELOCATION CC VALUAT ION OF WORK z $ 9 ?el.,00 W DLSCRIBL WORK 3 1C� mPRUPUSI D USE OF BUILDING HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- "� L TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z LLGAL DES('RIP[ION Of PRUP(RTY(SHOWN BELOW OR ATl#CH FOUR covlEsl SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK J LUI FILOCk OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO FU' 3 10 S—N-oi'7— S VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR a TA �O�JM eE R FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF 2 I Tµ E Ai e ? CONSTRUCTION. PERMIT_EXPjRFS 1 YEAR FROM DATE OF ISSUANCE. L> (7 108.\DURESS SIGNATURE OF CONTRACTOR O UTIiORIZED AGEN DATE t 1 -7 x ,4� 3-�-q� (OFFICE USE ONLY) PLUMBING MWIIANICAL NO. TYPE OF FIXTURE FEE ='s FIXTURES NO_ TYPE OF EQUIPMENT FEE i s FIXTURES WATERCLOSET(TOILET) NIR COND. 1'IS—ILP. PA. 3glip.list•• lA 'IUB tf]TRI(iERATI UNt75—)LP.FA d _lid•" LAVA Y(WASI I BASIN _ IOILERS—I I.P.L 3qLdp.list— IIOWF1t AS FIRED A.C.UNI' —TONNAGE EA. li .list•" ITCIIEN SIN \&DISPOSAL 'ORCED AIR SYSTEMS .T.U. MEA ISIIWASHER ALL HEATERS— B.T.U. M UNDRY TRAY )NIT HEATERS—B.T.U. M `LOTI-IES WASIIUK WAPORATIVECOOLERS WATER HEATER 'LO111LS DRYERS 1RINAL _ IN TILATION PAN )RINKING FOUNTAIN tANGE HOOD COMML'RCIAL ILOOR DRAIN kill HANDLING UNIT— CPM ACUUM BREAKERS 30OVE tOOF DRAINS—RAINLEADERS VIETAL FIREPLACE&CFIIMNEY 'INK(SERVICB—BAR,ETC.) ATER HEATER AS PIPING *(up to 5-S3.00,addal.=3.75 '•F ui mcnl list mud be providcd SUB TU'FAIL SUB TOTAL PERMIT PERMIT TOTAL PLR TU'TAL FELT SIDI. 1'ARU SL iBACK SfRLLT SL IBACK REAR YARDS T \C PLAN CHECK NUMtlIt PLAN CHECK FEE q9FEE ^� RECEIPTNO.�� USE /U V LOT ARLA VACANT SI1E y (Q �I—O—�— YES 40 115 L— VALUATION FEE TYPE ONSI OCCUP NCY R UP NO.OF DWELLING UNITS PLAN CHECKING NG SILL 61 OLOG No OF S URILS MAX,UCC LOAD Q ( PLUMBING F IRE SPRINKLERS REQUIRED ❑YES NO MECHANICAL COMMENTS STATE BLDG.CODE /f . ENERGY CODE SURCHARGE PENALTY U.BC. CC [ SEC.303(a) WATER/SEWERFEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT 6 RECEIPT PAID CRq BY. cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. BUILDING OFFICIAL DATE RECORDS COPY