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HomeMy WebLinkAbout17511 74TH DR NE_077445_2026 3� INSPECTION REPORT • Permit No.: o-7 -7 e/ 1,5 Lot #: �57 Address: /? s i 1 -7 y V rL. Contractor: N, • ♦ Owner: Date: 3—1-z-a LO-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. A-t- Inspector: Date: 3-f3—a 5 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 X Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: '4/h INSPECTION REPORT • Permit No.: Lot #: Address: Z 7 7 A /5. - Contractor: le- --r • Owner: Date: 14 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 W_Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: ,f // 36 �j INSPECTION REPORT • Permit No.:O —7 Lot #: S Address: Contractor: 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. L4 FYI �',L �� h o"h 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 • Permit No.: o'7 7 Lfq S Lot #: 5� Address: /'7 S',i 2�( �2 Contractor: K ♦ Owner: Date: /- 3 -0 S APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approv . ❑ 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 A Framing (Zjff 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 1.2 72 7C • Permit No.: 0 2^ 7V'`5' Lot #: Address: 7 V ry Contractor: ��*er/.7yA. • Owner: Date: l ' P ❑ APPROVAL 4&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 r I i p e r� irk l.�vr► �"o � Y Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing W Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove A Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: �y! INSPECTION REPORT • Permit No.: o-7 -71iyf Lot #: S� Address: / '7 It '7 `1 ,57 rL Contractor: Pi� /,;-L-✓12y P,;� • Owner: Date: i-z---7-o --o 7 Z,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: 7 Date: /2.-Lv-u 7 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation IFd Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: 0'2-Jf V 5'1-.ot #: Address: Contractor: 1�� 4s • • Owner: Date: �d 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. P on ah 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 • Permit No.:� 7 ?�/�S Lot #: Address:toot - Contractor: 111kha 74r4 • • Owner: /Date: /�°' /�7—<5�;2 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: _d 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 a4' Drainage ❑ Insulation ❑ Other: q z 3 3�., l INSPECTION REPORT • Permit No.: 071-7V LIT Lot#: Address: Contractor: Ahcr.��>v 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. Zf�: v e57 Woo? Inspector: Date: - -�72 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping A Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: SyL INSPECTION REPORT • Permit No.: o,7 14y S— Lot #: S Address: nsof 7� p,c, Contractor: l+►,� --r+ �a • • Owner: Date: lI—I Y- o 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 435-0674 FOR RE-INSPECTION -24 hour notice required. v Inspector: Date:IV TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation Of Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 ♦ PHONE:(360)403-3421 STATUS: READY TO ISSUE Permit#: 07-7445 BUILDING ' Project Address: 17511 75TH DRIVE NE, ARLINGTON Parcel No: 01069900000500 PROPERTY OWNER APPLICANT CONTRACTOR -0-HIMALAYA HOMES -0-HIMALAYA HOMES 9633 MARKET PL#201 9633 MARKET PL#201 -0- -0- LAKE STEVENS,WA 98258 LAKE STEVENS,WA 98258 LICENSE#:HIMALHI161DE EXP: PLUMBING CONTRACTOR MECHANICAL CONTRACTOR JOB DESCRIPTION NEW SFR Description Fee Amount . _ y4'fi� Paid Balance Due Permit Fee $1,000.00 ($1,000.00) $0.00 C-Building Permit Fee $1,729.75 $0.00 $1,729.75 Plumbing Fixtures- 14 $140.00 $0.00 $140.00 C-Plumbing Pen-nit Fee $25.00 $0.00 $25.00 Furnace/Unit Heater- 1 $15.00 $0.00 $15.00 Ventilation Fans-4 $28.00 $0.00 $28.00 Metal Fireplace&Chimney- 1 $11.00 $0.00 $11.00 Dryer- 1 $11.00 $0.00 $11.00 Water Heater- 1 $15.00 $0.00 $15.00 Gas Piping 1-5 Outlets- 1 $6.00 $0.00 $6.00 C-Mechanical Permit Fee $24.00 $0.00 $24.00 NEW PLANS $257.00 $0.00 $257.00 C-Building Plan Review Fee $124.34 $0.00 $124.34 NEW PLANS $1,293.34 $0.00 $1,293.34 C-State Building Code Surcharge $4.50 $0.00 $4.50 Total Due: $4,683.93 ($1,000.00) $3,683.93 PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. ignature Print Name Date R:!p0cf Ery at ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.UBC 109/IBC I10/IRC 110. ARCHIVE APPLICANT = ASSESSOR OTHER — • �•s. ,.:. 1 _ a O O a V � y V DTI O �F�l _ a y 75fh DRIVE NE Z ------------ n � n SQ1'1429"W A48' p C1 I �ti II 20'BSBL a ao IJO'- �c o 22'-0" " a n Q c o -' a -• Z a I� aC 4 6' m -- y Z ( 44'-0~ o ti a I 8'x 10' r I PA AO v I in Clli I b i m m o I ` o I o a Z ry oo I I r C rn? I I� N3 -10' VEGETATION a cl RETENTION ESMT N01'15'34'E 60.00' Permit Review Details Permit: 07-7445 F'e r nit I 2000-REVISION PLANS to APPROVED PLANS Complete? y 10/25/2007 laveritz 45 y Total Time: 45 2008 -REVISION PLANS to APPROVED PLANS Complete? N 1110512007 Wecnt 0 printed permit for signature,pending planning review. N Total Time: 0 2012 - REVISION PLANS to APPROVED PLANS Complete? y 10129i2007 bblake 2 Nn comments y Total Time: 2 2014 - REVISION PLANS to APPROVED PLANS Complete? N Total Time: 0 Total Reviews: 4 Total Time: 47 11/5/2007 12:23:28 PM Page 1 of 1 i i CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 PHONE:(360)403-3421 PERMIT FEES/ RECEIPT DATE: Wednesday,November 07,2007 PERMIT#: 07-7445 PROJECT ADDRESS: 17511 75TH DRIVE NE, ARLINGTON LOCATION: APPLICANT: -0-HIMALAYA HOMES 9633 MARKET PL#201 LAKE STEVENS,WA 98258 425.377.8600 *FEE SUMMARY: ,Description-Ak. FecAmount Paid Balance Due Permit Fee $1,000.00 ($1,000.00) $0.00 C-Building Permit Fee $1,729.75 Plumbing Fixtures-14 $140.00 ($140.00) $0.00 C-Plumbing Permit Fee $25.00 ($25.00) $0.00 Furnace/Unit Heater-1 $15.00 ($15.00) $0.00 Ventilation Fans-4 $28.00 ($28.00) $0.00 Metal Fireplace&Chimney- 1 $11.00 ($11.00) $0.00 Dryer-1 $11.00 ($11.00) $0.00 Water Heater-1 $15.00 ($15.00) $0.00 Gas Piping 1-5 Outlets-1 $6.00 ($6.00) $0.00 C-Mechanical Permit Fee $24.00 ($24.00) $0.00 NEW PLANS $257.00 ($257.00) $0.00 C-Building Plan Review Fee $124.34 ($124.34) $0.00 NEW PLANS $1,293.34 ($1,293.34) $0.00 C-State Building Code Surcharge $4.50 ($4.50) $0.00 Total Due: $4,683.93 ($4,683.93) $0.00 *FEES ARE ESTIMATED BASED ON INFORMATION PROVIDED AT SUBMITTAL-SUBJECT TO CHANGE PAYMENT TRANSACTIONS: Date Receipt# Method/Payee Paid 9/7/2007 CRCT3336 Cash/ ($1,000.00) No Fee Description! ($1,000.00) 11/7/2007 REC000132 Check 52005/-0-HIMALAYA HOMES ($3,683.93) C-Building Permit Fee ($1,729.75) C-Mechanical Permit Fee ($24.00) C-Building Permit-Other Fees ($257.00) C-Building Plan Review Fee ($124.34) C-Building Plan Review Fee ($1,293.34) C-State Building Code Surcharge ($4.50) C-Plumbing Permit Fee ($140.00) !V I I I r 1 Microsoft provided by City of Arlington - BLD - BUilding Pert-nit \/er: 1 applicant: IHIMALAYA HOMES, -0- address 17511 75TH DRIVE NE, ARLINGTON data screens' Iselect Screen... — func:tiorls �S Reviews IAW NIEW I RCh40'J PRINT Assigned To ®� 2000 REVISION PLANS to APPRO... SBLACK 11/5l2007 0 2008 REVISION PLANS to APPRO . BFECHT 1115007' 0 201� REVISION PLANS to APPRO .. BBLAKE 1 0 2014 REVISION PLANS to APPRO... NHUDSON 11{5 007 0 �,`.) Done I I GAT Y f, City of Arlington o Community Development lING'S Permit Center REQUEST FOR REVIEW NAME: I,.�, � I—� �w.�j BP #: DATE: ' ��"�� RETURN THIS FORM BY: PROJECT SUMMARY: ,,j ,j S' F F GESP0NID1NG DEPAP.T"AlEINJ T S TOM C., FIRE DAVE A., BUILDING UTILITIES KERRY W., BUILDING BILL B., NATURAL RESOURCES SCOTT B., BUILDING ENGINEERING YVONNE P., PLANNING SHERRI PHELPS, BUS LIC CWA., CONSULTANT DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments in memo form to the Permit Center. If you have no comments, please return the form with the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER. ❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY DATE G1T Y 01, City of Arlington o Community Development lING"S Permit Center REQUEST FOR REVIEW NAME: -I ,�,,, �, I�, � � -� : 4. , BP #: e- - 7H�t5 DATE: RETURN THIS FORM BY: PROJECT SUMMARY: RESPCNC NG CEPAR ",•BENTS TOM C., FIRE DAVE A., BUILDING UTILITIES KERRY W., BUILDING BILL B., NATURAL RESOURCES SCOTT B., BUILDING ENGINEERING YVONNE P., PLANNING SHERRI PHELPS, BUS LIC CWA., CONSULTANT DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments in memo form to the Permit Center. If you have no comments, please return the form with the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE,AND RETURN THIS FORM TO THE PERMIT CENTER. ❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY-- r -- DATE - � ! 0 G1� Y O1, City of Arlington RE C E 11 W E ED Community Development j0N 18- 200 �NG,, Permit Center Utilities Diu. REQUEST FOR REVIEW NAME: - I—I ;� e% Ic,� � —Iowj BP #: 0-j- 7Hjt5 DATE: "�� RETURN THIS FORM BY: PROJECT SUMMARY: ,�„�, S F P RESP0NIDING DEP/_\RT^VlE"ITS TOM C., FIRE DAVE A., BUILDING UTILITIES KERRY W., BUILDING BILL B., NATURAL RESOURCES SCOTT B., BUILDING ENGINEERING YVONNE P., PLANN'NG SHERRI PHELPS, BUS LIC CWA., CONSULTANT DERYL T., MARYSVILLE UTIL — JIM T., CONSULTANT SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments in memo form to the Permit Center. If you have no comments, please return the form with the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER. ❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY DATE1 — / CCity of Arlington � o Community Development tING'S Permit Center REQUEST FOR REVIEW NAME: —I_I ,C. I11., �, —� � ,� BP #: Cam_ -1H,,r_5 DATE:._ � " ��'�� RETURN THIS FORM BY: G- 2%-e-7 PROJECT SUMMARY: � ,,, F P RESPCI`JDI"JG DEPAR-1IMIEI`JTS TOM C., FIRE DAVE A., BUILDING UTILITIES KERRY W., BUILDING BILL B., NATURAL RESOURCES "' SCOTT B., BUILDING ENGINEERING YVONNE P., PLANNING SHERRI PHELPS, BUS LIC 4-� v CWA., CONSULTANT DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments in memo form to the Permit Center. If you have no comments, please return the form with the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER. ❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY DATE 1 City of Arlington Community Development Permit Center REQUEST FOR SFR REVIEW RESPONDING DEPARTMENT: PLANNING BP #: -- 0-7 - IV25 NAME: ADDRESS: _i-75l l -7 5th Pr: , o N L PLEASE RETURN FORM WITHIN 3-5 WORKING DAYS/ FROM 0 Mitigation Fees Verified: �ol School Mitigation Fees: P Community Park Impact Fee: 11 cis 6 " Mini-Neighborhood Park Impact Fee: Trip Impact Fees: Set Backs Verified Required/Proposed: Zoning:Y\L Front Yard/ -Z� Street Setback 7-5 Rear Yard Setback �;- Side Yard Setbacks ' 0 Lot Coverage Verified 11 M Shade Trees Verified on Site plan 91 - Height Verified (Called out on Site plan) SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments, either on the drawings or in memo form, to the Permit Center. If you have no comments, please return the form with the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO PERMIT CENTER. IN COMPLIANCE WITH LAND USE CODE - OKAY TO ISSUE L] NOT APPROVED - ADDITIONAL INFORMATION REQUIRED o (SEE ATTACHED REDLINES OR MEMO FOR COMMENTS) REVIEWED BY / F f. _�li� DATE 6 '� 10/18/07 REED & ASSOCIATES, eS Civil& Structural Engineering 0 8311 212th St. SW, Edmonds,WA 98026 Office(425)778-2793 Fax(425)775-2073 10/18/07 Himalaya Homes Attn: Rebecca Diamond 9633 Market Place #201 Lake Stevens, WA 98258 Re: Plans 2795 and 2193 R&A Job#'s 07-437 and 07-497 Woodway Heights, Arlington To Whom It May Concern: r IGgJC accept Ctll 11 IIJ ICIICJ GJ authorization UI IJJC UI U IC 270J plan lI VI I Lots I QI IU '-1' QI IU tl l2 2 1 JJ plan on Lots 2 and 5 at Woodway Heights in Arlington, WA. Should there be any questions or comments please contact our office. Sincerely, Andrew Gahan, El ,c)EL L R WASh $b 'o Y ' RECEIVED )_377 s 9 at E� EXPIRES 5-27-oj� _�� ! 07-497 (amg) Letter 071018 1 I ' City of Arlington • Community Development Permit Center REQUEST FOR SFR REVIEW RESPONDING DEPARTMENT: PLANNING BP #: 0-7 - 7yy5 NAME: ADDRESS: 1-75 I -7 5 th N C PLEASE RETURN FORM WITHIN 3-5 WORKING DAYS FROM (- _j-c -7 Q Mitigation Fees Verified: School Mitigation Fees: ,.. Community Park Impact Fee: Mini-Neighborhood Park Impact Fee: JUN I Trip Impact Fees: _ " . _'. A­ 4 ..� Set Backs Verified Required/Proposed: Zoning:RLN Front Yard/ z2 5 Street Setback 2r5 Rear Yard Setback Side Yard Setbacks ' ® Lot Coverage Verified Z Shade Trees Verified on Site plan U . Height Verified (Called out on Site plan) SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments, either on the drawings or in memo form, to the Permit Center. If you have no comments, please return the form with the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO PERMIT CENTER. I IN COMPLIANCE WITH LAND USE CODE - OKAY TO ISSUE NOT APPROVED - ADDITIONAL INFORMATION REQUIRED o (SEE ATTACHED REDLINES OR MEMO FOR COMMENTS) J REVIEWED BY DATE_— ( 7 0 :z