2621 HILLSIDE LN 2018-01-02 MF Import

INSPECTION REPORT - . _ _? / // TYPE OF INSPECTION REQUESTED ❑ MECH: Pmt. No.� ❑ BLDG: Pmt. No._.� -�-� ❑ PLBG: Pmt. No.�---�— ❑ ELEC: Pmt. No—'-_--�-- ❑ Insulation ❑ Masonry ❑ Housing ❑ Framing ❑Groundwork ❑ Footing Ccnsultotion ❑ Foundation ❑ Drywall Nailing ❑ Finals----- ❑ Sewer ❑ Rough -In ❑ Service ❑ Other ❑ Fireplace and Chimney =ce s APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑CORRECTION REQUIRED ----- ❑ Corrections listed below MUST BE MADE beforeworkcan bn aDPrw� ❑ Work listed below has been inspected and oppoYcd ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. _ 24 hour notice required. ❑ CALL 259,8870 FOR REINSPECTION A Certificate of Occupangr Shoff be issued ^nd posted on the premises Prior to "CUPa^aY' the Evergreen CITY OF : PPLICATION FOf- CONSTRUCTION everett PERMIT DEPT. OF COMMUNITY DEVELOPMENT SERVICES CITY HALL 259.8745 EVERETT, WA98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. OWNER MAIL ADDRESS Se C IJ e- o") ZIP 1'110N1 CITY ZIP 4, cCelc/ /l/ r Tic a2�' E-�7GiiN-t� 1°i vi.S-J' - J %/ CANIRAL CONTRAC TOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF . " l �' & f / I r c Er�L(c /,«!Q - !2 r A)-3 z 5T -3 / 7I MI CHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I ❑NEW ❑ADDITION VALUATION WORK DESCRIBE WORK 7 ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION PROPOSED USE OF BUILDING _ , .� 1 �� c� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE. GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE a, . ' -` � FECAL DESCRIPTION OF PR (RTY ISHOWN RILOW OR ATTACH r R PI(S) I ` LOT —BLOCK OF -) IOB ADDRI SS a � a I - ,0 <-�, 0," PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET ❑OLIETI AIR COND UNITS - HP EA BATHTUB REFRIGERATION JNITS-HP EA LAVATORY (WASH BASIN) BOILERS -HP EA SHOWER GAS FIRED A.0 UN175-TONNAGE EA KITCHEN SINK A DISP FORCED AIR SYSTEMS-B T U M EA DISWASHER WALL HLAIERS-BTU M LAUNDRY TRAY UNIT HEATERS -BTU M CLOTHES WASHER EVAPORATIVE COOLERS WATER HEATER CLOTHES DRYERS URINAL VENTILATION FAN DRINKING FOUNTAIN RANGE HOOD FLOOR DRAIN AIR HANDLING UNIT- C F M VACUUM BRFAKE RS SIOVI ROOF DRAINS-RAINLEADERS METAL FIREPLACE A CHIMNEY SINK (SERVICE -BAR. ETC) SUBTOTAL SUB TOTAL B PERMIT IF PERMIT S TOTAL FEE S TOTAL FEE Y SIDE YARD SF TRACK STREET SETBACK REAR YARDS[ TBACK PLAN CHICK NUMBER ,30 l (� PLAN 3 FEE ),7J -4 CHECK FEE RECEIPT NO. J-7 r S" USE ZONE LOT AREA VACANT SITE ❑VE$ ONO FEES VALUATION FEE TYPE Of C3N1ST �- N OCCUPANCY GROUP EK- 3 . NO OF DWELLING UNITS I BUILDING SIZE OF BI DC NO OF STORIES Z MAX OCC LOAD PLUMBING FIRE ZONE BASEMENT BI OROOMS IIRL SPRINKLERS REQUINED )YES (uKo' MECHANICAL APPROVALS BY DATE OTHER 1 ENVIRONMENTAL CHECK LIST PENALTY UPC SEC T0RA1 Z BUILDING PLANS J>~F n "Jj- (j- S TOTAL T FIRE HYDRANT A FIRE PROTECTION SYSTEM S GRADING't ACAVATIONACtt ARINGIGRURIIING PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT 6 DRAINAGE 7. ENVIRONMENTAL IMPACT STATEMENT 8 HEALTH DISTRICT APPLICATION ACC BY PLANS CHECKED BY APPR FOR ISSUANCE BY 9 1-79