00015147 (BLDG)PALS AM
FEEi
EwOW,.M1rwz.1P CA 922530000
ESS/SPACE AVE
'70 /Z; T-tz f17 Y)
CA 922530000*
77-3
1 704
713
2
TWN
FEF..:
Fl :t
VZ10
U
S
U110 0 0 0 1 'ASID
01
FEE)
IW21
ISB
F E�:, E 1
FEE 1
3V1VVQ 0 14
BtFf) LA �f (L Go L D , IJIL CO
PHONEN
CONTRACTOR -FIRM NAME
Kitchen Sink 1 0 Laundr,� Tray a, 1 Uri nal t I WTr Closet 2
ADDRESS
FITYICOMMUNITY/STATEIZIP
PHONE #ECTOj�EFINAL
DATE
Z
Z,
ARCIENG FIRM NAME
LICNC #
ADDRESS r&
CITYICOMMUNITYISTATEIZIP
PLAN N
FP -NS EXAMINERAPPROVE
DATE
jSWf:fEFI9T,f ATION
115 0
005
FSB
0
4L-OT"1"
0 IS EO
01010
11 -ID
MICROFILM FEE
U --`NI Zr
$7,20
END
"D
.
06/041§ 14 7
CONSTRUCTION FEE
FEEi
PLUMBING FEE
$4Y .5'.0
ELECTRICAL. FEE
$ ob
MECHANICAL FEE
FEEi
$4.00
HEATING SYSTEM -1-100001 BTU. -01 100.001 or Mpre EtTutoo
.ELECTRICAL FEE COMPUTATIONS * Permit Fee'(if applicable)
FEF..:
Fl :t
.$4.00
$3.00
SMI FEE
FEE.,
MICROFILM FE4
Service Amps -It 200 Service Am 5-21 0 Service Amps -3: 0
FEE)
$7,00
06
• ADD'L. FEE: 1125 Sq. FT. SEWSTA. @ .012$ Per Sq. Ft.
FL.UMBING FEE COMPUTATIONS * Permit Fee (if applicable)
F E�:, E 1
FEE 1
$14:
44.00
FIXTURES -Bar Sih-ki 0 Drinkinq Fntns I Flr Drain: I
Kitchen Sink 1 0 Laundr,� Tray a, 1 Uri nal t I WTr Closet 2
FEE-,
Lavatory 2 Show ert Tub 0 Bideti 0 OTheri 0
$20-00
SEWER -Building: 0 Industrial Waste Pretreat Intorcpli A
FEEI
$5.50
Prlyate Sewage Dispolial-New.. I Old: 0
TOTAL
C) EE
$10.1150
Installation of Water Piping and/or Water Treatpwnt Equiptl
CAX
CKNC
LINTER B.I.
COUNTER
COUNTER L.U.T.
.SM1 FEE
S T R U C T' U R A L f BUILDING FERMI T1 2 55o
TOTAL PERMIT COST IS
CONSTROCtION ESTIMATE'(NOTEs Not To be used as property valuation)
Description FCC Group Tyge S FT Rate Valuation
"125
PRIMARY SVCSTA 322 13 •1 V_ 1 $23.69 26550
SECNDRY AIRCON 900 R-3 C 191 $2.60 $496
Constt-uctlon Fee based on 'total Actual Valuation of $27046 isi $104.00
MECHANICAL FFEE COMPUTATIONS * Vermit Fee (if.applicable)
FEEi
$3.00
VENT—Fanst02 E Coolers 01 Hood tOO' MisctOO
FEE:
$6.00.
COMPRESSORM-0-3 HPI1 )3-15i00 )15--30t00 >30-5Ot00 950t00
FEEi
$4.00
HEATING SYSTEM -1-100001 BTU. -01 100.001 or Mpre EtTutoo
.ELECTRICAL FEE COMPUTATIONS * Permit Fee'(if applicable)
FEF..:
Fl :t
.$4.00
$3.00
No of Unitsi 3 service Voltst 0
FEE.,
$1115.00.
Service Amps -It 200 Service Am 5-21 0 Service Amps -3: 0
FEE)
$7,00
06
• ADD'L. FEE: 1125 Sq. FT. SEWSTA. @ .012$ Per Sq. Ft.
FL.UMBING FEE COMPUTATIONS * Permit Fee (if applicable)
F E�:, E 1
FEE 1
$14:
44.00
FIXTURES -Bar Sih-ki 0 Drinkinq Fntns I Flr Drain: I
Kitchen Sink 1 0 Laundr,� Tray a, 1 Uri nal t I WTr Closet 2
FEE-,
Lavatory 2 Show ert Tub 0 Bideti 0 OTheri 0
$20-00
SEWER -Building: 0 Industrial Waste Pretreat Intorcpli A
FEEI
$5.50
Prlyate Sewage Dispolial-New.. I Old: 0
FEEi
$10.1150
Installation of Water Piping and/or Water Treatpwnt Equiptl
FEEL
$2.50
lem Inud-in? Backflow Devicei I
t' awn DP %kler Sacl
ijACUUM 9RAKERS R BAdKFLUW DEV CES- I To 51 A Over 5t 0
FEEL
FEEi
$3.:50
$3.50
.SM1 FEE
$1.89
MICROFILM FEE
$7,20
FORM 284-208(11.81) !NSPECTOR
NO.
i OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
>V/JW"2-1
33
Ventilation System
2
Ftgs & Frms
34
Plenums 8 Ducts _ g�
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets /
4
5
6
Grout Blocks
Bond Beams
Roof Deck
r L ,r Z��E$ _-l+ti+.�
37
Combustion Air
38
Compressor ^ 2 - f L _
39
Appl. Clearance
7
Framing
40
Fire Damper ,
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace
P. L.
43
Final
IDA
Fireplace
T. 0.
Na
/*�-
� ' '-
ADDITIONAL 114FORMATIO14
/
t/ l3vAsa c3e4olft S-c•3-�Z �
`• " ' " ` _ � t � - '- - '_ - - _ � _ ._ _ _. ,. -
SEWAGE SYSTEM SIZE & LOCATION.
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade Z _
INSULATION Thick R
Value
7A Wolls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final Z Z
PLUMBING APP OVALS
15 Ground Plumb
9 4X
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE • _
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures 2
31 Service
32 Final
STREET NAME