ELEC (00015453)77500 Calle Madrid
00015453
CAP^P^IICANT'NAME(L.F:IMI)Vt4L,,,L.t: ( p t V
LAd„RESS 6' 41 725 t...OU uJ_
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1
ONE #
CONTRACTOR -FIRM NAME -
LICNC #
ADDRESS
CITYICOM MUN ITYISTATEIZIP
+
PHONE4
BLDG C
FIN DATE -
•/LICNC
ARCIENG FIRM NAME
#
ADDRESS
i
CITYICOMMUNITYISTATEIZIP `
PLAN # PLANS EXAMINER
APPROVE DATE
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ZONE ORD #
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TOTAL
FEE
END
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0
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FEE
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TOTAL
FEE
C8
CK
NC
COUNT
COUNTER L.U.T.
.62491
L L. f r' C T R I C A L. P E R M I 'F
TOTAL. PERMIT . CUST IS $7. 00
ELECTRICAL. FEE COMPUTATIONS.* Pernit Fee of applicable) FEEL $3,00
No of i?r►ATS1 1 Service VOITSt 0 F EEi $1,00
Service Amps -it 100 Service Amps -2t 0 Service Amps -3t 0 F EEs $5,00
T
FORM 284.208(11.81) INSPECTOR
i
t
t .
NO.
OPERATION DATE
IS
INSPECTOR
N
ti OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel _
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
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.O.
OFIN
NO.
ADDITIONAL INFORMATION
I
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath .
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
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/
p.
E'
ELECTRICAL APPROVALS
26 Power Pole / L
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final 12u
STREET NAME
r4a
MAMIthMI) VALnL EY, T V
s 368 41725 COOK ST
c INLO r^U WRIl . 92260 0 0 U 0
3 tpRESSIA.U:. OE, ` MADRIDCAA
CALU
gJ; T,y.
i C0 1 A /ZIP GA 922530000'
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DEC
S
LOT
J'AfiG71 o A
1/ M 1"`V!7 {I'
(
SB
CA
Ali
/a
Q 02 6 9 BLK "2 52
Gi i:/AC H ttlA VALLEY T y
PHONE #
` CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITYICOMMUNITYISTATEIZIP
j PHONE #_
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC #
( ADDRESS ..
r '
; CITYICO M M U N ITYISTATE IZI P
- 'PLAN # PLANS EXAMINER
APPROVE DATE
%S"I?El j'ffl . q.RV FUR LAB I-V
6LO
R ION
FSB
0 OSO
y p 9
0 00
p
0 VA
qq FF 77
THD
'ZONE ORD#
LOT SZ'
END ()06V
26238.
TOTAL .
FEE
CA
CK
NC
COUNTER B.I.
COUNTER L.U.T.
'APPLICATION FOR ELECTRICAL PERMIT 1 26.2391
T H-1 S I S A N A P P L. T C: A 7 1 0 N Q N L. if
>
'FORM 284208 (7181) INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel; •
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
M
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. Cj
43
Final
10A
Fireplace T. 0. 0
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
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
31 Service'
32 Final
STREET NAME