35431 (SOTB)APPLICANT NAME (L, F, MI)
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C- UAVE
CITY/COMMUNITYISTATEI
L A QUTNTAZIP CA 9?2530000
JOB SITE ADDRESS/SPACE
54080 AVE: CARRANZA
CITY/COMMUNITY/STATE/ZIP
LA QUTNTA CA 922530000
BOK PAG PRC
094 Gil 008
C
21
TWN
c000
RNG
SE
00
S
TRACT LOTMOD
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SB
TOTAL .
FEE
TRACT NAME
SCV LAO 026PLK-285
OWNER NAME (L,F,MI)
HORN DAN
PHONE N
CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE#
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
LICNC #
ADDRESS
CITY/COMM UNITY/STATE/ZI P
PLAN #
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
EMP CONST SERVICE
BL - ZON
0 Rl
FSB
020
I SSB I
010.
SSB
005
RSB
010
OFC
IND
ZONE ORD #
LOT SZ
END
0050 10,100
SIDE '
APPL/PRMT # PS DATE � Qi �54
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L
E4.CCTRICAL,
PERMIT
T H I I S A, N A
P P
L. I C A T
Z 0 N O N L. Y
y
TOTAL .
FEE
CA
CK
NC 7OUNTER
B.I.
COUNtTL,E
APPLICATION
FOR
E4.CCTRICAL,
PERMIT
T H I I S A, N A
P P
L. I C A T
Z 0 N O N L. Y
FORM.284.208 (11.81) INSPECTOR
<t�.�ti�tiil
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. 1
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
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. E
43
Final
IDA
Fireplace T.O.
NO.
ADDITIONAL INFORMATION
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
N Water Heoter
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P)
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME