55299 (SPIN)APPLICANT NAME (L, F, MI)
LA GIUXWTA.-ARTIS FOUNDATION:
ADDRESS
523 W 6TH".31
CITYICOMMUNITYISTATE/z'p
LOS ANGELES CA 900140000
JOB SITE ADDRESS/SPACE
78421 HWY III
CITY/CoMMUNITYISTATEIZIP
LA QUINTA CA 922530000
BOKPAG
61 ;5
1412 �
PRC
025
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6
TWN
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FING
BE
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TRACT LOTM
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SPECIAL. INSP""TN FEE $30:.00
OD
oil
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CA
TRACT NAME
p OR 9 1/2
OWNER NAME
L . A-Qtli'WiAo ARTS FOUNDAT1,640
CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITY/COM MUNITYISTATEIZIP
PHONE# FBLDG.JNSPECTOR
t
A'gawgr'�
FINAL DATE
ARC/ENG FIRM NAME
LICNC ft
ADDRESS
CITY/COM MUNITYISTATE/ZIP
PLAN N
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
SPEC lNfip-occtjpANCY
BLSo
N
S
FSB
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ORD #
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END . 1
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FORM 28420811INSPECTOR,
APPLIPRIVIT # PS DATE
00028403 lPQ- .3 0/ai 552,99
-7-
SPECIAL. INSP""TN FEE $30:.00
/X.-N-sx /-- FEETOTAL
,
CA
I CKX 'INC
COUNTER L.U.T.
55299
P -E C I A L 1 N S P C T 1 0 N P
E - R M
TOTAL 'PERMIT. -COST IS .$30,.Oo
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR,,,
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
r
2
Ftgs 8 Frms
34
Plenums 8 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
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. C]
43
Final
IDA
Fireplace T.O. E]
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION
Thick
R
Value
7A Walls (Botts)
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/
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