011291 (CSST)APPLICANT NAME (L. F. MI)
Af�V65 AVE VERMUDA9
CA 722$30000
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CA 924.530004
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APPLICATION FOR STRUCTURAL PLAN REVD
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AIPREb Box 3196 INDUSTRY 91744
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ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE 4
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APPLICATION FOR STRUCTURAL PLAN REVD
TOTAL
FEE
APWLICATIO0 FOR STRUCTURAL PLAN REVIEW
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FORM 284-208 (2/81)
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & 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.
43
Final
10A
Fireplace T. 0.
°o
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
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25 Final
Tank
Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
• 27 Conduit
281 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
.30 Fixtures
31 Service
32 Final
STREET NAME