021615 (GRD)V V4041 •-_ PZ 0 3!UWOV 02161 5
o WI TLE PRUSH DR
V...,pfC"ln*jZIP 922530000
WA#DRESS/SPACE UO 1 -i' LE B,1'.US.H DR
w
I vcctm TK-y*/ZIP
CAc 922530000r
T.fE 7
,
LAS i
0,34
Vi
TWN i " XQ
VQ
S
ffPa#
10,0341011
Se
ROBERT
ERT sT
CONTRACTOR -FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE p
LICNC p
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP "
PHONE p`�pA�ai;iys
LICNC p
fi�e++
fl'V
-M
WWI
005
W214
IN
ZONE ORD p
LOT SZ
p� tEt{IQ �j,:¢IgEpj
V V4041 •-_ PZ 0 3!UWOV 02161 5
ri
PLAN'CoNANCK is. oom
TFEEL
o
- - - lN,)rtl.luKa wrT
1 0.216-0i LAN CHAMM1
"FLAN CHANCE 1610.11
l • tom+ � - J _ , a
FORM 284.208'(2/81( - -
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel,
36
Inlets B Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Domper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T.O.
-
ONON
ADDITIONAL INFORMATION
-----
---15
-
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
28 Service Entrance
29 Wiring
:29A Grounding Wire
24 Bonding
30 Fixtures
31 Service"
32 Final
STREET NAME