00013477 (SPIN)APPLICANT NAME (L, F. MI)
PETER tURONOWSKI
ADDRESS
067 HAY
y� �g y
CA 9064as0as
JOR SITE I DRESS/SPACE
`%�� d CALLE, COLIMA
Ewcoolourg/ZIP CA 922530000
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PAG
135
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gf'A 724-52a
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ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE M
LICNC a
USE OF PERMIT
SPlaCIAL INSP FOR FINAL TO DWLG
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FSB
F86
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0 i10
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END
SIDE
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I FORM 284.208 (2/81)
APPUPRMT NPS DATE -
000,11,477 1
'yry/yn/y6
018886_
1
SPECIAL INSPITN FEE
4'�0 • t�0 �
OPECIAL IN PECTION PERKI
?-.- 6 5'g ;,' ( e-1 TOEEL
$3 OO
mortwuKJ I.VrT
6 P E C I AL IWSPF.CT 1 0 N
TOTA4 PERMIT COST 1$ *30,00
018886
P .E R M I T
--
NO.
OPERATION
DATE
INSPECTOR
N
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2
Ftgs & 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
Gnio3e Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
°o
- - - -
ADDITIONAL INFORMATION
__ ._ .. _ ..
r✓
- - - -
'
SEWAGE SYSTEM SIZE 8 LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
1-3—Finish Grade •- - _ _. _.
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APP VALS- - - - - - - - - - -
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
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
.APPLICANT NAME (L. F. MI(
PET -Eft
ADDRESS
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}}0,6'1
EQ[� �p q �j y� j� (�
.f.♦ fi7/N1R�TFi r .ti1P CA 06400000
JOB SITE ADDRESS/SPACE
77
,CITE'/Codutwf g 21P '%fri 253
j'� V
CA 0440
BOK
774
PAG
;3*
PRC
001
C
TWN
(loot)
RNG
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00
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0024
all
58
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NAME
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697S liAy
-CITY!COMM U N ITY/STATE/ZI P
4ONTEDEL.L0 CA 906400000
PHONE 4 79 p fBS wp
ttg
LItCNNAC p
ARC/ENG FIRM NAME
ADDRESS
C ITV /COM MUN ITV /STATE/ZI P
PHONE It
LICNC #
USE OF PERMIT
� E 1A, INSP POR r XNAt» TOr��St�L C
VLN
N�
M
FSB
6l H 0
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0
@p
&D
ZONE ORD #
LOT SZ
END
SIDE
8000
08884
APPLICATION POR SMXAL INSPECTION
S' AN AP 11 L XCAY XCN 0t4LY
0
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs & Frms
34
Plenums 8 Ducts
2A
Slob 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
G-nage Fire Wall
42
Commercial Hood
t0
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
P'
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE 8r. LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
128 Ceiling (Botts)
12C Ceiling (Blown)
14 Final'
- - PLUMBING' APPROVALS----------
PPROVALS----------15
15Ground 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
298 Bonding
30 Fixtures - -
31 Service
32 Final
STREET NAME
•i