00003788 (SATT)APPAIVCAAME IbFtiWp
A
ADDRESS
140101 V18tWHOU
CITY/COMMUNITY/STATEIZIP
,LA-.QUIHTA
JOB SITE ADDRESS/SPACE
-5-0 (is 0
CITY/Co STATE'ZIP
I.A. Waiy,WtA
BOK
U-39
PAG
I
PRC
ol
C
6
,TRACT 19T
44961 001
TRACT NAME
(XRV%(L F, MI)
CONTRACTOR -FIRM NAME
ADDRESS
Cl'n'!COMMUNITY/STATE/ZIP
PHONE #
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE #
USE OF PERMIT
VWLQ AMY PRICU
BL
oil
ZON
I ag
'FS8
oot
'ZONE ORD #
001588
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilot;on System
2
Ftgs & Frms
34
Plenums & 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.
Ej
°o
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE &. LOCATION
I 1 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PPROVALS
- ""- ' - ` - PLUMBING APPROVALS-
15
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
20B Bonding
30 Fixtures ,
31 Service
32 Final
STREET NAME _
APPLICANT NAME (L, F. MI)
ADDRESS yy
d It
CITY/COMMUNITY/STATE/ZIP
66 lwrl% CA 12125130 i00
JOB SITE ADDRESS/SPACE
i� 4i* CALL1. OAXACA
RLSCTiRICAL FEE
LA A 0lUIHrA IP �� 9295 4604
BOK
PAG
'
PRC
'r
C
4
TWN
RNG
1084
SE
Pio
S
TRACT
'41 449'4,
LOT
0
13
MOD
11
SB
TRACT NAME
OWNER NAMEFA (L, F, MI)
0AC4.1r� r
CONTRACTOR -FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE N
LICNC N
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE M
LICNC M
USE OF PERMIT A IRI�+ -
.. " P'CAR
BL
01
ZON
Itz
FSB SSBSSB
080 SID
i�i�0
RSB
th
OFC
1140
ZONE ORD M
LOT SZ
END
SIDE
APPL/PRMT MPS DATE
16 182710 1
ftEll
0 0 {'�. �. {-y
1 0 6J
$251.50
-CONIRTOWTION
PLUMBING F19
$44.50
RLSCTiRICAL FEE
$31.81?
MECHANICAL FU
*23100
SMI Fee
$3.00—
3.00STRUCTUiRAi~
STRUCTURALi BUILDING i PXR"IT
TOTAL .
FEE
....._....._,_ ......�. - r,.r.., ..._.y---.....,.....LS&ECTGi R!S 9, �P..L .....� _....- .- ..., _... ,.�_ _ ...-,..,,...._ _�_ ._...t
005€9
5 T t* , li C T u R A L ( *UtLDING 1 w K 0 M I `i`
TOTAL PKIRM1T COST It "33.
ONSTRUCTIp� XISTIMATt Lid T i Not to bs v0*14 as iA op- tyr 1 1Wgt1 ri7
N1�scrl.ption group TV a q �'t �0 0 �a1votion
PRI"ARY DWLQ 8401 R -3G vt; 1401 $23.44 $3445
11FORY PATIO
X 00 1811 R_3 1* pep 1 R *19H
Con*trvttton Poo based on Total Actual Vaxaation of $424,56 Isi $251.54
MKHA9 IG -L felt Ci3MP UTAT ON s o �cratits t �1t >4 , � �ac#� Fre) � . 4
It w an*143 Evan a 1 r t► Hood i dt t Sri - $c i m0 �'._ f► ti 0
A�'pLIIrlstveliatl ort i{ Re air i q ry�a�r i OI tier i i 135.00
TMX1p Cfill
mmQ-3 10 t 41 l► :byi0 ani or oreiip0 lA.i
XLJrA
� CAL 11 It Cc ru'tA s � of Pormi.ttr1 I at *;4.04 Koch ry:tt $3.00
l uoilol 0 Aa h alt Irwc i 0 of Am, YeIt 1 0 191. $Bo
PCISi 144 1 ,� t .*ostdenco �t ► O t er q. ft. i 4i i
PLONSING FEE CO"PUTA 3t 0" eas 0 p�lir permitsi at wo glut}hnt1 .1.
fIkTW'R118-Var $ink e 1 Drinkin FnIo l 0 Flr Drat" s 0
.Water Softmwt 0 Washer (Auto/DIsh)t 2 Garbage T>Ispi I
Kitchen Sln e I Lovndr 'dray i g rsnol: tl Wtr CIK%rcpit
i 2
Lovator i Shaker 1 Tubi ld*t t 0 0t Sri Flat $310.00
i�9bi9%-9ldq/Tr*iler pork t I Indust Waster Pretreat 0 FEE i $5.110
` Water H apt rsi A. � of bra ns on Roofs 0 i �
i M A IIrING S' ST M�- I to 1 Outletsil op -more tint etsi 0 � i t,
✓#Y
FORM 284-208 (2/81)
NO.
OPERATION
DATE
INSPECTOR
NO. OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
i
33 Ventilation System
2
Figs & Frms
34 Plenums 8 Ducts
2A
Slab Grade
d
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
/ ,/1 �_�
U
40 Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P.L.
43 Final _.
JOA
Fireplace T. 0.
No ADDITIONAL IN�F�,� RQM�ATIO
J~C dQ`/Ll
- - - - -
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
p
2A Drywall
13 " Finish Grade
INSULATION Thick R
Valve
7A Walls (Batts)
12B Ceiling (Batts) l ��
12C Ceiling (Blown)
14 Final —�
- PLUMBING APPROVALS -
15 Ground Plumb 3
16 Water Piping
17 Rough Plumb
18 Vents 6 1 6.o�
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service 2
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 Q
29 Wiring J ��-
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME