00016247 (RPL)APPLICA�NI.T NAME (L, F, MI)
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ADDRESS
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TRACT NAME
OWNER NAME(L,F, MIII)'
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PHONE N
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ADDRESS t�,-+�/ M q
73563 Rw i ! ♦ 1
pC�ITY/COMMUNITYYISyTTATE//ZZIIP �!
F,`�ALIM DIE>8ERT / CA 722600000
PHONE N"w7�rfl�� 1
8 CTOR F N D/�TE_�
ARCIENG FIRM NAME
LICK N
ADDRESS
CITY /COM M U N ITYISTATE/ZI P
PLAN N
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT -
AX4 SPA
81.
0'1
JN
R�
FSB
�q'O'
SSB
1100 {�06
SSB
RSB
one
FEEL
OFC
ik
F!» MRIl� FE' COMPUTATIONS
U
V$RAM
'-
LOT SZ
;ti ES-� or Sinks 0
A 4�a".sir 1
Drink nq F.ntnt Q i�Ir Dr int 1
Drains
END
SIDE
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APPLIi+PR1 6 �,Ps j 4 DATE
n r�
0�'�V TQr'p241a .p �r�,� ✓R7 ��1� A �/ G7 L:
CONS ! RU"� T I YA'✓l"0 FEE
CONSTRUCTION
('� �1 4 0
(ld Whn n
� V . �i 0
PLUMBING FEE
$14.00
ELECTRICAL FEE
$13.00
1
2
65 41
t STRUCTURAL
SMI FEE
$0.00
TOTAL
PERMIT COST 18 $27.00
e
� C GTRUCT12NESTIMfATE (NOT
It Not to be u**d As prop*rty vatluati.on
FC Ft
3
c:ri.ption
a: 'C
Croup Type aq Rate
valuation
P*IM*wY M1
M M 0 $10.00
40
TOTAL
Ii
an Total. Actual Valuation of $0
*27?Q
CA
CK
NC
COUNTER B.I
COUNTER L.U.T.
SWIMM100 FOOL—Pri.vatot
A
FORM 284208 (11.81) INSPECTOR
1
2
65 41
t STRUCTURAL
BUILDING P E R M
7 T
TOTAL
PERMIT COST 18 $27.00
e
� C GTRUCT12NESTIMfATE (NOT
It Not to be u**d As prop*rty vatluati.on
FC Ft
3
c:ri.ption
a: 'C
Croup Type aq Rate
valuation
P*IM*wY M1
M M 0 $10.00
40
f Coottruction Poo bard
an Total. Actual Valuation of $0
1*1
$0.00
ELE,CTRXCA4.. FEE COMPUTATIONS
* Permit Fee of applicable)
FEEL
$3,00
SWIMM100 FOOL—Pri.vatot
Y Comr4orci.al.t N Service Change R/Ct
FEEL
$10.00
F!» MRIl� FE' COMPUTATIONS
U
* Permit Fea € f alppi.icablo)
FEEL
$4.00
;ti ES-� or Sinks 0
A 4�a".sir 1
Drink nq F.ntnt Q i�Ir Dr int 1
Drains
o, Heat4wst
df on Roofs 0[1
FEEL
$2.50
' CAS PIp NC SYSTEM— 1
to 5 Qu t loots t 1 6 sr Morse taut lets t Q
FEE t
$2.50
xe�tetal,lattion of Water
Piping and/or Water Treatment Equiptl
FE:Et
$2.56
SMI ;SEE
$0.00
A
FORM 284208 (11.81) INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock-"
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
Garage Fire Wall
42
Commercial Hood
10
Fireplace
P. L. ❑
43
Final
10A
Fireplace
T.O. E]No
ADDITIONAL INFORMATION
KV
_
'
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internoltatg..
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
M
OTank
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
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raining Room Living Arorn e
Pada .
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arc. Kitchen _
liaised Cclf1)g
iViwSieT �CCiT¢Om
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Morninfi ^�
ROOM -
1.
(irne �
Spa iti = AND USE
Bedroom _ AP P R O\I AL
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All f inleneions xpproairnate.
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CAI.CK
TRACT NAME
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Ll.�.�k� 947
AP55163 HWY 11.1
CA 922600000
/E1 .4„"i.746-61 15
A
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME -
LICNC M
ADDRESS
CITYICOM MUN ITYISTATEIZIP
PLAN #
PLANS EXAMINER
APPROVE DATE
t'�f?PERgA
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VVU 6247 0 0411 b 'r CM i '25618
t
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TOTAL .'
FEE
CAI.CK
'
NCCOUNT
ERB.1.
COUNTER L.U.T. "
r APPLICATION 1,'OR STRUCTlJS L PERMITI 256M
THIS I� A�+9 AP�'t. xCATXfi7R! CPfL v
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs & 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. E]
43
Final
10A
Fireplace T. 0. E]
No
ADDITIONAL INFORMATION
t
`
t
—
1
f
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET 'NAME