00003977 (SATT)APPLICANT NAME (L, F, MI)
ADDRESS
CI /C IT
A 13UTNTA CA 9.22330008
--
JOB SITE ADDRESS/SPACE
C /C MMUNITY/STATE/ZIP
BO PAG I PRCC TWN RNG S S
ID cc
T LOT MOD SB
014Z ID 0:9 0
TRACT NAME
$53726
OWNER NAME (L, F. MI)
CUP
CONTRACTOR -FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP _
PHONE N
PRI AR 0+12
LICNC N
P
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE N
$4362
LICNC N
of $62712
USE OF PERMIT
AN
SSB SSB RSB OFC
7
ZONE 6Ar# L 2 END I
APPL/PRMT NPS DATE 0 O •^y
15 6 1/
P1 11MBING EEE *59.5n
am: FEE *442
1
i
;;i
TOTAL
3.). 6,3•$} " FEE
TOTAL PERMIT COST 15 $470,52
-OG�567
T
(
CONSTRUCTION ESTIMATE (NOTEs Not to be used
as property valuation)
I
Description FCC Group Type
6% Ft Rate
Valuation
COPY
PRIMARY DWLG 0001 R-3 V�-4t
296 023.40
$53726
STRUCTURAL
SECNDRY PATIO 0%12 OPCP
D
56
2AO
194 -
#3SECNDRY
PRI AR 0+12
t BUILDING >
P
E
R M I
TOTAL PERMIT COST 15 $470,52
-OG�567
T
(
CONSTRUCTION ESTIMATE (NOTEs Not to be used
as property valuation)
I
Description FCC Group Type
6% Ft Rate
Valuation
PRIMARY DWLG 0001 R-3 V�-4t
296 023.40
$53726
SECNDRY PATIO 0%12 OPCP
D
56
2AO
194 -
#3SECNDRY
PRI AR 0+12
SECNDRY AIRCON 0021 Rw3 R
22?6 $1.90
$4362
Construction Fee based on Total Actual Valuation
of $62712
iss
$322.00
MECHANICAL. FEE COMPUTATIONS * i of Permitst
1 at $3.00 Each
FEEL
$3.00
VENT•wFanst07 Evap Coolers00 Hoods0l
Othert0 Misct00
FEES
$17.00
APPLIANCEmmInstallation100 RepairtQO DryertOl
Othert00
FEEL
03.00
CEMPRESSORw*0�-3 HP s Ol >3-15 t O1 > 15--30 t QO
>30--50 t 00 >5000 QO
FEE t
*11,50
HEATING SYSTEMu•1-100 001 8TU02 100,001
or More BTUs00
$3,00 Each
FEES
FEES
$8.00
$3.00
ELECTRICAL FEE COMPUTATIONS s 0 of Peemmi. s t
1 at
KWT Unitst 0 A" Volt 8ruct $
of Amp/Volt: Q
FEEL
$7.00
ADO'L FEEL 22% Sq. Ft, Residence 1 '0175
Per6R, Ft.
FEET
$28.70
1459 Sq. Ft. Gare e
$4.00 Each
FEEL
$14.00
PLUMBING FEE COMPUTATIONS *** 0 or Perni,tst
1 at
FIXTURES -Bar Sinkt 1 Drinkin rntnt 0
FIr Draint 0
Water Softners 0 Washer (Auto/D shat 2 Garbage Diu t 1
Kitchen Sinks i Laundr Trayt 0 rinalt 0 Wtr ClaseVIt +'4
0 0
FEE
$145.00
Lavatoryy t 4 Show,ar t R Tub t` 3 Aiders Others
s
SEWER-Old�e�tgCC/Tretailer Park s. 1 Indust Waste Pretreat
Intercpt t 0
FEEL
$5.50
IAbyff'011 S1�441""111to
Ofutletss 0
FEET
*�.50
G S,Uutiets(sflDra0 oromore
SMI FEE
$A 38
s
FORM 284-208 (2/81)
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS_
1
Set Bock
33
Ventilation System
2
Ftgs & Frms
/L'
777
34
Plenums 8 Ducts
2A
Slab Grade
01 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
AV
7
Framing
f:
40
Fire Damper
6
Vents
41
Smoke Detection Device
9
Garage Fire Wall
4
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
OP'N ADDITIONAL INFORMATION
` r' I �` JR
�12
'
SEWAGE SYSTEM SIZE 8t LOCATION
11 Exterior Lath
Internal Loth
12A Drywall
13 Finish'Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final i
PLUMBING APPROVALS---------- --------------_-__._--__
15 Ground Plumb s%
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater .yL
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)
�iWtkm, too,
ADDRESS
CIT M. NMNIT MMAOEXIIN'
Mltn
JO8 SITE ADDRESS/SPACE
:- I..
IT /COM UNITY/STATE/ZIP
IT
BOK PAG PRC C - TWN 'RNG S S
A - LD?'MOD
- SB
01,449-61
TRACT NAME
ol
OWNER NAME (L. F, MI)
CONTRACTOR -FIRM NAME
ADDRESS
CIT\7COMMUNITY/STATE/ZIP'
PHONE p.
LICNC A
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
,
.PHONE #
LICNC N
USE OF PERMIT
'
SSB SSB RSB.• OFC
2ONE'OR p
l0T SZEND - SIDE
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- I
'µ
IFORM.-284200.12/81)
0 W L y
001566
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 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. 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 1 Final
------ - - -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
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME