Loading...
00011057 (SFD)6001' 0N1 AVENIDA Jumez Rs 4114 t� TY 7TAE/ZIP ,• CA 928,530000 +rt 104 DRESS/SPACE AVENIDA UAREZ' jy Q�A�`��1�ITj��Tg� Tf 11..`5 1 AE/ZIP .tA 7` 2,2,15o300 0/ is Q © TWyN V{uV S9F4 Now into OTA SB O ,. q , TNNArEA�ktf1.M WATt M fjaCfMEIL. F. DESERT D WAANMb1Y `rS A ' CA 522600000 t' -I ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE # LICNC.N ]DUC 'l ATT OAR �gyg/� /� FSB olio 0 6 0,90 1 f'iD ZONE ORD N LOT SZ END IE- 9 ���'���� CONSTRUCTION FU FLUMBINq FFM MECHAN C"At, FEE 60 4T/70 V_ All PLAN CK i , 'TRUCTURAL t 13W��:i�.��id } F'��'F4 f � TOL EE 1216 J� IIVJI'CLIUKJ l.Ut'T V 1U1.L1 TOTAL PERMXT COST IS �1'ONS"£RUCTTUN ESTIMATE, (NOTEI 'Not 'to be used 6% gr-opar'tY oalualion) ` poscriotloo a'Cf rr�iop Ty; .8? Ft Rate volu:ztion iN"t , MAl tf ]19�pi..fa Ot31 f,-3 +� 11127.40 ;i t tr AR CY 01 i ;1 tl'Sa ..1 �t 9'9. SUNDRY A RCON 0021 R-3 t~p��strcfctnFee based an lo,tal .Act uat V4taat#,ark o ECHANICAL FE %. (;ompui`A lo"s *oP �rF9�t�3t I arc $3,00 Each FFM1 $410.0 4001-=YEmoInslallaItoo rtli3 �t��raalr' 300 or yor t of sTher sCho FeEt $3.06 �es comp s'URM-0-3 HP : Uf 9 t- t il'it )15-30100 )30-501-00 ),50100 F1.,F a $4.00 HEATING WYSTEMwml - p (f 0l MIDI 100t0'01 iMor JBITL 0 0 �'�>r::, $4.00 Al'41- ~C'iRICAL PEE COMP, i ICON$ � �1 of tion-tt 'to€ at. 4. 00 .och FEE:• $3.0.0 �K1 i Unita: 0 Aalp/volt 9�rur't #+ of AM /Volta 0 FPf«t $,Is.00 �1i3D` L 1�"1~.E i 1211 `�q . rl , i�t��c,tt��at►.t�� a .4075 Pilar Sq, Ft , FEE., E., 015.14 O**1"N s � 1 ��C4WLUfiBOX FEE GUMPU Iv0 FRi".t $4.00 s1XT0ES-Sar,Sink t 0 Dpinki koino 0 Flr 6raltli 0 WaterSoftndrt 0 Vasher CAutoAlsha i 1 Garbage Dtlip s I K* 14.hen Siriii o A L-s-tundr Tray o 0 t, pInal t 0 totf: y l gzwt t 2. Lava Torwy 1 2 shower3 I Tob t 1 Bidet t 0 Other, : p 6`RE : $2z.50 PVT 'o -wage osps I l l Tank l o LLL Q Pit 10 F'f't*: iF.I0 1 150 of Wotor Hoatpurao 1 of Drains on Rooft 00 FEF, Yr rt �tallation o4l Water Plo*og. *nd/or Wotnr Troat is:nt Cquip o'i. EE *P-.50 EV.AD PLAN CK NO. OPERATION DATE INSPECTOR RO. OPERATION DATE INSPECTQR BUILDING APPROVALS MECHANICAL APPROVALS . 1 Set Back 33 Ventilation System 2 Ftgs 8 Frms 34 Plenums & Ducts 2A Slab Grade $'z 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 �Sr_ 40 Fire Damper 8 Vents 2� 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T. 0. °o ADDITIONAL INF TION Re c I` o c P eo m P 2 c (b 2T UC !l (� :i(�• �/L�.n. �n ly z Z -� z --- - - - - - ------- SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath , 1, 12 Internal Lath 12A Drywall t 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) G 12B Ceiling (Botts) /J 7 "Y fz r• 12C Ceiling (Blown) 14 Final oov PLUMBING A P VALS'------- ------ 15 Ground Plumb _ IF—,?Z 16 Water Piping . 17 Rough Plumb `�� �'�-�� 18 Vents 19 Sewage Disposal ¢J - vc� 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/ (v � 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final rJ� STREET NAME APPLICANT NAME (L. F. MI) PAIA44 eD -AVF.NIDA JUAREi ClgCjUTWfAE/ZIP CA 92216-30000. DRESS/SPACE AVENIDA IUARtZ WfAE/ZIP CA 922530000 T. 7 N S NO o o 10's 1 1 4y, I SB TNANAC4 VALe LA QUIN TA MOVIE (L, F. MI). Mrs 1630 7n,609000 6Ta 8 I M"58-tI84 JWCA S436 I ARC END FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE# LICNC # boCaFFIV -ATT CAR FSB O%Eo x616 OTO f4l) ZONE ORD # I LOT SZ 1 END 00SWO APPUPRMT N Y9 PSUATF. I p V018110 AA LICATION FOR STRUCTURAL PrAmly TOTAL FEE 101811701 APPLICATION FOR STRUCTORAL POMIT % T H 1 $ 1 6 A R AP P Ll C.A-f I—OW ONLY NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS I Set Back 33 Ventilation 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 G-oge Fire Wall 42 Commercial Hood 10 Fireplace P. L. 9 43 Final 10A Fireplace T. 0. °o --------------- ADDITIONAL INFORMATION ' SEWAGE SYSTEM SIZE 8t. LOCATION 11 Exterior Lath 12 Intemol Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Botts) 12C Ceiling (Blown) 14 Final - _• FiUM131NG-A—PPROVAL3 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 i i i STREET NAME f LY1Y11 11r�L1Yl,rrYY ' County of Riverside Department of Building and Safety 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. State Street 227 North "D" Street 46209 Oasis St. Rm. 310 160 N. Broadway Riverside, CA 92501 Banning, CA 92220 Hemet, CA 92343 Perris. CA 92370 Indio, CA 92201 Blythe, CA 92225 Ph: 787.6146 Ph: 849.7312 Ph: 6564464 Ph: 657-3898 Ph: 342.8271 Ph: 922.2670 This permit becomes void if work not commenced within 180 days from date of issuance. OR, if work has been suspended or abandoned for a period of 160 days. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if the with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. permit is for one hundred ($100) or less. I certify that in the performance of the work for which this permit is issued, I fo shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. License Class Lic. Number Date Applicant Date Contractor NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' OWNER -BUILDER DECLARATION: I hereby affirm that 1 am exempt from the Contractor's License Law for the following Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct. alter, deemed revoked. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing E] I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil demolition or dismantling thereof. will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec 341, Title 8. penalty of not more than five hundred dollars ($500).): C.A.C.) Ias owner of the properly, or my employees with wages as their sole compensation, will do the work, and the ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above. unless such person has a Dermic to do such work from that division. sTruct,ure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through n Division of Industrial Safety Permit No. his own employees, provided that such improvements are not intended or offered for sale. II, however, the building or Date Applicant improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not o .Sea build or improve for the purpose of sale.). CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of FSR the work for which this permit is issued (Sec. 3097, Civ. C.). I,as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec7044, Lender's Name usiness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or q�-��F�} +i� D improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors Lender's Address License Law.). I certify that I have read this application and slate that the above information is correct. I agree to comply with all n I am exempt under Sec. . B. 8 P.C. (Attach Certificate), city and county ordinances and state laws relating to building construction, and hereby authorize representatives of END this county to.enter upon the above-mentioned property for inspection purposes. Data Owner _ _ WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.). ur eo �r Ago Date CERT IfI ATE 0 NCE AUTHORIZATION OF ENTRY: I certify I have read this application and slate that the Poli No. —Company Policy P Y � infgrmatigo. en 'arrect. gree to comply with all state laws and county ordinances relatin� to building con - stniction, a ze a ra�resentative of the County of Riverside, Department of Building and Sa ety to enter upon E] Certified copy is hereby furnished. the property for wfticfl.l have applied for this permit for the purpose of making inspections. fjp Certified copy is filed with'the County Building Inspection Department or County Department. / ' '6(gnt �-0f Applicant or Agent Da...�" Date Applicant NAY4J6cm f DEV MAT 04WU70 'AVENIDA JUAR Z LIX/CQf�Nj,JTW T/�-E/ZIP CSA TT.4 ai+i t7 e1 if a7 lgpiDRfE�SiS1/SfP'IACE 9�LT�Iffsi AVENIDA r UARE:.y �( !7 fR A �/0CA CITLY/CQtQy1Llylj)(;/�TtATE/21P 9 2 3 0 0 0 0 T7.�.l086 ��""4�'11Vf �P 54(x1 t _` T V VN40 fo S VWo00/V� 6041(31 PERMIT FOR STRUCTURAL' TOTAL FEE SB TOTAL PERMIT COST IS 7 ,ly�i�^IffI VALE moi. LA QU IN 1 tyR��•,�y �IlV J �N(�ACA r At 11 ME (L. F... MI)) �+,{y }� 3JSi.�7t; RT D f#A"JQQ1AVVxa RN 017141TS 1638 I� CA 9226000X 0 y" y' /��y 1 11stod) for uz jN BEFORE ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE N LICNC N - - *Scrip t l ori HOLD- OFFtEN GAR`____, U 11 o .Sea WATT ff ^'� l FSR 0,6� 10616 iq �}pyq�-p��� se M HOLD- q�-��F�} +i� D ZONE ORD w HEALTH LOT SZ ESTIMATE END 0 IJOFQ .lF . 4 _ �{. �r.�. (� } g {E� jam( -nnAq /naP�..11`10157 VPi.i 1`1015 C TF�/ i �W .0 V 10 ESTIHATED PLAN R9V FEE i til .77 w4orm-i VK J I.VrT _` `_ , _ _ _ _ 018106 PERMIT FOR STRUCTURAL PLAN REVIEW PERMIT FOR STRUCTURAL' TOTAL FEE +�f FORM 284-206 (2/81) w4orm-i VK J I.VrT _` `_ , _ _ _ _ 018106 PERMIT FOR STRUCTURAL PLAN REVIEW TOTAL PERMIT COST IS *151.77 You 000t SO* the following Departments (if 11stod) for concurr encat BEFORE a P aroit can be Issuado - - *Scrip t l ori HOLD- Dept t o .Sea R DAV HOLD- HEALTH CONSYRUCTION ESTIMATE (NOTEt Not to ba.0000 0% PrLtperty valVation) PRIMARY DoagrIption FCC Group Typa DWLC Sq Ft R610 Valoati.on SECNDRY PR.IGAR 0401 R-3 V--43 x1 3 $27,6 + 33423 0012 M wo 0 $9.1 $2912 SECNDRY AIRCON 0021 R-3 R 1211 52,20 $2664 Est Plan Rou Fag batod on Total Estiftaled Val'10 of *38995r Is$ FORM 284-206 (2/81) NO. OPERATION DATE INSPECTOR NO. 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 G•noge Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T.O. OW O. ADDITIONAL INFORMATION ` " ' ------- --- _ ' s SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Intemnl Loth 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 29B Bonding - 30 Fixtures 31 Service 32 Final STREET NAME rYrr ArfllYlrl rYr� County of Riverside Department of Building and Safety 4 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. State Street 227 North "D" Street 46.209 Oasis St. Rm. 310 160 N. Broadwayy Riverside. CA 92501 Banning, CA 92220 Hemel, CA 92343 Perris. CA 92370 Indio, CA 92201 Blythe, CA 922250 Ph: 787.6146 Ph: 849-7312 Ph: 658.4464 Ph: 657.3898 Ph: 342-8271 Ph: 922-2670 %his-permitAicomes void if work not commenced within 180 days from date of issuance. OR, if work. has been suspended or abandoned for a period of 180 days. r LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be compl(%id If the with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. permit is for one hundred ($100) or less. I certify that in the performance of the work for which this permit is issued, I License Class Lic. Number shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. S Date Applicant Date Contractor NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the following Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be reason (Sec. 7031.5. Business and Prr�ssions Code: Any city or county which requires a permit to construct, alter, deemed revoked. improve, demolish, or repair any slru ure, prior to its issuance, also requires the applicant for such permit to file a DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: signed statement that he is licensed pu uant to the provisions of the Contractor's License Law (Chapter 9 (commencing O I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec 341, Title 8, penalty of not more than live hundred dollars (5500).): C.A.C.) I, as owner of the properly, or my employees with wages as theirsole compensation, will do the work, and the sTructure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from that division. does not apply to an owner of property who builds or improves thereon, and who does such work himself or through Division of Industrial Safety Permit No. his own employees. provided that such improvements are not intended or offeree for sale. II, however, the building or Date Applicant improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.). CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of work for which this permit is issued (Sec. 3097, Civ. C.). Pthe I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Lender's Name usiness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or FSB improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's Lender's Address License Law.). I certify that I have read this application and state that the above information is correct. I agree to comply with all ❑ I am exempt under Sec. , B. 8 P.C. (Attach Certificate). city and county ordinances and state laws relating to building construction, and hereby authorize representatives of ZONE ORD M this county to enter upon the above-mentioned property for inspection purposes. Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, or a Signature of Applicant or Agent Date certificate of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800. Lab. C.). CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that the information given is correct. I agree to comply with all state laws and county ordinances relating to building con- struction. and authorize a representative of the County of Riverside. Department of Building and Safety to enter upon Certified copy is hereby furnished. the property for whictf.l have applied for this permit for the purpose of making inspections. 0 Certified copy is filed with'the County Building Inspection Department or County Department. Signature of Applicant or Agent Dale Date Applicant Print Applicant/Agent Name APPLICANT ft'F L l DEV °WI50 AVENIDA JUAREZ Cliv/Cgf�4��IjY�fgTE/ZIP CA 922530000 h , A�DRESS/SPACEasilt AVCNIDA JUAREZ CITY/CWyIWfjjKE/ZIP CA 922530000 4}a At6 6i 51! e TWN RNG 00V SE 00 S �U 000 6dI APPLICATION FOR STRUCTURAL PLAN REVIEW Oil MOD SB �"ktE ) A VALE LA QUINTA -,,� LSA 14AME (L, F. MI) DESERT D ANAMOm C1URN �Q SS 1638 74 fCAM`MMI 92-2600000 Jf W-•'568-1 048 jL^��NccC�A�� wl r�ti76 ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE If ,R r LICNC p 'r + �O /'p� A4� /�y��y ATT 1' GAR (�g$Ei1..F{51ERfvt1T V b R�112-N1 FSB }� �y 01"0 n (g� (gj o VSV n {�Tp4FfC V 13 o i i�D ZONE ORD M 1. LOT SZ END SIDE 0000 APPVPRMT p PS DATE 0001057 2 018104 4 APPLICATION FOR STRUCTURAL PLAN REVIEW ASSESSOR COPY TOTAL FEE APPLICATION FOR STRUCTURAL PLAN REV15W 1018104 T H I O I S A N A P P L I C A T I O N O N L Y You swat see the following Departments (if XitsTed) for concurrence D5F'ORE a Permit can be issued i - _Y Description -------------------------------------------- Dep# to See ----- HOLD- OAD , HOLD- i FORM 284-208 (2/81) It 11 I F" A CHT�NA ilii.. V(w.f6 F DEV 61510 AVENIDA $IJARIZ CI ICT TIWI/j�TE/ZIP CA 0 9 0 �N0 j/iQ�DRESS/SlPAACE y� A92,2k•1513,0 A�1,�yytw{gi0A :y�,�'115tz N� W�" Ar �7 ` A/C V!t �f iqt 1 JJE/ZIP 'fy� 922530000 114 19,96 OP67 t�t TWN 610 aro S MoL7A�o1/a� m APPLICATION FOR STRUCTURAL PLAIN Rett eW 4 3 SB ftV NTA� y. �gp�ADa VALE VALE LA 1KUIN{ A Vjf[,JJFRPrME (L. F. MI) DRGER D Qsi i it T OWWVdlW RLQ 01�SS IV i.79 CpveA�q 9226 0000 ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE # LICNC N ftej:RV ATT (,!A$I- �It} {� ni FSB 101 10 � A N L#` sEi S fl ZONE ORD N LOT SZ END o 0) APS o TV 57xi a I m's,762 01810 4 APPLICATION FOR STRUCTURAL PLAIN Rett eW TOTAL FEE INJYt[—IVKJ %-ury - -- - ----- ------_'_____----�-,---�---------_--__---�-A---� - f -018104- 1 - >'APi LICA' ION FOR STi OCTURAL PLAN ReVIEV You .Must see .the following Dopartoents► (if hated) for concuppento PEFURE a Rerry{���. [4��w ego Y�e�y�is sued % y(�■tw � MNgqM }r Q4 �' Description � ��+NM�•M YF w�M �/I�N•�'NM•tMWw{L!wr. Nt�N—li�i�b MP�Awa�W/---aj•saui�i,!wW!u�Mf�.�rVMT4Y�f1 i1Jfi�' ` o See HEALTH 1 in FORM 284-208 (2/81) 'r 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 & 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-aae Fire Wall 42 Commercial Hood 10 Fireplace P. L. E] 43 Final 10A Fireplace T. 0. E] °o ADDITIONAL INFORMATION — - - r SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Intern -1 Loth i 12A Drywall --- --_- 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final -- ---- -- FiUMGGING-A-PFfOJALS ------------ 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 298 Bonding 30 Fixtures 31 Service 32 Final STREET NAME