03971 (SATT)APPLICANT NAME (L. F. MI)
DATE
*,
0 015 63
ADDRESS
..
CI /CO M IT S
QY -
I A, 6164
CA
JOB SITE ADDRESS/SPACE
- •-
CI/COMM NITY/STATE/ZIP
•
BOK.-V - �" t- TW N -
�+AG - RC C
S S,
•'Y ,J r.
�i
I
ill0
L
TRACT"* �.. LOT
•MOD SB •
-
»
TRACT NAME
.t, ••
��••
'
-
OWNER NAME (L. F. MI)
• L.
rr
v 1. ,.•.
.. . -
CONTRACTOR -FIRM NAME •,'
?' - r` - •- --
-
ADDRESS + ".
(� �!f j•,
.
CITY/COMMUNITY/STATE/ZIP •
• - -
PHONE p • f,
'1• -
iICNC 9
'
• .'
r r • .
ARC/ENG FIRM NAME',
•
, - -
_ Me
ST
ADDRESS:.,
«
TOTAL -Y-
�'
FEE FEE'
•,
CITY/COMMUNITY/STATE/ZIP
-
•- '
71
t
PHONE 4 'i
LICNC }
,•
USE OF PERMIT ' , + ' • ,
a.
�..'
..
rr
J
L ✓ Z - FSB . SSB > 'SSB,~ , RSB'•
OFC "
1. •
t
• y ZONE ORD q-- -
Y LOT SZ P, ; \ �• END
IDE
APPL/PRMT f! - - -" PS
DATE
*,
0 015 63
QY -
-6�1 .
4t
•'Y ,J r.
• L.
rr
v 1. ,.•.
.. . -
' •-
y.
'
4
_ Me
ST
w
TOTAL -Y-
�'
FEE FEE'
•,
IN5PECTOR'5 COPY
0=015.6
•r• ±1. .«_i. ,-i •, Wi; {K t" R A-L`�E L=Ur1�Dsi.iVr.1/ ���y C. •F:i 1t• i'''
• r .n,1 $470.52
d'bTAL' PERM
{ fa47SIC .1+A��
FCC
Pkat; to be' osed ��� Prv#orty '(oalgoglura)�, J.
g.�acry `It%°t iiry Pat} >@�"d4fl 1.1'pQ f Fs Vd.otvi1'1 J.
-PR;iLMARY'' MAV2 �, � 004t,. 1�=•w "~�' . • �t�i� �` ' `'fr}�$Q: t��:"� AQ; �G`.��"i�'.fa I
Y. TI >.. u�a SCP - . '266'� -:liI lo.LL
B NDRY PRI'GAR 4iQ� Ni a 451P, , $7_,�'Q :43534'
mo-ky 41RCON QQak., ,R,. ` ' f t J ti '� ". i�' 'Q (� ! $43 2
4hlgt:o'ocvi- oL,: Fee- abed on 'To.tal ..A tal.�0 V4.joat,,'akl ddb" $6271'2,{':t4l `� 22 00
'
MECHANICAL FMrTOMPUTAT'IONS - 0 .0 of At v� } 00, ' Eae-ty FEF, I . 413 iii i
ki P€T� ir"�at t Q°�• ul }9.`t"o� r r.: qQ Hood i U1 `•dither i3O:' t4itc l OW. I���;t � UT6: 30
41-
vrti s tlo,: I6Iopir 1,00- De'ver.a of .Q't or r 00 P IF.,_ $3x.40
V0MPk93$dR#im0 3 -WP a Q1 ' }'3.451Qi >: r :ikaQ4 )3Q"=w 0a.QQ` ,�:5'0l00:.FiCi ,�lI ,
HCAT`ING SY4i �Wi 4µ1-00'o 't 4102x� 6ti��; r �9ur= 311. a' ftp. , .FkHka
ELEC ;4,f I :Y�MFiIi' , U�IE ; :-pf' P r�a1► s :' Q a �'tR
"XW`�-, OnI1%% "I = AN /IV 61tM,,$ivca. � htif, Rap��a to ... 0 ��: p_ ��;110,
", 'l 8�EE.1 Ufa sC •} " 4.,`. 0 ,&Pari C3i ,i y / ' ' I�,;I t . A
q� �y �•�, �p ;y �w. }.�j py q �,y epi �w {� ��n $ FEE
S ' - ���� ��q�
..,q tl�'l" s t r�•,= �.I} Fi 0 r V A,'F6c tJ S rll; _ sq . Vii' t .. - i' f' �"'••-. t' $3.44 '
f £As1t�P3 t `3Cr +' �(��F�(J1' fl.Wq ; 0 u 'z r�M3.tt;<t . „ ! : a4. $4v q.Q tach FM . 44%. 00
,trOYORIES; r;' 3lr�k a # r•iraki�a ,Froth a.' it t 7:ri' Ora In s 8
Wat" 8-oftr oro .p i spa r-tAutn/ i) a. Gor��,e o*, �. I. I ,
r = ','K A t�:h0va . nQ a' I fi.; erradr°' i:rea oil 0 urlii 1l .:6dtt� ;:G�o a 4 ; -
:'t..vaT�r s €a='aerraZ1.:,'t'trPtad�t1
.t�tatra 'QQ�fW
W�t�rri rtarVER-,6149- Tplo��P,U a, k 0,
FEE
f. t r° `W rV 0 3f tQr"eAnti ��a t�o�Qt QQ. �F.a r �: Q
1 �A. w1G± •YTPt-� �� Ret,' 'utt tt o rs:;:�yitar� lutzT r 0.
t:rte
FORM 284-208 (2/81)
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 8 Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck
39 Appl. Clearance
7
8
Framing
Vents
S -)L'
40 Fire Damper
41 Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L.
43 Final
10A
Fireplace T.O.
OP'N ADDITIONAL INFORMATION
1 1 Qom(. (--` N" C
"+
---- - "--
'
-
SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade j
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Batts) 46 L eB
7
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 FinalSEWAGE
l'
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
7
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)
.. ..
"`` .1
dop
J H. ..
b
ADDRESS
'
CIT /COMMUNITY STAT ZIP
-
3,
JOB SITE ADDRESS/SPACE
?..
1
CITY/COMMUNITY/STATE/ZIP
MAYA
•PAG:
•'CTWN•
BOK - "PRC
� "
RNGSE S
TRACT'
l0 - MOD SB,
TRACT NAME
AA}}�� gP�p�� q+y�• fp p� �w �`yp
`a. Pi{i ��lh (WW�i IL�Ii: L01�, �
�1'�y1 ��n� ! j� yx
� Ti&'Y W����k+r T":�fY�lh-�' ,'
OWNER NAME (L. F, MI)
,
CONT RACTOR-FIRMNAME.
; •• -
ADDRESS
CITI7COMMUNITY/STATE/ZIP
I'
`PHONE A w
LICNC #
'
.ARC/ENG FIRM NAME
'ADDRESS
. v
•
CITY/COMMUNITY/STATE/ZIP
:PHONE B
LICNC'N
'
USE OF PERMIT-
'
t.
N
. SSB. SSB RSB OFC
ZONE ORD # -
'LOT. Z END
APPL/PRMT # PS DATE L. O O. 1 O L r
t
I
I
l
�I
' I
1
. ,- .. 5. ..
.. ..
_.
INSPECTOR S -COPY
_
t
•
'
,f
�h.�t
_
'
AA}}�� gP�p�� q+y�• fp p� �w �`yp
`a. Pi{i ��lh (WW�i IL�Ii: L01�, �
�1'�y1 ��n� ! j� yx
� Ti&'Y W����k+r T":�fY�lh-�' ,'
•/
� - • i
L'
4
'�
F
..
FORM 284-208 (2/81)t's•
�',t ; •v
R 5
b ti S� s w 3 {..
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
i
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
loA
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 (Botts)
12B Ceiling (Botts)
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