25773 (GRD)rNAM&,r,_tlIl
CA, 55'22600000
-JOEREUOVRESS/SPACE AVE'. k;AKRAN4A
4."' A 00 0 0
50Y 4
-T-
LAI 1
'W-04 rN
1
000
tPlIZF11
"Of I
i SB
TOTAL
FEE
PVN # E (LL'
PHONE N
�10(0AQl N rq"U WJ7
INC
WAS 1615U
"MOFFROMMV, PT C A 9Z? -60000U
I I
BLDG. INSPECTOR
I
FINAL DATE
ARC/ENG FIRM NAME
LICNC 0
ADDRESS
CITY/COMt,4UNITY/STATEIZIP
PLAN 9
PLANS EXAMINER
77777
C y 17TL-c-
(60
JZ 21)N
0 jj$j 1
(1 %SIq I
a015
fj �IO
glp
ZONE ORDN
LOT SZ
0 (,E el;l 0
a I
FORM -264.268 (111-81) INSPECTOR
VNITTe'720 TAUTO 5 2 WITa 2
25773
TOTAL
FEE
CA
I CK .
INC
I COUNTER B.I.
I COUNTER L.U.T.
1 257731
APPLICATION FOR GRADING PERMIT
I S A N A P R L I C A T 1 0 N 0 N L Y
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33 Ventilation System
2
Ftgs 8 Frms
34 Plenums 8 Ducts
2Al
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.
NO.
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 Final
PLUMBING APPROVALS
15 Ground Plumb
16� 'Nater 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
y
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
- -"
- - P)
i
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME