26704 (SFD)i
APPLICANT NAME (L, F, MI)
HORN'-- DAN
ADDRESS
BOX 1638
CITYICOMMUNITYISTATEIZIP '
PALM DESERT CA 922000000
5 SITE ADDRESSISPACE AV I
4e 1"
CARRANZA
CITYICOMMUNITYISTATEIZIP
LA t UINTA CA 922 5.50000
BOK
77
PAG
1P'11
PRC
004
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TWN
0000
PING
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S
TRACT LOT
1000000 OQ�1
MOD
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SB
TRACT NAME
S'CV LAIR 026 BILK -285
OWNER NAME (L F.,MI)
HORN p- I
PHONEN.
CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITYICOMMUNITYISTATEIZIP '
000000000
PHONE# -
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC #
,ADDRESS '
CITYICOMMUNITYISTATEIZIP
PLAN # -
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
DWLS & ATT GARAGE
BL ZON
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1 267041
APPLICATION FOR STRUCTURAL PLAN REVIEW �
t T H i S I :a'" A N A P P. L.1 C A T 1 0 N O N L. Y
You �+ts R tum The following Departments iii lialed> for concurrence BEFORE.
a Permit can be issued t.Description
Depi to See
�
HOLD- HEALTH
FORM 284.20801.81) INSPECTOR r
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 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. E]
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'*(Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS.-
PPROVALS„15
15Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
,721? 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