HomeMy WebLinkAbout1390 Las Flores Dr; ; 72-1067; PermitBUILDING PERMIT APPLICATION
92008
0 '-~ 0 z m ,., ► i, ;JJ 0
"ll ~(;;SU ATTACHED ~
1
HClTI ~ ,. 0 .J ;JJ
"' ZIP -~ , , ~HONI. "' . .. OWNE.,t MAIL ADOlllt.SS
:::::::,':~ .. ~,.(;;': ~'" . ~.,. .(..,:;. :;; -l~r//✓ ,.,,,.-;/,,J. •~••u •• '")~ I~
1-4----;--,--'f -)_t.:..._--"C....::..-_c....::...::.~/;_____;~:..·-."",,.._ ... ,-/,-.-✓--,...:...A_1_L_A_0:-•-•-"-s•-•.:...,,,-.-=--=,.y~--'----',-c..:::_·_r.:..½...:•..::..../,";-'i'•'-/...:o=--Nc--"'-'--/:..:...=-.:.._-/"--"J-''==/·rr:::.:l=--~-,;-= ... .'.:.cc-)-•-c-No-.-------i$\II~('!~
2 ~ ..
3
lNGIHCI:" , ~ --MAIL AODfltESS PHONE ~ , LlCltN■£ NO:.., , fr
5 ~, '
t-S_L_c_N_o\_"_~ __ {_~_?_{i ___ /_· ____ .,,.,_'t_r,r ___ "'_A_•_L -A-oo_•_•_•~ __ i·,_•_P.,__·_ ,;_r._~_· ___ • __________ a_•_•_NC_H _____ ----l '-°':" V
t--7 u_•· 0-~ •_u•L-DIN~_/:_·'_.✓_-__ · __ -;;_:-£_J_ -s:J-'--•-;~ -_-1...._._-__ ·"i __ /--""-,,A-~_/.~--------4t
/□ NEW O ADDITION ,F □ ALTERATION O REPAIR O MOVE O REMOVE ~ -, , 8 Class of work: --9 Describe work:
10 Change of use from
Change of use to
3
::z
0
11 Valuation of work: $
SPECIAL CONDITIONS: • f
PLAN CHECK FEE
Type of A/ Occupancy
Group
I PERMIT FEE /~~ 27 ~ I~
Const. Division -
____________________________ _. Size of Bldg. No. of
(Total) SQ. Ft./'!')3/,. Stories I Max. ---
..,_---------.----------..----------' Fire APPLICATION ACCEPTfO ev PLANS CHECKED ev APPROVED FOR ISSUANCE ev Zone
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING. HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATUfllE. o, CONTRACTOlll 0111 AU THONIZ.t.D AC.I.NT IDATI.J
(DATE)
No. of
Dwelling Units
Special Approvals
ZONING
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
0cc. Load
Use Fore Sprinklers
Zone Required OYes ONo
OFFSTREET PARKING SPACES:
j Covered I Uncovered
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION RECORD 7~-/067
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH 0 .
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL .
EXT. LATHING
MASONRY
FINAL /)·)'I'-? 2. ~ r~
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
BUILDING PERMIT APPLICATION
-7 -..)_, City of CARLSBAD, CALIFORNIA 92008 Permit No. --
Applicant to complete numbered spaces only. Phone 7 29-1181
JOB ADDA ESS 0 '-
~ 0 ,, ,,., I, ,.,, .,., ' _,-ot.,, ,,' .::_·, L~,cJ./) z II)
J} . ,,, '" "" >
LOT NO. I 8LK I TRACT ::: ll 0
LEGAL I OsE.t. ATTACHED SHE.CTI 0 1 OESCII. ' ,~ ll
"' OWNUI MAIL AOOIIESS I.. ZIP PHONE .~~ ~ 2 " .. ')f-
1.,, ,,,,-,,/;i,,l y ~~ .... .,,-;,1✓-. I ,./ ~ •, ,j/T; f,/ _,. } L,I
CONTfU,CTOII MAIL A00fll£SS PHONE LlCCNSE NO. ~·-I~ 3 .: \ ....... , /LI .,A...,, ,,, I ·--"'lo tJ. F: .
AIICHITECl"-"Ofl D£SIGNIC .. MAIL AODPU.55 PHONE ~ LICtNSE NO. ~
4 ,r -=
-,,,. ·-ENGIN[£11 MAIL ADDRESS PHONE LICENSr. NO, ~ :~ 5 ~ ;---; r• -~ . 8L ,
LE.ND£fl .. MAIL ADD!ltt.SS IT U BRANCH ~ I;\ ,. t 6 /1 / , ....
~ .r, ,.,
use OP' aufLDINC Rf,l t( ~t 1ril_ ' ,~
7 r•~ • ~~ -u
Cl)
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE ~ [
;z
1"' 0
9 Describe work: l .,. ~' ~ ,.,..,, iJ' L-, r_,,, ... ~., • , -~~A ,It, I I , Ji .f I, I~ I. f~ •:LI• .. a ,,.,. ..
-·-t ~ II ~~\I.I .ur } r"K~
r -.·
10 Change of use from
Change of use to k
11 Valuation of work: $ .,,-_,, ( =--PLAN CHECK FEE
l ~-
PERMIT FEE /
';,,--0
SPECIAL CONDITIONS: ·-Type of 0 vl Occupancy =i::;-Const Group Division .
Size of Bldg No. of Max.
(Total) SQ. Ft. I vn Stories -0cc. Load
Fire ' use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone ~ Zone t:?_, Reouired Oves DIIIO .,,,_.
,((_ J •· /4L4-"-,.. ,/ No. of I
OFFSTRE:Ef PARKING SPACES:
//f,/,-.J~ J Unoowwed Dwelling Units Covered ___
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB• ZONING
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC•
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT Jf 1"
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM OTHER (Specify) 7 I
. -
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ' \ ~ APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. " I' \ ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED \. -1 l, HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE I ' I PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I f I
✓ • .f
SIGNATUftE OP' CONTIIIACTO,t 011111 A.UTHOfltlZ£0 AGENT IOAT£1 , ·1, ,
.✓ .... ~-/ ~..-:J!... ~ ___ A I I ,
! \ 91GNA1'U,tE 01" ow,u:111 (II" OWN[JI BUILDER DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
PLUMBING PERMIT APPLICATION
JI
Permit No. City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only.
JO& AOOJI E.SS 0 <.. -0
D!ClllE' :!: 0 ro
'E J f. .1-i ) z m3
l'1 ► ~
LOT NO. Im I T~ACT
ll g:z
LEGAL I Qst:lt ATTACHED SH££TI
1 ouc ... ll~
l'1
MAIL A00flE.S5 ZIP PHONE (/1
OWNE" alAJ,~ -, (/1
2 if:/t;r//1 ~ 7.53-1;;. ( tl -. -~ CONTfltACTO .. MAIL ADDJIESS 11.Jltk
PHONC LICENS~ NO.
3 t;/;,Jt ? l i6/~1r..,-~ ,Wtl3.I~ ,{~ // . -
:ARCHITECT Oflt DESIGN£flt F MAIL ADDfllESS PHONC LICENSE NO.
4 & ENGINEEA MAIL AODIIU'.SS PHONE LICENSE. HO, -5 ~
LENDlJI MAIL AOOJIESS IJIANCH ~
6 r.
-hl'~T ,;/pL r.. (6.l/.UI~ , --'i,: , I~ USE or BUILDING
7 ,,_ ~~"' I~ f
8 Class of work: C] NEW 0 ADDITION □ ALTERATION □ REPAIR ." CA ~
9 Describe work : I~ t :::::
PERMIT FEES ~ No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ _, /;~
I BATHTUB / '"J-1'..i
" LAVATORY (WASH BASIN) -_.i ~
,I SHOWER / ~r.1
i KITCHEN SINK & DISP. '/ -yr._ f
J DISHWASHER / 'JD
APPLICATION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY LAUNDHY TRAY
( !J/ J CLOTHES WASHER / ~ l t
I WATER HEATER / ~f' .I
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE REAO ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPE:CIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM -
' SEWER \ ~
// CESSPOOL
'/ // -~
£ -SEPTIC TANK & PIT
' .,.•
SIGNATUR~-o, CONTJU,CTOJt oh AUTHOAh.ED AGENT (0ATEI
PERMIT $
SIGNATU,.t OP' OWNER llP' OWNER BUILDER DATEJ TOTAL FEE $
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
-
I ~--1 •--n-/. --'J ~
I ~t USE SPACE BELOW F R NOTES, FOLLOW-UP, ETC.
0 ~i
~?-/:"( '?
t ~ 3
City of CARLSBAD, CALIFORNIA
z
92008 ,. > -·
Permit No. -.. jA'"lr (~:A ~ 0 .... -"' . az
Applicant to complete numbered spaces only. Phone 729-1181 ~ 0 .. .
ELECTRICAL PERMIT APPLICATION
JOI ADD,. ESS
,~o/-, L ,,......, ,-/ .... -1, L.OT NO. I ·"· .... I TU,CT (QSE.ll ATTACHED aHEET) t SEGAS I t ouc ... ' OWNUI MAIL. ADDJl~SS rtl./~Ci#/;~ ~ PHONC
.• ~ L"
2 I \.. /. J ·,:, ~ ~/IJ _/, ~~ ""1.~NJ l-1 . ·-' !? -
COHT"ACTOfll /, -'"} MAli.J'AIH5,.E,U--·ti( PHONE_--• : f't1J 9.NSE NO,
...., -r
3 ( ,
--"' -I . j /_.../ ~ rt _ ~ -'-1 I
AIIICMI TECT 0,. Dl:.SIGNI.PI MAIL AODPIE.SS ----PHONt -LICl:N5£ HO, -' J
4 A
UfGINE.E.fl MAIL ADD,.E.95 PHONlt LICE.HSI. NO,
5
L U~OClll MAIL A00llll£SS IIIIANCH
6
USE 0,. 8UILOING
7 -/..;, I 0 ADDITION 0 ALTERATION 0 REPAIR "1~ 8 Class of work: /,0.NEW / il I (5
Describe work: ~ ./(~.,, _,
. ~~ 9 /~ IJ..-..-, ...rJ p /7 \ ., -;~;~~/. fl , JI ~ ,, .,, i > J I ' -----. t1 PERMIT FEES
No. Each Fee ~ SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
I ,2 in,,
•
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED BY PL~~E°j/ APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, rn .
/ff ~f. FUSE OR BREAKER .)5" ?--i ~ /11\ 7~ NEW SERVICE ON EXISTING BLOG. .
....,---.. FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO ANO INC LUO· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
TEMP. SERVICE OVER 200 AMP. -PER 100
t~ ) C ?2
•1•NATu,n: 0(1111 CONTflACTOIII' OR AUTHOfllZ.l:D AQl:NT lDATE)
MINIMUM PERMIT FEE _J'}L '?,t;il
• G ...... .,.11,u: or OWNUt 1~ OWNEIII au1L01u, {DATE
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. t.1.0. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
' INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR ..
'
/) .. J..t-7'-di_ ( p ~ ~ r..,,,,,.,, ....
USE SPACE BELO OR NOTES, FOLLOW-UP, ETC.
0 0
MECHANICAL PERMIT APPLICATION
j 1J -1 <l ? / City of CARLSBAD, CALIFORNIA
/4;'/icant to complete numbered spaces only.
? ., .. ~ ·P "· 4 ..
~ ~ 0 ..
~" ► 0 ..... 0
't-" ' ,.,
" ..
JO a A DO,. css
//I .,, r r~-1 ,t; s "'(, '\
tOstE ATTACHED SMEETl ~ LE.GAL 1 DESCR. I LOT NO. Im I TAACT
I~ )-...
..,,
OWNEfll
2 ,1,., I-, ) . /)3 J //f ;~;7DRES/4 (/('_x/\ Jh /'IJ
ZIP
4 t /
PHON[ ' .... D~ ~
COHTfllACTOfll . MAIL ADDAESS PHONE L ICENSE; NO. \ '
[J:~ /J/,) ~//)j.. I ( /~ h v,( /,.; ,,{) _,,,/d. -/7.,7 .77..JO -Y'1J b
AfllCHITECT 0 .. 0£SIGN[JII MAIL AODAESS PHONE LICENSE NO, t
4 ~
PHONE LICENSE NO, l--
5 V'
LENOE.111 MA IL AOOfllCSS IJIIANCH
6
USE Q,-8UIL01NG
7 /1 ~ J /)" / I 7 d ---'
8 Class of work: '¢ NEW □ ADDITION □ ALTERATION □ REPAIR
9 Describe work: 1 ... "A (,/ ~
1----------------•·••U'~
Nat. Gas l}J LPG. D W Type of Fuel: Oil D
PERMIT PEES r,.._, i--------------------t--,--------------,------1' ""1 SPECIAL CONDITIONS:
APPLICATION ACCEPTEO BY:
I / )
(j I'\.. ..
PLANS CHECKEO BY APPROVED FOR ISSUANCE BY
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM•
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
I /., / l
/ ,, ~I
,1cNATU .. [ o, CONTRACTOR o" AUTHORIZIED AGENT
No.
I
Type of Equipment
Air Cond. Units-H.P. Ea.
Refrigeration Units-H.P. Ea.
Boilers-H.P. Ea.
Gas Fired A .C. Units-Tonnage Ea.
Forced Air Systems-B.T.U. / (JO M Ea.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heaters-B.T.U. M
Unit Heaters-B.T.U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C.F.M.
Incinerator
PERMIT
AICN.&.T Ill.I' OP' OWNtfl II' OWNUI IIUILDUI D AT[) TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERM IT VALIDATION CK. M.O.
AUDIT
Fee
$
CASH
arn•nr111 ,,.OM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e SO 50. L05 "OBLES e PASADENA, CALIP'ORNIA S>t101
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
729-1181 EXT. 35
FOR APPLICANT TO Fl LL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR"S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
REMARKS:
EXISTING BUILDING
LATERAL LOCATION
ST.
LATERAL NO. _______ INSTALLATION DATE ______ __.
BUILDING DEPT.
ISSUED BY _________________ _
DATE ISSUED-----------------
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10') ____ -'--'--'----
OVER 30' H. @ FT. _________ _
OVER 10' V. ___ @ ___ FT. _________ _
STANDARD 6" (Max. H. 30', V. 10') _________ _
OVER 30' H. ___ @,__ __ FT. _________ _
OVER 10' V. @ FT.----------
TOTAL CONSTRUCTION COST ___ __;:......; ____ _
SERVICE CHARGE (REPAVING ETC.) _________ _
TOTAL LATERAL CHARGE------'-'~--'----
LINE COST DATA
ASSESSMENT DIST. NO.------"---------
FRONTAGE ____ CQST PER FT. ___ TQTA L __ _
OTHER ___________________ _
CONNECTION FEE
NO. UNITS ___ COST PER UNIT ___ TQTAL---
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ___ TOTAL __ _
'l / n. b-:E TOTAL CHARGES (LATERAL ETC.1---~"""-"..._"':J._..£.-___ _
' j.
I •
I
I • i
I
IN'l'ERDEPJ\RTfg~_!l_TM.J IN FORMJ\TION SIIE ET
RECEIVED
PLI\.NNI NG DEPT. e: l iiJ&.e..:,O~ ..
UN ITS PROVIDE D ____ __,. _______ ALLOWED ___ / _____ ZONE t-/ -1,.
PAR.KING SPACES PROVIDED ____ :...lw..----------REQUIRED_· __ ;}......_ __
SETBACKS ______ d___.e(_.__~ _________ PROTRUSIONS IN SIDEYARDS <?I'S
All ' , tntn,,c,m
PERMIT dJ<i2 ' ISSUE DATE 2 ---26'-p OCCUPANCY_----,.,7/'-______ DATE P;21 -2..-Z>
ENGINEERING DEPT . • ,111~:l!!t!~a: :am 1"'4'f'>!!D!t :o' II. R. 0. W. [Q _ INDUSTRIAL WASTE . N n ___ __......-=---------I/ P/. .sc;
I ~ROVEMENTS _.-/ ( (., £/ $ w>:::_ SEWER CONN • .St/' CI ,1 r)..J(J -u
DRIVEWAY LOCATIONS __ ~ __ __;p._~...:...;..r~rr...LJ.11..1-._:.,R_;:..;:...~r~µ~'~~-d.=------------
LF-GAL DESCRIPTION P4-l'l. C. 1 L,.7 S: , -# S 7
10' #4-..,.~fl. g u-,.1L,-1 r £A . A O ihc r 1 TO LJ/14" Fl
ISSUE PERMIT
FIRE DEPT . ~
I
/
DATE 7-U-?Z
I I
.5 j)r
SPRINKLING SYSTEM·------------------~--------
FIRE PROTECTION EQUIPMENT ___________ FIRE ALARNS ______ _
EXITS ----------------------------:-------
FIRE HYDRANTS (loca tion) _________ __, ____________ _
ISSUE PERMIT DATE OCCUPANCY DATE
WATE R ;JEPT.
COMMENTS
---------------------
-. : . ·. -.. -------------------------------
ISSUE PERMIT DATE OCCUPANCY DA'.l'l ---------------------