HomeMy WebLinkAbout1695 BASSWOOD AVE; ; 71-1052; PermitI 1 BUILDING PERMIT APPLICATION
I10 Change of use from
I Change of use to A
I" NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- I ING, HEATING, VENTILATING OR AIR CONDITIONING.
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
MENCED. PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
TOR OR AUTHORIZED AGENT (DATE)
PLAN CHECK FEE
I I Typeof -
Const. 4- :G Division
Size of Bldg. No. of
(Total) Sq. Ft. Stories
Max. i Occ. Load
Fire Sprinklers
Zone Required UYes UNO
OFFSTREET PARKING SPACES: No. of
Uncovered
SDecial ADDrOValS Reauired Received Not Reauired
ZONING
HEALTH DEPT. /' / /-i
FIRE DEPT. 1 i
SOIL REPORT
OTHER (Specify)
i \
I \ \
SIGNATURE OF OWNER (IF OWNER 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
Form 1nn.l 9-69
INSPECTOR
REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS 0 50 SO. LOS ROBLES 0 PASADENA, CALIFORNIA 91101