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HomeMy WebLinkAbout1735 Havens Point Pl; ; 73-2370; PermitI ... BUILDING PERMIT APPLICATIOI\I Permit No. 7i3~,..J,;37Q Applicant to complete numbered spaces only. City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 JOB AOOR E.5$ 17-? LOT NO. 1 ~~;~~-2 tOstr. ATTACHED sHctT) OWN£,- 2 3 4 C 4 71 LICtNSC NO. 5 G4 tUIANCH 6 ri •• VSE o, BUILDING 1 8 Class of work: •NEW 0 ADDITION 0 AL TE RATION 0 REPAIR •MOVE 0 REMOVE 9 Describe work: 10 Change of use from Change of use to 11 Valuation of work: $ PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: Type of Occupancy Const. Group %-Division 0 Size of Bldg. No. of Max. (Total) Sq. Ft I 1 Stories 2 0cc. Load 1--------------------...----------1 Fire APPLICATION ACCEPTED BY PLANS CHECKED BV APPROVED FOR ISSUANCE BV Zone 3 I ✓/ NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- 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 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. IGN T fllt o, OWN[flt 1, OWNCflt IUILOCR) DATE) No. of Dwelling Units Special Approvals ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) use Fire Sprlnklers Zone Required OYes OFFSTREET PARKING SPACES: 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 7J (1) 3 .,. INSPECTION RECORD DATE REMARK:, INSPECTOR FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. 9-28-73 Fdn Farms; Q.K T Mata 10-2-73 P1ouri: O.K. T. Mata Q O · ... 2 ... * **~ 1.CO ,,,·.,, No. L ~~EC~~~~!~s!:~~~~!o~J:f ~~~~ TION ~~ Applicant to complete fiumbered spaces only. Phone 7 29-1181 o JlIJ ,_;.-:.-J,-BA-/DD-• ~-S~-;....• -,✓-11.--.~-,-r,-,,-, f'_J_/_:,.IA)-,1-:,-,-.J--f.-1.-'j)l'\-f'l-,l)-j ------------.~ ra ~.~.-G-A~L~-,~LO'T::::,,•NO:-.-J.-..a..:.--->"'---'---'--'"-~~IIL~~:----:--'---=-r_l~T~.~AC~T:-..,_-e--~.,._ .. -,::_:;:-:~:r------------------------f!• ~ l oEsC1'. y tOs u ATTACHED •HEETI :., ? ~---'---""'c....:;.. ___ ____. ___ -,-,-,-c'-:-:-::-::-::-:--:-----------::-,,::--------::=::--------t ~~ 20 ~? u'"tt o,.) 'J.Jr.tf>a (;nl {J;:,,·:•mJ..l<;t../1) (',1,J,: 1 :'1 l n,] rl~,.~:-~ (",,.,, a ':\, ~t co~j;!:~T•~•.,. --~-\u" L .-Pr>.• R;,:,oo•7~ {){)()(\P~:~,•,.J n_/_ '7~;N:•3·,")f1 ) -~ ~.-.-,c:J.H-',r=-.-=-c-=-T-0.:."_D:...:Ec...5_1G-=N..atC-•-'--''-o.a..:.:c:..:.c.:..-, ____ _,_~_,_=-....;'=:,Ql,',:fL,,-"'-A-DD"°'ll(,.t~S'S"-.....,'--"-..-_--.L-C'--'-~PH:-'0:-"N..,,E""°""-',:_:,'-.....:.--+-.-..... ,..,.ct-t N-5:-,,r""N .. 0:-.~.-..,_-----rr.~, r~l 4 ~ 3 tMGIHlUI MAIL A0D91tiss PHONE LICt NSt NO. ,., .., ; 3 '1-.. 'i"" :z ~ 6 -._-.-.-D-C•-----------------... -A-IL-AD_D ___ E_S_S ___________________ __,l":-A-N-,-CH-------.t,:r~ ~ O 5 -- USE. o, 8UI L01NG I ~ 7 ~~l1'\aOl),,;tr 8 Class of w:r~: _Xi NEW ~ 0 ADDITION 0 ALTERATION 9 . Describe work: '--# A ) J SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECl<EO 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 ANO EX AMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIT H 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. SICHATI fir OP' OWNl.fll 1,-OWNCfl l!IUILDEII DATE . 0 REPAIR Type of Fuel: Oil 0 Nat. Gas O LPG. 0 PERMIT FEES No. 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. I Forced Air Systems B.T.U. ~) M Ea. Gravity Systems-B.T.U. --M Ea. Floor Furnaces •B.T.U. M Wall Heaters.· BT.U. M Unit Heaters-B.T .U. M Evaporative Coolers Clothes Dryers Ventilation Fan Range Hood Air Handling Unit-C.F.M. Incinerator . PERMIT TOTAL FEE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. INSPECTOR Fee $ s l ' s l CASH •• 1 PLUMBING PERMIT APPLICATION J Permit No. City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only. _:..,:... ______ .:_ _______ :__ ___________________________ ---,------------,--;o:r--;._7-u JOB ADDA tSS O ro -~ · Plt.a.: ., r.'1-:--4 i "--• a. ~ w i3 L-.=-....;-,~•~:~T~N~;~.!.::'..•~-•~~~~~~~,~.~~~K~~-~•~~~,~,T~R~A~C~T~~~~~:._------------------------~I~ ~ ~ 1 ~~=~~-1 Qsr.l: ATTACHED 9HE£T) ~? c....... !!:"'I MAIL AOO .. r.ss ZIP PHOM£ • 1 "' • l1 OWNEfl 2 _ t.'tcr 1:rr:---.. ~ ... lh~ lVi.7 . h., ........ .:. L . Bll.t. ~ 11 1-C-O_N.=,T_R~A_:_C.:_:TOC:..R.....!!.!t.!,~_!_!~:._.:.!.::...._:=;_.:,e:u_:!:..,!:=~~M:':A~I L~A==DD~R;:E:::S:':S~:..::c,;c.:,_..:.,:=:._::=.=..-='-'--;P;:H:;;O~N;-E---'===-....:::.=c.....-;-L~I C;:-;E;-::N;;:5-;E-;N;";0;"°.-----1:11 '; 3 • __ l ·..;n'l' ~"' " ~•v,. ?,.( . ~ Jntn l'"JV. . • 757~~:; '!271 1, AIIICHITECT OR OESIGNE.A -MAIL ADORES& PHONE LICENSE NO, 1l · ,, :j. 4 ~-------------:-:-::-:-:-:-::===--------=::-;-----~=;:-:;;;-------i1~ 111~ £NGIN££FI MAIL A00,.[SS PHON[. L ICE.MSC NO. l'.S"' i:. )i 5 Lt.NDEIII MAIL ADOflES.S BfltANCH 6 USE or BUILDING 7 • ,"1.1. 8 Class of work: •NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: PERMIT FEES No. Type of Fixture or Item SPECIAL CONDITIONS: WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) I SHOWER KITCHEN SINK & DISP. I DISHWASHER $ , I , ~ ' :.- · ~ "' Fee i-',. ,1 ,-. ', r-. ,I '.I' . --, { - PLANS CHECKED BY AP✓~ .... ~~--+-~-~-~-~-:-:-:H_sy-:-:-~-:-:-:_R _____________ -+-~-~;-~~~,-1 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 H EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO 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 URINAL DRINKING FOUNTAIN FLOOR -SINK OR DRAIN SLOP SINK GAS SYSTEMS: NO. OUTLETS ~ (" \ ,, le WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER . CESSPOOL SEPTIC TANK & PIT -f . ' ..... _ ' ··--~"""----+--------------------+----; ~ SIGNATU"E. o, CON TRAC TO" 0" .AfiTHOPtlZ.EO AGENT {DATE) PERMIT $ ~IGNATUPU. o, OWN[" {IP' OWNElll 8UIL0t"} (OATE) 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 ' USE SPA CE BELOW FOR NOTES, FOLLOW.UP, ETC. 9-27-73 Soil Line: Very nice job. Only one leak, it was cut out and replaced. T. Mata . .., ;;.~,.: ·.-,,";. -0 t 0 Cb '"!) ,?~ z • 3 City of CARLSBAD, CALIFORNIA 92008 "' > " D ~ Permit No. D "Z Applicant to complete numbered spaces only. Phone 729-1181 : 0 .. . ELECTRICAL PERMIT APPLICATION Joa AOOfl [SS :J?:7..L;. rr . .-,.,.. ... , ,;--:. n,,,.,. .. I LOT NO. OLK lTR;~-~~ ' I.I.GAL Qs1tE. A TTACHCO SHEET> 1 DUCR. 2_<; ~ OWNUl MAIL ADDIIIESS %IP PMONE 2Iacocotter ~---,-. Inc., 4st,o ... n.v(;l:. ( ,.',4•-·--' ')~, ziVC· 1 ., "11 CONTPIACTO" MAIL ADD,.ESS PHONE. LICE.NS[ NO. 3 ~,c.,,.1;;11•; Elnctr;r, '?1111 -·-T.: 1'-i ... l.1..-n-..... :mvt,.. r_.n,, f1 _ i1(--;_ 1 ,<;'; .,rri.· U) A"CHITECT 0111 DE.SIGNE.Ill: MAIL ADOfllESS ftHOHE. LICENSE NO, 4 l:NGINE.E." MAIL AOD,-E.SS PHONE LICE.NS£ NO, ~ 5 LENOEfl MAIL ADDllt£SS BflAHCH ~ 6 . ~ ~ ~ USE. OP' BUILDING f~. I ½ ~-,_ 7 J( ( J' / J<i., .. ,, /. I // ,-/ /' I ~ ,, --.. ~ I&: ~ 8 Class of work: ,Kl NEW 0 ADDITION 0 ALTERATION 0 REPAIR I~ t 9 Describe work: PERMIT FEES I~ No. Each Fee SPECIAL CONDITIONS: ISSUANCE OF EACH PERMIT ~ 1u j j NEW CONSTRUCTION, FOR EACH APPLICATION ACCEPTEO BY PLANS CHECKEO BY APPROVEO FOR ISSUANCE BY. AMPERES OF MAIN SERVICE, SWITCH, ( 1 FUSE OR BREAKER I~ ' NEW SERVICE ON EXISTING BLDG. -FOR EA. AMPERE OF INCREASE a) NOTICE IN MAIN SERVICE, SWITCH, FUSE ::JL; ,~ THIS PERMIT BECOMES NU LL AND VOID IF WORK OR CONSTRUC-OR BREAKER rt:'7': 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 AND KNOW THE SAME TO BE TRUE AND 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 INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. !). TEMP. SERVICE OVER 200 AMP. .. D PER 100 ,.-' 1 ... iJ ' .i I \ •ICINATUflE Of' CONT"ACTO" O" A\ITHOIIIIZ&D AG~NT (D,t.TEI MINIMUM PERMIT FEE ;;//) r/J S ;u.a_T11111r 01' OWNEft II' OWHCR IUILDCfll DATI) WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ) 0 PLUMBING PERMIT APPLICATION ,-7// ~I Permit No. __ _ --City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only. - JOD AOD" ESS ~sl~ c 0 ... --0 ,, ( /. ~ 0"' -I ( I -N E..f'J~ 11\.IT ' ... I z Ol3 ! , rn :--..Yc -LOT NO. I BLK I TIIACT Q .stt ATTACHED SHEET) ;,;,~ :z LEGAL I AfWJ.:--1 C. --1 DESCII. // l1 I t0-;,;, 0 ., 'i I' rn "' OWNE .. MAIL ADDfU:ss fl) ZIP PHONE: "' 2 t~l ~-,,;_ -I ~.~(",n)&. >L I i 'lo-CONT .. ACTO .. MAIL A00ftES5 PHONE ,)'S~-.:,,,::_4''; LICENSE NO. i,,_ -~ ol,v~ ---·-3 ,,,-__ , ~ (A-A')<'.~· .. ,. -", t/ ! • .S I .,...:__, I J J ---.'-.-• / (:::.· . t. ARCHITt.CT 01111 DESIGNE.JII: MAIL ADDftESS PHONE LICENSE N0"7 / 6 ' . ;~ 4 -,~ ·-'I=-1\..1 1 f...>-. -: .... -- ENGINEE.1111 MAIL AOOJIIESS PHONC LIC£NSE. NO. 5 ~· I• LEND£." MAIL AODlll.£5S IUIANCH 6 ~~ .) USE OP' 8~1L01NG I~ 7 ''-~ ~ ,, ~ :, 8 Class of work: l::JNEW 0 ADDITION 0 ALTERATION 0 REPAIR ' 9 Describe work: ~<?l2,dt!r-11 S: .... ., <:-7 ~~ -1~ ,, PERMIT FEES l}J No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER APPLICATION ACCEPTEO ev PLANS CHECKEO ev APPROVEO FOR ISSUANCE 8Y LAUNDRY TRAY CLOTHES WASHER WATER HEATER 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 ABANDON ED 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 READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES 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 I Ir ~ ~ SEWER /'''() \~ ~y _/7/l l( CESSPOOL SEPTIC TANK & PIT / 51GNATVfU'. o, CONT,.ACTO" OR AUTHO,.lltD AGENT (DATE) PERMIT $ ~ SIGNATURE 0~ OWNCfl Ill" OWN£A BUILDER DATE) TOTAL FEE $ ,,. ' WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR 70!)_/;?~ ..::2.£>1 , i , • ~ rcJ, i-t,AA ~//lli Q ;l/4/a . 7 I I ' J I L ' USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. rn. I /.. Permit No. __ Applicant to complete numbered spaces only. City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 Joa ADDfl css 0 <.. ~ 0 z a, Qst:r. ATTACHF:"0 5H£tT) '" • ll 0 0 ll '" MAIL AOOftESS ZIP PHONC C/1 C/1 ,-, ·-..... CONT,tACTOf\ \] 3 . j ~• (,,,oA;>~CA .Wi= MAIL ADDRESS <;· ___ ~" o<,v ... t=-hrz_ 1.11~,-=1,r?t/ PHONE. LICENSE NO, ~ A,._CHITECT O" DESIGN£11 PHONE 4 J --.~I ,~~,(. I-_,,~F- ENGINtlfl MAIL ADDRESS Pt-iON£ LICtNS£ NO, I• I 5 LENOUI MAIL AODfttSS BIIIANCM 6 use o,.,.UILDING 7 ; ·~ ~ ii::" I<, 8 Class of work: ,@NEW 0 ADDITION 0 ALTERATION • REPAIR •MOVE • REMOVE ~ 9 Describe work: ::.,p G ·7 f 4 ,-r ~ ~ '<I-.,, -· -. 10 Change of use from ,......_. Change of use to 11 Valuation of work: $ /) ~ /./'. PLAN CHECK FEE l PERMIT F~ //), -5°/J -- .... s_P_E_C_I_A_L_C_O_N_D_IT_I_O_N_S_: __________________ Type of Const. 1------------------------------f Size of Bldg. (Total) SQ. Ft. 1----------,----------...----------1 Fire APPLICATION ACCEPTED BY PLANS CHECKED BV APPROVED FOR ISSUANCE BV Zone ,• ./ . NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· 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 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 LO~BJ-LAW REGULATING CONSTRUCTION OR THE PERFORMANC1¥"UF CONSTRUCTION. ·! «.,,,, r I '-1 SIGNA.TU"E o, CONTtlltA.CTOft 3fl A(/1'tfot11t1ZED AGENT I (DATCI f '!11.JGN.&.T "t. OP' OWN~R .,. OWNl:R autLDEA) IOATlli No. Of Dwelling Units Special Approvals ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) Occupancy Group Division Max. No. of Stories 0cc. Load Use Fire Sprinklers Zone Required •Yes OFFSTREET PARKING SPACES: 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 -0 c:t> 3 z 0