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HomeMy WebLinkAbout2351 CARINGA WAY; BLDG 6; 74-876; PermitBUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Permit No. JOB ADDR ESS ^^i* •.*&• f LOT NO. BLK LEGAL 1 DE5CR. OWN ER 2 *LA COSTA PACIFIC CONTRACTOR . 0 tt . f f-, ,-" *...,3 OMSK* ' * V/5 >;. ARCHITECT OR DESIGNER # 4 ALVAMDO DBSIQf & AftSQC ENGINE'ER 5 * __^ ^nB"**^^^^*^^^*i COMPILATION tNS. C£B*^R ,// USE OF BUI^INCpy^ -* "'" / 7 / 2 COMBO BHI7S, 8 Class of worV* K ML* D AUUrTTON" . J / ASSESSOR'S W&/( li/^f'W WttT. BLDG. f ft ..... PARCEL NUMBER TRACT /BOOK PAGE PAR. MAIL ADDRESS jStf tj "** 3l1tjStS Z>P fljfc|frj|j|_ . PHONE CORP. 9943 CTWMHIS PL. S.D. §278671 MAIL ADDRESS j - / PHONE LICENSENO. STATE CITY MAIL A/ORESS 92041 PHONE 4€2-3000 ^^^°-'- *' * 7§M LA MESA BLVD. »1064 MAIL ADDRESS PHONE LICENSE NO. •^-^^M^W^ftpDRESS. / ^^-, BRANCH J f I /2 JKDXM.r 2 BTHtACH J D ALTERATION D REPAIR D MOVE D REMOVE fJ/V /'. #Ti" i (/ x^ I9 Describe work: WOOD/ STUCCO PfiAMB, B0H.T UP HOOFING fll^OiA / ' / X 10 Change of use from Change of use to 11 Valuation of work: $ £1,491, SPECIAL CONDITIONS: f APPLICATION ACCEPTED BY PLANS CHECKED BY ,*'" .'" /' ,..''' t«y NOTICE SEPARATE PERMITS ARE REQUIRED FOR E ING, HEATING, VENTILATING OR AIR CONDI THIS PERMIT BECOMES NULL AND VOID IF V TION AUTHORIZED IS NOT COMMENCED Wl" CONSTRUCTION OR WORK IS SUSPENDED OP PERIOD OF 120 DAYS AT ANY TIME AF MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ A APPLICATION AND KNOW THE SAME TO BE 1ALL PROVISIONS OF LAWS AND ORDINANC TYPE OF WORK WILL BE COMPLIED WITH V HEREIN OR NOT, THE GRANTING OF A PRESUME TO GIVE AUTHORITY TO VIOLAPROVISIONS OF ANY OTHER STATE OR LOCACONSTRUCTION OR THE PERFORMANCE SIGNATURE OF CONTRACTOR OR Au THOjtTzED AGENT ff~ SIGNATURE OF OWNER (IF OWNER BUILDER) APPROVED FOR ISSUANCE BY DATE4-li-74 LECTRICAL, PLUMB- riONING. YORK ORCONSTRUC- rHIN120DAYS, OR IF ABANDONED FOR A TER WORK IS COM- ND EXAMINED THISFRUE AND CORRECT. ES GOVERNING THISVHETHER SPECIFIED PERMIT DOES NOT TE OR CANCEL THEL LAW REGULATINGOF CONSTRUCTION. (DATE! (DATE) PLAN CHECK FEE * P PERMIT FEE $ 51*« 25 MICRO FILM FEEType of Occupancy Const. Group Size of Bldg. ~ anil No- of 9 Max. (Total) Sq. Ft. *»™** Stories * Occ. Load """* Fire ,% Use _ Fire Sprinklers _ Zone * ^^*^ •> Zone « Required [ZlYes f*livin /^ IOFFSTREET PARKING SPACES:NO. of ^ _ r - **« N Dwellinyufnits 2 goOered* Sq. Ft. *€<S Open Speciaf Approvals y Required Received Not Required PLANNI\G DEPT.,// HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER1 (Specify) ENGINEERING DEPT. WATER DEPT. WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH INSPECTOR INSPECTION RECORD FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL DATE / ./^4/^r REMARKS <r INSPECTOR ( ^H6^J^n r T USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. Exterior Lath: O.k. B. 11-15-74 Drywall: O.K. B. Nelson Permit N Applicant to complete numbered spaces only. PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA JOB ADDRESS / J^f i^**^ 2331 Caringa Way, City of Carlsbad, Raneho La Costa, Ca. x^^ ^ . LEGAL 1 OESCR. OWNER7 LOT NO. BLK TRACT r~ C/ MAIL ADDRESS ZIP PHONE Costa Pacific Beveiopaenfc Co. 4215 Spring Street, La Mesa, Ca, CONTRACTOR MAIL ADDRESS P H O N E.J. !j £>— i.) !> / j. LICENSE NO. /U/J 3 Kit23uaafs PU>g & Htg., Inc. S94O Alvarado Rd., La Mesa, Ga. 4 CT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. ENGINEER '*-•• *'« MAIL ADO*£*S '&--•"• ' PHONE , -- ,, . - . ^ LICENSE N<K LENDER 6 MAIL ADDRESS BRANCH USE or BUILOIMC 7 Residence ' •. • : .-•"••- ;•..,'•-. 8 Claaofwork: SMEW DAODITION D ALTERATION D REPAIR 9 Describe work: Plunging SPECIAL CONDITIONS: • • • . •••••. •' ' - . ',- ~. ''' -•' " - APPLICATION ACCEPTED BY: PLANSCHECKED-BY: APPROVED FOR ISSUANCE BY: ./'-•' THIS PETION A CONST PERIOC MENCE 1 HEREAPPLICALL PFTYPE CHEREirPRESUtPROVISCONST :^J^ - •••-.'" -&^J^^ :'• NOTICE "*" ;RMIT BECOMES NULL AND VOID IFWORKORCONSTRUC-UTH'OHIZED IS NOT COMMENCED WfTHiN 60 DAYS, OR IF,rAUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A> OF 120 -DAYS AT ANY TIME AFTER WORK IS COM- D. BY CERTIFY THAT t HAVE READ AND EXAMINED THISATION AND KNOW THE SAME TO BE TRUE AND CORRECT.1OVISIONS OF LAWS AND ORDINANCES GOVERNING THIS>F WORK WILL BE COMPLIED WITH WHETHER SPECIFIED4 OR NOT, THE GRANTING OF A PERMIT DOES NOTVIE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE.IONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ^^^/^x2*nSIGNA^dRE OF CONJRACTOR^R AUTHORIZED AGENT (DATE) r// ^ SIGNATURE OF OWNER (I r OWNER BUILDER) (DATE) 1 rj JOB ADDRESSPERMIT FEES No. /i^L /JSL <{H Q.if 3df <=-l(jl 31 >•-.}. •-.. o }§*" -.i j> o Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DI5P. DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL ' DRINKING FOUNTAIN ^ ^ . «1tm ^•:~"-f^ SLOP SINK GAS SYSTEMS: NO. OUTLETS WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER CESSPOOL SEPTIC TANK & PIT I. \ AQ ^lulV PERMIT $ TOTAL FEE $ Fee *}CQ *)?IMI 43^ QJ^ 3^\ 1O W^^Jr i^f] o MO o ^J o 1 OO 00 DO Q<J P^ 00 *}0 f\O oc >5£/ ^jo 3U CD 3 o 1 1 5SSS. y WHEN PROPERLY VALIDATED {IN THIS SPACE) THIS IS YOim PERMIT PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH INSPECTOR Permit No.. _ Applicant to complete nurm MECHANICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 920O8 spa«s only. Phone 729-1181 2351 Caringa Way, Raacho LA Costa, Carlsbad, Ca Bldg # 6 .LEGALI DC3CR.ATTACHED SHEETJ MAIL ADDRESS 2 La Costa Pacific Dev Co, 4215 Spring St., La KM* 714/461-5308 rfAIL ADDRESS PHONE LICENSE NO.CONTRACTOR 3 Nelson Distributors Inc 2436 E 8th St., L.A., 213/622*1407 199490 ARCHITECT OR DESIGNER " MAIL ADDRESS LICENSE NO. ENGINEER MAIL ADDRESS LICENSE NO. 4AIL ADDRESS USE OF BUILDING 8 Class of work: D NEW D ADDITION D ALTERATION D REPAIR 9 Describe work:Install prs fab gas appliances Type of Fuel: Oil D Nat. Gas D LPG. D PERMIT FEES SPECIAL CONDITIONS:No.Type of Equipment Fee AirCond. 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.MEa. APPLICATION ACCEPTED BY:PLANS CHECKED BY:APPROVED FOR ISSUANCE BY:Gravity Systems—B.T.U.M Ea. Floor Furnaces—B.T.U.M Wall Heaters-B.T.U.M '•—"••' 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 THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Unit Heaters-B.T.U.M Evaporative Coolers Clothes Dryers Ventilation Fan Range Hood Air Handling Unit-C.F.M. Incinerator SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT PERMIT SIGNATURE OF OWNER (IF OWNER »UILDER)(DATE)TOTAL FEE 15 WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR :.v. -. .*-»-, .•i'sv-"...,!£&,;-._ permit ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 JOft ADDR CSS if LEGAL DISCR.ATTACHED SHEET) MAIL ADDRESS CONTRACTOR MAIL ADDRESS 3 BttlfJbtebd*5.0. LICENSE NO. 28*2353 ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO. MAIL ADDRESS LICENSE NO. rfAIL ADDRESS USE Or (UILDING 8 Class of work:NEW D ADDITION D ALTERATION D REPAIR 9 Describe work: PERMIT FEES SPECIAL CONDITIONS: ISSUANCE OF EACH PERMIT No.Each Fee 2.TO APPLICATION ACCEPTED BY:PLANS CHECKED BY:APPROVED FOR ISSUANCE BY NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER 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 THISAPPLICATION 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 THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA. AMPERE OF INCREASE TEMP. SERVICE UP TO AND INCLUD- ING 200 AMP. TEMP. SERVICE OVER 200 AMP. PER 100 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT MINIMUM PERMIT FEE SIGNATURE Iff OWNER IIP OWNER MllLDER-l WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH INSPECTOR MECHANICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 / AppUcan t tfcofnpl/te numbfffed spaces only. PnOn6729*liOl Permit No. JOB ADDR ESS Unit » 24 - Bldq. f6 - 2351 garinga May, La Costa .LECAL IDESCH.((ZDSEE ATTACHED SHEET) MAI L ADDRESS Costa Development Co.-4215 Spring st»« La Masa, Cal. CONTRACTOR MAIL ADDRESS LICENSE NO. ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO. Alvarado Design & Assoc.-7830 La mm* Blvd., La MMMU Cal. ENGINEER MAIL ADDRESS LICENSE NO. MAIL ADDRESS American Fletcher Mortgage Co«« Indianapolis, Indiana USE OF BUI LOINS Condoaiiniu 8 Class of work: KNEW D ADDITION D ALTERATION D REPAIR 9 Describe work:lir Conditioning Type of Fuel: Oil D Nat. Gas Q LPG. D PERMIT FTES SPECIAL CONDITIONS:No.Type of Equipment Fee AirCondajnits-H.P. Ea. 3 Refrigeration Units—H.P. Ea. Boilers-H.P. Ea. Gas Fired A.C. Units-Tonnage Ea. Forced Air Systems-B.T.U. 8Q.OOO M APPLICATION ACCEPTED BY:PLANS CHECKED SY APPROVE D FOR1SSUANCE BY Gravity Systfims—B.T.U.MEa. Floor Furnaces—B.T.U.M Wall Heaters.-B.T.U. 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 THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Eaeondido Heating & Air Good** Inc* 665 Metcalf st, (745-7107) Unit Heaters-B.T.U.M Evaporative Coolers Clothes Dryers Ventilation Fan Range Hood Air Handling Unit—C.F.M. Incinerator SIGNATURE VF CONTRACTOR OR AUTHORIZED AGENT PERMIT SIGNATURE OF OWNER (IF OWNER BUILDER1 (DATE)TOTAL FEE * 15 50 WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O:CASH INSPECTOR os. --r ' * Permit NApplican WC^riAINIWXL rCK *=7%£/3>~7 C"^ City of CARLSBAD, ( 1 . & ff "~~f ^Sf jr ^^2 t to complete numbered spaces only. PnOne 7 MM ArHLIW\MUIN CALIFORNIA 92008 29-1181 JOB ADDR ESS Unit * 23 - Bldg. *6 * 2351 Cariaga Way, La Costa , LEGAL 1 DESCR. LOT NO. BLK TRACT iQsEE ATTACHED SHEET) OWNER MAIL ADDRESS ZIP PHONE 2 La Costa Develoowmt Co. -4215 St>rincr St.. La Mesa. Cal. CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. 3 »-«ili 4 Alvarado Design & A*so«.~7830 La Mesa Blvd.. La Mesa. Cal. ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 LENDER 6 -^ MAIL ADDRESS rican Fletc&er Mortoaere Co.. XndiaiMRDQ BRANCH USE OF BUI LD1N5 •y 8 Class of work: 3D NEW D ADDITION D ALTERATION D REPAIR Q Describe work* SPECIAL CONDITIONS: APPLICATION ACCEPTED BY: PLANS CHECKED BY APPROVED FOR ISSUANCE BY <«-._ THIS PI TION ftCONST PERIOC MENCE 1 HERE APPUIC ALL PF TYPE (HEREIfPRESUPROVISCONST ESOl 665 745« /£fe?' NOTICE = RMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- lUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF RUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A ) OF 120 DAYS AT ANY TIME AFTER WORK IS COM- D. IBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS ATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. IOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 3F WORK WILL BE COMPLIED WITM WHETHER SPECIFIED M OR NOT, THE GRANTING OF *i PERMIT DOES NOT VIE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEilONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGRUCTION OR THE PERFORMANCE OF CONSTRUCTION. andido Keating & Air Cond., Inc. Metcalf St., E»condido,CA92O25 -7107 .V.P, 6-12-fll SIGNATURE OF CONTRACTOR OM AUTHORIZED AGENT (DATE)' SIGNATURE OP OWNER (IP OWNER BUILDER) (DATE)OWNERJOB ADDRESS 1Type of Fuel: Oil D Nat. Gas JP LPG. D PERMIT FEES No. 1 1 Type of Equipment AirCond.Units-H.P. Ea. 3 Refrigeration Units— H.P. Ea. Boilers-H.P. Ea. Gas Fired A.C. Units-Tonnage Ea. Forced Air Systems-B.T.U.|jn QQQ M Ea. Gravity SyStems-B.T.U. M Ea. Floor Furnaces-B.T.U. M Wall Heateri-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 $ TOTAL FEE $ Fee $7 5 i 3 15 50 30 00 56 .-DCD 3 Z 0 WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH INSPECTOR ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Permit No. 2351 . LEGAL I DE3CR.(I |SEJ ATTACHED SHEET) MAIL ADDRESS La C Pacific DOT*lopMMit 4115 Sprlctg Star***, Suit* 320 92061 461-5508 CONTRACTOR MAIL ADDRESS LICENSE NO. Electric 4640 Ot«go 283.2353 206717 I ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO. ENGINEER MAIL ADDRESS V LICENSE NO. MAIL ADDRESS USE OF BUILDING 8 ClMsofwork: KNEW D ADDITION D ALTERATION D REPAIR 9 Describe work: PERMIT FEES SPECIAL CONDITIONS: ISSUANCE OF EACH PERMIT No.Each Fee 2.N> APPLICATION ACCil PLANS CHECKED BY:APPROVED FOR ISSUANCE BY NEW CONSTRUCTION, FGJH -.-, AMPERES OF MAIN SERVICE, SWITCH] FUSE OR BREAKER * NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS HtOT COMMENCED VWTHtN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SOSPBNDED 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 THISAPPLICATION 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 SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT{•RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. EXISTING BLDG.IREA; AMPERE OF INCREASEIN MAIN SERVICE, SWITCH, FUSEOR BREAKER REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA. AMPERE OF INCREASE :S *«****« TEMP. SERVICE UP TO AND INCLUD- ING 200 AMP. >•; TEMP. SERVICE OVER 200 AMP. PER 100 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT MINIMUM PERMIT FEE SIGNATURE OF OmMER (IF OWNER BUILDER-) $7.X> WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O. CASH INSPECTOR TO /•" Vry-v -r,. ftvfc-i -i>?? ' J / f / J « ^ C-£^L-€X^C^L->/ DUPLICATE Signed ^"-. l--JK Date Rtdrfpnn 4S 465 Signed Poly Pok (50 s.ts) 4P465 SENO PARTS ' AND 3 WITH CARBONS INTACT. PART 3 WILL BE RETURNED WITH REPLY. Residential Multiple Res., Tr or Commercia REQUEST FOR INSPECTION Q Mobilehome Park ID#._ Space# Inspector Owner. Address Address Fdn. Forms Steel Sheathing Lath Frame Final Special Instructions -- j£J. .h£l ~£5.^^t y, ..^ I Requested by. Phone number Person Taking Report: I