HomeMy WebLinkAbout2716 La Golondrina St; ; 77-4966; PermitMODEL NO. _________ _ -BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No 7 /" </ ;7& t
JOII AOOR £SS ASSESSOR'S
2716 La Golondrina St. PARCEL NUMBER --t'AlU . , ... ,, ,, (j LOT NO. I '" I ~illo Estates
' . , ...,..,o ... -!<'AGE P•=
1 ~~;~~. (0$E[ ATTACH(O SH((TI
52
OWN£!'!: MAIL A001t(5S "' PHONE
2 Ponderosa Hates, 118 Maine View Ave., #104, Solana Beach, ca. 92075 755-9756
CON TltAC TOlt MAIL AOO!l(SS PHON( STATE LIC, NO, CITY LlC, NO,
3 as above
AltCHITECT OR OtSIGNElt MAIL AOOR(SS P110t. ( LIC(NSE NO.
4 J:im Pandolfi, 901 Dove St., -~ Beach, ca. 752-14ll C6725
[NGIN[EPI MAIL AOOR(SS PHONE LtCENS[ NO.
5 Rick F.naineerinq. 5620 Friars M. , S.D. 92110 291-0707 RCE:9416
COMPENSATION INS. CARRIER MAIL AOOPIESS BPIANCl1
6 nJa -,---s Self Insurance, 4050 Wildh:ire Blvd. , L.A. 90051
USE 01" BUILDING 'I' 7 s;=le familv w, NO. BDRMS NO, BATH_)_ 1/-::,,_
8 Class of work: fl NEW 0 A00ITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: residential frame
Model 2154 A
10 Change of use from
Change of use to
11 Valuation of work: $ -1/51 /il7~ PLAN CHECK FEES ~ J .ss1 PERMIT FEE $ /7._5'C::E. ..
SPECIAL CONDITIONS, /-5" MICRO FILM FEE
Type of T.t ;V Occupancy -----Const. ___ Group
Si,e of Bldg If J3 No. of ::i-Max. -v
(Total) Sq. Ft. Stories 0cc. Load
Fire 3 u,e It,--/ Fire Sprinklers rr,:: v
APPLICATION ACCEPTED av PLANS CHECKED BY APPROVED FOR ISSUArllCE BY Zone Zone Required DYes
No. of OFFSTREET PARKING ~$ltS:
DATE DATE Dwelling Units -:::2,_ No A, SD No, CoVered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT,
ING. HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
HEAL TH DEPT.
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK 1S COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
') :d -~ tA.,,, "'"' -
SIGNAf'U~ Jo,-CONTIIACTOPI OA AUT!iOltlZ[O AGENT , (OA Tt l
SIGNATUltE 0,-OWNEII If" OWt.EPI IIUlLOElt) OAT[)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK, M,0, CASH PERMIT VALIDATION CK, M.O. CASH
TOTAL FEES$ __ ;)_ __ ~-~~--~
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---------
BUILDING
FOOTINGS 7.
FOUNDATION 7, 77
REINFORCED STEEL
NASONRY
GUNITE OR GROUT / z SHEATHING
FRAME /0 .5', ?'7
INSULATION /iJ-1'7-77
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND PL/CO 'f•'f: 77WATER ___ _
PLUMBING UNDERGROUND7-u-; 77 M
COPPER /, 7 c:; ~
TOP OUT7 j)tJ / . -v
TUB AND SHOWER
GAS TEST
ELECTRICAL
UNDERGROUND
ROUGH /cJ·,(· 77 F14t..
CEILING HEAT
BONDING
MECHANICAL
/O·S,77 , A J_
DUCT & PLEM, REF. PIPING ~
HEAT--AIR
VENTILATING SYSTEMS
FINAL: ,t:2;/2r,/7 7 (;J>
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No
JOB AOOII tSS
L.f\ , D..._ f\ oTfJf,(;, DLA~)l5 ~
LOT NO. , SL• I TUtT ..
LCUL I S;t_ ~it6 Gu I 1 otst~.
OWNC(lil MAIL AOOIIIICSS ll P Ac.I PHONC
2 I 1~~.I r ,Vt.,1 t:t/41/ (" --;.. r 4 IA-., /
CON T"AC TO,t MAIL A00 "£SS PHONt STATE LIC, NO. CITY LIC, NO,
3 ~.,-A,,, , 4 /A 1//d / ~ ::> 7 >-. C: x-, --.
,t,(lilCHITtCT 01111 OCSICN[ft .., ""4AIL AOO,ttss. PHONC LICCNSt NO. .
4
CNCtNttR ~Al L. ADD" ESS PHONE. LICENSE NO,
5
COMPENSATION (NS, CARRIER MAIL A00(lil($5 &AANCH
6
use o, BUil.DiNG • L. 7 I -,1,
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ' ¥II,~,".,.,, "
/
PERMIT FEES
No, Type of Fixture or Item Fee
SPECIAL CONDITIONS. WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
I SHOWER /
KITCHEN SINK & OISP I -DISHWASHER
' APPLICATION ACCEPTED BY PLANS CHECKED BY APPf:IOVf:0 FQ~ 1SSUANCE BY LAUNDRY TRAY , CLOTHES WASHER
DATE l WATER HEATER '
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION O R WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. GAS SYSTEMS NO. OUTLETS ' I I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE ANO CORRECT, WATER PIPING & TREATING EQUIP.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E 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
SEWER NUMBER CLEANOUTS
,/ 7 CESSPOOL t1.I .. ..
SEPTIC TANK & PIT .,. 6h ROOF DRAINS ~
51GNATUA£ o, CONT11:ACTO,t Ollt AUTHOllfltZIE.0 AGCHT (O-'T£1 ,, y
ISSUANCE FEE $
TOTAL FEES $ "-IGNATtt,tf' OP OWNUI 1, OWNEA 9UIL0£1it (OAT£) •·
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATIGN ~-~_,,1~z2 \) ) ~•1 , o
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No -
JOB ADDRESS
i-i.6 La uO 10 idrin.:i ::;.tr<> t I LOT NO, I BLK. I TRACT • (OSEE ATTACHED SHEET) LEGAL 1 DESCR, S2 ._ rt l lo Eatat at. a 1
OWNER MAIL ADDRESS ZIP PHONE
2 . ·-, • , .. -000 IIOT!:I:· ,:; ,, •~:i:,l t .. .en ··, .lley Rt!. it>lll. 1.: ") ~ :J ]' • GO-·•. :.> • ~ I'"
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO. CITY LIC, NO.
3 C i .. Li\;;a Zll '. . ::.,. ·c 1 -~ve. Boe. -r l -. ,i.-; ·:: r ' .. -. ,,.., . } .
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7 ~ .:.. " .
8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: 1 ctrlcal ugh ini
PERMIT FEES . No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER 100 .25 25 00
DATE NEW SERVICE ON EXISTING BLDG.
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 120 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 ANO EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE!> 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 AND 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.
PER 100
}
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) 2 ISSUANCE FEE ..
TOTAL FEES 27 -· 51GNAlURE OF' nWN~R I~ OWNER BUI DER DATE}
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
.~ :,,,.. f, ;
I,\'
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181
JOI AOOPt t.SS
; I /Ir
I LOT HO,
LCGAL 1 cue~. .._ .:J
OWNUI
\ t
MAIL ADOl'tCSS.. ZIP
2 ?, t. f_, tlt~ , l '-lu ,',10.1,ti ( tl,rMJ, ,j&C,f 11r.c.~. ,,,/,r1 /0
CON T"AC TOIi
3 / ,,, .'/r/
1 MAIL A.00,.CSS PMONE
/) /(7 ,::;.3 =?3 t d ¥.I;,~,,, 1 J/I fy; _ 1l/& :i l~o
AfllCMITtCT Ollll 0t,,J1GN[III: ,I MAIL AODPt.fss DMON[
4
MAIL AOOIIICSS PHONC
5
LENO tit MAIL A.001111£55
6
USE 01" IUIL01"'G
7 \.-·l·H(., /.,,,,,1_~--('1.j 1-.t\
8 Class of w~rk: ~EW
,
0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
l/
Permit No
PHONE
✓-
STATE LIC, NO,
' LICE.NS[ NO,
LICCNS[ NO.
IIUU,NCH
Type of Fuel 011 D Nat. Gas O LPG, 0
PERMIT FEES
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,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 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION,
SIGNATU .. 1)),-CONT .. ACTO" Ofll AUTMO .. IZE.0 AC.I.NT
IOATEJ
No.
J
Type of Equipment
A ir Cond. Un1ts-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. X,)M Ea.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-B.T.U. M
Wall Heaters. BT.U, M
Unit He&ters-B.T,U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit--C.F.M.
Incinerator
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
/ 'l'/(J
Fee
$
-
$
$ ',' _Lo
CASH
... I· (. . -PLUMBING PERM IT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOB ADDA E$S
{/;J~~ 11,/~ c.: /IA' ( ~ /2 /J .b o/oJl?C f'
LOT HO. Im I T"ACT
LEGAL I 1 cuco.
0WN£'1 ,--.L uAl})BtJl<t;
MAIL ADOfltESS, tip PHONE r 2 , ~o~od.),P/ , ;-; ,,~t,08 I & -.,,. , "'
CON T1'AC TOfll // M AIL AODflttSS
• I J P .. OHt STATE LIC. NO. CITY LIC, NO.
3 11 -~~..£--I'-''
. J -~..s • I I __..._ -I -Afll(HITECT 0" 0 £SICN£,-6 g,~L~~.Ao :~ -#~C(NSE ~-:✓-~d26...Y 4
CNCj:INEUt MAIL AODAESS PHONE LICENSE NO. ..,,,.
5 ----'='31---: ,_-~ --r-.
COMPENS,O.TION (NS. CARRIER MAIL ADO .... so 9fltANCM
6 .,r -tn /1 " .,t.,,__ -, ~ . . '
7
USE c, OUILCING(";,~,:" -rn~ ,t;' ✓., ,,J , LJ
.
8 Class of work: ~NEW D!j-~ U ALTERATION \0 RE PAIR
~6 £( -l:"1,t 1,? ) 9 Describe work: _.),GJ,4 ,"-___/
"'--PERMIT FEES
No. Type of F ixture or Item Fee
SPECIA L CONDITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & OISP
DISHWASHER
P.PP.LtCJ..>C_EPTE O BY PLANS CHECKED BY APPROVED FOR tSSUANCE 8Y LAUNDRY TRAY
CLOTHES WASHER
DATE ; WATER HEATER I .J (..5
N OTIC E URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DA YS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A FLOOR-SINK OR DRAIN
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. I GASSYSTEMS NO.OUTLETS / ,::;: I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE T RUE ANO CORRECT. J WATER PIPING & TREATING EQUIP J DC:.: ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN DR NOT, THE GRANTING ore A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY T O VIOLATE OR CANCEL THE I VACUUM BREAKERS ;; (...cJO PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
_/ CESSPOOL . , l7 SEPTIC TANK & PIT , ~ ./. ROOF DRAINS
SIGNATURE o, CONTRACTOR OR AUTHOl'tl ZED ,'-GENT (DA TE)
ISSUANCE FEE $ / ;, -
SI GNAT flt o, OWNE" llr OWN[-. &Ull.OER (OAT() TOTAL FEES $ c,, ( ' WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CH ECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH \
\
INSPECTOR
77 -/ !)~00 '
INSPECTION REPORTS
DATE
------------
ITEM r REMARKS INSPECTOR
-----+--------1
-1--------------
-------------
---------------~
\\~~ ------------
USE SPACE BELOW FOR NOT 1..LOW·UP, ETC.
I
• .-..... t_
ELECTRICAL PERMIT APPLICATION
·t N 77 -/()~(') erm1 o.
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only p
JOB ADDRESS
./ c,p~L.r'./, ✓A-~ ,H ,K ~ ..:;> p ./i...b .n
LOT NO. I BLK. l TRACT tOsEE ATTACHED SHEET) LEGAL I 1 DESCR.
OWNER
,-LpAi..lJ/Bd,,c.'(£ MAIL ADDRESS ~ ~ ZIP PHONE f .. ,,_.
2 . '/I ~.tu o,,./.. ,1 · J /.,J,1KJ .
I
CONTR ... CTOR _;;/ MAIL ADDRESS PHONE STATE LIC. NO ... C ITV LIC, NO. 3 1//)/ '/!'.hy l,¥07 ., /,/· ~~ I, j .. -
ARCHITECT OR DESIG HER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5 -
COMPENSATION INS CARRIER MAit jl.DDff SS BRANCH 6 ~. -(JY' _,, ·\, \ ... (....
USE OF 8UJLDING
-~.r. _j~ -7 , ~ L:' u,,~
8 Class of work: C}~EW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: e 1-E<:7" ~ / e. //j :J,1;9 C~U/r!
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE 5 O<. -
NEW CONSTRUCTION, FOR EACH
Al'l'LICATION ACC61'TEO BV PLANS CHECKED BV APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
\----' j
FUSE OR BREAKER ,.
DATE NEW SERVICE ON EXISTING BLDG.
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 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE~ 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 AND 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.
JJ / TEMP. SERVICE OVER 200 AMP.
/4 ,,, . PER 100 /7
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (0ATE) ,
ISSUANCE FEE -'
TOTAL FEES C:.lt:.NATURE nF nwNEA {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
INSPECTOR