HomeMy WebLinkAbout1240 BUENA VISTA WAY; ; 71-75; PermitBUILDING PERMIT APPLICATION
9 Describe work:
10 Change of use from
Change of use to
do . 11 Valuation of work: $ /4/7-
SPECIAL CONDITIONS:
E BY YlJ APPLICATION ACCEPTED BY PLANS CHECKED BY ,/ /.*'
L - NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
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
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PRESUME TO GIV'E AUTHORITY TO VIOLATE OR CANCEL THE
a
00 PLAN CHECK FEE - 1 PERMIT FEE z/ _c_ I
Type of Occupancy Const. Group Division J -
Size of Bldg. No. of Max.
(Total) Sq. Ft.GFI Stories / Occ. Load
Fire Sprinklers
Required ayes &% 4
No. of OFFSTREET.~RKING ?PACES:
ZONING I I I I
HEALTH DEPT.
OTHER (Specify)
WHEN PROPERL~,+ALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT J ' / /"
PLAN CHECK VALID CK. do. CASH PERMIT VALIDATION CK. M.O. CASH
Form 100.1 9-69
INSPECTOR
REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS 0 SO SO. LOS ROBLES 0 PASADENA. CALIFORNIA 91101