1985, 06-20 Permit App: 00006035 Garage, Wood StoveBUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Name�c(last) (first) (m)
WACO C*‘(–U c l.L2Nicote_
Department Use Only
fw. Comm
2 Project Address (not Mailin Address) o- Road Name Space Zip
a 4(0 (.3- st Ra . ggac
3 City/Community
5 poka.u&
State
th> •
Subdivision/ Plat Name
—r reLkk L.a30od o rcuoacls
4 Assessor Parcel No.
0.2";-( 9_ ('(O (
Lot
Block
r * * DEPARTMENT USE ONLY x * x
5 Sic Cade
Zone Act. 0
Zone "(IA v 1 _ Project No. 6,0
6 Dwell 0No.
of Buildings
z
Sq. Ft./Acre
Depth
5V8.1. t
Frontage j•1
(COS-
COS77
Set Bads -Front
\ ;Ni [st'kW°
(L S-1(R)S-2
5'
—
Rear
- _
Census Tract
Module No.
Initials
..4ut r)) ,
16 Architect Firm Name p- I Street Address
&tank
Zip
City
State
Phone
( 1
Contact Person
Phone if different than above
( 1
Contractor Firm Name
Otalltar.
Street Address
Zip
City
State
Phone
Contact Person
License No.
Phone if different than above
8 Owner/Agent (If different than 01 above)
.av LQ a- aao e70<._
Business Address
9 Zip
City
State
Phone
l 1
12 Review Required
Plan Check (Y/ N)
Other (Y/N) I SEPA Exempt (YIN)
Date
15 Type Work 0 Bldg
0 Fire
0 MH
0 Demo
VS. New
0 Add/Alter
0 Replace
0 Move
0 Other
14 Describe work
10 Applicant Name
SuS Lw &c��y/ -k 1,%41-
Street Address
it), 6, I Z,- Tpalk --(d .
11 Zip Q9a \
Citwi(, t � ,1
State •Phone
) 9aa _ (9 t `_
1
Lender V `"OUILA
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone If different than above
( 1
AQQltional Information
'�,
"q1T� co �ro0 ISP
`0 t o o w Oct)STa 0 Ce --
.ma
--71--7 t‘-o
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is not a Permit
(Indicated approvals required In either "release" or "release with conditions"
space prior to permit issuance.)
Q"
Environmental Health
W. 1101 College
Room 200
❑ Commercial;
❑ New Construction;
® Additional structure;
O Residential
❑ Bldg alteration/addition
APPLICATION #
Release
Release
w/cond 1
Hold 2
Gy.-cN
Conditions/Comments•
Planning/Zoning: 0 Commercial; 0 Cert. of Exemption; 0 Frontage;
N. 721 Jefferson 0 Setbacks; 0 lot w/d; 0 lot size; 0 use/zone;
❑ CU, variance, zone change; shoreline; 0 fence;
❑ Other
Conditions/Comments.
Engineers: 0 Commercial; 0 Residential; 0 Flood Plain;
N. 811 Jefferson 0 drainage 0 new access/approach; 0 fence;
O road improvements
Conditions/Comments
0
Utilities:
N. 811 Jefferson
Conditions / Comments•
0
Other:
Plan Exam
Fire Prev.
Conditions /Comments•
Project Representative Telephone
Agencies Performing Special Inspection:
1
2
3
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
SIGNATURE OF .=
A
APPLICATION
OWNER OR AGENT ••
r DATE
1 4'
1A
eSSN , EC RD �.
.n10.:WILL SUSAN E.
., A -LS1 RD
ZIP:"3'16-000(1
'Wki IE_ ST:WA
VFLiE wn T:
, t, !01,di IST, SUSAN B
.RE�)ENG,NEEs:
, �p';.�'.: 4u 1
0999
INSPECTO R:
P
•O_�L-4': '
OT &....
L 014 001
FINAL
P T;�fIt.I,cD Ot c;I41RDS
:oNE;
ACRS
0500
005
000
000
Moo
PLANSEx.M.
ySe pF14 0 TGARAGE & WOODSTOVE
,Oo. ' .'.RESSR BEST RD%
;GtUPE
if acription N PRI GAR U# Group M-1 Type'VN
•pare ' et 030576 Occuparlcv Load 0000
I-;1 Fin Chi, $0.00 Actual. Pin Chk :60„00 Var
'0Q064 57n'J. ,
>06/20/85
p000060 5
Structure Hee . n 361 ,00
Mechani.cali Foe blit . 00
,
EES. 71 O 0
PAID .T.
�.
ccc
NE
COUNTER APP'
PLANSEx.M.
05/(1/(35
M T I P L. E PERMIT
a-Gi I r1'ICa:L
TOTAL FEES $61,00
$0.00
TOTAL_:FEES
ric,PiJ Dr,' 0 Range 0 Gasloq 0 Gas w/h 0 Solid Fuel 01 fee.:
J6-20-35
$10.00'
$10.00
369.4> ,;71,P9,
/d 5
e
I
N1
1 SET BACKS
Al
/Cd
4
CO
C
0
O
z
0
2 FTGS & FORMS
3 STEEL
4 PROGRESS
5 BOND BEAMS
\''
6 ROOF DECK
L
7 FRAMING
ik-1
8 INSULATION
9 SPECIAL INSP.
r
10 ASSEMBLY
i
11 FIREPLACE . .
12 EXTERIOR FINISH
13 DRYWALL
14. EXT. GRADING
15 FINAL
ft
p'
16 GRD.PLBG...
PLUMBING
17 WATER PIPING
18 DWV TEST
19 FIXTURES
20 SEWAGE DISP.
21 SEWER
22-'"'4TER HEATER
OGRESS
24 WATER SERVICE
25 ROOF DRAINS
26 FINAL
38 VENTILATION SYS.
N
�i
MECHANICAL
39 PLENUM & DUCT
40 GAS TEST
41 FURNACE
42 DAMPERS
43 INLET/OUTLET
44 COMPBUSTION AIR
45 COMPRESSOR
„48213APPLIANCE 45
At
30./V
47 FIRE DAMPER
48 SMOKE DETECTOR
49 HOODS
50 PROGRESS
51 • FINAL
52 FINAL INSP.
I OCCUP / SPECIAL
53 FIRE PREVENT.
54 OCCUPANCY/TEMP.
55 REQUESTED •
56 OCCUPANCY/FINAL
57 OCCUPANCY/OTHER
58 COMPLAINT/ZONE
MPLAINT/BLDG.
S• MPLAINT/OTHER
I COMMENTS:
4 , A - _ n ,,,
/d 5
e