1990, 10-22 Permit App: 90005573 WoodstovePARCEL NUMBER: (
STREET ADDRESS: L l (-2)11-4 I -)k
IC1 i �Y'lI-
CITY/STATE/ZIP:S k j �!V r., 9 Q 0`Q
SUBDIVISION:
INFORN,ATION WORKSHEET
.: I.
BIOCK: LO'l; ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
WATER DISTRICT:
CI OF HUUII/LDI,NG,S:: $ OF DWELLINGS: �j �1 /
OWNER: j r_��YC-� ( non PNONE:O l - ia(Q- Oi 1
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
SETBACKS: - FRONT: �fl 11LEFT: �RIGHT:
QieAC) , %(// 1l^ps/o
PERMIT USE: _i_n
PHONE:
REAR:
r s a... s t .. t. .. f t. * s t. t t* s t t* t t t t* t t s * *2 t t t s t t s s t t t t s* s t t t t t* t* t* s t t t t t t** f`.. .
I3LJTLDING 114FORY.ATION
CONTRACTOR 1.I CENSE NUMBER:
CONTRACTOR :
MAI L1 NG LDURESL; :
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION:. CHANGE OF USE:'
DWELL UNITS:OCCUPANT IOAD: BUILDING HGT: STORIES:
BUILill 11G DIMENSIONS:
X
REQUIRED PARKING: 1 IiANDICAP:_
(I:IDTIm X DEPTH) SQ. FT.:
SEWER (Y/N) : InYDRANTr: -
CO:Ti`R1.C'1\)R I.IC1:_.
CONTRACTOR:
MAILING .ADDRESS:
r
1.atstttttttstttsttt t o ss**sr*** tstttt\tststtttt:ttttttttttsttstttstttttt
MECHANICAL INFORMATION
CONTRACTOR LIC#:, fgheog4-/7V0GC
fmm Co�g Qy . SvrE,e,-z!C
E' 93/6 s if&&i8:::.Sear fge- w2 :99,eac6
CONTI:ACTOR:
M4I[.ING ADDRESS:
ELECTRIC:__ GIS:_ OIL:
ENERGY CODE: WSEC:
CCAL WOOD :
•
I71r'EC:
SOiJR: HEAT PUMP
UTILITY: SGC:
APPROACH: PRESCRIPTIVE: POINT: COM PON EI7T:_ SYSTEMS:_
1,,, 1 1:: 1 1 1: 1'i 1 1 1 1 1t t s t t t 1 1 t 1 1 1 1 1 1 1: 1 1: 1 1 1 1 t 1 1 t 1 t 1 1 1 t 1 1 1 1 t t t 1 t 1 t 1 1 1 t 1 t t 1 t t
MECIIANICAL FEES PLUMBING FEES
'l'iE.M DESCRI.1''TION
ROCKS:S1NG FEE
'.ICJ"4 )RK SYSTEM
•DDS'JOVE/IIIS ERT
WATER HEATER
NUMBER OF
YES OR NO
IITG EQUIP (100,000)BTU
i1S 1I'IG EQUIP +100,000
;AS PIPING - I OF UNITS
EA1•PUMP 1-100 13TU
EA'J'YUMP 3 01-500 I3'1'U
ii1.1'1'UI•iP 501-1000 BTU
EATPUMP 1001-1150 BTU
EA'17'UI•IP +1 151 13'1'U
;!it]G 1-100 BTU
:FR 1 G 101-500 13TU
CEP IG 501-100 BTU
'1:11<1G 101-1150 BTU
::EVIG +1750 BTU
1. I2 CONDI 111ONER 0-3 31P
I2 CONDITIONER 3-15 HP
.1 R CONDITI0NER 15-30 HP
1R CDl7I)ITIONER 30-50 HP
.1 R CONDITIONER +50 112
'ENT] !J,1'ING FANS
l'ORA1'IVE COOLERS
'IIJI1iE S DRYER
A.IJt.E
:1.S I/Y,;
!71.1 ::FEF) (17.S 1J'i'I.i
,1R !?; l:i !.i:u 1-10000 (3;
ITEM DESCRIPTION
PROCESSING FEE
1101 LETS
SINKS
SHOWERS
111V111 PUBS
KITON F:N. SINKS
1)1 SIi1:A_SI1ERS
GAPBAGE DI SPUSAL
ClIYI'11ES WASH ER
UT1 1,11'Y SINKS
ELECTRIC WIPER HEATERS
FIODR DRAINS
FLOOR SIMS v.
13AR SINKS .....
RODE DRAINS
1J.3:17 SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URII:AL
Di(INKSNG FOUITTAIN
NUMBER OF
YES OR NO