1985, 10-11 Permit: 00008019 ResidenceSIGNATCRE OF
OWNER OR AGENT DATE
APPLICATION
JOB ADDRESS:
OWNER:
ADDRESS:
CITY: Sr: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
CITY: ST: ZIP:
pH: LICENSE*:
ARCH/ENGINEER:
ADDRESS:
CITY: 5T: ZIP:
PARCELS:
CENSUS TR:
INSPECTOR:
PLAT*:
LOT & BLOCK
008
FINAL
PLAT NAME:
:,T ST AnT) # T ry I�OJ
ZONE*:
ZONE
FSB
S — 1
5-2
R513
MOD
USE OF PERMIT:
JOB ADDRESS:
AV
STRUCTURAL.
:i.:I. ci i Ia Studies Lode Fee
o rcy Surcharge
OUILDING
SEP.*:
DATE:
PROJ*:
xs b
FEES:
PAID BY:
CA
CK
CG
NC
COUNTER APP:
PLANS EXAM:
DATE:
V.aluationl Curr 52932.
4 of Floors I` of Lac:lraoMsx000 :Il: of Rooms 000
IIi:I:t1ARY ST JURE:
} ?asc'N L_LGr {ap; - R-3 Tyre : VN
1 -ft i8 Occupancy Load Rat 35.50
. .ONt":)AFi `•( STRUCTURES:
sc- : N DWEL.LUB 'Group: R-:3
...-Ft 730 Occupancy c.y L_oacl
,sc; N PRI GAR WF Group: M-1
s::up.anr:y Load
•Ty a _jN
a t to 6,50
Type: VN
Rate 8.0(i
TOTAL F E E::
TOTAL FEE
TOTAL_ FEE
Pertit• Fee
*3;3F.s.00
338.00
INSPECTOR'S COPY
EN IS
1 SET BACKS
2 FIGS & FORMS
A_
3 STEEL +_
4 PROGRESS
5 BOND BEAMS
n ROOF DECK
4
co
C
r-
7 FRAMING
8 INSULATION
9 SPECIAL INSP,
z
10 ASSEMBLY
FIREPLACE
II
12 EXTERIOR FINISH
13 DRYWALL •
j 14 EXT. GRADING
[15 FINAL
16 GRD. PLBG,
17 WATER PIPINGIM
NMI
18 DWV TEST
19 FIXTURES
Mil_
Mil
PLUM!
20 SEWAGE DISP.Ma.
' 21 SEWER
22 iirTER HEATER
{
23OGRESS
24 WATER SERVICE
25 ROOF DRAINS
26 FINAL
I
38 VENTILATION SYS.
39 PLENUM & DUCT
EMI==
40 GAS TEST
41 FURNACE
42 DAMPERS
1
i 433 INLET/OUTLET
_
144 COMPBUSTION AIR
45 COMPRESSOR
AF'
46 APPLIANCE.
47 FIRE DAMPER
48 SMOKE DETECTOR
149 HOODS
50 PROGRESS
i 51 FINAL
52 FINAL INSP.
53 FIRE PREVENT.
1 54 OCCUPANCYITEMP.
r 55 REQUESTED
i 56 OCCUPANCY/FINAL
/:
57 OCCUPANCY/OTHER
58 COMPLAINT/ZONE
59 MPLAINT/BLDG.
60 COMPLAINT/OTHER
EN IS