1986, 07-29 Permit: 00012359 ResidenceSIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS
STRUCTURAL
,:,r:.iciinq Coc$e Fee
otudi € <; Surcharge
BUILDING
Valuation: Curr 40644
It of Floors 01 1 of Bedrooms 000
,'F DIARY STRUCTURE:
x)e<;,c- : ;DWELL:i:NG Group: R-3
:q ft 1236 Occupancy Load
,i::I MNj)AR Y S1 R UCTURES :
Dec: I')WLL.L I NGUB Cr o u p : R-3
;c.} .Ft 870 Occupancy Load
B.2 ,.c : GARAGE Grou1 1 M-•• 1
Ft 484 Occupancy Load
PROJECT
500.*: / `
0 0 1 34J9JI
OWNER:
ADDRESS:
AV
CITY: ST: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
CITY: 5T: ZIP: II
, .... 1 1.1
PR: LICENSE*
TUPPE::CR ! 79Di
ARCM/ENGINEER:
ADDRESS:
CITY: 5T: ZIP:
PARCEL.:
CENSUS TR:
INSPECTOR:
PLAT.:
LOT & BLOCKFINAL
• 1 0
O
PLAT NAME:
ADD
ZONE.:
ZONE
FSB
S - 1
5-2
155111
MOD
1..
PLANS EXAM:
USE OF PERMIT:
JOB ADDRESS:
.t I't (JAU Adv
STRUCTURAL
,:,r:.iciinq Coc$e Fee
otudi € <; Surcharge
BUILDING
Valuation: Curr 40644
It of Floors 01 1 of Bedrooms 000
,'F DIARY STRUCTURE:
x)e<;,c- : ;DWELL:i:NG Group: R-3
:q ft 1236 Occupancy Load
,i::I MNj)AR Y S1 R UCTURES :
Dec: I')WLL.L I NGUB Cr o u p : R-3
;c.} .Ft 870 Occupancy Load
B.2 ,.c : GARAGE Grou1 1 M-•• 1
Ft 484 Occupancy Load
PROJECT
500.*: / `
0 0 1 34J9JI
DATE:
X1.171.. DING
F: a i.:l. ci in g Cod -: 1-;::, (-
Energy ;:itudi.-s `=iar°chr r +Jr.
Rm l l" (,,,p s PAdP o NS 9 A18 Co
C C14 i• 3)3-2- PFJ 1 (i 019 )
O
FEES:
r '^ "!l
PAID BY:
CA
CK
CG
NC
COUNTER APP: (
PLANS EXAM:
DATE:
* of Rooms 000
Ty ifs: VN
'Rate 32, 00
Type: VN
Rata 6,00
Type: VN
Rate 0.00
c,1
INSPFCT[1R'S f`(1Pv
TOTAL. FEE
TOTAL.. FEE
TOTAL... FEE
$408,
Permit Fee 400,00
c
INSP-ID
DATE
CD
-J
00
C7
m
w
Li
0
-J
W
CC
I AOJECT FINAL
•