2015, 03-31 Permit App: BLD-2015-0706 Residencera,c: % uv) 000-UU.3/
- - gO Y015--01.706
perrnitcenteJ- sookanevanev.orq F roj e c t
RECEIVED
RESI-DENITIAIL CONNSTRVCTION PERMIT- APPLI-CATIONym5
y--_ NEW CONSTRUCTION 0 ADDITION/REMODEL b. ACCESSORY BUILDING
❑ DECK I 0 OTHER C.SV PERMIT CENTER
SITE D D KESS:. •100,5-- .r .E ,44.e9 ' R V. # .
ASS ESS�ORS PARCEL NO.:560,Z..990$ LEGAL DESCRIPTiQN:' / C'.ws. „
BUILQING-OWNER NAME:
puma ..Had Nor.e.s
ADDRESS: Z14414 S,IA) , iQ Iac;+-U'
Suitt. 44" t10
PHONE:
(Zldr'ov-d
;541- qZ3 c6 07 FAA:
STATE:
CELL:
corrracr rte: - (CA'UlR 1b
PHONE: .707"' 44119--0€169
FAX:
CELL:
h
CONTRACTOR NAME:.
NAILING ADDRESS:
q r*•e.1 co Above.
Cmr:
PHONE:
conntacro;t No.:
STATE:
FAX: CELL:
EXP1X S: CITY DUSINe95 d.ICENSE No.:
-DESCRIBE THE SCOPE
OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
r . • =F • AP• CA
Dimensioriex:-:_ ,:
X.Sa
Main-Flonr`SQ FT:
Garage SQ1FT:
Upper Floor SQ FT:
'Unfinished Basemagir
oteibie
Spa/NR�"
m:. .
Firdshed Basement SQ
Na. ofBeidlboins:
Deck/Covered Paitlo SQ
Impervious Surface
Area:
30940 Slopes on
Property: -
Construction Type: ¢fsis"
Heat Source: C 7A6
Sewer or Septic
To_TAIZCIOSTOF PROJECT: $ ?f:)r C eD
The,peranitfed verifies, acknowledges and agrees *their signabre•thee 1) If thls:permlt is for contraction .or on a dwalliig,te dweanp MAI
vallerperm iwre-to-the ,--
ne 1Development code. Referenced codes are available for review at the CRY of VolartellalkyFent* ranter. 5) 'The.a ' df °�'.•,c
Spolmne -Vaaif y penul Is not a permit or approval for any violation offederal, state or local lavek'codai : •6) ,Pians or additional
b f6rtnatfon-may be retroed to be subs iltted End
subseoveridy eppinved'tiefoie this applfodon: - _ .._ .
_
Date: $ 5)
1�.
Updated 1-11-11
- .AUsers\ramoote\Downloads\Res.Pem
Page 1 of 1