1988, 10-11 Permit App: 88003160 Wood StoveINFCI.MAtION WORKSHEET
PARCEL NUMBER: 15 4 Z O t (
STREET ADDRESS: /1. /,'?65 /& k' g0.
CITY/STATE/ZIP: SPDYA/vE /194. 94.2/2
SUBDIVISION:
BLOCK: 7j LOT: ZONE: -Id DISTRICT:
LOT AREA:
fi OF BUILDINGS: 4( OF DWELLINGS:
OWNER:
MAILING ADDRESS: :54/77/.7
F/A:
WIDTH: 7DEPTH: (SO -R/W:
CITY/STATE/ZIP:
CONTACT:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
WATER DISTRICT:
PRONE:
PHONE:
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BUILDING INFORMATION
CONTRACTOR LI
CONTRACTOR:
MAILING ADDRESS:
- ARCHITECT/ENGINEER-
SE NUMBER:
HONE:
MAILING ADDRESS:
NEW:
DWELL UNITS: OCCUPANT LOAD: BUILDING
BUILDING DIMENSISa1S:
PHONE:
REMODEL./ ADDITION: CHANGE OF USE:
REQUIRED P
X
B HANDICAP:
- STORIES:'
(WIDTH X DEPTH) SQ. FT.:
SEWER (Y/N): HYDRANT:
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
PLUMBING INFORMATION
i \ '
MECHANICAL INFORMATION
CONTRACTOR LIC#: FAc(-nD 'C /7 g1/z
CONTRACTOR: FAG Cd (7,,47,47e4/ l' 6 it/7E A9 API.
MAILING ADDRESS: E Q3/e) SA'ie4&/i,C _�P/)��l1✓E /x%19 99ao�
7 Da et
ELECTRIC: GAS: OIL: CCAL: WOOD: X SOLAR: HEAT PUMP
ENERGY CODE: WSEC:
NWEC:
UTILITY:
SGC:
APPROACH- PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
GAS HTG EQUIP(100,000)BTU
GAS HTG EQUIP +100,000
GAS PIPING - $ OF UNITS
HEATPUMP 1-100 BTU
HEATPUMP 101-500 BTU
HEATPUMP 501-1000 BTU
HEATPUMP 1001-1750 BTU
HEATPUMP +1751 BTU
REFRIG 1-100 BTU
REFRIG 101-500 BTU
REFRIG 501-100 BTU
REFRIG 101-1750 BTU
REFRIG +1750 BTU
AIR CONDITIONER 0-3 HP
AIR CONDITIONER 3-15 HP
AIR CONDITIONER -15-30 HP
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLIS1hi GAS APPLIANCE
AIR HANDLER 1-10000 CFM
NUMBER OF
YES OR NO
ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NO
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS •
DISHWASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WAFER HEATERS
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN