1989, 12-11 Permit App: 89005145 Pellet Stovet: r Oi ! A Fi k( 7RF.SHEET
ARCEL 2•'UIr1BER:
> T BEET ADDRESS: r1 LL � Q --O
:ITY/STATE/ZIP:
SUBDIVISION:
BLACK: LOT: ZONE:
\ (YAL
DISTRICT:
IAT A.}tFrA
F/A: WIDTH: DEPTH: R/W:
OF BUILDINGS: C OF DWELLINGS:
cr--)\_`r C n-C*9.5N_
:.'NER:
MAILING ADDRESS:
:1TY/ST%TE/ZIP:
CONTACT:_ --- _--_-
SETBACKS : - FRONT: _ _ LEFT:
i:i:tr,iT USE:.
•
WATER DISTRICT:
PHONE:
PHONE:
RIGHT:
REP..:
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7 1 1 1 1 1 1 1 1? t k 1. 1 1 1 1 1 1 1 1 1 t t 1 1 1 t 1 t 1 t t* 1 1 1* 1 t 1 t 1 1 t 1 1 1* t 1 1 1 1 1 1 t 1 1 1
BUILDING INFORMATION
IZAC TOR I.IC'rJZSE NUMBER:
C)?TI'R)+C"i UR: PHONE:
LING LI)t)R}:::`::
;:':i1 fl CT/i-:NGI?:EER: PHONE: -
f :?:I LI NG ADDRESS:
NEW: } EF ODEL: ADDITION: CHANGE OF USE:
I'r;' LL UNITS:Cr:'CUPANT LOAD: BUILDING I3GT: STORIES:_
UI 1.1.)1 G Di i :NSIO:: S:
x
I'i;QUI }t}:D PAM'ING: # IV\NDICIP:_
(WIDTH X DEPTFI) SQ. FT_:
SEWER (Y/11): IiYDR1NT:-
CUfl, i2ACI\DR:
MAILING ADDRESS:
::::::xx:x::xx::si:t:2:2: *It sxki:::xx:::fc:2:tx:x:xxx:txxixt::x:xIt* xxxixxx
MECHANI CAL I NFORMATI ON
CONTRACTOR LIC # : fi9L doej t_ / 7iZ
E,9 G4 et9p 4' . 5A' . - ,1(G - .
E .9J/ .sAeovpe: ; 1
f , 4'i9NE 429 I9•�0 ' .
t
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS:
ENERGY CODE: WSEC:
OIL: CCAL: WOOD: SOLAR:
NWEC:
APPROACH - PRESCRIPTIVE:
UTIL1TY:
POINT: CO/,`,PON ENT :
HEAT PUMP
SGC:
SYSTEMS :
, t k k 2 2 2 k k k 2 k i i 2, t 2 k 2 2 2 k 2 2 2 2 2 k k t 1 i k k k 2 2 2 t k t i t t 2 2 t 2 2 2 2 2 2 2 2 2 2 k 2 k 2 k i k k 2 2 k k t!
M ECI ITN I CAL FEES
M I)ESC.RII'TION
_E�.S1i1G FEE -
'J .. )RK :;Y_;'i'} I!
IIS -.1 %J'J E / 71: r::'=
'I AVER I EA i'} T
li'I'G E2UI I'( 100,000 ) BTU
1U'G EQUIP 4100,000
PI PI NG - OF UN 1 TS
TI'UmP 1-100 I3TU
TPUMP 101-500 BTU
:PUMP 501-1000 BTU
i_Pl;MP 1001-1750 I3'1'U
▪ PUMP +3751 B.TU
Z1G 1-100 BTIJ
:13G ) 01-500' I3TU
t r 501-100 I3'1'U
6 101-1750 BTU
▪ 3 G 41750 I3'1'U
CONDITIONER 0-3 HP
CI: ;D1TIONER 3-15 HP
CC DI'TIONER 15-30 HP
Cr':DITIO?:ER 30-50 HP
c")':DITIO:;ER +50 HP
I'3IAi'ING FANS
.-.DPAT1V1: COOLERS
,J
aLLi
ES Li<Y ER
1? • !: 1-1(,!,00 (1 1
NUMBER OF
YES OR 110
PLUMBING FEES
1'1 TEM DFSCRIPTION NUMBER OF
PROCESSING FEE YES OR NO
'101 LETS
S 1 NKS
ERS
'-fB 1'ili:S
KJ TC.I1EN :.I NKS
P] 511.41 HERS
G/J PAGE I)I Si'J AL.
('IF:S i;?.`_:ITER
Irrl 1,31'Y S1 NI:S
E1.ECI'RIC {';APER HEATERS
FI ADR DRAINS
I'I I_)JR SI NEIS
I;AR SINKS
PC) )F DRA1 NS
IJ,r'N SI'RIN}:LER
,;E AGE EJ ECTOR
Z; A 1 i R SOFTENER
UR Il; AT.
I)RIi:KJNG FOUNTAIN