1989, 11-16 Permit App: 89004736 Pellet Insert II:, u"r.14,A '1ON WORYSHEET ` 1 1
. 1 121
'ARC EL 2N2,03ER: c's.r ---7 ".-D -4: ( -- i (, ( i
' Of-
-iREET ADDRESS: o \1 ( ,... ` 0 , ijill
:ITP/STATE/ZIP: � \� \N UJ .\ CAC:\ c.\ .n _
SUBDIVISION:
BIOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: _ R/W:
4
OF BUILDINGS: € OF D'rJELLINGS:_ WATER DISTRICT:_
)'..'t:ER: \ Z 'U �1, I PHONE: -cAA(.0 - 'sn q.
1AILING ADDRESS:
:1 TY/STATE/ZIP:
ON'1'A CT: PHONE: ---
SI-2TI:ACKS: - FRONT:- -_ LEIT: RI GHT: _ I:EAR:i;I:M1 T USE: gki ,iii\\ \ • II. ‘ 11 C_ ‘),c, [-\ __ 1__Ns)--
X X X X 2 2 X f 2 2 X*a a. 2 X a,a a X X X i X i.X X 2 l X 2 X X f 2 2 i 2 X X a a a *a a.
I3UILDING I 2:FORM..kTIO2:
:+';'RACJ OR LI CENSE NUMBER: - _
'uN'1'RAU.;UR: : PHONE: _ .
',1,I 1.7 1:G AIII)IiESS: ___
,;rCiiI TECT/ENGINEER: PHONE: - - f
'241 I.I NG ADDRESS:_ ,
NEW: RI-24ODEL: ADDITION: CHANGE OF USE:
''fr:I.L UNITS: OCCUrkirr LOAD: BUILDING HGT: STORIES: '
UII.DING Dil'.I•21SIONS: X (WIDTH X DEPTH) SQ. FT_ :_
EQtU I`NNQED 1'IJ E I NG: f HANDI CAP: SEWER (Y/N) :__ HYDRANT:-
C_)::''PACT_ R i,I C I
CONTRACTOR:
•
•
NAILING ADDRESS:
r:rxxrxxrrxxxrxrtrrrxrrxxrrrrtrxxrxrrrtxtrxrrxrrxrrrxrrrrr:xxrrrrrrxxxxr
MECHANICAL INFORMATION
•
CONTRACTOR LIC# : /Is _ A V ISI
Co 6 I./P4W . e6W77,e.�C
CONTI2ACI`OR: Q� `- •
MAILING ADDRESS: G.• .9aid �/r'/Pi jai[ '.s ew/T/i'[1 d :F9
f J
ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP
ENERGY CODE: WSEC: NWEC: UTILITY: SGC:
APPROACH PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
7t t t t t t t t t r t t t t o r f s! r t t t t t t t t r t t t t t t t i r f f r r t t r t t t t r r t r r r r t r t t t r t r r t r t r t
ZIECIIANICAL FEES PLUMBING FEES
N. DESCRI PTION NUMBER OF ITEM DESCRIPTION NUMBER OF
KESS1NG FEE YES OR NO PROCESSING FEE YES OR NO
SYSTEMTOILETS
DI;"7ONS
ERT ERT - - SI NKS _
WATER HEATER SHOWERS
HTG EQUJP( 100, 000)BTU _ BATH TUBS
'.II'1�G EQUIP +100, 000 KITCHEN SINKS
' PIPING - t OF UNI TS DI SHWASHERS
-----
TPUMP 1-100 I3TU GARBAGE DISPOSAL
- -----
TPUMP.•.101-500 13TU CLOTHES WASHER _ _ -
_---
TPUMP -501-1000 13'TU _ U'TILIT'Y SINKS
TPUMI' 1001-1750 BTU ELECTRIC WATER 111J,TI-:RS
TPUI.IP +1751 BTU FLODR DRAINS --
13G -100, 1311J _ FIODR SINKS
I?3G: 101-500 13'11) BAR SINKS ;
17.3G 501-100 I3TU ROOF DRAINS
Hif G 101-1750 13Th LAWN SPRINKLER
RIG: 41750 13Th SEWAGE EJECTOR
CONDITIONER 0-3 HP WATER SOFIENER
CONDITIONF-R 3-15 ITP _ URINAL'
CONDITIONER 15-30 ITP DRINKING FOUNTAIN -
I CONDITIONER 30-50 BP •
CONDI TiO::ER +50 IIP —
TILATING FANS
r'ORATIVE COO LErS
is ES DRYER
Is -
.1:SSI-1:D CAS API'I,I1.`:':E
;Ii.'NT I.I:R 1-16; 00 Ci 11 - -