1988, 04-13 Permit App: 88000831 Furnace, Piping INFORMATION WORKSHEET
PARCEL NUMBER: I55 / . 1/0/
STREET ADDRESS: ..,E /5.50v� 0/i -
CITY/STATE/ZIP: (34ge L (J
SUBDIVISION: VeiaiL
BLOCK: LOT: ZONE: AG.R1 DISTRICT:
LOT AREA:1.4g 1=/A: p► WIDTH: %Da. DEPTH :4 a R/W:
WATER D i-ST: I-Ci':
'-'
OF BUILDINGS: �- OF DWELLINGS:
t � PHONE:
-
OWNER: �� -
FAILING ADDRESS:
CITY/STATE/ZIP: - _CONTACT:
SETBACKS: - FRONT: LEFT: RIGHT: F .'
PERN IT USE:
c .- r s-trr+crt< xx .-x r r r x s+ f rr r.; x Yx x X x:rzxis ztxxzzxzx x x x. x zx r , : R s. z c x x t: x yczexx u x z
!,T ORI9ATIO :
C..C R _ J_ C La-1471/7 _83 4/'
6,4,f
ARCiiI_TECi'/ENGiWEER_
HAILING ADDRESS:
NEW:_ REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. k'I. :
PLUMBING 'INFORMATION
CONTRACTOR LICK: 4
CONTRACTOR:
MAILING ADDRESS: -
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MECHANICAL INFORMATION
CONTRACTOR LIC : Cif/ 1��� /j$'(
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS: X OIL: CCAL: WOOD: SOLAR: HEAT PUMP
ENERGY CODE: WSEC: NWEC: UTILITY: SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
z x z x x x x z x x x z x x z x x x x x x 1c x x x z x x x x x x x*x x x z x*x x yt x z z z z x x z x z x x x z z z z x x z z z z z z X x x z z z x
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION NUMBER OF ITEM-DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NO PROCESSING FEE YES OR NO
DUCTWORK SYSTEM TOILETS
WOODSTOVE/INSERT SINKS
GAS WATER HEATER SHOWERS
GAS HTG EQUIP( 100 ,000 ) BTU S)JU.d) BATH TUBS
GAS HTG EQUIP +100 , 000 KITCHEN SINKS
CS PIPING - I OF UNITS t DISHWASHERS
ii-ATPU1P 1-100 BTU GARBAGE DISPOS .=,
. EATPU2 101-500 BTO CLOTHES WAS=
E ATPU:.P S01-1.000 BTU
100171750 UTILITY SINKS
TPU ? BU �ll ELECT : WAT ;
-. ii ; ES.- A PUMi' 4-1 /5 1. BTU -_._--_.— FLOOR D-GINS
RErRIG 1-100 ht0 — FLOOR SINKS
FEF EIIG 101-500 BTU BAR SINKS _
RIC
SO - 100 OTU ROOF J LN
..._FRI_G 101- 1 /50 1> ,, LAWN
REr RtG +1 /50 BTU SEWAGE EJECIF)S
AIR CONDITIONER 0-3 RP WATER SOFTENER
AIR CONDITIONER 3-15 RP URINAL
AIR CONDITIONER 15-30 IIP DRINKING FOUNTAIN
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG