1989, 02-21 Permit App 89000332 Complete ResidenceINPORMA ION WORKSHEET
PARCEL NUM- ER: f 5`/� i3 Q
STREET ADDRESS: •I ' l G L ,g0`C4L? y
CITY/STATE/ZIP: SPC KAA/L W%l 99� / 6
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A:
WIDTH: ) -) 0 DEPTH: / S O R/W:
# OF BUILDINGS: 3 # OF DWELLINGS: / WATER DISTRICT: 140C/'l
OWNER: ceA rJ C h' o4 S �
MAILING ADDRESS: ) y l c L ,&404b NARY
PHONE: Cog - 9ac2 - 9044/
CITY/STATE/ZIP: S Pe i(4 NE. 9 cl a i t
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: @Of-l-PCT(Ok4) OFRFS(-DE /Ci
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION C
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: . CHANGE OF USE:
DWELL UNITS: j OCCUPANT LOAD:
BUILDING DI.'MENSIONS: 30
REQUIRED PARKING:
S
BUILDING HGT: STORIES:
(WIDTH X DEPTH) SQ. ET.: (,;) 8O.
# HANDICAP: SEWER (Y/N): HYDRANT:
PLUMBING INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
HAILING ADDRESS:
ELECTRIC: GAS: OIL: CCAL: FOOD: SOLAR: HEAT PUMP
ENERGY CODE: WSEC: NWEC: UTILITY: SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION NUMBER OF ITEM DESCRIPTION NUMBER. OF
PROCESSING FEE YES OR NO PROCESSING FEE YES OR NO
LCTFaORK SYSTEM TOILETS
Wo::OSTOVE/INSERT SINKS
GAS WATER HEATER SHOWERS
GAS HTG EQUIP(100,000)BTU BATH TUBS
__O HTG EQUIP +100,000 KITCHEN SINKS
GkS PIPING — # OF UNITS DIShwASHERS
: E ATPU iP 1-100 BTU GARBAGE DISPOSAL
Hr ATPUHP 101-500 BTU CLOTHES WASHER
HEATPUMP 501-1000 BTU UTILITY SINKS
MEATPUME'1001-1750 BTU ELECTRIC WATER HEATERS
HEATPUMP +1751 BTU FLOOR DRAINS
REFRIG 1-100 BTU FLOOR SINKS
REFRIG 101-500 BTU BAR SINKS
REFRIG 501-100 BTU ROOF DRAINS
REFRIG 101-1750 BTU LAWN SPRINKLER
REFRIG +1750 BTU SEWAGE EJECTOR
AIR CONDITIONER 0-3 HP WATER SOFTENER
AIR CONDITIONER 3-15 HP URINAL
AIR CONDITIONER 15-30 HP DRINKING FOUNTAIN
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000 CFM