HomeMy WebLinkAbout16470 BRISTLECONE ST_
CITY OF LAKE ELSINORE S C G' SEWER I
BUILDING DEPARTMENT PERMIT-APPLICATION
6743125 S _ -12 0 3
LEG FOR APPLICANT TO FILL IN BUILDING 16-470 Bristlecone St.
OESCRIPTION LOT NUMBER 7 NEAREST
TRACT CROSS STREET Machado Fines
BLACK
4267 OWNER
NUMBER OF BLOGS• ron Sanders
SIZE OF LOT NOW ON LOT MAIL
USE OF ADDRESS 16-470 Bristlecone st.
O WTRACCTO
CONTRT)R -Ty Lake Elsi mre
GeRLEPHONE
GROUP I ZONE
AD DRESS I ! PROCESSED BY
CITY TELEPHONE
CONTRACTOR'S ST.— ctT a• CONNECTION DATA
LIcENt[NUMB(R LIC[NSE AIvrBEw STATIOY DEPTH
NO. DESCRIrT10N OF WORK FEE
House f[w[R CONNECTING TO MANHOLE REFERENCE
►IBLIc scwcR • 5:100 UPPER
LOWER
A SEPTIC TAN-.SEEPAGE PIT OR
PITS AND/OR DRAINiI[LO • 5:0.00 10 00
OVERFLOW SEEPAGE PIT.DRAINFIELD ERTN
CESSPOOL DRTWELL- N.NNOLE • S 5.0D TYPE OF CONNECTION LENGTH FROM
Y CURB PL
NOUSL SEWER CONNECTING TO M L TO P L
PRIVATE DISPOSAL SYSTEM • S 5.00
CONNECT ADDITIONAL BUILDING OR
WORK To HOUSE SEWER • S SOD STATE ENCROACHMENT
ALTER.REPAIR OR ABANCON HOUSE PERMIT rIUM�r�7
SEWER OR DISPOSAL STSTEN • S SOD INDUSTRIAL
SADDLE MAIN LINE
• S:S WASTE APPROVALOD I
EXCAV►TION • S200VF I CHARGES
OWCONNECTION CHARGE
Id�'S PERMIT s 2 00
AUTHORIZATION I TOTAL FEE REIMBURSEMENT CHARGE
nn
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. APPROVALS
711ACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELL. DATE 'INSPECTOR'S SIGNATURE
ING TO THE PUBLIC SEWER_ _
NEW HOVS[SEWER
SIGNED THIS DAY OF CONNECT A 19__ OOITIONAL
OWNER OR BUILDING OR WORK I I
OWNER'S AGENT SEPTIC TANK SEEP. PITI
ADowcff_ _ _
AND/OR DRAINFIELO
I acknowkdp that I have read this application and state that CESSPOOL Q on ELL❑ ! f
the above is Correct and agree to Comply with all Ordinances and ALTER.REPAIR.SEWER OR Clstate laws regulating plumbing and sewers. SEWAGE DISPOSAL SYSTEM I C
I am Properly registered WW()rlicensed a$required by the City BACKFILL SEPTIC TANKS 0tuna"
of Lake Elsinore and State of Califomia or 1 am the legalCESSPOOLSOWner fc(►.PITISI ❑ CEffOLs
of th►above described residential property. SADDLE PAIN LINE
PERMnR[S'S SIGNATURE
This is a Sewer Permit when proper'
-/ filled out, signed and va;idated
Permit ..3id if work is not commenced within 60 dnys of issuance
CONTRACTOR'S NOTE: All V.C.P. within street right-of-way to be "wedgelock" design j
or approved equal. install 6" Wye cleol►out at property. line.
Validation
INSPECTOR'S COPY
0
CITY OF LAKE ELSINORE C o
BUILDING DEPARTMENT PLUMBING }
674-3125 P 1192 PERMIT-APPLICATION
OWNER 11 MOn Sanders �``' "" ' =_�"•BUILOtNG ..:-1...
ADDRESS 16-470 Bristleeone St. ADDRESS 16-470 Bristlecone St.
N EAR"ST
CROSS ST Machado Pines
clTMLatCe asinore CA TEL. NO �. -
P
PLUMBER GROU ZONE PR SED BY
ADDRESS
INS
CITY PECTION RECORD
TEL NO.
STATE
I N N City Business
icense Number
No. !
ITEM
-_ FEE
TOILET AT S1.50
BATH TUS
♦T 1.50
SHOWER W14
SH BASIN AT 1.50; ,.,f -
`�
AT 1 j �Y
KITCHEN SIr:K
wT 1.50 .#
'DISHWAsmEr AT 1.50 - '
LAUNDRY T� cR TRAY AT 1.501
i#AUTOMATIC WASHER '
wT 1.50
WATER HEATER wT 1.50
WATER SOFTENER• AT 1.50
GAS SYSTEM wr 150' '
FLOOR GRAIN A7 0
1.5011 r
LAWN SPRINKLER- AT
R 'MISC. WATER PIPING 1 I
Ar t50' SO
. SWIMMING POOL PIPING AT 7.50
i
APPROVAL$ 1
INSPC
PERMIT NOT REOVIRED ON SINATURt
' NEW STRUCTURE UNDER FLOOR WORK !
PERMrr s I 2 OO ROUGH PLUMBING t !
TOTAL FEE s GAS PIPING i
I acknowledge that 1 have GAS vENTS d
the above is correct and road this application and state that 1
agree to rbmplY with all city ordinances PLUMBING FIXTURES
and state laws reguhting plumbing.
1 certify that 1 am properly registered and licensed x required
MISC.
by the City of Lake Elsinore and State of Catifarn a or atl
the kgal owner of tfle above �tfesc'bed residential property. GAS TEST
SIGNATURE
O�PERMITTEE UTILITY CO. NOTIFIED
FINAL
VALIDATION
This is a Plumbing Permit when properly filled ryt, Signed and validated
Permit voiJ if work is not commenced within 60 days of date Of issuance
}
INSPECTOjft Copy i
CITY OF LAKE ELSINORE
BUILDING DEPARTMENT ELECTRICAL
674-3125 = ; d) PERA41T-APPLICATION
7
FOR APPLICANT To FILL IN
PERMIT FEES eU+LoiivG
2.00RESS It-47� Rr{RLCVT ' TOTAL,
OUTLETS ho. C4cM FEE
LIGHT � `
r'Rn 20. s 35 s NEAREST
sw�rcw Ac L CROSS ST.
ER - iS
LIGHTING TOTAL I OWNER
FIXTURES F•RSr 20 35•
ADD'i MAIL
�ov[R20 Is ADDRESS 16-670 B���
GARS i
RahGl3 CLO DRYERS ,r Kr*S q
2.00. CITY LS�DIS►. fTA.COOK L'��!!O>?x Ir
DrsNwwf _ i
i ELECTRICIAN EL NO_
ir
AUTo__wwfx.
salt[wr.f sTA A►.r•i N.arA:i. 2 00: i ADDRESS
MOTORS: OVER NOT OVER CITY
I
0 STATE TEL NO
i
7G0 LICENSE tip_ CITY BUS.
'5 LIC NO
1 - '
3.G3• GROUP ZONE j
s _ 23 s co 1 PROCESSED BY
-
s3
70 _ 1
°00; INSPECTION RECORD
so - ;cs
-3 00!
O"r - 100
;c
SIGNS: 110 T..'s s c0:
Aaa I
SERVICE 0.600V 203
.NOT cv[w 200A • t j
SERVICE O.
600V-ov[R 200A 2 50 i r .
S£RVtCE OVER 60ov 5 C3
MISC. 3J cot �. .
Sub- anal z ;0a
PERMIT iSSUING FEE
SUPPLEMENTARY PERMIT `L0, ti nn APPROVALS ISSUING FEE DATE r INSPECTOR-8
TOTAL FEE 3 0: �= SIGNATURE
If 6 CONDUIT
1 ack•iovviet*that I have read th, ROUGH WIRING
above is CCrreet and agree to Comm, hlon and state that
aws regulatrrq elestr,eal wiring a CITY and state TEMP POWER
1 certify That I ani.XoDerl r i
by C:ty of Lake Els,ri0re and SaterOf Caatir,t-a o,th I amd as IIIitfie FtJti"URES ,r
I J
legal Owner of the above desuiged residential 0.0�erty. ✓
UTILITY CO. NOTIFIED
SIGNATURE
OF PERP41TEE O}'�
FINAL
VAUDATION
This is an Electrical POrnrt when
igne
Permit void if Work is not Commenced flwi hinlledY90sdaysd of iand suanc8 Validated
INSPECTOR'S Copy
j
t
CITY OF LAKE ELSINORE BUILDING
BUILDING DEPARTMENT
674-3125 tB 2 55 4 9 PERMIT-APPLICATION '
7:V rYER Myron Sanders _. ss
MAIL Aoc4_ 16-470 Bristlecone At.
STRE>;F 16-470 Bristleccne St. CROSS
STPEET Machado.P' est
, Lake Elsinore, -CASE r-•No !
GROLt1 :TY[CONST IRO:[SS[O tT !
379-241- 16 i
CONTRACTOR
2OrC SKCtAL
COMDITIONf
ADDRESS
M-C I
CITY TEL NO
STATE CITY BUS
1 N N I N• fUILOING YARD 1 S "WY ± STREET NAY[ EXISTING
ETO.CR wIOTM ARCNITEC-OR FRONT
ENGINEER P L
SIDE
ADDRESS P L_
REAR
CITY TEL NO. P � '
STATE :LAMMING DE►T DATE
N A I PIROVAC
ENG•NEEwING DIY DATE
LOT 7 TRAcr 4267 APPROVAL _
DEPT DAB[
NO BLOCS APPROVAL
LOT SIZE `,O'x CN LOT FIRE DE►r DAYC USE CF EX'STING APPROVAL
BUILD:%"GS OAT[
CONSTRUCTION LENDER INFORMATION S !
NAME FOLNOATOr LOC Ar=r
FORA•S rATEwIaLS 1
BRANCH
JO.STS A CIROERS i
ACTRESS r;*%ACC ..00.T
+AS .EIIT. DUCTS_
DESCRIPTION OF WORK
rwarM: I i
!YEW aQO _'ER ME--P =E-OLIS» S-EC_ *CCU, LAT-Olt�.Y►SUr
►ANCY ICY 7r-1,ON
LJ.TO
EA-'ERIOR
S•SE SO FT NO ROCS NO STORIES
CST WALL:CVER'NG I%T WALL CCiEN'NG ROOF COVERING
PROPOSES USE
OF STRUCTURE
Mobilehome ?ad — -j - '
VALUATION •.AN c»ccK
F[[ f -- MO:SE NVrneR
I COR+ECT AMO►OSTEO_
1
S l 500 PERMIT• ___— FEc s -0- FINAL APPROVAL 1
I I•AV/. CAN EF..�LY READ .N; El 1'%rD T»IS APPL C.71ON AND F.ND
T»[ SArE TO fE TR.[ AND CORR[ VI S_T _ ►RO �ONS OF THE Ca wf
AND CPD"YA NCES GCVERN,MG DN"LO NG•CONSTRUCT ON WILL OL CON- __
PLIED WIT" NO /IiRSON WI.L f[ 9 1,LOY[D IN V-OLATIOM O T»E SIGNATURE OF OWNER OR AUTHORIZEO AGENT
LADOR CODE OF 7»E STATE OF CAL'FORNI• I AGREE NOT TO OLr'JP►
OR ALLOW OCC:,PANCY OF .N♦ M: Lrf%G ..Tl.Owl[[O DY TMIf ►[RM T
UNTrL F.NAL O..'LOING rf-ECT•ON .-•ROv L «AS O[E% RECEIVED ApORESS____-_-_
This is a Building Permit when properly filled out, signed and validated
Plan Check Validation ►•FInil Validation
INSPECTOR'S Copy
CITY OF LAKALSINORE
BUILDING DEPARTMENT ELECTRICAL
674-3125 1446 PERMIT- APPLICATION
FOR APPLICANT TO FILL lu
PERMIT FEES ADDRESS
G
AODR;~SS
wicEP- TCTAL
OUTSETS IrcE
�clri FIRST 20� S 35.s NEAR_ST
SW C. ADD-L CROSS ST.
OVER 20 is! OWNER
LIGHTING TOTAL T iF:ws 20 35;
FIXTURES , ADD'L Ma L
.0WER 20 :5 ADD.'cSS
ft"GE5 :LO CRTERS - wTRs. '
CITY
GAR& D:SP. STA.CaoK ! ( TEL. NO.
ELECTRICIAN
D:slrwwSH. AUTO.-WASH. t CPU Pad
ADDRESS SPaCC HTRS - STA APP t•��►vax 1;
o
2.00
140 is.
oV[R ROT OVER t CITY
—�= STAT TEL NO.
0 ?OC; LICENSE NO C-TY 8U5_
C. NO
- 5 300; GROUP ZONE
' P ESGEp By
s - 20 ! + 1fj{�; !
20 - so 6 00' INSPECCION R ORD
se _ 100 I T;oo i
0— - Too 1
20 00
SIGNS: NO TR aRS i 500+
Aad i 2.�j
SERVICE O-60pV.NOT ovEw 2>OA t r
SERVICE O.000V.ov[w 200A t ,
5 00
SERVICE OVER Goov I
MrSC. I
ell 2
4 '-
PERMIT ISSUING FEE —
4.00 APPRGVALS
SUPPLEMENTARY PERMI;ISSUING FEE 3.00 DATEtiefPECTpRf
1
TOTAL FEE corvDv,T SIGNATURZ
1 ati.nfivvledge that I have read this a ROUGH WIRING
the above is 0011"C t and ppliGtinn and state that
laws regulating to comply with all city and state TEMP POWER
e91+ rp electrical wiring.
I certify that I am properly registered and/or licensed as required FIXTURES
by City of Lake Elsinore and State Of California or that am the
legal Owner of the above described residential property. UTILITY Co. NOTIFIED
SIGNATURE
OF PERMIT
FINALits to
P
VALIDATION
This is an Electrical Permit when properly filled out, signed and validated
Permit void if work is not commenced within 90 days of issuance
INsPScTORs COPY
lz
CITY OF LAKE SOW E f�
ELSINORE .
BUILDING DEPARTMENT PERMIT-APPLICATION
674-3125S 1324
FOR APPUCANT TO W. . BU►LD11bG <
ADDRESS Ftri e.A-j
LEGAL NEAREST
DESi:RIPTION :LOT NUMBER _ CRO55 5 YtEET
BLOCK TRACT
.dZ67 - OWNER Sander
NUMBER OF SLOGS. MAUL
512E OF LOT NOW ON LOT -
ADDRESS
usE of
BUILDINGS - CITY- TgLE(3LONE --
CONTRACTOR A r' Rt+ Ring GROUP ZONE P E!kcp BY
Acuftms 33209 Maide-n.Lane .
CITY Lk._.ELsn. TELEPHONE COifi<IEma1E .a/r71
CONT�s STATE Ow amok -
LICENSE MUmme t LICENSE ilVMEq STATIONNO. OullCR1/lION OF WORK ,^-FE MAN►iOLE REFERENCE
►IOtrfC E'EII/EN CONNECTING TO UPPER_ _
PttlI.IC �'� • f161,Op LOWER
:me
TANIL S:wAaE PiT ow — --
PITe AND/PR DNAINFI.o • ,144Oa
OYW'Lpll/SEEPAGE PIT.ORA1%FIELD EZ�V TOPE OF CONNECTION � LENGTH FROM
CESSP' L DRYM[lL. MANNOiE S S.�D Y_ CUR& P.L_ . TO
NOOSE i[MQ CONNCCTINa TO M L IN L
PMVATE DISPOSAL STSTEX • d S00 i A
CONNECT Pfau%& SE EVILDtf►c oN STATE-Eft"OACHMEN'r -'--
ll'Dltx TO MOOS; SEWER • f 5.qi P'�ERM.T NUMBER -
ALTpL RVAtl►OR A/ANOON NOOSE
:EwrEt1 Olt DlsPoaAva*sTEM-- • yya,Ip INDUSTRIAL —
WASTE APPROVAL
SACK"MAIN uNE • rd.00 -
EXCAVAT1oN GHARG�S— -
c s 7AOUF COtt3rECT10?I CHARGE —
Ol#?*IM PERMFT S 2
AUTHOMTM .TOTAL FEE 12 00 REIMISURSEMENT CHARGE~
_►NAVE AT THIS DATE A CONTRAM--WAN THE HQErN NAKED COSY- i ts► t. VATZ
7 - iits .cror 1HQ21ATYAE ,RACTOI TO COMMIC" THE AEGVE OES"imEr, REISTNO QVIV9.L. J '
ONQ TO THE PVSLIC SEwEN.
NEW Ho%'* YEMER
SIGNED Tiem DAy-OF rE CONNECT IiODITiONAL -J
DIV OR WI(.p►Na ON WORN
OWNERS ALtlK -_ _ ='" E1TIC T1NK-b"F•� �'T( 3 _ '
+'LND/OR ONAINr!LU
"SdcnowledDe dat l tlelie Iaad this eM)Gj:1, on and stye thtt _ T.YSPooL
dx!IbOye K CORIQ Mid apm to Omyoy.With all Ordinances NA ALiER_-HEPAt11 [�vql Sail -
ststa laws lSpldstitsp pkxn"and sewers. sdAt of DIs►o�Al sxttT¢u �f l
tmP"VOrtYr+PstwoderWorlkenjed as required by the City ° �AC9iPOLL sEFOC TANKS 0 x.
OF L.ek Caljloo lac Or I&In the °P.srrrYt tEl a above
dee'.be SLiol tisf Ie�i o(fr:e,
of the above deaaihed m SADDLE MAtN LINQ
PLRMITTEE'S SIaNATI � "�,. - _
TMS is
`36yc ermit when>propzrly filled out;. signed 6nd''validated
Permit laid &'work is not crmmenceid Within 60 dayi-1b1f issuance
CONTRACTOR'S NOTE:' All V.C.P. within 'ifreet' right-of-way-90 '17e ;'ldgeloclC" design ..
or a_proved egt�l. Install.6 WyO Cleanout ateprcp line.,
.Valldonen
_ - ,r_'�' - 4.<r, ij ti -4-.I . IPtaar Cypres,Copy, .,.n
CITY OF LAKE WSINORE F 1$M B I N D
BUILDING DEPARTMENT
674-3125 P 3 0 PERMIT-APPLICATION
BUILDING
OWNER Sanders AOORE�S 16-470 Brist lecone
MAIL NEAREST -
ADDRESS CROSS ST
crrY TEL. NO GROUP ZONE ' PR E55 BY
PLUMBER A. G. Redding & Son M-C ✓ .Li
ADDRESS INSPECTION RE ORD
CITY 'LC� a. TM_NO.
STATE city 11,21irsets
1 H Number
NO- ITEM ' FEE
TOILET AT 51.50
'BATH TUB AT 1.50
SHOWER AT 1.50
V AZ 4sASIN AT 1.50
KITCHEN SINK AT 1.50
DISHWASHER AT 1.50
- t�uNORY 7718 on TRAY AT 1.50
AUTOMATIC WASHER AT 1.50
WATER MEATIER AT 1.50 E
WATER SOFTENER- 1.T 1.50
I
it I GAS SYSTEM AT I.,.O
FLOOR DRAIN AT 1.50, I
LAWN SPRINKLER- AT 1.50
MISC. WATER PIPING AT 1.50
SWIMMING POOL PIPING AT 1.50
I ^_
I -.
APPROVAii DATE INSIDECTOR's
R6
• PERMIT NOT REQUIRED ON UNDER-FLOOR WORK
NEW STRUCTURE INS
ROUGH PLUMBING 111111111116
PERMIT S 2 COO
GAS PIPING
TOTAL FEE S a 00 GAS VENTS 16ait.
I acknowledge that 1 have read this application and state that PLUMBING FIXTURES
the above is correct and agrwu to comply with all city ordinances
arld state laws regulating plumbing MISC.
CITY OE
I certify that I am property registered and licenwd as required
by the City of Lake Elsinore and State of C4ifomio or that I am
the legal owner,of the a t pr GAS TEST
SIGNATURE �� UTILITY CO. NOTIFIED
OF PERMITTEE
FINAL I
VA IIDATIQN
This is a Plumbing Permit when joroperly filled out, signed and validated
Permit void if work is not commenced within to days of date of issuance
INSPECTOR'S CONY
CITY OF LAKE&SINORE BifLDING
BUILDING DEP TMENT $ -2966 PERMIT -APPLICATION
674-3125
au.LDING 1E,474 Sristlecone
OWNER Saunders ADDRESS
--
MAIL NEAREST
CROSS STREET
ADDRESS 16470 sris_tlsson_e�
Tnake Elsjnore,TaAo MAP NO =r.ouP TYrT CONST PROCEG OT
^.,,
379-241 •lo
CONTRACTOR Rush Company ZONE SPECIAL
CONDITIONS
ADDRESS 13471 Galway M:-c
rIT4parden Grove, ca.TEL NO. 534-7575
STATE CjTY N u5 00$ES79 ■u.LOIMG EXISTING
i N$E NA 3141� YARD { NwC fTR[[i NAM[ WIDTH
S[TOACK
ARCHITECT CR FRONT —
ENGINEER SIDE I I
P 1
II DORESS REAR I
CITY —� TEL. NO. PLANNING DEPT DATE
A►►ROVA-
STATE DATE
r rcl,,c�E NO - ENGINEERING a-V
C
APPRovwt
LOT 7 BLOCK TRACT 4267 HEALTH DEPT DATE
APPROVAL
NO aLOGS DATE
NOW ON LOT r.RE DEPT
LOT FUZE APPROVAL
USE OF EXISTING DATE
BUILDINGS
APPROVALS OAT[ INSPECTORS
COMMC"ON LENDER INFOWATION _-- _ SIGNATURE
FOVNOA_IJv LOCa:�ON NAME -- FORMS MATERI_�LS �—
—
BRANCH — JOISTS R GIRDERS -
FORMACE LOCATION
ADDRESS GAS VENT.OLaLs _
DESCRIPTION OF WORK -AMING
LATH OR GYPS:IH
NEW 1 ADD. ALTER { REPAIR DEMOLISH SPECIAL OC-u' .NTER.OR
I PAMCY
I.ATh
1 1 EXTERIOR �
sD.Fr.
MO•ROOMS 1 NO STORIL:S
f.zE
"T.WALL COVERING I iNT wwll COV[KtNG ROOF COVERIMr
PROPOSED USE '—
OF STRUCTURE
Mobile Hon a Set Up _ VF
VALUATION PLAN CHECK HOVSE MUMOEM
FEE
_t CORRECT AND_rosrco
PERHIr FINAL FROVAL
$ __ ___ FEE f 30.00
1 HAVE CAR[FULLY READ AND EXAMINED THIS APPLICATION AND "NO
THE fAM[ TO SE TRVE AND CORN[CT ALL PROVISIONS IOHO O• THE LAWS
AND ORDINANCES GOVERNING OUILOING CONSTRUCTION W .1, RL DOH' VGN TORE OF OWNER R AUTHORIZED A T
PLIEO WITH. MO IERfON WILL BE EMPLOYED IN VIOLATION OF TNL
Id
LAW
A OOR COD[ Oi iH[ fTAT[ OF CALIFOI ilA I AGREE N07 TO occupy +/t '/
OR ALLOW OCCU►wNGY Or ANY OUILDING AVTNyRIZED OT TNII: PEXN•T VXS Ti/= —
yNTAt FINAL Oyl!.AMC INS►ECTION A►1ROYwL HAS SEEM RECEIVED AOORESS - --- - ---
This is a Building Permit when properly filled out, signed d validated.
Stow CtRxk VDlidofien ffTlwil VldidOtlWw
IV
IIISPECTOR'S copy
CITY OF LAIC�LSINORE
BUILDING DEI RTMPNT EGI L D I M G
674-3125 B 3 0 PERMIT- APPLICATION
OWNER mrro_n Sanders BL'LO�NG
MAILfawlL ADDRESS 164'p
5 Sam Bristlecone
-- _ NEAREST
CROSS STREET
1
TE NO Na►NO GPOUP
CONTRACTOR TYPE CONST. rR
1 Company 79-241- E 'Y
e
ADDRESS 1 3
ZONE SPECIAL
Como'T.oNS
CITY Cornona, Ca 917
STATE C-61 NO
I N No 242334 CITY Bus es 8-L
' r fuLa ra ---��-- __
ARCHITECT OR SETBACK YARD NWT STR[[- NA NE EX ISTIIiG
ENGINEER FRONT �� ( W,DTH
_�-T�—
P L
ADDRESS s:a[
CITY TEL NO REAR
I
STATE P L i
I"EN E NO PLANN,NG OEPT
=P►ROVaL DATE
�-OVA _—�—
LOT 7 PPROEERIhO D•V
___ BLOCK -
TRACT .P►RC DATE
42-67
NL'aLTH OE►T
L07 512E NO BLDGS aPPwoVAL DATE
NOW O'_— N—LOT - ------ _
USE OF EXISTING -PE DE
BUILDINGS DATE
CONSTRUCTION LENDER I DATE
NI oRl►unoN
AoPROVALS
NAME __ _ _�- DATE INF-XCTORS
_�_— FO iIMaAT•O\ l.Cr aTpN -- SIGNATURE
BRANCH FORMS "ATERtjLS
ADDRESS JOISTS•.•RDERs
FIR+IACL I
LOCAT.aN
_ DESCRIPTION OF WORK —`af .E"T DUCTS -
NEW ADD ALTER REPAIR
1 pEM OC15M ! SVECIA� OCCi. OR
I GYPSUM
1
PA NCY IN*U110R
SIZ - LATH
E SO. FT NO.ROOMS —• NO STORIES EATERIOR
EXT. WALL COV^R:NG INT WALL COVERIN --- -------
G ROOT COVERING
E
PROPOSED USE --"--
OF STRUCTURE 12' X 50* AwIl. V
— 11' X 50' Patio - --
VALUATION PLAN CHECK _ _
BCE f -O- NOVSE N.MB[R -- -- 1
s 1,800 /CRMIT -� CORRCCT NO POf TLD _---J
25.00 FINAL aL_
7 HAVE CA PEFULLY READ AND ErAruN L APPRO AL
TNZ LAME TO BE iwUC ANO CORAECT fD TNIf APPLICATION AND VINO
AND ORDINA HCCi Gpy[RNIHG BUI ALL. PROVISIONS OF TN[ LAWS
PLIED WITH. NO PERBOH LO•NO CONSTRUCTION w,LL BE COM4
LABOR CODE Oi THE WILL B[ EMPLOYED IN VIOLATION OF THE _
STATE OF CA LIFOwNIA I OR ALLOW OI NC AGR[[ MOT TO OCCUPY U O WNER
UNTIL FINAL BU -
L"' Y Oi ANY BUi�OING AVTHO RISED BY TN AUTNORI2E
if PERMI / �j
IGi=G INi►[CTION APPROVAL I Af BEEN RECEII'Cp `'
wDD�sS.•..7 y I -�
This is a. Building Permit whop
Man CMEk Vdldofien Properly filled out, signed and validated, -
POVIOI VoUdGftn
INSPECTOR'S COPY