3998 _r...
_ - GL'fY 0I' CL'1'ER1'1N0 II]SPF,CTIOt' RP.CORD (Office Copy)
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3998 _ 19960 OLIVEIOOD ROAD "A"
PEPJLI'f NO. SANITARY DIST. NO., LOT 110. ADDRESS
i• i:EtiODEL PROPERTY SERVICES
PROJECT OWNER JOB SITE P110I4E NO.
PERMIT ISSUED Date ELECTRICAL
Building. Date Insp.
Dlectrical Power Pole
Plumhinr Underground
Mechanical Rulth 1.11rIn g - _
Tem,. Gas/Elect. ITalls
Solar Ceiling
Fire Sprinkler Fixtures Int/Ext
Sign Hotors
Grounding;
Misc. Temp. Power
Other
FINAL. INSPECTIONS Not Approved
Date Insp.
-s PLUMBING
Electric Date Insp.
Plumbing Backflow
Mechanical Underground
Solar Underfloor
Pool Partial Rough
Crarlinr Rough Complete
planning Solar Rough -
. Fire Dept. Water & Insulation
]lealth Dept. `lain Drain
Buildin R/of/S Drain
Other Gas
Other
BUILDING Not Approved
Date Insp.
Pad Certification MECHANICAL
Foundation Date Insp.
Pre-Gunite Underfloor S.M.
Slab-Ilembrane Ducts & Insulation _
Bond Beam Fire Dampers
Underfloor Girders Fireplace
Floor Steel Grease Duct & hood
Tiedowns One flour Shaft
Diaphrams Condensate Drain
Seismic Bracint, Equipment Anchorage
(falls-Panels Flues & Comb. Air �-
Frame Other
lath Not Approved
Uallboards Int/Ext.
Firewalls
Other
Not Approved
buLLIIllVO
• ti
ELECTRICAL
PLUMBING
MECHANICAL
MISCELLANEOUS
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
• BUILDING PROJECT I DENTIFICATION PERMIT NUMBER
' ROILoIrvc - APPLICATION & PERMIT
BUILDING
s Gam` ,3 f`'�'1� `9 j8
6d �i v�we BUILDING-ELECTRICAL-PLUMBING-MECHANICAL v �+�+ �+
OWNER' , /�' PLAN CHECK VALIDATION
ELECTRIC PERMIT FEE -
. �gCJ�cefPHDNE J `
corvT caoRs OUTLETS-SWITCHES-RECEP 5.00/1.00
M
LIC.No, LIGHTING FIXTURES. 5.00/1.00 -
CONTRACTOR'sAPPLIANCES-RESIDENTIAL _ 4.00
ADOR LES
' PHONE PANELS 5.00 DATE OF APPLICATION
ARCH iTECT - SIGNS 6.00 PLAN CHECK FEE P.C.NO.
OR
ENGINEER 1 •'
LIC.NO. SIGNS TRANS.' 3.00
ARCH ENG. SPECIAL CIRCUIT 5,00 PERMIT VALIDATION
ADDRESS
ZIP TEMP.METER OR POLE INS. 15.00
APPLICANTS - MOTORS SEE FEE SCH, y
is
ADDRESS r Yrs//_
• SERVICE CHANGE 10.00 J - 1QR'y//
o ¢'i - 777✓✓✓ 0 !1
F o o LICENSE D CON'1'RACTURS DECLARATION
< u U I hereby affirm that 1 am licensed under provisions of Chapter'I - 11 ISSUANCE DATE
y 3 Aw (commencing with Section 7000)of Division 3 Of the Business and BLDG. ELECT. PLG, MECH.
H m a Professions Code,and my license is in fill]forceand C!Ieel. - Ell „
z o n - License Class _ Lie Number
O Z F Date Contractor _ -
a BUILDING PERMIT
¢ a, w'¢ OWNER-BUILDER DECLARA'TICK -` I INFORMATION
K
a w 1 hereby whom that 1 am exempt from the Contractor's License
MISC.- REFER TO ORD
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