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1281 1 4d+ v S $� 1 I I L//r(r'✓„✓lj-�.C/�L. •�•" I PERMIT NUMBER T fill 11�! 9TbEET4ADDMESS OF PROJECT.j 'y C. f. j I � n , , F Y ry•/ ...1 /t•t � .../D/..�. / `�.//� . . l!V '�T ! .r � /.`r Plena Reeelved 8y` G + Yhc,� ;.5 A N� `�1r)aid'+r 1}yr /w •; Legal Description: Tract........................ Block....... Lot- REO.: Plans.... Survey:.,!Iibalda.r' ituc?... ErdaM ':l..Elect ?.;Meth.... Description of Work: _ .. ..... .. .�. Plans Checked By'::.:.:.. ... . ' :' .. .`- ...... 'led. :...:.....5.1:..... ;1st Struct.ilmlirovement on Parcel:Yes.... No. . Area of Bldg..... ......... Application Approved 9y- '` it ''' r dale / Separate Structure..... or Addition/Alteration to Exist. Bldg. ..... *& / Validated 13y' .:.:. [fit;xJ"�lir"f^9°�1+p+ "` a Date �/ No of Slohesl. Use of Bulldin .. .. CoinpensatonCertlllcaleVetlHed�yrtjt "1`! Date I"I 1' - - ',I Valuation ofP tact: $ /Z cy -" NMI e e e ++' :�a / pn {' Owner I C 4s VL=/z,gL.r'CS'Pt11 . ., p t. E Q `� :II Confrector. �t� rE'AOc[[[Y Cit Bus Llc. "110 Permll Fed (plus pendlry if seppllceble`. •••• $ L0 ! " :; �Addresif_R& Z3..4.fl y ..QAKL �t" .... I' Plan Check Fee pass deposit Of$ I Rcl:III....)$. Contractor -IElectncal. ..... Energy Plan Check Fee (Deli.-Of $ - Ret. N........)$ .. ...... , 1 -City Business License e. Phone ... Strong Motion Fee ," ..:. .:..".......$.........L,f .. ...... .. j ,Plumbing ......... . . .... Plumbing Permit Fea r', .....,J. :..............:........$... Ay.. .. l i I City Business License e. . .. . ._ Phone ... Electrical Permit Fee ......:..._::::...:.......::...::::................$....Q.'.B.(�... Neating end Cooling . .......... ... .. ......... .... .._.... ._.. .... . .... - Mach. Htp./Coolg. Permit f G:: i;::::.;i:::..:.::..:.:$................ i j !City Business License 0..__.......... .. Phone:....,.,............. Construction Tax:.....!1.:.:.:.::.:a:.::.::....::::.........$.................... Architect/Designer: 11110110:. .......... Sewer Conn. Fee .........t.:!. Water Conn. Fee .............$..................:.... Engineer: ...!.).... .............. Phone: .. . ....... Landscape Fee ..:.........:.1.... Sheet Tree Fee ...::.......$....................... Lander. :.....!.� ..............._.........................._........ .._... ............ U..known ),I n MISC. Fee ......................:::.............L...............................$_..................... r "I aerllly that in the performance of the work for which Win permit In e , : $�sr Issued I shell not employ any person In any manner so an to become subject 7 ' to the workman's compensation laws of California." / Type Const......... GroU Div.:...i.: OCC. Load........ No, Exits........ SIONATURE 00' / '7 , 7 "S; Floor Loads: 1st......2nd�.i Other..!:.9prinklered.... Area Sep. Walls.... AvpucANr� ��C..( ................._�..`.'.toATE:�............_......... e e .i eertllyors ce the applicant I he licensed under the prp�lnlons of the Environmental Status: Exempt.::.::. - Other ' If .Cls illIc License Law end further .. is my full ansa No. ..t........ i ce �,.. �, ; •, Sign ..._....•_.. Isesllhat I n ....._xy_co Is in lull toren and enact: s P ......... .:. ............ I herabYCecN to ba.... In C Design Review Approva�''Bldg.`�.:�::�.: SIIB Sign tli/y;hat I em exempt Iram the "Licensed Req. •eB' provlalarm of the Use Zone ............ P.D. Chi ditlons"At.7...._........................... p correct sod onlrectore License Lew. (State bests of exemption.. ; nowletlge that I have reed this application and elate that the above Is Cond. Use Permit II...... Variance 4.A.r,Parkln Spaces.... Load. S agree to comply with all City Ordinances and slate Laws regulating Approved BY..........:......: .^::: ........t i..:.....::":::... Dale buualeg' ..... ...... ........................... ° • e : II (Wel agree to'eev., indemnify and keep hatmieu., the City of Cope-FtWO i. agalr.el.118b11111es, Judgments, costs and expm,sos which nmy In any way r- f •:, , - � �. acaure against ee Id City In consequence of Inn granting of Ibis ry•nnll. echmenl Permll..E::i::...:....f.. .. Grant of Easement..............:......... ataNATUREI oF� 1 - 1 - ">,• Q S7' ',',-DATE F ' .r- Gumet, Sldewalli Driveway: I Replace Repair . :JAM:YOAM7/CONTRACTOR .......... r. . e_Z/.. . ,,.. Sewer............ Conn. Fee f.:......:.."..:.. Wafer.::............. Meter 5..a...:........ Agreement for Completion of Public Works Improvements................... ' NOTE: Wh�n (properly res null and form should ark a Building proms. This g p p peimll expifee and becomes null and void should work not ba wmmonced within I Plane Checked By....a.. Dele...::..'Approved By.:...... Date.................... . �1g0 dryk Iram ialldififperio o dela, y should work horized Is be suspended or �r• abandoned for a period 01110 tlsye seer work U commenced. ' APPL11CATION FOR PE ; 2.00 . .... .. `' APPLICATION e PLUMBING PERMIT INSTALLATION l 0. EACH FEEI INSTALLATION - FE Light Douala....... Switches.: FI e ' tae up to 5 TOTAL NUMBER(less than 1000 watts)... L;... . f .5o •• EAchleddloel out __ .00 ... E... .:.... ReGarb.Cooking System (IletltRir 4,00 .......... Dryer .. Dlap..Uw . ......:..::....: 2.00 : .. Water Closet... WateHeater.... LdTren ' .00. ........ SERVICE OR TEMPORARY POWER to 2.00 ............ Lavatory..!. Shower Pen. , Bathtub.... Sik........_....... 300, -.......... too amp/$6.00 200/$7:00: 600/$0.00 Wash. Mach:.... Dishwasher.... Garb.,Disp..... .... _...... 3.00. ............. .. 8.00800/$20.00, 1100/$40.00" ................ .......... . ............ . ... :...... ......... _ 'I ,............. MOTORS,Generators,Welders,Healers, - Lawn Sprinkler Sys. $6.00 Ea. add sys. $2.00......... I ........ .................. per HP-KW-KVA to 1/1112.60, 6/1113.60, Vacuum Breakers .................... .._.............._... _L_.......... ... 4.50. . ......... 20/$6.60, 60/f10.00;;100/$12.00i Slop Sink........ Floor Sink........ Floor Drain .... ............ 4,00 ........ 600/$16.00 ......:......a...:.::.,!.2:::.:...C......... ..... ' ................ Urinal...: Interceptor.... Water Softener.... ................... ... 4.00 Signe with I %FMR .:...:...!.i:...^i................. ....�.......... 2.00 : ..•... Plumbing)Piping without fixfwes .........._........ . 4.00 '.I.. 1 I Misc. :.;........ ........................................ . . .... ...... ........:.:.. Each additional %FMR/Time Clock':. 80 ....... Annual Electrical M@Intenance , - - .26 00 r L................. .. . ........ Permit Fee ....................................... ... .. ........ .. . $ 6.00 other (sae Ordlne 166 Current) - - TOTAL PLUMBING PERMIT FEE (plus penalty it app. []) f .... r , .......a (; e e es e • 1 Permit Fee :. Y ' .:. b r ... ' ..f..e.60 1 1- ! ' Y I PERMIT INSTALLATION NO. EACH FEE I TOTAL ELECTRICAL PERMIT FBE(plus penalty If eppi S,) •f� j Fdreed Air Uhit............. to 100M .......... . ._. $ e.00 ..." j Je ORD I s E over 100M .. 10.o0 ............ r I (� Comfort Cooling Unit.....to 3 ton/HP................. ... . 6.00 . . Forme'/ Foundation r r 1 . m.. $ g - Date '; - d...+'•I I x I to 15 ton/HP.. 9.50 Plumbing Ground Workl r rut ru h 'I v r . i # I f030ton/HP' 12.00 ........... Rough Electrical .:? a '' t j 1 i I to 50 ton/HP.. 17.00 .. , �te Plumbing end Heatlnd di I A ,• Space Heater........ Well Heater ....... 5.00 `•._1�lelion / EnergY t w P .I Flues other;than above ....... ... ........ . 3.00 ... ddd��eee c ' Peet- ....... ._6�'.1 r - .tt:� VentFeni Kltchen........ Balh .. .. .. 3.00 Temporary Power Gee /Elect .t 1'-,. "" - "?i.::::,....� ,,; Commetciat Range Hood ........................._....._ ......... .. 8.00 ._ .Final- Electrical ...........:...................:........:.::...........I........::.:.. ...:...... Misc. .....!.... .......................................................... ......... ..._....................... Final - Building%Mechanical .::............ .................... ............:..�::.....!.... ',. r Permit `Fee ................................................. _. $ 6.00 Final - Design Review / Landscaping •.••..;....••••••::.•.•••r....... ...... TOTAL Htg!/I Coolg. Permit Fee (plus penalty if app. [0 $ Flhal — Public Works:....,...):......,Nt....... .., ..... I