Laserfiche WebLink
J• ;rt ' N ry ,M,..K 1 I \. Y �h Y � � 1 ' E T��Y A. `?4 Naoik <br />Niok's Donut 2817 CoL� <br />GENERALCOIIIMCTOIR IIAILADDAM CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS Cm ZIP "IONS LICENSE. <br />Natural Gu Equipmnt 1611 not Grand 258-2"l <br />PLUMBING 01MT11AC. MAX ADDRESS CITY ZIP PHONE LACENSE r <br />CLASS or Mow <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITN)N ❑FENCE ❑SIGN 116ARA43E <br />VALUATION OF WORK <br />s <br />DESCRIBE WORK <br />rporoMD UK OF &ACING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTIOPOR THE PERFORMANCE OF CONSTRUCTION. <br />SGNATURE OF CONT AUTHORIZED AGENT DATE <br />X � L OR , , k5/23/80 <br />LEGALDESCP►rIONa rw.ERT'tEI{OW BELOW OR ATTACH FOI1RCOrIEsI <br />LOT �ooc—oF <br />JOB ADOR>S <br />3120 Hewitt Avenue <br />KQ <br />MECN <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />1100. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND UNITS — H P EA <br />BATHTUB <br />REFRIGERATION UNITS — H.P EA <br />LAVATORY (WASH BASINI <br />BOILERS — H P EA <br />SHOWER <br />GAS FIRED AC UNITS —TONNAGE EA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS — B T U M EA <br />DISHWASHER <br />WALL HEATERS — B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS — 0 T U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION F. N <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — CFM <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLLADE RS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE — BAR. ETC I <br />I <br />water Heater <br />2 <br />00 <br />SLAB TOTAL <br />SUBTOTAL f <br />2 <br />00 <br />PERMIT_ <br />f <br />PERMIT <br />-DD- <br />TOTAL FEE <br />TOTAL <br />FEE <br />$ <br />1 00 <br />SIDE YAP() S.TBACA <br />STPEEI 5LTIWK <br />Pf AR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FIT <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANI SITE <br />YES NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />140 OF DWELLING UNITS <br />BUILDING <br />E <br />SIZE OF BLDG <br />-to OF STORIES <br />MAA OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />YES 110 <br />MECHANICAL <br />5 <br />DB <br />OTHER <br />APPROVAL* <br />BY <br />DATE <br />I ENVIRONMENTAL CHECK UST <br />PENALTY <br />UBC <br />SEC 303(A) <br />2 BUILDING PUNS <br />TOTAL <br />$ <br />00 <br />3 FIRE HYDRANT <br />A FIRE PROTECTION SYSTEV <br />►ERIIIT VAUOATNHE <br />WHEN PROPERLY VALIDATED RN THIS SPACEI THIS IS YOUR PERMIT <br />t s s f 0 0 5. 0 0- <br />YOUR RECEIPT C <br />THANK YOU . <br />5 GRADING <br />_ <br />6 DRAINAGE <br />_ <br />F. EPEVNROFIMENIAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR TOP, ISSUANCE BY <br />