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I rhr RYrlFrern o I `; <br />.1 ( (;ONSTRUCTIOIt a ro <br />eve'rett PERMIT PERMIT. <br />CITY HALL 2598745 K.9 <br />�, FMERE('iUN'�BlJ2 i a idIddINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />owNLR MAIL ADDRESS CITY ZIR PHONE <br />Or11NNOR A nFHI FR Q710 F aanr n YdM FVpCp11 Ya RA90a 14;i_ n <br />/,R MIT C R ESIGNEM MAIL dDDR. - CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE <br />ME" <br />GLCONTRALTOR MAIL ADDRESS CITY ZIP PHONE IILENBEI <br />RUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />Cl NEW ❑ ADDITION ❑ALTERATION ❑REPAIR 0 DEMOLITION O FENCE ❑SIGN Cl W000 STOVE/FIREPLACE INSERT <br />T 375 000.00 <br />pEunle. WpRK <br />A-..-, To ....44F -..tne + tnIAn A _ Nn +hl <br />..v�.+. ... ... .. .._ -..... _..._.._ <br />RROW SEp USE of BBILDINa <br />A artments <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNTH <br />WHETHER NG THIS TYPE OF KI R SPECIFIED HEREIN OR NOT. THE GRANTLL BE IING OED IFA <br />PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY C HER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />Pt F(( ANCE N6iR TION. <br />SIGN LIRE rCOriR i (ZED AGENT DAIS <br />x 3 -a -9 <br />LEaAI DESGRmnoN OF PROPERTY rsncw BELOW OR ATTACH FouR conEa <br />LOT 19 Bloch I or Beverly Hills Div 4 <br />- <br />JOB ADDRESS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EGJIPMENT <br />FEE <br />18 <br />WATER CLOSET (TOILET) <br />36 <br />00 <br />AIR COND. UNITS - H P. EA. <br />18 <br />BATHTUB <br />36 <br />00 <br />REFRIGERATION UNITS - H.P. FA. <br />18 <br />LAVATORY MASH BASIN) <br />36 <br />00 <br />BOILERS - H P. EA, <br />SHOWER <br />GAS FIRED A . UNITS -TONNAGE EA. <br />18 <br />KITCHEN SINK A DISK <br />O <br />FORCED AIR SYSTEMS - BT.U. M EA. <br />DISHWASHER <br />36 <br />O <br />WALL HEATERS -BT,U. M <br />LAUNDRYTRAY <br />I <br />UNIT HEATERS - B 1.0. M <br />CLOTHESWASHER <br />8, <br />100 <br />EVAPORATIVE COOLERS <br />19 <br />WATER HEATER <br />11 <br />1 4CLOTHES <br />DRYERS18 <br />00 <br />URINAL <br />VttLl,AT10N FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />RGOF DRAINS - RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE - BAR. ETC) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />' <br />SUB TOTAL ' <br />PERMIT <br />' <br />PERMIT S <br />_ <br />TOTAL FEE <br />L <br />TOTAL FEE ' <br />SIDE YARD SETBACK <br />5 <br />ACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />86/15997 <br />PLAN <br />FEE1337,20 <br />HECK FEE <br />A373RRECEIPT NO. <br />USE ZONE <br />B-2 <br />VACANT SITE <br />;'YES I'. NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />GROUP <br />rSTORIES <br />NO. OF DWELLING UNITS <br />18 <br />BUILDING <br />'375 000. <br />1120 <br />50 <br />SIZE OF BLOC. <br />13200 <br />IES <br />sement <br />MAX. OCC, LOAD <br />66 <br />PLUMBING <br />226FIRE <br />ZONE <br />FARE SPRIIREDNKLERS <br />YES NO <br />MECHANICALREQ <br />153 <br />OD <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SEC. G0.T IAI <br />2. BUILDING PLANS — <br />TOTAL <br />1499 <br />50 <br />'. FIRE HYDRANT _ <br />A. FIRE PROTECT ION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THI$ rtcp THISjS�f6 PrUIT_ <br />1 II �J <br />V <br />� <br />YOUR RECEIPT -A <br />J (\ 1. C E 1 <br />V II; YOU <br />5 RRADING <br />%rn URAINAGE <br />T. ENVIRONMENTALIMPgCT4TATEMENT <br />;a HEALTH DISTRICT <br />APPLICATION ACC- BY <br />eb <br />LANS CHECKED BY <br />�jef <br />APPA. FOR ISSUANCE BY <br />lc <br />ADDRESS FILE <br />