51037 Lot No.
No. Street
APPLICATION<RDMIT
CITY 2 �j
File
Sanitary No.
Date 196
Applications here a
story, Type
to 6e occupie I
only.as
n ccordanc wi Plat Plan, Plans and Specification filed herewith.
Esti at Value'of Improvements $
FEES _) Plan Check $
Owner Address
C ontr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date. 196 FEES
Contr. Address
Phone State License
Approved
Pj'"Aaa)1� LBING
& GAS PERMIT
Data 196 GAS FEE $
C Y OF CUP RT1 n PLUMBING FEF $
Cont'. p[ � Address /uS'�
Ph
P �1 t/ State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr, Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California �,
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date I ns pe c for
LATH & PLASTER
Date Inspector
FINAL
Data Insoector
ELECTRICAL
,OUTLETS
SERVICE SIZE ,
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Data Inspector
PERMIT FEE Motors
Data Inspector
TOTAL FEES FINAL
Data Ins pec•or
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LA&TERIAL
WATER SYSTEM SIZE IIERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Date Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Dater
— S
GAS PIPING FEE FINAL -C.
Date Inspector
PERMIT FEE MISC
Date ns pe c for
TOTAL FEE - MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED