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1112-B - 32002 AVENIDA EVITA4 _7 N' 7 ?; -fid 93 CITY OF 6M JUAN dAPIRRANO BUILDING& SAFETY DIVISION,IAVO: PUBL� 'y VRKS DEPARTMENT OW113 jl.� 7 APPLICATION FOR PERMIT 0 32,M PASEO ADELANTO, SAN JUAN CAPISTRANO, CALIFORNIA 92675., PHONE 1714) 493-3172 NQ�AD_W!FS'j ROOF Wood Shingle 0 Comp. SNngle v 0 Built up .4 v, I IN* DORIESs PHONE Ci Tile FLOOR C Wood !41TOR ENGINEERSlab ON FE ECT t. PPR ED 10 AIDDRIES TRACT LOT yyi"\ + ` __.. PI N- 15. j =,' A 0 WALL 'M Wood Siding lie 'Stucco AF 1`17 "� - I : i Vu OT %asorvyM IAN BUILDINIPERMIT bit YARD, Crry Bvsiness License Na Nt NO ORS No. "AT S imber F - 771,17 Compensation Date Issued 'v4i7 66C ,-4 P611cy No. Esp. Date olkjying s Uc- Health Department 140. that f Date rac3o( is In hill force and effect," I W Ili•I !ell T V 4� By cc, 'pt frc�n Sec: 7031.5 of " Business & Profn�_al op! a C641le 0 3, Chap. 9, Contracws' License Law under the following section: Fire 3 V Mg -or Work Under S100 -Sec. 7W i ); or .7044 Dat working for Wages Orjy-W. 7053 a NEW ALTER l.i Ag B ; QL!t� 140 OF -FAM LIE FT. I certlify that in the perloffriar" of ft work for which this permit is issued. Remarks I -Shall root employ any person In any manner so as TO become subject to the Workman's Compensation Laws of California" tr J :N and agree "I hweby*wknc %jedge and st" Me the information I have provided is correct to ply with all and Slate Laws regulating uuild C4ty Ordinances A VIAL I A 0111a U GRADINCI, PERMIT INEO'Ll C1 y"US .......... ELECTRICAL FEES 0 ves w No PLUMBING FEES APPROVED., P. C�, TYPE FIXTURE - ITEM PEA UNIT rEt T*Y�E rIXTUNE - ITEM PFP UNIT FEK P. FEE Single Family Dwelling Water Closet (Toilet) s P 11AA-IC44, VeR-to -o" PLAN ISSUED Garage Bath Tub Radiant No. Rooms) Shower Slall 0 PL \STKR SQ. -YDS. K 7,A"M.NT PERMIT Caft Heat Lavatory 4Wash Basin) FEE 0 VICE N. 0 di 7- SkkGarbage Disposal MECHANICAL F081!1 Laundry Tray/Wsh. Mach. TYPE FIXTURE - iTKM ..PER UNIT FEE vf -Each C4nttW- Fixnace 1-20 owets Dishwasher Ducts & Vents uft 100.000 BTU Water Heater Swim Pool Underground Water Softener Up to .000 BTU or Appfiance3 Swim. Heater Tf;ai Boft?Nj 'SorAW Motor Lawn Sprinklers Absorption UnX, Overhead 1-5 Gas System Each R Skirvice Meter — Underground Outlets Over 5 up to5 Work — With Service House Sewer QDnatruction Each Refrigioration =4 Pormarient Pole, P -Trap up to 15 Hp. -7 F Furnace Water HoMaN. rllr� C100 7 �wZS k1i; Unit Heater, C is P. Motor Swan Pool Pipe & Fixtures (Attp List) E Alteration.- or pL� TOTAL ELECTRICAL FEES TOTAL PLUMBING FEES etc: 7 SUMMARY OF FEES Incidental Gas Pipir.,,� Any Appliance or BUILOM PERMIT s -U-0 _-Q 0 SMIP Equipment Regulation by code List PLAN CHECK & PERMIT ISSUANCE s__,S_70__Q_ Other (Attach 11911) PLUMBING ORD. 211 TOTAL MECHANICAL PRIM PLAN CHECK ORD. 364 ELECTRICAL $ .I C>C THIS WORK BECOMES NULL AND VOID IF WORK OR -.. IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS $SUS. P 'LAN.CHECK,, TOTAL FEE .3 E PENDEDORABANDON DFORAPEAIODOFQIQDAYS�T� S�a � ESS L Is LETED MIQgIQ WADYANCE PC !Lit l CJHECk', i MICROFIIAINQ @ "iPG PLAN CHECK APPLICANT FINAL FEEL 13 gf-L-O- ....... ... . . . . . . i)Itfl Am.j _iLVo10qA 1r,61 - ell e .. '11-1-1-1 ... I- , I_* - 1 7. GREEN—Assessor Copy YELLOW—Permittee Copy PINK -Finance COPY GOLD—File Copy . i. -Nf A f A OA 9 APPROVALkI QA MUILDING R, N9 -9 C r?, ibundation: Location .... Bond Beam ............ ............... Roof. Sheathing .......... ................. Reinforced ............................ r%A ......... A- ......... ............... ............ §16b:: Reinforced ...... . BUI in- ...................... ............ ................................... "brane ......................... ............ t`Jnderpinning ire _y .............................. asonry .... ....................... Bond Beam ............ fireplace ............................... ............ Roof. Sheathing .......... ................. ............ Hoof Framing A- ......... ............... ............ _'A ---------- 7,w-T'ffu ............ ........... Qfktio_%�(3ot�nd Energ;►j+ BUI in- ...................... ............ ................................... r 0 ? WMHANI AL ---ground .............. 777-7-, Up G... to rough ............................... irw On. 1%.V6nt rough rough . ........... ................... . las - ............. rangeH,,• r'66nditl6nin'g Vent �A .......... ......... -13 lnd erslork ............. ...... ..................... A sk 1� . . empbotute4p ower ............ .......... es 17 ...... ilial .................. . . .............. ...... . .. ......... WOO ING' DW .1 WK... 9robn&,'-' .•.. .... . . . . . . . . . . . . ... . . . . . - • . . .. . . . . . . . . titer . . . . . ... . . pipe =.-,ground t�nce ...... -1 :AOC'QIJ:f JVij*, ................ :,..7 as final 00 11g- final '7i3q-J"AD'vAHJJM JA TOY to i ation, 63�- ..,Ekterior........................... o" .-- - - ........... ft",'W66or (drywall) ........... ........ ............... pa .................. prov* J '43 j --�zz zo 1 .3 101 -4tw TIWN r 0 777-7-, rough . ........... ................... . las - ............. rangeH,,• r'66nditl6nin'g Vent �A .......... ......... -13 lnd erslork ............. ...... ..................... A sk 1� . . empbotute4p ower ............ .......... es 17 ...... ilial .................. . . .............. ...... . .. ......... WOO ING' DW .1 WK... 9robn&,'-' .•.. .... . . . . . . . . . . . . ... . . . . . - • . . .. . . . . . . . . titer . . . . . ... . . pipe =.-,ground t�nce ...... -1 :AOC'QIJ:f JVij*, ................ :,..7 as final 00 11g- final '7i3q-J"AD'vAHJJM JA TOY to i ation, 63�- ..,Ekterior........................... o" .-- - - ........... ft",'W66or (drywall) ........... ........ ............... pa .................. prov* J '43 j --�zz zo 1 .3 101 -4tw TIWN