8072 Finch St. l 6 qsi - W - ogoo P'11�
C,V CITY OF EASTRALE PLCK No: Permit No: 1
RAG HmnvAo..,S r.,n; /r7 OAL
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INCOEPORA iED Date: Date:
OCTOB
OCTOBER yvv.n ZDIO
4yo� �p Amount: Am/O-Z O'
oy �,Go
CAI I 5 Ck#: Ck M
Building Combination Permit G _ 1,00
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Ads: �- Assessor's Parcel Number.
dres
O*1'Z t /14r- s
Project/T ant Name: Unit#: Floor#:
Name: T,o/tF� i't u 9-156- w/ C �r Phone No. Fax No.
09 - S/
Property
Owner ess: Unit Number ZipCode
Email Address:
Na e: Phone No. Fax No.
Applicant dress: Unit Number Zip Code
Email Address:
Name: n� _73�2
Aw IeEs g 6 R.,Nc�P! No. Fax No.
Contractor Adores3 City State Zip Code
yc-$'6 A( W o b 6 L,4 4 D /jr d/W C- q 2 Z, -Lo
Contractor's City Business tense No. Contractor's CityOStattof alifomia License No. Classification:
nber of Squares:
.quare Footage
Description of Work: $ 00
'f � d - SbLl1J 2 �5 Cost of Work: '19Oa'
Applicant's Signature
lei I a E-cfin ICL 0 u 1 ate: t 2
ToBe Completed By City Staff Only
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of document,which include
Q Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Gee Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8'A x 11)
❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations
❑ Plumbing Plan
❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan 8 Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition' Means/Method,
Work Type: Repair' Retrofit' Revision to Ezisling Permit' Required? YES NO Id
Proposed Building Use(a): Existing Building Use(s):
#Buildings: #Units #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate if YES or NO Indicate all Geo-tech.Haz.Zone
At Project Sprinklered
Completion: Construction that apply: Coastal Zone
Type(s): C Of O YES or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commis Arch.Review BoardI I Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Else.Vehicle Charger Landmark Seismic Retrofit Special Case:Bldg.
OmtlalA royal
oedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety Permit Specialist I City Planning I Civil Engineering EPWM-Admin I Transportation Mgmt. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY