|
STREET ADDRESS SUITE
<br />.1 7 ' 11 .T-1 ;l„
<br />RECEIPT NO DATE PROJECT
<br />011 1
<br />CITY STATE
<br />19 F !c(arl 1l it 141
<br />TRACT NAME
<br />USE OF PERMIT /APPLICATION
<br />"lilltll:ll 1 c1 r' a " tllr'Pc,
<br />APN BLOCS UNITS STORIES
<br />(1 Ii1 T'In•III ]1 1:
<br />1
<br />N NAME
<br />I` T ; '1tFel Iv ✓!111'71 lc
<br />MAP"
<br />BLOCK -LOT MOD It •
<br />111E4
<br />APPLICANT NAME
<br />1 14 7 I 11111 - 117' 1 Fit. /f'n w 1011
<br />APPLICANT PHONE
<br />1115 r 11 7 1 460
<br />4 11
<br />CONTRACTOR
<br />Ft IF 11 HL11 r [IPPfP(I I oi
<br />STATE LICENSE
<br />N1 1111.
<br />rnr Ir1P P(IP Fe S4': . 0(1 .00
<br />STREET ADDRESS SUITE
<br />-:,pn 01 r' Pf P1101 (111
<br />CITY LICENSE
<br />E1 1 11' 11 r , I '3 r
<br />1 r -., tI e ` . 44
<br />8
<br />STATE Z
<br />I F, v.;Iyll 'III 7'n 9 4566IP h000
<br />! `1
<br />1 R G10 ■PI IJN
<br />p
<br />e r� 1. : � �
<br />- 1 .11' . •r
<br />N1E 11 171111 iq1 :l I r i 1' I ' , 08
<br />BLDG OWNER
<br />1'HI 11111 ^ I 471 : IIf ilPPfl7r1TEP
<br />C
<br />F1•? i ADD 'Pt fFr i 11111'.00
<br />11-171- 1 , ,rn r • r , . (1 r J1
<br />PE 't 9.• i 1r.c1
<br />Or if t
<br />(Tirf_' ,..'. 1 . r .. c ..,.
<br />STREET ADDRESS SUITS
<br />F 9i] 01 or ul 6T
<br />CITY STATE. Z
<br />1 -I 111%1(11,1 n 94 X111 f101
<br />O 4f l E r Pt1ONF
<br />4 , 1
<br />ZONING
<br />:111 111•1 f
<br />I''
<br />G1EN PLAN
<br />TRS
<br />PUDf4' n
<br />LOT SIZE F/A
<br />11 1 '9 I. I'F
<br />CENS TRACT
<br />- r' 11 1. . 11 - .
<br />SIC CFIRS
<br />GEO REF
<br />FSB LSB RSB
<br />855 PLANNING INT ENGINEERING INT
<br />PLANS RECEIVED INT
<br />PIT BY LHr1, E FEES (I t1
<br />1
<br />De te 7 l . . , , .:
<br />1 11'11 Ilr' 1171111'11
<br />ii.c ,, • • 1,8 PL117 111471.
<br />Or' , '' ' n [ T 1 ' 1 1 1 1 1
<br />O6 '2 ' HP PI1111
<br />PIMLDI
<br />'ILIIr'I II It!
<br />PELF 1.1x111P- 171E
<br />I PITI(tPY 11 , , TPIIrr
<br />• rrflllni 11,•, c11:r 7
<br />I OF' Inc' Rrlp
<br />n 15CFLL nNFO L!
<br />I LECTPI
<br />MECHANICAL
<br />PLUMBING
<br />r CON '$T Tv
<br />-
<br />Ii7SCELLANEDUP
<br />'. EWER 1711 coil
<br />S rf]PP TPI IS
<br />I I 1 SCELL E01.1C
<br />T'LAN RF') V I E1
<br />(IUAKE RESDNTI.
<br />- l 1 ' 1. F r r 1 r
<br />ti 1' I f
<br />P A 11 .1 L. C T 7' n ti El E I1 ( S
<br />, , , ,r1 4 r mime ,rt
<br />I '3F71 Pr SCA LII1E01 0' "1 FOP Ft FS 1.101
<br />•
<br />1 ! ' 1 7' ' ) 1 ' D O WIT F I N ( 1 1 F ' F A I t I T I 7 N I 1 1 _ ADD!'
<br />TIC
<br />nrnl 'F'c
<br />[ 1 r, ^n' '' 44 - 9 F84 'I. "'
<br />44 [umn It • . o '19I 606 -I-.1 um SOT
<br />r =G - 1 r,Pn6TnENT P1 11 1NP
<br />0 ' r Fn ^' F2. 40'4tr
<br />71 - •G' 1 F:1PEI&i' HOME Pl. it 14471
<br />686 - ' ' `=qU "re Fnelf 64.94P4t
<br />44119884 ti 1 -'et on 34310 cupAlor;
<br />rll.o1 / P rr n'. , '
<br />,c
<br />11101 TnL lr1 811 55.-.00
<br />, 1{1p I
<br />Pence•einq
<br />1 .
<br />- Appl /Permit
<br />Proce•oino
<br />nppl /Perm,t
<br />Procepeinu
<br />nppl /Permit
<br />PEDPOOMS 86 125.00
<br />C.1 En F -trrr.lr 11600c. ".r
<br />n)p 1 'Pr,
<br />"1 fl
<br />Irn Vlt F'0'-- nlr 1'' ID'
<br />Tf) lrl Et l'E, 4II
<br />r E er 1 1 r41 , 40
<br />ti rr rer , . +10
<br />i •Ir TA 1 eel
<br />l p"d
<br />I UTn1. I F6 ' ', 1111
<br />rP!' _ !11111 0(1
<br />n,rc Fer. : .1 11 1 ': 011
<br />L. - 0117 r-
<br />rDT [e 1
<br />111111 Pen ; ?r +' 4r,
<br />Fee 10.01)
<br />1070L FEE 16E' .44
<br />Fee IM11"' .44
<br />Fee 1'_1 0
<br />IAT(IL FEE '11 .'24
<br />Fee 716 L26
<br />Fee 10.00
<br />loTnr_ FEE 1 !I' 1.00
<br />Fee Inrpi1,00
<br />Mix- Fee 10' ^.00
<br />III T(,I [77 :1'"'' ,'n
<br />CurcllerOr • 39
<br />11 rl.F ' ' 110'^.011
<br />In l' • Fre ',u11'• 00 00
<br />f 11TnL FE : 11 0 7.81
<br />rm i t Fee 211,'` , 21
<br />Review Fee 1 .61
<br />(�
<br />I•11,1V teEdrfl'1 IR �reby f %Piedd under the applicable provislons he r ol Cit of
<br />Pleasanton Code and /or resolution to do work Indicated below fore /
<br />fees G/ vv`Wn bee o1Z ,I� ,. � � an
<br />By, J . ID 697' f'
<br />PERMIT EXPIRES.
<br />e.
<br />'or Chapter
<br />/.2• 2 7. ( '�
<br />r f1 11Uf r 71 .n - -! 1 �..).
<br />3 1 U.tl.C. o r' 1Bo days. APPL„
<br />mere • tie sew
<br />LICENSED CON/ AC..'rS DLa"A,N.
<br />r -
<br />PLANNING STREETS
<br />847 -8023 847 -8066
<br />ENGINEERING
<br />847 8041
<br />WATER
<br />841.80/1
<br />Naos or. F. mom... en... owim. so an-rent “neess Lantos, ....me s•onslad Ion
<br />CITY OF PLEASANTON
<br />P.O. BOX 520 • PI [ASANTON, CALI}ORNIA 94566 -08
<br />m - ..�•...1o:.�.v...: '',gym �L
<br />PUBLIC WORKS
<br />847 -8195
<br />FIRE
<br />84] 8114
<br />BUILDING INSPECTION
<br />(415) 841'8015. 14151847-8149
<br />(once) {Recorder)
<br />
|