HomeMy WebLinkAbout682641 C DC5 CITY OF GLENDALE ,
LL��..D. BUILDING PERMIT INSPECTOR
I
G'j� 5850 West Glendale Avenue-25
L.� .� �IL9JJGy Glendale,Arizona 85301-2599
Office:(602)930-2800 Inspections:(602)915-3263
PROJECT INFORMATION PERMIT PROJECT DATE
682641 C 195 3388 P 101-OCT-96
ADDRESS • CITY ST ZIP CODE ISSUED BY STATISTICAL CODE
13620 N 59 AVE GLENDALE AZ 85304 - MW 1700
BOOK MAP PARCEL SUBDIVISION LOT b OC GROUP TYPE VALUATION
200 76 8B 3-2 V1N I
DESCRIPTION OF WORK
PROG. FF CERT REO SO.FT.
ON SITE SEWERLINE - SOUTHWEST AMBULANCE I I
OWNER INFORMATION SEWER ELECT. GAS WTR.MTR.
•
I
NAME TELEPHONE EXT. DS k STD
SOUTHWEST AMBULANCE 834 9436 95 3388 P I
ADDRESS i CITY ST ZIP CODE
P.O. BOX 27148 TEMPE AZ 85285 - Building Permit Fee 60. 00
PRIME CONTRACTOR INFORMATION
NAME TELEPHONE EXT.
RHINO ENTERPRISES INC 6028943357
ADDRESS CITY SAT IP ODE
505 W 48 ST STE 104 TEMPE Z 85181 -
CONTRACTOR LICENSE b LICENSE TYPE SALES T XL I E b
10624 B- 10001N 267
SPECIAL CONDITIONS '# z.77 5), t -27, ,D t.n 'N'y s,a 7 o.17 '4`3 - la•:x r t,Y,tS t
PPu11TWing' PERMIT TYPE(2) . PERMIT TYPE(3) BALANCE 60 . 00
1. POOL/PRE-GUNITE I 17. ROUGH PLUMBING I 33. STREET LIGHTING
2. POOL/PRE-PLASTER I 18. ROUGH ELECTRICAL I 34. SHEAR WALL
3. FOOTING (EXT.) I 19, ROUGH MECHANICAL I 35. CHANGE OF OCCUPANCY I
4. STEM 20. ROUGH FRAME 36.IFIRE,GENERAL :IT- „-. , i I i
5 FOOTING (INT.) I 21. DRAFT STOP 37.'s:FIRE ALARM SYS ' f
8. PLUMBING (UG) 22 FIRE WALL I 38 .:FIRE OVERHEAD J... .1
7. WATER (UG) I 23 WALLBOARD I `39:1'FIRE-UNDERGROUND' }1 ' ',4 i
x
8. WATER SERVICE10 24. SHEATHING/LATH "'40jJ ! xHOOO AFESfi � ` I&' . Si; i° +�-
s - ult"
9. SEWER ,L` /��}/� 25. FINAL BLDG I METER CLEARANCES I -�
10. GAS LINE CI 26. FINAL ELEC INSPECTOR
11. ELECTRIC (UG) I 27. FINAL MECH I DATE OF FINAL
12. MASONRY GROUT I 28. FINAL PLMB I CONST PWR DATE
13. BOND BEAM I 29. FINAL SIGN I ELEC DATE
14. PARAPET I 30. M/H SET UP I GAS DATE
15. ROOF/FLOOR DECKING 31. AWNING & SKIRTING I CERT OF OCC #
16. STRAP 32. BACKFLOW ASSEMBLY SIGN 0 G & D
I hereby certify that I am the owner or duly authorized owner's agent, that I have read this application and that all information is correct. I further certify that I have read,
understand and will comply with all of the provisions outlined he eo .1 al 'certify that the plot plan submitted is a complete and accurate plan showing any and all
existing and proposed structures on the subje • '•ert /7
SIGNATURE �.� _ / _ DATE ��/r•
PROVISIONS: The applicant is advised that issuance of th permit will not relieve responsibility of the owner or owner's agents to comply with the provisions of all laws
and ordinances, including federal, state and local jurisdictions, which regulate construction and performance of construction, or with any private deed restrictions. This
permit becomes null and void if the construction work authorized is not begun within 180 days from date of issue or if at any time prior to final inspection and approval the
work is suspended or abandoned for a period of 180 days.