HomeMy WebLinkAbout110229 CITY OF GLENDALE i •
aril Community Development Group BUILDING PERMIT q 0 INSPECTOR COPY
41111115850 West Glendale Avenue
Glendale,Arizona 85301-2599 ❑�ar
����
GLENDGE Office: (623)930-2800 Inspections: (623)915-3263 Permit No. 110229 4 Inspection Area: SB Issue Date: 05/22/2018
PROJECT INFORMATION Project No. Sq.Ft. Valuation
Property Location(Verify City and Zip Code mailing address with Postal Service) � 0 1
5002 W GLENDALE AVE STE 101 Permit Type
BS-BLDG
Location Parcel Subdivision Lot# Issued By Statistical Code STD#
147-13-014 DEL HIGO PLACE 11 TIEFENTHALK 700
OWNER INFORMATION _ Sewer Elec Gas Water Meter
Name: CA&SA LLC 1
APS
FF Cert Req
Address: 4750 N. ORACLE RD.#210 TUCSON AZ 85705
E-mail: •
Daytime Ph(602)735-5254 Emergency/Fax# Mobile/Pager# Construction Type Occupancy Group
1
PRIME CONTRACTOR INFORMATION
Name: OWNER-BUILDER
Address:
E-mail: _ , , _. .
Daytime Ph Emergency/Fax#
Contractor License No. License Type Salestax License No.
Description of Work/Special Conditions ',", i k1T� co of Mr'
COMMUNITY MEDICAL SERVICES-certificate of occupancy inspection only, no work being done. C of 0 Required
BUILDING PERMIT Inspector G / i t S rill je
Date of Final 3/30%g'
. Certificate of Occupancy Number
• METER CLEARANCES INFORMATION
' Electrical Date
Gas Date
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 the provisions outlined hereon. I also ertify that the plot plan submitted is a complete and accurate plan showing any and all existing proposed structures on the subject property.
Signature + +ff ' Date 5/Z 2-/I B
Provisions: The applicant is advised that issuance of this 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 the 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.