HomeMy WebLinkAboutBLD2005-01952 - BLD Application - 10/11/2017 RECEIVED
Request to Revise Approved Plans OCT 112017
c" _rng5 W. Alder Street
Permit Number B D ,OM Name 7 -' ✓
Parcel Number I Z t c7 - "Z-2eJ - t so Phone Number daytime (34Z ) >1Z-- Q j
Project Address 4 c� Gv i;iicLpMailing Address PO. i of l
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Please provide a complete, detailed description of the proposed revisions to the approyed plans:
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• Are two sets of the revised plans or addendum indicating t changes included? D Yes ❑ No
• Are the approved construction plans included? [2'<es ❑ No
The RED stamped "site" approd nstruction plans must be included.
• Are the revisions clearly and accurately identifie 'the plans or addendum? Ye ❑ No
• Does the plan contain an engineer's or archtec' lateral or vertical analysis? Cho
If Yes, Has the engineer or architect a p�r vied this revision? ❑ Yes ❑ No
Is a stamped and sign d approval c ded with this request? ❑ Yes ❑ No
No structural changes to "de i " plan will be approved without the written consent of the
en i eer and/or architect of record.)
• Does the proposed revision odify the footprint or location of the structure? ❑ Yes [r
If Yes, Is a revised site an, th all new setback dimensions included with this request?
❑ Yes ❑ No
Additional Information:
Applicant's signa � Date:
1D� ,may
Received by: 31tflLLi Date: 10-5j-ZO 1
OFFICIAL USE ONLY ()
Initials
Department Date of Date Reviewers Original Valuation: $
for Review Received Assigned Approved Approval
Reviewer Additional Valuation: $
Sq. Ft._______x$_______ $
Building Sq.Ft. x$ $
Total New Valuation $
Pubjr ., n
Health �'Q7 i Additional Fees:
Additional Planning Dept. $
Fire Marshal Additional Plan Review $
Public Additional Building Permit $
Works Additional Plumbing $
Additional Mechanical $
Additional Conditions/Comments: Additional E.H.Dept. $
Other $
Total Amount Due: $