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200111170 M
PERMISSION IS HEREBY GIVEN TO: CONTRACTOR: SAM COULTER* TO PERFORM THE FOLLOWING WORK: MECHANICAL PERMIT CITY OF LITTLE ROCK DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING CODES DIVISION PERMIT NUMBER:200111170 ISSUE DATE: 12/26/01 EXPIRATION DATE: 12/26/02 OWNER: RABORN, STEVEN & LAURA NATURE OF WORK: CLASS OF WORK: REP VALUATION: 4,500 SQ FT: 0 JOB DESCRIPTION: MASTER BED AND BATH ADDTION**ht,a/c, duct wk,insp PROJECT NUMBER: A200109890 AT-TKE FOLLOWING LOCATION: LOT/BLOCK/SUBDIVISION: ADDRESS: 1819 N JACKSON TO BE USED AS(OCCUPANCY): ONE- & TWO-FAMILY RESIDENTIAL This permit is issued on the express condition that the above work shall conform in all respects to the statements certified to in the application for such permit, and that all work shall be done in accordance with all applicable zoning, building, electrical, plumbing and mechanical ordinances of the City of Little Rock and the State of Arkansas. I or we further agree to abide by the applicable conditions as printed on the permit card. I or we further certify that we have read and understand the requirements of this permit and that all statements made by us in securing this permit are true and complete to the best of our knowledge. Permit Fee: 42.00 DATA PROC 2.00 TOTAL: 44.00 Licensed Contractor or Owner Issued By: STEELE FOR: CHARLES G. GIVENS Building Official CITY OF LITTLE ROCK DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING CODES DIVISION 723 WEST MARKHAM, 2ND FLOOR LITTLE ROCK, AR 72201 PH: (501) 371-4826 FAX: (501) 371-6863 OFFICIAL USE ONLY PERMIT No. 2{po L l ` l - DATE ISSUED ISSUED BY� INSPECTIONS APPLICANT (PI ase Check Will Call Cl Slab Final Rough 0 Other PROJECT ADDRESS: G'� {� LEGAL DESCRIPTION:LOT OWNER/TENANT: ADDRESS: BLOCK SUBDIVISION APPLICATION FOR: (HVACR) MECHANICAL PERMIT INSPECTOR'S COMMENTS PROJECT NO.: TELEPHONE: CONTRACTOR: F;.,� l _ ;' LICENSE NO.:� b l ADDRESS: LAI / J2 r�L EPHONE: � CLASS OF WORK: 11 NEW IteNDDITION PXEPLACEMENT ❑ ALTERATION BOILER* PROPOSED USE (OCCUPANCY): 11 COMMERCIAL 11 RESIDENTIAL�r L'/'11 L MODULAR/MOBILE HOME El OF CITY SQUARE FEET: VALUATION: Heating/Air ing/Air Mec arircaPermit ees: A. New Construction •1. One & two family DWELLING - $.05/sq.ft. 2. All other occupancies: As set forth in the cost schedules in Paragraph B. No. of' TNsPe'=+; oNs B. Replacements, repairs, alterations and additions and new COMMERCIAL Heating, ventilating, ductwork, air conditioning, boilers*, and refrigeration systems shall be $30.00 for the first $1.00 up to $1,000.00 or fraction thereof, of valuation of the installation plus $3.00 for each additional $1,000.00 or fraction thereof. *Boiler permits only issued with proof of special boiler license. NOTE: ALL DUCTWORK REQUIRES A ROUGH INSPECTION. No. of Heating Units No. of Air-conditioning Units ( Duct work: gYes ❑ No Commercial Ventilation stem Commercial Re rigeration Split System CHECK ONE OR MORE BELOW: ❑ Electric U Gas Fired ©-Split System ❑ Package Unit ❑ Water Source ❑ Condenser Coil ❑ Evaporative Coil ❑ Other (explain) C. Minimum fee for any permit shall be $30.00. Additional Fee for Data Processing: $2.00 (Res.), $4.00 (Comm.). D. Expiration of permits is one year from date of issuance. E. Penalties (Working without a permit): Where work for which a permit is required by the 1997 Arkansas Mechanical Code is started or proceeded prior to obtaining said permit, the fee herein specified shall be tripled; however, payment of such triple fee shall not relieve any person from fully complying with the requirements of the 1997 Arkansas Mechanical Code in the execution of the work nor from any penalties prescribed herein and no additional permits shall be granted until all fees have been paid. NOTICE: SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, GAS, PLUMBING AND HVACR WORK. I hereby certify that the data submitted on or with this application is true and correct. Any deviation from Information contained herein, unless approved by the Building Official will render this permit null and d.