HomeMy WebLinkAbout3105 MANISTEE DR - Building Permits •
MF CITY OF COSTA MESA
iv )
BUILDING DIVISION
). :j „,yanrws- �r DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
t. PERMIT
BO0-01746
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 3105 MANISTEE DR Status: ISSUED
Suite: Applied: 10/30/2000
Vicinity: HOUSE&ATTACHED GARAGE Issued: 10/30/2000
Parcel Number: 41801203 Zoning: R1 R1
Applicant: NGUYEN, CUONG ISSUED BY:
Address: 14351 EUCLID ST#E
Phone: (714)545-6994
GARDEN GROVE,CA Zip: 92843
Owner NGUYEN, TIEN P
Address 3105 MANISTEE DR
Phone:
COSTA MESA,CA Zip: 92626
Contractor VILLA ROOFING PROFESSIONALS INC
Address: 14351 EUCLID ST#E
Phone: (714)545-6994
GARDEN GROVE,CA
Zip: 92843 License: 758361
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF EXISTING SINGLE FAMILY RESIDENCE AND ATTACHED GARAGE(25 SQ).TEAR OFF EXISTING WOOD SHAKES
AND RESHEATH WITH 7/16"OSB. INSTALL 1 LAYER OF 30#FELT UNDERLAYMENT&REROOF WITH 25 YEAR •
COMPOSITION SHINGLES.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $3,700.00
Permit: $97.25 Claim Valuation: $3,700.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other $0.00
Inspection: $0.00
Total: $97.75
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
fora period of 180 days. •
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00) •
•
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
L I'have end will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
�My workers''compensation Insurance carrier and policy number are:
Carrier. =� r77 i L iv/! (Policy Number: --�R�^ 00
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.) 1�'-----
❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,end agree that It I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature:- - FF r • (—Date:" /O/�0J6J 0
WARNING:FAILURE TO SECURE WORIfBR9"�l,PeNSATION✓'x ERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TOCRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(S10Q000).IN ADD I NUN TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed undeerrJJrovisio s o Chapter 9(commencing with Section 7000)of Division 3 of the Busincs and Professions Code,and my license is in full
force and effect.LI N 7 5 39
Cfess 4--
Contractor's-Signature: - -ter �' (Date: -./O/3077i�0
i
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars(5500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes ❑No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required.has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application agermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 101eet from the outer
0boundaries of a school? ❑Yes ❑No
(If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Duality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No
8 (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials end Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to complywith all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described properly inspection urposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
��,,,, net re Of L gal Owner ) Date
�.G(O,U�t,- AW(7.a /O/3-0 GTO
( And/Or Authorized Applicant ( p a
f
CODE i, INSPECTION TYPE RAAI& CODE t IISPECIIONTYPE
TE II RATE MAU
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final /�. _ 208 Final Plumbing .
/
200 Final Re-Roof !( '2 0 0 E�`�✓r 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
i/
42608 SIGN
OF COSTA MESA Tag No.
SIGN PERMIT t
- �A Planning & Building Safety Departments Type of Sigr�llB, �40f}AL t7► :�' -3-78f—.,��UO 16\4" ***,',P5.50
7V�c:J1 Mw J'Ic T ❑ Electric Non-electric ( "s id too
' Location 3�Q /I/M rys�.7 re.0 ' .+Y tOffice Use Only p\rx+"" ` �' P tris �,St
W ) § .h � ::. :r Property s:" 2" l+'iS.�i' �t SLs� if-.1'74:1;:,;•/'
f ,; .y
BuddingSite Address •• Phone 33)- 25°1 i S 4 ��jj 0
- • AT No,T��� � �6 i t Zonin�C �__- .
"Roc�/ /tne5 �/� gr /s 3 `'"� ACf' 5= %te Received "�9%Z , ',
Name of Lessee 1 Ir�rrF \I►C.J 'Ff�y��� Phone D'�: `,7 Sign Dist d
it-
�'� a,•yrr Oi -s1 State License No.nark. Recetyed bY• }J •
Contractor ��j1IDD pwRY'u'Filr` Ci[ License No. VV • • ° ' t £ Y
G Y Street
Q 13 •I"Mn" 4 Fi t- ft-.:: Street: i
Address I� s •y City ^�'V ' Zip Right: ft. Street:
I '�p Left ft. Street:
Q Legal Owner of Sign 001465. CANSRI �
A FS�� eR•K MESA rj Phone �� IReat '. ft St[eet: t
' Address 10 klieg^ l lO ,� City NFj�� �e. Zip C1124 IM
sett
back from center line of street " ."ft- II' Master Plan Highways ultimate right.of-way♦ " ft.
W :Sign Location ci
p" Descriptions - Illumination ' "' 1
O Front Right Left
0-4 "`Between property 14484 ultimate tight of-way 1
0 Ground 0 Canopy )(Non-aluminated
W 0 Wall 0 Attraction Board Ground Signs , ,?.
,. i
0 Roof 0 Advertising Statuaryv ' 0 7 ft.& 15 sq.ft/or 0 Table 27' ' Panter Area
❑ OtherSy3y V<iCwp(Reek \6� Directly lighted❑ Projecting
F
❑ Construction s Tract Sign(Security&Right of Entry Agreement) °t- y-• Sign rO • ,
Et: ❑ Convenience 0 Special Event(Request form submitted) Area of Sign Q ft in.x ft._in
U 0 Super Graphic 0 Change of Copy(amortization) 0 Indirectly'lighted -,i: -. sq" ft'
IW - Ground Clearance "
W Programs %Overall height "
Litter height ... Si : . ..
❑ Planned Signing 0 Shopping Center/Integrated dev. 0 Variance Ites of m
inforation _
C.U.P.No- 0 By Owner/or 5 by City mTotal sq ft.of ad Signage- , '� ``ir` ` -
W
p, (Date lett r sent ) 0 Minor Variance Amortization
'
aa
❑::,..4r,Subjectto Amortization !!.;7;;.:, yes no
d 1'1.-7
l[a6ting,72
,electrical and final Inspections shall be called. (714)556-5273
-....Expiration Date !
All applications must b by the App a t,al
r.
Valuation: O
Signature of Permittee ,, ,CiN
/Planning fee. f��1— _ !'Office Us'e Only :,r`,y ` '
$ / Building fee / `-t Ins ,Bt Px B ire Px.yNo x 3 ,}Fi E Sitie A r i +¢''
P a * �'8 k.5), :u�rPtPXyNo v8.b-as�a':
Authorized Agent Plan Check fee Q .: 9 it -z-' i ti}r�.c. ax. e
- . t x 3.. + '•y*+> wx^�,
Total Fee $ 8�1 5a Dx a ,,,, z '. '`t s' '�
Received by Date f • /l'9 Date Approved 7 -z 76 e ' ' - :} tom`
delis. att2x.',(� T��Yt
Signature(Bldg.Staff) Signature(Planning Staff) i/ }%R; 'fi7714
Date (Approval subject to the condition-of Ord.74-25 Sec,III 3.d)
CMF 0068-26 White - Building; Green - Customer; Canary - Planning; Pink - Finance; Goldenrod - Assessor
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THESE PIANS S U BE ON J B AT LL TI AV �,�;! ' •• •
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MAKE NO CHANGES WITHOUT PRIOR A' 2C'AL I ( 'L9' C(Ij ,. , L,`' • -
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OF DEPT. .' BI I .s.i ,!r., -, "s
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THE ISSUANCE OR GRANTING OF A PERMIT 01 r "'"• - lie �mi... >' `- - ,�
OF PLANS AND SPECIFICATIONS SHALL NOT BE CU 1nt
= 'i C y°�' { [ .% to
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TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VILA ON I ,`. D '3 '• e° :,Cl.�'i 1`, "VI + _ o
OF ANY OF THE PROVISIONS OF THIS CODE. NO PE �, ( I ra,: '" �^�1�1 a• • ..tih.r
8UMING TO GIVE AUTHORITY TO VIOLATE OR CAN"! B2E I . - F 1 skri Pi ...
PROVISIONS OF THIS COOS SHALL BE VALID, EXCEP ' " i : - •_r`so d S. b{� .
FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS r.'�,�] 1 ' •^ .• /U i
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r gr. ft. S Vis . a., - -' —
THE ISSUANCE OF A PERMIT BASED UPON PLY . '■■i . +II STRUCTURAL APPROVAL ONLY '
SPECIFICATIONS SHALL NOT PREVENT THE BUILDING 'if i�yl h;,i,q '
FROM THEREAFTER REQUIRING THE CORRECTION OF..._ I
IN SAID PLANS AND SPECIFICATIONS OR FROM PVI DNG I
BUILDING OPERATIONS BEING CARRIED ON THEREIN'.- ' '182JSEPARATE PERMITS ARE REQUIRED
IN VIOLATION OF THIS CODE OR OF ANY OTHER ORI.... I -"I' • On. FOR ELECTRICAL, PLUMBING,
oFTHE CITY. •---,– . - a ��•a• ►�,A HEATING, VENTILATING AND •
--- 4 m `�`'c • ROVED ,, 4,,„ ,''� F REFRIGERATION WORK
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PIANNIII% 411E4
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/ .1 ALL INSPECTION REQUESTS
_„• DIRER R O9--.1 Oder I z }
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'y"�d'' 1' FOR BUILDINGS WHERE PERSONS ARE TO I
' ^ __ BE EMPLOYED, WE SUGGEST THAT THE
• v INo STATE OF CALIFORNIA DIVISION OF I
INDUSTRIAL SAFETY•BE CONSULTED FOR
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-
OWNERPark Mesa Homes DATE APR 1 9 1972
JOB ADDRESS 3105 Manistee Drive BUILDING PERMIT NO. 41685
GPICRAL CONTRACTOR lalras Development Co. DESCRIPTION of WORK Residence w/att garage
A • 41R-011-Ot LOT 16 TRACT 9.016 FIRE ZONE VALUE $ 38,100.00
INSPECTIONS Si nature Date TYPE V GROUP I & J ZONE R-1
SOIL PERMITS ISS ED
GAS SUBCONTRACTOR
Date Number 1 Signature
WATER Plumbing g - '/ // t�c�
ROUGH PLUMBING �• %. I .w. 6 r 7-a f-7c. 6 / rqr
PROP. SWR, LINE Q HOUSE CON. We 'Jy '.e. 0,, I, t 6'a4' . 6,.6 . . —
SPRINKLING SYSTEM ,,„.... --
...• ..r
MISCELLANEOUS i %7/rIf! • SI
ROUGH HEATING AND AIR CONDITIONING 3_
TEMPORARY SERVICE OR POLE :•
UNDERGROUND L POWER 0 .
ROUGH WIRING m' LC. 04411
Heating and Vent.
TRENCHES FORMS LI STEEL REINF. Ire C ! ,I _�(�(// 7. 7a64 a_,rFLOOR SYSTEM ^ 'a74 y -1 - f-76 1265y,�
BOND BEAM n STEEL REINFORCE D '�/�"1�'�V ,TT
SHEATHING .1 °"C
FRAME AND FLASHING a(/ O - ,. 7
LATHING — IN ' OUT ,
PL R, BROWN COAT O 7-.21- -1
ST, URAL, FINAL
HEATING, VENT., REFRIG. AND A.C.,
,FINAL 25 ♦30.7 rt"�� ( (� W'RQ 6_t1_76 [J o607.i
PLUMBING, FINAL AND GAS TEST IIS •9047L7
ELECTRIC, FINAL -'_
416E5
COSTA MESA BUILDING-SAFETY DEPARTMENT
WR 2O-76m PAIL. 998* *8233.67
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A'.' CATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely—Use Ink Only
RE( I EES BY DATE RECEIVED DA E ISSUED y
BUILDING (us
" — ` / R�
ADDRESS •. QQ ` 1885
MAIL Park Mesa Homes A.P.NO. lig- oii_o1 a II8855
MAIL BUILDING
ADDRESS 1451 Quail St. ADDRESS t05 Mk 1ks Stg .
CITY Newport Beach TEFL. 833-OO1E TRACT 9036 LOT 36 BLOCK
LE O.
DERCrioNSan Diego Federal S 6 L NEW ADD ALTER REPAIR MOVING DFMOLISH
LENxx /t{��M�
BRANCH San Diego /', -W
OWNER
ADDRESS (tan B Street
OARCHITECTR ENGINEER Cra$ Combs b Asso W. 645-8046 USE . y/. �.-I'VALUg��'/� it
FIRE �/�//(j7,/y_V'(-_, f
ADDRESS 1535 Monrovia. Newport Beach ZONE /,, ✓" PE GROUPX 4or
APCONTRACTOR Lucas Development Corp. BY DATE
U DATE ! f'-g
ADDRESS 1451 Quail St.
TEL. O ^ NO.OF USE OF NEW'j ..
c L r PLANS 2 BUILDING
CITY Newport Beach NO. 833-001 Wj/a-.tT. C�
F^ STATE CITY YARDS APPROVED YARDS APPROVED
LIC.NO. 257064 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
ts1 SIZE NO.OF BLDGS, (FROM C�/jL STREET)
B. OF LOT 50 x 90 I NOW ON LOT none FRONT J S FT. FT.
a USE OF
4 EXISTING BLDG.none R.SIDE 5 FTS FT.
FSeparate permits are required for L.SIDE 5— FT. FT.
electric,plumbing and heating work.
O REAR ZC.FT. FT.
• USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
04 MAIN BLDGS. ACCESS.BLDGS.
.n. e'� C.V.P.#L VAR.# q� DATE 8- _75.3
Q aingl�Fami"y rnelrtnneo 75_,77APPROVED ii ^75
7 APPROVE 4- Iq -2c
W 4- 1OLD FOR P
�Y —DA ECI:aL ILTOL ET:1:4FMTc
o I hereby acknowledge that I have read this application and state
n
r.
(y that the above Information Is correct and agree to comply with
6• all laws regulating building construction, and I shall not employ as
Z any person in violation of the workman's compensation laws of e
T
the State of California. /440
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SQ. �w ///./O m
I hereby certify that I em properly licensed as a contractor under if(QFT. 4 i n
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR coD
Chapter 9, and that ch licenses are in full force an• effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: —
am exempt from M wools)�qQppp of the tate •f Cali nia Business VALUATION PERMIT FEE $ /((yyyttt/and Professions Dials, `Che• r y' / Ibe m
'rat PLAN CHECK $ s o
Signature of /,(� a
Permittee i �= / ,/ r— TAX $ Al` 2
N as o
Authorized Agent TOTAL PAID
t:N
1'JOB ADDRESS 3105 Manistee Drive BUILDING PERMIT NO. 42608
GENERAL CONTRACTOR Orange Coast AdvertisinspESCRIPTION of WORK Non-Flee, Ground Sign
0' No. 418-011-01 LOT TRACT FIRE ZONE VALUE $ 450.00
j"y€";•`'+' ECTIONS Signature Dote TYPE GROUP ZONE PDR—HD
SOIL PERMITS ISSL ED
• GAS
SUBCONTRACTOR Data
I Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE nHOUSE CON. fl
ISPRINNLING SYSTEM
�C MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING . -
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRINGHeating and Vent.
TRENCHES f FORMS 0 STEEL REINF. Q /4414.1:29..-/y.' C,
FLOOR SYSTEM I�
BOND BEAM [, STEEL REINFORCE 1 I
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER. BROWN COAT
'TURAL, FINAL Ejpatfls
NG. VENT.. REFRIG. AND A.C-.,�FINAL
r
PLUMBING, FINAL AND GAS TEST I
ELECTRIC. FINAL
BUILDING, FINAL ;PC /t3-2/
SPECIAL REOUIREMENTS