HomeMy WebLinkAbout3154 KILLARNEY LN - Building Permits i • - i .
• M CITY OF COSTA MESA
4 BUILDING DIVISION
>:�. �Ai:mumr DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER
t: /ti I PERMIT
•
I- B01-01127
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 3154 KILLARNEY LN Status: ISSUED
Suite: Applied: 07/20/2001
Vicinity: RESIDENCE&ATTACHED GARAGE Issued: 07/20/2001
Parcel Number: 14163202 Zoning: R1 R1
Applicant: ATKINS, BRIAN ISSUED BY:
Address: 23511 WHITE DOVE DR
Phone: (949)597-0192
LAKE FOREST, CA Zip: 92630
Owner PEDERSON, KIM A
Address 3154 KILLARNEY LN
Phone:
COSTA MESA,CA Zip: 92626
Contractor: SOUTH COUNTY ROOFING
Address: 23511 WHITE DOVE DR
Phone: (949)597-0192
LAKE FOREST,CA
Zip: 92630 License: 737515
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF:T/O WOOD SHAKE&HOT TAR ROOFING; INSTALL NEW HOT TAR ROOFING OVER FLAT DECK. PITCHED ROOF:
7/16"OSB,30#FELT,APPLY 30-YEAR"ELK"COMP SHINGLES.
1600 SQ FT
FEE SUMMARY _
Plan Check: $0.00 Calc Valuation: $5,100.00
Permit: $125.25 Claim Valuation: $5,100.00
SMIP Res: $0.51
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
•
Total: $125.76
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
2446-4e(6/00)
JDECCARATIONS
WORKERS'.COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ ?'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
w for which this permit is issued.
I have and 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: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars(6100)or less.)
❑ 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 alifomia,and agree t I sh uld become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with thse ions. 7-.2C)-€11 /
Applicant Signature:
. AA-!Hw i Date:
WARNING:FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL TINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION 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 under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# " Class#
Contractor's Signature: .[7/G..s.�i /� ,.,. Date: 7FZ)'"a/
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 perry.+'
subjects the applicant to a civil penalty of not more then five hundred dollars($500).):
❑ 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 end Professions Code:The Contractors License Law does not apply to an owner of properly 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 properly 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. ❑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 then 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:
I 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? ❑Yes ❑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? ❑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? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 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 1000 feet from the outer boundaries 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 Quality 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? 0 Yes ❑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 and Emissions.
Signature: Date:
CERTIFICATE OF COMPUANCE 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 comply with 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 property for Inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
•
Signatur f al mer s Date
'O /
And/Or Authorized Applican • Date
CODE• INSPECTION TYPE PATE INTITIAL$ CODE( INSPECTION TYPE PdIE INUMAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final p /7 208 Final Plumbing
r'
200 Final Re-Roof -1 Ol � 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
OWNER RAGAN. John DATE -10_5-73
,.,JOB ADDRESS 3154 Killarney ;.ane BUILDING PERMIT NO. 37392
\GENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK Block Wall
'SAP No. 141-632-02 LOT 47 TRACT 4356 FIRE ZONE VALUES 610.00
?INSPECTIONS Signature Date GROUP J TYPE III ZONE Rl
SOIL SUBCONTRACTOR PERMITS ISSu}ED
GAS Date Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER O
ROUGH WIRING Heating and Vent.
TRENCHES n FORMS ❑ STEEL REINF.
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT In
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING. VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
•
•
•
RIIILDING. FINAL - /24%'S i)J-0/3
ih
• ,S 73°2 PAID
OCT —5-73c00 279* *****7.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
. P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
'P IC -TION FOR BUILDING PERMIT
For Applicant to Fill 'n mpletely
/ RE•/�'��{S�` • v DATER CEIVED D EISISS'UED
BUILDING /}/ L'/.L/ /J / ergitiCC ,� 0-5 —3 '73
OWNERSS Jah• n �n 644ir�� ✓ r
'� ' 2..._0 I PERMIT NO.
OWNER A.P.NO. C.•�
MAIL / _ _,/ / BUILDING ,,.� �,.t )
Z ADDRESS A/6 '� /�O//frz y L/ ADDRESS�j/// ��A.xv24/GT N
W W ///J�� ��t//�� TEL. SSG(Q TRACT S!-3 LOT BLOCK
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CONSTRUCTION NEW A D ALTER REPAIR MOV G DEMOLISH
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J BRANCH OWNER` 1Q Cj�/
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APPROVE' / �— /Z�
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W WZON j NO.OF USE OF NEWTE1
iCITY NO. I PLANS Z BUILDING �LK.LJ hLL
w- 0 STATE CITY YARDSII APPROVED YARDS APPROVED
NEL LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D 0 (FROM C/L STREET)
SIZE I NO.OF BLDGS. Q--.1OF LOT NOW ON LOT FRONT FT.
FT.
USE OF / /r
EXISTING BLDG. R SIDE FT. FT,
I" SIZE OF NO.OF, / if
Z NEW BLDG. ROOMS STORI ES L.SIDE FT. FT.
Q EXTERIOR WALL ROOF / //
V COVERING COVERING REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
RI
a MAIN BLDGS. ACCESS. BLDGS.
Q VAR.# DATE
0
. ♦ �pJ /A�/� ,///n///Jl.: C.U.P.# �s., APPROVED
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CA /' _/9 . 4411".7 .E i APPROVED �p,✓ DA SSIs 10-6.r)3
11
OI hereby acknowledge that I have read this application and state I ‘�
n that the above information is correct and agree to comply with_,
CC all laws regulating building construction, and I shall not employ`
I— any person in violation of the workman's compensation laws of
CO the State of California. tIE
0
Z I hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, Division 3„ THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: o
cc
am exempt from the provisions of the State of California Business
-and Professions Cnue,Divlsi n 3,Chapter 9. VALUATION /J co
R PERMIT FEE 5 1D
Signature of /� C��/ �],t��i/ / f /O m
Permittee (rte,j✓//f(/ ��/ `'W•'✓ 5 (/j,/t l/ PLAN CHECK 5 E
��/ o
Authorized Agent / z/ LL
TOTAL FEE $
- .....;0.13-ADDRESS 3154 Killarney Lane BUILDING PERMIT NO. 55 7
iota . u
- 2 2
GENERAL CONTRACTOR Gene Boyum Patios DESCRIPTION OF WORK Patio Cover
AP No. 141-6'12-02 LOT TRACT FIRE ZONE VALUE $800.00
INSPECTIONS I Signature Date GROUP j TYPE TV ZONE R-7
Soil PERMITS ISSUED
Gas SUBCONTRACTOR 1 Date I Number I Signature
a Water Plumbing
VRough Plumbing _
Prop. Swr. Line 0 House Con. 0
Sprinkling System
Miscellaneous _
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing ///
Frame and Flashing �7 7//1/44
Lathing—In 0 Out.0
Plaster, Brown Coat
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building, Final L-� ).7-111/48
Cn....:A n......lrnninnfc AA,••r/ 17 _� `-lM
2552 / -ii.--..
ES
t + COSTA MESA BUILDING-SAFETY DEPARTMENT CITY OF CP' P.O. BOX 120! COSTA MESA, CALIFORNIA 92626MAR For Applicant to Fill In Completely APPLICATZTYPE OR PRINT' j r /ADumoms DDRESSJ,.��� CLv/'/d�i/r7 �
RECEIPT NO.
COSTA MESA. CALIFORNIA
RECEI E DA,JL REC[/[D� IBB��
OWNER 'TOM/ / '..3 30 7 3
c/ fl DUI ING
AODRESSA� -C�/' L///�� ADDRESS
FIRE
CITY L- T
/�$SVS /in srd�4- NO. ZONE TYP GROUP �L
APPROVEDr;
ARCHITECT \ TEL 87' J DATE-.9.-363)-a
OR ENGINEER
ZONING i_
ADDRESS ZO NO.or ^ I uE[OFN
C Pe y(/� 1 / -10C I
PLANS /J'BOILDINO0. f
CONTRACTOR r //{ Oil
/pT�'J�1 �I U., I/ I n (yA/!� 1I
ADDRESS \/9/�.'/y1y4PC <1 l l 61•1iI DESCRIPTION/([�[�Q'}- (17 -1-R. s1 s s- 4,
CITY J' 1 ✓ C4 /IP-� A.P.NO. 1. r/- Cl 3..a '� o a•
9.--C,
'�'�f !� �/T 30"TO NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
LC.NO. f C,{ 5,j NOL 4- �- r LZI SIDE&REAR ea..._.
EAVES
SIZE „o CP 0 C I NO.OF BLOW. ( ALLOWED (U.B.C.REQUIREMENT)
OF LOT �--� NOW ON LOT YARDS APPROVED YARDS APPROVED
USE OF 0 MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. ( (FROM C/L"TRH )
SETBACK LINE FROM FRONT r� . , FT.
CENTER OP STREET REAR YARD -
SIDE YARD I LEFT I RIGHT R.SIDE SFT. R.
DESCRIPTION OF WORK L SIDE 'FT. R.
o� REAR ISR. FT.
NEW ALTERATION ADDITION
DISTANCE BET. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLDOB.
BUILDING /T%///yy/'7 NO.OF VAR.# DATE
SIZE IP:, l ROOMS / STORIES / C.U.P.# APPROVED
EXTERIOR WALL i ROOF AFPRQI([��/// //^/ /
COVERING COVERING !Y //•// LY-e �,�/1 DATE ��"T4
USE OF BUILDING AHO WORK TO BE PERFORMED ( _ •r-Q-- Np
ireeitCSC
�f7`�j/�i/iteE4Iff r brrst^e �� , R_QUIrIEMENI�S
t,� J -G 0 C <��J SO.R. et
I HERESY ACKNOWLEDGE THAT.I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB FOR THE 2
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PSB ONLY.
PLY WITH ALL CITY ORGINU SNCAND ATE LAWS REOULATINS VALUATION
^ L / O N
�,
BUILDING CONDTRu ON. 1 ) (MC PERMIT FEE$ CJ I 0
SIGNATURE OF . •I+-=j'` /✓ IIC
PERMITTEE ?CO(Jlf w
AUTHORIZED AGENT .. dr Aed _ ' TOTAL PEE 5 G /V0
IMPF
1 A 176 Lot 47, Tra -56R V 1-IED
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA iIOV 2 O 1962'
FINANCE DEPT.
For Applicant to Fill In Completely APPLICATM FF{R cam IIHIESA
TYPE OR PRINT BUILDING
BUILDING ADDRESS -�/'Sy /1/74 r7P/y 47.4„t
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPTNO. PEItA111 iqE,C
OWNER Harbor Hall of Fame Homes Inc. JJJ I I C)
MAIL P.O. Box 2066 RECEIVEY I OR(,H•RQCg1VE0 DATE ISSUED
ADDRESS I////�/ 77 ff///� NUV 2 u tu62
CITY Santa Ana Tr7D1 9-2204 BUILADDRDESS
OR
CHIT EER Jamison N,044-0040 COSTA MESA. CALIFORNIA
ENGADDRESS 225 "D" St. , Tustin ZIRE
ONETYPEJM._ GROUP"
CONTRACTOR Lifetime ResidentialBldg Corp; APPROVED DATE
ADDRESS 21 1 SO. Artesia St. ZONINGS
Santa Ana ZONE /� I NO.OF USE OF NEW /
CITY J\ J pu,Ns yI BUILDING
Eno. 208676 TEL. KI 9-2204 LEGAL
DESCRIPTION4 7re- , 43 s
J
SIZE6000, I NO, OP BLOCS.
OF LOT NOW ON LOT O A.P.NO.
USE OF None YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM 48. N•CO. (CENTER LINE ST.1G
CENTER OF STREET REAR YARD l`� / FRONT �8,
FT. �. IN.
I _5. I 5. _
SIDE YARD LEFT RIGHT R.SIDE -S FT. IN.
DESCRIPTION OF WORK L.HIDE S—FT. —
IN.
NEW 1g II ALTERATION I II ADDITION I REAR 3 0 G"/— FT. IN.
REPAIR I A MOVING I I DEMOLISH I APPROVED /1
BY 4-r'4j'D-t� DATE/CT-..)-.)-LB
SIZE DING 1608, ROOMS 9 STORIES 1 ,,
EXTERIOR WALPiaSter I ROOF Shake
COVERING C COVERING
USE Of BUILDING AND WORK T PERFORMED
ing a family residence
G//�7.4,1 I ,
1 - MTht2 I yam,, Q '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDE /ALUATION IS FOR THE
AND STATE THAT THE ABO IS CORRECT AND AGREE TO COM-
PLY WITH ALL CITY O:.-1. CES E LAWS GULATING PURPOSE OF ¢HTABLIBHIN• A PERMIT Felt ONLY.
BUILDING CONSTRU -• VALUATION
SIGNATURE 0 - II.. �/�.P . ` PERMIT FEE $ „re
N
PERMITTEE ale_ �y it r D
S / PLAN CHECK $ aA�J
AUTHORIZED AGENT % .J/rrl p
• .TOTAL FEE - (/ u
OWNER HARBOR HALL OF FAME HOPES INC. DATE NOV 2 9199.52
JOB ADDRESS 31511 Killarney Lane BUILDING PERMIT NO. 18176
GENERAL CONTRACTOR Lifetime Residential Bldg. VALUE $ 15,155.00
AP No. LOT !17 TRACT 11356 FIRE ZONE DESCRIPTION OF WORK Res/Att.Gar.
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R-1
Soil r__, /i/�o_ PERMITS ISSUED
Gas / 21♦J�ZC SUBCONTRACTOR DATE NUMBER
Water .,r 9a_
Rough Corn. Ref rig. 0 Air Cond. 0 _
Rough Heating Z 9 1- /01:-AP-Ga r,!�
�L � _
Rough Plumbing = 'j!=� % _ cr� /,2-�-�aY_ 7.7_41,3/
Miscellaneous • �-
Prop.Swr.Line House Con. 0 St.Swr. ❑ 4V fi n-cc7/ - . _ ,2..„,.7/_z,..3- ,j. rj
Sprinkling System
Construction Pole
Underground 0 Power ❑ ,
Rough Wiring ____ 1 -7-Ga 772a 1-H-63 //9/S0 /
• Trenches k" Forms lr7 Steel Reinf. 0 /(tpllic l?-/g. F7-
62Bon *Ili
Floor System if /2-/F-62-
Bond
d Beam ❑ Steel Reinforce 0
Sheathing till /-2i
4/-
Frame and Flashing 9-.-/41--0)Lathing - In l Out �� �!� 2-.1-'7-63
Plaster, brown coat f/$-454 9- 0- 0
Refrig. 0 Air Cond. 0 Final ����9
Heating, Final 5� S fj� �-`"`"C
Plumbing Fixtures, Final
Final Gas Test /j— /VI �. . /
7 �C v
Electric Fixtures, Final 9/dYC3
Building, Final S`,A74 3
OCCUPANCY
FORM RU4.5M - 7-61 l81 t6