HomeMy WebLinkAbout923 VAN NESS CT - Building Permits�o`I
PFOJECT AOUBE55: 9 z 3 VAN NESS CT
owecnsxame: STREIT, OSKAR
aooeEss: STREIT, EVILINE R
923 VAN NESS CT
CUSTA MESA,CA 42626
ANCHIENGINEEfl:
nooaess:
UNIT:
REC.NO.:
uxiT:
PE"miTTEE: HILT—WELL ROOFING
aooeEss: 3310 VERDUGO
LOS ANGELES CA 900
UCENSEU CONTBFCTOP UECLANpTION: I hereby a�firm �hai I am licen5etl under D�ovisi0n5 oi C
7000� ol Orvision 3 ol lhe 9usine55 and Pmlessions Cotle. antl my license is in full force and elf!
CR LIC./: � S.T/RTE LIC.: q S S O O �
�a�e: _/ � /—� 7` SignaWre:
flNEBS' COMPENSATION OECLAflRTION: I hereby aflirm Iha� I have a ceni�icate o� consent �o s
Compen5aiion Insurance. or a cetlilieC copy �hereol �Seclion 3800, La�. C).
roucrNo.: W937102989 eze.onT¢: 07/31 �99
COMPANY: CAL COMP INS.
❑ cenified copy is nereby Wrnisnea. �: Cenifiea co si
� '� � /—Ci s! .--
(714)758-3501
wiih Section
o� Workers'
��MPTION FPOM WOBtlEflS' COMPENSATION DECLAPATION: (T�is sec�ion neetl no� be comple�eE ii �he permii is �or one hunOreA (5100) or less).
I cerliry Iha� in �he pedormance oi �he work tor which �his permii is issuetl, I s�all not employ any Derson in any manner so as to become
su�lecl to the Workers' Compensation Laws o� Calitomia.
Oa�e: Signawre:
NOTICE: If, afler making �his declara�ion, you shoultl became sublec� to Ihe WOBers' Compensa�ion pmvisions o� �Ae Lahor
Cotle, you must �otl�wi�h comply with such pmvisions or �his permi� shall �e tleemea revoked.
CONSTBUCTION LENOING AGENCY: I �ere�y alfirm ��a� there is a con5imc�ion IenOing aAency br �he pedormance ol the work tor
which ��is permit is issued �Section 3097. Civ. C).
LENDEfl:
AUOXE55:
OWNEN BUILOEB OECIAFATION: I hereby af6rm ��a� I am exemOt Imm the Coniractors' Stale Cicense law for the followinA reason
(Section 7031.5 Busine55 and Pmfessional Code: Any cily o� coun�y which requires a permil Io conSlmci, alter, improve, demolish, or
repair any sVucWre. Orior to its issuance. also reQuires the apDlican� lor such permit �o file a signed statemen� tha� he/she is licensea
pursuani m �he pmvisions oi Ihe Con�radors' S�ate License Law (Chapter 9(commencing wi�h Sec�ion 7000) of �ivision 3 o� �he Business
ane Prolessions Cotle) ar tha� he/she is e�empt ��erelmm an0 the basis for ��e alleged exemp�ion. Any violalion of Seciion 7031.5 hy
any applicant far a permi� subletls Ihe applicant lo a civil penal�y ol no� more t�an �ive huntlreC Oollars (5500).
I, as owner oi ihe pmpeny or my employees with wages as iheir sole compensation, will do [he work, and the
❑ SlmcWre is na� iNenaetl ar o��eretl �ar sale (Sec�ian 7044, Business anA Professional Cotle: The Comracmrs' $Ia�e License Law
Uoes no� apDly �o an owner o� a pmperty who builds ar impmves �hereoq and who does such work �imself/herselt or ihmugh
his or her own employees. provitle0 thai such improvements are noi inlended or o��ere0 Por sale. II, however �he builtling or
impmvemeni is so10 wi�hin one year of completion. the owner will �ave Ihe �uraen al pmving he/she Oi0 nol bui10 or improve
lor tne puroose of sale�.
I. as awner o� �he pmpetly. am exclusively contracting with licensed coNractars ta consimc� the proleci (Sec�ion 7044, Busine55
❑ antl Pmfessions Cotle: The Contracmrs' Staie License Law does nol apDly Io an owner ot pmperty who buil�s or imDmves �hereon
ana w�o coniracls for suc� O�olects wit� a contractaqs)license pursuantlo Ihe Conlracbrs' S�ale License Law�.l am aware
Ihat prool of Iheir Worker'S Campensalion insurance shoNd �e D�ovidetl �o me.
� I am exemD� un0er Sec�ion: B. 8 P. C.
� for Ihis reason:
Daie: Qwner_
I do �ereby cenity Ihal I am aware of anA undersiantl Ihe requiremems o� Cali�omia Heal�h ana Sa�ery Code Sections 25505, 25533, and
25534 en4 ihat I or any luture butlding occupanl willlwill not (circle one) neeU Io comply wiih saltl atate code6 antl the raqulrements �or a
permit lar constmclion or modificalion Irom Ihe Nir �uality Management Disiric�. PesiOential consimction aDPlica�ions are evempt from
�he5e O�OviSions.
Oale'. NpplicanL �
I hereby cetltly ihat I have reatl this application and siate thal Ihe above informaiion is correci. I mpy wi�h a iry and counly
ordinancesandslatelawsrela�ingtoUuildingcons�mctionandherebyaWhorizereDresentaiiveso isci�y�aenteru0 � ahove�mentioned
propetly lorinspeqion purpases.
i
Oate: ^/� Signawre.
rrver's �icense or Sociai Securiry x:
t6<t-a6 �4'hite—Building; Green—CoOe EniorcemenL Canary—Applmanl: Pink—Revenue: Goldenrotl—Assessor
CITY OF COSTA ME5A — HUILbING PERMIT PERM NO: B 06781a
PERMIT NO: H 067810 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N FERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; T/OFF 6 REROOF WITH COMP. S BUR IN BACK SQ FT: 1,100
CLAIM VALUE; 1,10U,00 CALC—VALUE: 1,100.00 GROUP OCC: R-1 /M-1
COMMENTS: SMOKE DETE�TORS ARE RE�UIRED IN EVERY BEDROOM & HALLtdAY
t�***��r*****�*��r****�**+t�**+r�***� x��r*�r*�+t+r��t***�*�**f�x�**+��r***�rt�**#�r�r���t+�**�*ir*�-x-
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESStJRY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ; PROV; PARCEL: 41808351 ZNE: REF NO:
PLANNING NOTES>
>
�+�+��t�t#*ft�rx��r**+r+t*+r*�rit*x��r��ri�*�x�r*+�**x*x��t+�+t�r*x�i�***ir�r�r*�t##**�-*�-�r**fr*#�r#�#i�*#��t�-*�rx��
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
20NING APPROV�D BY DATE;
HUILDING APPROC�ED BY ; DATE: _
APPLICATION ISSUED BY: L/J�� DATE: �Z�,�
9E�EiFiEiFiciEi6ifitiEiPiliEiElc�EiE3tiE3EiE%'iFiFsFTct�iFiF�+e�riFitr.`�"it .—S���tiF�i'Fiex FiiF�tv�3�ritiF3F'xiFdEifiFiEiF9F?fiF1Fz x> J'iErt
iEjfiEiEiElfiFitifiEiEiEiFiEiEiEiE9c*iEjEiEiEififiFiE3EifiEifitiF3tifi6iEiEiEMiEitiElkiEiE3FiEiEiEicdEiiifiEiEiE�E9EiFif3EiE3FiEiEiEiEiEiE :iEiEififihiEiEiE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECFIANIC FIRE Si9IP/RES GP.ADING
PERMIT 27.OQ 50
PLAN SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 2"I.50 0.00 0.00 27,SU 27,50 ,00
REVENUE DIVISZON TOTALS--> COLLECTED: 27.50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
2%,0� ,50
iE �E �JE i! 1E iElt if itlf iE iF'lE fE fE fE k iE �! iE 1f iF i(� iElF iE 1E fF 1E �E iE iE iE iE i( iF jE ff iE if !E �f iE if iE fb iE iF # iE itlF 1f !E')t if iF k�)f iE iF iFlE iE �E 1f iE fE ** 1k iE # iF jF * i! iE #
I N D I C' I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1100 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 1,100.00
END OF FEES
01 QD1633D9—t10163310 T UT 27.5p
DAT£: 07/O1/44 TIME: QE:S7
�ONSTRUCTIONANdPIANNWG P��� �A � �
APPROVALS PermiY# Date Inspector APPROVALS Permitak Date tnspector i
7. Temporary Electricai 5ervice or Poie 52. Pool & Equipment Location
2. Soil Pipe�Und�grnd. 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduiz-Undrgrnd. 55. Eiectricai Bonding i
5. Sceel Reinforcement � 56. ftough Plumhing & Pressure Test �
6. Electricai UPER Gmd. 57. APPROVFlL TO COVER�GUNITE '
7. Foo[ings , � 58. Electrical Conduit-Undrgmd. E
8. Foundation 59. Gas Pipe, O Undrgrnd., Tesc !
9. Water Pipe-Undrgrnd. 60. Backwash l.ines, P-Trap, O U��drgmd. �
70. Structurai Ploor Svscem 67. RPPROVAL 70 �cCK �
7 t. Property Sewer �ine & House Connection 62. Backwash & Receptor-Finai �
I
12. Sewer Cap 63. Heater & Vent•Final
�
73. Roof Drains ' 64. Plumbing System - Final
14. Rough Plumbing 65. ElectricabFinai !
15. Rough Electricai-Conduit � 66. Solar SYstem-Pinal
i6. Rouc�h Eiectnc Wiring 67. Fendng & Access Approval �
17. Rough W�ring Sign 68. APPROVED FOR PLASTERING
78. Rough E(ectrical-T Bar Ce�ling 69. POOVSPA SYSTehAS FINAL �
19. Rough Heating & Air Cond;tioni�g FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace APPROVALS Permic =?F �
21. Ducts, in Siruct�re 70. Underground HYdro �
I
22. Ducts, Vemilating 71. Product Pipiny f; Gas O O�: ;
23. Gas Pipe-Rough & Test 72. Undargroond Flush
24, Roof Framing 73. Uoderyrnd.Storage 7ank G Gas ❑ Od I
25. RoofSheai�hing � �--� �. . ?..i�iqY �G�: � 7ri. Overhead�Nydro � � � • '
i
26. T�Har Ceiling (Structusall & R4onocoat 75. Dry Chemical ;
27. Prame and Plashing 76. Dry Stancpipe �
I
28. Lathing & Siding � 77. FIXED SYSTEM �INAL I
29. Insulation 76. FIRE PREV. FINA� j
30. Drywall Nailing HEALTH OEPL REQUIREPo7ENT �
--i
31. Plaster Bromm Coat 79. FINAL INSPECTION �
32. Electrical Power f9eterFinai 80. FOOD CEftTIFICA`E ISSUED �
i
33. Final Electric - Notes: '
I
34. Pinal Hea2ing & Air Candi2ioning . f �
i
35. Fina� Gzs PiDe-Test �
36. Hood or Canopy �
• I
37. Final Fac.ory Fireplace �
i
3$. Final Piumbing �
I
39. Water Service-FinaV
40. Gas Szrvice-Final
41. Solar pomesticFinal
42. Backflow Preventer �
43_ Backfiow Irrigation
44. Landscape Irriqation SYstem �
i
45. Sound Attenuation
�
46. Handicap Regulations I
�
47. FINAL STRUCTURE & BUILDING `y"�ii1 /i�/�( {
v� +a�-- i
48. FINAL PLANNING '
49. Electric Release to Edison '
50. Gas Retease to Sauthern Catifornia Gas Co "
51. CERTIFICATE OF OCCUPANCY `
No. pate
TRACT N0. fD �5��
LOT N0.
�)
�d����e�
L'IT'/ OF COSiA M=S�\
pCVELO� NT SERVICES DEPARTMENT
; ..,
D E C 5 1979
PM1I
..,���4�Si6
Q
DATE � `(�
ADDRESS �� 3 ��ai.H � C'�i1/_i ��i�i�
Development Services Department ,
Planning Division
City of Costa Mesa
77 fair Drive
Costa Mesa, CA 92626
Attention: Mr. Paul Dudley
Dear Mr. Dudley:
Please be advised that by executing this letter, the undersigned
acknowledges that he/she/they is/are aware that permission to
occupy the above referenced lot and unit�is being requested prior
to the entire tract and its streets and common areas being completed
and accepted by the City of Costa Mesa.
1
BY I
Signat re ot ur as
BY . �S .O�- ��
' Si nature of eveloper and/or
Authorized R,e�resentatiyz�
• �%��D�:����
:��111'l�f��ia'i�:!!:
O M
J�'' since '�r
� � p
m m
S rl�H$o9�, G
STATE MUTUAL SAVINGS ANOLOANASSOCIATION
e subsidiery ol Fe� West finencie/ Coiporation
�001 MacARIHUR BOULEVAHD NEWPORT BEACH, CAUFORN/A 92660 • (71q 833-BJHJ
TRACT N0. 10445 DATE December 5, 1979
LOT N0. 106
ADDRES5 923 Van Ness Court, Costa Mesa, CA 92626
Development Services Department
Planning Division
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92626
Attention: Mr. Paul Dudley
Dear Mr. Dudley:
Please be aware that the undersigned are aware that a certificate of
occupahcy on the above referenced lot and unit is being requested prior
to the entire tract and its streets and common areas being completed
and accepted by the City of Costa Mesa.
�
ay
(Signature of PurcF�aser)
(Signature of Developer and/or
Autfrt�rized Representat�e)
(Signatu�of Lender)
�
(
Applicant to /ill in al1 svatts exeeot those within neavy boreer Ilnes ana sign a11 apDropriata tleclarations.
CITY OF COSTA ESA CONST UCTION PERMIT PE�11T1 O. � � TFACT NO. LOT NO. UNIT NO, A P
a �
Project Address _
� Applicant's Mailing dress " �
Owner'sNam[e' /y�/�eQ�i�i�%%% Phon �
Address �,JQ/ / �� � � � �`
Arch/Eng. License No.
Address
Contratmr's Nam h �
Address (mailin9) �
City License No. •
LICENSED CONTRACTOR DECLARAT�ON
I hereby afti�m that 1 am licensetl untler ProviSions o! C�a�te� 9(commencing
with section ]000) o( Divislon 3 of the Business antl Profezsions Cotle, antl
my license is in tull (o e(tect.
License CId55 N
Date — ' SignaturG
WORKERS'COMPENSATION DECLARATION
I hereDy atfirm that I have a certiticate of consent t0 self-i05u�e o� a certi(Icate
'. Workers' Compensation Insurance, or a certifietl copy ther�(Set�
70. Ldb. C. i1t�.r. /..., y
-olicy No. �'3'10.� ComPanY n/((7(_/ �
n�. µ.,ertifietl o y is �e�e y fu�nish¢tl. ��
L� cer I" tl y is tiled with tne cit ilQg�ry�
Date Applican��
EXEMPTION ROM WORKERS' COMPENSATION DECLARATION
(ThiS section neetl not be completatl if the Permit Is for one huntlratl (5300) or
less).
I certity that in [he pertormance oi the Wo�k fo� wM1lch this pe�m�l i5 i55uetl, I
shall not employ any perzon in any man�er so as to become subject [o the
Workers' Compensation l2ws of Calitornia.
Date Signature
NOTICE: H, after making this tletlaration. You shoultl become subject [o the
Worker5' Compensation provl5ion5 Of the LabOr Code, you must ronnwitn
comply with such pwvisions or this perml[ shall be tleemetl revoketl.
CONST0.UCTION LENDING AGENCV
I hereby affirm Ihat there is a constructioN lentlin9 agency tor the performance
of [he work tor which this permit is issuetl (SectlOn 309] Civ. C.)
Lentler's Name
Lentler's Aaa�ess
OWNER BUIL�ER DECLARATION
1 hereby aftirm Lhat 1 am ezempt irom the Conlractor'S Litense Law for the
toilowing reason (Section 7031.5 Busine5s antl Protessional CoOe: Any city or
Counly whi[h requires a pe�mil [o const�uG[, al[¢r, lmp�ove, Uemolish o� rGpair
any structure, prior to its issuante, also lequires the applicant for such permit
to lile a siqned statement thdt he/She Is I�censetl pur5udnt to lh¢ prOvisions of
Ine Contractor's License Law (Gnapte� 9(commencin9 wilh Section 7000) ot
Division 3 of the Business antl Professions Cotle) or thal he/she is exempt
�`ere(rom antl the basis for the allegetl exemptlon. Any violatlon ot Section
31.5 by any applicant tor a permit zubjects tlte appllcant to a tiv�l
,ldlty of not more than tive huntlr¢tl tlollars (E500).
t� I, ds owner ot the property or my employees with wagez a5 lhei� sole
mmpensation, will tlo the work, antl the structure is nol Intentletl or o(feretl
lor sale (Section ]044, Business antl 7rofezsional CoUe: The Contractor's
Li<en5¢ Law tloes not aoP�Y to an owner o� a oroperty who builtls or Improves
thereon, ana who tloes such work nimseli/hertelf or throu9h his or her own
employees, provitletl thal such Imo�overt�ents are not Intentletl or otferetl for
sale. It, nowever, tne bulltling or improvtment is soltl wiNin one year of com-
pletion, tne owner will have the burtlen Oi orovin9 he/she tlltl not ouiltl or Im-
prove tor the purpoze of sale).
❑ 1, as owner ot the property, am e%clJSiv¢ly conlraCtin9 with IlcenSetl Con-
Vactors ro construc[ the projett (Section �044, Business antl Protessionz Cotle:
The Contractor's License taw does n0[ aOPly to an ownet of property who
builtls or improves thereon. antl who co�tract5 Tor suGh oroiect5 with a ron-
[ractor(s1 Lcense pursuan[ ro ene ConVactor�s Ucense Ww). I am aware tha[
proot of their Worke�'s Compensation I�surance should be prOvitleO to me.
❑ I am exempl untler Section B. & P. C. for this reason
Date Owner
1 hereby certify that I have reatl tniz aPo!��atlon antl stato that the above
in/ormation is correct I agree to comply wrth all tlty antl county ortlinances
antl State laws relafing to builtling ConStruCtion, antl hereby authorize r¢pr¢-
senfatives of this city to enter upon the above-mentionatl properly tor
inspection p s. �
Signature Da[e
Drivers' License or 5 �
0865-46, rev. 5/88
TYPE OF CONSTRUCTION LJ NEW LI AOD LJ ALTERATION M REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
TVPEOFPERMIT GRADING FOUNOATION STRUCTVRAL
❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION Sa.FT. oCCUaAr�Cv
CON STRUCTION TVPE VALUATION $ _
ZONE GRADING CU. VDS. ACRES_
Remarks:
Bar Sink
8ackflow Preventer
Backflow Irrigation
Bathtubs
Clerifiers
Drinkin9 Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories
Roof Drains
Reinspec[ion Fea � $15
Duct- Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. BIL ICBO �k
Heating System & Ducting
❑ ai oo,000 aTu O i oo,000
Reinspec[ion Fee � $15
White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Issue Fea
Hood or Typel ❑
Canopy Type 11 ❑
RefrigeraGon System
❑0.100,OOOBTU ❑100,000
System Repair/Alteretion
Fire Dempers
Registers
Issue Fee
FEES
$ 3
EES
$ 3
..#
S Main Build
E
T FrOnt
B Rear
A
C Aight
K
S Left
Ping. Ref. #
Plannin9 Notes
Accessory Building:
Parking Req./Provided
ELECTFICAL
Automatic Washer Transformei ❑ 15-50 KW
Canstruction Pole Sub. ❑ 50+ KW
Cooking Unit Meter ❑up to 100 amps
Dishwa5her '; Meter �over100amps
Dryers �Gas � DElectric Su6 Panel
Fan Motors �0.7 HP �i X- 8
F.A.U. Inc.Solar 09�15 HP �76-15+
Fixtures Microwave
Device Boxes �� Pole Light
Outlets Range
Switches
Garbage Disposal
Generator �0.5 KW �5-15 KW
2ane
Standing Sections
Tra:h Compacmr
Fee �$15 � � luue Fee
FEES
$ 3
N
1
N
G
R
E
Q
M
T
S.
DEVELOPMENTSERVICESREQUIREMENTS:
Zoning Approved By Date
Building APProved By Date
APPlintion laued BY---��� . Dat
SUMMARV OF FEES
BUI�DING PERMIT $ SM�P $
PLAN CHECK $ pERM1T �
PLUMBING $ �O� ISSUANCE $
PLAN CHECK 25% $ ENERG� P.C. $
ELECTFICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $ ,�.�)
MECHANICAL `$ TOTAL FEE $ e�V V
PLAN CHECK 25% $
Q1 0�025954-�OL�25959 Ts�'3' 5,uC
OATt: 02/05/:,9 TIIiE: lQ:i7
. . . _ .. . . , ` . .. . - -•i . . r • �
�i � �
�� CONSTRUCTION ANDPLANNING POOI PA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement
3. Electrical Conduit Utility-Untlrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test
' 6. Electrical UFER'Grnd.� . 57. APPROVAL TO COVER-GUNITE
7. Footings ' - 58. Electrical Conduit-Undrgrnd.
8.' Foundation '-`, �, � 59. Gas Pipe, O Undrgmd., Test
9. Water Pipe-Undrgrnd. . - �, 60. Backwash Lines, P�Trap, � Undrgmd.
10. Structural Floor System - 61. APPROVAL TO DECK
11. Property Sewer Line & House ConnBction 62. Backwash & Receptor-Final
12. Sewer Cap • �, 63. Heater & Vent-Final
13. Roof Drains �• 64. Plumbing System - Final
14. Rough Plumbing' 65. Electrical-Final
15. Rough Electrical�Conduit 66. Solar System-Final
�.6r Rough Electric Wiring 67. Fencing & Access Approval
�17-. Rough Wiring Sign 68. APPROVED FOR PLASTERING
.�
1�8" Rough Elecirical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducis, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat '75. Dry Chemical '
27. Frgme and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation } 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Elo_ctrical Power Meter-Final �:� S0. FOOD CERTIFICATE ISSUED
33. Fihal Electric " Notes:
34. Final Heating & Air Conclitioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing Z�6�8� LJE�
39. Water Service-Final
40. Gas Service-Final
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41. Solar pomestio-Final ���
42. 62ckflow Preventer � '� '
43. Backflow Irrigation � �� ...,� �. �
44. ,Landscape Irrigation�System `"I� •
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45. Sqund Attenuation ��� : � �
46. Handicap Regulations ��1 �
47. FINALSTRUCTURE'&BUILDING
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48. Special Requiremenis Completed
49. Electric Release to Edison�
50. Ges Release to Southern California Gas Co �
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51. CERTIFICATE OF OCCUP,ANCY �
No. Datef j �