HomeMy WebLinkAbout206 HANOVER DR - Building Permits(774) 754-5273 • Fax (714) 754-4856 • www,ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 206 HANOVER DR
Suite No
Vicinity: , � �
��
Parcel Nunmber: 14139515
Applicant: EUGENE ELLIS
Address:
Owner: ZIRKEL, CHARLES D
Address 206 HANOVER DR
COS7A MESA, CA
Contractor: ELLIS, E J, JR.
Address:
Arch / Eng :
Address:
ISSUE FEE
Backflow irrigation
Backflow Preventer
Bathtub
Clarifier System
Connect Qce.Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Foun[ain
Expansion Tank
Gas Earthquake Valve
B4301779
PLUMBING PERMIT•' :
Phone: 3'10-838-0408
Zip:
Phone:
Zip:,; 92626
Phone:
Zip:
License: 679898
Phone:
Zip:
ticense:
SCOPE OF PERMIT.
WATER HEATER CHANGE-OUT. -
AMT
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTY
0
0
0
0
0
0
0.
0
0
0 ,
0
0
0
Laundry Tub / Washer '>
Landscape Irrigation
P-Trap
Pressure Regulator
Process Piping (per 10 ft)
Receptors � '
Septic Tank - ' � �
Sewer Cap for Demo
Sewer Connect
Sewer Private Line
Shower
Sink, bar � �
Sink, commercial _ _
Sink, Floor� - � '
t
�'
Status: ISSUED
Applied: Ot/11/2005
Issued: Ot/11/2005
, . , � y
, � ISSUEDBY: vN -
IT
AMT..-,r QTY �
$0.00 `0 - Sump Pump
$0.00 - 0 ' ' � � �Swimming Pool
$0.00 0 Trap Primer
$0.00 . 0 � Urinal ��� � .
$0.00 0 . � � - � ' Vacuum Brkr:Bkflow(t-4)
$0.00 �0 � - ,-Vacuum Brkr Bkflow(5+)
$0.00 � � 0 "' Wash Basin ; .
$0.00 0 � ' VJash Basin�Set
$0.00 � �0" � � - -Waste and Vent System
$0.00 ' ��0 -� , Water Closet (Toilet)
$0.00 � "0 � .� Water Heater / vent
$0.00 0.-�,,-i� Wa[erPiping(InstorRep.)
$0.00-��-0='�",-� WaterRe-pipe
$0.00 0� WaterService
- � .
� -, - . \ . � �.
� AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1230
$0.00
$0.00
50.00
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
NOTICE: The work authorized by ihis 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
for a 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 inapectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626 _
2aas-as (s�oo)
WORKERS' COMPENSATION DECLARA710N: �"
I hereby ettirtn untler penalty oi perjury one of the following declarations:
❑ I have end will maintain a certificate of consent to self-Insure tor workers' compensation, es providetl tor by section 3700 ot the Lebor Gode, for the pertormance oi Ihe
work for which t�is pertni� Is Issuatl.
� I have and will mainfain workers' compensatlon insurance, as requiretl 6y 5ection 3700 oi the Lebor Code, lor Ihe pertormance of �he work for which Ni5 pertnii is issued.
My workero' com n tion Insurence wrr.ier Mentl palicy number ere: ///����y 6 r
Carner. ��� TE 1'V IVI l � Policy Number: 6 , .� �
(This section need not be completetl il the permit is velued af one hundred dollers ($100) ar less.)
❑ I certity lhat in the peAormence of Ihe work f �'c this per ' is issued, I shall not employ any person in eny manner so as to become subject to ihe workers'
compensetlon laws of Calitomla ntl agr i o c e subJect to the workere' compensatlon provisions of Section 3700 of the Lebor Code, I shall torthwith
comply wlt� Ihese pmvisions. / �`��vD 'f"
�Applicant Signewre: Date: t� -
WARNING: FFILURE TO SECUiiE WORKERS' PENSATION COVE E IS UNL4WFlIL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSANDDOLLARE(3100,0OO�,INADDITION OTHECOSTOFCOM NSAiION,DAMFGESASPROVIDEDWRINSECTION3]WOFTHELABORCAOE,IfJrEREST,ANDATTORNEY'SFEES.
LICENSED CONTRAC70RS DECLARATION:
I hereby aHirtn that I am licensetl yn ''c
torca and etteci. Lic. N O
� Contractor's5igneWre:
(commencing with Section 7000) ot Division 3 of the Business �gdrr�syons Code, end my license is in tull
� �- cless a Ci �7
,.. / % Date: /�- // —6r
CONSTRUCTION LENDING AGENCY: {�
❑ I here6y aHirtn Ihat there is a construction lending agency for ihe peAormance of ihe work tor which this pertnit is issued. (Sea 3097, Civil Cotle).
Lenders Name: Lenders Address:
Signature:
Data:
OWNER-BUILDEp DECLARATIONS:
I hereby ettirm Ihat under penalty ot perjury that I am EXEMPT FROM 7ME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions
Cotle: Any ciry or counry which requires e permil to construct, alter, improve, tlemolish, or repair any strudure, prior to its issuance, elso requires the epplicant for such pertnit
to file a signetl statement ihet he or she is Ilcensea pursuent to ihe provisions of the Contractars License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Protessions Cotle) or that ha or she is exempt therefrom end Iha basis for ihe ellaged exemption. Any violation of Section 7031.5 by eny epplicant for e permit
subjects tha epplicant to a civil penalry of not more ihan five hundred tlollers ($500).):
❑ I, as owner ot Ihe properry, or my employees wlth weges as iheir sole compensation, WILL DO THE WORK, end the structure Is not intended or oHered for sale (Sec.
7044, Business and Professions Cotle: The Contractors License Lew does not apply to an owner of property who builds or improves Ihereon, and who does such work
himsetl or harself or through his or her own employees, provided ihat such improvements ere not intenCad or oRered for sele. If, however, the builtling or improvement is
sold within one year of completion, ihe ownerbuilder will have Ihe burden ot proving that he or she did not build or improve for purpose of sale.). �
❑ I, as owner of lhe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construcl lhe project (Sec. 7044, Busine55 antl Pmfessions
Code: The coniractors License Law does not epply to an owner of pmperty who builds or improves thereon, and who coniracts tor such prolect wit� e contractor(s)
license pursuant to ihe Contractors License Lews.).
❑ I am exempt under sec.
Signature:
Owner ID verified by dnvers license. ❑ Ves ❑ No
Business and Professions Code for this reason:
Venficatian of Ownership by (type of document, i.e. - propeM �� bill ar tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Onvefs LicenSe No.
Date:
Ezpires:
❑ I hereby certity ihat no ezwvetion five (5) or mora taet in deplh into which a person Is required to descend, will be made in connac�ion wi�h work au�honzed by ihis
permii, end fhat no building structure, sceffolding, talsework, or demolition or dismantling ihereof, will be more than Ihirty-sia (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle B, Califomia Adminisirative Code). �
❑ As ownerbuilder, I will not employ anyone to tlo work whic� would require a permit trom the Oivision of Indusirial Setery, es noted ebove, unless such parson hes e
permit to tlo such work trom the tlivisian.
Signamre: Date:
Division ot Industrial Safery Permit Number.
CERTIFlCATE OF COMPLIANCE AND AUTHORQA710N OF ENTRV: I certify under penalry of perjury that I have read this appliwtion and stata Ihat the information given is
correct. I agree to comply with ell state laws antl ciry ortlinances relating to buildinq consiruction, and authorize representatives ot Ihe Ciry of Cosfa Mesa Io enter upon Ihe
above-describetl property for inspection purposes. I egree not to occupy or allow occupancy of any buiiding authorized by this permit un�il final inspection.
� AnNOrAuthonza picant
COpE t. INSPECTIONTVGE QZL� IiffIIIAL�
1616 Fi:ed System Final Fire Prevention
1266 Pool Spe Final
200 Final Re-Roof
201 FIneI Block/Retaining Well
202 Final Factory Fire Place
203 Final Siqn
204 Final Demolilion
�`�/ �� �
Da�e
CODE1 INSPECPONTYPE
206 Final Mechanical
208 Final Plumbing
210 Pinal Electrical
212 Pinal Flre Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
QASE I�l�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
0
Job Address: 206 HANOVER DR
Suite:
Vicinity: ROOF
Parcel Number: 14139515
Zonin9:
Status: ISSUED
Applied: 11/19/2002
Issued: 11/19/2002
Applicant: ALLEN, MIKE _ ISSUED BY: ��
Address: 537 NEWPORT CENTER DR � _ � �� � �� �� � � . ;
' Phone: (949) 673=9222 �
NEWPORT BEACH, CA .- Zip: 92660 �, �� . �
j ,
� �.
Owner. ZIRKEL,_CHARLES D � � �� � ` �� � � �
Address �206 HANOVER DR� � � - - ' ' �'� ���` � �
i .' -��,�-:- ,� _A
� ii' ` � - Phone: - _ . �� � ,-���-` �
/� � � �COSTA MESA,.CA '' - Zip: 92626 ' � ��'�� � , � �� � �
"� �� . - � .� �� . �`, i / �" � �:A����
Contractor. �ABOVEIT.ALL�ROOFING �`��-`��� �� � � � ���•
', ; ,
' Address: 53TNEWPORT CENTER DR �,A���,/ = , �
- . . ' i Phone:" �(949) 673-9222 � � \ \:,�
' � ' � NEWPORT BEACH, CA � � �� � .'
�
_ Zip: = 92660' . Llcensei`� 765842 -. ; - � �.l , \ � \
� Arch� . . � , -�� � Eng: . ' . ; �
� �Address: � , ' � . .. � Address: . . ��,�' � , ` ` �
,. . - � , " '-_ Phone: - =� � � , 'j �� Phone: - �
, � �� ,
_ . � '! - � '� . . -- • .
�`Zip: � � � -' License: �, �`License, .
� �� � . ��
� � , � .'�-; -.- • � y ,,.- SCOPE OF PERMIT— .; ti�,-,-; � �
' �
� REMOVE EXISTING ROOP. WSTACL 30# FELT ASTM, 30,YEAR, COMPOSITION'SHINGLES.2,400 S.F. INCLUDES�ATTACHED GARAGE�: `
. ..' __ . ._ ._ _ . . .. _. __ / ��
�. PlamCheck:
� Permit: ,
��SMIP Res: �
�`SMIP Com: '
� Other
� Inspection: .
\; �.
, ` Total:
�,
$0.00
$111.25
$0.50
$0.00
, $0.00
$0.00
�,,
$11.1.75
�;�;
n, �
� FEE SUMMARY ' J ' � ` � � �
� ' - . � � � ��_ ��� � Calc Valuation � �__�Sa,eoo.00�
r
- ' '"— �; i� � � Claim Valuation ,� ,� � - ga;soo.00
/ f,t ' ,
�o,
� �, >i�, �"
� ;;',' �
., _ i//� ., �
�:%:' � / ; �
� , _ ,. , /� /
`, � ' � � � � PLANNING & ZONING � - � , %, ' ,"
,
SETBACKS_. /, . . �. � ' � � % � , �� � � � � �/
MAINSTRUCTUREFront -0"0 � �-Rear�`0-0 Lek 0-0 -�Rlght 0;.0��' '�
��`� " , � . - - - � � � �� :/ ,'� .i j
\� , _ _ . , �
ACCESSORY � Front. �,0- 0, -, Rear 0- 0 LeR 0= 0 _ � Right �, , 0- 0/;- �
. . , . . � . . � �
�
,.'�,
PARKING Existin :� 0: -� Requi2d: 0 � Pr000sed: 0 ,
NOTES: � � �� �'� �
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and ralated �
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 it work is suspended or abandoned
ior a 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
requlred Inspections and final approval must be obtained. Failura to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zanere (a�oo�
WORKERS'COMpENSAnON DECLARAnON: � �
I hereby eRirm untler penalry oi perjury one oi t�e tollowing declaretions:
❑ I �eve anC will maintain a certificate of conse�t to sell-Insure for workers' compensation, es providetl for by section 3700 ot t�e Labor Cotle, for the pertormence of the
work for whicn this pertnit is issued.
� heve and will maintain workers' compensation insurance, es required by section 3700 of Ihe Lebor Code, br the pertortnance of the work for which this permit is issuetl.
My workers' compensatlon Insuranca carner enG policy number e�e: ��r� r�
Certier: �T�CI N17 PolicyNumber. �� �
(This secflon need not be wmp/eted illhe permit Is veluetl et one hundred dollars ($100) or less.)
❑ I certity Ihet in the pertortnance ot ihe work fo� which this permit is issued, I shall not employ any person in any manner so as to become sub�ect to iha workers'
compensetlon �ews ot Celifomia, antl egree tnat If I should becoma subject to the workers' campensation provisions of Sect'p n�37�0 of Ihe Labor Code, I shall farthwith
comply with tt+ese provisi . �, H{/7,�� �
Applicenl Signature: Dale: �'r�
WMNING: FAILURE TO SECURE WOHKERS' COMPENSATION ODVEMGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL bENALTIES AND CIVIL FlNES UP TOONE MUNDREO
TFKKISPND DOLLARE (5100.000), IN MDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECiIIXJ 370fi OF THE L4BOR CODE, IMEREST. AND ATfORNEI"5 FEES.
LICENSED CON7pACTORS DECLARATION:
1 herehy aHirm that � em licensed untler provisions af Chapter 9(comme�cing with Sectian 7000) ot Divisian 3 of the 0usines� gqp�rutessions Cotle, end my licease is in tNl
force antl eXect. Lic. N ?���� Cless A �� 5
Contraaor's Signeture: �1n _ /� Date: �� r
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHim+ lhet ihere is a construction lending egency for the pedormance of iha work tor which this permit is issued. (Sec. 3097, Civil Cotle).
Lenaefs Nema: Lendels Atltlress:
Signawre: Date:
OWNER-BUILDEA DECLARA7lONS:
I hereby effirtn Ihat untler Denalry of perjury Ihat I am E%EMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Busineu and Professions
Code: Any ciry or c0unty which requires e permit to construct, elter, improva, tlemolish, or repair any strucWre, pnor to iis issuance, elso requires Ihe ap0�icant tor such pertnit
to file a signetl stetAmeN that he or she is licensed pursuam m the provisions of Ihe Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) 01 Division 3 of Ihe
BuSiness end Professions Cotle) or that he or she is exempt therefrom and the basis for tha elleged exemption. Any violation of Section 7031.5 by eny applicant for e pertnit
subjecis the epplice�t to a civil penalry ot not more ihan tiva hundred tlollars ($500).):
❑ I, es owner oi ihe properry, or my employees wlth weges as thelr sole compensetion, WILL DO THE WORK, and iha strucWre is not Intended or oHered for sale (Sec.
7044, Business end Professions Code: The Gont�actors License Law does not apply �o an ownar ot properry who 6uilds or improves iheraon, antl who does such work
himseN or her8elf or Ihrough his or her own employees, provitled ihat such improvements ere not intenCed or oflered tor sale. tl, however, the building or improvement is
sold wit�in on0 year ot completion, the owner-builder will heve �he burden of proving ihat he or she did not build or improve for Ourpose of sale.). �
❑ I, es owner of the property, em EXCLUSNELY CONTRACTING WITM LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business end Protessions
Code: The con��ectore License Law does not epply to en owner of property who bullds or Improves thereon, antl who contrects for such project with e contractor(s)
license pursuant to iha CoMradors License Laws.�.
❑ I am e:empt untler sec.
Signature:
Business antl Professions Code for this reason:
Owner ID venfietl by tlrivefs license. ❑ Yes ❑ No Dnvefs License No.
Verification oi OwnerShip by (rype of tlocument, I.e. - praperty Ia�c bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON:
Date:
E:pires:
❑ I hereby certity ihat no excavation tive (5) or more teet in depih Into which a person is requlred to descentl, will be mada in connection wilh work authonzed by this
partnit, entl t�d� �o building sWcture, scallolding, falsework, or demolition or dismantling Ihereof, will 6e more �han Ihirry-six (3fi) fee� high. (Chep. 32, Gry 2, Art 2, Sec.
341, 77t1e 8, Califomia Adminisirative Code).
❑ As owner�builder, I will not employ enyone to tlo work which would require a permit trom Ihe DiNsion of Industrial Safery, es notetl ebove, unless such person has e
pertnit to do sUch work from the division.
SignaNre: Date:
Division ol Industrial Safery Pertnit Number:
CEHTIFlCATE OF COMPIJANCE AND AIJIHORIZA710N OF ENTRV: I certity under penalry of perjury that I have �ead this application and siate that ihe information given is
wrrect. I agree to cOmply with all state laws entl ciry ordinences relating to building construciion, end authodze representatives oi the Ciry of Coste Mesa Io enter upon the
ebove-described property br inspection purposes. I agree nbt to occupy or allow occupancy of any building autharized 6y �his permit until finel inspection.
S4PEl,
1618
1266
ignawre t Legal Owner(s) te
//,r�0�
And/Or Authonzed Applicant -�(� T�e
Flxad System Final Fire Prevention
Pool Spe Final
200 Finel Ra-Rao�
201 Final Blxk/Retaining well
202 Final Fedory Fire Place
203 Final Sign
204 Final Dem
Q�jE INT{TiRLS
$Q}�,( INSPECTIONTYPE
206 Final Mechanical
20B Finel Plumbing
210 Finel Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuiltling/Occupanty
4dIE 11�EL@
��
COSTA MESA BUILDING DEPARTMENT
P. 0. BOX 317
COSTA MESA CALIFORNIA
C•L. OF STREET
' �iPROP. LiNE
� _ � _ _ _ T _ _
(. 10 FT. FOR 60 FT. STREET
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LLEY pR. P OP. LIN
FX,C�lAiN i�✓.�'
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���.ICG;_iVED FOR AP'PLICANT T'O
0
AN(': C�EPT.
OF �' )Sl�a MESA
F
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
�
• � • • /�Si�I'LSiA�i� v
• • ;,
� ��:i_i .
i
• • • ii�.G- -�=� • • � '
City Lia No. ��� State Lic. No. /7/rJ33
Size of Lot(+�J! /0 O AP No �o �o� � c�I��
Setbacks: C/L Street � � � Rear ��
i� y .
Side Yard - Right Left d
Type of Fence � , ��-�*'�"� / %�/N /��
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
Signature ��
of Permitt � � _
by
FOR OFFICE USE ONLY
�'L�a.�����Il'E
VALUATION
Permit Fee
$
7 9 � Plan Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
, ,
OWNER COLLEGE PARK N0. ({ DATE 9-26-57
JOB ADDRESS 206 Hanover ikive BUILDING PERMIT NO: S%8L{ �
GENERAL CONTRACTOR �rbor
TRACT
GR011P 1 & J
INSPECTIONS
h¢S �( Poem:
k�.,..r Svstem
Final Gas Test
f
on
3187 FIItE ZO:
V ZONE
DATE � $UBCONTRACTOft
VALUE $ 11,200.
WpRK Res, w/att.
� s���
'COSTA MESA BUILDING DEPARTMENT
- P. O. BO% 31] �
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
COSTA MESA. CALIFORNIA
I Cl_F l�ARll n�n_ �i
MAIL
AD�RESS 2 �_ I E SO
���� SANT�1 An�rj C
ARCHIT�Q
OR E' 'ER
ADDfi,
CONTRACTOR ��
LEGRL LOT
oEscwipnorv No.
A.P. NO.
SIZE �n
OF LOT ��
USE OF
EXISTING BLOG.
SETB/�CK LINE FROM
BLOCK
,
� �EE R�CE{��D
�131957
FINAfvCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. P�ItroI�(J9
TNO.K I /'�� � ADD Ei55 �
���' COSTA MESA. CALIFORNIA
NO.
F�RE
ZONE
CITY LIC. �ON piq'OS TYPE
� NO. �
TEL. • APPROVED �
Nn BV f14TF
NO.OF BLOGS,
MOW ON LOT
SIDE YARD RIGHT LEFT
DESCRIPTION OF WORK
NEW ALTERATION AODITION
REPAIR MOVING DEMOLISH
BUILDING NO.OF
SIZE � �j ROOMS STORIES
EXTERIOR WALL ROOF '
COVERING ' COVERING
USE OF NEN'
9111LDING RF5I�ENCE iL 9ff ACHED
0
I HEREBY FCHNOWLE�GE THPT I MPVE RE/�D THIS FPPLICRTION AND
STnTE THTT THE 400VE IS CORRECT I�NO AGREE TO COMPLY WITH ALl
LITY OR�INPNCES AND ST4TE lAWS REGULATING BIIILOING CONSTRUC-
iION. � VALUATI ON
SIGNATUREOFC � R PARK NO. L-
PERMITTEE
L/� %//L�,. _ �. _ S I �,2��,
CORRECTIONS
PERMiT FEE $
PLAN CHECK $
TOTAL FEE 8
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OWNER SEYN10itR� ,iOFRd (:_ DATE q_lq_Kg —
JOB ADDRESS �nh Ha„�,>er�r� ve BUILDING PERMIT NO. �'7609 —
GENERAL CONTRACTOR VALUE $ �o m �
AP. No. LOT Sp 'I'RACT �1�j7 FIRE ZONE DESCRIPTION OF WORK R��,�ooQ � eraee
GROUP TYPE ZONE � PLAN NO.
INSPECTIONS I DATE I SUBCONTRACTOR PERMITSISSUED
/ DATE I NUMBER
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Fival Gas Test