HomeMy WebLinkAbout920 HYDE CT - Building Permits�
(714) 754-5273 • Fax (714) 754-4B56 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COS7A MESA, CA 92626
Job Address: 920 HYDE CT
Suite No
Vicinity:
Parcel Nunmber: 41808221
Applicant:
Address:
NOCK PLUMBING
11612 KNOTT ST
GARDEN GROVE, CA-
Owner: SHIVELY, CHRISTOPHER J
Address 920 HYDE CT
COSTA MESA, CA
Contractor: NOCK PLUMBING
Address: 11612 KNOTT ST
Arch / Eng :
Address:
GARDEN GROVE, CA
WATER HEATER
ISSUE FEE
BackFlow irrigation
BackFlow Preventer
Bathtub
Clarifier System
Connect pce,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$o.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
0
0
0
0
0
0
PLUMBING PERMIT
Phone: (714)895-1246
Zip: 92841
Phone:
Zip: 92626-6924
Phone: (714)895-1246
Zip: 92841
License: 707775
Phone:
Zip:
License:
SCOPE OF PERMIT
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
Landscape Ircigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 ft) $0.00
Receptors $0.00
Septic Tank $0.00
Sewer Cap for Demo $0.00
Sewer Cannect $0.00
Sewer Private Line $0.00
Shower $0.00
Sink, bar $0.00
Sink, commercial $0.00 �
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
Status: ISSUED
Applied: 06/03/2002
Issued: O6/03/2002
ISSUED BY:
.�,� e�� �
,t /
� •
SumpPump
Swimming Pool
Trap Primer �
Urinal
Vacuum Brkr BkFlow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12.30
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: $35.80
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
n
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: .This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable cotles, antl a11
required Inspeetions and tinal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
244636(N00�
WORKERS' COMPENSATION DECLARATION: �
I hereby aHirtn un0er penalry of perjury one of thp tollowing Oeclarations: .
❑ I have end will mainlain a certificate oi consent to self-Insure tor workers' cnmpensation, as provitletl for �y section 3700 of the Labor Code, for the pertormence of the
work tor which t�is pertnil is iSsuBd. .
�—�hav will maintain workers' compensaVon insurance, as required by section 3700 of Ihe Labor Code, br ihe perFortnance of the work tor which ihis pertnit is issuerl.
�� y�' peosation Insurence carner end policy number are: �/� qp ¢
Gerrier.� 7' �P.olity.Number:,�A".I (Q 3 �1 o�C�
(This section need f be nplefed i! the permit is valued et one huntlred dollars ($ f00) or less.)
❑ I certity that in ormance ot the worl� for which this pertnit is IssuaQ I shall not employ any person in any mannar so as to becoma subject to t�a workers'
wmpansat aws oi alH ia, antl agre� �hat if I shoultl become subject to the workers' compensation provisions of j ctiqqn 3700 of the Labor Code, I sha0 totlhwith
comDly wit�� sq ovisio • � S 4 6 L—
Appl�SigneNre. � Gpate� �
WARNING: FAILURE TO SECURE WO KERS' MPENSATION COVEPAGE IS UNLAWFUL AND SHALlSUBJECT PN EMPLOVEfl TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED
T/qUSAND DOLLW E(5100,OW), IN AO O THE �p$T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIqJ 3]O60F iHE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aNirtn that I am �liceAn�s]etl un
m.rn..nn�aNen'1'i��s-ril/ 17%
CONS7RUC710N LENDING
ot ChaD�er 9(commencing with Section 7000) of Division 3 ot t�e
and my license is in tull
❑ I hereby ettirm that there is a consWction lentling agency for the pedormance of Ihe work for which t�is permit is issued. (Sec. 3097, CiNI Code).
Lenders Neme: � Lentlefs Adtlress:
SignaWre:
OWNER-BUILDER DECLARATIONS:
Oate:
I hereby ettirtn f�ai untler penalry of perjury Ihat I em E%EMPT FROM THE CONTRAC70RS LICENSE LAW tor Ihe tollowing reason (Sea 7031.5, Buslness and Pmfassions
Code: Any ciry or wunry which requires a pertnit to construcL alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires ihe applicant for such pertnit
to file a signatl stetement ihat ha or she is Iicenged Dursuant ro the provisions oi iha Comractors License Lew (Chepter 9(commencing with Section 7000) of DlWsion 3 of the
Business end Professions Code) or thet he or s�e is exempt therefrom and ihe besis for Ihe alleged exemption. Any violation o� Section 7031.5 by eny applicent for a pertnit
subjects the ap0�icant to e civil penalry of not more ihan five hundred tlollars ($500).):
❑ I, as owner oi the property, or my employees with weges as their sole compensetion, WILL DO TME WORK, and the siructure is not intentled or oflered tor sale (Sac.
7044, Business antl Protessions Code: Tha Contractors License Ww dces not apply to en owner of properry who builtls or improves ihereon, and who does such work
himself or herself or through his or her own employees, provided ihe� such improvemenis are not intendetl or oNered for sale. If, however, ihe building or improvement is
so10 within one year of wmpletion, the owneo-builder will have Ihe burden ol proving ihat he or she did not build or improve tor purpose of saieJ.
❑ I, as owner ot lhe properry. am EXCWSIVELY CONTRACTNG WIT}1 LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business entl Professions
Cotle: Tlie coritrectors License Law does not apply to an owner of property who builtls or improves thereon, antl who contracis for such project with a coMredor(s)
license purauant io ihe Contractors Licensa Wws.).
� I am exempt undensec. ��� '�� �+ �- Business antl Protessions Code tor this reason:
SignaWre: � � �^' �`� Date:
Owner ID venfied by tlnvers license. �0 Ves ❑ No DnveYs License No. Expires:
Verification of Ownership by (type ot tlaument, i.e. - property �a: bill or deed):
DIVISION OF INDUS7RIAL SAFETY PERMR CERTIFICATON:
❑ I hereby certity that no excavation five (5) ar more leet in depi� into which a person is required to descend, will be made in connection with work aut�onzed by this
permit, antl Nat no building structure, scaflolding, falsework, or demolition or dismamling thereof, will be more than thirty-si: (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Tlle B, Celitomia Atlministrativa Code).
❑ As owner-builaer, I will not employ anyone to do work whic� would require e permit irom ihe Division of Indusinal Sefety, as noted ebove, unless such person has e
permit ro do such work irom the division.
Signature: Date:
Division ot Intlustnal Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHOqQA710N OF ENTAV: I cenify under Denalty of perjury that I have reatl this applica�ion antl state Ihat ihe iMormafion given is
correct. I agree to comply with all slate laws aqd city ordinances relating to building construction, and authonze representatives ot Ihe City of Costa Mesa to enter upon t�a
ebove-descnbed property for inspection purposes. I agree not to occupy or allow xcupancy of any building authonzed by ihis pertnit until tinal inspeciion.
CODE �, INSVECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spe Finel
200 Final Re-Root
201 Ffnal8locWRetaining Wall
202 Final Factory Fire Place
203 FinalSign
204 Final Demolition
Date
( p �1 O�_
DATE r1L �QQFI INSPELTIONTYPE
206 Final Mechanical
20B Final Plumhing
210 Final Electrical
212 Finel Fire Prevenfion
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
p�g IMRI�LS
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T?tACT ';0. 1 nC�aS
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ADDRL'SS 920 Hyde Court,
Devclopment Scrviccs ilcp:i.'t::ien[
Plannin�, Division
Ci[y of Costa N,esa
77 Fair Dri��e
Costa ?1csa, CA 92626
Attention: ?ti. Paul Dudley
Dear Atr. Dudley:
DATG Aueust 7 � 1980
Mesa. Ca. 92626
Please be aware that the undersigned are aware that n certificate of occupancy
on the above referenced lot and unit is bcing requesced prior to the entire _
tract and its streets �nd cor.mion areas Uein� completcd and accepted by [he
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BY
RUTIIORILE:D REPP.f:SE?�TATIVG)
'SIG;i1�TU12F. OF I.LNllF;P.
R������D
f,1iY Of COSTA 141ESA
DNELOPMENT SERVICES [)EPARTMEidT
r��� � � 1980
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Attention P�r; Paul Dudlcy � �;,
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Dear `ir.: Dudle� ' ' ," r
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' Please bc aware,.that the uridcrsigned afe awnrc th�
:,on the above.r�eferenced,lot .ind unit is bcinF reqi
�� tract anci.:�its�strcets.and���cor.vnon zr�ps�.�Ucing�com�l
;`City of Costa Mesa ;t
BY ~j� 1>. ;�.� � � �
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PHOJELT PDOflE55: 9 Z O HYD E [T
OWNEN'SNAME: LAIRD, ROBERT
aooxess: 9 2 0 HYD E CT
COSTA MESA,CA 92625
�/LT (d/EG�-- �oo�Z
UNIT:
ANCH/ R�ONESS: � �J�'� �L .l � U (/', / �/" BEG.NO.:
uxir:
73� - /2�s
PEFMITTEE: nfln�•+ —"vr irvv ..,vr,rriivs ( 719 ) 8��70
aoosEss: -- y�,y,:��:�. tivn ii3
ur��.'...�..'__ yr _n-�_�
vav�� pLHl..ri —
UCENSEO CONTBACTOB OECLFflATION: I hereby aflirm Ihat I am licensetl untler pmvisions ol C�apier 9(commencing wilh Se[Iion
70W) ol DiNsion 3 0l �he 6usiness ane Pm�essions Code, and my license is in tull �orce antl e�tecl �
ciTvuc.: psen�, �..-,_,-� �,7 anr: v�,��
�aie: j/ Signa�ure: _ _
WOBKEPS' OMPE SAiI N DECLABRTION: I hereby aflirm t e a ce�ilicaie ol consen� �o selFinsure or a certitica�e of Workers'
Compensation Insurance, or a cenitietl copy Ihereof (Section 3800. Lab. C).
POLICYNO.: SZ003JI E%P.OATE: O%/OI/]S
COMPANY: STATE FUND
❑ Cehilietl capy is her y Iumis�eJ. �. Certitiea capy is filed ' IHN Buil ' Oivision.
Oa�e. ` ` Applicant�
E%EMPTION FPOM WOHREflS' COMPENSATION OECUBRTION: ( i n neeC not be completeE i� the permit is forane huM�eO (3100) or less�.
I certily I�a� in the peAormance ol Ihe wark br which Ihis permi� is issuetl. I shall no� employ any person in any manner so as lo become
5ubjeci lo Ihe Workers' Compensation Laws of Calilornia.
�aie: Signature'.
NOTICE: II. a�ter making I�is tleclaraiion. you shoul0 become subject ta �he Workers' Compensation D�ovisions ol �he Labof
Cade. you musl fotlhwi�h comply wilA such pmvisions or this permi� shall be aeemed revoketl.
CONSTHUCTION LENDING RGENCY: I here�y affirm Ihat ihere is a consimction leneing agency for ine pedormance ot the work for
w�ich Ihis Dermil is issuee (Section 3097. Civ. C�.
LENOEfl:
ADUHESS:
OWNEP BUIlOEP DECLl�BpTION: I �ere0y aitirm that I am exempt imm ihe Comraclors' Slate License law for t�e following reason
�Setlion 7031.5 Bu5ine55 antl Pro�essional Code: Any ciry of wunly whith reqUires a permi� to cons[mC�, al�ef, imO�Ove, tlemolish, or
repair any stmcmre. prior �o i�s issuance. also requires the applicant lor sucA permit to file a signed statement ihat nelshe is Iicense0
pursuani io Ine pwvisions oi t�e Coniracmrs' Slate License Law (ChaD�er 9 �commencing with Sectian 7000) oi Division 3 of �he 9usiness
ana Pro�essions Code) or IAaI he/she is exemp� 1�erefmm antl Ue Dasis �or Ihe allegea exemption. Any violation ot Section 7031.5 6y
any appbcan� �or a permi� sublec�s �he applican� �o a civil penalry o� no� more than five hunOretl tlollars (5500).
I, as owner ol Ihe property or my employees wi�h wages as Iheir sole compensa�ion, will tlo Ihe work, and ��e
❑ stmclure is not intentletl or olferetl br sale (Section 70Ea. Business ana Pmfessional Catle: T�e Cantractors' State License Law
does nol apDly �o an owner of a propetly who builds or impmves �hereon, and w�o tloes suc� woB himsel�/hersell or �hmugh
his or �er own employees, O�ovitletl Ihal SUch impmvement5 are nai in�en�e0 0! Offefe0 br Sale. I�, hOwever �he builAing of
improvemen� is sold wi�hin one year ol completion, �he owner will have ihe bu�0en ol pmving he/she tlitl not builE or impmve
for ihe Durpose ot sale�.
I, as owner ot the pmperty, am erclusively contrac�ing wi�h IicenSeU con�rac�or5 io constmct �he pmlec� (Section 7044, Business
❑ and Professions Code: The Comracmrs' State License Law does nol apOty to an owner ol Omperty who 6utlAs ar imD�aves t�ereon
an0 who conlracisfor such proiecis with a coniractor(s)license pursuant to ihe ContractoR' State License Law). I am aware
ihat pmol of tlleir Worker's Compensalion insurance should Oe pmvitled to me.
� I am eKemp� untler Section: B. & P. C.
for ihis reason:
Oale'. Owner
I tlo �ereby cenily Ihai I am aware ol ana untlers�and t�e reQuiremenis o� Cali�omia Healih antl Safery Catle Sections 25505, 25533, antl
25534 antl Ihat I ar any Iuture builtling accupant will/will nol (circle one) neetl �o camDly with saitl sta�e codes antl the requir¢ments �or a
permi� �ar conslmction or motlificaiion Imm Ihe Fu Oualiiy Managemeni Oi9rici. Hesiaential constmction aDPlica�ions are exem0� f�om
Ihese provisions.
Da�e'. Applicanf
I here0y cariify Iha� I �ave read this applita�mn anA slate �ha� ihe above Intormabon is
ordinanws antl sia�e laws relaling �o building con5tmciion an0 hereby aulhorire represen4
pmper�y far inspec�i n purpases.
� C
Dale:� �_ SignaWr '
I agree to comDly vnlh all ci�y and counry
�his ciry �o en�er upon the above-men�ionea
Oriver's License or Social Security R: �+ � �
i64ba6 W�ne—BuilOmg; Green—Cotle EnlorcemenC Canary—Applicant: Pink—Revenue; Goltlenrotl—Assessor
CITY OF COSTA MESA - BUILDING PERMIT PERM NO; H U68038
PERMIT NO: B 068038 PLAN CHECK NO: N GOVT; N SOPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION ; AEROOF/T-O RESI-IEATH & REROOF W/COMP, SQ FT: 1,100
CLAIM VALUE: 1,100.00 CALC-VALUE: 1,100.00 GROUP OC'C; R-3 IM-1
COMMENTS: *�
1E # iFlE i6 if df �E iE iE 1E if k if iE iF iF iF iF iE jE # iE iE # 1E iE iE 1E if i6 # iF iM1 iE if iE iF if # iE iE �1k i! iE 3f if %iE iE �E iE # iE iE �)F 1E iE iE iE iE 1E i! 1E 1F iE IF dE * 9E iE iE if ih if iE iE iE �Ih
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 HUILDING ---------- -------- ACCES50RY BUILDING
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT Y IN
LEFT: FT IN RGHT; FT IN LEFT: ET IN RGHT: FT IN
PARKING REQ: PROV: PARCEL; 41808221 ZNE: REF NO:
PLANNING NOTES> �
� '?
�If �1h iE 1! iE iF !F iF iE iE 1E jE!( iE11� 3E iE iE iE if ib iF iE if ic iElE iF i! 1E iF 1E fF iF iE if iE if �f it iF iE iE iF 9E iE iP iE ih IElF �E iE 3E iE iE i! 3f it iE iE iE *!E!E �lE if #'i(�k i(� #!f iE i�' fF iF it �IE
P 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
ZONING APPROVED HY DATE:
BUILDING APPROVED HY ; DATE: f'
APPLICATION ISSUED BY: DATE: �
� i• �Zi 4
i�3e#iEiEi!�iF3E�iF#iF3fit�lciE#iE�Fi�iEi1�3E . xiETc : ft x �1ciFiEiEil-itiEiF�E#it'iF? m � c-('�r �iF-IE
1c-# iF jF �1F 3F if x� 14 iF iF N� 3f # iF 3( 14 iE 3F iE 9f- iF iE k�N 3F%K�-0E 9E iF ie iF 1F iF 9f-ic-1E i(� it iF i[-�1E iE 9(� 3F iP iF iE �7E iE iE iE if if 9F iE iE iE iF �1E iF it iE iE iE iF jE iE iF 34 iF iF iE # iE iF+F #�
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT FLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 27.00 50
PLAN SMIP/NON-RES
ISSUE FEE
BOILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID L�UE
TOTALS----> 27,50 0.00 0.00 27.50 27.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 27.50 O��ER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
2%,�� ,5�
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I N D I V 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 BY VALUE RESIDENTIAL NOZONE 1,00 1,10�.00
END OF FEES
D1 �0163931-�Oio3932 T C�T �7,5p
DRTE: 07/13/44 TTnE: i3:06
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CONSTRUCTION AND PLANNING PO(, � SPA
APPROVALS Permit� �ate Inspector AppROVAIS Permit# Oate laspector
i. Temvorary Electrical Service'o?.Po1e . 52. Pool & Equipment Location � '
_ �,,•
2. Soil Pipe-Undrgrnd. �� �G ' 53. Steel Reinforcement ' '"�.
3. Electiical Conduit Utility-Undrgrnd. � 54. Forms
4. Eiettrieal Conduit-Undrg:nd. . � 55. Electrical Bonding
5. Steel RPinforcement 56. Raugh Plumbing & Pressure Test
6. Electrical UFER Gmd. 57. APPflOVAL TO COVER-GUNITE �
7. Footings • 58. E�ectrical Conduit�Undrgrnd. '
8. Foundation ;! � ! 59. Gas Pipe, � Undrgrnd., Test �
.
9. Water Pipe-Undigmd. � � ,�� 60. Backwash Lines, P-Trap, O Undrgmd. '�
10. Structu�al Floor Svsrem 1� ;, 67. APPROVAL TO DECK �' �
./
1 i. Property Sewer Line & House•Connec.ion �_^ 62. Backwash & ReceptorFinal
i
12. Sewer Cap � � � r. . .
63. Heater & Vent�Final �,�
73. Roof Drains 64. Plumbing System - Final �
14. Rough Plumbing ' 65.•Electrical�Finai •1
15. Rough Elecvical�Conduit 66. Solar System-Pinal `-
i
16. Rough Electric Wiring 67. Per,ci�g & Access ApP�ovat .
77. Rough W�ring Siyn 68. APPROVED FOR PLASTERING
78. Rough Eiectrical-T Bar Ceiting 69. POOLiSPA SYSTEM1115 FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
20. ftough Factory Fireplace APPROVAlS Permit �
21. Ducts, in Structure 70. Underground N.ydro
22. Ducts,Ventilating 71. ProductPipingl7Gas ❑Oil
23. Gas Pipe�Rough & Test 72. Underground Fiush
24. Roof Framing 73. Undergrnd.Smraye Tar.k O Gas ❑ Oii
25. Roo45heathin9 7�B-�Y �W J4. OverheadHydro i
26. T�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical �
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding , � 77. FIXED SYSTEA1 FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Dryeva�l Nailing HEALTH DEPT. REQUIREfv7ENT
37. Plaster Brown Coat 79. FINAI INSPECTION
32. Electrical Power Meter-Finai 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Finai Heating & Air Conditioning �� �
35. Final Gas Pipe�Test -�
36. Hood Or Canopy
37. Final Faciory Fireplace
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final -
41. Solar pomes[irFinal
42. Backflow Preventer .
43. BatkilOw lrrigatio� '
44. Landsca0e irriqation SYstem
45. Sound Attenuation
46. HandiWP Regulations .
47. FINAL S7RUCTURE & BLYILDfNG .- ��q � `
48. FINAL PLANNING ---
49. Eleccric Release to Edison '
50. Gas Release to Southern Cal(fornia Gas Co �;_�
51. CERTIFICATE OF OCCUPANCY
No. Da�e