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Home My WebLink About2430 DUKE PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT ,lobAddress: 2430 DUKE PL Suite No Vicinity: Parcel Number: 14144138 npp�icant: CLARK, DAVE Address: 6892 CARNELIAN � � ALTA LOMA, CA Owner: KLEEMAN, WALTER W Address: 2430 DUKE PL COSTA MESA, CA Contractor: SOCO AIR CONDITIONING Address: 6892 CARNELIAN ALTA LOMA, CA ' Phone: 909-944-1340 Zip: 91701 Phone: Zip: 92626 Phone: (909)944-1340 Zip: 9] 701 License: 333239 SCOPE OF PERMIT CHANGE OUT FAU IN SINGLE FAMILY DWELLING. � -. . , �. . . _ , FEE SUMMARY � ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst ! Rep. Recess Wall Htr Refrig Sys <100 k BTU Re(rig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust � VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers � � Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater Quantity $23.50 $14.80 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 y0.00 0 $0.00 0 $0.00 0 50.00 0 �.�50.00_.._0 " 50.00 0 50.00 . 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 ISSUED BY: Repair I Alt Absorbtion Unit � Repair/AltRetrigerationUnit Ventillation System Evaporative Cooler � Comme rcia l I nci nerato r Domestic Incinerator Compressors / Absorption Systems Up to 3 hp I 100 k BTU , � �3To15hpI500kBTU , � 15To30hp/1,OOOkBTU 30 To SO�hp�l 1,750 k BTU ,� , Over 50 hp / Over 1,750.BTU ��, - Boilers Up to 3 hp 3 To 75 hp , ", _ � 15to30hp � � 30 to 50 hp ' � � Over 50 hp Other Mechanical Fee , Investigation Fee , . Plan Check Fee Reinspectlon Fee , � TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 12/18/2007 Issued: 12/18/2001 Quantity 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 , $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 � $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 538.30 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inepectlons and final approval must be obtainetl. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2048�d8 (&00) WORKERS'COMPENSATION DECLARATON: I hereby eHirm under penalty of peflury one of Ihe lallowing declarations: � I heve entl will meintain e ceAificete of consent to self-Insure for workers' compensation, es provided for by saction 3700 of ihe Labor Code, for Ihe performance of the work for which this permit is issuad. ve and wlll maintain woAcers' compensailon insurance, as required by section 3700 0l Ihe Labor Code, for the peRoimance of t�e work tor which this pertnit is Issued. My wo rs' compensation Ins/ure�nce cartier antl policy number are: Cartier �%/£ CE�! I�/:� ' PolicyNumbar. �� % � �� —� � (This secNon need not be completBd il the permit is velued af wre hundretl dollare ($ f00) or less.) ❑ I certiy that in Ihe pertormance oi Ihe work for which t�is permit is issued, I s�all not employ any person in any manner so as to bacome subject to the workers' compensation laws oi Califom�a, antl agrea th Ii I should become sub�ect to Ihe workers' compensation provislons ot Sectlon 700 of tpe Labor Cotle, I shelllorihwith comply wit� t�ese pr �7 Q� � I Applicent Signeture: '�� Date: 1(/� I 0 O � a WARNING FAILURE T09ECURE WOPKERS' WMPENSATION COVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTTIES PNO pVIL FlNES UP TOONE HUNDRED THOUSPND DOLLARE (5100,000), IN ADDITION TO TiE COST OF COMPENSAiIIXJ, DMMGES AS PROVIDED FOR IN SECTION 31060F THE LABOF CAOE, INTEREST, AND ATfORNEY'S FEES. LICENSED CONTRACTORS DECLAHATION: I hereby aHirm thet I em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the 8 torce antl eflecL Lic. a 3� %� p Class p Contraaors Signeture: � Date: _ Code, and my license Is in full CONSTRUC710N LENDING AGENCY: ❑ I hereby eHirm that ihere is e construction lending agency for ihe DeAormence of the work for which this permit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lentler's Address: Signeture: � Dete: OWNER-BUILUER DECLARATIONS: I hereby aHirtn thet untler penalry o� Perjury thet I em EXEMP7 FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any city or county which requires e permit to constmc6 alter, improve, demolish, or repair any siructure, prior to its issuance, also requires the applicant tor such pertnit to tile a signatl stetement that he or she Is IlcenseC pursuant ro the provisions oi ihe Comractors License Law (Chapter 9(commenUng with Section 7000) of DlWsion 3 ot ihe Business end Professions Code) o< <hat he or she is ezampt therefrom end the basis for ihe elleged ezemption. Any violation of Section 7031.5 by any applicent for a pertnit sub�ecls lhe epplicanl lo a civil penalry oi not more then tive huntlretl tlollars ($500).): � I, as owner of Iha properry, oY my employees wlih weges as iheir sole compensation, WILL DO THE WORK, and Ihe structure Is not intantletl or otlered for sale (Sec. 7044, Business and Protessi0ns Cotle: The Coniractors License Law tloes not apply �o an owner of property who builds or imD�a�es Ihereon, and who does such work himself or herselt or through pis or her own employees, provided that such improvements ere not intendetl or oHered for sale. tl, however, Ihe building or improvement is soltl wi�hin ona year ot completion, the owner-builder will have the hurden ol proving that he or she did not builtl or improve for purpose ot sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contrectors License Lew does not apply to en owner of property who builds or improves thereon, and who contrects for such project with a wntrector(s) license pursuam to ihe Comractors License Laws.). ❑ I am exempt under sec. Business and Professions Cotla for this reason: SignaWre: Date: Owner ID verifietl by dnvers IicensU. ❑ Ves ❑ No Driver's License No. Verificetlon of Ownership by (type of tlocument, i.e. - property tez bill or aeed): Expires: DIVISION OF INDUSTRIAL SAFEY�' PERMIT CERTFICATON: � I �ereby certify thai no excav9iion five (5) or more teet in depth into which e person is required to tlescentl, will be mede in connectlon with work authoAzed by t�is pertnit, and that no building sWcture, scaflolding, falsework, or demolilion or tlismantling thereoi, vnll 6e more than Ihirry-six (36) faet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Atlministrativa Cotle). ❑ As ownerv6uilder, I will not emp�oy enyone to do work which would require e pertnit trom the Division ot Industrial Safery, as natetl e6ove. unless such person hes a permii Io do such work irom fpe division. Signature: _ _ ____ Date: Division oi Indusirial Sefety Permit Num6er: CERTIFlCATE OF COMPLJANCE AND AUiHORIZA710N Of ENTHY: I cenity under penalry of perjury �ha� I have read this applicalion end state that the Informetlon given Is cortect I egree to comply with all s�ate laws end city ordinances rela�ing to bullding consiruction, anA euthonze representetives o� the City of Costa Mese m enter upon Ihe above-descnbed pmperty for inspedion purposes. I agree not to occupy or ellow occupancy of eny building authonzed by this permil until final inspection. CAUE �. INSPEGTWNTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Finel 200 Final Ra-Roof 201 Finel BIocWRetaining Well 202 Pinal Fectory Fira Place 203 Final Sign 204 Final Demolition � � � �,// � � Date 6 Date Q�j[ �Offf� �j INSPELTIONTYVE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 . Final Building/Occupancy APPI ICANT• 00 NOT FlLL IN SHAOFD AREAS: CITY OF COSTA MESl1 CONSTRUCTION PERMIT PERMIT NQ�./�� UNIT MODEL A.P. M 2one 7� 1 1�/ � S Main Building Accessory Builtling Z VmlectMAmu: z �� V`�� cST UniL E p OwneY�Nama:� � � �� 7. Front E�Vi'k PURPOSE: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR B N �yd�eu: / � - A Lett I ❑ CONVERSION ❑ DEMOLITION ❑ OTHER C Right N IUchlEnpineer: NeO. Nn: K G Unll: DESCRIPTION OF WORK/USE OF BLDG. S Rear R � �//�� ///�� `.� Ping. Ret A parking Req./Provida0 E ' �� i�. `�.; F-�4R" IN/��Y1 `R% �Ml�f� � :Y��a��p'� ��p�� - ��- planningNotas: � M �a u: ��_`''`'''�� Siz62.,�, TYPEOFPERMIE ❑ GRADING ❑ FIRE ❑ STRULTURAL ❑ SIGN _ g, � � �_^�sti . IItEXSEDCOtf�P�CfOBDECUIWION: I�eretyalfirmthallamlicense0un4erprwisionsMC�apter9(commendnA ❑ ELECrRICAL ❑ PLUMBING ❑ MECHANICAL � REWSPECfION wi�h Seciion 70W) ol Oivivon 3 al ihe Business ana Professions CoOe, aiM rrti license is in full force an0 etlect. ELECTRICAL . FEES a7Y uG: =�q 1'L So1TE uC.: C- 3�} CLASS: 5y 1 I Q� � �OB DESCflIPT10N: � SO. FL � Cn3"D OCCUPANCY GROUP �� Automatic Washer Motor � 0-� HP ❑ 140 HP �ate: Z' Z� - C/ �� Sipnawre: r� Christmas Tree Lot ❑ 10.50 HP ❑ 50400 HP WOPKEfl3' COMPENSRION DECUflATION: I hereby aflirm IAai I h a certific� oY sen� �o sel�-insure CONSTRUC�ION TVPE VALUATION $ SC� ` GRADING CU. VDS. _ � or a cetlificate aL Workers' Compens2�ion Insurance, or a cenilied copy thereof (Section 3800, lab. C). Consimction Pole ❑ ovar 100 POl16Y NO.: E%P. URTE: CATEGORY; O MINOR CONSTRUGTION O MAIOR CONSTRUCTION (UMer 2W,000 sq.tl.) Sub Pole Outle� . �OMFINY: ;e�ifie0 cop/ is hereby Wm15heE. ❑ Cenifiee capy is �ileG wit� Ihe ciry BuilUinq Oivision. � MAIOWHIGH RISE (Ovar 200,000 sq. fl.) Cooking Unil Pole ligh� Dishwasher Sign Dutlet Date: Applicanc Remarks: Dryer 0 Gas � Electric Square Footage Fee '� E%EpIPfION FBOM NqqRE85' fAMPEN�110N OELUIUTION: Qhis section neeA not Ue completea il the permit p�7MBING FEES EA.U. Standin � is for one �untlmU (5100) or less�. I cetlity ihat in tAe pedormance af ihe wnrk for wbich this Dermit is issuea, � g Section ISIWinotemploiaMOe��naiyman�rsoaztoEecome ubl��o� rMers CompensationlansoSCalAomia. Backllow Prevention Repipe Fireworks Stand Sub Panel •- Uate Z�Z� �� Siqnature: Backflow Irrigation Roof Drain ' Fixlure Swimming Pool/Spa ' NOfICE: II, aMer makng �Ns declafalion, yvu slwu �ecome sub6 ro Ihe `AUNers' ompen5a on pmvi� gar Sink Service Sink Garbage Disposal Switeh �� suns oi ihe la0ar Cotle. )w muG faM1�.�+m comDN wiN such Dmnsbns a ihs Demul s be UeeAUA rewlatl. CONSfqUCf10N LENOING AGENCY: I here�y attirm Ihat Ihere is a conswction lending aBency /or the peAor- Bath�ub Sewer Cap Generator. Size Temporary Work With mance ol ihe work for wnicn this permit is issuea (Section 3047, Civ. C�. • Clari�ier Sewer Connection Meter � up to 200 amps Transformar LEHOEP: �UOXESS: Dishwashar Shower � Meter � over 200 amps Siie OWNEB BUIWEq UECUNRTION: I Aereby aflirm ihat I am exem0� fmm tAe Cont2ctors' State License law Drinking Fountain ' Solar Collector Microwave Tmsh Com ador � lor t�e lollowinp reazon (Section 7031.5 Business and Pmlessionat CaUe: My city of counry which reQuires a P permil to consimcl, alter, improve, Oert�lish, or repair arry struclure, pnor to its iuuance. atso 2puires t�e aDP��- Floor Drain Solar Piping cam for such permit to lile a siAneO siatement tAat hrJs�e is IicenseU pursuant ta ihe provisions ol the Gontac- IorsSlaleLicenselaw�CAaD�er9�coinmencinAwitASection7IXl0�ot0ivision3oiNeBusmessanUProtessions FloorSink SolarTank ' Cotle) or that �rls�e is erempt tAereirom anU the basis tor Ne alieA� �mDtion. Airy vialation af Section 70315 pelnapeetlon Fee 530 lasue Fee 515 by airy a0�licant lor a De�mit suCjects tne applicant to a civil penairy ol not moa tAan hre hunOreO Aollars (5500). Gas Service - Swimming Pool w/Spa � I, as owner of the omperry or my emplyxes vnih waqes as Ineir sole compensation, will tlo the work. and Gas System Outlet Toilet - DEVELOPMENT SERVICES REOUIREMENTS: � I�e stmcwre is not imentletl or onere0 for ule (Setlion 7094, Business ana Pmfessional fqda: The Coo- . �ractors' Sta�e License Uw tloes nol apply b an owner of a property who huilOs or improve5lAe2on, and Intercep�or ' Urinal Zonin p roved B who0ce55uchwork�imseli/�erSel/or�hmu0hhisor�erownemployees,prwid¢dNa�suchimprw¢m¢nts 9 PP Y Date are not imendeG or oflere0 for sa�e. �l ��Rr t�e Ouiltling or imprwement is soltl wit�in one yxar a� cnm- Kitchen Sink Wash Basin oletion, t�e avner vnll Aave the Uurden ai D�ng he/s�e OiU not buila or imprwe �or Ihe purpose of sale�. Bulldin A roved B Laundry Tray Washing Machine 9 PP Y' Date � as avner ol the O�PeM. am �clusivery cant2cling wifh licensetl cont2dors to construct the projec[ _ jSeclion 7044, Business an0 Prolessians CoOe: The Conirnctars' State License Law Oces not apply to an P Trap . Water Heater Application lasuetl By � Dete �� mvner ot pm0erty who builds or impm�res t�ereon anA who coniracis for such prole�s with a contracror(s) license pursuam ro Ihe Contacto�s State license law). I am ar.are IAat prooi ai their Worker's ComDenu- Water Service - tion insu2nce shoulE be 0��4 �o me. � � ' - SUMMAHY OF FEES I am exem0� under Section: B. d P fl Relnapection Fee 530 lasue Fee - S 3 ❑ tor ��i5 reason: � MECHANICAL FEES BUILDING PERMIT $_��= � MECHANICAL $ Oate: � pwn¢r: Boiler Heating System 8 Ducting PLAN CHECK $ PLAN CHECK 254b�$ I do 11¢�elry c¢rtily that 1 am awdi¢ o� 8� ��slantl l�e requiRmenls a� Cali�arnia He�lh an0 Salety Cotle $¢c- DuCt—Und0rgr0Und ❑ Q700,000 H�U +❑ 100,000 $fU + ` tions 25505, 25533, anA 25534 ana tAst I or,arcy lutu2 6uilding accuDant wiII�ILnW (ciale ane� need to comply Duct—Structural PLUM8ING $ � SMfP $ . J� with sab slaie cotles a� t�e 2qui2metrts �or a permii lor wnstnxlbn or rtpAificatpn �rom the Air Waliry Manape Hood or Type t ❑ . ment Oisirict. Fesieential constmmion apDlications are e�mpt imm these orwisions. , Duct—Ventileting Canopy Type 17 ❑ PLAN CHECK 2546 $ GRADING $ v Eahaust System ❑ MWfiple ❑ Relrigaration System ELECrRICAL S � Oa�e: Ap0licanC � ti / Fan ' ❑ 0�100,000 BTU + � 100,000 HrU + I �ereby certiry that I Aave rea0 t�is apPlication an0 state I�at the aCwe iniormation is correct. I apree to wmpty , PLAN CHECK 5045 § TOTAL FEE f _ ��(_ with all ciry antl counry ordinances and state laws relatinq to builUinp con tmction and Aereby authonze represem Fire Damper System RepaidAlteration � � tatives olihis ciry to enter upon t�e a0are-mentionetl p perty 1or� ' n purposes ( Fireplace/Faet. BIL ICBO N Date. �p -� � / peinspecuon Fee 530 �ssue Fee s�s ' DATE� -02/2$/9� TIME� 12�24� � pg5y.en rev. �uroy wm�a - e�aaing; mreen - wae emortemem; canery - nppucam; rine - narenue: uowenroa - wsseswr ,: ..,...: : , x � ,.�.e„.;Ew ..,: : �:w .... ... .... . . �i�t' z �.z:s '�:� ; :r ; : ;.� ,;.F;. r. , !!-�t?;:s: r. ..,; . .... . t,i�T' . . •'iY '^��. ' , '�•� , .: . . �'i� .,1� CONSTRU 'ON AND PLANNING POO' '- SPA APPROVlR�Permit# _ Date Inspector qPPROVALS ht�mit# Date Inspector 7. Temporary �T�ctrical Service or Pole 52. Pool & Equipment Location 2. Soil Pioe-Undrgrnd. 53. Steel Reinforcement � 3. Electrical ConBuit UtilitY-Undrgrnd. 54. Forms 4. Efectrical Conduit-Undrgmd. 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 Undrgrnd., Test 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, � Undrgrnd. � 70. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash &„eceptor-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 i6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 'T8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19., Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # � 21.,DuCts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test • 72. Underground Flush 24. Roo4 Framing . 73. Undergrnd. Storage Tank O Gas ❑ Oi� 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �' 27. Frame 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. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-Test 36. Hood or Canopy � 37. Final Faaory Fireplace 38. Final Plumbir� 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final . , - 42. Backflow Preventer �• - 43. Backflow Irrigation � 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING 4 � 48. fINALPLANNING � 49. Electric Release to Edison ' , 50. Gas Release to Southem California Gas Co . � ' 51. CERTIFICATE OF OCCUPANCY ' No. Date �� . � � �..Y i� COSTA MESA BUILDING DEPARTMENT P. O. BO% 31� , COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING ADDRE55 OWNER �. �r�ec. ARCHITECT OR ENGINEER ADDi LEGnL OESCR�PTION A.P. NO. � Duke Place COSTA MESA. CALIFORNIA 5'�E g0 z OF LOT USE OF E%ISTiNG 9LDG. SETBACH LINE FPOM /�0� CENTER OF STREET L SIDE YARD RIGHT rjl LEFT � TEL. NO. LIC. CITY LIC. NO. TEL o.or a�ocs. ow o� �o, none REAR � . DESCRIPTION OF WORK NEW A ALTERATION u ADDITION REPAI! MOVING DEMOLISH SU�EL�ING 1365 $• lYiEO MS O STORIES EXTERIOR WALL ROOF COVERING Sti1SCCO COVERING CO7�• USE OF NEW -�r Y�WVvuJm� AUG 2 � 1958 .- � �,n- � -.i APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY aE�E�P, �o � �r� nECE�veo ev oaiE aECE vEo on1[ I 5 E �--� � �� nilC, 2 � �� BUILDING ADDRE55 COSTA MESA. CALIFORNIA FIRE ZONE $pryE{/) NO.OF TYPE GROVP K ' PLANS � � APPROV O BY DATE CORRECTIONS with attached garage. Plan llOAR I MEREBY ACNNOWLEDGE THAT I MqVE PEaO THIS iPPLIC�TION nN0 $TFTE THAT TNE A90VE I$ RHECT RN� AGHEE TO COMPLY WITX 1LL CITY OROINTNCES AND ST L4W5 HEGUL4TING BUILOING CONSTRUC� nov. VALUATION �j nn SIGNATLJRE OF PERMIT FEE 5 J2�vv PERMITTEE . (� � . PLAN CHECK S �"�OO 1Vt' T_ s 13,919.00 nn AUTHORIZED AGENTLine & Colegrove, 1(IC• TOTAL FEE $��'~ OWNER Coltunbia Hoiries � Inc. DATE 8-29-58. . • JOB ADDRESS 2430 Duke Pl. " � BUILDING PERMIT NO. 7l�Q$ GEN�RALCONTRACTOR �� & COlegt'OVO� IriC. � VALC[$f 13,919•� ' AP. No. LOT 64 'i'uAc'r 2954 eutE zotva DESCRIPTION OB WORK RC6. w�att. �a.t'age GROUP I& J TYPE V ZONE Rl PLAN NO. cont F+' ' Gas Tut t ti«'o�� 8UBCONTRACTOR ------------- � � � DATE __ __ NUMBER