HomeMy WebLinkAbout3118 BARBADOS PL - Building Permits� PflOJECT AODflESS: 31 1 8 B�iB��C�` PL
�' OWNEN'SNAME: �BERTSEN� JONN �
aooxess: ALBERTSEN ARDELL K
3118 HARBADOS PL
COSTA MESA,CA 92626
7
�I
APCN/ENGINEEfl:
aooness:
HEG.NO.:
UNIT:
PEHMITTEE: B 6 J ROOF'ING ( 714 ) 6 7-5609
aooxess: 2040 N SACRAMENTO
ORANGE CA 92667
LICENSEO CONTHACTOB OECLANATION: I �ere�y allirm �Aai I am Iicen5e0 under pmvisions oi ChaD�er 9 �commencinp Section
]000) ol �rv��sion 3 ol ��e Business antl Pwless 9 � my license is in �ull �orc na I.
ciTv uc.: 0 3 8121 STATE LIC.: � 56 ` 5�
Daie _9'���I� 3 Sgna - .—
WOPKENS' COMPENSRTION DECLABATION: I here�y aflirm Ihai l have a t¢Nhcai t cons¢ [ �0 5¢I6in5ut¢ Or d t¢rtilital¢ ot Wo�ke�s'
Compensation Insurance. or a cenifieA copy ihereai (Seaian 3800, Lab. C).
POLICY NO.: EXP. UATE:
LOMPRNV:
❑ Ceni�ietl capy is hereby fumishe0. ❑ Certiliea coDY is filetl wi�h the ciry Building Oivision.
�ate: ApplicanC
E%EMP710N FPOM WaNKEHS' COMPENSATION UECLA ' This sec�ion need na� be tOmpleietl i� �r�Nf fOr one hunOreO (5100) or less�.
I cer�ify �hai in Ihe per�ormance ol �he work for whic Ihis per M i55ue0 II not� y p n i any manner so as to become
suble�� q�o �he Workers' ComOensation LawS o� Cali� ia. �/1�
Da�e' i��� � 3 Sign 1 �—� ` �:��
NOTICE: II. afier making �his tleclara�ion. you 5�ou10 become subject Io Ihe Warker omp sation pruvisions of I�e Labar
CoAe. you must lotlhwith compry with such provisians or this permii shall be deemed revoked.
CONSTNUCTION LENDING AGENCY: I here�y aifirm thal Ihere is a consimc�ion lending agenty for the pedormance ol ��e work for
which Ihis permil is issued (Seclion 3W7. Civ, C�.
LENOEfl:
p0UHE55:
UWNEH BUILUEP OECLAflRTIDN: I hereby af�irm Ihat I am exempi irom Ihe ConVac�ors' Siate License Law for the lollowing reason
(Sec�ion 7031.5 Business antl Pmfessional Code: Any ciry oi coun�y which reQuires a permi� to coretmc�, al�er, improve, demolish, or
repair any Slmclure. Drior to its issuance. also requires Ihe aDPlicanl �or such permi� lo �ile a signetl 5laiement ��at �elshe is licensed
pursuant lo Ue pmvisians o�ihe Coniractors' Sla�e License Law�Chapler9�commencing wi�� Seciion 7000) ol0ivision 3 o�the Business
an0 Pmfessions Code) or Nal he/she is exemp� Iherefrom and �he basis �or the alleged exem0�ion. Fny violaiion ol Sec�ion 7031.5 Oy
i any app6cant br a permil sublecis Ihe apDlican� to a civil Oenalry oi no� more �han live huntlretl tlollars (E500).
I, as owner o� Ihe pmpetly or my employee5 with wages as Iheir sole compensation, will do �he work, antl the
❑ stmclure is nol imen0ea or oi�ere0 for sale (Section 70a4, Business and Pmlessional Cotle: T�e Cantracmrs' Slaie License Law
tloes nol apply lo an owner o� a pmperly who bud05 ar impmves �hereon, and who does suc� work himselllherseli or Ihmugh
�is or �er own employees. providetl �hai such impmvemenls are no� in�ende0 or ollereA for sal ., '' r
imOmvemenl is 5010 wi�hin one year ol completion, Ihe owner vntl �ave the OurUen of pmving h s�e i noi bui10 or imD�ove
lor ihe purpose ol sale�. AR t
I, as owner o� ihe pmpetly. am exclusively contracting wi�h Iicen5e0 contraclor5 io constmc� ��e ole�� SeDP��7044,'��
❑ and Pm�essions Cotle: The ConiraclorY State License Law Ooes not appry to an owner of pmpehy ho builas or impmves �hereon
antl who conVacts lor suc� pmlec�s wi�h a contracloqs) license pursuanl �o �he Coniractors' S le License Law�.l am aware
I�at pmol ol I�eir Worker's Compensalion insurance should be pmvi0etl �o me. �
� I am exempl unJer SecUon� d. b P. C.
ior mis reason: 75I
�ate: Owner. (
I Oo nereby cenify Iha� I am aware oi antl under5lanU ihe requiremenis of Calitamia Health an0 Sa�e�y C Oe Sections 25505. 25533, and
25534 antl �hat I or any fuNre building occupant will/will not (circle one) need to comply with saitl slale odes and Ihe requirem¢ptg��ya
permil loi con5imction or motlilicaiion Imm Ihe Air Ouaiily Managemen� Oislricl. Resaen0al constmc� n apPlica�ions are eeeA�ptlhM
�hese pmvisions.
oaie�. nvvr�am:
I hereby cerlify Nat I �ave reaa I�is apDlica�ion an0 sta�e�ha� I�e a6oveiniorma�ion is correcl. I agreeto compty wi�� all ci�y and counry
ortlinances antl state laws relating lo building cons�mcii hereby authorize repr��ayves o i`ciry Io enter upon Ihe above�menlionea
pwpeny lar inspcaion purposes. ) �
/ �
or�e: —/D ��.� s;y . r
i �
oriver s Liwnse or Sociai Security �:
1641 a6 Whpe-8uiltling: Green—Code EnlorcemenL Canary—ApplicanL Pink—Revenue: Goltlenroa—Assessor
CITY OF COSTA MESA — BUILDZNG PERMIT PERM NO: B 063900
PERMIT NO; H 063900 PLAN CHECK NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION ; T/O OLD COMP ROOF 6 REROOF W/CLASS A SQ FT; 2,600
CLAIM VALUE; 3,100,00 CALC—VALUE: 2,600.00 GROUP OCC: A-3 /R-1
COMMENTS: REROOF 2600SF W/CLASS A COMPOSTION
�**�rx��r�r�t�r**�e*��r*� � *�r**�*�**�**x *�r*�*�e�r�r*�**�r* *�r***�+t�t�r*� *�*�x�**�rxx *�rx�*�***�*+r**
Z O N 2 N GS ERTEBS`AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
AARRING REp • PROV; PARCEL; 13915208 ZNE: REF NO:
PLANNING N�5TE5>
.�
iE 1E �f 3F iE if if �E iE jE iE iE if ±E �E iF 3E if iE iE iE iE il1E iE ik iE if �E iE if if iE iE �f !f if if if if iE iE ik iE iF iE�t 1E iF iF IF iliFiE iF if iE if �E �E it iE if 3E �E i! iE iF i!'�if if iE 3FlE �F �lE ik iE iF
D E V E L O P M E N T 5 E R V I C E S R E Q U I R E M E N;T' S
ZONING'APPROVED BY DATE:
BUILDING•APPROVED BY ; DATE;
APPLICATION ISSUED BY: �'��' DATE: _�
**�*,�*��*��*����,���**������ ��������,���������������*�����,��� 3 ��
iE fE iE fE 1f iF iE iE if if iF iE 1E iE iE iE iE iElF iE iE i6 fE iF if k fE iE iE iF iE iE iE if !F 1E 1E 1F iE iElE 1F iF iE 1f iE ff iF iE iF if iF 3E iE jf 1E i! iF 1E ik 1E iE iFlF 1EiF i! iE it iFiE iF iE �E 1E k fE�t 1!
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FI'FtE SMIP/RES / GRADING
PERMIT 59,00 , ,50
'� SMIP/NON=RES
PLAN "
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL " PAID �� DUE
TOTALS----> 59.50 0.00 0.00 59.50 ,' 59.50 ,00
DIVISION TOTALS--> COLLECTED; 54,50 OVER/SHORT: 00
MT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
`ECTION564.00 :.50; ",
iEiEiEiEiEiE�EiFiEiF ikiEitifiEiEiFifiElEifiE3fiEiEifiEiFiFiEfkiFiFiFiFiE�fiFiF3EiEifikiElEiEiFiFiEiE3E3FiEiEiEifjfiki(�ififiEiFiEiEiE.iE*iEiEiEiFiEikiEikiE
� I N D Z V I D U A L F E E H R E A K.�D O W N
S�tjPE QT D E S C R I P T I O N I UNI.T COST TOTAL COST
SFR 26 0 REROOF BY VALUE RESIDENTIAL NOZONE ^ 1.00 l 2,600.94
END OF FEES
-���.���E DETECTOR
REQUIRED�
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0? OG14b572—�Q145673 T�a T
DA?E: 04/IO/?3 TI11E: 14:26
5:.5D
�
CONSTRUCTION ANCI PI.ARN�NG
APPROVALS Permi�i #�
1. Temporary ElectriCal Serv�ce or �oie
?. Soil Pipe-Undrgrnd. �
3. ElecVical Conduit l't�hty•Undrgmd.
��t. EleCtriCdl COndu�[�U:�drgi:'.�.
5. Steel Reinfiorcement
6. E;ectcical UFER Gr�d
7 Footings
6. Foundation
9. 4Vater Pipe�Untlrgrnd.
70. Structural Floor Systern �
11. Praperty Sewer Line $ Mcese,(:onnecLon
72. Se�.ver Cap
73 Roof D�e;ns �
14. Rougn Flumb�n; �
15. Rougn ElectriC36COndu�t
76. Ro�gh Eledric�Nirino
17. Rough lV�ring Siyn
78. Rough Electricai-T 8ar Ce��'he�
79. Rough Neating & A�r Cordit�on+ng
� .y_
20. Roi��h Pactory Flrepiace � •
i
ZS. Duci:, in Structure � . .� .
22. Ducts, VentilaLng � �-
23. Gas Pipa�Rough & Tesc � . .
24 Root Fram;r.g ���_
Z5. Roof Sheathin�
r-
� 26. T�Bar CeJing !Str�t!u�al' $; ;ior�co�t
2 . Prame and Fidshing `
28. L2thinq & Sid�ny
29 Insulation
� 30. O�y�::ali Nai�ing
31 . Plaster 8ro�vn Coat � ,
- ---�-'-
32'. Electncal Pov+er i',4e;er F��ai�
33. Final Electric . � '
34, Pin�l Heating & Air Co�.�rtior��0y
35. Final Gas Pipe�Test �' � '':
36. Hood or CanoPY _- J-
37. Fir,dl Faetory F�rop�ace - `
39. Fin31 P�umbing
39. 1Vater Service�Final
40. Gas Serr�ce-F�na; ,
47. Sola� Domescic-Pmai ~
42. Backfiow P�eventer
43. Backflow Irrigation
44. landscape Irnqation Svstem
45. Sound Attenuazion
a6. Handicap Regulat�ons
47. FI;vALSTRUCTURE80U1LDING
48. PIHAL PLAiVNiNG
49. Elretric Release to �dison
50. Gas Release to Southern Califor�ia Gas
Date
Date
'�
Inspector
ry
PO� � & SPA -- - ; l�
APPROVALS Permit � Date Inspecmr '
52. Pool & Equ:pment Lccat�ow �
53. Steei Reintorceme�rt � � .
-- -j---' ;-7
5�. Forms ,
55. Electrical Bor.d�ny
�
56. Rough Plumb:ng & Presswe Test '
57. APPROVAL7000VER�GU�!iTE I �- '
---t- - +'
58. Eleetrieaf Condwt-Untlr9mo, I � ,�
�� 59. Gas Pipe, O Un�iigrnd , Tes[ ��-• �
6U�. Backwash Lines, RTrap, �! Undrgrnd �� � _
� �_
6�. APPROVAL TO UECK I i
-- ------� �_�-. . -
6�. Baekc,esn iS fieceptur Fina� i
63. Heater & Vent-Flna� -+ - - '
i
34. 'i�mhinq SV•;tem � F�•,a� -�----
i t
G4. E'�ectricaLF,nal - - i�
66. SoIa�SYster�-Fi^•atrf" -r�____-+
t,-'-__
'C:oF� -_.�.�
67. Fcncing & Acce�; .:.w�rov. l �
68. APPAOVED FOR i'�ASTERING
-- �� ,r--- I-----
� J
69. PQOUSPASvS`Ebq�,FINI;{_ � �^ � I �
- - -'�rs-1�-- -----
F4RE DEPT. FiEbk1lRENiEN7� � � I '
. � . a� - ��, . i
� APPROV.4l� Permitt;r,' :)___ ,'
T-�'="'------
�70. Undergro��nd Hyi�ro"',,: �i
� . .* -
77. ProductP:pmg�.Ga"s���0�1 I _���
- - � �^t' � - -.
72. Unde:g�c..��d Fl�lsh . ;
73. L'nde:q.^4. Stoci�e�`!.:�k ' : Gcs -",u '�.- - -�- -'
i `�
I 74. Oee.Fzdd �+yaro- -'_-�- I -
� -_. _____ �._. -.__
', 75. Dh� Chemical -- �--
76. Lry Star.tli�.pe -- --- -' --� -�� -
�
77. FIXED S�STE�-� FtNAI� - -- �Y ��.•.�--�-
78: FIRE PREV. FIVAL �'�; �µ
HEALTH DEPT. RcQUIREMENT " �`'
- ------ - � '^�'- .
_'-. a.-
,79. FIPJAL.!!NSPECTIpfJ _ i_ �_
-- i �- �`- �- - -- _.
30. FOOU CEhTIFICATE �SSUEL`
� - ---1- ---� -- �
No:es: ,
---- - - --- - ��1
-- -- ---- ---- - i
_ �
/� d"�.e �'6� .
w� - l� c�e✓__.i
-- �
- ;
�6 4/� - ,
-- -
�-'708 AD
a GENER.
'� AP No.
; LOT TRACT
GAS
WATER
ROUGH PIUMBiNG
PROP. SWR. LINE Q HOUSE CON.
SPRINKLING SYSTEM
ANO AIR CONOITIONING
TEMPORARY SEAVICE OR POIE
UNOEftGR0UN0 � POWER [
ROUGH WIRING
FLOOR SVSTEM
BOND BEAM � STEEL REINFORCE
SNEATHING
FqAME AN� FLASHING
LATHING - IN ❑ f
PLASTER. BROWN COAT
ENT., REFRIG. AN� A.C., FINAL I
FINAL ANO GAS TEST I-I �
ELECT
BUIL❑
DATE "g_q_�Z
BUILDING PERMIT
JUP T TYPE
SUBCONTRACTOR
OWNER p�_�?,�q�p�7�Ti7H� SAM DATE 'i-12-59
IOB ADDRESS �i i a A�rti.��t..� � BUILDING PERMIT NO. BBi�i �
GENERAL CONTRACTOR $at.t.ar Bni l t FPnrP Cn. VAL[IE $ q� � np
AP. No. LOT ��� TRACT�z�� FIRE ZONE DESCRIPTION OF WORK Blor,k fence
GR011P - TYPE ZONE PLAN NO. RAZC
INSPECTIONS � I DATE I $UBCONTRACTOR I
DATE I NUM
coat
COSTA
.�
5�05
MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
FEE RECEIVED
��n��� �,�����
FINANC� DEPT.
�in ur �u�in mtan
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING BU 1 LD I NG
nooaess Z� �^, R h na Pl n a
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
1 RECEIPT NO. PE _�]
OWNER SUiiun01�1`dlZd. LctiY�d CO• a7
MAIL RECEIVED BY D1TE RECEIVEO OFTE ISSUE�
A�DRE55 �i�L S�- J MpY 3�
r TEL. BUILIJING
CITVy�O$ H ele$ Calif� NO. ADORE55
qacHITECT l - u0. COSTA MESA. CALIFORNIA
OR EN,INEER �VIZ11S.aTRS NO.
FIRE
ADL ZONE
Pil�land Land ���E NO.OF TYPE GROUP
�iyprp CITV LIG PLAN$
CONT�ACTOR /' NO. 1� d
TEL APPROVED
ADDRE55 ^ � c� (�^� NO. BY DATE
LEG/l
oEsca�PnoN No �I, a�ocK Tancr 7��; CORRECTIONS
A.P. NO.
SIZE [ �'O.OF BLOGS.
OF LOT �)(� Now oN �01 � q
USE OF
EXISTING B�OG.
SETBnCK LINE GPOM 'J
CENTER OF STREET rO � REAR YAF� )� �
siOe vnRD RIGHT � LEFT �
DESCRIPTION OF WORK
NEW � qLTERATION ApDIT10N
REPA. MOVING DEMOLISH
BUILDING NO.OF
SIZE � i� � ROOMS STOARIES
EXTERIOR WALLry1 ROOF COSI��JOS1t�.OA
COVERING 7UUCCO COVERING � reloo
USE OF NEW
BUILDING � 1 O' f! }� itil �\ � L' f-?� � O'
6 aR � � �
I HEftEBY FCKNOWLEDGE THAT I MAVE READ THIS APGLICl�TION nND
ST4TE iXnT THE nBOVE IS CORFECT nNO wGREE T0 COMPLY WITH /Ll
CITV OF�INANCES A STATE AWS REGULA ING VIL�ING CONSTliVG
T�O�. VALLIATION
SIGNATURE PERMIT FEE $ '��
PERMITTEE l
$ �� �� , j PLAN CHECK S li �.00
�L -
AUTHORRE� AGENT TOTAL FEE $ �2 � l,rO
I ,
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IFT.IST.
COSTA MESA BUILDING OEPARTMEiVT
P. 0. BOX 317
COSTA MESA CALIFORNIA
C•L. OF STREET
' �iPROP
r 10 FT. FQR 60 FT. S
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ET
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_1iPROP. LINE___
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FT
so
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES ------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
I �835 I
FOR APPLICANT TO FII.L IN
BUILDING ADDRESS 3�/�,%���,�t,�
Ownerc�7 �L;TL—�r'_�sa.�-
Mail A�dydre,s,,ps f��/$ ��a�✓�
City�EY,L<<It �la' � Ph. No.�i`'tSd�f��
Contractor,� ��XPh. No�.%Ct 7�11��
Address��/2.%�Fao:pm.%�� � __i1�
City Lic. No. State Lic. No. � �_
Size of Lot - - �.--- - - -AP No� dT .� . ��•.�-3-s-�
Setbacks: C/L Street �� Rear' " �
Side Yard - Right �' C".i " Left " 6 '
Type of Fence �� �C.11ttLi�
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.
FOR OFFICE USE ONLY
�� � 3 -/ a-
VAL ATION
Permit Fee
$ � ��
j J Plan Check
TOTAL FEE
� U,SE REVERSE SIDE FOR DETAILS
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3s-�
3 _/�--
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,. . ,-;, 3504 I
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUII.DING .�{// /-j `�� o p��O S %/,��
ADDFESS d s (1 i���
OWNER �F���y/9 S� S � � �ES
MAIL � /d '��"/`��i (70S �/�iC�
z ADDRE55
ac`a'i CITV�jSf9 /�'i�SA N�� y3F
Zz
Q COfJSTRVCiION
O N LENOER
am
J � BRANCH
J �
Q �L ADDRESS
r
ARCHITECT TEL.
— N OR ENGINEER N .
U Q
W � ADDRESS
d W ��/ /� •
J Q CONTRACTOR /-/ /P �J, "S T��
m Z
J � ADDRESS
W w TEL. '
� cirv No.�o3�_]a.
ZH
w � STATE CITV
N fL LIC. NO. LIC. NO.
7 � S12E
j � NO.OF BLDGS.
OF LOT Q � O NOW ON LOT
USE OF �
EXI5TING BLDG.
F SIZE OF NO. OF
Z NEWBLpG. �p ROOMS STORIES
a EXTERIOR WALL ROOF
L% COVEFING COVERING O'{�' '
J USE O�Bk1JLDING AND WORK TO eE PER,FORMED
anto �, at���,t
nliG —4-72�NSn00 381 5.�4
4TION FOR UILDING PERMIT
Y TE CE�IV7E �jE ISS E[
� / .IC\�' �
BUILDING
AODFESS
OWNER
FIRE
ZON NO.OF „
PLANS�
VAFDS APPflOVED
MAIN BUILDING
V AR. $
C.U.P.�
S J/
VALUE
F N
V
(O FT
BET. MAIN &
ACCESS. BLDGS.
DATE
APPqOVED
dIQ
NG
I hereby acknowledge that I have reatl this application antl state �7
that the above information is correct and agree to comply with , V
all laws regulating builtling consttuction, antl I shall not employ T�
any person in violation of the wo�kman's compensatiOn laws ot
m
t e tate o e i ornia. �
I hereb certit that I am SQ. FT. o
V V properly licensetl as a conS/acior under
Ne State ot Calitornia gusiness antl Protessions Cotle, Divisicn 3, THE MOUNT SHOWN UNDER VALUATION IS FOR �
Chapter 9, antl that such licenses are in tull forca antl etfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
am exempt from tfie provisions of the State o( California Business ¢
VALUATION �
antl Professions Cotle, Division 3, Chapter 9. �`j�(j PERMIT FEE S �
7r� ��. � ��� '
Signature ot �'^ � m
Permktae $ !.�/�j%) PLAN CHECK $ E
`,L/l/ o
LL
Authorizetl ABant TOTAL FEE $
- O 1
OW NER SUMMLRLAND LAND CO: DATE 5-3-5%
JOBADDRESS '�118 Barbados Flace BUILDINGPERMITNO. #({9SS
GENERALCONTRACTOR OGR12T' B�.CLT• VALUE $ 11�(1ZLl,OO
LOT 2(y BLOCK TRACT 2353 Res. w�8tt, g2T•
GROUP I & J TVPE
INSPECTIONS
Footing Trench t�� �
Foundation Forms and Grade to Garage.
Rough Framing b�''�
Plumbing, Rough to Slab _ �„� ��
Piumbing, Rough Complete %y/ (�° �
Temporary Pole
Wiring, Rough � �,j�
Heating, Rough %i) � 5
Heating, Final %�GP�S
Sewer, House C Seweq St. �,�5
Septic Tank or Cesspool
Lathing,ln� OutX ,/�
Plastering ��
Plumbing, Final, Fixtures Complgte�et
Plumbing, Fin,al Gas Test�S��{�L(,GS
Wiring, Final
Occupancy ��/�y��,
FOHM 210 3M 10�30
DATE
ZONE H1
SUBCONTRACTOR
FIRE DISTRICT jUUi
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DATE I NUMBI