Loading...
HomeMy WebLinkAbout2011 BALTRA PL - Building Permits PROJECT ADDRESS: 2011 BALTRA PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 058063 OWNER'S NAME: GUZIKJHARRIS ALAN — ADDRESS: 2011 BALTRA PL PERMIT NO: B 058063 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA,CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR TGgd 3/117PURPOSE: ALT ( 714 ) 545-2526 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : RESHEATH & REROOF-1 /2"CDX & ALCOA ALUM SQ FT: 7, 000 ADDRESS: UNIT: CLAIM VALUE: 7,000 . 00 CALL—VALUE: 7,000. 00 GROUP OCC: R-3 /M-1 PERMITTEE: ALUMINUM ROOFING SPEC ( 7514 ) 558-0678 ADDRESS: 1529 MCFADDEN COMMENTS: SMOKE DETECTOR(S ) REQUIRED IN HOME. SANTA ANA CA 9270 ****************************** �r+r�F*** **** *4 FBF*+FBF******** **********1F****** *gyp LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS _ CITY LIC�(.:K0333723 STATE LIC.: 523043 CLASS: C39 Date: - [ - C/-Z Signature:-(vt 19-t MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or acenificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN compensation Insurance, or a certified copy thereof(Section 3800.Lab.C). LEFT• T IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: 046—9 2 UN I T 3117 EXP. DATE: 01 /01 /93 nCOMPANY: STATE FUND KING REQ: PROV: PARCEL: 13945301 ZNE: REF NO: yy Certified copy is hereby furnished. 0 Certified copy is filet/with the city Building Division. CANNING NOTES> s • > Date: L — 5Applicant: `f`"\ Sr refk..41 * * !(-Ttj6 / ** *** *******_******************************************* *******!f Th 2 *********** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V Es"'L O P M E N T SERVICES R E Q U I R E M E N''T S I cenify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become i subject to the Workers'Compensation Laws of California. ZONING APPROVED BY : DAT...E . Date: Signature: NOTICE:If,after making this declaration.you should become Subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: - Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ^ / CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION I SSUED B Y- /► rte_ DATE: r7/7// \ which this permit is issued(Section 3097.Civ.CI. *****{(-**.*. e*.)(.{(.{(� {(..)(.***.**•.• a, . y ********4** ********** LENDER: ROOFING PER ICBG43147 *********************************************** , *******************,********** ADDRESS: ICB0#3147 LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC 'MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,after,improve,demolish,or PERMIT 90 . 0070 , repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business _ SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE ' 4 . I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 90 . 70 0 . 00 0 . 00 90 . 70 90 . 70 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through ownhisorisemployees.provided macmphion.improvements are note thedbddeoof pforshIt. ihowever notand buildingve REVENUE DIVISION TOTALS--> COLLECTED:, 90. 70 OVER/SHORT: 00 hisimprovementor er sold withins.one year tofhat completion.limp ove entsr will have the burden offered provingd he/she did not build or improver for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC, FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 90 . 00 ' . , .70 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)litense pursuant to the Contractors'State License Law). l am aware *.j(.*.*-*.*-*..J(-*jp.4(.{p{(.***.*.***.**.it(.-J0***.*{(.*q(..x.**.*.f(-*.*.*.{I.j(-{(:{F*.*.**.)(.*{(.*..)F**.)(..*.***.*.****ja*******.*****.*..* mat proof of their worker's Compensation insurance should be provided to me. INDIVIDUAL —. FE/E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: ' I do hereby certify that I are aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and SFR 7000 REROOF BY VALUE RESIDENTIAL nNOZONE 1 , 00 7, 000 • 00 25534 and that I or any future building occupant win/will not(circle one)need to comply with said state codes and the requirements for a END .OF PEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. • Date: Applicant: I. — I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. `` ----- ----- Date: ( -1 Cy 2 Signature: ----7.‘--"\-----7.‘--"\— C4C' C SnnIA x • • Driver's License or Social Security 4: .. _ I.. 1641-46 White—Building:Green—Code Enforcement:Canary—Aoolicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING , .SOL & SPA 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-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 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 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 7 J/_q2 74. Overhead Hydro 26. Lear Ceiling (Structural) & Monocoat [ 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing,& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing IHEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: NXt-V34. Final Heating& Air Conditioning Yv_ A • 35. Final Gas Pipe-Test , 36. Hood or Canopy • 7-21-412-- !act ir--e Lae 37. Final Factory Fireplace 6 - 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUI LDI NG Ct..ey �t..,tV. 48. FINAL PLANNING l 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date 19157 FCL ,RECEIVED _ R .. MAR 2 2 1963 COSTA MESA BUILDING-SAFETY DEPARTMENT YANCE DEPT. P.O.BOX 317 COSTA MESA.CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT /sr73 BUILDING BUILDING For Office Use Only ADDRESS ^Z � /� � cll tea 'P/ RECEIPT NO. PERMIT NO. COSTA MESA, CALIFORNIA 9/c7 ..-1. y \/ T RECEIVgy/�,�BY DATE RECEIVED DATE ISSUED OWNER Ca -"eller-er- WPSI I)Olnt Yel')14-e, — � `/„�-�� MAP `-A '1 1CCC BUILDING MAILMinorca {{�� ADDRESS ADDRESS 1 i $3 VY`. ��C / FIRE Glyl�/ �,1 TEL. ZONE TYPE V GROUP CITY CD 5T-d Mesa NO. IN; 90395 APPROVED ARCHITECT ./ he+ e In TEL 77a-334$ BY DATE OR ENGINEER K21/411-en ZONING ? ADDRESS C)77 a Kate l l a, - Ane he inn ZONE (// NO.PLANE 2-1 OP USE OFLDINN S Il ,a BDI � CONTRACTOR Anr11-ns i..anri Co. LEGAL �5 i 7-/. / /5 M ii�� LEGAL DESCRIPTION f YJ ADDRESS iIn1 a M : no.-ca. Or. OE A.P.NO. CITY ` oS1d MP.13. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL TO SIDE&REAR P.L. LIC.NO. 18711. I. NO. Ks' 9 -o39r EAVES SIZE .y NO.OF BLOCS., ALLOWED (U.B.C.REQUIREMENT) OF LOT /D )( 1 00 NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF _--.— MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) SETBACK LINE FROM / r FRONT CENTER OF STREET S6 REAR YARD lir5-....5-FT. .5 T. FT. SIDE YARD LEFT 5 r RIGHT 5 I IR.SIDE J FT. FT. DESCRIPTION OF WORK L.SIDE SFT. FT. NEW 1..--- ALTERATION — ADDITION REAR '{LJ FT. FT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.SLOGS. BUILDING 47 NO.OP VAR.# DATE SIZE c•Z 1' Z ROOMS S' STORIES 2 C.U.P.$F A APPROVED EXTERIOR WALL. I ROOF ba P 9 le_ BYPROJ� �1 W DATE/7/7'/J'V COVERING StU ¢fn COVERINGG s sin I Hfr. USE OF BUILDING AND WORK TO BE PERFORMED ,.,/ "Feiolnnre �/ C. ns rue-t;on / //7/1 33 ,�j /trgQ.FT. 6—°6 li I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN✓✓✓UNDER VALUATION IS FOR THE E AND STATE THAT THE A=-VE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY O.•IN NCES AND STA E LAWS REGULATING VALUATION a BUILDING CONSTRU ON. PERMIT FEE $ • 3 j SIGN PE MITTS E OF 1..." l $!T ,26,7 . O 5-6,1 /J 5_ L. AUTHORIZED AGENT TOTAL FEE $ /D? J� 6 , • ' ' OWNER PACESETTER WEST JOINT VENTURE DATE 3-22-63 JOB ADDRESS 2011 Baltra P1. BUILDING PERMIT NO. 19157 GENERAL CONTRACTOR Andros Land Company VALUE $ 26,262.00 AP No, LOT 73 TRACT 4948 FIRE ZONE DESCRIPTION OF WORK res att ear INSPECTIONS Signature DATE GROUP Tla TYPE V ZONE RI Soil Ft`, 1/4 7-A3 SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER Water Wf21.c.--7- 5 .,,, _1/21. Rough Com. Re rig. 0 Air Cond. 0 , Rough Heating i I 9-1h-63 -* .,---*-4,3 -1,9 77 — Rough Plumbing In • --/ -dersetiiAt t r?mt. .;_/. 44,7 -6.,, - d --- kg-- Miscellaneous / ay Prop. Swr. Line fa-House Con. 0 St. Swr. 0 t 4' 97/7-43 17,66-,_ e,-,(A,/,,Are2.L 4 /5-45 Jr 7 Sprinkling System 0 Construction Pole , ' `72r_nt-c.77...,f"...-.1.:etc-a_, ?PR 3 1064 . Underground 0 Power 0 Rough Wiring _ 716.:C & ,r- . .t,/ •"--.2--nta-3-,AIL i k's - _ Trenches r Forms P-- Steel Reinf. Q- /0 4,-.30-..g Floor System I s-a -6' Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing ab "7-1 —63 -- Lathing- In ?Or Out pita-„ . 4.--es-_ z- . Plaster, brown coat .....-4.7 _ Being. 0 Air Con. 0 Final Heating, Final All ,fr-4/-43 9 Plumbing Fixtures, Final Final Gas Test/Or Electric Fixtures, Final i 41q/%43 Building, Final 74. / .W-4 OCCUPANCY . Form BU4-5M-3-63--S-P P 6 q' - 235 ? FEE RECEIVED •• COSTA MESA BUILDING-SAFETY DEPARTMENT 1A 15 1966, E 1\0 P. BOX 517 COSTA MESA.CALIFORNIA .�rF�'Nr,1NCE �/EI I.UU �� / For Applicant to Fill In Completely YAMkiOnfialMl MIT ‘4 TYPE OR PRINT • BUILDING For Office Use Only BUILDING 11 ADDRESSc.I�T O I `(� rA tik,—,.` t ria---e RECEIPT NO. 'PERMIT NO. COSTA MESA. CALIFORNIA . .11356 7 RHCEW OAT/RBC. ED DALE ISSPED 1y_�- (� { 2//5 5 T/15 C_ OWNER tip I.IIICA,Y.A \C C JL\r/ 1 ADDRESS / /, 9/ TSA' MAIL BUILD) 9 �r ADDRESSra- SLAMA.{ TEL. LLtP 4L' ZONE 3 P C I I GROUP CL CITY NO. 1'.1 P' aS / APPROVED /`// ARCHITECT \ ,_I Q�tl No. ,.., {� BY DATE 2(,J 4 }j\ OR ENGINEEF� I(kMACS VV\.T %r ZONING ADDRESS gO/aT`Li 1--0:ratxQA• Z ��' NO.OF PLANS y U OFNEW BUILDING CONTRACTOR-VLQ Le� (4Nc:Ay C1 {�,L LEGAL ADDRESS `S &o ki(41✓yn*LC. kVe.• DESCRIPTION ` ()r '73 fit' '43 CITY . GzLY A.P.NO. ! I U I USTATE NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.NO. ISMO LO NO. �.Ql- �S cp'a,(1 30"TO SIDE Lit REAR P.L. EAVES SIZE / NO.OP ELDGS. ALLOWED (U.B.C.REQUIREMENT) OF LOT LelQ/ ^{. I NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF `` MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. r e s..Cf_AA 41., (FROM C/L STREET) ////// ((( SETBACK LINE FROM FRONT FT. //�FT CENTER OF STREET REAR YARD JJJ SIDE YARD LEFT I RIGHT R.SIDE FT. 957FT. '\ DESCRIPTION OF WORK L.SIDE FT. 1:7 FT. NEW X ALTERATION ADDITION -_ REAR FT. 6 Fr. 1 DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BLDGS. BUILDING NO.OF VAR.SC DATE �1 SIZE ROOMS STORIES C.U.P.# APPROVED / EXTERIOR WALL ROOF APPROVEf� // S. r(�/ COVERING I COVERING 9Y �Jl ��1//�117TE 7) -6./ .11 USE OUII"DING AND WORK TO BE PERFORMED rti7 M?14YL vv.(u.1 ebnt IA `4 E 3 _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS TO COB. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE to AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 0\n PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION .�Ii\&i. BUILDING BUILDING CONSTRUCTION. I SIGNATURE OF A r. n , PERMIT FEE $ G' m \ PERMITTEF �Y fru�P„tat? e I \ I $2Thcvoc>>az,© LAN CH C G 14 AUTHORIZED AGENT J � Ar TOTAL FEE $ / .. ..v+. ,i N t _ DATE . 2-15-b5 JOB ADDRESS 9nll Ra7trg Pl ara BUILDING PERMIT NO. 23567 GENERAL CONTRACTOR Fiesta Pools DESCRIPTION OF WORK pvt swim pool pAP No.1 9_ 153_Q LOT TRACT FIRE ZONE VALUE $ 2,600.00 . INSPECTIONS Signature Date GROUP ,T TYPE TIT ZONE Rl Soil PERMITS ISSUED Gas SUBCONTRACTOR Date I Number I Signar Water Plumbing Rough Plumbing C.. .;, � pq / 4c- g47y 4z , Prop. Swr. Line 0 House Con. 0 �'` Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring Heating and Vent. Trenches ❑ Forms 0 Steel Reid. O Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing—In 0 Out 0 Plaster, Brown Coat Structural, Final Electric Heating, Vent., Refrig. and A.C., Final '- - iii. '- A/tCAC 2'/o ti, Plumbing, Final and Gas Test 0 Electric, Final Building, Final Special Requirements PAID et. 273 JUN 19-67cnsaOO1673:` *-ZZSO 92 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620 - For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING eu1LOIND ©IC For Office Use Only ADDRESS 20// Bge-/-4 /-tt l _ RECEIPT NO. PERMIT N COSTA MESA. CALIFORNIA a '7/56,2 REC fG�D//�'jY DAJ�R[�C�y[DC ID�yy�D OWNER 47, /OCC&GGA( t� ll� %/'67 / .'/ "G7 J BUILDING MAILRESII 20i/ .pgcre/!it / ADDRESS FIRE ADD // /�/J TEL ZONE TYP v GROUP ti CITY (741,/, /v/A1-mfl NO. n �J OR ENG�I 8R C7.///C� .Ff it C NO. 7A 7L APPROVED3 7 �4 DATE f0-�T J67 ADDRESS /04(. C /.//If� /i�.Al- ZONING ZONE NO.OF UDI OF NEW 101444 IL y /Uwct r`r^ /_ T7 ' ( PLANS 2 OUILDINO ?GAM CONTRACTp-K/� FT lL.,t�/ ODv � ADDRESS !96,46-/7 "1 LEGAL TION L0 i- 7 Tr 434-& CITY �- Ata, 0J,-e A.P.NO. i.> / S3_' I NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.NO/7ZL1� TEL.6-7 7/7cPZ 90'TOSIDEaREARP.L MOT SI E OT / /✓k Y( /O O I NOW OF OLDIES. z ON LOT L WED (U.B.C.REQUIREMENT) USE OF \ /� YARDS APPROVED YARDS APPROVED EXISTING BLDG. ,f7L._fIO/S./�/C MAIN BUILDING ACCESSORY BUILDING (FROM CAL STREIT) SETBACK LINE FROM �l�-. M CENTER OF STREET REAR YARD 4V (/��I 81DE YARD I LEFT 4 [ RIGHT %0 R.SIDE 'I, PT. FT. DESCRIPTION OF WORK r�/i L.SIDE '3(O FT.Fr-- PT. NEW ALTERATION ADDITION /� REAR 20 PT. Z>//)-Z>//)- - FT. DISTANCE BET. BET. S. e REPAIR MOVING DEMOLISH MAIN AINBL BLDG8. ACCESSB S. LDGS. BUILDING NO.OF VAR.# DATE SIZE /p✓X Z O ROOMS / STORIES / C.V.P•# APPROVED EXTERIOR WALL ROOFS / APPROVED �L- / 19 -0 COVERING STGcYYJ I COV ER IND�//// ffJ ST A 1A- DATE l0- USE OF BUILDING AND WORK TO BE PERFORMED 9. W /¢�/ere-0 � 300 SO.FT. X I THAT TH B THAT.. HAVE D It APPLICATIONOM. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE D AND STATE THAT TH BOY[1 ORRE AN AGREE'1O COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. A PLY WITH ALL CITY 1 AND TE WS REGULATING BUILDING CONDTR VALUATION ; /� SIGNATURE 0 —c , 00 PERMIT FEE PERMITTEE I /% $ 75D -- PI AN CHFCK S -n., ° W AUTHORIZED AGENT / `/' h TOTAL PEE $ I72-72.-, / OWNER MU UULLEY, W. 1). - DATE b-19-b'( JOB ADDRESS 2011 Baltra Place BUILDING PERMIT NO. 21192 GENERAL CONTRACTOR Guaranteed Homes DESCRIPTION OF WORK add familyroom ('Al' No.139-1453-01 LOT TRACT FIRE ZONE VALUE $ 3750.00 INSPECTIONS Signature Date GROUP i TYPE v ZONE R1 • Soil PERMITS ISSUED Gas SUBCONTRACTOR Date i Number i Signatv Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con. 0 Sprinkling System Miscellaneous _ Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring q 63o.0 Heating and Vent. Trenches Q Forms a Steel Reinf. p OW f-2/--L-7 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing f3CA E-19_67 Frame and Flashing Sr 7--e---€7 Lathing— InErr Out 12 7-i2'67 Plaster, Brown Coat r„'f364 I-3.5 - 67 Structural, Final • Elec is Heating, Vent., Refrig. and A.C., Final _ ' _ > u a�i7a73-/ Plumbing, Final and Gas Test 0 _ J ��T�r Electric, Finalif (/-z7. 61 Building, Final h1i f-1J-Cri