HomeMy WebLinkAbout1212 BELFAST AVE - Building PermitsJob Address: 1212 BELFAST AV
Suite No
Vicinity:
status: ISSUED -
Appiied: 03/06/2007
Issued: 03/06/2007
Parcel Nunmber: 14104118
SCOPE OF PERMIT.
UPGRADE SUBPANEL-AND METER TO 200 AMP ANS METER
Applicant: JEFF ZAGERS
Phone: 714-374-6878
FEE SUMMARY
Address: 319 15TH ST
Zip: -92648
Quantity
%
SUITE 5
,.Phone:
714-374-6878- - -
_ ISSUED BY:
HUNTIGTON BEACH-',: ,�:."-"_-
�� ",-Zip- -
92648 -
-__ _��- BuswayM 00 It _'�_✓ $0.00 0'
-
Res. a/c package
- $0.00
- -' Standing Section __ _ $0.00 0
New Res (1-2 units)
$0.00 ^',,
0
., Misc Electrical Equipment$0.00 0 �
New Res (3+units)
Owner. PUCKETERRY KTR
T, T
0,-
-Transformers up to 1 kva/kw $0.00 0
Address 1212BELFAST AVE
$0.00
0 �'
-^5 "'�- �� `..." .'.:.up to 10 kva/kw ,;�� $0.00 0
;
Phone _
714-641-8699 •>-�
;, A ����
,COSTA MESA, CA
Zip:
92626-2603
$0.00
0
......:.. up to,100 kva/kw $0.00 0
Switches .
$0.00
0
....... ......�:over'l 00 kva/kw I $0.00 0,/i/
\
Contractor: REEF EL
$0.00
0
Low VoltageLEquipment $0.00 0;;
CTRIC
Res Appl
$0.00
0
.Address. 31915THSP
SCOPE OF PERMIT.
UPGRADE SUBPANEL-AND METER TO 200 AMP ANS METER
SUITE 5-
Phone: 714-374-6878
FEE SUMMARY
' HUNTIGTON BEACH
Zip: -92648
Quantity
%
ISSUE FEE
-- $23.50 ,
J
-fir ' '7/'t iWp Dist System'/ Lighting' i, �- $0.00 0
Temp service test
$0.00 _
-- _� -
-__ _��- BuswayM 00 It _'�_✓ $0.00 0'
-
Res. a/c package
COMMENTS / SPECIAL CON
NOTICE: The work authorized by this 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 Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
244636(61DO)
SCOPE OF PERMIT.
UPGRADE SUBPANEL-AND METER TO 200 AMP ANS METER
. /
FEE SUMMARY
Quantity
� � - -_ - � - - �� --- Quantity
ISSUE FEE
-- $23.50 ,
J
-fir ' '7/'t iWp Dist System'/ Lighting' i, �- $0.00 0
Temp service test
$0.00 _
-- _� -
-__ _��- BuswayM 00 It _'�_✓ $0.00 0'
-
Res. a/c package
- $0.00
- -' Standing Section __ _ $0.00 0
New Res (1-2 units)
$0.00 ^',,
0
., Misc Electrical Equipment$0.00 0 �
New Res (3+units)
$0.00
0,-
-Transformers up to 1 kva/kw $0.00 0
Pool /Spa
$0.00
0 �'
-^5 "'�- �� `..." .'.:.up to 10 kva/kw ,;�� $0.00 0
;
Lighting Fills
$0.00
- --
.r: 0"-
--- r_ .. _t
__-- - .... up to 50 kvalkw_ - $0.00 0
_,'
Recept Outlets
$0.00
0
......:.. up to,100 kva/kw $0.00 0
Switches .
$0.00
0
....... ......�:over'l 00 kva/kw I $0.00 0,/i/
i
Non Res Appl
$0.00
0
Low VoltageLEquipment $0.00 0;;
Res Appl
$0.00
0
Low Volt Wiring System / Ckt , $0.00 -ox
Service to 200a
- $30.50
1
Mise. Conduit I $0.00 0���
Service to 1000a"
$0.00
0
Misc::Conductor -$000 %' 0,
Service over 1000a
." $0.00
0'-
Y� u "Circus'(.gen or ride) $000},y '0 -�
Motors to the
$0.00
0 >
- . Circus (mech-ride or lights) $0.00',:,' 0
Motors to 10hip
_ . $0.00
0 •.,
Christmas Tree Stand t� , ;.; .,$0.00 / 0
Motors to 50hp
$0 00� i
0
�_
.' Fireworks Stand = x$0.00 0 '
Motors to 100hp'
Motors over 100hp-\
$0.00 ��ti-�
$0.00'
- 0
0
3,�` - Other Electrical Fee 0:00
1
Communication drops; ,�
{ ' $0.00.,
- 0
Investigation Fee : j' $0.00 /
Sub panel to 200a -�
�, x$30.50
Plan Check Fee , _� -�
$0.00 ,�
Pole Light Pkg
$0.00:
.0
//
-Rein spaction Fee $0 00� i
Sign Circuits
$0:00'0`V-
Temp Pwr Pole
-: $0.00'
00,
TOTAL CALCULATED -FEES `-$64 50'
Intermed Pole
$0.0o�
`
COMMENTS / SPECIAL CON
NOTICE: The work authorized by this 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 Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
244636(61DO)
C
DECLARATIONS
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers' compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars ($100) or less.)
I certify 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 subject to the workers'
compensation laws of Califomia, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
ase provisi s. /�
pplicant Si
WARNING: FAIL E' TiR RS' ON GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE ( , 00), IN ADDITIONrf E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370fi OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affi licensed under provisions of Chapter 9 (commencing with Section 7000) of Division mass and Professions Code, and my license is in full
fo Ic. N Class
nature: e:
ONSTRUCTION LENDING AGENCY:
❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractors)
license pursuant to the Contractors License Laws.).
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made In connection with work authorized by this
permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reponed year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
...............................will...............................................................................ildi.............................................fit
.......registration
....l.........l...^ ....f.'..r.acutely
..u....'...hazartlous.materials7............Yes..............No...........................................
2 Does or will the applicant or present or future building occupant need to file a eg st at o 0 o c to y ❑ ❑
(Section 25533 of the California Health and Safety Cade, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
............................................................................................................................................................................................................................................................................................................................................................................................
3 Does or will the appplicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
El Yes No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
..................................-.............................................................................................................................................................................................................................._.................................................................................................................
4 If en RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No
............................................................................................................................lrig..........................................................ork'................................u'bj.....t'"o...thi'........pIi'.......................r'm................................................................difi................
5 Does or will the applicant or present or future building occupant require for the work which is the subject c this a plication appermit for such construction or modification
from the South Coast Air Duality Management District or from any other air pollution control district or agency? � Yes u No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
..............................-.................................................................................................................................................................................._......................................................................................................................................................................
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(it "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Cade).
............................................................................................................................................................................................................................................................................................................................................................................................
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes .❑ No
.......
...............................-..............................................................................................................................................................................................................................................................-...................................................................................
B (If'yes', attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. 1 agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Of Legal Owner(s) ate�.1
\� -, 7
r pp leant e
CODE Y. INSPECRONTYPE INTITALS CODES INSPECTION TYPE L19jE 18IDALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Roof 210 Final Electrical -z"131915
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
Aosta Mesa Building Department
ill EAST 20th STREET
.. COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
APPLICATION FOR PERMIT
BU .D NG
FOR OFFICE USE ONLY
- Receipt No. I :Permit No.
Costa Mesa, California Received by Date Recd. Date Issued
Nearest
Crossst Fairview Road Building
Address
Owner College Mesa Company
Mail
Address 1777 W, Lincoln Ave. Nearest
Anaheim Tel'KEY-3 3161 Cross St.
City No. Zone
Architect or Lie.
Engineer Davis & Quigley No. C-1790 Apurovei
Costa Mesa, California
Plans
® CORRECTIONS V
I contractor The Hale Company No' 3422 w
Lot
No.
Size of Lot 65 X 100
No. of Bldgs
Now on Lot None
No.ofNo.of
I
Families Rooms.X
Rear Yard 29.8
New I X Alteration I Addition
Repair I I Moving I I Demolish
Building No. of
Size 1181 Rooms 5 Stories 1
Exterior Wall I Roof
Covering Stucco Covering Shake
Use of New
Buiidina Sinale familv dwellini; with
Frame: Fire
APPROVALS
Location I Inspector
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply
with all City Ordinances and State Laws regulating
building construction.
Lath. Int
Lath. Ext.
Signature of
Permittee THE HALE COMPANY
Plaster, Int
Authorized Agt.
Plaster, Ext
Valuation Permit Fee $ 26.00
Masonry Rei
Bond Beam
Plan Check $ 13. 00
$ 10,248.00 Total
Fee $ 39.00
FINAL
RM 204 S -BP 2M 6-56
M
Street_ all.
_ -
PLOT PLAN
o Show location and distances from -
property line and between buildings.
�-i
O
51-
OWNER COLLEGE MESA COMPANY DATE 10-11-56
JOBADDRESS 1212 Belfast Ave. BUILDING PERMIT NO. #3815
GENERAL CONTRACTOR The Hale Co. VALUE $ 10,248.00
LOT 159 BLOCK TRACT 2671 Single dwelling Watt. gar.
r_onno T R. T TYPE IT ZONE R1, FIRE DISTRICT 1R1,c�
INSPECTIONS
DATE
SUBCONTRACTOR
PERMITS ISSUED
DATE
NUMBER
Footing Trench
ll�
_
Foundation Forms and Grade to Garage
Rough Framing
..,�
Plumbing, Rough to Slab �T°'_I��
/ t'X_i..✓1.M
/O-3D'S/,
`%c�.-%� 1�
Plumbing, Rough Complete
Temporary Pole
�1 `L
Wiring, Rough v!i//o
Heating, Rough
r,s�
/�-�'�r-��
,3
Heating, Final /)'% ,S
:-2L-S77a-✓�J
r� .:%(�/O
—.(�
</ L✓
Sewer, House Q/( Sewer, St. /0//c
eptic Tank or Cesspool
Lathing, In Out
�'�' �d�`b'/
p�,.
Plastering_ �.✓.✓
dr"%'..'i
7
,
Plumbing, Final, Fixtures Complete/11 / 5
6-26-S-71'/
Plumbing, Final Gas Test/.SS ILI hLS
Wiring, Final JUN
(�0-)L(0-��s"
1957 V
` /
Z
/6
lL�i
Occunancv ]A
FORM 210 3M 10-53
43725
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
B
® UILD
ING
OWNER
MAIL
TEL.
CITY c_os-rA N/ESA NO.
BRANCH KAIZ150(z
ADDRESS
ARCHITECT n, oA/�� TEL.
CONTRACTOR
RECEI V r'b/aj/
®/��//1IIIII//��
A.P. NO
BUILDING /
ADDRESS
TRACT
NEW D A
OW
E ,
U
FIRE
ZONE
FaIU
t.'„^, ?7-77cMv�01.`-5g:�
FOR STRUCTURAL PERMIT
DATE RECEIVED TE 14e
BLOCK
ADDRESS ✓
CITU �/
ZON
NO. OF
PLANS
USE OF NE
BUILD
YARDSA ROVED
ACCESSORY BUI DING
STATE / CIARDS
LIC. NO. J LIMAIN
APPROVED
BUILDING
SIZE N(FROMCOF LOT (p /j(%(J N
gN
RONT
T.USEOFEXISTING
FTSeparate
BLDG. /��'AJCSI
permits are required foL.
SIDE
FT.
FT.
FT.
electric, plumbing and heating w
REAR
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
MAIN BLOGS.
ACCESS. BLDGS.
21�SI/�FAIC
VA.*
CP P.
UR
_
DATE
APPROVED
Li
I hereby acknowledge that I have read this application and state'
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are in full farce and effect, or I
am exempt from the provisions of the State of California Business
antl Professions Code, Division 3, Chapter 9. ,
Signature
Permittee GL [�
Authorized Agent
J�
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FE ONLY:
VALUATION PERMIT FEE $ O
PLAN CHECK $-3 er
,
$ / 496P40TAX $ /L
TOTAL PAID $
OWNER PUCKETT, Terry DATE 3-25-77
JOB ADDRESS 1212 Belfast Ave BUILDING PERMIT NO. 43725
GENERAL CONTRACTOR Owner -Builder DESCRIPTION of WORK Add Tiv_Rm.AaArm_FRarh
AP No. LOT
TRACT
9r7A FIRE
ZONE
VALUE iA,
nnn
nn
INSPECTIONS
Si nature
Dote
TYPE V
GROUP
'I
ZONE R-1
SOIL
SUBCONTRACTOR
GAS
Data
Number Signature
WATER
PI
in
ROUGH PLUMBING
M
✓- i
% /,t'3- ��
PROP. SWR. LINE n HOUSE CON.
,SPRINKLING SYSTEM
MISCELLANEOUS
a
ROUGH HEATING AND AIR CONDITIONING-
-0
5 -
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
,ROUGH WIRING
-2Z•
HRptin
and Vent.
TRENCHES FORMS STEEL REINF.
Q-
. d'
` -1S_
/37.AQ
FLOOR SYSTEM
BOND BEAM 'STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
3.�J
LATHING — IN OUT
PLASTER, BROWN COAT
—_
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST
-
Q �—
ELECTRIC, FINAL
BUILDING, FINAL
SPECIAL REOUIREMENTS
_
43827
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING /J /.2
ADDRESS
OWNER Te�RI IJV G
MAIL
ADDRESS
CITY C GjW ng&SA N�3 P`113i
CONSTRUCTION
LENDER
BRANCH
ADDRESS
ARCHITECT �t�rti�✓.
OR ENGINEER
ADDRESS
CONTRACTOR
ADDRESS S/4/7t E'er
rEL.
VO.
// N'`E
CITY CD S r/� 1h E S/Y O.
STATE CITY
LIC. NO. LIC. NO.
SIZE INO. OF BLDGS.
OF LOT -' NOW ON LOT
USE OF Pe-7
��
EXISTING BLDG. (�
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
M1RR19-77L�,sNl 963.1,
(. C
APPLICATION FOR STRUCTURAL PERMIT
I os i I
DATE // 1O /1 / 11P�/ I C.l4E 7 �' H V I APPROVED -
I hereby acknowledge. that I have read this application and state
that the above Information is correct and agree to comply with
all laws regulating building construction, and I shall, not employ
any person In violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In full force and effect, or I
am exempt from the provisions of the State of California Business
antl Professions Code, Division 3, Chapter 9
Signature of
Permittee
Authorized Agent
A
D TER CEIV D
DAVEISS D
iPLDING
ING
,L�.
^
26
LOT I
BLOCK
rFIRE
ALT9PIC/
SO. FT.
r
THE AMOUNT SHOWN UNDER VALUATION IS FOR
m
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
P7VG �Ezl,
UE/@TYPE
GROUP
APPROVED
BY DATE
e
ZONE
NO.OF
PLANS'
USE OF NEW
BUILDING
YARDS APPROVED
MAIN BUILDING
YARDS APPROVED
ACCESSORY BUILDING
(FROM C/L STREET)
FRONT .AL
Gtr I�(icJ
A. SIDE3 To - L
I FT.
L. SIDE 1;16 1 FM (•
I FT.
I os i I
DATE // 1O /1 / 11P�/ I C.l4E 7 �' H V I APPROVED -
I hereby acknowledge. that I have read this application and state
that the above Information is correct and agree to comply with
all laws regulating building construction, and I shall, not employ
any person In violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In full force and effect, or I
am exempt from the provisions of the State of California Business
antl Professions Code, Division 3, Chapter 9
Signature of
Permittee
Authorized Agent
A
m
i
m
SO. FT.
r
THE AMOUNT SHOWN UNDER VALUATION IS FOR
m
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION
PERMIT FEE $
�Q
e
m
M
PLAN CHECK $
O
TAX $
a 50
$
f
�
U
TOTAL PAID $
s O
UWNtR YUCKETT, TERRY DATE: 4-19-77
JOB ADDRESS 1212 Belfast Avenue BUILDING PERMIT NO. 43827,
AP No.
LOT 159 TRACT 261 FIRE ZONE
VALUE$ 70p_On
INSPECTIONS
Si nature Date
TYPE IF GROUP
T ZONE
SOIL"
SUBCONTRACTOR
PEP I S
GAS
Data Number Si nature
WATER -
Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
ROUGH WIRING
Heating and Vent.
TRENCHES FORMS STEEL REINF.
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
LATHING — IN OUT
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
BUILDING, FINAL
SPECIAL REOUIREMENTS