HomeMy WebLinkAbout1224 BELFAST AVE - Building Permits(714) 754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ffdfl-DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 1224 BELFAST AV
Suite:
Vicinity: GARAGE ONLY (RES: B00-01762)
Parcel Number: 14104116
Applicant: ROBERTS, WALT
Address: 1653 SUPERIOR AV
COSTA MESA, CA
Owner: THOMPSON, THOMAS T
Address 1224 BELFAST AVE
Zoning: R1 R1
Phone: (949)642-7222
Zip: 92627
Phone:
COSTA MESA, CA Zip: 92626
Contractor: LEE ROOFING OF COSTA MESA
Address: 1653 SUPERIOR AV
COSTA MESA, CA
Zip: 92627
Arch :
Address:
Phone: (949) 642-7222
License: 349686
Eng
Address
Phone:
ISSUED BY:
Status: ISSUED
Applied: 10/31/2000
Issued: 10/31/2000
Phone:
Zip: License: License:
SCOPE OF PERMIT
GARAGE REROOF: T/O, REPAIR SHTG AS NEEDED, 2 LAYERS 15# FELT, APPLY 30 -YR DIMENSIONAL "TIMBERLINE'
BY GAF," WITH METAL, RIDGE GLASS & NEW FLASHINGS.
5 SQUARES
Total: $48.40 '
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
Calc Valuation: $1,249.00
Claim Valuation: $1,249.00
Right 0-0
Right 0-0
EXPIRED
M 1 fin r
LkAo
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
2446-46(6/00)
- - - -FEE SUMMARY
Plan Check:
$0.00
Permit:
$47.90
SMIP Res:
$0.50
SMIP Com:
$0.00
Other:
$0.00
Inspection:
$0.00
Total: $48.40 '
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
Calc Valuation: $1,249.00
Claim Valuation: $1,249.00
Right 0-0
Right 0-0
EXPIRED
M 1 fin r
LkAo
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
2446-46(6/00)
WORKERS' COMPENSATION DECLARATI
I hereby affirm under penalty of perjury one of the following declarations:
❑ I 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.)
❑ 1 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 California, and a Ne hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these provisions/`�
Applicant Signature: ?01 Date: /L9
WARNING: FAILURE TO SECURE WORKERS' Lb1APENSAm0N COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provl✓�ioRc.gf Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full
force and effect. Lia N Class 8
Contractors Signature: L� _ „-,-4 .._Z / Date: / e5 3 / —Jp�i7
CONSTRUCTION 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: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirn 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.).
❑ 1, 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 contractor(s)
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. a 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:
❑ 1 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 apyone 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 WIII 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 reported 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 feat of compressed gas at standard.temperature..pressurel:.................................................................................................................................................................................................... .......
.................................................................... a t
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, 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 applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ 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 registei 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
..............
........................................................................................................................................-....................................................................................................................................................................................................................................
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication a permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes L-I 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 at the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(II yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
................................................
7 If a pernit 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 (II 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. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCEIAND'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..) agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
e al
�� wnersO() Date
moi• �
And/ r uthorized Applicant ate
CODE t. INSPECTION TYPE 267E INrrIALS CODEI INSPECTION TYPE Qd1E IfflTrIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final BlocklRetaming 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 BuildingtOccupancy
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesaMADING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 1224 BELFAST AV
Suite:
Vicinity: RESIDENCE ONLY (DETACH GAR. B00-01763
Parcel Number: 14104116
Zoning: R1 R1
Applicant: ROBERTS, WALT
Address: 1653 SUPERIOR AV
Phone: (949)642-7222
COSTA MESA, CA Zip: 92627
Owner: THOMPSON, THOMAS T
Address ,1224 BELFAST AVE
Phone:
COSTA MESA, CA Zip: 92626
Contractor: LEE ROOFING OF COSTA MESA
Address: 1653 SUPERIOR AV
Arch
Address:
Phone: (949) 642-7222
COSTA MESA, CA
Zip: 92627 License: 349686
Phone:
Eng:
Address:
ISSUED BY:
Status:
ISSUED
Applied:
10/31/2000
Issued:
10/31/2000
Phone:
Zip: License: License:
- SCOPE OF PERMIT -
RESIDENCE REROOF: TIO, REPAIR SHTG AS NEEDED, 2 LAYERS 15# FELT, APPLY 30 -YR DIMENSIONAL'
"TIMBERLINE BY GAF, " WITH METAL, RIDGE GLASS & NEW FLASHINGS.
20SQUARES
Plan Check:
$0.00
Permit:
$97.25
SMIP Res:
$0.50
SMIP Com:
$0.00
Other:
$0.00
Inspection:
$0.00
Total: $97.75
SETBACKS
MAIN STRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existing: 0
NOTES:
FEE SUMMARY
Calc Valuation:
Claim Valuation:
PLANNING & ZONING
Rear 0-0 Left 0-0 Right 0-0
Rear 0-0 Left 0-0 Right 0-0
Required: 0 Proposed: 0
$3,646.00
$3,646.00
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
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -Insure for workerscompensation, as provided for by section 3700 of the Labor Code, for the performance of the
work for which this permit is issued.
_Ca -"l 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:
Cartier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars ($100) or less.)
❑ 1 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 California, an e t if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these provisi0
Applicant Signature: ,�/i. Date: iD .31 �D
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUWFCT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE IE1aa,0oo), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisi of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full
force and effect. Lias Class s
Contractors Signature: (AZ,rZPWV 2 Date://•i-3/_dZ42.
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby affiml 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).):
❑ 1, 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. It, 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 contractor(s)
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 Driver's 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 hes e
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 reported 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).
...................................................................................................................................................................................................................................................................................................-.......................................................................................
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, 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 applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ 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
apartment of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
............................................................... .................................................................................................................. .............................. _............................................................... ............................. .............................................. ...............................
4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No
......................._.......................................................................................................................................................................................................... _...._................................................................................................ ........... .................. I ............
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication aermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes a No
(Section 65850.2 of the California Government Cade 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
(If "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
............................................................................................................................................................................................................................................................................................................................................................................................
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
............................................................................................................................................................................................................................................................................................................................................................................................
6 (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. I agree to comply with all slate 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.
Signet re Of Legal Owner(s) Date
An Authorized Ap Date
CODE 1, INSPECTION TYPE PSIS IfNTMAfa4 CODE INSPECIONTYPE gem, INITIML�
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final J 208 Final Plumbing
200 Final Re -Roof /7--
- 6- ( 210 Final Electrical
201 Final Biock/Relaining 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
Costa Mesa Building Department APPLICATION FIT
OR PERM
1 117 EAST 20th STREET BUILDING
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permit No.
Building
Address 1224 Belfast Avenue
Costa Mesa, California Received by Date Redd.. Date Issued
Nearest —!D V /V -/l
Cross St. Fairview Road Building
Address
Owner College Mesa Company. Costa Mesa, California
Mail
Address 1777 W. Lincoln Ave. Nearest
Tal III Cross St.
�I•r Hnaneim
100
No.q l J-Jioa
Architect or
Setback Line from
Center of Street
50
Lic.
Engineer
Davis
& Quigley
No. C-1790
Address 43
Malaga
Cove Plaza, Pabs Verdes
I
R
ARDNER
City Lic.
Contractor
The Hale Company
No. 3422
Address
1777
W. Lincoln
Ave., Anaheim
Legal
Lot
I
Description
I No.
157
1 Block
I Tract 2671
Size of Lot 65 x
100
Use of
Existing Bldg.
Lath. Int
Setback Line from
Center of Street
50
DESCRIPTION i
New I X I
Alteration
Repair I I
Moving
Building
Size 1321
No. of
Room:
Exterior Wall
I
R
None
No. of
Rooms
Stories 1
tering Rack N APPROVALS
dwelling with 11
Foundation Location I Inspecto
Forms, Materials,
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply
Lath. Int
with all City Ordinances and State Laws regulating
building construction.
Lath. Ext
Signature of
Permittee THE HALE COMPANY
Plaster, Int.
Authorized AgL
Plaster, Ext
ARDNER
Permit Fee $ 28.00
Masonry Rei
LValuation
Plan Check $ 14.00
Bond Beam
00 Total
Fee 42.00
FINAL
RM 204. S -BP 2M 6-55
Date
O
T
- :.J:.. -. ., .
r1•C
OWNER COLLEGE MESA CONfPANY DATE 10-11-56
JOBADDRESS ]99)1 RPlfa Sf.-AVP BUILDING PERMIT NO. #3p13
GENERAL CONTRACTOR The Hale Company VALUE $ 11368_00
LOT 157 BLOCK TRACT 2671 Single dwelling w,ript_ gar
GROUP I & J TYPE V ZONE Rh FIRE DISTRICT 38hi
INSPECTIONS
DATE
SUBCONTRACTOR
PERMITS ISSUED
DATE
NUMBER
Footing Trench
Foundation Forms and Grade to Garage
11-30
Rough Framing _
��,a�„�.
Plumbing, Rough to Slab -rg
��/�J S
,, .,,,.,� ��,,,,,,R_
�o-3o-S6
7a '7� ✓
Plumbing, Rough Complete "(99
)-4.57
Temporary Pole
Wiring, Rough
-(o��
-S
7 -2
_
Heating, Rough 1M e -S
Heating, Final
/}'-,(-/_
7s`3 ✓
ewer, House sewer, St. M/><S
Septic Tank or Cesspool—�
r 2G S7
1/ ja& -S&
& 7 S y
Lathing, In Out y
r
Plastering_✓��.,
Plumbing, Final, Fixtures Completeto//S
-"Y-
/
Plumbing, Final Gas Test/,j - S-
Wiring, Final
--�-J--
Occuoancv
L,-'-/ y-