HomeMy WebLinkAbout690 CENTER ST - Building Permits;
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CITY OF COSTA MESA � �� }
"'F, BYILDING DIVISION
>�� 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • �wvw.ci.costa-mesa.ca.us ,,.
� FOR INSPECTIONS CALL: (714) 754-5626
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PERMIT NUMBER: B09-00292
PERMIT TYPE B ROOF2 STATUS: . ISSUED .,•'
APN: 42421244 DATE ISSUED: 11I30I2009
. __ , ISSUED BY: ���
JOB ADDRESS: 690 CENTER ST'CM "'Suite/Unif:' .
vicinity: _ � . � .: . , _ ' �
Squares: 3400 -, � . ` ' � Valuation: . $13,000.00
' , .::'�. - . - '
SCOPE OF WORK: TEAR OFF EXISTING PITCHED ROOF ONLY. COVER WITH 7/16 OSB, 1� 15�L6 FELT AND 30 YEAR COMP
SHINGLES PER CODE. DOES NOT INCLUDE ATfACHED GARAGE W/FLAT ROOF. APARTMENT BUILDING.
OWNER: SCHRADER,-KARLA � Address: �� CFG INVESTMENTS�INC� �, Unit: FOUNTAIN
VALLEY,CA . � � . ' - � �� � - � " _ �" ,
PHONE: ' � � � - �� City/State/Zip: 17220 NEWHOPE 224 � ,
APPLICANT: BLANKS, JERRY � Address: �- � - ', " � . . -, Unit: �.y
PHONE: �. , - _ � City/State/Zip: .. . ' . - . . . .�'k`�:;,�}.f„
CONTRACTOR: PREMIER ROOFING AND BUICDING CO INC �- �
Address: 17501 NORWOOD PARK PLUnit -- PHONE: � '�
City/State/Zip: TUSTIN, CA � 92780 . � �
ARCHITECT: . . License No.
ENGINEER:
FEE SUMMARY
R�e�oof Plan Check:
Reroof �Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
TOTALFEES
;,::
�..,.
._ $�.��:", , .
$223.25
$0.00
$1.00 .
5224.25 - .-
License No.
� License No. � 634404
�•714-573-0155 -
CELL: � .
PHONE:.
PHONE:
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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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. .
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. Pailure to obtain inspections and final approval will result in the expiretion of this permit.
LOOE�. INSPECTIONTYPE ORTE INTITIALS CO�E� INSPEL110NiYPE ' �OAIE;��,: INTITIRLS
1616 Fiaed System Final Fire Prevention 206 Final Mechanical �
1266 Pool Spa Final 208 Final Plumbing
� �,I•^ ?,�?e`: !=0;:[•:T:..IiJ
200 Final Re-Raof ��' I 210 Final Eleciriwl
201 Final Block/Retaining Wall 212 Final Fire Prevention � �
202 Final Factory Fire Place 220 Final Planning Approval
. r� .
203 Final Sign 222 Final Site -'� ���.:i:.
204 Final Demolition � 250 Final Builtling/Occupancy
�
WORKERS' COMPENSA7ION DECLARATION:
I hereby a!(irm untler penalry of perjury one of the (ollowing declarations:
❑ I have and will maintain a certificate of consent to self-Insure for vrorkers'
compensa � n, as providetl for by section 3700 of the Labor Code, for the
erfor ce of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required hy
section 3700 of Ihe Labor Code, for Ihe peAortnance of the vrork for which [his
pertnit is issued. My wo ers' compensat�ance carrier and policy
number are: � �
Carrier:
(�his secfbn need nof 6e mmple(etl i/fhe perm2is v3lued a( oneTi�tlretl tldlars (5100) or IessJ
� � l.J\JV \� ( �
Policy Number. �
❑ I certity that in the pertormance o( the vrork for which Ihis permit is
issuetl, I shall not employ any persony� any manner so as [o become subjecl
to the wo ers' wmpensaf law of Califomia, and agree tha[ if I should
become ubject to t r ers' �pensation provisions of Section 3700 of
lhe La r Code, wi m ly wit isi ns.
�( 0 0
�(cenl's�Sl'�rta�. Oa� t2yy
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($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 aKrm that I am licensed untler provisions of Chapter 9(commencing
wi[h Seclion 7000) o( Division 3 of [he Business antl Professions Code, and
my license i in full lorce and effec
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CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrtn that there is a constructbn lending agency for the
peRortnance o( [he v.ork fa wfiich Ihis pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
SlgnaWre
OWNER-BUILDER DECLARATIONS:
I hereby aKrm that untler penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5.
Business and Pmfessions Cotle: Any ciry or counry which requires a permit to
construct, alter, improve, demolish, or repair any strucNre, prior to its
issuance, also requires the applicant for such permi[ [o fle a signetl stalemen[
that he or she is licensetl pursuan[ [o [he provisions of the Contracrors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt iherefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applican� for a permit subjects ihe applicant [o a civil penalty of not more ihan
fve hundred dollars ($500).):
❑ I, as ovmer of [he property, or my employees with wages as [heir sole
compensation, WILL DO THE WORK, and the stmcture is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply lo an owner of property who builds or impmves
thereon, and who does such work himself or herself or through his or her own
employees, pmvided that such improvements are not intended or oftered for
sale. If, however, the building or improvement is sold within one year of
completion, the ovmer-builder will have [he burden of proving tha[ he or she
did not build or improve for purpose of sale.).
❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS [o construct the pmject (Sec. 7044. Business antl
Professions Code: The contractors License Law dces not apply to an ovmer of
pmpedy who builds or improves thereon, and who contracis (or such project with
a contrector(s) license pursuant to the Contrac[as License Laws.).
❑ 1 am exempt under sec.
Business and Pro(essions Code for this reason:
SignaWre
305]-46 (3/0])
� �.
Owner ID verifed by driver's license. ❑ Yes ❑ No
Driver's License No. Expires:
Verifcation of Ovmership by (type of document, i.e. - property (ax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: �
❑ I hereby certify tha[ no excavation frve (5) or more feet in tlep�h into which a
person is required to descend, will 6e made in connectbn with v,ork authonzed
by Ihis permit, and that no building structure, scaf(Wding, falsework, a demolition
or dismantling lhereof, will be more than thirty-six (36) feet high. (ChaD� 32, Grp
2, Art 2, Sec. 341, Ttle 8, Califomia Administ2[ive Code).
❑ As owner-builder, I will not employ anyone lo do work which woultl
require a permit from the Division of Intlus[rial Safery, as noted above, unless
such person has a permit to do such vrork from the division.
Applicanfs SignaWre
Division of Indus[rial Safety Permit Number _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or Nture builtling occupant need to file and
certify a Business Plan for emergency response to release or threa[ened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 ot the Calitornia Health and Safely Code requires, with some
exceptions, that a Business Plan be fled with [he Cos[a Mesa Fire
DepartmeM by every business which has at any one time tluring a reported
year a quantity of hazardous materials equal to or greater than a weight o(
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas
at standartl temperaNre and pressure).
2. Does or will the applicant or present or future building occupant neetl to fle
a registra[ion form (or acutely hazartlous materials? ❑ Yes ❑ No
(Sec[ion 25533 0( lhe Cali(omia Health and Sa(ery Code, wilh some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of aculely
hazardous materials equal to or greater [han a weight of 500 pountls, or a
volume ot 55 gallons, or 200 cubic (eet 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 Califomia Health and Safety Code provides �hat Ihe
Costa Mesa Fire Department may require ihe preparation, certification and
filing with lhe Fire Departmen[ of an RMPP by businesses which are required
to register acutety hazardous materials with lhe Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Heal[h and Safety Code been fully complied wi[h? ❑ Yes ❑ No
5. Does or vnll [he applicant or present or future building occupant require for
the vrork which is the subject of this application a permit for such consiruction
or modifcation lrom Ihe South Coast Air �uality Management District or fmm
any other air pollution wntrol district or agency? ❑ Yes ❑ No
(Sec[ion 658502 0( the Califomia Govemment Code requires [hat the requested
infortnation be fumished on applications for non-resitlential building pertnits).
6. Will any part of the facility to be conslmcted under this permit be within
1000 feet �rom [he outer bountlaries of a school? ❑ Yes ❑ No
Qf'yes", the facility must meet the requirement o/ Sections 25534 and 42303
of the California Health and Safety Code).
7. If a permit from the South Coast Air Quality Management Distnct or other
air pollution control disirict or agency is required for the work which is lhe
subject of this application, have all o( the disclosures prescribed by California
Health and Safety Code Section 42303 been made? �❑ Yes ❑ No
8. Qf'yes", attach certificate of compliance from the appropriate air polWtion
cantrol officer).
CERTIFICATE OF COMPLIANCE: I certify tha[ under penalty of perjury lhe
information given above is correct I agree to comply with all slate laws and
city ordinances regarding Hazardous Materials antl Emissions.
Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I
certify under penalty of perjury that I have read this application and state that
the information given is correcL I agree to comply with all state laws and city
ordinances relating [o building construction, antl authorize representatives of
the Ciry of Costa Mesa to enter upon ihe above-described pmperty for
inspection purp ses. I agree not to occupyp Ilow occupancy of any building
authorized by � is permit until fnal � pec i6 .
aureo s) a
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�'ATN1w,AWwrizetl'Aucl�cant? D e �
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�OSTA MESA BUILDING DEPARTMENT
P.O. BOX 31� �
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
' 690 Center Street �/ /.j
,.
COSTA MESA, CALIFORNIA
OWNER Braeburn Construction Cor�
MAIL 3404 Via Lido
ApDRE55
CITV Newport Beach TNo: OR 3-:
OR ENGENEER Ray Levanas N�. . C 1 Y 1
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�_o�,s�s��
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APPLI�CiAT�ION�F�OR�PERMIT
BUILDING
FOR OFFICE USE OIYLY
RECEIPT NO. pJi�1.1jT dC
aooRess 3432 Via Oporto� Newport Beach ZONE
Lido Constr, c'TY ��c 157915 ���`
CONTRACTOR NO. �
AooREss 3404 Via Lido
IEGAL LOT
DESCRIPTION NO. �� BL
A.P. NO. � JTG* � �r
SIZE �n .-.� �
TrEio: OR 3-1240
TRACT 32H�I
NO.OF BLOGS. .O
NOW ON LOT
SET84CK LINE FROM
CENTER OF STREET 45 � REAR VARD
SIDE YARO RIGHT H� J�� LEFT S�
DESCRIPTION OF WORK
NEW _ ALTERATION I ADDITION
REPAIR I MOVING � DEMOLISH
BI=IEDING 3124 S.fi. ROOMS 1.3 STORIESZ
EXTERIOR WALL W�� ROOF _ _ � _�
703 sa.ft
e & carport
COSTA MESA. CALIFORNIA
CORRECTIONS
�
S�7s" � xR�
1 HEREBY ACKNOWLEDGE THPT 1/HPVE H FO�HIS M1PPLICFTION FNO - /�
STPTE THAT THE ABOVE IS CORRECT M1ND PGR E TO COMPLY W!TH ALL '
CITY OROINANCES ArvO STFTL LF�NS FEGIILwTING BVILDING COrvSTRVC-
iiOrv. VALUATI ON
SIGNATURE O � PERMiT FEE S
PERMITTEE
, $ 7 �i h �,/ PLAN CHECK $
OS oC j �
AUTHORIZED AGENT � TOTAL FEE S
,�,
""� o�.�t �a ,�i �.��7
COB�TA ME8A BUILDING DEPARTMENT N� 454 �
111lEaat 20lh Street
Crsta Meea, CalHornla R % q—
� Date ..............._V.. ...._"/___. ""_it �
C�'�J
Bullding Permit
Use oT Bullding.
The�yilding loc
CITY ��O A � ESA �� � ,3 . /
r
CAT � PANCY/:+.7:, J
��__..,_�,6_���,��R.e,.._�,-- �---,. �l a2 7 �r
�-� C._1Jr�!'e.� .
. Lot..........�^ .................:.. Bloek........................................... Tract..'....."'T.'.�"�.+....I
(See reverse side for Metes and Bounds)
has been inspected and found to rnmpl wi h e.provisions o1 all City of Costa
dinances applicable thereW for a Group. .....`.�..�...Occupancy.
�...._ED TO .�...4:G��. _.�..-`....`>........ '.. ��tY/��n ` lflcial
(OwnerofBuilding) By ...................'...��
/�C\ : p Original—Owner ❑ lst copy—Gas Co. ❑ 2nd copy— o. ❑ 3rd copy—FYIe
`\206 GH 1M 1Y-63 '
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(714) 754-5273 • Fax (714) 754-4856
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
Jobnddress: 690 CENTER ST
Suite:
Vicinity:
ParcelNunmber: 42421244
Applicant: MATTHEWS, CHRISTOPHER
Address: P O BpX 1703
LOS ALAMITOS
Owner. SCHRADER, KARL A
Address %CFG INVESTMENTS INC
Zoning:
Phone: 562-431-4142
Zip: 90720
FOUN7AIN VALLEY,CA Phone:
17220 NEVJHOPE #224 � Zip: 92708
Contractor: CHRISTOPHER MATTHEWS CONSTRUCTION
Address: P: O. 60X 1703. "
., . . ✓
�1`�'a�9s3
.. PERMIT NUMBER ,
698-01953
77 FAIR DR�IVE—, CO/STA MESA, CA 92626
/ �
Status: ISSUED
Applied: 10I2811998
Issued: 10/28/1998
P hone: 562-431-4142 ..
LOS A�,qMITOS Zip:. 90720 •
• License:" 402203
Arch / Eng : ' . . � . .
Address:
� Phone:
Zip:
License:
SCOPE OF PERMIT
' REPAIR DRYROTTED HAND RAIL. REPA�R IS "IN KIND" AND WILL NEED TO BE DONE FOR APPROX.
' 90% OF THE RAIL SYSTEM MEMBERS. WORK WILC INCLUDE THE DEMO OF THE EXISTING DAMAGED
� MEMBERS AND REPLACEMENT IN KIND.
Plan Check:
Permik
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$4$.50
$o.00
$0.00
$0.00
$0.00
$4$.50
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existina: o
NOTES:
Rear 0- 0
Rear 0- 0
Requiretl: 0
FEE SUMMARY
" _ .' /
F' ,
,
PLANNING & ZONING
Calc Valuation: $i,5oo.00
Claim Valuation: $i,soo.00
Left 0- 0 Right 0- 0,
Left ' 0- 0 Right 0- 0
PropoSed: 0
EXPIRATION: This permit shall allomatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 1 BO days. .
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inapaetions and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSq710N DECLARATION: . � `' "
I hereby ettirtn untler penely ol perjury one ol the following tlecleretions:
� I have antl will meintein e certificate of consent b seH�lnsure br workers' compansation, es prwided lor by section 3700 oi ihe Lebar Code, tor the pertortnance ot t�e
work for which ihis pertnit is issued.
❑ I heva and wlll maintain workers' compensetion Insurence, as required by section 3700 oi the Labor Code, for t�e performance of Ihe work for which ihis permit is issued.
My workew' compehsatlon Insurence cartier and policy number ere:
cema�: ST� rr '�'��,v /� Policy Number.
(This section need nof be completeC il fhe permit is velued af one hundred dollers ($ f00) oi less.)
❑ I certily ihet In �he pertortnanca of the work tor which this permit is Issued, I shell not employ eny person in any manner so as to become sublect to t�e workers'
compensation lews oF Call a, antl egree Ihet N I should become sub�ect to the workere' campensetion proNsions oi Sectlon 3700 of the Lebor Code, I shall forthwith
comply with Ihese pr ion . / q
Applicant Signeture: � Deta: / m ^ �i� �/ �
WARNINO: FAILURE TO SECURE WORK SRE�' COMP NE SATION COVERAOE IS UNIAWFUL AND SNALL SU&IECT AN EMPLOVER TO CHIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED
TFIOUSAND DOLLARE (5100,ppp), IN ADDfTIIXJ TO THE COST OF dJMPENSATION, DAA41GE5 AS PROVIDEO FOR IN SECTIIXJ 3]OB OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eftirtn Ihel I em
force and efted. Lic. N_
convactors Signewre:
of Chapter 9(cammencing wilh Sectlon 7000) oi DlWsion 3 ot the Business end Professiors Code, an0 my license is in full
Class # %�i �
oare: l�n —2R�9S'l
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirtn Ihet there is a consWction lentling agency lor Ihe perfortnance oi tha work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lendefs Neme: Lendefs Atldress:
Signature: Date:
OWNER-BUILDER DECLpqATIONS:
I hereby eHirm that untler penatly oi perjury Ihat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for�the following reason (Sec. 7031.5, Business antl Protessions
Cotla: Any dry or counry which requires e perm0 to consiruct, alter, Improve, tlemdish, or repelr any atructura, pdor ro iLs issuanca, also reduires the applicant br such pertnit
to file e signetl stetement �het he ar she Is IlcenSeC pursuant to the proWsions oi tha Cantrectors License Law (Chapter 9(commencing with Seciion 7000) of Division 3 oi the
Business and Professions Code) or thal he or sha is exempt theretrom ana Ihe basis for the allegetl exemption. Any violatlon of Section 7031.5 by any eppliwnt for e pertnit
sublects the epplicent to a civJ penelty of not more then five hundred dollars ($500).):
❑ I, as owner ot t�e property, or my employees with wages as their wle wmpensatlon, WILL DO THE WORK, end the structure is not intended or ottered for gale (Sec.
7044, Busineu enq professions Code: The Conirectors Ucense Lew tloes not appy to an owner of pmperry who builtls or improves thereon, and who does such work
himseli or herself or through his or her own employaes, proNded Ihe� such improvements ere not intendetl or oXeretl far sale. If, however, ihe bullding or Improvement is
soltl within one year of completion, t�e owner-builder wlll heve ihe burdan of proving that �e or sha did not build or improve for purpose ol sale.).
❑ 1, es owner of [�e properry,-am E%CLUSIVELV CONTRACTING WIiH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business antl Professions
Coda: The contredors License Lew does not eppy �o an owner of property who bulltls or improves thereon, entl who contrects tor such project with a contractor(s)
license pursuant to ihe Contradors Licensa LewsJ.
❑ I am exampt under sec.
Signature:
Owner ID veritietl by tlriv@Is license. ❑ Yes ❑ No
Business antl Protessions Code tor this reason:
Veriticetlon of Ownership by (rypa ot tlocumen�, i.e. - properry ten bill or deed):
DIVISION OF INDUSTRI4L SAFETY PERMR CERTIFICATON:
Dnvers LJcense Na.
Date:
Expires:
❑ I hereby certNy that no e:cavation flve (5) or more feet In dept� Into w�lch e person Is requiretl to tlescentl, will be mede in connection with work authodzed 6y this
permit, end thet no 6uilding structure, eceHolding, felsawork, ar demolitlon or dismentlinp thereof, wlll be more �hen ihirty-six (36) taet high. (Chep. 32, Grp 2, Art 2, Sec.
341, lltle e, Celifomle AtlministretNe Cotle). '
❑ As owner-bull0er, I will not employ enyane to Co wark which would requlre e pertnit trom Ihe Divislon of Intlustrial Sefery, es noted above, unless such person has a
permit ta do such work from the divlsion.
Signeture: Deta:
Division of Industnel Safery Permit Number.
CERTIFlCATE OF COMPLIANCE AND AUTMORIZATION OF ENTRV: I certiy un0er penelry ot perjury thet I have reatl this epplication antl state thet the information given is
correct. I e9ree to comply wlt� all state lews end ciry ordlnences releting to building construction, end authorize representetives of ihe Ciry of Coste Mesa to enler upon the
above-descnbed D�Werty for inspection purposes. I agree not lo occupy or ellow occupancy of any bulltling authorized by Nis permit until finel inspection.
COOE I. INSVECTIONTYVE
1616 Fixed System Final Fire Prevention
1266 Pool Spe Final
200 Flnal Re-Rbot
201 Final BIwWRatgining Well
202 Final Factory Fire Plece
203 FinalSign
204 Final Demolitlon
2aa6d6
Osg ��
Date
��r'%if% %Fi
Date
CQ�E I INSPELTION TYPE
206 Final Mechenical
200 Flnal Plumhing
210 Finel Elecidcal
212 Finel Fire Prevention
220 Finel Planning Approval
222
250
Flnal Si�e
Finel Builtling/Occupancy