HomeMy WebLinkAbout2960 REDWOOD AVE - Building Permits • # `
CITY OF COSTA MESA
A , BUILDING DIVISION
F1' t 77 FAIR DRIVE,COSTA MESA, CA 92626 •• (714)754-5273 •• Fax(714)754-4856 • www.ci.costa-mesa.ca.us
Te. 004 fiFOR INSPECTIONS CALL: (714)754-5626
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PERMIT NUMBER: B09-00077
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 13921507 DATE ISSUED: 05/12/2009
. ISSUED BY: BJK
JOB ADDRESS: 2960 REDWOOD AV CM Suite/Unit: •
Vicinity: RESIDENCE AND ATTACHED GARAGE
Squares: 2500 Valuation: " $5;000.00
SCOPE OF WORK: REROOF RESIDENCE AND ATTACHED GARAGE: TIO EXISTING COMP ROOF, REPAIR/REPLACE SHTG AS NEEDED,
1 LAYER 30#FELT,APPLY"30-YEAR ARCHITECTURAL ASPHALT SHINGLES."PITCH 3:12 2500 SQ FT
OWNER: PAPAZOGLU,VICTOR J AND PAULA Address: 2960 REDWOOD Unit:
PHONE: - City/State/Zip: COSTA MESA,CA . •
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APPLICANT: PAPAZOGLU,VICTOR Address: 2960 REDWOOD Unit: :
PHONE: 858-518-5719 . . City/State/Zip: COSTA MESA,CA l•
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CONTRACTOR: OWNER-BUILDER . License No. - 000000
Address: Unit: . PHONE:
City/State/Zip: - CELL:
ARCHITECT: License No. • PHONE:
ENGINEER: License No. PHONE:•
FEE SUMMARY .
Reroof Plan Check: . $0.00 •
•
Reroof Permit Fee: $111.25
Reinspection Fee: . $0.00 .
Bldg Std Admin Fund $1.00
TOTAL FEES $112.25
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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. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODES. INSPECTION TYPE DATE INTInALs CODEC INSPECTION TYPE DATE INTITIALS
1616 Axed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final Final Plumbing
200 Final Re-Roof 2/23/a) 210 Final Electrical
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
411•
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. kes El No //Lilt I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. ( Expires: I
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: 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
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This season need not be completed A the permit is valued at one hundred dollars(5100)or less)
2,Art 2Sec.341 Title 8,California Administrative Code).
Policy Number:
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
the Labor Code,I shall forthwith comply with these provisions. Applicant's Signature Date
Division of Industrial Safety Permit Number:
Applicant's Slgnature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1- Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑No
Lic.# Class# (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
Contractors Signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑ No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part Of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
fivelundred dollars($500).): of the California Health and Safely Code).
I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for control officer
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 CERTIFICATE OF COMPLIANCE: I certify that under penally of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Dale
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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
�n authorized his permit until final inspection. s J
Z//'A- Signal of Legal Owner(s) [/Date O�
Signature CCC Date (((`J�
3057-46(3/07) And/or Authorized Applicant Date
" - Cityo Costa SMesa Burgin Division
Costa Mesa 77 Fair Drive, Costa Mesa, CA 92626
714-754-5273 / Fax 714-754-4856
OWNER BUILDER VERIFICATION
Permit # j39‘- ,0 77
Disclosures & Forms for Owner- Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been s4 mititted in Your name listing yourself as the builder of the
property improvements specified at a 9 C� I" DWCY7 D A V tr .
We are providing you with an Owner-Builder Acknowledgment and Information Verification Form to make you
aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of
each provision, signed, and returned this form to us at our official address indicated. An agent of the
owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting
authority.
•
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
,I? 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-
Builder" building permit that erroneously implies that the property owner is providing his or her own labor and
material personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any
injuries sustained by an unlicensed person and his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder
and am aware of the limits of my insurance coverage for injuries to workers on my property.
Al 2. I understand building permits are not required to be signed by property owners unless they are
responsiblelfor the construction and are not hiring a licensed Contractor to assume this responsibility.
lie 3. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that
I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his
/or her name instead of my own.
4. a 4. I understand Contractors are required by law to be licensed and bonded in California and to list their
license numbers on permits and contracts.
a5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors,
and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may
be considered an "employer" under state and federal law.
6. I understand if I am considered an "employer" under state and federal law, I must register with the state
and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and
contribute to unemployment compensation for each "employee." I also understand my failure to abide by these
laws may subject me to serious financial risk.
7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family
residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed
by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of
the work is performed under contract with a licensed general building Contractor.
3148-30 CALBO Jan 1, 2009 OB Packet template 1 of 2
1.
vp 8. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable
for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent
��co��nstruction defects in the workmanship or materials.
tet/► 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal
Revenue Service, the United States Small Business Administration, the California Department of Benefit
Payments, and the California Division of Industrial Accidents. I also understand I may contact the California
Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information
about licensed contractors.
VP 10. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand
that I am the party legally and financially responsible for proposed construction activity at the following address:
0L9Gco vLtOtdcxhq A-0 LI—
t:1411.
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w 1"j�11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern Owner-Builders as well as employers.
tip 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the
information I have provided on this form. Licensed contractors are regulated by laws designed to protect the
public. If you contract with someone who does not have a license, the Contractors' State License Board may be
unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against
unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed
Contractor or employee of that individual or firm is injured while working on your property, you may be held
liable for damages. If you obtain a permit as Owner-Builder and wish to hire Contractors, you will be responsible
for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner
and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's
driver's license, form notarization, or other verification acceptable to the agency is required to be
presented when the permit is issued to verify the property owner's signature.
Signature of property owner /G/2 Date: ...C1;270 `Z
Note: The following Authorization Form is required to be completed by the property owner only when
designating an agent of the property owner to apply for a construction permit for the Owner-Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I
hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents
necessary to obtain an Owner-Builder Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent: Tel No
Address of Authorized Agent:
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled
out the above information and certify its accuracy. Note:A copy of the owner's driver's license, form
notarization, or other verification acceptable to the agency is required to be presented when the permit is issued
to verify the property owner's signature.
Property Owner's Signature: Date:
3148-30 CALBO Jan 1, 2009 OB Packet template 2 of 2
D
98v ,=EE Rr4- 9
.
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA,CALIFORNIA CII7 3r (7feTA ,,Esp.
FOR APPLICANT TO Ha IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDRESINSG 2960 Redwood Avenue
ADD �r
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
OWNER Hones Valley, Inc. 9833
MAIL . 9 E. 17th St. REC I ED BY DATE_KECEIVEei DATE I�S-B��U��-E-Or../nnA
ADDRESS �'1-L 1 I 7--Y-3
J I 7'�'�j _ /
CITY Costa Mesa TN .l$ 159 BUIJ NG
ADDRESS
ARCHITECT Carlson & LIC. - COSTA MESA. CALIFORNIA
OR ENGINEER Middlcbrook NO.
•
ADDRESS Garden Grove FIRE
& ONE
CONTRACTORDike �Colegrove, Inc.I ' LISTATE Q NO. 167293 APPROVED DATE
ADDRESS 4419 E. 17th St., Costa Mesa ZONING
LEGAL LOT 245I I 2822 ZONE NO.OF USE OF NEW
DESCRIPTION NO. BLOCK TRACT Ri PLANS a I BUILDING 7--/c---51
y
A.P.NO. APPROVED 14!...1,fl DATE /--/c— 9
•
SIZE 60 x 105 I NO.OFO BLDGSn0ne YARDS EVES
OF LOT Now oN Loi REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG.* - ' FRONT Sap FT. IN.
SETBACK LINE FROM 50
Ot 361 / •
CENTER of STREET REAR YARD R.SIDE j FT. IN.
I SIDE YARD I LEFT 5E__ RIGHT 51 ,)
L.SIDE FT. IN.
DESCRIPTION OF WORK • Po��
REAR CI l FT. IN.
NEW I X II ALTERATION I II ADDITION
REPAIR I 0 MOVING 1 II DEMOLISH 1 '
SIZE DING 1560
NO.OP
ROOMS 7 STORIES 1 -
EXTERIOR WALIstucco I ROOF ROCk
COVERING COVERING
USE,OF UILDING A D WORK TO BE PERFORMED
single family residence with
attached garage.
Plan 120C
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH-ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCT:
VALUATION '
SIGNATURE OFPERMIT FEE $ 35.00
PERMITTEE '
a® t� $ 15,571 PLAN CHECK $ 17.50
y AUTHORIZED AGENT Dike Colegrove, Inc. TOTAL FEE $ 52.50
OWNER , HOME'S VALLEY, INS • DATE 7-9-59
JOB ADDRESS 2960 Redwooc. .e. UILDING PERMIT NO. 9833
GENERAL CONTRACTOR Dike -8c Colegrove, Ino. VALUE $15,571.00
AP. No. LOT 2145 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK Res. Watt. gar,
INSPECTIONS 7-n 47 DATE I GROUP I & J TYPE V ZONE Rl
Underground Soil /r U.G. Water/1#75 7-/G- PERMITS ISSUED ____
, Underground Gas
SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating 41-1-S "9-/8 r9 \,s jAmn ..._. ., � q z42/°
Rough Plumbing 44745 a/ri-c9 J---‘,/A, . ' -� : 7/ - % /77, ,,i '--
Miscellaneous
Prop. Swr. ne—FIous°C.f. St. Swr, m(yyrn %i4- Qin, -- /3'v- r d-i• s-�(-- ( ,S�
Sprinkling System _
Heating, Final Pk, ,,
Plumbing Fixtures_ � J ~ 1 i 't
Final Gas Test /, q.-,w /el-44 i
Construction Pole
Underground Power ,
Rough Wiring roti Q,/; 3v l;,) v'/- 7,0 ->ni 9-ice-c'9 /e/I, ✓
Trenches Are'/d-Forme#Steel R't9'f 2-21 -t
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing ill ^ll-'5
Frame and Flashing /4. Q -I -61
Lathing, In (( Out lh'k- (0-(-5'(
Plaster, brown coat 1 I�� , /0-23'444
Plumbing Fixtures, Final (,/., _
Electric Fixtures, Final �/7.0-�_i s,
Building, Final Ifs,'
OCCUPANCY 1
Form 210-3M-419 9833
11111- K
11469
FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT '9 117 l c 0
P.O.BOX 317 COSTA MESA. CALIFORNIA
FINANCE DEPT.
FOR APPLICANT TO FILL IN COMPLETELY APPLICATI&NoFOR`PERMIT
TYPEORPRINT BUILDING
ADILDING e?9 jO //� /J_o
ADDRESS 7 F/ i LJLKL
�J�//wCIOJSTT/A_MESA, CALIFORNIA/ FOR OFF/CE USE ONLY
(/(J/p_ryA
OWNER
ll/(/�•`.✓' -7 : ,/ N I RECEIPT NO. I P(/I / V 1
MAIL ' T DATE RECEIVED DATE ISSUED,
ADDRESS 02 o GQ ^,-�- --/2 --4 D L *1 ] 1.460
CITY eact� yO1&s'cyi L / TNEOL.�.:92esr ABDUDLRDEISNSGOZ /
O i]kv Ooi, 46,
ARCHITECT LIC.
OR ENGINEER NO.
COSTA MESA, CALIFORNIA
n � FIRE
ADDRESSk Gam- a ZONE TYPE GROUP
STATEAPPROVED
CONTRACTORa /J }I�/.NO/70 7j fry BY DATE
ADDRESS ,..4t -- --duo(Ls C (J• ZONING
LEGAL LOTJ `' j[�rL -L ZONE / NO.OF USE OF NEW /
DESCRIPTION NO. T. J . BLOCK TRACT II I//PLAN/S ) BUILDmc �J //,
A.P.NO. •//�' ��// bb--,, BYPROy�D L ,! / I /DAJTE .-_/ /-lY 0
SOF LOT /{/ Jam ' I% I NO.OF SLOGS. REQUIRED C� , 4 EVES '
NOW ON LOT _ ALLOWED
USE OF (CENTER LINE ST.) LL
EXISTING BLDG. FRONT • ✓ UFT. IN.
SETBACK LINE FROM ` �
CENTER OF STREET 4 Q T REAR YARD-0-07 -� /
R.SIDE FT. //CON.
SIDE YARD I LEFT --0 - !RIGHT -.090L.SIDE . FT. °IN.
DESCRIPTION OF WORK
REAR FT. 0 IN.
NEW I VV ALTERATION II ADDITION 1 .
REPAIR I i II MOVING II DEMOLISH I
BUILDING NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL (ROOF
COVERING COVERING •
US F BUILDING AND WO TO BE PERFORMED .
,YGt ✓j fs /-/ .
23 •
I HEREBY CKNOWLEDGE THAT I HAVE READ THIS APPLICATION
' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTR/UNION. VALUATION -
PERMITURE OF�/- ie` !/ 0'0
PERMIT FEE $
PERMITTEE (((�'�fff lll��1 b
$ PLAN CHECK $
AUTHORIZED AGENT o�
TOTAL FEE $ x•
OWNER TUCKER. CHARLF" T. DATE 2-17-60
JOB ADDRESS 2960 Redwood . UILDING PERMIT NO, 11.!.169
GENERAL CONTRACTOR Better Bilt Const. Co. VALUE $ 261.00
AP. No. LOT 245 TRAC12822 _ FIRE ZONE DESCRIPTION OF WORK Blockwall
INSPECTIONS DATE I GROUP TYPE ZONE H-1 -
Underground Soil U.G. Water PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power
Rough Wiring
Trenchespyj Forms/{ .Steel aQ'd,J�d- g-26--60
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
Frame and Flashing
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final
Building, Final n ./-
OCCUPANCY '�� et, �f
� � //��'� Qlt �vld �'�i/I%fY „pit;
Form 210-5M-11-59 5-3 P Uiy 111. 69