HomeMy WebLinkAbout1315 Bay Ave W (2)3300. Newport Blvd. CITY OF NEWPORT BEACH PHONE 640-2161
DEPARTMENT OF COMMUNITY DEVELOPMENT
APPLICANT TO FILL IN AREA WITHIN HEAVY LINES ONLY.
NO.
rvPE OF FIXTURE OR ITEM
EACH
FEE
BBUUIILDI36G 31 J C ® �. ®a
ADDRESS1315
WATER CLOSET (TOILET)
2.00
NEAREST
CROSS ST.
BLDG.
PER. #
BATH TUB
2.00
LOCALITY Newport ®each
SHOWER STALL
2.00
OWNER David Petersen
LAVATORY (WASH BASIN)
2.00
MAIL. 1
ADDRESS 1315 We 8py
KITCHEN SINK —GARBAGE 019FOUAL
2.00LAUN
AY OR
WASHINGYMACHINE TRAP
2.00
CITY Newport Beach TEL, NO. 67 -6178
DISHWASHER
2.00
CONTRACTOR Just Plumbing
WATER SOFTENERS
2.00
ADDRESS P.O. box 2732
WATER HEATER
2.00
tl� ]�,
CITY Newport Beach TEL. NO. 642- •111
GAS SYSTEM OUTLETS
2.00
STATE LICENSEE NUMBER
30O94H
OLLASS NO.
C36
CITY LICENSE NUMBER
551
OUTLETS OVER 5 PER SYSTEM
.50
RESIDENTIAL
RESIN SPRINKLERS
2.50
G P
Z
;s
PROCE
1
'WATER PIPING
2.00
2.00INSPECTION
RECORD
ROOF DRAINS
2.00
HOUSESEWER
+S3
}
W
SEER ADDITION, REPAIR
ALTERATION, ABANDONMENT
'
PERIMIT•
_00
APPROVALS
DATE
INSPECTOR
TOTAL FEE
5.00
SOIL PIPE .. GROUND
SEWER
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or -the duly
authorized agent of the owner. I agree to comply with city and state
laws regalaPing construction; and in doing the work authorized thereby,
no person will be employed In violation. of the Labor Code of the
State of California relating to Workmen's Compensation Insurance.
SIGNATURE OPERM] /'/ -- gAC��L.
'WATER PIPE GROUND
GAS PIPE GROUND
PLUMBING .'ROUGH
-
GAS PIPE '� ROUGH
GAS SERVICE.
ADDRESS PeOe®oX 2732, Newport Ncho
GAS,FINAL
PLUMBING FINAL
p
AJ
r ,;; ✓ i.
/ VALIDATION
J CK. M.O. CASH
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