HomeMy WebLinkAboutB9703256 - PermitsI
/ ID!! SEMEN MED NOT BE COMPLETED F IIIE PERUIT45.„FOR ONE HUMMED Oat--
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1 CERTIFY THAT IN THEPERFOMINCE1/15115 Yi FOR MICH THIS Mar IS
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-. . .-. I S1141. NOT EMPLOY PERSON W ANY IMANIEFI SO AS TO BECCNE SUB -
I DATE 14 ...et it; 4I'••=111/4-;76 i'llPfP4 KW.? —.://rn/7---1 ii sT i
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•WASNINCI: FAILURE TO SECURE WORKERS' =MENU V"'
AN EMPLOYER TO CRIMINAL PENALTIES NO ow.2 •--'1.1P-W4ATOWEHLONE HUN-AIM
. DAM IMXISAND DOUARS lima PI AMMON 7D 175-5W OF COMTINSUION-1144-. .,i
AGES AS PROVIDED FOR IN -,.-riON slimy IIIE TABOR CODE,WT a'a-T- . AND hummers I ram -a. : . • . il-t-N, ..,-- L.. • s .
TION. _RON OF SECTOR Mos BY ANY APKtiff FOR A PERMIT SALEM
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gZiauccERIE BOWING OR PAPWIYEAMIT SOLDWIMIN ONE YEAR OF COiNtEncw. THE :4-1 \-2=16 ff.. anus
PROVIDED MATStal NPFENDAEMS ARE MOT WENDED OR OFFERED FOR SALE F. HOW- ADDRESS:
MILL HAVE WE BURCE5OF PRCNING THAT HE CFI SHE DID MOT BUM OR .-- - • • CI1/490024• • • • 310/
THE CONTRACTORS UCENSE LAW DOES APPLY AN OMINER OF A PROPERTY WHO . • . • • Han moons- m us. tic. Li
BUMS OR PAIMOYES INERE011, AND WHO CONTRACTS FOR SUCH PRCUEC5 ItIGH A cCF1- AlaEar: Hallpu MIIII3117 3
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4 Nevmort Reach, CA 92688-8915
:Neemilt Coiater Phone No. (714) 644-328813'289 x(
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lligYflRACTOfl igeattillOtaftaliAnalt .4 en T EXEMPT-FR 'ME mem LAW FOR THE FOLLOW15 DEA.,,grwMt 7031.7.,_BUSNESS AND
PROFESSIONS coot ANYCola WNCH A PERMIT TO CONSTRUCT,
ALTER BAPROYE. DEMOLIWP ANY.STRUCTURE MOOR TO RS ISSUANCE ALSO,
REQUIRES THEAPREMO FIE ASIONEDSTATENIENT714511E CR
arglenlitrint OF 1HE CORRACTCOS UMW LA -FM* on Men iiEDIWITALDHE BUS=
mAcions 10 CONSTRUCT THE PFIWECTOC. DITATorUSINESS AND PROFESSIONS CCOE:, .
Cari!°51t1FGUCP•155LAW-"k‘t " • 19901'11119T DE-ITH 1160E--'" Yes Ro
'FOR THIS REASON. •
ADDRESS:
••• - ' - • LOS 11S LES CI 9002 'v
WILDING PERMIT
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TRACMRISKCEMED PURSUANT MTHE
DATE
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OF CHAPTER 9a5AEN5/10 VI
PROFESSIONS wut,AND MY 1.1.alS
I HEREBY mini 50ER PedtylIWN • THS1 AMICENSED UNOERPROVISCZNS
4/41: 12 71 /1/4-11.M;;. •e •
LICENSE CLASS • • ' • "4-:• • Spc.Na
DATE(Pi1/4-iici
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ADDRESS. '121.2 .S.FLIANI
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FOR BYEELMOIVSOF ME Makes% Fon. SIGNATIMIE
at1/4,E•\ kreiFICItIr�wSirn t
. MICH THIS PERIAt 5 ISSUE041/ MCF.patENSA OF THE WORK FOR
IJWRCAJvb
.1/4"en•-•••,/ • 441 .4.
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10111 SIMI ilk ••• (Tr.' ' • --
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LENDERS ADORESr•-• •••••bit , - •
cdriCtrlgWIIMEEIM•ecliwitic AWPInUCAHAILTIOalyAND STATE HAT ..5.65‘41FORitt
LAWS RELATING TO MID COUNTY ORDNANCES AND STATE /-
OFTHS COUNTY TO AiCINITIRIMItinyeD43 HEREBY AUMOFFIE REPRESENTATIVES
Sz.
CONSMUCTON LENDING AGENC14) •
ING AGENCY FOR THE PERFOTITAI CYTC. I. OF THE t1/4011FEjumv H1t/TflE1EOR MBA TM PERAK IS ISSTI H.ED
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.'PLIIIIII:th-1116 Pill 25.56
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SlinIST. FEE'I LiICI-Policct"Cd • 41297.51
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- 30
FOFIll!SPEGTIONPUR•
ANC .‘17•7t- ...e.*:•-4N ••;:c•-•\
TOTAL CI RUILDIMG PERITIFEES: • •.-• k_t„.;
• . .
tams s _ •
- 1 ,
4700
DESCRIPTION
OF WORK:
Porn* No
'54 -"St \-197113256
Inspection Requests PhonelO,(714) 8443265
1111 OPPICE 11,11 (1911:111'
IV In COM ILDC/PIREING 91732 I 1291861P--
TYPE OF I l' la OCC. 1,k, S3-116 cc — 3
GRP
soc°,03;:ructr. ..,11,134- . ADOED- /NEM . .1 , .1 ,... a
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ZONE sncta
FRONT REAR LEFT RIGHT
FACICS 151COAST .
•
•
SPECIAL
CONDITIONS:
•
PROCESSED BY:
zo
GRADING
APPROVAL
32,670.29
45,175.40
5,000.00 T
(3,297.51
65.00
240.00 T
4,168.92
240.00 1
18.00 1
362,147.70 NOV311 ItiOciAtIN 40 ALIO
068 .11 „T 1/4,
"s<4:3c-762('-1', kat 9 r Hdt,
766:80
538,820.52 allYd
• 'IOU 01 PHIL FOR NITIGA
1101 MEASURES, SEE MIA
GARCIA
19852000
OTHER
PARTMENT
BY
PtAN CHECo
APPROVAL (1)
a Ilibteiwlow.
TO ISSUE
•
•
Payouts:
Credit Melded:
Total Credits:
Wane
Adjutuats
lalaace die
•
A.m•-• ztOSIZIA ‘-1/4-3371E St A!' t - fl ,/•' t•-- •
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45,738.41
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4.5,138.41 0
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FOUNDATION: ,it
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DECK SLAB
•_ fIY� Y•flit7f/S , sH/ %/jap
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INSULATION
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7 7 iq• oit $bjy i 'cant): t): -Ayteee4, p.+ itees•• _
NTERIOR LATH
-
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EXTERIOR LATH
5't�9L
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FOOTING - - -
/?h` 3 eice_i, fl,fl,Y�tJc '-_2? o free, 2 ee #6'/o /42,40/is'G ex g_ i
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PRE -GROUT -
/.79.99 • ,ra Sr, ~how- o , 43.7," exam. `_
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CERTIFICATE
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2. 3• ,9 ,4nA: fee r�<: steno,) ax -a ALM
OF UPANCY
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3•?.9t.: �j/��aA,.- a , »e#y f a-44R /NrrI.q ,
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TENANT NAME: E! -
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.J - t/ E_POSIT RELEASED
3
3 3. 99 • Pct��.1� f.ita���,r ,rye! v
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FOR R UND ON 9412 I(�"c
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TO: /t1�1GJ
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TYPE Of BUSINESS USE:
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3.S..fo -L-ete w AOV,w
w.� ., Oho Lie :Oa '"1.
--
APPROVALS
FOUNDATION:
DATE 1 BY
ROUGH GRADE
SETBACKS
FOOTINGS
SLAB ON GRADE
DECK SLAB
FRAMING:
SUBFLOOR
ROOF & BUILDING HT
EXT. SHEAR / HOLD DOWNS
GENERAL FRAMING
COMMENTS / 4 61 AYE-
69703.1S
3•/t • X9 /h'/s r Craze& ~den -. Aerf
.3/4. Y) /17/s-e: *Fria faPeit 30:3 FLY e: -
3 •fl • 9Y "fist? trr t9m' 9.ryaol4 Mete ez- ^ A/4'Ij Ice Z.e.
J-J/• 519 ap. tAttaAt At/war Ae7.*, 9f0.1e ore• t-S,r FieslaYG 4)
Mettler -as l��9r/e )41.enfov Firearatt Zra i/4te %Leas are.e y
#-?•99 r wi�itke
INSULATION
DRYWALL
SUSPENDED CEILING
PLASTERING:
INTERIOR LATH
EXTERIOR IATFI
SCRATCH
BROWN I. •
MASONRY:
FOOTING
464 9 .Exxr /A or - a.
v/ir Pat 2irv6 / 00. e o r %.w Flan e t i - YY4rt 4Y1rae..1
OIF �19i9ewwat. e
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.11. 9 O'own r3 s,.C, d'Ar /// eat: ep strav A. stilv.e.
CCtr3lre 4i4Lr ear I Jb%frr., Or re a»a AC"- et-da wf fl O
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Nr � 3 0 .4/ir �ovrr.d/ja„„ �Scr, ...wee ant" xn.
4u s& sre oe , t trace Cr•.�.rw eta se v1 (him aic.`e
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PRE -GROUT
FIREPLACE
MISC. INSPECTIONS
l
net r ': SII+M
FINAL Haa THQgw3gbb.iFI:.)
CERTIFICATE OF OCCUPANCY
TENANT NAME:
•
I
TYPE OF BUSINESS USE:
./
ext[/oor /1 t taeos.r t/.v5s p 9.s Lt6'
)cr 49 rz 4 4.vE
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DEPOSIT RELEASE.) , : .
FOR REFUND ON
TO:_ RP:;
SICJMRtZE:
.:9�G5�� � •"Gi
•
APPROVALS
FOUNDATION:
ROUGH GRADE
SETBACKS
FOU I1NGS
SLAB ON GRADE
DECK SLAB
FRAMING:
SUBFLOOR
ROOF & BUILDING HT
EXT. SHEAR / HOLD DOWNS
GENERAL FRAMING
INSULATION
DRYWALL
SUSPENDED CEILING
PLASTERING:
INTERIOR LATH
EXTERIOR LAN
SCRATCH
BROWN.
MASONRY:
FOOTING
PRE -GROUT
FIREPLACE
MISC. INSPECTIONS:
•
r '• i14M
FINAL 1-0A3Ei TH09. LJ ' I,
CERTIFICATE OF OCCUPANCY
TENANT NAME:
COMMENTS / * Pint
J297O
4-s-99-.Cw�/ y� jaa E,�;t w. _4v, 9.a; F/o
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7 • - Q� � h4.n" r ? la'aaP./420Ft cu,}/,r.�ro
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FOR REFUND ON
TO:
DEPOSIT RELEASED
APPROVALS
,FOUNDATION:
BOUGH GRADE
SETBACKS
FOOTINGS
UAB ON GRADE
I,lECK SLAB
:RAMING
IiOOF RBUILDING _HT
I, XG SHEAR/HOD DOWNS
! '.ENERAL FRAMING
•1I5 ULAi lON
IiIWALI.
1:iPENDLU CLUNG
_PLA S1EHING:
i• li �IUOR LATH
EXTERIOR LATH
SCRATCH
NROWN
MASONRY:.
FOOTING
PRE -GROUT
FIREPLACE
MISC. INSPECTIONS:
CERTIFICATE OF OCCUPANCY
DATE BY
COMMENTS
/11n.9/ • Scarce LT_•Z%�!S__f_2.C_.me_
/1•/6! 11 dor.ozsis ifee r
1- 92 K 614t2i) 4t4W�_ -
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FOR REFUND ON
TO:
DEPOSIT RELEASED
BUILDING DEPARTMENT
SPECIAL INSPECTOR'S REPORT
City of Newport Beach
. 3300 Newport Blvd.
Newport Beach, CA 92659-1768
Attention. -pe) •S=LC-1
Final Project Report
Project Name: �pD
o�.�T- _ a�o(rPct� /'Q Ui'�PoKT F.EUl� L1� eRc-
t.
ratit Number: 1� 1 7 ,)710
aS
Address: 0 to =-- ovsc.a. be iUlm / NFtO T- • CACt-}
This is to ceritfy that I performed special inspection on the following portions of the work at the above
address which required continuous inspection, and which I was employed to inspect:
&IT.00TOPet w1 *S1Oro R`) / Re} N Forteem 00..v tom, I . 0-0 h) 6 1rt,
•jTjroQ.Tt )A-L— T F L- P,v D IA9Gt_151 ho A- I Z7SMQ
N � U ll_n1 h7 Cr A n -n-*G R7c' cc.r t ND 6-- ,..1`rlet CT urest,
LJor-._K wipe Fffo2wie. Fee Arn?0tieLD
ad N -R FYCowl FL, -kJ c 4 l ir1* P-N I,
ilkirrOU� =O �"TR M PC-D DR itiA21 26-2
Base upon my personal observation and written reports of this work, it is my judgement that the'.
insp ted work was performed, to the best of my knowledge, in accordance with the approved plans,
spii
eccall•ns, •_.,. .t lic ble workmanship provisions of the Uniformed Building Code.
Date
�R`Oi(OH-
Registration No.
FORM S1-04/90
(Special Inspector's Signature)
Bat cE S0RCA, io.v
BUILDING DEPARTMENT
SPECIAL INSPECTOR'S REPORT
City of Newport Beach
3300 Newport Blvd.
Newport Beach, CA 92659-1768
Attention. poe/ SCaL y
This is to ceritfy that I performed special inspection on the following portions of the work at the above
address which required continuous inspection, and which I was employed to inspect:
MOMENT AArA tif44 fie C 4JE-0 /1•S, /3otrr 632.E Sc�N�
AR Sper 41✓D S<flr A to&ivec-nwer ov ME7-4c- DEW.,r a rs j /Dr3RD�
/C'aaF LEVELS t 4,D t(AJrs A, 0, y — ///0 .
UGTR4 Se,4-1o Th-n- /O o ,t o c 4ct, c. 3 , f, /AND AF. wczaiNG- .
Based upon my personal observation and written reports of this work, it is my judgement that the
inspected work was performed, to the best of my knowledge. in accordance with the approvedplans,
specifications, and the applicable workmanship provisions of the Uniformed Building Code.
/0 - I G- 4
apdetnietirr
rt Beaoti�CA 92658-8915
CoUITter_P'Lone.No (7.14) 644-3288/3 X . '
jt
aVIJNSPEC11ON RECORD' 70/7y/
GROUNDING ELECTRODE
UNDERGROUND.
UNDERSLAB/FLOOR;",
ROUGHCONOU WALLS
ROUGH WIRING CEIG GS':
ROUGH SERVICE t-!. .
TEMP.EN,
UTILITY COIL NO . 4
FlNALf'
• t FrI I. SED-CONTRACTORS DECLAMATION
.oEC 'e atie iPe.vlYaFPER.Wit'THNT INN UCEN>ED UEDERWOMMONS
MUD CBD WNH SECTION 700q OF OM$pN 3 OF THE OUSINESS M'D PROFESSIONS Y ANOIi/A SEISWFULLPOFACENIOEFEi,67, 0
46
• DATE e . /' " r.- TOR
sTi. WORKER$' COMPENSATION TION --
IIEIFBYAR6W PEi11LTYOFeEmA OHE OFTNE FDLLOYRCfl#a
WILEB
1 ORJERND ML1: LNSATIO N A CERTIFICATEVTDEDOFCOS SECTION
NO 00 OFNS T FOR
YIOaER 11W . PENSA7IpIN;� O THEWOED FOR BY SECTON EELG OF THE TABOR
FOR wtPEaiW i wEOFTHE WATRE(FOELMilln*s PFIo. REWIRED
1 was a WTIOF ME LA Mgl oe. FORME' PERF Y CE OFORTAANCE AS EEOIRicD BY
WHICH T P OF ME I.�EIrt4TiA INSURANCE CNTIU
ANKH POLICY
Y NULME 6
ANOPoucYEAADEa ARE.
CARRIER VR704020100
POUCY NUMBER
....5 SE TION ONE LESS)
HE COMPLETED IF THE PERMIT ES FOR ONE HUNDRED
I CERTIFY THAT W THE "ER ORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, 1 SMALL NOT EMPLOY ANY ' a-.. W ANY MANNER SO AS TO BECOME
SUi BJ CT101 EpESIle1EGT - - AIDAGREE THAT
SECTgN GE1HE LABOR COCE. 1- v•' .•-• TIONPPOVISgLLS OF
DATE reran. APPLICANT /r rR PRGAS10f -
I IBE9Y ACKNOWLEDGE THAT I HAVE REAR nos APPLICATION THAT THE NFONAATION
. GEPEN IS CORRECT. MD THAT EAU THE OWNER. OR DULY AURIIW® AGENT OF THE OM6L l
AGREE TO COMELY WITH CRY AND STATE LAWS REGULATING CONSTRUCTION NO N Dam(i TIE WORK ALTRISRIZELITHEREIN. NO PERSON Will BE BA LOITo N VIOLATION OF TIE LABOR
COOSOFTHE STATE OF CALLIFONAA RELATING TO WORIO.ERS COMPENSATION ECUR1HCE.
SNTPCyer•
PR. ERRED 9Y: A.1.1 OCCUPANCY:
FLOOR: SUITE:
6Wtt'�R— —H0AG- RRRORIA- ROSPI TAL '---'1
---301 NEYPORP-BLVD - • 1
NSYPI)RPAEAcii_PA =., , E- 7.14/645=8600"
croft BERGRLECTRIC CORP
aoo"Ess:---P-0101-45029--- - — --
LOS ANGELES-CA-90045-- PHONE:
ttt=siY-1nm
,TAT, . 085016 Cuss: C10
KIS. Lt.:
DESCRIPTION •� -- E�EC�B6DFPICR 86D6(14I03256)
OF WORK
ELBC/RETOPFICE.BLDG 1-. ,.
oasts Phone No.
I. erg! ees I
>
SERVICES- 0 to 600Y over 200A 0 0
SERVICES over 600V , Payeents. 1 024 3D 2
SEPARATE CIRCOIP ) 30 32 tGS 60 =
TOTAL NO. OF OUTLETS 3 899 3
TOTAL S0. OF LIGHTING FIXTURES g
Rotors / Transformers (HP / KVA) m
op tot 1 30 12 39.60
over 1 op to 10 8.50 14 ' 1I9.00 N
over 10 up to 50 17.00 t7 i 289.00 W
Sub panels t2.00 44 5 9� r FAT" Jf
528.00
H �— 3 6.9 9faf �/tf�1AF' �'Yt/I �tif� o
i SUBTOTAL of electrical fees CIj#G less /ol9zX�"d
4,049.20o ;o 9 �,
Is PLAN CHECK PEE requeed? (1) P'�'%� e�—
PRRRIT ISSUING FEE 1,024.80 1y/� o, l,� A.Aswt� `4 ' u.
TOTAL ELECTRICAL PERMIT PEES e �lySor 73r.1444:4
—wjL `�/i,14i.D0�/ ��oiC d/t�a -f 7> /�7iC�4i 03./ �/�S-3 `r4 �t �L ���2
'/L L✓/9 Lit 7�? a✓ ®Goct�+�G i�i�r�- S -C-Y4 /'a ' ei"..?c tioZ''� "`� -" -
ft/ fivy wl�c.c.ti �r,r.$9 a...-/�CA7, /a- ---.til�ILL ...y�
i7e7 Die c%19 r.ilSear .dsr CArA a des,'y 'J(%t 9t' D�a' .,it `ti. i � o
I/ kl ' oft r7en °AO G3fl orOta,4t x/n<1fix%/D� t.6/T.�� =3
z_vi9aItivrtJr_��Q
I !'i*:p �9 t lAw///k. ✓ .LG�CF� 4Akr'9F 3 1ft°°ti % a
�/99 oft deavir rivet( A ,,1 1 7 2 al tr 1
.D:D
en
ac o,
41.50 . t `?-• 41S
.. 82:50'~_ ' . 1.: _. c- 82.50'
' , 956.50 .-
1,861 )937.50
Credit extended: 0.00-
Total Credits: 1,029.30
Balance ` 4,112.70
Adjnsteeets 0.00
blare due - 4,112.70
eic- • detver.,igw /' _99 Po....a'aNL8,3m4.8 -enw.e ofe4. 2
;;i1 4 Laszlo SW
- PLAN CHECK VALIDATION CK
INSPECTOR'S COPY `ti
... .
:-• 7 Ict,C o.k. i /AtoAet.to•otis, .--,-_—,. . . tc--... . .••••••••• .• -
a . . - ••-
_ _
•- . . r.,_ 1t.4.. :,:..• -‘ • rib;74 'a-ea:Lc, -- — ---- --i•-•:•.—.6.-- • • ii i.- . . crio .41*404.* e...yecoorr, At..... • .- .. - .. . .
,. • •. , •. 4
. . .
ePrOe ZVIS.r..Str,-' - t VAIWAChp aryloillr t . :
do-=i„,t,-64,it.';14.:.-Ak. .49#10-,..0 ievirest --.._ ' -- .: : . • .. . --. :: • .:. . - -
.
. , r - gigfretae .gainriPt- Cl'arn--eZ - . -
• . . ...•
ir•o•tt ArAX 1,44-...._ . ..
. 4,4----
14)-94Itt reibtatr.f. tnic.-...c_ ad__
:. .,-,•„,,. . \
.. f . P,44 -v vM$ y t zF -r-T� xi' .. jtie-ii -5`••i
r ftatf c CAR2859 I�p�_p -$8c�s}.n
18 Z' yTf h� ..
tRix-e:P.kri i.41E yp;11:�..e.r ri
iNS ifCTION RECQRD/0704) Y
1.p "4"b
:
ink .Ot-CR 1�1ix•
} i7419d IEYP0t 1 e i 9I6i4- rra-711-if f 9 60b-
$ ..of '' '. :9V,e ..,Ap eQaJ rAr rAcros� YCSt6tl`ILJB/:C0$OtltIo - . •• c _ .,..-.
s1� / rLply' • odije dAP f,N Aoki _ ___�noJq+Egs 12016 618r. PWl8!C8•1f8106 _ i
4e >oan -f.*rn t0u' eoPet,f . Safi hi SPIIIU C190470 Fiso 71U-52S-1990
PrAct re.dic -: "ewer eaf a ;:198821 CLASS , C36C20 IEWP°RT. 97021 L--
; 'wry sG
rgE,ta.,...srfirapv
p 4C. iras•'.` aptetA -ate s-�/ - -
, ,._APPROVALS . - ay /�iN�eECTQR'S aer' 100,000 to 500,000.Ita/i 18.00
UNDERSLAB/ a` o e - .-
-4 _.v IOILEiS 8 COBPtES5015
HVAC / H • •• H 9. °'= fritinaz rat 151P to 30 It ; 25.00
sP"� 1 dii Sips airs
n -r
. ,lecbatical Pe sit ees ! Back Bo.
Po1RS : PAale OWItl
F . '66•.710N �'^� OFp�M19v1N 8r0F 'AND
wolf
RATE .r���d, r . r•f •
fi� er
/An.
_J HAS .VMLbHNTA%-JA M`M ;i1C bale. TO saseaJE =• 1WIE-
sass it CORE FOR
I HAVE» ARIVANI ETS' TZx1AS REDUCED BY
sEc11CN S/oo LABRR OF 111E FOR
--Mrt6TITHs 14� .A�SIED.wN'RI��(14 lSURAPCE=REF!
.- ANRPa1LV.a e.
IAJ16REC1xR<H6D NO.OM^•�•.F1ET®FEIMT TI£PI$FORCNEH1NIIIr®OO4
1l CRLE.SS'
_J CDOWY.FAT NTHE PERFO^MANCEOF THE1W - FOR1NYCIFU SPEW&T IS
18141E NOTTNI ANY FH 4 N NIY WA,"
Td 8l�pl,E yTg
'.JECF 71E WIXiEiB CCLFVSATgNlA;Y50F AN0J01 THAT FI
SHOULD BiCOME eUBJECT TO TIE WCIF
OF LABOR COOE,ISIWL
O„M _
WARMN t Frll111E 71<ISECU E WORKERS* COLFENSATICN S WAYIRA. AID SHALLSJSECTANH.FIDFBiinC UM-PeucTESNOOW TO ONE HUMPED
THOUSAND COLLARS 61Waft N AMMON TOTE COST OF COLFEFAATO& MYAGES AS
PFiwo®1aRN "._q.,S705OFT1ELAB0!ICGGE,pDHEeT,NOATTOAEYSFEESA::'7'
vni a. AQOIANDTA IF�ATLHAVE FEAC DULY/MOORED
NTTFEIFIERMAERI
M3FE 600N COMPLY
TATI NLTFEOm LAM R IMATIN1g1 TNBIOGFTEINMO I.
'1)E TOOAUTIC l EREBcar DSTATEONValBEEMOY 01IVKATIONOFCNCOaq
s T1EWO 11€ FA1EcF -... . .... WEISEBNlR'®NVICLATIONOFTEUIBOII
COCECFTJElrgr.; .. R9s.. ...
; '.- TF�yT:4EUfl 11fia n. /a o�
EI:YATIIReoF = , St CATE
I -' ip to 10,000 eft 1,00
( over 10,000 di 12.00
.- - Yet bpi 10.00
, to of 171C nits repaired/alt red J0.00
1 ►8ltlil&tl01
bitbroot fat 5.0
- etbatat fat 5.00
rells awns \ 1.00
SOHOl14 of technical fees
I Is ?L11 CEECI PEI requredl (I)'
t ?Sr Islam' els
ITOMBBCBIIICAL PIIII? MS:
I
•
GONDmmmtiN1Nd x
��� wkt Y�i�utirw'
,E;
DESCRIPTION
14s9113111)
18C 11BY OFFICE IL00
ADDITIa•NIAL INSPECTION RECORDS
i
6-to.-tq re..i. i:_74w. ea it a.�`fd
-itA
Alp 'JPat Pi9,u p. env v40 �►1A91�. 4-/LvJ -�
7.t: 1 ST,Gc.A.--
3
he
108.00
25.00
77.00
18.00
1,080.00
10.00 Pa>t& i.e.•A w. "el
Paetetts:
Credit eatetded:
total Credits:
60.45
0.00
60.4i
10.00
45.00
84.00
1,487.00
371.75
18.00
1,876.7S
lataace
Watson,
Wane dae
-/- W-4q
1,816.30
0.00
1,816.30
8h a�9'9 a D F..r
f4AeR ,P.a..• t o., pk-
t
STARTED Wm1IN A PERIOD OF 1B0 DAYS FROM
J
N e�Ti�J - ci c
•� f �.r.�r'x � kZ �'.
UNDERSUIBL
HVAC/H•!!)
FIRER
ICERFY TfI11TNTlE PnavVraIJ1N(epP
TIE nvmc FOR VSSCTITA<E1��� ISISSUED. I SHALL NOT PERSCNu1 SO EDp."iS1F6 JECTTHE
TO E MAR
- -i SIIOWDBECOME
THE
6 ! §�710tIS7000F ilDWL .a.aT�.OF �
+'ram
-WAIVeeR FAMLM1E TO fii9E istaieiSi
~" W -
SHILLSIBECTAN EMPWSTOO g � Imo. UPTC
THOUSAND DE
PRI FOR r8EC1i711S06 r AWIOI TD TIE OF OOYPBSATION. DgMADES AB.
THE WEERaOCE:INIERESf MOATICIVIE SFEE9y+
I IEII®MM%ngCIIDOETHATIIHAVEMAD INS APPIAAkTIIli
walla o fM1ENISOOR ECf-MOTNATI41TNEOM EAOFIOILYTHOR=A ENTOF.TIEOMER.I
HOME TO.AUISH.YWITH CITY WO STATE IAWS FEOLLATMA Cos!
,THE MOCK IZEO'HEREBY NO Mt BE P.VI ArIaCWE:SICCING OF _ TO
PERMITTEE NEW.
1All . Rio t Ail f - w Spa xl
; tit-, G TON $ AIR COND,T10NING?
. t ir�anrtt.•
. c:':-E 'SUITE
i= IOIC;motI1LHOSPITIL
301'ISIPOET ILI1=
{i. .1t70119104. C191fi PHONE
OO T VESTBB 11LIB1 CO1t011TI91.
12046 B1S? PL016101191101
IL sown 511110S.Cl'90670 PNoNE: 711-523-1990'
1 �Al a ' • • 191821 c '; C36C2O Namog 97027052
PRObrre—.at BY ... OCCUPANCY:
e;dechnical Permit Peet ! •; Bach /o.
' FIIB.DIMS.
SOMMOTIL of ieelnieal. fees
PLII'0 PEK`'regeiled!.''. (I)
FBIAIT ISSOIID ?pi
TOTIL IIECSSAIC1L PBWIT PEES
Pee
211.60
211.60
53.65 I
S.30
273.5S
Papeata:
Credit Welded:
Total Credits:
talnce
ldje:toeats
Waste die
0.00
0.00
0.00
273.55
0.00
273.SS
1,4417
0
y2
pOp
O
PPf
•
r
Of
c�J{.
168' 492659-8915 H
.t Beach C
rill COunter.Phone Ni.: (714) 64432561m89
INSPECTION RECORD$729/741 � `41:
r r r, — T ► 416-4 �.aasPuit ., _
3 • . sTh* a ngp __—:010teli DLn
7
4
14
189POJL,IBICB.CL92660 ''HONE .711/615 8600
,: • ,. PAgPICIPIC_PLOIIIti6 CO• : ' .. \ 'l
— k-----_..t2.CUtP01AlB-P1D[SPB_150— •• --'- ' � " ,
•
-APPROVALS .. r: D;
SCIL PIPE GROUND';]
SEWER_ °��y
WATER PIP.E�GROUND,
O-.
GAS PIP • ,f' GROUND ��
PLUMBING ROUGH
GAS SIP. lOU H
WATERHEATER ; = '
_GAS. PRES. TEST-?
GASCO. NOFIED,
PLUMBING• V Ak-IFIN L
•' 1,
INSPECTOR
r i� .._
p thy') ___
•
'gym• UCEII$a.., C7ORS ARATION •
I HEREBY AFFIRM UNDER PEIALTYOF PERJURYTHATOWNONS
IM4UC956] UNDER •.
�PROFESS�ialsAr�ly INTM SECTION IN FUU- �a OF THE ENS MSS
!r. eMnrazrls �J .
U0IISE tI/ES:q ,. 165Na"-=-:._ i 091910 �l f
CONRVACIOIV
xroRID:RS'COFIPENSADON DDECLARATpN
I HEREBY AFFIRM UNDER AIWCF MEF
may, PBCATE ONEVINT TO SEAy1BEQAOR WON
�IHAVE AND WALMAMANA PROVIDED
RBYSM/SEM 7D
IRN
XEIEP ERFORM AZE°AS EWORKpFDReYHTIS P R p IS OE LABOR CODE, PEFTAWAME OF TIE W OPN FOR WHICH THIS FS W T IS ISSUED.
I HAVE ANC WAL YARRAN WORKERS COMPENSATION AS REWIRED BY
SECTION 3703 OF 'ME LABOR CODE FOR 'ME PERFORNIANCE THE WOW FOR
AND POST ARE:
POUCYM
iAwT
CILTPnurs T� TiS
11039484C
iit=iC
I� SECTZN NEED NOT SE CCMWETEDFTIEPERMIT ISFOR ONE III1NgcDDOE-
�� s THAT
r11ENEMY
THE PERFORMANCE OF THE WOWC FOR WHICH TES PEWIT IS
EJS W Y ANY PERSON N ANY MAMER 50 AS TO BELOIAE am.
A:CT TOME YOKES Cp$ '9GTTEN LAWS OF AIO F1
SHOULD DECOYS LABOT O E.I SHALL
WF9t,
ETHESUEUE RCOO HE WOL SE NS OFTO SECURE WORKERS' DATE: mama Z- 2
MEM
THOUSAND �SHALL SUBJECT AN FIAALPstLOYERTOOWi1N.P'E CM FINES
TO
PROVOE0FM NSECIION7.'OAOCROCON PTIECABORADDITION TDTIE lTBCOST OF ANDAli nyc aFE . AS
CODE, NIBETaT•ANC AIIunera FEF:1
I WREST AODCWT_r7GE THAT I NAVE READ MIS APPLICATION* THAT THE EFORMATION
EWEN ISCORRIOPANC MAT IWTHEONTER.GROLLYAUt.v.¢UAGENFEWTE
A�GIEEFE TO 03L13.3WF.{1 an ANC STATE LAWS HBYAAMEI rOclWM. A1/ AG! ma
AERI
• I far OFT BASF lE®T6EBYta� roWCB�EAFp;�P.IOfCOMPENSATIEN INSURANCE,
EG NVIOIATCNOFTEUBRii
PE111iITTEE NWEoirro
cao
xwele iejecor,An
I'.1a Tt ni'A ...�
BI
r^��I
tiI DESCRIPTION .-
r-t_ PLWQjisv OPI'CI.JLee ' , _,1 _ <'
—1 ADDRIONAL INSPECTON RECORDS ,
_.-- T
sAr = IRPIIB.Cd.42714^ -213175'1611 ..
•
PRC - 093910 C 4C20C42C361 "_ - 98037997--- _ LICM2 SiED BY: '
OCCUPANCY
•
P9101305
nests Phone No.
t Plubing Permit Pees t
' -Patti
Oriel '
Lavatory (task basil)
6itcbei sisi
Garbage disposal
Vegetable slob
Ice maker
Disbvasker
Floor silk
Floor draft -
Water piping
.' Water beater (so. 1 site)
Gas - per antes sp to 4- oatlets
lackflov device - over 2' dial.
tegslators
Lan sprinkler systeas (per meter)
Roof drain
Rose Bibb
i Driakirg foutait
P-trap
BRBt Rise. otter items
,p BRB'A Rise..otbei-iteis
SOITOTIL of plubin6 fees -•
' Is ERR C PRE regeiredl. (P)
}' FERMI! ISSOIIG PRI
iotnL PIRATIC tun PIGS
•
3.50 1
10.00 1
7.00 8
7.00 65
7.00
168.00
91.00
7.00
7.00
8.00
17.00
294.00
Total Credits: 452.75
Idjutietts
o
eyoz
Art 0/1 nhted2eeP-sikaie 1-
cc
if pig/ or roc Alsestatjawe.,-.70,
meirsectog
•
•
-`;:1
n-t