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HomeMy WebLinkAboutCC 9 CLAIM #93-07 03-15-93CONSENT CALENDAR NO. 9 AGENDA_3,,_S- -r3 3-15-93 Inter - Com �< DATE: MARCS S, 1993 TO: HONORABLE MAYOR AND CITY COUNCIL FROM: CITY ATTORNEY SUBJECT: CLAIMANT: WILLIAM STEWART; CLAIM NO: 93-07; D/L: 12-01-92; DATE FILED W/CITY: 02-16-93; CARL WARREN FILE NO: S 74029 CLB After investigation and review it is recommended that the above -referenced claim be rejected and the City Clerk directed to give proper notice of the rejection to the claimant and to the claimant's attorney. ]OR:yb:030593(C49307 jib) Enclosure: Copy of Claim cc: Carl Warren & Co. Finance Director City Manager JA��U,, J ROURKE, City Attorney City of Tustin CLAIM-XAINST THE CITY OF TUSTIN._' n (For Damages to Persons or Personal Property) e law provides generally that a claim must be filed with the City Clerk of e City of Tustin within 6 months after the incident or event occurred. Be re your claim is against the City of Tustin, not another public entity. ere space is insufficient, please use additional paper and identify formation by paragraph number. Completed claims must be mailed or livered to the City Clerk, City of Tustin, 15222 Del Amo Avenue, Tustin, lifornia 92680 WHEN COMPLETING THIS FORM, PLEASE TYPE OR USE BLACK INR THE HONORABLE MAYOR AND CITY COUNCIL, City of Tustin, California: _— undersigned respectfully submits the following claim and .information lative to damage to person and/or property: a. NAME OF CLAIMANT: William V Stewart b. ADDRESS OF CLAIMANT: . C. CITY/ZIP CODE: d. TELEPHONE NO: ( e. DATE OF BIRTH: g. DRIVERS LICENSE NO: = ( Name, telephone and post office address to which claimant desires notices to be sent (if other than above): This claim is submitted against: a. The City of Tustin only. b. The following employee(s) of the City of Tustin only: C. X The City of Tustin and the following employee(s) of the City of Tustin only: Occurrence or event from which the claim arises: a. DATE: 12-1-92 thru 12-29-92 b. TIME• C. PLACE (Exact and specific location): 14489 areenwood Lane Tustin, CA 92680, Parcel Number 401-211-26 d. HOW and under what circumstances did damage or injury occur? Specify the particular occurrence, event, act or omission you claim caused the injury or damage (Use additional paper if necessary): See Attached Statement 4.d. CLAIM AGAINST THE CITY OF TUSTIN Re: William V. Stewart 4. d. Occurence or events: 1) 12-1-92: Tustin city employee, Harold Muckey issued Building Permit #1189 to re -roof house located at 2) Tenants on vacation in Washington D.C. 3) Removed existing asphalt shingle roof. Called for inspection 12-21-92 and 12-22-92. There was no notification to owners that issued permit #1189 was not within the city of Tustin's jurisdiction. 4) 12-23-92 - 12-26-92: Owners William V. Stewart and Jane F. Stewart were in Oceanside, CA during Christmas holiday. Remote phone answering machine left on. No messages received from the city of Tustin Building Dept. Upon return to area and in anticipation of impending rain, owners covered exposed roof with temporary plastic sheets to help minimize damage to interior of house. 5) 12-29-92: After rainstorms a "Notice to Stop Work" was left by the city of Tustin Building Department, notifying owners that the issued Building Permit #1189 was not within Tustin's jurisdiction. (See copy of same.) 12-29-92: Owners went to Tustin Building Dept. Owners were informed to go to Orange County Building Dept. in Santa Ana to obtain Building Permit. 6) 12-29-92: Obtained from Orange County Building Dept. Permit #RS9212290011 to re -roof house. Exposed roof inspected 12-30-92; OK to apply new asphalt shingles. Re -roofed house; final inspection by Orange County Building Dept. 1-7-93. (See copy of permit.) 7) 1-4-93 - 11:30 a.m.: Owner had meeting with Mr. Rick Brown and Inspector Robin at Tustin Building Dept. Owner requested a letter from Mr. Rick Brown explaining why owner had not been notified that an error had..been made in issuing the Building Permit, dated 12-1-92. Owner was not informed until 12-29-92. Note: See :copy of Tustin City Inter -Com Notice by Rick Brown, dated 12-29-92. 8) 1-5-93 - 2:10 p.m.: Received phone call from Rick Brown, Tustin Building Dept. Mr. Brown said he had been informed by the City Attorney, Mr. James Rourke not to write the letter to the owners as requested. Mr. Brown said Mr. Rourke told him to inform owners to go to the Tustin City Clerk's Office and file a claim form for damages incurred, and if the owners had any additional questions to contact Mr. Rourke. c`tu�D �Zkcic E: DECEMBER 29, 1992 I n t e r- C o m �•`C.TW-� BIIILDING DIVISION STAFF >M: RICR BROWN, BIIILDING OFFICIAL QR iJECT: VERIFICATION OF ADDRESS PRIOR TO ISSUANCE OF PERMITS Effective immediately, no permits may be issued without first verifying that the property is located within the Tustin City Limits. This verification is a mandatory step in the permit issuance process. There have been 2 incidents in the past 30 days involving the issuance of permits in the County for reroofs. This can be avoided by checking the address map prior to issuing any permits. The immediate cooperation of the Building Division Staff if required. Mistakes of this type are easily avoided by taking the time to verify the job address on the City map in the copy room. RS:hmaddver.m e. WHAT particular alleged damage c. :tion by the City, or injury? employees, caused the ted 5. Give a description of the injury, property damage or loss so far known at the time of this claim. If there were no injuries, state "no injuries". provided upon request. 6. Give the name(s) of the City employee(s) causing the damage or injury: girl. grown Harold"key, Chuck Defruiter and Robin. 7. Name and address of any other person injured: None. 8. Name and address of the owner or any damaged property:Tenants personal nrnnert.v: Patricia Perkins and Dino Bica, Owners: William V. and Jane F. Stewart, 9. Damages claimed: Repairs to house due to rain damage. a. Amount claimed as of the date: $2,268.30 b. Estimated amount offuture costs: 0 C. Total amount claimed: $2,268.30 d. Attach basis for computation of amounts claimed (include copies of all bills, invoices, estimates, etc. (See attached.) 10. Names and addresses of all witnesses, hospitals, doctors, etc. Tenants: Patricia Perkins and Dino Bica, Tenan a house sitter: Shannon Donovan WARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM!! (Penal Code Section 72; Insurance Code Section 556.0) I have read the matters and statements made in the above claim and I know the same to be true of my own knowledge, except as to those matters stated to be upon information or belief and as to such matters I believe the same to be true. I certify under penalty or perjury that the foregoing is TRUE AND CORRECT. Executed this day of F&PS.iLvo(n19 at Tustin, California. DATE FILED: I-' 1 6-9-S. B1:CLFORM Revised 4/29/91 Dia/ Gene Bell, Inc. Acoustic Ceilings • Drywall • Textures CONTRACT 1636 EAST EDINGER, SUITE O SANTA ANA, CALIFORNIA 92705 (714) 835-6645 • (714) 9F 10 State Contractor's License e. _47 ' CITY. ZIP CITY. ZIP — :> PHONE Home WoM Job Plwne S� ENTIAL� ROOMS: Entry Din. Rm. Bdrm. Bdrm. COMMERCIAL L. Rm. Fam. Rm. �drm. :gd�rt t%�� �drm. PROPOSAL- DIAL ONE® Gene Bell, Inc, a licensed California contractor, proposes to provide labor and materials for: D S'SSi6C�Yt tYd. "u, i0lat s7TLdL\4-44hV XiG Al f sf-T�w,4,6. 90.V_L3tAIL' `C fG/.yL— t/LAKtf "AAE -K f�� ) CSX (�C�/Kit kPAW,krk oL- P 2 C947 -c, [yZMP ( A•I ifi.4JT.CL f1d"r- /'6 i/ii/t 11, 1J/P , /1!/./) _/_Li.a, Tl ..I 4- #A( 2�rrvA4_� 4- krzTWO Z J 2G o o N d utit .tY �UV � t` ) Continued on additional page? ft� `L All of the above work to be completed in a substantial and workmanlike manner according to stand p dices for the sulof $ (Z l7C/ Oo dol. Payment to be made as follows. !f 6Pi _ 4% 7W Cl)�' L/'��(i C� Q �1,� A SLG ( l�Jlf/ i�it�. f�L TimA, Od ©e'�Z Start Date: Completion Date: This proposal may be withdrawn if not accepted within EC days. Any alteration or deviation from the above proposal involving additional Fosts will be executedonlyupon written orders and will become an extra charge over and above this estimate. RIGHT TO RESCIND If this agreement is signed at a residence or other non -business location, the customer has the right to rescind this agreement at any time prior to midnight of the third business day after the day of this transaction, otherwise notice of cancellation is void. This written agreement represents the entire agreement of the parties and no other agreement, statement or promise made by any party or to any employee, officer, or agent of any party which is not contained in this agreement shall.be binding or valid. Most Jobs require the use of masking tape. DIAL ONE Gene Bell, Inc. assumes no responsibility if paint is damaged when the tape is removed. Please see item #13 on reverse side. Also, please read item 93 regarding pre-existing surfaces. ACCEPTANCE OF PROPOSAL I HAVE READ BOTH SIDES of this contract and I understand and agree to the provisions herein. or its agents, is authorized to do or asCspe fied. a� twill be made as outlined above. Authorized DIAL ONEe Rep. Pymt. Rcvd. State Registration Number: Ci(Z Bal. Due Accepted By: Date Accepted: Pymt. Bal. Due Each DIAL ONES Comoanv is Independently Owned and Ooerated. DIAL ONE" Gene Bell, Inc., Ckp _ By Ck 8 By LO , �� . a�ti : Fu�yNa�litur �T �;. 3 ��)E0�,N��" Opp��J2D. • OR(�'C- b30 - ioKJU "Jtl,, h Qr 1. � O• -Re1e nCB-we . _ GlISTOWt .aa. tIM •�.r: . .WHONE ✓ + s ,• ..•; n�DtrT,,tA. -A Y`�• ..aVyPv^ !'�K.+ '. :,}+ 2r}.. 7a fYTtiC"Rn'wr1iS: fr...x - .{.fCJ-. e..tiiFi-4u,1?�`I'�¢t^J+- ,i.'$c_ :` t.. •. N ih .+ ' yl�fT �Pk•"'-::S't�. " s�f'�.3L€'eKL °ika .y* 'S •7� 4;' 'a " .?� �` J�: , •t✓ "� .? G4fM .nob.....:... � - • - - 11Y ��� 1` � tir •'?�L':X+i a t`.: . r. �3�:4 "�; •3Y{. -`•!,._1i. r . -. ...n• � n, .i. E, .. � aX, . ��" w as 'Y t'i+ •it7t,! ��. rs �`: P b',y. a of � v si's�i-`i � r: :.� ytyr�'-�• F. i`. 'wi�i,F��"�' '4�' .Ifr�'i,+�t''^G"R:.�. /..ars Y+. -'.}. r. S Sy 'ty r�iN t 1-.Y -�.q. � �:)�� - F S`F;I:' �iay`•'•"L{�"�.l NVM.I+�:a'••-'sa'.e- ',•r '�"..YJD Ff•afM '�VJ�J:iCJ t^S M, } � �' j� r� .' lf� S�yr,.. .i •r .` .4 � '. .T vl. ;b• -.L' �.� 'Ktaw Yv+(Yl�i `t`tV•^'. �•�•� _, �� �"' tita•, � ..Q,+ e' '^•r'e,..l"x"•t' r a r 3 � # s -,. Sro N F �'_ ..w `.. �� -i; .. c,:tY c''i. , .. cam'-::...- }} f, 4 /��=Y } Y1i�f'� wa..•- aT t Lp .�� y ^i.i 4 (ivr .l.'A'J.4�i .�q�.qv `9f -f SN S~.inT i. M �✓ I p ' �y IYJ� Y 'S•w' 1'.��n.SJ�ti Sii,"~%:.i.Lv,.� RM 3P- ¢^'! ;i i ':�]�'�'I � .�C•� �:w's�:• i:�-�e� •�YaT"'1��Is"�..ii'L..r���?: xe r r s.: .: ••,^ .? a,, r+. ..�- .. 4 - �J:, F ' a' - '•a y ws.'VJ�AV'i"Nti. SUB -Tow . jet IIECIAL-ORDERS AREA,OTSUBJECT „ 1 Deposit Balance eaw ;DEUVE - t ` p O�C�CELLATION ,,� o,. UOTED DELIVERY DATErn �x a ; G�JARA ED his SU&IEC��°-`+y t r� �° Y " " , ' u �=" UFACTURER§PRODUCIAVATLAB(L1TY"` t SUBTOTALyrg •Y •7?'sri�t 4•§�.�•tSn' .a'•�. �.... I.have read and undern and to the * "*a+"';� `:?i` a .- $ALE$TAX viO�a ^t`i Y. Arms of Sale on fh �7iivouo a ,t a Ter r8a M Ita2d Fn good . a,� ,r'.<a.z u; BALANCE e!yy;, -i-r �r���' '�X'St'31�..4,,.•� L��iS `10,yx �T')••:�,.Y ���a. '1i 'p'l`. >++ti �'� i+:�+'i",'"+''�• •u�i3 t +nth," G,� �,fY,c�t •. I}• n 4L r .. 1'^-x i �.ry = t �i ''+ iJ'^i . � E./. �..f_.. ) _ y��:i'ihN'�_.��i. S. si'.^.�i3 �:�.-.. w. .':•t. �4- '...,t T}rt�i � +w. y`�+.Oyy _4.n^ � �.^SxR�G:`llrt.' 4\�f ��.t LO , AI_F-Z TAX .. TOTAL :1,104 n. t ST,1 •'SF i-,FQR' SuOP?INE WITY CS �.. .'�. - -_. •rh 1111:. .d" .. .. -.:'. '� . - -,--r+. a - A BETTER QAC_ -0 -,A. VE r:.4PM STvr.c1 �- I •49 LES 3 .3? v I' cosr K'UrdE S GI CICINN ?rD CPNF s -_II i. , 1 - I - --, F♦ v A:i', i iq - 1 i ---rpt'=; -� i N.L <<en 4 95 s a _' . p� wj�TQTAt.. U TAI AI_F-Z TAX .. TOTAL :1,104 n. t ST,1 •'SF i-,FQR' SuOP?INE WITY CS �.. .'�. - -_. •rh 1111:. .d" .. .. -.:'. '� . - -,--r+. a - WELCOME TO THRIFTY DRUG ANAHEIM HILLS STORE 489 5270 10 5602 00489 005 ACT II MW POPCORN 1N .59 FILM PROCESSING' 1N 3,07 FILM PRINTS 1T 1.84 ACCOUNT is 944386 FILM PROCESSING 1N '3.07 FILM PRINTS 1T "2.00 ACCOUNT t: 944385 SUBTOTAL 10.57 7.75X SALES TAX .30 TOTAL 10.87 CHECK 10.87 CHANGE .00 THANK YOU, PLEASE COME AGAIN LOOK FOR OUR WHITE GOODS SALE JAH.20TH JANUARY 13, 1993 5:25 PM WELCOME TO THRIFTY DRUG ANAHEIM HILLS STORE 489 2177 10 3376 00489 007 �* CHECKOUT SIGH—OFF THANK YOU, PLEASE COME AGAIN LOOK FOR OUR DOLLAR DAY SALE DEC.29TH JANUARY 8, 1993 3:44 PH WELCOME TO THRIFTY DRUG ANAHEIM HILLS STORE 489 2177 10 3377 00489 007 CLEO BXD CRDS 'B' 1T 1.49 SALE CLEO BXD CRDS 'B' 1T 1.49 SALE ! KTC.4N MAGNET ASST II 4 F 1.00 T 4.00 SR 1 ACT II MW POPCORN 1N .59 FILM PROCESSING 1N 3.07 FILM PRINTS 1T 2.00 f} ACCOUNT #: 944287 FILM PROCESSING IN 3.07 { FILM PRINTS IT 2.08 i ACCOUNT V 944288 1 SUBTOTAL 17,79 t 7.75X SALES TAX ,86 TOTAL 18,65 CHEC65 CHANGE 18.00 THANK YOU, PLEASE COME AGAIN LOOK FOR OUR DOLLAR DAY SALE DEC.29TH JANUARY 8, 1993 3:50 PH i `PF;SCC- CLUB .673 SAVT RANCH PK4Y ! { _ WHZE t5 LIT, I .' Al A'tj AW ,jrltin Lr'-'y�'Pp� i N. , C l 7 • 3n mr. �T_--T-'`n i s/y^a4 i •� .y Tm. S�?I'z-� QX """'`'-�r-i �.-y- .r$ E •-ei LPs """"P 7 = rn „ : -'19 rf , ¢ :..TQto+ _ h »y t 2 73 24.73 �r..Y+x .• n � n .� '.nx ICM+ D WEur l ,� : - I , Item Count 4 C!.l�g 7. 25181 12 12 11:S)Al . T4A:??;: co STARS FOR. SERVICE/WARRANTY INFO PLEASE CALL 1-800-755-4866 SAVE THIS RECEIPT FOR RETURNS THANK YOU i.. REGIONAL OFFICE RESIDENTIAL BUILDING PERMIT CENTRAL OFFICE 22921 TRITON NAT COUNTY OF ORANGE 12 CIVIC CENTER PLAZA LACUNA HILLS, CA 92633 ENVIRONMENTAL MANAGEMENT AGENCY SANTA ANA, CA 92702-40.8 (714) 472.7979 REGULATION (716) 834-2626 PERMIT NUMBER:RS9212290011 ISSUE DATE:12/29/92 This Permit shall became void it work is not commenced within 180 days of issuance. JOB ADDRESS: COUNTY AREA: NEAREST CROSS STREETS: WARREN/ HOLT APPLICANTS NAME: STEWART JANE F PERMITTEE NAME: STEWART, JANE F ADDRESS: PHONE: TYPE OF PROJECT: WORK AUTHORIZED: CODE YEAR: 0 PROJ/APPL: PRESENT USE: EXISTING SFD SCOPE OF WORK: TEAR OFF AND REROOF W COMP SHINGLES CT: APN: 401 211 26 SUPER. DIST.: 3 FLOOD PLAIN NO.: CLIMATE ZONE: ZONES TRACT A0803 LOT 27 BLOCK UNIT OWNER: STEWART, JANE F ADDRESS: ADDRESS: LICENSE NO.: PHONE: - LICENSED CONTRACTORS DECLARATION hereby affirm that I am licensed Under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business d Professions Code mrd my license is in full force and effect. )(TRACTOR: LIC N0: & LIC CL: VWCa. MAIL: LUNINAGIUM: CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency, for e performance of the work for which this permit is issued ec. 3097, Civ. C) NDERS NAME: ADDRESS: OWNER -BUILDER DECLARATION hereby affirm that 1 am exempt from the Contractor's License w for the following reason: 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. 1, as owner of the property, am exclusively contracting with licensed contractors to construct this project. 1 Ism exempt unser Sec. , BSPC for this reason MAIL• Owner-. WORKERS COMPENSATION DECLARATION I hereby affim that I have a certificate of consent to self - insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof.. COMPANY: POL NO: DATE EXP: / / )ATE: APPL/PERMT: VER BY: CERTIFICATE OF EXEMPTION FROM YORKERS' CCMPENSATION INSURANCE (This section need to be completed if permit for STOO or less) I 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 CA. )ATE: APPL/PERMT: 40TICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Yorkers' Comp. arovisions of the Labor Code, you must forthwith comply with such provisions or this.permit shall be deemed revoked. 1 CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE (BOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL COUNTY )RDINANCES AND STATE LAYS RELATING TO BUILDING CONSTRUCTION, IND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER )PON THE ABOVE MENTIONED PROPERTY FOR INSPECTION PURPOSES. )ATE: APPL/PERMT: ADDRESS:* LICENSE NO.: PHONE: - OCC TYPE OCC SIZE CLASS CONST CODE USE/OCCUPANCY SO. FT. R3 65 COMPOSITIO REROOF 2000 TOTAL VALUATION: 1,600.00 STRUC HEIGHT: .00 NBR OF STORIES: 0 HEIR OF FAMILIES: 0 (FOR NEW PERMITS ONLY) GRADING PMT. REQUIRED: N ROUGH GRADING REL.: ZONING INFORMATION C/L STREET SETBACK: REROOF FRONT P/L SETBACK: EAVE PROD: SIDE YARD RIGHT: EAVE PROD: SIDE.YARO LEFT: EAVE PROD: REAR YARD (TO P/L): EAVE PROD: REO'D PARKING SPACES OPEN: 0 COVERED: 0 ZONING APPROVED BY: RMB DATE: 12/29/92 FEE INFORMATION DESCRIPTION QUANTITY AMOUNT PERMIT ISSUANCE 15.00 RESIDENTIAL PUN CK 1600.00 33.00 RESIC BUILDING PERMT 1600.00 52.00 TOTAL FEES: 100.00 CRTA: - 304181 REMARKS: -... -1v n_'r'_r vT,ag CHECF REGIONAL OFFICE J+J FEE RECEIPT 22921 TRITON NAT COUNTY Of ORANGE LACUNA HILLS, CA 92533 ENVIRONMENTAL MANAGEMENT AGENCY (714) 472-7979 REGULATION PERMIT MBR: RS9212290011 CASHIER: 6 RECD Of PAYER: STEWART, JANE F ADDRESS: '.'PHONE: EXT: CENTRAL OFFICE 12 CIVIC CENTER PLAZA SANTA ANA, CA 92702.4048 (714) 834.2626 RECEIPT NRR: 304181 DATE: 12/29/92 Joe ouNER: STEWART, JANE F ADDRESS: PHONE: EXT: LEGAL ADDRESS AND DESCRIPTION OF PRIMARY PROPERTY PROJECT ADDRESS. _ - APN:. 401 211 26 TRACT:AO803 LOT:27 BLOCK: UNIT: MULTIPLE PROPERTIES: DUELLING UNITS: 0 TYPE: - FEE DESCRIPTION CODE REFERENCE AMOUNT RESIDENTIAL PERMIT RSB250 67.00 RESIDENTIAL PLAN CHECK RSA240 33.00 tl TOTAt? a• 100.00 CUSTOMER COPY CITY OF iUSTIN _ COMMUNITY DEVELOPMENT DEPT. BUILDING BUILDING DIVISION (714) 544•BB90 c F71`•— 2?0 GJ ` XIO [..,moil Way Tuwn C.NornN 97680 Job AtlEraac N.1ur. o1 Work /1='�n (Y*, 1•' U.. of BuildingS I -D Building P.rnll No. I) P1.9— D.I. I .... d Own.r S� I fM T FP Conlnebr yyypM wwl •M M ww• P.Ib.WI. b tlw M DATE COVER NO WORK UNTIL ABUYA FINAL INSPECTIONS I., DO NOT OCCUPFBUILDING INSPECTOR SIGNS OFF ADAL INSPECTIONS i FOR SIGN INSPECTIONS S•, E•c.•'.INNI (PoI.N SZ But i Arca S.3 S.uc iufbena I Y Ebel Conn<abn SS Joo ConNN.bd +OST IN CONSPICUOUS PlJ - ON THE JOB CALL FOR FINAL INSI eCTION NOTICE TQ ECTWORK p CITY OF TUSTIN COMMUNITY DEVELOPMENT DEPT. tny.DlYlsiDN (� \� p1a15Aa--BB90 x- 4"1-3 F=571. EPun i I 1 ,]v NwIKP A. N[ (INNEP .Is.EaDPg1 b, Tb,E1 4.4 1/ r AAArc \ In r f., -F, . I..11 AJ rl n i' r 4a. 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C9 �^C DOCK �la[''•'SK O' F9 ,fi.xi�Mo c> m •O Z 9 o � m (7 r D Oma zm0 n ^zm ym Z >>r 0 O rm m 7J N� c L'• 9 C yor > v — 0 mm 2 9 m O S_ M -1 A Cy 1 � = T Post In Conspicuous Place On The Job Do not Occupy this building until the final in. spections have been made and the certificate of Occupancy is issued. COUNTY OF ORANGE E.M.A. - REGULATION i REGIDNAL OFFICE CENTRAL OFFICE .�. 1 2281 TRITON WAY 12 CIVIC CENTER PLAJA LACUNA MILLS. CA 92653 SANTA ANA. CA 92701 T1aJn-I' 2 INSPECTION 714411 a-2625 PLANCHECR Traci Ul I l Sheet NV. ParbRit NoX424— Dale Ia a '1— Occupancy Type _ Ownrr BU'LDING INSPECTIONS RECORD Do Not Pour Concrete Until The Following Applicable Items Have been Signed TYPE Or INSPECTION DAT IN i PrVmMrw ID�Nrlhy3l! PNrt1 E SPECTOF ENnncal G.OVM krenroer 1 SlleaeUFplry/TreyrlllF { Do Not Instal. Subtloor or Pour Floor Slab Until The t Followin: applicable Items Have Been Signed Do Not Cover or Conceal The Work 0ei6il$.t.ir'n;e I Following Applicable Items Have Been Signed F.". GfryFlp ApayK! IVM/(.'nmlrrl . Fbel fsneallin /Oyphavn/Fgmel ..L ROUGH IReou lamp alaml ROUGH PLUMBraG ROUGH MECHrvENTGrREF PIPWG ROUGH ELECTRICAL _ FRAME INSULA ION ISmniO•EAer rl Do Not Tape or Plaster Until The Following Applicable _ Items Have Been Signed E•le..m Lan• uNe•s tam D•Y.M ` ENcxcN Ce+nP HeM Rupn GENERAL ITEMS P<rmar4nl EHdpal Pp4 - Spn rrae.e-Sl.un •ENn I Sege. Setup lsi+ 5eewoe MnnLeanwo F.ep WF TeR repo Sluamn o- vRn. wale• Seo -pr ' E H PMRn r&a..n Coen • . All Applicable Items Below Must Be Signed Before Utilities Will Be Released ENCVca. Lwi n�MepYMeY. Fly - LeN jny(ImH iryl ! _ G•1a�o Lryl laM LNt iw Fae Dnon Fe,,, //�r pp Notice— WRen pllOrvrlp 101 an InSprCPOn, Stale your PERMIT NUUSEP. 2 OwN:F.'S ....... n .. rovo. 11 meet n '! a. Gee AREA Locauor•: 5. SUIe TYPE OF INSPECTION Rfo-o- InsoeIDOn reeueSIS lebtned by 3:30 0 "t- on wlukday5 ale ma0e live lolloway ..o•% -aa. I F WlO12a.51R6901