HomeMy WebLinkAboutX2019-4035 - Misc (4)CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT �0IVEp @y
BUILDING DIVISION COMMUNITY
100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 i)EVEt.OPMENr
www.newoortbeachca.gov 1 (949) 644-3200
GAS METER RELEASE JAN 2 5 2022
APPLICATION CITY OF
(Inspection/Administrative Fee: $209.00)
f 1%pOgT BEPG�
PROJECT: Jay �9 I bo ?
OWNER'S NAME: j �k�r!GlIfCJ�J_ . ....._ PHONE NO: I/V _ �?/-_f ?T
JOB ADDRESS: _ S� i W C5 f .54 164 ��o C%_ /lu F G"�qo�
BUILDING PERMIT No(s): ___ 2 01 1.7 1 _v TT .
Request is hereby made for the early release of the gas meter on the subject property only for the purpose
of testing mechanical systems prior to Certificate of Occupancy.
I HEREBY DECLARE:
• I agree not to occupy t building or structure until the Building Division has issued a Certificate of
Occupancy. (Initial
• 1 agree not use or have this b it ing used or occupied until all City regulations and conditions have
been complied with. (Initial
• 1 agree and understa d the following must be completed and approved prior to the release of the
gas meter: (Initial I )
1. Electrical system shall be completed and inspected.
2. The fire sprinkler system and alarm bell shall be operational and tested.
3. The project is four (4) weeks away from final completion.
4. Clear all holds from City Departments.
• 1 agree not to stage or store any furniture inside the building prior to Certificate of Occupancy.
(Initial ::)� )
• 1 understand the City of Newport Beach may order the service be discontinued without notification
for any violation prior to Certificate of Occupancy. (Initial )� )
OWNERpGil-.DATE:___/IZ��Za
.PRINT name of owner or tenant: _ � ��i , pG)- ifv<.y PHONE* yis - 01- l�O _ _
CONTRACTOR SIGNATURE-u _ PATE:
PRINT name of contractor. �o _. Jt)MI (� PHONE #: �J5-_5,)
(for office use only) l
APPROVED BY:
Building Inspector ---