HomeMy WebLinkAboutX2019-3265 - Misc (4)CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT �EGEIVEp 6y
BUILDING DIVISION COMMUNITY
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 DEVELOPMENT
www.newoortbeachca.00v 1 (949) 644-3200 JAN 2 5 2022
GAS METER RELEASE
APPLICATION CITY OF
(Insp
e
ction/Administrative Fee: $209.00) 1�IPORT �EPGA
PROJECT:
OWNER'S NAME: B, I. 1�t �Cd/1,EOU �j PHONE
JOB ADDRESS: So- _�CSh & bo q _ IJ �q1 �J_c wvv 13 r,' c 1n ...
BUILDING PERMIT No(s): ,...._mXZCJ f 9_ 3 Z45-
Request is hereby made for the early release of the etas meter on the subject property only for the purpose
of testing mechanical systems prior to Certificate of Occupancy.
IHEREBY DECLARE:
• 1 agree not to occupyt� �ilding or structure until the Building Division has issued a Certificate of
Occupancy. (Initial ) )
• I agree not use or have thisbj,�lding used or occupied until all City regulations and conditions have
been complied with. (Initial )�)
• 1 agree and understr the following must be completed and approved prior to the release of the
gas meter: (Initial )/ )
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 agre � to stage or store any furniture inside the building prior to Certificate of Occupancy.
(Initial
• I understand the City of Newport Beach may order the servbD pe discontinued without notification
for any violation prior to Certificate of Occupancy. (Initial ) f /
OWNER _ - 6, ).f/t C D/. EUv1 DATE: /.�2� /Z_ Z_
_. n 11 ..
.PRINT name of owner or tenant,, _, 17�411 0 f (G � . _. _ PHONE #:
CONTRACTOR SIGNATURE: WWI � DATE:
PRINT name of contractor t __JoMiL PHONE#: _75-S2�7S�)_
(for office use only)
APPROVED BY: � s _ � Z6 ZZ _ _
Building /nspector Dat