HomeMy WebLinkAbout2567 WESTMINSTER AVE - Building Permits j
ADDRESS OF BUILDING: 2567 WESTMINSTER AV UMT: CITY OF COSTA MESA - BUILDING PERMIT
mmurS wEIFOnN: GREENE, DONALD M PERM NO: B 08375E
AODRES4 2567 W WESTMINSTER AVE
COSTA MESA,CA 92627 PERMIT NO: 8 083758 PLAN CHECK NO: N GOVT: N SUPP : N
APRL.MARIIG ADDRESS CONSTRUCTION TYPE: VN PERMIT TYPE: SIR PURPOSE: OTH
ARCHITECT OR ENGINEER: MHO.: JOB DESCRIPTION : T/O & REROOF W/COMP . SHINGLES SQ FT: 3, 660
ANCN OR Dal ADDRESS: DMT:
CLAIM VALUE: 3, 660 . 00 CALC-VALUE: 3, 660 . 00 GROUP OCC: R-3 /
t\NONACTORSNAM: ROY CHAFEY ROOFING ( 714 ) 636-1747
cCNmACTORSMMUM 9692 LUDERS AV COMMENTS : X
ADDRESS: GARDEN GROVE CA uc.No: 556624 ************+ *'F********************************************************+E*******
92644 UMT: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally a perjury Met I em licensed under provisions a Chapter 9 SETBACKS
(commencing with Sechon 7000)a Division 3 of the Business end Professions Code,and my' .ism iA base and efled.
Cm UC.NO.: 0 2 5 6 1 5 1C.CLASS; C-39 LIC.NO• 55662 X . 07/97 MAIN BUILDING ACCESSORY BUILDING
// !) under
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
�`? , j LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
• •ER BUILDER D CLARATION:I hereby affirm penalty a perjury yet I am exempt l Contractors License Law for the
.reason(Section 7mt.5Business and Professions Code:Any city orcounty wnimrequires apennetoconewa,alter.improve, PARKING REQ: PROV: PARCEL : 43919115 ZNE: REF NO:
',motet,or repair any structure,prior to is issuance,also requires the applicant for such permit to fib a signed statement that he or she
ansed pursuant to the provisions a the Contractors License Law(Chapter 9(commencing with Section 7000)a Division 3 a the PLANNING NO T E S>
mase and Praeesons Code)or that he or she S exempt therefrom and the basis for the eloped exemption.My violation a Seton >
,tCil.Sbytin eppkcentfor epermit subjects the applicant toe rive penally ci riot more than lite hundred dollen5500)). **E****E**df*********************3F******4******if***3f***;*4********44*iF**{F***4F*****
❑ I.as owner of the pnoperlY or my employees with wages as their sole compensation,MO do the work,and the Madura ie not intended D E V c L O P M E N T SERVICES R V I C E S R E U I R E M E N 'T S
\ or offered for sale(Section 7044,Business and Professions Code:The Contractors License Lawdoes not appy a p
to an owner property
'+ Q
who bulls or improves thereon.and who does such work himself or herself cc through his or her own employees.provided that such
i imprwemamare not intended oor
offeredforsale.If,however,thebuildingimprovementasoldwithinoneyearofcompletion,the ZONING APPROVED BY DATE:
owner-0uler will have the burden a proving he or she did not build or improve for the purpose a sale).
t ❑ I,as owner a the popery,em exclusively contracting with licensed contractors to construct the Projed(Section 7044,Business and
J Professions Code:The Contradon Liaise Law does not appy to an owner a properly who builds or improves thereon end who
BUILDING APP ROS ED B Y : DATE: _ _
contracts for such projects with a contrator(s)licensed pursuant to the Contractors License Law).
❑ I am exempt under Sedicn: B.AP.C.,for this reason: APPLICATION ISSUED BY: �T DATE � ,
Data: a"1ef LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMi NT:Y
I do hereby cis dy that I am aware a and understand the requirements a Caliomia Heath and Safety Code Sections 25505,25533.and
a553s,eoNml«ancc turemod dsMnfrmt Aint ill/wRrot enagem one)need to comply wlhuidcetemc s ions erMrpamo these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
or
e perms and that I or—(maeRnatbn oras eAr i y an(circle
ei to comply conwth aaicttate applications are tthe requirements
from is f r
provisions. PERMIT 87 . 25 . 50
D ate: Applicant: SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally a a penury one the fog PLAN
following ISSUE FEE
❑ I have end will maintain a certificate al consent to selhinsure tor workers'compensation,as provided for trySection 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the performance a the work for which this permit is Issued.
❑ Ihave end wiimaaasoworkers'commpwaato insurance,
nesre,uredbySet a
in370DteLaborCode.tortheped«tmance athe TOTALS > 87 . 75 0 . 00 0 . 00 87. 75 87 . 75 . 00
r. work for which this permit S issued.My waken'compensation insurance canter and policy number are:
Carrier: STATF. FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 87. 75 OVER/SHORT: . 00
Poky Number: 441,—tiniNTTUu141 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN-CHECK
•section need not be completed a to pont is for one hundred dales 13100ior km.) 87 . 25 . 50
❑ I certify that in the performance of the work ler which this permit is issued,I shall not employ any person in any manner iso as to
- subject to thew«kers'compensation laws of California.end tee the Bl Gaud become subled to the workers' *******************************************************************************
•..tomprowonsaSetion3700athe LamCode,Ishagf hoomph.vat. •tone.4
I N D I V I D U A L F E E B R E A K D O W N
9/4' Applicant: ,�
Falun criminalsecure workers'compensation coverage la unlawful,and shell subject en employer crxn' Prattles and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
pes up a cite hundred rlouared dollen atonalleu addition a the cwt of compensation dame as provided ler In 3704 of the Labor Code interest end attorney's teas. SFR 3660 REROOF BY VALUE RESIDENTIAL NOZONE
1 . 00 3, 660 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under Penalty a perjury that then is a cermnWion lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097.Cy.C).
LENDER'S NAME
LENDER'S ADDRESS:
I certify the I have reed this application end slate that the above information is correct.l shwa to comply with all city end county ordinances
and sate laws feletig to building construction end hereby authorize representatives a this Cay to enter upon the ebove'mamer.d property
for inspection purposes.
ROY CHAFFY 87-16-1997/82:89 P8/$87.75
\J1 s -•
Sipu /ApenVAp. .ntr•«p
Da,: 2 7/419 7 PERMIT:083758
(531i6.WP) White-Building&Safety Gree
envy-Applcant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POO; 'PA •
,APPROVALS Permit# Date Inspector APPROVALS Permit# - Date Inspector
1. Temporary Electrical Servide or Pole 52. Pool & Equipment Location •
- 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. . 54. Forms
4. Electrical Conduit-Undrgrnd, 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK ,
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains 64. Plumbing System - Final •
14, Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit - . 66. Solar System-Final -
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68- APPROVED FOR PLASTERING •
18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing -2J-11- l ( 6G-11- 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77, FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy v
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow-Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
•
46; Handicap Regulations
47. FINAL STRUCTURE & BUILDING2+ L[=L[ •
48. FINAL PLANNING
4g, Electric Release to Edison
50. Gas Release to Southern California Gas Co •
l .
51. CERTIFICATE OF OCCUPANCY •l
No. Date
2sG7 !vLst'0aiovSTt2
& AL .970(47. ,o O"
ernlie
Alt rfcisrePAR-0
PATIO COVER DETAIL 6/ 1 /67 TYPICAL JOIST ANCHOR
STATE—r-------.. 11 �
SPACING SPANWeN512E r % jamOVERHANG � • � I��� � �RAFTERS:Rai - it
SLOPED FOR DRAIN �' �1f
TATE LENGTH �— > !
-t.
MAXIMUM /� egFPFRatrotes,
$ Blocking 3/g x 5'Lags 32a/c �( Onco ;// "��/ ~
�q• MAXIMUM
Predrill Ledgerk. �jij
_ Predrill Existing '/�-•3 Deep
I JOIST HANGER
BEAM . or of other approved methods NOTE USE REVERSE SIDE FOR PLOT PLAN.- J
f of support a tie.
x6 '
S ATE SIZE II NO 1 RAFTER — CHART . No 2
•[[[��� ALL LUMBER DOUGLAS F/R FOR OPEN EGG CRATE FOR SOLID SHEATHING.
+IaeL�V 3/16X2"-T-STRAP . CONSTRUCTION' GRADE ALUMINUM OR PLASTIC SHINGLES OR BUILT UP
i�v ROOF COVERING • ROOFING.
MAXIMUM SPAN SIZE SPACING MAXIMUM SPAN
1 j 17' 0" 2x6" 12'7o • 15 I"
s 16' 0" • 2'x 6' 16.% 13' 3"
= POST-BEAM I 5' 0 " 2'x 6' 24-% 10' I I
-1 CONNECTION 12' 0' 2'x 4" 12°/c 9' II"
I I ' 0' 2'x 4' 16'% 8' 8'
`- POST 10' 0" 2'x 4' 24% 7' I"
`� 111111:11 C
VO' " NOTE : FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO
6.4 - OW IZE SHOW SPACING WALLS ARE TO BE BUILT. USE NO. 2 CHART ONLY.
SHOW LOCATION ON REVERSE SIDE-
.f' WIDER RAFTER SIZE MAY BE INTERPOLATED FOR
.. ; ISPACING ONLY.
DROP PATIO FLOOR FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO
hATsimi -w--- SLOPE TO MAN—
WALLS ARE TO BE BUILT SUBMIT COMPLETE HOUSE
55 :: : • AND ADDITION PLANS
Wil_ : y •> .•a/ • .• . DDLED SAND FILL
Av PI,
�x 2 " Remove Grass And Weeds Down To Natural Grade
12. CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT '
POST ANCHOR 1 ..• .'. it GALLONS PER SACK CEMENT.
For Pipe Post. Embed r12?--I ' Provide 26 Ga G.I. Flashing At Wood Floor Const. COSTA M ESA BUILDING DEPT.
Plpe In Footing.
Provide Flange Or Weld Plate Screwed Or Bolted To Frame.
77 FAIR DRIVE 556-5273
PORM OW.°
•
--A.---------------T--------e-
i W. fib`
4 STRUCTURAL APPROVAL ONLY
. SEPARATE PERMITS ARE REQUIRED
00 . FOR ELECTRICAL, PLUMBING,
. HEATING, VENTILATING AND
ifs' REFRIGERATION WORK
THIS NUMBER MUST ACCCMPANY
t ALL INSPECTION REQUESTS
Y,, ..... ...
rVafdt --- oR BUILDINGS WHERE PERSONS ARE TO
• 4
�.
+ BE EMPLOYED, WE SUGGEST THAT THE ;
ti ST..TE OF CALIFORNIA DIVISION OF
i INDUSTRIAL SAFETY BE CONSULTED FOR I
' " , ADDITIONAL REQUIREMENTS.
_, .
.
.
\i'l
• La
0
App1G(R
Meed gu15
ilding
city ._,v-." us 8 ON. , A PROVA
Vt is-A must Wahl UT• PRIO
1WESE GHAN6 w-
. MARE NG OF A WO Q CONSUED
OP DEPT. ft DRANTiNG SHAH NOT 5E;V101AT10N
IRE tS ANOGSPOGF10AT aN pPPROVA4 DF. AN pERMtT PODE. t4 coca TH.
OF PIAtiS N Will%vE PRO,1 OR
Op LH1vg4A1E It10 10 La F�tCEPT 'WFUI.
TO DEA
�� Of 0 OTO OE HISTCDD�N GH41T ADTHE nOROS %
SLIMING Di ED UvoN ptNS PND
(.� pROV1S10NS WORK OR USE
FFIG1
FPR PS THE PERMiT Dp5 DU140{ND O
It'
M.
RRORR
0r` 1N SM°'np nI1ONS D p,O OF AN'i-DTHPR _.
"\ J p•e�,,.,,1S,G BUI T10N OF TNIS
+f `�C:4 `,.+.r C1 OFVTNE tT'S.
r0
M.
AP
Fleloort Thi�Eributori� J'�cc.
2800 SIERRA PINE AVENUE
(Corner East 26th St.)
LOS ANGELES, CA. 90023
(213) 264-2320
F .
TO WHOM IT MAY CONCERN:
THIS LETTER IS TO ADVISE ANY INTERE:,'TEDPARTY TUE
THE FIREPLACES INSTALLED AT: _. 0 71
ARE i:ODEL NO:/ 3o £ , NUFAOTU;t_:D BY THE ILAJESTIC -
COcIA: Y. THEY ARE APPROVED BY U.L. , ZRO Ala) I.C.B.O. ADD-
ITIO:!ALLY TEE UI.ITS ARE APPROVED FOR CLEARANCE
• PRO?! CO•i^USTI.BL '. MATERIAL TO THE SID':S , REAR :Cm BOTTU;c.
THE CHP.J`EY CO!.PONETS ARE APPROVED FOR (1" OR 2")
CLEARANCE TO CO• BUSTABLE MATERIALS .
Y' 9/12)
1
GREENE, Donald UAIt 9-29-76
JOB ADDRESS 2567 Westminster Avenue BUILDING PERMIT NO. 42784
�?GEAin]NERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK Anen
1, . 119-151-15 LOT TRACT FIRE ZONE VALUE $ 9 ton nn
P ECTIONS
IS � nature Dots TYPE V GROUP I ZONE R-1
SOIL Si975 /0. t(.7 PERMITS ISSUED
GAsSUBCOHTRACTOR I i
Data Number Signature
WATER /
Plumbing
ROUGH PLUMBING G !Z 23 TD(t�%�/�XOA, la-11-)L. 1e31 a•
PROP. SWR. LINE❑ HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
• ROUGH HEATING AND AIR CONDITIONING -LIS I1. x3.7$ •
TEMPORARY SERVICE OR POLE I
UNDERGROUND 0 POWER 0
'ROUGH WIRING f'u� f iZ'3.7G Heating and
l/Vent.
TRENCHES U FORMS u STEEL REINF. I I `/ C/p-a .1 Q)MC.L f RJA.4. 171-1( /3 35
FLOOR SYSTEM 11-,S0 -.)6• 6 /AEA , (,yio.)4 /2,3 g'/./
BOND BEAM n 'STEEL REINFORCE n
SHEATHING Q -� d
FRAME AND FLASH' set' ♦ / .,36
LATHING - IN T Z4G/t.��/(i //
P 'ER. BROWN COAT Q CA,. i'air n
S .TURAL. FINAL
Elat
HEATING, VENT., REFRIG. AND A.C.. FINAL 3�L 3 7 .78 Otntt(S.. , /sA-,q- , 4 I Coe 1.
PLUMBING. FINAL AND GAS TEST n // ` .//O
ELECTRIC, FINAL 'CL 3 -7-!J •
BUILDING, FINAL / (t i .• 7•"" 7 3
r
P.l. n
42784 ? JD_r�r.:,.all 551 = :: .::'s=.5o
r' COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A PL 'A ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
RE 1 $V DATE RECEIVED DA E ISSUED
BUILDING 2567 /, I Q Stat lnS1'Cr Aue . !l- �. Z 7G
ADDRESS O W
`/�� /s/ NO.
OWNER pawl LD rrQEENC— A.P. NO. [ /
MAIL s7
BUILDING lay jr.y2):RMIT
/Nn. / ^ADDRESS r' ADDRESSG/✓` 6 ! ,L ]�(rp!
CITY /1 n,. NO.TEa'YS-v7». TR/CF BLOCK
C'n 5% [. M e u
CONSTRUCTION NEW AD ALTER REPAIR MOVING OFMAI ISH
LENDER
BRANCH ,7�/� �s O (/�r
OWNER % /WILD [7(C4 U
ADDRESS 666 VALUE 03, Of
ARCHITECT TEL. S_ s%II ,- ' ' s 000���5/
OR ENGINEER NO.
FIRE
ADDRESS ZONET PE �j- GRO
C61 /, ti,�v/ aa:71
('CONT RACTO DATE
s.
ADDRESS ZON1/.��q�_ INO.OF USE OF NEW
TEL.
CITY NO.E `/ \ / (PLANS BUILDINGTh m tern
F+ STATE CITY YARDS APPROVED YARDS APPROVED
C LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLDGS.
(FROM C/L STREET)
0. OF LOT I NOW ON LOT FRONT lFiC FT.
Q USE OF
CO EXISTING BLDG. 9.SIDE SFT. FT.
E Separatepermits are required for y
P Q L.SIDES FT. FT.
I—
electric,plumbing and heating work. L,7! ( t(
C REAR Ys FT. be. FT.
Lal USE OF BUILDING AND WORK TO BE PERFORMED
F DISTANCE BET. BET.MAIN&
AMAIN BLOCS. ACCESS.BLOCS.
��i 5 to. � VAR..' DATE
'IC
V
� Z� C.U.P.qW `-,DgPPROVED
�'" L v/st .sL�(141/4 ROV lIAlEPTSg
i a `DATE y �G
CC D Ff� S/PEC Ak RE UIREf4i
I hereby acknowledge that I have read this application and state / rn Lf� 'r.
n
rg that the above information is correct and agree to comply with 6Q°S / Zo-m e�ro/a
m
all laws regulating building construction, and I shall not employ �
Z any person In violation of the workman's compensation laws of u
= the State of California. ('j r
I hereby certify that I am properly licensed as a contractor under 50. FT. H
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt fro he provisions of the Ste bf Ca rnia Business o
VALUATION PERMIT FEE S 09
and Professio Co Division 3,Chapter . / m
PLAN CHECK E / QS-_-0
Signature' /w I //�,er�� LL
Permittee. ` J �� et.- S -( ri TAX E f
V U
Authorized Agent TOTAL PAID E //s�
r ,s (O
OWNER GREENE, DONALD M. • DATE 7-10-78
JOB ADDRESS 2567 Westminster Avenue BUILDING PERMIT NO. 46Z354
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK patio Cover
A 119-151-15 LOT TRACT FIRE ZONE VALUES 1.140,00
Ih__ ECTIONS Signature Data TYPE TV GROUP 1 ZONE R-1
SOIL PEJiMITS ISSUD
GAS SUBCONTRACTOR
Date I Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Ei HOUSE CON. I.
NSPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0 '
ROUGH WIRING ' Heating and Vent.
TRENCHES 0 FORMS U STEEL REINF. 0 •
FLOOR SYSTEM
BOND BEAM ❑ STEEL REINFORCE 1^1
SHEATHING
FRAME AND FLASHING
LATHING — IN 7 OUT 7
PLII.TER, BROWN COAT
S TUBAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C„-�FINAL
f
PLUMBING, FINAL AND GAS TEST L I
ELECTRIC, FINAL � �/� /�
BUILDING.
INAmr..ru.c L c /e ,7P-
U •
i 40354
8782 •7/10/78 21':50 'V.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicanticjto/Fill in Completelyj — Use( Ink Only RECEI�� `DATE RECEIVED DATE ISSUED
ADBUILDING DRESS f�•S•p,• r I_ A-UF v�GOp �� _ P-i/Jf{'`(�/
(1f CS 111t\1 e' / l ERMIT NO.
(� Cr •esn__ A.P.NO.
OWNER �pN4 rns -/b! ^`/��y `'
ADDRESS 1/11s.. •Q ADO RMAIL IESSNG Z TRACY'? 'K.
�/��j/i,���...V�;CSC
"'
CITY sv �G as NO. p TEL. yrZ te
TRAC'/32IZ LOT BLOCK
0��4
CONSTRUCTION NEW A ALTER REPAIR MOVING DFMOLISH
LENDERI I
) '��./I / f� //�� ) 1/,I`/
BRANCH OWNER �'/V/ J f�/.J C.k - l�.1`�
ADDRESS VALUE jr-
'
ARCHITECT TEL. USE $
OR ENGINEER NO
FIRE k
ADDRESS ZONE TYPE GROUP
APPROVED gie
CONTRACTOR o w A e f BY DATE
ADDRESS TE . gyp-
CITY NOL Z/�,i PLANSNO.OF 7 BUILDINUSE OF G �1�� 1(/Y
F STATE CITY YARDS APPROVED YARDS APPROVED
gLIC. NO. LIC.NO. MAIN BUILDING ACCE ORY BUILDING
SIZE
C�i /�STR E •1
6. OF LOT \] /A/3-5.--
NOW ON LO (FROM ClC/FRONT l.I.v • / FT. _
Q USE OF `�
EXISTING BLDG. o/�g �R.SIDE �.l F• T. FT.
VI
2 Separate permits are required for L.SIDE / ci�J7T� F• T. FT.
electric,plumbing and heating work. REAR. . (1 FT. FT.
Imi
USE O BUI LOW G ANp�yT�R TO PERFORMED
�j1�� / .5,e DISTANCEAINLBET. BET.MAIN&
Q �s/ C_.!/(/ MAIN BLOCS. ACCESS.BLOCS.
VAR.+
C.U.P.+ DATE
APPROVED VED
Q> APPROVE
3-1 im_fiY 5/11t66
� DATE //0/7
7
C
W
0 I hereby acknowledge that I have read this application and state 'n
n
QG that the above information is correct and agree to comply with m
a• all laws regulating building construction, end I shall not employ
Z any personin violation of the workman's compensation laws of m
the Sttateeof
of California.
Qs
I hereby certify that I am properly licensed as a contractor under O SQ. FT. ami
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION I FOR m
Chapter 9,and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FE NLY: -
in
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE S
and ProfessiL3517
,Divion er 9. .QO n
PLAN CHECK $ �. DJ o
Signature of
Permittee � / SH�0TAX U.
Authorized Agent TOTAL PAID E,2/, SD