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Home My WebLink About1723 LABRADOR DR - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1994 11 /09/84 I,'-,p OQ IL l'im • 'G OF COSTA MESA_ CONS LLT I1RUCT ION P R IT - PERMIT NO.1 R q TRACT NO. LOT NO. UNIT NO. CT roject Address .�/72✓ L/-9 ,q-L2acc/i p / `-'C.i l pplicants Mallin Address � /� /7�C-J/� / G,2(� TYPE OF CONSTRUCTION UNEWLIOADD U ALTERATION U REPAIR pr . ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p•q� Zone wner's Namelc-II/M.4 TI.�r.i Phone y��7j /s! e DESCRIPTION OF WORK/USE OF BLDG. / 1 Address / 7R.3 4/11.PAQ47e -Perp /770-5/9 S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT U GRADING ❑ FOUNDATION U STRUCTURAL E Front ZO Address EI TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL Aear N ❑ OTHER Contractor's Name p Phone ` C Right N Address(mailing) �'� ' PROJECT DESCRIPTION% FT.� OCCVPAry OCCUPANCY g CON STRUCTION TYPE ALUATION$ '1a0 S Left R City License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: 0 with section 7000) of Division 3 of th Business and Professions Code,and • M my license Is in full force and often /\ • T License Class /l/) !' /License No. S Date Signature 1 PLUMBING FEES WORKERS'COMPENSATION DEC RATION Bar Sink Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Ca - 050+KW 8 Certified copy Is hereby furnished. p Construction Pole Sub. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or , less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel 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 ubject to the Drinking Fountains Solar Tank Fan Workers Campe gatJ'p n Laws of California. �j-i Motors 00-1 HP 01%-8 X ,Date //-'i y Signature ///��r i'/- /.1st,..".� Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑g-15 HP 016-15+ NOTICE:If,after Making this declaration, you should become subject to the 'Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there Is a construction lending agency for the performance Pole Light of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name Range Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit Pa to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation Of Section • 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their solo Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered - - - - Reinspection Fee I $15 Issue Fee $ 3 ' for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES - - -License Law does not apply to an owner of a property who builds or improves _ • _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ •_ - thereon, and who does such work himself/herself or through his or her own - _ - - - - - - - - DEVELOPMENT SERVICES REQUIREMENTS: • employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If,, however, the building or improvement Is sold within one year of com• Canopy Type II ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - Building Approved By Date rove for the purpose of sale). C� � I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - �" � Date tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU I �Q SU ARY OF FEES builds or Improves thereon,and who contracts for such projects with actin- - tractor(s) license pursuaht-to the Contractor's License Law). I am aware thatExhaust System 0 Multiple❑ System Repair/Alteration BUILDING PE MIT $ snips, $ proof of their Worker's Compensation insurance should be provided to ma. PLAN CHECK $ PERMIT ' 'A' 0 i em exempt undert[ Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ 1 Date //-`7cCF Owner ,tflhi2s<'i IAA,pG/ Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby--certify that I have read this application and state that the above 0o-100,000 BTU 0100,000 BT GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city to enter upon the above-mentioned property for Inspection �ur ,os�es. n Signature try e_z- A&Ii_A, -/ Date ii-g-5T MECHANICAL $ TOTAL FEE $ Drivers' license or SS //,,' Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ i •So CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting;Goldenrod - Assessor „CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement • I 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 I 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. • 10. Structural Floor System I 61. APPROVAL TO DECK 11. Property:Sewer Line& House Connection 0 62. Backwash & Receptor-Final 12. Sewer.Cap 63. Heater & Vent-Final • 13. Roof brains 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 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 PREV. 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 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 /Y,/ 47. FINAL STRUCTURE & BUILDING la/ vq� 48. Special Requirements Completed �' ,J 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - { No. Date / CITY OF COSTA MESA _IL Building DEPARTMENT / 77-1) (41(lial t l,./Address OF n II BUILDING SAFETY ( )„_-- //. U �U/ Owner ET /j. �1/ [c.C / /c0,(ni..1.4./ctr1..i r Contractor Reg �terd Deputy Buildi�ig Inspector certificate of Compliance Address // Permit Date Date of this Certificate -33i7! Number 77-y Issued //-/Q -7 ! To the Director of Building Safety: I hereby certify that the following portions of work on the buildings at the above address which required continuous inspection and which I was employed to inspect, were inspected by me and comply with the provisions of the Building Code applicable thereto. 1.) Concrete 3.) Welding 5.) Special Cases 2.) Masonry r \ Reinforced Gypsum Swimming Pool Size / '-4•Ux gerne Hand Pack / ((rte Sacks Cement -7 C Tons of Sand / .> Approximate % of water in aggregate 1._„ --- This ./This report covers work completed during week ending / f--1 C'--_ 7 / RE S: �� temscL Registered Deputy B ilding Inspector Name :IL, ' 4i. t i' / A / . S/ U-tt Laboratory/-.Cii&C'LLA.4..t Cy Telephone I- i_ Y ` q Lf g Form BU-6 BUILDING SAFETY DEI T. NOV 2 2 1971 OWNER DESA VERDE ESTATES DATE 12-9-58 JOB ADDRESS 1723 Labrador Dr. BUILDING PERMIT NO. #8151 GENERAL CONTRACTOR L. G. Robinson VALUE $ 1521195.GG AP. No. LOT 16 TRACT3115 FIRE ZONE DESCRIPTION OF WORK Res. w/att. gar. GROUP I & J TYPE V ZONE Al PLAN NO. INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches L......-Forms t- Steel A1"-s '2-22.-S Floor System Steel Reinforce Chimney Re-Rod Bond Beam - el ---‘77 Frame and Flashing f,`./1-!C , _Q-f Lathing, In Out At 3 - 9" < ,y' Plaster, brown coat F.--5--E 4.1[ -sY Underground soil/le/4S W/G Pipe Tessy//S/s-/r1-sir Top Out /1-/�j$ /�/�}(� , u\ /Y( Furnace /J -'/0-5'9a .yi 40-r 7--,)-(1-47 711 7)—`. Ye Gas Vents J /�� U Rough Plumbing 44.5 /"2-t-J Jd401(4 , 9N, 12`/s-S7 / l,2_‘.li 6 iv Cesspool Septic Tank /� \ �' Prop. Swr. Line //House Con,A44,51. Swr. 2-(1-S y ljy/j,�F ( s-9-3-59 A5-646', \,vi Sprinkling System , a Heating Final 44.1-S 41.-7 a-b, ‘ Plumbing Fixtures, Final -S' 11_20 -,5V t Final Gas Test/5--- /J4fs 1.,1_yp-c Construction Pole Underground Power Rough Wiring fi 2 e. Wni- .Cvl. e-et-e.- I- D-6-sc yS?Q -6 _,,y2‘-2 Fixtures, Final / +1 OCCUPANCY //_i/-4 Form 210-5M-1-51 ra • K-, ' ' 8151 E RECEIVED COSTA MESA BUILDING DEPARTMENT P.O. BOX 317 FINANCE90EPT.' COSTA MESA. CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADN Ells 1723 Labrador Dr. BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. P$R�11N0.,^ OWNER Mesa Verde Estates Llj. ..�-/1�i MAIL RECEIVED BY DATE RECEIVED DATE ISSUED -` ADDRESS 1701 Gisler St. Y12 Y'1 . /.-2.---y-Sf /2 - y- s TEL yr BUILDING CITY Costa Mesa NOja 5-7751 ADDRESS ARCHITECT LIC. J OR ENGINEER J. R. Shelley NO. 0-f7Q COSTA MESA, CALIFORNIA ADDRESS Long Beach Ge 9-0908 ZINE ZONE ZONE1 NO.OF TYPE GROUP CONTRACTOR L. G.Robinson CITY LI1123 (1 J PLANS ADDRESS 1701 Giaer St, TEL 5-1751 By PROVE DATE LEGAL LOTCORRECTIONS DESCRIPTION NO 3115 BLOCK TRACT 115 A.P. NO. • SIZE NO.OF SLOGS. OF LOT 70 X 1000 0 NOW ON LOT none USE OF Cr EXISTING BLDG. SETBACK LINE FROM CENTER OF STREET 501plus plus REAR YARD 2Gp,plus - SIDE YARD RIGHT 51plus LEFT 51plus DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDINGS O �� NO.OF SIZE 1560 Sq.Ft. ROOMS 6 STORIES].ROOF i'- EXTOVERIORERING SLS WA WCCC covERINcAsphalt & Rodk C USE OF NEW • BUILDING Residence & Attached Garage • I HEREBY ACKNOWLEDGE THAT I HA 5 READ THIS ApPLIC TION AND / STATE THAT THE ABOVE IS CORRECcAND AGREE TO COMP WITH ALL CITY ORDINANCES AND ST TE L S REGULATING BUILD! CONSTRUC • - TION. / I. VALUATION 7�^'- V O ,/ PERMIT FEE $ V 5" SIGNATURE OF a/ ..-��, � .21 y eU^ y-. y/ J PERMITTEE `/ ! ' 5-' $ /S 995-: Ql PLAN CHECK $ /�• •J- AUTHORIZED AGENT TOTAL FEE $ .'tea - 's �'fr OWNER HUNT ER J. B. DATE 11-3-71 JOB ADDRESS 1723 Labrador Drive BUILDING PERMIT NO. 33783 GENERAL CONTRACTOR. Owner-Bldr. DESCRIPTION of WORK Legalize Patio Cover APNo139-165-16 LOT TRACT FIRE ZONE VALUE $ 500.00 INSPECTIONS Signature Date GROUP J TYPE V ZONE R-1 F, solL SUBCONTRACTOR PERMITS ISSUED \�'}GAS Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE D HOUSE CON. D SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND El POWER ROUGH WIRING Heating and Vent. TRENCHES fl FORMS ❑ STEEL REINF. FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT L^ I PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL • >A� _ fJ..../ - 33783 Pnfl.`..00 137 'ut- ff.' rr, J. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI DO DATE RECEIVED DATE ISSUED BUILDING ADDRESS /723 LA/3444roo/2 OR/1/4" 17 3-7/ /as —7J / J A.P. NO. /39— IG..f—/G PERMI /1°7Q OWNER / , a, Nag 72.R ee e ''}}''}}A MAIL �/ z q jun BUILDING /7 z3 4/¢QM1��^ �j� ADDRESS // �J mi..---s4 L�LU US /4-��rO/� //y` p ADDRESS - TE CL L.) CITY Gos7// /{9t s,4 NOL5'O- ,2/7 TRACT //S I LOT /4. BLOCK ZQNEW IADD ALTER REPAIR I MOVING DFMOI ISH - CONSTRUCTIONEDE Oc' LENDER am J D BRANCH T B fie/A,7-/,/J _I 0 OWNER • 7(//�j •C •` m -1 ADDRESS j�t L// ✓ _ VALUEh'Nt J m ARCHITECT TEL. USE OO/ $..., I/(/ \ Q OR ENGINEER NO. - N Z < FIRE �_ WCC ADDRESS ZONE TYPE..--#----GROUP a.Ly • (_J APPROVED J O CONTRACTOR V A a S BY DATE En J K ADDRESS W W TEL. ZO�N/� NO.OF USE OF NEW goi 7/0 0 r CITY NO. '/� —( PLANS 2 BUILDING W 0 STATE CITY YARDS APPROVED YARDS APPROVED NCC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING C 0 (FROM C/L STREET) SIZE I NO.OF BLDGS. T�� FT. OF LOT - NOW ON LOT / FRONT FT. 1 USE OF Z°/ 74- EXISTING � EXISTING BLDG. /Tel/A CA/Gt R SIDF FFTT.. FT. _ Z NIEW BLDG. ROOMS STORIES L.SIDEfc. Y' 1 5 / / F7 T. 14- U< EXTERIOR WALL I ROOF J` _ COVERING COVERING REAR / FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0.. MAIN BLDGS. ACCESS.BLDGS. a '� // I _ 0 ,!B 4etC1-G/2L Af-r/o voviz.I— �. • C.U.P.# APPROVED co 'APPROVEDS4 DATE 7'— L—7 UI hereby acknowledge that I have read this application and state N /I'f .fT D that the above information is correct and agree to comply with /,y[ l/ !/•7 CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of CA the State of California. B ZI hereby certify that I am properly licensed as a contractor under SO. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ✓D am exempt from the provisions of the State of California Business and Professions Code. Division 3, hapter 9. VALUATION m PERMIT FEE $ N Signature of - to Permittee Y.73.7"--....".1.421 / $L"�i -� PLAN CHECKS �- E Authorized Agent J // VI ^�^ LL TOTAL FEE $ 5/ OWNER HUNTER, James B. DATE 11-4-71 JOB ADDRESS 1723 Labrador Drive BUILDING PERMIT NO. 38819 kGENERAL CONTRACTOR Automation Pools DESCRIPTION of WORK Pvt. Swim Pool AP No. 139-165-16 LOT TRACT FIRE ZONE VALUE $ 2,700.00 INSPECTIONS Signature Dote GROUP J TYPE III ZONE R-1 SOIL PERMITS ISSUED GAS SUBCONTRACTOR WATER Date I Number I Signature ROUGH PLUMBING Plumbing PROP. SWR. LINE Q HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING �A''IIN,D AIR CONDITIONING • TEMPORARY SERyt % �f/J.S r/"/j' 2/ UNDERGROUND rr��JJSS.• POWER �/� 11-Z.7( ROUGH WIRING /fre /2-2-7 ( Heating and Vent. TRENCHES C FORMS El STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM O./STEEL REINFORCE p� 4(✓ if SHEATHING FRAME AND FLASHING t� _ c r Q4 A4 5/2.-4---7// LATHING - IN n UT� _ PLASTER, BROWN COAT STRUCTURAL. FINAL /t/T•- E(�!: (,g Ar. HEATING, VENT., REF RSI GY.. ANO A.C., FOOL__ J //.�%/ll // (A /(-,�'(+T �- /j,�r, PLUMBING, F INAL ANOS...)' . ) /t.7-7J ELECTRIC, FINAL f /2-z-7( .74`‘;. ad d ao.Fo 07,-1P,- 505; 33819 ;OV -4-71E s:00 227't ****3; .50 COSTA MESA BUILDING-SAFETY DEPARTMENT P,O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely gECEI O V DATE RECEIVED BUILDING .r ,f am[ DJ 9/-/L 7/ DATE ISSUED ADDRESS /7tS X4A/�Rna2 Ott. /- 1 / 716 1 //•_� /(,, OWNER .fnMF,S A . NU/s�TF.YL A.P.NO. M'-/65-- PF, 1-zN . / MAIL �x BUILDING /Ton Ave_ ADDRESS /�f-3 ADDRESS l&4 Zw til L..�.l4p-Q/7C7i2 Pte. -p 'i.r' 2O CITY -si 4 {&jg<,4... NO. f4O-7Z�; TRAC r�//�! LOT /� BLOCK ZZ - ` VjI" Q CONSTRUCTION NEW ADD ALTER REPAIR MO NG DFMOLISH DN LENDER C4Cry re- J D BRANCH r OWNER (City/tS 6). �t/Air m J ADDRESS - .y/J / VALUE -CO ARCHITECT r TEL. USE SA1 G✓Irt 10J! $ -1 Q OR ENGINEER !- • /b//1.ez.S No. e-5-2-6/4J V Q FIRE W M ADDRESS (n10 S. £ah-e V?S°/`-'- ZONE TYPE GROUP 0_41 //1/ APPROVED JO CONTRACTOR AJ?Giyyl q7/�• e�' 0I S BY DATE CO'Zi fr A/' /^/ w ADDRESS rig/ �,/gSNJ,t/6T� 'y w Z�E / NO.OF USE OF NEW H TEL. Z I- CITY Czynni CX.GI_ NO. 72d---bin / PLANS`J/ BUILDING O STATE CITY YARDS APPROVED YARDS APPRO ED v)Ir LIC. NO. .2 3 7 $ C LIC.NO. MAIN BUILDING ACCESSORY BUILDIN O (FROM C/L STREET) SIZE NO.OF SLOGS. OF LOT 6 g C co NOW ON LOT FRONT FT. C FT. USE OF EXISTING BLDG. R.SIDF FL / /1 d-FT. I- SIZE OF ,a._ NO.OF • Z NEW BLDG. Z D45 SG+.I`/,ROOMS STORIES L.SIDE FT. J'7 FT. 4 UEXTERIOR WALL ROOF COVERING COVERING REAR FT. FT. J. USE F BUILDING AND//F�'ORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 St.0 1/1".0 (-(d_p-,I_ /1.41,4 O n/e MAIN BLDGS. ACCESS. BLDGS. Q VAR.# DATE 0 C.U.P.# APPROVED I- APPROVED l' O —ay ��TF I I L/7 VI hereby acknowledge that I have read this application and state ✓ D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ 1_ any person in violation of the workman's compensation laws of V) the State of California. com ZI hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 'o CC am exempt from the provisions of the State of California Business and Professions Code. Division 3,Chapter 9. VALUATION ` PERMIT FEE $ �f3 ( Q m Signature of / $ �(/ co �fJ PIAN CHECK $ (/� CO) E Permittee `p L Authorlxed Agent s TOTAL FEE $ 2 �V S O u.