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2354 LITTLETON CIR - Building Permits
ADDRESS OF BUILDING: 2354LITTLETON CI UHT: CITY OF COSTA. MESA — BUILDING PERMIT B / 3-Do I OS IwMERSNAMEDmOwf1:MAFI, MICHAEL A PERM NO: B 086632 ADOREss: 2354 LITTLETON CIR COSTA MESA,CA 92626 PERMIT NO: B 086632 PLAN CHECK NO: 00227-98 S GOVT: N SUPP: N 641-7589 ft, APR-MMUNGADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH .. ARCHITECT OR ENGINEER: Lit NO.: JOB DESCRIPTION : 3LF CITY STANDARD BLOCK WALL SQ FT: 3 ARCH.OR ENG.'S ADDRESS: UNT: �. CLAIM VALUE: 60 . 00 CALL—VALUE: 60 . 00 GROUP OCC: R-3 / coNWACTowsNnc:WAITE, CHUCK CUSTOM MASON ( 714 ) 722-1134 CONTRACTORS MARINO 286 WALNUT ST COMMENTS : BLOCK WALL ADDRESs:COSTA MESA CA ue.No_ 667291 *******-xat*ae*->E-x*RrNx**-x***et>E-It***stat******-x-*Rr**-xat-njt->Ear*ae>E*atNx-*RE***-x-x-*aF*Rtatat****Rrat***->F 92627 WIT: Z ONING REQUIR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under pen: of pe'my I.aardc� under provisions of Chapter 9 SETBACK S (commencing wt Section 7.•.)d Division 3 d the Business and Prot-- ._'• •e, my II force end effect. CITY LJC.NO.:If 588 .0 c.cLAss: C 29 u .No.: ", 291;/r"P : 10 /98 MAIN BUILDING ACCESSORY BUILDING i / / / y ' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN v Da: comtr m«: _ // / -LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUI DER DEC RATION:I hereby elfin under penalty of p«ryty that I am exempt from the Contractors License Law for the following reason(Section 7031.5 Business and Professions Code:Any coy«county which requires a pens to c«etad,alter.tmprme. PARKING REQ: PRO V: PARCEL•: 41913215 Z NE• R1 REF NO: demolish,or rapany structure.prior to is,issuance.also requires the applicant for such permit to file a signed statement that he or she ' is licensed pursuanttotheprwetheprovisions Contractors CicenseLaw(Chapter9(commencing xna hSeke7000)ofDx'man3elthe PLANNING NOTES> CONSTRUCT A 3 FT RETURNWALL FROM LEFT PROPERTY LINE. , es NOT T Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > 0 EXCEED 6 FT HIGH. 7031.5 by any applicant for a permit subjects the applicant toe civil penally of not more then fee hundred dollen[$500)). ***IE******1E**********************************1E*****1E********dE*****lE*4.7K*******iE* ❑ I.asownorof the propeMormyempblaeswith wagesastha5Ole compensation,will do the work.and the abudureis not intended DEVELOPMENT SERVICES REQUIREMENT: S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not appy to an Owner of property who bolds or improves thereon,and who does such work himself Or herself or throgh hi or her own employees,provided that such ,, improvements are not intended or offered for sale.H,however,the buildingor improvement is sold within one year of corm:etion,the ZONING APPROVED BY c-V—A—(5 DATE: a Irl ii owner-builder will have the burden of proving he Or she did not build or improve for the purpose of sale). o I,as owner of the property am exdueivelj contractu,g vrilh licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED BY DATE: • Professions Code:The Contractors License Law does,not apply to an owner of progeny vine builds Or improves thereon and who contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). ❑ lam exempt under Section: B.aPP.c.f«misreason: APPLICATION ISSUED BY : DATE : ) Ii`Ii Id ******************.******************************** ************************** DatOMer LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby certify that I em aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and 25534,and that I or any future buidin g occupant will/wnot(three one)need to comply with said date codes and the requirements for apermi for construction«modification from the Ar u�ebyMananagemeat District.Residential cMnikeeppfmtiore are exempt from these PERMIT BLDG G1 PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RESS GRADING provisions, Date: Applicant— PLAN 13 . 65 SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: ISSUE FEE o Hum and wil maintain a certificate of consent to self.insure for workers'oompensation.69 provided for by Sedan 37C0 of the Labor BUILD ING—DIv_> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code.for the performance dwork permit araaed. TOTALS----> 21 . 50 0 . 00 13 . 65 35. 15 35 . 15 . 00 .I l I have and wit maintain workers'compensation irauranoe,es required by Section 3700 d the Later Code,for the performance of the 1l work for which this permit is issued.My workers'compensation insurance center and policy number are: Carder: STATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 35 . 15 OVER/SHORT: . 00 Policy Number: 1345172-9 / 04 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK :This coolorleas. 21 . 00 . 50 13 . 65 ❑ I cent'that' the pert. ..of the ( for which this•. i e �y�-,,+V that a person in y manner so as to become°u•ed to th workers' ...•pensad ion laws .atone 1... •• • subject to the workers' ******************************************************************************* campensat'. .'' Bed• 3700 of the labor ....I$hall fo/� ASA . y,• ,y � � INDIVIDUAL F E E BREAKDOWN • ......%) Date: I AppI' Warning:Fa unto utr workers'compensation coverage Is unlawful,end shall subject an employer to miming penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST clvll Mss •to one tndred thousand dollars(5104000),In additon to the cost of companssrio k damages as provided for In S7O Section 3M6 of the Labor Code,Interest end attorney's tees. SFR 3 RES—CONCRETE BLOCK WALL / FT. 20 . 00 60 . 00 • • CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3091,CN.C). LENDER'S NAME: LENDER'S ADDRESS: • I certify that I have read this application and dale that the above information is correct.I agree to comply with all city and county ordinances ' relating to building construction and hereby authorize ripresentati es of this doyto enter upon the above-mentioned propeM int pan e'CHU• RITE FI NM__f ,, C 81-28-1998/88:85 8M/$35.15 1 RCPT0:81-8818366 y \ A .Q it , fir* Date: I • 'ljI�Jl 1R PERMIT 208663 2; SgJr naure of• •r/Agen Applicent/Con /` (5151-45.WP) White-Building A Safety;Green-Flo;Canary-ApPlcant:Pink-Revenue;Goldenrod-Assessor ( 1 • CONSTRUCTION AND PLANNING POOL or 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 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement1 21--t i aw61._ 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings cal- 58. Electrical Conduit-Undrgrnd. 8. Foundation Y 59. Gas Pipe,0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, O 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 OGas ❑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 Hydrp 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 47. FINAL STRUCTURE & BUILDING z 3- t7 k_ LJ1 u�,_r a- 48. 48. FINAL PLANNING i 49. Electric Release to Edison . :"'; 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY ' No. Date • Kit' I ._ ADDITIONS, DELETIONS, CR CORRECTIONS SHALL l BE APPROVED uy E EL:,C;:•::G DIV,SION ' DIVISIOTN OFY O B OIL AINGSAAFETY CAPPCRO, VED CH's , By Date 1I1qIgF 1'L,; This set of plans and specifications MUST be kept on this job at all times and it is unlawful to cur;'i C. r MESA ESA ;rake any changes or alteration on same without alien permission from the Division of Buildng PLS';I.. . DIV. and Safety,City of Costa Mesa. F) Co (p L The stampkhgofthis plan and spedficar SHALL NOT be heki to permit or to be en approval SUBJECT TO BLDG. DEPT. REG. of the violation of any provisions or an,.C>ty of Costa Mesa.Ordinance and/or State law. DATE s These piens and peshall expire by Ivamtation and become null and void it the build or BY�[ work is Inn cn.viwnced and m aimed act*2.2/UBC 5: 3 Mt within 189 days of issuance. 33t Adwity\ //� J , /_ �i— '&0 ..Y4QC- �p- (1', r jU 46 • �I RESIDENCE RESIDENCE R[t10[NCE R[aro[Nc[ tu 23a lit Z3S a I- N N STREET 6 TYPICAL 611 CONCRETE BLOCK FENCE Cement Coping Optional :71 -- —' - GENERAL- NOTES Channel Block With 1.3/80 Li ' Horizontal Top of all lee I I I�{✓J1 MORTAR; One Part Plastic Cement, and Fences Three Parts Sand For Fences 5'or Less Q - GROUT: One Part Cement Three ana 0 I One Half Parts Sand Vert. Bars 3/8"0 at 4' -o"O.C. d 0 ___ ___ COPING: One Part Cement, Three 1 • I For Fences Higher Than 5' tq w u Parts Sand yen. Bars 3/8"0 at 32" O.C. w ' ----L.- cc CONCRETE: Well Mixed 1:2-1/2: 3-1/2 ,�1 > z " ,� I Max. of 7- 1/2 Lallans of Fill Cells Solid With Grout s > Water Per Sack of Cement Where Steel Occurs }e > - - - Reinforcing Steel Shalll I IO I �- Sid. GROUT MAYBE POURED FROM THE TOP Conform to Sec.A-15-39 IIIYYYY 7777 w O OF THE FENCE IN CELLS WHERE STEEL OCCURS. • A.S.T.M. u ~ CELLS AND AREAS OF HORIZON1AL REIN. III w n '—I' �, � FORCEMENT SHALL BE CLEAR,CLEAN& All or to d Lapped 'esl I� I S1 ElI FREE OF ALL MORTAR DEBRIS,ETC. 24"or to Code 1NN NATURAL GRADE v SII v o - - --- — - - ' � �.�f ^v//7 y TWO 3/8"¢BARS . _ . CONTINUOUS TOP �` I r , &BOTTOM • F-0—WIDTH • TO 16' 0.C. MAX. SEE CHART .. ° I HOQIZ.ST EEL MUST BE TIED IN BELOW ' DE PTH OF C ARTHTCOTH PLACE AT TIME OF TRENCH t 1/3 THE HEIGTH OF FENCE INSPECTION. . L.J j -StLOW BOTTOM OF FOOTING ,.Me lo" 2..�� SCALE: 1/2n = I' FOOTING REQUIREMENTS CHART WALL-HEIGHT "6 ' 5 . 4' 3' WIDTH _ W14" --- 14" . . , . . 12" . . . . . , . 12" THICKNESS , . . . . . . . .10" 10" . . . . . . . . 8 " 8 " ' DEPTH OF EARTHTOOTH . . . 24 . . . 20" . . 16" . . . . 12" SPACING OF EARTHTOOTH. . 12- 14' . . . . . 16'. . 16' r • City of Costa Mesa, California Building Department agv?t Nov.82. JAN-I3-SB 1e:00 FROM.KINKO9 COSTA MESA ID:7145405014 BARU til®I i inncrusnis THIS AGREEMENT, made and entered Into this-. 13 '4m` vt • "`1°"'' `t\ct by and between . �-rl.-'a-�r N...lti 1 T.."s.,� hereinafter referred to as "LANDOWNER,' and_—^K% '4C.!'� r' t hereinafter referred to as "ADJACENT PROPERTY OWNER." It is hereby agreed that a party wall will be constructed on the property line between .— J1.2354 LITTt.c-tb .1 CIZGuC (Mdreaa of Adjoining Propeniea) — c in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book . -••••...„., Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach. IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year fit(Love wri en. • LANbOIiNER ADJACENT PROPERTY OWNER _,. Ig . . isipnat(Signature) _.. G 1a tZZ /nature Name(meTyped-Er PriPrinted) .�....— Name(Typed or Printed) Lna$ j vi—LE/o•J 6,..2.— . AfltlfP991 tgli-_._...., 1 GQ 2 / �5�Cis- Subscribed and Sworn Befo 267y Me. 9t NOTARIZATION REQUIRED This Day of -+8 Subscribe- NOTi1RYPUBUC i .F.� TIh8� and SbVU( Before me 21 .. ..11%„..____H" ._ day INI. n•`&.--. 1E� i .t. '`a. STATE OF NEVADA r 1 ...6. 244:(-e- / • IL v �'— s .1/41.71."." mh GyJOMNSON. rr t-- aersio tint Fi its iim,t 3 t< 2 . . 1.tpitwaimr file; t ‘ Ft' . . • - - ," .-. ,. :, T.,•:.,,- . , ....i A „sc.:L...., ri --'•-,-..,.- - 1 1,20,1.e ir,p4..•.0.... i . I . - 1./..1..„..;:, .,••. (...,..:)..tut..,,W '1,-"•`-e.' ....$:..0 I 0 li --b -4,•;-'2:!,•I,f '-''S1',. C*0E00'1 , 21..t.;.. .1 -,--Virr.1.43.;‘...3illiri.0 , 1 • Yeti f . ft9 . . , .,. . A ni AL I 9 ii ,• . •-4 ,) alil .1.: If .• 'lb sl et c k ..L.1 . . . • . - • • SU 16 (-3 • CITY OF COSTA MESA 3,351-1 L f�TIP+UN C/4 Building DEPARTMENT Address ' OF BUILDING SAFETY [)lie IY)ac; Owner MAIC SiI/tii P•n.flex -1,44c41 rd1er)izr.) kvcd- C s+ pep/ c, Contractor Registered Deputy Building Inspector Certificate of Compliance 1544 I QeONi!J 11/4-hiv Address /0/a") /So Permit Date Date o this Certificate KCfZ b3 Number 10i7b/h6 Issued 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 S) Special Cases 2) Masonry / 4) Reinforced Gypsum Swimming Pool Size 5c(S �' Gunitell Hand Pack Sacks Cement 444– I Tons of Sand ab Approximate % of water in aggregate 'Kok This report covers work completed during week ending Io/ai/go — /O/ri/eo REMARKS: S*et_ 1 orn� EHoiF)) CIL- Qeu 3 CV-6-0M fte -15 REGISTERED DEPUTY BUILDING INSPECTOR Name OX C57/I1,2 Address P-ca. f-j ?tp'cq R)1101-b0 Laboratory Iw,ivm,S Telephone Form BU 6 S1)V 04 1980 - - 2?W2�Edli� L C., Twininq Laboratories of G30UULLt,2 California, D . • W2 Edi 41 •�yE. 02 3310 Airport Way / ((Adding Address P 0 Bo. 47 / Long Beach. CA 90801 / 12131 426-3355 / (213)636-2386 /(714) 8286432 TESTING BRANCH OFFICE 1514.0 North Harper Street/Santa Ana,CA 92703 I(7141 531-2045 I November 7, 1980 Examination: SC80-6217 COMPRESSION TESTS ON GUNITE CYLINDERS Max Sitter P.O. Box 3454 Fullerton, California 92637 PROJECT SWIMMING POOL & SPA ADDRESS 2354 Littleton Circle, Costa Mesa SAMPLE FROM #1 Main Drain: 1/2 Shallow end : #3 Transition ARCHITECT CONTRACTOR West Coast Pools West Coast Pools ENGINEER SUBCONTRACTOR Bernard C. Adams S & A Gunite SPECIFIED MIX 4.2 — 1 STRENGTH 2,000 psi DATE CAST 10-27-80 SLUMP SIZE DATE TESTED 11-6-80 11-6-80 11-6-80 SPECIMEN NO. 1 ' 2 3 COMPRESSION 10-Day 10-Day 10-Day TOTAL LOAD, LBS. 80,000 78,000 85,000 POUNDS PER SO. IN. 2,830 2,645 3,005 Size: 6"x12" 6-1/8"x12" 6"x12" COMPLIANCE 10-Day tests comply with specifications. MADE BY DELIVERED It RECEIVED ON SPECIMENS Bob Max 10-28-80 DISTRIBUTION: Max Sitter - 3 rn .ta Mesa B.D./Chuck Conner JI""1 a 1980 ciapo c, Neale Zuidema ALL REPORTS •RL SueMII TED AS THE CONFIDENTIAL PROPERTY or CLIENTS Porno.. ZAT,o0 FOR YVeuunoN Or OUR REPORTS. CONCLUSIONS. OR u. TRACTS FROM OR •Ec•ROING THEN IS RESERVED PE HON O OUR WRITTEN APPROVAL •S A MUTUAL PROTECTION TO CLIENTS. THE PUeuC AND OURSELVES 330-12 APPLICATION FOR A BUILDING PF—IIT BUILDING PERMIT NO. Electrical CO Tract Block Lot Permit No. c G Building Plumbing Address &d T 25✓ Al 7-re_ ..c... r0� apt,c Permit No. m Cross FA/y_ Mechanical a. Area dospl_ me-.5A Street /-Ai/eV/ ^ / Permit No. tl 0. Owner me-.5A Y C/'✓ Type of Project: ❑ New 0 Alter 0 Addition AddressS /g_ 2 j 1.1 x/TTL L T°1U C/• Icc t E ❑ Repair ❑ Convert ❑Demo ❑ Occupancy Pmt. City Co S?A 7e ' 13 ZIP 9d G✓Phofne 040-7 fr9 A.P. Sup.Dist./ Insp.Area Architect/ V��-r�jt�� C. -� IRC 6. Designer 4 License No. /84 Zone Sol.Pmt.No. Address 1i Setbacks P/L Front C/L St. Street Width Yards Left Right Rear City Zlp Phone Eave Proj. Left Right F.P. r Engineer ./ License No. •pC G Parking Spaces Required Provide Covered Address AA aktrafP m City Zlp Phone Struct No.of No.of Height Stories Family to u Fee LICENSED CONTRACTOR'S DECLARATION Park Fees Fee Yes To I hereby affirm that I am licensed under provisions of Chapter 9 Required Ll No C.T. Receipt (commencing with Section 7000 of Division 3 of the Business and .0 Zoning Approved By: Date .. Professions Code,and my license is in full force and effect). k License Class License Number T Date Contractor Misc. E Addr ass Proposed Use a. of Structure it City and Zip Phone « CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the Occ. Type Code ts. CivperformanceC./. of the work for which this permit is issued (Sec. 3097, Class Const. Year ' Civ.C.1. y Lender's Name USE/OCCUPANCY SIZE SO.FT. C Lender's Address J OWNER-BUILDER DECLARATION y 1. I hereby affirm that I am exempt from the Contractor's License Law 0 for the following reason: C ® I, as owner of the property, or my employees with wages as their 2. sole compensation, will do the work, and the structure is not L intended or offered for sale, 3. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. m ❑ i am exempt under Sec. / B&PC for this reason4. Dateta-2240 -4'2444 1 EOwner{ E WORKERS'COMPENSATION DE ARATION Total Valuation 8 I hereby affirm that I have a certificate of consent to self-insure, Encroachment Permit Required ❑ Yes 0 No h, or a certificate of Workers' Compensation Insurance, or a certified L copy thereof. Grading Pmt. Grading 8 Policy No Company Required ❑Yes 0 No Pmt.No. O. ❑ Certified copy is hereby furnished. Rough y Grading Q ❑ Certified copy is filed with Orange County, EMA, Approvedby: Date m Date Applicant 3 • CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE Z (This section need not be completed if permit is for 5100 or less/. C I certify that in the performance of the work for which this permit is 3 cr Issued, I shall not employ any person in any manner so as to become PERMIT FEES m subject to the Workers' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Structural S Plan Check $ Exemption, you should become subject to the Workers'Compensation Special provisions of the Labor Code, you must forthwith comply with such Electrical $ Invest. 5 provisions or this permit shall be deemed revoked. I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE Plumbing E THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION,AND HEREBY AUTH- Mechanical $ ORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE MENTIONED PROPERTY FOR INSPECTION PUR- Pre-Grade POSE S v i /.2-' ' '_8o inspection Signature nof Applicant Agent Date Rec. Pre-Grade $ Permit 5 Van MfF Rec.No. Issue Print Applicant's/Agent's Name - All spaces within this box must be completed to process Plan ove CheckBAppr Y: Apprnced: CMF 0335-46(BU-28)rev.6/80 NPPLICATION FOR A BUILDING PE' IT Tract 9BUILDING PERMIT NO. ElectElectricalc 7 Block Lot / 3 Permit No. E. �j -. 6 Address s �/t Permit No. in Building / /�y �•• 235 ( L /o!n CII- J Cross - /� 1 Mechanics a Area(oni,G .Mej(ti Street Fah- t� I[fl�-UIrso Permit N . a A I Owner f(/p AA Q ‘ 1t Type of Project: M' New ❑ Alt r ❑ Addition tt 4 Address 213Sy 4,7 • -a-, 7� 1 e(I- - ❑ Repair ❑ C•nvert ❑Demo ❑ occupancy Pmt. City ( s4 vl/ YJat ZIp9L26tAPhOne 96 z ff66 A.P. Insp.Asea Sup. A to Architect/ 1 //'- JJ /J O/ N. . Zone SPI.Pmt No. Designer Laos/ (oOJf !"O��y License No. J!O •t /, Setbacks • L Front C/L St. Street width Address /Mfg i ofiiil C city 71A/eft ,� /' . Zip226F0 ?3$9,90 Yards eft Right Rear C r/ Photo Zone Proj. cit Right I-.P. «, Engineer R ,r. 4j f.v'IJ License No. 0/ 13 c Parking Spaces R .uired Provi'e Covered is Address j#276-3 gra O R liI I/t/ f No.of m City Gq frdPflt ova Zip Phone69/ O29'' HSteight Storuct No.ries amity X LICENSED CONTRACTOR'S DECLARATION 77v f Park Fees 1I..1I Yes Fee as I hereby affirm that I am licensed under provisions of Chapter 9 Required LJ No T. Receipt m L (commencing with Suction 7000of Division 3 of the Business and Zoning Approved By: Date �• Professions Code,and my licensee Is In full force and effect). License Class License Number > Date Contractor Misc. E Address Proposed Use of Structure jL City and Zip Phone N CONSTRUCTION LENDING AGENCY E I hereby affirm that there is a construction lending agency for the 9- performance of the work for which this permit is issued (Sec. 3097, C (Type I CodeYear • Civ.C.). Class Const m Lender's Name - USE/OCCU•A V SIZE SQ.FT. Lender's Address 'sOWNER-BUILDER DECLARATION Y I hereby affirm that I am exempt from the Contractor's License Law 1 0 for the following reason: 0 I. as owner of the property, or my employees with wages as their 2. C sole compensation, will do the work, and the structure is not at. intended or offered for sale. 3 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 I am exempt under Sec. , B&PC for this reason 4- 4 Data __Owner E WORKERS'COMPENSATION DECLARATION Total Valuation 3 I hereby affirm that I have a certificate of consent to salt-insure. Encroachment Permit R •ulred ❑ es ❑ No 4E. or a certificate of Workers' Compensation Insurance, or a certified C copy thereof. ,1 Grading Pmt. I G ading '4 Policy No Company / N4 Required ❑Yes ❑No P •t.No. G 0 Certified copy is hereby turn shed. Rough Grading I y 0. ❑ Certified copy Is filed with O ange County E A, •rtA Approved by: Date Data /0-/6-$O Applicant --..+ 44 isnti` 3 CERTIFIC E OF EXEMPTION FROM WORKERS MPENSATION IN ANCE Z (This section need not bo ompleted if permit is for $100 or less). C I certify that in the performance of the work for which this permit is 3 cr issued, I shall not employ any person In any manner so as to become m subject to the Workers'Compensation Laws of California. PERMIT FEES Darin Applicant NOTICE TO APPLICANT: If, after making this Certificate of Structural 5 Plan Che k $ Exemption, you should become subject to the Workers'Compensation provisions of the Labor Code, you must forthwith comply with such Electrical .. Special provisions or this permit shall be deemed revoked. Invest. 5 I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO Plumbing $ COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION,AND HEREBY AUTH- Mechanical 5 ORIZE REPRESENTATIV S OF THIS COUNTY TO ENTER UPON T ABOVE MENTIp D PROtERTY FOR INSPECTION PUR- Pre-Grade P ES. " e/ /`G /0 -i -80 Inspection $ /ppli / Pre-Grade Permit ure of Applicant or ant Date Rec.No. 5 Issue $ Print Applicant's/Aeon s Name ( Plan / Issuance All spaces within this box must be completed to process _aCheck By: Approved: CMF 0335.46(BU-28)rev.6/80 OWNER Jacques 6 Henritte d'Arlin DATE 3-13-79 _ JOB ADDRESS 2354 Littleton Cir. BUILDING PERMIT NO. 47669 ('RAL CONTRACTOR Jacques d'Arlin M&M dev DESCRIPTION of WORK Reg 1.4 att gar At NO. 141-405-OP-OT 13 TRACT q7; RE ZONE ' VALUE I 71 efiUp- INSPECTIONS Signature Date TYPE p GROUP TILT ZONE SOIL 1.40". to--41,-/fPERMITS ISSUED GAS SUBCONTRACTOR I I rJ _ Date NumberSignature WATER I� /o-1S-l`4 Plumbing �/ /J ROUGH PLUMBING ^ ( 100 ki* %. .{�X to .70,-44V/, ) /Q-S-- 79p 1102-4) L c. .-ca 1 PROP. SWR. LINE :J HOUSE CON. tL-- b-' 61-7{ -d4 ,/Ipt•4)0i J 40,[ / ell--Q--j& 779r/ SPRINKLING SYSTEM ���"""L/l� (lp 7 fJII MISCELLANEOUS u ROUGH HEATING AND AIR CONDITIONING I-1.- f"iy- Q TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER Q ROUGH WIRING a c. . f2-2L- - Heating and Vent TRENCHES U FORMS U STEEL REINF. 0 •,41‘2"ttt4/7404/ (d /C., /-y V/ 7G1 /7.24/ FLOOR SYSTEM 74-•-.. c 1 ,Jal/-,Aj-h /71/00 — BOND BEAM ri STEEL REINFORCE El SHEATHING FRAME AND FLASHING[ j-7J.�1��s y 127-la LAce;:VG - IN f OUT Iyl7YNL.1L-4'O 7.t -";',44/1 R, LL PP;r„1/.R, BROWN COAT f--7-.B.0 ST UICTURAL. FINAL SIKT5 /2v23-13n /_�� El pr lric - J HEATING, VENT., REFRIG. AND A.C. FINAL 1.r? £_ 'Ss�G A/ T // ..,...li.J . . ` /�'.(4 - n -S21 - PLUMBING. FINAL AND GAS TEST L�L.o. (0--/-40 4�f ELECTRIC, FINAL C C 6-f3- a _.... _..._ �.... r-% c /01_O,. Ds - a ) • 17,, . Ecce I 4:z& u.) e , 2 e a z -7c ✓ : f 4 '7sr•s P. 9 1 4948 3/1'3/79 hi L K4. 949 00004476 69 i.4:I R -- - COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED BUADILDING DRESS Lot 13 Tract 9787 // PERMIT NO. OWNER Jacques & Henriette d•Arlin A.P. No. `7/9/—gar�Q/ MAIL BUILDING / ADDRESS10799 Wilshire Blvd/Pent )) ADDRESS .Zj5q(, G (i//` , 23 CITY Los Angeles No.4 5-523. TRAC4W777777 LOT/3 BLOCK • CONSTRUCTION NE ADD ALTER)REPAIR MOVING OFMOLISH LENDER Wells Fargo Bank BRANCH Westwood Village Jacques & Henriette d'Arlin OWNER ADDREss10850 Wilshire Blvd. ,L.A.ARCHITECT 04 �/ VALUE OR ENGINEER Will Foster NOL631 -1763 USES $ FIRE ADDRESS24O1 Narbonne Wy,C .M. ,92627 ZONE TYPE V GRO CONTRACTOR Jacques d'Arlin-M&M Devt . BYPROVED DATE ADDRESS 2314 Fordham Dr TEL. ZONE NO.OF USE OF NEWg., CITY Costa Mesa No. 545-5370 Q,i IPLANS - BUILDING FSTATE CITY YARDS APPROVED YARDS A LIC.NO. 233151 LIC.NO. MAIN BUILDING ACCESSORY BUILDING (y SIZE i NO.OF DS. (FROM C�„S)REET) 6. OF LOT NOW ON BLLOTG0 FRONT X. (CI FT. FT. a USE OF Cn EXISTING BLDG. R.SIDES FT. FT. rrn.. —�j/ E—. Separate permits are required for L.SIDE t-1_.....--' FT. FT. C electric,plumbing and heating work. REAR r/te[L2 J FT. FT. t�.i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& Qn MAIN SLOGS. ACCESS.BLOCS. a /Residence w/attached garage C.U.P.#VADATE APPROVED r I e APPROVE' Q�n�•BYn42 7— 2s 77 (t a �/1� HOLp FOR SPACIAL REUf31RtM TS m QI hereby acknowledge that I have read this application and state nt1\. ry4 that the above information is correct and agree to comply with m n. all laws regulating building construction, and I shall not employ / Z any person In violation of the workman's compensation laws of `-f' u the State of California. ten( 8 - 3 I hereby certify that I am properly licensed as a contractor under `�'1 �SQ. FT ��[� `�{N the State of California Business and Professions Code, Division 3, THE AMOUN OWN UNDER VALUATION IS FOR &/J' Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; — to am exempt from the provisions of the State of California Business VALUATION PERMIT FEE o and Professions Code,/deDivisioc 3,Chapter 9...,//) q n • //-�� $ Signature of ////� \ 6 U /��/// 4, sr))/ ©�J r TAXN CHECK $ // if' o , Permittee ` ���CCC/// �lyi(/�'liY LLto �/ U Authorized Agent TOTAL PAID $ //9, 7 /' . 18675 7/25/79 229.00 1k COSTA MESA BUILDING-SAFETY DEPARTMENT g Y• •• -•- . _ _ . . _.. P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • APPLI ATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only REC BY DATE RECEIVED DAT ISSUBUILDING ADDRESS Tr. 9787, Lot 13 LJ tAraticR, 7 z/c P RMIT NO. OWNER Jacques & Henriette d'Arlin A.P. NO. I� //�s ` MAIL BUADDRESS 23 S'`f 6 Q..4, £'ri ADDRESS 10799 Wilshire Bivd/PenthouFp TEL. (( 21 5 TRACT LOT BLOCK CITY Los Angeles, 90024 NO.475- 2 CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMDLLSH LENDER BRANCH OWNER M&M Development ADDRESS VALUE ARCHITECT TEL. USE ' S S OR ENGINEER NO. „yap. ' FIRE �f �; !— ADDRESS ZONE V PE 5 GROUP J APPROVED CONTRACTORJaCQueS d'Arlin-M&M Devt, BY DATE 7/Zr/77 ADDRESS 2314 Fordham Dr TEL. ZONE NO.OF USE OF NEW CITY Costa Mesa NO. 545-5370 PLANS BUILDING F STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. 233151 LIC. NO. MAIN BUILDING ACCESSORY BUILDING — W SIZE NO.OF BLDGS. (FROM C/L STREET) 6. OF LOT 6210 sq.ft. INOW ON LOT FRONT FT. FT. a USE OF Ca EXISTING BLDG. R.SIPE_ FT. FT. h 5 Separate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. G REAR FT. FT. LWUSE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET.MAIN& MAIN BLDGS. ACCESS.SLOGS. CI eMI Residence wjattached garage VAR.# C.W.P. DATE APPROVED > APPROVED > _HY DATF IX W _ 0 I hereby acknowledge that I have road this application and state n N X that the above information is correct and agree to comply with w S all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of E E the State of California. m I hereby certify that I am properly licensed as a contractor under SQ. FT. n the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and t at such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: — am exempt froma provisions of the State of California Business o to and Professions Co Division 3,Chapter 9. VALUATION PERMIT FEE $ 2zp cfl 7 ' n Signature of �� eQ f��i �� / r" PLANAXCHECK o Permittee s ^.� �"'^""" $ /y/v/I/ TAX $ f Ent u Authorized Agent TOTAL PAID E227 Co "...` LU/1D/oU JOB ADDRESS 2354 Littleton Circle BUILDING PERMIT NO. 50863 GENERAL CONTRACTOR West creact pools DESCRIPTION of WORK Pvt. Pool w/Spa_ o. 419-132-15 LOT 13 TRACT 9787 FIRE ZONE VALUES 13,000.00 INSPECTIONS Signature Date GROUP V TYPE J ZONE 221 Pool Location . Q t /0•234E3 SUBCONTRACTOR PERMITS ISSUED Dote J Number iSignature Forms Main Drain G.? Steel Reinforce Elec. Bond _ i Electric /'j n c Approval to Cover e-e-- /o-23•Sc /A Op ( aiSr asrcrogi: /D-/6-5o h/aao/(a Underground Electric C- C I('-3'� tr/IF/d/SPranew Fe. /2-/o-Po <fig5/ r/ C Plumbing - Gas Piping Test \1 /] re Filtering System Lines Backwash Lines and Recep. e-- l(-34:g.> b Electrical Final C°L /2-Il-g N 'er and Vent Final �F..__r System Final N Backwash and Recep. Final ptFencing Final Annrnual fnr Finich ,t C� j12--ti -En • p J,189 10/16/80 96.91 TL! COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ``�� PERMIT 1s TO 50863 For Applicant to Fill in Completely—Use Ink Only 1V BUILDING 3g �'DVf �O� /' A.P. NO. A ` -- t 3 - t 5 ADDRESS :2 // C [ k / �.,C /40k4 ( OWNER OR AA//J, //J'fOQ'/ ' BUILDING SS � (.r///(°/'J t/t 11i. • TENANT !�'/ .( tel. MAILING � UNIT OR ADDRESS 2 5 / C, I /e" rf 0(/) (C (/ . . SPACE NO. t �t �/ TR./N�O. LOT /� / BLK. TEL.CITY ro4, Me-Sat.- NO.g6Z fl6‘) 77 "7 CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER 1.7/ J/, BRANCH 0,NSR /figf0ill /f / ADDRESS / '/ VALUE ARCHITECT X. ALi c NJOLN3I70M7 � r/' ,' $ r0� OR ENGINEER F/ L /�Ol //'' /' ADDRESS /27c 3 R,00/'h I/krd' c .G / ZONE ft, TYPE GROUPJT CONTRACTOR Ljh[//,sy !�//n�� /f'/� /�Io`S BYPROVEDL //J) DATE/016..0 ADDRESS g i�/7 / /` pjf (/i /TEL `t C '/ Ir%/� CITY /S I r ✓.. NO. 3g cm yo F. APPROVEDCITY APPROVED SETBACKS LIC.NO. 3 6, //..2.((``-� LIC. NO. ,�L/' (FROM W 812E / O C f/V NO.OF NOW ON LOTS. / FRONT�C`--CpRFTT) 0. OF LOT lO V /� Q USE OF (15 EXISTING BLDG. R.SIDE 1 s O FT, VI FSeparate permits are required for L.SIDE C.) FT. C electric,plumbing and heating work. REAR /--7FT. W F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION CI 'C DATE Q p APPROVED // —ELY R�...1 i_2 �\ RATE`e1i6C a W 0 I hereby acknowledge that I have read this application and state• n ce that the above information is correct and agree to comply with L all laws regulating building construction, and I shall not employ Z any person in viQletion of the workman's compensation laws of 2 W the State of California. -� x I hereby certify that I am properly licensed as a contractor under SQ. FT. N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses ere In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e em exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ ei CO Y and Profession (ode, Division 3,Chapter , co v+ (/ D O P N CHECK $ _Oa 2 Signature of 1 3 a Permittee eCtivK.� if S / 2 00 TAX $ Yi U. Or O — / /OBJ / �• 4 Authorize Agent Date / —�� / TOTAL PAID $ %f /I U �> l OWNER _, DATE 10/30/80 JOB ADDRESS 2354 Littleton Circle BUILDING PERMIT NO. 50919 • GENERAL CONTRACTOR Solar Energy Equiparent DESCRIPTION of WORK Solar Pack _T a. 419-132-15 LOT TRACT FIRE ZONE VALUES 500.00 INJrECTIONS Signature Date TYPE GROUP ZONE SOIL SUBCONTRACTOR PEJiM1T5 IS;�ED GAS Dote I Number Signature WATER 'numbing ROUGH PLUMBING ....G.diegtd 11,47/ t 71,-_504a 'zYe..*S i---- PROP. SWR. LINE 0 HOUSE CON. 9 SPRINKLING SYSTEM OV2 I* MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND 9 POWER 9 ROUGH WIRING Heating and Vent. �.v+T� TRENCHES 9 FORMS STEEL REIHF. tO4111L 13 vFLOOR SYSTEM C{ _ p� ORS 3/4 .6 BONO BEAM [] STEEL REINFORCE 11 I[ 16 SHEATHING HRI 17 FRAME ANO FLASHING S's /— C LATHING — IN ri OUT n L)218 V I`��'�, I-I Pi ' TER, BROWN COAT ' V N $ (URAL. FINAL Electric HEATING. VENT.. REFRIG. AND A.C., FINAL aPLUMBING. FINAL AND ELECTRIC. FINAL BUILDING. FINAL _ _ _ fio cnrow,e/ c//6/e7 rix, /T ea en lee - - � 2 ice cC- ec- 2015 10/30/80 5.50 T4 - .. . - COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • RE / ) 'PERMIT so 919 For Applicant to Fill�iin in'Com etely — Use Ink Only �../ ADDRESS ,...5.52./ 5` / / A.P.NO. 4I may' — i 52_..1 J BUILDING � ie.. /0 OWNER OR ADDRESS &S✓ t_wLi// TENANT UNIT OR MAI LING ' , ^ SPACE NO. ADDRESS TR.NO. LOT BLK. CITY GM TEL. NO. NEW I ADD ALTER I REPAIR MOVING I DEMOLISH CONSTRUCTION I LENDER BRANCH �ifiei OWNER ADDRESS ALOE ARCHITECT TEL. USE E OR ENGINEER NO. ADDRESS ZONE YPE GROUP �/} APP-O�?���DATE O O–Cs✓ CONTRACTOR JO ,A JA 4 'AA BY est_ L ADDRESS / 44/m �,`\1 A. CITY la I 45') `j rw F STATE ,/ CIT LIIAPPROVED SETBACKS LIC. NO. �j)S�37 WOOS fel SIZE f NO.OF BLOCS./ (FROM C/L STREET) \ IY OF LOT NOW ON LOT FRONT FT. Q USE OF I �� 1 � � � ��.s ' n F Cil EXISTING BLDG. (fL R._SIDE ET. to I–• Separate permits are required for L.SIDE FT. O electric,plumbing and heating work. REAR FT. L[7 F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION CI L�—J) I/ 1744\ ATE Q � D /yf/t APPROVED ' CD /w• APPROVED 3.. __BY TE .. EX w a. L I hereby acknowledge that I have read this applIcation and state m CS that the above Information Is correct and agree to comply with Os all laws regulating building construction, and I shall not employ xl Z any person in violation of the workman's compensation laws of ,/ o ILLI, the State of California. [ D _ m I hereby certify that I am properly licensed as a contractor under Ll 50. FT. a the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR a Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from t provisions of the State California Business O o and Professions C de Div( Chapter 9. ® VALUATION PERMIT FEE $ 57 tn Signature of `'—T fzLAN CHECK $ •ir0 E Permittee I� S \ v O TAX $ v LL of /p - at XO C U Authorized Agent Date TOTAL PAID E OWNER MR. & MRS. M. MAFI DATE 12-22-80 JOB ADDRESS 2354 Li ttl eton Circle BUILDING PERMIT NO. cl l hl GENERAL CONTRACTOR Owner-Bui 1 der DESCRIPTION of WORK Patio Cover I D. 419=132-15 LOT 13 TRACT i7R7 FIRE ZONE VALUE E 1 ADO on I�.rECTIONS Signature Date TYPE V-N GROUP R_1 ZONE P-1 SOIL SUBCONTRACTOR PERMITS ISS ED GAS Dote I Number 1 Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. ❑ 1 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND [1 POWER fl ROUGH WIRING Heating and Vent. TRENCHES a FORMS U STEEL REINF. fl end !p_ FLOOR SYSTEM 'Jt BOND BEAM r1 STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN OUT • PL"”ER, BROWN COAT TURAL, FINAL Electric HE, ,ING. VENT.. REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST f ELECTRIC, FINAL /1 n C 2-1941 BUILDING, FINAL . COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION,FO Alli ;"[ n,PERMIT 45150 TL P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVED Y 'PERMIT 1�T0 51163 For Applicant/ato Fill in Completelytely-- /Use Ink Only ( ���JJJ 1�I ADDRESS c..236 -i AIT)LG/0/t/ eIe LL AP NO /// �I I5Z - 15 BUILDING 1 OWNER OR / �n /74/4-e- ]4 �/ /�1 ADDRESS 3.� y L etA,lam- C(/2,_ TENANT /t'1 F.FM.G.S, / I q C /�//I�� ♦♦♦♦����'"' UNIT OR MAI DRLING S ^3S 4t Ai rrig To / A/gcte SPACE NO. ADDRESS ^'C/ /V G /7 p CITY earn 49154 NO40/-'JSS/ TR.N�.��,.r LOT //j BLK. TEL . J NEW ADO ALTER REPAIR MOVING DEMOLISH CONSTRUCTION e ' LENDER BRANCH • OWNER /yy,fl Mrs• M• MDQ/ ADDRESS VALUE ARCHITECT TEL. USE 44-10C'oli�r $ /�oo— OR ENGINEER Own P./'/ NO. ADDRESS ZONE 1K / TYPEWN GROUP R— 3 APPROVED p CONTRACTOR D/ l BY DATE I2- Zia As ADDRESS TEL. CITY NO. F �t� APPROVED SETBACKS STATE B" ?64 CITY LIC. NO. /Q t0`/'3 LIC. NO. SIZE NO.OF BLDGS. (FROM C/L�tSTRElET),.u'f �]r f p. OF LOT I NOW ON LOT FRONT rt'TI� 115- - 1 / / !t/C-L1'V USE OF / Ur' G2y6Ca 'r EXISTING BLDG. B.SIDE FT. _J / S Separate permits are required for L.SIDE 5 'FT.° C '/ I electric,plumbing and heating work. REAR / ,/ '/� / '32 FT.-7 LI IW,. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION -C - • . //pppp�� //�1 DATE apet-i- ( O Ve-r APPROVED /� } /C� // / ,�N`\ _ ROVED C//rj/f <t� DATE )2.-ZZ-g0 ..1 'IZ 1 �w //W C W Oa I hereby acknowledge that I have read this application and state cn C that the above information is correct and agree to comply with a. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of o "1 the State of California. /� _ OO I hereby certify that I am properly licensed as a contractor under Y S V SO. FT. �O��"� N 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: to am exempt from the provisions of the State of California Business and Professions Code,Division 3,Chapter 9. VALUATION PERMIT FEE $ 3$, „06141. m PLAN CHECK E et Signature of A �s- - ) o Permittee /[ �IAI S /8O0 / TAX 5 u. or }� J- 5 a P Authorized Agent Date 12—Vtc f�'+ LJ TOTAL PAID E -�7T-ry U s • So