HomeMy WebLinkAbout1870 Tahiti Dr - Building Permits PROJECT ADDRESS: UNIT:
OWNER'S NAME: 1870 TAHITI DRCITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 05180'.;
ADDRESS: MAC LEAN, DALE V / _
1870 TAHITI DR PERMIT NO: H 051807 PLAN CHECK N0: 01418-91 S GOVT: N SUPP : N
COSTA MESA,CA 92626
CONSTRUCTION TYPE; V-N PERMIT TYPE: SIR PURPOSE; ALT
ARCH/ENGINEER: 9 79 %3961 REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : EXPAND EXISTING EDRM WINDOW 3FT WIDTH SQ FT: 300 '
PERMITTEE: CLAIM VALUE: 300. 00 CALC-VALUE: 300, 00 GROUP OCC: R-3 /
ADDRESS: DALE MAC LEAN ( 714 ) 979-8961 •
1870 TAHITI DRIVE COMMENTS: EXPAND EXISTING BDRM WINDOW 3FT WIDTH
COSTA MESA CA. 92626 **********Xti** ********%jFTtie#'.i.#*i:.•:r.iE*# N-****/-*****R# M};%I(-%Y*M-*?E#f#ie?ii%3tie*44M-***
LICENSED CONTRACTOR DECLAfl TION: thereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 0l the Business and Professions Code,and my license is in full force and effect.
CITY LIC.: STATE LIC.: CLASS: SETBACKS
b•, Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent 10 sell-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP. DATE:
COMPANY: PARKING REQ: PROV; PARCEL: 13925226 ZNE: RI REF NO:
Certified copy is hereby furnished. E Certified copy is tiled with the city Building Division. PLANNING N T ES> ESPAND EXISTING BEDROOM WINDOW TO A WIDTH OF 3 FT.
> •e • •
•
Date: 1 Applicant: 40E*%4444**}.*-14*+e3(14.ii-ir:e*9FIE+EIf*"3E ii**%iE***Xr#)*ie>%#:ii-#-1E#-?E**47.40#-k*+4-#%**i-iF%*Y N-****#****i?*Tit e 34 W.*
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(8100)or less). D E V E L Q P M E N 'T SERVICES R E Q L1 I R E M E N.,T S
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
sublect to the Workers'Compensation Laws of California.
ZONING •
APPROVED BY • • - DATE:
Date: Signature:
NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY �' DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. I _
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for 1 • �''5
APPLICATION I** ** BY; DATE: C/ /
which this permit is issued(Section 3097,Civ.C). • !
***************#4444#4444*
LENDER: %4444>#i..N•.}1-*} 34.34-***#%4444-**44-***%if0*i*****±0** k3E*%*****-143E34,E*9:,..74 i:.ica.iE#+)0* *w i.iE}'.;v #%;e
ADDRESS: LEGALIZATION:N F E E SU L .. A R Y STRUCTURAL SEGMENT: Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM IP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or P ERM I T 15. 00
repair any structure.prior to its Issuance.also requires the applicant for such permit to file a signed statement that he/she is licensedJ 0
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 9 . 75 1
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law15 . 50 1:
does not apply to an owner of a properly who builds or improves thereon.and who does such work himself/herself or through T OTAI'S--__> 0 . 00 9 , 7 J25 . 25 25 , 25 , 0 0
his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or
f improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 25 . 25 OVER/SHORT: . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN-CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 15. 00 • 50 9 . 75
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).l am aware *********.ti%i!*Nif%3E***********ie*3i %*Y'}:***%******#.%*-1F*.*****;K*M#'*****1e LF*:*ii**:%**1c>+<**
that proof of their Worker's Compensation insurance should be provided to me.
am exempt under Section: B.a P.C. INDIVIDUAL F E E BREAKDOWN
tar this reason: BP 7044
y���ALL..WCIAF A" OWNER / TYPE QTY DESCRIPTION UNIT COST TOTAL COST
.� Date: ..:92 " c/ CD/ / 7 7 ( Owner: rat_40 Qgi� ;a
Ida hereby certify that l am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and SFR 300 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 300 . 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES'
permit for construction or modification from the Air Quality Management istrict.Residential construction a lications are exempt from
these provisions.
X16- 2
Date. // �'-���/ Applicant: 21,..A.--)///:16j
�' �J
��
I hereby ce ify that I ave read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and slate laws relating to building construction and hereby authorize presentatives of this city to enter upo eabove-mentioned
property for ineclion rurposes. 1�
L/ 5
Date: 3-. / signature: .- ` //' �� _d�
_____
Drover's icense or Social Security a:
Applicant;Pink—Revenue;Goldenrod—Assessor ' DATE; 04/75191 TTM"c. J.2:46.
1
•
CONSTRUCTION AND PLANNING PO. y SPA
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit #
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 Reinforcement 5-.41 66/11 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings I-27-c[1 ow(' 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 r
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 S ct-au aq,4' 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 5-29'^/ kik 78. FIRE PREY. FINAL
30. Drywall Nailing F 41 C.6rC 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 -2-46-q(- _ fes- L of
C__
(,
47. FINAL STRUCTURE & BUILDING 24 (Cl
_gl GG � G1/��
48. FINAL PLANNING v a •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
•
(/ i/) L..X - '1 f— i
/777‘)
•
-------77-----A
•
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APPROVED
ei
City of Costa Mesa Buildina Deni. -• :
BY �" __ DATE 11ir_19 "i‘
THESE PLANS MUST BE ON JOB AT ALL TIMES MAKE .
NJ :.HT GE:3 WITHOUT POR
APPROVAL OF DEPT. •
1HE ISSUANCE OR GRANTING `.::- A PERMITR APPROVAL OF '
1 PLANS AND SPL CIF;CA";IF NS S';:HAT L t IO T BE CONSTRUED 10 HE.A
.----\ .
i ='t.rhrlT i OR OR AN APPI•CVAI. OF, ONY VIOLAFICN OF ANV D'
IHE PHCI:I:ONE OF IF IIS DODO N';PERMIT PRESUMING'10 G:'
ANEtiORITY TO VIOLATE CR CANILL F.^'c PROVI5'OI.S GC - .
''ODE SHALL EE VALID EXLtPi IN SD FAR AS THE WORK 01 '
• vfi-PCH IT AUTHORI_'E:IS LAWFUL
• THE ISSUANCE 01 A PERMIT BASED UPON PLA.
SPE-CP-COE-EPS SHALL NOT PREVENT THE EUR,DI.Nc E: ' r "n-�,
FROM THEFERFTER REOUIBINC.THE CORRECT?ON OF ER - �.v�� ' \J-4
SAD PLANS '.NC SPECT .K1103.S OR F1 Thi PRO,. .,,L^ p, t—Q
RLIL LeHC OFLAATtONS REI. G CARP/�'4D'.^1Q j1YtN! I' r ' w
'.0
OLAf10U OF IRIS Cr' CR ETeAT IE T ORE'r�j I. .
'HE CITY. , 'fl
A ",,. I 1`-- -q...
- S(� �,
C1y1 \ll
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1,1) ciD7587--,1 FOR INSPECTIONS
APPROVED CALL
CITY OF COSTA MESA 754-5626
PLANNING DEPT. Or
SUBJECT TO BLDG. DEPT. REG 754-5627
BY---_6-E DATE r
DRICTOR OP PWINING
SMOKE DETOR • .�--
REOD REC T
FEE RECEIVED
61399 APR 16 1g82
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING .
BUILDING /?2i) 7 DP
ADDRESS / �,�/�,/y YI-
COSTA MESA. CALIFORNIA For Office Use Only
�, �4 I RECEIPT NO. 1 /P RFy1.T�0�
OWNER , /�JYY�
MAIL /G TM /:L. ^, RHC5IVED BY /,D/ATE/RECEIVED (',GATT SSU
EO
ADDRESS /yO T n�,JT, /T /if; /657.)
/ I/1T'/f-,./:(��O y-I (`///�'}—TEL.
I
CITY
l C$ 714 ka,cif NO. BAUD DRESI6 /U 5'/'CJ!L.//l Aii 1 ./'V
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO. 2
ZIRE
GROUP
ADDRESS N
ZONE TYPE (1X,
CONTRACTOR i7AL,E P. Fn WA APPROVED
AA (f BY DATE
ADDRESS 672 GCC,• /`/(i / cc, c e� d ZONING �*19
!1� ZO NO.OF
1-17-.1
� / USE OF NEW
CITY A4'M/7 2v //N ^/ �r(� a._ ( I PLANE / I BUILDING
LTCTNO. /9.9-F y / . NO.el TEL. PA' w `� / / LEGAL LI 1- ,k
L 3 b
X
p DESCRIPTION O p
nor IC'4.J S X /�t . 21 I NOW ON LOTS / A.P.NO. r J /
USE OFR- YARDS EVES
EXISTING BLDG ' APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.)
CENTER OF STREET REAR YARD FRONT 5D FT. + IN.
SIDE YARD I LEFT I RIGHT R.SIDE FT. / IN.
DESCRIPTION OF WORK
L.SIDE ---FT:---7 IN.
NEW I II ALTERATION I II ADDITION I REAR FT. IN.//
REPAIR I II MOVING I IIDEMOLISHI BBYPROVED �� , //� DATE if- 16 - p�
BUILDING NO. OF ,AVAY,/
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF
COVERING COVERING
USE O�F�BUILDING
�(AND WORKTOBE PERFORMED �,,/,
11 A V /. ;`J1/ 0-IL/L-S .M.ce (0 I" �7�'
73 A
I HEREBY ACKNOWLQPBB,THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT T H ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CI ORDINANCES STATE S REGULATING
BUILDING CONS UCTIONI/ VALUATION or)
SIGNATURE OP
(—/f-
=.'' PERMIT FEE $ i
PERMITTEE _
-s a Co J—C.1 PLAN CHECK $
-J i
AUTHORIZED AGENT •
�(-yI E
TOTAL FEE $ . (JTJ i
OWNER SMITH, Roy DATE 14-16-62
JOB ADDRESS 1870 Tahiti Dr. BUILDING PERMIT NO. 16899
GENERAL CONTRACTOR Jack D. Fowle VALUE $ 250,00
AP No. 113-772-26 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Block Wall
INSPECTIONS Signature DATE GROUPB1.WallrYPE ZONE Than
Soil PERMITS ISSUED
GasSUBCONTRACTOR DATE NUMBER
Water
Rough Com. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr,Line 0 House Con. 0 St.Swr. ❑
Sprinkling System
Construction Pole
Underground ❑ Power G
Rough Wiring .�
Trenches Er."- Forms 0 Steel ReinfNE (In &' 2 b-7S -
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In ❑ Out ❑
Plaster, brown coat
Refrig. 0 Air Cond. ❑ Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final PC 64) V-2 ft^ la
OCCUPANCY {�,'
FORM BU4.5M - 7.61 1681 9
FEE RECEIVED
't - 14568 1,x\ MAI 2 41961
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. SOX 917 COSTA MESA. CALIFORNIA FINANCE OPT.
For Aa f to Fill In Completely CITY OF COSTA MESA
Aar P Y APPLICATION FOR PERMIT
PE OR PRINT
BUILDING
BUILDING /7 J 7A/ vr/ Ye-
COSTA MESA. CALIFORNIA For Office Use Only
/�,p�^�.y�-pay ��^ `'/} lI RECEIPT NO. T(ERRMIT NO.
OWNER/ f/'.'/y�l� Al /E/YJ// C I / ! 5&>i
MAIL bb `, n� 4.644,-
.M"..,/
"/ RECEIVI��BY I DATEj2ECEIVED DLA-TE ISSUED
ADDRESS / J�IJLfI/�///}y .y�/��((/�j-.(/F�.y c/./!'�' UILDING
!/'/�� t, .-2 3-6
CITY N/(�.I/�jy/�I/ ryp�TEf¢/�/ ADDRESS
ARCHITECT x //va: TELA-- COSTA MESA. CALIFORNIA
OR ENGINEER NO. 2 ♦lyy��
FIRE
ADDRE /J ///gyp/,��� //J ZONE TYPE V GROVPT ///
CONTRACI'OR,SG ,/ ,Y - ! 0 ' APPROVED (`/
C f� /�� ,/� BY DATE
ADDRESS /[S 6 C/�i/D��/J ZONING /���
1 ,(j� ZONE NO.OF USE OF NEW 51 raw:
CITY �Si6 2/74R.0051- R-1 I PLANS 2 I BUILDING wJ att gar.
STATE 97 n3 Q TEL. fj„ 9:0373--- LEGIAL ) /1 /L 7, 911 `%/ten- (O
LIC.NO./SIZE //y G) N/O.f'L/ F ���f-�/ DESCRIPTION/�6/( ! //-�"QD
OF LOT/�J /` Zee' (NOW OON LO1L� A.P.NO. DCR1P
USE.OF--'r -- YARDS EVES
EXISTING BL PG. APPROVED ALLOWED
SETBACK LINE FROM [•� / (CENTER LINE BT.)
CENTER OF STREET v REAR YARI FRONT )--"-FT. IN.
SIDE YARD I LEFT /13 / I RIGHT / R.SIDE 6 FT. /' IN.
DESCRIPTION OF WORK L.SIDE / 7�FT. (7 IN.
NEW I{I SIX II II ALTERATION I II ADDITION I REAR ...Q FT. IN.
REPAIR I MOVING I I DEMOLISH APPROVED W. L. D. DATE 5-24-61
BUILSIZE OIN 9/' ' ' NO. OF ROOMS 7 STORIES/ rib.
EXTERIO- ��/ ROOF ��.!"`Ci
COVERIN:, /L/J'/ COVERING /
USE OF SUILPING AND VWQR4 TO BE PER/O'M • pO���j /
-
i ✓2' ,
/' .e)O.G' ____p_ `�
I HEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL. CITY ORDINANCES AND STATE S REGULATING /'�'�x
BUILDING CONSTRUCTION. / VALUATION .�l 45,7779---
SIGNATURE OF i PERMIT FEE S Wit/ .---
PERMITTEE / _ ,i' / / 1'l�5 5 -- O i
/ S ' L f-) PLAN CHECK 5
w'
// 4
AUTHORIZED AGES rr X V'Q �- O
TOTAL FEE -
i
• FEE RECEIVED
L 15931 DEC 1 1961
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In CompletelyAPPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING /8/ C TA /_ diit Dr i vu
ADDRESS U /1 V f'J \l
COSTA MESA.J. CALIFORNIA For Office Use Only
OWNER RQ Y �/�J I/ /% I RECEIPT NO. I -PERMIT Ho/
MAIL J /O2 Tqh ^5 I� RECEIVED BY DATE RECEIVED L-7-9,-- -
DAATE ISSUED
ADDRESS / CdJ O /Po I/ Dr-/ w.. �T Ja-1 -4, I i.- -/-/o/
isd
CITY Ge.ff� /�/c5.d TEL.
NO. ADD EISS '870 T(R7M71 .Pr/tn.
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO. 1I _�Q,
ADDRESS FIRE 11�� ,�A,/,Lob-1
�I J Wn • 72N-
if/
N ZONE TYPE GROUT€ 4)sLL
CONTRACTOR AI6�Rt/IA)'�ONE fQ •µi,Qy hAn Co APPROVED DAA o
/J J ff&S/-/-wc&
ADDRESS Pox 932- C.O. ZONING �j/;��� �
�( ^ �A) C 0 L ZO NO.OF USE OF NEW_/,Y XJ ✓/
CITY 'an CIA a .0 V C tc�. I I PLANS �'/I BUILDING (/Ij]�J", 0Ta
LIC.NO. fa / 9 i3 1 O. NO. �4 4 /I 33 LEGAL ,'1 t 1/ a he 3 3 �1 )
DESCRIPTION {�./ T
SIZE I NO. OP 131.2)55.
OF LOT NOW ON LOT A.P.NO. // 3 - 17'7a — a6,
]
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.)
CENTER OF STREET REAR YARD FRONT FT. IN.
SIDE YARD I LEFT I RIGHT R.SIDE --1.1".---• IN.
DESCRIPTION OF WORK L.SIDE FT. /^LIN.
NEW I II ALTERATION I II ADDITION I REAR FT. o_IN. _/2
REPAIR I II MOVING I V DEMOLISH I BYPROVED /t� A/ DATE/O --/ - /_/
BUILDING NO. OF C /6 ( 1!�
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
yn glotic Wahl 6, 4,5 A Jv 'le ' / ,57 vw- ,/ „.(( / t.�/
1991 L✓. (pz a4.4.2e
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION / . Op
SIGNATURE OF PERMIT FEE $
PERMITTEE c. / OV n
/�^.{(j. ` $ (2s' PLAN CHECK S
AUTHORIZED AGENT •✓" l,/V""' CO 2
TOTAL FEE y
7
OWNER SMITH, ROY DATE 12-1-61
JOB ADDRESS 1870 Tahiti Drive BUILDING PERMIT NO. 15931
GENERAL CONTRACTOR Best Fence Co. VALUE $ 525.00
AP No.113-772-26 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Block wall
INSPECTIONS Signature DATE GROUP TYPE ZONE R-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR _ DATE NUMBER
Water
Rough Corn. Ref rig. ❑ Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power ❑
Rough Wiring
Trenches [. Forms 0 Steel Reinf. ® p I)-q- 4,
Floor System
Bond Beam 0 Steel Reinforce 0 _
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, brown coat
Refrig. 0 Air Cond. 0 Final
Heating, Final
Plumbing Fixtures, Final _
Final Gas Test
Electric Fixtures, Final _ _
Building, Final ft. 12—W,-6/
OCCUPANCY
FORM BU4•514 - 7-61 15`/31