HomeMy WebLinkAbout3090 TRINITY DR - Building Permits 11
' • CITY OF COSTA MESA
"'FS BUILDING DIVISION •
t.:( ,I 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: E10-00158
PERMIT TYPE ELEC STATUS: ISSUED
APN: 14107108 DATE ISSUED: 06/29/2010
ISSUED BY: CAC
JOB ADDRESS: 3090 TRINITY DR CM Suite/Unit:-
Vicinity: -
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SCOPE OF WORK: UPGARDE SUBPANEL AND METER TO 200AMP _
OWNER: KIPCAKLI,SAHIN • .Address: 3090 TRINITY DR Unit:
PHONE: 714-317-9406 City/State/Zip: COSTA MESA,CA
APPLICANT: FRANK MASCIALE Address: Unit:
PHONE: 714-612-3875 - City/State/zZip: ,.•-
-10-00153
CONTRACTOR: OWNER-BUILDER License No. 000000
Address: Unit: PHONE: - - • _
City/State: ZipCode: CELL: •
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ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $84.50 •
Reinspection Fee $0.00 ,
TOTAL FEES $84.50
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE A. INSPECTION TYPE DATE INTITIALS CODE INSPECTION TYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing / //�
200 Final Re-Roof 210 Final Electrical 2—IF 41 cRg alit)
?01 Final Block/Retaining Wall 212 Final Fire Prevention
,202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
WORKERS'COMPENSATION DECLARATION: Owner Ie m ie. by drivel.license. es 0 No 1
I_.hereby affirm under penalty of perjury one of the following declarations: - Driv=, se No. Expir-.: /b/F--/,
d I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 I have and will maintain workers'compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap. 3.2,Grp
(Thtssection need not be completed rf the pemlit is valued al one hundred dollars($100)or less.)
2,Ant Sec.341,Title 8,California Administrative Code).
Policy Number:
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued.I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
Applicant's signature Dale
the Labor Code,I shall forthwith comply with these provisions.
Division of Industrial Safety Permit Number:
Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires. with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes 0 No
Lic.# Class# (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
Contractors Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued. (Sec. 3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Dale
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish. or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If yes". the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application. have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
di not build or improve for purpose of sale.).04
information given above is correct. I agree to comply with all state laws and
I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
ENSED CONTRACTORS to construct the project(Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
/ lt // authorized by this permit until final inspection.
.i.��i_____ . iII CDi?_ .ignaiu f��.er(s)A Da^ /fl
3057-46(3/07) , is-
And/or: '�Yetl A•.IiCantate
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/ ° I understand as an O.vner-Sunder r t; d t'•- pro: tit. I;r:•hrch this petit is issued, I may be held liable
icr any financial or personal Ir;,ries sus a . o'. , F.ibsf-Ctiie"i ownerrs) that result from any later:
construction defects in tnr: :o-kniansEic err
/9 I understand I may obtain moire into n-;t . ca :ina Inv obligations as an"employer- from the Internal
Revenue Service the Untie: States Sr;ll Jr:. nesr,o'r.nis::atror the California Department of Benet:
°eyments. and the California Dir's en of It f::r t. Arc cents I also understand I may contact the California
dontractors State License Board rCSLBi a: -CCI S:.? (2752) or www cslh.ce gov for more inforrnatio-•
about licensed contractors
✓ 10 I am aware of and ct miser to an Cid'oi I1 er acl Y ng ceinnn acfiliea for in my name, and understann
:hat I am the party leaally an.. financ ally ras fon tine for : icoosed construction activity at the following address
_090 7iez / J�PI_Ic (45-2--V n,9f_fF." C.4 92J(
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t agree that. as the r:a'ty legally ant! r ;cc ally 'eaucnsit:te ice this pr000sed construction activity I will
abide by all applicable lavas ane reawremenr :h"st . pleb; C.v'ler3udcers as well as employers
v 12 I agree to notify the ss.rer of this for; -T.:''ediate y or au;additions. deletions, or changes to any of the
information I have provided on tn.s fora) Lie'r'sed cors:-tic:ors are regulated Dy laws designed to protect the
public If you contract with someone .vhn ccar r p' ::ave a license the Contractors' State License Board may be
unable to assist you with any financia; loss}ci. bin. sustain a•; a result of a complaint Your only remedy against
unlicensed Contractors may be it, civil co.r I s also importer; for you to understand that if an unlicensed
Contractor or employee of dm: tri s•Ioual r r 'i r I^i m:d :.hit : vvorang on your property. you may oe held
liable for damages If you ohm;tr a De'nvt of t' a r: -Fuu'sr ar'J dist) Lc hue Contractors. you will be responsible
for verdyind whether or nct these Conry to r are :Ironer), licensee and the status of their workers
compensation insurance cove:acc,.
Before a building permit can be issued. ;Pu.; er.m must ac completed and signed by the property owner
and returned to the agency responsible It r ;;suing ':he permit. Note: A copy of the property owner's
driver's license, form notarization.. o ()the: i•erificaticn acceptable to :he agency is required to he
presented when the permit is issus' o v a.P, I't rre,perrh ot'ter's signature
S gna': re of property owr,e: --- /CL` /" Jy} Date 05/0
Note. The follow,,rq Aiullio•izatior Farm It ' vt !Jed iii tic C)'np/i''en Lw The provertv owner only when
designating an agent 0t Ifr' ;)rlpeny cmi r ' C r„fn1 rbr r. ccns?rt.C'ion permit for the Orwier-Builder.
AUTHORIZATION OF AGER_ -Ct ACI OW PROPERTY OWNER'S BEHALF
Excluding the Notice to Proneir; ,- ii - U' 0" ': LAI I ince stand iS my personal responsibility. I
hereby authorize the folIcvgym:; c,er=.rn ,sr tt. rc. a . -_iti'tic• to.;no5 '0; sive and file the documents
necessary to or,,ain a:) O:;me •?u 'ie Fear ' rJr�c:
Scope cf Construction Pralec:It: Descripi c': f !: •"i.i " �ii'6 r'A D�[=Lpp,Cc 7,ce t /244/_L
_
Protect Location o: Address e,`)<'1 f' -! ! __' f[/✓�c—,_ CosTif r/ C4 /2.E2. 6
Name of Authorizec Acer �hJ"riJ i ✓_:")�-`_.._.__ -I-el No 7141 2-35?S
Actress 50(e L_ TR,:) , 1-i•,' ID()Lit: ft COV /� l ,6C/24,24
I tlycid;e u;icier penalty 0' nn' Ir Ica she.i gar so IistC<i tloo'+uJ..au1 I perso:tatl f
o'ut the above information an:: certify its arc: Mine owner s driver's license form
fiOiunZOt/OG or Oilier VOt;IC&;o.? ascf:,'Y ;u i' 1 a :en. : r$�•eq..cad 'a DC preseated whoa the pets?]:lS isstec
to verify the 0(000/ly Ot.vion S Si,^,u tit.95
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Property Owner 5 SiG n2.4.'c L L`:_1— i�(� Date (i” 1i.'
3143-30 CA _.rJ Jan
2ois
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H . LAWMASTER & CO. NC.
7940 MAIN STREET — STANTON, CALIFOk, .... 73CMS-1014I-002
828-8040
Field Data on Test Specimens Core Concrete Gun t, Grout/Mortar
Project Ralph Myers Pool - Permit No. 17457
Project
Location • 3090 Trinity Drive, Costa Mesa
Contractor Automation Pools Architect
Location in Structure Pool Engineer
Date Moulded 11/1/73 No of Specimens 6
Slump Specimens Marked
Specified Strength at 28 _days 2000 P.S.I. Mix Designation 131 sks: 35 tons
Age to be tested_7 days 28 days days days
READY MIX PLANT Jobsita AGGREGATE SOURCE
Weather Condition Overcast 1 Yd. Yd. Batch
Cement Monolith Type I/II Cement, lbs.
Admix None Sand
Specimens made by Enterprise #4
Data byJ. Moor #3
Delivered by OLS #2
Date Delivered 11/2/73 #
REMARKS: Water, Gals.
FOR LABORATORY USE ONLY
Lab. No. 73-3489 73-3490 73-3491 • 73 •- 3492 .73-3493 73-3494
7 Day Test 7 7 Day Test Day Test Day Test
Date of Test 11/8 1 1/8 __
6.13X 6.29X .
Specimen Dimensions 13.25 13.5 _ 6.37 X 12.25 Not required
Area 29.51 31 .07 31 .87
Ultimate Load 82,000 95.500 96.000 BUILDINn SAFETY uFpj,
Lbs. per sq. in. 2779 3074 3012 NOV 12 X373
H/D Corrected 7 day teat average 2955
FORM M-015 //
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' uL� (� ri EE .,R.AFwi_CFoliyiED
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COSTA MESA BUILDING-SAFETY DEPARTMENT cy
P.O.BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
CITY OF COSTA MESA
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 3090 TRINITY DRIVE
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY �{
RECEIPT NO. 111J1-t81Ld�L;
INCq�°
OWNER KWK CONSTRUCTION Co.,
MAIL RECEIyED BY I "DAT REC IVEryry GATE ISSUED
ADDRESS 1555 PL EA CENT IA AVENUE MI !� I 7 ± ZZ1 /I �M 1 1981
TEL. BUILDING
CITY NEWPORT BEACH CALIF NO. 6-3227 ADDRESS
ARCHITECT LIC. COSTA MESA:CALIFORNIA
OR ENGINEER NO.
FIRE 1
ADDRESS ZONEIRTYPE GROUP /
CONTRACTOR K.W. KOLL LCT NO.SATE 61195 BYPROVED DATE
r
ADDRESS 1555 PLA CENT IA NEWPORT BEACH ZONING 1 p�_�
LEGAL QT / ~ 4U I ZONE NO.OF USE OF NEW/C. 1 10.W,
DESCRIPTION 1:42.1:
O. OO IBLOCK ITRACT R-1 PLANS 2 BUILDINGWatt gar.
A.P.NO. none APPROVED T� gar
BY W.L.D. DATE 1-6-61
i SIZE 60x100 I NO.OFOBLDGS. YARDS U'// EVES
OF LOT NOW ON LOT 0 REQUIRED din/
ALLOWED
USE OF (CENTER LINE ST.) /J /' `) 3.]l(11 /
EXISTING BLDG. FRONT 4 D FT. 0I)1 hIN.
SETBACK LINE FROMO U 1 3 1
CENTER OF STREET REAR YARD JR.SIDE 5 FT. IN.
SIDE YARD I LEFT 5' I RIGHT 5` L.SIDE Sr FT. IN.
DESCRIPTION OF WORK
REAR FT. IN.
NEW I X II ALTERATION I II ADDITION I
REPAIR 1 II MOVING 1 IDEMOLISH I
S UZIE DING 1485S NO.OF ROS 7 STORIES 1
EXTERIOR WALL,,, ROOF COMPOSITION
COVERING STUCCO I COVERING SHINGL ESi
USE OF BUILDING AND WORK TO BE PERFORMED
SINGLE FAMILY RESIDENCE AND
ATTACHED GARAGE PLAN NO. 11--CR
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT A AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINAN ES AND AT AWS R ULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION. 1 VALUATION
SIGNATURE OF I PERMIT FEE $ 35
_
PERMITTEE 9
$ / �f c/// 12,5-6
PLAN CHECK $ ` .c/ ,5-6
J
AUTHORIZED AGENT TOTAL FEE $ e3r
p_.
4 ,
OWNER MyERS, Ralph H. DATC 10-23-73
JOB ADDRESS 3090 Trinity Dri BL .JG PERMIT NO. 37457
dGENERAL CONTRACTOR Automation Pools Inc. DESCRIPTION of WORK Pvt. Swim Pool
4 AP No. 141-071-08 LOT 60 TRACT 4041 FIRE ZONE VALUE $ 4,300.00
INSPECTIONS Sii9� L
,nature Date GROUP J . TYPE III ZONE Rl
Pool Location
r0 (U 05 SUBCONTRACTOR PERMITS ISSUED
Date I Number Signature
Elec. Bond
//
Forms
Main Drain •
Steel Reinforce S ( ? i
Electric•
,� O
Approval to Cover n4° la 3(?3 l� r1-a v-,, (/'//77 °'!6-43-77 .?/. S?7 .i
Underground Electric IWO I //15'73
Y
Gas Piping Test - 6 p.1'73 Plumbing
Filtering System Lines _ p� ) 1r 3('73 i. n�+it ,�/�rt 4_ fa,.277 3- 4yy�
Backwash Lines and Recep. � �� II-)41)
Electrical Final L
Heater and Vent Final _ I I / •
Filter System Final '/
Backwash and Recep. Final yl/yIq1� iii,1,73
r--�—_ PAID
li
CT 7.3 73t„«00 820 yr***44.00
C;i45 i
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 . '-[`
For Applicant to Fill in Completely PP KITION FOR BUILDING PERMIT
y�((,� RE I ED Y DATE RECEIVED DATE ISSUED
BUADDRESS fG 5 alO �/n//7y "r ./s /✓' /0 -23-73 /o 2/r3 .7�J1
OWNER'/®//csA f� Al ycg $ A.P.NO./40_0 / -O r PE57 T ?O
MAIL _ /� BUILDING y-�/
ADDRESS ZO 9J / R we 7y t) 2 ADDRESSSO9O �iA y / y
z —NO. !/ So v
W W NI, L
F+ TRACT LOT BLOCK
dz CITY Co 3'T7 -9141.-SA. I,‘426
F
CONSTRUCTION NEW ADO ALTER I REPAIR MOVING DEMOLISH
O LENDER
0- 03
jr BRANCH f�/ n/� /yf
Jtn OWNER /FlAP1/ / 1. Inti Ed\S
m J ADDRESS VALUE
-CO ARCHITECT TEL. &fl USER///ft7- 5GL//m POOLslege
J N OR ENGINEER ca
f Al.lei NO. O'Y S
Q FIRE �/f
W C= ADDRESS /0i0 /� �Ss�'T-.a0-/ 4 A ZONE TYPE GROUP a 7
JOCONTRACTOR ,. Jh+M/1 re e,- Boi Iry c APPROVE?. d i DATE/0 �el3 /�
03 ZC i
:lir ADDRESS 233&/ ' / T-ew •rd - /441C,
/
WW TEL. ZONE INO.OF USE OF NEW r�/urc.
Z= PLANS BUILDING
Z� CITY £/ Tv/rc.(j TEL. -�rio l SsiJ//hl (7G.
STATE s.-20 CITY YARDS APPROVED YARDS APPROVED
rWn LIC. NO.� LIC.NO. MAIN BUILDING ' ACCESSORY BUILDING
70 SIZE INO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT /
FRONT FT. 6 FT.V//t
Pi•
USE OF c•-•
/ o //
EXISTING BLDG. ZUr'M(y/n/!i V SDI.SFT. _ T.
F SIZE OF NO.OF • /�/1
ZZ NEW BLDG. ROOMS STORIES L.SIDE FT. ,2QFT.G //
C.1 EXTERIOR WALL ROOF
COVERING COVERING _ REAR FT. '7FT.
J •USE5FF�BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
y r-/c l on 7— _se.ci / /r--V /moo 0A MAIN BLDGS. ACCESS. BLDGS.
Q VAR.# DATE
O C.U.P.# APPROVED
I— APPROVED /
IA _Bv LC DATE / 1-7 3
Z coo
O
UI 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
I— any person in violation of the workman's compensation laws of ,r A �'�
C0 the State of California. /f) co
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Z I 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: m
CC
am exempt from the provisions oft State of California Business
and Professions"C%ue, ' 'sion 3, pter 9. VALUATION PERMIT FEE $ l�� ' N
D
'Signatu ' //(,/`�� /l"LL �!/ m
Perm ltte't �/L ! $ 7 J� PLAN CHECK $ /1 • E
Authorized Agent ' ry
TOTAL FEE $ 3