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HomeMy WebLinkAbout1086 TULARE DR - Building Permits _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • CILYOFcoSTA//Il��VV(I�/�($$A NSTffRRU(_`+s' 1�NPERMIT •PERMIT NO. TRACT NO. :LOT,NO. UNIT NO. .i 1 '5345 9/16_/67 236;54 T(. Project Address �V(/W VV .I/�- NEr 5(� 2�6 �f(0 39 ir1.. re'. +' : ` �. :' I• r IL- TYPE OF CONSTRUCTION ❑ NEW U ADD H ALTERATION H REPAIR 1, 14 'y • - (S` Sf ) "a : Applicant's Mallin• Address + - :A i-d IC.r I _ '� gs ❑ CONVERSION CI ❑ OTHER 'f A.P. y y/ 1: — /O — ( Zone'' , or Owner's Name -I• a �!�=>I� Phone�l1'3'oJ ryM� DESCRIPTION OF WORK/USE OF BLDG. • v'Address ��'l v U N= - -._ �-/ i _y 'S Main Building: �'✓' Gdur Pr "Accessory Building , POOLE 5ra •• y�ts i }/� / Z I Arch/Eng. r. ' :111:41.9 i(��ense No.I;Ai • TYPE OF PERMIT El GRADING' ❑,FOUND TION 51 STRUCTURAL • 'I a, ,,T, Front ,:•--�""- • — .•f0' 'TO /j/A5,4 O • Address ,•'i1-. i f _' f (I V ,�j ,'1� ❑ TENANT ELECTRICAL IRPLUMBING LO MECHANICAL i„ BA; Rear • '� y. t `y c - ( N ' Contractor's Name SI lIiG Phone Y/�" �V ,❑ OTHER `+ • , _ • _ - - -. _,- Address(mailing) L e k ..LAY i / PROJECT DESCRIPTION SQ. FT._ OCCUPA Cry a _ _ K Right _ ' !I �' G p- •CON STRUCTION TYPE • VALUATION$-/(��' $ Lt S. 22 City License No. ILGs qo . ZONE GRADING CU.YDS.- • ACRE - E Ping. Ref.# 'Parking-Req./Provided ' 0 LICENSED CONTRACTOR DECLARATION Q ' I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: f' •[���3r-557s Planning Notes: Pp-pL '/ S.nA.. M with section 7000) of Division 3 of the Business and Professions Code, and ( V t-M T my license is in f94,1 nand effect. //JJ�� I t l ' .•• S License lass Z./ License NoG-P I • � ' Date 10 • Signature �� , - PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink' ',Showers • ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer '+ Service Sink - 3800, Lab. C.) �,1� �r��/�//�� . •Automatic Washer Transformer 0 15-50 KW Policy No 52.Mol3 Company'71LFI1-- fes"" Backflowirrigation ' I ', Sewer'Ca " 1 - - 0 50+KW' • • P Construction Pole Sub. 'ie., edified copy is hereby furnished. - Certified copy is filed with the city Building Division: Bathtubs - SeWer"Connection Cooking-Unit • Meter ❑up to 100 amps -, Date Applicant • '-N. 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 OGas ❑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 subject to the Drinking Fountains Solar Tank Fan • . -Motors 00-1 HP B'�-8 ' Workers' Compensation Laws of California. - ' Date Signature Floor Drains ✓Swimming Pool w/Spa 100 F.A.U. Inc.Solar 09_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 - Microwave comply with such provisions or this permit shall be deemed revoked. ' CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performanc¢ - Pole Light , • of the work for which this permit is issued (Section 3097 Civ. CJInterceptors • Water Heater +Outlets Range Lender's Name -Lender's Address - - - - ' Kitchen Sink I Water Service witches - - - Sign - - - '- OWNER BUILDER DECLARATION hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash iGarbage Disposal "— - Standing Sections ' following reason (Section 7031.5 Business and Professional Code:.Any city or • county which requires a permit to construct,alter,improve,demolish or repair SP-Trap - Laundry Trays • Generator 00-5 KW 05-15 KW Trash Compactor - any structure, prior to its issuance, also requires the applicant for such permit II to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains Pao the Contractor's License Law(Chapter 9'(commencing with Section 7000) of rS�4 co 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 eenalty of not more than five hundred dollars($500). U I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee compensation, will do.thework,and the structure is not intended or offered Reinspection Fee $15• Issue Fee ,$ 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 • _ _DEVELOPMENT SERVICES REQUIREMENTS: ' thereon, and who does such work himself/herself or through his or her own Boiler HOOd Or T e 0 e. 7 employees, provided that such improvements are not intended or offered forI yp / '/O sale. If, however,the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved ByDA net: 1 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date ` '/g( B 7 prove for the purpose of sale). , - 0 I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration stem Application Issued By Dat Date Q 1 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 ❑0-100 0 BTU 0100,000 BTU SUMMARY OF FEES - builds or improves thereon, and who contracts for such projects with a con- 1.2 tractor(s) license pursuant to the Contractor's License Law). I am aware that - - BUILDING PERMIT $ /Z 8. SO •SNIP $ . proof of their Worker's Compensation insurance should be provided to me: Exhaust System 0 Multiple ❑ ¢m Repair/Alteration PLAN CHECK $ 83 • 53 PERMIT- _ , ❑.I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers PLUMBING $ [�- O ISSUANCE $ Date Owner • Heating System& Duct n F Registers• ' . . - PLAN CHECK 25% $ O • 7 ENERGY P.C. $ - i I hereby certify that I.have read this application and state that the above ❑0-100,000 BTU ,D00'gTLf1 I r 4 ELECTRICAL $ jZ •CJtl GRADING $ information is correct. I agree to comply with all city and county ordinances C I I , 'and state laws relatin, o building construction,and hereby authorize repre- - '• - - PLAN CHECK 50% $ 4_a 50 MICROFILM $ . - :sentatives of t y to enter upon the above-mentioned propertyerrtfor _ • - inspectionpur%j5, ......ax_.---, Dat�-w/ /O'B7 - MECHANICAL . $ _TOTAL FEE $ 136 '54 Signature ✓ - - • Drivers' License or 5$# � $ Reinspection Fee $15 Issue Fee $'3 • ' PLAN CHECK 25% $ - , CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor L &SPA-CONSTRUCTION AND P.LANNIIG , POO .- APPROVALS IPermit'# 4 Date - " Inspector ' ' • Date Inspector • • APPROVALS Permit # 1.;Temporary Electrical Service or Pole ' - 52. Pool &,Equipment Location i '• " 2:'Soil Pipe-Undrgrnd. 53. Steel Reinforcement • . I /641/2".7 tC • 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms. . 4. Electrical Conduit-Undrgrnd. r'.' 55.! Electrical Bonding /64f•47 £ - 5. Steel Reinforcement �� } - 56: Rough Plumbing & Pressure Test r . . ,0 CJ4/D 6. Electrical UF ER Grnd'.;i _• 57. APPROVAL TO COVER-GUNITEi 044147 LS 7. Footings 44- 58. Electrical Conduit-Undrgrnd. ••• 8. Foundation - - .__j,y . Y 59. Gas Pipe, 0 Undrgrnd.,Tests/04 w/14/81 tee. . 9. Water Pipe-Undrgrnd. • 60: ,Backwash Lines, P-Trap, 0 Undrgrnd. /a4f/47 ,LS • 10. Structural Floor System 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 62. Backwash•& Receptor-Final u/;3 f r ad- . 12. Sewer Cap I') I 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final �� 14. Rough Plumbing 65. Electrical-Final - f�1f� 8' DA- 15. Rough Electrical-Conduit - 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval - 1(t)/8i Q4 • 17. Rough Wiring Sign ,r58.-APPROVED FOR PLASTERING • fr/ apt- 18. Rough Electrical-T Bar Ceiling • - 69. POOL/SPA SYSTEMS FINAL ''2-T� 7 - 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 •-1L 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 - - - . - V. 27. Frame and Clashing . . 4 :76. Dry Standpipe • • �' 28. Lathing &Siding - 77. 'FIXED SYSTEM FINAL . ^i r _ 29. Insulation 78. FIRE PREV. FINAL • - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION I• - ' 32..Electrical Power Meter-Final80. FOOD CERTIFICATE ISSUED - r- 33. Final Electric Notes: • . . ^ . 34. Final Heating & Air Conditioning - - - 35. F i na l`Ga s Pipe-Test • -1 + .--i .- 3.6. Hood or Canopy - 37.., Final Factory Fireplace 38. Final Plumbing - ' 39. Water Service-Final . ! 40. Gas Service-Final • 41. Solar Domestic-Final • . -n 42. Backflow Prevented i ' 43. Backflow Irrigation . . • - - • i ' , - I 44. Landscape Irrigation System . . - - . • :•45. Sound Attenuation • - .1- , 46. Handicap Regulations- , • - 47. FINAL STRUCTURE & BUILDING • •• _ 48.-..Special Requirements Completed - - - - , '' - 49. Electric Release to Edison - - -I ' 50.-Gas Release to Southern California Gas Co • - • - 51. CERTIFICATE OF OCCUPANCY _ - , - .. . N - tf No. Date • - - - - - - f I CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. /al? DATE /P -71 -72-' LOT NO. l y ADDRESS /pg (, %4 e [A- The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. .The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) LA-14-4 advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. �7 BY Purchaser BY_2212-- RECEIVED Developer and/ authorized CITY OF COSTA MESA representativ PLANNING DEPT. NOV 1 1972 BY AMPM Lender 71819110111112111213141516 tet, A • 1"° • �- �i Twirnin i Laboratories of�ou 6c,�o E , nne. ' 111 oy -,- .�_,_. 3310 Airport Way/Melling Address P.O.Box 47/Long Beach,CA 90801 /(213)426-3355/(213)636.2386/(714)828-6432 TESTING BRANCH OFFICE: 1314-D North Susan Street/Sante Ana,CA 92703/(714) 554-2645 • • October 27, 1987 EXAMINATION NO. 87-14763 COMPRESSION TESTS ON GUNITE CYLINDERS Elmer G. Volden 14509 Dalwood Avenue Norwalk, CA 90650 PROJECT SWIMMING POOL W/SPA ADDRESS , 1086 Tulare St. , Costa Mesa, CA ARCHITECT CONTRACTOR Royal Pools ENGINEER SUBCONTRACTOR B.C. Adams D-J Gunite SAMPLE FROM I. Shallow end floor walls and beam. • II. Deep end floor walls and beam. SPECIFIED MIX 4.5-1 STRENGTH 2,000 DATE CAST 10-15-87 SLUMP --- SPECIMEN SIZE 611 x 12" DATE TESTED 10-27-87 10-27-87 SPECIMEN NO. . I II COMPRESSION 12 days 12 days TOTAL LOAD LBS. 70,500 89,500 POUNDS PER SO- IN. 2,490 3, 170 AREA. SO. IN. 28.27 COMPLIANCE 12 day tests comply with specified strength. MADE BY: DELIVERED BY: RECEIVED ON: SPECIMENS T.L. 1 E.../Volden 10-19-87 DISTRIBUTION (/ .i E. Volden 3 /o Z 7 8 7 City of Costa Mesa Bldg. Dept. • lis 4 ALL REDORIS ARE SUBI,trtTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS AUTHORIZATION FOR PUBLICATION OF OUR REPORTS CONCLUSIONS OR EXTRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WP:TTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS THE PUBLIC AND OURSELVES /0A/e7 Gunite v REPORT OF INSPECTION ON Masonry • - Concrete To: _1r/1- O 6c-S� cs��r% • yy, ti : Address : &s7 ./oeje { OWNER: A7,- • PROJECT: --57J/.g t/AI &" tclt LLV,s‘2,e Report Na. - Address: �01�� � GtLAr-e Cl G. 74, Petal No. Architects Contractors /2oy/i9J, leocS Address : Address: /4144ei,ti Engineer: _a (- , ' J) ,nS Subcontractors J-T) , C�j44fir - (Gunite, Address : ��rVr,J 6k?t1P Masonry or s6_cf,�'%2J,FataA-Pg6j • Concrete) Address: • - Mix Used: ,/ Rebar: Slump, Inches: . Admixture: Brick: Designed Strength, PSI : 2cc.' inspector: K0ier Block: The following Inspection was performed In accordance w! tl the approved drawings. Cu.Yds. No. of DATES Placed Cyl . Remarks • / 1/23 / .9- ✓ ,�f--tet ;7- `-/Z. ,J.S e r`. /.fe c. .r/i:7j cf � to�� L QjeA eJ.. �l r- �d cJ ; `re : � if 4 1o; r-1e a 4/-; e-Tel) /frd 4 5J c r4 a l a r Attail/e Copies of Reports to: (INDICATE WHICH BLOC. DEPT. S FURNISH ADDRESS OF ANY NOT LISTED) de?y (fglep" M. 130-i OWNER HELTZER Enterprises Costa Mesa DATE 2-8-72 JOB ADDRESS 1086 TtLiare Drive BUILDING PERMIT NO. 34127 GENERAL CONTRACTOR George J. Heltzer DESCRIPTION of WORK Res.w/att.gar. AP No. LOT 14 TRACT 6639 FIRE ZONE VALUE $ 33,700.00 INSPECTIONS Sgngture Date GROUP I&J TYPE V ZONE R-1 SOIL t,7' -j%9/1/2/SUBCONTRACTOR PERMITS ISSUED GAS Date � Number � Signature WATER ROUGH PLUMBING A..��- t_ t� P u ing �O 5'{ny+' �ta-/A7){ /� ���///cgJy /`%� ' PROP. SWR. LINE HOUSE CON. IP A 2- //,eaigUtQ((�i '/-'.o �/�h ") 4°7e SPRINKLING SYSTEM f/a S /�{,/ "%M'ZG / / MISCELLANEOUS --}�-� ROUGH HEATING AND AIR CONDITIONING J'A^ / •-7.a/ TEMPORARY SERVICE OR POLE `�4 UNDERGROUND El POWER 7 //,, ROUGH WIRING A Al . f'ZL• 't eatin• annd�/pppent. TRENCHES agr, FLOOR SYSTEM FORMS STEEL REINF. 5 �1`' /(:/% _rail BONG BEAM 0 STEEL REINFORCE r SHEATHING if FRAME AND FLASHINGU'n � r�-V • XV.• : Cr-l LATHING — IN ^ OUT c � ''-1/1/ PLASTER, BROWN COAT 9! 7e1 _.712/ STRUCTURAL, FINAL /� , I� ,t gq.y7 lett HEATING, VENT., REFRIG. AND A.C., FINAL rA 6/6/$ 7& ffe /g6 /•t Vc.2.0-7�' i( / PLUMBING, FINAL AND GAS TEST n /41// -1S-12.- 1-`� ', ,N117) .----." / / ELECTRIC, FINAL �7e /O It-7Z. 34127 PAID 71 9 72 s, 00 321* ** 167.25 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIXXED BY DATE RECEIVED DATE ISSUED BUILDING - - 12-3-7J - ADDRESS 1086 Tulare Dr. Costa Mesa 1 JJ �- - 7g. PERMIT NO. OWNER Heltzer Enterprises-Costa Mesa A.P. NO. MAIL BUILDING ADDRESS 740 N. La Brea Avenue ADDRESS 1086 Tulare Drive'/ CLP:0111111r1 CITY Los Angeles, CA 90038 TEL.O937-2171 TRACT/ 37I LOT "/ BLOCK CONSTRUCTION NEW A D ALTER REPAIR MOVING DEMOLISH LENDER United California Bank BRANCH Main Office 600 S. Spring Street w ADDRESS Los Angeles, California 90054 to OWNER////��//��/�JJJ < � VALVE /� y CO co ARCHITECT TELA'• 3- USE f/!-'-'�/ • $ �� !Qd J Q OR ENGINEER David Freedman N 3852 �� V Q FIRE ,/{' W X ADDRESS 113. N. San Vicente,. Suite 306 ClZONE TYPE r. GROUP..j� W Beverly Hills, d APPROVED IL O CONTRACTOR George J. Heltzer BY - DATE Wa . .tr ADDRESS 740 N. La Brea Avenue residente w/ W w TEL. ITZONE NO.OF USE OF NEW Z CY Los Angeles, CA 90038 NO. 937-2171 R1 PLANS 2 BUILDING att. garage i- -O STATE - CITY - YARDS APPROVED YARDS APPROVED w v)cc LIC. NO. 3144 LIC.NO. 1900 MAIN BUILDING ACCESSORY BUILDING D O (FROM CIL STREET/ SIZE INC.OF BLDGS. • OF LOT - NOW ON LOT FRONT ci FT. FT. USE OF � EXISTING BLDG. R.SIDP . FT. _ FT. I- SIZE OF NO.OF fit' Z NEW BLDG. ROOMS STORIES / L,SIDE FT. oaEXTERIOR WALL ROOF LL COVERING . COVERING REAR �✓ FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& 1 a OCMAIN BLOCS. ACCESS.BLS. Q VAR.# DATE • O Residence with attached garage - c.u.P..#E APPROVED N Plan #408 _avRoveD WAD DATE 12-20-71 Z AM/rib _0 I hereby acknowledge that I have read this application and state HOLD FOR SP rthat the above information is correct and agree to comply with 9 ECIAL REpUIL" " CC all laws regulating building construction, and I shall not employ .�{/, I- any person In violation of the workman's compensation laws of T 36 V) the State of California. �r %,•� / L/�� m I hereby certify that I am properly licensed as a contractor under fir/ SO. FT.' 7 O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER V UATION IS FOR i Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the pr sions of the State of California Business e[ and Professions Code, Ion 3,Chap r •. VALUATION h //�• SO co A' 3 it .f7 N ¢ER IT FEE $ D Signature of / /�d/ V. $ / [r /J.-s /�� _, k Permittee L i FICCI $ •CJT�jT`�FJ,••/(/-"' Authorized Agent .0$1:1'. E.; �Er TOTAL FEE $ ///.. '- OWNER PRTT.LIPS EDWARD J. DATE 8-15-77 JOB ADDRESS 1086 Tulare Drive BUILDING PERMIT NO. 44498 GENERAL CONTRACTOR Owner- Bldr. DESCRIPTION of WORK Add. Kitchen-nook AP No. 1086-104-14LOT 14 TRACT 6639 FIRE ZONE R-1 VALUES 5,700.00 INSPECTIONS -Signature Date TYPE p GROUPZONE R-1 • ‘IbliSOIL PE$MITS ISS4ED GAS SUBCONTRACTOR I I II ``WATER �`a 47.77 Plum Date Number Signature ROUGH PLUMBING -11Y /015-)) In 1/ PROP. SWR. LINE ❑ HOUSE CON. ❑ Mat O SPRINKLING SYSTEM MISCELLANEOUS ' ROUGH HEATING AND AIR CONDITIONING • TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER E ROUGH WIRING / `/O' Heating and Vent. TRENCHES Li FORMS L STEEL REINF. 0/C.--to 7 FLOOR SYSTEM -. _ BOND BEAM STEEL REINFORCE n ... ....10.0 _ /� SHEATHING /V//�d�Q.�'�7./'� �wJ�'//' FRAME AND FLASHING./ G , .!/-27.s L / LATHING - IN T /UT / ►N�T• 71 . PLASTER, BROW COAT STRUCTURAL. FINAL HEATING, VENT., REFRIG. AND A.C., FINAL �Yi 7)t 4 - /0-3.40)Li3trj Q•/ PLUMBING. FINAL AND GAS TEST 7 ITS v ELECTRIC. FINAL �p�}�� 7i.5/ BUILDING, FINAL /Yle7L/n,.7.P Q i.. ,7 .. -:,e PAID * ****54.50 v AUG 75 77cpSn001418 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 AP A ION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only REC D DATE RECEIVED LATE ISSUED _ BUILDING /a.7 774/ - ^ — �� /1 Q �,1L -7_/ ADDRESS �^Jy� /1`� �1N`I�G (tL//u`— ,J ,/A�((PE /T T7 �iTl /�}., eb T'1� ✓%i J I A.P. NO. �//��/�y^�7 1 PERMIT NO. MAILOWNER 1(�/s[ i{ � (/ r /' �/'1/ Q�/ y� ADDRESS /09-6 raLg1QF 7 J ADDRESS /ON rot ear Dti"? CITY 0.41$ i f a NOL £7 TRACTb p•3� LOT /7 BLOCK • CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOLISH LENDER ) /' /''Ao/� /J7,/ BRANCH OWNERveae.49 tf/ J aae4e ADDRESS ///2 � J9 VALUE •�// ARCHITECT TEL. USE LR //.Gr!/ S (�/� OR ENGINEER NO. FIRE ADDRESSZONE TYPE GROUP ' BYPflOVE• II� /% �' CONTRACTOR 0. , Imo/ ii - 4 / BY �L�,_ .r '� ADDRESS ZO(W.p(I�EE NO.OF USE OF NEW TEL. CITY NO. `1< ' / IPLANS 2 BUILDING F STATE CITY YARDS APPROVED YARDS APPROVED gLIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLDGS. (FROM C/,�sSTREET) -� 6, OF LOT I NOW ON LOT / FRONT /7€'IrV / lC K/I� FT. Q USE OF V) EXISTING BLDG. FES, R.SIP.30 FT. FT. ce HSeparate permits are required for L.SIDE ,./ / FT. FT. C electric,plumbing and heating work. REAR 3O T. FT. F USE OF BUILDING AND WORKTE��PERFORMED, DISTANCE BET. BET.MAIN& Q� �� "OW - ` 7L[ y� q BLDGS. ACCESS. BLDGS. ATE Q /r K / f C.U.P.# /'► /�y(y'7���� APPROVED(I�y,/-C-9/1 C i/7 )"" / / ELY• ED! .�����„j(V DATE O /- —/� .•1 l.� r Y 4L a ame w 0 I hereby acknowledge that I have read this application and state gi that the above Information is correct and agree to comply with a coell laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of ' 'WYE the State of California. 075 . FT I hereby certify that I am properly licensed as a contractor under . . 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 FE 0 Y: to am exempt from the provisions of the St e o C: •r Bu :ss �- a and Profession C Ston 3,Chap -r •. VALUATION PERMIT FEE $ -1 ut j� am, m J PLAN CHECK $ , Signature of I ' �/�/) 7,, Perm lttae ��. �L4 /Va $ 5/v/ TAX $ ft / U Authorized Agent 0 TOTAL PAID $� • • ! /� 7 / /, Ii 4..c•-;`::,:-' J L.,ry^.t2 v L L/IC/L L:' /C�/E-C� 7"ULd'Le.-- O„ ' cc..2_3i%` FII.;--;=1r4 5te! __<--I17_ G/ . BUYER/OWNER/S ADDRESS CITY RES.PHONE CDNTRACTr.DAT a7_e3 /1/ GG ... MAP BOOK PALE LEGAL DESCRIPTION • LOT VT JOB PHONE. j1j1 :out' ctor ucknowlugou ._,. .__ 1 I -T 1. - -in I- F .. .1_ __I, I_I._!...1,.. �_(. 1 _1 I - ( _t T1 - - - lu ubPolablu for the 1 '1 r I I 1 I ' 1 F .II f I ��) -� 1 �+ I ,_I 1_ .I 1 1 1 1 _' 1I. ( L_ I ' ..I 1 I •_..1..1..._!.. 1_.....,..1.1!_;_. I 1 1. i .•. 1 1 1 I I ; 1 .-1- I i 1_i-i-r.11-7f •1 117-1- Contractor Owner I - 1 t • • - I I I _ , I I 1 I 1 1 I I I a t - I I - I 1. I 1 vel by - I I 1 _ 1 I I I 1 I I I I III . 1 I_ � I , cunwnl by _ t - 'I ' ' r _ ' I 1 I i t ;. 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WWII 1 1 ' 1 1 1 I_ _1 I 1 I �..I -1 i i..�. i o1vmP Boards I I 1 1 1 f . 4 l 1 1 L-- -..� ' I DEEP I I I� I I SH- LAEI o Fds• Ovur W.0 I '' ' .! -I..i 1 1 .1 -1[1.-..L..1 1 1_.._E i_I I!�IIII I' i' I III 1 I-1 -1-1-iii- -_1 I I2,:. ...1,.+T.-._iI IEND ! _ 1 11 -T_ _ ITi--i .,1 -I I _i_l1---I. r -. FORM NO T 3309 . . _. : __1 "..I. I .. 1..i.._ 1_ . _1 1., _1._1__1. I 1_17 1,/J 1 _. _. .__ I .1._.;-.1..)�, I_I_l- ! _1..1-1_ ... 1 I._I NOT _CAL_ , .� f .L_I cS (/-C-S I