HomeMy WebLinkAbout1067 TULARE DR - Building Permits CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. 474-1.;rrf'' DATE
LOT NO. 77 /
ADDRESS #45 �(-1ALadli
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) 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.
BY (?1,(,J
Purchaser
RECEIVED
CITY rd CO`; r L eSH BY
Develo e and/or authorized
Nov 1 4 1972 representative
AM PM
718491011111211;21314t516 BY
Lender
. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -9076 4/20/60- 25025 IL
CITY-,OF COSTA M�/-�E/S�,A, CQLISTRUCTION`��PERMIT 1 PERMIT-NO.MITNO.) /� rt TRACTJ ) ANO. . LOT NO. UNIT NO. .
Project Address 1 Q 7 l idarc. b/ee .r /J 3 tD �/ &Le 9 3 9 - I -• .
Alij?licant•s Marlin• •ddress ✓ t _ ,r TYPE OF CONSTRUCTION '❑ NEW ADD Li ALTERATION Li REPAIR p
Air _-• _- / J ❑ CONVERSION ❑DEMOLISH ❑ OTHER _ 'A.P..t 4/a -`Q -Q / . . I I Zone �/ •
Owner's Name _==-�_at _ i DESCRIPTION OF WORK/USE OF BLDG. µ, (�
address ` 6 rL / 4Vv SC _ . x LF- 5iP Os'tJsd"'L! -- S Main Building: Accessory Building:
. 2
Arch/Eng: License No. TYPE OF PERMIT I♦ GRADING 11 FOUNDATION M STRUCTURAL T Front o 5 , . 0
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BB Rear 143 5 J N
Li OTHER
Contractor's Name d/ Phone - - n/ N
PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right
Address(mailing) K / , G
CONSTRUCTION TYPE8°---...."
0/VALUATION$ S Left �� , R
City License No. ZONE GRADING CU.YDS. ACRES Ping. Ref.4 Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION //1r�� 1 Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: • 'y'1-(� Planning Notes: .4• / n ry1/s jy - L( f !/(„� M
with section 7000) of Division 3 of the Business and Professions Code, and - %61.,004.2 —`-s-• `/Vyl C T
my license is in full force and effect. S
License Class License No. -'
Date • Signature PLUMBING , FEES ' •
WORKERS'COMPENSATION DECLARATION Bar Sink Showers 4 - - - ' • 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.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backflow Irrigation Sewer Cap • Construction Pole Sub. ❑ 50+ KW •
eCertified copy is hereby furnished.
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cook ing'Unit Meter ❑up to 100 amps T.Date Applicant f
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps -
(This section need not be completed if the permit is for one hundred ($100) or •
'
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric - Sub Panel •
-
I certify that in the performance of the work for which t is rer It is issued, I '
shall not employ any person in any my�T r so as to • c• bject.to the Drinking Fountains Solar Tank - Fan '
//YYrr Motors❑0-1 HP ❑1%-8
Work - ens Laws a Calif. - -
Dat '� Signature / ....tom- 41 -........2isse Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP ❑16-15+
--N ICE: If,after making this declare I. , Al should becom ubject to y. - -
Workers' Compensation provisions of the .bor Code, you CR st forth h Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked. I -
CONSTRUCTION LENDING AGENCY Gas Service 'Outlets Water Closet Device Boxes
I hereby affirm that there-is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater Outlets Range
Lender's Name ,
- -Lender's Address - , - - Kitchen Sink Water Service. Switches Sign
OWNER BUILDER DECLARATION •
• I hereby affirm that•I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - Garbage Disposal 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 P-Trap Laundry Trays • Generator ❑0-5 KW ❑5-15 KW Trash Compactor '
any structure, prior to its issuance, also requires the applicant for such permit •
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains -• •
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt 1 -
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 ' - .
penalty of not more than five hundred dollars($500). '
❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, 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 Type I ❑ P / (g� '`f'�'88
employees, prerloeh that such improvements are not intended or offered for Zoning Approved By -// Date '
sale. If, however, the building or improvement is sold within one year of com- Canopy Type I ❑
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By ' Date '
prove for the purpose of sale). ''lJ' ) •� Fe
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By l� Date T
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMNIARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- _ _ ,
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhausts stemBUILDING PERMIT $ 15. 0a SMTP $ s'S�
System 0 Multiple 0 System Repair/Alteration p
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ 4'� PERMIT.
❑ 1 am exempt under Section / •. z P. .for this reason Firepl/Fact.Blt. ICBG 4 Fire Dampers PLUMBING $ ISSUANCE $
Date t•/ — owner _ u: / w - Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $`
I hereby certify that I have read the/application and 4s" that thelleove 00-100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city an. ounty ordinances .
and state laws rating to builds , c•nstruction,and hereby authorize repre- - PLAN CHECK 50% $ MICROFILM $
sentatives o is city totv dr on theabove-mentioned property for
inspection oses.
240-1:927 MECHANICAL $ - TOTAL FEE $ �•S .2.5-
/y^ •
Signature / � - Date y�
Drivers' Lice or
ear
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor -
CONSTRUCTION ANDPLANNING POOL&SPA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location . ,
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ,
3. Electrical Conduit Utility-Undrgrnd. 54. Forms '
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE '
7. Footings - 58. Electrical Conduit-Undrgrnd. 1-
8. Foundation . 1, 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, D Undrgrnd.
10. Structural Floor Systeni 61. APPROVAL TO DECK ' •
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
i
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 0 Gas 0 Oil _
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
L•
25. Roof Sheathing 74. Overhead Hydro ._
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
•
27. Frame and Flashing 76. Dry Standpipe •
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT .
31. Plaster Brown Coat 79. FINAL INSPECTION _
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:.
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test -
36'. Hood or,Canopy %
._ , i
37. Final-Flit-tory Fireplace
38; Final Plumbing y
39r Water Service-Final
40. Gas:Ser3ice-Final '' - ,
',43:. Solar Domestic-Final :y
.i'42. Backflow Preventer
-43. Backflow Irrigation
.
•
•i 44_ ,Landscape Irrigation.System I-,•I
45. Sound(Attenuation i
46.41andicap Regulations tel ' $ _.
/
47. FINAL STRUCTURE & BUILDING r/a-4,
lI/ rf D� - -
48. Special Requirements Completed
49!.Electric Release to Edison a'
:>a
50. Gas Release to Southern California Gas Co .r... l' ' -
51. CERTIFICATE OF OCCUPANCY .
H
i•
No. Date
V
APPROVED
/TAME
City o{ Costa Mesa Building Dept.C' PaNui�c DEvr.
'1 DATE T9 6� EUBIECT TO BLDG. DEPT. EEO.
I ev _ TIMES ;`:^ BY T. g8
hA 1 T et ON JOB AT AU ATE.._
•
'' THESE FLANS L rRIOR AFFRO�r A? O DEP.I. OIL L OF LOP PLANNING
OCH NvES : ''t:GUT '
IS 3 3 ! C_z. ; ,,r;.
CR TIBC ;I IA - . 101-. U D PE A
THEI K>_r,l - �;ca � N *!GN OF .,,i,‘..1JF
PLANS ANTI CNn •:."1!.-1-110.
'i(,CIF --LL-
.
THE PROVISIONS
R VIS, Oe N NO ER, SUM NG • /
CODE.rtSiONs OF RIES •:1.,., .
VE
THE Pk0`JIS! V r CT OR CANCEL TN, .::S OR J`.E u❑^NpT
AUTHORITY 10iq iJ RCEPT IN SC in( A NOW CODE HIAA EF A6@Ifir
WHICH IT AUTHORIZES OF IS LA.w I. ,7NS, _OELETIO '
PERMIT BASED uUIL PF = CND DNG An,:na, .D R5, OR CORR[CTI., SHALL3
THE ISSUANCEAQY 1}IE PLAiJh •"I
FPECI THEREAFTER
SHALL IRI PREVENT THE BUILDING ERRORS OFFICIAL '{
SPECIFICATIONS CARRIEDONN OR FROM PREER
J+Inp DEPARTMENT
FROM THEREAFTER REQUIRING THE CORRKTION OF 1
WHEN •
SAIDV PLANS AND
BUILDING OPERATIONS BEING ON THEREUNDER
IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF
THE CITY. •
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G20• Goaat ID .- .
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!b V RESIDENCE 1 n�
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s... RESIDENCE
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/ r} .✓ RESIDENCC lb I
1 , ° RESIDENCE
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Tt..-Ici✓'E- STREET 6 •
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• TYPICAL 6" CONCRETE . BLOCK FENCE
Cement Coping Optional --1 GENERAL- NOTES
Channel Block With 1.3/8y6 11 ' j
Horizontal Top of all _ MORTAR: One Part Plastic Cement and
Fences l I I Three Parts Sand
For Fences 5'or Less ia� p 1 GROUT: One Part Cement Three and
Vert.Bars 3/8"�at 4'-0"O.C. d One Half CemeParts Stand
a° _ - COPING: One Part Cement, Three
For Fences Higher Than 5' !II I` SIS • Parts Sand
Vert.Bars 3/8••¢ at 32"O.C. Q w CONCRETE: Weil Mixed 1:2-1/2: 3-1/2
= Max. of 7 I/2 Gallons of
Fill Cello Solid With Grout 11 > z '. '" Water Per Sack of Cement
Where Steel Occurs > - — ---- -- - --- - ------ -
•
Reinforcing Steel Shall •
f ID � GROUT MAY BE POURED FROM THE TOP
I OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec.A-15-39 m 0 I
_1I - - OCCURS.
A.S.T.M. II Z ~ I II CELLS AND AREAS OF HORIZONTAL REIN-
All Steel to be Lapped -- ----- — 1 FORCEMENT SHALL BE CLEAR,CLEAN&
FREE OF ALL MORTAR DEBRIS,ETC.
24"or to Code
9
NATURAL GRADE
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-
•
-
TWO 3/8"16 BARS 'arra. D e _ - .♦ ♦ a ♦..
CONTINUOUS TOP -I '
&BOTTOM ----:-....-4 1_WLOT H - TO 16' O.C. MAX.
SEE CHART ♦ '♦ a
.Oi>,ILSTEEL MUST BE TIED IN BELOW a DEPTH OF EARTHTCOTH
PLACE AT TIME OF TRENCHeI" - . ," �. 1/3 THE HEIGTH OF FENCE
INSPECTION. L ----- BOTTOM OF FOOTING.
• r 3
I-•1p--1 o" 2..� SCALE: I/2 I'
FOOTING REQUIREMENTS CHART •
WALL HEIGHT 6• 5' 4' 3' �-'
WIDTH 14" 14" 1 12". . . . 12
THICKNESS 10" 10" 8" 8 "
DEPTH OF EARTHTOOTH . . . 24" 20" 16" - 12"
SPACING OF EARTHTOOTH. . 12' 14' 16' 16'
OWNERS NAME:
. City of Costa Mesa, California PERM°DNUMBER - — — — — - — — — —
Building Department SIGNATURE:
2evlsea Nov.82.
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OWNER HELTZER Enterprises Costa Mesa DATE 2-8-72
JOB ADDRESS 1067 Tulare Drive BUILDING PERMIT NO. 34152
GENERAL CONTRACTOR George •J. Heltzer DESCRIPTION of WORK Res.w/att.gar.
AP No. LOT39 TRACT 6639 FIRE ZONE VALUE $ 23,600.00
INSPECTIONS ignatu - Date GROUP I&J TYPE V ZONE R-1
SOIL 4.6SUBCONTRACTOR PERMITS ISSUED
GAS 1 Date Number I Signature
WATER � Aum•' 9
ROUGH PLUMBING �J%q�!// //7y 7 i/- �//y,( / '', q vw-F`��11JJd�pi
PROP. SWR. LINE HOUSE CDN. Ii� Tf•LT/� 7-M .' //. Ate). I iv kt .5:://-p ,&o7&
SPRINKLING SYSTEM / ¢ '�4
MISCELLANEOUS ddd�dd111t11 /
ROUGH HEATING AND AIR CONDITIONING /J ' 7./3;70-
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER Li
ROUGH WIRING A A. - L-. /Heatin• an• Vent.
TRENCHES rA FORMS % STEEL REINF. n. `r� �gn�fi��py!'
FLOOR SYSTEM I /
BOND BEAM • STEEL REINFORCE • �/��`
SHEATHING �y�rfeLr/'
FRAME AND FLASHING • „s�./ f
LATHING - IN r� OUT 9 1 .F9�,r
PLASTER, BROWN COAT r ,fjl-
STRUCTURAL, FINAL
tri e .
•
HEATING, VENT., REFRIG. AND A.C., FINAL 4�A��/1. �, - an � a�M� /- �'yijj/i�
PLUMBING, FINAL AND GAS TEST 4 'kW — NWANAMMEMM
ELECTRIC, FINAL A 4 . - S-7L
_.... _..._ _..... , �_-.
Iry
— 34152 9-7?--7.00 347* ***
, lz�.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIVED BY DATE RECEIVED DATE ISSUED
^BUILDING /1 l73•- 71
ADDRESS 1067 Tulare Dr. Costa Mesa ,7? _e_��'
PERMIT NO.
_OWNER Heltzer Enterprises Costa Mesa A.P.NO.
MAIL BUILDING '
_ADDRESS 740 No. La Brea Avenue ADDRESS 1067 Tulare Drive
W W TEL. (213)
HZ _CITY Los Angeles NO. 937-2171 TRACT 37 LOT ( BLOCK
Z C CONSTRUCTION NEW ADD ALTER i REPAIR MOVING DEMOI ISH
O N _LENDER United California Bank ///
am
J D BRANCH Main Office .
J -
cnOWNER I
03 J ADDRESS 600 So. Spring St. Los Aggples 1` e VALUE 03
m ARCHITECT TEL. USE �O .' $ , ���
J Q _OR ENGINEER David Freedman NO. 659-3852 T
MI ZIRE I /
Z
W _ADDRESS 113 No.San Vicente,Beverley-Hills ZONE TYPE ' GROUP
APPROVED
ui J O _CONTRACTOR George J. Heltzer BY DATE
CO
_J pr ADDRESS 740 No. La Brea Avenue /
W W TEL (213) ZONE NO.OF USE OF NEW r ea w/d lL
Z� _CITY Los Angeles NO.937-2171 R1 PLANS 2 BUILDING garage
•
STATE CITY YARDS APPROVED YARDS APPROVED
N 2 LIC.NO. 3144 LIC. NO. 1900 MAIN BUILDING ACCESSORY BUILDING
DO -S1ZE (FROM C/L STREET)
NO.OF BLDGS.
OF LOT NOW ON LOT FRONT S-Z) FT. FT.
m
USE OF
EXISTING BLDG. _R.SIDE FT. FT.
I- • SIZE OF - NO.OF `
Z NEW BLDG. • ROOMS STORIES ) L.SIDE v FT FT. -
EXTERIOR WALL ROOF :Qr�//
V _COVERING Plaster COVERING REAR o[hr SFT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET, BET.MAIN&
a-
a _ MAIN BLDGS. ACCESS. BLOGS.
DATE
Single Residence c U.P # APPROVED
I--
i - Plan #411 ABV ROVED y�DD SATE 12_20-71
ZAM/r1b
0
U •I hereby acknowledge that I have read this application and state l'3UW FOR SPE' ML REQt1IRE4IL-A[Ta
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 •
_
Co the State of California. ./ ,2 D .3/5-
•Cm 19
I hereby certify that I am properly licensed as a contractor under (�� SO. FT. J p
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER V UATION IS FOR
chapter B, and that such icenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ¢
am exempt from the pr v of the State of California Business
and Professions Code, D I on 3, Chapter 9. VALUATION / , r N
PERMIT FEE $ tV/
D
Signature of 00// I'^' co
Permittee /fa �� $_ PLAN CHECK $ 9/3/ � E
o
Authorized Agent 4r. it
_ u.
TOTAL FEE $
TOWNER LAWSON, Cecil DATE 3-29-73
"'JOB ADDRESS 1067 Tulare Drive BUILDING PERMIT NO. 36307
tGENERAL CONTRACTOR D. W. McFerran Co. DESCRIPTION of WORK Aluminum Patio Cover
YAP.No.. 412-122-09 LOT. 39 TRACT 6639 FIRE ZONE VALUE $ 450.00
INSPECTIONS Signature Date GROUP J TYPE TV ZONE WI
„SOIL PERMITS ISSUED
'GAS SUBCONTRACTOR
Date Number Signature
WATER Plumbing
1:AROUGH•PLUMBING
S--PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS ❑ STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE ❑
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT in
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL /�
BUILDING, FINAL / /p
• 36307
PAID
rMESABCOSTAMESA BUILDING-SAFETY DEPARTMENT :lRO-7.',{,;=;Ci1155 ��'" ;.,.�,�Q
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely REC V B V DATE RECEIVED4
BUILDING / /'7' / / DATE ISSUED�
ADDRESS /O 6 / �<dte Per — �—�
/ �7 9 Lila
PERM{ M
et
OWNER eEfL LA-4 LSO/0 A.P. NO. ila—I aa- Oq {'v 1/7
MAIL
ADDRESS .5/29-20/‘•
BUILDING /0 6 25 ^ce Vr •
ADDRESS T '-/T/�-C // i
Z . /1 {�
Li.,
U CITY `I rn TEL.
TRACT d 39 LOT BLOCK
Zq� 1.2-
NEW ADD ALTER REPAIR MOVING DFMOI ISH
Z < CONSTRUCTION y /LENDER _
a m /Y`
_ID BRANCH ,.t
_Ito OWNER CEC//� AL✓SDEL) 4
'C W ADDRESS /�
m m ARCHITECT / ,/J 7 (/ TOL. 4gs SE '/y'T b `j vVGVALU$ r._.st 60
UN OR ENGINEER L f/�T� C. y/// ,Al ro•Y/ „ FIRE r J (/T
w IL ADDRESS3//r hf /`4,J 0 �D SA s- ZONE / �PE[ % GROUP $.7.---
0..
aw r
J F �� II /'�' APPROVED
W O CONTRACTOR p �s C i • BY DAT A...,-/
mJK ADDRESS 775`/0 (// ,dGT/ �/€6/� ZONE NO.OF USE OF NEW
•4 I�‘,J iii
ZCITY ` 5' 77 NO.4'`jty5l) 2� PLANS BUILDING PA-T- 0 Co Ific
W D STATE ), 75/ f J�� CITY YARDS APPROVED YARDS APPROVED
to CC LIC. NO. q/ LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLDGS. (FROM C/LST��
OF LOT +NOW ON LOT FRONT (1 11K EXUSIN
IN �` Q
EXISTING BLDG. ✓/ / / _R.SIDE 'S FT.
I—. SIZE OF NO.OF
Z NEW BLDG. �O 'ROOMS STORIES L.SIDE C FT.
UEXTERIOR WALL / I ROOF CC
_ COVERING COVERING REAR 11 FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
y'. MAIN BLOCS. ACCESS BLDGS.
a ,.
Q't� /�/�/�"� �/ , ) VAR.# DATE
O,r
^wJ`/a ` C.U.P.# APPROVED
_BAPPROVEq s l�f/1 `, _ DATE 3- -8
fq IN 11
Z
0 .
VI hereby acknowledge that I have read-this application and state CD,
r 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 y the State of California.
co
zI hereby certify that I am properly licensed as a contractor under SO. FT.the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUA
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: W
am exempt from the provisions of the State of California Business li
and Professions Code,Div ion 3, Chapter 9. VALUATION $ ,.✓� CO
gf _ 4 � � O
PERMIT FEE N
GAJ
Signature of O
Permittee na-tAd $/`f`- PLAN CHECK $ E
7J (i o
Authorized Agent /�/jJ� ��//) u.
"-� � / I TOTAL FEE $ /°'