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HomeMy WebLinkAbout1032 WILSON ST - Building Permits �:;t: .! ' - CITY OF COSTA MESA et x.�. , � BUILDING DIVISION 1:,..:.i DEVELOPMENT SERVICES DEPARTMENT ' F9R-00726 PERMIT PERMIT NUMBER diNborigiv 4" (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 1032 W WILSON ST Status: ISSUED (" 0 Suite No Applied: 07/13/1998 Vicinity: Issued: 07/13/1998 Parcel Nunmber: 42205104 Applicant: BERKOWITZ, NADINE Address: Phone: 714-731-3436 Owner: ALDERSON,cH E-TR' f Address 4601 ROXBURYRD� . ' �_ : I L....7 /�,/ �' �- i.�% -Phone• - /A` -,\\:.\- �. ORO A \ 'A-< _ _ v V \ CORONA DEL MAR CA /-! -- � Zip 92625 1: �i� , A;� �i \ '\� / /\\-\, 4/i \ •>\ �` \ /A.. / \�> A Contractor: BERK'S ELECTRICAL \.�� //l'/ A /,a7Y/ Na- \. l \.�v. • Address: 02600 WALNUT AV A.-V `A I,�1� �/ /%/%/ Phone:,I, ` / '.(', -TUSTIN CA Zip:C92680 -. ,/� , ••License. 634.432- •• I r, / / �- i//' '7 a ' - ��` • 4 ''l; 4 , -4"r•.-1-1 I -; - SCOPE OF PERMIT - ' \„ •,:; t,�STAE HEALTHTAND"SAFETY CODE SECTION116049.1 PUBLIC POOL GFCI INSTALLATION:, ` t.,,/ �' AN> V > >; � i /. , ;,[_ D , ,1 FEE SUMMARY ( ,.' 'N i Quantity ^*` .. ...0 - -- .. .. Quantity ISSUE FEEi. $22.00 \ _` Temp Dist System7•Lighting $0.00 0 Temp service test _ . $0.00 Busway/100 ft ` $0.00 0 Res.a/c package '''.`:-" $0.00 ''' '. t?";:yam- Standing Section /;(4-..1.,-- A $0.00 0 New Res,(1=2 units) '1'/) $0.00 I r-0..- _ - - - -Misq Electrical:Equip_ment-- `' $0.00 0 /- New Res(3+units)-1 \yi' . $0.00 0 '- . - -- _Trabsfonners up-to 1 kva/kw $0.00 0.' Pool/Spa -:, \" $0.00 0 up to110 kva/kw $0.00 0' Lighting Flirts'- 'A\;' $0.00 .- 0 _ 'up to 50 kva/kw " $0.00 0, - Recept Outlets 1• `: ���• $1.00 1 -- up.to---100 kva/kw $0.00 ;' . : Switches ';',:c,. Y \ y'' $0.00 ; 0 /over 100 kva/kw $0 00 0' :, Non Res Apl "\ A Al$0.00 ! 0 ' ,f t;Lowyoltage Equipment "$0.00 /, 0 Res Appl \ "- ' ''$0.00 I 0 .�1LoW,Volt Wring System/Ckt $0.00'11' I 0 / '- Service to 200a.A - .r '$0.00, 0 4�v . Misc.Conduit, $0.00%7 0. , / - Service to 1000a ` $0.00y 0 '- .4:7,0 M1so:Conductor $0 00 0 ' , Service over 1000a_- $0.06M'‘ 0 ..` �� Circus(gen or ride)\„ _ ("40.00 , , 0 - Motors to 1 hp '$0.00 -:::.:-:::, c) <: G "I, ' Circus(mech,ride or lights): $0.00%',.;0 %,,,• Motors to 10hp - $0.00 0'--' -" " :Christmas Tree Stand $0:00 <"/" 0 .ik; / Motors to 50h - $0.00, "0.. ' ? - ^ .Fireworks-Stand-- , SOB() 0/ / Motors to 100hp $0.00 � -A--0 �_� .. .Other Electrical Fee- \ ,$0.00 Motors over 100hp $0.00'. ,',/ / 0- - •� - _ , Communication drops $0.00 '-A) .0Cr :f 7.: Investigation Fee 1 $0.00' , Sub panel to 200a $0.00 ' 0 ' ' - "' 'Pian-Check Fee:1 . ,$0.00 Pole Light Pkg $0.000 - .- 0 " Reinspection Fee; -� -$0.00 Sign Circuits $0.00 . w ... - A`.., Temp Pwr Pole . $0.00 ,0 - - _ ,- '••••••.-., .TOTAL CALCULATED'FEES $23.00 Intermed Pole $0.00 0 -. COMMENTS/SPECIAL CONDITIONS EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. 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. FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ' ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. ave and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'corn ensation Insurance carrier and policy number are:• 6/' 1?, 1 Cartier: /—I `0✓ �� Policy Number. A- 1.�+--2 (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ 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 workers' compensation laws of California,end agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shell forthwith comply with these provision . y Applicant Signature: Date: .. _ 3-- WARNING:FAILURE TO SECURE WORKERS' SATION COVERAGE IS UNLAWFUL MD SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND COLLARD(SI C0,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: - I hereby affirm that I am licensed underr visions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full __ force and effect.tic.# C 34`t ..). Class# et& ` 7–Contractor's Signature: g/S4,./ Date: 7 ( — (S 9 � ' CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors 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 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 compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not Intended or offered for sale.If,however,the building or Improvement Is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No (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 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 temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No . (Section 25534 of the California Health and Safety Code provides that the 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. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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 authorized by this permit until final inspection. • M Signature Of Legal Owner(s) r3 �" al'it Date And/Or Authorized Applicant Date CEDES INSPECTION TYPE DATE MALI CODE E INSPECTION TYPE DATE . MEDALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical ' 1266 Pool Spa Fidel 208 Final Plumbing p� (/ ,/ 200 Final Re-Roof 210 Final Electrical V -.l -(LI Par- 201 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 Demolition250 Final Building/Occupancy 2446-46 PROJECT ADDRESS: 1032 W WILSON ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 047993 OWNER'S NAME: MR. ALDERSON ADDRESS: 4601 ROXBERY PERMIT NO: B 047993 PLAN CHECK NO: N GOVT: N SUPP: N r CDM CA 92725 CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT 1 7209685 ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION : T/OFF REROOF SQ FT: 4 , 528 I ADDRESS: UNIT: CLAIM VALUE: 4 , 528 . 00 CALC-VALUE: 4 , 528 . 00 GROUP OCC : R-1 / ' PERMITTEE: ORANGE COAST ROOFI G ( 714 631-1924 II ADDRESS: 20122 SANTA • A AV 6-A COMMENTS: T/OFF REROOF WI COMP SHINGLES S A HEIGHTS \ A 92 07 ###############fF#############aE################################################# LICENSED CONTRACTOR DECLARATION: I hereby affirm t lam license .der.rovisions o hapter 9(co%mencing with Section ZONING REQUIREMENTS • 7000)of Division 3 of the Business and Professions Cade, y license I full arca and e SETS ACK S car uc.: 3 3 STATE LW.:4 3 6 7 4 C ,; C -3' -i C.) A • MAIN BUILDING ACCESSORY BUILDING Date: Signature:nature: ;= A FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: Ihereby affirm t .t .ve a cethfi . of consent to self-insure or a certificate of Workers Compensation Insurance or a certified copy thereof(Section .ti,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: 28590223 EXP. i\TE: 01 /# 91 MPANY: STATE - \ PARKING REQ: PROV: PARCEL : 00000000 ZNE: REF NO: I Certifie copy is hereby furnished. ® Certified copy is ed h the city : din Division. PLANNING NOTES> _ + /► > --- NW' x.- 90 Applicant: ._�•. • ` ###########################If#############if###########3E############iE##########iE# EXEMPTION FROM WORKERS'COMPENSATION DECUMT10N: (This section need not be completed 0 the permit is for one hundred(5100 or lee). DEVELOPMENT SERVICES REQUIREMEN • T j 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 subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: ^ , • Date: Signature: NOTICE:If,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. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BYDATE• - cj . 0 -2 90 .. which this permit is issued(Section 3097.Civ.C). ###################### . . 3e• #" ########## ##fFie####fF## LENDER: #############******############### ## *#####******##############fE############# ADDRESS: LEGALIZATION :N F E E F. U M M A R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECT IC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 72 . 00 . 50 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she Is licensed SM Z P/NON-R E S pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). 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 Law TOTALS----> 72 . 50 0 . 00 0 . 00 72 . 50 72 . 50 • 00 does not apply to an owner of a property who builds or Improves thereon,and who does such work himself/herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however the building or • REVENUE DIVISION TOTAL S--> COLLECTED: 72 . 50 OVER/SHORT: . 00 improvement swithincompletion,one year of mpletiaq[he owner will have the burden of proving he/she did not build or improve forthepurpose ofa BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 72 . 00 • 50 ❑ 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 Ti!h acontmctor(s)license pursuant to the Contractors'State License Law).l am aware #######################################################################if####### that proof of their Worker's Compensthon insurance should be provided to me. INDIVIDUAL F E E BR EAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 4528 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 4 , 528 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 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 permit for construction or modification from the AirQuality Management Oistdct.Residential construction applicatii are exempt from these provisions. %). , , • Date: Applicant: I hereby certify that I have read this application and state that th. b rve infor .11 eel.I agree-to imply with I 'ty and county 01 C0064383-00064384 TOT .50 Ordinances and state laws relating to building construction and here.?. trim rep i ., :. of this." o mer uponth .,. tuned - DATE: 07/02/90 TIME: 12:59 property for inspection purposesl� 01 00064381-00064382 TOT DATE: 07/02/90 TIME: 12:58 72,00 �.Orate: �`�--`�V Signature: �� - �I ,'i Driver's License or Social Security it: 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor • COfjISIRUGTION AND PLANNING - PO( ;PA 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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 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 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 ❑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 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation j - 78. FIRE PREV. FINAL 30. Drywall Nailing , r HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final r 80. FOOD CERTIFICATE ISSUED 33. Final Electric • , Notes: 34. Final Heating & Air Conditioning I 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 f//J5�1 Ag- 48. FINAL PLANNING (J ����__ • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 37331 ,,= - U,, 9Z: _ .... :;.5 ,,o COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 , • •P IC •TION FOR BUILDING PERMIT For Applicant to Fill in COmpl to e RE, El Erre D•T El ,a DATE UED BUADDRESS i. ... / _z�• - 7-C.--S� DIY-(.GpB[�( ` L 1C� P/RMM T� OWNER �. � �,.._G.z r� A.P. NO. i. /f�J�]] I NG MAIL //-- �7 p -''tel lL ADDILRESS/2 R4 _321'4Ls0-7(1//F e Z ADDRESS /O 4 1.7:4 (( Y�Gdir- fd-[ '' HZ CITY /n ext.- /a:7‘.2.,2Lu LLi4- N0. 7 ) 3 9nops� TRACT I LOT BLOCK IC CONSTRUCTION NEW IADD ALTS AIR MOVING r)FMOI ISH O1- LENDER am J j BRANCH _ �` ��(�('//jJI� -I kr) '— OWNEI� � L�J��`,lvVv m J ADDRESS i ALUE m ARCHITECT TEL. USE `�✓� i 7 E �I J Q OR ENGINEER NO. U FIRE Z Q Q ADDRESS ZONE TYPE177..- GROUP iiwn 1w r APPROVE i // ") J O CONTRACTOR C >`, , �� Lt BY DAT //J/ m Z 1 J K ADDRESS 517 ?soli 4 s A W ZONE NO.OF USE OF NEW L0= NOL ' PLANS BUILDING Z I- CITY %. cl. a w 0 STATE 4 /% CITY r9 �� YARDS APPROVED YARDS APPROVED 7O LIC.NO. .2 7 ` / c s.I LIC.NO..274 o9 MAIN BUILDING ACCESSORY BUILDING SIZE INO.OF BLDGS. 7 7 (FROM CIL STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. ? Q14 C./1-L A.SIr)F FT. FT. I- SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. VEXTERIOR WALL ROOF COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& d 0 SSMAIN BLDGS. ACCESS.BLOCS. QRe/CI: / JO }� VAR. DATE (] (/S. FN �Q± 9i-r..[-�JG/L� C.U.P.# APPROVED ~ APPROVED to _ELY DATE Z O si ATE VI 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 N the State of California. oa ZI hereby certify that I am properly licensed as a contractor under SO. 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: e tC am exempt from It e provisions of the State of California Business VALUATION and Professions Cnue, Division 3,Chapter 9. .' a) PERMIT FEE $ ff. O Signature of /r ,i]/. ,rs i r4 pQ •Or 5'(i m Permittee `jJ^ Y (�( S !' PLAN CHECK $ /t-z7'�^ E Authorized Agent � o LL TOTAL FEE 5 'OWNER ALDERSON, H.E. DATE 9-26-73 i JOB ADDRESS 1024_26-28-32 W. Wilson Ave. BUILDING PERMIT NO. 37331 , GENERAL CONTRACTOR Orange Co. Roofing DESCRIPTION of WORK Reroof Apts. AP No. LOT TRACT FIRE ZONE VALUE $ 6,600.00 1"INSPECTIONS Signature Date GROUP H TYPE V ZONE so SUBCONTRACTOR PERMITS ISSUED GA Date I Number I Signature WATER Plumbing ROUGH PLUMBING 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 Q FORMS 0 STEEL REINF. E FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Flectric _ HEATING, VENT., REFRIG. AND A.C., FINAL 4PL NG, FINAL AND GAS TEST n EL MC, FINAL ,/ 6 BUILDING, FINAL ` tj •2-77