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HomeMy WebLinkAbout237 23RD ST - Building Permits .i PROJECT ADDRESS: 237 23RD ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: IB 047445 OWNER'S NAME: WARREN & HAMMOND AOLRSSS: SAME PERMIT NO: IB 047445 PLAN CHECK NO: N GOVT: N SUPP: Y V , CONSTRUCTION TYPE; V—N PERMIT TYPE; OTH STR PURPOSE: OTH 6311966 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : LEGALIZE EXP PERMIT #BE36553 SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: OWNER ( 714 )631-1966 ADDRESS: 237 23RD ST COMMENTS: LEGALIZE EXP PERMIT #BE36553 -P�Pr'f—F6—eHit) N•� ikl � CM CA 92627 **************�rit�F****�Fittr�E*********�e�Fxit***its**** * dry grit * *+Exit*** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commend®with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions code.and my license Is In mq force and effect. SETBACKS CITY LOC.: STATE UC.: CLASS: neck; Signature: MAIN BUILDING ACCESSORY BUILDING KERS'COMPENSATION DECLARATION: I hereby affirm that have a certificate of consent toselansure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN oensationInsurance.oracertified copy thereof(Section WOO,Lab.C). LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN IPOLICY NO.: EXP.DATE: COMPANY: PARKING REQ• PROV; PARCEL: 42607409 ZNE; REF NO: nt S.rGfied copy is hereby mm¢ned. Certified copy is filed with the dry Building Division. PLANNING NOTES> date: A Applicant: ******************************************************************************* EXEMPTION FROM WOR • COMPENSATION DECLARATION: (Thus section need not he completed if the permit is for one hundred WOO)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that i.the pe . . ce of the work or which this permit Is issued,I shall not employ any person in any manner so as to become l subject t i orker •o pensation. . sof California. ZONING APPROVED BY /i 1A�� • DATE: Date: /I J� 1 /a�rature: NOTICE:If,a e m.. . iii de aratl you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; a DATE: Code,you must orthwith 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 B Y; t� DATE: 6.1'43 .96 which this permit is issued(Section 3097.Civ.C). ********************** z.>< a *********** ******* LENDER: ******************************** iE*** ************************iF********** ADDRESS: LEGALIZATION:N F E E SU , MARY 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 ELECTRIC MECHANIC FIRE SMIP/AES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,Improve,demolish,or PERMIT 30.00 repair any structure.prior to Its issuance,also requires the applicant for such permit to file a signed statement that he/she Ls licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business $MIP/NON—RES nee Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN applicant far a permit subjects the applicant to a civil penally of not more than five hundred dollars($SW). ISSUE FEE I, as owner of the property or my employees with wages as their sole compensatlaa wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE U structure is not intended or offered for sale(Section 7064,Busmen and Professional Code: The Contractors'State License Law TOTALS————> 30 . 00 0 . 00 0 .0 0 30. 00 30 . 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himseff/berself or through h his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 30.00 OVER/SHORT: ,0 0 improvement peen soldrpose ofwithin one year of completion,the owner will have the burden of proving he/she did not build or improve 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 30 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN Ex I am exempter Section: 7 0 4 B.&P.C. /fo'r/thireason. OWNER UILT TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Oate:/ W.jf �//.Ca� �%7/9J Owner: INS 1 BUILDING RE—INSPECTION FEE 30 . 00 30. 00 I do re certify Lha l amllaaware of an undefstand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES 25534 and that I or any future building occupant willtwill not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the AirAir Oualiry Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I ;j e read this application and state that the above Information is correct.I agree to comply with all city and county ordinances and state ryR relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned prope. for inspecti •• . • : . a�) Date Ai L. ifr Lure: ty': DATE: 0100061495-00061495 TCET 30.00/ Driver's License or sial Security O5J23/90 TINE: T 07:38 164148 White—BuIlding;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor ...,ILA ti' CONSTRUCTION AND PLANT , '001 PA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1 yemporary Electrical Service or Pole 52. Pool & Equipment Location .,Soil Pipe-Undrgrnd-. 53. Steel Reinforcement -• 3.2Electrical Conduit"Utility-Undrgrnd. 54. Forms ' 4. Electrical Condu _it-Undrgrnd. 55. Electrical Bonding 1Dt . • -.. 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test Y _ `'6ick.. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNIT O 1 Footings �•. 58. Electrical Conduit-Undrgrnd. F, b. 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 s. 63. Heater & Vent-Final •.1 13. Roof Drains ^. . • 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final r_ 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 ru. _FIR.E DEPT. REQUIREMENT 20.iTho4h FActo y Fireplace , S" x C y: S �' %APPROVAISJI-+FPer;it # " .- :- c 5 •••••21.`' . ir`FfStrUcturn re* , - 1--,Is * s r "* i '-•70. ZndergnYcHyroti , .... � • d 4J • ,- .. v: .t . -7 u. 22.tDuc"fs, Ventilatinglj; 0 f, r: C 'Q J is Q71. Prod uchP.iping 0 Gas 0i0il 23.TGas-PipecRough & Test Ts 1; M t:' C oto �: '�72. Underro7Q e Flushn I- 24._Roof Framing 1 is 1 `'r •.,r e: -.Ir: r .73.E_1Jndergrnb Storayejank 2 Gas 0 OH 25. Roof Sheathing Ti t 'C • / 4 -, - " 74 c•%erhead HydroE. 26.�T-Ba( Ceiling ISti,ClAurall &-hlor4coat t 0 r - ck t: 75.E-0rY Chemical t.-472, ,i: - - J n _ - 27.cFrameand Flashing-It D_ ;. 'S C ' - ^Ti 76 f. . Dry Stant ipe ;,....7.m„ .7 ---1 • '28. Lathing& Siding"* u, 9' : t' E •• ••i * -1^ t' `" t' -1, :-. O t- i . is 77;1"FIXED 517,5:iEMIF;INAU: i-. f-: S _29. Insulation Tx = " * I 1 VI' '' 78=FIREPREV. Fle^IA_ x > l: •c• n x c I .k Y. T ti w x 7130. Drywall-Nailing t; r c, t; . • ll, -DEPT,REQUIREMENT ;31. Plaster BrowhlCoatz S :r+; * I t ' k "'79��FINAL INSPECTION * _ , S '32._Electrical,Pov7er Meter-Final x I, * '80 ThOOD CERTIFIEATE ISSUED.. f33:Final Electric> i-i i '7 a: a: Y: *' Noths: -hi- r O e^c '-3et, 4 CFina`t Heating'& AirCon ; ditioning5 ' I f{ f f1' * n` ,- OL - - ..-35.CFinaGas:Pipe-testi: Q,' x is iD firrz " r c n m X36. Hoo or Cano y 't: D i rn-1 `I- k CI i I ; w. x s' s_ no x r<+c _ n. -97. •Final:Factory Fireplace:: , s-F., O x I.' $/'+'t n. • .:-...i '1 is J : x i H * E 38. Finan Plumbing-1..-„.1 tT ? * 1' ii:* t - n S r ''39. Water Service-Final a 'i' : , _ rT40. GasiService-Final-•< iTl ":cr:: Y' i'41h: r' 00 01u ft..41. Solar Domestic Fin.al' -r t 4,--, I w T.• R- 'Jc ^r1 ;r c 42. Backflow Pre enter.• 'J i i k+: :'.' S >F "" y1 r. .J 0 r•i 3: rt x # .T7 M O x: c. w 43. Backflow Irrigation' -�-'S * x X a N * n • a .. •t• �. ni Y -S '1 1 :T ^•.17i '�.' ; M '7 55.„!.... x h rJ N ":J }: U n E44.�Landsca'p� Irr eatiop System;27;19. T 4 ,� t t s G _, 0x * S - 45.-Sound AtteJ atio_d ,--.3: r� r -t 2, ir; r. rn ax x* i n ,vy - , .h ~ C46. Handicap•Regulatiohs ,�; -: * * " = T S Oo S * 47.'FINAL STRUCTURE & BUILDING - ( r- 41/4 ti n n _ . !(_1o. lefv �1 <� a. 48.(FINAL PLANNING. m 1 I I e' x: 0 0 n: S r lx- - I ;149.7Eleciric Release to Edison ' r 1 . M 11 4 - •_, t I i t (_4 ,-r g • .0 M 4 e50.-Gas(Release to Southern Califorpia'Gas Co -51. CERTIFICATE OF'OCCUPANCY 4 .. - No. Date S PROJECtADDRESS237 23RD ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: IE 047446 OWNER'S NAME: WARREN 6 HAMMOND ADDRESS: SAME •• PERMIT NO: IE 047446 PLAN CHECK NO; N GOVT: N SUPP: Y N., . CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE OTH PURPOSE: OTH 6311966 ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION : LEGALIZE EXP PERMIT #BE36553 SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: OWNER ( 714 ) 631-1966 224 ADDRESS: 237 23RD ST COMMENTS: LEGALIZE EXP PERMIT #BE36553(PAWICEPRT FltJ tL � 1 CM CA 92627 **************+eEH*EH******Er*********EH***Er*EE�e******EL**it *ir** EE ��F*araC LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS • CITY UC.: STATE UG.: CUSS: • late: Signature: MAIN BUILDING ACCESSORY BUILDING ,ORKERS'COMPENSATION DECORATION: I hereby affirm that I have a certificate of consent to self-insure ora 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 IPOLICY NO.: EXP.DATE: ' COMPANY: PARKING REQ• PROV: PARCEL: 42607409 ZNE: REF NO: I..- Certified copy is hereby furnished. El copy is tiled with the city Building Division. PLANNING NOTES> Date: Applicant: ******************************************************************************* EXEMPTION FROM WO' ERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that In the pe rmance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject I't,e work¢ ,mpensati„ aws if California. ZONING APPROVED BY DATE: Date' . . A - ''ih'K'Onature: � • BUILDING APPROVED BY DATE: Cymaking thisccomply with ion hp should become subjectmito the Workers'meCompensation provisions of the Labor Code,youmustLGING G comply with such provisionsma this permit shall be d revoked. DATE: 9 CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APP*ICA*ION ISSUED BY• �e /L ** •*i� which this permit is issued(Section 3097,Civ.C). ********************** tii•s'� " ********** * * * ** • LENDER: ************************************ . • ***************************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELE' TRIC 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 3000 5' 0% repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0 SM I P/NON—R ES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business P LAN Id Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by Y 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 wapes 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 sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 30 .00 0 .00 0 . 00 30 .00 30 , 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/hersed 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 TOTALS--> COLLECTED• 30 .00 OVER/SHORT: 00 improvement Is sold within one year of completion.letion,the owner will have the burden of proving he/she did not build or Improve foror the purpose of sate). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 30 .00 ❑ and Professions Code: The Contractors'stale License Law does not apply too the Cr of property who budds or improves thereon ******************************************************************************* and who contracts for such projects rsth a econtractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of eir Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN }N I am exemp'nder Section: 7 0 4 4 B.S P.C. isrea•• OWN R BUILT TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date;•. ,J • A . , 13 / Owner: ELE 1 ELECTRICAL RE—INSPECTION FEE 30 .00 30 . 00 I do hereby certify at I am aware of an,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 WrOTiliy Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I L e read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state .1 relating to building.,nstructldn and hereby authorize representatives of this city to enter upon the above-mentioned property .r'nspecti,• p Rosas. .tee Ale Date: L •4 4 / /J Velure: Driver's License or ., . Security 0: DAE 06 1494-00061494 TOT 30.00 T 164146 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor 3/70 TIME: 09:38 1 1 . CONSTRUCTION AND PLANNING I POOL ry SPA 7....: 4 t APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector : 1.1 Temporary Electrical Service or Pole 52. Pool & Equipment Location s. .2..Soil Pripe-Undrgrnd.-) 53. Steel Reinforcement t3. Electr`cal Condrsit-Utility-Undrgrnd. 54. Forms D • •�. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ._T 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 4. 9. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNIT-E o C.j . Footings i- 58. Electrical Conduit-Undrgrnd. : -a A. 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 Lin&& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap :u 63. Heater & Vent-Final 13. Roof Drains __ r' t.. 64. Plumbing System - Final 14. Rough Plumbingr 65. Electrical-Final ,47- 15. 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough ElectricWiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrics)-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Fleeting & Air Conditioning FIRE DE T. REOUIREMEN, 20.`xRot h Factory F4rreplace S5; -17-42,- ;. `I a R APPR`O VA Sj�F0.Per;tn it# -r m 21:-Ducts, irvStructur�g* •• •• \-iS * 5 a -1* _' =70. ,`tgidergrouPd Hydro a n1 li . - x , l . .,. '4' A. 4-i 22.tDuet'�, Ventilanng.� O * C :Q CJ 2-4 a: x 71. ProducN_Pipin 06-as 0,Oi1 _ 23.•GarPipe•Rocfgh & Test i ^S * Tf ^ ct or * '72. Under sou d Fl�5P * tr n r. .-.y. lin it ne * G m Ss- * ,D g r-� 3 A: `-I 24�ROof F�"tnin , rr* i-c+ ..c.. * > ,J r- x x co ;r p, 9 rj* _o x tc -,x * -73^UndergrnaStorage:Sank:OGas 0Oi1 25. Roof Sheathing •.* �, V•r If _ > C4* b ^74POverhead Hydro.., C' _* H r -I tri r; a ?: 26.f7-Bat Ceiling IStOgttural) &-Mariocoat * O r O* .. 75SDry Chemical a-p n a • • 27 7:Frame and Flashings. ZI Z S . !o* ;: 76. Dry Stanijpiae E.42 k - rt X28. Lathing& Sidings* =I ;1xr Tr: ,y t 77...4 FIXED S-Y$TEr JNAfx. .-r - _29. Insulation n* c n r c • 1 t 78=FIRE PREY. FIN4 ** '' 51 � : * I , t(r.• r n• 30. Drywall N .-;yailing - H I 4: c.. I 1. * c F;I,EA LTH-QEPTu REQUIREfVIENT 4.C31. Plaster BrowhiCoatr: S 1 MItn 4- 1 ' �+' r. *•79. FINAL INSPECTION' * 1 � e. 32._Electrical,PoN.er Mteir ,�na1t *I I fa. * 11805400D CERTIFIPATE ISSUEDI... ;o 233;final Electric. %a I ¢ � f r Q� R x Notes: 7 7 I .1 O Cirri C34.`_ inal Heating-St Air*Cofditionmg n * ' * S n"v * S H....1 .. .r. r-I . J * r•: :l X > 1-4 35.CFinal Gar Pipe-Test; 0- •• r .-r •IiA* * _ x ;j.1---I * Stn r- I m . ..1 r- Zr r36.y1Io4p or:CanoP-I 1�4: D . I r• ,--:, 4. * n 1 N 4: S > n0 * ':•;37.''..*ina1 Factory Fireplace c it, o •x -J 1 I z v ;r * 'J '38. FinatPlurnbing• .4* m•J ,] :4: I y c * � _ r$9. Watei H Service- nal,* s * i It x >4 0 • M10. Gas`Service-Finafi m `Cr"rn S ' m . S o" �` Q 'ti: -c nFF ill w 1 I * •: 0S * C .41. Solar Domestic-Final's n •. J.. I i s • to o _c^ t• ;. o , Ir r •_ . >: 42.VBackflow Preven4r* iv - ) Al * m > * r7 ,-• n t* .'J Otir-r 4: ti '* * .-] .7.0 * _ i • w 43. Backflow Irrigation* >, 4: CZ * r 1; 4: ., rr 4.�Landscat y I�rigatiiix Systerrt.....<f? M x R! F < cc r. c s X •-., ;O? * S '+ o `45.-Sound Aiterivation„ � •• •• s tr; M * H tr c" < • Ha * C46.-•Handicap•Regulatiohs 1-4 O 4 * * x S C't0 S. x 47.-FINp.LSTRUCTURE & BUILDING x c- "E 1 r" c t E• 4B.ZZFINCri P.L PLANNING' ' :4i- "ts •` • 4*i In 4 j iJ 'j S * y y m. r r ^ I ..89.',Eleanc Releai se td Edison r j I -it. * .!� 4: 450.:GasERelease to Southern Califoznia Gas Co : I ,y. * - -' • orri * 'O • F., * ' . * �* * .. _.. ✓O it * CJ 0 ' 51. CERTIFICATE OF'OCCUPANCY ' + _,. - • - No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -IFP RMIT NO TRACT NO. LOT NO. UNIT NO 'e'CITY TA MESA CONSTRUCTION PERMIT A.P. zone 731 �23rd5� B CE 3GSS3NPf �r 32,3 �faCo - ��� - 9 I rel Prolar S Main Building: Accessory Building: 1 TYPE OF CONSTRUCTION NEW U ADD U ALTERATION U REPAIR Appli(' s Mailing Address `1 � E '-f / Z G 1i 14'MMOh (,V��j-}cj SSO CI CI ❑ OTH 7� "_ T Front 3, 5 GI bi O Owner's Name�'e'Q Phon DESCRIPTION OF WORK/USE OF BLDG. iN) IMW B Rear -�' 1 N Address S0.rrsc �'�b4S-111$ J A.�' 1 f.(�, I A �/� b I 1 Arch/Eng. License No. TYPE OF PERMIT C GRADING ❑ FOUNDATION STRUCTURAL STRUCTURAL I C Right a l G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ ' - 41 R Contractor's Name Phone ❑ OTHER I Ping. Ref.4 Parking Req./Provided E ^' PROJECT DESCRIPTION SQ. FT. OCCUPANCY PlanningNotes: ,J p1 l Q Address(mailing) �/ �� IO,cttr"A 43In&A W e I d_,Qrk� M CONSTRUCTION TYPE VALUATION $ 4-000l� T City License No. ZONE GRADING CU.YDS. ACRES - S. LICENSED CONTRACTOR DECLARATION n I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: y A 3 40.O' y_ 101 Z,., with section 7000) of Division 3 of the Business and Professions Code,and P] �L� S�S my license is in full force and effect. G ELECTRICAL FEES License Class License No. — Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS' COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub. ❑ 50+KW I hereby affirm that I have a certificate of consent to self-insure or a Certificate - Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 'T' Cooking Unit Meter ❑up to 100 amps ..v'•tft Lab. C.) 5"&" .`icy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps _ 8 Certified copy is hereby furnished. Dryers ❑Gal ❑Elact(iC Sub Certified copy is filed with the city Building Division. Bathtubs Sewer Connection „� Date Applicant - - iE1Fan IPanel Motorsyg0-1 HP ❑1%-B 3 c-,.,EXEMPTION FROM WORKERS'COMPENSATIO -- LARA,( Clarifiers Solar Collectors (This section need not be completed if the per or one �j�•:) or F.A.U. Inc.Solar 09-15 HP 016-15+ less Dishwasher Solar Piping I certify that in the perfo ante of__;..... •.k for whit is s issue• I Fixtures i �=io••A! Microwave shall not empl y son in rynne o as , i lett • the Drinking Fountains Solar an. Work¢ls en Si o Cali •rola. Dat �- Signet _/w�����d_I Floor Drains S m mg Pool /Spa Device Boxes Pole Light NO 1t If,after making this d -”• - io ,,y'- •-r a i.�ect to the Workers' Compensation provisions of t•- o Code, you must forthwith Floor Sinks urinal Outlets Range comply with such provisions • s permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY afar Closet Switches Sign Gas Service Outlets 9 I hereby affirm that there Ise construction lending agency for the performance of the ' work for which this permit is issued (Section 3097 Civ. C.) 1 \ j 1 Garbage Disposal Standing Sections _ -•r• Lender's Name Interceptors ater' ater - Lender's Address Kitchen Sink Water `-rvic• `_ Generator 00-5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto- - 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 Tfayi any structure, prior to its issuance, also requires-the applicant for such permit `1V/y\\` -.- Roof file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains - I�w 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 - Reinspection Fee $15 Issue Fee ' $-9- th-refrom and the basis for the alleged exemption. Any violation of Section \.5 by any applicant for a permit subjects the applicant to a civil by of not more than five hundred dollars($500). $ 3 DEVELOPMENT SERVICES REQUIREMEN I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee ••�� compensation, will do the work,and the structure is not intended or offered Zoning Approved By ; �.Y nate 10-2J[-�p for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By 9 __Date /0 ZT se License Law does not apply to an owner of a property who builds or improves liption Issued thereon, and who does such work himself/herself or through his or her own " AppBy employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ Date sale. If, however,the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground BUILDING PERMIT $ t0 3 SMTP $ ds` prove for the purpose of sale). LI _I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT • 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 PLUMBING $ ISSUANCE $ builds or improves thereon-and who contracts for such oroiects with a ENERGY P.C. $ tractor(s) license pursuant to me Contractor's License Law). I am a. ." hat Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ r� proof of their Worker's Compensation insuran ould be pro..e o me. I 6ii ❑ I am exempt under Section B.&Pr 'is reqs• Firepl/Fact.Blt. ICBG'# Fire Dampers ELECTRICAL $ U GRADING $ ii — PLAN CHECK 50% $ MICROFILM $ Date 7' Owner ��!., �rr Heating System&Ducting Registers MECHANICAL `� $ TOTAL FEE $ 8 r --. I hereby certify that I hay- .• this a••• nd ate that e.above 0100,000 BTU 0100,000 BTI ` Information is correct _. to co ,'•••Ib-<It .nd county ordinances PLAN CHECK 25% $ and state laws re g-to bui • •/s11t� a•• hereby authorize repre- sentatives of is-city • -nte n - a•: e-mentioned properly_ for inspectio . rposes. / Date Signet e .- �, • -s- r. ms- Drl , - •r - Reinspection Fee $15 Issue Fee $ 3 01 00021174-00021176 TOT 81.50 0865-46,rev. :8 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor DATE: 12/05/88 TIME: 14:16 4- -.. CONSTRUCTION AND PLANNING POOL "PA Date Inspect r - • , Date Inspector APPROVALS Permit# • •. APPROVALS Permit# - emporary Electrical Service or Pole 52. Pool & Equipment Location i Soil Pipe-Undrgrnd. 53. Steel Reinforcement `3.1 Electrical Conduit Utility-Undrgrnd. - 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Ele[Tical UFER-Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - f 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 1 • 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 i't 70. Underground Hydro • ' 22. Ducts, Ventilating • ' 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test I ` i 72. Underground Flush I 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar•Ceiling (Structurall.'& 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 `I-' 1 , ''HEAL'TH 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 ' , - r" ' 44. ,Landscape Irrigation System 45. Sound' Atteduation 46. Handicap Regulations (� 47. FINAL STRUCTURE & BUILDING QD eaty_ 48. Special Requirements Completed ?�� ,1 q Jig p -Pik"-G°LC t49. Electric Release to Edison 1 50. Ges Release to Southern California Gas Co V 51. CERTIFICATE OF OCCUPANCY J , - No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. _ TRACT NO. LOT NO. UNIT NO. CITY of COSTA '7IVIESA CONSTRUCTION•�-.IPERMIT n ' y 3Z3 A'P'# 14c2 to —a7'i -09 zone EZ Project Address ! t,7 >p6ST co s4„A Vteb.4_ � "-��� �w� I�y po S Main Building: Accessory Building: ' -4lpplicants Mailiinngo Addresss n • '£A--e TYPE OF CONSTRUCTION LLJI NEW go•ADD LI ALTERATION H REPAIR E — Z Owner's Name l^oe�y C. t'F f•s'My-o.�s�9 Phone 6�S'lflx ❑ CONVERSION ❑ DEMOLISH C OTHER I T Front CL�' O �� r t DESCRI Ie. QF WORK/USE OF BLDG. I B Rear )OI aP 4)-‘0(1.5V) N 'Address Aft a C Ri h `�I /',mss Arch/Eng. License No. TYPE OF PERMIT GRADING ❑ FOUNDATION . STRUCTURAL I K. 9 `1' }:Jt•`"Q Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' $ ' eft ..2 31 `f R ❑ OTHER I Ping. Ref.# Parking Req./Provided E Contractor'sress(mailing/ ling) s Phone PROJECT DESCRIPTION SQ. FT. I"1 (p OCCUPANCY 2 Address(mailing) p J.31--` Planning Notes: n� ti 2x /�eh/ M CON STRUCTION TYPE VALUATION$ 2 1' T City License No. ZONE GRADI NG CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (Commencing Remarks: 1 • with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ELECTRICAL FEES License Class License No. Dari) Signature - _ PLUMBING I FEES Automatic Washer Transformer El15-50KW WORKERS' COMPENSATION DECLARATION Construction Pole Sub. 0 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers '$ rkers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 0, Lab. C.) policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps 8 Certified copy is hereby furnished. Dryers ❑Gas ❑Elec — tric Sub Panel Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant Fan EXEMPTION FROM WORKERS'COMPEN ' I•N DEC Clarifiers Solar Collectors Motors❑0-1HP ❑1h-8 (This section need not be completed if the ••rmtt is for os,,,.." ($100 •r Inc.Solar 09-15 HP 016-15+ less). / ) Dishwasher Solar Piping - F.A.U. I certify that in the performance of t • work for .s- mit is is •etl I Fixtures shall not employ any person in any anner "• • ire subje• to the Drinking Fountains Solar Tank Microwave Worker$g' o nsati Laws of Cali ni.- tJ Date (f COO Flgnatur- -/"��ia Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,a ter making this de .ration, %�n•�:d come subject to the Workers' Compensation provisi• s of fh: .•or Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or i permit shall be deemed revoked. CONSTRUCTION LENDING AG? V Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a cons action lending agency for the performance of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor __ OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 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 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 in_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 'from and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15Issue Fee $ 3 .5 by any applicant for a permit subjects the applicant to a civil .Ity of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREME S' • L I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3j (� /_ -S-? 0 compensation, will do the work,and the structure is not intended or offered Zoning Approved By Date- 1 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By - Date License Law does not apply to an owner of a property who builds or improves .� �f --'CYR.11� thereon, and who does such work himself/herself or through his or her own Application Issued By -y•� Data 11 —c employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMM V FFEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - Prove for the purpose ofsale). BUILDING PERMIT $ SMIP $ b — ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ 3t u PERMIT 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 00100,000 BTU 0100,000 BTU PLUMBINGISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a • - $ tractor(s) license pursuant to me Contractor's License Law). I am - -re at Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof Of their Worker's Compensation insurance should be pr• ded • me. ❑ I am exempt under Section /'- B.& - for - reason Firepl/Fact.BIt. ICBG# Fire Dampers ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ 1-:- .1. ,Owneaiiirra %� �► Heating System& Ducting Registers MECHANICAL $ �jc 60 �-' TOTAL FEE $ sI I herebyat certify the have r-• ��1�t •I and state that the above ❑0100,000 BTU 0100,000 BTL Information is con: . agr • • �.•T'"r/ ith I city and county ordinances PLAN CHECK 25% $ and state laws .ting t jl ructi• , and hereby ct authorize repre- sentatives of 'is city • �,(� th- above-mentions prowty Inspection n., ., - `///j• - Signatur- til/— D e� Drivers' t e Reinspection Fee $15 Issue Fee $ 3 01 00021177-00021179 TOT 89.60 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor DATE: 12/05/88 TIME: 14:12 • CO$JSTR if.TION AND PLANNING POOL "DA APPROVALS Permit# 7 Date Inspector APPROVALS Pertmr# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. Soil PipeUndrgrnd. g 53. Steel Reinforcement 3. E lectrical Conduit.Utility-Undrgrnd. c 54. Forms • 4. Electrical Conduit-Undrgrnd. b. 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. , ' 8. Foundation ` 59. Gas Pipe, 0 Undrgrnd.,Test • 9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, O Undrgrnd. I 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 181 Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20:i 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 I - 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 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 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 y/if/qp Qte- cQ 48. Special Requirements Completed 30/43 Sc L 843 t) e C QA- 49. Electric Release to Edison .50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. ' Date PROJECT ADDRESS: 237 23RD ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; IB 047444 OWNER'S NAME: WARREN 6 HAMMOND ADDRESS: SAME PERMIT NO: IB 047444 PLAN CHECK NO; N GOVT: N SUPP: Y CONSTRUCTION TYPE; V—N PERMIT TYPE: OTH STR PURPOSE; OTH 6311966 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : LEGALIZE EXP PERMIT #B36552 SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: OWNER (714 ) 631-1966 ADDRESS: 237 23RD ST COMMENTS: LEGALIZE EXP PERMIT #B36552 (PATI0 CVR) ¢ CM CA 92627 *****************+r;Ie****;,e**************************S* gra ******* LICENSED CONTRACTOR DECORATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Divivon 3 of the Business and Professions Code,and my license Is In full lore and effect. SETBACK S CITY UC.: STATE UC.: CUSS: • Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to sell-insure or a certificate of Workers' FANT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3B00,Lab.C). LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN POLICY ND.: EXP.DATE: COMPANY: PARKING REQ• PROV: PARCEL; 42607409 ZNE; REF NO: E Ce 'fled copy.. • eby furnished. IDCertified copy is filed with the city Building Division. PLANNING NuTES> Oale: 1 / fd (ppliant: nf ******************************************************************************* tyr' DEVELOPMENT SERVICES REQUIREMENTS • EXEMPTION FROM. .• '..COM' NSA ON DECLARATION: (This section need not be completed X the permitis he one hundred(5100)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. ZONING APPROVED BY DATE: Date: Signature: BUILDING APPROVED BYDATE: NOTICE:If,after making this declaration,you should become subject to the Workers :Compensation provisions of the Labor 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 lendirsi agency for the performance of the work for APPLICATION ISSUED BY• a AC, DATE: whkhthis permit isrswed(Section 3W7,Civ.C). ********************** _•?.s,.t.=:._ ********;**4* 4:,(1** UNDER: ****************************** '!" **** • **************************************** ADDRESS: LEGALIZATION:N F E E UMMARY 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 ELEC RIC MECHANIC FIRE SMI P/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish.or PERMIT 30.00 repair any structure,prior to its issuance,also requires the applicant for such permit to lila a signed statement that he/she is licensed 2 SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My 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 S SUE 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——--> 30 .00 0 , 00 t• 0 0 .00 30 ,00 30.00 .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 TOTALS--> COLLECTED• 30 , 00 OVER/SHORT: 00 improvement is sold one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the mpurpose sale). I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 30 , 00 ❑ 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 tit%a contractor(s)license pursuant to the Contractors State License Law).l am aware *********************************'*****',***************************************** that proof of their Worker':Compens:9on Insurance should be provided to me. IND IV IDUAL 'F EE BR EAKDO 14 N LN I am exempt und:r Sectl1: 7044 B.&P.C. , .. I. hsre.son' O r BU T`�.)7 TYPE QTY DESCR IP T I O;'N•' UNIT COST TOTAL COST Date: .4 i�.if , 7y Owner: r INS 1 BUILDING RE—INSPECTION FEE 30 .00 30 .00 I do hereby certify that I am. !are of and under. .nd the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant w1IUwMII not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from theAir uality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: •� I hereby certify that I haw cad this application and state that the above information is correct.I agree to comply with all city and county ordinances and state la -/-Teti o to building o -ruction and hereby author®representatives of this city to enter upon the above-mentioned property or io pection y•.. s. ;I9V ` 01 00061496-00061496 TOT 30.00 Date: i I. , i i_ Sig tore: DATE: 05/23/90 TIME: 09:39 Driver's License or Social security A: �" 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor /A CONSTRUCTION AND PLANNING in POOL ?A APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector / i 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - •2..L;Soil Pipe-Undrgrnd.-. 53. Steel Reinforcement - ''3.'Electrical Conduit'Utility-Undrgrnd. 54. Forms 'T rn '- t4. ElectrcalConduit=Undrgrnd. 55. Electrical Bonding 1.__ ' u 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test c 716. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNIT.E ' 0 -•i7. Footings ;- 58. Electrical Conduit-Undrgrnd. f _B. 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.J1ough Heating &.Air Conditioning FIR_E DEPT. REQUIREMENT„ _ r - rn �J K t. ' r1 rr 1 J - 1 .4 �� 'J •-J 1 .. a .-. -24 o G ?. 20.;,;Rough Factory Fjreplace Mir c c c S =• r: ;; 'APPROVALS):-+-Permit# -- - 21.-Du Qs, iiStratuCe's ' S v ,�s r 2,70. 1JndergitQdHrro # _ x :274tir 22.�Ducts, Ventilting; it "tt .r < •, rr-•t x; C71. Product-Piping O Gas O.Oil 23.•Gas-Pipe•Rough & Fest $ rt.t-4. ^7� . . 6 �„ ' 72, Undergro�cl FIu3h'_ {: `' ''•:'.4z i =r:-• ..r. 'e _ J " n c' e' _. 24.=?oof Framing : . s 11' ..x A' •73r.Undergrnd.Storage_Tank OGas 0Oil y -4: J 25. Roof Sheathing 1 i V J = t 74: Overhead Hydro_. ' , > 2641-e} Ceiling ISticiural) &Moipcoat g 0 r 7,d s. 75±'Dry Chemical a.:. t: r27..Fra'meand Flashiingt: SCR-4: 4.71 1 _ >' r A' 76. Dry Stant trpe i-Z 1' , X28. Lathing4 Siding 4 n OG o44. ' * t; 77,-FIXED SYSTEM;FINAU C-• n29. Insulation Tj i S -4 nA ,_ ' , , 78zFIRE PREV. FINAL '' :- cz 730. Drywall`Nailing �. r., 1 f F i 141: S R,EALTH-DEPT[.•FEQ ill Ell NT C31. Plaster Brown Coat; : :Y r -Mk -:79:"F INAL INSPECTION 7' .. 1Y: 1: r U - -e -. 1, 2.5.-Electrical Power Nje er'-F�mal' * "--,4 A- z ,• 80:=FOOD CERTIFICATE ISSUED. ,T :33.5FinalEIb&rie' ,it _' : t,-. tr r r I ,1:.;,',.; Noies: 5.--2,Y._.Q -'_ Or5- rSc,5,ascAG,.,� s X34.^Fina`, Heltingr& Ai CnnditioningS ri- . I * , ,-�-t . /4 4: % w f r1 35.;Final GasPipe-Tests O X FH j ' ' 4' D ,-10 01-• r t-? - f ,L * T ..{ a. T. T J36.,Hood or Canopy-.* C-- ' tri aK ` „a • *n ' r i ' E f a. , ': ^ L '-37. •Final Factory FireprAl lace:. I .7.47 40 o t' Ik < ` r r.i r-. ..- r .. .. x ;.r .: , C ct K r- * CJ c. '1. I •1: 1 S a. : - 8. Finari,Plumbing y Pt i t- a z: :-, ,-+ ' 39. Water Service-Final. Z x C: is * '>1 . . • o 1 1' ;•40. Gas`Servlce-Finale' 21 <71 Cr S v to I I u •• UC e ) 3 �.. . ."'r 7;. 1+' 1 `41. Solar Domestic-F nal'' t, t: - • r. m M - c- ,. r. o 42. Backflow Preventer-' , c: . * 1 7 N H * h+ * is rn ?I0 •. - G-. '_ 43. Backf low Irrigati6_n.: >-' * t: * of .- t- n • r i L •_14. _Landscape Iriigation System'Fi x T -1 '54' ' - rt CI) - a a -.t :> . ct'= rr1 3. 2 < c.y 4 J -i J_ k u ""45.=Sound Attenuation, -a •• •• _ > -1 a t: a: t-H 0' v • :-.v * .-46. -Handicap'Regulations rt x 0. S _o 74 4"441. S •• RS . . r: 4 rn t; 47."FINAL STRUCTURE & BUILDING SZXq•Q Co'c'c -* r-• _ . . 4 - r M r 1 - 48.LFINAL PLANNING' .• r' I ( * * r rn ¢ ' ir * 0 n _ r. • ,-49.---.Eleq7.1tric Release to Edison i * ' _ 1i; 4 r Q _, -_50.SGasCRelease to Southern California Gas Co t I '.•I. `' :" H . 0m 9 • -51. CERTIFICATE OF'OCCUPANCY ' ' = 'J - - No. Date WNER NBC GAVRAN, Frank DATE 4-26-78 r OB ADDRESS 237 - East 23rd Street BUILDING PERMIT NO. 45883 GENERAL CONTRACTOR Owne -Bldr. DESCRIPTION of WORK Blackwall R*'! .118-124-11 LOT TRACT FIRE ZONE VALUE $ 1,000.00 scol CTIONS Signature Date TYPE /II GROUP .1 ZONE 13.1SOIL F SUBCONTRACTOR PERMITS ISSUED AlGiAS Date I Number I Signature WATER Plumbing OUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. Li SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER 0 ROUGH WIRIN Heatina and Vent. . TRENCHESEll FORMS ECSTEEL REINF. fl 9��2v S FLOOR SYSTEM • BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN n OUT n PLASTER, BROWN COAT ST 'URAL, FINAL Electric HE .G. VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL C.4� br BUILDING, FINAL 1lYI'IVl` R�yT(,/ 45883 7909 td ---u/rr I_,:.,:,� COSTA MESA BUILDING-SAFETY DEPARTMENT 1nr P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Appliiccannjjt to Fillin Completely— Use Ink Only RE V'a BY SATE R El • DAT ISSUED�/}]� BU LDING ADIDRESS nnocc 7— DtSr nR.o SIRtr=T / L "'v I/�+ OWNER rie4Ak 4 & eal_ M`C,,tile l/ A.P. NO. !t. �� ...`/ %/ 1.",9 MAIL n �7,I / D BUILDING (7 ADDRESS POO BOX 9.29f3 //16I/ 1 � / �I ADDRESS 3'J yn ``/"rte 2 CITY Millie. l 4 Yo( /f3 NOt 4ld3O y!s-_ T C41 T �Y'O� PLOT .4! BLOCK CONSTRUCTION NEW I ADD ALTER REPAIRI [MOVING DFMOLSH LENDER I/7 BRANCH OWNER raft t• 04/2WN /Veg0p1er ADDRESS , ARCHITECT TEL. an/4vAre^ AL $l, o= OR ENGINEER k• FIRE4C' ADDRESS ZONE �J /L TYPE ' �/6ROUP CONTRACTOR (Whigs' / 8ulider BY APPROVED //O']_ •JDATE4'Oa' ADDRESS ZONE�J / 1NO.OF USE OF NE\'yIJL /.- TEL, f�(` IPLANS BUILDING Ca CC/( 4is CITY NO. F STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LW.NO. MAIN BUILDING ACCESSORY BUILDING la SIZE NO.OF BLOCS. (FROM C/L STREET) IL OF LOT NOW ON LOT RONT 3 yr 4 /N, ,T. At USE OF /J EXISTING BLDG. R SIDE /^ e`•FT.zr%tcr Pit(//r4C CO r— G n HSeparate permits are required for L.SID enh Abe /7/� an." G electric,plumbing and heating work. RE a ;Abe W p�'+��e_AiQJ 717,,e1,./1,E+4. F USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. 7G/ BET.MAIN i 0 , MAIN BLDGS. ACCESS. BLDGS. `-� ' ATE ; (a" W hi OCc W ALL C.U.P. APPR Q l O,U.P. APPROVED > APPRDe/f'P�P �t�/�a / 2�?� >,. _ay DATE ly C I hereby acknowledge that I have read this application and state lc n Lthat the above information is correct and agree to comply with Oi all laws regulating building construction, and I shall not employ i i Z any person in violation of the workman's compensation laws of o .CL".Wthe State of California. m 3 I hereby certify that I am properly licensed as a contractor under SQ. FT. 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 FEE ONLY: am exempt from a provisions of the State of California Business to VALUATION PERMIT FEE S e and Professions ode,Division%Chapter 9. f �� m / PLAN CHECK $ re Signature of magi LL Permittee ((!f//�� $ A QQO TAX $ • u. U Authorized Agent i TOTAL PAID E D%ate 0 OWNER _GAVRA�I, RARK, FRANK DATE 5-16-78 JOB ADDRESS 237 23rd Street BUILDING PERMIT NO. 46032 s.Gazaae GENERAL CONTRACTOR Onver-Blir. DESCRIPTION of WORK ! �. 11$_124-11 LOT TRACT FIRE ZONE VALUES. 5,000. IA_. ECTIONSit Signature Dote TYPE V GROUP ,T ZONE R-1 SOIL Gas SUBCONTRACTOR PEIRMITS ISSUED Dote Number l Signature WATER Plumbing ROUGH PLUMBING . PROP. SWR. LINE El HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER U ROUGH WIRING trait - "J- Heating and Vent. TRENCHES In FORMS n STEEL REINF. n -t... FLOOR SYSTEM /ell i-/1"7>? . BONO BEAM f1 STEEL REINFORCE 0 � I� Vry SHEATHING V-?{1 FRAME AND FLASHING -/ �_G c--76/4-In LATHING — IN OUT ❑ Sir . r PLACTER. BROWN COAT E TURAL, FINAL EPL .I NREFRIG. AND A.C., FINAL rrOkA ✓YN G•5 72t PLUMBING, FINAL AND GAS TEST ret...xh-- IR� ��5-' ij i7cC ,,a, ELECTRIC. FINAL , g..C---7.2.7C BUILDING. FINAL /4 /2R... .OWN ER McGAVRAN, FRANK & CAROL DATE 11-3-78 JOB ADDRESS 2.R7 23rd Street BUILDING PERMIT NO. 47006 F%EZONESCRIPTm ION of WORK a Pedroom, Pritio & Porch GENERAL CONTRACTOK owner_Rui ider 4N set CTIONS i.118-:.p4..11 LOT pnr. .R2R TRACTN7r- _J.Ttg: _signature Dote TYPE ir VALUES 5,000_00 GROUP i p. T ZONE P-1 . , :OiL SUBCONTRACTOR P ErAl TS 15X ED AS Date I Number Signature WATER i Plumbing OUGM PLUMBING ROP. SwF/. LINE E3 HOUSE CON. 0 PRINKLING SYSTEM ISCELLANEOUS • ROUGH HEATING AND AIR CONDITIONING • TEMPORARY SERVICE OR POLE • UNDERGROUND [1 POWER s ROUGH WIRING , . - •- Heatin• and Vent. • TRENCHES FORMS a STEEL REINF. 0 "1.43 ,r,-,g/.. ..• FLOOR SYSTEM •. r /4-/-7P' . BOND BEAM El STE REI ORCE in SHEATHING.- 4.0h, 1„./7-74" ki /-•..r.. 7 f ()tit AFE214,41,01/4ea: • FRAME AND FLASHING t7 LATHING — IN 4? OUT ni PI -TER, BROWN COAT S. TURAL, FINAL •••• sire .4-a•751 E 4!M. vtcA HEATING, VENT., REFRiG. ANO A.G., FINAL AlltRA-1111X10 /A-1i"--)8 Z-I cnile PLUMBING, FINAL AND GAS TEST El ELECTRIC, FINAL C.,C.. 2.-ictigt _.... _..._ _...., Ne . a _ 4 6 0 3 2 ,a5� 5/IS/7F 4305D TL c's COSTA MESA BUILDING-SAFETY DEPARTMENT _ �- PO,BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only R V BY DATE RECEIVED DA DA� E BUILDING , ADDRESS 7 ,23,Pn c,c, /� '/L (100- //� �r M /n- nit L // PERMIT NO. I O W N E RJce,41� ' l H/CI� n e 6Ajg44,) A.P. NO. Ill/ ��7' -ii MAIL //�I/p���II'' BUILDING pyy ADDRESS />`(1[J(/� (/f� ADDR{/EySSS, 3'7 �3F�.//// Sr CITY TEL ./7 /2.? ) 4 TRACT " &`nz 1 , LOT `� BLOCK CONSTRUCTION NEW ADD I ALTER�RFEAIR }MOVING nFMOI LSH LENDER BRANCH /� OWN E R/WA/Mk ``(2,447/ ,xe4A/T.PA , ADDRESS • WAN VALUES Ae ARCHITECT TEL. USE / OR ENGINEER NO. FIRE � � ADDRESS //�� ZONE TVP / GROUP 61 CONTRACTOR I LL/1€,A / /itydri 2 APPROVED DATE I ADDRESS 43� 7 , . 0— TEL.,-,.,:a ( _ ZONE NO.OF USE OF NE CITY4&SrA n9P-S4 NOL /03� i Nie PLANS �1 BUILDING •-• STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING W SIZE O. OF LOT / J/ // X/ - NO.OF BLDGS. (FROM C/L/Sy��q EET)Qom. J�) NOW ON LOT / FRONT prl FT. FT. Q USE OF .C.. EXISTING BLDG. /�CC n V✓�+ _A.SIDE ©FT. FT. C.1.2 Q I Separate permits are required for L.SIDE 1 FT. FT. Fo electric,plumbing and heating work. C - - REAR 0 FT. FT. 14 I.., USE OF aUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& O MAIN BLDGS. ACCESS.BLDGS. - iti �� �/�. (jy/C/i6 C URP, DATE APPROVED a �'" SAP_ ROVEii //�� /_DATE L--ie- 2g -a �S//C a w Q I hereby acknowledge that I have read this application and state n n C4 that the above information Is correct and agree to comply with -- Oa all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of m the State of California. b5- I hereby certify that I am properly licensed as a contractor under SQ. FT. N the State of California Business and Professions Code, Division 3, TH 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 FEE ONLY: - am exempt fro -the provisions of the State of California Business / to /^ VALUATION PERMIT FEE $ '3 00 to and ProfessionsQ'odde, Division 3,Chapter 9. Signature of /f/ d> (////1 7��� I $ • �� PLAN CHECK $ /6,-co o Permittee ��LIMtV(LL"D d L%(i �/ / �Q00- TAX $ LL i U Authorized Agent TOTAL PAID $����� d1/'fb4 ✓ OWNER RFRRY, HOWARD DATE 5/11/64 JOB ADDRESS 237E-2-.3Fd St. BUILDING PERMIT NO. 22109 GENERAL CONTRACTOR Aluma Koo1 VALUE $ 1,000.00 t� AP No. 118-121(—I1 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKAdd AW�jat .R lies I' 'ECTIONS Signature DATE GROUP J TYPE IV ,- ZONE Rl PERMITS ISSUED Gas SUBCONTRACTOR / DATE NUMBER Water Rough Com. Refrig. 0 Air Cond. 0 / Rough Heating / Rough Plumbing / Miscellaneous Prop. Swr. Line 0 House Con. St. Swr. 0 Sprinkling System Construction Pole Underground 0 Power 0 / Rough Wiring _ Trenches;0 Forms 0 Steel Reinf. 0 1 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing — In 0 Out 0 Ple4er, brown coat _. TA;. .0 Air Con. 0 Final \ 'flt ening, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final Ori _/_�� Building, Final ��✓✓ OCCUPANCY Form BU4—SM-3-63—S-B P 22109 �; a, 22 1n4 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT ay 1 1 1964 P.O.BO%317 COSTA MESA.CALIFORNIA FINANCE DEPT. aCITY OF COSTA MESA For Applicant to Fill in Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Off ice Use Only DD ARESS 9,-3!iLt, 23,4 S-free-± RECEIPT NO. -ERMIT NO. COSTA MESA. CALIFORNIA CI - /0 Be1r. /� REC V BY DATERECEIVED DATE IS'UE• OWNER I-\n o •a.r A. L-� e 1Y ',rt.-,/-f!/ -/ Li BUILDING ADDRESS a 37 • �(./Aw/ Stt aef ADDRESS ��.3 a / , ,f�� `c•TEL. ZONE TYPE I . ROUP •• CITY C�-1-& /Nes- NO. r ARCHITECT TEL. APPROVEDdo DATE` // f 9 OR ENGINEER NO. LL NING AL SS l T%pBe NO.OP USE OF NEW/tlt o• /� ��� \ /�OL n—' CJI PLANE BUILDING lament CONTRACTOR },-`10-. 111, G 1(/��'^y{` ` ��/�y LEGAL p0✓4t 3a3 Nom.-/T Her of ADDRESS(L��\I % J`y,,N S . , J. �\ r)\\Id D--_—_ L /J CITY •r 1 \� Y11?i��'1� A.P.NO. /I C7 '- / �/ II NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATEIC.N ICI NO 62 p� (r 8�] .3 SO"TO SIDE 3 REAR P.L. S "1-11 O 7S -�-7 EAVES SIZE �•31� NO.OF BLOCS. ALLOWED (U.B.C.REQUIREMENT) /1 OF LOT �(� X "� �xo{w�oN/LO�T YARDS APPROVED YARDS APPROVED USE OF •. //A / / /may// yr MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. /i) "L/L��U�/LLi !� • 1 _ IFROM CI EE7) �. ex,,,,,,, SETBACK LINE FROM �4t q `7 CENTER OF STREET "r// REAR YARD 6�0 "t4 FRONT FT� /, fT. SIDE YARD I LEFT N._-47 I RIGHT � // R.SIDE Fr� �O ( <-1..r71,-.3 RT. �j DESCRIPTION OF WORK L.SIDE `5 FT. FT. NEW A — ALTERATION ADDITION REAR didFT. DISTANCE BET. BET.MAIN G REPw... MOVING DEMOLISH MAIN BLDGS. ACCESS.SLOGS. BUILDING NO.OF VAR.# DATE SIZE ROOMS I /STOT,ORIIES I - C.U.P. Q APPROVED / EXTERIOR IN WALL I COVVFERING / / /L/ • BYAPPRO /,( /•(/� DATE //c7 COVERING ,4 //�� USE OF BUILDING AND WORK TO BE PERFORMED (4'() SUMt) hraAP. 11 /1YIx \ �V1 �y N Do3 s0./Fr CGGL I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION 0.0 BUILDING CONSTRUCTION. 46f / - V /•,•�f•. PERMIT FEE 111VVV D SIGNATURE OF O� - S PERMITTEE C) O{ARiC�_ A nl-LT � lite �� S AUTHORIZED AGENT !/ ✓ ✓ / ala 2 TOTAL FEE * (n 04700618308 II /03478 4 TL COSTA MESA BUILDING-SAFETY DEPARTMENT Pp.BOX 1200 COSTA MESA,CALIFORNIA 92626 PPLICAT N FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only R C I D ATE RECEIVED D TE ISSUE BUILDING k6 ,Q3/en Sr f 1T r S r BDDRDDRENS a ( p / //n' ^ /y[7 r / °/ . NO. fig -�.2 / /, PERMIT NO. OWNER rR/�i(1K II7 `-tAl1Nc7� L/ITIr��//-CA/I�l. /j'j' AMAILDDRESS 237 2340 .J ADDk-BUILRESS S NG c237 £3eo Sr ^/ Pr Pent CITYe05TE //I SA TELNO J� �p�� TRACT //Con Lor 3 Z 3 BLOCK CONSTRUCTION NEW ADD ALTER!REPAIR MOVING DFMOLISH LENDER BRANCH ��yy. d(iWNE Ad *eta ani ADDRESS ..i /,t U S / VALUE$ 5232z?� 1 ARCHITECT TEL. USSTh, �V(JC! OR ENGINEER NO. FIRE ' ADDRESS ZONE �, i PE �/G ROUP - G APPROVED 'Y'- 11�� / 3 --7 CONTRACTOR oaw d/ /h / moi BY DATE ADDRESS ZONE NO.OF / USE OF NEW /3 gb RC [n TEL. g PLANS BUILDING DF_ei YpR'rro CITY NO. F 8ED4PPRQ�/€4< Ypp& XPIbVEDSTATE CITY LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLOCS. (FROM C/L STREET) ,s�_� p O. OF LOT/36 Y 50 !NOW ON LOT .-2 FRONT rf() FT. 0 u-�i7l-�.R..{'xF.,A Q USE OF ,�...},{..}�.. QQ � (� V') EXISTING BLDG. R.SIDE (r=a5Ct4J t� FT. O rs7 F Separate permits are required for L.SIDE /3 FT.0 o2 '3 I FT. Celectric,plumbing and heating work. Ci ryr REAR �s 7'2 FT. 0 .9e5 FT. 0 Id E_, USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 'IS Q p MAIN BLDGS. ACCESS. BLOCS. VA DATE Q //Ana nnJ C.U.P.9j'+ �y p APPROVED -s �7 �h'/�f? t /*teed APPROVED eta DATE 0 /31/7 CC La • 0 I hereby acknowledge that I have read this application and state �7 al•C thatll the abovelang building is correct and agree to complyotwith k. zO Q ? 0 Z all laws regulating building construction,ion, end I shall not employ Z any person in violation of the workman's compensation laws of ILI= the State of California. / /n /fJ +/ O 3 I hereby certify that I am properly licensed as a contractor under gi SQ. FT. ' 7 9 -3zq w the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, end that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from t e provisions of the State of California Business PT a VALUATION PERMIT FEE $ .3 • and Professions , Division Chapter 9. .7 • M (Pit? �J , ,C //_ J LAN CHECK $ /6 o to Signature of v/{'7l' ,IAy /K/7/n�r_(NiyrX// /ty/yr �G u. Permittee $� TAX $ Sv- 2 Authorized Agent TOTAL PAID $ LY�e ,57) a