HomeMy WebLinkAbout114 20TH ST - Building Permits +T'
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MF CITY OF COSTA MESA
het) BUILDING DIVISION ���
1-1 `=pr. DEVELOPMENT SERVICES DEPARTMENT
�•„Er PERMIT PERMIT NUMBER/
'rb,� 698-02013 V
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
• BUILDING PERMIT
•
Job Address: 114 E 20TH ST Status: ISSUED
Suite: Applied: 11/04/1998
Vicinity: Issued: 11/04/1998
Parcel Nunmber: :42618115 Zoning:
Applicant: SWORD, LARRY
Address:
Phone: -
Zip:
Owner: FRICIONI, PAUL
Address 10822 HARROGATE PL
Phone: 714-832-1819
SANTA ANA,CA Zip: 92705
Contractor: SENTRY ROOFING CO
Address: 3364 NEVADA AV
92626 Phone: 714-751-7663
C.M. Zip:
License: . 487659
Arch/Eng :
Address:
-Phone:
Zip: •
License:
SCOPE OF PERMIT •
REROOF OVER EXIST. 1 LAYER COMP.WITH 1 LAYER OF 20 YEAR COMP.SHINGLES TEAR OFF
EXIST. BUR ATTHE ATTACHED CARPORTS AND REROOF WITH 20 YEAR TORCH DOWN MEMBRANE.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $6,097.00
Permit: $124.75 Claim Valuation: $6,097.00
SMIP Res: $0.61
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
•
Total: $125.36 -
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
•
•
• , •
•
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
ork for which this permit is issued.
FI I ave :•• w' ' •- wo ••rs' -mpen -tion insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
�yw• ers compens. •• In ran - +:r : . • •• • •erare:
'.mer: Policy Number:
(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 w for which his permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
co . '•• laws of Cali nia,and agr that If I s Id become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
•replicant Signature 'Date: //— 9/5,
WARNING:F• ••E TO SECURE WOR COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN MPLOYER RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
•. .••DOLLARE($100,000),IN A ITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR INS 06 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereb al •r I•.'. am licensed un., • n o moi•/O:r 9 •mmencing wit action 7000)of Division • ' siness a•• Pro '•s Code,and my license is in full
•roe and effect.Tic.a /! / /.S,?7 ' ass a
Contractor's Signature: 1.51 ���SI z Date: .����im
• •N 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: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I em 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 tho 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 toe civ,l 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. ❑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,felsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title B,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? 0 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? ❑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? U Yes L.l 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 0 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 COMPUANCE 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 comet ith all stat: laws an• •inances relating to b ding construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described 'rope/or inspect •urpos: e not • • upy or: •w occupancy of any building authorized by this permit until final inspection.
F. Le•el Ow // •r'e
- �.n•Torize• p•1.-nt Da:
CODE I, INSPECTION TYPE DATE D®Al5 cam INSPFrTXIN TYPF DATE RIITID!{Se
1616 Fixed System Final Fire Prevention, 206 Final Mechanical
1266 Pool Spa Final /�O ad- 208 Final Plumbing _
200 Final Re-Roof /f u# �4 Ir h210 Final Electrical
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 Demolition 250 Final Building/Occupancy _
2446-46
CITY OF COSTA MESA PLANNING DEPARTMENT
A. P. No. 118-021-03
Bldg< Permit No. 33 7 el) 1
071
PARK AND RECREATIONAL FEES - Apartment Developments 2 41.7' <l)
Fee Payment Receipt
Project Address 114 East 20th Street (1 to 20)
Owner's Name Richard A. Sewell
Bachelor or 1 - Bedroom Units 12 @ $25.00 = $300.00
2 - Bedroom Units 8 @ $40.00 = $320.00
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 =
Total Fee
Total number of Dwelling Units 20 $620.00
Planning Department Approval Date 9-17-71 Park Area No. p
e.
Anne
By Applicant's Signature
CITY OF COSTA MESA PLANNING DEPARTMENT1971
A. P. No. 118-021-03 i ., I u
Bldg, Permit No. 53140
A f"1 "\
PARK AND RECREATIONAL FEES - Apartment DevelopmentsJ��_ -.
Fee Payment Receipt
Project Address 114 East 20th Street (1 to 20)
Owner's Name Richard A. Sewell
Bachelor or 1 - Bedroom Units 12 @ $25.00 = $300.00
2 - Bedroom Units 8 @ $40.00 = $320.00
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 =
r Total Fee
Totalaa number of Dwelling Units 20 $620.00
Planning Department Approval Date 9-17-71 , Par} rare No.
/ Anne %f)«�iarc1 ff�C'tiC
,By Applicant's Signature f l(/
7 . ai
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•
City of Costa Mesa •
Building Safety Department CERTIFICATE ' OF OCCUPANCY +"+` 2823
P,O, Box 1200
Costa Mesa,California
The Building located at --.116 F.S.Kt 20th St.'^eet - ti'ettitrt 1 to ?t1
has been inspected and found-to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
fora Group FT & 3 Occupancy.
Use of Building_ 20 unit apartment bldix with att garages. laundry tt " nile2 :. .
Legal Description A. P. 1.18-021-03
(See reverse side for Metes and Bounds)
Building Permit No 33760 Electrical Permit No 330#4 Plumbing Permit No. "1<- •
•
Number of apartments 20 and/or guest rooms
ISSUED TO: jj Building Official
Richard A. Sewell
Date March 22, 1972
This Certificate of Occupancy SHALL BE posted in a consplcuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 306(e) U.B.C.
Form BU 34 Roy.11/70 - +;
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AppiggEn
APPROVED .
City of Costa Mesa Blending Depf.'
CITY OF COSTA MESA Y ../NS// ..DATP 5 E1
C PLANNING DEPT. ESE PITA. S MUST BE ON JOB AT ALL TTM
STRUCTURAL APPROVAL ONLY I Bloc KU JE 1O BLDG. DEPT. REG. F E�O CHANGES WITHOI Q PRIOR APPROVAL
s 9 79
SEPARATE PERMIT' I E ^'JIR 0 BY %_,<<!� DATE----- J ;HE ISSUrfCE OR GRANTIYG OF \)£RIIT OR APPROVAL I�j
DIRECTOR OF PLANNING OtDt ANS A G SPIrIFIC1TI(J S SW L NOT BE CONSTRUED
FOR FI c�T,�lr T B A PER..IT ;OR, OR iL PIC. ..I. OF, NY VIOLATION
•n . ' O 0 A'. Of i' PROJISIO.F JI IMI. :IDOL. NO PERMIT PRE•
E.T. I SL'dl, G TO GIVE AUIHORI1I TO V OLATE OR CANCEL THE
RE RI^_ n AsIn"T,1 I ,.a.rcPR1VIf,ONS OF THIS COW SHALL LE YAL1D, EXCEPT IN SO
FA A'THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL.
1 �Tr11_.__ _.pry 1!. g— THE ISSUANCE OF A PEaMIT iASED UPON PLANS AND
lY,,. ' •1 i�__ ` SP CI '"ATIONS SHALL NOT PROF.:ET THE BUILDING OFFICIAL
TE; . „ ',„'.;0 ,;?,\NY I FR' 'A HEREAFTER REQUIRING THE C/HRLCGJ11 OF ERRORS
ALL L:Si'_CIIJr. 3EQJESTS i IH PLANS AND SPECIFICATIONS OR FROM PREVENTING
�_ _ HU ' 1'. OPERATIONS BEING CARRIED ON THLREUNDER WHEN
IN IOL .TION OF THIS CODE OR OF ANY OTHER ORDINANCE
FJ: Li., :C.i':o :PE.,SOZS ARE TO nr HE clrY. —
BE E IPLOVC.D, UE SUCCESI THAT THE 4
STATE OF C:LIFG3iTIH DIVIS!ON OF I
I Ii:DJSTR:AL S,IFETY BE CONSULTED FOR
1 ADDITIONAL REQUIREi4ENTS.
TYPICAL 611 CONCRETE BLOCK FENCE
Cement Coping Optional ® i,.
Channel Block With 1-3/8 o iiiM � J GENERAL- NOTES
0 Horizontal Top of all
Fences II�,I_� MORTAR: One Parte Plas stic
Cement, and
6" Concrete Block Fence GROUT: One Part Cement Three and
For Fences 5' or Less I' o �'�_—','� One Half Ports Sand
Vert. Bars 3/8" 0 at 4'-0"O.C.a B: = COPING: One Part Cement, Three
For Fences Higgher Than 5' w o 'I'-'_MI Parts Sand
Vert. Bars 3/8" 0 at 32" O.C. r _ CONCRETE: Well Mixed 1:2-1/2: 3-I/2
Provide Inspection and " < .'� " I Max. of 7-1/2 Gallons of
P z Water Per Sack of Cement
Cleanout Hole at Location >
of Vert. ReinforcementI
f m 'I�'_r� ini
REINFORCING STEEL SHALL CONFORM TO
Fill Cells Solid With Groutw o1vs. ALL STEEL TO LAP WHERE SEC. A-I5-39 A.S.T. M.
Where Steel Occurs w M I,-I-R GROUT nM MAY BE POURED FROML TOP OF ICED, O
I�I
�_ FENCE CELLS WHERESTEEL OCCURS.
H
' S HOLES SHALL BE CLEAR, CLEAN, AND
FREE OF ALL MORTAR, DEBRIS, ETC.,WITH
NATURAL GRADE INSPECTION HOLES AT BOTTOM.
� ",�...y', �� �����.'--II BONDS SHALL BE PROVIDED BY LAYING
�/.(/ �( ��j� ��� BLOCKS IN STRETCHER COURSES SO
X42/' / o,• .o ' :0oN b . • ' ' ' ' ' • °' • ' O. e ' D. THAT VERTICAL JOINTS ALTERNATE IN
TWO 3/8" 0 BARS �.a o f . . .. EACH COURSE.
CONTINUOUS
WIDTH - TO 16' O.C. MAX. ,�,, .
D. SEE CHART �, .
STEEL MUST BE TIED IN ) BELOW a DEPTH OF EARTHTOOTH
PLACE AT TIME OF TRENCH p I ,i. , BELOW1/3 THE
HEIGTH
OFF FOOTING.FENCE
INSPECTION. e L . L
lO" 10" T T2. SCALE: 1/2" = I'
CHART
HEIGHT 6' 5' 4' 3'
WIDTH 14" 14" 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 JOB MADS
DRES : _
NUMB
,.Building Department SIGNATURE:
FORM BU20-2M-8-42
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SCALE %i= /'-0°
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—;'WNER FASSELL. W.M. DATE 5-8-79
a OB ADDRESS _ t 0th treet BUILDING PERMIT NO. 48018
' GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Blockwall
cn "O. 118-021-03 LOT TRACT FIRE ZONE VALUE S 3,000.00
.iCTIONS Signature Date t TYPE GROUP ZONE R-4 CP
SOIL PERMITS ISSUED
' GAs SUBCONTRACTOR l�
Date Number I Signature
AWATER_ _ Plumbing
OUGN PLUMBING
ROP. SWR. LINE Q HOUSE CON. ❑
PRINKLING SYSTEM
ISC EL LANE OUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE •
UNDERGROUND ❑ POWER 0 _
ROUGH WIRING Heating and Vent. i
TRENCHES FOAMS STEEL REINF.
FLOOR SYSTEM
BOND BEAM pi STEEL REINFORCE n CANCELLED
SHEATHING
FRAME AND FLASHING pATEBY
LATHING - IN n OUT [ f
PLASTER. BROWN COAT
5 'TURAL, FINAL Flertrie
IK NG. VENT., REFRIG. AND A.C., FINAL _
PLUMBING, FINAL AND GAS TEST n
ELECTRIC. FINAL
BUILDING, FINAL
•
8.197 5/QQ/79 42.50 .t.Ll
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR-STRUC RAL PERMIT - •
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
. RECEIVED BY 'PERMIT .r �� 11 1 lXl
ray
For Applicant to Fill in Completely - Use Ink Only tlC 4
r ADIDLDING RESS ,� 4/ •E . OTM 'Sr A.P. NO. ll
— OE/ — 03
OWNER ORADIDRESS /i S E• 20~-S7C
TENANT W M. fgSs <<
�/ UNIT OR
AMAI LING
DDRESS //5( E -2o I's"' Sf SPACE NO. +
TEL. .9e7 NT? LOT Fat L01 Zlr BLK.
CITY COSTq Al 63-4 NO. 541,-0/37
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER n/O'✓e
BRANCH
OWNER /y. Al. PA SSc L r"
ADDRESS `J--[0 � ��/ )� �Q VALUE
ARCHITECT TEL. USE 7a.o Up-e^2I''"t--C :31204. --J
OR ENGINEER �% it NO S'-4egro/J7
/iv- 47 .2O"J5' pyGP
ADDRESS =p 70 aV b', C7 C.t4 ZONE /1 I TYPE GROUP
S/EB2A sen erg t.re.r APPROVED
CONTRACTOR /yt- ta74
SSGLL BY DATE
ADDRESS f070 .veGtf10t 7' BIoG/.' WgII
TEL. -42r'0-37
CITY easra M Cern NO. Gyy-707Y-
E• STATE CITY APPROVED SETBACKS
LIC. NO.3: y•6 tra j LIC.NO.
94 SIZE NO.Of SLOGS. (FROM C/L STREET)
L OF LOT /O O K 3 OD NOW ON LOT ..- FRONT F I.
Q USE OF /'
'V) EXISTING BLDG. 2o6A/17'/j/a% R SIDE .--FT
.`�'. 4
FSeparate permits are required for L.SIDE FT. / ..tc
C electric,plumbing and heating work. REAR Ft. - _
F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q
C
DATE
t Cc nlceorac aL0ae TJR C L nAL � APPROVED
APPROVED V"'i y —4- 7 9
�. /j/EST PRO PP2� l N
ftG �' Ta gY DATE
SE ti FPL ACG` O cr'idl t.S/.,cr.A so=Fq-t'�
Iz1 _ -
O I hereby acknowledge that I have read this application and state oma'
S4 that the above information is correct and agree to comply with
O. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of °
I the State of California. ` tom
(J m
0
I hereby certify that I am properly licensed as a contractor under SO. FT. N
D
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:
to
am exempt from the provisions of the State of California Business �ry O Q a
and Professions Code,Division 3,Chapter 9. VALUATION coW PERMIT FEE $ c �n
m
Signature of `ge7 � ,0�1 ^ ' PLAN CHECK $ r Q e
Permittee $ - \/VoU • TAX $ LL
Authorized Agent Date /_�9" c- TOTAL PAID $ �/ U
tiaI�a
ANN
OWNER SEWELL Richard A. DATE 10-22-71
'JOB ADDRESS 1114 East 20th Street BUILDING PERMIT NO. 33762
GENERAL CONTRACTOR Same DESCRIPTION of WORK 3 Space Carport i/2
lo. 118-021-03 LOT TRACT FIRE ZONE VALUE $ 2,550.00
INSPECTIONS Signature Date GROUP J TYPE V ZONE C-2
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR Data Number I
Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. El
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER ❑
ROUGH WIRING "Ass J L Heating and Vent.
TRENCHES H FORMS ❑ STEEL REINF. ❑
FLOOR SYSTEM /l/f f?71(-7/
BOND BEAM C] STEEL REINFORCE n
SHEATHING C 1/9/72--;
FRAME ANO FLASHING Q_
LATHING - IN 11.../OUT r'-r/ a- 2'
r 'TER, BROWN COAT [�
CTU
tric
HEATING, VENT.,FINAL
EFRIG. AND A.C., FINAL 7 /T/`E ,ew, eitt.
1/771 0,„41_
PLUMBING, FINAL AND GAS TEST r] l//}}qq !/f� 9J (� /["/'
ELECTRIC, FINAL /WPM
_. 33762
' COSTA MESA BUILDING-SAFETY DEPARTMENT I
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 \ i1
I APPLICATION FOR BUILDING'PERMIT
For Applicant to Fill in CompletelyBUILDING - --
( / .— RECEEII/�VE/D BV D!�ATE. ECEIVE)D j1ATE ISSUED
ADDRESS /� . � .�-19,72rze 'r.
xn Q V IIS ® --I:7-5 PERMIT NO.
OWNER AeH-4,to /! / Sewer« A.P. NO. 6 �/
BUILDING // �^('2,-7°D
Z MAIL /3? ^ /7 r$r ADORE S / /L/
ADDRESS z /I /
Cs.J CITY �f7, / 4,5,4 NOLi, Ili I.6./2-'inns �� T LOTa// BLOCK
ZZ NEW .'ADD ALTER REPAIR MOVING DFMOI ISH
Q NSTRVCiION
0-u LENDER ✓
O co
-
J D BRANCH /�/ h
N OWNER t2, e,`.Q
CO J ADDRESS VALUE
J m ARCHITECT ��`` TEL „ p USE $
< OR ENGINEER J,Vc IAsti p b fl�/A9 NO.SA 777-3 —
UN FIRE
Lu K ADDRESS /3? Ro era.�'S7 ✓-ode / [ . ZONE TYPEkGROUP
5(
a' W APPROVED n
W //n J Z CONTRACTOR !` 6Gf/e3-....c___ BY TE./O^C--(,a — //
J o
m Z
J cc ADDRESS
W w TEL. ZOO...” 2....d NO.OF _ I E OF NEW Feta
H CITY TO. �/1/_ PLANS UILDING 3US
W-o STATE CITY YARDS APPROVED YARDS APP VED
NCC LIC. NO. Z YrfJ/Y LIC.NO.2.1/ MAIN BUILDING ACCESSORY BUILDING
DJ SIZE jNO.OF SLOGS. (FROM C/L STREET) c
OF LOT apo k ?oO I NOW ON LOT FRONT FT. 5-o FT.ttLE )0.
USE OF EXISTING BLDG. R S1J3 FT.
I— SIZE OF NO.OF 2 NEW BLDG. ROOMS STORIES / L.SIDE FT.
�a.1 EXTERIOR WALL ROOF //--__', nnee
COVERING COVERINGWNP t,,4L _REAR FT. S JT. lot/8QJ`..•
J USE OF BUILDING AND WORK TO BE PERFORM D DISTANCE BET. BET.MAIN& f if 0- MAIN BLDGS.r-� ACCESS.BLIrc. //JO
DATE
o C /1 iC,o.lT vr a (3 SP,#t -5-) CUP.#�= //-7l APPROVED - 7--7
/t9/77/
zBY K/V Cam' 'Q r4 DATE —I /"i�
o HOLD FOR SPECIAL REOUIRF'MFMTS
V I hereby acknowledge that I have read this application and state ...5_G
>
D that the above information is correct and agree to comply with o �
all laws regulating building construction, and I shall not employ A
IY any person in violation of the workman's compensation laws of ,�" -0 —^ 1 �,
U) the State of California. m
2 pmt to
I hereby certify that I am properly licensed as a contractor under f', v SO. FT. .-
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business
VALUATION
and Professions Code, Division 3,Chapter 9, 3 c-v n
PERMIT FEE $ p
Signature of A Sv m
Permittee
Ce-4_ $ /, en PLAN CHECK $ /Ii �� E
\\ o
Authorized Agent O r u
TOTAL FEE $ 3�J�a
N
OWNER SEWELL, Richard DATE 2-22-72
JOB ADDRESS 114 East 20th Street BUILDING PERMIT NO. 34230
• GENERAL CONTRACTOR H. A. Lenhard Masonary DESCRIPTION of WORK Blockwall
0118-021-03 LOT TRACT FIRE ZONE VALUE $ 150.00
IharECTIONS Signature Date GROUP J TYPE III ZONE R4/CP
`„ SOIL I PERMITS ISSUED
� GAS SUBCONTRACTOR II
WATER Date I Number Signature
Plumbing
ROUGH PLUMBING
PROP. SWR. LINE❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING / _Heating and Vent.
TRENCHES ❑ FORMS
El REINF. C`�Z L� 2j
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
P' "TER, BROWN COAT
;TURAL, FINAL Electric
HEATING. VENT., REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST n J ,�
ELECTRIC, FINAL _ ^
• 34230
•
PAID
r .COSTA MESA BUILDING-SAFETY DEPARTMENT ^" 72"7�CtISnQO 935 cJik 't*¢5.0�
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
REGfIVE/p/�,BV DAT REC WED DATE ISSUED
BUILDING h// ^ O-,L,9 S Lam/ r/ 02 2 7g -
ADDflESS / f ` PE
^ '�1t
OWNER eich//PR0- 3A-42nL A.P. NO. // �_ O { ��l
BUILDING -� J
MAIL 0 ,i/seADDRESS )1/
Z ADDRESS /�"+fig
a U (f,til �CITYGO 7n-5 /7 NOl A TRACT IV �JiL/r LOTa-// BLOCK
Z
Z < CONSTRUCTION •/ LCj42NEW ADD ALTER REPAIR MOVING DFMOI ISH
O cn LENDER
am .
_jrBRANCH
J N OWNER
ot til m J ADDRESS ///���,,, L/�/j � '�ALOE$/ (.�lj
CCI ARCHITECT TEL. LISiLC.// /J/'//� �
J Q OR ENGINEER NO.
U 01
W Q ADDRESS FIRE //
Z ZONE VPE ! OU
d W APPROVED .tet
CONTRACTOR At/It 4,5:4//9/4,417a"fcro4w • BY DATE
mL cc- Z ADDRESS,730 e.ja-sofa / L /
W W �-- �''•�+ ZOTEL. I[y)� NO.OF USE OF NEW
ZCITY 11/414' 404 Nps /i(5 Q lit \� y PLANS y-• BUILDING
LU
STATE /T TT/ s� CITY YARDS APPROVED YARDS APPROVED
co O LIC.NO..26 X760 C LIC.NOJ 3 7� (FROM MAIN
BUILDINGSTLDACCESSORY BUILDING
ET)
SIZE I NO.OF BLDGS.
OF LOT I NOW ON LOT FRONT FT. FT.
USE OF
EXISTING BLDG. B—SIDE FT. FT,
1— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
Q EXTERIOR WALL ROOF / (f 111
o COVERING COVERING , REAR FT. FT. J-
-I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
1
CL MAIN BLOCS. ACCESS.BLDGS.
Q VAR.# DATE
O 07 L1-entQ� C.U.P.# APPROVED
APPROVED >.--
/ ,,/ )/
Z R DATE o� r/, v
O r
0 I hereby acknowledge that I have read this application and state
✓ that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
CO the State of California. m
Z I hereby certify that I am properly licensed as a contractor under SQ. FT. t)
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:
CC
am exempt from the provisions of the State of California Business VALUATION
and Professions Code, Division 3,Chapter 9. L� m
PERMIT FEE $ N
D
Signature of as
Permittee $/ i PLAN CHECK $ E
/I N • 666//// o
LL
/ j
Authorized Agent N!/tiutPir j�h��n.., ` TOTAL FEE $ ......5:64-67
OWNER SEWELL, Richard DATE 10-8-71
JOB ADDRESS 114 East 20th Street BUILDING PERMIT NO. S3719
GrkIERAL CONTRACTOR Fowler Equipment, Inc. DESCRIPTION of WORK Demolish Res.
,0.118-021-03 LOT TRACT FIRE ZONE VALUE $ 500.00
INSPECTIONS Signature Date GROUP I TYPE V ZONE C-2
ts, SOIL PERMITS ISSUED
' GAS SUBCONTRACTOR
Date Number Signature
WATER /'/� A PI bing _
ROUGH PLUMBING YYMt J (/',� orris � o-A 7/ E".0,77/ /
PROP. SWR. LINE HOUSE CON. ❑ - J (i//^ / '
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER D
ROUGH WIRING Heating and Vent.
TRENCHES n FORMS 0 STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
' -ER, BROWN COAT
., ,CTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
Er FCTRIC. FINAL
- I 33719
PAID �,
COSTA MESA BUILDING-SAFETY DEPARTMENT ncT —s-�il,s00 35u � �{'{r'�A'
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely A Yr RECEIVED BY DATE RECEIVED DATE ISSU e
BUILDING i
ADDRESS
//'///�1I/T CJ 71, /11 ._ka-JI¢J
t f 4 1.- .d. A.P. NO. //t d /-n 5 I PERMI vJ. ]�1
OWNER C
MAIL '/ BUILDING '/
ADDRESS 5 4 - / ADDRESS /�`f e, Q
Z .
W W ,rte TEL. TR•CT LOTp2// BLOCK
6 U CITY - i/!// • NO.
~Z CONSTRUCTION ' t NEW ADD ALTER REPAIR I MOVING DFMOLISH
OI- LENDER
am
J D BRANCH /)� •
� /J�
J N OWNER /) ,e,„ / /c . ettef
m J ADDRESS /l ) VALVE r
J m ARCHITECT TEL. US� $O i"
< OR ENGINEER NO
N FIRE
w IQ ADDRESS % ZONE TYPE GROUPI
J Q
LU Z CONTRACTOR ��N//-41/ /17•7/ ByPROV ED ,v_J04,DATE /6,4-7
LZ � /)'"4 G
J CC ADDRESS r
W W ZON NO.OF USE OF N: ,
Z= CITY -c. NOTE _A PLANS U BUILDING y 1 ,
H
0 STATE 1 CITY / YARDS APPROVED YARDS APPROVED
co CC LIC. NO. /�y' 3 i S LIC.NO.) 1 6 MAIN BUILDING
-
ACCESSORY BUILDING
SIZE NO.OF BLDGS. (FROM C/L ST ET)
OF LOT �... I NOW ON LOT / FRONT FT. FT.
USE OF 4
EXISTING BLDG. 4„.2-ani, /(s7 R SIDF FT. FT.
I- SIZE OF NO.OF
Z NEW BLDG. ROOMS STORI ES L.SIDE FT.
KtEXTERIOR WALL ROOF
COVERING COVERING REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
d s MAIN BLDGS. ACCESS. BLDGS.
0
57....0,...0„, /t f i C.U.P.# I ///��� APPROVED
n
1--' ` ^`` APPROVED'/ 1 �g A DATE /// -e- 7/
CO [ (f
Z
0
UI hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F �.
any person in violation of the workman's compensation laws of
N the State of California. mm
ZI hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9,and that such licen are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: R
am exempt from the prow f the State alifornla Business
and Professions Code,Cr n 3,Chapter VALUATION
PERMIT FEE $ ,5 , r"
D
Signature of N00
m
Permittee ) 2 $ PLAN CHECK $ E
S� p
Authorized Agent r ` S - u.
TOTAL FEE $
m OWNER SEWELLf Richard A. DATE 10-22- 1
.JOB ADDRESS 11 East 20th Street BUILDING PERMIT NO. 33761
417rNERAL CONTRACTOR Same DESCRIPTION of WORK 5 Space Carport #1
lo. 118-021-03 LOT TRACT FIRE ZONE VALUE $ 4,250.00
INSPECTIONS Signature Date GROUP J TYPE V ZONE C-2
SOIL SUBCONTRACTOR PERMITS ISSUED
GAS Date Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR, LINE ❑ HOUSE CON. El
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRING lir 1-ij•7i- Heating and Vent.
TRENCHES 0 FORMS 0 STEEL REINF. Q p�
FLOOR SYSTEM 11C/re -7/
BOND BEAM n STEEL REINFORCE n
SHEATHING ANN.e'- J/ )))///__�.._-
FRAME AND FLASHING *e-
S
LATHING IN I�'OUT j C ( j -7 .7---
_
-TER, BROWN COAT �y`pr, f-f/ p ,{y
HEATING, VENT FINALAL, REFRIG. AND A.C., FINAL ���I?` PPI,<�I /Z 14Tfr A4✓P/s---
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL 1144" .1,1(.72, f
_ 3376 I.
•
COSTA MESA BUILDING-SAFETY DEPARTMENT I L I 1971
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 '
APPLICATION-FOR BUILDING PERMIT
For Applicant io Fill in Completely RECEIVED BY, DATE RECEIVED
L/ /� / /�,_^ � O) �] �J/) ) DATE ISSUED ,
BUILDING // / `� l•/V'TH TT--
OWNER
T l/l+l.i/- -g— 7 7 a^y2-.'^ //
ADDRESS t
/J Sig-44 0 PERMIT NO.
OWNER tee CNl/fD I'!- J SGr wz_c__ A.P.NO. I I CJ_ 0?!
BUILDINGRS // ,/ T —2^ (/ _ 6)
MAIL {, ADDRESS // Fes• 'CJ/t
Z
ADDRESS T3Y /7TFf' f I lT1I
2 U CITY CO 577t Mer A- NO.4gt ygor C LO BLOCK
zZ Q CONSTRUCTION NEW AD (ALTER REPAIR I MOVING DFMOI ISH
LE
- I--
LENDER
0- tn j
J 0 BRANCH (.t ,] ^d9�i�
JN OWNER �L/µh.' !/ -0,�-['RI
CO J CC LU ADDRESS VALUE
-CO ARCHITECT 1 '� .� rrte�_� ,rte TEL D USE $
JQ OR ENGINEER�AJ, WUU Dev4y NO -YO-772-3
V Q
FIRE
w CC ADDRESS /33 �fCA/�S7 X.. e. �x ZONE TYPE J _GROUP
tl w • APPROVED 1
W Z CONTRACTOR S�(�0B'L[_ BY AT` & _7/
J Q -
CO z
J CC ADDRESS
LULL, TEL. ZONA_�NO.OF SE OF NEW
ZI- CITY NO. PLANS 2'BUILDING�i. i r
W- 0 STATE CITY �,,r� YARDS APPROVED YARDS APPRSVED
j CC LIC. NO. 'Z Y fd 1q LIC. NO./(,(•J/ MAIN BUILDING ACCESSORY BUILDING
SIZE ANO.OF BLDGS. (FROM C/L STREET) _ �^
OF LOT /00 X 3 NOW ON LOT FRONT
So FT. :77 - -t0 r
USE OF /�/
�+DY�f 19
EXISTING BLDG. R SIDE � FT. . �%�
Z NEW BLDG. ROOMS STORIES / L.SIDE - 6 FT. a 1
//n.La
U EXTERIOR WALL S/D/NI-4- ROOF - // /7
4
_ COVERING ST-Lit-C-4,
COVERING /r'i/q/zep(.tL REAR / FT. I3 • FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& /
a MAIN BLDGS. ACCESS.BLOCS. V-�
a / r // �7 7 DATE
O CTM tc r / t SIIMc ) C ERP.a/leL.• /17I APPROVED-747/
�7//
y --Y R2/ Dl / O r DATE ?-17-7/
/
O ...mgWWIFor k
lf RCO
I hereby acknowledge that I have read this application and state ._ e....2 .'fQ'T'cy
D that the above information is correct and agree to comply withCC , yLt/
all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
N m the State of California. .�Ly'����� b
z / " -I hereby certify that I am properly licensed as a contractor under SO. FT. 0
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and affect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: o
fC
am exempt from the provisions of the State of California Business
and Professions Code, Division 3,Chapter 9. VALUATION 00
PERMIT FEE $ z N
Signature of // a /y/j coD
Permittee /AL2.. -Y $ j�`� , PLAN CHECK $ /41.•
Ea re
I 7// J .
Authorized Agent TOTAL FEE $
- — _ 33760
- I
' COSTA MESA BUILDING-SAFETY DEPARTMENT I OCT 2
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 1971
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely ♦ RECEIVED BY) DATE ECEIVED DATE ISSUED
BUILDING i/'��7'L)) /a9�AY� 9— V—?1 0_.)I� -1)
ADDRESS ///z/ C , 9-re •Tcfr{ -s 2 $F LS ql-'
OWNER O1 rG/dJQ/LD // .t LJ �Gttnz-L_. A.P. NO�/ �e�� O�/- �p/ PJ :3 ( (
MAIL BUILDING / /�
Z . S�� ,
ADDRESS y3y4 /7 r/_f ADDRESS E — �)
� TEL. TRACT/!/LA I LOT„WI BLOCK
2 U CITY CoL/ Sr/F /.( 135"4- NO.LYL-Yr/OS /
ZZ
< CONSTRUCTION NEW ADD ALTFR REPAIR (MOVING DFMOLISH
O N LENDER /
d m V
J D BRANCH //^ , n L�� /1
J to OWNER �jC.4_Y e +� (//t/ .U'QL/I/�
m J ADDRESS VALUE
m ARCHITECT TEL. exp USE $
-J Q OR ENGINEER�z V, G/t927.D A•lsi/1/ NO .g .,772-3
5 e FIRE •
/J /� TYPE GROUP
W Q ADDRESS 3, fPGH 6STs2 G. • /M r ZONEfat
tl W APPROVED
ZJO CONTRACTOR ^, S-ec,)41-4. e BY
/
DATE
mZ
/7
J cc ADDRESS /�� +
w ly,l TEL. ZONE IND.OF USE F NEW i' �/
ZF CITY NO. Ci Y PIANS B
STATE p CITY ..����,,..yy YARDS APPROVED VA�g�`�� /� t
NCC LIC. NO. 2y 5 / Y LID.NO.,JC11i/ MAIN BUILDING ACCESSORY B ILDING
D SIZE Na OF BLDGS. (FROM C/L STREET/„i. r
OF LOT /LW J_' 3 INOW ON LOT 2 FRONT /)FT. - • FT.
USE OF �Ag Santetvaj
EXISTING BLDG. • FT.
I- SIZE OF NO.OF
2 NEW BLDG. ROOMS STORIES Z • FT.
Q EXTERIOR WALL $re" _C 9 ROOF ,
V COVERING'40" S/p t"/e.....ICOVERING eo,neo4Sft 4- REAR g, �
a �Jr�sp
.-
•
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. &
1 ' MAIN
a BLDGS. ACCESS.BLDGS.
O Unl/r j4 .4 Crna w✓T Con etf"LESyC APPROVED 7—/T-7/
z /W/JJ .y'/rA'Gi/AID 4:-A/Q/Fli� (7 G' • • • DATE
O . •
UI hereby acknowledge that I have read this application and state �ca Z.-, f C' T _.19C 5
that the above Information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ B--'L +
1- any person in violation of the workman's compensation laws of
y the State of California. /J ppyy,,y m
Z /735.3 SO. FT. /g4' r/�r 1/ 2D 4 o
I hereby certify that I am properly licensed as a contractor under //O/
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN Uftl ER 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; 0
CE
am exempt from the provisions of the State of California Business
VALUATION �j
and Professions Code,Division 3,Chapter 9. PERMIT FEE $ `�'�/I �• w
+ m
Signature of / t/�,JJ //JD /]'J( 7 JsS
Permittee i(�.X A'.� /+'wl .C.V'C�C�J $ PLAN CHECK $�tfP // ��E"
/ O
Authorized Agent G,{, `/� � �A LL
`� O v-v• TOTAL FEE &J
33763
' COSTA MESA BUILDING-SAFETY DEPARTMENT -- '.,' 1
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RE�CEEIjI�(/y�/ED+B/V/) DATE/ RECEIVED DATE ISSUED
BUILDING �/ T '�-^ (9,/—
A f %`Ll„(7— %"-' /-2 ) /Q'.2Z -7l
ADDRESS // t 6 • /t�%7%H S---,r ( /—�th PERMIT NO.
OWNERile,c/4. 4 zp A. gsrC_,,-,_L. A.P. NO. I/S--0 ^O -
MAIL / ,) A BUILDING / z ,/ / /_2o)
Z .
ADDRESS '7 JY /'Y �7 7'Z-t'- ADDRE3rS6/{Ayy'C-.y J C
0 U CITY (in 9
A LOT / BLOCK
HZ srA MCSS�t _ Gy2,4003...774_ _
Z C CONSTRUCTION NEW ADO ALTER REPAIR MOVING DFMOLISH
O co LENDER /
am •
J D BRANCH
TC�,( e _ ge.CLuisti
J N OWNER
03 J ADDRESS VALUE
'm ARCHITECT //� '' � / TEL.....,,,, USE $
J Q OR ENGINEER rte•� tD�a/Ns4/1/ NO.S p-J7 Z33 O
U m
Q FIRE `!
W cr ADDRESS /3, 62,,,, cr5f-y-JQ C� s-f ZONE TYPE GROUP
n. W
r APPROVED wl
J O CONTRACTOR �•J ib co LLQ BY �r�I AT/b^Z ^V
co Z _ I///
J cc ADDRESS
W w TEL. ZONE�'7/ NO.OF USE OF NE '3
(0= CITY NO. L% v PLANS �- BUILDING �
F
STATE CITY �r �p YARDS APPROVED YARDS APP OVED
N m LIC. NO. 2-YSoi// LIC. NO. 2G0y _ MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLDGS. (FROM C/L STREET) q
•
OF LOT //DO .r p-a I NOW ON LOT FRONT FT. �L 9'FT��r�^
USE OF �t e/
EXISTING BLDG. R.SIDE FT. V(!/r FT. L
2 NEW BLDG. ROOMS STORIES / L.SIDE FT. FT.
Q EXTERIOR WALLROOF ��jj //
0 COVERING I COVERING &flee .Ce7re REAR FT. FT.pv r
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& // I1
Et
MAIN BLDGS. ACCESS. BLDGS.oxVoi 1
CZ
DATE
O effn ,,Odr •-/f' 3 ( .r,o//f_a0 C URRPD}/#,E�r/��//�u—II APPROVEDDt l /—n/l
In HY W'/l ' V'- rw�./ DATE / n� //
a 0
O miemmili HOLD FOR SPECIA . RFQUTRF6.(r'NTC
UI hereby acknowledge that I have read this application and state c1J� �s /�
D that the above information is correct and agree to comply with P "'�-' ` ��h �'-"1�
CC all laws regulating building construction, end I shall not employ e---.1./
r any person in violation of the workman's compensation laws of
N the State of California. (a /O ce
2 f 4j to
I hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 2
am exempt from the provisions of the State of California Business
VALUATION
and Professions Code, Division 3,Chapter 9. / m
PERMIT FEE $ N
O
Signature of / /// t, �'J/ !7t m
Permittee /L�/i w A- ,� A $ PLAN CHECK $ /4 62 E
jib $DU &2,-. Sa s
TOTAL FEE $
Authorized Agent /