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HomeMy WebLinkAbout919 20TH ST - Building Permits� � �oowFssaem�uw: 919 W 20TH ST j avrrtxsr«�eiva�wrr+: RENFROW, FRAMPTON YOUNG .onxEss: RENFROW CAROLE B 919 W 2bTH ST OSTA MESA,CA 92627646-5455 �va�. �u�wo �oox[sa x �PCNRECTOfl FHOMEEP: 1NCN OR FlA'S dWflES4: uHT: ue w: UNT: mr+m�aarsxu¢ LUKE ROOFING ( 714 ) 633-8798 CdNfp�CTOR4YYWq 448 S MONTGOMERY ,�m�ss ORANGE CA u�xo: 672569 92667 u,.i: 110EN5ED COMH�CTORS OECLAPI1710N: I IwWy dlim ader priely d pajivy tlm I an Ocsu�E �vdr pwiiwu d Chepa B �oomm�ro wan s«im �000l a a.e:,� � a m. �.�d r�d..�+coa...�a mv rc�. m� me nR..oa.rt.e. cmuc.N/o.?:06205A8/ ����g C-39 uc.r+o.: 67 569 EXP: 00/00 Dete: % ` �6 • r (. Gamaaor. �� OWNENBUILDEFOECWUTION:Ilw�EydfumuNrpeWyd I NeCaCraConlimmelar�atlr '�Yov.iq isom ISeaion )W t5 &eir�s ad Ralmdau Cab: MV uf' a mNY Wid� �w�a a v�i to mimua. eEer. nwova. ndnh, a rpar e�ry etruniva. ttv b m evierca, ebo �pu'vw tM Wp6v�41p weh pwm's �o Ne e apwA aameN tlW M a�M 6wnrd punueN lo the pravms d Ne Comretlan Limms ls� �Cluqw 9(���q �h Saaion ]000) d Gveion � d ihe Bumren uW Prdmiom GOEe1 a tM b a Me u uanp tAselmm ud tM Emu lu Ns ebped memplion. My vioWun d Sanion ro31.5Oy vry epp6rem 1« s perm� abjeCs Ne eppfrsm to a uvi pmatly d nd maa Nm frro Im�Asd da8ms �55WD. ❑ �.ao�era�n.c�w�ramr.�Ww+«..nwps+mu.:.a.aompsrWcn.wamm..uM1.mdm..m.mu.:m'ua.,d.e aane�adbaebl5wionlou.Bimiea W PrdemuuCode:TheCaa�eeonliorvalewEomml VN/toenaxwdo�Wab who bulUe a inpwea Ilwson, wd wfio doee audi wak FbnnE a henM a Wap� hu a Is own emplryau. pvrided iM woh imaa'«nae,.,. na :v«wa w w.w �n w.. c. ro.«.. u» W�Cvro «inw�«+u.aa.,an:, on. ror a mmd+�. u» owrorbuitlar wi0 Ma �M duden d pwiiq he a dro d'd na dili a"vnP� lu tM G�Va� W mMl. � I. m oxxe d �M puO�Y. em udni`aM eaqratl�q wM iwnvd ew4rslm b oaMw the VMa (Bwion ]ON. Bu�ins� end a�amsa� code: m. cw�.na+ uc«n. i.. m.. �a .wh a v� o.�. a o�w.�r .,b nwa. >:qm. m..m .nd rro cantreea br wN pV+d� �•w � mtl�aevUl4ea�naA pnuvtl b IM Cwremn L'vue Lm'1. � I em aaanq �mCs Sx1'vc B. d P.G.. M Nb esnm: Dela: �+ I do IwabV a��Y OW I am ews d eM iMeeswd tlr nP�wm d CN1ame HeeM eM 8e1M' Co6 SWiom 25505. ri5JJ. md IISSJ'. eM Ntl I v M' Mura W WcV � wLl / wil rwi (dcb w) iwd ro aonWY wYh uid uma mdr W iM nV��mb br .aame�ummi�u,rionarmoeswionhan�n.�.�t uipwnwXpariu.wrie«nwlaonvnwion.w�mian..i..`anamMn�n.. pwmuu. ode: �cc��+: WOFKEH'S GOMPENSATION DECLAPATON: I MroEy Nfim uMa penepy d prNvy w d ihe bAow'uq detluebm: � I hew eM rN mei�uen e ca�ilktle d mwni to ��p�inwn br wahsi mmp�nWbn, n pwNod la b/ 8eqbn ]]00 d �M lebar Code.lv IM p«Iamercs al IM wh b Mtkli Ne pemN u IsuM. Tl 1 Iwa W xil me'v�ten wM1r�' mmD�Wian imvvo. n n�urW h' Selm 9]W tl Yr leba CoM.la IM DM�m d ilr ri' ���,.nw�mmo.�n��m�.a.My..«��S1ATE FUND �'���m�v EXPIRES c�..: ,,,ry �,m,, O 1/ 01 / 9 7 Rn�, ax(ron ne.e �wr a m,�d�.e r w c«my r. ror m. n�unne eom�s R�aol a wn./ � I oMly Nal in Ns pMrcnune d �M wak br v.fich �hb pame o �wueE. I MW nal amplq xry pamn M arry menner o u lo bec e euEjea to ina xorluri canpanwion lew+ d Celiromie. eM yree ihx M I�Muk Ea�OiiTe uE�w io �M worMen' compe�iuyetion pw/i�iom d Sadion J]00 d iM lebor ('ade. I tluY IonhrMA wmDl Ab Opwy� pvAy '��1 Dms: 7 ��6 ' Q� �Ddcanl: � / W�m/np: Hllun ro�.cun MOA'�n'romWwtlon cov�rep� l� unYwNl, • Wll �Ncl/ mplqw b MMIuI pxWtlu mE elHl 11ns �q ro am �,naiW flrouuM AolNn (S1pq00UA ti��n ro�ewl e/ rorrpw�ufbn Gm�p� u prov/dM br /n Ssctlon 9106 0l fh.Wo. co6. Intwu4 �ne.trom�V: Iww CONSTNUCf10N LENqNO AOENCY: I Mraby dfirm �adr qrotly d perjury tAe tMn u e amn�uGbn Wd'np yricy br tlr perlormema d IM woek la whiM ihe permi e eawC (Soqion �041. Cw. C). lENOEP'S NMIE: LENDER'S ADDFESS: � cenM mm � nev. Am mo eoo�'sman w mm. m.� u».nw. vnormetim e omw. � m� �o oomW ..nn m ar.�d m,m wnenu. eM etma lawa Met�q m Gatli�p cmmudion sd Mnby aWvrs� �apnwNetiru d Nu etyb auw upon �M ebo.a�mmtivad p�opay �°`��'P'tl�'0�`°�"' GARY LUKE � //�/ Prvu Nams �/,/�� ` o/ � / � Deb: / �^' _ rb yp ApeN/ �eda (St51�8.WP) Whne-BWd�q85dwY:G�esrFde:Ge^uY-�DGk'�:Rnk-Mavn:OaMavod-Aaamor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 079485 PERMIT NO: H 079485 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/OFF REROOF W/COMP SHINGLE SQ FT: 3,000 CLAIM VALUE: 3,000.00 CALC-VALUE: 3,000.00 GROUP OCC: R-3 /U-1 COMMENTS: RESIDENTIAL REROOF if if if iE 1E iE iE iE 1E 1E if 1E fF �E 1! 1f 1!!E iE it if !f 1E if ik 1f if !F!E!E k ik if i! if 1f 1f it IE ik it iE iF fk 1f iF it i! 1f k jE k 3f if 1F 14 iE iE ih fE ik 1f !k df IE �k �If 1E 1E iF iE 1E 1E iE iE iE iE iE iE Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42249447 ZNE: REF NO: PLANNZNG N6TES> % jE iE iE 1E iE iE iE 3f IF iF iF iF IE if iE iE iE iE iF iE 1ElE k IE if IE 1E iE 1ElE iE 1E IE IE IE 1E iE IE iE 1E 1E IE iE fE 1E iE IE iE iF iE iE iF iE iE 1f iF iE if iF iE iF If iE iE iE iE iE iE iE IE iE iE iE 3E iE iE jE 3E iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED HY . DATE: BUILDING APPROVED BY : APPLICATION ISSUED BY: iE �k iF iF if if iE if 1E iE iE iE IE 1E if if if fE iE iElE if LEGALIZATION;N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 74.75 DATE: STRUCTURAL SEGMENT;Y FIRE SMIP/RES GRADING .SD SMIP/NON—RES PLAN ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 75.25 0,00 0.00 75.25 75.25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 75.25 OVER/SHORT; 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 74.75 .50 1E fk fE If 1E iF iP 1E iE �E IE IE IE iE 3E iE 1E it iE ib ib 1F iF 1k iF iE �E if if 1F fE iF iF Ik 1E if if 1E 1E 1E 1E IE 1E 1E 1E IE �F M 1E 1E iE ff 1E 1E 1F iF if iF ik if IE 1E jE 1E If �F if 1E 1E iE iF if iE IF iF 1F 1E 1E iE I N D I V I D U A L F E E B R E A K D 0 W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 3000 ALTER HY VALUE RESIDENTIAL NOZONE 1.00 3,000.00 END OF FEES EXPIRED DATE 1 � �"1��� — O1 002Y4992-00214993 T O T 15.25 DATE: 09/!6/9` TIItE: 13:ib � \�/ CONSTRUCTION AND PLANNING POf '� SPA qpPqOVALS Permit �p Date Inspector qppROVALS Nermit # Dace Inspector 7. Temporary Eleczrical Service or Pole 52. Pool & Equipment Location• • 2. Soii Pipe-Undrgrnd. 53. Steal fteinforcement 3. Electrical Conduic Utiliry-Undrgrnd. 54. Forms 4. Electrical Condu�t-Undrgrnd. 55. Electrical Bqnding 5. Steel Reinforcertient 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE 7. Footings 58. Eluctrical ConduiFUndrgmd. 8. Fountlation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe•Undrgrnd. 60. Backwash �ines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Cannection 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent�Final 73. Roof Orains � 64. Plumbing SYstem � Final � 14. Rough Plumbing 65. Electrical�Final 75. Rough Elettriwl•Conduit 66. Solar SYstem-Final 16. Rough ElectricWiring 67. fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVEO FOR PLASTERING 18. Rough ElectricahT Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace . APPROVALS Permit # 21. Ducts, in Structuce . 70. Underground Hydro 22. Dvccs, Venci�ating 7ti. Product Piping OGas OOit 23. Gas Pipe-Rough & Tesc - 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas OOiI 25. Foot Sheathing q��7-�� �(�. 74, Overhead Hydro 26. T-Bar Ceiling (Strucwraq & Monocoat 75. Dry Chemical - 2L Frame and Flashing . 76: Dry Standpipe _ 28. lathing & Siding 77. FIXED SYSTEM FIIVAL 29. Insulation � � 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREAAENT 31. Plasrer Brown Coat 79. FINAL INSPECTION ' 32. Electrical Power Meter-Final 80. FOOD CERTIPICATE 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-Finai 40. Ga: Service-Fina� � - � 47. Solar Oomestic-Final , 42. Backfiow Preventer � 43. Backflow Irrigadon � 44. Landscape Irripation System _ 45. Sound Atte�uation � � 46. Handicap Regulations . . 47. FINAI. STRUC7URE & BUILDING 46. FINAL PLANNING � 49. Electric Release to Edison • 50. Ga: Release to Sou[hern California Gas Cn 51. CERTIFICATEOFOCCUPANCY . No. Date , AGo���ant to fill in a11 spatts exceot [�ose witnin heavy Dortler lines ana si9n all approvriate deelarations. �CITrY ��STA MESA9 CONST,�UC�T��N �ERMIT Project Address w U r�, ''d� Applicant's Maili AdtlN es � �J.(.�'� Owner'sNam(�g ��N'��� ���% �one ���r7 Address `����• r �T • Arch/Eng. — - -- Licenu No. Address Contracror's Nam � �G� �/� Phone � Addresslmailingl�� �2W�T Ciry License No. LICENSED CONTRACTOR OECLARATION I bereby aflirm that I am licensetl untler proyi5iOn5 af Charte� 9(commencing witn section 7000) oi Divlsion 3 of t�e BUsiness ana Protessions Cotle, antl my license is in (ull rce antl elfect. License CIais ��.�i se No. � � Dale �L17.0� cionrt�re _ WORKEAS' C MPENSATION DECLARAT�ON ' 1 her¢by aHi�m thal I have a certiflca[e of COhSCn[ to selt-Insure o� a cerfifiWte of Workers' Compeniation Insurance,� or a�ertifietl topy tpereot (Section 3800, Lab. C.) - Poiicv No. �`L� ���'7� rCompany (/✓�155!(�%l � Certif�1e�tl copY is be�eUY'[hr[hehc [Y Itli�g p � ` �ate ((L� �Applicant E%EMPTION FROM WORKERS' COMPEN$qTION DECIARATION (Tbis section neetl no[ be campletotl if the pe�mit Is for one huntlretl (y100) or less). , I certify that in [he pe��o�mance of th¢ work tor whicn lhi5 pe�m�t i5 issuetl, I ",Snall noi emplOy any pe�son in any mann@� so as to beCom¢ SubjeCt to the �Workers' Compensation Lawz of Calilomia. Date Signature NOTICE: If, after makin9 this tleclaration, you shoWtl becoma subject to the Workers' Comp¢n5ation provislons of th¢ I�bor Cotle, you must forthwith comply with such p�ovislons or tlfis permit shall be'tleemetl tevoketl. CONSTRUCTION LENDING AGENCV I nereby ai(Irm tnat there is a construction Ientling agency for the pertormance of the work for which ihis permit is issuetl (Section 3097 Civ. CJ Lenaer's Name Lentler's Atltlreis OWNER BUILDER DECLARATION� � I hereby affirm that I am exempt irom the Con(ractor's License Law Por Ihe followin9 reason (Section 7031.5 Business antl Grofessional Cotle: Any <ity or county wM1ich requi�es a permit l0 conStruGt, alta�, improvB, tlemolish or �epai� any structure, prior to its issuance, also requires the applicant for such permit to fil¢ a sign¢a statement tM1al he/She Is Ilc@nsetl purzuant to the provision5 of the Gontractor's License Law (Cnapter 9(commencing with Section 7000) of DiviSion 3 of [he Business antl Profession5 Cotle) or that he/zne is exemp[ theref�om antl Ihe basls for Ihe allegetl ex@mption. Any violation ot Section 7031.5 by any applicant for a permit subjects t�e applicant to a civil �enalty of not more than five nuntlretl tlollat5 (5500). 1, a5 owne� of the property or my ¢Mployees wilh wages as Iheir sole compensation, will tlo t�e work, antl the structure is no[ intentletl or offeretl for sale (Seclion 7044, Business antl Proteszional Cotle: The Contractor's LicenS¢ l.aw tloes not apply to an owner ol a oroperty who bulltls or improves the.eon, antl who tloes such work himself/herzolt or throu9n his or her own employees, proviGetl tM1at suCh improveman(s aro not intantletl or ofte�etl tor sale. It, however, the builtlin9 cr improvement is soltl witnin one year oi com- pletion, Ihe owner will nave tha bu�tlGn Ot p�ovin9 he/ihe tliC nol builtl o� Im- �rove to� ttte purpose at Sale). I, as owner of the property, am excluiiytly conlracting with Iicensetl Con- ira<to�slo COnst�uctthe project ISection 7044, Bu5ine55 an0 PrOte55ion5 COtle: The ConVactor's License Law doe5 nol apply [o an Owner ot pmperty who builas or improves th¢reon, antl who con(racts for such projects wlth a con- tractor(sl license pu�suanl to the Contraclq�'s License �aw). I am aware Iha[ proof of tlteir Worker'S COmPensation InsuranGe ShOultl b¢ p/ovitletl to me. ❑ I am eaemo� untler Se<tion 8. & P. G. for Ihis reazon Date I hereby certity tnat I Iniormation is correcL I antl s[ate laws relating t sentatives of thi ty insoe�tion purp . ' Si9nature Drivers' License or 55 � Owner have reai to 1 this aOPIiWtlOn antl Slate that the above comoly witn all clty antl county ortlinances 9<onstrutHon, antl nereby aulhO�Ize repre- �upon tha abovC-mantionetl p��o�p/¢/rty fOr � Date_��_ , _...� i-3�3 . .._.l.;Z -z - ..,.,, ,.,.. TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH OTHER `�J�� q.p, # DESCRIP710N OF WORK/USE OF BLDG.C'��'� ���'��`� --- S Main Buildi E TVPEOFPERMIT GRAOING FOVNDATION STRUCTVRAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL A Reaf � ❑ OTHER PROJECT DESCRIPTION 5�. FT. OCCUPANCV �— � C Right � CONSTRUCTIONTYPE VALVATION$��D���� g Left ZONE GRAOING CU. VDS. ACRES ping. Ref. # Remarkz: �G, �� I 4-84s �l Nl�l..�� �o � b�( PlanningNotes: . 4�/�t�2c7 !1'1��1'L < Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceprors Kitchen Sink Lavarories P—Trap Roof Drains Reinspection Fee � $15 Boiler Duct- Under Ground DuCt - SVUCtufdl Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. BI�. IC80 # Heating System & Ducting ❑ 0.100,000 BTU � 100,000 BT� Reinspettion Fee � $15 CMF 0865-46, rev.4/89 White - Builtlin9; Canary -Applicant; Pink -Accounting; GolOen�otl - ASSesso� Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Warer Heater Water Service laue Fee Hood or Type I ❑ Canopy Typell ❑ Refrigeration System ❑aioo,000eru ❑ioo,000 System Repair/Alteration Issue Fae 253Q 6�2�/84 ._ Zone Accessory Buildin9: � ( S �G11 S _Di� Parking Req./Provided Automatic Washer Constructior Pole Sub. Cooking Unit Dishwasher Dryers �Gas ❑Elecvic Fan F,A.U. Fixtures Device Boxes Outlets Switches Garbage Dispoul Generotor �0-5 KW �5-15 $ 3 ' Reinspection Fee FEES T DEVELOPMENTSER I 2oning Approved By— Buildin8 APProved By $ 3 $15 ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+ KW Merer ❑up w 100 amps Meter ❑over 100 amps $ub Panel Motors �0-1 HP Oi'h - 8 Inc.Solar �9�15 HP �76-15+ Microwave Pole Light '#p Range S9.I? TI FEES Standing Sections Trash Compactor luue Fee $ 3 uTs: i_�n Z O N 1 N G R E � M T S. SUMMARV OF FEES BUIL�INGPERMIT $ ��� SMIP $ � S� PLANCHECK $ 2S•O%i pEFM1T PLUMBING y �SSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL y `I-•� GRADING $ • PLANCHECK 50% $ .-1D MICROFILM $ MECHANICAL $ TOTAL FEE $ �� • � �� PLAN CHECK 25% $ � � ONSTRUCTION AND PLANNING � APPROVALS Permit # �. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. 3. Electrical Conduit Utility-Undrgrnd. 4. Electrical ConduibUndrgrnd. 5. Steel Reinforcement. � 6. Electrical UFER Grnd. 7. Footings . a� 8. Foundation , S 9. Water Pipe-Undrgrnd. 10. Structural Floor System 1 i. Property Sewer Line & House Connection 12. Sewer Cap , � 13. Roof Drains 14. Rough Plumbing 15. Rough Electrical-Cqnduit 16. Rough Electric Wiring �� 17. Rough Wiring Sign • 78. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & 7est 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing �� 28. Lathing & Siding � � 29. Insulation ' � 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric �o 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 pomesticFinal � 42. Backflow Preventer 43. Backflow Irrigation . . 44. .Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulatiqns 47. FINAL STRUCTURE & BUILDING �� 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 57. CERTIFICATE OF OCCUPANCY Date Date C POO� _ SPA Inspector AppROVALS Permit# Date Inspector 52. Pool & Equipment Location 53. Steel Reinforcement - 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57: APPROVALTOCOVER-GUNITE �) 58. Electrical Conduit�Undrgrnd. 5 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK - 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final 66. Solar System-Final t 67. Fencing & Access Approval - 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL . FIRE DEPT. REQUIREMENT . APPROVALS Permit # 70. Underground Hydro 71. ProductPipingOGas ❑Oil 72. Underground Flush � 73. Undergrnd. Storage Tank O Gas � Oil �,�� 74. Overhead Hydro 75. Dry Chemical C 76. Dry Standpipe �,_.� 77. FIXED SYSTEM FINAL � n "Z_ , 78. FIRE PREV. FINAL HEALTH DEPT. REQUIftEMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED C� Notes: O.K T/FlSui ./(�iI!/��� L•.CC, m ApPlicant to fill in all spaces except thase within heavY bortler lines anG si9n all appropriate tleelaralions. CIT� OF CDSTA MES ) /C�'/ONS�ua��y S�MIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address �j –/ � �/ /� �' ApplicanYs Mailin,99���(A�dd�r�e3s,� �� 4/ e W��/��� Owner'sNamce '�I[�t�t�n:'��% Phane�,�G;�2.J Addreu YY�`!� Arch/Eng. License No. Address �-�/�� �j� Contractor'sNam f�.�� � Y'� Phone�77�� Addresslmailing) -�"�� City License No. LICENSED CONTRACTOR DECLARATION I h¢reby a/firm that I am licensetl untler provisions of Char[er 9(commencinq with section 7000) ot DivlSion 3 Of the Busine55 antl Grofesslons Cotle, dntl my Ilcense Is in /ull torce ana ettect. ��/O IJcense Class - . � e � �ater/>"R � Signature WORKERS'COMPENSATION DECLAR ION 'e; hereby aHirm that I �ave a certifica[e of mns¢nt to selt-Insure oi a cartiliCate �[tiyt Workers' Compensation Insurancey . or a certifietl cOpy,thereof (SeCtion 3800, Lab. �J��LUO� G7G ( �/1 PolicY No. d� ComPanY � /�//N eCertitietl copy is �ereGy fumi5hetl. � Certi/letl cboX �s (iletl with the city Buil i�� Date ��%"�'�� ' ApP�icant EXEMPTION FROM WORKERS' COM E SATION OECIARATION (Thlssection neetl nol be com0�etetl if the pe�mit is to� one huntlretl (E300) or lezs). I certity that in [he Derto�mantt Of [he wotk fot which t0i5 perm�t is issuetl, I shall not employ any person in any manner so as to become subject to the Workers' CompensatiOn Laws ot California. Date Si9nature NOTICE: II, a(ter making [�6 decla�ation, you Shoultl become subjeGl to lhe Workers' COmpCnSation provisions o( Ihe Labor COOe, you must torthwilh comply wilh sucb provi5ion5 or thiz permit sball be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby a(Ilrm tnat tbere is a construction lentling agency tor [he performance of the work tor which thiz Oermit �is i55uetl (Section 3097 Civ. CJ Lentler's Name � Lentler's Htltlress OWNER BUILOER DECI.ARATION� � I hereby aftirm that I am exempt from the Contractor's License Law for the followin9 reason (Settlon 7031.5 Business antl Protessional Cotle: Any tlty or county wM1ICM1 requires a Oeimil to wns[ruct, alter, improve, tlemolish or reDair any structure, prlor to Its issuance, also requires the applicant tor such permit to file a sign¢tl slatement [hat he/sne is IicenSetl purouant to [he provi5ion5 of the Contractor's LicenSe taw (Chapter 9(commencing wi[h Section �000) of livision 3 of [he Business antl Pw(essions Gode) or thaf he/she is ezemp[ ierefrom antl the basis fo� the all¢getl exemption. Any violatlon oi Section ,031.5 by any appllcant fOr a Oetmit Subjects ihe aOP��<ant [o a civil Qendlty of not more than tive huntlretl tlollars ($500j. L� I, as owner of the property or my employees with wa9es as their sole comp¢nsatlon, will tlo the work, antl the structure i5 not intentletl Or ofteretl tor sale (Se<tion 7044, Business antl ProfeSsional Cotle: The Contractor'z License Law tloes not apply to en owner of a Oroperty who builtls or improves thereon, antl who tloes such work himseli/herself or tnrough his or her own employ ees, proviaea that such improvements are not intenaetl or otferetl (or Sale. I/, however, [�e bulltlln9 m improvement is soltl wllhin one year of com- pletloq lne owne� wlll have the burtlen of Oroving he/Sh¢ tlitl not builtl or Im- �rova for the purpo5¢ Ot sale). I, a5 own¢r Oi the property, am exclusively contracting wi[h Ilcensetl Con- tractors to construct the Oroject (Section ]044, Business antl Profession5 Cotle: The Contrac(or's License l2w does not apply to an owne� of pro0erty who builas or Imoroves thereon, antl wno wntracts for such orojects wilh a con- traclor(sl Ocense pursuanl�lo the Conl�acto�'s License Law). I am aware lhat proof of their Worker'S Compensation insurance Shoultl be prOvltleU to me. ❑ I am exempt under Section B. h P. C. for thiz reason Da[e Owner — I hereby certity [hal I have reatl tbi into�mation is correcl. I a9ree to cortf antl state laws relating to builtling co sen[atives ot this cil insoection purpos Siqnature [ion antl state that tba above aIl city antl county oralnances i. antl herebv authorize repre� Date� .l—C � C� TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p, �6 DESCRIPTION OF WORK/USE OF BLDG. S Main Building: TVPE OF PERMIT � GRADING FOUNDATION ❑ STRUCTURAL T Front ❑ TENANT ❑ EIECTRICAL ❑ PLUMBING ❑ MECHANICAL B R¢af ❑ OTHER A PR0.IECT DESCRIPTION 5�. FT. OCCUPaNCv C Right K Left CONSTRUCTIONTVPE VALUATION$ S ' 20NE GRADING CV. VDS. ACRES Ping. Ref. #' Remarks: � I %J� � �R, �T*-- Planning Notes: _ nk Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks � Gas Service Outlets Interceptors - Kitchen Sink ' Lavatories P–Trap Roof Drains Reinspection Fee � $15 Duct - Untler Grountl Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple � Firepl/Fact. Blt. ICBO �i`- Heating System & Ducting ❑0�100,000 BTU � 100,000 BT� pF55 � �� ,/ I I Aeinspection fee Drivers' �icense CMF 0865-46, rGv. 4/84 White - Builtling; Canary - ApPllcant; Pink - Accounting; Goltlenrotl - ASsezsor $15 Showers i Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Isue Fea Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑aioo,000eru ❑ioo,000sTu System RepaidAlteration Issue Fee FEES Automatic Washer • Constructior Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electri Fan F.A.U. Fixtures Device Boxes Outlels 9738 10/09JB4 Zone � Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter IJup to 100 amps Meter �over100amps Sub Panel Mators �0.1 HP 01 X- 8 Inc.Solar �9-15 HP 016-15+ Microwave - Pole Light • Range Garbage Disposal ' Standing Sections Generator �0�5 KW �5-15 KW Trash Compactor -10.50 T� FEES Z O N 1 N G R E Q M T S. $ 3 Rainspactian Fee $15 laue Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approvad By Date Appliwtion Issued By Dat � � SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING - $ �SSUANCE $ PLAN CHECK 25% $ ppp ENERGV P.C. $ ELECTRICAL $ � GRADING $ PLAN CHECK 50% $ Z. MICROFILM $ MECHANICAL $ TOTALFEE $ �� "S� $ 3 PLAN CHECK 25% $ CONSTRUCTION ANDPLANNING - � � POO .SPA �APPROVALS Permit# Date Inspector. qppROVALS Permit# � Date Inspector . 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ► 2. Soil Pipe�Undrgrnd. 53. S[eel Reinforcement - 3. Electrical Conduit Utility�Undrgrnd. 54. Forms - 4..Electrical Conduit-Undrgrnd. ' 55. Electrical Bontling . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �. �6. Electrical UFER Grnd. .57. APPROVALTO COVER-GUNITE � � �7. Footings • • , 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Und�grnd. � 60. Backwash Lines, P-Trap, O 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 � �p o�c� �(� 67. Fencing & Access Approval . 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � APPROVALS Permit # 21.�Ducts,in Structure 70. Underground HYdro 22. Ducts, Ventilating " 77. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test , � 72. Unclerground Flush 24. Roof Framing .. 73. Undergrnd. Storage Tank O Gas ❑ 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 37. 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 pomestic-Final � � 42. Backflow Preventer � � 43. Backtlow Irrigation, , . , -_ � 44. fandscape Irrigation System � ' 45. Sound Attenuation . . 46. Handicap Regulations : 47. FINAL STRUCTURE & BUILDING � 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co � � 51. CERTIFICATEOFOCCUPANCY ' No. Date ACPlicant to flll in all spaces axcapt thosa wit�in �eavY Gortler Ilnos anE sign ail approD��ata Coclaratlons. CITYOF.►:OSTAMESA CONSTRUCTIONPERMIT PERMITNO. , TRACTNO. LOTN�� UNITNU. �iojectAddress 9/9 W'LOTi�/ S�: GCM. �!Z •'L / Applicant's Mailing Address SA/�7G Owner'sName �QOLC �. RCNFA�O1,4�phone�' Address 9/4 W_�__'L OTH Sl. G:f7SiANlc'SI?- Arch/Eng. License No. Address Contractor's Name /� _Phone Address (mailing) ' ` City License No. LICENSED�CONTRACTOR DECLARA710N I hereby affirm tM1al I am Ilcansetl untl¢� p�ov75ionz of Cha�te� 9(commencing with section ]000) of Division 3 of e siness antl Professlons Cotle, antl my Ilcense Is in full force ana effect. . LI<ense Class ic nse No. Oat¢ ' Si9natura WORKERS'COMPENSATION DECLARATION � hereby affirm tnat I �ave a certificate ot tonsent to selt-insure or a certlficate f Workers' Compensation Insurance, or a certifietl copy thereot (Sectlon 3800, �ab. C.) . Policy No. Company ❑ CerHfietl copy Is �ereby fumisheC. . � ❑ Certifletl capy is filetl with the <Ity Bulltling Division. 'ION FROM WORKERS' COMPENSATION DECLARATION ion neetl not be cOmpletetl It the permit i5 tor one huntlretl ($100j or that in the petfo�mance of the wOrk for which thi5 �m�t is Issuetl, I �employ any oerson in any man r so as t.bec e subj t to t e Cn�r�en�a i� Laws of C I�m��,n �� M��S after making this Gecl6ratlon, ydu shoultl become comply wl[h'sucb provislOns or [nls permit Sllall be tleemetl revoketl. CONSTRUCTION lENO1NG AGENCV - ' - I beraby affirm that thera is a constructlon lentlin9 agency for the performance ot the work tor which this perTlt I5 issuetl (Sectlon 3097 Civ. CJ Lentler's Nam¢ Lontler's Atltlress . OWNER BUILDER �ECLARATIOfJ ' I hereby atfl�m Ihat I am exampt �rom the COn[racto�'s License I..aw (o� th¢ following reason (Soction 7031.5 BuSiness antl Protesslonal Cotle: Any U[y or tounty whi<h reqWres a permit to construcq alter, improve, tlemolizh or repali anv structure. orlor to Its issuance. also reauires the aoolicant for such oermit i1.5 by any appllcan[ tor, a.pErTlc zuoJec6 [ne -applicani �o a crvu wlty of no[ more than flve huntlretl tlollars (E500). I, as owner of tha property or my employees wlth wa9es as thelr sole �pensation, will tlo the work, antl the structure is not intentletl or ofteretl sale (Sectlon 7044, Businas5.antl.Protessional Cotle: The Contractdr's ense Law tloes not apply to an owner ot a properry who builtls or improves r¢00, antl who tloes such wOrk hlmsel(/hersetl or Nrough hi5 Or her Own O�oy ees, provitletl that SUGh ImO�ovements are not intenaea or offe�e0 fo� • If, however, the building or Improvement Is soltl wit�in one year o/ com- [IOn, the owner Iwill have lho burCun ot proving ba/sne dltl not builtl or Im- , �ve tor ihe purposa oi sale). � I, as owner ot iha property, am exclusively contracUn9 with Ilcensetl con- :tors tb construct the project (Section 7044, Business antl Professions Cotle: � Contra<tor's License Law tloes not appty to an owner of properry who ' itls or Improves thereon, antl who contracts for such projects wlth a con- :tor(s Iicense pursuant�ro the Contractor's License Law). I am aware that �oi o� their Worker's Compensation insurance shoultl be O�ovitletl to me. , I�am exempt un0er Se<tlon B. & P. C. tm Ni5 r¢ason -oate Owner _ I hereby-certlfy ihat I have reatl thls informatlon is wrrect. I agree to comp and state laws relating to bulltling Wn sentatives ot this city to enter poi ip5y ection pu�yc�e � � Agnature ( /[�N-(Ei �r, �Drivers' License or SS � TYPE OF CONSTRUCTION LI NEW I.J ADD LI ALTERATION �LI REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTH DESCFiIPTION OF WORK/USE OF BLDG. ��l-� ���'�-1-- TVPE OF PERMIT Li GRAOING �U FOUN�ATION U STRVCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION Sa. FT. OCCUaAN,Cv� CONSTRVCTIONTVPE�=CCA�WALL VALUATION�'� ZONE GRADINC+CU.YDS. ACRES_ Remarkz: ai'the above ,f� ty ortlinances �.horize repr2- property ior Sink' Preventer Irrigation Dishv.asher Drinking Four Floor Drains Floor Sinks , Gas Service Interceptors Kitchen Sink �3VdL01IC5 Heinspection Fee 0 tlets $75 Boiler � Duct - Under Ground� Duct - Strucmral ' ' Duct - Ventilating . _ Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # ' Heating System & Ducting ❑P700,000 BTU'0700,000 Reinspaction Fee � $15 CMF 0865-46, rev. 30/84 White - Bulltling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor PLUMBING Service Sink Sewer Cap Sewer Connection $olar Collectors Solar Pipin9 - Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater � Water Service Auto-Wash Laundry Trays Issue Fee Hood or Type I ❑ Canopy Type II ❑ Refrigeration Sys[em ❑0.100,000 BTU 0700,000 System Repair/Alteration � Fire'Damperz � � Registers � Issue Fee FEES $ 3 FEES r $ 3 A.P. �Y+ — S Main Building: E T Front ARear C Right gLeft Ping. Ref. # Planning Notes: 7� Aummatic Washer Canstruction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Eleci Fan F.A.U. FixWres ' Device Boxes Outlets Switches Garbage Disposal Genereror 00�5 KW C Fee 1578 II/02/84 ,� Zone ' Accessory Building: ' j{ 1 � TZ'J. l ' S � � L Pa�ng Req./Provided • 'P�Ll K 'ia �O� � �j� }-} o � �-�'LEr!-� TO � � � F�'-uP�'`�T�-(' Lth� • ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Me[er LJup to 700 amps Meter ❑over700amps i Sub Panel Motors �0-7 HP �i'r5 - 8 Inc.Solar 09-15 HP 016-75+ Microwave �� Pole Light Range • �, .\ 4I.75 TL FEES ; Standing Sections�� � 5 KW Trash Compactor� ,- � S15 luue Fee . ' $ 3 DEVELOPMENT SEPVICES REQUI 2oning Approved By Building Approved By � � SUMMARV OF FEES - � � BUILDINGPERMIT $ z-J�C`�� SMIP ~,$ � S� , PLAN CHECK $ � b• Z� pERM1T � � PLUMBING ' �§ � ��UANCE 3 PLAN CHECK 25% $ ENERGV P.C. $ � ELECTRICAL $ GRADING �S PLAN CHECK 50% $ ' ' MICROFILM $ � � MECHANICAL ' $ � TOTAL FEE �$ /' 7� PLAN CHECK 25% �y ' Z O N I N G R E Q M T S CONSTRUCTION ANDPLANNING POO�.�SPA �:APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector S. Temporory Electrical Service or Pole � 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3..Electiical�CondUit Utili[y-Undrgrnd. � 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test 6:• Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE � 7. Footings G �_ 56. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water,Pipe-Undrgmd. 60. Backwash Lines, P-Trap, O Undrgmd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13., Roof Drains � 64. Plumbing System - Final � 14. Rough Plumbing 65. Electrical-Final � 15. Rough Electrical-Conduit ' 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure �-! 70. Underground Hydro 22. Ducts, Ventilating ; 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Tesi 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oi� 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Fiashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation ' 78. FIRE PREV. FINAL 30. Drywall Nailin� � HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat • 79. FINAL INSPECTION 32. Elecvical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: • ¢ 8r� � Y. G• 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 pomestic-Final � 42. Backflow Preventer 43. Backflow Irrigation 44. �Landscape Irri�ation System 45. Sound Attenuation � 46. Handicap Regulations O� 47.FINALSTRUCTURE&BUILDING �_ � .D� L�g�v 48. Special Requirements Completed , 49. Electric Re�ease to Edison 50. Gas Release to Southern California Gas Co • ;51. CERTIFICATE OF OCCUPANCY No. Date � � STRUCTURAL A RPP OV Lq ONLY SEPARA7E PERMI=_ pR R�2��RED FOR ELECTR!^� �, p. -,. ,,.,� HEATI;'�'- •- ��, .�, : ".1; � rn aeFFi�,.�-,�,�� ,.,:n ��J �,7�it ��"17 "�i YI' � (//p`� I7'�/.a_~1 l.� �.1. d " ` � ���I� �'.����8 i ALL CiSP .. , -,; :� �PA�VY - -~ , �• ��srs r F� (�3f �. , c. a..�:Sl�RE TO ;� ST.,i� ., --�T iH,.T TkE itr'O�S: .;�_ S rcl • L��iiSIUN Of ! ADDlT)pyql REQJlREu� �J�SULTfD FO(t � M�diS `'�--�� � 4 � W W Q ti N 1 / �i 0 t o,vcf , 1�► �=ss� o�y (o' ��C REttOENC[ �/N W/D� �IN �✓!D� ��N��N gLvcK wHcc. 3 r�i9'N 13[a�K WifiGG � I�J �ctDc Z�L'' +-t,E,t+ �LocK �.c.6�� 11[e1D(NC[ � 9 �3 � . +� � N Z9 k � sraeEr IIEf10[MC[ 9�q � II[sIDEMtL � .4;.;. CI1y ���� � w:. LG�-� � j�� � P�N �05��/_J , , �&T ip e � D EPT, r � Rg�, R / ��►pt � �p.�TE',--...�j.L� / s�an tl� � W W N N I Cement Coping Optional � Channel Block With �� �8��� Norizontal Top of i0 � Fences For Fenees 5' or Less � Vert. Bars 3/8'� at 4' •0" O.C. Fo� Fenees Higher Than 5' — Vert. Ban 3!8'� at 32" O.C. Fill Cells Solid With Grout — Where Steel Oecurs Reinfo�cing Steel.Shall Conform to Sec.A-15-39 A.S.T.M. All Steel to be Lapped 16"or to Code NATURALGRADE TWO 3/8" BARS � CONTINUOUS TOP & 80TTOM TYPICAL 6�� CONCRETE BLOCK FENCE � 0 a x �� � > w �_ a >Z a i� W O U f z �.ec 7. o 'p N O ° wioT p� SEE Ch Q BELOW oL i o" , . ING REQUIREMENTS GENERAL- NOTES MORTAR: p�e Part Plasfic Cement, and Three Parts Sand GROUT: . One Port Cement TMee and One Holf Ports S�cnd COPING: O�e Part Cement, Three Parts Sond CONCRETE: Well Mixed I: 2� : 3%2 MaK. of 7%2 Gallons ot Watflr Per Sack of Cement CROVT MAV BE POURED FqOM THE TOP OF THE FENCE CELLS ANO AREASOF NORI20NTAL REIN- FORCEMENT SHALL BE CLEAR, CLEAN & FREE OF AlL MORTAR DEBRIS, ETC. BONDS SHALL BE PROVIDE� BV LAYING BLOCKS IN STHETCHER COURSES SO THAT VERTICALJOINTSALTERNATEIN EACH COURSE. 'H OF E4RTHtCOTH 1/3 THE HEIGTH OF FENCE �B�LOW BO?TOM OF FOOTING. SCALE: I/2"= I' WALL HEIGHT 6� 5� � 4� 3� WIDTH OF FOOT�NG 14�� 14" 12" 12� THICKNESS 4FFOOTING 10" 10� 8� 8" DEPTH OF EARTHTOOTH 24" 20" 16° 12� SPACING OF EARTHTOOTH 12' 14� 16� I6� OWNERS NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ City of Costa Mesa, California J0e ADDRESS: _ _ _ _ _ _ _ _ _ _ _ _ _ _ Building Department . y i• • n• �r ia . R4i7s I�C3�EII+ffS1T, made ard entered into this Z 9 7T�-i day of r'J %, , 19� by acd between CA i2 O[ E" S. I? Fn� F jZ � u/ hereinafter referred to as "I�ID OFd�R", and G,� . �.ir i l./�..� hereinafter referned tv as "AA7A(��PP P12p�ERiY U4NER". It is hereby agreed that a party wall will be constructed on the properiy line between 9 �3 _�. �z vTr� si, e� vsT.a r�ES,� - - - in the City of Costa Mesa, Coimty of Orange, State of California, as per map reco�ded in Bock ��� , Page�� of Miscellanews Maps, in the office of the CamCy Recorder of said Co�mty. 'I4ie party wall shall be peLmitted b� encroadi IN WI1t�'SS FFIEFtEOF, the parties have entered into this Agreement the day arYi year first abwe written. i : � . •�;�. �: � / 1 � � � ':�� " i �.� : � � CA2_GL� i� �ZtNFRGu/ N�ne (2j�ed or Printed) �/�j'W �ZO%H � C'OSfA N1F_'$/1 (A[��2SS ) • � • M� • •,�r •a • i a�• . (S ignat�e ) C E, Srr . L e N�ne (4YI�'d ar Prin ed) �-//3 ���-� ST, Cvsr�e Mcss/f (Af3aCESS) � �i J..T ����V l.l-11-4(--�� i��z��Y (NOTE; please see revetse side for notary's state�ent) OwNE� DATE 7/06/79 JOB ADDRE55 919 W_ 7flth Ctroo* BUILDING PERMIT N0. 373 �. 715-514-26 LOT 245 TRACT 1719 fIR SOIL c�s W�TER PAOP. SWR. LINE � � MOUSE CON. SPFINKIING $VSTEM MISCELL/.NEOUS ROl1GN NEnTING �ND �IR CONDITI �EMPOA4AY SEPVICE OR POLE uNDERGR0UN0 rJ POwER � AOUGH wIRING ME ANO FLNS LATHING — IN L I OUi � � P� 'ER. BRO�'N �O�T S ipR1L, FIM�L HE�TING. VENT.. REFAIG. �ND �.C. PWMBING. FINaL �NO W$ TEST [ ELECTRIC. FIN>L SUBCONTRACTOR % F � W a a .�. � S F 5� 93o s,' S'a COSTA MESA BUILDING-SAFETV DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT Y.V.6U.� I[UV GUJIAMtJN�GNLIYVMNIHtlLbLb RECEIVEDBV P - .r7O For Applicant to Fill in Completely — Use Ink Only "� -�� 4 8 3 7 ADDRES$ l.(� Q/ S/ A.P. N°. ►- 5►4 '�� BUILDING � /� I ' OWNER OR � B L /� m ADDRE55 I ot�l �Tj TENANT MAILING UNIT OR ADDRE55 S � � SPACE NO. TR.NO. � I LOT � � BLK. TEL. CITV [.'�s/ HS NO. 6—��/ CONSTRUCTION — . NEW ADD LTER REPAIR MOVING DEMOLISH LENDER BRANCH Q^ '-\ O W NE F�(/ (�J ADDRESS VALUE ARCHITECT TEL. USE L ��� E '� OR ENGINEER ADDRESS — ZONE TVPE GROUP APPROVED CONTRACTOR � C� R U L BV DATE ADDRESS ' TEL. CITV NO. STATE CITV APPROVEDSETBACKS LIC. NO. �— IIC. NO. — SIZE NO.OF BLDGS. (FROM C/L ST E OF LOT NOW ON LOT USE OF EXISTING BLDG. ES C �� I Separate permits are required for L. SIDE electric, plumbing and heating work. REAR USE OF BUILDING AND WORK TO BE PERFORMED PLANNING A ION .�—� � c, w � � ; 3 � DATE ��� APPROVED APPROV � / . �O I heraby acknowlatlBe thet I heve reatl thia application antl rtate m n that the above Intormelion is eor�eci antl apree io comply with all lews reBuletinp building construction, antl I shell not amploy � any perwn in vlolation ot Me workman's compensation laws af m tha State of Celitornie. m I hereby certify that I em properly licensetl as a contrector untler SQ. FT. N the Stata of Californie Business antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, antl that such licenses are in full torce and etfect, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ON�V: � am exampt from the provisions ot tha Stete of Celitornia Buzineu VALUATION PERMIT FEE S 4 antl Professions Cotla, Divislon 3, Chapter 9. B L � u+ m Signarira of � PLAN CHECK $ p Permlttee ��?� L—�� . ��—az� $ ���//�� TAX E LL or /� 'ai�/ 'S V AUNorizatl AOent Date/—�—� TOTAL PAID E �