HomeMy WebLinkAbout385 LA PERLE PL - Building PermitsAttributes
Property Address
Address 1 385 LA PERLE PL
Address 2 COSTA MESA CA 92627
Parcel Information
Assessor Parcel Number 42531209
Legal N TR 1175 LOT 10
Range
Township
Section
Quarter Section
Area
Acres
Owner
Owner Address 1
Owner Address 2
Year Built
Building Square Feet
Building Count
Stories Number
Parking Spaces
Number of Units
garage Square Feet
Front Footage
Depth Footgae
Bedrooms
7200.16078
0.17
Owner Information
WASHBURN 1987 TRUST
385 LA PERLE PL
COSTA MESA CA 92627
Property Specs
1948
906
1
1
1
Page 1 of 1
http://mesagi s2x/website/costamesa/parcel/popup. asp?opt=Attributes&HistoryID= {FAA... 02/25/2003
Aoolicant to fill in all soaces e eot Iheze witnin neavv Eorder lines ann a au a aoriate aeclarations
CITYO.f COST SA CO TRUCT� PERMIT N I #IRS�.� LOT NO. UNIT NO. A P�y Zana
Project Address � _ S Main Building: Accessory Building:
AppliCant's Mailin Addreis TYPE OF CDNSTRUCTION NEW ADD ALTERATION REPAIR E , Z
,����N� ❑ CONVE(3510N ❑ DEMOLISH ❑ OTHER ' 7 Ffont 0
Owner's Na one �Y".i�StS� — N
DESCRIPTIO OF WORK/USE OF/� LDG1 Rear
Address Q- ` � C�—'p1��01^� ISA^lA�— . A I
TVP�PERMI� GRAOING IJ FOUNDATION STRUCTURAL I C Right N
Arch/Eng. License No. K- G
AddreSi _ �`�.(� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g� Left R
Contrecror's Nam � 1�.Phone ❑�OTHER . Ping. Ref. # Parking Req./Provided E
J PHOJECT DESCRIPTION 5a. F7. oCCUPArvC n
Address (mailing) ! Planning Notes: . M
CONSTRVCTION TYPE VALUATION $ T
CityLiCens¢No. 20NE GRADINGCU.YDS. ACRES $,
LICENSEO CONTRACTOR DECLARATION
I hereby a//irm thal I am licensetl untler provisions of h rt 9 comme Remarks: �
with sectlon ]000) of Divislon 3 of the Business antl Pr o e, antl
my Iicense is in^ I f ntl eltecL �' ELECTRICAL FEES
Licen CI i No •
Date 5i9nature PLUMBING FEES �lutomatic Washer Transformer ❑ 15-50 KW
W00.KER5' COMPENSATION DECLARATION ConStruction PoleSub. � 50+ KW
'reby allirm Ihat I have a certiticate Of tOnSent t0 self-insure a c tl}I 88� SIOk Showers .
Vorkers' Compensa[ion Insurance, or a ce ' letl copy Ihereof (Sect'on Cooking Unit Meler ❑up to 100amps
.o, Lat. C.r� Backflow Preventer Service Sink .
PoliCyr�o. T 3p� Company Backflowlrrigation SewerCap Dishwasher Meter�over700amps
❑ Cerlifi cop is ereby furnishetl. ' ,' ' Dryers ❑Gas ❑Electric Sub Panel ;�
�'Cr ' i ietl witn tne cit i' q Bathtubs Sewer Connection
Date Applicant Fan Motors0a1HP�1'h-8
p EXEMP ON ROMWORKERS'COMPENSATIONDECLARA ION Clari(iers SOId�CAl12cLOf5
�(This section neetl not be completetl if the permi[ is for one huntl tl(E300 o Dishwasher � F�A�U� Inc. Soiar 09-15 HP � 16-15+
less). SOlar Piping
I certily tM1at in the pe�fo�mance ot th¢ work f0/ wltich this pe�m�t I5I55uetl, I Fi%tlR¢5
i snall not employ any person in any manner so as to become subject to the Drinking Founteins Solar Tank Microwave /
Workers' Compensation Laws of California. Device Boxes �
Date � ' Signature Floor Orains Swimming Pool w/Spa Pole �ight
iV NOTICE: 1(, afler making this tleclaratlon, you shoultl become subject to the OutlEts
� Work¢ri' Comp¢n5ation provisions ot the Labo� Cotle, you mu5t torthwith FI00� $ink5 Urinal � Range
comply with such p�ovi5ion5 0� tn15 pe�mit Shall b¢ tl¢emetl �evoketl. SwitCh25
I CONSTRUCTION LENDING AGENCV GeSService Outlet5 WalerCloset Sign
�1 hereby af/lrm tha[ Ih¢r¢ is a conzt�uction lentling a9¢nCy for th¢ Pe�to�mance
ot tne work tor wnicn tnis permit is issuetl (5ection 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lentler's Name
Lenaer's ndaress � Kitchen Sink Water Service Generator �0.5 KW �5-15 KW Trash Compactor
OWNER BUILDER DECLARATION —
I here�y alflrm lhat I am exemOt trom the Cont�ac[or'S Lfc¢nse L.aw to� tbe LevetO�i¢5 AutO-WBSh
followin9 reason (Section 7031.5 BuSiness antl Profezsional Cotle: Any c�ty or
county whiGh r¢quires a pe�mit to <onsl�uct, alt¢r, imp/ove, tlemOlisn o� repair P—T�dp LeUnd�y TfeYS
any structure, pNor to its issuance, also require5 tbe applicant for such permit
to file a si9n¢tl statement lhat he/she i5 IicenSetl pu�suant to [ha O�ovlSiOns of Roof Drains
the Con[ractor's Litense Law (Chapter 9(commencing with Section ]000) of
-`�ision 3 of the Business antl Professions Cooe) or lhat he/she is exempt Reinspeetion Fee $15 Issue Fee $ 3
'efrom anU tne basis tor the allegetl exemption. Any violation of Section
,1.5 by any apv���ant for a perTlt subjects the aD�licant [o a civil
r�aity ot not more than five huntlretl aollars (E500). DEVELOPMENT SERVICES REQUIREMENTS:
� I, as owner o� the p�operty O� my employees with wages as lhelr sole fieilfSpBttiOn FBe $15 ISSUB Fee $ 3
compensation, will tlo the work, antl the structure is nof intentletl or.offeretl 2oning Approved By Date
(or sale (Se<tion 7044, Buziness antl Vrotessional Cotle: The Contractor's MECHANICAL FEES Building Approved 8y Date �
License Law tloez not apply to an owner of a property who builtls or improves '
lhereon, antl who tlaes such work hlm5elf/he�self or thrOu9h hi5 or he� own /�ppllCet1011 IStUBd By Det
employees, prOvitletl tM1at such imp�ov¢ments are nOt IntenAetl o� ofteretl tor BOiI¢f HOOd 0� Typ21 ❑
sale. It, howeveq tbe builtling or improvoment Is soltl within one year of com- CynOpy Type I I ❑ SUMd1AFjy pF=EES �
pletion, the owner will have the burtlan of proving he/she tlitl not builtl or im- Duct - Und¢� G�ound � ,�, � �
prova lor che purpose of sale). BUI�DING PERMIT $��L 'SMIP $�_
❑ I, as owner of the property, am exclusivery contracting wflh licensetl con- Duct -Structural Refrigeration System �^ P�P,N CHECK
tractorsto construct the project (Section 7044, Business ana Professions Cotle: $ PERMIT
The Contracmr's License Law tloes not apply to an owner of oroperty who Duct - Ventilating ' ❑4100,000 BTU ❑100,000 BTU � ISSUANCE
builtls or Improves thereon. antl who contracts for such oroieces with a con- PLUMBING $ $
tractor(s) license punuane ro ene Contractors Licanse Law�. 1 am aware thac Exhaust System ❑ MWtiple ❑ System RepaidAlteration PI.NN CHECK 25% $ ENERGY P.C. $
prooi o( tneir Worke�'s Compensation insuran<e shoultl be provitletl to me. ELECTRICAL $ GRADING $
❑ I am exempt untler Section B. 6 P. C. far thls reason Firepl/Fatt. Blt. iCBO �k Fire Dampers MICROFILM $
PLAN CHECK 50% $ �
Date owner Heating Sysrem & Ducting Registers MECHANICAL $
❑4100,000BTUOt00,0006T TOTAIFEE $
I nereEy certity that I h ve m this appliwtlon antl state tnat the above PLAN CHECK 25%
intormation is WrrecL I r¢e co y wrth all Nly ana county ortlinances $
antl State IawS latin o bu' g tion, anC he by autho�iie r Ore-
5entatives f[ c' above-m bonatl r t Oi oCC3�.aC�r,ps,ayr 7'a�';
InsPactlon r . t v^ � �
519nature � t ' peinspae[ionFee $15 IaueFee $3 .ri+�.e �,'.�'y;�'? 'ji,C; ±j;:
Orivers' License or 55 9f -�
0865-46, rev. 5/BB Wnite - Builtling; Canary - ppllcant; Pink - Accountin9: Goltlenrotl - As5e55or
� /CONSTRUCTION AND PLANNING �� 'PA
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
1. Temporery Electrical Service or Pq,le� � 52. Pool & Equipment Location
`'2. Soil Pipe-Undrgmd. V �' 53. Steel Reinforcement .
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �.
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .�� �
5._Steel Reinforcement 56. Rough Plumbing & Pressure Test ,�
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
��
.1
7. Footings , � 58. Electrical Conduit-Undrgrnd. �
8. Foundation . ' � 59. Gas Pipe, O Undrgrnd., Test ''�
9. Water Pipe-Undrgmd. � �.` �� 60. Backwash Lines, P-Trap, O Undrgrnd. �
10. Structural Floor System � ''� 61. APPROVAL TO DECK r'
11. Property Sewer Line & House Connection �, , . 62. Backwash & Receptor-Final
�
12. Sewer'Cap ' � ,- � % � ' 63. Heater & VenrFinal ' �:'
13. Roof Drains � •,. �, � ' , 64. Plumbing SYstem - Final �v ~
14. RoughPlumbing � � -�' t 65. Electrica6Final .'�
15. Rough Electrical-Conduit ' 66. Solar System-Final
�7�6! Rough Electric Wiring 67. Fencing & Access Approval
�.17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
�
�18: Rough Electrical-T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. �Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
„
20. Rough Factory Fireplace APPROVALS Permit #
7y1r DuCts, in Structure 70. Underground Hydro
22r, Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
i,
�,23.�Gas Pipe-Rough & Test 72. Underground Flush
�i2�4� Robf Framing - 73. Undergrnd.StorageTank �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
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:0.1 � �
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 : �l
42. Backflow Preventer � ' _
43. Backflow Irrigation '
44. .Landscape Irrigation SYstem >
45. Sound Attenuation � • �
�
46. Handicap Regulations i�'
47. FINALSTRUCTURE&BUILDING 6I � LE�
48. Special Requirements Completed
49. Electric Release to Edison
i• �
50 � Gas Release to Southern California Gas Co -:�,.
51. C6RTIFICATE OF OCCUPANCY '' I
No � ;Date . ,
CITY DF CUSTA NdESA
CALIFORNIA 92626 P.O. BOX 1200
FROM THE OFFICE OF THE DEVELOPMENT SERVICES DEPARTMENT/
BUILDING SAFETY DIVISION
October 30, 1981
Mr. Ja�res Helfrich
385 La Perle P1ace
Costa D7esa, California 92626
Re: Compliance Inspection r42563
385 Ia Perle Place
Dear Mr. Helfrich:
Ccmipliance inspections were made at 385 La Perle Place per your request
and the follaaing conditions were found:
� _��iM� ��
1. Illegal wiring in island kitchen sink cabinet. Wiring is
hazardous in present state and must be resroved and installed
per crode.
2. SWitch belaa electric meter panel and tei�ninate wirina nrust
be rc�roved and installed per co3e.
Remainder of wiring and devices appear to be in safe state of opesation as
viewed frwn a surface inspection.
PLl4�IBING
1. Auto washing waste not to code.
STR[JCPURAL
l. Drywall in garage must be to code
2. Access screen necds to be replaced.
Respectfully sutxnitted,
, � �n L�a, te 5 �-1�,..��
l�ert L. Cochran rge ston Dave Schuyler
Chief Electrical Inspector Chief Pliunbing Inslxctor Structural Inspector
RC/GE/DS:nih
77 FAIR DRIVE pl4) 754-5273
OWNER WASHBURN ROBERT N. �AN 11 1957 � DATE 8-16- 6
M t 5
JOBADDRESS 385 La Perle �. BUILDINGPERMITNO, #�rj],�
G�N�RALCONTRACTOR �Wller B].(�I'. VALUE $ B�.�DO Renewal� �16�
AP117-262-9
LOY BLOCK TRACT RWfljrilg ROOIR
GROUP J TVPE {j
INSPECTIONS DA
Footing Trench �� �
Fountlation Forms and Grade to Garage �—
Rough Framing X/ L�
Plumbing, Rough to Slab �` ��6T3
Plumbing, Rough Complete
Temporary Pole
Wiri�g, Rough
Heating, Rough
Heating, Final
Sewer. House ewer. St. _ _„
� �;TankorCesspool
L_ .�ng, In Out
Plastering
Plumbing, Final, Fixtures Complete�
Plumbing, Fina1 GasTest /,,5,� 1%�(
Wiriryg, Final
Occupancy � �
iORM yl0 3M 10�'1S
ZONE RJ� FIRE DISTRICT �f��
SUBCONTRACTOR I PERMITSfSSUED
NUMBER
3514
�•
DATE
4JOBADDRESS 385 La�erle BUILDINGPERMITNO. ZZ6I.!
-'NERALCONTRACTOR Owner-builder VALUE $ 80�.��
LOT AP 117-262-9 BLOCK TRACT RllIfU)llS Room
GROUP:;. 'J • TVPE V ZONE � FIREDISTRICT 2z87
I DATE I SUBCONTRACTOR I PERMITSISSUED
INSPECTIONS ,
(Footing Trench
Foundation Forms aud�Gratle to G
Rough Framing
Plumbing, Rough to Slab �
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
Sewer, House Sewer, St.
S TankorCesspool
Lainmg, In Out
Plastering
Plumbing, Fin�al, Fixtures Complel
Plumbing, Fin.al Gas Test
Wiring, Final
Occupancy
Fnrm zin r_u iFnn i_�s
c�-� /� w� rk ar�fe r a �.�� - S' i,� a�
�,U -� i N /� �e � iL(n. �1Jov�( �
�'�-�9-��-�
, D
�w��." �� r� � t��,�d �-��,_ ��., � � ��fi-
,�
� � � , � . . � ��,..�
E
� -� f-�-�...a -A�Pf, o�-��.�.-� -�- �"°.,.�.."_r
.,�-,�� a s-� �-�.L� �.:-._., ►�E- ���.,�� - �
�( � �- c�`� `
0 5 G� c--�l � ✓�..
�- / � _ ���Y'�-�
F'�sta Mesa Bnilding Department APPLICATION FOR PERMPl'
� ,`iCOSTA�ME& �OAL FORNIA �6r0 9 B U I L D 1 N G '
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Reeeipt No. Permit No.
Bullding L �7
Addresa � �,_,7 t� � I .�5 � �O -
Costa Mess, California Received by I Dat �RSdd. Date Issued /
Nearest C� .� / � �� 3 ^•S �e _H ""� �f!� (O �
CrossSt /vJ / /� Building ... -;-! �
Address . • ,
Owner / � �(/ '
Mail � G03Y.a,'�M@Sa� riB�IIiOPIIIa .. �
Address S j(L .� '(/ Nearest . ,! • d.
� Cross St. ' `-
City � S .'L�� �j No.]r-� 7q:.� Zone , I Plans �I TYP Group
Arohitector Lic.
Engineer Q�.IJ� No. ApprovW ' � �
b Date
� ddress CORREC'1`IONS
City Llc.
�ontracMr � No. • � � �
Address e ' �
Legal :' Lot ;. I j + .�.� � i
Deseription I Noi '0 I Block � Tract
�Jq p L y "' ` ..1.
(Attach Metes and Bounds) �f� ��� �'6l� 7'- / •
V � No. of Bldga �
SizeofLot "� /� (� I NowonLot 1,
Useof �t I No.of �I No.ot �
Existing Bldg.v6L' EGGi,�,��� Familiea Rooma � ,, . 9
Setback Line fromj � r Rear Vard / � , T'' ' �, �
Center of Street / �� i$�D Side Yard D� D
DESCRIPTION OF WORH • �
New I I Alteretion I I Additfon I ' � � � � � � - � �t��
Repair I I�Moving I I Demolish I
siz�ed��9/O ,ra o� Rooms � stor�es )
,xterfor Wall� Roof '�'�
.;overiny ic � Oo Covertny � jG APPROVALS
Use of New ' �Foundation Location Ins ector te
Building -�, , P
Forms, Materials, �
Under-Pinntng �
Frame: Fire Stops, f�/"
Bracing, Bolffi
I hereby aclmowledge that I have read this Applicatlon D
and state that the above is correM and agree to rnmply Lath. Int
with all City Onlina d S e Laws regulating
building construCtio - Lath. Ext.
Signatureof / � / .
Permittee � a`-.�ir t�i2�"L'./e L%/ �' Plaster, Int.
Authorized Agt. P er, E�ct
Valuation Permit Fee $/ �� Masonry RefnTorted
� � Plan Check $ ����`
$ � Tota� ond eam
d a
� Fee $ INAL
�oRM 204 S-BP 2M e-SS
�
, .
'I „ ._
� . �
� °
a � J.
o p:� ....� F . o i
a a`
\ �H�os� 30'
�O �OENJ
O \
. -1 ` �
h '
� ;:' _. �l
a <'.�,s�— �
.
�;:�, =.y�a�;,.. - ,' . .
^'�' v '� ' .' ' ,1it-:v_'.�4� ' �„�,y+.
� ;. �`i`F–: - . — n. . . <: . _ rr' � . .
,�.. _ _
`_.. � " _ ' . ,
�'�. sg�ec
��-A .��E.eL E' `�L .�c c� ' _ - . . ; • . �.ti;
r ':
't , v ,
j�ELOT PLAN .. � . '
Show location- and distances from . ' � -'L��
property Ilna-and between bulldings ' " � � � �
. - "-"' - . .. . . . � ;
- Y�. \ . - " • i� . � ' �
!
. _ .!' . ...- _ ,' i -' `�'
. . . � . � - • , .- : i � . . " . . ' !; ` � � �:;. `e
��
� ' : , -- - �:�:r�,���y;.`
� _ - l �� " • �t' • . \ . .. . � '
_,� , , _
.,` . . . .
;.. - . - �
e
Costa Mesa Bailding Department APPLICATION FOR PERMIT
' .- ,P.o.�°X3•� BUILDING
-COSTA MESA, CAUFORNIA �y� �
FOR APPLICANT TO FII.L IN FOR OFFICE USE ONLY
ReceipS No. Permtt No.
naare�� 3�S .�. �4 E 72L C � 1.. '�f i
Costa Mesa, ria�017118, �Recei ed by Date Rec'd.�/ Date I ued
Nearest 1,� , �C �� �v �J� Y p -/6 I
Cross &t. V S 1 Yv uilding
ddress �Lr i
Owner
Mail �I � Costa Mesa, California
Address (V� • � ,./
`S . Tel.� � NrossSt. �!/S T/ 7�J
Cfty 9� No. L� Zone I p�ans � I Type Group
Arohit tor ��/ Lic.
Engfneer (,(/ No. Approved
b Date
adress CORRECI`IONS
�n I � City Lic.
� a:ontrecMr � I V�� � f"' , . nio.
Metes and
Ijse of
Existing BY
Setback Lina
New
Use of
Buildii
I hereby acknowled
and state that the a
with all City Ostii
building constrGc/t'c
Signatureo�
Permittee
Authorized Agt.
Valuatlon �
$ " �� , iA�j
d—
MM 1OL 10��3 D. P. E 5.
iund�� � � � �% -
�/� No. of Bldgs
V I Nowon Lot
No.of I
L � �� Farnilles I
Alteration
Vard S�n�
ORH
IAddition I
��� Demolish I
Staries �
ihat I have read this ApplicaUon
ve is correM and agree to comply
�ces and State I.aws regulating
Permit Fee $
�'. APPROVALS
�undation Location Inspector
Forms, Materials,
Under-Pinning
BOnd
Int
Ext
Date
c�
a
J
2
l�
4� %
PLOT PLAN
Show locatlon and distances from
properly Iina and between 6uildinpa
. '
f •
WASNgURN, R.N. �
Ap No. 11'( -
I ECTIONS
e
OCCUPANCY
DATE
v
e
SUBCONTRACTOR
DATE 9-28-60
BUILDING PERMIT N0.
VAL
Form 410—SM-11-59 5-B P . 1289(
, ' 12$��,
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 WBTA MEBA. CALIRORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
■ SiATE
COSTA MESA. CALIFORNIA
�. /� �✓i�Sffr3c.
38'J �/a /J=�/
TEL.
NO. Of BLDGB.
NOW ON LOT
EXIBTING BLDG N �"+-�!' �/Q��
BRBAGK LINB PPOM ��" =-
CeMieR OP BTtEHT G S' REAR YARD
/
SIDE YARD LEPf S IRIGHi �.
DESCRIPTION OF WORK
■ BUILDING
OF
USE OF BUILDING AN� WORK TO BH PERFORMED
_ / r+ r / ..� .i
FEE RECEIVED
s_,�� a G.-i �' E d
FINANCE DEPT.
APPLIf�I� f�gT�E��
BUILDING �K��
Fo� Offiee Use Only
RECEIPT NO. � PEHjdIT��JOi
r u i � �
RECEIV�O BY I DAiB�i.¢CEI�D� J 4MTf 199U �
i� -� � �
� e�-
BUILOING }/� t�/!/� ^ ' 0'.
ADORESS �(/ � l / W) -�/h�—�
COSTA MESA. CALIFORNIA
FIRE
ZONE TYPE GROUP
APPROVED •f b/ GD
BY DATE !
O ING �
O I NO. OF I U8H OP N¢W
/ PLANB BYILDINO
LE6AL /{ O I 1 I
OE9CR�PTION /i� � / � � {� ?4 �
A. P. NO. 1 I �� d�IC��"�Q /
YARDS � EVES
APPROVED ALLOwED
I�MBR LINe BTJ �,� /
FRONT �'y � F/T. I�.
e �..... /17f #� o _A 2 �t;..
1 HEREBY ACKNOWLeUGE THAT 1 XAV6 RCAD Tff18 MPlJGT10N 7Hg AMOUNT 9HOWN UNOEP V�LUATION 19 POP TN8
ANU BT�TE THAT TH6 ABOV6 IS GOIiRECT ANO AGPE6 TO COM- pURP09E OF E9TABLIBHING A PEPMIT FEE ONLY.
PLY WITH ALL CITY ORDI NCEB ANO BTATE IdW9 RE�ULATINO
BUILDINo CONernucr�o - ����T VAL/ATION �7
81GNATURE O ���� 00/ PERMIT FEE $ « D r
PERMI7TE i( �
S PLAN CHECK $
AUTHORIZED AGENT � _
TOTAL FEE
OWNER $g�
JOB ADDRESS
GE AL C0�
AP �..,. i � 7_
INSPECTIONS
SOIL
V AS
i �W RTER
AOUGM PLUMBING
AOP. SN'A. L�NE
SPRINKLING SVSi
ROUGH NE<TING �NO �IR CONOITIONIHG
TEMPORPRY SERVICE OR POLE
UNDENGROUNO �j POWER �
ROUGN WiAING
THENCNES U FORMS Lf STEEL NEINF.
FLOOR SYSTEM
BONO BE�M � STEEL REINFORCE �I
FR�ME nN0 F
L�T' — I
PL� i. BR
HEATING. VENT.
PLOMBING, i'INI
ELECTRIC, FiN♦
YIIII f11uf. G1411
DATE 10-13-78
BUILDING PERMIT N0.
SUBCONTRACTOR