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Home My WebLink About2841 EUROPA DR - Building Permits OWNER COE, FORGE DATE 9-21-77 JOB ADDRESS 2841 Europa Drive BUILDING PERMIT NO. 44687 GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORKAdd Fadi groom A" No. 139-401+-03 LOT TRACT FIRE ZONE VALUE $ 9.700.00 ECTIONS Signature Date TYPE V GROUP T ZONE R-1 SOIL SUBCONTRACTOR - PARMITS ISSN ED GAS Date I Number I Signature WATER /� �� NPlum-bnin^g J ^'` M ROUGH PLUMBING SIA ‘-.2.44481 / 71 ~0. 3, -it 'tir.� �"{---- PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING (((�� TEMPORARY SERVICE OR POLE \' UNDERGROUND POWER C. C. .tjt_��i / �� `ROUGH WIRING C Heatin. and Vent. . TRENCHES !� FORMS IMIlangr^raerrfaiids F FLOOR SYS EM a'/ i.• BOND BEAM • STEEL REINFORCE • �i ,�' • HEATHING 40 _�1, �r� FRAME AND FLASHING 4l!fU`7fri'� LATHING — IN n OUT 401" / ' PLASTER, BROWN COAT I/ R e S SURAL. FINAL IertdC G. VENT., REFRIG. AND A.C., FINAL L / -1$'4369d PLUMBING. FINAL AND GAS TEST ® f.L.O�� p �.rJ--)15'471 ELECTRIC,ILDINGFINAL �e +( BUILDING, Yir/LI UWNek COE, GEORGE -.,__) t - �/ L0-7 1 1 0UoPl A.IDldltt,UMIC 1=26_7$ JOB ADDRESS 2841 Europa Drive BUILDING PERMIT NO. 45414_ GENERAL CONTRACTORTustin Irvine Custom P0015OESCRIPTION 0f WORK Private Swim Pool w/Spa �_ No. 129=404-03 LOT TRACT FIRE ZONE VALUE S6,000.00 %i..aPECTIONS Signature i Dote ,.f1 GROUP TTT TYPE ZONE R-1 i Pool Location • C.0 Z-J$? SUBCONTRACTOR PERMITS ISSUED Date_I Number [Siannture Forms Main Drain Steel Reinforce Elec. Bond �Electr Electric �� Q�j—/y / Approval to Cover C. C— 2•IS-7r5I�.tLQ.L(Ati d%LAVZGO'Jl7 /12264, 44J.�t� I! Underground Electric ‘,C`;�-- !S'IB". SJ- Gas Piping Testi- n Plumbing i i` Filtering System Lines 11 I - .d; .. . .{.2a _ .I �� Backwash Lines and Recep. S, ` . Electrical Final / �, ' I e--\\ p - _ HP-•gr and Vent Final ,__- �y 1 / II �� ((J• F_ System Final .�.�_1 \� I‘11 f I� ill Backwash and Recep. Final Fencing Final „ _ _ _� /1 1 .in d. ti 1 1 i I . OWNER PACESETTER WESP JOINT VENTURE DATE 3-22-63 JOB ADDRESS 2841 Vuropa Thrive BUILDING PERMIT NO.19115 GENERAL CONTRACTOR e ,. .. : ,. .,,,,..[ . VALUE $ 2 592.00 AP No. LOT 31 TRACT 4343 FIRE ZONE DESCRIPTION OF WORK res att gar I" 1PECTIONS Signature DATE GROUP I&J TYPE V ZONE Rl P774 V-/C4.7 4� SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER Waterf,* 2Z6'/- __:4 Rough Corn. Refrig. ❑ Air ond. ❑ Rough Heating f• K G. "-0_7- ? sv 5-AZ-4.9 ✓ €7:� l Rough Plumbing �.7/l G ) •h3ko.. � / eJ z-!meg vl Miscellaneous / _ Prop.Swr.Line ® House Con. ❑ St.Swr. ❑ /� ' _/-t; . . ,� -cam- ,�?-G 3 5.Attil �\• _ C' Sprinkling System on ction PoleUnderground ❑ Power D / �Rough Wiring M_- b C//-L5 ��,n2Zr+ -, �{ -IJ� Z v/-e 3 ✓u'ltTrenches (� Forms lE Steel RetnN] 4/. hir��fC+yyy///,,, / Floor System / Voy-54 Bond Beam ❑ Steel Reinforce ❑ / Sheathing Alike . ,(_7Z--SJ Frame and Flashing _tre63 _ Lathing — In B/Out p------ '7-1 —C7 Pl^'ter, brown coat Al/7 t'-c-2/2 I ;. ❑ Air Cond. ❑ Final !Tenting, Final //Z 9-.34./.e Plumbing Fixtures, Final / . ..4 '-14.zer Final Gas Test .7 a, S.-2-4-LP Electric Fixtures, Final Z-#,y- f_arq Building, Final 9 47 r ^?,4/R OCCUPANCY ' [ORM RIM.RM - 7.61 0 OWNER EWING, JOHN DATE AUG 1 4 1964 JOB ADDRESS . 2841 Europa Dr. BUILDING PERMIT NO. 22809 - GENERAL CONTRACTOR Buena Park Lumber Co. VALUE $ 990.00 N Opp No.139-14-55-19 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORH4dd Patio to Ree jam:: I+,4%=:u.ECTIONS Signature DATE GROUP J TYPE V ZONE Rl PER.MITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water Rough Com. Refrig. ❑ Air Cond. 0 Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line ❑ House Con.❑ St. Swr. 0 Sprinkling System Construction Pole Underground 0 Power 0 Rough Wiring Trenches 0 Forms 0 Steel Reid. 0 Floor System Bond Beam 0 Steel Reinforce ❑ Sheathing Frame and Flashing Lathing— In ❑ Out 0 ter, brown coat a=" 1las 0 Air Con. 0 Final Heating,ng, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final Building, Final AIM $' 0'17 OCCUPANCY Form BU4-5M-3-63—S-B P eoRnn Applicant to fill in all spaces within heavy border lines and sign all approprj tc rleclavtions. CITY OF COSTA MESA - PE${11T NQ.�� TRACT NO. LOT NO. BLDG.NO. ' ' - CONSTRUCTION PERMIT I Project Address aAL,t' EUR6PA • - � 4640 - •1.5/82 5.00 !;T4 C TYPE3 '' OF CONSTRUCTION Owner Cot..`- Phone�Fjt4 .-ZBEW 0 ADD ❑ ALTERATION AddreSS a�Lt'i Euvo ]p - ❑ REPAIR ❑CONVERSION 0 DEMOLISH �� - Arch/Eng. r_• License No.25j0301 0 OTHER Y� ,,_�te�rr� A.P. ZONING REGULATIONS- ()ESC•IPTIONOFW,•RK rep1QCt0- YCW Address CD 4 — ` : .. tii / ZONE PLNG. REF. Contractor.pim- g - - _ ••T Phone, _kat TYPE OF PERMIT - - BUILDING-- - o BU1 If.IG Address /` ^ SETBACK CIL ST. ROPERTV LINE 10421TRpr AVE- `� co U pinE f� 0 GRADING 0 FOUNDATION 0 STRUCTURAL SIDE YARD - LICENSED CONTRACTOR-DECLARATION 0 TENANT 0 ELECTRICAL &PLUMBING ❑MECHANICAL siDE YARD - - - I hereby affirm that I am licensed under provisions of Charter 9(corn- ,. RIGHT " mencing with section 7000) of-Division 3 of the Business and ' ❑OTHER - REAR YARD(TO P/L) Professions Co' . d my license is in full for . and 'ff' t. PROJECT DESCRIPTION. _ Lice se 1.55 - - - Igen e No. - a. PKG.SPACE REQ. PROVIDED - Date • Si9natur. • _' "•n. _-ea _ - SO. FT. -_ ._ - WORKERS'COMPENSATION DECLARATION - - - OCCUPANCY_CONSTRUCTION TYPE - r STREET WIDTH - PARK FEE b I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION ZONE ZONING,APPROV EO BVI "DATE certificate of Workers' Compensation•l urance, or a certified copy - -" - .. thereof(Section 3800,Lab.C.). GRADING CU. YDS- ' - ACRES SPECIAL CONDITIONS: • Polley No.111 1104 in -compel-6, It nr _ _ _ _ - - - - 3 .Certif led copy Is hereby furnished.- - REMARKS: .- . _ _ • - - ..i�rrCertified copy Is filed with the city Building Division. ,/�V�(s �� 4 _ '-XEMPTION FROM WORKERS' COMPENSATION DECLARATION -- - /l at- 4 li A ,\\ '{ts -P I - - - (This section need not.be.completetl.it.the permit is for one hundred /mit (1 �I _ i _j _ _ _ - - - - -s - -. - ($100) or less). 1 certify that in the performance of the work for which this permit is �d "� ^r r issued, I shall not employ any person in any manner so as to become- :PLUMBING • •, u PLA I CIIECIy i' i+ ELECTRICAL PLAN CHECK '- subject to the Workers'Compensation Laws of California._ - BATHTUBS SHOWERS �W LLINIa - GA HAO t- - Date Signature' _ SO4FT SO FT •- . NOTICE: If after making this declaration, you should become subject TOILETS ou must r��) F QU�RINALS'- - GE ERATOR 0-1 KW_1-10 KW forthwithto the orkers'comply,w Compensation Such provisions or visions this pef the rabor mit shall bed deemed LAVATORIES�T`,/A_Qa iftek APQ NSFORM ER - -revoked. - _ ___ - _ - AP LIANCE 10-50 KW_SO+KW - CONSTRUCTION LENDING AGENCY ' KIT.SINKS D ASRCRS �`= MOTORS • 0:1 HP 1-10 HP - _ I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS - SUMPS - (INC.SOLAR) •10.50 HP 50+HP - ' formanceof the work for which this permit is issued (Section 3097 - • - • I Civ. - _ C.). _ - . _ - FLOOR SINKS FLOOR DRAINS - FIXTURES OUTLETS SWITCHES ' Lender's Name - •• _ ' • Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS -" ' _ " ' OWNER BUILDER DECLARATION - POLE LIGHTS I hereby affirm that I am exempt from the'Contractor'sLlcense Law for I •NTF�RCEP.TOfi S� CLARIFIERS • the following reason (Section-7031.5 Business and Professions Code: SWIMMING POOL ' - P,TRAP - - LUNSI Hut.mow - -_ Any city or county which requires a permit to construct, alter, POLES METERED SUB, e ' improve,demolish or repair any structure, prior to Its Issuance,also re- WATER SERVICE ALTERATION - PANELS -MAIN - SUB - - quires the apklicant for such permit to filo a signed statement that he -- - Is licensed pursuant to the provisions of-the-Contractor's License Law GAS SERVICE OUTLETS SERVICE (Chapter 9 (commencing with Section 7000) of Division 3 of the - Business and Professions-Code) or that'he is exempt therefrom and the' WATER HEATERS /` BTU OUTPUT 2 'oC - ' , . . j basis for the alleged exemption. Any violation of Section 7031.5 by • - - •,,,,V applicant for a permit subjects the applicant to a civil penalty -SEWER CONNECTIONS' - ' • - -' - - ' - „nol more than five hundred dollars ($500). ' 1,,./;;„-i, as owner of the property,or my or will wages as their SOLAR TANK _- COLLECTORS - - - l `it:a compensation, will do the work,and the structure Is not intended . . ' or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. - ISSUE FEE - • - ' , Contractor's License Law does not apply to an owner of a property. - -- 1/V APPLICATION APPROVED BY DATE who builds or Improves thereon, and who does such work himself or ISSUE FEE )J - through his own employees,.provided that such improvements are not Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARYOF FEES is sold within one year of completion, the.owner will have the burden - of proving he did not build or improve for the purpose of sale). BUILDING HEATING SYSTEM 0-100,000_BTU PERMIT $ SMIP $ ❑ I,-as owner of the property, am exclusively contracting with 'AND DUCTING - licensed contractors to construct the project (Section 7044, Business 100,000+BTU _ PLAN CHECK $ PERMI,T 'and Professions Code: The Contractor's License Law does not apply to - - - -- ISSUANCE an owner of property who builds or Improves thereon,and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ 'tracts from-such projects with a contractor(s)-Ilcesned pursuant to SYSTEM - - - - - - . GRADING $ the Contractor's License Law). 100,000 +BTU PLAN CHECK $ , ect ❑ I am exempt under Sion B.8 P.C.for this BOILERS BTU ELECTRICAL $ $ 'reason-• - - - - PLAN CHECKS - _ MICROFILM $ - SYSTEM REPAIR,ALTERATION Date Owner • - - TOTAL FEE$ ' I hereby certify that,l have read this application and state that the above EXHAUST SYSTEM _MULTIPLE MECHANICAL" $ • • Information is correct. I agree to comply with all cityand count ' PLAN CHECK $ - LESS'AD- • _ _ _ '-" 9 PY Y VANCE PC $- ordinances d st te law elating to co structlon,and hereby authorize- ol ph _ordinances s o I ity l to ante upon the above enlionetl , property fo ins•-;t •y e ,� Signature •Itl h_t "- ISSVE FEE ' - —' - - - - - - - - ---- - - -- CMF 0865.46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor l . CONSTRUCTION_ AND PLANNING POOL&SPA I 1'=d Date Inspector Date 7 Inspector APPROVALS Permit# APPROVALS Permit• # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location- 2. Soil Pipe-Undrgrn 44. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrn ' 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel Reinforce 47. Rough Plumbing&-Pressure Test - - - - - 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE .. . - - ' • 7. Footings 49. Electrical Conduit-Undrgrn 8. Foundation 50. Gas Pipe, D Undrgrn,Test • 9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap; ❑Undrgrn - - 10. Structural Floor System 52. APPROVAL TO DECK - "' . ' ' ' 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing 55 Plumbina System - Final • • 14. Rough Electric-Conduit •56. Electrical-Final 15. Rough Electric-Wiring 57. Solar System-Final 16. Rough Heating& Air Conditioning 58. Fencing & Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing - N 21. Roof Sheathing . 22. Frame and Flashing NOTES: 23. Insulation A afla '1' 9-/ 422- 24. Lathing & Siding ,J b 25. Drywall Nailing /�=/'Y-d2 7 s- 7v ,nwn ' - '�x�i.CL --11171° 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning ._ 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final 33. Gas Service-Final 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation --� • 37. Handicap Regulations - . 38. FINALSTRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. • 42. CERTIFICATE OF OCCUPANCY No. Date • . - _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA' ES,ES' CONS RUCTION PERMIT PERMIT NO. - :TRACT NO. LOT NO. UNIT NO. ' Project Address y� • �[' / '- / P6.. P322&o 5453 ;2/ 19/66 '5.00 TL Applicants Maili/na Address c l}}/f71�� • '' TYPE OF CONSTRUCTION LJ NEW L I ADD U ALTERATION LI REPAIR ' • Owner's Na (3 e. . &eo��'rC 4S 0744 ne5-J(. --M El-CONVERSION ❑ DEMOLISH C OTHER AP ,µ, Zone "aft Gu4O 72.e- ecen me DESCRIPTION OF WORK/USE OF BLDG. �NST�� ' • Address ofB' .K' S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT El GRADING LJ FOUNDATION H STRUCTURAL E Front O Address (�` / ❑ P TENANT ❑ ELECTRICAL' LUMBING ❑ MECHANICAL A Rear N Contractor's Name 5 Phone ❑ OTHER • • I PROJECT DESCRIPTION SQ. FT. _ OCCUPANCY C Right N Address(mailing) K GCONSTRUCTION TYPE VALUATION$ S Left R City License No. ZONE GRADING CU.YDS. ACRES - • LICENSED CONTRACTOR DECLARATION PPing. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: R Gquca 779' Planning Notes: a with section 7000) of Division 3 of the Business and Professions Code, and calx L.fl!/ 7 M my license is in full force and effect. ' lilt 1/Y1. T License Class License No. S Date Signature _ PLUMBING FEES • , WORKERS'COMPENSATION DECLARATION Bar Sink Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate I ELECTRICAL FEES Workers' Compensation Insurance, or a certified copy thereof (Section Backf low Preventer . Service Sink i0, Lab. C.) Automatic Washer Transformer 0 15-50 KW • olicy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 050+KW 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps . (This section need not be completed if the permit is for one hundred ($100) or -- - - • • less). Dishwasher • Solar Piping Dryers OGas DElectric Sub Panel I certify that in the performance of the wo for which this pe it is is ed, I / shall not employ any person in any ma r so as to corppy�{snubje o the Drinking Fountains Solar Tank Fan Motors ❑0-1 HP ❑1,Y 8 Workefs'a@omq@psat aaaws of Califor _-�yp� Dater- �/ '�6 idecl e� ! /l — Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-�41P 016.15+ ' NOTICE: If,after making this declara n, you should become subject to the — - Workers' Compensation provisions of the Labor Code, you must forthwith FOOT Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed. revoked. Microwav CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet Device Boxes 1 hereby affirm that there is a construction lending agency for the performance Po ight of the work forwhich this permit is Issued (Section 3097 Civ. C.) Interceptors / Water Heater �^l 0U Outlets Lender's Name F Range Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION . - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Coder/Any city or 9 P Standing Sections county which requires a permit to construct,alter,improve,demdlish or repair P-Trap Laundry Trays Generator ❑0-5 K 5-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for}uch permit P to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt • _ `erefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil laity of not more than five hundred dollars($500). 0 as owner of the property or my irNp+eyett with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered - - • Reinspection Fee f $15 Issue Fee $ 3 ' for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or Improvement is sold within one year of com- - Canopy Type II 0 Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved ByDate prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date Z--I C/--tfr tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100 O BTU 0100,000 BTU SUMMARY OF FEES . builds or improves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System 0 Multiple❑ stem Repair/Alteration I BUILDING PERMIT $ SMIP $• • proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section / B.& P. y or t lkeason Firepl/Fact.Blt. ICBG# Fire Dampers ( GJ ISSUANCE $ �n may,/ PLUMBING $ Date/e---- ter/—A'd Owner " .au.e Sr r - Heating System& Ductin Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read t is application and state that the above 0o-100,000 BTU 0 ,000 BTU—' ELECTRICAL $ GRADING $ information is co rect. I agree to comply with all city and county ordinances _ and state laws ji sting to building construction, and- hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of ed is city to enter po/he ove-mentioned property for inspectlonyu es. h p' Signaturf ��i/ , /A Date f-X-19-t a - MECHANICAL $ TOTAL FEE $ . 00 Drivers' License or awing.... . Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building: Canary -Applicant: Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation, - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil , 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank ❑-Gas Ell Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical , 27. Frame and Flashing _ 76. Dry Standpipe , 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL • 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace r ; 38. Final Plumbing 2-2z-SDI c ( v / 39. Water Service-Final - 40. Gas Service-Final4. 41. Solar Domestic-Final r • 42. Backflow Preventer - '43. Backflbw Irrigation ' 44. Landscape Irrigation System i ' r ' 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. CERTIFICATE OF OCCUPANCY♦ • No. Date . . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ` • CITY OF C(�jeTA M A CONSTRUCTION PERMIT P RMIT NO. TRACT NO. . LOT NO. UNIT NO. 5535 2/23/63 .a.9Op 34 TI.. Projectddress • 1/ Eav s=dirt- za (z///f PERMIT 32.211 • •. . Applicant's Mail g Adccess •G ` �- • a'/ TYPE OF CONSTRUCTION U NEW ADD U ALTERATION LI REPAIR • • G� C/7 e4A7e t`'G 66L_f/� ❑ CONVERSION ❑ DEMOLISH OTHER A.P.# I Zone ' Owner's Name �� A/ntdlf" Phones • DESCRIPTION OF WORK/USE OF BLDG. t Address ,C� ea••/Z/�R. .nt of /1)eic - 9.3!24. root, Q 3 PA - S Main Building: Accessory Building: ` Z Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL E Front O Address • L El TENANT ❑ ELECTRICAL ❑ PLUMBING El MECHANICAL r BA Rear N Contractor 's Name /� Phone ❑ OTHER C Right N Address(mailing) PROJECT DESCRIPTION SQ. FT. OCCUPANCY /� K G CON STRUCTION TYPE VALUATION$ I2. 10190i CO s Left R City License No. ZONE GRADING CU.YDS. ACRES • LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided • E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: IZef FERIA GT 'c' 4-5'/1,i if GAA C_4t1#L eV Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and •'[ my license is in full force and effect. T License Class License No. S Date Signature PLUMBING FEES • WORKERS'COMPENSATION DECLARATION Bar Sink Showers • ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ❑ 15-50 KW 00, Lab. C.) Automatic Washer Transformer Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW 8 Certified copy Is hereby furnished. . Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter 0 u to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION . Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps (This section need not be completed If the permit Is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the wo for which£esub ermit i Issued,I snail no ploy any person in any r so as toe s ct to the Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑1%-B Worke� on Laws of Cali• Date/ Signaturr _Floor Drains 7{ Swimming Pool w/Spa 3 Ib Inc.Solar ❑9-15 HP Q1645+ NO IC If, ter making this declarat on, you shouldj to the ,` — a . Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal Fixtures ' comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes ' I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is Issued (Section 3097 Civ. C,) Lender's Name Interceptors Water Heater Outlets Range Lender's Address Kitchen Sink . Water Service • Switches - . - Sign OWNER BUILDER DECLARATION I ereby'affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or countywhich requires a permit to construct,alter,Improve,demolish or repair s any structure, P—TraLaundry Trays prior to its issuance, also requires the applicant for such perit Generator 00-5 KW ❑5-15 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of _ poop S;'A la :D Division 3 of the Business and Professions Code) or that he/she Is exempt �� V';: erefrom and the basis for the alleged exemption. Any violation of Section 42931.5 by any applicant for a permit subjects the applicant to a civil _ "e,u—@natty of not more than five hundred dollars ($500). - W.T as owner of the property or my sualial.oreeCkith wages as their sole Reinspection Fee I $15 Issue Fee $ 3 jr • compensation, will do the work, and the structure Is not intended or offered - Reinspection Fee I $15 Issue Fee $ & for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or Improvement is sold within one year of cam- Canopy Type II 0 Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved ByDate prove for the purpose of sale). 7-/1-e . ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date sr tractors to construct the projectSection 7044, Business and Professions Code: • The Contractor's License Law noes not apply to an owner of property who Duct-Ventilating Do-100,000 BTU 0100,000 BTU SUM V OF FEES builds or improves thereon, anq who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple El System Repair/Alteration BUILDING PERMIT $ 1 11 •DD SMTP $ a 4'^�b v proof of their Worker's Compensation insurance should be provided • me. PLAN CHECK O ` •1 1 ❑ I am exem t and r Section _B. P. fort eason Firepl/Fact.BIt. ICBG# Fire Dampers $ PERMIT - // / PLUMBING $ 6.00 ISSUANCE $ Date � owner/ ./ .�, 2•/ i / '6' Heating System& Ducting Registers PLAN CHECK 25% $ ` 1 5'. . ENERGY P.C. $ I hereby ertif at I have read •'app!cation and state that the above 0o-100,000 BTU 0100,000 BTU— ELECTRICAL $ 4�• O D GRADING $ intormat on is •f ect. I agree to c mplywith all city and county ordinances , and state laws • ating to n cons coon, and herebyidu�tho see repre- sentatives PLAN CHECK 50% $ 3 S•• O MICROFILM $ inspection of -is city t9 n po a above-mentioned pr petty for inspectionp 1ses. /p DD MECHANICAL $ TOTAL FEE $ Signature /_tete I. — Date 2.3 G(? O cte,.,.a or 6$# ! Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ 'r•t-9 0•'3/1" a CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# r Date Inspector APPROVALS Permit# Date Inspector •1: Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings . 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing &Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 2/2. IS air 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro • .26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing :'76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing • 39. Water Service-Final 40. Gas Service-Final X41. Solar Domestic-Final - 42. Backflow Preventer • 43. Backflow Irrigation 44. Landscape Irrigation System . -45: Sound Attenuation 46.'Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 1 e '49. Electric Release to Edison - 150. Gas Release to Southern California Gas Co `1 X51. CERTIFICATE OF OCCUPANCY. . C No. Date _ 19115Mzz s 'COSTA MESA BUILDING-SAFETY DEPARTMENT K. P.O.BOX SI? COSTA MEGA,CALIFORNIA I FINANCE DEPT. ' I CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT -1,4,-9- s/ep-' TYPE OR PRINT c,/ BUILDING For Office Use Only BUILDING p) y t/ ADDRESS ....CifT/ L C /YL COSTA�� (� M�EESA, CALIFORNIA OWNER �L[?U // i< •�+ BUILDING MAIL /&Ti 3 721 vN Ifti«, i/� , 1 ADDRESS ADDRESS J I A�'�f/ /� �G- TEL. $ '? ZONE TYPE GROU__ 1 CITY (" `` ////C//n//".�Ine.�ri2, -Q---a//LL> NO. n:-I�J y APPROVED -_ARCHITECT BY DATE OR ENGINEER yt lkat—ct Ll NO. 33F. / ADDRESS a / -ie/.• 0- ' ION- NO.OF USE OF N�yI P'/�IZONING — •P / / / EON" PLANS BWLDI Lr / CONTRACTOR /v. �y�.; Vim, _Aryl - ; • I /. LEGAL = " ADDRESS//G S 3 p//(//�.c0-21i�- /LYc[/ LEECRIPnaN I P .919CITY (V-.40. !77.j t l • // �� NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE LIC.NC.NO. ,477/G Ti L. •5/SL9 --D3t 5— 90•TO SIDE B REAR P.L. EAVES SIZE NO.OF BLOCS. ALLOWED (U.B.C.REQUIREMENT) OF LOT / O V/O r I NOW ON LOT 0 YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM GREET) SETBACK LINE PROM FRONT FT. FT. CENTER OF STREET `/,'I; REAR YARD SIDE YARD I LEFT I 'I RIGHT 9 R.SIDE 9 DESCRIPTION OF WORK L.SIDE[�9n FT. Fr. NEW VALTERATION _ ADDITION REAR 7- .rr FT. DISTANCE BET. BET.MAIN a ' MAIN BLDGS. ACCESS.BLOCS. REPAIR MOVING DEMOLISH BUILDING p.� NO OF, VAR.# DATE SIZE �Q B v -- __JJ// ROOMS V STORIES • C.U.P.# APPROVED ` EXTERIOR WALLC tn( ROOF APPROVE' ' ,��JV COVERING �_ _ COVERING ii.., BY �IIS�I DATE V . USE OF BUILDING AN+WORK TOE PERFORMED . `I//IA-/ , . �...4 ,1.G�t,�GUA.c , 1 . ACKNOWLEDGERe i lin/ I HEREBY THAT I HAVE READ THIS APPLICATION ! �THE/�AMOUNT SHO YM UNDER�O�UATION IS FOR THE AND STATE THAT THE VE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. E O PLY WITH ALL CITY O'• NCES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRU 7,1 H SIGNATURE OF / / / / PERMIT FEE $ S PERMITTEF � y/ B $ °V �2— PLAN CHECK S ._�✓ ^ F B 0 AUTHORIZED AGENT - y �` TOTAL FEE /d Vl' 22809 I- LL �U(11�yG±�KLUtIVLU COSTA MESA BUILDING-SAFETY DEPARTMENT hINANCE DEPT. P.O.BOX M7 COSTA MESA,CALIFORNIA CITY OF COSTA MESA • For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING .D Lc et/ For Office Use Only ADDRESS /'�!JG��A""'(A RECEIPT NO. PE IT NO. GG .COSTA MESA, CALI ORNIA • /¢ / O/ � " - REC81V BY �E/ CE(/// D B/ i. �/ / OWNE/R//(JSffLI f2 i//GL-t'�'fgr�J��- ' / S/� /� - ✓�f�(�7Y MAIL// //JJ q✓ ADDRESS g.4/ C 1_J am �y�- ADDIRRtEEES�S/p{� � / �.J�'1/�/Y-ot`' .C_�YY,,//�// [�[� FIRE G�� CITY (/ /�, NO.5 4 Od ZONE - TYPE GROUP ARCHITECT TEL. APPROVED ��, DATE , /3 OR ENGINEER NO. ADDRESS -� _ ZO I NO.OF,� / I I UUSEI OP NEW ✓✓�� / ea-- a 7 t PLANS 1/ BUILDING CONTRACT.--01 _L . / G� - e0" 1p � � e/it DESCRIPTION �n f 3 I t 3�(8 ADDRHB �/ CIT I CZ-",f ./ :SI- A.P.NO. I ? q r ti - NOSTATE /7 i ?J e/ 741:1711. EOL, j 1. -�g/ `J SO"r TO SIDE Q REAR Q.OVERHANGE: NO EAVE SHALL BE LESS T AN LIC.NO. j/J 7 „L-f'PJIS� fl�` EAVES SIZE ply .✓(�I,qe I l'. NO0 OF ON LOTS / ALLOWED U.B.C.REQUIREMENT) ' OFLOT 4U-�` x Vr L �//��qq YARDS APPROVED YARDS APPROVED USE OF GAIT dr//Y— - MAIN BUILDING ACCESSORY BUILDING EXISTING BLD (FROM C/LEI' ) `�N , SETBACK LINE FROM !Li- S C) FRONT \.Y / FT. CENTER OF STREET A/ REAR YARD 'y/ SIDE YARD I LEFT g L I RIGHT /p R.SIDE 1$ FT. FT. • DESCRIPTION OF WORK L.SIDE 2 31.T. - FT. NEW V ALTERATION ADDITION REAR 33 FT. FT. DISTANCE BET. BET.MAIN& REPAIR MOVING . DEMOLISH MAIN BLDGS. ACCESS.BLOCS. VR.* DATE 6 ZBUIEIN/'.X eD G. /i�1ROOMS STQRIES CAU.P.# / / APPROVED EXTERIORINWALL I ROOFE APPROVED kip n,t ,�,I /3 "/ /� COVERING ROO ' AY I/A_/15/I I(IVYbK/1$ Kit' LfS90B ILL AND WORK TO BE PERFORMjDe VC • 30 8D.FT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION .THE AMOUNT SHOWN UNDER VALUATION IS FOR THE Y AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT PEES ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION / p BUILDING CONSTRUCTN.N. ,� / PERMIT FEE $ {V• �� j SIGNATURE OP7/J�j �� • �1 F SERMITUEE L�f vv�.c�GC /� AUTHORIZED AGENT ✓� / �' k. 0 • TOTAL FEE $ 6 i • I 44687SEP 22-77PFjB001050* ****78.68 cnsn COSTA MESA BUILDING-SAFETY DEPARTMENT i P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 PPL A ON FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only �I�J E I E Y DATE RECEIVED E ISSUED ADIDRESS net co rLcpR //` 2y�/w 2t'-F7 .�(�E CoC 1V'\ A.P.NO. !✓ / yQ� PERMIT NO. MAIL OWNER �/��jj Q-_ s ADDRESS ZO `�I GJ1ZO �+�,/�� BUILD/NG 28V' rixoni f CITY COST' AMPS& NOLcster4Gi ADDRESSAct low TRACT 4< (SLOTS) BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOI ISH LENDER BRANCH6Fo 't- Coe'OWNER ADDRESS .�y1� ^,�ss/l e5 TEL p/� S Tway_ "coon VALUE ICR�.CI s�,t s� l�N,-O.I�t3� � ,\�// yL ` �1 Iv(a octfr� FIRE , s✓41�SW/V Ur10 ZONE TYPE •ten GROUP1 ADDRESS �(////�l ,H APPROVE 9� /—� ? CONTRACTOR LXzt`rz-wr . BV DATE G T ADDRESS s� 2 PPP TEL.— ZONF.47A./ PLANSO. BUI ON NERan' :`vea CITY NO. K PLANS BUILDING I.F STATE CITY YARDS APPROVED YARDS APPROVED 5 LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING {,y SIZE o �/ �s NO.OF BLfXrS. ' (FROM C/ ST �p sT) d OF LOT (s�I )w �O 1 s /Qp�s NOWONON LOT FRONT 111 EM:kr FT. USE OF Ca EXISTING BLDG. 5iNee-� Try",lir 1(Ars r ~ r1 R.SIDERO 6 FT. FT, F Separatepermits are required for �j " p Q L.SIDriJ/� FT. FT. electric,plumbing and heating work. L // REAR la., FT. FT. W USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET.MAIN O • Q MAIN BLOCS. ACCESS.SLOGS. CI VAR.0 DATE FA-mg I L-Y Plato n`ny f.Fd�dtl(jTI�t(7o�pn�1 C.U.P. W Q APPROVE/DD } 1St J� Z 31 4 i �.(SGuedidOX� RYPROVED data u• DATE / "2/-Tl .3 !/`� IX W Sr 0 I hereby acknowledge that I have read this application and state 'n CC that the above information Is correct and agree to comply with w L all laws regulating building construction, and I shall not employ m Z any person in violation of the workman's compensation laws of �j 2 the State of California. j 20 (/,�( - A▪. I hereby certify that I am properly licensed as a contractor under / SO. FT. / H the State of California Business and Professions Code, Division 3, T AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I E PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California usiness y and Professions Code, 3,Qhgpter 9. /L VALUATION PERMIT FEE $ spa a. N / CAA/!/ at/ CHECK $ a/� J� G Signature c �t p�.r/, ///��/�--� m s U Permittee /Le, -8 / I $ qvca n TAX $ /� Authorized Agent 0 /•(Js/(! TOTAL PAID sp..v6,2 if • • 45414 4.879 1/26/78 54050 I-TL COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely—Use Ink Only REC IV D BY DATE -ECEIVED DATE ISSUED BUILDING • �/ B _ _ ADDRESS /�4 _tiro/J♦ Or ''•- OWNER 60013.Q ore A.P.NOJ3.9 409-03 'wr�y•1 MAIL v J _ BUILDING �7g/ E-P/�Dt� JAN�1 ADDRESS —. IS ADDRESS 2�� =UrO�rT Ar �/ �y/� ^ TEL.((yy..// TRACT4J Q LOTS/ BLOCK CITY �T Yhe3A NO', S-6—LI CONSTRUCTION NEW ADD ALTER REPAIR MOVING IlEMOLICH LENDER , / BRANCH 4 ' BRANCH �e /� I •• OWNER l/(. e C ADDRESS / VALUE ARCHITECT ft TEL. • 4artR' L *S OR ENGINEER se 4,4 s tl s• an FIRE ADDRESS 177°3 &ct?hoan ZONE T PE , GROUP 111) • CONTRACTOR *cfS ih• iro;ht �IPook APPROVED DATE t,-�/0' ADDRESS 207 F Fµj1n loh GIA, TEL.',162:.45.-75. k ZONED NO.OF USE OF NE )uS7Yl CITY NO. l3Z(�75 /� f PLANS BUILDING ernc$ \ I-0 STATE � CITY YARDS APPROVED YARDS APPROVED LIC. NO.33n13 Caa LIC.NO. MAIN BUILDING ACCESSORY BUILDING calSIZE INO.OF SLOGS (FROM WI-STREET) /+ Ar OF LOT NOW ON LOT FRONT /6 r FT V e .Si//,G2f. Q USE OF /� EXISTING BLDG. R.Sion 3s 41 • FT. cn 1—* Separate permits are required for L.SIDE 5^' • FT. FT. electric,plumbing and heating work. REAR 6/ FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& Q ,�. ^ MAIN BLOCS. ACCESS.BLOCS. /,]s/i` VAR. ATE C.U.P.♦ APPROVED >• tn.'APPROVED/%.. ,'r A r•A. t/s^I Cd Di WI , ofI9 R. I hereby acknowledge that I have read this application end stag, - f`R 4i� W f,...- 04 'n p( that the above Information Is correct and agree to comply vth/ Its\ I1 "VV'��\1111 N C at! m all laws regulating building construction, and I shall not amp y Z any person In violation of the workman's compensation laws f f\ 1 a ut , o the State of California. f/ V • I hereby certify that I am propeyly licensed as a contractor under zJ SCA(� t/�• ry the State of California Business and Professions Code, Division 3, THE 14 WI'Ll ••S- ALUATION IS FOR al Chapter 9, and that such licenses are In full force and effect,or I T E II Atte.: ING A PERMIT FEE ONLY: to am exempt from the provisions of the State of California Business �q and Professions Code,Division 3,Chapter 9. .�7* - I PERMIT FEE $ S m ea PLAN CHECK S / • �� o Signature of � A — o Permlttee A:.r_ul r $ i Av TAX $ TOTAL PAID 3 e ,s U � U. Authorized A�-nt s