HomeMy WebLinkAbout829 17TH ST - Building Permits� � ---- - --
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� 33555 - 2-7-72 �.�a:s- ='=�1 3ia6. $33,750•
j 3397z - 3-6-72 u�c scu.�r;e ,��-.., l,000.
-� . i 33995 - 1-28-72 ?ire Sc:io:c _rz 5,440.
I 6oloi - 3-z-72 ' e_t„ t<r, (�a� )
�37082 - 12-12-73 '�. . E�.cplosion repair 30,000. ?
� 36552 - 20-16-73 •.. � ?1:c. :,C (cr�.::r.ecer)
� 3TB3C - Z�S�%�1 'I:C21'.i:E=.:0 S::Q. SOO. ,
' 04955 - 2-5-7� °1:•,.:(.C.(,i.�.)
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WIT6R
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PL
CON.
ING
MEATING ANO AIR CONDITIONI
ROUGM M'�R�NG
TRENFNES � FORMS STEEL NEINF.
SHEATHING
Fq4ME RNO FLASHING
1 fTuiNG - IN n
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BUILDING
SUBCONTRACTOR
OWNER SHASd & SONS
JOB ADDRESS 829 W. 17th St.
��,FNERAL CONTRACTOR secur3t Fire
'?�,�o.11 -25 - LOT TRACT
I%i�PBCTIONS Si notu
SOIL
G AS
WATER
ROUGH P�UMBING
PROP. SWR. LINE � HOUSE CON. �
SPPINK��NG SVSTEM �
MISCE4LANEOUS .
ROUGM XEATING AND FIR CONOITIONING
TEMPORARY SERVICE OR POLE
UNDERGAOUND � POWER �
ROUGH N'IRING
TRENCHES � FORMS � STEEL REINF. �
FLOOR SYSTEM
BONO BEAM STEEL REINFORCE
SHEATN�NG
FRAME AN� FLASNING
LATHING — IN pUT
P' 'THR. BROWN COAT
:YURpL, FINAL
DATE �-7-7�
�'
E ZONE
SUBCONTRACTOR
OWNER SHAW & Sons
1108 ADDRESS 9 West 17th Street
:i GEP
S �Ih�f
SOIL
\ GAS
` WAT
DATE 12-i6-7i
LO7 TRACT FIRE ZONE VALUE E
ROUGH PLUMBING
PROP. SWR. LINE � HOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGX HEATING ANO AIR CON�ITIONING
TEMPORARY SERVICE OR POLE
UNOERGROUND � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL RE
PLOOR SYSTEM
BON� BEAM ❑ STEEL AEINFORCE [
SHEATHING
FRAME AND F�ASHING
LATMING - IN ❑ OUT ❑
P� 'ER, BROWN COAT
S iURAL, FINAL
HEATING. VENT.. REFRIG. ANO A.C.. FI
SUBCONTRACTOR
�uowFssaem�nu+� gz9 W 17TH ST
w�xs""�E"anxr�LEROY SHAW
• "�"��829 W 17TH ST
COSTA MESA
A 92627 642-0660
/�PCXRECTOPEW�lE�i:
iXC11.011FN .'S IWRE55:
comm�ctarsrw�
CONINACTORSYIII➢Ifi
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UCFNSED COMNACTONS OECLAflAT10N: I hereby Mrm uMer pendy d pajury ihet I em IcereeE uMer provivims d Cheqa B
(wrvnmen0 weh Seclian 1000) d Oimnn J d the Bueirou end Pmlesaima CoEe. end mY Ywr�ae e in IW lam end dlsp.
cmuc.No.: uc.cuss: uc.No.: EXP:
ome: cwwm«:
OWNEP BUILDER OECLhflATION: I Mraby tlfiim uMer penaly d pxjury thm I am uemq ham iM CaMratlas Lke�ue lew la Ihs
IWbwnB �ae.+on (Setlan )031.5 Buairv enE Rdasa'vu Code: MYW a cauYY xfiirh npu'ves s G�'s �o mmvuU. Wer.'vnVo.e.
Eemdoh, a reper e�ry N�uduro, p'w to ila eweroe, e6o iepurea IM epd� �a vuch ppmn �o fYe a eqneE �talemmi Mm M p eM
'� licm+ed W�wam Io iha Yovitim+ d ihe Conireaoro l'xeme lew IChaO�m 8(carvnaeK'uq wu� SWion )000) d D'v'vbn � N tAe
usinam eM Pedeesbm Cadel a Ihe� ha or ahe n ewemN tAndmn eM �M bme la iM aAeOb examWion. /uiY vidmion d Setlun
i031.5 by enY WW� lor e permn wbpae IM eppl'ram to e tivil perielly d �wl maa Ihen 1'vs huMreE Adlen �5500�).
� I.mormardiMpopMYaim'�PM�v.thwepaamtMiWecanPe��.wldotlaxak.eMtM�m¢twe'sml'vYxNd
rc Mered M eele (Senion )oee. Bwima ark PMmsbna Code: The Conirman Linrue lewdoee iwt nppyto an owrier ol properry
vAa WiCa a inP�*9lherem. eM wfa doee �udi xqk Nmfetl a henN aWaph he a her am rnDbRe�. po+� IM wcA
impwemeM+era nol iMmdad u ofleiM Iw eda. M, however, tM Witli�p a inpwemaM u eold vmhm ms yaer d mmpblion, tlro
�owmrbu0tler WI hava �M bu'dm d provinp M a ehe did m� buiW a impeova lu Ihe qupma d ula).
I. ea ormer d tM popeM. ��NwrvdV �^t�rfiq �m� liceneed canlrmlae lo oonqvf tM qqea (�� �. �eiiwss aM
Prdewions Coda: TM Contmfan L'cenv lew dma nol eppty b en ow'wr d popeny who Euitls a impm�ro IM�aan ud x1n
convecu la eud� pqane xilh a wMreeor�e) ficemad punuem io �� nueaas li `e Lew�.
� I em e�emq uMa Sxiion: B. 8 P.C.. fa �h' �
o�,: 3 - I � - �? a.,,.,
I do hareby cMM � I em ewera d ud uMentend ihe reyuirem e d Cal�anu Heetlh eM Selely Code Swiane?5505, 255�. erM
Y5531, eM tlut 1 u mry Mun Mdd'rcq ooaiWm M+II / wil ml (' ore) need p canpy wih eeiE Yels mCm xM tM �emuremama br
eparmn/wmnxlrutlimamodifrcmionhantMAi ue�iy ar�eOe��Dielrid.PesidenlielmMrvaionevG�iauueeRemNlmmlM�a
a�.�.
Dete� APVlkem:
WOHKEN'S COMPEN5ITON DECLAPITION: 1 Mnby efimi uMer pwully d pajury aw d Ms blbvrirp Eedvelnm:
❑ IM`aerdwJmmnlaii.canilkm.dmiwn�ovaMimunbrworkme'campenWion.uP�^dlnbY9aribna)aoatMlebar
Code, la IM peilmneMe d IM wak la wlich tNe peimG u be�eE.
�1 hevs a�d xil mmnlein xwk»' mmpemelon mwrenm. m epu'vW by Setlion 9'ro0 d Ihs lnEw Cads. b tM pnbrmenn al IM
w«k la wliich Ihie pennM1 ie oued. My worMere' oompeneelbn Im�rarce wmx eM poliry numba are:
c�..: ('AT,IF COMP EXPIRES
Paliry Number. W 4 7 l i�(1 � 4 9 O 1/ O L/ 9 8
�, .ee� „�e �a ae �d�.e i u» vmm• p ro. w�. w�e edr� fs,aol d�.1
� I cendy ihet in IM pMormenca d �M work br xfich Ihie pamil ie iauetl, I ahell iw employ e�ry perwn in eny mannx ao u io
becoma abptl to iM xMe�s' oompenWim lewe d CaNanu 0� �' I dw�N bxaro wbjsrJ to IM v.almr�'
companee�ion proweone d Se tion 3]00 M I�e Leba Coda, I lalh h compy �1th Ihwe p W ons.
o�,: ?� — 19 � 9 7 ���. '" �—
Wemlrp: F�Nun ro Neuro norkw�i rompru�tlon rovs� 1� �n I, �nd �I �11 ulJ�ef en rrrplqw to dlMrel p.neltlq aM
c/v/l fliro� W ro aa hwrtlrW tMuurM tlallen (SfOqP001, M tlon b M� cwf ol romprwtbT ��vp� �� M��bb � In
9ectlon 9I06 0l tlro Le6or Cods, IntenaL aM ettomry'a /�u
CONSTflUCT10N LENUIN� �QENCY: I Mnby elfirm uMx panelry d perNN �w them w e conatiudbn bMiip apency br the
paAamarwe d IM xoh In whitl� t�e pmmY u eweE (Seaion 90B1. CH. CI.
LENOER'S NI1NE:
LENDEN'4 �UORESS:
1 cerlM tIW 1 have rend Nia eVD�ratim eM qaU �het Ns ebove iMametian e oorratl.l eYne to camdY wn� e0 mY W munlY adinenm�
arM stma lewv mletiq to WilEiip con�ruQion eM Mreby eNhor¢e npeeenteiivae d Ihie dly lo anlar upon �M abwe�memuned pmpeny
la in0�ion W�Wsea.,
JOiTtd L WILI�S
� /�„' /�' ome: 3 - ( 9 -9'7
SiOn ure a OvnnrlApaM/Apptiun4Comreda
(5151de.WP) While-Buitliq 8 Selaty: G�eeMFJa: Cenery-ADN�I: Rnk-Revanue:Oddamo0.Meeewr
,
CITY OF COSTA MESA - BUILDING PERMIT
PERM NO; E 082103
PERMIT NO: E 082103 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: I-FR PERMIT TYPE: ELE PURPOSE: ALT
JOB DESCRIPTION : UPGRADE ELECTRICAL SUBPANEL IN UNIT 4 SQ ET:
CLAIM VALUE: CALC-VALUE: GROUP OCC: H /
COMMENTS: "SHAW AND SON CONCRETE CO,"/NO OTHER WORK RELATED TO THIS PERMIT
iE if 1E 1E iE iF iE ik 1f iF k if ik iF 1E 1E 1E iE 1f-iF 1f 1k k 1E iE 1E 1f if 4 ik iE iE 1E'k 1E iE k ik ik 1k 1E 1E 1t 1E iFlE ik 1lik 4 iE iE fE k iE 1E 1E iE 1f fE 1E 1f !E ik fE 1E fE 1E iE 1E iF if 1E if 1f iE 1E k iF
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BOILDING ---------- --------- ACCESSORY BUILDING ---------
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: 42410204 ZNE; REF NO;
PLANNING NdTES>
i • `�
Ik i! iE 1E 1f� ik'lf IE 1klF iE 1E 1E 1ElE 1E 1F 1E iE 1E f(' 1E 1F fE fI� fE 1f IElf 1E 1k fE 1! 1f fF 1k 1F 1! 1E 1E 1E fE 1F 1E 1E'lE 1F'If k 1E 1E'lE IE'li 1E IE 1f 1k 1E 1F ik 1E 1E iE'1F 1E'1F 1F if if iE 1F iE iFlf if if �f 1f
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 BY DATE:
BUILDING APPAOVED BY : DATE;
APPLICATION ISSUED BY: DATE: 3��
�**�*�������������**�* ���*����������
LEGALI2ATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC EIRE SMIP/RES GRADING
PERMIT 48.75
508 SMIP/NON-RES
PLAN
ISSUE FEE 22.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAZD DUE
TOTALS----> 48.75 22.00 0.00 70.75 70.75 .00
REL�ENUE DIVISION TOTALS--> COLLECTED: 70,75 OVER/SHORT: .00
BLDG PMT PL�UMBING ELECTRIC MECHANIC FIAE SMIP/TOT GRADING PLAN-CHECK
'70.75
1E if 1E if 1F iE if 1E 1E 1F 1f 3f it iE if iF k k k iE k iElf iE if iE if iE if !f if !E 1ElF iF 1f if 1f !f 1E 1f iE k Ik k 1F k 1F iE iElE 1E k 1F iE 1E k iE 1E 1k if iElk 1ElE 1E k k 1E if 1E ik 1f 1E 1Elf 1F iE iE
I N D T V I D U A L F E E B R E A K D O W N
TYPE q�rY D E S C R�I`P T I O N UNIT COST TOTAL COST
ELE 7. SUB-PANEL 1.6.25 16.25
EI�E 1 MISC CONDUCTOR NOT LISTED REp PERMIT 16.25 ].6.25
ELE 1 MISC CONDUIT NOT LISTED RE(5 PERMIT ].6.25 1.6,25
� - -- END OF FEES
.v'
The work aufhorized by this pertnit shall
comply with all appllCaWe handicap 83-19-1997/12:29 PM/f78.75
accesa requlrements under Califomia RCPTq:01-A80365A
stetutoe and related regulatlons. PERM I T: 082103
/Ord. No. 92-28, § 1, 12-21-92)
f CONSTRUCTION AND PLANNING _ POOL !A
' APPROVAl.S Permit # 'Date Inspector qppROVALS Permit # Date Inspeitor
1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location � .
2. $oil Pipe•Undr9��d:• . - � .53. Steet Reinforcement . . .
"8. Electrical Conduit Utility�Undrgrnd.� 54. Forms.
: 4, Electricai Conduit-Undrgrnd. � � � ' ' 55. Electribal Bonding - •
5.- Steel Reinforcement � � ' ' 56. Aough P.lurnhing & Pressure Tesi �
'6. �Electrical UFER Gmd. � � - � .. � �57. APPROVAL,TO CQVEfl�GUNITE
. 7. Footings . ' 58. Electrical ConduitUndrgrnd.
� 8. Foundation , � 59. Gas Pipe, O Urn1�'giqd., Test �
9. Water Pipe-Undrgrnd. • �. 60. Backwaeh Lines, P�Trap, � Undrqrnd.
70. Structural Ploor SYstem , 61. APPROVAL Tb-DECK ' . '
1 t. Property Sewer �ine & House Connection _ 62. Backwash & RecOptor�Pinal .
12. Sewer Cap 63. Heater & Vent�Final� � ' -
13. Root Drains � 64, Plumbing Sy'stem � Final- �" �
14. Rough Plumbing � 65. Eiectrical-Final �
15. Rough Electrical�Conduit' � 6&. Solar System�Fin,a!
76. Rough Electric4Viring � � 67. Fencing�& Access Approval .
17. Rough Wiring Sign � � 68,� APPROVED FOR PLASTERING
18. Rough Eleetrica6T Bar Ceiling � 69. POOUSPA $YSTEMS FINAL
79: Rough Heating & Air Conditionin� . „ FIRE DEPT..REQUIREMENT _
20. Rough Faamry Piieqlace � - w� . ' _ _ � �AppROVALS�. = Permit # -
21, Ductt, in �5truciure'• z. �_ � * ' _- 70. Underground HYdro r � N�
.,
22. DuMs, Ventilatin9 j. � �� . -•c <� 77. Product piping O-Gas OOiI '" � �� i
a c � -
23. Gas Pipe-Rough & Test '? ` i " � ,- " "' 7z, Underground F�ush - � y .� � �
24. Roof�Prarr+ing' ' � ��- � ' _ _ ,_ -�.73�.. Undergrnd.StoraggTankOGas ❑Oi� ? � -'��
. �.
25. Roof Sheatbing � ' _ ? "- � 7q; Overhead Hydro . , = = ' `a '
- r �- t a� ^ eJ'.
25,!�T•Bar Ceilin9 (Structural� & Monocoat , - ��, 75. Dry Chefnicaf . T '� o rt �"-
I - ' � L^ C1 �
27. Frame and Flashing -. � - _ � , � 76. Dry Standpipe � ':� ' _ . � w .� � ti
28. Lathing&Siding � _:_ ' ' � ��, 77- FIXEDSYSTENI-FINAL ��� c N
29. Insulation '' ' ' 78. FIRE PREV. FINAI.
Ev' '
r
30. Drywall NOi�ing '- ._ t : - HEALTH DEPT. REQUtREMENT � `�
37. Plaster Brown Coar •` • � �9. FINAL INSPECTION
32. E�ectrical_Power Meier-final , '_ '' 80. FOOD CERTIFICATE ISSUED
. 33. Finat�Elea��c. - =,-� � Notes: � " '�: ' � �
• 34. F�nal Heatiog & Air Contlitioning � ' _ � '' _ . _ - '
35. Final Gas-PiDe-Te4t � _ � � � - r _ � � -�
36. Hood or`CanoPY ' . ' `" .� . � ' ' ..
•1 T'.-. . .-
�. 37. Final FactO�Y Ffreplace r --� + � '
38. Final�Plumbing , � _� ' ' � .
39. Water Service�Finai ' . r .. • _
40. Gae Service-Final . � � " - ' � '
e . .
- 47. Solar pomesticPinal - - - '
42. Backflow prevenier ' ' �' "'
C
r' � . '
43. Backflow Irrisation - _ .
44. Landscape Ir�iqacion System = ' � � .- , �
* e - - _
45. Soand AtCenuation . � . �,. ; ; < -_ _ _ , .
46. Handicav �e9ulatioris _ - � '
47. �FINAL STRUCTURE & BUILDING ._ . ' -• _ -- -
48. 61NAL PLANNING - - � ,. - '
49. Electric Release to �dison . �, �- �- -• �" ' -
50. Gas Release to Southern California'Gas Co � -. _ �'�
: ' r
51. CERTIFICATE OF OCCUPANCY •�
No Date
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PPOJECT PDUNESS: 8 2 9 W 1 7Tx ST
OWNEn'S NnME: LEROY SHAW �...%
aooeess:8z9 W 17TH ST
CAS92627SA
AflCH1ENGINEEP:
aec.xo.:
UNIT:
ADDRE55: UNIT:
r PEqminEE: COASTRIDGE ROOFING ( 714 ) 557-6048
aooness: z480 FAIRVIEW RD
COSTA MESA CA 92626
LICENSED CONTPACTOp OECNflATION: I hereEy allirm �hal I am IirenseG untler Omvisions ol Clup[er 9(commencing with Seclion
7(p0� of Oiy��sign3 AI 1�eB usiness antl Proi�Ssiyn$ aq�, nA my license is in f II r ej nd efiect.
U4Y711 J91�7� ���7
CITY LIL.: STRTE LIC.: � CIAS�
Oa�e: 1 i — �£] —92 Signa�ure: _ �'/ �`
WOflKEXS' COMPENSR710N OECLAflAT10N: I �ereby a irm IM1a� I ha c¢rii�i[aie o� COn en� to Sell�in5ure or a Cetli�ica�e 0� Workers'
Comoensa�ion Insurance. or a cetliliea cooY �hereof ISeciion 3800. Lab. C�.
PO�ICY NO.: E%P. URTE:
ZOMPANY:
❑ Cenifiea copY �s hereby Iumis�e0. ❑ Cenilied copy is IileA wi�� ��e cily Building Division.
Oa�e: aPPlican�:
' E%EMPTIDN FPDM WOPREPS' COMPENS0.TION DEClAMT19N'. �tM55ec�ion �¢6 irol be campleted I� l�e petmit is Iw a�e IwMted �510�) w �e55�.
�� I cerlily �ha� in t�e Oerlormance 0� Ne work lor which Ihis permil rz i55ue4. I shall nol D�oy any person in any manner so a5 io 6ecOme
�� su�jecl to tne Workers' Comoensatian �aws of Calibmia.
�. Da�e: /� —3•� — 92 Signa�ure: � � � �
NOTILE: II. alier making this tleclaration, you shaul ecome sublect to orkers' Compey n�provisions of Ihe Labor
COEe, you mus� �on�wrt� Comply wdh suc� �mvisions nr I�is permit 5�511 �e Ceemetl rev�e0.
CONSTflUC7lON LENOING �GENCY: I here�y aflirm inat tnere is a tonsVucVon lentling agency lar Ihe petlormance ol ihe wark lor
wpich Ihis permit is issuetl �Seciion 3097. Civ. C�. .
LENDEN:
aooxess:
pWNEfl BWLUEB UECIABATION: I herehy afllrm �ha� I am exempl Imm Ihe CONraCi0r5' S�ale License Law for me following reason
�Section 7031.5 Busineu anC Professional CoOe: A�y cily of counry whic� reQuires a Dermii Ia conStmcl, aVer, improve. demolis0. or
�epair any siNtlure. D�ior ta ils issuance, al5o requires ihe ap0�icanl for such permit to file a signetl statement t�at �e/she is Iitense0
p�rsuam to Ihe pmvisions of I�e Comractors' State License Law (Chapter 9(commencinp wit� Section 7000) ol Oivision 3 0l tM1e Business
and Professions Cotle) or ihat hehhe is exempt I�erefmm antl �he hasis lor ihe alleAeO exemption. Any violation of Section 7037.5 6y
anY aoV�iCanifor a permit su0lecis ihe ap0licantlo a civil penalty of not rtwre ihan live huntlre0 tlolla4 (5500�.
p I. as owner of t�e pmDeny or my employees vnlh waAes as tAeir sole comDensation, wiil Ao ihe wark. an0 Ihe
s�mclure is no� imenUed or oilerea lor sale (Sec�ion 70a4, Business and Pm�essional Code: The Coniracbrs' S�aie LiCense Law
tices noi 2DP�Y �o an Owne� at a pwpertY w� 6Ui145 0� impmves thereon, antl who tloes Such work �imSelf/heriel� Or �hrouph
his or ner own employees. pwviGetl t�at such impmvemenls are not intenOeJ or aHereE lor sale. II, however Ne buJdinq or
improvement is solA witAin ane year of camp@lion, Ihe owner mll have t�e burden of pmNng �e/she Gitl not 6uilU or impmve
lor I�e Durpose ol sale).
I. as owner o� �Ae pmpehy, am exclusively ton(raCtinA Wiih liCensetl tonlraClorS io can5�mG1 �he proletl (SeCtiOn 7044, Businesi
[a aotl Pml¢66on5 CaOe: i�e Conlraciors' Slale Llcense Law �ces nal appty to an ovmer 0� Vroperty who builEs or improves thereon
and who comraas br such Orojecis witA a contractoqA ��cense pursuant to t�e Contractars' State Licenu Law�.l am aware
Ihat proof ol t�eir Warker's Compensalion insurance sM1oultl be D/ovided lo me.
� I am exempt unAer Seclion�. B, 8 P. C.
br �his teasOn: �
Da�e: � Owner.
I do hereby cenily Ihat I am aware oi ana untlers�and ihe re0uirements ol California Healih and Satety Cotle Sections 25505, 25533, and
2553a and �hat I or any fumre builGing acupant w7Uwi�1 not (d�Ge one) nee0 m compty with saitl state caCes antl the requiremenis for a
pe�mi� fo� consVuclion or moailica�ion Imm I�e Ah Ouabiy Management Disinc�. flesitlential conStNction aOVlications ar¢ eremp� Irom
�hese pravisions, .
Daie: ApPIiWm:
I nere�y certily Inat I navereatl Inis applicalion antl stalelnatine above inbrmalionis correct. I agree lo tomply witn allcity an0 county
ortlinances antl s�ale laws rela�ing �o DutlOing conslmclion antl �ere6y aWhorize represemalives oi I�is ciry lo enter upon �he a6ove�mentionetl
p�opeity 1m inSDe�tion po�poses. /� � /
oaie: � � —30 _ 9Z ' Sigwm�e: /�+—/ /�% �YJ'�- �� ____—
�
orivcr's Licensc or Social Secunty a.� ,
16aL<6 W�ne—Buileing: Green—Co�e EnlorcemenL Can9ry—/pplicant: Pink—Revenuv: GolOenrotl—Assessor
CITY OF COSTA MESA - BUILDING PERMIT ,
PERMIT NO; H 060127 PLAN CHECR NO: N , ,
CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION ; REROOF WITH 'HOT MOP' SQ FT; 9,500
CLAIM VALUE; 9,500,00 CALC-VALUE; 4,500,00 GROUP OCC; B-2 /
COMMENTS; THE "SHAW AND SON CONCRETE CO,"
�t�r**�r+r*�r��t�t*it�r�t*�r�t�r**********�tx�t+t�t*�t**�t******�t�t��t�*�r�t��t�it*�t�t�t*it*ic��rit*x��r�r�tit�ti��t�t*it+r*
Z O N I N GS ERTEBQAUCIKRSE M E N T S ,
------------ MAIN BUZLDING ---------- --------- ACCESSORY BUILDII3G ---------
FRNT: F'T 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: 92410204 ZNE; REF N�; /�
PLANNING NOTES>
i
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D E V E L O P M E N T 5 E R V I C E S R E Q U I R E M E.N�Tr�$
ZONING APPROVED BY '�
BUILDING APPROVED BY ;
APPLICATION ISSUED BY;
1F�Fif1EiEMifiE1E1!!EMlf�f1ElEiFfflflEkiE . .
ikMiF3Fff�lkif�lfikiFifiFiFiFifkiEiFiflElf�t�fififkif�fififiElFikiEikk�EifiFififikiEiFiFlE ik
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLOMHING ELECTRIC MECHANIC
PERMIT 72,00 . ,
PLAN
ISSUE FEE
DATE: - `.•'
DATE: +� >
/ %/ ,
DATE: +„/ .Y� �
**�***+�**x�. +��r
iF if klEff 1F 1!� iE iE 1E iF if iklf fF �k�iF if iF if if �f if iE iEiF iE �E iF
STRUCTURP.L SEGMENT:Y
FIRE •SMIP/FtES GRADING
SMIP/NON-RES
.95
BUILDING-DIV-> PERMIT TSSUE PLAN,-CHECK TOTAL PAID DUE
TOTALS----> 72,95 0,00 � 0,00 72,95 72,95 .00
REVENUE D NISION TOTAI,S--> COLLECTED; 72,95 OVER/SHORT: ,00
BLD72P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOS GRADING PLAN-CHECK
- �1
iE iE iF 1E 3ElE i! if 3E if 1F �F iE iF Y 1! iE if iE iE i! iF ik iE iEik if 1E 1E iE �E iF iFlE iE iE iE IE iF iE iF 1E jEif if iF 1k iF iE itjE ik k iE iE ik if i4 iElE iE ik �E iE �k iE ik iF iF 1f iE ik iF if ik iF �f iF iE
I N D I V I D U A L ..'F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O-N� UNIT COST TOTAL COST
SFC 4500 REROOF BY VALUE COMMEl2CIAL NOZONE 1,00 4,500.00 '
END OF FEES
>'
, �I,�I93
0
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1, � r �
CONSTRUCTION AND PLANNING POOL �.,PA �
APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
2.. Soil Pipe-Undrgrnd; . � 53. Steel Reinforcement
_�[ �. .
� :3.�Electrical Conc}uit1C�tility-Undrgrnd. 54. Forms
•'-4. E�ectrical Conduit-Undrgrnd. � 55. Electrical Bonding �'
"':5.. $teel Reinforcemeni 56. Rough Plumbing & Pressure Test
-�-'s•"ElectriwlUFERiG%nd. - 57. APPROVALTOCOVER-GUNITE �
' 7� Pootings V � y ;a, 58. Electrical Conduit�Undrgrnd. '
- 8. Foundation = �. 59. Gas Pipe, O Undrgrnd., Test '
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. ��
10. Structurel Floor System 61. APPROVAL TO DECK
17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final -
¢
72. Sewer Cap � �;, . 63. �Heater�& Vent-Final '
� 73. Roof Orains '� 64. P�umbing System - Final
74. Rough Plumbi0g ` 65. Electrical-Final
� 15. Rough E�ectrical-Conduit 66. Solar SVstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electri'ral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- - - rr:.�S•: .� •c ,:U
20" RouqKEactory Fireplace �� '� �!�' J 7 v'r x' �APpqDVAGS� % Pe7mit# " ;" r
.c i I S'r' r.6 5 iy 7x w[' �N�- ✓ �� fS
'� '. .• ; i . ' s ` i-. l �x . ^ �... - , • � .�:
21. D'ucts,�in Stcuct"ure • .... ,�,.; ,: g .-< �. -- 70..�Undergro'i.rnd Hydro < -
22.. Ducts,UenfllatCig� � �:5' ' i_ 't �" x% 71.'Produ��Eiping��as �Oil
2i3,'. Gas Pipe�Rough &;�est , `� � `� ` �' ` •� T � " `_ `
�r � ': �r � �� x x r � 72. Underground �u � ,_ -�
24': Roof Framing .:�' '-F �•�- x> ', ri•i %� 73j Undergrrid.Std{99P1`anIFOGas O�OiI
x
25. RoofShEathin '`' S ''" ` ' �' `}" ` � �i��' '
9. d v . 7�„Overhea�Hydro K
26: T-Bar Ceiling (Structural) &Monocoat r �f K 75 Dry Chemical •- _ ��
. - ,-
27; Frame and _F�lasfnr3g °� z ,. �. �.` # 76.cDry Stan�p�pe_. � K S r -�
J
�+28� Lathing:&SidinQ=.. -�y:. � '� f 7T., FIXEDSIFBTE(vi�FINA'L _ ^
- 29. Insulatibn =, , = � '� * '� x �` - � '� � ...
,- x' -� . r c 7g; FIRE PREV. FINAL �.; � „
� 30. DrywaKNaiting� < � � ; �� ��` x " •- .HEALTM DEP�': REQUIR�EMENT
� �
.� 31. Plaster Brown Coat ,_ ��r;r, ;, ;2 79: FINAL IAISPECT�ON x" �
' 3�, Electrical Power'MetBrFinel� -. `i< •<:. 80:� FOOD CERTIF,ICP.TE ISSUED
�
, ^ ,; ,: �-• : x . , ;a = s •�
_ 33t Finai Electr4c ,• . r <� ;� '. . • , ,� ; - f�otes: , _ = �; ., r.�� ,.
, 34: Final Heating &iaf G�onditio_Riag �j � '� �. (y .. �� � E,� r ' - - /1/�-
_ ' � L y � �S % r i ~', -_ % � i!v
3,rr,, Firral Gas Pipe-TEst
, 36: Hood or Cano -" ' �' � ` � `
PY ^�] .: j c. z_ C?`. �7 r
i
37. Finai Factory FireP�ce ;.' � 1 '✓/ .. r ;. `.
,�
� 38. Fina� Plumbing # �i , I ��, x . � ; - .y ,
� 39. Water Service-Final � - "' ?' �� -' ` � ; �
. r . z �� a' . cn �
. 40. Gas Service=Final r .; � ,. ,. � ; ,,� �; '>` � �� . � ' ' •
: 41. Solar pomesticFina6 � •• . � � � •� " -�LL - ' _ _
,� m .� ' •. a; .r -
42: Backflow Preventer-' �" , � r , � ��! �' ,
. ,
43. Backflow Irwgation� '��>> :• i •_ . � ' '
c z ^ + ��
� 44. Landscape Itriqati.on System = T �r , r. � - - �. �- :c z; �� < � ._ '
' 45' Sound Attenuation �l �� �� ' '`" - " - ' � '_' �-� i .. '
� n � f �
� 46. Handica,p Regulations L �" � � _ � . _ ` ��� .
-+-
47; FINAL STRUCTURE & BUILDING -%.� i � -"' .- i _ � �
> i
48: FiNALPLANNING T`� � I L f• ` `r ` ' .
; 49: Electric•Release to Edison : `� � �r � • _
:� . - - -
50. Gas RetOase to So4them Catiifornia Gas Co'; � �!' ' Y` " -.' , .
.�t� • _
51. CERTIFICATE OF OCCUPANCY �,� x; „ a J.- ti :
No. Date •
,�
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STRUCTURAL APP�Q AL 0�
—_.�-�--
SEPARATE PERMITS �R �BQN'RED
FOR ELEC'i����t�'�-
HEA7ING, \'ENTIL�TI4}G AND �
REFRIGERATION WORK 'i
�iQsi�i��9 ii All'
TH�ALL INSPECTIOIVTRFQUESTSN
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FOZ BJ�LDiP:�S y'�y:. E P�ES�� fHATETOF
BE EiBP��'(tD�.L1�QjNIA DIVISI�N
STATE OF C'
INO'JST3IAL Si+FETV BE CONSULTED FOR
� ADDIiVONAI REQUIREMENT�
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rL lT'AUTHORIZE$ f$ �tAY1FUl. �
4 i-
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BuildinB Safety,Department
F.o. 6ox 1200
CoSta Mesa, Celifarnie
- .m:.� _ ..
r:.
CERTIFICATE OF OCCUPANCY
L4.i.�-�v,'y+• .
,
� i�$15
T,heEB`uilding located at � � `:�� - �dF:".� �.�rt�l7 F �7C^J1.'F: � '
.. � ,a,x+ �^�,:,a:: �
��':Fias.been�inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
, �„�
' for,a Group T Occupancy.
Use.of Building '�r:zt.:.n.Cr�irL1 ii�ii2.ciinr
Legal Description � �� � ��.lr`9�,`?�.11—�"??:
• (See reverse side for Metes and Bounds)
:2''�:, '
Building Permit No �����y Electrical Permit No. �'���� Plumbing Permit No.
Number of apartments � and/or guest rooms �
ISSU ED T0: Building Official
' by }'. � a
'�l-. r:.i�0l1.+ .
• � � Date 'N'hhrh�nrv 7. 1 G, An
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT.BE �removed except by tha
Building Official of the City of Costa�Mesa undeF Sec. 306 (e) U.B.C. ' . ��
Form BU 34 Rev. 11p0 � . . � � . . ' "
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COSTA
P.O. B
33555
For Applicant to Fill in �mpletely
BUILDING (j� �b�'.(�-/�/'y
ADDRESS 6 /Y /
OWNEF Q. LJ � D/✓ S
MAIL �
Z ADDRESS sD Se r r a.
W W TEL.,
a U CITY t Tp �NO 54.. NO. �
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ODI�STRUCTION
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7 � S12E
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USE OF
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NO.
CITV
UC. NO.
NO. OF BLDGS.
NOW ON LOT
a',Go
-�_'-�___.�"_ " ' ' _ ' �
_ Pr.ir��� ��7.: . .� .
�; .
APPLICATION FOR BUILDING PERMIT
:EIH D B DATE RECEIVED DATE ISSUED
,�:� ,� .� �-=»r ,� �-�,
BUILDINf3
ADDRES:
VALUE
FIRE �
ZONE �_�
APPROVED
NE NO.OF USE OF NF
PLAPS�-- BUILDING
VARDSAPPFOVED VARDS
H SIZE OF NO. OF
Z NEWBLOG. a-�� ROOMS S STORIES L.SIDE � FT.
a EXTERIOR WALL ROOF R
V COVERING C� COVERING �':d i�i F�A�i FT.
J VSE OF BUILDING AND WORK TO BE PERFOFiMED DbTANCE BEf.
a
y nnnw s�ocs.
Q � �� / VAR.�W
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~ A7PROVED
N
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~ I �eraby acknowletlpe that 1 have raetl this eppiicailon and stnro HOLD FOR
� that the ebova Informetion is corract antl oprea to comply with
� ell laws regulatlnp bu(Itling conrtruction, antl I ihall not empioy
F, eny person in violatlon of ihe workman's companution laws of
DATE
APPROVED
�
��
� 7
i
y Me Staro o( Cali(omla. (/� -- m
? I haraby cartify that I em properly Ilcemed aa a contrector untlar Y n. FT. o
ihe Stero of Celifornie Business antl Pro(anlona Cotle, Dlvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
C�apter 9, end t�at �uch licenses ara In /ull forca antl effoct, cr I iT1E PVRPOSE OF ESTABL6HING A PERMR FEE ONLV: Q
em eKampt from tha provisions of Ne State oi California Builnau
entl Professiona Cotle, Dlvislon 3, Chapter 9. VALUATION % /1 � �
PERMR FEE S' ( ]
Sipnet�re of �/ • �!� ' ~ m
Permlttae «� /� s�� ^ �.^Or �V P�qN CHECK $ �+ � � E
�J C `o
Authorixetl ApenT J � J LL
TOTAL FEE
_' � '� 33972
COSTA MESA BUILDING-SAFETY DEPARTMENT
" P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILOING G 7� 7. / i h��"y4
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OWNER
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ADDRESS
ARCHITECT
CONTRACTOR
ADDRESS
C�TY
STATE
LI0. NO. /
SI2E
OF LOT
USE OF
EXISTING BLDG.
SIZEOF .�7L
BVI
TEL.
NO.
n�Cth-11�r�,���� �19'! o+.:.,�10C:,'i;
APPLICATION FOR BUILDING PERMIT
�E�IVpE�D�BV DATEq/�� EIVED D TEISSUI
%Y.CT7f �i2 %h—%� ��/i _
A.P. NO. /�
BUILDING
ADDRESS
�
TiiACT
TE L. l.
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FIRE
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APPROVED
BY
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TEL. ZONE
o ,' Na. M-1
.�/ , CITY �'Afl I
LIC. NO. MAIN B
NO. OF BIOGS. ( F ROM GL
��f r/ NOW ON LOT RONT i
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�O / NO.OF � /,
ROOMS STORIES I L.S�DE
ROOF �
COVERING O REAR
� WORK TO BE PERFORMED DI5fANCE BE
MAIN BLDGS
/" l, i_ i. VAR. vE
I heraby acknowletl8e thet I he�e reatl this application and stete
that Me ebo�e informetion is correct antl agrae io comply wlth
all laws reBulating building construction, antl I shell not employ
any permn in violallon of Me workman's compansatlon laws of
i�e Statt of California.
1 he�eby cettity that I am property {icensetl as a cOntrnctor untlar
[he State of Celifornle Business end Pro(ezsions Code, Divisicn 3,
Chapter 9, antl that such licenses are in full forca antl effect, or I
em Bzempt trom the provisions of the S[ate of California BUsineas
ana Professb�s Cod/e,� Oivisian 3, CM1apcer 9.
sie�ature ot // /�_ C
Parmlttee ��Y��L
Authorizetl Agant _
� �� 7 _ � I P�p�
,q W. 1%�'
CP �-�0. S/o I
LOT
VALUE
NO.OF USE OF NEW TANK`•
71AN5 � eU1LD1IJG
ROVED VARDSAPPROVEO
LDING CCESSOFV BUIIDIi
BET. MAIN &
ACCESS.BLD
DATE
APPFOVED
m
SQ, FT, O
THE AMOUNTSHOWN UNDER VALUATION IS FOR '
THE PVRP06E OF ESTABLISHING A PERMIT FEE ONLY: a
VALVATION � �
PERMIT FEE $ D �
7
m
$/w-11...� � � PLAN CHECK $ �� E
/ ��v�. � `o
LL
TOTAL FEE 3 O
J' .
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 80X 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING O� /i �� / �T�S/•
ADDRESS CJ J
OWNER
MAIL
TEL.
CITV NO.
BRANCH
ADDRESS
ARCHITECT TEL.
CONTRAC70R� 7r-��vyk'%T�/`�l'C-"%�5'"l�/. C_
ADDFESS I O I7 �`� / ��
/� . TEL.
CITV �[�'f/v(,'%O NO.SS'��
STATE n�� �y�� CITY
LIC. NO���� � f � LIC NO.
SI2E ` � NO.OF BLOGS.
OF LOT I NOW ON LOT
USE OF
EXISTING BLDG.
SIZE OF /�' NO. OF
NEWBLDG. �DD �� ROOMS STORIE��
EMEFIOR WALL ROOF
COVERING COVERlNG
USE OF BUILDING AND WORK TO BE PEFFORMED
I hareby acknowletlBe xhat I hava reatl this npp�icotion antl staca
thot the ebove informatian is correct entl agrea ro comply wiffi
oll taws regulaNng builtling consttuc�ion, antl I shnll not employ
ony person in violotton of che workman's companse[ion lawz ot
the State ot Celitomia.
I hereby certify that I nm p�operly licens¢tl es a conirouo� untlw
[he Stare of Calitornia Business antl Protessions Cotle, Divisicn 3,
Chapter 9, and that such licenus are in tull force entl aftaci, or I
am exempt from tha.provisions of th�ta?e of California Buzinesz
antl Professionj�C'�tle�f��w$I 3, C epcer�9.
//// � /� i.
S(B�aNre ot ,/ ���i � n Q�'_v
Permlttee �1 rl/ f (ii
I '
AuthOrized Ageni
n'C3n-7;vauOQ L5 ; �
[hc• 71 [Jii:: fr!.� i
APPLICATION FOR BUILDING PERMIT
'�EI V DATE RECEIVED D E ISSUED
/ � /''7- 72 %7-7�
T
OWNER
FIRE
ZONE
APPROVED
ZONF/J� � NO.OF
/�% PLANS i
VAFDSAPPROV�D
VAR. qW
C.U.P. W+
OF
vAR
&
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O�
�
b
SQ. FT. O
THE AMOUNT SHOWN VNDER VALUATION IS FOR �
THE PURPpgE OF ESTABLISHING A PERMfT FEE ONLV: m
Q
VALUATION �� � �
(%(J pERM1T FEE $ �"
�
m
S5 �� P�p,N CHECK $ E
0
3� - "
TOTAL FEE 5
� 7lJ
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant [o Fi// in Completely
ADIDREf^S �� / LJ � � � S��
OWNEF Lv{- t�r u'F Crtrcf Sn�-W
MAIL p �
ADDRESS .'�..,p �.I TihGti.Al? —
CITV �,� %' l/�... ' NOLSYb'c�'�
C '�yi �%
C0�1S�RUCTION
LENDER �/�{i �/:. , � �. �
BRANCH
ADDRESS
i
CONTRqCTOR QW�J�Q j--
AODRESS Sf)/y,.G
CITY
STATE
LIC. NO. C' (�' ��i <I / Y �
SI2E
OF LOT C� j.�' 3p D
USE OF
EXISTING BIOG. ,S%I r.� q {
SIZE OF NO. OF
NEW BL G. � 1 o ROOMS
EXTERIQq WALL ROOF
COVEFWG L�o N� COVERI
USE OF BUILDING AND WORK TO BE
_ i/���—
.i.E.�'ri 6 2 70i
CITV
LIC. NO.
INO.O LBF�DGS.
NOW ON LOT
IES �
.+=H v
JUL 31-73Pato002917� ***154.35
CNSA
APPLICATION FOR BUILDING PERMIT
BVILDING
ADORESS
FIRE
ZONE
APPROVE
NE _ _ �fJO.�OF
/1// / I PLANS '
.LL_L_I
�'ARDS APPqOVED
VAR. qW
C.U.P.qW
U
USE OF N W
BUILDIN A.D AA i
r� ���
VAROSAPPROVED
ACCESSORV BUILDING
DATE
APPPOVED
I hereby acknowledpe that I have reatl this application antl state �—�� ��VVW �Nilf2l
chat the Bbove informa[ion is correct end agree to comply wiM vu{�,$
all laws reBulating builGinB �onsttuction, antl I shall not employ �
any parson in violation of ihe workmen's compansetion 1¢ws of
Me Stoto ot Coli�omla. � � m
I hereb certif thot I am SQ. FT. o
V y p�op¢�ly litensetl as a cOrtt/ac[or untlet
Me Stato ot Calitornie B�siness antl Professions Cotla, Divisicn 3, THE AMOUNT $NOWN UNDE V� ATION IS FOR ^
Chapter 9, and thar suc� licenses are In full forca entl aftect, or I THE PVRP06E OF ESTABLISMING A PERMR FEE ONLv: ¢
am axempt from tlie provisioos of Ne State of Celifornia Busineu VALVATION
an0 Psolosslons Cocia, Di✓rsion 3, Chepter 9. � N
PERMIT FEE $ ]
Sienature �f�/� _% / / I (r(� ��j m
PermittBn •�'�--� �>/ L� d �i1/ / $�O A A el P�p,N CHECK $ � E
V / u-u•v �� � g
Authoriiatl AOent
LL
TOTAI FEE $
. . _ :�7A34
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 00X 1200 COSTA MESA, CAIIFORNIA 92626
For Applicant to Fill in Completely
R
PAID
iAN 15-74����.00 544* u*���5.50
fOR BUILDING PERMIT
�TE RECEIVED D TE ISSUE
�/,'f% %/�_
OWNER �� S A.P.NO �
MAIL BUILDING �
Z ADDIiESS S I�-�C' ADDRESS 8
a U CITY 5 �� No � ya-Iw2 TRACT
zZ
Q CANSTRUCTION W A
Q N LENDER /(%C^
am
J � BFANCH
J N OWNER
m J ADDRESS
m ARCHITECT �� NEL. _ S
J N OR ENGINEER
V Q FIFE
w K ADDRESS ZONE T
a w APPROVE
w Z CONTRACTOR ' 0'�
J Q
m z
J Q ADORESS
W W EL. ZON NO.OF
ZF CITY NO. P��
w � STATE CITV �'AFDS APPROVE�
tnCL LIC. NO. LIC. NO. MAIN BUILDING
�� SI2E NO.OF BLDGS. (FROM Ul STREET)
OF LOT NOW ON LOT ROM FT.
VSE OF �/ � � � � S
EXIS�ING BLDG.
H SIZE OF NO. OF
Z NEWBLDG. ROOMS STORIES L.SID FT
U EMERIOR WALL ROOF
COVERING COVERING REAR F
J USE QF BUILDING ANDnW ORK ZO BE PEPFORMED DISTANCE BET.
a �(I LL /, ( � MAIN BLDGS.
a
Q VAR. 5W
O _ C.U.P.sW 1
F • APPROVE /
y
Z
O
Vi heraby acknowled8e thet I �ave read this application antl state�
� that Ne above information is correct and agree to comply with
� el� laws reg�latlnB builtlinB �onstruction, an0 I shall not employ'
F any person in violation Ot the workman'z Componzation lowa Of _
y Me State of Californla.
Z 1 hereb ceriif thut 1 am SQ. FT.
V y properly Iicenud as a cantractor untler�,
tha Staro of Calitornie Businuzs antl Profeaiona Cotle, DWlsicn 3,^ THE AMOUNT SHO�
. Chapter 9, antl thar sueh licenses ara in full force antl etfect, or I TME PURPOSE OF ES
em ezempt from tFe provlsions of Ne $tata of Californla Bustnoss VALUATION
antl Protassions Coa � Division 3, Chap[er 9. �
Sipna[aroof ��j� ��
Pnrmlttee § 6 %
Auihorizatl ABent
LOT BLOCK
VALUE
C6U
l
' GROVP �
DATE � ^�
USE OF N
BUILDIN �
VARDS APPROVED
ACCESSORV BUILDII
BET. MAIN &
ACCESS. BLd
OATE
APPROVED
- m
T� �
0
JN UNDER VA�VATION IS FOR j
'ABLISNING A PEFiMIT FEE ONLV: m
a
VERMIT FEE 5 �_ �
�
m
PLAN CHECK $ E
`o
/ LL
TOTAL FEE '$
I