HomeMy WebLinkAbout1998 HARBOR BLVD - Building Permits O'er Mac CITY OF COSTA MESA . . 1
4` 9 BUILDING DIVISION
e 46-a-I• DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER
FI [OTM44^`Llo. I
PERMIT4. 1.11r4 E00-00981
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT
Job Address: 1998 HARBOR BL Status: ISSUED
Suite No Applied: 10/10/2000
Vicinity: OUTSIDE REAR OF BLDG Issued: 10/10/2000
Parcel Nunmber: 41920302
Applicant: HENRY, STEVE - ISSUED BY: _.$14____±
Address: 2744 ROBERTA DRIVE _ .
- Phone: 714.771.7047 ,
-
ORANGE,CA" , Zip: 92869
•
Owner:/ CARVER,vJOSEPH'L TR v
Address %nULRICH',CHRISTIANNE C /; ., �
' . CLAREMONT,CA- Phone:
808 NORTHWESTERN DR Zip: 91711
Contractor:_ STEVE HENRY ELECTRIC INC ,, yV'
' Address: 2744 ROBERTA DRIVE -- \
, -Phone: 714.771.7047 .
, ORANGE,CA / ,, Zip: 92869 . - -' ,
License: 650501 - -
' � SCOPE OF PERMIT -- '
' - UPGRADE ELECTRICAL SERVICE PER RANDY BUCK. 'r, f- ''� ,
- 1 SERVICE TO1000K "- ' • "' -` - _.- ' - . _ ,
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___ _ FEESUMMARY _ - : % H
Quantity - /' - Quantity 2 " ' •
ISSUE FEE - $23.50 Temp Dist System/Lighting $0.00 0 /2 -
Temp service test $0.00 Busway/100 ft • $0.00 0 �„
Res.a/c package $0.00 Standing.Section? $0.00 0 .
New Res(1-2 units) $0.00 0 Misc Electrical Equipment
New Res(3+units) $0.00 0rTranssformers up to 1 kva/kw $0.00 2-0i ` -
Pool/Spa ' M00 0 ''• up.to 10 kva/kw $0.00 ://%.0
Lighting Fixts'. ` ' $0.00 0 ''-up to 50,kva/kw $0.00 // 0 ,
Recept Outlets\, 'N$0.00 0 •� -up to 100 kva/kw_- -$0.00/ 0 - '
••
Switches ' ,A - . $0.00 , 0',. - ' over 100 kva/kw ' i-;$000 0
Non Res Appl _ - $0.00' - 0 - " Low Voltage Equipment '„-$0:00 //-'0 7�7
Res Appl $0.00 �:0- Low Volt Wiring System/Ckt- $0.00'/0� ,7
Service to 200a / .' $0.00 0-', " "Misc.Conduit " $0.00 ` CO /
Service to 1000a $62.15 1-- Misc. Conductor_ ; $0.00, / 0'
Service over 1000a ' $0.00 '. 0- -`Circus(gen or ride) '_ $0.00
Motors to 1hp - $0.00 . - 0 Circus(meth ride or lights) $0.00 ,--'0'
Motors to 10hp ," $0:00 0 Christmas Tree Stand 'r $0.00 '0
Motors to 50hp ""$0.00 - , 0 ' , - FireWorks Stand ' . • $0.00- 0
Motors to 100hp $0.00 . 0 , Other Electrical Fee' /•-/$0:00
Motors over 100hp . ' $0.00 - , 0 _
Communication drops $0.00 0 - Investigation Fee' _ - $0.00
Sub panel to 200a $0.00 0 . - Plan Check Fee $0.00
Pole Light Pkg $0.00 0, ' Reinspection Fee $0.00
Sign Circuits $0.00 0
Temp Pwr Pole $0.00 ' 0 TOTAL CALCULATED FEES $85.65
Intermed Pole $0.00 0
COMMENTS/SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
244646(WOO)
•
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
Wreby'affirm under penalty of perjury one of the following declarations: _ -
I have and wit maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
/9, I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed ll the permit Is valued at one hu red dollars($100)or less.)
r I certify that in the performance of the work for which this it is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of C�,a agree that if I ecome subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisio
Applicant Signature: 6 Date: i 0>/0 o
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVE E IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed uncle ,ro • ions of Chapter 9ening with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.k 4" / - / J- Class 0
Contractor's Signature: .deAP ✓ Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS: - .7.4_A1
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or-she;iseiempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the ownerluilder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feel in depth into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
O As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the Calif omia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes P No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If yes',the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described propertypetyfor inspection purposes.I ree of to occupy or allow occupancy of any building authorized by this permit until final inspection.
—� /'C'���J�Signature Of er(s) / Da
�/E. 6 /o/i n�o
And/Or Authorized Appli , Date
CODE I INSPECTION TYPE PAIS EMU LODE( 1ICPecnOHrSjy ec ONT PE DATE I[
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Electrca '
200 Final Re-Roof . 210 Final Electrical l
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 'Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition _ 250 Final Building/Occupancy
costa mesa nulltlln"• lieparcment , } .�APPLICATION FOR PERMIT
'_,� COSTA MESA, CALIFORNIA 5.. .V 4fl+O_ _._ D ` , L D..1 N p. ___._....__1_
FOR APPLICANT TO FILL IN ' FOR OFFICE USE ONLY • ',
• RQThipt No; Permit No.
Address l ""i (18 ii- iWa-v si-nf. . i 1 t _. e/f-//�V Y , ` /e�J
Received by" Date Reed. Date ISSued '
Costa Mesa, California 1
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Nearest 5 I - 43' S\
Cross St. Gni 4 Building
•� Address
Owner )14;..Qd, (� /�� ; Costa Mesa California
Mall I C V cc. V�Y8t ..sr .
Address , . Nearest i •
O p Tel. 1 i L.
Cross St. '
City
✓-' sl/2 No. N^�''�`3�; ,r Zon I No.of Type I Group
Architect or A, �,t n Lie. –.� Plans _E�
Engineer IV cs.u-�•� f{. �+ r - No. - Approved I
; by I Date
Address /i....,C Ij,,,,.,.t, ( ' ‘; CORRECTIONS
/J Ci y Lic.
130
Contractor V14t-..,..ZS,1 Je_,,,i�_ No. 4,3- • ,
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Address / Z r /4 4 S I• e, 4,4-,....:A l
LegalLot , .
Description I No. I Block I Tract " , -" ..
(Attach Metes and Bounds) 4. ♦? 1 'a,�,- - ��)i1y� s- � t
• �+. ',wag0 No.of Bldgs. iieer*P� ll ■■t
Size of Lot j( I Now on Lot . i , __ _ _-_ -_, _ - - O
Use of y I No.of I No.of • t t .tgCG A
Existing
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g,i,,,,.,e Families Rooms "' :7J
Setback Line from - �I Rear Yard i DO , - ,•__ _ .- `-- ---.v _—.Z
Center of Street (p Q Side Yard -2., e i y
DESCRIPTION OF WORK
CITY—UF"t:U -
New j 4:-...1 Alteration I I Addition CITY--,,,,,t t 'r t.t 1 '4nJ"a- . °`
,:.ihIi•ie Rost,:..- I'Pe Jna Vit.:lval
Repair I Moving I I Demolish •
1 Building • No.of
' Size CO y. I 1_0 Rooms Stories
Exterior Wall
Covering
Roof
Covering jMeva.ex�,,, Covering r^r,wi..it' APPROVALS
Bd .,23� y lJ
ti - Foundation Location Inspector Date
Forms,Materials,
Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply Lath. Ext.
with all City Ordinances and State Laws regulating
building construction.
Signature of Piaster, Int.
Permittee t
Plaster, Ext.
Authorized Agt.
U Masonry Reinforced
Valuation Permit Fee $ ST —
/ 07 Plan Check $ 7 --- Bond Beam
•\,3 �) �� r r Total ..
. Fee $ I i FINAL
'204 G-H 1M 12.53 I
TLw'TW1[4 HOU 'O1T�,?l.i1`3d"'... 7RSIUTUCtIOt) "USUIIUtt £a.itil 114.200‘Q 0 p/� I ® g ' Hl i 37S 1i0S T2A3 I'll-Ir9 .8 ®I AIVIAO9,lAO ,A23M AT203 -
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Show location and distances from
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?@38O NOV ;6 00 820* ****58.50
' CO BoESABULD BUILDING-SAFETY DEPARTMENTSTA
SA, Tcs •
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
For Office Use Only
BUILDING
ADDRESS 1448 HARBOR BLVD
RECEIPT No. , 2 ,-MIT3 P D
COSTA MESA. CALIFORNIA /I � r3
REGI} -DATE RECEIVED DATEISSUED
OWNER CARVER CRAFT ,,//vtr /1 -/y�66 l/_/Y-GG
MAIL 1998 HARBOR BLVD. ADDORES° I
ADDRESSFIRE / -,4-.,2
TEL ZONE TYP11P '°ROUP / //'
CITY COSTA MESA NO•TECTAP DwTe/�/ �(Of�
L,, APPROVED
OR ENARCHGINEER R. H. DODD No,748-8818_
ZONING
ADDRESS NEWPORT BEACH
w EZ I NO.OF I EYIUSELDINofNEWO ,0/ oy
CONTRACTOR H. J. WOOD �
212 FLOWER LEGALDESCRIPTIONPit 6+ / 3 /v,VV1 J ne
ADDRESS
CITY
COSTA MESA A.P.NO. i fr � 2 (9.s — Z Z
LIE �/ �} NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
C.TNO. 90400 NO 548-4089 DO'TO HID[a REAR P.L
VES
SIZE A NO.Or SLOGS. ALLOWED (U.B.C.REQUIREMENT)
-
OF LOT 75 X 280 I NOW ON LOT 1
USE OF YARDS APPROVED YARDS APPROVED
EXISTING BLDG. COMMERCIAL MAIN BUILDING ACCESSORY BUILDING
{PROM C/L STREET)/ �L a
SETBACK LINE FROM FRONT /ad FT. _. "r 0ifr. PT.
CENTER OF STREET REAR YARD �(
MIME /0 /4C4
SIDE A RTC f0 /-F/411..
.
SIDE YARDS LEFT RIGHT r
DESCRIPTION OF WORK 4.SID[ �Z Fr. y PT.
NEW ALTERATION ADDITION X REAR /`S0PT. PT.
DISTANCE BET. BET.MAIN e
MAIN BLDGS. ACCESS.BLOCS.
REPAIR _MOVING - DEMOLISH
BUILDING .OF VAR.* DATE
512E 12'8" X aOROOOMH STORIES C.U.P.* APPROVED
COVER
EXTERIOR IGWALIC BLOCK ROOFERING COMPO' APPROVED( �iA^ DATE / /-/7^-E/i
USE OF BUILDING MP a
WORK TO BQ PERFORMED //T�yr)
COMMERCIAL O
HQ.Pr.
I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO COWL PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 1R
PLY WITH ALL CITY ORDINANCES AND RATE LAWS REGULATING VALUATION fy
BUILDING CONSTRU ON. $ fLa
SIGNATURE OF • ��� /� PERMIT FEE
PERMITTEE L-r`�✓sY– /n /�/•�/) �j/ S z1 wo
/`,! 542 C L/` — PLAN CHECK S //
AUTHORIZED AGENTA4 A-A h /• / /, yrs 5.°
TOTAL TOTAL FEE g �l O
PAN
36542 .... .
�� 7_ cr 01534 ,35.26
` COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
‘PP
I TION FOR BUILDING PERMIT
For Applicant to Fill in Completely RE V j�DjA TE RECEIVED yy
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BUILDING 7?? �[��q n / 4-5'7 D i//yii
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OWNER Cr1TJt=vc' C 4.444r-yr OtandecrQ.CS A.P.NO//✓5t�(/$ --OZcZ- PEk /.-15,
MAIL BUILDING f9/,fruit fi'L�IJ
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STATE CITY YARDS APPROVED YARDS APPROVED
N fL LIC. NO. 06/9.36 / LIC.NO. MAIN BUILDING ACCESSORY BUILDING
DO SIZE NO.OF BLDGS. (FROM C/ STREET)
OF LOT INOW ON LOT / FRONT FT. FT.
USE OF -
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R $10E � FT. FT.
F SIZE OF NO.OF /
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0.Q. 1-4C-11-44.4.4a— MAIN BLOCS. ACCESS. BLOCaS.
Ct DATE
O C VRP# -7 -AP APnROVED5/i 73
I- APPROVE• !/
CO , DATE T� / 3
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UI hereby acknowledge that I have read this application and state "1 w
O that the above information is correct and agree to comply with F,O-
CC all laws regulating building construction, and I shall not employ
F any person in violation 0f the workman's compensation laws of x
IJ7 the State of California. �./�L�s/r W+ 03
I hereby certify that I aro properly licensed as a contractor under K..J SQ. FT. 0
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR j
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: •
CC
am exempt from the provisions of the State of California Business
and Professions Coue,Division 3,Chapter 9. VALUATION ^_ m
PERMIT FEE $ j /
Signature of Ca-....e
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Permittee C• J S/ �� PLAN CHECK $ge E
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Authorized Agent TOTAL FEE $
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/ COSTA MESA BUILDING-SAFETY DEPARTMENT JUP! —4-73CPISA 091 v****6$,OO
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill " Completely
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ADDRESS RECEIVED BY DATE RECEIVEDA ISS111JJJ
' DED�
BUILDING
l e,,e A'e L/� "]/ F/ !J /
OWNER (An2iee g2a-p P-- A.P. NO. PERMIT NO.
MAIL BUILDING
Z ADDRESS L0 ui TE .
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a U CITY _ NOL TRACT I LOT BLOCK
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—I- LENDER
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m J ADDRESS VALUE
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W W TEL. ZONE I NO.OF USE OF NEW
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W-O STATE CITY YARDS APPROVED YARDS APPROVED
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7 SIZE I NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT FRONT FT. FT.
USE OF
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I— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
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0
Q VAR.# DATE
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C.U.P.# APPROVED
I— APPROVED
CO ABY DATE
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VI hereby acknowledge that I have read this application and state V
VI
D that the above information is correct and agree to comply with 11
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
N the State of California. e
Z I hereby certify that I am properly licensed as a contractor under SQ. FT. o
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business /'/I/AQ IC
VALUATION (j// DY pt
and Professions Code, Division 3, Chapter 9. - PERMIT FEE $ N
3
Signature of of
Permittee $ PLAN CHECK $ E
Authorized Agent //,'/�
dv LL
N TOTAL FEE $ (// ;,