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Home My WebLink About399 BAY ST - Building PermitsCity of Corta Mesa - eu�mine satety oepe.m,e�t C E R T I F I C A T E O F O C C U P A N C Y P.O.Box7200 . L�G"� COste M05a, California The Building located at :�7n i��„s ^�,o Cc•c,�nr 'i9�1��.• �, �Z r has been inspected and found to comply with the provisions of all City of�Costa Mesa Ordinances applicable thereto for a Group ra s c9 Occupancy. Use of Building 9'1 tinCn ..�„rr-��To r..--..9� .-.aec. Legal Description 115�)ci?oft�5 ISee reuerse side for Mates and Bounds) Building Permit No'�aaSR..aAz77 Electrical Permit No. =no�r:_.ao»�> plumbing Permit No. �� "•-�'� �' Numtier of apartments �f� and/or guest rooms ISSUED TO: 'Ci:' . .:lL':I:S W^.:}:7PA[dY Building Official,' ; by F' , - .. Date Aunnnc l! 1'-l7� This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form BU 34 Rav. .,... �...� . :,,.. _ _...» `. .y._,:.. i _,...:.. . . ,... r _ . . . .. . . ..-� " . . i .� . , � - . � . � � - , , f.�^ . ... • .... � . . . ,...` . , , . '. . .,. . � � . . � � , . .. ;.,: .. �1,:' , � . . CitV of Costa Mesa . � �. , . .. � . � � � ' � . • - . . .:_'. .. rtment • .. ^`CER.TI,FI'CAT,E DF .00CUPAN'.CY, '. �a , c�"'� rq BuildinpSafety.Dape . �, �,.-_ ' . � � P.O. Box�.1200 : , . _ , . . - � . . . Fa � 0. .. � . � Costa Mesa, California: � � � ' _ . ' � _ - - . . . ', _ . �i i � � � . ,, - ��'� ,� � The=Building'located at - ` - 't0o� u�� r as.. Shrnnft - illd'..e � e '.q� i� " - ' � tias been inspected and found to comply with the provisions of all City of�Costa Mesa Ordinances_applicable thereto -for a�Group �u a. ci � -Occupancy.;�: 'I ..., . � . . . , .. , . � .. •.Y� '. �. : � �, � �'.�. r. . Useof Building � ��n �u„t�� eo...-�.�a.,• r,,....,fe�� .,{.ti - _ ��'' � � - �� Legal�Description � '_�115�962.06' � � . . . � �. , �",'�. , , '� , + �E . : (See reverse side for Metes and.8ounds) ' � i , � � .� rz � �i i . .;,.z;, � Building Permrt Noaa�7q_zaa��7 ' E,Iectrical.Permit.No. �so��r_�n�» plumbing�Permrt Noz� --��/��—��FQ�•Y . ` . .. . �. �g, ,i r ' . `• . . �' Num'tiei of apartment's '. ](1 - and/or guesYrooms � " � , , � i' � ' ., ,i iSSUE'� TO ' � i +a'' a': "Building O,ff�ci�al %� � � - , , • . tf ., by ��,i"�: �c.'r.�t/✓� ' �,- � THE JANES CdMPANY .� ' ' IC. , � . . � � - � � � � . �^• .. . . ' - . � �. Date Auouar 7} l07t � � . ,: .. , '. �\'t 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 ttie City of Costa Mesa under Sec". 306 (e) U.B.C. . � ' " . • �. ' � Form BU 34 Rev. 11p0 � � � � ' ' � � h . .i, 1 �` . . . � .� .. Y '. . � .. . . . ' �.. i1 ' - ' . � ..... ..,�..__. . . . _ : ' , .. .. . . .. _. . . ,� . , �t. Ys � ��i:t ,,,i„�..� � . . 5 ��9 W. Bav St. B. Units 101-104,201-204 BUILD�NGPERMIT INSPECTIONS SOIL c.s W PTER FOUGN PLUM9ING PROP. SWR. LINE OUSE CON. SPPINKLING SVSTEM � ROUGM MEnTING 1 TEMPORFRY SEI UN�ERGROUNO � N ROUGN WIRING Z TRENCHES = FLOOR SYSTEM BOND BEAM n SMEATMING POWER FRAME ANO FLASNING LATHING — IN I PLnSTEF. BROWN CO�T ELECTRIC. FINRI R ING SUBCONTRACTOR �r� Z . a cWj ZQ F am J � J N m J . [� J Q U N Z a w� aw W Z J Q m Z J � w W O Z �._- W � N � �O F Z a U J a a Q � F y Z O H U 7 � H z > =. ' - 3837_� _- - - . � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Fo� Applicar�t to Fill in Completely BUILDING I2ofc� �'Q.�__i /_ _ /i OWNER �HE �JJL•�(SL ADDRESS � / /{y J Ji(� CITY I�' �,.�. CANSTRUCTION � IOY �7E LENOER N BRANCH �� ADDRESS �^ ARCHITECT 1 .�s I I _ v , i ADDFESS �%"J(p�j �'�'(y _��Q/tL( r TEL y� CITV I��1 �6 NO.%%/• STATE CITV UC. NO. �IC. NO. SI2E Q�•/_U�y ��,� J/INOWONLO OF LOT(� (p F� y USE OF EXISTING BIDG. SIZE oF G �U ROOMS STORIE' NEW BLDG. EXTERIOR WALL/ ROOF F�� LLS COVERING �JT�1`GO COVERINGLMIO � pIi USE OF BUILDIN AND WORK TO BE PERFORM D L R BVILOING i ADDRESS �, TRACT u ! "�Y'-�-I�'��<'OO 372': ,:t��-:�otl.�� , �.. FOR BUILDING PERMIT (JL 01- ZAiI 3Z BLOCK '�2 NE NO.OF USE OF NEW L�LUR/IT �L`P PLANSZ BUILDING G VAfiDS APPROVED VARDS APVROVED MAIN BUILDING ACCESSORY BUILDII (FiiOM GL STREET) RONT SO FT. FT. s' y �� F7 � / /i L. SIDE FT. Y FT. � /J i, REAR FT.7 FT, DISTANCE BET./J /� BET. MAIN & MAIN BLOCS. W� ACC65. BLOGS. C URP.3W� -% T'Z- APPROVEDS�CO -% �'�o'a. "A' tIOL FOR C REQUIREhfENTs I hereby acknowletlge that I have reetl this apD��cation entl state � ihet tna above information is correct antl a0/ea to comply wlih j'�• all laws regulatlnB bullding construction, entl I shall not amploy '�1 any Derwn in viotetton of ch¢ wo�kman's companseHon lews o< � the Steta of Caltbmia � ^ n � I hereby cartify [hat 1 em properly licensetl as a contractor untlar SQ. FT. L o the State oi Cel(fornle Businass entl Professionz Cotle, Divisicn 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR Chapter 9, eOtl Yhat SUCh IicBnSei e�B M SW5 10�c0 eOd BHBCt, Oi 5 THE PURP�E OF ESTABLiSHiNG A PERMR FEE ONLV: b em exempt from e provisions ot the Steta of California Businecs ¢ antl ProfessionsC de, Divisio 3, ChaPtar9. VAlUAT10N N �� PEFMR FEE $ ) SlBnatura of � �S E Parmittae $ PLAN CHECK $ `o Authorizad Ap t LL TOTAL FEE $ : �• ` �' . COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Z . aU HZ Za O v~i am J 7 J V1 6� J J m Q U N Za W � aw J Q m Z J � W w � _ ZH w� N � � � nfG -7u�°�°00 433 �**ft21�.50 APPLICATION FOR BUILDING PERMIT Fo� Applicant to Fi!/ in CompletBly RECEIVEDBV DATERECEIVED D T IS ED BUILD�NG � ADDRESS � �� F OWNER A.P. NO. MA I L BUILDING ADDRESS ADDRESS � �� TEL TRACT LOT BLOCK CITV NO. CONSTflUCTION W A LENDEF BRANCH OWNER ADDRESS � LUE ARCHITECT TEL. • $ �� OR ENGINEER FIRE ADDRE55 ZONE TY E GROUP APPqOVEO CONTFACTOR � ' BV DATE � ADDRESS TEL. ZONE NO.OF USE OF NEW CITV NO. PLAMS 9UILDING STATE CITV �'ARDSAPPflOVED VARDSAPPROVED L10. NO. LIC. NO. MAIN BVILDING ACCESSORV BUILDING 512E NO.OF BLDGS. IFROM C/L STREET) OF LOT NOW ON LOT ppP17 FT. FT. USE OF EXISTING BLOG. FT SIZE OF NO. OF NEW BLDG. ROOMS STOR�ES L.SIDE FT. fT. EXTERIOR WALI ROOF COVEFING COVERING FEAfl FT. FT. USE OF BUILDING ANO WOFK TO BE PERFORMEO O�ANCE BET. BEf. MAIN 8i MAIN BLD[S. ACCESS. BLDGS. VAR,sW pATE C.U.G.W+ APPROVED APPROVED I hereby acknowledpa that I have reetl this application entl rtete that the above Infarmation is eorrect entl apree to comply with all laws ragulatinB builtlinB conatruction, antl I shall not employ eny person in violetion ot ihe workma� e compansetion lawz oi the State ot California. I hareCy certify that I am proPerly Iicensetl es a convactor untler S�. FT. the State ot Calitornia Business end Protaszions Cotle, �ivisicn 3, TME AMOUNT SHOWN UNDER VALUATION IS FOR Chaptar 9, antl that such ticenses ara fn fu71 forca entl eff¢ct, or 1 THE PURPO6E OF ESTABL6HING A PERMR FEE ONLY: am exampt trom the provisio�s of the Stete of Call�ornia Busfness VALUATION antl Protessions Code, Division 3, Chapter 9. / L PERMIT FEE $ ✓ Signatura of `� Permlttee $ � PLAN CHECK $ �f Authorizetl ABent TOTAL FEE $ �/ V�/ �� ' 'ih� —9-7i.�aa�uC 37� v,::.� c . `. , 3837.6 �.,av -�-�a�'„19on s�o:: t: :�� i 13.r COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � For Applicant to Fill in Completely P CATION FOR BUIIDING PERMIT F E V DATE R CEIVE O.�T IS ED BUILDING �q � G �� ADOflESS / 1 /_ PE OWNER � A.P. NO. S�lJ �� BUILDING V ��S ADDRESS ADDFESS '� i \ �T ,�\O� a U CITV NO�. TRACT ��LOT��- BLOCK �� ZQ CONSTRUCTION W O N LEN�EF am J � BRANCH —�- J N OWNER t"i > m J ADDFESS ' . �� VALU$ � `, m ApCHITECT TEL. (1 J a OF ENGINEER N U Q fIRE W� ADDRESS ZONE TYPE GROUP aw W Z APPFlOVED � O CONTflACTOR BV DATE m Z J ¢ ADDRESS w W TEL. Z NO.OF USE OF NEWg U /%� �= CITV NO. �� P�� BUILDING � Z f- WO STATE CITV YAqpSAGPROVED YAFDSAPPROVED y¢ LIC. NO. LIC. NO. MAIN BUI�DING ACCESSORV BUILDING � O (FROM C/L STREE SI2E Q1 ' NO.OF BLDGS, � i� OF LOT �� / �� NOW ON LOT ROM o F FT. USE OF 25 /T //, FT EXISTING BIDG. F SIZE OF �^ (0 NO. OF / �� Z NEWBLOG.N � ROOMS STORIES L.SIDE � FT. FT. a EXTEfl10R WALL ROOF W p, hN��``8 p ) V COVERING COVERING FEAR IJ FT.Q i FT. J USE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & a MAIN BLDCS. ACCESS. BLDGS. a g� .7U' ^ ^� O �fJIL�O � �L , CURP,qW�,.`�!r'c-p qppROVED 5�G—/ y ��7 �� APPROVEL� � J "� w / z tiOLD FOR 5 CIAL REQ O U1 haraby acknowledBe that I have read this app�icatian end stete that Me abova information Is correct entl eprea to comply with � ell laws regulatinB builtling conrtruction, antl I s�ell not employ �� F eny person in vloletion ot the workman's compencation laws oi xhe State ot Calitornie. m zI hereby certify that I am p�operly licensetl ea e tOntrecto� untle� SQ. FT. O t�e State ot California Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chepter 9, and that such lieenses IDre in full foice entl eftect, or I SHE PURpOSE OF ESTABLISHING A PERMR FEE ONLY: Q em exam0� from Che p�ovlsiO�s of the State of Callfornia Business yALVATION antl Profe55lons Cotl , Dlvision Chapter 9. . m � PERMIT FEE $ j SiB�at�re of //�fj��( �1 m PermlttBe � � $ ( Y /1� PtAN CHECK $ ` E // o v o` Authorizetl Ag LL TOTAL FEE $ Z . a cwj ZQ Oy am J 7 J V1 G] J J m Q U Q Z¢ aW W Z J Q m Z J � W W O= Z � W � N � � � ��. g-7a�,";�; 00 u34 �� 178.5G COSTA MESA BUILDING•SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Fo� Applicant to Fill in Completely %�PP��CA710N FOR BUILDING PERMIT RECEIVED BV DATE iiECE1VED D'�}TE ISSUED BUILDING /�� ADDRESS P OWNER A.P. NO. MAIL BUILDING � �. ADDRESS ADDRESS TEL. TRACT LO BLOCK CITY NO. CANSTRUCTION A LENOER BRANCH OWNER ADDRESS ALU � ARCHITECT TEL. $ OR ENGINEER N . FIRE • ADDRE55 Z�NE TV GROUP APPR�VED CONTRACTOR BV L DATE � � � ADDRESS TEL, Z�NE NO.OF USE OF NEW CITV NO. P�+� BUILDING STATE CITV VARDSAPPqOVED VApDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF l0T NOW ON LOT ONY FT. FT. USE OF EXISTING BIDG. 7 SIZE OF NO. OF NEW BLDG. ROOMS STORIES L SID FT FT. EXTEF�OR WALL ROOF COVEAING ' COVERING REAR FT. FT. USE OF BUILOING ANO WORK TQ BE PERFORME❑ DISTANCE BET. BET. MAIN & MAIN 9LDCS. ACCESS, BLDGS. . � VAR.qW DATE C.U.P.�'+ APPROVED APPROVED I �areby acknowledpe thet 1 have reatl this appllcation antl rtate ///� that t�e abova Information is correct entl aprea to comply with � ry ell lews reBuletlnB �uiltlinB conrtrucHon, antl 1 shall noc employ any person in vlolatlon ot Ma workman'a compensation laws of the State of Californie. I hareby certify t�et 1 em proparly IicenaoE as a convector untler SQ. FT. the Smte of Celifornla Businezs and Profassions Code, Olvisicn 3, THE AMOVNT SHOWN UNDER VAlUAT10N IS FOR Chapter 9, entl tnet such Iicenus ere in full force antl affect, or I THE PURPOSE OF ESTABLISHING A PERMfT FEE ONLV: am azampt irom tha provisions of tha Smte of Callfornia Business V ALUATION entl Proteselons Code, Divislon 3, Chepter 9. PERMIT FEE $ � D� Sipnature of Parmittee $ �i% P�AN CHECK $ "�� Auffiorizad Apent / � � . TOTAL FEE S / ,: �f . ,.. , �. 3837.Z � ; � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORN�A 92626 For Applicant to Fill in Completely�y BUIIDING �IQa. /J . G� // i OWNER CITV CONSTflUCYION LENDER BRANCH ADDRESS ARCHITECT OR ENGINEER ADORESS CONTRACTOR AODFiESS CITY STATE LIC. NO. SIZE OF LOT �� USE OF EXI5TING B . SI OF ��. OF TEL. NO. TEL. NO. > w..l sra- r �'�r. TEI. NO. CITV �IC. NO. I x��I �� NO. OF BLDGS. NOW ON LOT � p�O NO.OF � / ROOMS STORI ' ROOF �� COVEFING ND WORK TO BE PERFORMED �" I �t-O�G• s��s �2 C�n2r�c-,�: , A P ICA fl C BY / A.P. NO.I S BUIIDING ADDRESS � TRACT FIRE ZONE APPROVED ROM / 'sY—�-7��"<OQ 371<: t�*�162.1P FOR BUILDING PERMIT �1o1,loZ 2 �� BLOCK Zp(p NO.OF USE OF NEWtj VNT PL4N5 � BVILDING � � APPROVED YARDSAPPROVED R. SIO�� I FT �� y 5�,� � �( �' L. SIDE FT REAR �+ � FT. MAIN BLDGS. I�✓ VAR. �WW c.u.P.�2� 7`i-2 APPROVED BEf. MAIN & ACCESS BLOGS. DATE APPROVED S—Cp^� �. 12 -5- ��/ �'�.D� G. ' G" HOLD F� REQUiREME�vT= I �ereby ecknowledBe ffiet I have reatl t�is epplicetion antl state i� � [het the abO�e informetion is corract and epree t0 comply with f ell laws reBuleting builtling construction, antl I shall not employ / .�.�( � any parson in violation of Me workman's compensetion laws of ( the State of Celifornia, hJ m I hereby cartify thet I am pro0erly licensatl as a contractor under SQ. FT. � ✓ O Me Steta of Celifornia Business antl Ptofassions Cotla, Divisicn 3, THE AMOUNT SHOWN VNDER VALUATION IS FOR = Chapter 9, e�tl thet such licenses are In full force antl effect, or I THE PURPOSE OF 6TABLISHING A PERMIT fEE ONLY: ¢ om exempt from Me provisions ot the Stete of California Business V� VATIqN� entl Professlons COC , Division �-chapter 9. �[/ PERMIT FEE $ j / T SIB�eture of m Permlttea PLAN CHECK $ �� E o` Authorized Apen LL TOTAL FEE $ . . , - - .j 8�37 � COSTA MESA BUILDING-SAFETY DEPARTMENT Z . a U F Z ZQ ON am J 7 J N Q W ¢] J J m Q U � Za W � d W W Z J Q m Z J � W w � _ Z � w � N � 70 ;�c �aa,�`,00 ��35 ��`�TM7_2650 APP I TION FOR BUILDING PERMIT For Applican[ to Fi!! in Completely F CEI D V OATE flECEIVED pATE ISSUED BUILDING ^ ADDRESS /: RMI NO. OWNER LL �S' �, A.P. NO. MAIL BVIIDING .� �Y � AODRESS ADDRESS TEL. TRACT LOT BLOCK CITV NO. CANSTqUCTION p' LENDER BRANCH /�n� / OWNER rr�y � GO. ADDflESS q VALUE ARCHITECT TEL. ON/ o( S OR ENGINEER N FIRE � ADDRESS ZONE YPE GROUP APPROVED CONTFACTOR BV � DATE � � ADORESS TEL. ZONE NO.OF VSE OF NEW CITY NO. PLAN$ BUILD�NG STATE CITY VARDSAPPROVED VARDSAPPROVEO LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SI2E NO.OF 8LDG5. (FROM GL STREET) OF LOT NOW ON LOT qOPfT FT. FT. USE OF EXI5TING BLDG. FT SIZE OF NO. OF ' NEW BLDG. ROOMS STORIES �. SIDE FT. FT. EMERIOR WALL ROOF COVERING COVERING REAR FT. FT. USE �F BUILOING AND WOPK TO 8E PEFFOFMED DI5TANCE BET. BET. MAIN & .0 C / L MAIN BLDGS. ACCESS. BLDGS. ` VAR.# DATE C.U.P.ak APGROVED � PPPR�VE� I hereby acknowledge that I have reatl this application entl stete that tha a0ove information is correct and egree to comply with all laws regulatine builtling consirucHon, entl I shall not employ any person in violation ot the workman's compensation laws of the Siate of California. m f hereby certify that 1 am proDerly licensetl as e eonttactor undm SQ. FT. o the State of Califor�ia eusiness antl Protassions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VAIVATION IS FOR Chapter 9, antl that such licenses ara in full forca end effact, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLY: Q am exampt from the provisions of the5tate of Celifornie Business VALUATION and Professions Cotle, Division 3, Chapter 9. / � N PERMIT PEE $ �CO- ) Signature of m Permittee $� PLP.N CHECK $ E / S ° Authorizetl Agent TOTAL FEE $ (,G Z . W W aV ZQ O v~i am J � J N Q W 0] J J m Q U� 2a W ¢ aw W Z J Q m Z J � w W � ZH W � 7p 3946. COSTA MESA BUILDING-SAFETY DEPARTMENT 7.0. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant o Fill in Completely BUILDING !�/�� '�'A %./�j ADDRESS J % v�••��4 ¢l,L� OWNER �� / (�(J . ..... / n . � . � _ CITY BRANCH AODPESS CITY ST� LIC. NO. S12B— OF LOT USE OF EXI5YING E S' TEL. NO. TEL. F A.P. NO. BVILDING ADDRESS FIRE 20NE APPROVED Is Fa�� -s-�5�,.<.00 isa�� ,.��s39.5C FOR BUILDING PERMIT � ' �' �/� ZONE NO.OF NO�.�p^/J/O PLANS CITV VARDS APPROVED LIC. NO. MAIN BUILDING NO.OF BLD('�S. (FROM C/L STREET) NOW ONLOT FRONT FT. � SIZE OF NO. OF Z NEWdLOG. ROOMS STORIES SIDE FT. U EMEfl�OR WALL ROOF COVERING COVERING REAF T. J USE OF BUILDING AND WOFK TO BE PERFORMEO DISTANCE BET. a MAIN BLDGS. a Q ` VAR. �W � I L / � C.U.P.9W ~ APPROVED N Z O V1 hereby acknowletlpe that I have reatl thia apPlication antl state � that [�e ebova intormation is cOrrect and eprae to comply with � all laws regulatin8 builtling conrtruction, and I shall not employ F any pe�san in violaUon Of ihfl workmen'i <ampfl�sation laws of y tha State ot California. ? I hereby certity thet I am properly licensetl as a contractor untler SQ. FT. the Stete of Celifornia Business and Professions Cotle, Divisicn 3, THE AMOUNT Sh Chepmr 9, antl that such licenses are In full force antl affact, or I THE PURPOSE OF am ezempt irom ihe provisions of the Stete of California Business VALUATION and P�ofessions Cotla, 4rvision 3, ChgopterJ9. SiB�atura of \ (/ ' J� ',/ �/ / �7 (�O L%v Permittee __��UjtA �n•L g o�L v' Authorizetl Agant VALU$ �� C GFOVP DATE USE OF NEW ! BUILDING VAR APPROVED ACCESSORY BUILDING [ � m a JN UNDER VALUATION IS FOR ' 'ABLISHING A PERMIT FEE ONLV: Q � m PERMIT FEE $ � A� , m PLAN CHECK $ � E � � LL TOTAL FEE $ , 3999� COSTA MESA BUILDING-SAFETY DEPARTMENT A.0.80X1200 COSTAMESA,CALIFORNIA92626 For Appli a t to Fifl in Completely BUILDING S �Q�� ADDRESS OWNER � ��S O. ADDRESy� � , T� / � {zjJ W TEL. Q-U CITV ��-Ct�y� NO. 3 'I,?�i zQ CANSTRVCTION O y . LENDER d 4] J � BRANCH ' ' JN m J ADDRESS J� OR ENGINEER HS TEL // U Q /y�+ w� ADDRESS ,]. � Op ' U S C� �U aw �J O CONTRACTOR m Z J � P.DDFESS � � S ^/i�0 W w l/ TEL. Z 1— CITY _ V/�/F- N/ ,4 � NO.�j'�3%6 — � STATE CITV y Q LIC. NO. LIC. NO. � � S12E NO.OF BLOCS. OF LOT NOW ON LOT USE OF EXISTING BLDG. cNs•�0 669# *'s**4Z.50 ukY 1 >— APPLICATION FOR BUILDING PERMIT REC IV BV DATE ELEIV DATE I SU '�f �� _ ��ic � � � %Is % ^ � BUILDING ADDRESS FIRE ZONE T PE GROUP APPROVED BV DAT - Z N NO.OF USE OF NEW � �-i[ /� PL4KS 2. BUILDIN ��. VARDSAPPROVED VAflDSAPPRO D MAIN eU1LDING ACCESSORV Bl11LDING I� SIZE OF NO. OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. U EXTERIOR WALL ROOF COVEFING COVERING REAR FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. a MAIN BLOGS. a a Se� � VAR.3Y+ � � id � �.�.P.,w ~ APPROVED N 2 O VI h¢reby ecknOwletlBe [hat I have reatl this apPllcatlon antl state a that tha abova informaHon is correct antl apree to comply wit� � all laws ra9ulating builtling construction, and I shall not employ � any permn in violaNOn of �he workman's coTpensatlOn laws of the Stata of Californle. zI hereby certity Shet I am properly Iicensetl es e conttector untler SQ. FT. Ma Stete of California B�alnass antl Profess(ons Cotle, Dlvisicn 3, THE AMOUNT SHi Chapter 9, antl ih zuch Iicenses era in ful orca and effect, ar 1 THE PURPOSE OF E am exampt iro th rovlslons of the t e f alifornla Business VALUATION entl Protassions od , ivision 3 h �9 SIB�ature o7 ' / �V Permittee $� ! AA �� /IPVC/ Authorized Apent BEf. MAIN & ACCESS.BLD �,E APPROVED • ✓L/ _ � D H VAIUATION IS FOR � u A PERMIT FEE �NIV: Q A w M 'EE $ r�T/ > m =cK S '' �� E :E $ t � LL