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Home My WebLink About1519 ORANGE AVE - Building Permits;ITY OF Project A Applican' Owner's h Address Arch/Eng. Address Contracto Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION' 1 hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) Of Division 3 of the Business and Professions Code, ands my license is in full force and effect. License Class License No. saint to fill in all spaces except those within heavy border lines and sign all appropriate declarations, a 3973 7/23/86 18e00 TL PE IT IyQ. TRACT NO. LOT NO. UNIT N0. ; G-461 TYPE OF CONSTRUCTION NEW ADD LI.ALTERATION U REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# _ Zone _ DESCRIPTION OF WORK/USE OF BLDG. S Main Building: 'Accessory Building: E Z TYPE OF PERMIT GRADING El FOUNDATION El STRUCTURAL T Front. O ❑ TENANT ELECTRICAL PLUMBING ❑MECHANICAL B Rear N ❑ OTHER A- _ _ I PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N CONSTRUCTION TYPE 'VALUATION$ $ Left R ZONE GRADING CU.YDS. ACRES Ping. Ref. # Parking Req./Provided E Q Remarks: 4,�„Vto Planning Notes:, M T Outlets $15 'thereon, and who does such work himself/herself or th ro ugn his or her own employees, provltled that such im prove mems. are not in[en ded or offered for sdle.' y however, the but Id'ng or improvement is sold within one year Of com- pletion, tIe owner will have the burtlen of proving he/she ditl not build or im- prove for the purpose of sale).. Date Signature Boiler Bar Sink .Duct- Under Ground WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure or a certificate, Backflow Preventer ❑ I, aYowner of .the pro De rt y, aon exclusively contracting with licensetl Co.- tractors to cc nstr uct the project (Section ]044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for Such projects with -con- of Workers' Compensation Insurance, or a certified copy thereof (Sectiones 3800, Lab. C.) ' Backflow Irrigation Automatic Washer- Construction Pole Sub. Policy No. Company tractor(s) license pursuant to the Contractor's License Law). I am aware that BCertified copy is hereby furnished. Bathtubs Cooking Unit Certified copy is filed with the city Building Division. Firepl/Fact. Bit. ICBG # Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers Meter ❑aver 100 amps (Thissection need not be completed if the permit is for one hundred ($100) or. less), •r - Dishwasher Dryers ❑Gas ❑Electric I certify that in the performance of the work for which this permit is issued, I ,. shall not employ any person in any mann as t become subject to,the Drinking Fountains Workers -,Corp ggnsay.gn Laws of Cali�gr��a Floor Drains Date `- t+>'�a 4 'Signature's ✓th@11ki. �n F.A.U. . NOTICE: If, after making this declaration, you should become subject to the FIOOr]Sinks.�- Signature til - Date Drivers' License or 55 Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Device Boxes Service CONSTRUCTION LENDING AGENCYGas Outlets ! 1 hereby affirm that there is a construction lending agency for the performance Interceptors Switches - - of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name — Kitchen Sink - ,Lender's Address - - Standing Sections .� OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section. 7031.5 Business and Professional 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/she is licensed pursuant to the provisions of 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 Lavatories - P—Trap ROOF Dfalns 'therefrom and the basis for the alleged exemption. Any violation of Section ' i 7031.5 by any applicant for a permit subjects the applicant to a civil VIty of not more than five hundred dollars ($500). I, as owner Of the property jAT})G" will do the work, antl the structure is not intended or offered or Sal le (Seec6w .70441 Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds Or improves Reinspection Fee Outlets $15 'thereon, and who does such work himself/herself or th ro ugn his or her own employees, provltled that such im prove mems. are not in[en ded or offered for sdle.' y however, the but Id'ng or improvement is sold within one year Of com- pletion, tIe owner will have the burtlen of proving he/she ditl not build or im- prove for the purpose of sale).. Boiler .Duct- Under Ground Duct -Structural ❑ I, aYowner of .the pro De rt y, aon exclusively contracting with licensetl Co.- tractors to cc nstr uct the project (Section ]044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for Such projects with -con- - FEES - Duct - Ventilating Automatic Washer- Construction Pole Sub. Exhaust System ❑ Multiple E tractor(s) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. Cooking Unit Meter ❑up to 100 amps Firepl/Fact. Bit. ICBG # ❑ I -am exempt under Section B. & P. C. for this reason Date Owner Meter ❑aver 100 amps Heating. System & cling I hereby certify that I have read this application and state that the above Dryers ❑Gas ❑Electric ❑0-100,000 ❑100,000B - information is correct. I agree to comply with all city and county ordinances ' and state laws relating to building construction, and hereby authorize refire - 0 o this city to yn ter upon the above-mentioned property for inspecti on r s. i/ ' F.A.U. Reinspection Fee $15 Signature til - Date Drivers' License or 55 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor PLUMBING Showers 'Service Sink Sewer Cap Sewer Connection Solar Collectors - 'Solar Pipin Solar ank i11 W mming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto -Wash Laundry Trays Issue Fee Hood or Type ❑ Canopy Type 11 q >.<0,000 BTu E1100,000BTU System Repair/Alteration Fire Dampers r Registers I Issue Fee FEES ELECTRICAL I - FEES - Automatic Washer- Construction Pole Sub. Transformer ❑ 15-50 KW El 50+KW Cooking Unit Meter ❑up to 100 amps to Dishwasher Meter ❑aver 100 amps _ - Dryers ❑Gas ❑Electric Sub Panel - Fan, Motors ❑0-1 HP ❑ 1 Y - 8 F.A.U. Iris. Solar ❑9-15 HP 1-11i Fixtures Microwave Device Boxes Pole Light Outlets ! Range Switches - - Sign -- ;Garbage Disposal Standing Sections .� -' Generator 1-10-5'KW D5-15 KW Trash Compactor- ' $ 3 Reinspection Fee $15 Issue Fee $ 3 FEES DEVELOPMENT SERVICES Zoning Approved By Building Approved By Application Issued By REQUIREMENTS: - , Date Date Date - BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ SMIP - $ $ - PERMIT $ ISSUANCE $ $ ENERGY P.C. $ $ OD GRADING $ $" �,OD MICROFILM $/�� $ TOTAL FEE $ $ _ % t�C! ' $ 3 CONSTRUCTION AND PLANNING, APPROVALS Permit # Date " Inspector POOL & SPA 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. *;Lt"-O!i fj 54. Forms 4. Electrical Conduit-Undrgrnd. y�� 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 7 ,ra�r57. 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 "i D• 0 - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling wR,5*0 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # - 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ElGas El Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 00il 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 •j'`- 33. Final Electric /; �� 7 Notes: 34. Final Heating & Air Conditioning �'� O 6 n a C.C✓�,/ � 1 I 35. Final Gas Pipe-Test 36. Hood or Canopy ,e,[,Y 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. 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 49. Electric Release to Edison ` i (i' g(, 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date MAIN OFFICE 1656 WEST GAYLORD ST.. - P.O. BOX 9063 LONG BEACH 10, CALIFORNIA HEMLOCK 3-7493 SPRUCE 3.208I Twining Examination No. Project Sample from Architect Laboratories Contractor Mix NVater, gal./sk. cement Size Date cast Date tested BRANCH OFFICE IS16.O NORTH HARPED ST. SANTA ANA. CALIFORNIA JEFFERSON 1-2044 JEFFERSON 1#046 of CSouEfZerLn C'aLtf owla, Yne. December 15, 1960 GUNITE REPORT OF 300MMM TEST CYLINDER SC60-979 Pbr - Anthony Brothers Pools 2050 Harbor, Anaheim, Calif. T. M. SORENSON GUNITE SWIM POOL 1519 Orange Ave., Costa Mesa, Calif. Anthony Bros. P001S 1-4z 6-3/8 x 12-3/4 11-17-60 11-24-60 Cylinder No. I C04IPRESSION TEST 7 Days Total load to destruction, lbs. 88,500 Pounds per square inch 2,772 12-15-60 N 28 Days 80, 500 it tt 2,1126 3 "Hold" Cylinder made by W. O. Koch Note: Specimen --/2 contained rebound Cylinder delivered by H. Cribbs pockets. Cylinder received on 11-21-600 �19 �/ pfC�� O / /! J cc: Anthony Bros. �1� Cifyof 2Z 19,60,T. M. Sorenson ,n Co Costa Mesa Bldg. Dept.Bo/di„gD Mesa SA Lab ' , QAC L REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENT4f, AUTHORZAT11ON/FOR PUBLICATION OF OUR REPORTS. CONCLUSIONS. OR EA- ICTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL A:. '1 14 UTUAL PROTECTIOP TO CLIENTS, THE PUBLIC AND OURSELVES. city 07C6ST_JMs R(N1STjj�U)CTIO P Project Address 7�l`F}�1! ltC� Applicant's Mailngl Address - Owner's Name IytLAi J�—Kr (Ltjt Address e CO' a Applicant to fill in all spaces except those within heavy border ligi and sign all appropriate PERMIT NO. TRACT NO. LOT JO. _ IiNi'I' Nn I] AddressNa " u ✓ b Contracto •s a/LZPhone- Address ho eAddress (mailing) City License No. LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. license Class License No. Date Signature WORKERS' COMPENSATION DECLARATION - I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section' 3800, Lab. C.) 2,' Policy No. Company. BCertified copy is hereby furnished. _ Certified copy is filed with the city Building Division: Date Applicant '- EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection need not be completed if the permit is for one hundred ($100) or less). • . " I certify that in the performance of the.work for which this permit is issued, I shall not employ any person in any manner so a$ to core subject to the orkery aspen I n Laws of Calif m . Data it SO Signet lire I ni —A NOTICE: If, after 'making this declaration, you should becoFfie subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 (Section 3097 Civ. �C.) Lender's Name Lender's Add rens OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the fallowing reason (Section 7031.5 Business and Professional 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/she is licensed pursuant to the provisions of 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 `herefrom 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 e alty of not more than five hundred dollars ($500). I, as owner of the property er y—e oh -ii— ' e eri eeneaNer+, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that su Ch,improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). Cl 1, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an.owner of property who builds or improves thereon, and who contracts for such projects with a con- tractor(s1 license pursuant to the Contractor's License Law). I am aware that proof off their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section S. & P. C. for this reason L Owner _ a I have read this application and state that the above I agree to comply with all city and county ordinances to building construction, and hereby authorize repre- to entervslpon the above-mentioned property for TYPE OF CONSTRUCTION LJ NEW VJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER41 ' _ DESCRIPTION OF WORK/USE OF BLDG. A11 -f 7� Q A.P. # S Main Buildi TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear If ❑ -OTHER A PROJECT DESCRIPTION SO. FT. OCCUPAN ,Y C Right CONSTRUCTION TYPE VALUATION$ / OO $ Left ZONE GRADING CU. VDS. ACRES Ping. Ref. # I Remarks: Planning Notes: Bar Sink Showers Backflow Prevenier Service Sink Backflow Irrigation. Sewer.Cap ' Bathtubs Sewer,Connection'• Clarifiers Solar Collectors Dish Washer Solar Piping Drinking Fountains SolarTank's Floor Drains Swimming Pool W/Spa Floor Sinks Urinal Gas Service Outlets Water Closet Interceptors Water Heater _ Kitchen Sink Water Service Lavatories Auto -Wash P—Trap Laundry Trays Roof Drains Reinspection Fee $15 Issue Fee ' Boiler Duct - Under Ground Duct - Structural Duct -Ventilating Exhaust System ❑ Multiple ED Firepl/Fact. Bit. ICBG # Heating System & Ducting 00-100,000 BTU ❑ 100,000 BT icense oReinspection Fee I $15 rivers' Lr SS � � � — _ CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System - ❑0-100,000 BTU ❑ 100,000 BT System Repair/Alteration Fire Dampers Registers Issue Fee 8563 6/30/86 ' 41 3q Zone Accessory Building: -S,(0 — 2fo Automatic Washer U _ Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes s Parking Req./Provided ELECTRICAL Transformer ❑ 15-50KW ❑ 50 ! KW. - Meter ❑up to 100 amps -Meter Dover 100 amps Sub Panel Motors 1:10-1 HP 01 Inc. Solar 119-15 HP 016.15+ Microwave Pole Light Switches Garbage Disposal' f ;Standing Sections Generator ❑0-5 KW El 5.15 KWI ITrash Compactor $ 3 i FEES Reinspection Fee $15 .Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning APProved By- Building Approved ey'_ Application Issued By • aurvuvl----� BUILDING PERMIT-• $ ,PLAN CHECK � $ 173.41 Tia', Z O N I N G R E Q M T S FEES $ 3 to SMIP $ ---L�9 PERMIT ISSUANCE $ , ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE $ PLUMBING ~- $ 'PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $' MECHANICAL, s-„ $ $ 3 PLAN CHECK •25% $ 173.41 Tia', Z O N I N G R E Q M T S FEES $ 3 to SMIP $ ---L�9 PERMIT ISSUANCE $ , ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE $ CONSTRUCTION AND PLANNING APPROVALS Permit # r Date Inspector POOL _.iPA APPROVALS Permit # Date Inspector Fl. Te,mPorary Electrical Service or Pole 52. Pool & Equipment Location a 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 LIFER Grnd.ee 57. APPROVAL TO COVER-GUNITE 7. Footings '�y�e..V 1 & 58. Electrical Conduit-Undrgrnd. 8. Foundation G 59. Gas Pipe, -0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 14 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 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# 20. Rough Factory Fireplace 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 EI Gas El Oil 25. Roof Sheathing Z 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical p27. Frame and Flashing 76. Dry Standpipe 2B: Lathing & Siding r 77. FIXED SYSTEM FINAL 29. Insulation t6 78. FIRE PREY. FINAL 30. Drywall Nailing 6` 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 HOLD, FOR Sr(pECIAL REQUIREMENT;, 35. Final Gas Pipe -Test 36. Hood or Canopy 21t 6 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43mBackflow Irrigation 44^ Landscape Irrigation System 45.;Sound Attenuation 46'Handicap Regulations - 47,FINAL STRUCTURE& BUILDING g% 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51aCERTIFICATE OF OCCUPANCY No. Date - EEE RECEIVES COSTA MESA BUILDING -SAFETY DEPARTMENT OCT 281960 P. O. BOX 517 COSTA MESA. CALIFORNIA FlNANCE DEPT. CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING 1529 ORANGE AVE ADDRESS COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. PERMIT NO. OWNER MAIL SAME BY DDA RBCe ED DATEI7D ADDRESS /��- –6 BUILDING CITY No. ADDRESS 1519 ORANGE (2.( P — ARCHITECrEL. COSTA MESA. CALIFORNIA CITY SOUTH GATE, CALIFORNIA STATE LIC. NO. APPROVED TEL. NO. SIZE(/ OF LOT X { NO. OP BLDOS. I NOW ON LOT USE OF EXISTING BLDG. ZONE NO. OP EBTBACK LINK FROM CENTSR OF STREET USE OP NEW REAR YARD SIDE YARD ILEFT USE OF BUILDING AND WORK TO BE PERFORMED 9UIl–D/I-.NO (RIGHT DESCRIPTION OF WORK FIRE NO ROOMS ZONE TYPE GROUP?"/ APPROVED IO Z 6 I BY ATE EXTERIOR WALL WINING ZONE NO. OP COVERING USE OP NEW I PLANS USE OF BUILDING AND WORK TO BE PERFORMED 9UIl–D/I-.NO LEGAL �. h/t%• '' DESCRIPTION / — �3 A.P.NO. YARDS EVES APPROVED ALLOWED (CENTER LINE ST.) — III Ls— BBYPROVED / /1 ` y V. DATE 15X30 NO ROOMS SIZE OMS STORIES EXTERIOR WALL ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED SWIMMING POOL I HEREBY ACKNOWLRDOB THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STAT! THAT THE ABOVE I8 CORRECT R88 TO COM- pURPOHE OP HSTABLISHINO A PERMIT P!8 ONLY. PLY WITH ALL C O INANCES ANO HT LAWS OULATING BUILDING CO U TION. SIGNATUR OF VALUATION //�/p GL� PERMIT FEE $/ V PERMITTE QD' �O $ A PLAN CHECK $ (AUTHORIZED AGENT E 0 n OWNER SaRENSQN, T.ii. .� ;. pUG 3 0 X961 DATE 10-2Ei-60• JOB ADDRESS -.] 19 Orange AVE, .1 ' BUILDING PERMIT NO._1322I, . GENERAL CONTRACTOR AnThonv Pnnl s VALTIF S 9 Lon nn AP. Nn_ 11 7-1 40-h77 LOT TRACT FTRF ZONR OF.SCRTPTTnN nF WORK D..+ !C..:... D.._, INSPECTIONS DATE I GROUP TYPE ZONE ll), Underground Soil r -TAI U.G. Water�� SUBCONTRACTOR PERMITS ISSUED Underground Gas — DATE NUMBER Overhead Water and Gas Rough Heating _ Rough Plumbing JZA c r vTo Miscellaneous — b _ J. Q_ - c Prop. Swr. Line /HouseCon. St. Swr. SIMM Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power XTP //- - Rough Wiring �7- V- a //-7-1-12 h Trenches Forms Steel=,7 f{ - Floor System Steel Reinforce Chimney Re -Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final - Electric Fixtures, Final Building, Final OCCUPANCY Form 210-5M-11.59 5-B P 13224