HomeMy WebLinkAbout2220 MAYFAIR CT - Building Permits�l �
,,
CITY OF COSTA MESA
BUILDING D/VISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.costamesaca.aov
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: M13-00059
PERMIT TYPE MECH STATUS: ISSUED
APN: 41901328 DATE ISSUED: 04111/2013
— — - -:r-ISSUEDBY: MDM
�. -_ - - . . . -._c
JOB ADDRESS: 2220 MAYFAIR,CT�,CM'� �' Suite%Umt::_;�
,�,.;,�..� �.—� ; _',_. �,� :� ,.�
Vicinify: �,_�: `'' " ' --- - - _ ,.
SQ. FT: 0 , � . �.� - � � _ `�
i ,--� 7 � ��, � ��>, � .r - �. � � � ,`�, ��'�.
''r;�'! �»� y;.;�,::, - ��a� �
SCOPE OF WORK:REPLACE EXISTING A/C UNIT LOCATED IN THE BACK YARD &:FAU'LOCATED IN THE ATTIC
�:t��'_ ,�f!5�`, � . _..,. >c,_
i. .�. ' ::� i .I r�.-. .-s. . ; �- - �\`, i ^.'S �\\.
OWNER: LEVATINO, ANTHONY�J TR ( �� �� �``- -�"^Address:., , .26742-MOORE OAKS RD. Unit:
PHONE: LEVATINO, ANTHONY JrTR�� ! r f�� `; �_ =. � � Cdy/State/Zip: �,LAGUNA HILLS ,CA
APPLICANT: LEVATINO,'ANTHONY J TR' ' �;� - -� �Address: "26742 MOORE,OAKS�RD. Unit:
PHONE: 949-910-9363 ' , �, � �� " � City/State/zZip: LAGUNA HILLS, CA- �, � ,
� �� - _ ' _ . '.
CONTRACTOR: OWNER-BUILDER�-' ° r�-^--;r*��;�-^:���, -LicenseNo. 000000 ._ `
Address: Unit: ' , PHONE:�. �. � . . - ..' �.:'... " '_.
City/State: -- ����' ZipCode: � �� CELL: � � .
i, - '•,,`��r� --_ "='.r��+"'�;�� (,( -_, '.��;
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MECHANICAL PERMIT FEE SUMMARY , � � ', `, � -. � ;
MECH ITEM FEE: t �� �`� � � � $52.00 �'� ` ' ,
PLAN CHECK FEE: �'= , ��.'� .. `•`,;�. ' ° .
�� �a � $0.00 z.;rs . �-.a;� �
INVESTIGATION FEE: + ,yv� �s < �
REINSPECTION FEE: �
{ ��3$00��'a „ y � LLr
� T ,
TOTALFEES: '��ti�. .��. �•$520Q � '� `� �-'- �t���
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NOTICE: The work authonzed by this permi( shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspections and final approval must be obtained. Failure lo obtain inspections and fnal approval will result in the expiration of this permit.
COUE R. INSPECTIONTYPE UATE INLIiIALS COOEk INSPECTIONTYVE DATE INTRIALS
1616 Fixed Sys[em Final Pire Prevention 206 Final Mechanical .� 23.�/3 �'
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roo( 210 Final ElecUical
201 Final BIocWRetaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign
204 Final Demolition
222
250
Final Site
Final Building/Occupancy �
WORKERS' COMPENSATION DECLARATIG
I hereby affirtn under penalry of perjury one of the following declarations:
❑ I have and will maintain a certifcate of wnsen� to self-Insure for workers'
wmpensation, as provided for by section 3700 of Ihe Labor Code, for Ihe
perfortnance of Ihe work for which this pertnit is issued.
❑ I have antl will mainfain workers compen5a[ion insurance, as required by
section 3700 of the Labor Code, for the perfortnance o( the work for which this
pertnit is issued. My vrorkers' wmpensation Insurance carrier and policy
number are:
Cartier:
(Thu seUiw� need rql �e wrripletetl i/Ne pemM is veluetl ef one huMredtlo9ars (Sf001 wlsss)
Policy Number:
❑ I certify that in the perfortnance ot the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of Califomia, and agree that i( I shoultl
become subject to the workers' compensation provisions of Section 3700 of
the Labor Code, I shall forthwith comply with these provisions.
ApplicanPs SiB�eWre
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNE`fS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirtn lhat I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in tull torce and eHect.
Lic. # Class #
Cont2clo(s SignaNre
CONSTRUCTION LENDING AGENCY:
❑ I hereby a�rtn tha[ there is a construction lending agency for the
perfortnance of the vrork for which this pertnit is issued. (Sec. 3097, Civil Code).
Lenders Name:
Lenders Address:
Oate
YOWNER-BUILDERDECLARATIONS:
I hereby affirm that under penalry of perjury that I am EXEMPT FROM THE
CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5,
BuSiness and Professions Code: My ciry or counry which requires a pertnit to
construct, alter, improve, demolish, or repair any siructure, 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 Contrectors License
Law (Chapler 9(commencing with Seclion 7000) of Division 3 of the Business
and Protessions Code) or that he or she is exempt therefrom and the basis tor
Ihe alleged ezemption. My violation of Section 7031.5 by any applicant for a
permit subjects the applican� to a civil penalty of not more than five hundred
dollars ($500).):
❑ I, as owner of Ihe pro0erty, or my employees with wages as lheir sole
compensation, WILL DO THE WORK, and Ihe structure is no� 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
Nereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or oHered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner-builder will have the burden ot proving that he or she
did not build or improve for purpose of saleJ.
� I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRAC70RS to construcf ihe project (Sec. 7644, Business and
Professions Code: The contractors License Law does not apply to an owner of
properry who builtls or improves thereon, and who conVacLs for such project wifh
a contrector(s) license pureuant to the Contfactors License Wws.).
❑ I am exempt under sec.
Business and Protessions Coda for Ihis reason:
3051J36(3/Ol)
,�
Owner ID venfied by c , license. ❑ Yes ❑ No
Driver's License No. Expires:
Verifcation of Ownership by (rype of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certi(y that no excavation frve (5) or more feet in depih into which a
person is required [o descend, will be made in conneclion with vrork authonzed
by this permit, and iha[ no building sWclure, scaRolding, falsework, or demolition
or dismanUing thereof, will be more lhan thirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 341, Tille 8, Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would
require a permit from the Division of Industnal Safety, as noted above, unless
such person has a pertni[ to do such work from the division.
ApplicanPs SignaWre
Division of Industrial Safety Pertnit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan (or emergency response to release or ihreatened
release of a hazardous matenal7 ❑ Yes ❑ No
(Section 25505 of [he Califomia Health and Safety Code requires, with some
exceptions, that a Business Plan be fled with the Costa Mesa Fire DepaAment
by every business which has at any one time during a reportad year a quantiry
ot hazardous materials equal to or greater than a weight of 500 pounds, or a
volume o� 55 gallons, or 200 cubic feet ot compressed gas at standard
temperaNre and pressure).
2. Does or will the applicam or present or future building occupant need to fle
a registration (ortn for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Heal[h and Safety Code, with some
exceptions, requires registra[ion wi[h [he Costa Mesa Fire Department by each
business which at any one time has on hand a quantity of acutely hazardous
materials equal [o or grea[er than a weight o( 500 pounds, or a volume o( 55
gallons, or 200 cubic teet o( 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 Pmgram for acutely
hazardous materials)? ❑ Ves ❑ No
(Seclion 25534 of the California Heallh and Safety Code provides that ihe
Costa Mesa Fire Department may require the preparation, certification antl
fling wi[h the Fire Department of an RMPP by businesses which are required
to register acutely hazardous matenals with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Healih and Safery Code been fully complied with9 ❑ Yes ❑ No
5. DOes or will the applicant or present or future builtling occupant require for
the work which is [he subject of this application a pertnit fo� such constniction
or modifica[ion from the South Coast Air Quality Management Distdct or from
any other air pollution control dis[rict or agency? ❑ Yes ❑ No
(Sectlon 658502 of the Califomia Govemment Code requires that the requested
information be fumished on applications for non-residential building pertnits).
6. Will any part of the faciliTy to be consiructed under this permi� be within
1000 feet from Ihe outer boundaries o( a school? ❑ Ves ❑ No
(If'yes", the faciliry must meet Ihe requirement of Seclions 25534 antl 42303
of ihe California Heal[h and Sately Code).
7. If a permit from the South Coast Air Quality Management DisMct or other
air pollution control district or agency is required for the work which is ihe
subject of this application, have all of the disclosures prescnbed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ 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.
slgnaWra Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I
certify under penalty of perjury that I have read this appliwtion antl state that
the information given is covect. I agree to comply wi[h all state laws and city
ordinances relating to building construction, and authorize representatives of
Ihe City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy ot any building
authorize�y his p t until final inspec[ion.
!�( � Y�� / �l 3
SignaNreolLegalOwneqs) �ate'
MNer AutM1onzeC Applirant Date
i•
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Costa Mesa
City of Costa �l�tesa �uiCding �ivision
77 Fair Drive, Costa Mesa, CA 92626
714-754-5273/Fax 714-754-4856
OWNER BUILDER VERIFICATION
Permit #
Disclosures 8� Forms for Owner- Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the
property improvements specified at 22-7� n..A��a, 2 ca�Q7, t:�-�R- :�-��s,a� �,¢'jz6�.�
We are providing you with an Owner-Builder Acknowledgment and Information Verification Form to make you
aware ot your responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of
each provision, signed, and returned this form to us at our official address indicated. An agent of the
owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting
authority.
to signify you understand or verify this information.
1. 1 understand a frequent practrce of unlicensed persons is to have the property owner obtain an "Owner-
Ider" building permit that erroneously implies that the property owner is providing his or her own labor and
material personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any
injuries sustained by an unlicensed person and his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfuNy acting as an Owner-Burlder
and am aware of the limits of my insurance coverage for injuries to workers on my property,
2. I understand building permits are not required to be signed by property owners unless they are
r onsible for the construction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as an "Owner-Builder" I am the responsible party of record on the permit: I understand that
may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his
or her name instead of my own.
�4. I understand Contractors are required by law to be licensed and bonded in California and to list their
license numbers on permits and contracts.
Q5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors,
�he total value of my construction is at least five hundred dollars ($500), including labor and materials, I may
be considered an "employer' under state and federal law.
� 6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state
a d federal government, withhold payroll taxes, provide workers' compensation disability insurance, and
contribute to unemployment compensation for each "employee." I also understand my failure to abide by these
laws may subject me to serious financial risk.
� I understand under California Contractors' State License Law, an Owner-Builder who builds single-family
�ntial structures cannot legally build them with the intent to offer them for sale, unless all work is performed
by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of
the work is performed under contract with a licensed general building Contractor.
3148-30 CALBO Jan 1, 2009 OB Packet template � � Of 2
\
�. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable
f r any financial or personal injuries sustained by any subsequent_ owner(s) that result from any latent
construction defects in the workmanship or materials.
L��y%��� I understand I may obtain more information regarding my obligations as an "employer" from the Internal
R�venue Service, the United States Small Business Administration, the California Department of Benefit
Payments, and the California Division of Industrial Accidents. I also understand I may contact the California
Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information
about licensed contractors.
�10. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand
t at'I am the party legally and financially responsible for proposed construction activity at the following address:
11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will
a ide by all applicable laws and requirements that govern Owner-Builders as well as employers.
�� 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the
�iformation I have provided on this form. Licensed contractors are regulated by laws designed to protect the
public. if you contract with someone who does not have a license, the Contractors' State License Board may be
unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against
unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed
Contractor or employee of that individual or firm is injured while working on your property, you may be held
liable for damages. If you obtain a permit as Owner-Builder and wish to hire Contractors, you will be responsible
for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner
and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's
driver's license, form notarization, or other verification acceptable to the agency is required to be
presented when the pe�mit is issued to verify the property owner's signature.
Signature of property owner �a(' ��� Date:
Note: The following Authorization Form is required to be completed by the property owner only when
designating an agent of the property owner to apply for a construction permit for the Owner-Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I
hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents
necessary to obtain an Owner-Builder Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled
out the above information and certify its accuracy. Note: A copy o( the owner's driver's license, form
notarization, or other verification acceptable to the agency is required to be presented when the permit is issued
to verify the property owner's signature.
Property Owner's Signature:
Date:
3148-30 CALBO Jan 1, 2009 OB Packet template 2 Of 2
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(714)754-5273 • Fax(714)754-4856
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
'LZ2� ayr�'�r CT.
Job Address: BR89FE-bN
Suite:
Vicinity: 2220 MAYFAIR CT
Parcel Nunmber: 41901342
npp�icant: PEARSON, VESS
Address: 4872 CANDLEBERRY AV
SEqL BEACH, CA
Owner: GARDEN PARK VILLAGE
Address HOMEOWNERS' ASSN
P O BOX
%HOME FEDERAL S & L ASSN
Contrador: ' G M ROOFING
Address: P.O. BOX 3908. ,-
," ", SEqL BEACH, CA
Zip: 90740 -
Arch :
Address:
Zip:
Zoning:
Phone: 714-761-8173
Zip: 90740
Phone:
Zip: 92112
Phone: 714-761-8173
License: 472566
- Eng: . .
_ � Address:
Phone:
License:
. PERMIT NUMBER
699-00009
77 FAIR DRIVE, COSTA MESA, CA 92626
SCOPE OF PERMIT
INSTALL 25-YR LAMINATED COMP SHINGLES O/ EXIST LAYER (SINGLE) 3-TAB COMP.�ROOF CERT
ATTACHED; �
GARDEN PARK VILLAGE HOA
ROOF "G" COVERING 2220 MAYFAIR CT. � - " ' - �
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$40.25
$0.50
$0.00
$0.00
$o.00
$40.75
SETBACKS
MAINSTRUCTURE Frbnt 0-0
ACCESSORY Frpnt 0-0
PARKING Ex,_'stinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
Status: ISSUED
Applied: 01/04/1999
Issued: O1/OS/1999
Phone:
License:
• \
. �
, ���
$1,175.00
$1,175.00
EXPIRATION: This permit shall automatically ezpire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a period ot 180 days. .
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, antl all
required inspeetlons 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) 7545626
. •.
WORKERS' COMPENSA710N DECLApA710N: •
I hereby aFlirtn under penalry of perjury one ot the tollowing declarations:
❑ I heve entl will maintain e certitica�e ot wnsent to selt-Insure for workers' compensation, as provitletl for by section 3700 oi the Lebor Code, tor the pertortnence of the
work for which ihis pertnil is issuetl.
❑ I have antl will meintain workers' cpmpen5gtion insurance, as required by section 3700 of Ihe Labor Gotle, tor the perfortnance of ��e work for which this pertnit is issuetl.
My workers' wmpensation Insurence carrier antl policy number are:
Carrier: Policy Number:
(Thls secfion neeG not be crompleteG i/ the permif is velue0 af one hundred dollars ($700) or IessJ
❑ I certiy thei in the pertormance Of ihe work for which ihis partnit is issued, I shall not employ any person in any manner so es to become subject to the workers'
compensetion laws of Califom . antl agree that if I should 6ecome subject to the workers' compensation provisions of Section 3700 of the Le6or Cotle, I shell torthwlth
comply with Ihese provisi s. �//� �1
ApplicantSignaNre: ���� l'ilwA.�. —. Date: �"� � l C
WARNING: FAILURE TO SECURE WORKERS` �p�.�PENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVEfl TO CflIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNORED
T/10USAND DOLLARE (5100,000), IN ADDITIIXJ TO TME COST OF COMPENSATION, OAMAGES AS PROVIOED FOR IN SECfIIXJ 31080F THE LABOR CO�E, IMEREST, PND ATTORNEV'S FEES.
LJCENSED CONTRACTORS DECLAR4TION:
I hereby aflirm that I am licensetl under provis ons ot Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Pmtessiur,s Code, antl my Ilcense is in full
force and eNecL Lic. a \ � � � Class a
Coniractofs Signature:�y,�_ Date: ^ S
CONSTRUCTION LENDING AGENCY: �.
❑ I hereby aHirtn that there is a cons(mppon lending agency tor Ihe Oedortnance of the work for which Ihis permit is issuetl. (Sec. 3097, Civil Cotle). �
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLAPATIONS:
I hereby affirtn thet under penalry of perjury thet 1 em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business end Professions
Code: Any ciry or counry which requires a parmit to construct, elter, impmve, demolish, or repair any siructure, prior to Its issuance, also requlres the applicant tor such permit
to file e signed statement that he or she Is licensed pursuant to Ihe D�a�sions of the Conlrectors License Law (Chapter 9(wmmencing with Section 7W0) of Division 3 of Ihe
Business and Protesslons Code) or Ihel he or sha is exempt therefrom antl the basis for the alleged exemption. Any violation ot Section 7031.5 by any applicant for a permit
subjecLs Ne epplicaM to a civd penalry pf not more than five hundred tlollars ($500).):
❑ I, es owner oi the proDerry, or my employees with wages es their sole compensation, WILL DO THE WORK, en0 ihe sirudure is not intentled or ottared for sale (Sec.
7044, Business entl Profession5 Cotle: The Contractors License Lew doe5 not aDP�Y �o an owner oi properry who builds or imprOves lhereon, entl who tloe5 SUCh work
himsetl or herself or Ihrough his or her own employees, provided that such improvements are not Intended or ofteretl for sale. II, however, ihe builtling or Improvement is
soltl within one year of completion, ihe owner-builtler will have the burtlen of proving that he or she did not bulld or improve tor purpose oi sale.).
❑ I, as awner oi t�e property, em ffXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct iha project (Sac. 7044, Business end Professions
Cotle: The contrecto�s License Lew does not apply to en owner of property who builtls or improves thereon, and who conirac�s for such project with a conirector(s)
license pursuant to the Contractors License LawSJ.
❑ I am exempt under sec. Business antl Protessions Code for ihis reason:
Siqnature: Date:
Owner ID venfietl by drivers license. ❑ Yes ❑ Na Dnver's License Na.
Vedfication ot Ownership by (rype of documeni, i.e. - property taz bill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
Expires:
� I hereby cenity that no eacavetion five (5) or more teat In tlepth inro which a person Is requlretl to tlescend, will be mede in connection with work authodzed by this
pertnit, end ihat no building structpre, scaHoldinq, falsework, or tlemolition or dismentling t�ereoi, will be more then thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tile B, Celitomie Administretive Code).
❑ As owner-builder, I will not employ enyone to Oo work which would require e pertnit trom the Division of Indusirial Sefery, as noted above, unless such person has e
pertnit to do such work from ihe division.
Slgnature: Date:
Division ot Industnal Safery Permit Number.
t00E 1. INSPECTIONTYPE
1876 Fi:ed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Finel Blak/Reiaining Wall
202 Final Factory Fire Place
203 FinalSign
204 Final Demolition
2446-a6
Iq.ili
I��
� �
COUE� INSPECTIONTYVE
206 Final Mechenicel
208 Finel Plumbing
270 Final Elecidcal
212 Final Fire Prevention
220 Finel Planning Approval
222
250
Flnal Site
Final Building/Occupancy
�
ItII�lLS
AVD���ant to fill in alt spaees wilhin heavy Eortler lines antl sign all ap0�opriate Eeclarations.
GTY OF COSTA MESA � aeRronT O. 'TRACT NO. ' LOT NO. �BLDG. NO.
CONSTRUCTION PERMIT �c- /7ap
Address �7a�h •-rnA
Arch/En9: ' " - ' '
Address �
ContractorK�_J�/S` �j�/
Address �� ��_ B�j
LICENSED CONTRACTOR OE
I h!rlby a(fl�m thdf I aM Ilcense
mencing with section 7000)' c
Professlons Co�, antl my lic
License CI ss
Date � Si9nature
WOR 0. COMPENSATION O
1 her v affirm that I have a ce
-- - � � TVPE OF CONSTRUCTION �
' Phone � , ❑ NEW ❑ ADD ❑'ALTERATION� � -
L' C'�-'� ❑REPAIR ❑CONVERSION�ODEMOLISH
LiCenie No. � ❑ OTHER
_ARATION
untler provisions
OlNsion 3- ot
rse Is In tull-
DESCRIPTION OF WORK
'hon - - ypE OF PERMIT " � � �
� ❑ GRADING ❑ FOUN�ATION ❑'STRUCTURAL
�� Charter 9 (com- , �`TENANT� ELECTRICAL �PLUMBING -OMECHAI
h¢ Business antl � OTHER -
> e� �anptl pef(fe�cy'�,. PROJECTDESCRIPTION
%�e/,�� 54. FT: . . . ""' ' '"
OCCUPANCY_CONSTRUCTIONTYPE
[o ulf-Insure or a VALUATION ' ZONE
'fifzte of-Workers' Compensatlon Insur n r a certifietl mpy . - - -- - - - . _ _.
ot (Septio 3 0 lAb. C) GRAOING CV. YDS. � ACRE$
�No.!/���O�C�OmPanY ' ' '. _. .
� Certlfietl cOpy is herGby furnishetl. - - . . _ � REMARKS: ' - - ' .--- _ .. ._ _
ypaCertifietl copy Is tiletl with tne city Builtling Divislon.
�EXEMGTIOIV FROM WORKERS' COMPENSATION DECLARATION ' -- "' �-' "' " -' ' " - "
(This SeGtion p¢etl not be cOmplet¢tl if the permif is for one huntlr¢tl . _ _ _ _ _
($IOO) O� IE55). ' '
I.tertity that in tne perform . ie work_tor which this permit is M1
issuetl, I shall not em y person in any manner so as to become PLUMBING . ' PLAN CHECK
subject to the Wor Compensation Laws of California. . ' _
pate Slgnature BATHTUBS ' SHOWERS
NOTI If after making this tleclaratlon, you shoultl betome subject. 'TOILETS � � � URINALS -
to Workers' Compensation provisions of tne Labor Cotle, you must
thwith comply wi[h such provisions or this permit shall be tleemed LAVATORIES DOUBLE-LAVS - '
evokatl. ' .. . .� .. .
CONSTRUCTION LENDING AGENGV KIT. SINKS - DISHWASHERS
I hereby affirm that there is a co iaTlentlinq agency for the per- SERV ICE SINKS SUMPS '
formance o( the work fo i tnis permit is issuetl (Sectlon 3�9J
C1°' �'�' � FLOOR SINKS F1.00R DRAINS �
Lentler's Nam
Lentler' tltlress DRINKING FOUNTAINS
O R BUILDER DECLARATION INTERCEPTORS CLARIFIERS
I hereby atfirm that I am exempt fr e Contractor's �icenre �aw tor
the following reason (Section .5 Bu5ine55 antl-Prof¢s5iOn5 Cotle: -SWIMMING POOL`� PTRAP '
Any city or county whic equires a permit to conslruct, alter,
improve, tlemolish or re ' any structure, prior to its issuance, also re- y�qTER SERVICE � ALTERATION ��
quires [he applicant f uch permit to file a siqnetl statement that he
iso,���ensed pursuan o the provisions of the Cont�actor�s License Law GAS SERV ICE OUTLETS � �
��-�" z antl ole55ion5 Cotle) or that he is ex¢mpt [her¢from antl the
4"'���br t alle9etl exemption. Any violation of Section 7031.5 by
"-pp" nt for a permit subjects lhe applicant to a civil penalty
o{�no Ore [han five huntlretl tlollars ($500).
❑ as owner of the property, or my employees with wa9e5 a5 Iheir
Sol corppenSaUon, will tlo the work, antl the SVuctwe is not Intentletl
or offeretl for sale. (Sectlon ]044, 6usiness antl Profezsions Cotle: The
Cont�aclor's License t1w tloes not apply to an owner of a property
who builtls or improves thereon, antl who tloes 5uch wo�k himself or
through his Own employees, provitletl that such imp�ovements are noi
intentletl o� offered tov sale. If, howeveq the builtling or improvemenl
is soltl within one year of compleiion, the owner will have tne burtlen
of prOving he tlitl no[ bulltl o� improve for the purpose of sale).
❑ I, as owner ot [he property, am exclusively conVactinq with
licensetl contraclots to construct the pro� (Section ]044, Business
antl' Professions Cotle: The Cont�act ' iGense Law tloez not apply to
an owner of property wlto bui � improves thereon, antl who con-
tracts trom such projec[s a cont�actor(5) licesnetl pu�suan[ [o
Ihe Contractor'S �icens w).
❑ I am exempt r Section B. & P. C. for this
reason
e reatl
I aore
a
that[he
v antl �
WATEp HEATERS BTU-OUTPUT
SEWER CONNECTIONS �
SOLARTANK / COLLECTOR;
SOLAR PIPING SVS.
ISSUE FEE � ' �
MECHANICAL PLAN CHECK
HEATING SYSTEM 0-300,000 BTU_
AND DUCTING 100,000 + BTU _
REFRIGERATION 0-300,000 BTU_
SVSTEM 100,000+BTU_
BOILERS BTU
SVSTEM REPAIR, ALTERATION
EXHAUSTSVSTEM MULTIPLE
Drivers' LRel�se or 55 ����� .� � I� i55UE FEE
CMF OB65-46 Wnite-Builtling; Canary-Applicant; Pink-Accounting; Goltlenrotl-Assessor
A.P. �
ZONE
SETBA�C�K C/L ST
��IDE VAR�D
IDE'�5YA 6—
RIGMT
REAR YARD (T(
PKG. SPACE RE(
�STREET WIOTH
ZONING APPRO`
SPEdAL CONDI"
8230 !I%13/81
iNING REGULATIONS
PLNTGp: REF. � ,
PROPE�RTDYNLINE-
L)
PROVIDED
PARK FEE $
gy ' DATE
V5:
�� �1�--� '
15.Y5 TL'
� .
ELECTRICAL ' PLAN CHECK I -
❑WETLTN�—�T'R1IGF�' —�
'GENERATOR 0-1 KW_ 1-30 KW _
TRANSFORMER
APPLIANCE 10-SOKW_50+KW_
MOTORS ^" p-1 HP 1d0 HP _
(INQSOLAR) 10-SO�HP 50+ryp _
FIXTURES - OUTLETS�` SWITCHES'
GASTUBE'SIGNS - '" '
POCE LIGHTS
PANELS MAIN SVB
SERVICE " AMP
ISSUE FEE - -
APP�ICATION P.PPROVED BV DHTE
SUMMARV OF FEES
BUILOING - -
PERMIT 5 � SMIP $
PLAN CHECK E PERMIT
� -ISSUANCE y
PLUMBING $�
GRADING E
P�AN CHECK $
ELECTRICAL $� a
PLAN CHECK $ � MICROFILM $
MECHANICAL $ TOTALFEE$
LE55 AD-
PLAN CHECK E VANCE PC y_
FINAL FEE g ��
0
°` � CONSTRUCTION'AND�PLANNING POOL & SPA'
APPROVALS Permit # Date Inspector qppROVALS �• Permit # - Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � '�•'� "�-- � ' �-
2. Soil ipe- ndrgrn � " 44. Steel Reinforcement ��' • '� � � � ' `�� • • ` ' ' ''
3. Electrical nduit Utility-Undrgrn • 45. Forms �- �-� �'
4. Electrical Conduit-Undrgm � � � - 46. Electrical�Bonding_ - � - ' - -
tee ein orce � 47. Rough Plumbin &�Piessure�Test - `i�� I' � � ' -%'��' �" �-- " '���•
6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE " ;' ��= �• � K��'
7. Footings - � 49. Electrical Conduit-Undr m �
8. Foundation � 50. Gas Pipe, ,❑ Undr rn, Test �
9. Water Pipe�Undrgrn ' 51. Backwash Lines .P-Tra � �� � ndr rn � � � ` �� � , , �
10. Structural Floor System 52. APPROVALTO DECK ' ••
11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final •
- 12. Street Sewer Connection � � - - � � . 54. Heater�& Vent-Final •
13. Rough Plumbin9 e.,. .. -;�,� ,y .,- ., . ._ _. :-v, .�. t •,�:
14. Rough ElectricConduit'-- - `" - - �56. Electrical-Final - � � •a
15. Rough Electric-Wiring � �"""-0'?i(.� � � - �57. Solar SYstem-Final . � � ' ' ' -
16. Rough Heating & Air Conditioning - � - � encing & Access Approval .
17. Ducts in Structure - ' APPROVED FOR PLASTERING �
18. Ducts, Ventilating . - . �
19. GasPipe-Rough&Test . � - � ' 60.., POOL/SPASYSTEMSFINAL • . �
20. � Roof Framing ' ' �
21�. �Roof SheSthin � ' ' � . � - • �
22. Frame and Flashin NOTES: : ,
'23.• Insulation . .. ' . - - �
24. Lathing & Siding � ' �� �
25. Drywall Nailing � '
26. Plaster Brown Coat �
27: Electrical Power Meter-Final � - -
28. Final Electric - � �
29. Final Heating & Air Conditioning � -
30. Final Gas Pipe-Test s
31. ., Final Plumbing � -% - �
32. -�Water Service-Final �
33. Gas Service-Final '
34. Solar pomestic-Final �
35. Landsca e S rinklin S stem �
36. Sound Attenuation � '
37. Handicap Regulations � ��� - �
38. FINALSTRUCTURE&BUILDING
39. Special Requirements Completed �
40. Electric Release to Edison �
41. Gas Release to Southern California Gas Co. �
42. CERTIFICATE OF OCCUPANCY '�
�-`�a �N� Date . � . . , _ ~. . .
_ . . " . . ' � . . •
...., . , . ... , , .:
' ,�'�� Y' 't Nil'� 'I"� '/' rl .4�� t � il..�N 4(',('ti)ir V.r�,1�,() t �1N aki�t�. �.1�.. if�� u�n7Wa ��b� �� i:..
\��� ..' ��)I)"('�1�J�1 ! J \ . , 1 t �������`AM/��I��I ,'/ 7 7��frT�/ 7 `!�(�I�� � , ,� �� il��.
fYYY
YYY1, r�.i�
, � „ i ., � _
�, . . , , .,� �, ., � � , S ,
/' �� i� f� lY I�;I��Nb�,.%) 1 l:dA I:�r1.,�. : -.r }i� �l.a j�Aiil�l$i �1.'�S cfU��i�il�'(`tf��i���h.i�. c1t�iU: ::
IN7ERRaTtONAL ASSOCIA7ION,OF PLUMBING':AHD�MECHANICaI'OFFICtQLS "".,��
' 1T'� Narl}� �..f.b e�:'lJi ���:�' ��� I c��l � � � �, �'1 ♦t �' a'f' � I
i -�.�,, t � t , e . , r ... ' Jl � �r�) i + . � h ,.s1' ,. L �}�„ f'�Et1�7 ."',"I5 l 'lia�>- ` :3i ?0t E.h'., e
♦ MpN 1�0117 CO��MATION
� {:F � 1�� J ���F 1 i! � I ar b � y .< } �,
.. �j , � rJCt�'� �111���'+ [W��i'1Y � il L3�' i��tl *iftuillJfi�li'It..7 �u �lil';ii111'� :
�� T �1 .�. ii.l U" .-.0 v G s�. ".I�. � t, lt iJ� n�- •: iG�1�i ^ii (i7: ' .
a.„�''� � ��' l� �.,:.rr �� '�1,1s � n'ya�R. RESE RCH COMM OF_ TME � �,
�. � o . y �, o ,
� �- ` ` r '� � , . _ 1TEE�, ; �� J.',..,•.; �•o�o•
�.` � � i{i'({�. i�. t-ty� "! I '. S� i.1 '^. N : A �.. �i .. fi ,� i f i„Y. �!:`'fi •
M.'rir . i f:.;�l:� . d'A'I�}f.�r�I lf�+l I.�L.�r'�l � •.
_ The r �
;� ., ��; p oduct tlescribed her,ein�,has;been reyiewed; tested;and;reco,m;mended;for,acceptanee by the Re•
�.,�,2;,, search Committee ol the Internationai.Association'o1.Plumbrng:and�Mechanical Officiats as meeting the
».�. requirementsoftheUNIFORM•SOL`'A'R'ENERGYCODE Th�srecommendat�onis'sub�ecitotheconditions .
s� ._set-forth.in the-characten'stics�below+and�.�s:not to be��consPrued�as"assurancetoriguarantee by,the
Association ol product acceptance by.locat,,iuiisdiction•or authorities using the UNIFOFM SOLAR
�r� ENERGY CODE or otherwise aflihated witli the AssociaLon .� � �- � . �
��; __._�.. _. ......._ fi�.�'�7".{I' .y/n '�Yr ii1't, ... .,i �...�...... .
R�-� Accepted August 1981.��';' ..�. :.r :i 3 9. �I�: -Voidafter August 1982
-:. .<- _ .._ _ .. _ _ Yf'��:-j�`.��r, 3, I' :; ; :, i+ .l c,iJ;Fr!. . . . . .:'. . • .� '.
y. �S �
:?= PRODUCT: 'Flat Plate Solar,Panel.+r�` �� �i, FILE N0. S-2263
� _. , 7
�r�� - 'x � �.�����41i�F��t !li,'�ti��l��.,i,�i�xR� ���r<��. �ct.>°e'1f tf�eii�..i.p-,a`nClr-U'.?.ii�r�;��3�r'1
I�PPLICANT,.���� ,��,,,���;American:Solar,Xing�• , ., �,, �, „�„-n�Mti�� •,„��h�� ��4y� r<�� .;.�ry]„:;
� �, p< . r I .1 r � y '1t ,� .,i �, � 7200 Impe'ria],•Dr��'� ( 'LN i G f n r � d:�u�� � (�UCrH�il . ��tlr 0 n� t1. � f'/�W !: � � �- �.f �:
� .r . 1'i ,i � r. .,� .h: C Idd ' iy�J�i , r I.n.i., .-.t h^1�4'�-I�M JRr� /A�II�i�1,�.Ak��>�u':!7lU�� I,� L I�� .
•,�:n���, :i. ,eu,Pr.�,,,,��.�rWaco, TX;,Z6Z10,�}�� r�,�c�rl,,sa,,;i � �L� ,;i�.�.l .
e
' �,,�� ,;�n Y • �� :} � �,,yr'" : .�., � . i4 � � r�r� r, 1 , ,
�' ' � �.� �� " � � r i �
� ' �'IJIODEL: � c r+ r, , �; w' . � � � "a��.�, �,���i
: > ,; �� �SS 1,0; ;SG-15 �f + � v � b�. , c�
i, ' . W. , ( S�>� Nt�Y �M mr ia a ��. .q �� B, iAn ��'� � iH � Q�� l.Y-tp �t1)'kY� jl� � f/4 �_� � J� , P;. �! _�
M .n ) �
� � �z•,iaW,»it.h.i i�GiY`$IS.� �.�in� i,��'t'it� 5,,i �v1.�q 41 Y,'�rt 1� .��j l., '
.. y 1� T�'.li:ii.qVa�ti ��r� 0� t,:.
�. � ,. �_; . 1 . i V . a'' h! �� � i i1 e rn..
�+ ,.� 4�;, � t�IDENTIFICATION, �, `.;�!� tPetmanenfi label� sho'wing� nameForPtradema'rrk,},model�numbeY y�'�,n
(: � . ; + � !'i ; i r � �, � i dRa'�tJniform"Sola''r"Eiiei79Y`Code logorrunir �.,A.� � f���.k�y`�!t� ��tti`)��iw:
•!'���7�}t)`7� '':1 t',�•i(Ppti,`t t� �1,'liM1:.,� �,�'��.{�1'�ti���5i1�� t'lr,.�'�� ����j1i�4'1�'}Il��ii}��G�u�,�11!'}y'1�'�Il�i,�`�������`F:,���i �,".'�`i �'4,:�
CHARACTERISTICS: Flat plate solar collector,panels for swimming•pool, space
or domestic water heating applications. To be installed in
accordance with the provisions of the Uniform Solar Energy
Code (latest edition) and the manufacturer's instructions.
MODEL SS-10 •
• Approximate size: Length 78"; Width 36", Thickness 3".
. Frame: Aluminum extrusion.
Absorber Plate: Copper with black chrome.
Waterways: �/9" type M copper water tube. �
Headers/Connections: 1'! type M copper water tube.
Glazing: Tempered glass,
Insulation: Isocyanurate .
Weight: 90 lbs. dry and 95 lbs. full.
Pressure drop: 2 psi at 1 gpm.
Operating pressure: 150 psi. � , � .
J � Tnis recommentlation is lo� ine perio0 ind�cnted ne�ein antl Is voiG alle� Eale anown above. Any cnan0e in m
wd�oul �Avinp 6rst oblaineE the ep7�o�al o� I�e Fesea¢� Commitlec or evidence o� �nle��o� workmans�ip or le
sernce pohcy may be Oeqmed es sullicient cause �o� revowtion ol Ihis recommentlation. Reprotluction o� or
,` aCverlis�ngpwDosesmayDematleoNyDyspr.d��cwrive�0eimissiono�Inle�nationalAssocialionolPlumDinp
TMs autnori:es Ine use o� �he USE 5�iela on producls coveretl by �hia ce � ca1e.
_ � G�� ���-�� � GLl�+�. �
f �
i C��i�MwH�[ft+�tw<O�MIi11( �Ku�ivFp�fn
Spo�wn of U�liorm VIumD�n9 Coda. U��form Swlmp(Inp Pool Cod�,
.�-U��form Soler Enerpy CoOe, �ntl Unllorm.Mechenlcal Coda
��WY�i�'Y�'�'Y��1rYi'YY�'� ��'�'�'�'YYYYYYYYYi�'YYYYYS��Y',� , 1 tir:`., � r�'YYl' 1"': )"Y Y Y Y Y X Y Y.S
�' •' ; � : • . , � , _ . •' , . ' .l
.'�— IhITERNATtOt�AL ASSOClA3EOPI�OF PluM�lNG A�ID rVtECKAti{CA! OFFIClALS
� . .
�.�'• '� . . ♦MOI�L��OIITCO��WAT10N �
��
r
� .`, • RECOMMEI�DQTIO,N OF.THE �j
� L�,, RESEARCH COMMITTEE ; ,._ `�,
, ,}-, o u ,
�� ' oro[o � . . � . �. i„ .. , i , . ' . . . . . . , tim o �
�''~�.- ' `"•" � ATTACHMENT 70 LIST)NG CERTIFICATE . � '.
,.�^ ; . . , , ..
�� Auaust 1981 vo�da}�e.. Auaust ?982
Accepted ,.
:['- • _
� qpp�;��t American Solar Kina ;
vroductu�daname., Flat Plate Solar Panel
F�k numbsr 5-2263 - p8pe 2 of 2
MODEL SG-15
Approximate size: Length 93"�, Wid?h 36", Thickness 3",
Frame: Aluminum eatrusion.
Absorbez P.late: Copper roll`bond,� .080" thick. ••,
Waterways: lntegral.with absorber.plate.
Headers/Connections: 3/9" type M copper for sweat or clamp.
Glazing: Tempered,glass. �
; , � , ! : � , j��� ;'ln'sul'ation:. Isocyanurate. t ; ,• ti , ,
Weight '125.1bs dry and 130 lbs full. ' � �" �
..�.��.'�.� :��,lYi'�Y" ��Y'f`I r'a r r�s{�r�r. �� t,.r 4 a,.• , '�,
' Pressure drop 1 5 si�at' �56Y m? ti�;� y��� s F t.� t t,� j,
.:r✓t.1c f,ro iq ,. r y � .,. -r r�u � if f� i p i . �9p n�\` i,,.�1Y. /o`} .(-, 1�.�.�+
. �;,� '.�1,. r�,v �� �,'� � �Peraung5pressure:' 125 p'si' , -•�, , � ,, �
�4 t� d � 91f '^9 � 1� �� �•, � C, � `.� 1� � i iil n; �
an.1k`�N� ��i�1 ����r�'iP�l����~�+��''i�,����i� ku������'�4� ��' ��`k� s, ��;;�! a��,:�'�''�si�t-e ,�1S,iIi�1`li,���i,4�. ��
,A�?�+��q �"'�.�; �,� ,;,,, �� 1 'These co]lector,s�ar�e„designed to be used with heat exchanger�.
r�� �'.�+.,��.� � ;��. ;�typbe�systems The collectors are �onnected with afsilicone'j' �
����° ;�� � � � hose,that is.rated at 500� and,150apsi,working pressure�4��T e'
:! � r1 �' ���C1 ff-� f� h,y a�� i t\� a � } j � �./� �h
jre¢ :, ;,. � hose,is protected from su;nlighT 5y pipe insulauorn: �, � •�
f .d ��} y� � w� � it-; r ti. , �:
� 'u �F� i .i-�. ��)7�fT����.,3: id'�I ° .(i . * b� �! �ln �Fe�,
�`��;,�b�., �`.:��:�\ .A r f}ti��i���:�1s,� �i.. j `;�,,r��•� �K `,_����..
•�YF7 01 � �jh UlNi61C���;�:5�� 1���iJi'�,:i�f'h��:�'1`Grl� -�%`�`:/�!.". )j' ,���..i: �'.�0 1 ,�;� ��.',��;�' d^,j�l'7e9:7'f•nt�a•jdi ?!,� '_'_
9r�K�trY#f�hti'i 'q;�2it�f'r+f �71Y1L\ �tK� Yp"Y r �:'n/ �' s!: , q'� � i . C > >(n 1 �C �3 hr�nt� ! ii'it,t�!
dndili(t»•OrUOt'J1�d�lB}i'�'��i�i����rt4��jt�lhi'.lCll JY`�- �C t� 4�:�o�.��i11 dt'Ci IA�1tl�sinu;'� f
`Jri�V� �(h��h�iYEt�l:Ll(�'.1�1 �`I)4�fi1 �'��;�Y�i. Ci.�k18�f�0 'J�{' C).� OIY S Ir � (@ �� {i i�.dl 3� �k a �J '3f�i il (� '(`�_15 •
GiNi�.%'�'M)�(•;�iNrl�"�3ifi��,Ttt1�r) �)r�1il7fr�U�1 '��Ol i2."� I... ��i�._����� 7.. •' 'C )�i fl� 1-f C'�.—•.
� �� , r )i ,\ I ' ,4 , , Yn:.,,i , i. a�l'i � qi ��
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INSTALLATION KIT �
BILL OF MATERIALS
Item Descriptfon
3" x 3/e" Brass Nipples
�/a" Brass Tee's
Yz" x�/a" Copper M.I.P. Adapters
�/a" x �/z" Copper FTGX Adapters
Grundfos Pump UM 25-18 SU
+h" Brass Swing Check Valve
vz" Brass Spring Loaded Check Valve
Vz" Butterball Valves
Pressure-Temperature Relief Valves • 210°F - 150 P.S.I.
Air Vent Valve (Braukmann) (Bell & Gossett)
+/z" No. 10 Stainless Clamp for Tank Sensor
+/z" x 3/a" Female Copper Pipe Adapter (for P.T. Valve on
Panel)
ADDITIONAL MATERIALS
O +/:" Type-M Copper Water Pipe
�h" Copper Elbows
Yx" Copper Tee's
Thermacel Pipe Insulation
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CONSULTING ENGINEERS o,,.E 7 z4 -�i
1p95 N. Mdn $t. Qonpe. CA C1667(71d) 639-18p2 �
2BJ E. &okaw Rd San bse. CA C5112 (v08) 2G5- � SM _L_ Oc
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SOL�AR GO.LIECTOR
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3 - PARAMETER (TI-TA�/IT'
' �OEG(F�/�BTWFT2/HR�
7he American Solar King model SG - 75, Decade BO is one of
America's most efficient flat plate collectors.
Designed for maximum thermal performance, ihe Decade
80 is suitable for applications ranging from domestic hot
water to solar air conditioning.
An exclusively tlesigned, all copper, black � chrome ab•
sorber assures the high performance characteristics of ihe
Decade 80. Solar King dedication to quality is evident
throughout the collector design, right tlown to the "con-
tinuous" mounting flange extruded in the trame.
Feel free to contact American Solar King for clarification of
specifications or independent test data on the Decade 80,
the leader in flat plate collectors, from American Solar
King...naturally!
AMERICAN SOLAR KING CORPORATION
72001MPERIA��DRIVE • P.O. DRAWER 7399 • WACO, TX 76710
817/776-3860 TELEX A 730916
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TYPE OF COLLECTOR: ' ' , ' ,
� Flal p�ate, IIuiC circulating. integral.flow,�coOPer ebsorber. �
OUTSIDE DIMENSIONS: '�sz" z s3.a^ x az5�
-' GROSSAREA! - .-..22:8911'"�..��....._....�. . .
APERATURE AREA: 2�.25 f�' � ' � �
DRYWEIGHT: i35vounds '
FILLEDWEIGHT: ia000�nas
COVER PLATE: \
Material TempereA glass (less I�an A�
,OS % iron contenq r �
Transmissivity gp,1 %
UnilConfigu�ation SinglaGlaze �
Density 2.51 g/m' � //o�
Coefilcient o� Linear ExDansion 89.9 x 70' (0 � 300'C) 4 }
WinALoatl 371b1ft' � (�
Welght 1.31b/fP �O/,
Tnicknass 0.125 z.Ol Cm �I�•
Impact Resis�ance Vv Ib sieel ball irom 10 �I tlrop 0@�j ��
ABSORBER PLATE: 71ryE
Material 99.9 % copper
Selective Coeting Biack Chrome on nlckle �'•.,�
Absorption 96% ' Op
Emissivity 0.10 fE
Max. Working Temperalure � 350'F
Mar. Fluitl Pressure � 700 PSI
Pressure Drop 1.5 PSI (3.45 tt H'O)
Flow Rate 14.7 IDlhr fP (.65 gpm)
Flow Pattem Fully inteiruD�etl ,
INSULATION:
Minimum Value R � 15
COLLECTOR FRAME: �
Material Extruded Aluminum
Thickness .070'
Interior Coating � Anodized Bronze
� Ezlerior Coating AnoOized Bronze
COLLECTOR BACK:
Meterial Aluminum
Thickness .0159"
Inierior Coating Mill Finish
Exterior Coating Black Paint
NO7E: The above aata are nominal values.
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I°%�LUG��U'�I'� <<U. /�?I�� � CONTRACTOR'S LICENSE NO. 308348
n �x,s, 3ez�exn �� �iPas�C-,
pia� ea��zssi ' csG �c�^ i
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permit #--------
THIS NUMBER MUST A�COMPANY
ALL WSPECTION REQU��TS �
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CITY d� C��3f� �9���
Mechanical Division
�—�;;e;� Cepartment
I
Approved . - ---!•_L••
; ' �y�,,�-� � '-
Data.!/�^l..�/..
, �,
�
Pfl0.1ECT AODflESS: �,�, � U MAYr AI� CT
OWNEH'$NAME: LEVATINO ANTHONY J
aooRess: 2220 MAY�AI.R CT
c_os_� r,rsA,ca 9262�
'oxir:
AXCH/ENGINEEfl: ' flEG.NO.:
PDDflESS: UNIT:
PEHMITTEE: SOIL EAlGiNEEY. � NG • ( 619 ) 560-7045
nooness: 1377 SIMYSON WAY J
ESCONDIDO CA 920;.'7
IICENSE� CONTqPCTOH OECUIBATION: I hereby aflirm ��a� I am licensetl untler pmvisions ai Chapler 9(commencing wi�h Seciion
7000) of �iv�sion 3 o�ihe Business antl Professions Cotle. antl my license is in �ull�arce antl eflect.
cirruc.:050999 STFTELIC.:26HOS2 _ cuss: A/� �—
Date: � ^ 3 — �_ Signalure: � ' f�
WOPNEFS' LOMPENSA7I�N OECIABPTION: I herehy aifirm thai I h�ificate of consent to self-insure or a certificale o1 Workers'
Compensalion lnsy[a9.c9rp�,�ce��ifiea copy Ihereol (Seclion 3800. La�. �) U I O 1 I9 1
':OLILYNO.: W��NVV JJ EXP.OpTE:
;OMPnNY: C , E , HEATH
� Cerlilied copy is here�y �umis�etl. � Cehilietl copY is file/tl wilh Ihe city Building �ivision.
�a�e'. __�_ � 3 � ��— APPlicanL _/ /� 7 � ��y�—
E%EMPTION PPOM WOBflEBS' COMPENSFTION OECLRXATION: (ihis sec�ion ne at be completed if the permit is tor one hundretl (3700) or less�.
I certify Ihai in �he peAormance ol Ihe work lor which Ihis permit is issueq I shall not employ any person in any manner so as to become
suhlecl Io Ihe Workers Campen5aiion Laws o� Calilomia. .. ' -
�Oa�e- ' " ' Signaiure: ' - ' -
NOTICE�II, afler making Ihis tleclaration. you 5houlA become SUDIe�� to the Workers' Compensalion pmvisions ot �he Labar
Code. you must btlhwith compty wiih such pmvisions or ��is permit s�all be aeemed revokea.
CONSTBUCTION LENOING AGENCY: I hereby aflirm thal Ihere is a construclion lentling agency for Ihe perlarmance ol �he wark �or
which Ihis permii is issuetl (Setlion 3097. Cia C).
�exoen:
noonEss:
OWNEN�901LOEX OECLAflATION: I �ere�y afiirm t�al I am exemp� imm �he Contracmrs' S[ate License Law for Ihe following reason
(Sec)ion 7031.5 Business antl Protessional Coae: Fny ciry oi coun�y which requires a permil to constmct, alter,'impmve. demolish, or
repair any s�mcNre, prior Io its issuance, also reQuires Ihe applican� �or such Dermi� Io lile a signetl statemen� t�at helshe is licensetl
. pur5uTn1 io Ihe pwvision5 0l Ihe CanUadors' State License law �Chap�er 9(cammencing wi�h SeC�ion 7000) oi �ivision 3 oi the Business
and�Pmlessions CoOe) or thal helshe is exempt therelmm and the basis lor the allegea exemplion. Any violation ol Section 703L5 by
' any applicaN �o� a Dermii sublec�s �he applicant lo a civil penalty oi no� more lhan live hundred tlollars ($500�. .
�� I, as.owner of ihe pmpeny or my employees wilh wages�as iheir sole compensation, will tlo the work, and ihe
�" stmcmre��is not intended or alfered lor sale (Section 704a, Busmess and Pmfessional CoOe�. The Contractors' State License Law
Ooes noPapply lo an ownero� a property who huiltls orimproves �hereon, and who does such work himselVherself or�hrough
� his ar het own employees. pwvitletl ��at such improvemenis are no� in�endetl or otterea for sale. If, however the building or
�� �impmvement is soltl wilhin one year o� compleiion. �he owner will have �he burtlen of pmving he/s�e tlid no� builU o� improve
lociqe purpose ol salel.
I, as owner ol �he pmpetly. am eKclusively conVac�ing with licensetl contractors Io can5tmci Ihe pmled (Sec�ion 7044, Business
❑ anU Pmfessions Catle: The ConVac�ors' Staie License Law �oes nol apply Io an owner ol pmperry who builOs or impmves t�ereon
� antl who comracis �ar suc� pmlecls with a conlracior�s) license pursuant �o Ihe ConVac�ors' Sia�e License Law�. I am aware
- thal pmof of Iheir Worker's Campen5ation insurance should be pmvitle0 �o me. .
,� �:I am exemp� untler Seciion: B. 8 P. C.
'�•�or thiS reason:� :
I tlo hereby ta�nilµlhat I am aware af antl untlers�an0 ihe requiremenis of California Heal�h an0 Salety Code Sec�iore 25505, 25533, antl
25534 antl ihaf I ar any fuiure builtling occupant will/will nol (circle one) need la comply wilh saitl state waes and ��e requiremenis for a
permi� lor canstmction or motlilicalion imm I�e Air Oualiry Management OiStricL ReSiUen�ial constmc�ion applicalions are exem0� �mm
Ihese Dmvisions,
Daie Applicani;
I hereby cerlily �ha� I have reatl Ihis apPlica�ion antl state ��at �he above informalion is correcL I agree ro comply with all city ana counry
ortlinances antl slaielawsrelaling m �uiltling consimc�ion anA here�y authorizerepresenlatives ofthis ciry�o enteruDonthe above�men�ioned
pmperty for inspeclion purpases. //
�ate: _�3� �__ Signalure' � / d �
�� oriver's ucense or sociai seadty a� � 4
t6<t-G6 Wbite—Builtling; Green—CODe EnlorcemeN�, Canary—qoplicanC Plnk—Revenue: Goltlenmtl—Assessar
' CITY OF COSTA MESA - fii7ILDING PERMiT r. „ . _
PER�IIT NO: B 050466 PLAN CHECY, NO; 06115-90 A , i; SJ '; N
CONSTRUCTSO,1 TYPE: V-N . PERMiT TYPE: SiR PURPOSE; �EP
JOB DESCRTPTTON : Rr.PAIR DAMAGg:ll S'iAIRS 6 PATIO FTG SQ FT: 2,4�y '
�
CLAIM VALUE: 2,439.00 CALC-VALUE: 2,939.00 GROJP'OCC; R-3 /�
CI�MMEN'iS: REFAIR D�AGED S'TAIR 6 PATIO FTG
3? iE 1E } Y Y x�% iF i?' ?f ia i� i( x' af iE 14 iF.if 1( +[ )t i% 1f if 1S � iE iE ie V} 1i' i� if iE if iF �f i4 Y iF j%jf iE if 3I if ie 3f i�; iF 3r � 7! i? iF ie i� K 3f i�: ic )c ie �t �f ir jC af Y i� i� u k 3f lf
2 O N I N GS tRTE�QAU�IKRs� M H N T S ,
I
------------ MAIN HUILDING --------�- --------- ACCESSORY BUILDING -----"`-
FRNT; ' FY' IN REAR: rT IN FRNT: F3 ZN REAR; FT j�
LEcT: FT IN RGHT: FT IN LEFT: FT IN RGHT; ,rT iN
PARKZNG REQ• PROV; PARCEL; 41901328 ZNE• R4 REF NO:
PLANNING Nt5TE5> ?OUNDATION STABiiIZATl013 POR PA'PIO AND S1AIkS OF EX CUNDO
i
if if 1E i?� iF if i(� a4 3F ii� K iF 4; 3E aG Y.� if �f if If iF Y.� 1f if fF dF i(� ii !E if �lf iElf �lf 3F 3f �IF #E aE i� � iE If Yr 3(-±f iE iE iE if iE #E !F i4 iF iF *±F 1E # iE 34 jF %� 1f i4 if aE iE iE i4 ii� in-)c iP 3f i6 ih 1E
D E V E L O P M E N i S c R V Z C E S R E,Q U I R E M,E N T S
ZONING APPROVEll HY _ DATE: %_ Z_ 9,` �
BUILDING APPROVED BY ; DATE: -� 3"�'F^
APPiZCATION ISSi1ED BY: DAiE• £���-6-
iFlF#3f3f�lf)FK�K?fiElfiF�Fit�lE3f�#if!(�lE3E - . r i )FaE3F3FfFY.�a;iEdE�Y iFiF3F3�34
iEiE1E3E1F1kiE#1E+f�iE#ffkiE3EiFitiGx�fr.fFif+�FiEif�iE#)Eifif3EiEif-#�? ifi E�1FiElfiElfKlf�iE#IEN�iF#fkiF3Eii�>�iF3FiE#if±E�Yii-if?E?FiFR�!�i!�?F}3f
LEGALIZATTON:N F E E S M M A R Y STRUCTURAZ, SEGMcNT:Y
;
bLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRP.DINC
PERMIT 54.00 ,50
• SMIP/NON-rZES
PLAN 8,7fl
ISSUE FEE
BUILDZNG-DIV-.> PERMIT ISSUE PLAN-CHECK TOTAL PAID. DliE
TO'TALS----> 5.4.50- 0,00" ' 8,'78 63,28 63,28 ,00
REVENUE DIVISION TOTALS--> COi.LECTED: `4.50 OV�R/SAORT: .00
BLDG PM"T FLUMBING ELECTRIC MECFiANIC FiRE SMSPl30T GRADING PiAN-CifECH
SA.00 .50
IF i!-iF if IG lc if iF 7E iE iE if� if If ih ?} {E ?6 iF iElE )f �)F r IE if �f �f iE 3E ✓- 36 iF?E K� if If if #F !E IF ?f iE !f� i4 k Y. � if- iF � ih 1f'i. �1F # 3f �ir i� iE'�E'v.� i: # i!� 1t iF � iE ib k.r. 3i� Id # M� iE?f iF
I N D I V I D U A L r E E B R E A K D O W;�3
TYPE QTY D E S C R I F T I O N UNIT COST iOTAi, �OST
SFR 2439 STRJCTURAi, $Y VAL'UE PER 5�1,00 1,Q0 :-',439,00
END OF rEES �
O1 OQ077287-OtlD7i?E� T �oT g�,50,
DflTE: OII;s:/9i TTttE: 1.4:4t
CONSTRUCTION AND PLANNING'��� P� a4 SPA
APPROVALS Permit # Aate Inspector qppROVALS Permit # Date ' Inspector
1. Temporary Electrical Service or Pole , 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � �� 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. E�ectrical Conduit-Undrgrnd- � 55. Electrical Bonding
5. Steel Reinforcement • 56. Rough Plumbing & Pressure 7est
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE .
7.- Footings 58. Electrical Conduit�Undrgrnd.
�8..Foundation „ � ^ 59. Gas Pipe, O Undrgrnd., Test '.,�
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. '
10. Structural Floor System � t! � 61. APPROVAL TO DECK ', ,�
11. Property Sewer Line & House Connection •� 62. Backwash & Receptor-Final �
12. Sewer Cap " � 63. Heater & Vent-Final ,
13. Fioof Drains � •�•
� 64. P�umbing SYstem � Final
14. Rough Plumbin9 � � �i� 65. Electrical-Final
15. Rough Electrical-Conduit ' 66. Solar SYstem-Final '�
�
i 6. Rough E�ectric Wiring 67. Fencing & Access ApProval ,i
17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING �
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace .� . - �� APPROVALS Permit #
21. Ducts, in Structure . . 70. Underground Hydro
22. Ducts, Ventilating ' 71. Product Piping OGas OOiI
23. Gas Pipe�Rough & Test , - � 72, Underground Flush - '
24. Roof Framing � � 73: Undergrnd. Storage Tank � Gas ❑ Oil �
25. Roof Sheathing ' � � ' . , 74. Overhead Hydro ' � '
26. T-Bar Cei�ing (St�uctural) &.Monocoat �� 75. Dry Chemical _
27. Frame and Flashing ', , ' 76. Dry Standpipe "
28. Lathing & Siding � . . � � • - � 77, FIXED SYSTEM FINAL
29. Insulation .- � "�� �: 78. FIRE PREV. FINAL .
30. Drywall Nailing "� � ' HEALTH DEPT. REQUIREMENT
31. Plaster�Brown Coat ' ���� -, � 7- 79. FINAL INSPECTION -
32. Electrical Power Meter-Final �����' 80. FOOD CERTIFICATE ISSUED
. r� -
33. Final Electric . _ ' � �� ' Notes: •r� ,
34. Final Heating & Air Conditioning : ��,' �
i, ' j.
35. Final Gas Pipe-Test � - "' �� • • � �
v' •/t .:
36. Hood or Canopy � • � ; -"''. •
37. Final Factory Fi�eplace � � •� � ,
38. FinalPtumbing ' �• � �
39. Water Service-Final '
40. GasService-Final �' � .
41. Solar pomesticFinal •
42. Backftow Preve�ter - ' � � ,
43. Backflow Irrigation � � . .
44. Landscape Irriqation System � � . ' �
45. Sound Attenuation _
46. Handicap Regulations �, �
47. FINALSTRUC7UAE&BUlLDfNG �-a�;� ��j6L �
48. FINAL PLANNING • i .
49. Electric Release to Edison ��" -
50. Gas Release to Southern California Gas Co ty � �' . '
�'� :i'
51. CERTIFICATEOFOCCUPANCY �' ' .
No. Date
� . . .. ...%. ..
. � _ ', _ '
-.>;.
��STA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For AppGcant to Fill in Completely — Use Ink Only
BUILDING
ADDRESS
' OWNEROR ,//I�//!/1/1� �I�� �//A/i�C
TENANT `N
��T� i.rrwr
CONSTRUCTION
LENDER
BRANCH
ADDPESS
ADDRESS � J;/ J��� �l
CONTRACT/O7HIi . ^ /,�
ADDRESSIA / /.I� / i l
TEL.
NO.
. ��
o�J.a i ��i i
APPLICATION FOR STRUC7�[JRAL PERMITJ,26.40 Tl
_CEIVED BV PERMIT / / . � . . i
A.P. NO. C.., t� '� O I /r �
BUILDING �J
ADDRESS�L� �
UNITOR- �
SPACE NO.
i1i��r:ua:t�:ir�:m•����
���_-
APPROVED
�
Cf
CITV l l l�i%�, NO.�/IY'1��/� '`W `" n' I
� STATE LY /��Q � CITV � APPROVED SETBACKS
LIC. NO![A� �/ f LIC. NO.
(y SIZE NO.OF BLDGS (FROM C/L STREET) /
0+ OF LOT ' NOW ON LOT � ONT FT.
a USE OF �
'„�� EXISTING BLDG.
N
� Separate permits are required for . �. sioe � Fr. �
0 electric, plumbing and heating work: REAR Fr.
F USE OF BUILDING AND WORK TO BE PERFORMED PLqNNING ACTION �
Q /�
O ,/`�//�-/,J UWVI./L � � �--I � S75 APPPOVED ' ' �
a
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� On • . APP VE
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.� �
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0 I hereby acknowledge that I heve reatl this application and state \
m
a that the ebove information is correct end egree to comply with
�. all laws reguletlnp building eonstruction, antl t shall noi employ R SPECIAL REQUIR.EMEN'i `. i
z any parwn in violation of Me wo�kmen's compansation laws of v Q
W Me State of Californie. T / -
3 I hereby eertify that I am properly Iicensatl as e contractor under SQ. FT.V � W �� n Ay0`
the Stata of Californla Business antl Proteuions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m �
Chapter 9, antl that ch licensas are in full force antl affect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt from Me rovisions of the State of Californie Business VALUATION 4 \
antl PrOfesslons Cotla Division 3, Chapta� 9. PERMIT FEE $
m
LAN CHECK $ '^
Signature of " , � ,/�� � (� .
Permittee ' � % $�� SV TAX $ F �
AuthorizatlAgant D e ���^ `'� / TOTALPAID $ � / V �
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A MESA BUILDING-SAFETY DEPARTMENT
BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to FiII in Completely — Use Ink Only
ADDRESS Z220 Mayfair Court
T�ENA T°R McKinnon-Bibb Properties
ADDRE 5 Z%3% E. Coast Hiway
CITV Corona C�.el Mar NOL6%5-231
CONSTRUCTION "' ' ' ' „ '"
BFANCH 1702 Main Street
ADDRESS S3R't3 ARd �
OREN INEER Geo. 1Vi52man No`642-554
ADDRESS833 Dover Drive
CONTRACTOR Be,ll Construction
ADDFiESS 1�5 E. 18Th. St.. �
arv Costa Mesa No`642-4372
STATE CITV
�ic. No. 36 8 uc. n,o74 2
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT O
USE OF
EXISTING BLDG. Q
Separate permits are required for
electric, plumbing and heating worK
USE OF BUILDING AND WORK TO BE PERFORMED
Townhouse w
e
I hereby acknowledge thet I have �eatl this application and state
that the above Information is corract antl agree to comply with
all laws reeulating builtling construction, antl I shall not employ
any person In violation of Me workman's compensation laws of
Ma Staie of California.
I hareby certify thet I am propetly licensatl as a coniractor untler
the Stace of California Bui an Professions Cotle, ''sion 3,
Chapter 9, antl that suc icenses e In full force af ct, or I
am exampx from me ovision the State of C ifor a Business
and Professions Cotl , D' is 3, Chapt 9.
Sienature of �� � .
Permittee /1 �a
or ' l% ! �i C��
Authorizatl Agant Oate
APPLICATION FOR STRUCTURAL PERMIT
RECEIVEO V P ^ � 8 QQ TLI
A.P. NO. 41 _ _
BVILDING
ADDRE55 �
UNITOR plan B
SPACE NO.
TR.NO. LOT BLK.
10856 28
NEW ADD ALTER REPAIR MOVING DEMOLISH
X
OWNER
VALU arag
use�aw ho e he�
ZONE R4 VPE V GROUP HE..J
APPROVED ^ Q
gy DATE rs
APPROVEDSETBACKS
PL{iNNING ACTION
L�'/7—
APPROVED
THE AMOUNT SI
THE PURPOSE OF
VALUATION
$ �f%
V
APPROVED 4-9-79
VN UNDER VALUATION IS fOR
"ABLISHING A PERMIT FEE ONLV:
PERMIT FEE 5 1$ 9. O O
PLAN CHECK $ r�
TAX S �
TOTALPAID S 1H9'.00
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