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HomeMy WebLinkAbout2040 MONROVIA AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��DING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: ZO4O MONROVIA AV Suite: Vicinity: Parcel Number: 4225p525 Applicant: LAGUNAS, LUIS Address: Zoning: Phone: 949-646-2206 Zip: owner: LAGUNAS, PEDRO & LAGUNAS, LUIS Address 2040MONROVIAAVE Contrector Address: Zip: Arch : Address: COSTq MESA, CA Phone: Zip: 92627 Phone License: Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 09/27/2000 Issued: 09/27/2000 Phone: Zip: License: License: SCOPE OF PERMIT ADD BRICK VENEER TO FIVE COLUMNS; CHANGE-OUT WINDOW IN FRONT OF PROPERTY. WORK ALREDY COMPLETED. �� PERMIT IS TO LEGALIZE CONSTRUCTION DONE WITHOUT PERMITS. -- , FEE SUMMARY Plan Check: $0.00 Permit: $44.85 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $45.35 PLANNING & ZONING SETBACKS ,� �_ MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existina: 0 Rear * 0- 0 Rear 0- 0 Required: 0 _ Calc Valuation: Claim Valuation: � Left 0- 0 � � Right Left 0- 0 Right Proposed: 0 0 0 � � � � si,zoo.00 g�,zoo.00 NOTES: �� A ��� �� � �� d ;��.� �-� . . ' '1 N0710E: The work authorized by this permit shall comply with all applicable handicap access requirements unde� Calitornia statutes and �elated regulations. (Ord. No. 92-28, § 1, 12-21-92) - EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In oider for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspeetions and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2oos-ae lvoo) / \ WORKERS'COMPENSAnON DECLARAnON: -" I �ereby affirtn under penaly of perjury one oi ihe following declarations: ❑ I heve entl will meintain a certificate of consent ro self-Insure lor workers' compensetion, es provided for by section 3700 of the Labor Code, lor the pertormence oi the work tor which lhis pertnit is issued. ❑ I have and will maintain workers' compensation insurence, as required by seclion 3700 of Ne Labor Code, for ihe pertortnance of I�e work tor whicti this pertnit is Issued. My workers' compensation Insurance cerner antl policy number are: Cartier: Policy Number: (fhis section need not be comp/eted i/ the permit is veluetl af one hundred dollars ($100) or /ess.J ❑ I certify t�et in the pertormance oi the work for which this permit is issueQ I s�all not employ any person in any manner so as to become suhject to the workers' compensetion lews of Celifomia, end egree Ihat'd I should becoma subject to lhe workers' compensation provisions ol Section 3700 0l Ihe Labot Code, I shell fort�with comply with these provisions. Applicam Signature: Date: WARNINO: FAILURE TO SEWRE WORKERS' CAMPENSATIqJ COVERAGE IS UNUWFUL ANO SHALL SUBIECi AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED T/IOUSNND DOl1ARE (5100.000�, IN ADDITIIXJ TO THE CO6T OF COMPENSFTION, DAAMGES AS PROVIDED FOFi IN SECTION 3106 OF THE lABOli CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby aHirtn that I am licensetl untler provisions oi Chapter 9(commancing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full fome and eflect Lic. N Class a Contrectofs SignaWre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn that thera is a construction lending agency for the pertortnance ot Ihe work for which ihis pertni� is issued. (Sec. 3097, Civil Cotle). Lentlefs Name: Lenders Address: Signature: � Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn that under penalry of perjury Ihat 1 am EXEMPT FROM TME CON7RACTOHS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or county which requires a permit to construct, alter, improve, demoiish, or repair any structure, prior to its issuance, elso requires the ap0licant for such pertnit to file e signed stetemem that he or she is licensed pursuant to the provisions ot ��e Contractors License Lew (Chapter 9(commencing with Section 7000) of DlWsion 3 of the BuSiness end Professlons Code) or that ha or she is exempt lheretrom and the basis for Ihe allegetl exemption. Any violalion of Section 7031.5 Cy any applicent for e pertnit su ' cts the applicant to a civil penalry ot not more than tive hundred dollers ($500).): I, as owner of Ihe property, or my employees with wages as Iheir sole compensation, WILL DO 7HE WORK, end the structure is not intendetl or oHeretl for sale (Sec. 7044, Business and Pmfeuions Code: The Contractors License Law dces not apply ro an owner of property who 6uilds or improves Ihareon, and who does such work himseli or herselt or throu9h his or her own employees, provided that such improvements ere not Intentletl or oHered for sala. If, howaver, the huiltling or improvement is sold wiihin one year of wmpletion, ihe owneo-builder will have the burden ot pmving Iha� ha or she did not build or improve for purpose of sale.). ❑ I, es owner oi the proDerty, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The wNrectore LJcense Law tloes not epply to an owner of pmperty who builtls or Improves thereon, and who contracts br such project with a contrector(5) license pursuant ta the Coniractors License Lews.). I am exeyipl under�s . Business antl Professions Cotle tor this reason: ture: ti 7�l� ' Date: �r IO veritied 6y dnvef5 liCense. ❑ Ves ❑ No Driver5 License No. ExpireS: Venfica�ion of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby certify iha� no e:cavation tive (5) or mora feet in depth into which e person is required to tlescenq will be made in connection with work euthorizad by this pertnit, antl that no building structure, scattolding, falsework, or demolition or dismantlinq thereof, will be more than ihirty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Ttle 8, Celilomia AdministraWe Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnit from the Division ot Industnel Sefety, es noletl above, unless such person has e pertnit to do such work irom ihe division. Signatura: Date: Division of Industnal Safety Permit Number: COOE I. INSVEC110N TYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Final BIocWRetaining Well 202 Pinal Factory Fi�e Place 203 Final Sign 204 Final Demolition pdg 7i�$ �! INSPEC110NTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electntal 212 Final Flre Prevention 220 Final Planning Approval 222 Final Site 250 Final Buiiding/Occupancy PAIE 1[�L9 - g .."�„�,�'. i :.:�:� 1 ' '�1 ; (714) 754-5273 • Fa�c (714) 754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT �ob Address: 2040 MONROVIA AV Suite: Vicinity: WHOLE HOUSE Parcel Number: 42250525 Applicant: MILLER, DALE Address: 13781 NEWHOPE ST CA ' � GARDEN GROVE-: � /,='.; � � - ���i � - �', owner: HAUK;'SNANDY�` � � ,,. � .- � 1 Address 2040�MONROVIAAVE� � - /,,'�f%�/�/� v�' ' „ � ���COSTAMESA\CA -% �c� � /'� � /� A � ': Contrectoi �DALES ROOFING' � Address: A 13787-NEWHOPE-ST i nii � / /% i CA - i "' �� �� ��� ��� GARDEN,G OVE ';i``� �� Zip� 92703i;� �� . . ,=/:l: "'Arch : � , � ��, � 'Address:_ ' -�; � � ' , , , �r . ' .. I � Z�P0. ^r . � /,-- ` ' ' `!. � //. � �A°. Zoning: Phone: Zip: Phone , ZIP. Phone: NUMBER 513 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 09/20/1999 Issued: 09/20/1999 ISSUED BY: (7i4) 534-639&_ �,Y ` -92703 � • _ ;.�� /� � , '�� ,/ r � `,�`^�v'.�' � � �> < �: ' i � �" \ �..,1 I' ,/ . .�A� ti\ `c`� _ � ,JA`� 92627 � � . -: -�'\ i �� � , `\ \x :\\ � %/ � /� � �\i\,\�� i (714) 534-6398 ��'� �� � _ � V �.. � �\ . .�, . � ''\�:�\ . � ;=, � ,/ License: 503508 ��"�� '� �� �� ���� _a;,- -� „ �� � � _ - " . ;�,A , _ .. /� . - / r�- , •!Phone::��'� � License: :' Eng: l Address: �i, . . i+ .A , � �. _ �;,i . ,' (: � �, ; Phone: � . � ��, � �.�.. .r . � ,; . �'Cicense: ,;� y \� '�n,�� � • � �� \� ` =' `' �' SCOPE OF PERMIT �V � � ? � ' ' ' F .� . �� ; REROOF EXISTING SINGLE FAMICY�RESIDENCE (16 SQ). REROOF OVER EXISTING 2-LAYERS OF COMPO$ITION �- - ,. � SHINGLES.WITH 20 YEAR COMPOSITION`SHINGLES. SUBJECT TO PRE-ROOF INSPECTION. � r � � r. . . ....._-..,... . �...__ , . i � ' � FEE SUMMARY ` , � . 1 � Plan Check°t�� $0.00 � � ��� '�� Calc Valuation %� �' �. ,$2,soo.00� ,; j ����, Permit���� $83.25 � _ '"' � _.j � �' �• :Claim Valuation. �• • � S2,9oo.00 SMIP Res •�r $0.50 " - � ' �' ' � `' � - / . � ', ' `, SMIP Com � " $0.00 f �i;'�� r� � 1' � � ` Other � '� � $0.00 --- ' ��"-� ,`.. j�,� ��Inspection ��j�$0.00 — ) � ,;,., � , �, .� ','� . ;,� .. . �. � ��'=. Total:� $83.75 � � � � � � ` , ,, ", t��' ���`' , - • PLANNWG&ZONING. �. -� ;��,� � ' SETBACKS � � � , � �� ' - . MAINSTRUCTURE Front 0=0 -, ��:Rear�- 0-0 . - Left� 0-0' � .Right 0-0 �=; . „;� ' �,� � ' . . - ' . � ' ' :� - . . ACCESSORY � � � :Front 0= 0 , Rear 0- 0 � . .Left 0- 0 - � � RigFit � 0 �0 ' , " � ,- PARKING Ezistin :� 0 � Required: 0 Proaosed: 0 NOTES , " EXPI D DATE � � �� � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 780 days. INSPECTIONS: In order �or the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectione and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLARATION: I hereby attirm under penalry ot perjury ona ot the tollowing tleclarations: ❑ I have antl will maintain a certificate oi consenl to seli-Insure for workers' compensation, as provided for by section 3700 oi the Labor Code, for the perfortnance of the work tor which this permit is issued. ❑ I have entl will maintain workers' compensation insurance, as required by section 3700 ot Iha Labor Code, tor the peAortnence of Iha work for which this permit is issuetl. My workers' compensation In urance car and policy number ere: �/ _ o Cerrier. S�%��'P � Policy Number. o� �J S / 9 o�a / fiY� (TM1is seclion need not be completed il fhe permit Is velued et one hundred dollars ($100) or less.) ❑ I certity that In the pert ance o e work for whi his permit is iuued, I shall not employ any pereon in any menner so es to become subject to the workers' compensation laws alif ia, agre hat if Id become subject to ihe workers' compensation provisions ot Section 3700 of the Wbor Code, I shall forihwith comply with ihese p o'sians Q,�7 p. Applicant Signeture: ./ � Date: / �`� — / /� WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVEPAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED iHOUSAND DOLLARE ($100,000), IN ADDITIIXJ TO THE CQST OF COMPENSATION, DAA4IGES AS PROVIOED F-0R M SECTION 31060F THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm �hat I am force antl aflect Lic. N Contraaofs SignaWre: Chapter 9(commencing with Section 7000) of Division 3 oi Ihe E Class # , Date: Cotle, and my license is in full CONSTRUCTION LENDING AGENCV: ❑ I hereby attirtn that thare is a construction lending agency tor the pedormance of ihe work tor which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lendefs Address: Signature: OWNER-BUILDER DECLARA710NS: Date: I hereby aHirtn ihat under penalry of perjury that I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW For iha following reason (Sec. 7031.5, Business and Professions Code: Any ciry or couniy which requires a pertnit to consWct, alter, impmve, demolish, or repair any siructure, pnor to its issuance, also requires tha applicaN for such permit to file a signed statement Ihat he or she is licensetl pursuant to Ihe provisions ot the Coniractors License Law (Chapter 9(commencing with Sec�ion 7000) of Division 3 of ihe Business and Professions Code) or that he or she is ezempt therefrom antl lhe basis for the alleged exemption. Any violation of Section 7031.5 by any epDlicant for e permit subjects the applicant to e civil penalry oi not more than five hundretl dollars ($500).): ❑ I, as owner of ihe property, or my employees with wages es their sole compensation, WILL DO THE WORK, and lhe structure is not iniended or offeretl for sale (Sac. 7044, Business and Protessions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, antl who does such work himself or herseH or through his or her own employees, providea that such improvements are not intended or offered for sala. tl, however, the building or improvement is sold within one year of completion, ihe owner-builder will hava ihe burden of proving that he or she tlitl not builtl or improve for purpose oi sale.). ❑ I, as owner of the properry. am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sac. 7044, Business antl Protessions Code: The coniractors License Law tloes not apply to an owner of properry who builds or improves ihereon, and who contrecis for such project with a coniractor(s) license pursuant to the Contractors License Laws.). ❑ I am e:empt untler sec. Business antl Professions Code tor ihis reason: Signa�ure: Da�e: Owner ID verilied 6y dnvafs license. 0 Yes ❑ No Drivels License No. Expires: Verification oi Owners�ip by (type of document, i.e. - property tau bill or deed): _ DIVISION OF INUUSTRIAL SAFETY PEHMIT CERTIFICATION: ❑ I here6y certify that no excavation five (5) or more teet in depth into which a person is required to tlescend, will ba matle in connection with work au�horized by this permi�, and Ihat no builtling struc�ure, scaHolding, talsework, or tlemolition or tlismantling Ihereof, will be more than thirry-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle 8, Calitomia Adminisirativa Code). ❑ A5 owner-builder, I will not employ enyone to tlo work which would require a permit from �he Division of Indusirial Safety, as noted ebove, unless such person has e permit to do such work twm the division. Signature: Date: Division of Intlustrial Safery Parmit Number: CERTIFICA7E OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty ot perjury that I have read this appiication and state that the information given is correct. I agree to comply with all state laws and ciry ordinances7elating to building constmction, and authorize representatives of ihe City ot Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorizetl by this Dermit until final inspection. ff re Of Legal Owner(s) te � �i -,� -� An Or Authonzed Applicant ate COpE 6 INSPECTIONTVPE 1616 Fi:ed System Final Fire Prevention /266 Pool Spa Final 200 Final Re-Foof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition zms-as PAIE INiRIALS CODE I INSPECTION TYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electncal 272 Final Fire Prevention 220 Final Planning Approval 222 Final Sita 250 Final Building/Occupancy ppTE RLS ITTINDGE R. M. � OWNER f DATE 9-21-56 - JOBADDRESS 2OI{O MOIIPOY].8 APB• BUILDINGPERMITNO. 3�3�1 GENERALCONTRACTOR BudRet Builders VALUE $ 1.i20.00 . , 5i3 GROUP I INSPECTIONS Footing Trench Foundation Forms and Gra Rough Framing _ Plumbing, Rough to Slab Plumbing, Rough Compiete Temporary Pole . Heating, Rough Heating, Final Sewer, House Sewe Septic Tank or Cesspool ng, In� Out F.__:erina ' Plumbing, Final, Fixtures Plumbing, Fin,al Gas Test Wiring, Final Occupancy FORM 310 3M 10�•+3 St. TRACT 171Z 0 zoNe R� DATE I SUBCONTRACTOR Add, to exist dwell. DATE PERMITSISSUED C�osta Mesa Building Departruent :1PPLYCATION FOR PERMIT ... `; P.O.Box3�� .��2 BUiLDING ' COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY �' FOR APPLICANT TO FILL — eece�Pt rvo. Perm�t rvo.. nadai�s9 D � U � � 7 �'� Costa Mesa, California Received by Date Rec'd. Date Issue$/ Nearest '�� ` �/", CrossSt. Buildin �� . O! A���U t 4 Address /s' Owner � ma�� Costa Mesa, California Address Nearest Te�, Cross St. -. Cfty �%%LG6zC�— No. Zone !� No.of Type Group 4 Architector Lic. 0 1 I Plans I Engineer No. � Approved%�G Dat�S / W6 by �� ress City Lic. � . �� ^ Contractor No. �� �� . Address Legal �ot � I C1TY O /• i Description I�`10. ,�/d I Block � Tract�/%vl ,.,-�;.� , � r�. , �/ - ,.•� (Attach Metes and Bounds) / � J —� �7 'ol� - / No. of Bldgs Size of Lot (� � �%L> � Now on Lot — 0 ljse of No. of No. of 70 Existing Bld I F.amilles I Rooms � Setback Line from Rear Vard Z Center of Street � Side Yard y DESCRIPTION OF WORH � New I I Alteretion f I Addition I Repair I I Moving I I Demolish I , �ilding/��� , No.of _e Rooms 2 Stories � ��iterio9Wall�.,�_ I Roof 9 �� ApPROV��s Coverin _y�� Coverin Use of New G� _ � Building .(LP([/ �y�y� Foundation Lacation Inspector � Date Forms, Materials, Under-Pinning Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application and state tha2 the above is wrrect and agree to comply Lath. Int. with all CIty Ordinances and State Laws regulating — ---a' building constru 'on. � Lath. Ext. Signatureot � � Permfttee � Ptaster, Int Authorized Agt. Plaster, Ext. Valwatlon Permit Fee $ �i Masonry Reinforced / �� ,�, Pian Check $ �' Bond Beam - � $ � Total Fee $ � "� � FINAL , FOHM 204 10�[S D. P. 8 5, <,._. T l ! t u c ' u J c 6 J a � a a • , o. . , a � ..,`.. � c - , . , PLOT PLAN Show Iocation and �dislances from N � proper[y Ilne and between bulldinga � � �� v. c �� - 0 h� � r't (• !� . � ; • / ' L • j � . '� ' � f5 .. ,.. -� ., �. .. � , ,, , •. � z ... ., _ � . : ' . .. - , 9 VAIVCR YV1Y:/V� YLL\1[i L• Uq�[ `�� �/ JOB ADDRESS 2040 Monrwia Ave. BUILDING PERMIT N0.3 59 GtNtKAL lU� ' AP No.115- j IN`^FCTIONS � G � WATER ROUGH PWMBING PROP. SWR. LINE SPRINKLING SV51 MISCEL�ANEOUS LOT TRACT FI HOtISE CON. HEATING AN� AIR CONOITI E ❑NDERGROUND �_J POWER U ROUGH WIFING TRENCHES FORMS STEEL REINF. FLOOR SYSTEM BONO BEAM ❑ STEEL fiEINFORCE ❑ SHEATHING FRAME ANO FLASHING � 'NG. VENT.. REFFIG. ANO A.C.. FINAL ING, FINAL FNO G .RIC, FINAL BUILOING, FINAL SPECIAL REOl11REMENTS SUBCONTRACTOR {- r_i _ � 39659 � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 �re P°`°OQ,00�� w��=iG.So PG'%`iCY,S� APPLICATION FOR BUILDING PERMIS For Applicant to Fill in Complefely REC VE BV OATEFECEIVED DATEISSUED BUILDING., /� n u � a-a�-� ADDRESS ' `- (�� %U/CO�1.Q/ AC�/ a -ab OWNER y�j ijLCIJ :� t'S A.P.NO. S' /3—�5 P TN � ./� ) ADIDRIEs avya (/i��'���� ADDRESS -� O L /// RZ1�/� �-y a U CITV p ��(' NO. _�I TRACT'� I� L(]'f�/ � BI_oCK Z Q CONSTRUCTION � W A O � LENDER am J � BRANCH J N OWNER m J ADDRESS m ARCHITECT TEL. S • J a OR ENGINEER U Q FIRE w � ADDRESS ZONE d W 1 APPROVED W 2 CONTRACTQR �(/' .�/i 8�' J Q m Z J � ADDRESS VALUE DATE � -� G W w 20 NO.OF /� USE OF NEW" �= CITV NOL P�+� G.. BUILDING � 2 � w O STATE CITV �'ARDS APGROVED VAFDS APi y� LIC. NO. LIC. NO. MAIN BUI�DING ACCESSORV � O (FROM C/L S' SI2E NO.OF BLDGS. rjG OF LOT 7 X/��j NOW ON LOT ROM t USE OF �C , EXISTING BL�G. F SIZEOF /'�� /1 (-} NO.OF .y Z NEWBLDG. ��d ROOMS STORIES L.SIDE S a EXTERIOR W L ROOF V COVERING COVERING REAR �� J USE OF BUILDING AND WORK TO BE PERFOFMED DISTANCE BET a MAIN BLOC6. a Q vna. vl� � � c.v.r.3w F APPflOVED/. N ��� Z O UI hereby acknowletlge that I have reetl this applicetion and state thet ihe ebova information is correct and apree to comply with � a1V Iaws regulatinB bui{tllnH <onstmctbn, antl 1 shall not employ / F any person in viDlation of Me workmen's campensation laws of y the State of California. '� Z I he�eby certify that I am properly Iicensetl as e conttector untler 2he Sm[e of Celifomia Bueiness entl Professiom Cotla, Divisicn 3, THE AMOI Chaptar 9, antl that such licenses are In full torce antl effect, or I THE PUflPO am axampt from the provisions of ihe Stat� California Business and Protessions Cotle, Divisio� 3, Chap2er . VALUATION Signei�reof �� /I'M, Permittea $ �?T/(I � Authorized Agent � // FT S FT � BET. MAIN & - �� ��� S/ 7pTE ��� � O IN UNDER VALUATION IS FOR � 'ABLISHING A PERMIT FEE ONLY: Q m 'PERMIT FEE $ � � J m PLAN CHECK $ E � o LL TOTAL FEE $ �ORA�lGE COUNTY BUILDING DEPAifTlNEt�T • � APPLICAYION FOR PERMIT .' „ �'�'.� • 636 North Broodway . � . SANTA ANA, CALIPORNIA -- � �-�•�� � � � � � � -- -- , r , , . j:_, . . ._. . . . . . . . � . `, • =,�` . :. . , -- . . . � y . _ ' � ��. ,-- _ _ ...: . - � ; . � -- --- - - .. . _ _ _ ,� - - - - :-�«,-c C:�; � . _ . ' . ...14 .. , ! - (.1...(�i�� � _ � n �T -, � -. . _ _ . � �:�.n Fi.�.'� .'��l �ie�i �- ��il�-� .. ' I . r ' ',� i " .. . , " " . �. .�Y..— L _. •.< . �..�- ... ; . „ ' _ " ' i � � � .�'.. . 1- . ._ . . _. _' f `a ..... ' . . , _ � . '_ ' : � 'J.w' i'L : :' :.s, , _ .. _ ' C 'J' ' ' . _ . � i _ : ..'(�_�;ti.,i'...� 1.:..:�: ..-... � i --a '_.. �.- - Y•.1:. . .._0:"_.._- ..,-r�.r � � � � ..4i.!^_ ._ �.. t'. ' ' ci`± : f_,.�. i _ � . _ .i' = . . . . FrF -- , ' " "'_ . i. .. u.i' . . : . . 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